Determinants of Adherence to Iron Supplementation in the Anemia Prevention Program Among Pregnant Woman at Lere Health Center, Palu City
DOI:
https://doi.org/10.22487/xrsgpc39Keywords:
Antenatal care visit, Family Support, Health education, Iron tablet adherence, Prenatal attachmentAbstract
Background: Anemia in pregnancy remains a public health problem with serious consequences for both mothers and fetuses. Low adherence to iron supplementation persists at the Lere Community Health Center, which reports the highest anemia prevalence in Palu City. Objective: This study aimed to analyze the determinants of iron supplementation adherence among pregnant women, including knowledge, family support, frequency of antenatal care (ANC) visits, health worker education, and prenatal attachment. Methods: A cross sectional study was conducted using a purposive sampling technique among second and third trimester pregnant women. Data were collected through structured questionnaires and analyzed using logistic regression.
Results: The frequency of ANC visits (p = 0.013; Exp(B) = 4.938) and health worker education (p = 0.030; Exp(B) = 6.786) significantly influenced iron supplementation adherence. Knowledge, family support, and prenatal attachment showed no significant association. The regression model demonstrated an accuracy of 86.7%.
Conclusion: Optimizing ANC attendance and improving the quality of education provided by health workers are essential to enhance adherence to iron supplementation. Strengthening educational strategies and continuous monitoring should be prioritized in anemia management programs for pregnant women.
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References
1. Noroyono W, Rima I, Rabbaia H. Anemia Defisiensi Besi Pada Kehamilan by Prof. UI Publishing; 2021.
2. BKPK Kemenkes. Laporan Tematik SKI Tahun 2023 Potret Indonesia Hebat.; 2024. https://www.badankebijakan.kemkes.go.id/laporan-tematik-ski/
3. Kemenkes. Profil Kesehatan Indonesia 2023.; 2024. https://kemkes.go.id/id/profil-kesehatan-indonesia-2023
4. Dinas Kesehatan Kota Palu. Profil Kesehatan Kota Palu 2022.; 2024. https://dinkes.palukota.go.id/program/profil_kesehatan
5. Brandon AR, Pitts S, Denton WH, Stringer CA, Evans HM. A History Of The Theory Of Prenatal Attachment. J Prenat Perinat Psychol Heal. 2009;23(4):201-222.
6. Raruk VGE, Aspatria U, Ndoen EM. Factors Related to Compliance to Consuming Iron Tablets in Pregnant Mothers at The Nimasi Health Center. Pancasakti J Public Heal Sci Res. 2023;3(3):193-201. doi:10.47650/PJPHSR.V3I3.607
7. Merga RT, Birhane M, Dhinsa M, Muleta B, Jemal J, Belay MM. Determinants of compliance with iron-folic acid supplementation among pregnant mothers in Bule Hora district, Southern Ethiopia: unmatched case-control study. BMC Public Health. 2025;25(1):832-. doi:10.1186/S12889-025-22005-X
8. WHO. Adherence to Long-Term Therapies: Evidence for Action. Pan American Health Organization; 2023. https://www.paho.org/en/documents/who-adherence-long-term-therapies-evidence-action-2003
9. Edeo Berarti A, Gebrie M, Beyene B. Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study. Int J Africa Nurs Sci. 2023;18:100526. doi:10.1016/J.IJANS.2023.100526
10. Rahayu RG, Andriani R, Novryanthi D. The Relationship Between Compliance With Iron Supplement (TTD) Consumption and the Incidence of Anemia Among Adolescent Girls at SMPN 16 Sukabumi City. Heal Tadulako J (Jurnal Kesehat Tadulako). 2025;11(4):556-563. doi:10.22487/HTJ.V11I4.1779
11. Susanti E, Novryanthi D, Andriani R. The Correlation Between Knowledge of Pregnant Women and the Incidence of Anemia in Pregnancy in the Working Area of Puskesmas Nagrak. Heal Tadulako J (Jurnal Kesehat Tadulako). 2025;11(3):488-494. doi:10.22487/HTJ.V11I3.1750
12. White IPFI, Munir MA, Sumarni S, Mutiarasari D, Umar M, Poluan YK. Analisis Faktor Resiko Anemia Dalam Kehamilan Di Rumah Sakit Daerah Terpencil. Heal Tadulako J (Jurnal Kesehat Tadulako). 2020;6(2):1-5. doi:10.22487/HTJ.V6I2.85
13. Diah Pitaloka, Febry Mutiariami Dahlan YA. Factors Affecting Compliance Of Iron Tablet Among Pregnant Women In Bekasi Regency. Pros Int Conf Heal Sci. 2024;2(2):63-70.
14. Utari D, Hendra A, Rahmad A. Pengetahuan dan sikap ibu hamil dengan pola kepatuhan mengonsumsi tablet tambah darah di Kabupaten Aceh Timur. J SAGO Gizi dan Kesehat. 2022;4(1):8-13. doi:10.30867/GIKES.V4I1.247
15. Rukmaini, Fitriawati, Azzahroh P. Factors Related to Fe Tablet Consumption Compliance among Pregnant Women in The Work Area of Pasir Jaya Health Centre Tangerang District. Int J Midwifery Heal Sci. 2023;1(2):148-159. doi:10.61777/IJMHS.V1I2.6
16. Kairupan M, Rei ILE, Mamahit AY. Pengaruh Pendidikan Kesehatan Terhadap Kepatuhan Ibu Hamil Dalam Mengkonsumsi Tablet Zat Besi. J Ilm Kesehat. 2024;1(2):35-51. doi:10.64418/C4X3GP61
17. Caya N, Peristiowati Y, Wardani R. Pengaruh Edukasi E-Booklet Anemia terhadap Pengetahuan dan Kepatuhan Komsumsi Tablet Zat Besi Ibu Hamil di Wilayah Kerja UPTD Puskesmas Sangurara Kota Palu. J Pendidik dan Teknol Kesehat. 2025;8(2):253-261. doi:10.56467/JPTK.V8I2.468
18. Rancakasari AD, Kasiati K, Setiyani A, Susilaningrum R. The Relationship between Antenatal Care (ANC) Compliance with Pregnancy Risk Detection. J KEBIDANAN. 2025;15(1). doi:10.31983/JKB.V15I1.11488
19. Karyadi E, Reddy JC, Dearden KA, et al. Antenatal care is associated with adherence to iron supplementation among pregnant women in selected low-middle-income-countries of Asia, Africa, and Latin America & the Caribbean regions: Insights from Demographic and Health Surveys. Matern Child Nutr. 2023;19(2):e13477. doi:10.1111/MCN.13477;WGROUP:STRING:PUBLICATION
20. Fajriah AS, Udin NA, Sejati PE, Effendy MA, Nursanti DP. The Relationship between Family Support and Health Workers with Compliance of Pregnant Women in Consuming Fe Tablets. J Keperawatan Jiwa. 2023;12(1):145-152. doi:10.26714/JKJ.12.1.2024.145-152
21. Agustina I, Situmorang K, Sembiring IS, Hanako V, Simanjuntak M. Hubungan Peran Tenaga Kesehatan Dengan Kepatuhan Konsumsi Tablet Fe Pada Ibu Hamil Di Puskesmas Silau Laut Kec. Silau Laut Kab. Asahan Tahun 2023. J Anestesi J Ilmu Kesehat dan Kedokt. 2024;2(1):283-290. doi:10.59680/anestesi.v2i1.800
22. Nurlinda N, Gustiana G, Manaf SA. Factors affecting pregnant women’s compliance in consuming iron (Fe) tablets at Sukamakmur Public Health Center, Aceh Besar District. J Midwifery Nurs. 2025;7(3):441-447. doi:10.35335/JMN.V7I3.6628
23. Bastami F, Zamani-Alavijeh F, Zareban I, Araban M. Explaining the experiences of health care providers regarding organizational factors affecting health education: a qualitative study. BMC Med Educ. 2022;22(1):743. doi:10.1186/S12909-022-03807-8
24. Harjana NPA. Perilaku Kesehatan: Kumpulan Teori Dan Penerapan. Primajana Education; 2023.
25. Mohamed AI, Mohamed J, Abdillahi MM, Abdeeq BA, Lema TB. Magnitude and determinants of adherence to iron-folic acid supplementation among Somaliland pregnant women in Ahmed-dhagah district: A facility based cross-sectional study. Clin Epidemiol Glob Heal. 2024;26. doi:10.1016/J.CEGH.2024.101565
26. Muhani N, Mayantiara F, Samino S. Analisis Faktor Yang Berhubungan Dengan Kepatuhan Konsumsi Tablet Fe Pada Ibu Hamil Di Wilayah Kerja Puskesmas Pugung Tampak Kabupaten Pesisir Barat 2019. J Dunia Kesmas. 2021;10(3):345-355. doi:10.33024/JDK.V10I3.3546
27. Petraglia F, Gallone A, Sieroszewski P, et al. Iron deficiency anemia: preconceptional, pregnancy and postpartum management – a call for action. J Endometr Uterine Disord. 2024;7:100079. doi:10.1016/J.JEUD.2024.100079
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