Behavioral Determinants of Compliance with Iron Tablet Consumption in Pregnant Women: An Analytical Study in Primary Obstetric Services

Maya Sari

Abstract


Adherence to iron tablet consumption among pregnant women remains suboptimal despite its critical role in preventing iron deficiency anemia. Previous studies have identified various influencing factors; however, evidence regarding the relative contribution of behavioral determinants, particularly the role of the husband’s support in primary obstetric care, remains limited. This study aimed to analyze the influence of knowledge, attitudes, and husbands’ support on adherence to iron tablet consumption among pregnant women. An analytical cross-sectional study was conducted involving 47 pregnant women in primary obstetric services. Data were collected using a validated questionnaire and analyzed using Fisher’s Exact test and binary logistic regression to identify the most dominant factor. The results showed that 63.8% of respondents were non-adherent to iron tablet consumption. Bivariate analysis indicated significant associations between husband’s support (p=0.001), knowledge (p=0.024), and attitude (p=0.018) with adherence. Multivariate analysis revealed that husband’s support was the strongest predictor of adherence (OR=9.15; 95% CI: 2.45–34.1), followed by attitude (OR=5.22) and knowledge (OR=4.14). In conclusion, the husband’s support plays a pivotal role in improving adherence to iron tablet consumption among pregnant women. Therefore, interventions in primary obstetric care should incorporate partner involvement in antenatal education to strengthen reinforcing factors and improve maternal health outcomes

 

Keywords: Husband's Support, Compliance, Knowledge, Attitude, Iron Tablets

Full Text:

PDF

References


Ambarsari, N. D., Herlina, N., Dewanti, L., & Ernawati. (2023). Correlation between compliance with iron tablet consumption and iron nutrition intake with pregnant women’s hemoglobin. The Indonesian Journal of Public Health, 18(1), 72–81. https://doi.org/10.20473/ijph.v18i1.2023.72-81

Badan Kebijakan Pembangunan Kesehatan. (2024). Laporan nasional Survei Kesehatan Indonesia (SKI) 2023 dalam angka. Kementerian Kesehatan Republik Indonesia. https://www.badankebijakan.kemkes.go.id/

Baska, D., Handika, R. (2024). Analysis of factors influencing pregnant women’s adherence to iron tablet consumption during pregnancy. Midwifery and Complementary Care, 4(1), 15–22. https://doi.org/10.33859/mcc.v4i1.858

Chusniyati, N., Anggraini, D., & Sari, I. P. (2022). Dukungan suami dan kepatuhan mengonsumsi tablet Fe pada ibu hamil di Puskesmas Teluk Pucung, Bekasi Utara, Jawa Barat. Indonesian Journal of Nursing Science and Practice, 5(2), 57–63. https://doi.org/10.24853/ijnsp.v5i2.57-63

Dalle, S. (2023). Hubungan dukungan suami dengan kepatuhan ibu hamil mengonsumsi tablet zat besi di Bara-Baraya. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 169–175. https://doi.org/10.35816/jiskh.v12i1.1030

Dinas Kesehatan Kota Medan. (2023). Profil kesehatan Kota Medan tahun 2023. https://dinkes.medan.go.id/menu/Dokumen-Publik/profil-kesehatan-kota-medan.html

Dinas Kesehatan Provinsi Sumatera Utara. (2023). Profil kesehatan Provinsi Sumatera Utara tahun 2023

Hanifa, A. A., Rahmi, J., Puspitasari, M., Haryanto, S., & Nurbaeti, A. (2024). Dukungan suami terhadap kepatuhan ibu hamil trimester III dalam mengkonsumsi tablet Fe di PMB Bidan “N” Desa Kedaung Kecamatan Pamulang. MAP (Midwifery and Public Health) Journal, 4(1), 46–56. https://doi.org/10.52031/map.v4i1.868

Handayani, F., Purnama, E., Hanim, H., & Simbolon, M. (2024). Hubungan karakteristik terhadap sikap mengkonsumsi tablet Fe dengan kejadian anemia pada ibu hamil di Puskesmas Tanjung Tiram Kabupaten Batu Bara Provinsi Sumatera Utara tahun 2022. Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran, 2(2), 154–163. https://doi.org/10.59680/anestesi.v2i2.1066

Hertati, D., Pratiwi, A. P., & Tarnoto, T. (2024). Case study of moderate anemia in the third trimester of pregnancy with non-pharmacological therapy of consuming Ambon bananas (Musa paradisiaca var. sapientum Linn) in the river basin (DAS) of Palangka Raya City tahun 2024. Jurnal Surya Medika, 10(3), 72–87. https://doi.org/10.33084/jsm.v10i3.8968

Kementerian Kesehatan Republik Indonesia. (2023). Laporan nasional Riskesdas 2023. Lembaga Penelitian dan Pengembangan Kesehatan

Kementerian Kesehatan Republik Indonesia. (2024). Profil kesehatan Indonesia 2024. https://www.kemkes.go.id

Khairunnisa, N. (2023). Diet dan kepatuhan terhadap tablet suplemen darah pada anemia ibu hamil: Tinjauan pustaka. Health Information: Jurnal Penelitian, 15(2),e1169.https://myjurnal.poltekkes-kdi.ac.id/index.php/hijp/article/view/1169.

Munir, R., Alpiyanah, N., Utami, S. S., & Nahdah, Z. (2024). Faktor-faktor yang memengaruhi kepatuhan ibu hamil dalam mengonsumsi suplemen zat besi (TTD) di PMB Ny. D, Kabupaten Bogor. Journal of Public Health Innovation, 4(2), 272–279. https://doi.org/10.34305/jphi.v4i02.1031

Nabila, N., & Andriani, H. (2023). Determinan kepatuhan minum tablet tambah darah (TTD) pada ibu hamil: Literature review. Journals of Ners Community, 13(2), 438–444.

Notoatmodjo, S. (2022). Metodologi penelitian kesehatan (Edisi revisi). Rineka Cipta

Pohan, R. A. (2022). The relationship compliance with Fe tablet consumption with anemia in pregnant women. International Journal of Public Health Excellence, 1(1), 23–27. https://doi.org/10.55299/ijphe.v1i1.7

Putri, D. (2023). Menggali peran suami dalam mendukung ibu hamil mengonsumsi tablet Fe demi cegah anemia. Jurnal Siti Rufaidah, 1(2), 12–17. https://doi.org/10.57214/jasira.v1i2.127

Rizawati. (2023). Kepatuhan ibu hamil dalam mengonsumsi tablet tambah darah. CV Azka Pustaka

Romalasari, N. F., Astuti, K. (2020). Hubungan antara dukungan suami dan partisipasi mengikuti kelas ibu hamil dengan kecemasan menghadapi persalinan pada ibu hamil primigravida trimester tiga di Puskesmas Nglipar II. G-Couns: Jurnal Bimbingan dan Konseling, 4(2). https://doi.org/10.31316/g.couns.v4i2.817

Simbolon, D. (2022). Probability of compliance to the consumption of iron tablets in pregnant women in Indonesia. Journal of Preventive Medicine and Hygiene, 63(3), E421–E426. https://doi.org/10.15167/2421-4248/jpmh2022.63.3.2340

Sumarna, D., Utami, T., & Tarwati, K. (2023). Hubungan kepatuhan mengonsumsi tablet zat besi dengan kejadian anemia pada ibu hamil di wilayah kerja Parakansalak Kabupaten Sukabumi. Journal of Public Health Innovation, 3(2), 231–238. https://doi.org/10.34305/jphi.v3i02.737.

Triana, A., Febriati, R., Megasari, M., & Israyati, N. (2022). Buku ajar asuhan kebidanan kehamilan. STIKes Hang Tuah Pekanbaru.

World Health Organization. (2023). Maternal mortality fact sheet. Retrieved from https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

World Health Organization. (2024). Daily iron and folic acid supplementation during. https://www.who.int/tools/elena/interventions/daily-iron-pregnancy




DOI: http://dx.doi.org/10.30829/contagion.v8i2.28763

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Maya Sari

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

Contagion: Scientific Periodical Journal of Public Health and Coastal Health by Program Studi Ilmu Kesehatan Masyarakat is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.