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Yuni Asri
Department of Nursing, Faculty of Health Science, Institute of Technology Science and Health dr Soepraoen Kesdam V/Brawijaya Hospital, Malang, Indonesia

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Journal : health gate

Factors Associated with Iron Supplementation During Pregnancy Among Married Women in Indonesia Desy Imelda; Yuni Asri; Alfunnafi Fahrul Rizzal
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4312

Abstract

Background: Iron supplementation during pregnancy is an essential intervention to prevent maternal anemia and adverse pregnancy outcomes. However, disparities in iron supplementation coverage among pregnant women remain a public health concern in Indonesia. Several factors, including sociodemographic characteristics, media exposure, women’s autonomy, and antenatal care (ANC) utilization, may influence iron supplementation during pregnancy. Objective: This study aimed to analyze factors associated with iron supplementation during pregnancy among married women in Indonesia. Methods: This study employed a cross-sectional design using secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS) women’s dataset (IDIR71FL). The study included married women aged 15–49 years with complete information related to iron supplementation during pregnancy. Weighted analysis was applied before statistical analysis to account for the complex sampling design. Data were analyzed using IBM SPSS Statistics version 25. Descriptive statistics were presented as frequencies and percentages, while bivariate analysis was conducted using the chi-square test with a significance level of p<0.05. Results: The study found that sociodemographic characteristics, media exposure, women’s involvement in healthcare decision-making, and ANC visits were significantly associated with iron supplementation during pregnancy (p<0.001). Women with secondary education, better media exposure, greater autonomy in healthcare decision-making, and more than four ANC visits had higher proportions of iron supplementation receipt during pregnancy. ANC utilization showed the strongest association with iron supplementation coverage. Conclusion: Iron supplementation during pregnancy among married women in Indonesia was significantly influenced by demographic, socioeconomic, media exposure, and maternal healthcare factors. Strengthening ANC services, expanding maternal health education through mass media, and promoting women’s empowerment are important strategies to improve iron supplementation coverage and reduce maternal anemia in Indonesia.Keywords: iron supplementation; antenatal care; maternal health; media exposure; women’s autonomy
Socioeconomic Inequalities in Health Facility Delivery among Married Women in Indonesia Rafika Septi Rahayu; Yuni Asri; Riki Ristanto
Health Gate Vol 4, No 4 (2026): October
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

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Abstract

Background: Facility-based childbirth is a key strategy for reducing maternal and neonatal mortality rates. Despite improvements in maternal health services, disparities in the utilization of health facilities for childbirth remain a significant public health issue in Indonesia. Objective: This study aimed to identify factors associated with the use of health facilities for childbirth in Indonesia. Methods: A cross-sectional study design was employed using secondary data from the 2017 Indonesia Demographic and Health Survey. A total of 14,094 married women aged 15–49 years with complete data were included in the study. Binary logistic regression analysis was used to identify factors associated with the utilization of health facilities for childbirth. Results: Women with higher levels of education, adequate antenatal care (ANC) visits, health insurance coverage, and higher socioeconomic status were more likely to give birth in health facilities. Conversely, women living in rural and underdeveloped areas were less likely to use health facilities for childbirth. Wealth status was the strongest predictor; women in the wealthiest quintile were six times more likely to give birth in a health facility (AOR = 6.13; 95% CI: 4.79–7.85). Conclusion: socioeconomic disparities, healthcare accessibility, and the utilization of maternal health services significantly influence facility-based childbirth among married women in Indonesia. Increasing the availability of health facilities in underdeveloped areas, particularly in rural regions, would encourage mothers to give birth in health facilities.