The Effect of Edu-IFA on Knowledge and Compliance with Fe Tablet Consumption in Pregnant Women in Makassar City
Abstract
Anemia in pregnancy is still a serious problem in Indonesia, with a prevalence of 48.9%. Iron supplementation is widely considered an important strategy to reduce the incidence. The aim of the study is to analyze the effect of educational videos on the knowledge and compliance of pregnant women with Fe tablet consumption and to compare the impact of knowledge and compliance with the consumption of Fe tablets on pregnant women between the intervention group and the control group. The methods used in this study were quasi-experimental with a nonequivalent control group design. Sampling by the exhaustive sampling technique consisted of 64 respondents, with the intervention group of 32 people and the control group of 32 people. This study was carried out at the Dahlia Health Center and the Pertiwi Health Center in Makassar City for 5 months, with an intervention of 90 tablets or 3 months. Data were analyzed using the Chi-Square, Wilcoxon, McNemar, and Mann-Whitney tests. The result shows the intervention group showed a 100.0% increase in knowledge and 59.4% in compliance, while the control group experienced a 90.6% increase in knowledge and 56.2% in compliance. The educational video on the importance of blood supplement tablets during pregnancy effectively increases knowledge and compliance with Fe tablet consumption in pregnant women, so it is hoped that health workers can use educational video media as an alternative method in counseling.
References
Ageheim M, Skalkidou A, Bergman E, Iliadis S, Lampa E, Lindström L, et al. Fetal growth after fresh and frozen embryo transfer and natural conception: A population-based register study. BJOG An Int J Obstet Gynaecol. 2024;131(9).
De Souza Lima B, Sanches APV, Ferreira MS, de Oliveira JL, Cleal JK, Ignacio-Souza L. Maternal-placental axis and its impact on fetal outcomes, metabolism, and development. Vol. 1870, Biochimica et Biophysica Acta - Molecular Basis of Disease. 2024.
Yovo E, Accrombessi M, Agbota G, Hocquette A, Atade W, Ladikpo OT, et al. Assessing fetal growth in Africa: Application of the international WHO and INTERGROWTH-21st standards in a Beninese pregnancy cohort. Plos One. 2022;17(1 January).
Villar J, Ochieng R, Gunier RB, Papageorghiou AT, Rauch S, mcgready R, et al. Association between fetal abdominal growth trajectories, maternal metabolite signatures early in pregnancy, and childhood growth and adiposity: prospective observational multinational INTERBIO-21st fetal study. Lancet Diabetes Endocrinol. 2022;10(10).
Asres AW, Hunegnaw WA, Ferede AG, Azene TW. Compliance level and factors associated with iron–folic acid supplementation among pregnant women in Dangila, Northern Ethiopia: A cross-sectional study. SAGE Open Med. 2022;10.
Daily iron and folic acid supplementation during pregnancy. WHO. 2020.
Sendeku FW, Azeze GG, Fenta SL. Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: A systematic review and meta-analysis. BMC Pregnancy Childbirth. 2020;20(1).
Ugwu NI, Uneke CJ. Iron deficiency anemia in pregnancy in Nigeria - A systematic review. Nigerian Journal of Clinical Practice. 2020.
Oyewole Oyerinde O, Nkanga EA, Oyerinde IE, Akintoye O, Asekun-Olarinmoye I, Alabi QK. Factors Affecting Anemia in Pregnancy Women in Ibeju-Lekki, Lagos State, Nigeria. Inq (United States). 2023;60.
Wiesenack C, Meybohm P, Neef V, Kranke P. Current concepts in preoperative anemia management in obstetrics. Vol. 36, Current Opinion in Anaesthesiology. 2023.
Mintsopoulos V, Tannenbaum E, Malinowski AK, Shehata N, Walker M. Identification and treatment of iron-deficiency anemia in pregnancy and postpartum: A systematic review and quality appraisal of guidelines using AGREE II. Vol. 164, International Journal of Gynecology and Obstetrics. 2024.
Noshiro K, Umazume T, Hattori R, Kataoka S, Yamada T, Watari H. Hemoglobin Concentration during Early Pregnancy as an Accurate Predictor of Anemia during Late Pregnancy. Nutrients. 2022;14(4).
Karami M, Chaleshgar M, Salari N, Akbari H, Mohammadi M. Global Prevalence of Anemia in Pregnant Women: A Comprehensive Systematic Review and Meta-Analysis. Matern Child Health J. 2022;26(7).
Araujo Costa E, de Paula Ayres-Silva J. Global profile of anemia during pregnancy versus country income overview: 19 years estimative (2000–2019). Ann Hematol. 2023;102(8).
WHO. Anemia in Women and Children WHO Global Anaemia estimates, 2021 Edition. World Heal Organ. 2019;
Shi H, Chen L, Wang Y, Sun M, Guo Y, Ma S, et al. Severity of Anemia during Pregnancy and Adverse Maternal and Fetal Outcomes. JAMA Netw Open. 2022;5(2).
Mahato V, Shrestha P. Effects of anemia on pregnancy outcomes at Manipal Teaching Hospital. Birat J Heal Sci. 2020;5(3).
Kemenkes RI. Profil Kesehatan Indonesia 2021. Sibuea F, hardhana B, Widiantini W, editors. Jakarta: Kementerian Kesehatan Republik Indonesia; 2022. 109–170 p.
Indonesia KKR. Hasil utama Riskesdas 2018. Jakarta Badan Penelit dan Pengemb Kesehatan, Kementrian Kesehat Republik Indones. 2018;
Dina D. Determinan Keberhasilan Konsumsi Tablet Tambah Darah di Puskesmas Pamboang. J Pendidik dan Teknol Kesehat. 2023;6(2).
Basnet P, Agrawal A, Thakur A, Yadav P, Shrestha R, Shah P. Comparing the Efficacy of Intermittent Versus Continuous Oral Iron Supplementation in Non–Anemic Pregnant Women Presenting for Routine Antenatal Care. Int Res J Multidiscip Scope. 2023;4(1).
Sifakis S, Pharmakides G. Anemia in pregnancy. In: Annals of the New York Academy of Sciences. 2000.
Astari P, Rinonce HT, Kasim F, Pudjohartono MF, Debora J, Winata MG. Anemia pada ibu hamil peserta Program 1000 Hari Pertama Kehidupan di Agats, Asmat, Papua: Prevalensi dan analisis faktor risiko. J Community Empower Heal. 2018;
Rahman RA, Idris IB, Isa ZM, Rahman RA. The effectiveness of a theory-based intervention program for pregnant women with anemia: A randomized control trial. Plos One. 2022;17(12 December).
Erowati D, Yolahumaroh Y, Marlina Y. Video Education of Iron Supplements and Pregnancy Nutrition to Increase Knowledge, Adherence, and Hemoglobin Level. J Kesehat Komunitas. 2023;9(3).
F. Alves R. The relationship between health-related knowledge and attitudes and health risk behaviours among Portuguese university students. Glob Health Promot. 2024;31(1).
Nagy‐pénzes G, Vincze F, Sándor J, Bíró É. Does better health‐related knowledge predict favorable health behavior in adolescents? Int J Environ Res Public Health. 2020;17(5).
Karyadi E, Reddy JC, Dearden KA, Purwanti T, Mardewi, Asri E, et al. Antenatal care is associated with adherence to iron supplementation among pregnant women in selected low-middle-income-countries of Asia, Africa, and Latin America & the Caribbean regions: Insights from Demographic and Health Surveys. Matern Child Nutr. 2023;19(2).
Triharini M, Nursalam, Sulistyono A, Adriani M, Armini NKA, Nastiti AA. Adherence to iron supplementation amongst pregnant mothers in Surabaya, Indonesia: Perceived benefits, barriers and family support. Int J Nurs Sci. 2018;5(3).
Agus M, Evareny L. The Effectiveness of Using Booklets towards Knowledge and Compliance with Iron Tablet Consumption among Pregnant Women at Guguk Panjang Public Health Center, Bukittinggi City. J Midwifery. 2022;7(2).
Garzon S, Cacciato PM, Certelli C, Salvaggio C, Magliarditi M, Rizzo G. Iron deficiency anemia in pregnancy: Novel approaches for an old problem. Oman Med J. 2020;35(5).
Rosmaria. Pengaruh Media Audiovisual Terhadap Pengetahuan dan Sikap Ibu Hamil dalam Mengkonsumsi Tablet Tambah Darah di Puskesmas Putri Ayu Kota Jambi. J Ilm Obs. 2021;13(3).
Fertimah AR, Widyawati W, Mulyani S. Efektifitas Penggunaan Media Audiovisual dan Aplikasi Permitasi Terhadap Pengetahuan dan Kepatuhan Ibu Meminum Tablet Besi. J Keperawatan Klin dan Komunitas. 2022;5(3).
Octasila R, Nofita R, Dariyani S. Uji Media Edukasi Tentang Pola Konsumsi Tablet Fe Untuk Mencegah Kejadian Resiko Tinggi Anemia Ibu Hamil. Indones J Midwifery. 2020;3(1).
Aliva M, Rahayu HSE, Margowati S. Pengaruh promosi kesehatan melalui media leaflet dan whatsapp terhadap kepatuhan minum tablet zat besi pada ibu hamil di puskesmas tempuran. indones j kebidanan. 2021;5(2).
Susanti N, Anggriawan F. pengaruh video edukasi terhadap kepatuhan konsumsi tablet besi ibu hamil anemia di puskesmas kota palangka raya. Media Gizi Mikro Indones. 2020;12(1).
Monica E, Murdiningsih M, Turiyani T, Amlah A. Optimalisasi Pengawasan Bidan Terhadap Kepatuhan Ibu Hamil Mengkonsumsi Tablet Fe Di Masa Pandemi. J ’Aisyiyah Med. 2022;7(1).
Wildayani D, Yusrawati Y, Ali H. Pengaruh Pemberian Tablet Zink dan Besi terhadap Kadar Hemoglobin dan Feritin pada Ibu Hamil Anemia Defisiensi Besi. J Kesehat Andalas. 2018;7(Supplement 4):1.
Nahrisah P, Somrongthong R, Viriyautsahakul N, Viwattanakulvanid P, Plianbangchang S. Effect of integrated pictorial handbook education and counseling on improving anemia status, knowledge, food intake, and iron tablet compliance among anemic pregnant women in Indonesia: A quasi-experimental study. J Multidiscip Healthc. 2020;13.
Copyright (c) 2025 Tira Zhagira, Andi Nilawati Usman, Mardiana Ahmad, Werna Nontji, Aryadi Arsyad, Intan Idiana Hassan
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
