Community-Based Analysis of Anemia Risk Factors in Pregnant Women at Primary Healthcare
DOI:
10.29303/jppipa.v11i4.10875Published:
2025-04-25Downloads
Abstract
Anemia during pregnancy remains a significant public health concern, particularly in developing countries, where it contributes to adverse maternal and fetal outcomes. Data from Puskesmas Kebomas, Gresik, indicates that between July 2022 and June 2023, there were 167 cases of anemia among pregnant women across 11 villages. Anemia in pregnant women is influenced by various factors, including gestational age, parity, dietary patterns, infections during pregnancy, education level, economic status, and adherence to iron tablet consumption. In Kebomas District, Kedanyang Village recorded the highest number of anemia cases among pregnant women. This study was a descriptive cross sectional study using questionnaire for determine the risk of anemia in pregnant woman in Desa Kedanyang, Kebomas through interview. The result will processed to find the cause of anemia. Incidence of anemia in pregnancy in Desa Kedanyang, Kebomas is disobedient of consuming iron tablets (21 people) and the pregnancy interval less than 2 years (16 people). Conclusion: The incidence of anemia in pregnancy Desa Kedanyang, Kebomas is mostly caused by non-compliance with the consumption of iron tablets and a pregnancy interval less than 2 years.
Keywords:
Anemia Iron tablets Pregnancy Risk factorsReferences
Afifah, T., Sugiharti, R., R., S., N., K., & Rizkianti, A. (2020). Knowledge Profile About Anemia and Disparity Among Adolescent 15–24 years in Indonesia - 2012 and 2017. Proceedings of the 5th Universitas Ahmad Dahlan Public Health Conference (UPHEC). https://doi.org/10.2991/ahsr.k.200311.044
Aji, A. S., Yusrawati, Y., Malik, S. G., & Lipoeto, N. I. (2020). Prevalence of anemia and factors associated with pregnant women in West Sumatra, Indonesia: Findings from VDPM Cohort Study. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 7(3), 97. https://doi.org/10.21927/ijnd.2019.7(3).97-106
Al-Mutawtah, M., Campbell, E., Kubis, H.-P., & Erjavec, M. (2023). Women’s experiences of social support during pregnancy: a qualitative systematic review. BMC Pregnancy and Childbirth, 23(1), 782. https://doi.org/10.1186/s12884-023-06089-0
Atika Suri, W. A., Puspitasari, D. R., Pradipta, N. R., Ismawati, I., Zainu, L. A., Darmawan, N. M. E. P., Namira, D. S., Jamil, F. F. S., Yudiaprijah, S., Rahayu, E., & Hermansyah, A. (2022). Gambaran Faktor Penyebab Ketidakpatuhan Ibu Hamil dalam Mengonsumsi Tablet Tambah Darah di Era Pandemi Covid-19. Jurnal Farmasi Komunitas, 9(2), 110–116. https://doi.org/10.20473/jfk.v9i2.24149
Ayele, M. A., Fenta, H. M., Zike, D. T., & Tesfaw, L. M. (2023). Spatial distribution and trends of anemia among pregnant women in Ethiopia: EDHS 2005–2016. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1089383
Dim, C. C., & Onah, H. E. (2007). The prevalence of anemia among pregnant women at booking in Enugu. PubMed.
Dolang, M. W. (2020). Hubungan Kepatuhan Mengonsumsi Tablet Fe Dan Keteraturan Kunjungan ANC Dengan Kejadian Anemia Pada Ibu Hamil. Jurnal Keperawatan Muhammadiyah, 5(1). https://doi.org/10.30651/jkm.v5i1.4189
Ghosh, S., Spielman, K., Kershaw, M., Ayele, K., Kidane, Y., Zillmer, K., Wentworth, L., Pokharel, A., Griffiths, J. K., Belachew, T., & Kennedy, E. (2019). Nutrition-specific and nutrition-sensitive factors associated with mid-upper arm circumference as a measure of nutritional status in pregnant Ethiopian women: Implications for programming in the first 1000 days. PLOS ONE, 14(3), 214358. https://doi.org/10.1371/journal.pone.0214358
Happiness, W.-C. I., Amukeru, A. G., & Janet, D. N. (2021). The Behavioural Pattern of Pregnant Mothers towards Antenatal Clinics and Its Implications on their Nutritional Knowledge in Obio-Akpor Local Government Area, Rivers State. European Journal of Nutrition & Food Safety, 12–23. https://doi.org/10.9734/ejnfs/2021/v13i430399
Ilmiyati, L., Indarto, D., & Wasita, B. (2021). Daily Consumption of Fruits and Vegetables Has Different Correlations With Haemoglobin Levels in Young Women at Karanganyar Regency. Proceedings of the International Conference on Health and Medical Sciences (AHMS. https://doi.org/10.2991/ahsr.k.210127.026
Jung, J., Rahman, M. M., Rahman, M. S., Swe, K. T., Islam, M. R., Rahman, M. O., & Akter, S. (2019). Effects of hemoglobin levels during pregnancy on adverse maternal and infant outcomes: a systematic review and meta‐analysis. Annals of the New York Academy of Sciences, 1450(1), 69–82. https://doi.org/10.1111/nyas.14112
Khatri, R. B., Assefa, Y., & Durham, J. (2022). Assessment of health system readiness for routine maternal and newborn health services in Nepal: Analysis of a nationally representative health facility survey, 2015. PLOS Global Public Health, 2(11), 1298. https://doi.org/10.1371/journal.pgph.0001298
Kouanda, S., Ouedraogo, A. M., Sogo, A. E., Bagaya, O., Sorgho, T. E. V, Hien, Y. C., Gbenou, D. V, Sawadogo Windsouri, S. R., Zoungrana, W., Dadjoari, M., Zombré Sanou, V. M., Usmanova, G., Jain, Y., Chahar, R., Kumar, S., Kumar, S. V. V, Srivastava, A., Nair, T. S., Sarkar, A. H., & Lorencatto, F. (2023). New Antenatal Model in Africa and India (NAMAI) study: implementation research to improve antenatal care using WHO recommendations. Health Research Policy and Systems, 21(1), 82. https://doi.org/10.1186/s12961-023-01014-5
Kuhnt, J., & Vollmer, S. (2017). Antenatal care services and its implications for vital and health outcomes of children: evidence from 193 surveys in 69 low-income and middle-income countries. BMJ Open, 7(11), 17122. https://doi.org/10.1136/bmjopen-2017-017122
Lestari, C. R., & Saputro, A. A. (2022). Hubungan Lingkar Lengan Atas (LILA) Dan Kadar Hemoglobin Dengan Kejadian Anemia Pada Ibu Hamil Trimester III. Jurnal Kesehatan Tambusai, 3(3), 384–395. https://doi.org/10.31004/jkt.v3i3.6516
Madoué, G. B., Ihagadang, F., & Ngarmbaye, M. (2019). Pregnancy and delivery in advanced maternal age: epidemiologic aspects and prognosis. The Journal of Medical Research, 5(6), 239–242. https://doi.org/10.31254/jmr.2019.5610
Maryanto, E. P. (2021). Kepatuhan Ibu Hamil Terhadap Konsumsi Tablet Besi. Suatu Kajian Literature Review. Syifa’ Medika: Jurnal Kedokteran Dan Kesehatan, 12(1), 1. https://doi.org/10.32502/sm.v12i1.2628
McKinney, D., House, M., Chen, A., Muglia, L., & DeFranco, E. (2017). The influence of interpregnancy interval on infant mortality. American Journal of Obstetrics and Gynecology, 216(3), 316 1–316 9. https://doi.org/10.1016/j.ajog.2016.12.018
Merid, M. W., Chilot, D., Alem, A. Z., Aragaw, F. M., Asratie, M. H., Belay, D. G., & Kibret, A. A. (2023). An unacceptably high burden of anaemia and it’s predictors among young women (15–24 years) in low and middle income countries; set back to SDG progress. BMC Public Health, 23(1), 1292. https://doi.org/10.1186/s12889-023-16187-5
Nguyen, P. H., Sanghvi, T., Kim, S. S., Tran, L. M., Afsana, K., Mahmud, Z., Aktar, B., & Menon, P. (2017). Factors influencing maternal nutrition practices in a large scale maternal, newborn and child health program in Bangladesh. PLOS ONE, 12(7), 179873. https://doi.org/10.1371/journal.pone.0179873
Nurdin, M. S., Hadju, V., Ansariadi, A., Zulkifli, A., & Arundhana, A. I. (2018). Determinants of anemia among pregnant women in jeneponto regency. Asian Pacific Journal of Health Sciences, 5(1), 135–138. https://doi.org/10.21276/apjhs.2018.5.1.28
Panjaitan, P. R. M., Santosa, H., & Utama, S. (2019). Associations between Education, Knowledge, Attitude, and Maternal Intention on Antenatal Care Visit. Journal of Maternal and Child Health, 4(6), 516–521. https://doi.org/10.26911/thejmch.2019.04.06.12
Pinto, I. C. (2017). The Impact of Chronic Diseases during Pregnancy on the Fetus and Mother Health: A Literature Review. Women’s Health Science Journal, 1(1). https://doi.org/10.23880/WHSJ-16000101
Priyanto, L. D. (2018). The Relationship of Age, Educational Background, and Physical Activity on Female Students with Anemia. Jurnal Berkala Epidemiologi, 6(2), 139. https://doi.org/10.20473/jbe.V6I22018.139-146
Ramadhannanti, K. D., Puji Wahyuningsih, H., & Setiyawati, N. (2019). Factors Affecting Anaemia among Pregnant Women in Tegalrejo Public Health Center. Proceedings of the 5th International Conference on Health Sciences (ICHS). https://doi.org/10.2991/ichs-18.2019.8
Ramadhini, D., & Dewi, S. S. S. (2021). Hubungan Umur, Paritas dan Kepatuhan Konsumsi Tablet Tambah Darah Dengan Kejadian Anemia pada Ibu Hamil di Puskesmas Batunadua Kota Padangsidimpuan Tahun 2021. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 6(2), 148. https://doi.org/10.51933/health.v6i2.600
Sanga, L. A., Mtuy, T., Philemon, R. N., & Mahande, M. J. (2020). Inter-pregnancy interval and associated adverse maternal outcomes among women who delivered at Kilimanjaro Christian Medical Centre in Tanzania, 2000-2015. PLOS ONE, 15(2), 228330. https://doi.org/10.1371/journal.pone.0228330
Sifakis, S., & Pharmakides, G. (2000). Anemia in Pregnancy. Annals of the New York Academy of Sciences, 900(1), 125–136. https://doi.org/10.1111/j.1749-6632.2000.tb06223.x
Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia. https://doi.org/10.1155/2018/1846280
Suryanarayana, R., Chandrappa, M., Santhuram, A., Prathima, S., & Sheela, S. (2017). Prospective study on prevalence of anemia of pregnant women and its outcome: A community based study. Journal of Family Medicine and Primary Care, 6(4), 739. https://doi.org/10.4103/jfmpc.jfmpc_33_17
Tegodan, E., Tura, G., & Kebede, A. (2021). Adherence to Iron and Folic Acid Supplements and Associated Factors Among Pregnant Mothers Attending ANC at Gulele Sub-City Government Health Centers in Addis Ababa, Ethiopia. Patient Preference and Adherence, 15, 1397–1405. https://doi.org/10.2147/PPA.S301630
Weckmann, G., Kiel, S., Chenot, J.-F., & Angelow, A. (2023). Association of Anemia with Clinical Symptoms Commonly Attributed to Anemia—Analysis of Two Population-Based Cohorts. Journal of Clinical Medicine, 12(3), 921. https://doi.org/10.3390/jcm12030921
Wu, Y., Ye, H., Liu, J., Ma, Q., Yuan, Y., Pang, Q., Liu, J., Kong, C., & Liu, M. (2020). Prevalence of anemia and sociodemographic characteristics among pregnant and non-pregnant women in southwest China: a longitudinal observational study. BMC Pregnancy and Childbirth, 20(1), 535. https://doi.org/10.1186/s12884-020-03222-1
Yuniarwati, N. P., & Fitriasari, B. (2022). Analysis of Eating Patterns and Pregnancy Distance with the Incidence of Anemia in Pregnant Women in Macanan Village, Loceret Public Health Center, Nganjuk Regency. Open Access Health Scientific Journal, 3(1), 27–33. https://doi.org/10.55700/oahsj.v3i1.26
Zulkifal, S., Sarwar, S., Saddique, M., Yaqoob, K., Muneer, A., Fatima, A., Kabir, A., Asad Mangat, M., Mateen, L., Javed, Z., & Manzoor, M. (2022). Anemia during Pregnancy and Its Prevalence. In Primary Health Care. IntechOpen. https://doi.org/10.5772/intechopen.99521
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Copyright (c) 2025 Anita Dahliana, Adinda Rizkita N. H, Chentya Catheriane L, Geraldy Aziz S. H, Isro Rafidatus S, Ketut Ayu O. S, Rinandha Yusfahreza W, Dyan Eka Puspitasari, Farida Yan Pratiwi Kurnia

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