Use of Monitoring Cards to Increase Iron Substance and Hemoglobin Levels in Pregnant Women

Darmayanti,; Mukhtar, Muammar; Rizani, Akhmad; Barkinah, Tut; Mahpolah,; Mahdalena,

doi:10.5958/0976-5506.2019.00544.8

Cited by 3 publications

(8 citation statements)

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“…Of these 22 studies, 10 used an IFA supplement (containing 60–100 mg of iron and 250–500 μg of folic acid), nine used an iron supplement (containing 30–60 mg of iron), one utilized a folic acid supplement (dose not specified), one utilized a combination of iron, folic acid, and calcium supplements (containing 60 mg of iron, 400 μg of folic acid, and 500 mg of calcium), and one used an iodine‐supplemented multivitamin (dose not specified). The majority of the studies ( n = 20) had two groups, either comparing one intervention with one control group or one intervention with another intervention; however, two studies had three 36 and four groups, 26 comparing a control group with multiple intervention arms (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Adverse gastrointestinal symptoms and the secondary outcomes of interest were reported by fewer studies. Adverse effects were only reported in four studies; 28,35,37,42 hemoglobin levels were assessed in 13 studies; 26,28–32,35,36,38,39,41,43,46 serum ferritin was assessed in five studies; 28,30,32,41,44 hematocrit was assessed in two studies; 39,46 and only one study each assessed plasma folate, 45 serum transferrin, 28 erythrocyte protoporphyrin concentration, 41 total iron binding capacity, 30 urinary iodine concentration, 40 and low birth weight 39 (Tables 2 and 3).…”

Section: Resultsmentioning

confidence: 99%

“…The two studies that used education in conjunction with consumption monitoring strategies employed multiple intervention groups and found significant differences in adherence between study groups. The study from Darmayanti et al 36 showed that the use of consumption monitoring cards (in addition to counseling/educational leaflets) resulted in higher adherence than the use of counseling/educational leaflets alone, and there were significant differences between the changes of hemoglobin in all three study groups. Adhikari et al 26 showed a higher adherence in the group that received education and a pill count when compared with the group with a pill count assessment alone.…”

Section: Education and Consumption Monitoring (Two Studies)mentioning

confidence: 97%

“…All studies were conducted in countries with lower-middle or upper-middle income economies. Over half of the studies were conducted in Asia (Nepal, 26 India, [27][28][29][30][31][32][33] Bangladesh, 34 Indonesia, 25,[35][36][37][38][39] and Thailand 40 ), with only two studies conducted in Africa (Senegal 41 and Kenya 42 ) and four conducted in the Middle East (Jordan 43 and Iran [44][45][46].…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Adverse gastrointestinal symptoms and the secondary outcomes of interest were reported by fewer studies. Adverse effects were only reported in four studies; 28,35,37,42 hemoglobin levels were assessed in 13 studies; 26,[28][29][30][31][32]35,36,38,39,41,43,46 1.9 (-0.9, 4.8), P = 0.186 Prevalence (%) in the most marginalized women: I1: pretest 9, posttest 20.9 C: pretest 3, posttest 7.5 Adjusted DID: 7.3 (0.5, 4.1), P = 0.036 Kamau (2020) 42 Self (20.18), C: -2.14 (6.93), P = 0.42 NOTE: When available, outcome results are highlighted in green if differences (within-group and between-groups) are statistically significant, and in red when not statistically significant.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

See 4 more Smart Citations

Interventions to increase adherence to micronutrient supplementation during pregnancy: a systematic review

Gomes

King

Dallmann

et al. 2021

Annals of the New York Academy of Sciences

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Prenatal micronutrient supplements are cost-effective in reducing nutritional deficiencies and adverse pregnancy and birth outcomes. However, poor adherence remains a potential barrier to the successful implementation of these supplementation programs. This systematic review assessed the effectiveness of interventions designed to increase adherence to prenatal micronutrient supplementation. Following the Cochrane Collaboration Methodology, literature searches were conducted in six electronic databases and gray literature (on July 24, 2020), and abstract screening, data extraction, and risk of bias assessment were conducted independently by two reviewers. We included 22 studies. Interventions that resulted in increased adherence were most of the education-based strategies, consumption monitoring by volunteer health workers or family members, SMS reminders, free provision of supplements, a multicomponent intervention with community mobilization, and a participatory action research intervention. In several studies, increased adherence was accompanied by beneficial effects on pregnancy and birth outcomes. Given the heterogeneity of study designs and methods used to define and measure adherence, a meta-analysis was not appropriate. We identified several potentially effective strategies to improve supplementation adherence, which may need to be adapted to specific contexts when considered for program implementation. However, additional high-quality studies are critically needed to effectively guide policies and programs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Education and Consumption Monitoring (Two Studies)mentioning

confidence: 97%

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Adverse gastrointestinal symptoms and the secondary outcomes of interest were reported by fewer studies. Adverse effects were only reported in four studies; 28,35,37,42 hemoglobin levels were assessed in 13 studies; 26,[28][29][30][31][32]35,36,38,39,41,43,46 1.9 (-0.9, 4.8), P = 0.186 Prevalence (%) in the most marginalized women: I1: pretest 9, posttest 20.9 C: pretest 3, posttest 7.5 Adjusted DID: 7.3 (0.5, 4.1), P = 0.036 Kamau (2020) 42 Self (20.18), C: -2.14 (6.93), P = 0.42 NOTE: When available, outcome results are highlighted in green if differences (within-group and between-groups) are statistically significant, and in red when not statistically significant.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Interventions to increase adherence to micronutrient supplementation during pregnancy: a systematic review

Gomes

King

Dallmann

et al. 2021

Annals of the New York Academy of Sciences

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UTILIZATION of MONITORING CARD IRON SUPLEMENT IN THE EAST KELAYAN PRIMARY HEALTH CENTER

Darmayanti,

Rizani

2023

JRS

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Anemia in pregnancy in Indonesia is 48.9% and 84.6% occurs in the age group of 15-24 years. Anemia in the first trimester (<12 weeks) will increase the risk of Small Gestational Age (SGA), namely the occurrence of abortion or premature birth. Another impact of anemia in pregnancy is on the mother (susceptible to infection, bleeding and even maternal death) whereas in babies with LBW, the baby's Hb level is low, inhibiting the baby's brain development. Supplement Iron pregnancy) as an important and effective effort in preventing and treament anemia due to iron deficiency by consuming at least 90 tablets during pregnancy. This community service activity in the working area of the Kelayan Timur Primary Health Center (PHC) in Banjarmasin involving elements from the leadership of the Health Service, PHC, 2 midwives, 2 nutritions and 21 health cadres. The implementation began in the PHC hall with opening activities, socialization, SGD facilitator training by 3 lecturers and 3 Polkessin Midwifery students. Furthermore, health cadres screened pregnant women with the approval of the midwife. SGD is carried out at Integrated PHC and PHC with the active participation of pregnant women and their companions as well as facilitators (team, midwives and health cadres) to understand iron supplementation and how to fill out iron consumption monitoring cards. Checking the initial Hb level and monitoring the filling of the monitoring card and compliance with iron supplement consumption every 30 days by students and health cadres. After 90 days, the final Hb level was evaluated. There was an increase in compliance with iron supplement consumption by 20% (1st month 68.9%; 3rd month 88.9%) and a 10% decrease in the incidence of anemia in pregnancy.

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Hubungan Kepatuhan Konsumsi Tablet Zat Besi dengan Kejadian Anemia Ibu Hamil

Saputri

Hidayati

Candradewi

et al. 2022

JSSCR

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Anemic in Pregnancy is still a health problem in Indonesia. Iron supplementation is a preventive measure carried out by the government in primary health services. However, the average coverage of national Fe tablets is still not maximal (85.1%). Research related to adherence to iron supplement consumption is still limited, therefore this study aims to determine the relationship between adherence level with anemia of pregnant women. The study used an analytic observational method with a cross sectional approach, conducted in the period August-November 2019 at Jetis I Bantul, primary health service Yogyakarta. A total of 39 respondents who met the inclusion criteria and agreed to informed consent were recruited in this study. Data on the level of compliance were taken through interviewing respondents using quistionnaire and pill count, at least on the 7th day after consuming iron tablets, while Hb levels were taken from medical records and examination of respondents. Statistical analysis was performed using chi square. Results showed that 61.5% of pregnant women complied with the consumption of iron tablets, while the measurement of the pill count showed 59.0% has complience. There was a significant correlation between the consumption of iron tablets and the incidence of pregnancy anemia, both adherence to the questionnaire measurement p = 0.000; OR = 0.050; (CI: 0.010-0.263), or the measurement of pill count p = 0.003; OR = 0.126 (CI: 0.030-0.538). A total of 15.4% of pregnant women have anemia in the 2nd trimester of gestation, and 25.6% in the 3rd trimester. Based on this study, it is concluded that there is a correlation between the level of adherence of Iron tablet consumption towards the incidence of anemia in pregnant women.

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Use of Monitoring Cards to Increase Iron Substance and Hemoglobin Levels in Pregnant Women

Cited by 3 publications

References 0 publications

Interventions to increase adherence to micronutrient supplementation during pregnancy: a systematic review

Interventions to increase adherence to micronutrient supplementation during pregnancy: a systematic review

UTILIZATION of MONITORING CARD IRON SUPLEMENT IN THE EAST KELAYAN PRIMARY HEALTH CENTER

Hubungan Kepatuhan Konsumsi Tablet Zat Besi dengan Kejadian Anemia Ibu Hamil

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