Impact of education on anemia in pregnant women attending Bandung community health centers: knowledge, therapy adherence, hemoglobin, and iron intake

Education on Anemia in Pregnant Women

  • Zulfan Zazuli Sekolah Farmasi ITB
  • Winda Haniva Furqani
  • Suci Utami Ayungga Putri School of Pharmacy Institut Teknologi Bandung

Abstract

Anemia in pregnant women poses risks to maternal and infant health. Iron supplementation therapy (IST) adherence and adequate dietary iron intake are crucial for maintaining normal hemoglobin (Hb) levels. This study investigates the impact of education on iron deficiency anemia (IDA) knowledge, IST adherence, iron intake, and Hb levels in pregnant women. A pre-post test study was conducted at Padasuka and Pagarsih Community Health Centers in Bandung. Questionnaires measuring IDA knowledge, Brief Medication Questionnaire (BMQ) for IST adherence, and Food Frequency Questionnaire (FFQ) for iron intake were utilized. This study included a total of 88 pregnant women. The majority of the participants were aged 26-35 years (55.7%), had normal BMI values (45.4%), and exhibited normal blood pressure (60.2%). Additionally, 89.8% had no history of anemia, 90.9% had no other medical history, 92% reported having a good appetite, and 97.7% did not smoke. Education significantly improved IDA knowledge (p = 0.011), IST adherence (p = 0.006), iron intake (p = 0.001), and Hb levels (p = 0.011). Strong positive correlations were found between knowledge of IDA in pregnant women and adherence to IST (r = 0.957; p<0.001), knowledge and Fe intake (r = 0.972; p<0.001), knowledge and Hb levels (r = 0.988; p<0.001), adherence to IST and Fe intake (r = 0.933; p<0.001), adherence to IST and Hb levels (r = 0.948; p<0.001), as well as Fe intake and Hb levels (r = 0.978; p<0.001). Enhanced knowledge, IST adherence, and iron intake may mitigate anemia risks in pregnant women.

References

[1] C. M. Chaparro and P. S. Suchdev, "Anemia epidemiology, pathophysiology, and etiology in low‐ and middle‐income countries," Annals of the New York Academy of Sciences, 2019.

[2] WHO. (2023, 20 July). Anaemia. Available: https://www.who.int/health-topics/anaemia#tab=tab_1

[3] N. M. Abu-Ouf and M. M. Jan, "The impact of maternal iron deficiency and iron deficiency anemia on child’s health," Saudi Medical Journal, vol. 36, no. 2, pp. 146-149, 2015.

[4] S. Garzon, P. M. Cacciato, C. Certelli, C. Salvaggio, M. Magliarditi, and G. Rizzo, "Iron Deficiency Anemia in Pregnancy: Novel Approaches for an Old Problem," Oman Medical Journal, vol. 35, no. 5, pp. e166-e166, 2020.

[5] F. Moghaddam Tabrizi and S. Barjasteh, "Maternal Hemoglobin Levels during Pregnancy and their Association with Birth Weight of Neonates," Iran J Ped Hematol Oncol, vol. 5, no. 4, pp. 211-7, 2015.

[6] S. Sifakis and G. Pharmakides, "Anemia in Pregnancy," Annals of the New York Academy of Sciences, vol. 900, no. 1, pp. 125-136, 2006.

[7] J. M. Otto et al., "Hemoglobin concentration, total hemoglobin mass and plasma volume in patients: implications for anemia," Haematologica, vol. 102, no. 9, pp. 1477-1485, 2017.

[8] K. K. R. Indonesia, Buku Pedoman Pencegahan dan Penanggulangan Anemia Pada Remaja Putri dan Wanita Usia Subur. 2018.

[9] (2014). Peraturan Menteri Kesehatan Nomor 41 Tahun 2014 tentang Pedoman Gizi Seimbang.

[10] D. G. M. D. J. K. M. K. K. R. Indonesia, Pedoman pemberian Tablet Tambah Darah (TTD) bagi ibu hamil pada masa pandemi COVID-19 bagi tenaga kesehatan. Jakarta, 2020.

[11] N. M. Saville et al., "Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women's groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal," Trials, vol. 23, no. 1, p. 183, Mar 1 2022.

[12] D. R. Sunuwar, R. K. Sangroula, N. S. Shakya, R. Yadav, N. K. Chaudhary, and P. M. S. Pradhan, "Effect of nutrition education on hemoglobin level in pregnant women: A quasi-experimental study," PLoS One, vol. 14, no. 3, p. e0213982, 2019.

[13] R. Ramachandran, M. Dash, F. C. Adaikaladorai, J. Aridass, B. Zachariah, and B. Manoharan, "Effect of individual nutrition education on perceptions of nutritional iron supplementation, adherence to iron - folic acid intake and Hb levels among a cohort of anemic South Indian pregnant women," J Matern Fetal Neonatal Med, vol. 36, no. 1, p. 2183749, Dec 2023.

[14] B. L. Svarstad, B. A. Chewning, B. L. Sleath, and C. Claesson, "The brief medication questionnaire: A tool for screening patient adherence and barriers to adherence," Patient Education and Counseling, vol. 37, no. 2, pp. 113-124, 1999.

[15] I. N. Faridah IN, Perwitasari DA, "Validation of Brief Medication Questionnaire (BMQ) Indonesian Version in Diabetes Mellitus Patients," in International Conference on Herbal Medicine Industrialization as Complementary Therapy in Natural Disasters, 2015, pp. 05-99.

[16] F. Cavalcoli et al., "Dietary iron intake and anemia: food frequency questionnaire in patients with hereditary hemorrhagic telangiectasia," Orphanet Journal of Rare Diseases, vol. 15, no. 1, 2020.

[17] S. K. Febryanti, Jafar, N., and Indriasari, R. (2020, 24 April 2024). Studi Validasi SQ-FFQ dan Food Recall Asupan Zat Gizi Pasien Rawat Jalan DM Tipe 2 di Wilayah Kerja Puskesmas Kota Makassar, . Available: http://repository.unhas.ac.id/handle/123456789/10476

[18] N. Fitri. (2017, 24 April 2024). Studi Validasi Semi-Quantitatif Food Frequency Questionnaire dengan Food Recall 24 Jam pada Asupan Zat Gizi Mikro Remaja di SMA Islam Athirah Makassar. Available: https://repository.unhas.ac.id/id/eprint/9017/

[19] A. M. Amadea, "Survei kepatuhan terapi tablet tambah darah pada ibu hamil di Puskesmas Ibrahim Adjie," Bachelor Bachelor thesis, Sekolah Farmasi, Institut Teknologi Bandung, Bandung, 2018.

[20] P. Ranasinghe, R. Jayawardena, P. Katulanda, G. R. Constantine, V. Ramanayake, and P. Galappatthy, "Translation and Validation of the Sinhalese Version of the Brief Medication Questionnaire in Patients with Diabetes Mellitus," Journal of Diabetes Research, vol. 2018, pp. 1-7, 2018.

[21] S. P. Owen A, Age-Related Fertility Decline. Treasure Island (FL): StatPearls Publishing, 2023.

[22] M. L. Sukmawati S, Nurhakim F, "Pengaruh Edukasi Pencegahan Dan Penanganan Anemia Terhadap Pengetahuan Dan Sikap Ibu Hamil," Jurnal Keperawatan BSI, vol. VII, no. 1, pp. 42-27, 2019.

[23] R. Adawiyani, "Pengaruh Pemberian Booklet Anemia Terhadap Pengetahuan, Kepatuhan Minum Tablet Tambah Darah Dan Kadar Hemoglobin Ibu Hamil," Calyptra: Jurnal Ilmiah Mahasiswa Universitas Surabaya, vol. II, no. 2, p. 20, 2013.

[24] N. W. D. Ekayanthi and G. Purnamasari, "Pengaruh Edukasi Terhadap Efektivitas Konsumsi Tablet Fe Dan Kadar Hb Pada Ibu Hamil," Jurnal Riset Kesehatan Poltekkes Depkes Bandung, vol. 12, no. 1, pp. 46-55, 2020.

[25] I. Tiya Utami, D. Rahmayanti, and E. Astika F.D, "PENGETAHUAN ANEMIA DENGAN KEPATUHAN IBU HAMIL DALAM MENGKONSUMSI TABLET FE," Nerspedia, vol. 1, no. 2, pp. 156-163, 05/04 2021.

[26] R. D. Koerniawati, M. H. Siregar, and R. S. Sartika, "Hubungan Pengetahuan tentang Anemia dengan Asupan Zat Besi pada Ibu Hamil di Cadasari, Pandeglang," Jurnal Gizi Kerja dan Produktivitas, vol. 2, no. 2, 2021.

[27] S. S. Siwi, "Hubungan tingkat pengetahuan tentang gizi dengan kadar hemoglobin pada ibu hamil di kecamatan Jebres Surakarta," DIV Tugas AKhir, Fakultas Kedokteran, Universitas Negeri Sebelas Maret, 2010.

[28] P. A. Yulianti A, Abdullah, Muharramah A, Komala R, "Hubungan Asupan Zat Besi Dan Kepatuhan Konsumsi Suplementasi Tambah Darah Dengan Nilai Hb Ibu Hamil Di Puskesmas Simpur Tahun 2021," Jurnal Gizi Aisyah, vol.
2, no. 1, pp. 83-91, 2022.

[29] R. Wulandari, "Pengaruh Kepatuhan Ibu Hamil dalam Mengkonsumsi Tablet Fe terhadap Kadar Hb Ibu Hamil Trimester III," Jurnal Ilmiah Kebidanan Indonesia, vol. 8, no. 02, pp. 58-69, 2018.

[30] R. N. Putri, S. A. Nirmala, I. K. Aprillani, T. D. Judistiani, and M. Wijaya, "Hubungan Karakteristik Ibu, Asupan Zat Besi, Asam Folat Dan Vitamin C Dengan Status Anemia Ibu Hamil," Jurnal Kesehatan Vokasional, vol. 4, no. 4, 2020.

[31] R. Pratiwi and D. Widari, "Hubungan Konsumsi Sumber Pangan Enhancer Dan Inhibitor Zat Besi Dengan Kejadian Anemia Pada Ibu Hamil," Amerta Nutrition, vol. 2, no. 3, 2018.
Published
2024-10-31
How to Cite
ZAZULI, Zulfan; FURQANI, Winda Haniva; PUTRI, Suci Utami Ayungga. Impact of education on anemia in pregnant women attending Bandung community health centers: knowledge, therapy adherence, hemoglobin, and iron intake. JURNAL ILMU KEFARMASIAN INDONESIA, [S.l.], v. 22, n. 2, p. 224-233, oct. 2024. ISSN 2614-6495. Available at: <http://jifi.farmasi.univpancasila.ac.id/index.php/jifi/article/view/1559>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.35814/jifi.v22i2.1559.
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Articles