HUBUNGAN PERAN KELUARGA DAN TENAGA KESEHATAN DENGAN PEMENUHAN ASUPAN ZAT BESI PADA IBU HAMIL DI PUSKESMAS MPUNDA KOTA BIMA
DOI:
https://doi.org/10.51878/healthy.v5i4.14285Keywords:
Asupan Zat Besi, Ibu Hamil, Peran Keluarga, Peran Tenaga Kesehatan, AnemiaAbstract
Anemia among pregnant women remains a public health problem that affects maternal and fetal health. One effort to prevent anemia is to ensure adequate iron (Fe) intake, which is influenced by various factors, including the roles of family members and health workers. This study aimed to analyze the relationship between family and health worker roles and iron (Fe) intake adequacy among pregnant women in the working area of Munda Public Health Center, Bima City. This study employed a cross-sectional design with a purposive sampling approach involving 55 pregnant women. Data were collected using questionnaires and a 24-hour food recall and analyzed using the Chi-Square test with a 95% confidence level. The results showed that 61.8% of pregnant women had inadequate iron intake, while 80.0% reported inadequate family support and 76.4% reported inadequate health worker support. The main finding was that both family roles and health worker roles were significantly associated with iron intake adequacy among pregnant women (p<0.001). Pregnant women with inadequate family support had 30.000 times higher odds of having inadequate iron intake (OR=30.000; 95% CI=3.439–261.690), while inadequate health worker support was associated with 17.600 times higher odds of inadequate iron intake (OR=17.600; 95% CI=3.328–93.084). Therefore, strengthening the roles of families and health workers through nutrition education, counseling, and family involvement is necessary to improve iron intake adequacy and support anemia prevention among pregnant women.
ABSTRAK
Anemia pada ibu hamil masih menjadi masalah kesehatan masyarakat yang berdampak terhadap kesehatan ibu dan janin. Salah satu upaya pencegahannya adalah pemenuhan asupan zat besi (Fe), yang dipengaruhi oleh berbagai faktor, termasuk peran keluarga dan tenaga kesehatan. Penelitian ini bertujuan menganalisis hubungan peran keluarga dan peran tenaga kesehatan dengan pemenuhan asupan zat besi (Fe) pada ibu hamil di Wilayah Kerja Puskesmas Munda, Kota Bima. Penelitian menggunakan desain cross-sectional dengan pendekatan purposive sampling terhadap 55 ibu hamil. Data dikumpulkan melalui kuesioner dan food recall 24 jam, kemudian dianalisis menggunakan uji Chi-Square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa 61,8% ibu hamil memiliki pemenuhan asupan zat besi dalam kategori kurang, sedangkan 80,0% memiliki peran keluarga dan 76,4% memiliki peran tenaga kesehatan dalam kategori kurang. Temuan utama menunjukkan bahwa peran keluarga dan peran tenaga kesehatan berhubungan secara signifikan dengan pemenuhan asupan zat besi pada ibu hamil (p<0,001). Ibu hamil dengan peran keluarga yang kurang memiliki peluang 30,000 kali untuk mengalami pemenuhan asupan zat besi yang kurang (OR=30,000; 95% CI=3,439–261,690), sedangkan peran tenaga kesehatan yang kurang meningkatkan peluang tersebut sebesar 17,600 kali (OR=17,600; 95% CI=3,328–93,084). Dengan demikian, penguatan peran keluarga dan tenaga kesehatan melalui edukasi gizi, konseling, dan keterlibatan keluarga diperlukan untuk meningkatkan pemenuhan asupan zat besi dan mendukung pencegahan anemia pada ibu hamil.
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