Operating globally as a critical public health threat is maternal anemia, with suboptimal adherence to prescribed iron tablet supplementation standing out as a primary barrier to its gestational prevention. Fulfilling an indispensable frontline function are community health volunteers, who drive maternal wellness through community-based health education, structured home visits, and continuous interpersonal support engineered to maximize micronutrient compliance. This investigation was specifically designed to examine the epidemiological association connecting the operational role of community health volunteers to iron tablet supplementation adherence among pregnant women within the Ranomuut Community Health Center service area in Manado, Indonesia. Utilizing an analytical observational framework with a cross-sectional approach, the trial enrolled 68 pregnant women via purposive sampling. Compiled using structured close-ended instruments, the data were processed via descriptive statistics and the non-parametric Kendall's tau-b correlation model. Symmetrically distributed across the dataset was cadre support, with exactly 50.0% of respondents receiving active assistance, whereas a 55.9% prevalence of strict iron tablet compliance was quantified. Unmasked via Kendall's tau-b analysis was a statistically significant, moderate positive association linking cadre engagement directly to maternal compliance (; ). Consequently, established by these findings is the reality that the institutional reinforcement of community health volunteers serves as a powerful mechanism to expand micronutrient compliance and mitigate gestational anemia risks.
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