Determinants and Inequalities of Adherence to Iron-Folic Acid Supplementationduring Pregnancy in Indonesia


Authors

Bunga A Paramashanti
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia.
~ Author
Esti Nugraheny
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
~ Author
Suparmi Suparmi
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
~ Author
Tin Afifah
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
~ Author
Wahyu Pudji Nugraheni
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
~ Author
Yuni Purwatiningsih
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
~ Author
Oktarina Oktarina
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
~ Author
Muhammad Agus Mikrajab
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia
~ Author
Effatul Afifah
Alma Ata Graduate School of Public Health, Universitas Alma Ata, Yogyakarta, Indonesia
~ Author
Yhona Paratmanitya
Department of Nutrition, Faculty of Health Sciences, Universitas Alma Ata, Yogyakarta, Indonesia
~ Author

Abstract

Background: Anemia in pregnancy remains a public health issue globally and in Indonesia. Low adherence to iron-folic acid supplementation has been associated with anemia among pregnant women. This study aimed to determine the determinants and inequalities of adherence to antenatal iron-folic acid supplementation in Indonesia.

Subjects and Methods: This was a cross-sectional study using secondary data from the  Indonesia Demographic and Health Survey 2017. A total of 12,455 women were included in the study. The dependent variable was adherence to iron-folic acid supple­ments for at least 90 days. The independent variables were women, household, health­care, and community levels. Data were analyzed by multiple logistic regression analysis. Concentration indices and concen­tration curves were used to estimate educational and wealth-related inequalities.

Results: Approximately half of women took iron-folic acid supplements for a minimum of 90 days. Older women (aOR= 1.01; 95% CI: 1.00 to 1.02; p= 0.009), internet access (aOR= 1.33; 95% CI: 1.17 to 1.50; p<0.001), antenatal care visits (aOR= 3.80; 95% CI: 2.95 to 4.88; p<0.001), and residing in Java and Bali (aOR= 1.66; 95% CI: 1.35 to 2.04; p<0.001) were significantly associated with iron-folic acid supplementation adherence. Concentration indices by the women’s education (CI=0.10; p<0.001) and household wealth (CI=0.13 (p<0.001) respectively indicated pro-educated and pro-rich disparities.

Conclusion: Adherence to iron-folic acid supplementation was associated with factors at women, household, healthcare, and community levels. while there are also socio­economic inequalities. There is an urgent need to design nutrition-specific and sensitive interventions to reduce maternal anemia by targeting women and their families, especially those with poor socioeconomic backgrounds.

How to Cite

Determinants and Inequalities of Adherence to Iron-Folic Acid Supplementationduring Pregnancy in Indonesia. (2024). The International Conference on Public Health Proceeding, 8(01), 80. https://doi.org/10.26911/ICPH10/Maternal/2023.30