The Relationship between Pregnant Women's Knowledge of Nutritional Fulfillment and Anemia Status in the Community Health Center Work Area
DOI:
https://doi.org/10.59585/ijhs.v4i4.1820Keywords:
Pregnant Women, Nutritional Knowledge, Nutritional Fulfillment, Anemia, HemoglobinAbstract
Background Anemia during pregnancy remains an important maternal health problem. It May be caused by inadequate intake of essential nutrients , particularly iron , folate , and vitamin B12. Maternal knowledge regarding nutritional fulfillment during pregnancy May influence food selection and anemia prevention behaviors . Objective This study aimed to determine the relationship between pregnant women's knowledge of nutritional fulfillment and anemia status. Methods A quantitative analytic study with a cross-sectional design was conducted in September 2026 in the working area of a community health center . The sample consisted of 84 pregnant women selected using purposive sampling. Knowledge of nutritional fulfillment was assessed using a structured questionnaire , while anemia status was determined based on hemoglobin measurement using a standardized hemoglobin testing device . Data were analyzed using the chi-square test with a significance level of 0.05. Results Thirty-four pregnant women (40.5%) had good nutritional knowledge , while 50 (59.5%) had poor knowledge . Hemoglobin assessment showed that 32 women (38.1%) were anemic and 52 (61.9%) were non- anemic . The prevalence of anemia was 48.0% among women with poor knowledge and 23.5% among those with good knowledge . The chi-square test demonstrated a significant relationship between nutritional knowledge and anemia status (p=0.023). Conclusion There was a significant relationship between pregnant women's knowledge of nutritional fulfillment and anemia status. Strengthening antenatal nutrition education regarding iron-rich foods , folate , vitamin B12, protein, vitamin C, dietary diversity , and adherence to iron-folic AC ID supplementation is recommended .
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References
Centers for Disease Control and Prevention . Recommendations to prevent and control iron deficiency in the United States. MMWR Recomm Rep . 1998;47(RR-3):1-36.
Chaparro CM, Suchdev PS. Anemia epidemiology , pathophysiology , and etiology in low - and middle-income countries . Ann NY Acad Sci . 2019;1450(1):15-31. doi:10.1111/nyas.14092.
Diana R, Khomsan A, Anwar F, Christianti DF, Kusumawati IGAW, Rachmi CN. Dietary quantity and diversity among anemic pregnant women in Madura Island, Indonesia. J Nutr Metab . 2019;2019:2647230. doi:10.1155/2019/2647230.
Engidaw MT, Lee P, Fekadu G, Mondal P, Ahmed F. Effect of nutrition education during pregnancy on iron-folic AC ID supplementation compliance and anemia in low and middle-income countries : a systematic review and meta- analysis . Nutr Rev. 2025;83(7):e1472-e1487. doi:10.1093/ nutrit /nuae170.
Gedefaw L, Ayele A, Asres Y, Mossie A. Anemia and associated factors among pregnant women attending antenatal care clinic in Wolayita Sodo University Teaching and Referral Hospital, Southern Ethiopia. Ethiop J Health Sci . 2015;25(2):155-162.
Milman N. Oral iron prophylaxis in pregnancy : not too little and not too much ! J Pregnancy . 2012;2012:514345. doi:10.1155/2012/514345.
Nahrisah P, Somrongthong R, Viriyautsahakul N, Viwattanakulvanid P, Plianbangchang S. Effect of integrated pictorial handbook education and counseling on improving anemia status, knowledge , food intake , and iron tablet compliance among anemic pregnant women in Indonesia: a quasi-experimental study. J Multidiscip Health c . 2020;13:43-52. doi:10.2147/JMDH.S213550.
Owais A, Merriman K, Faruque ASG, et al. Are nutrition interventions effective in reducing anemia in pregnancy women ? A systematic review and meta- analysis . Nutrients . 2021;13(10):3567.
Peña-Rosas JP, De-Regil LM, Dowswell T, Viteri FE. Daily oral iron supplementation during pregnancy . Cochrane Database System Rev. 2012;12:CD004736. doi:10.1002/14651858.CD004736.pub4.
Parwati, D., Nur, A., Susanti, S., Rahmat, RA, & Wahyudianti, NLGS (2026). The Effectiveness of Video- Based Lactation Education on Breastfeeding Confidence in Postpartum Mothers . International Journal of Health Sciences , 4(2), 337–343. https://doi.org/10.59585/ijhs.v4i2.1202
Pannyiwi, R., Rahmat, RA, Cakrawati R, CR, Dasaryandi , KR, & Nasution, N. (2026). Empowering Diabetes Mellitus Patients in Preventing Diabetic Ulcers and the Risk of Recurrent Infection: Empowerment of Patients with Diabetes Mellitus in the Prevention of Diabetic Ulcers and the Risk of Recurrent Infection . Barongko : Journal of Health Sciences, 5(1), 985–991. https://doi.org/10.59585/bajik.v5i1.1586
Pannyiwi, R. (2026). The Free Nutritional Meal Program (MBG) as a Government Intervention to Improve Children's Health and Learning Achievement . Social Friends: Journal of Community Service, 4(4), 1586–1599. Retrieved from https://jurnal.agdosi.com/index.php/jpemas/article/view/1361
Sartika RAD, Wirawan F, Putri PN, Shukri NHM. Association between iron-folic AC ID supplementation during pregnancy and maternal and infant anemia in West Java, Indonesia: a mixed-method prospective cohort study. Am J Trop Med Hyg . 2024;110(3):576-587. doi:10.4269/ajtmh.23-0411.
Smith C, Teng F, Branch E, Chu S, Joseph KS. Maternal and perinatal morbidity and mortality associated with anemia in pregnancy . Obstet Gynecol . 2019;134(6):1234-1244.
Souganidis ES, Sun K, de Pee S, Kraemer K, Rah JH, Moench-Pfanner R, et al. Relationship of maternal knowledge of anemia with maternal and child anemia and health-related behaviors targeted at anemia among families in Indonesia. Mother Child Health J. 2012;16(9):1913-1925. doi:10.1007/s10995-011-0938-y.
Taye B, Enquobahrie DA, Gashaw A, et al. Effect of nutrition education on hemoglobin level in pregnancy women : a quasi-experimental study. Nutr J. 2019;18:19. doi:10.1186/s12937-019-0446-8.
Wahyuni, T., Achmad, VS, Pannyiwi, R., & Rahmat, RA (2025). The Relationship Between Nurse's Knowledge about Ventilators and Compliance in Preventing Ventilator - Associated Pneumonia (VAP) in the ICU. International Journal of Health Sciences , 3(4), 704–710. https://doi.org/10.59585/ijhs.v3i4.892
World Health Organization . Anaemia . Geneva : World Health Organization ; 2025
World Health Organization . Guideline : daily iron and folic AC ID supplementation during pregnancy women . Geneva : World Health Organization ; 2012
World Health Organization . WHO recommendations on antenatal care for a positive pregnancy experience . Geneva : World Health Organization ; 2016.
World Health Organization . Antenatal iron supplementation . Geneva : World Health Organization ; 2025.
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Copyright (c) 2026 Winda Dwi Puspita, Cakrawati R Cakrawati R
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International Journal of Health Sciences is licensed under a Creative Commons Attribution 4.0 International License
