Compliance with Iron Tablet Consumption Can Affect the Incidence of Anemia During Pregnancy

Adinda Syaikha Luthfia Puteri(1*), Wiwin Widayani(2), Rika Resmana(3), Chris Sriyanti(4)


(1) Politeknik Kesehatan Bandung
(2) Politeknik Kesehatan Bandung
(3) Politeknik Kesehatan Bandung
(4) Politeknik Kesehatan Bandung
(*) Corresponding Author

Abstract


Anemia during pregnancy, defined as hemoglobin levels below 11 g/dL, remains a significant health concern due to its association with postpartum hemorrhage, preterm birth, and low birth weight. One contributing factor is the low adherence to iron tablet (Fe) supplementation, despite widespread distribution programs. This study aimed to analyze the relationship between adherence to iron tablet consumption and the incidence of anemia among third-trimester pregnant women at Jatinangor Public Health Center. A case-control design was employed, involving 82 respondents, 41 anemic (case group) and 41 non-anemics (control group), selected through simple random sampling. Data were analyzed using Chi-Square tests and odds ratio (OR) calculations. The results showed that 56.1% of pregnant women were classified as non-adherent. A significant relationship was found between adherence to iron tablet consumption and anemia incidence (p = 0.000), with an OR of 15.909 (95% CI: 5.254–48.169), indicating that non-adherent mothers had a 15.9-fold higher risk of developing anemia. Adherence was influenced not only by quantity but also by timing, method of consumption, and maternal understanding. Barriers such as side effects, incorrect consumption habits, and low family involvement were also identified. These findings highlight the need for enhanced health education, greater family engagement, and continuous monitoring to improve adherence to iron tablet supplementation and support anemia prevention among pregnant women.


Keywords


adherence; anemia; iron tablet; pregnant women

Full Text:

PDF

References


Amiruddin, R. (2014). Determinant Kesehatan Ibu dan Anak. Jakarta: Trans Info Media.

Aritonang, I. (2015). Gizi Ibu dan Anak. Yogyakarta: LeutikaPrio.

Badan Kebijakan Pembangunan Kesehatan. (2018). Survei Kesehatan Indonesia 2023 dalam angka. Kota Kediri dalam angka.

Boskey, E. (2019). Health Belief Model. Rural Health Information Hub. Retrieved from https://www.ruralhealthinfo.org

Conner, M., & Norman, P. (2003). Predicting Health Behaviour: Research and Practice with Social Cognition Models (2nd ed.). Buckingham: Open University Press.

Ernawati, W., Andarwati, D., Hanung, A., & Dhamayanti, R. (2023). Faktor-faktor yang mempengaruhi anemia pada ibu hamil. Jurnal Ilmiah Multidisipline, 1(7), 231–240.

Fatimah, F., Hadju, V., Bahar, B., & Abdullah, Z. (2011). Pola konsumsi dan kadar hemoglobin pada ibu hamil di Kabupaten Maros, Sulawesi Selatan. Makara Kesehatan, 15.

Glanz, K., Rimer, B., & Lewis, F. (2002). Health Behavior and Health Education: Theory, Research and Practice. San Francisco: Jossey-Bass.

Hidayah, P. D., & Mardiana. (2021). Faktor risiko yang mempengaruhi kejadian anemia pada ibu hamil di wilayah kerja Puskesmas Nusawungu II Cilacap. Jurnal Ilmu Kesehatan, 10, 285–296.

Hidayat, N., & Sunarti. (2015). Validitas pemeriksaan kadar hemoglobin menggunakan metode Hb Meter pada remaja putri di MAN Wonosari. Jurnal Biometrika, 9(1), 11–18.

Imron, A., Heryyanoor, H., & Syamil, A. (2023). Metodologi Penelitian Kesehatan. Martapura: Universitas Lambung Mangkurat.

Izzati, A. I., Tamtomo, D., & Rahardjo, S. S. (2021). Hubungan tingkat kepatuhan konsumsi tablet Fe dengan kejadian anemia ibu hamil di Puskesmas Margasari. Jurnal Kesehatan Masyarakat, 9(2), 105–114.

Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11(1), 1–47.

Juandri, D., et al. (2022). Faktor yang mempengaruhi kepatuhan konsumsi tablet Fe pada ibu hamil. Jurnal Ilmiah Kebidanan, 12(1), 45–56.

Kementerian Kesehatan RI. (2018). Laporan Nasional Riskesdas 2018. Lembaga Penerbit Balitbangkes.

Kemenkes RI. (2021). Buku Saku Merencanakan Kehamilan Sehat. Jakarta.

Laturake, R., Nurbaya, S., & Hasnita. (2022). Faktor-faktor yang mempengaruhi anemia pada ibu hamil di wilayah kerja Puskesmas Tamalanrea Jaya, Makassar. JIMPK, 3(4), 51–61.

Lailla, M., & Fitri, A. (2021). Perbandingan hasil pemeriksaan hemoglobin secara digital terhadap hasil pemeriksaan hemoglobin secara cyanmethemoglobin. Jurnal Biomedik, 3(3), 63–68.

Lestari, N. M. et al. (2025). Hubungan peran tenaga kesehatan dengan kepatuhan konsumsi tablet Fe. Jurnal Kesehatan Ibu dan Anak, 7(1), 67–78.

Mariene, W. D. (2020). Keteraturan kunjungan ANC dan kepatuhan konsumsi tablet Fe. Jurnal Ilmiah Kebidanan, 5(2), 32–39.

Puspita, A. E. D. (2022). Hubungan tingkat pengetahuan anemia, kepatuhan konsumsi tablet Fe, dan status kekurangan energi kronis dengan kejadian anemia pada ibu hamil di Puskesmas Semper Barat, Jakarta Utara. Jurnal Kesehatan Reproduksi, 6(3), 221–234.

Pratiwi, N., & Basuki, H. (2016). Prevalence of maternal care and health facility availability in national health insurance card system in Indonesia. Jurnal Kebijakan Kesehatan Indonesia, 5(2), 42–52.

Pratiwi, R., et al. (2024). Dukungan suami dan kejadian anemia pada ibu hamil. Jurnal Kesehatan Ibu dan Anak, 8(1), 15–25.

Proverawati, A., & Asfuah, S. (2017). Buku Ajar Gizi untuk Kebidanan. Yogyakarta: Nuha Medika.

Putri, G. S. Y., Sulistiawati, S., & Laksana, M. A. C. (2023). Analisis faktor risiko anemia pada ibu hamil di Kabupaten Gresik tahun 2021. Jurnal Riset Kebidanan Indonesia, 6(2), 119–129.

Saifuddin, A. (2012). Manajemen Pelayanan Kesehatan. Jakarta: EGC.

Soeprono, H. (2015). Anemia pada Wanita Hamil. Yogyakarta: UGM Press.

Talimbung, V. (2023). Edukasi pencegahan anemia pada ibu hamil. Jurnal Inovasi dan Pengabdian Masyarakat Indonesia, 2(3), 56–60.

Waryana. (2014). Gizi Reproduksi. Yogyakarta: Pustaka Rihama.

Wibowo, N., Irwinda, R., & Hiksas, R. (2021). Anemia Defisiensi Besi pada Kehamilan. Jakarta: UI Publishing.

World Health Organization. (2021). Anemia in Pregnancy: Global Prevalence and Implications. Geneva.

Yuni, N. E. (2019). Kelainan Darah. Yogyakarta: Nuha Medika.


Article Metrics

Abstract view : 98 times
PDF - 1 times

DOI: https://doi.org/10.26714/jk.15.1.2026.1-7

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Jurnal Kebidanan

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.


JURNAL KEBIDANAN

Program Studi Kebidanan
Fakultas Ilmu Keperawatan dan Kesehatan
Universitas Muhammadiyah Semarang, Indonesia
NRC Building, 2nd FLoor
Jl. Kedungmundu Raya No. 18, Semarang
Tlp. +6224-76740288, Fax. +6224-76740287