Assessment of knowledge and Practices regarding folic acid supplementation Among pregnant women in Dhamar City, Yemen

A Research Submitted to the Midwife Department, Applied College of Science & Technology, Branch Thamar in Partial Fulfillment of the Requirements for the Diploma of Midwife.

By (Researchers)

Amira Abdulelah Al-Shaqdari
Amal Anwar Abdullah Dahbil
Anisa Musaad Al-Suwaidi
Bashaer Ahmed Musaad Al-Ansi
Doaa Ali Shams Al-Din
Enas Hefzullah Abu Qamar
Hamas Ahmed Al-Hadaa
Malak Ali Mohammed Al-Shabibi
Noor Mohammed Al-Maqdashi
Reem Ali Mohammed Ali Saeed
Ruqayah Abdullah Yahya Al-Luwaa
Samira Tawfiq Mohammed Saeed

Supervisor:

Dr. Bushara Naser Al-Shawish

Master in Epidemiology and Public Health

Thamar University | 1447AH – 2026AM

(قَالُوا سُبْحَانَكَ لَا عِلْمَ لَنَا إِلَّا مَا عَلَّمْتَنَا إِلَّا مَا عَلَّمْتَنَا إِنَّكَ أَنْتَ الْعَلِيمُ الْحَكِيمُ)

سورة البقرة – الآية (32)

Dedication & Acknowledgments

Dedication: We dedicate this work to our mothers, fathers, brothers, sisters, and friends for their endless support and kindness throughout our journey.

Acknowledgments: First and foremost, thanks to Almighty Allah. Special gratitude to our supervisor Dr. Bushara Naser Al-Shawish, Head of Midwife Dept Dr. Harbia Al-Qadhi, Dr. Abdulaziz Alhattami, Dean Dr. Faiz Alharoji, and Deputy Dean Dr. Hussein Gueim. We also extend appreciation to Dhamar General Hospital Authority and all participating medical centers.

Abstract

Background: Folic acid (FA) supplementation is essential to prevent maternal and fetal complications during pregnancy.

Aims: Assess knowledge and practices of pregnant women regarding FA supplementation in Dhamar City, Yemen.

Methodology: A descriptive cross-sectional study conducted among 216 pregnant women attending ANC clinics using a pretested questionnaire.

Results: 28.7% aged 25–29 years; 67.6% urban; 47.2% illiterate; 84.7% knew FA prevents fetal abnormalities. However, only 29.6% knew it should be taken preconceptionally. Main barriers: procurement difficulty (60.2%), cost (58.3%), and forgetfulness (63.4%).

Conclusion & Recommendation: Knowledge about FA benefits is good, but pre-pregnancy intake awareness is lacking. Strengthening health education programs is strongly recommended.

نتائج الدراسة والداول (Results Tables)

Table (4.1): Socio-demographic Characteristics among 216 pregnant women

Variables Characteristics Frequency Percent %
Age < 20 24 11.1%
20 – 24 38 17.6%
25 – 29 62 28.7%
30 – 34 50 23.1%
35 – 39 34 15.7%
≥ 40 8 3.7%
Residence Urban 146 67.6%
Rural 70 32.4%
Economic Status Low (< US$200/month) 86 39.8%
Middle (≥ US$200/month) 110