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Background: Anemia in pregnancy is a significant public health problem that can increase the risk of maternal and fetal complications. One of the main strategies to prevent anemia is the administration of Multiple Micronutrient Supplements (MMS), which provide essential vitamins and minerals during pregnancy. However, the effectiveness of MMS in preventing anemia is closely related to the level of knowledge pregnant women have about its use. Therefore, understanding the relationship between knowledge about MMS and anemia incidence is crucial to improving maternal health outcomes (Rahmawati et al., 2023). Objective: This study aims to determine the relationship between pregnant women’s knowledge level about Multiple Micronutrient Supplements (MMS) and the incidence of anemia among pregnant women in the working area of Dr. Hi. Zainal Umar Sidiki Hospital, North Gorontalo. Methods: This research employed an analytical observational design with a cross-sectional approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniquesResults: The study found that the majority of participants who had high knowledge levels about MMS had a lower incidence of anemia, while those with low knowledge levels had a higher incidence. These results highlight that knowledge about MMS strongly influences pregnant women’s adherence and effectiveness in preventing anemia. Conclusion: There is a significant relationship between pregnant women’s knowledge level about Multiple Micronutrient Supplements (MMS) and the incidence of anemia. Improving maternal knowledge about MMS through health education, counseling, and guidance from healthcare providers is essential to prevent anemia and support optimal pregnancy outcomes.

Anemia during pregnancy remains a major public health concern with significant implications for maternal and fetal health. One contributing factor to its high prevalence is the limited knowledge among pregnant women regarding early detection. Health education serves as a crucial promotive-preventive strategy to enhance awareness of anemia’s signs, symptoms, and risks. This study aimed to analyze the effectiveness of health education in improving knowledge of early detection of anemia among pregnant women in the Galala Community Health Center working area. A pre-experimental one-group pretest–posttest design with a quantitative approach was employed. The sample consisted of 30 pregnant women selected using total sampling. Respondents received structured health education on early detection of anemia, and their knowledge levels were assessed before and after the intervention using a questionnaire. Data were analyzed using univariate and bivariate methods, with the Wilcoxon signed-rank test applied due to non-normal distribution. Results indicated a significant improvement in knowledge after education (p = 0.000), with most respondents shifting from poor or moderate knowledge to good knowledge. The study concludes that health education effectively increases pregnant women’s knowledge of anemia detection and should be systematically integrated into antenatal care to prevent anemia and improve maternal health outcomes.

Background: The postpartum period is a critical phase requiring optimal nutritional intake for maternal recovery and ensuring the quality of breast milk. In densely populated urban areas such as Semampir District, dietary quality is often influenced by the level of nutrition knowledge and household economic conditions. Objective: This study aims to analyze the relationship between nutrition knowledge and household food security with dietary quality among postpartum mothers in Semampir District, Surabaya. Methods: This was an observational analytical study with a cross-sectional design. A total of 340 postpartum mothers were selected using simple random sampling. Nutrition knowledge was measured through a structured questionnaire, food security was assessed using the Household Food Insecurity Access Scale (HFIAS), and dietary quality was measured using the 3-level Balanced Diet Index derived from 24-hour food recall data. Data were analyzed descriptively and through the Chi-Square correlation test. Results: The findings indicated that the majority of respondents possessed a good level of nutrition knowledge (average correct answers >75%), with the highest score in anemia prevention (81.2%) and the lowest in the functional role of Vitamin A (75.9%). Dietary quality assessment revealed that most respondents were in the [Select: Moderate/Poor] category based on IGS scores. Bivariate analysis showed a significant relationship (p < 0.05) between both nutrition knowledge and household food security with the dietary quality of postpartum mothers. Conclusion: Good nutrition knowledge and stable food security contribute positively to the dietary quality of postpartum mothers. Targeted nutritional education regarding micronutrients and strengthening food access at the household level are essential to optimize maternal health during the postpartum period in urban settings.

The health of pregnant and breastfeeding women is a crucial determinant of the quality of future generations, particularly during the first 1,000 days of life. However, nutritional problems, such as deficiencies in iron, protein, and essential vitamins, remain prevalent in many regions, especially in rural areas. These conditions may increase the risk of anemia, impaired fetal growth, and reduced maternal and child health outcomes. This community service program aimed to improve the nutritional status as well as the knowledge and awareness of pregnant and breastfeeding women regarding the importance of balanced nutrition in Sukorejo Village, Bojonegoro Regency. The program was implemented through the provision of free balanced nutritious meals tailored to the nutritional needs of pregnant and breastfeeding women, accompanied by health education activities, including counseling sessions and interactive discussions on healthy dietary patterns, food hygiene, and anemia prevention. Program evaluation was conducted through participatory observation and participant feedback. The results indicated an improvement in participants’ understanding of balanced nutrition and positive behavioral changes in daily food selection and consumption. This community service initiative is expected to serve as a sustainable model for improving maternal and child health and preventing nutritional problems at the village level.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Iron deficiency anemia is a significant public health problem in pregnant women, because it can cause maternal and fetal complications. Compliance with iron tablet consumption is often low due to limited knowledge, side effects, and cultural misconceptions. Leaflet-based education is a low-cost intervention that has the potential to improve understanding and compliance. This study aims to analyze the effect of leaflet education on the adherence of iron tablet consumption in pregnant women at the Pujon Health Center, Batu. The research design used a quasi-experiment with a pretest-posttest control group design. A total of 40 pregnant women were divided into an intervention group (n = 20) that received leaflet education and a control group (n = 20) that received standard counseling. Compliance was measured over four weeks through self-consumption records and tablet count calculations, while knowledge was assessed with a structured questionnaire. Data analysis used the Chi-square test with a significance level of p < 0.05. Results showed a significant improvement in adherence in the intervention group, with 70% of pregnant women complying compared to 15% in the control group (p = 0.001). Leaflet education also increased knowledge scores and consistency of iron tablet consumption. The conclusion of this study confirms that leaflet education is effective in increasing iron supplementation adherence, so it is recommended to be integrated into routine antenatal services to prevent anemia and support maternal and fetal health.

Anemia among pregnant women remains a significant public health concern in Indonesia, contributing to adverse maternal and fetal outcomes such as preterm birth, low birth weight, and impaired fetal development. The third trimester represents a critical stage, as iron requirements increase substantially due to rapid fetal growth and expanded maternal blood volume. Insufficient hemoglobin (HB) levels during this period are closely linked to negative health outcomes, highlighting the need for effective prevention strategies. Health education has been widely recognized as an important intervention to enhance knowledge, attitudes, and practices related to nutrition, iron supplementation, and anemia prevention. This study aimed to examine the effect of health education on anemia prevention by assessing hemoglobin levels in third-trimester pregnant women. A quantitative pre-experimental design with a one-group pretest-posttest approach was applied to 30 participants selected through purposive sampling. Hemoglobin levels were measured before and after structured health education sessions covering anemia prevention, iron tablet adherence, dietary improvement, and healthy lifestyle practices. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The findings showed a significant increase in hemoglobin levels after the intervention (p = 0.000). These results indicate that structured health education effectively improves hemoglobin levels and supports anemia prevention in pregnant women.

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.

Anemia in pregnant women remains a major public health issue in Indonesia, including in Bukittinggi City. According to the Bukittinggi Health Office report in 2022, the prevalence of anemia among pregnant women reached 42%. This condition increases the risk of pregnancy complications such as bleeding, preterm delivery, low birth weight, and even maternal and infant mortality. Families play an essential role in supporting pregnant women, particularly in ensuring compliance with iron tablet consumption and providing nutritious food. This community service program aimed to improve family knowledge of anemia prevention through participatory health education. The methods included problem identification, focus group discussions, interactive education, simulation of nutritious meal planning, and accompaniment by community health cadres. The results showed a 35% increase in family knowledge based on pre- and post-test results. Furthermore, positive behavioral changes were observed, such as improved compliance with iron tablet consumption and the establishment of family support groups for pregnant women as new social institutions. This program demonstrated that participatory family-based education is effective in increasing knowledge and fostering social transformation for anemia prevention.

Background: Anemia in pregnancy is a public health problem that can increase the risk of serious complications, such as premature birth, maternal and infant mortality, and impaired fetal growth and development. One effort to prevent anemia is by consuming iron tablets (iron supplements). However, the success of this intervention is greatly influenced by the behavior of pregnant women in consuming these tablets, which includes knowledge, attitudes, and actions. If pregnant women have a good understanding and attitude, and implement iron tablet consumption appropriately, the risk of anemia can be reduced. Objective: This study aims to determine the relationship between iron consumption behavior (based on knowledge, attitudes, and actions) with the incidence of anemia in pregnant women at the Kuala Bangka Community Health Center, North Labuhan Batu Regency, in 2022. Method: This study used a descriptive analytical design with a cross-sectional approach. The study sample consisted of 20 pregnant women selected by purposive sampling. Data were collected through a questionnaire covering knowledge, attitudes, and actions of pregnant women regarding iron consumption, as well as the incidence of anemia. Data were analyzed using the Chi-Square test. Results: The majority of respondents had sufficient knowledge (45%), insufficient attitudes (70%), and insufficient iron consumption actions (70%). Moderate anemia was found in 70% of respondents. Bivariate analysis showed a significant relationship between knowledge (p=0.005), attitudes (p=0.001), and practices (p=0.000) and the incidence of anemia in pregnant women. Conclusion: There is a significant relationship between iron consumption behavior (knowledge, attitudes, and practices) and the incidence of anemia in pregnant women. Increased education and support for pregnant women regarding the importance of proper iron consumption to prevent anemia during pregnancy is needed.

Background: Anemia during pregnancy remains a major public health concern in Indonesia, contributing to increased maternal and fetal morbidity. Iron supplementation often faces challenges in compliance and side effects, prompting the need for natural alternatives. Natural honey has been shown to help increase hemoglobin levels due to its iron, folate, and antioxidant content. Objective: This community service aimed to educate pregnant women on the benefits and utilization of natural honey as a complementary strategy to prevent anemia. Method: The activity was conducted at PMB CH Mala in Palembang City using health education sessions, demonstrations, and distribution of printed educational materials. Participants' knowledge and hemoglobin levels were assessed pre- and post-intervention using a questionnaire and digital hemoglobinometer. The intervention lasted for 2 weeks, with honey consumption recommended at 2 tablespoons daily. Results: There was a notable improvement in participants' knowledge about anemia and the role of honey. Preliminary observations also showed a slight increase in hemoglobin levels among pregnant women who regularly consumed honey during the intervention period. Conclusion: Educational intervention on the use of natural honey proved effective in improving knowledge and potentially supporting anemia prevention among pregnant women. Further studies are recommended to evaluate long-term outcomes and larger-scale implementation.

The maternal mortality rate (MMR) in Indonesia remains high, with many cases linked to pregnancy complications associated with iron deficiency anemia (IDA). Anemia has widespread effects on women’s reproductive health and child development, including decreased immunity, cognitive impairment, and increased risk of premature birth. One promising nutritional intervention is the consumption of mung bean extract, which is rich in iron. This community service activity aimed to improve public knowledge and skills regarding the benefits of mung bean extract for women's reproductive health and child nutrition. The program involved educational sessions and practical demonstrations delivered to residents in the target area, with active participation from local leaders and community members. The results showed increased awareness and motivation among the participants to consume mung bean extract regularly. The enthusiasm demonstrated by the community indicates the effectiveness of this outreach in raising awareness about the importance of simple nutritional interventions to prevent anemia and improve maternal and child health. It is hoped that this activity can be sustained as a promotive and preventive public health effort.

Iron-deficiency anemia during pregnancy remains a major public health concern in developing countries. This study aims to evaluate the effectiveness of iron and folic acid supplementation, known as iron tablets, in reducing the risk of anemia among pregnant women. A descriptive qualitative literature review method was employed by analyzing nine eligible studies published between 2013 and 2023. Articles were selected from databases including Google Scholar, PubMed, and ScienceDirect using specific keywords. The findings suggest that regular consumption of iron tablets, particularly starting in the second trimester and meeting the minimum recommended dose of 90 tablets, is effective in improving hemoglobin levels and lowering anemia prevalence. However, compliance remains a significant challenge, influenced by side effects, maternal knowledge, and social support. The review highlights the need for behavior-based interventions and family involvement to enhance adherence. The implication of this review supports the integration of targeted health education and follow-up strategies within antenatal care services to reduce anemia-related risks in pregnancy.

The development targets in the Health sector in the 2020–2024 National Medium-Term Development Plan (RPJMN) place one of the main targets for maternal and child health is to reduce the incidence of children under five years old (toddlers) stunting (low height / short) by 30.8% (2018) to 19% in 2024. Optimal Health Status must be prepared since a woman before marriage. Then continued when the woman is pregnant, and while breastfeeding. Childhood is the foundation for growth and development in the next stage, if there are nutritional problems then the consequences that arise are permanent. The risk of stunting by 7x can occur in women 15-49 years who experience anemia and when they become pregnant will be at risk of giving birth to stunted babies. In women of childbearing age aged 15-49 years is the foundation for growth and development in the next stage, if during this period women experience nutritional problems then the consequences that arise can be permanent or irreversible. Its essence is a critical period when a system is plastic and sensitive to its environment, followed by a permanent loss of plasticity and functional capacity (Ummi Kalsum et al., 2021). Before education was provided, most adolescents showed a low level of understanding, namely 31 respondents (56.7%), and awareness of the importance of monitoring nutritional status during adolescence was also minimal. However, after interactive counseling with an easy-to-understand approach, there was a significant increase in knowledge, with 41 respondents (68.3%) showing an increase in understanding, reflected in a change in the knowledge category to a better level. This activity emphasizes the importance of promotive and preventive interventions in areas at high risk of nutritional problems. The implementation of direct and participatory education involving cadres and health workers has proven effective in increasing awareness and forming healthy lifestyle behaviors in adolescents. Therefore, similar education programs need to be implemented continuously to reduce anemia rates to prevent stunting and prevent stunting from adolescence.

Maternal and child health (MCH) is a priority in health development, especially in preventing pregnancy complications that may endanger the lives of both mothers and babies. One way to reduce these risks is through routine antenatal care and early detection of complications. However, in some areas, pregnant women still lack understanding of the importance of regular antenatal checks. This community service activity aims to increase pregnant women’s knowledge about the importance of antenatal care and early detection of pregnancy complications at Posyandu Ester 24, a working area of Puskesmas Dua Puluh Tiga Ilir, Palembang, conducted from December 1 to 6, 2024. The activity involved counseling, free antenatal care checks, and training for healthcare workers. The results showed an improvement in pregnant women’s understanding of pregnancy danger signs and the importance of routine healthcare. Antenatal care successfully detected several health risk factors, such as anemia and chronic energy deficiency (CED), allowing for early intervention. Although the main challenge was motivating pregnant women to attend routine checks, the activity successfully increased participation in antenatal care and health education. It is hoped that this activity can serve as a model for other maternal and child health programs in the future.

Background: Maternal nutritional status plays a crucial role in determining both maternal and neonatal health outcomes. According to data from the Indonesian Ministry of Health (2021), the prevalence of anemia among pregnant women reached 48.9%, while in Gorontalo Province, around 30% experienced malnutrition. Poor nutritional status during pregnancy is associated with increased risks of complications, including preterm birth, low birth weight, and higher maternal and neonatal mortality rates. Therefore, nutrition education is considered an essential strategy to enhance knowledge and promote adequate dietary intake among pregnant women.Objective: This study aimed to evaluate the effectiveness of nutrition education in improving the knowledge and nutritional status of pregnant women at the South Bulango Community Health Center. Methods: A quantitative study with a pre-experimental design was conducted involving 30 pregnant women selected through purposive sampling. Inclusion criteria included women aged 18–35 years, free from severe comorbidities, and willing to participate. Data were collected using questionnaires to assess nutritional knowledge, interviews to explore dietary patterns, and anthropometric measurements such as weight, height, and mid-upper arm circumference (MUAC). Data analysis employed descriptive statistics and the Wilcoxon test to assess differences before and after the intervention. Results: Most participants were aged 20–35 years (66.6%), had secondary education (63.3%), and were housewives (60%). Post-intervention results showed a substantial increase in good nutritional knowledge from 13.3% to 60%. Nutritional status also improved progressively across trimesters, with normal MUAC increasing from 33.3% to 60%, while undernutrition declined from 50% to 13.3%. The Wilcoxon test indicated a significant difference (p = 0.000; p < 0.05). Conclusion: Nutrition education effectively enhances both knowledge and nutritional status among pregnant women and should be integrated into routine antenatal care services.

Anemia is one of the public health problems experienced by many pregnant women in Indonesia, including in Aceh Province. One of the efforts to prevent anemia is by consuming iron tablets (TTD) regularly. This study aims to determine the relationship between the level of education and knowledge of mothers about anemia with the regularity of blood tablet consumption. This study used a quantitative approach with a cross-sectional design. The study sample consisted of 100 pregnant women in the Penanggalan Health Center working area, selected through purposive sampling technique. Data were collected using a structured questionnaire and analyzed using the Chi-Square test. The results showed a significant relationship between the level of education (p = 0.032) and knowledge about anemia (p = 0.005) with the regularity of blood tablet consumption. Mothers with higher education and good knowledge tend to be more regular in consuming blood tablets. Improvement of health education is needed through routine counseling to increase mothers' awareness of the importance of preventing anemia during pregnancy.

Background: Anemia in pregnancy remains a major public health problem and contributes to increased maternal and fetal morbidity and mortality. One of the main causes of anemia in pregnant women is inadequate knowledge regarding anemia prevention, including iron intake, nutrition, and healthy behaviors during pregnancy. Health education is considered an important intervention to improve pregnant women’s understanding and preventive practices against anemia. Objective: This study aimed to determine the effect of health education on anemia prevention among pregnant women at the Gemia Outpatient Health Center. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 20 pregnant women selected using a total sampling technique. Data were collected using structured questionnaires to assess knowledge and anemia prevention behaviors before and after receiving health education. Data analysis was conducted using the Chi-square test to determine the effect of health education on anemia prevention among pregnant women. Results: The results showed a statistically significant effect of health education on anemia prevention in pregnant women. The Chi-square test revealed a p-value of 0.000 (p < 0.05), indicating that health education had a significant influence on anemia prevention practices among pregnant women. Conclusion: Health education has a significant effect on anemia prevention in pregnant women. Providing structured and continuous health education can improve knowledge and preventive behaviors related to anemia during pregnancy. Therefore, health education should be strengthened as an integral part of antenatal care services to reduce the incidence of anemia in pregnant women.

Chronic Energy Deficiency (CED) in pregnant women can cause children born with cognitive decline, risk of stunting, and risk of chronic diseases in adults. The problem of pregnant women in CED is caused by low nutritional intake. Pregnant women with anemia are at 4.13 times greater risk of giving birth to children with short birth length compared to mothers who are not anemic. CED in pregnant women can cause risks and complications including anemia, bleeding, maternal weight does not increase normally and contracting infectious diseases. CED in pregnant women can affect the growth process of the fetus and can cause miscarriage, abortion, stillbirth, neonatal death, congenital defects, anemia in infants, intrapartum asphyxia, and low birth weight (LBW). Based on a survey conducted at the Cendana Putih Health Center, 45 pregnant women experienced CED (12.4%) in 2023. The problems that occur can be overcome by holding a collaborative program that can improve the health of pregnant women. This program can be used to address problems appropriately, namely by empowering pregnant women and cadres through GerCep CED. The design used in this program is community service activities carried out in the form of education in the form of providing pocket books and conducting direct counseling during the schedule of pregnant women's classes and assistance in making PMT from local food ingredients. The conclusion of this activity is that participants who initially had a low level of knowledge of KEK in pregnant women became more knowledgeable about KEK in pregnant women.

Pregnancy is the growth and development of an intrauterine fetus starting from conception and ending until the start of labor. The duration of pregnancy from ovulation to parturition is approximately 280 days (40 weeks). One of the problems that often occurs is anemia in pregnancy. Many pregnant women do not know about anemia and how to prevent it. The factors that influence the level of maternal knowledge about preventing anemia are education, age, type of work, gestational age. The purpose of this study was to determine the level of knowledge and support of families towards pregnant women. This study used a quantitative descriptive design with a Spearman rho statistical test research design and used the technique snowball sampling. The instrument in this study was a questionnaire about the level of knowledge of pregnant women, family support and preventive behavior. The location was at the Genteng Kulon Health Center, Genteng District in July 2024. From the results of the study with the Spearman rho statistical test using SPSS on the level of knowledge, it was found that the level of significance value of 0.001. At the Genteng Kulon Health Center, Genteng District. From the results of this study, it is suggested that there is a need for direction and counseling from officers for IEC to pregnant women regarding increasing pregnant women and family support for anemia prevention behavior in pregnant women.