Folic acid education campaigns targeting health professionals in Europe

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Folic acid education campaigns targeting health professionals in europe Corina Mihaela Chivu, MD, MPH Prof Theodore H. Tulchinsky, MD, MPH Prof Mayer Brezis, MD, MPH (The Hebrew University - Braun School of Public Health, Jerusalem Israel) Karla Soares-Weiser, MD, PhD (Enhance Reviews, Israel) Rony Braunstein, PhD (The Centre for Safety and Quality Hadassah University Hospital, Jerusalem Israel)

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Outline Definition & background Purpose Methodology Education campaigns & target population Effectiveness of campaigns Conclusions & recommendations

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1. Definition of Folic acid supplements Folic acid is the synthetic form of B9 vitamin that occurs naturally in food. Why Folic Acid is So Important ? help prevent major birth defects of baby’s brain and spine (Source: Centers for Disease Control and Prevention http://www.cdc.gov/ncbddd/folicacid/index.htm )

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1. Health policyWHY Folic acid supplementation ?

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2. Purpose To present the effectiveness of education campaigns in Europe aiming to increase health professionals’ : KNOWLEDGE BEHAVIOUR to advise on dose (400 µg; 4 mg) ) period

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3. methodology Data sources: Cochrane Library and Medline Studies included : before-and-after studies Inclusion criteria: (1) any category of health professionals (2) presence of any type of education intervention (3)rates of health professionals knowledgeable about and counseling on folic acid supplementation before and after intervention (4) publication from the year 1992 up to 2005

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Interventions (1992 – 2002) United States Australia Europe

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United States & Australia

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health professionals’ knowledge about dose of 0.4 mg/ day increased from 13% to 58% before to 51% to 70% after (P , .0001). health professionals’ knowledge about recommended period augmented from 57% to 80% before to 79% to 85% after intervention (P , .0001). proportion of health care providers recommending folic acid to women rose from 13% to 45% before to 19% to 62% after

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Europe

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4. national & localEducation campaigns in Europe 1994 - 1997 1996 - 1998 2000 -2002 1996 - 1998 1998 - 2000

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4.Education campaigns channels of communication

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Duration of campaigns less than 1 hour (1 study) 1–6 months (5 studies) 1 year to < 2 years (6 studies) 2 years to <3 years (4 studies)

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Module Health Psycho...

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Genetics/Genomics Nu...

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