Epistemologi Hermeneutika dalam Memahami Anemia pada Ibu Hamil: Pendekatan Teoritis dan Kontekstual di Kabupaten Ciamis

Asri Aprilia Rohman, Arlin Adam

Abstract

Anemia in pregnant women is a global health concern with serious implications for both mother and fetus. According to WHO (2016), the prevalence of anemia among pregnant women in developing countries exceeds 40%, while the Indonesian Health Survey (2023) reported a prevalence of 27.7%. In Ciamis Regency, there were 3,097 reported cases (15.5%) in 2023. Conventional approaches to addressing anemia often rely on medical and universal health policy interventions, overlooking the importance of local social and cultural contexts. This study aims to develop a theory explaining the high incidence of anemia among pregnant women in Ciamis Regency using a hermeneutic approach. It explores the subjective understanding of anemia symptoms and the influence of sociocultural factors on health-related decision-making. This qualitative research employed a case study design, with in-depth interviews conducted with 30 pregnant women. Data were analyzed hermeneutically to interpret the meanings constructed by participants regarding their experiences. The findings reveal that beyond nutritional deficiencies, social and cultural factors—such as the normalization of anemia symptoms, limited access to health services, and low awareness of medical care—significantly contribute to the high prevalence of anemia. Many rural women perceive anemia as a normal condition. Conclusion: A hermeneutic approach offers deeper insights into the contextual causes of anemia. Culturally-based health education programs are essential for effective prevention.

Keywords

Anemia; Pregnant Women; Hermeneutic Epistemology; Socio-Culture

Full Text:

PDF

References

Ankar, J., & Kumar, A. (2023). Vitamin B12 deficiency. StatPearls.

Breymann, C., & Hall, J. (2024). Treatment for women with postpartum iron deficiency anaemia. The Cochrane Database of Systematic Reviews.

Dahlke, J. D., Mendez-Figueroa, H., Maggio, L., Hauspurg, A. K., & Sperling, J. D. (2023). Prevention and management of postpartum hemorrhage: A comparison of 4 national guidelines. American Journal of Obstetrics and Gynecology.

Gadamer, H. G. (2004). Truth and Method (2nd ed.). Continuum.

Hasriantirisna, H., Nanda, K. R., & Munawwarah, M. (2024). Stress and pregnancy outcomes: A review of the literature. Advances in Healthcare Research

Hernandez, M. (2019). Anemia in pregnancy: Causes, risks, and management strategies. Journal of Maternal-Fetal and Neonatal Medicine

Mastura, S., et al. (2019). The role of psychological stress in pregnancy outcomes: A review. Journal of Pregnancy and Neonatal Care.

Muchena, D. (2021). Zimbabwe: Pregnant women and girls face barriers accessing public health facilities and risk life-changing injuries. Amnesty International.

Moyo, S., et al. (2018). Cultural beliefs and practices related to pregnancy and childbirth in Zimbabwe: Implications for improving maternal health care. Health Policy and Planning.

Rahayu, S., & Munawwarah, M. (2025). Chronicling untold stories of accessing maternal healthcare: A qualitative study in rural Indonesia. Journal of Global Health.

Zimmermann, M. B., & Hurrell, R. F. (2007). Nutritional iron deficiency. The Lancet.

Refbacks

  • There are currently no refbacks.