Abstract
The objective of the study on solving anemia in pregnancy living in Sriratana hospital’s catchment area is to decrease iron deficiency anemia in pregnancy through operational research using participatory group process. Data were collected by means of questionnaires, weight and height scales, antenatal care record, record of group process and laboratory investigation including packed cell volume (hematocrit) and screening for thalassemia (DCIP-KKU clear test, Osmotic Fragility test). Various medias were used for disseminating basic knowledge, control and prevention of anemia and related issues in group discussion. All pregnant women living in villages in the catchment area were participated during November 2000 to October 2001. The results showed that using participatory group process to perceive iron deficiency in pregnancy and to formulate solutions has an effect on correcting knowledge, attitude, and behavior to prevent and control iron deficiency anemia statistically significant. In addition, 11 programs had been generated to make other iron food sources available, to disseminate knowledge of iron deficiency anemia and motivate pregnant women attending antenatal care service at first trimester. The outcome of intervening programs indicated that 41.2 % of pregnant women attended first ANC at pregnancy age less than 12 weeks. And, 76.5% took iron tablets regularly according to the prescription. These findings consistent with the increasing of mean packed cell volume from 33.3% (95%CI: 32.3-34.4%) at first attending ANC to 36.8% (95%CI: 35.9-37.6%) at pregnancy age 28-32 weeks. Anemia in pregnancy also decreased from 36.8% to 16.7%. It is concluded that participatory group process in perception of anemia in pregnancy will decrease anemia in pregnancy and results in cooperating between health facility and community.
