IMPACT OF IRON SUPPLEMENT TABLET COMPLIANCE ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN

Juwita Ramadhani; Hasniah; Mutiara Anggi Saputri

doi:10.53625/jirk.v5i2.10792

Authors

Juwita Ramadhani Universitas Islam Kalimantan MAB
Hasniah Universitas Islam Kalimantan MAB Banjarmasin
Mutiara Anggi Saputri Universitas Islam Kalimantan MAB Banjarmasin

DOI:

https://doi.org/10.53625/jirk.v5i2.10792

Abstract

Iron Supplement Tablets (IST) are utilized to facilitate biological processes in the human body, particularly in hemoglobin synthesis, since the body requires iron minerals from these tablets. IST has 60 mg of iron (in the forms of Ferro Sulfate, Ferro Fumarate, or Ferro Gluconate) and 0.400 mg of Folic Acid. Administering iron supplementation therapy to pregnant women is one of the most effective methods to prevent and address nutritional anemia by elevating hemoglobin levels. This study aimed to assess the impact of adherence to IST consumption and the factors influencing hemoglobin levels in pregnant women. This research employs a quantitative methodology with a prospective design. This study employs a cross-sectional approach, wherein data is collected simultaneously during the distribution of the MARS-5 questionnaire scale. The population of 429 was determined using the Lemes Show formula, yielding 60 respondents. The results indicated that among 60 respondents, compliance among pregnant women was high (1.7%), moderate (90%), and low (8.3%). The study findings indicate that among pregnant women, 41.7% exhibited normal hemoglobin levels, 28.3% had mild anemia, 18.3% presented with moderate anemia, and 8.3% experienced severe anemia. The findings of this study indicated the impact of adherence to IST consumption on hemoglobin levels, with a chi-square test yielding a P-value of (<0.001). Additionally, parity factors influenced compliance with IST consumption, as evidenced by a chi-square test resulting in a P-value of (0.010).

References

Pujihartati SH, Wijaya M, Demartoto A. The Importance of Socializing Maternity Waiting Home in the Attempt of Reducing Maternal Mortality Rate in Wonogiri Regency 2020. https://doi.org/10.2991/icstcsd-19.2020.24.

Rakanita Y, Sinuraya ‎Rano K, Alfian SD, Suradji EW, Suwantika AA, Syamsunarno MRAA, et al. Adherence Does Not Guarantee the Outcome of Iron Supplementation for Reproductive-Age Women With Anemia in West Papua Province, Indonesia: A Quasi-Experimental Study. International Journal of Women S Health and Reproduction Sciences 2023;11:3–10. https://doi.org/10.15296/ijwhr.2023.02.

Yaznil MR, Lubis MP, Lumbanraja SN, Barus MNG, Sarirah M. Comparison of Maternal Outcomes of Daily and Weekly Iron Tablet Supplementation in Pregnant Women in Coastal Region, Medan, Indonesia. Open Access Maced J Med Sci 2020;8:1088–91. https://doi.org/10.3889/oamjms.2020.5056.

Taye TA, Sinaga M, Taye A. Determinants of Adherence to Iron-Folic Acid Supplementation Among Postnatal Mothers in Addis Ababa Referral Hospitals, Ethiopia 2021. https://doi.org/10.21203/rs.3.rs-590351/v1.

Triharini M, Nursalam N, Sulistyono A, Adriani M, Armini NKA, Nastiti AA. Adherence to Iron Supplementation Amongst Pregnant Mothers in Surabaya, Indonesia: Perceived Benefits, Barriers and Family Support. Int J Nurs Sci 2018;5:243–8. https://doi.org/10.1016/j.ijnss.2018.07.002.

Sanghvi T, Harvey PW, Wainwright E. Maternal Iron–Folic Acid Supplementation Programs: Evidence of Impact and Implementation. Food Nutr Bull 2010;31:S100–7. https://doi.org/10.1177/15648265100312s202.

Biru YB, Kiristos AFG, Lemelem GA, Mezen MK. Magnitude and Determinants of Adherence to Iron Supplementation Among Ethiopian Pregnant Women: A Cross Sectional Study From a National Survey 2020. https://doi.org/10.21203/rs.3.rs-17142/v1.

Lacerte P, Pradipasen M, Temcharoen P, Imamee N, Vorapongsathorn T. Determinants of Adherence to Iron/Folate Supplementation During Pregnancy in Two Provinces in Cambodia. Asia Pacific Journal of Public Health 2011;23:315–23. https://doi.org/10.1177/1010539511403133.

Gebremichael TG, Haftu H, Gereziher TA. &Lt;p>Time to Start and Adherence to Iron-Folate Supplement for Pregnant Women in Antenatal Care Follow Up; Northern Ethiopia</P> Patient Prefer Adherence 2019;Volume 13:1057–63. https://doi.org/10.2147/ppa.s184168.

Ugwu EO, Olibe AO, Obi SN, Ugwu AO. Determinants of Compliance to Iron Supplementation Among Pregnant Women in Enugu, Southeastern Nigeria. Niger J Clin Pract 2014;17:608. https://doi.org/10.4103/1119-3077.141427.

Ba DM, Ssentongo P, Kjerulff KH, Na M, Liu G, Gao X, et al. Adherence to Iron Supplementation in 22 Sub-Saharan African Countries and Associated Factors Among Pregnant Women: A Large Population-Based Study. Curr Dev Nutr 2019;3:nzz120. https://doi.org/10.1093/cdn/nzz120.

Udho S, Nankumbi J, Namutebi M, Ndeezi G, Epuitai J, Tumwine J. Iron Deficiency Among Pregnant Women Attending an Antenatal Clinic in Northern Uganda: A Cross-Sectional Study 2019. https://doi.org/10.21203/rs.2.14386/v1.

Assefa H, Abebe SM, Sisay M. Magnitude and Factors Associated With Adherence to Iron and Folic Acid Supplementation Among Pregnant Women in Aykel Town, Northwest Ethiopia. BMC Pregnancy Childbirth 2019;19. https://doi.org/10.1186/s12884-019-2422-4.

Sontakke P, Dwidmuthe KS, Kawathalkar A, Bhalerao A. Effect of Mobile Phone Call Reminders With Standard Therapy Versus Standard Therapy Alone on Compliance With Iron Supplementation in Antenatal Women With Iron Deficiency Anemia: A Randomized Controlled Trial. Cureus 2022. https://doi.org/10.7759/cureus.29501.

Alfianti A, Purnamawati D, Nurfadhilah N, Efendi L. The Relationship Between Husband’s Knowledge and Support With Fe Tablet Consumption Compliance in Pregnant Women in the Working Area of Cireundeu Puskesmas in 2022. Muhammadiyah International Public Health and Medicine Proceeding 2023;3:423–32. https://doi.org/10.61811/miphmp.v3i1.536.

Kiwanuka TS, Ononge S, Kiondo P, Namusoke F. Adherence to Iron Supplements Among Women Receiving Antenatal Care at Mulago National Referral Hospital, Uganda-Cross-Sectional Study. BMC Res Notes 2017;10. https://doi.org/10.1186/s13104-017-2834-z.

Lamichhane R, Zhao Y, Paudel S, Adewuyi EO. Factors Associated With Infant Mortality in Nepal: A Comparative Analysis of Nepal Demographic and Health Surveys (NDHS) 2006 and 2011. BMC Public Health 2017;17. https://doi.org/10.1186/s12889-016-3922-z.

Gebretsadik S, Gabreyohannes E. Determinants of Under-Five Mortality in High Mortality Regions of Ethiopia: An Analysis of the 2011 Ethiopia Demographic and Health Survey Data. Int J Popul Res 2016;2016:1–7. https://doi.org/10.1155/2016/1602761.

Moucheraud C, Worku A, Molla M, Finlay JE, Leaning J, Yamin AE. Consequences of Maternal Mortality on Infant and Child Survival: A 25-Year Longitudinal Analysis in Butajira Ethiopia (1987-2011). Reprod Health 2015;12. https://doi.org/10.1186/1742-4755-12-s1-s4.

Kareem DO, Abdalla BA, Ezzat R, Taha M, Salih RQ, Jabbar HB, et al. Tracing Hematological Shifts in Pregnancy: How Anemia and Thrombocytopenia Evolve Across Trimesters. Barw Medical Journal 2025;3. https://doi.org/10.58742/bmj.v3i2.171.

Yu C. Policies Affecting Pregnant Women With Substance Use Disorder. Voices in Bioethics 2023;9. https://doi.org/10.52214/vib.v9i.10723.