Determinants of Iron Supplementation Adherence in Pregnancy and Their Implications for Maternal Health Outcomes: A Systematic Literature Review

Diza Ulya Nurfaizah, Jayanti Dian Eka Sari, Endang Lestari

Abstract


Background: Maternal and infant mortality remain major global health challenges, particularly in developing countries. The World Health Organization (WHO) reported that in 2017, approximately 817 women died daily due to pregnancy-related causes, while UNICEF estimated 2.5 million infant deaths before one month of age in 2020. In Indonesia, the Maternal Mortality Rate (MMR) is still high and projected to reach 183 per 100,000 live births by 2024, which remains above the Sustainable Development Goals (SDGs) target. One of the main contributing factors to maternal mortality is anemia during pregnancy, which is prevalent in developing countries. Methods: This study used a systematic literature review approach based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were collected from PubMed and Web of Science databases using relevant keywords, with predetermined inclusion and exclusion criteria. Results: A total of 5 eligible articles were included in this review. The findings consistently showed that low compliance in consuming iron tablets among pregnant women was associated with a higher risk of anemia, which can increase the risk of maternal complications and mortality. Conclusion: Compliance in consuming iron tablets plays an important role in preventing anemia during pregnancy and reducing the risk of maternal mortality. Strengthening health education and monitoring of iron supplementation is essential to improve maternal health outcomes.


Full Text:

PDF

References


Nur MSK, Khiriyah HI, Kurniawan D. Pengembangan Model Pendidikan Kesehatan pada Ibu Hamil untuk Menurunkan Angka Kematian Ibu di Kabupaten Bogor. Jurnal Program Kreatifitas Mahasiswa. 2018;2(1):23-30. https://doi.org/10.32832/pkm-p.v2i1.198

Noftalina E. Upaya Peningkatan Pengetahuan Mengenai Tanda Bahaya Nifas dan bayi Baru lahir. Jurnal Inovasi & Terapan Pengabdian Masyarakat. 2021;1(1):1-5. https://doi.org/10.35721/jitpemas.v1i1.6

Husada P, Yuniasih AF. Analisis Spasial Angka Kematian Neonatal di Pulau Jawa Tahun 2020. Seminar Nasional Official Statistics.2022;2022(1):207–216. https://doi.org/10.34123/semnasoffstat.v2022i1.1273

Anisykurlillah R, Supit PWE. Evaluasi Pembangunan Kesehatan dalam Upaya Penurunan Angka Kematian Ibu dan Bayi di Kabupaten Malang. Journal Publicuho. 2023;6(1):257–266. https://doi.org/10.35817/publicuho.v6i1.116

Ministry of Health of Republic Indonesia. Profil Kesehatan 2015. Jakarta: Ministry of Health of Republic Indonesia; 2016.

Safitri S. Pendidikan Kesehatan tentang Anemia kepada Ibu Hamil. Jurnal Abdimas Kesehatan (JAK). 2020;2(2):94. https://doi.org/10.36565/jak.v2i2.88

Noftalina E. Upaya Peningkatan Pengetahuan Mengenai Tanda Bahaya Nifas dan bayi Baru lahir. Jurnal Inovasi & Terapan Pengabdian Masyarakat. 2021;1(1):1-5. https://doi.org/10.35721/jitpemas.v1i1.6

World Health Organization. Maternal Mortality. Geneva: World Health Organization; 2019.

World Health Organization. Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA. Geneva: World Health Organization; 2023.

Say L, Chou D, Gemmill A, Tunçalp Ö., Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. The Lancet Global Health. 2014;2(6):323–333. https://doi.org/10.1016/S2214-109X(14)70227-X

Carroli G, Villar J, Piaggio G, Khan-Neelofur D, Gülmezoglu M, Mugford M, Lumbiganon P, Farnot U, Bersgjord L. WHO systematic review of randomised controlled trials of routine antenatal care. The Lancet. 2001;357(9268):1565–1570. https://doi.org/10.1016/S0140-6736(00)04723-1

Suarayasa K. Strategi Menurunkan Angka Kematian Ibu (AKI) Di Indonesia. Yogyakarta: Deepublish; 2020.

Chilot D, Belay DG, Ferede TA, Shitu K, Asratie MH, Ambachew S, Shibabaw YY, Geberu DM, Deresse M, Alem AZ. Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis. Frontiers in Public Health; 2023;11:1035759. https://doi.org/10.3389/fpubh.2023.1035759

Asres AW, Hunegnaw WA, Ferede AG, Azene TW. Compliance level and factors associated with iron–folic acid supplementation among pregnant women in Dangila, Northern Ethiopia: A cross-sectional study. SAGE Open Medicine. 2022;10:1-8. https://doi.org/10.1177/20503121221118989

Agegnehu CD, Tesema GA, Teshale AB, Alem AZ, Yeshaw Y, Kebede SA, Liyew AM. ‘Spatial distribution and determinants of iron supplementation among pregnant women in Ethiopia: a spatial and multilevel analysis. Archives of Public Health. 2021;79(1):143. https://doi.org/10.1186/s13690-021-00669-2

Benson AE, Shatzel JJ, Ryan KS, Hedges MA, Martens K, Aslan JE, Lo JO. The incidence, complications, and treatment of iron deficiency in pregnancy. European Journal of Haematology. 2022;109(6):633–642. https://doi.org/10.1111/ejh.13870

Utari D, Al Rahmad AH. Pengetahuan dan sikap ibu hamil dengan pola kepatuhan mengonsumsi tablet tambah darah di Kabupaten Aceh Timur. Jurnal SAGO Gizi dan Kesehatan. 2022;4(1):8-13. https://doi.org/10.30867/gikes.v4i1.247




DOI: https://doi.org/10.33846/hd30202

Refbacks

  • There are currently no refbacks.




____________________________________________________________________________________________________________________________________________

Health Dynamics || Open Access Journal || Online version only || Publisher: Knowledge Dynamics || ISSN: 3006-5518 (online) || Contact: healthdynamics.journal@gmail.com; +8801814901991; +6282136364408