EVALUATION OF IRON SUPPLEMENTATION PROGRAM FOR PREGNANT WOMEN IN GUNUNGKIDUL, INDONESIA, 2015

  • Gaby G. Langi Field Epidemiology Training Program (FETP), Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia
  • S. Raharto Gunungkidul District Health Office, Yogyakarta, Indonesia
  • Riris A. Ahmad Field Epidemiology Training Program (FETP), Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia , Center for Tropical Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia
Keywords: Program Evaluation, Iron Supplementation, Anemia, Pregnant Women

Abstract

Iron supplementation program aims to prevent anemia during pregnancy. Anemia among pregnant women is a risk of miscarriage, premature birth, low birth weight (LBW) and postpartum hemorrhage. The anemia prevalence in Gunungkidul increased from 14.97% in 2014 to 21.88% in 2015. This study aimed to evaluate iron supplementation program for pregnant women in Gunungkidul in 2015. This was a descriptive study involving staff from 30 Public Health Centers (PHC) and Gunungkidul District Health Office (DHO). Data on program resources, planning, implementation and monitoring evaluation were collected using structured questionnaires and checklist sheets. Data on program coverage and anemia prevalence were taken from DHO’s reports. There was 62 staff (midwives and nutritionist) working in the program. The number of the estimated pregnant women and iron supplementation needed were calculated at DHO level. Iron supplementation administration was conducted at PHC level, involving midwives, nutritionists, and pharmacists. Iron supplementation coverage was 88.77%, however, the prevalence of anemia was high (21.88%). Furthermore, most midwives and nutritionist could not ascertain whether the administered iron supplementation was actually consumed by pregnant women. Iron supplementation program in Gunungkidul District needs to put efforts to ascertain treatment adherence.

References

Ar, S. K., Rosnah, S., & Rahmah, M. A, 2010, Prevalen Anemia Semasa Mengandung Dan Faktor-Faktor Mempengaruhinya Di Johor Bahru. Malaysian Journal of Public Health Medicine, 10(1), pp.70-83.
Atmarita, A, 2005, Nutrition problems in Indonesia. Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research), 28(2).
Bilimale, A., Anjum, J., Sangolli, H. N., & Mallapur, M., 2010, Improving Adherence to Oral Iron Supplementation during pregnancy. Australasian Medical Journal, 3(5).
Darlina, 2003, Factors Associated with Incidence of Anemia in Pregnancy. Thesis at Faculty of Agriculture Insitut Pertanian Bogor.
Ermiati, E., Koeryaman, M. T., & Setyawati, A, 2017, Peningkatan Rerata Kadar Hb Pada Ibu Hamil yang Patuh dalam Mengkonsumsi Tablet Fe. MEDISAINS, 15(2), pp.97-107.
Isfandyari, A., Langi, G, 2016, Gunungkidul District Health Problem Analysis 2015. Working paper. Field Epidemiology Training Program Universitas Gadjah Mada.
Kalaivani, K. 2009. Prevalence & consequences of anaemia in pregnancy. Indian J Med Res, 130(5), pp.627-633.
Kusumaningrum, D, 2010, Correlation Iron Supplementation Compliance Rate, Nutrient Intake and Anemia among Pregnant Women in Gerungan Pangkalpinang District. Faculty of Medicine, Universitas Gadjah Mada.
Maitri, A.K., Shanti, K.M., Rosselo, J., Destryani., Friday, L.C., & Noviriana, R. 2017. Evaluasi Program Pemberian Tablet Tambah Darah Sebagai Upaya Preventif dan Kuratif Anemia Ibu Hamil di Puskesmas Kraton Kota Yogyakarta. Date of access: 24/08/2017.
https://conference.ugm.ac.id/index.php/ikmfkugm/2017/paper/downloadSuppFile/69/178
McLean, E., Cogswell, M., Egli, I., Wojdyla, D., & De Benoist, B., 2009, Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993–2005. Public health nutrition, 12(4), pp.444-454.
Ministry of Health of Republic Indonesia, 2015, Management Guidelines for Iron Tablet Supplementation. Nutrition Department of Province Health Offive DIY.
Nora, R. 2008. The Relationship of Knowledge and Behavior of Pregnant Women with Anemia in Indragiri Hulu District. Postgraduate Program Faculty of Medicine, Universitas Gadjah Mada
Peña‐Rosas, J. P., De‐Regil, L. M., Dowswell, T., & Viteri, F. E., 2012, Daily oral iron supplementation during pregnancy. The Cochrane Library.
Sanghvi, T. G., Harvey, P. W., & Wainwright, E., 2010, Maternal iron–folic acid supplementation programs: Evidence of impact and implementation. Food and nutrition bulletin, 31(2_suppl2), pp.100-107.
Suega, K., Dharmayuda, T. G., Sutarga, I. M., & Bakta, I. M., 2002. Iron-deficiency anemia in pregnant women in Bali, Indonesia: a profile of risk factors and epidemiology. Southeast Asian journal of tropical medicine and public health, 33(3), pp.604-607.
Susanti, I. 2016. The Relationship of Anemia in Pregnancy with Low Birth Weight in RA Basoeni Mojokerto Hospitals. Majapahit Hospital ;8(1).
Wara, 2006. Faktor-faktor yang Mempengaruhi Status Anemia Pada Ibu Hamil di Kecamatan Ciampea, Kabupaten Bogor, Jawa Barat. Skripsi pada Fakultas Pertanian IPB
World Health Organization, 2011, Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity.
Zeng, L., Cheng, Y., Dang, S., Yan, H., Dibley, M. J., Chang, S., & Kong, L, 2008, Impact of micronutrient supplementation during pregnancy on birth weight, duration of gestation, and perinatal mortality in rural western China: double blind cluster randomised controlled trial. Bmj, 337, a2001.
Published
2017-12-16
How to Cite
Langi, G. G., Raharto, S., & Ahmad, R. A. (2017). EVALUATION OF IRON SUPPLEMENTATION PROGRAM FOR PREGNANT WOMEN IN GUNUNGKIDUL, INDONESIA, 2015. Proceedings of the International Conference on Public Health, 3(2), 80-87. Retrieved from http://tiikmpublishing.com/proceedings/index.php/icoph/article/view/106