Susilawati Susilawati
Sekolah Tinggi Ilmu Kesehatan Sukabumi

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The Relationship between Health Workers’ Motivation and Support and Pregnant Women’s Adherence to Iron Supplements Dinda Nabila Firmansyah; Susilawati Susilawati; Johan Budhiana
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1834

Abstract

Anemia in pregnancy is defined as a hemoglobin (Hb) level below normal thresholds and is commonly associated with inadequate intake of essential micronutrients, such as iron, folic acid, and vitamin B12, which are important for erythropoiesis. Poor adherence to iron and folic acid supplementation remains a major contributor to maternal anemia. Therefore, internal motivation and healthcare provider support are key factors in ensuring effective nutritional interventions during pregnancy. This study aimed to examine the association between internal motivation and healthcare provider support with adherence to iron supplementation among pregnant women in Karang Tengah, Sukabumi City, in 2026. A correlational study with a cross-sectional design was conducted involving 80 pregnant women selected through total sampling. Data were collected using structured questionnaires, while adherence was measured using the Morisky Medication Adherence Scale (MMAS-8), which has demonstrated reliability Cronbach’s alpha = 0.796. Data were analyzed using the Somers’ d test. The results showed that most respondents had moderate motivation (55.0%), perceived healthcare provider support as inadequate (56.3%), and demonstrated low adherence (46.3%). Statistical analysis revealed significant associations between both variables and adherence (p = 0.001). In conclusion, both factors are significantly associated with adherence to iron supplementation among pregnant women.
The Relationship between Family Support and Anemia Prevention Efforts among Pregnant Women Sukmawati Azahra; Susilawati Susilawati; Johan Budhiana
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Anemia in pregnant women remains a significant health issue and has the potential to cause various complications. The high prevalence of anemia among pregnant women indicates that prevention efforts still need to be improved, particularly through family support. The objective of this study was to determine the relationship between family support and anemia prevention efforts among pregnant women in the service area of the Baros Community Health Center in Sukabumi City. This study employed a correlational method with a cross-sectional approach. The population consisted of all pregnant women in the service area of the Baros Community Health Center in Sukabumi City, with a sample of 119 pregnant women selected using total sampling. The family support variable was measured using the PSS -Fa, with the validity test yielding a calculated r value > the table r value of 0.361, while the reliability test yielded a Cronbach’s Alpha value of 0.752. The anemia prevention efforts variable was based on the Guttman scale, with validity test results showing a p-value <0.05, indicating validity, except for items 9, 10, and 11, which were therefore excluded from the analysis; the reliability test yielded a Cronbach’s Alpha value of 0.373. Data were collected via questionnaires and analyzed using the Spearman rank test. Most respondents had strong family support, and most had effective anemia prevention measures in place; there was a significant association between family support and anemia prevention efforts among pregnant women (p = 0.000). There is a link between family support and efforts to prevent anemia in pregnant women. It is hoped that healthcare workers can enhance education and outreach regarding anemia prevention by involving families.