Adherence to iron–folic acid supplementation among pregnant women in east africa: a systematic review and meta-analysis

Iron and folic acid deficiency anemia remains a major global public health problem, accounting for approximately 1.45% of all disability-adjusted life years (DALYs). It is widely recognized as a significant contributor to the high levels of maternal and perinatal morbidity and mortality worldwide. Adequate adherence to iron and folic acid supplementation during pregnancy is essential for preventing anemia and reducing its related health complications. Although numerous studies have been conducted in different settings, their findings have been inconsistent and insufficient to inform clear interventions. This systematic review and meta-analysis aimed to estimate the pooled prevalence of adherence to iron and folic acid supplementation and to identify its determinants among pregnant women in East Africa.