Research Article Adherence to Iron-Folate Supplementation and Associated Factors among Pastoralist’s Pregnant Women in Burji Districts, Segen Area People’s Zone, Southern Ethiopia: Community-Based Cross-Sectional Study Negussie Boti , 1 Tezera Bekele, 1 Wanzahun Godana , 1 Eskeziyaw Getahun , 1 Feleke Gebremeskel , 1 Behailu Tsegaye, 2 and Bilcha Oumer 3 1 Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia 2 Department of Biomedical Sciences, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia 3 Department of Midwifery, College of Health Sciences, Arba Minch, Ethiopia Correspondence should be addressed to Negussie Boti; kahlidboti@gmail.com Received 15 October 2018; Accepted 19 December 2018; Published 31 December 2018 Academic Editor: Stefania A. Nottola Copyright © 2018 Negussie Boti et al. Tis 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. Background. Iron defciency anemia among pregnant women is one of the most common public health problems in developing country particularly in Ethiopia. Iron/folic acid supplementation with optimal adherence is the main cost-efective strategy for prevention and control of iron defciency anemia in pregnant women. However, level of adherence to iron/folic acid supplementation and its associated factors were not well identifed in study area. Terefore, the aim of this study was to determine the level of adherence to iron/folic acid supplementation and associated factors among pregnant women in Burji Districts, southern Ethiopia. Methods. A community-based cross-sectional study was conducted among 317 pregnant women in Burji Districts from March to April 2017 using interviewer administered questionnaires. Data were entered into Epi Info 3.5.1 and exported to SPSS version 20.0 for analysis. Binary and multivariable logistic regression was used to identify factors associated with iron/folic acid supplementation. Adjusted odds ratio (AOR) with 95% confdence interval (CI) and p-value <0.05 were used to declare statistical signifcance. Results. Among women participating in the study, 163(51.4%) were adherent to iron/folate acid supplementation. Factors signifcantly associated with adherence to iron and folic acid supplementation were maternal educational status (AOR: 2.47, 95% CI: 1.13-4.97), early registration for ANC (AOR: 2.49, 95% CI: 1.45 – 4.27), history of anemia during current pregnancy (AOR: 2.02, 95% CI: 1.09-3.72), and knowledge about iron and folic acid supplementation (AOR: 1.96, 95% CI: 1.02- 3.76). Forgetfulness and fear of side efects were among the leading reasons of pregnant women for nonadherence to iron and folic acid supplementation. Conclusions. Tis study revealed that adherence to iron /folic acid supplementation was found to be 51.4%. Maternal educational status, early registration for ANC, history of anemia during current pregnancy, and knowledge about iron and folic acid supplementation were signifcant factors associated with adherence to iron/folic acid supplementation among pastoralist’s pregnant women. Terefore, anemia prevention strategy should include strengthening giving awareness, counseling, strengthening community health education, and participation in health programs which are necessary to improve the uptake of iron/folic acid supplements. 1. Introduction Anemia is a global public health problem afecting two billion people worldwide [1]. Te primary cause of anemia is iron defciency, a condition caused by inadequate intake or low absorption of iron, the increased demands during pregnancy, and loss of iron through menstruation [1–3]. Pregnant women are the most prone groups for IDA [4, 5]. During pregnancy, physiological iron requirements are the highest and the amount of iron absorbed from the diet is not sufcient to meet requirements during pregnancy [6, 7]. However, plasma expansion being increased in the second trimesters, the dietary intake of the two elements cannot Hindawi International Journal of Reproductive Medicine Volume 2018, Article ID 2365362, 8 pages https://doi.org/10.1155/2018/2365362