245578 Go Folic! A multi-lingual community clinic intervention to increase folic acid knowledge and supplementation among women not planning pregnancy

Sunday, October 30, 2011

Kitty Ha, BA , Department of Health Science, San Jose State University, San Jose, CA
BACKGROUND The USPHS recommends that all women who can become pregnant take 400 mcg of folic acid daily to reduce the risk of having a child with a neural tube defect, preferably through vitamin supplementation. However, vitamins can be unaffordable for low-income women, and many women do not understand folic acid's preconception/health benefits. QUESTION Is it feasible for community clinic staff with limited time to implement an intervention to increase clients' folic acid knowledge and supplementation? METHODS The San Francisco Department of Public Health Go Folic! Project partners with community clinics to implement a two-minute intervention through which Chinese, English and Spanish-speaking women clients, ages 14-44, are educated about health and beauty benefits of folic acid and offered free multivitamins with 400 mcg of folic acid. In August 2010, we surveyed 43 staff to assess their ability to implement the intervention. We also surveyed 95 clients who received vitamins between October 2009 and June 2010 to determine whether the intervention had increased their intake of a daily multivitamin with folic acid. RESULTS Fifty-four percent of participating staff reported that they implemented the intervention with 25% or greater of their eligible women clients; 52% indicated that the program is a worthwhile adjunct to the clinic. Over 70% of clients surveyed reported that they learned about folic acid and started to take a multivitamin consistently because of the intervention. CONCLUSIONS Findings suggests the intervention is feasible for already busy community clinic staff and increases women's knowledge and intake of folic acid.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research

Learning Objectives:
As a result of attending this presentation, the learner be able to: 1. Describe the elements of a two-minute education and vitamin distribution intervention designed to increase folic acid supplementation among women not planning pregnancy; 2. List three methods that have been successful in motivating reproductive age women not planning a pregnancy to take a daily multivitamin with folic acid.

Keywords: Women's Health, Community Health Centers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I completed the research to this innovative vitamin distribution program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.