Innovative Tools and Strategies | Prevention and Clinical Management | Strengthening Quality of Care | Global Guidelines and Local Adaptations Room: 1.43-1.44 Pre-Formed Panel
May 09, 2023 13:15 - 14:30(Africa/Johannesburg)
20230509T1315 20230509T1430 Africa/Johannesburg Paving the Way forward for Intravenous Iron Treatment for Anaemia in Pregnancy: Insights from a Hybrid Trial in Nigeria

Anaemia in pregnancy is a major public health burden with a higher incidence in low- and middle-income countries (LMICs) such as Nigeria. It is mostly caused by iron deficiency and has significant implications on maternal and neonatal health. This panel examines initial findings from an ongoing superiority, randomised controlled trial, "Intravenous versus oral iron for iron deficiency anaemia in pregnant Nigerian women (IVON trial)" with both effectiveness and implementation outcomes. In this four-abstract panel, we present recent estimates of prevalence of and risk factors for iron deficiency among pregnant women with moderate or severe anaemia in the two most populated states of Nigeria (Kano and Lagos states). This abstract goes on to describe the characteristics of pregnant women with iron deficiency anaemia in the study sites. In the second abstract, we capture perception of women on intravenous iron treatment for anaemia in pregnancy in the IVON trial. Building on this, we report considerations for acceptability of intravenous iron treatment for iron deficiency anaemia in pregnancy in Nigeria based on insights from a qualitative study with pregnant women, family decision makers and health care providers. Finally, being that large scale trials such as ours are rare in the LMIC maternal health space, we share lessons learnt from the conduct of this trial and how contextual solutions to challenges were generated to assure successful trial implementation.

Room: 1.43-1.44 International Maternal Newborn Health Conference 2023 information@imnhc.org
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Anaemia in pregnancy is a major public health burden with a higher incidence in low- and middle-income countries (LMICs) such as Nigeria. It is mostly caused by iron deficiency and has significant implications on maternal and neonatal health. This panel examines initial findings from an ongoing superiority, randomised controlled trial, "Intravenous versus oral iron for iron deficiency anaemia in pregnant Nigerian women (IVON trial)" with both effectiveness and implementation outcomes. In this four-abstract panel, we present recent estimates of prevalence of and risk factors for iron deficiency among pregnant women with moderate or severe anaemia in the two most populated states of Nigeria (Kano and Lagos states). This abstract goes on to describe the characteristics of pregnant women with iron deficiency anaemia in the study sites. In the second abstract, we capture perception of women on intravenous iron treatment for anaemia in pregnancy in the IVON trial. Building on this, we report considerations for acceptability of intravenous iron treatment for iron deficiency anaemia in pregnancy in Nigeria based on insights from a qualitative study with pregnant women, family decision makers and health care providers. Finally, being that large scale trials such as ours are rare in the LMIC maternal health space, we share lessons learnt from the conduct of this trial and how contextual solutions to challenges were generated to assure successful trial implementation.

Prevalence of and Risk Factors for Iron Deficiency among Pregnant Women with Anaemia in Nigeria: A Cross-Sectional Survey
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Prevention and Clinical Management
Presenters Ochuwa Babah
Senior Lecturer, College Of Medicine, University Of Lagos
Co-authors Opeyemi Akinajo
Consultant Obstetrician And Gynaecologist, Lagos University Teaching Hospital, Lagos, Nigeira
VA
Victoria Adaramoye
Consultant, Lagos University Teaching Hospital
TA
Titilope Adeyemo
Associate Professor, College Of Medicine, University Of Lagos
Mobolanle Balogun
Associate Professor, College Of Medicine, University Of Lagos
Aduragbemi Banke-Thomas
Associate Professor Of Maternal And Newborn Health, The London School Of Hygiene & Tropical Medicine (LSHTM)
RQ
Rachel Quao
Program Manager, College Of Medicine, University Of Lagos
IA
Ibraheem Abioye
Director, Afya Technologies
Hadiza Galadanci
Director/ Professor, Africa Center Of Excellence For Population Health And Policy, Bayero University, Kano
NS
Nadia Sam-Agudu
Associate Professor, University Of Maryland School Of Medicine
CH
Claudia Hanson
Senior Lecturer, Karolinska Institutet
KA
Kristi Annerstedt
Assistant Professor, Karolinska Institutet
Lenka Benova
Institute Of Tropical Medicine, Institute Of Tropical Medicine
EL
Elin Larsson
Associate Professor, Karolinska Institutet
Patients' Perception of Intravenous Iron Treatment for Anaemia in Pregnancy: Findings from the IVON Trial
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Prevention and Clinical Management
Strengthening Quality of Care
Presenters Mobolanle Balogun
Associate Professor, College Of Medicine, University Of Lagos
Co-authors Ochuwa Babah
Senior Lecturer, College Of Medicine, University Of Lagos
Opeyemi Akinajo
Consultant Obstetrician And Gynaecologist, Lagos University Teaching Hospital, Lagos, Nigeira
VA
Victoria Adaramoye
Consultant, Lagos University Teaching Hospital
TA
Titilope Adeyemo
Associate Professor, College Of Medicine, University Of Lagos
Aduragbemi Banke-Thomas
Associate Professor Of Maternal And Newborn Health, The London School Of Hygiene & Tropical Medicine (LSHTM)
RQ
Rachel Quao
Program Manager, College Of Medicine, University Of Lagos
IA
Ibraheem Abioye
Director, Afya Technologies
Hadiza Galadanci
Director/ Professor, Africa Center Of Excellence For Population Health And Policy, Bayero University, Kano
NS
Nadia Sam-Agudu
Associate Professor, University Of Maryland School Of Medicine
EL
Elin Larsson
Associate Professor, Karolinska Institutet
CH
Claudia Hanson
Senior Lecturer, Karolinska Institutet
Lenka Benova
Institute Of Tropical Medicine, Institute Of Tropical Medicine
KA
Kristi Annerstedt
Assistant Professor, Karolinska Institutet
Acceptability of Intravenous Iron Treatment for Iron Deficiency Anaemia in Pregnancy: Insights from a Qualitative Study with Pregnant Women, Family Decision-Makers, and Health Care Providers in Nigeria
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Strengthening Quality of Care
Presenters Opeyemi Akinajo
Consultant Obstetrician And Gynaecologist, Lagos University Teaching Hospital, Lagos, Nigeira
Co-authors Ochuwa Babah
Senior Lecturer, College Of Medicine, University Of Lagos
NS
Nadia Sam-Agudu
Associate Professor, University Of Maryland School Of Medicine
Mobolanle Balogun
Associate Professor, College Of Medicine, University Of Lagos
Aduragbemi Banke-Thomas
Associate Professor Of Maternal And Newborn Health, The London School Of Hygiene & Tropical Medicine (LSHTM)
RQ
Rachel Quao
Program Manager, College Of Medicine, University Of Lagos
IA
Ibraheem Abioye
Director, Afya Technologies
Hadiza Galadanci
Director/ Professor, Africa Center Of Excellence For Population Health And Policy, Bayero University, Kano
Lenka Benova
Institute Of Tropical Medicine, Institute Of Tropical Medicine
CH
Claudia Hanson
Senior Lecturer, Karolinska Institutet
VA
Victoria Adaramoye
Consultant, Lagos University Teaching Hospital
TA
Titilope Adeyemo
Associate Professor, College Of Medicine, University Of Lagos
EL
Elin Larsson
Associate Professor, Karolinska Institutet
KA
Kristi Annerstedt
Assistant Professor, Karolinska Institutet
Lessons Learned from the Conduct of a Large Clinical Trial among Pregnant Women with Anaemia in the Two Most Populated States of Nigeria
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Innovative Tools and Strategies
Global Guidelines and Local Adaptations
Presenters Bosede Afolabi
Professor And Head Of Department, College Of Medicine University Of Lagos/Lagos University Teaching Hospital
Co-authors Ochuwa Babah
Senior Lecturer, College Of Medicine, University Of Lagos
Opeyemi Akinajo
Consultant Obstetrician And Gynaecologist, Lagos University Teaching Hospital, Lagos, Nigeira
VA
Victoria Adaramoye
Consultant, Lagos University Teaching Hospital
TA
Titilope Adeyemo
Associate Professor, College Of Medicine, University Of Lagos
Mobolanle Balogun
Associate Professor, College Of Medicine, University Of Lagos
Aduragbemi Banke-Thomas
Associate Professor Of Maternal And Newborn Health, The London School Of Hygiene & Tropical Medicine (LSHTM)
RQ
Rachel Quao
Program Manager, College Of Medicine, University Of Lagos
IA
Ibraheem Abioye
Director, Afya Technologies
Hadiza Galadanci
Director/ Professor, Africa Center Of Excellence For Population Health And Policy, Bayero University, Kano
NS
Nadia Sam-Agudu
Associate Professor, University Of Maryland School Of Medicine
EL
Elin Larsson
Associate Professor, Karolinska Institutet
KA
Kristi Annerstedt
Assistant Professor, Karolinska Institutet
CH
Claudia Hanson
Senior Lecturer, Karolinska Institutet
Lenka Benova
Institute Of Tropical Medicine, Institute Of Tropical Medicine
Associate professor
,
College of Medicine, University of Lagos
Consultant Obstetrician and Gynaecologist
,
Lagos University Teaching Hospital, Lagos, Nigeira
Senior Lecturer
,
College Of Medicine, University Of Lagos
Professor and Head of Department
,
College of Medicine University of Lagos/Lagos University Teaching Hospital
Dr. Jian Yan
Senior Program Officer
,
BMGF
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Prevalence of and Risk Factors for Iron Deficie...
IMNHC_1684436611ochuwa_adiketu_babah.pptx View Submitted by Bosede Afolabi 1
Patients' Perception of Intravenous Iron Treatm...
IMNHC_1684436642mobolanle_balogun.pptx View Submitted by Bosede Afolabi 2
Acceptability of Intravenous Iron Treatment for...
IMNHC_1685027917NewIMNHC_AcceptabilityofIVirontherapyinNigeria_OpeyemiAkinajo.pptx View Submitted by Bosede Afolabi 4
Lessons Learned from the Conduct of a Large Cli...
IMNHC_1684436851979_bosede_b_afolabi.pptx View Submitted by Bosede Afolabi 1
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