Analysis of Relationship Between Anemia Knowledge and Iron Tablet Consumption Adherence Among Pregnant Women

Asri Aprilia Rohman, Silvia Widyani Heriyanti, Bella Mustica Surahmani

Abstract

Maternal anemia continues to be a major public health issue because it is associated with adverse maternal and neonatal outcomes during pregnancy and childbirth. Iron supplementation through Fe tablets is one of the recommended interventions to reduce the occurrence of anemia; however, adherence to tablet consumption among pregnant women remains unsatisfactory. Knowledge regarding anemia may play an important role in influencing adherence behavior. This study investigated the association between pregnant women’s knowledge of anemia and their compliance with Fe tablet intake.A quantitative analytical study using a cross-sectional design was conducted. Knowledge of anemia served as the independent variable, while adherence to Fe tablet consumption was treated as the dependent variable. The study population comprised 681 pregnant women attending antenatal care services at Sindangkasih Public Health Center, Ciamis Regency. A total of 87 participants were selected through simple random sampling using the Slovin formula. Data were obtained using an anemia knowledge questionnaire and the Morisky Medication Adherence Scale (MMAS-8). Statistical analysis was performed using Spearman’s rank correlation test.The findings revealed that nearly half of the respondents demonstrated a moderate level of anemia-related knowledge (49.4%). Furthermore, 42.6% of participants were categorized as having low adherence to Fe tablet consumption. Correlation analysis showed a significant positive association between knowledge and adherence (ρ = 0.681; p < 0.001).These findings indicate that better knowledge regarding anemia is associated with greater compliance in consuming Fe tablets during pregnancy. Strengthening educational interventions may therefore contribute to improving adherence and reducing the risk of anemia among pregnant women.

Keywords

Anemia; Pregnant Women; Knowledge; Iron Supplementation; Adherence.

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