Effectiveness Of The 'Ceting' M-Health Application In Enhancing Iron Supplementation Adherence And Hemoglobin Levels Among Pregnant Women

Nureliza Nureliza (Faculty of Midwifery, Poltekkes Kemenkes Pontianak, West Borneo)
Affi Zakiyya (Faculty of Midwifery, Poltekkes Kemenkes Pontianak, West Borneo)
Elma Marsita (Faculty of Midwifery, Poltekkes Kemenkes Pontianak, West Borneo)

JKM (Jurnal Kebidanan Malahayati)
Vol 12, No 5 (2026): Volume 12 Nomor 5 Mei 2026

Latar belakang: Rendahnya kepatuhan konsumsi tablet tambah darah (TTD) menjadi pemicu utama tingginya prevalensi anemia ibu hamil di Indonesia. Teknologi m-Health berupa aplikasi pengingat harian menawarkan solusi inovatif untuk meningkatkan kedisiplinan pasien. Tujuan: Menganalisis efektivitas aplikasi "CETING" (daily reminder) terhadap kepatuhan konsumsi TTD dan kadar hemoglobin (Hb) pada ibu hamil anemia di Puskesmas Takong, Kalimantan Barat. Metode: Studi kuantitatif quasi-experiment dengan non-equivalent control group design pada 50 responden (purposive sampling) yang dibagi menjadi kelompok intervensi (n=25) dan kontrol (n=25). Data dikumpulkan melalui kuesioner kepatuhan dan Hb-meter digital, lalu dianalisis menggunakan uji Wilcoxon Signed Rank dan Mann-Whitney. Hasil: Kelompok intervensi menunjukkan peningkatan signifikan pada kepatuhan (6,32 ke 7,88; p0,001) dan kadar Hb (10,48 ke 11,12 g/dL; p0,001). Pada kelompok kontrol, kepatuhan meningkat sedikit (5,48 ke 6,36; p=0,042), namun perubahan kadar Hb tidak signifikan secara statistik (10,32 ke 10,56 g/dL; p=0,083). Analisis antar-kelompok mengonfirmasi efektivitas aplikasi CETING yang signifikan (p0,001). Simpulan: Aplikasi "CETING" efektif meningkatkan kepatuhan konsumsi TTD dan kadar hemoglobin ibu hamil anemia, sehingga layak digunakan sebagai instrumen pendamping layanan kesehatan maternal di fasilitas kesehatan primer. Kata kunci: Anemia; M-Health CETING; Kepatuhan; Tablet Tambah Darah ABSTRACT Background: Low compliance with iron and folic acid (IFA) supplementation remains the primary driver of maternal anemia in Indonesia. Mobile health (m-Health) reminder applications offer an innovative approach to improve patient adherence. Objective: To evaluate the effectiveness of the "CETING" daily reminder application in enhancing IFA compliance and hemoglobin (Hb) levels among anemic pregnant women at the Takong Community Health Center, West Kalimantan. Methods: This quantitative quasi-experimental study employed a non-equivalent control group design with 50 respondents selected via purposive sampling, divided into an intervention group (n=25) and a control group (n=25). Data were gathered using compliance questionnaires and digital hemoglobinometers, and analyzed utilizing Wilcoxon Signed-Rank and Mann-Whitney tests. Results: The intervention group demonstrated significant improvements in both adherence scores (6.32 to 7.88; p0.001) and Hb levels (10.48 to 11.12 g/dL; p0.001). Conversely, the control group exhibited a marginal increase in adherence (5.48 to 6.36; p=0.042) but no statistically significant change in Hb levels (10.32 to 10.56 g/dL; p=0.083). Inter-group analysis confirmed that the CETING application yielded significantly superior outcomes (p0.001). Conclusion: The "CETING" application successfully improves iron supplementation adherence and hemoglobin levels in anemic pregnant women, making it a viable digital companion tool for primary healthcare facilities. Keywords: Adherence; Anemia; CETING Application; Hemoglobin; Iron Supplementation.