Literature Review Hambatan Perilaku Kepatuhan Dalam Konsumsi Tablet Besi Pada Ibu Hamil
DOI:
https://doi.org/10.62027/vitamedica.v3i3.502Keywords:
Adherence, Compliance, Iron supplementation, Pregnant womenAbstract
Anemia during pregnancy remains a significant public health challenge, with iron supplementation recommended as the primary preventive strategy. However, compliance with iron tablet consumption among pregnant women continues to be low in many settings. This study aims to review existing literature to identify barriers that hinder adherence to iron supplementation. A systematic literature review was conducted by screening publications from 2015 to 2025, retrieved from major databases such as PubMed, Scopus, and ScienceDirect. Thematic synthesis was applied to analyze findings across selected studies. Results revealed three major categories of barriers: internal factors such as limited knowledge, perceived low risk of anemia, and side effects; social factors including lack of family support, cultural norms, and insufficient counseling from health providers; and systemic factors such as limited supplement availability and inadequate quality of antenatal services. These findings highlight that compliance is not merely an individual issue but also shaped by social and structural contexts. Implications suggest the need for multidimensional interventions, involving health education, family engagement, and strengthened health system support to improve maternal adherence to iron supplementation.
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Arunda, M. O., Agardh, A., & Asamoah, B. O. (2020). Factors associated with adherence to iron supplementation among pregnant women: A systematic review. BMC Public Health, 20(1), 1–12. https://doi.org/10.1186/s12889-020-08757-2
Asangalisa, J., Boahen, C., & Mohammed, S. (2025). Factors influencing and hindering prenatal supplement intake among women in Northern Ghana. Pakistan Journal of Nutrition, 24(1), 55–66. https://pjnonline.org/pjn/article/view/1236
Bawoke, T. J., Facha, W., & Yohannes, B. (2020). Adherence to iron-folic acid supplementation among pregnant women attending antenatal care in rural Ethiopia. Journal of Pregnancy, 2020, 3126160. https://doi.org/10.1155/2020/3126160
Bhanbhro, S., Kamal, T., Abdi, I., & Hossain, I. (2023). Barriers to and facilitators of iron supplementation in pregnancy in low- and middle-income countries: A systematic review. PLOS ONE, 18(3), e0282347. https://doi.org/10.1371/journal.pone.0282347
Elltelt, R. M. H., & Ezz, S. (2025). Effect of preconception picture-based educational program on awareness and adherence to iron-folic acid supplements among women planning for pregnancy. Egyptian Journal of Health Care, 16(1), 45–59. https://ejhc.journals.ekb.eg/article_415366.html
Gebreamlak, B., Dadi, A. F., & Atnafu, A. (2019). Compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha District, South Ethiopia. Journal of Environmental and Public Health, 2019, 5863737. https://doi.org/10.1155/2019/5863737
Getachew, M., Abebe, S. M., Bekele, T., & Yitayal, M. (2018). Compliance to iron and folic acid supplementation in pregnancy, northwest Ethiopia: A cross-sectional study. BMC Research Notes, 11(1), 1–7. https://doi.org/10.1186/s13104-018-3848-2
Hasriantirisna, H., Yahya, F. D., & Hidayat, N. (2025). Qualitative study on pregnant women's perceptions of iron tablet administration in anemia prevention during the first to third trimesters. Advances in Healthcare Research, 13(2), 67–78. http://advancesinresearch.id/index.php/AHR/article/view/537
Karki, R., Khanal, S., & Joshi, D. R. (2025). Compliance with iron–folic acid supplementation and iron‐deficiency anemia among pregnant women in Kathmandu. Advances in Public Health, 2025, 9964809. https://doi.org/10.1155/adph/9964809
Labonté, J. M., Hoang, M. A., Panicker, A., & Ratana, K. (2025). Exploring factors affecting adherence to multiple micronutrient supplementation during pregnancy in Cambodia: A qualitative analysis. Maternal & Child Nutrition, 21(3), e13745. https://doi.org/10.1111/mcn.13745
Nguyen, P. H., Scott, S., Avula, R., Tran, L. M., & Menon, P. (2021). Barriers and enablers of adherence to iron and folic acid supplementation among pregnant women in Vietnam: A qualitative study. Nutrients, 13(4), 1110. https://doi.org/10.3390/nu13041110
Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403
Sumiati, S., Nanda, N., & Putri, R. D. S. (2025). Relationship between pregnant women’s compliance in consuming iron tablets with hemoglobin levels. Jurnal Konseling Indonesia, 14(2), 115–124. http://www.jurnal.konselingindonesia.com/index.php/jkp/article/view/1537
Sununtnasuk, C., D’Agostino, A., & Fiedler, J. L. (2016). Iron+folic acid distribution and consumption through antenatal care: Identifying barriers across countries. Public Health Nutrition, 19(4), 732–742. https://doi.org/10.1017/S1368980015001652
Tesfaye, M., Gizaw, G., & Derso, T. (2020). Factors associated with compliance to iron-folic acid supplementation among pregnant women in Southern Ethiopia: A cross-sectional study. Health Science Journal, 14(5), 1–7.
World Health Organization. (2020). WHO guideline: Daily iron and folic acid supplementation in pregnant women. Geneva: WHO. https://www.who.int/publications/i/item/9789240000124
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 VitaMedica : Jurnal Rumpun Kesehatan Umum
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
