INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal)
Vol. 10 No. 1 (2026)

Effect of Brief Pharmacist Counseling on Knowledge, Perception, Adherence, and Hemoglobin in Second-Trimester Pregnancy at a Community Health Center

Sri Suprapti (Pharmacy Study Program, Faculty of Medicine and Health Sciences, Universitas Alma Ata, Jl. Brawijaya No. 99, Tamantirto, Kasihan, Bantul, Yogyakarta, 55183, Indonesia)
Endang Darmawan (Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Ahmad Dahlan University, Jl. Prof. DR. Soepomo Sh, Warungboto, Umbulharjo, Yogyakarta, 55164, Indonesia)
Eliza Dwinta (Pharmacy Study Program, Faculty of Medicine and Health Sciences, Universitas Alma Ata, Jl. Brawijaya No. 99, Tamantirto, Kasihan, Bantul, Yogyakarta, 55183, Indonesia)
Win Win Khaing Shwe (Department of Social, Economic, and Administrative Pharmacy, Faculty of Pharmacy, Mahidol University, 447 Thanon Si Ayutthaya, Thung Phaya Thai, Ratchathewi, Bangkok 10400, Thailand)
Emelda Emelda (Pharmacy Study Program, Faculty of Medicine and Health Sciences, Universitas Alma Ata, Jl. Brawijaya No. 99, Tamantirto, Kasihan, Bantul, Yogyakarta, 55183, Indonesia)
Fadilatul Layalli (Pharmacy Study Program, Faculty of Medicine and Health Sciences, Universitas Alma Ata, Jl. Brawijaya No. 99, Tamantirto, Kasihan, Bantul, Yogyakarta, 55183, Indonesia)
Ratih Devi Alfiana (Department of Midwifery, Faculty of Medicine and Health Sciences, Universitas Alma Ata, Jl. Brawijaya No. 99, Tamantirto, Kasihan, Bantul, Yogyakarta, 55183, Indonesia)



Article Info

Publish Date
04 Aug 2026

Abstract

Background: Anemia in pregnancy increases the risk of maternal mortality and fetal damage. The primary cause is iron deficiency. In 2018, 73.2% of pregnant women in Indonesia received iron supplements, yet anemia remained common, affecting 48.9% of them. Objective: This study aims to investigate the influence of Brief Counseling 5A on knowledge, perception, compliance, and Hb levels in second-trimester pregnant women taking Iron (III) Hydroxide Polymaltose Complex (IPC) tablets at the X’s Public Health Center in Yogyakarta. Methods: This quasi-experimental study used a pre-test and post-test design without a control group and was conducted from November 2018 to April 2019 with 39 pregnant women. Measurements of knowledge, perception, and compliance were taken at the pre-test (1st day) and post-test (31st day) for those who received Brief Counseling 5A. Results: Brief Counseling 5A significantly increased mean pre-test and post-test scores for knowledge, perception, and compliance, with a significance value of 0.001 (p<0.050). The mean pre-test knowledge score was 64.36 ± 2.69. The post-test score was 90.26 ± 1.60. The mean pre-test perception score was 28.26 ± 0.56, and the post-test perception score was 33.31 ± 0.60. The mean pre-test compliance level score was 56.15 ± 3.28, and the post-test was 86.41 ± 2.06. Each parameter had a p-value < 0.05. Meanwhile, the mean pre-test Hb value was 11.98 ± 0.23 g/dL, while the mean post- test Hb value was 11.67 ± 0.21 g/dL, with a p-value of 0.117. Conclusion: Brief Counseling 5A can significantly increase knowledge, perception, and compliance. However, there was no increase in Hb levels among second-trimester pregnant women who consumed IPC tablets at the Public Health Center of Banguntapan III, Bantul.

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Journal Info

Abbrev

INPHARNMED

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Pharmaceutics, Biopharmaceutics, Drug Delivery System, Physical Pharmacy, Chemical Pharmacy, Pharmaceutical Technology, Pharmaceutical Microbiology and Biotechnology, Pharmacology and Toxicology, Pharmacokinetics, , Pharmaceutical Chemistry, Pharmaceutical Biology, Community and Clinical Pharmacy, ...