The association between adherence to iron supplementation and hemoglobin status among pregnant women

Authors

  • Farida Fakhrunnisa Universitas Bhamada Slawi
  • Arifina Fahamsya Universitas Bhamada Slawi https://orcid.org/0009-0009-9808-1593
  • Osie Listina Universitas Bhamada Slawi
  • Eka Julia Okta Virnanda Universitas Bhamada Slawi

DOI:

https://doi.org/10.30989/mik.v15i2.2100

Keywords:

adherence, anemia, hemoglobin, iron supplementation, pregnant women

Abstract

Background: Anemia in pregnant women remains a health problem in Indonesia and may increase the risk of pregnancy complications. Iron supplementation is an important preventive measure, but its effectiveness largely depends on adherence.
Objective: To determine adherence to iron supplementation, Hb status, and the relationship between adherence and Hb status among pregnant women in Songgom District, Brebes Regency.
Methods: Observational study used a cross-sectional design involving 132 pregnant women selected through proportionate stratified random sampling (PSRS). Adherence was measured using the MARS-5, while Hb status was assessed using an Hb meter and KIA book records. Data were analyzed using the Chi-Square test at a significance level of p<0.05.
Results: Most respondents were aged 20–35 years and had primary-level education, with moderate adherence to iron tablet consumption. Overall, 90.9% were non-anemic and 9.1% were anemic. A significant relationship was found between iron tablet adherence and Hb status (p<0.05).
Conclusion: Iron tablet adherence was significantly associated with Hb status among pregnant women in Songgom District, Brebes Regency. Education, monitoring, and support from healthcare workers and families are needed to improve adherence and prevent anemia.

Author Biographies

Farida Fakhrunnisa, Universitas Bhamada Slawi

Jalan Cut Nyak Dhien No. 16, Tegal, Jawa Tengah, Indonesia.

Arifina Fahamsya, Universitas Bhamada Slawi

Jalan Cut Nyak Dhien No. 16, Tegal, Jawa Tengah, Indonesia.

Osie Listina, Universitas Bhamada Slawi

Jalan Cut Nyak Dhien No. 16, Tegal, Jawa Tengah, Indonesia.

Eka Julia Okta Virnanda, Universitas Bhamada Slawi

Jalan Cut Nyak Dhien No. 16, Tegal, Jawa Tengah, Indonesia.

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Published

2026-08-31

How to Cite

1.
Fakhrunnisa F, Fahamsya A, Listina O, Virnanda EJO. The association between adherence to iron supplementation and hemoglobin status among pregnant women . Media ilmu kesehatan [Internet]. 2026 Aug. 31 [cited 2026 Sep. 8];15(2):206-1. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/2100

Issue

Vol. 15 No. 2 (2026): Media Ilmu Kesehatan

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