Journal of Midwifery and Nursing
Vol. 7 No. 3 (2025): September: Health Science

Factors affecting pregnant women’s compliance in consuming iron (Fe) tablets at Sukamakmur Public Health Center, Aceh Besar District

Nurlinda, Nurlinda (Unknown)
Gustiana, Gustiana (Unknown)
Manaf, Salmiani Abdul (Unknown)



Article Info

Publish Date
30 Sep 2025

Abstract

Background: Anemia in pregnancy contributes to approximately 20% of maternal deaths globally. In Indonesia, anemia prevalence among pregnant women is 48.9%. National coverage of iron (Fe) supplementation (minimum 90 tablets) is 88.5%, yet in Aceh it is only 63.9%. At Sukamakmur Public Health Center, only 302 of 437 pregnant women (56.03%) receiving iron tablets were compliant, and 135 (25.05%) were diagnosed with anemia.Objective: To identify factors influencing compliance with iron tablet consumption among pregnant women in Sukamakmur, Aceh Besar District. Methods: This quantitative analytic descriptive study used a cross-sectional design involving 98 pregnant women in their second and third trimesters, selected through total sampling. Compliance was measured using the Morisky Medication Adherence Scale (MMAS-8). Knowledge, attitude, and family support were assessed using structured questionnaires. Data were analyzed with the chi-square test at p<0.05. Results: Most respondents had poor knowledge (48.0%), negative attitudes (53.1%), low family support (54.1%), and low compliance (72.4%). Significant associations were found between compliance and knowledge (p=0.000), attitude (p=0.033), and family support (p=0.011). Conclusion: Compliance remains low despite adequate distribution. Improving maternal knowledge, fostering positive attitudes, and enhancing family particularly husband support are essential to increase adherence and reduce anemia-related risks in pregnancy.

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Journal Info

Abbrev

JMN

Publisher

Subject

Health Professions

Description

Journal of Midwifery and Nursing Published by iocscience.org. iocscience is an Institute of computer Science Research institute engaged in public research in the fields of health, politics, social, economics, law and ...