Association between iron tablet utilization and anemia status in pregnant women at Woyla Timur Community Health Center
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Published:
Jul 10, 2026
Keywords:
Anemia, Antenatal Care, Iron Tablets, Pregnant Women
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Abstract
Anemia in pregnant women remains a health problem that can increase the risk of complications for the mother and fetus. One effort to prevent anemia during pregnancy is through regular consumption of iron tablets. However, the level of compliance of pregnant women in consuming iron tablets remains a challenge in maternal health programs. This study is a quantitative analytical study with a cross-sectional approach, which was conducted in the Working Area of the Woyla Timur Community Health Center, West Aceh Regency in January 2026. The study population was all 50 pregnant women in the third trimester. The sampling technique used total sampling so that the entire population was used as a research sample. Data were analyzed using the Chi-square test to examine the association between iron tablet utilization and anemia status among pregnant women receiving antenatal care at the Woyla Timur Community Health Center. The study findings demonstrated a statistically significant association between iron tablet utilization and anemia status among pregnant women receiving antenatal care at the Woyla Timur Community Health Center. The results of the Chi-Square test analysis obtained a p-value = 0.000 (p <0.05). A statistically significant association was observed between iron tablet utilization and anemia status among pregnant women at the Woyla Timur Community Health Center. Based on these findings, interventions focused on education, counseling, and regular monitoring should be enhanced to support optimal iron tablet utilization during pregnancy.
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How to Cite
Ita, I. S., Yanti, A., & Afriza, N. (2026). Association between iron tablet utilization and anemia status in pregnant women at Woyla Timur Community Health Center. International Journal of Nursing and Midwifery Research, 4(3), 117–124. https://doi.org/10.35335/ners.v4i3.695
References
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Srivastava, M., Gulia, A., Upadhyay, A.D., Patel, K.K., Sankar, M.J., Sinha, A., & Kumar, P. (2025). Impact of iron-folic acid supplementation on maternal and neonatal outcomes: A systematic review & meta-analysis. In Nutrition and Health (Vol. 31, Number 1, pp. 81–90). SAGE Publications Ltd. https://doi.org/10.1177/02601060241299010
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Zhao, B., Sun, M., Wu, T., Li, J., Shi, H., & Wei, Y. (2024). The association between maternal anemia and neonatal anemia: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06832-1
Anato, A., & Reshid, M. (2025). Effect of nutrition education and iron-folic acidation on anemia among pregnant women supplements in Ethiopia: a quasi-experimental study. Scientific Reports, 15(1). https://doi.org/10.1038/s41598-025-87957-x
Arabzadeh, H., Doosti-Irani, A., Kamkari, S., Farhadian, M., Elyasi, E., & Mohammadi, Y. (2024). The maternal factors associated with infant low birth weight: an umbrella review. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06487-y
Health Research and Development Agency. (2018). Aceh Province Riskesdas Report.
Denise F. Polit, & CTB (2024). Essentials of nursing research: Appraising evidence for nursing practice. In npj Digital Medicine (11th ed., Number 1). Wolters Kluwer.
Ejara, D., Ferede, A., Shifa, J.E., Bekele, F., & Ahmed Hassen, T. (2024). Compliance level and associated factors of iron folic acid supplementation among pregnant women in North Shoa Zone, Ethiopia. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-63111-x
Fite, M.B., Bikila, D., Habtu, W., Tura, A.K., Yadeta, T.A., Oljira, L., & Roba, K.T. (2022). Beyond hemoglobin: uncovering iron deficiency and iron deficiency anemia using serum ferritin concentration among pregnant women in eastern Ethiopia: a community-based study. BMC Nutrition, 8(1). https://doi.org/10.1186/s40795-022-00579-8
Guye, A.H., Abera, L., Nigussie, T., Girma, D., Diriba, B.S., Dejene, H., Legesse, E., Iticha, D., & Adugna, L. (2025). Determinants of non-adherence to iron folic acid supplementation among pregnant women attending public health facilities in Bishoftu Town, Ethiopia: case–control study. BMC Pregnancy and Childbirth, 25(1). https://doi.org/10.1186/s12884-025-08295-4
Kebaabetswe, P., Diseko, M., Zash, R., Mayondi, G., Mabuta, J., Mmalane, M., Makhema, J., Lockman, S., Moeng, L., Lowenthal, E., Shapiro, R., & Caniglia, E.C. (2024). A qualitative assessment of barriers to iron and folic acid supplementation among pregnant women in Botswana. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20685-5
Ministry of Health of the Republic of Indonesia. (2018). National Riskesdas Report.
Mare, KU, Aychiluhm, SB, Mulaw, GF, Sabo, KG, Ebrahim, OA, Tebeje, TM, & Seifu, BL (2024). Non-adherence to antenatal ironation and its supplementary determinants among pregnant women in 35 sub-Saharan African countries: a generalized linear mixed-effects modeling with robust Poisson regression analysis. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-07105-7
Merga, R.T., Birhane, M., Dhinsa, M., Muleta, B., Jemal, J., & Belay, M.M. (2025). Determinants of compliance with iron-folic acid supplementation among pregnant mothers in Bule Hora district, Southern Ethiopia: unmatched case-control study. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-22005-x
Moumin, N.A., Shepherd, E., Liu, K., Makrides, M., Gould, J.F., Green, T.J., & Grzeskowiak, L.E. (2024). The Effects of Prenatal Iron Supplementation on Offspring Neurodevelopment in Upper Middle- or High-Income Countries: A Systematic Review. In Nutrients (Vol. 16, Number 15). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/nu16152499
Munyogwa, MJ, Gibore, N.S., Ngowi, A.F., & Mwampagatwa, I.H. (2024). Routine uptake of prenatal iron-folic acid supplementation and associated factors among pregnant women in peri-urban areas of Dodoma City, Tanzania: a cross-sectional study. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06871-8
Nisak, B. (2024). Determinants of Anemia Incidence in Pregnant Women in the Baitussalam Community Health Center Work Area in 2023. 5(1).
Rao, R.B. (2024). Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency. In Nutrients (Vol. 16, Number 7). https://doi.org/10.3390/nu16071092
Saeed, M.S., Adam, G.K., Hussein, S.M., Alhabardi, N., & Adam, I. (2024). Prevalence and Factors Associated with Adherence to Iron-Folic Acid Supplementation Among Pregnant Women in Eastern Sudan: A Cross-Sectional Study. Patient Preference and Adherence, 18, 1665–1674. https://doi.org/10.2147/PPA.S476738
Salifu, Y., Agyeman, Y. N., & Lasong, J. (2024). Adherence to and predictors of iron-folate acid supplementation among pregnant women in a pastoral population in Ghana: a community-based cross-sectional study. Reproductive Health, 21(1). https://doi.org/10.1186/s12978-024-01877-z
Sartika, RAD, Wirawan, F., Putri, PN, & Shukri, NHM (2024). Association between Iron–Folic Acid Supplementation during Pregnancy and Maternal and Infant Anemia in West Java, Indonesia: A Mixed-Method Prospective Cohort Study. American Journal of Tropical Medicine and Hygiene, 110(3), 576–587. https://doi.org/10.4269/ajtmh.23-0411
Seid, M.A., Gebru, A.S., Yimer, A., Ali, K., Yesuf, A., Sirage, N., Seid, A., Tesfa, N.A., & Ahmed, H. (2025). Exploring adherence to iron and folic acidation in pregnant women at rural supplement health facilities in Waghimra zone, Northern Ethiopia. BMC Pregnancy and Childbirth, 25(1). https://doi.org/10.1186/s12884-025-08119-5
Seidu, H., Gaa, P. K., & Mogre, V. (2024). Adherence to Iron and Folic Acid Supplementation Among Pregnant Women From Northern Ghana. Nutrition and Metabolic Insights, 17. https://doi.org/10.1177/11786388231218664
Shao, Y., Meng, C., & Liang, Y. Z. (2024). Digital versus non-digital health interventions to improve ironation in pregnant women: a supplementary systematic review and meta-analysis. In Frontiers in Medicine (Vol. 11). Frontiers Media SA. https://doi.org/10.3389/fmed.2024.1375622
Srivastava, M., Gulia, A., Upadhyay, A.D., Patel, K.K., Sankar, M.J., Sinha, A., & Kumar, P. (2025). Impact of iron-folic acid supplementation on maternal and neonatal outcomes: A systematic review & meta-analysis. In Nutrition and Health (Vol. 31, Number 1, pp. 81–90). SAGE Publications Ltd. https://doi.org/10.1177/02601060241299010
The Lancet Global Health. (2026). Resistance is not futile. The Lancet Global Health, 14(5), e668. https://doi.org/10.1016/S2214-109X(25)00238-4
World Health Organization. (2025). WHO global anemia estimates. In World Health Organization. https://iris.who.int/handle/10665/382291
World Health Statistics. (2023). SDGs Sustainable Development Goals.
Zhao, B., Sun, M., Wu, T., Li, J., Shi, H., & Wei, Y. (2024). The association between maternal anemia and neonatal anemia: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06832-1
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