TINGKAT PENGETAHUAN TENTANG MULTIPLE MICRONUTRIENT SUPPLEMENT (MMS) DAN KEPATUHAN MENGONSUMSI MULTIPLE MICRONUTRIENT SUPPLEMENT (MMS) PADA IBU HAMIL
DOI:
https://doi.org/10.51878/healthy.v5i4.15503Keywords:
Tingkat Pengetahuan, Multiple Micronutrient Supplement (MMS), Kepatuhan, Ibu HamilAbstract
ABSTRACT
Multiple Micronutrient Supplement (MMS) is a supplement recommended to meet micronutrient requirements during pregnancy. The success of MMS supplementation programs is influenced by pregnant women's adherence to its consumption. One factor suspected to influence adherence is the mother's level of knowledge regarding the benefits, contents, and proper way to consume MMS. This study aimed to analyze the relationship between the level of knowledge about Multiple Micronutrient Supplement (MMS) and adherence to MMS consumption among pregnant women in the working area of Sukorame Public Health Center, Kediri City. This study was an analytical study with a cross-sectional approach. The study population consisted of all pregnant women in the working area of Sukorame Public Health Center, Kediri City. A total of 73 respondents were selected using simple random sampling. Data were collected using a questionnaire to measure the level of knowledge about MMS and adherence to MMS consumption. Data were analyzed using univariate and bivariate analyses with the Spearman Rank correlation test. Most respondents had a good level of knowledge (67.12%). Adherence to MMS consumption was equally distributed between the less adherent and adherent categories, each accounting for 41.10%, while 17.81% of respondents were categorized as moderately adherent. The Spearman Rank test showed no significant relationship between the level of knowledge and adherence to MMS consumption (p=0.602), with a very weak correlation (r=0.062). It was concluded that there was no significant relationship between the level of knowledge about Multiple Micronutrient Supplement (MMS) and adherence to MMS consumption among pregnant women in the working area of Sukorame Public Health Center, Kediri City.
ABSTRAK
Multiple Micronutrient Supplement (MMS) merupakan suplemen yang direkomendasikan untuk memenuhi kebutuhan mikronutrien selama kehamilan. Keberhasilan program suplementasi MMS dipengaruhi oleh kepatuhan ibu hamil dalam mengonsumsinya. Salah satu faktor yang diduga memengaruhi kepatuhan tersebut adalah tingkat pengetahuan ibu mengenai manfaat, kandungan, dan cara mengonsumsi MMS. Tujuan penelitian ini adalah menganalisis hubungan tingkat pengetahuan tentang Multiple Micronutrient Supplement (MMS) dengan kepatuhan mengonsumsi MMS pada ibu hamil di Wilayah Kerja Puskesmas Sukorame Kota Kediri. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Populasi penelitian adalah seluruh ibu hamil di Wilayah Kerja Puskesmas Sukorame Kota Kediri. Sampel penelitian sebanyak 73 responden dipilih menggunakan teknik simple random sampling. Data dikumpulkan menggunakan kuesioner untuk mengukur tingkat pengetahuan tentang MMS dan kepatuhan mengonsumsi MMS. Data dianalisis secara univariat dan bivariat menggunakan uji korelasi Spearman Rank. Sebagian besar responden memiliki tingkat pengetahuan baik (67,12%). Kepatuhan mengonsumsi MMS berada pada kategori kurang patuh dan patuh dengan proporsi sama, masing-masing 41,10%, sedangkan kategori cukup patuh sebesar 17,81%. Hasil uji Spearman Rank menunjukkan tidak terdapat hubungan yang signifikan antara tingkat pengetahuan dengan kepatuhan mengonsumsi MMS (p=0,602) dengan keeratan hubungan sangat lemah (r=0,062). Disimpulkan bahwa tidak terdapat hubungan yang signifikan antara tingkat pengetahuan tentang Multiple Micronutrient Supplement (MMS) dengan kepatuhan mengonsumsi MMS pada ibu hamil di Wilayah Kerja Puskesmas Sukorame Kota Kediri.
References
Abidah, N., & Sumarmi, S. (2024). Perbandingan tingkat kepatuhan mengonsumsi multi mikronutrien suplemen (MMS) dan tablet tambah darah (TTD) pada ibu hamil di Puskesmas Mulyorejo Surabaya. Amerta Nutrition, 8(1), 17–25. https://doi.org/10.20473/amnt.v8i1.2024.17-25
Adhila, S. F. A. N. P., Budhiastuti, U. R., & Adriani, R. B. (2023). Meta-analysis effects of antenatal care visit and knowledge on the adherence of iron tablet and folic acid consumption. Journal of Maternal and Child Health, 8(5), 526–539. https://doi.org/10.26911/thejmch.2023.08.05.01
Alfaqeeh, M., Suwantika, A. A., Postma, M. J., Nugrahani, A. D., Setyani, R. A., & Zakiyah, N. (2025). Maternal perspectives on multiple micronutrient supplementation (MMS) in Indonesia: A cross-sectional study of knowledge, attitudes, and acceptance. BMC Public Health, 25, Article 4062. https://doi.org/10.1186/s12889-025-24885-5
Aurora, W. I. D., & Mulyani, S. (2017). Hubungan tingkat pengetahuan dan dukungan keluarga terhadap kepatuhan ibu hamil mengkonsumsi tablet zat besi. Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan, 5(2). https://garuda.kemdiktisaintek.go.id/documents/detail/1329794
Battung, S. M., Groen, H., & van der Beek, E. M. (2025). Prenatal multiple micronutrient supplementation in the Parepare district, Indonesia; population characteristics and intake adherence. BMC Public Health, 25, Article 983. https://doi.org/10.1186/s12889-025-22129-0
Buanasita, A., Sumarmi, S., Loh, S. P., & Redjeki, K. S. (2025). Factors affecting adherence of multiple-micronutrient supplement consumption among pregnant mothers in Surabaya, East Java, Indonesia. Malaysian Journal of Medicine and Health Sciences, 21(Suppl. 7), 124–133. https://medic.upm.edu.my/upload/dokumen/20250909143331MJMHS_1360.pdf
Demisse, B., Temesgen, H., Dessie, B., & Kassa, G. M. (2021). Adherence status to iron with folic acid supplementation and associated factors among pregnant women receiving antenatal care at public health facilities in Northwest Ethiopia. SAGE Open Medicine, 9, 20503121211049934. https://doi.org/10.1177/20503121211049934
Hamzah, A. R. P., Amir, S., Hasan, N., Najamuddin, U., & Fajarwati Ibnu, I. (2025). Hubungan tingkat pendidikan, pengetahuan, dan dukungan keluarga dengan kepatuhan konsumsi multi-micronutrient supplement (MMS) pada ibu hamil di wilayah kerja Puskesmas Labakkang. Jurnal Gizi Masyarakat Indonesia (The Journal of Indonesian Community Nutrition), 14(1), 70–86. https://journal.unhas.ac.id/index.php/mgmi/article/view/39807
Hoang, M.-A., Kroeun, H., Klemm, R., Sen Gupta, A., Rem, N., Meng, S., Prak, S., Rattana, K., Chea, M., ... de Graffenried, M. J. (2024). Adherence and acceptability of multiple micronutrient supplementation during pregnancy: Study protocol for a cluster-randomized non-inferiority trial in Cambodia. Trials, 25, Article 289. https://doi.org/10.1186/s13063-023-07891-z
Isdairi, Anwar, H., & Sihaloho, N. T. P. (2021). Kepatuhan masyarakat dalam penerapan social distancing di masa pandemi COVID-19. Scopindo Media Pustaka.
Julaeha, E. (2023). Hubungan pengetahuan, peran keluarga dan kepemilikan jaminan kesehatan dengan pemilihan penolong persalinan pada ibu hamil di Desa Batuhideung Kecamatan Cimanggu Pandeglang Banten tahun 2022. Indonesian Scholar Journal of Nursing and Midwifery Science (ISJNMS), 2(09), 863–877. https://doi.org/10.54402/isjnms.v2i09.345
Kasmiati, Purnamasari, D., Ernawati, Juwita, Salina, Puspita, W. D., Rikhaniarti, T., Syahriana, Asmirati, Oka, I. A., & Makmun. (2023). Asuhan kehamilan. PT Literasi Nusantara Abadi Grup.
KBBI. (2016). Kamus besar bahasa Indonesia. Badan Pengembangan dan Pembinaan Bahasa, Kementerian Pendidikan dan Kebudayaan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2024, October 18). Menkes tekankan pentingnya ragam mikronutrien bagi ibu hamil. https://kemkes.go.id/id/menkes-tekankan-pentingnya-ragam-mikronutrien-bagi-ibu-hamil
Kurniady, D. A., Yuniarsih, T., & Budiawati, N. (2026). Ekonomi Pendidikan (Pertama). Indonesia Emas Group.
Mukherjee, R., Bansal, P. G., Lyngdoh, T., Medhi, B., Sharma, K. A., Prashanth, T., Pullakhandam, R., Chowdhury, R., Taneja, S., Yadav, K., Madhari, R., Arora, N. K., Bhandari, N., Kulkarni, B., Nair, K. M., & Bhatnagar, S. (2024). Recommendations for India-specific multiple micronutrient supplement through expert consultation. Indian Journal of Medical Research, 159(6), 547–556. https://doi.org/10.25259/IJMR_318_24
Nurhidayati, E., Mansyur, M., Wiradnyani, L. A. A., Ariteja, S., Februhartanty, J., & Kusumadewi, D. (2024). Exploring management aspects of multiple micronutrient supplementation program for pregnant women in Sidoarjo District, East Java. Gizi Indonesia, 47(1), 21–34. https://giziindonesia.persagi.org/index.php/Gizi_Indon/article/view/826
Ramachandran, R., Dasha, M., Adaikaladorai, F. C., Aridassa, J., Zachariah, B., & Manoharan, B. (2023). Effect of individual nutrition education on perceptions of nutritional iron supplementation, adherence to iron-folic acid intake and Hb levels among a cohort of anemic South Indian pregnant women. The Journal of Maternal-Fetal & Neonatal Medicine, 36(1), 2183749. https://doi.org/10.1080/14767058.2023.2183749
Rasmawati, & Sulaiman, Y. (2024). Efek pemberian multi mikronutrien suplement (MMS) dan garam beriodium terhadap panjang badan bayi baru lahir di Kabupaten Majene. Jurnal Pendidikan dan Teknologi Kesehatan, 7(2), 272–283. https://www.ejournal.stikesbbmajene.ac.id/index.php/jptk/article/view/228
Saragih, I. D., Dimog, E. F., Saragih, I. S., & Lin, C.-J. (2022). Adherence to iron and folic acid supplementation (IFAS) intake among pregnant women: A systematic review meta-analysis. Midwifery, 104, 103185. https://doi.org/10.1016/j.midw.2021.103185
Smith, E. R., Gomes, F., Adu-Afarwuah, S., Aguayo, V. M., El Arifeen, S., Bhutta, Z. A., Caniglia, E. C., Christian, P., Devakumar, D., Dewey, K. G., Fawzi, W. W., Friis, H., Gomo, E., Guindo, O., Hallamaa, L., Isanaka, S., Kæstel, P., Lachat, C., Maleta, K., ... Sudfeld, C. R. (2025). Contribution of maternal adherence to the effect of multiple micronutrient supplementation during pregnancy: A systematic review and individual participant data meta-analysis. Advances in Nutrition, 16(7), 100455. https://doi.org/10.1016/j.advnut.2025.100455
So’o, R. W., Ratu, K., Folamauk, C. L. H., & Amat, A. L. S. (2022). Faktor-faktor yang mempengaruhi pengetahuan masyarakat di Kota Kupang mengenai COVID-19. Cendana Medical Journal, 10(1), 76–87. https://doi.org/10.35508/cmj.v10i1.6809
Wahyuni, S., Fathurrahman, F., & Hariati, N. W. (2022). Hubungan tingkat pengetahuan, sikap ibu dan dukungan keluarga dengan kepatuhan ibu hamil mengkonsumsi tablet zat besi. Jurnal Kesehatan Tambusai, 3(3), 348–357. https://doi.org/10.31004/jkt.v3i3.5646
