Research Article Women’s Awareness and Associated Factors on Preconception Folic Acid Supplementation in Adet, Northwestern Ethiopia, 2016: Implication of Reproductive Health Yitayal Ayalew Goshu , 1 Tewachew Muche Liyeh , 1 Amare Simegn Ayele , 1 Liknaw Bewket Zeleke , 2 and Yohannes Tesfahun Kassie 3 1 Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia 2 Debre Markos University, Debre Markos, Ethiopia 3 Debre Tabor General Hospital, Debre Tabor, Ethiopia Correspondence should be addressed to Yitayal Ayalew Goshu; ayalewyitayal@gmail.com Received 12 February 2018; Revised 17 April 2018; Accepted 10 June 2018; Published 17 July 2018 Academic Editor: Michael B. Zemel Copyright © 2018 Yitayal Ayalew Goshu et al. is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Preconception folic acid supplementation is the provision of folate for reproductive age group women who have a plan to be pregnant. According to different studies, in African countries, there is poor utilization of preconception folic supplementation. So this study aimed at assessing women’s awareness on preconception care and its associated factors in Adet, Northwestern Ethiopia. Methods. A community-based cross-sectional study was conducted from March 1 to April 1, 2016, among 422 reproductive age group women. Systematic random sampling was used to get the study unit, and the data were collected using pretested structured questionnaire via face-to-face interview. e collected data were entered, cleaned, checked using EpiData version 3.1, and finally analyzed using SPSS version 20. Descriptive summary of the data was presented in terms of percentage and frequency. Binary and multiple logistic regressions were used in order to identify predictors using odds ratio at 95% confidence interval. Result. In this study, a total of 422 reproductive age group women participated with a response rate of 100%. Of a total of 422 participants, 67 (15.9%) of the women had good awareness on preconception folic acid supplementation. Women’s awareness on preconception folic acid supplementation was affected by having a chronic health problem, monthly household income, educational status, and a history of family planning use. Women who were educated (AOR 4.77, CI 1.85–6.98), had a history of family planning use (AOR 3.89, CI 1.77–8.55), had a chronic health problem (AOR 3.47, CI 2.68–5.98), and had a better monthly income (AOR 2.6, CI 2.05–6.76) had good awareness than their counterparts. Conclusion and Recommendation. is study concluded that women’s awareness on preconception folic acid supplementation was low. is finding suggests that there is a need to give emphasis and deliver health education about preconception folic acid supplementation for women. 1. Introduction Supplementing folic acid before pregnancy is the provision of folate for reproductive age group women who have a plan to be pregnant, so that the health of women before preg- nancy can be promoted and pregnancy-related outcomes can be improved [1, 2]. Folic acid is an important substance which is grouped under essential vitamin B that provides one-carbon molecules for deoxyribonucleic acid (DNA) synthesis, protein synthesis, and methylation of DNA and proteins [3]. A study, which was done to see the association between maternal folic acid intake and the risk of neural tube defects, revealed that the pathway of folic acid plays a critical role in cellular function and human development [1]. According to different interventional studies done in different countries, administering of 0.4 mg of folic acid for the reproductive age group three months before pregnancy, during pregnancy period, and up to one month after pregnancy has been associated with up to 80% reduction in specific congenital anomalies including neural tube defects (NTDs) with associated hydrocephalus, oral facial clefts with or without cleft palate, congenital heart disease, urinary tract anomalies, and limb defects, as well as some pediatric cancers [4–11]. Many articles revealed that preconception Hindawi Journal of Nutrition and Metabolism Volume 2018, Article ID 4936080, 7 pages https://doi.org/10.1155/2018/4936080