The Relationship between Sociodemographic and Obstetric Characteristics and Adherence to Iron Supplementation among Pregnant Women
https://doi.org/10.53770/medica.v8i6.929
Keywords
Adherence Characteristics Iron Supplements Pregnant WomenAbstract
The high prevalence of anemia among pregnant women remains a serious public health problem. Adherence to iron supplementation is one strategy to prevent and control anemia during pregnancy. This study aimed to determine the relationship between sociodemographic and obstetric characteristics and adherence to iron supplementation among pregnant women. A cross-sectional study was conducted among 72 pregnant women using total sampling in Cisarua Village, within the service area of Puskesmas Sukabumi, Sukabumi City. Data were collected using validated instruments, including a demographic questionnaire and the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using chi-square tests and logistic regression. The results showed significant associations between maternal age, education level, employment status, gestational age, parity, diagnosis of anemia, economic status, and information sources and adherence to iron supplementation (p < 0.05). Multivariate analysis identified employment status as the strongest predictor of adherence (OR = 445.043), indicating that employed pregnant women were more likely to adhere to iron supplementation than unemployed pregnant women. These findings suggest that sociodemographic and obstetric characteristics are significantly associated with adherence to iron supplementation among pregnant women.
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Alemu, G. G., Adugna, D. G., & Mesfin, A. (2025). Adherence to iron-folic acid supplementation and its associated factors among pregnant women in Kenya : A multilevel data analysis of the 2022 Kenyan Demographic and Health Survey. PloS One, 20(8), 1–17. https://doi.org/10.1371/journal.pone.0329458
Ama, P. G. B., & Fajarwati, D. (2024). Hubungan pekerjaan, pengetahuan ibu hamil tentang anemia dengan kepatuhan konsumsi tablet fe di Puskesmas Cipari [The relationship between employment status, pregnant women's knowledge of anemia, and adherence to iron (Fe) tablet consumption at the Cipari Community Health Center]. Jurnal Ilmiah Kesehatan, 16(1), 207–214. https://doi.org/10.37012/jik.v16i1.2235.
Amelia, R., Nuradhiani, A., & Amaliah, L. (2024). Hubungan status anemia dan kelelahan kerja dengan produktivitas kerja [The relationship between anemia status, work fatigue, and work productivity]. Jurnal Gizi Kerja Dan Produktivitas, 5(2), 333–340. https://doi.org/10.62870/jgkp.v5i2.28620
Analita, M., Aurora, W. I. D., & Rahmatilah, I. (2024). Gambaran tingkat pengetahuan, sikap dan kepatuhan konsumsi tablet tambah darah pada ibu hamil di Puskesmas Kebun Kopi Kota Jambi Tahun 2023 [Overview of the level of knowledge, attitudes, and adherence to iron supplement tablet consumption among pregnant women at the Kebun Kopi Community Health Center, Jambi City, in 2023]. Scientific Of Environmental And Health Diseases, 4(2), 27–33. https://doi.org/10.22437/esehad.v5i1.29423
Asres, A. W., Hunegnaw, W. A., Ferede, A. G., & Azene, T. W. (2022). Compliance level and factors associated with iron–folic acid supplementation among pregnant women in Dangila, Northern Ethiopia: A cross-sectional study. SAGE Open Medicine, 10, 1–8. https://doi.org/10.1177/20503121221118989
Atmadani, R. N., Akrom, A., Ananda, D., Saputri, L. Y., Puspitasari, A. A., & Urbayatun, S. (2024). Supports and barriers regarding the iron-folic acid supplementation adherence level in anemic pregnant women: Indonesian’s perspective. Media Kesehatan Masyarakat Indonesia, 20(2), 46–56. https://doi.org/10.30597/mkmi.v20i2.32569
Balcha, W. F., Eteffa, T., Arega Tesfu, A., & Abeje Alemayehu, B. (2023). Maternal knowledge of anemia and adherence to its prevention strategies: A health facility-based cross-sectional study design. Inquiry : A Journal of Medical Care Organization, Provision and Financing, 60, 469580231167731. https://doi.org/10.1177/00469580231167731
Dinas Kesehatan Jawa Barat. (2025). Jumlah ibu hamil yang mengidap anemia berdasarkan kabupaten kota di Jawa Barat [Number of pregnant women with anemia by regency/municipality in West Java]. https://opendata.jabarprov.go.id/id/dataset/jumla h-ibu-hamil-yang-mengidap-anemiaberdasarkan-kabupaten-kota-di-jawa-barat
Ejara, D., Ferede, A., Shifa, J. E., Bekele, F., & Hassen, T. A. (2024). Compliance level and associated factors of iron folic acid supplementation among pregnant women in North Shoa Zone, Ethiopia. Scientific Reports, 14(13407), 1–11. https://doi.org/10.1038/s41598-024-63111-x
Emira, E., Karin, A. D., Afni, N., & Handayani, L. (2022). Pengaruh pendidikan kesehatan terhadap kepatuhan konsumsi tablet fe pada ibu hamil: Literature review [The effect of health education on adherence to iron (Fe) tablet consumption among pregnant women: A literature review]. Jurnal Kesehatan Masyarakat Indonesia, 17(1), 12–17. https://doi.org/10.26714/jkmi.17.1.2022.12-17
Fajriati, W., Astutik, L. P., & Natalina, R. (2024). Hubungan kepatuhan ibu hamil minum tablet tambah darah dan status gizi ibu hamil dengan kejadian anemia pada ibu hamil trimester III di Wilayah Kerja UPT Puskesmas Panarung [The relationship between adherence to iron supplement tablet consumption and maternal nutritional status with the incidence of anemia among third-trimester pregnant women in the Panarung Community Health Center working area]. Jurnal Forum Kesehatan : Media Publikasi Kesehatan Ilmiah, 14(1), 45–55. https://doi.org/10.52263/jfk.v14i1.196
Febrianty, D. P., Meliyana, E., & Indrawati, L. (2023). The correlation between adherence to taking iron (fe) tablet medication in pregnant women and the risk of anemia at the Bantargebang Community Health Center. Journal of Pubnursing Sciences, 1(3), 90–97. https://doi.org/10.69606/jps.v1i03.40
Fridayani, W. A., Sutrisminah, E., & Rahmawati, A. (2024). Faktor-faktor yang mempengaruhi kepatuhan ibu hamil dalam mengkonsumsi tablet tambah darah [Factors affecting pregnant women's adherence to iron supplement tablet consumption]. Jurnal Kesehatan Tambusai, 5(3), 8370–8380. https://doi.org/10.31004/jkt.v5i3.31990
Jariyah, A., Sudiamin, F. H., Syahridayanti, S., Arliatin, A., & Astuti, A. (2024). Faktor-faktor yang mempengaruhi literasi kesehatan pada ibu hamil di Wilayah Puskesmas Moncongloe [Factors influencing health literacy among pregnant women in the Moncongloe Community Health Center working area]. Afiasi : Jurnal Kesehatan Masyarakat, 9(2), 165–178. https://doi.org/10.31943/afiasi.v9i2.363
Kementerian Kesehatan Republik Indonesia. (2025). Profil Kesehatan Tahun 2024. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kusumah, R. H. M. P. D. (2025). Qualitative study on the perception of third trimester pregnant women with anemia regarding compliance with fe tablet consumption in The Tawang Health Center Area, Tasikmalaya City Polikteknik Kesehatan Tasikmalaya [Polikteknik Kesehatan Tasikmalaya]. http://repo.poltekkestasikmalaya.ac.id/7899/%0A
Laghousi, D., Rezaie, F., Alizadeh, M., & Asghari Jafarabadi, M. (2021). The eight-item Morisky Medication Adherence Scale: validation of its Persian version in diabetic adults. Caspian Journal of Internal Medicine, 12(1), 77–83. https://doi.org/10.22088/cjim.12.1.77
Lestari, Y. D., Jahro, S. F., & Wulandari, D. (2022). Status gravida, tingkat pengetahuan, usia, dan kepatuhan ANC terhadap kemampuan ibu hamil melakukan deteksi dini risiko preeklampsia di Puskesmas Sumberasih [The relationship of gravida status, knowledge level, age, and antenatal care (ANC) adherence with pregnant women's ability to perform early detection of preeclampsia risk at the Sumberasih Community Health Center]. Jurnal Riset Kebidanan Indonesia ISSN, 6(2), 104–111. https://doi.org/10.32536/jrki.v6i2.226
Mengistu, T., Lencha, B., Mekonnen, A., Degno, S., Yohannis, D., & Beressa, G. (2023). Compliance to iron folic acid supplementation and its associated factors among pregnant women attending Antenatal clinic in Wondo district: a cross-sectional study. Scientific Reports, 13(17468), 1–8. https://doi.org/10.1038/s41598-023-44577-7
Mutia, F., Hadi, A. J., & Rusdiyah, R. (2023). Faktor yang berpengaruh dengan perilaku pemeriksaan anc ibu hamil di Wilayah Kerja Puskesmas Batangtoru Kabupaten Tapanuli Selatan [Factors influencing pregnant women's antenatal care (ANC) examination behavior in the Batangtoru Community Health Center working area, South Tapanuli Regency]. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(9), 1887–1897. https://doi.org/10.56338/mppki.v6i9.4089
Nabila, N., & Andriani, H. (2023). Determinan kepatuhan minum tablet tambah darah (TTD) pada ibu hamil: Literature review [Determinants of adherence to iron supplement tablet (TTD) consumption among pregnant women: A literature review]. Jurnal of Ners Comunity, 13(2), 438–444. https://doi.org/10.55129/jnerscommunity.v13i2.2810
Nasution, N. A., Lubis, A. H. S., Harahap, N., Almadany, U. H., Syahadat, A., & Sagala, N. S. (2025). Hubungan sumber informasi dengan sikap ibu hamil dalam kepatuhan mengkonsumsi tablet fe di Puskesmas Sitinjak tahun 2025 [The relationship between information sources and pregnant women's attitudes toward adherence to iron (Fe) tablet consumption at the Sitinjak Community Health Center in 2025]. Jurnal Kesehatan Ilmiah Indonesia, 10(2), 1–7. Retrieved from https://jurnal.unar.ac.id/index.php/health/article/view/2210
Niza, H., Putri, C. G., & Azzahra, N. (2022). Analisis hubungan pendidikan, pengetahuan, pekerjaan dengan kepatuhan mengkonsumsi tablet (fe) pada ibu hamil di Puskesmas Sako Palembang 2021 [Analysis of the relationship between education, knowledge, and employment with adherence to iron (Fe) tablet consumption among pregnant women at the Sako Community Health Center, Palembang, in 2021]. Jurnal Kesehatan Terapan, 9(2), 1–6. https://doi.org/10.54816/jk.v9i2.519
Obeagu, G. U., & Obeagu, E. I. (2025). Complications of anemia in pregnancy: An updated overview for healthcare professionals. Medicine, 104(35), e44246. https://doi.org/10.1097/MD.0000000000044246
Pedoman Penyelenggaraan Pelayanan Obstetri Neonatal Emergensi Komprehensif Di Rumah Sakit (2025) [Guidelines for the implementation of comprehensive emergency obstetric and neonatal care services in hospitals]. https://keslan.kemkes.go.id/unduhan/fileunduhan1761089338_586375.pdf
Rahmawati, E., Suryana, E., Rahmawati, E., Suryana, E., Arief, A., Rahmawati, E., Suryana, E., & Arief, A. (2025). Faktor-faktor yang berhubungan dengan kepatuhan ibu hamil dalam mengkonsumsi tablet fe [Factors associated with pregnant women's adherence to iron (Fe) tablet consumption]. Jurnal Kesehatan Terapan, 12(2), 123–133. https://doi.org/10.54816/jk.v12i2.1008
Rumayomi, D. M., Munthe, J. N., Howay, L., Astawa, A. E., & Rumbino, S. C. (2025). Hubungan tingkat pendidikan terhadap kepatuhan konsumsi tablet tambah darah pada ibu hamil di Puskesmas Abepura [The relationship between educational level and adherence to iron supplement tablet consumption among pregnant women at the Abepura Community Health Center]. Jurnal Kesehatan Tambusai, 6(3), 13248–13254. https://doi.org/10.31004/jkt.v6i3.49482
Saeed, M. S., Adam, G. K., & Hussein, S. M. (2024). Prevalence and factors associated with adherence to iron-folic acid supplementation among pregnant women in Eastern Sudan: A cross-sectional study. Dovepress, 18, 1665–1674. https://doi.org/10.2147/PPA.S476738
Salifu, Y., Agyeman, Y. N., & Lasong, J. (2024). Adherence to and predictors of iron ‑ folate acid supplementation among pregnant women in a pastoral population in Ghana: A community ‑ based cross‑sectional study. Reproductive Health, 165). https://doi.org/10.1186/s12978-024-01877-z.
Salsabila, I., Andriani, E., & Elvandari, M. (2025). Hubungan status pekerjaan, pendapatan dan kepatuhan tablet tambah darah dengan riwayat ibu hamil anemia [The relationship between employment status, income, and adherence to iron supplement tablet consumption and the history of anemia among pregnant women]. Jurnal Ners, 9(3), 5367–5370. https://doi.org/10.31004/jn.v9i3.47935
Salsabilah, A. D., & Suryaalamsah, I. I. (2022). Hubungan tingkat kepatuhan konsumsi tablet fe dan faktor lainnya terhadap kejadian anemia pada ibu hamil di Wilayah Puskesmas Kecamatan Cipanas [The relationship between adherence to iron (Fe) tablet consumption and other factors associated with anemia among pregnant women in the Cipanas Community Health Center working area]. Tirtayasa Medical Journal, 2(1), 9–16. https://doi.org/10.62870/tmj.v2i1.17617
Sari, U. I., Fujiko, M., & Ginayah, M. (2024). Characteristics of pregnant women with anemia. Jurnal EduHealth, 15(4), 154–168. https://doi.org/10.54209/eduhealth.v15i04
Satyani, Y., & Hikmat, D. (2024). Pekerja perempuan dengan anemia, implikasinya terhadap healthrelated absenteeism [Female workers with anemia: Implications for health-related absenteeism]. Jurnal Kesehatan Vokasional, 9(3), 200–214. https://doi.org/10.22146/jkesvo.98153
Seid, M. A., Gebru, A. S., Yimer, A., Ali, K., Yesuf, A., Sirage, N., Seid, A., Tesfa, N. A., & Ahmed, H. (2025). Exploring adherence to iron and folic acid supplementation in pregnant women at rural health facilities in Waghimra zone, Northern Ethiopia. BMC Pregnancy and Childbirth, 25(1), 1060. https://doi.org/10.1186/s12884-025-08119-5
Seidu, H., Gaa, P. K., & Mogre, V. (2024). Adherence to iron and folic acid supplementation among pregnant women from Northern Ghana. Nutrition and Metabolic Insights, 17, 1–11. https://doi.org/10.1177/11786388231218664
Sibuea, N. F. B., Windayanti, H., & Widayati, W. (2025). Dari pengetahuan ke kepatuhan: Hubungan pemahaman ibu hamil tentang anemia dengan konsumsi tablet fe di Arga Mulya [From knowledge to compliance: The relationship between pregnant women's understanding of anemia and iron (Fe) tablet consumption in Arga Mulya]. Journal of Holistics and Health Sciences, 7(2), 450–463. https://doi.org/10.35473/jhhs.v7i2.661
Sihite, J. S. (2023). Analisis faktor kepatuhan ibu hamil dalam mengkonsumsi tablet fe di Puskesmas Aek Parombunan Sibolga tahun 2022 [Analysis of factors associated with pregnant women's adherence to iron (Fe) tablet consumption at the Aek Parombunan Community Health Center, Sibolga, in 2022]. Journal of Innovation Research and Knowledge, 2(10), 3951–3966. https://doi.org/10.53625/jirk.v2i10.5241
Siska, Yustati, E., & Marita, Y. (2024). Faktor yang mempengaruhi kepatuhan konsumsi tablet tambah darah pada ibu hamil [Factors influencing adherence to iron supplement tablet consumption among pregnant women]. Jurnal Kesehatan Saelmakers PERDANA (JKSP), 7(2), 332–339. https://doi.org/10.32524/jksp.v7i2.1250
Suhada, S., Selvia, A., & Siska, D. (2024). The relationship of integrated antenatal care (ANC) examination to the incidence of low birth weight (LBW) at Harapan Bunda Hospital, Batam City. MEDICA (International Medical Scientific Journal), 6(1), 10–17. https://doi.org/10.53770/medica.v6i1.248
Sunarti, N. T. S., Trisetyaningsih, A. D., & Winarsih, W. (2024). Faktor demografi dengan kepatuhan konsumsi tablet tambah darah pada ibu hamil di Puskesmas Kretek Kabupaten Bantul [The relationship between demographic factors and adherence to iron supplement tablet consumption among pregnant women at the Kretek Community Health Center, Bantul Regency]. Jurnal Ilmu Kebidanan Dan Kesehatan (Journal of Midwifery Science and Health), 15(2), 79–87. https://doi.org/10.52299/jks.v15i2.292
Tendean, A. F., Ering, C. N., & Makasudede, S. (2025). Hubungan usia ibu hamil, usia kehamilan, dan kepatuhan mengkonsumsi tablet fe dengan kejadian anemia pada ibu hamil [The relationship between maternal age, gestational age, and adherence to iron (Fe) tablet consumption and the incidence of anemia among pregnant women]. Nutrix Journal, 9(1), 135. https://doi.org/10.37771/nj.v9i1.1257
Wang, R., Xu, S., Hao, X., Jin, X., Pan, D., Xia, H., Liao, W., Yang, L., & Wang, S. (2025). Anemia during pregnancy and adverse pregnancy outcomes: a systematic review and meta-analysis of cohort studies. Frontiers in Global Women’s Health, 6, 1502585. https://doi.org/10.3389/fgwh.2025.1502585
World Health Organization. (2024). Daily iron and folic acid supplementation during pregnancy. https://www.who.int/tools/elena/interventions/daily-iron-pregnancy
World Health Organization. (2025a). Anaemia in women and children. https://doi.org/https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children
World Health Organization. (2025b). Maternal mortality. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Wulandari, C., & Pamungkas, D. K. P. (2025). Literature review: Factors influencing knowledge and compliance in taking blood supplements among pregnant women. Journal Syifa Sciences and Clinical Research, 7(2), 125–135. https://doi.org/10.37311/jsscr.v7i2.29913
Yismaw, A. E., Tulu, H. B., Kassie, F. Y., & Araya, B. M. (2022). Iron-folic acid adherence and associated factors among pregnant women attending antenatal care at Metema District, Northwest Ethiopia. Front Public Health, 10, 978084. https://doi.org/10.3389/fpubh.2022.978084
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