Gambaran Faktor-Faktor yang Mempengaruhi Ibu Hamil dalam Kepatuhan Konsumsi Multiple Micronutrient Supplement (MMS) di Puskesmas Ngaliyan Kota Semarang

Andin Noor Oktavianingsih; Sri Wahyuni; Hanifa Andisetyana Putri

doi:10.31983/jomisbar.v8i1.14682

Penulis

Andin Noor Oktavianingsih Politeknik Kesehatan Kementerian Kesehatan Semarang
Sri Wahyuni Politeknik Kesehatan Kementerian Kesehatan Semarang
Hanifa Andisetyana Putri Politeknik Kesehatan Kementerian Kesehatan Semarang

DOI:

https://doi.org/10.31983/jomisbar.v8i1.14682

Kata Kunci:

kepatuhan, Ibu Hamil, multiple Mincronutrient Supplement, Anemia

Abstrak

Anemia among pregnant women remains a significant public health problem in Indonesia, with a prevalence of 27.7%. Multiple Micronutrient Supplement (MMS) is an important intervention for anemia prevention; however, its effectiveness largely depends on pregnant women’s adherence to its consumption. At Ngaliyan Public Health Center, 301 anemia cases were recorded in 2023 and 33 cases in early 2025, indicating that anemia persists despite the provision of supplementation. This study aimed to describe the factors influencing adherence to MMS consumption among pregnant women, including education level, occupation, income, medical history, sources of information, and adherence behavior. This study employed a descriptive quantitative design with a cross-sectional approach. The study population consisted of third-trimester pregnant women who attended antenatal care at Ngaliyan Public Health Center. A total sampling technique was applied, involving 65 respondents. Data were collected using a structured questionnaire assessing adherence indicators, including dosage, timing, frequency, and method of MMS consumption. The results showed that most respondents had a moderate education level (46.1%), were unemployed (61.5%), and had a family income above the Regional Minimum Wage of Semarang City (69.2%). Nearly all respondents had no medical history (98.5%), and all respondents received information about MMS from healthcare workers (100%). Overall adherence to MMS consumption was categorized as good. These findings indicate that education level, income, and access to information from healthcare workers play an important role in supporting pregnant women’s adherence to MMS consumption.

Keywords : Compliance, Pregnant Women, Multiple Micronutrient Supplement (MMS), Anemia.

Referensi

[1] Kementerian Kesehatan RI. (2023). Buku Saku Pencegahan Anemia Pada Ibu Hamil dan Remaja Putri. Diakses pada 20 Juni 2025

[2] Dinas Kesehatan Kota Semarang. (2024). Profil Kesehatan Kota Semarang Tahun 2024. 1–232. https://profil-kesehatan.dinkes.semarangkota.go.id/publication. Diakses pada 7 Juni 2025

[3] Erryca, M. (2020). Hubungan kejadian anemia dalam kehamilan dengan tingkat pengetahuan ibu hamil. Jurnal Kebidanan Malahayati, 6(3), 299–307. https://doi.org/10.33024/jkm.v6i3.2515

[4] Abidah, N., & Sumarmi, S. (2024). A Comparison of Adherence Levels of Pregnant Women to Consuming Multiple Micronutrient Supplements and Iron Folic Acid at Mulyorejo Public Health Center, Surabaya. Amerta Nutrition, 8(1), 17–25. https://doi.org/10.20473/amnt.v8i1.2024.17-25

[5] Kementerian Kesehatan Republik Indonesia. (2023). Petunjuk teknis pemberian suplementasi Tablet Tambah Darah dan Multiple Micronutrient Supplement (MMS). Jakarta: Kemenkes RI. Diakses pada 8 Juli 2025

[6] D. Fitria, A. Dianingsih, D. F. Sholiha, H. Mamnukha, B. Wiboworini, and M. I. Gizi, “Edukasi gizi dan distribusi suplemen MMS bagi ibu hamil: studi kasus di Puskesmas Banyudono II Kabupaten Boyolali,” *SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat)*, vol. 4, no. 3, pp. 796–805, 2025, doi: 10.55123/sehatmas.v4i3.5648.

[7] Erryca, M. (2020). Hubungan kejadian anemia dalam kehamilan dengan tingkat pengetahuan ibu hamil. Jurnal Kebidanan Malahayati, 6(3), 299–307. https://doi.org/10.33024/jkm.v6i3.2515

[8] A. R. P. Hamzah, S. Amir, N. Hasan, U. Najamuddin, and I. F. Ibnu, “The relationship between level of education, knowledge, and family support with compliance in consuming multi-micronutrient supplements (MMS) among pregnant women in the working area of Labakkang Public Health Center,” *JGMI: The Journal of Indonesian Community Nutrition*, vol. 14, no. 1, 2025.

[9] Muzaina, S. Kadir, V. Novarina, and A. Kasim, “Determinant factors influencing compliance with multi-micronutrient (MMS) supplement consumption in pregnant women in the Gorontalo City Puskesmas area,” *International Journal of Medical Science and Clinical Research Studies*, vol. 4, no. 4, pp. 778–784, 2024, doi: 10.47191/ijmscrs/v4.

[10] T. Munayarokh, T. Herawati, R. Itha Idhayanti, and N. Nikmawati, “Pengaruh pendidikan kesehatan dengan media video terhadap peningkatan pengetahuan ibu hamil tentang tablet Fe,” *Jurnal Update Keperawatan*, 2022. [Online]. Available: https://ejournal.poltekkesmg.ac.id/ojs/index.php/JUK

[11] H. A. Putri, E. Ulfiana, D. A. Prastika, and K. Nikmah, “Hubungan dukungan suami dan kader dengan kepatuhan ibu hamil dalam minum tablet tambah darah di Puskesmas Bangetayu Kota Semarang,” *JOMISBAR*, vol. 4, no. 1, 2022. [Online]. Available: http://ejournal.poltekkes_smg.ac.id/ojs/index.php/JOMISBAR

[12] A. Wulandari, D. A. Octaviani, and R. Fajrin, “Edukasi kesehatan anemia pada ibu hamil menggunakan media buku saku untuk meningkatkan pengetahuan, sikap dan kepatuhan konsumsi tablet Fe,” *Journal of Applied Health Management and Technology*, vol. 5, no. 3, 2023. [Online]. Available: http://ejournal.poltekkes.smg.ac.id/ojs/index.php/JAHMT

[13] Munayarokh, Rohmah, S. N., Winarsih, S., & Saputra, W. J. (2024). Efektivitas Jus Terong Belanda dan Jus Tomat Terhadap Kadar Hemoglobin Ibu Hamil Trimester III. NersMid. http://nersmid.unmerbaya.ac.id

[14] Maya, A., Kadir, S., & Kasim, V. N. A. (2024). Influence of supplement multi Micronutrients (MMS) on nutritional status of pregnant women in Gorontalo City. International Journal of Medical Science and Clinical Research, 4(4), 771–777.

[16] Intan, I., Munayarokh, & Rofi’ah, S. (2020). Pengaruh Efek Samping terhadap Perilaku Ibu Hamil dalam Mengonsumsi Tablet Zat Besi. Midwifery And Nursing Research (Manr) Journal, http://ejournal.poltekkes-smg.ac.id/ojs/index.php/MANR

[17] Alamri, N. N., Kasim, V. N. A., & Mohamad, R. W. (2025). Gambaran Pengetahuan, Sikap Dan Perilaku Ibu Hamil Tentang Tablet Multi Mikronutrien Suplement (MMS) Di Wilayah Kerja Puskesmas Botumoito Kabupaten Boalemo. Jurnal Keperawatan, 8(2). https://stikesks-kendari.e-journal.id/JK

[18] World Health Organization (WHO). (2017). Nutritional anaemias: Tools for effective prevention and control. WHO Press. https://apps.who.int/iris/handle/10665/259425

[19] Dinas Kesehatan Kota Semarang. (2024). Profil Kesehatan Kota Semarang Tahun 2024. 1–232. https://profil-kesehatan.dinkes.semarangkota.go.id/publication . Diakses pada 7 Juni 2025

[20] Kementerian Kesehatan Republik Indonesia. (2024). Profil kesehatan Indonesia 2023. Diakses pada 7 Juni 2025.