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Supports and Barriers Regarding The Iron-Folic Acid Supplementation Adherence Level in Anemic Pregnant Women: Indonesian’s Perspective

Media Kesehatan Masyarakat Indonesia · Vol. 20 No. 2 (2024) · hlm. 46–56

DOI
10.30597/mkmi.v20i2.32569
ISSN
2356-4067, 0216-2482
Terbit
2024-06-30
Penerbit
Faculty of Public Health, Hasanuddin University, Makassar
Bahasa
en
Lisensi
creativecommons.org/licenses/by-nc-sa/4.0/

Abstrak

Anemia is a worldwide public health issue that affects various groups in low, middle, and high-income nations. Anemia is linked to pregnancy and is influencing poor cognitive and motor development outcomes in children. A recommended intervention to reduce anemia prevalence during pregnancy is the universal administration of Iron-Folic Acid (IFA) supplements. This study investigated supports and barriers regarding iron-folic acid supplementation adherence levels in pregnant women recorded in public health centers in Malang, Indonesia. This research was conducted using qualitative methods with in-depth interviews using semi-structured open-ended questions from July to September 2023. Twenty-five participants from four public health centers was included. The interview guide's content was developed using World Health Organization’s framework as well as other pertinent themes. Data analysis was processed from verbal record transcription, generating the codes into the outcomes. Five main themes with a total of eleven subthemes were highlighted from interview process. These themes was further classified into barriers and supports. Side effect, forgetfulness, boredom, laziness, and insufficient understanding of disease recorded as barriers. In contrast, husband and family support, health care team motivation, affordability of access, knowledge and education background included in supports. These findings enlighten the barriers encountered by the pregnant women in IFA supplementation adherence. However, the effectiveness of treating anemia during pregnancy might be influenced by fundamental elements that support IFA supplementation adherence. Therefore, to tackle the this issue, the pregnant women requires a proper therapy and all key points mentioned in support group must be applied.

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  • Universitas Ahmad Dahlan
  • Muhammadiyah University of Yogyakarta
  • Universitas Muhammadiyah Malang
  • National Dong Hwa University
  • Iwaki City Medical Center
  • Universitas Pendidikan Muhammadiyah Sorong
  • Diponegoro University
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Rekan penulisOrganisasiArtikel bersama
Titiek HidayatiMuhammadiyah University of Yogyakarta12
Arif Budi SetiantoUniversitas Ahmad Dahlan3
Endang DarmawanUniversitas Ahmad Dahlan3
Indrayanti IndrayantiMuhammadiyah University of Yogyakarta2
Sagiran SagiranMuhammadiyah University of Yogyakarta2
Ginanjar Zukhruf SaputriUniversitas Ahmad Dahlan2
Nurcholid Umam KurniawanUniversitas Ahmad Dahlan2
Prasasti BintarumIwaki City Medical Center2
Lukman HardiaUniversitas Pendidikan Muhammadiyah Sorong2
Bagus HaryadiNational Dong Hwa University1
Po-Hao ChangNational Dong Hwa University1
Arifan Q. RaharjoUniversitas Ahmad Dahlan1
Galih PrakosoUniversitas Ahmad Dahlan1
Anom Wahyu AsmorojatiUniversitas Ahmad Dahlan1
Rendra AgustaAfiliasi tidak diketahui1
Rizma NurfadjrinUniversitas Ahmad Dahlan1
Budiyono BudiyonoDiponegoro University1
Woro SupadmiUniversitas Ahmad Dahlan1
Arya AdiningratMuhammadiyah University of Yogyakarta1
Wima AnggitasariUniversitas Ahmad Dahlan1
Haafizah DaniaUniversitas Ahmad Dahlan1
Okta Muthia SUniversitas Ahmad Dahlan1
Indri NurasaMuhammadiyah University of Yogyakarta1
Erviana ErvianaMuhammadiyah University of Yogyakarta1
Rafiastiana CapritasariAfiliasi tidak diketahui1
Okta Mutia SariLambung Mangkurat University1
Laili AprianiUniversitas Ahmad Dahlan1
Liesma YuhelviaUniversitas Ahmad Dahlan1
Adnan AdnanSunan Gunung Djati State Islamic University Bandung1
Tri Julia PurnamasariUniversitas Ahmad Dahlan1
Zaky NurfaizUniversitas Ahmad Dahlan1
Muhammad MuhlisUniversitas Ahmad Dahlan1
Olyvia Wulan KencanaUniversitas Ahmad Dahlan1
Erlina Listyanti WiduriUniversitas Ahmad Dahlan1

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Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unhas.ac.id/index.php/mkmi/oai, pertama di-harvest 5 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Supports and Barriers Regarding The Iron-Folic Acid Supplementation Adherence Level in Anemic Pregnant Women: Indonesian’s Perspective</dc:title>
	<dc:creator xml:lang="en">Atmadani, Rizka Novia</dc:creator>
	<dc:creator xml:lang="en">Akrom, Akrom</dc:creator>
	<dc:creator xml:lang="en">Ananda, Dhea</dc:creator>
	<dc:creator xml:lang="en">Saputri, Laila Yoga</dc:creator>
	<dc:creator xml:lang="en">Puspitasari, Alvina Arum </dc:creator>
	<dc:creator xml:lang="en">Urbayatun, Siti</dc:creator>
	<dc:subject xml:lang="en">Anemia</dc:subject>
	<dc:subject xml:lang="en">barrier factors  </dc:subject>
	<dc:subject xml:lang="en">iron-folic acid supplementation adherence </dc:subject>
	<dc:subject xml:lang="en">pregnancy </dc:subject>
	<dc:subject xml:lang="en"> support factors </dc:subject>
	<dc:subject xml:lang="en">WHO - 5 dimensions of adherence</dc:subject>
	<dc:description xml:lang="en">Anemia is a worldwide public health issue that affects various groups in low, middle, and high-income nations. Anemia is linked to pregnancy and is influencing poor cognitive and motor development outcomes in children. A recommended intervention to reduce anemia prevalence during pregnancy is the universal administration of Iron-Folic Acid (IFA) supplements. This study investigated supports and barriers regarding iron-folic acid supplementation adherence levels in pregnant women recorded in public health centers in Malang, Indonesia. This research was conducted using qualitative methods with in-depth interviews using semi-structured open-ended questions from July to September 2023. Twenty-five participants from four public health centers was included. The interview guide's content was developed using World Health Organization’s framework as well as other pertinent themes. Data analysis was processed from verbal record transcription, generating the codes into the outcomes. Five main themes with a total of eleven subthemes were highlighted from interview process. These themes was further classified into barriers and supports. Side effect, forgetfulness, boredom, laziness, and insufficient understanding of disease recorded as barriers. In contrast, husband and family support, health care team motivation, affordability of access, knowledge and education background included in supports. These findings enlighten the barriers encountered by the pregnant women in IFA supplementation adherence. However, the effectiveness of treating anemia during pregnancy might be influenced by fundamental elements that support IFA supplementation adherence. Therefore, to tackle the this issue, the pregnant women requires a proper therapy and all key points mentioned in support group must be applied.</dc:description>
	<dc:publisher xml:lang="en">Faculty of Public Health, Hasanuddin University, Makassar</dc:publisher>
	<dc:date>2024-06-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unhas.ac.id/index.php/mkmi/article/view/32569</dc:identifier>
	<dc:identifier>10.30597/mkmi.v20i2.32569</dc:identifier>
	<dc:source xml:lang="en">Media Kesehatan Masyarakat Indonesia; Vol. 20 No. 2: JUNE 2024; 46-56</dc:source>
	<dc:source>2356-4067</dc:source>
	<dc:source>0216-2482</dc:source>
	<dc:source>10.30597/mkmi.v20i2</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://journal.unhas.ac.id/index.php/mkmi/article/view/32569/11812</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2024 by author</dc:rights>
	<dc:rights xml:lang="en">https://creativecommons.org/licenses/by-nc-sa/4.0/</dc:rights>
</oai_dc:dc>