Anemia during pregnancy remains a maternal health issue requiring attention. The success of iron supplementation depends, in part, on a mother's adherence to taking iron-folic acid (IFA) supplements. Motivation is a factor potentially linked to IFA consumption behavior. This study aimed to identify and synthesize research evidence regarding the role of motivation in pregnant women's adherence to taking IFA supplements. A literature review design was employed, with searches conducted via Google Scholar and PubMed covering the period 2020–2026 in both Indonesian and English. Keywords used included “motivation” OR “maternal motivation” AND “pregnant women” AND “adherence” OR “compliance” AND “iron-folic acid supplementation” OR “iron tablet” OR “tablet Fe”. Methodological quality was assessed using the Joanna Briggs Institute (JBI) framework. A total of 5,507 records were identified from Google Scholar (n=5,500) and PubMed (n=7). After removing duplicates and screening based on eligibility criteria, 11 studies were included in the final synthesis. The synthesis revealed a relatively consistent pattern of association between motivation and adherence to IFA consumption among pregnant women; higher levels of motivation were generally observed in women with better adherence. These findings indicate that strengthening motivation should be an integral part of nursing interventions aimed at improving adherence to IFA consumption, alongside family support, education, and guidance from healthcare professionals.
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