Overview of compliance to taking iron-folic acid supplementation at primary healthcare centre during the Covid-19 pandemic
DOI:
https://doi.org/10.46542/pe.2023.234.140144Keywords:
Anaemia, Compliance, Iron-folic acid (IFA), Pregnant women, Supplementation tabletAbstract
Background: One of the causes of anaemia in pregnant women is the insufficient intake of iron-folic acid (IFA) supplementation. However, the COVID-19 pandemic disrupted the mobility of people, including pregnant women who were receiving IFA supplementation.
Objective: To assess pregnant women’s compliance in taking IFA supplementation tablets at the primary healthcare centre in the North Region of Kediri City during the COVID-19 pandemic.
Methods: This study was observational with a cross-sectional approach that utilised secondary data from the register of pregnant women and the list of IFA supplementation distribution in the North Region of Kediri City primary healthcare centre from January to December 2021.
Results: There were 767 visits made by pregnant women throughout 2021, with data collected from 366 pregnant women. Of these, 28% (101 people) of pregnant women took more than 90 tablets of IFA supplementation. In comparison, pregnant women had experienced anaemia during pregnancy were 11% (41 people). Pregnant women who experienced chronic energy deficiency 5% (19 people) are indicated by an upper arm circumference of less than 23.5cm.
Conclusion: The compliance of pregnant women who took IFA supplementation tablets at primary healthcare centres was relatively low, so that it could cause anaemia.
References
Benz (Jr.), E.J., Berliner, N., & Schiffman, F.J. (Eds.). (2018). Anemia: Pathophysiology, diagnosis and management. Cambridge University Press. https://doi.org/10.1017/9781108586900
Besarab, A., & Hemmerich, S. (2018). Iron-deficiency anemia. In R. Provenzano, E. V. Lerma, & L. Szczech (Eds.), Management of anemias: A Comprehensive Guide for clinicians (pp. 11‒29). Springer Science+Business Media LLC. https://doi.org/10.1007/978-1-4939-7360-6_2
Burz, C., Cismaru, A., Pop, V., & Bojan, A. (2018). Iron-deficiency anemia. In L. Rodrigo (Ed.), Iron deficiency anemia (pp. 1‒20). InTechOpen. https://doi.org/10.5772/INTECHOPEN.80940
Gebremichael, T.G., & Welesamuel, T.G. (2020). Adherence to iron-folic acid supplement and associated factors among antenatal care attending pregnant mothers in governmental health institutions of Adwa town, Tigray, Ethiopia: Cross-sectional study. PLoS ONE, 15(1), 1–11. https://doi.org/10.1371/journal.pone.0227090.
Harahap, D.A., & Lubis, D. (2021). Faktor resiko anemia pada ibu hamil di UPT Blud puskesmas Rumbio Kabupaten Kampar. Jurnal Ilmiah Ilmu Kebidanan & Kandungan, 13(3), 98–105. https://doi.org/10.36089/job.v13i3.413
Mekonen, E.G., & Alemu, S.A. (2021). Determinant factors of poor adherence to iron supplementation among pregnant women in Ethiopia: A large population-based study. Heliyon, 7(7), e07530. https://doi.org/10.1016/j.heliyon.2021.e07530
Mekonnen, A., Alemnew, W., Abebe, Z., & Demissie, G.B. (2021). Adherence to iron with folic acid supplementation among pregnant women attending antenatal care in public health centres in Simada district, Northwest Ethiopia: Using health belief model perspective. Patient Preference and Adherence, 15, 843–851. https://doi.org/10.2147/ppa.s299294
Ministry of Health Republic of Indonesia. (2014). Peraturan menteri kesehatan Republik Indonesia nomor 88 tahun 2014 tentang standar tablet tambah darah bagi wanita usia subur dan ibu hamil. https://ilmugiziku.com/2021/11/25/pmk-no-88-2014-standar-ttd-ibu-hamil-dan-wus-pdf/
Ministry of Health Republic of Indonesia. (2018). Riset kesehatan dasar nasional. National Research and Development Institute of Health. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Ministry of Health Republic of Indonesia. (2019). Peraturan menteri kesehatan nomor 43 tahun 2019 tentang pusat kesehatan Masyarakat. https://peraturan.bpk.go.id/Home/Details/138635/permenkes-no-43-tahun-2019
Ministry of Health Republic of Indonesia. (2020). Pedoman pemberian tablet tambah darah (TTD) bagi ibu hamil pada masa pandemic Covid-19 bagi tenaga kesehatan. Direktorat Gizi Masyarakat Direktorat Jenderal Kesehatan Masyarakat Kementrian Kesehatan. https://promkes.kemkes.go.id/download/fpbm/files99516TTD_BUMIL_OK2.pdf
Oktaviani, A., & Elsanti, D. (2020). Hubungan antara panjang lingkar lengan atas (LILA) dengan kadar hemoglobin (Hb) pada ibu hamil di wilayah kerja puskesmas Purwokerto selatan. Jurnal Keperawatan Muhammadiyah September, 177–184. http://dx.doi.org/10.30651/jkm.v0i0.5370
Rahman, M.M., Abe, S.K., Rhaman, M.S., Kanda, M., Narita, S., Bilano, V., Ota, E., Gilmour, S., & Shibuya, K. (2016). Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: Systematic review and meta-analysis. American Journal of Clinical Nutrition, 103(2), 495–504. https://doi.org/10.3945/ajcn.115.107896
Sari, S.A., Fitri, N.L, & Dewi, N.R. (2021). Hubungan usia dengan kejadian anemia pada ibu hamil di kota Metro. Jurnal Wacana Kesehatan, 6(1), 23. https://doi.org/10.52822/jwk.v6i1.169
Stevens, G.A., Finucane, M.M., De-Regil, L.M., Paciorek, C.J., Falxman, S.R., Branca, F., Pena-Rosas, J.P., Bhutta, Z. A., & Ezzati, M. (2013). Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: A systematic analysis of population-representative data. The Lancet Global Health, 1(1), 16–25. https://doi.org/10.1016/s2214-109x(13)70001-9
World Health Organization. (2018). Reducing stunting in children: Equity considerations for achieving the Global Nutrition Targets 2025. Nutrition and Food Safety, World Health Organization. https://apps.who.int/iris/rest/bitstreams/1095396/retrieve
World Health Organization. (2020). WHO Guideline on use of ferritin concentrations to assess iron status in individual and populations. Nutrition and Food Safety, World Health Organization. https://apps.who.int/iris/rest/bitstreams/1272494/retrieve
Yurissetiowati, Y., & Baso, N. (2021). Tingkat pengetahuan, sikap, dan kunjungan kehamilan pada ibu hamil selama pandemi Covid-19: Literature review. Jurnal Inovasi Penelitian, 2(6), 1761–1766. https://doi.org/10.47492/jip.v2i6.945
