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Implementation evaluation of an iron supplementation programme in high-school students: the crosswise model

  • Mortaza Banayejeddi (a1), Sima Masudi (a2), Sakineh Nouri Saeidlou (a3), Fatemeh Rezaigoyjeloo (a4), Fariba Babaie (a4), Zahra Abdollahi (a5) and Fatemeh Safaralizadeh (a6)...

Abstract

Objective:

To evaluate the implementation of the national health promotion programme (through nutritional education and Fe supplementation) among female high-school students in Iran and to assess the application of the crosswise model (CM) for evaluating the programme’s implementation.

Design:

Two cross-sectional surveys in female high-school students, one using the direct questioning (DQ) method and the other using the CM, were conducted. Two survey questionnaires used to collect the data contained questions about three aspects of the programme: delivering the Fe supplements, consuming them and holding nutritional training sessions.

Setting:

Female high schools, West Azerbaijan Province, Iran.

Participants:

A sample of 2180 students, of whom 1740 were surveyed by the CM and 440 were interviewed by DQ.

Results:

The CM resulted in estimates that were consistently lower than the estimates of the DQ. The proportion of students in the DQ and CM who reported receiving the pills weekly and on a regular basis was 73·2 and 22·5 %, respectively. About 43 and 31 % of students in the DQ and CM surveys reported consuming all pills delivered to them. In the DQ method, only 12 % of students who reported the number of pills consumed had taken the complete dose (sixteen pills).

Conclusions:

Implementation of the Fe supplementation programme in female high schools was poor and insufficient, so that it seems unsuccessful in reducing Fe-deficiency anaemia in adolescent girls. The CM might be considered for evaluating the health programme’s implementation at high schools.

Copyright

Corresponding author

*Corresponding author: Email saeedlou2003@yahoo.com

References

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1. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators (2017) Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 390, 12111259.
2. Kassebaum, NJ, Jasrasaria, R, Naghavi, M et al. (2014) A systematic analysis of global anemia burden from 1990 to 2010. Blood 123, 615624.
3. World Health Organization (2015) The Global Prevalence of Anaemia in 2011. Geneva: WHO.
4. World Health Organization (2008) Worldwide Prevalence of Anaemia 1993–2005: WHO Global Database on Anaemia. Geneva: WHO.
5. Amirkhani, MA, Ziaedini, SH, Dashti, M et al. (2009) The prevalence of anemia among school students in a national screening program in Iran. J Isfahan Med Sch 26, 381386.
6. Barooti, E, Rezazadehkermani, M, Sadeghirad, B et al. (2010) Prevalence of iron deficiency anemia among Iranian pregnant women: a systematic review and meta-analysis. J Reprod Infertil 11, 1724.
7. Shams, S, Asheri, H, Kianmehr, A et al. (2010) The prevalence of iron deficiency anaemia in female medical students in Tehran. Singapore Med J 51, 116119.
8. Akbari, M, Moosazadeh, M, Tabrizi, R et al. (2017) Estimation of iron deficiency anemia in Iranian children and adolescents: a systematic review and meta-analysis. Hematology 22, 231239.
9. Schultink, W & Gross, R (1996) Iron deficiency alleviation in developing countries. Nutr Res Rev 9, 281293.
10. Khammarnia, M, Amani, Z, Hajmohammadi, M et al. (2016) Iron supplementation consumption in high school students: a cross-sectional study. J Health Sci Surveill Syst 4, 111114.
11. Khammarnia, M, Amani, Z, Hajmohammadi, M et al. (2016) A survey of iron supplementation consumption and its related factors in high school students in Southeast Iran, 2015. Malays J Med Sci 23, 5764.
12. Krumpal, I (2013) Determinants of social desirability bias in sensitive surveys: a literature review. Qual Quant 47, 20252047.
13. Chaudhuri, A & Christofides, TC (2013) Indirect Questioning in Sample Surveys. Berlin/Heidelberg: Springer-Verlag.
14. Warner, SL (1965) Randomized response: a survey technique for eliminating evasive answer bias. J Am Stat Assoc 60, 6366.
15. Yu, J-W, Tian, G-L & Tang, M-L (2008) Two new models for survey sampling with sensitive characteristic: design and analysis. Metrika 67, 251263.
16. Khosravi, A, Mousavi, SA, Chaman, R et al. (2015) Crosswise model to assess sensitive issues: a study on prevalence of drug abuse among university students of Iran. Int J High Risk Behav Addict 4, e24388.
17. Shamsipour, M, Yunesian, M, Fotouhi, A et al. (2014) Estimating the prevalence of illicit drug use among students using the crosswise model. Subst Use Misuse 49, 13031310.
18. Vakilian, K, Mousavi, SA & Keramat, A (2014) Estimation of sexual behavior in the 18-to-24-years-old Iranian youth based on a crosswise model study. BMC Res Notes 7, 28.
19. Nakhaee, MR, Pakravan, F & Nakhaee, N (2013) Prevalence of use of anabolic steroids by bodybuilders using three methods in a city of Iran. Addict Health 5, 7782.
20. Roberts, DL & St. John, FAV (2014) Estimating the prevalence of researcher misconduct: a study of UK academics within biological sciences. PeerJ 2, e562.
21. Hoffmann, A, Waubert de Puiseau, B, Schmidt, AF et al. (2017) On the comprehensibility and perceived privacy protection of indirect questioning techniques. Behav Res Methods 49, 14701483.
22. Hoffmann, A, Diedenhofen, B, Verschuere, B et al. (2015) A strong validation of the crosswise model using experimentally-induced cheating behavior. Exp Psychol 62, 403414.
23. Hoffmann, A & Musch, J (2016) Assessing the validity of two indirect questioning techniques: a stochastic lie detector versus the crosswise model. Behav Res Methods 48, 10321046.
24. Jann, B, Jerke, J & Krumpal, I (2012) Asking sensitive questions using the crosswise model: an experimental survey measuring plagiarism. Public Opin Q 76, 3249.
25. Kazemzadeh, Y, Shokoohi, M, Baneshi, MR et al. (2016) The frequency of high-risk behaviors among Iranian college students using indirect methods: network scale-up and crosswise model. Int J High Risk Behav Addict 5, e25130.
26. Kheirouri, S & Alizadeh, M (2014) Process evaluation of a national school-based iron supplementation program for adolescent girls in Iran. BMC Public Health 14, 959.
27. Karimi, B, Hajizadeh-Zaker, R & Ghorbani, R (2014) Intake of iron supplement and its related factors in junior and high school girl students of the Iranian population. Koomesh 15, 316324.
28. Höglinger, M & Diekmann, A (2017) Uncovering a blind spot in sensitive question research: false positives undermine the crosswise-model RRT. Polit Anal 25, 131137.
29. Höglinger, M, Jann, B & Diekmann, A (2016) Sensitive questions in online surveys: an experimental evaluation of different implementations of the randomized response technique and the crosswise model. Surv Res Methods 10, 171187.

Keywords

Implementation evaluation of an iron supplementation programme in high-school students: the crosswise model

  • Mortaza Banayejeddi (a1), Sima Masudi (a2), Sakineh Nouri Saeidlou (a3), Fatemeh Rezaigoyjeloo (a4), Fariba Babaie (a4), Zahra Abdollahi (a5) and Fatemeh Safaralizadeh (a6)...

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