The Implementation of Iron Supplementation and Antenatal Counseling for Iron Deficiency Anemia in Pregnancy

Darmawati Darmawati, Teuku Tahlil, Toungku Nizwan Siregar, Hajjul Kamil, Masyithah Audina


Anemia is one of the contributing conditions that cause maternal mortality in Indonesia. The Indonesian Ministry of Health try to reduce it through an antenatal care program conducted at public health center, with several indicators including iron supplementation and antenatal counseling. This study was conducted to find out the relationship between iron supplementation and antenatal counseling to iron deficiency anemia during pregnancy. This study was a correlative study with cross sectional approach carried out in February until June 2018. The population was 1,285 pregnant women with 102 samples recruited using purposive sampling technique. Blood hemoglobin levels were examined using Hb Meter. Data collection were carried out through guided interviews. Data analysis was done using Chi-Square Test. The implementation of iron supplementation and antenatal counseling was implemented comprehensively (51.0%; 64.7% respectively). This study showed that there was a relationship between iron supplementation and iron deficiency anemia (0.000) and there was no relationship between antenatal counseling and iron deficiency anemia (0.249). It is recommended to all antenatal providers to improve the service provided, especially the iron supplementation that accompanied by giving information through antenatal counseling, so the high maternal mortality rates due to iron deficiency anemia can be treated immediately.


Anemia; Counseling; Information; Supplementation; Iron

Full Text:



Ahmad, N. A., Awaluddin, M., Samad, R., Kasim, N. M., Yusof, M., Razak, M. A., … Sahril, N. (2015). Validity of point-of-care testing mission plus in detecting anemia. International Journal of Biomedicine, 5(2), 91–94.

Arini, N., Bakta, M., & Citrawati, D. M. (2017). The impact of iron supplementation toward hemoglobin levels on teenage girls in Bangli regency, Bali, Indonesia. International Journal of Research in Medical Sciences, 5(8), 3454–3457.

Bara, F. T., Fanny, L., & Wijayanagara, H. (2015). Pengaruh konseling gizi pada ibu hamil dengan anemia terhadap status gizi di Kecamatan Minasatene dan Kecamatan Pangkajene Kabupaten Pangkajene. Jurnal Ilmiah Kesehatan, 6(2), 253–262.

Bivolarska, A. V., Gatseva, P. D., & Maneva, A. I. (2015). The role of eating habits on the iron status of pregnant women. Journal of the American College of Nutrition, 35(2), 1–7.

Cantor, A. C., Bougatsos, C., Dana, T., Blazina, I., & Mcdonagh, M. (2015). Annals of Internal Medicine Routine Iron Supplementation and Screening for Iron Deficiency Services Task Force. Annals of Internal Medicine, 162(8), 566–576.

Chhabra, P. (2014). Maternal near miss: An indicator for maternal health and maternal care. Indian Journal of Community Medicine, 39(3), 132–137.

Daru, J., Zamora, J., Fernández-félix, B. M., Vogel, J., Oladapo, O. T., Morisaki, N., … Torloni, M. R. (2018). Articles Risk of maternal mortality in women with severe anaemia during pregnancy and post partum : a multilevel analysis. The Lancet, 6, 548–554.

Departemen Kesehatan RI. (2007). Pedoman pelayanan antenatal. Jakarta: Departemen Kesehatan RI.

Department of Health Western Australia. (2015). Complications in pregnancy: Anemia. Retrieved February 11, 2018, from

Dinas Kesehatan Kabupaten Aceh Besar. (2016). Profil kesehatan Kabupaten Aceh Besar tahun 2015. Aceh: Dinas Kesehatan Kabupaten Aceh Besar.

Garrison, C. (2009). Anemia : A symptom, not a diagnosis (Ed. 2). USA: Sourcebooks, Inc.

Gluckman, P., Hanson, M., Seng, C. Y., & Bardsley, A. (2015). Nutrition and lifestyle for pregnancy and breastfeeding. United Kingdom: Oxford University Press.

IAEG-SDGs. (2016). Final list of proposed sustainable development goal indicators. Retrieved December 21, 2017, from

Kemenkes RI. (2010). Pedoman Pelayanan Antenatal Terpadu. Jakarta: Direktur Jenderal Bina Kesehatan Masyarakat Kementerian Kesehatan Republik Indonesia.

Kemenkes RI. (2013). Riset kesehatan dasar 2013. Jakarta: Badan Penelitian dan Pengembangan Kementerian Kesehatan RI.

Kemenkes RI. (2016). Profil kesehatan Indonesia 2015. Jakarta: Kementerian Kesehatan Republik Indonesia.

Lesilolo, T. N., Engka, J., & Wungouw, H. (2016). Hubungan pemberian tablet besi dan antenatal care terhadap kadar hemoglobin pada ibu hamil di Kabupaten Bolaang Mangondouw Utara. Jurnal E-Biomedik, 4(1).

Pawlowski, M., Latute, F., Bardou-Jacquet, E., Latournerie, M., Zerrouki, S., Bendavid, C., … Ropert, M. (2015). Portable hemoglobinometer is a reliable technology for the follow-up of venesections tolerance in hemochromatosis. Clinics and Research in Hepatology and Gastroenterology, 39(5), 570–575.

Porwit, A., McCullough, J., & Erber, W. N. (2011). Blood and bone marrow pathology (Ed. 2). New York: Churchill Livingstone Elsevier.

Schoorl, M., Schoorl, M., van der Gaag, D., & Bartels, P. C. M. (2012). Effects of iron supplementation on red blood cell hemoglobin content in pregnancy. Hematology Reports, 4(4), 91–94.

Setyobudihono, S., Istiqomah, E., & Adiningsih, S. (2016). Husband influences on pregnant women who following consumption iron supplementation program. Procedia - Social and Behavioral Sciences, 222, 160–168.

Silverberg, D. S. (2012). Anemia. Croatia: InTech.

Sivanganam, S., & Weta, W. (2017). Gambaran tingkat kepatuhan ibu hamil mengkonsumsi tablet besi di wilayah kerja puskesmas Sidemen tahun 2015. Intisari Sains Medis, 8(2), 135–138.

Susheela, A. K., Gupta, R., & Mondal, N. K. (2016). Anaemia in adolescent girls: An intervention of diet editing and counselling. National Medical Journal of India, 29(4), 200–204.

Triyani, S., & Purbowati, N. (2016). Kepatuhan konsumsi tablet Fe dalam mencegah anemia gizi besi pada ibu hamil di wilayah Puskesmas Kecamatan Jakarta Pusat. Jurnal Ilmu Dan Teknologi Kesehatan, 3(2), 215–229.

Vir, S. C. (2011). Public Health Nutrition in Developing Countries. New Delhi: Woodhead Publishing India Pvt. Ltd.

WHO. (2001). Iron deficiency anaemia : Assessment, prevention and control. Geneva: World Health Organization.

Yehuda, S., & Mostofsky, D. (2010). Iron deficiency and overload from basic biology to clinical medicine. United States: Humana Press.


  • There are currently no refbacks.