THE INFLUENCE OF PHARMACIST COUNSELING ON CHANGES IN HEMOGLOBIN LEVELS OF PREGNANT WOMEN AT A COMMUNITY HEALTH CENTER IN INDONESIA


Puji Lestari Heryadi, Rani Sauriasari, Retnosari Andrajati

Abstract


 Objectives: Anemia during pregnancy is a common problem among women. Iron deficiency can result from low compliance to consuming iron supplement tablets (ISTs) as well as consumption patterns that may affect iron uptake. The purpose of this study was to provide knowledge regarding anemia during pregnancy, to increase adherence to consumption of IST, and to improve IST consumption patterns.

Methods: The study design was experimental with a randomized pre-post control design. There were 192 respondents who were divided into two groups: 96 respondents were not counseled and 96 respondents had received media leaflet counseling. The research was conducted at the community health center (CHC) of the Pagedangan Sub-district, Tangerang District, and Banten Province. All respondents were interviewed, and the hemoglobin (Hb) value was examined using the Hemocue Hb 301 Analyzer photometry method.

Results: The results were analyzed using a Chi-square test to assess significant differences between the two groups (p<0.05) and multivariate analysis was conducted using binary logistic regression. The results showed that the influence of counseling could increase the Hb value by 8.6 times compared to the non-counseling group (OR=8.6; p<0.05) after controlling for number of IST per month, consumption pattern of IST with calcium, consumption pattern of IST with foods/beverages that inhibit the absorption of iron, level of education, and gestational age.

Conclusions: Gestational age in the third trimester tends to increase the Hb value by 5.1 times compared with the first- and second-trimester gestations (OR=5.1, p<0.05). Thus, counseling from pharmacists can improve the success of anemia treatment in pregnant women in the CHC of the Pagedangan Sub-district, Tangerang District.


Keywords


Anemia, Counseling, Pregnancy women.

| PDF |

References


de Benoist B, McLean E, Egli I, Cogswell M. Worldwide Prevalence of Anaemia 1993-2005: WHO Global Database on Anaemia. Geneva: WHO; 2008.

Indonesian Ministry of Health. Health Research and Development Unit. Basic Health Survey 2013. Jakarta: Indonesian Ministry of Health; 2013.

Indonesian Ministry of Health. Indonesian Health Profile 2014. Jakarta: Indonesian Ministry of Health; 2014.

Indonesian Ministry of Health. Indonesian Health and Demographic Survey 2012. Jakarta: Indonesian Ministry of Health RI; 2013.

Health Department Tangerang City. Report of Nutrition Program 2013. Tangerang, Indonesia: Health Department Tangerang City; 2014.

Ghanekar J, Kanani S, Patel S. Toward better compliance with iron-folic acid supplements: Understanding the behavior of poor urban pregnant women through ethnographic decision models in Vadodara, India. Food Nutr Bull 2002;23(1):65-72.

Indonesian Ministry of Health. Guidance of Pharmaeutical Service Conseling in Health Care Provider. Jakarta: Indonesian Ministry of Health; 2007.

Wati MR, Mustofa PI. Effect of community pharmacists’ counseling on hypertensive patients. J Manajemen Pelayanan Farmasi 2015;5(1):48-55.

Indonesian Ministry of Health. Basic Data Community Health Center Banten Disctrict. Jakarta: Indonesian Ministry of Health; 2014.

Chowdhury HA, Ahmed KR, Jebunessa F, Akter J, Hossain S, Shahjahan M. Factors associated with maternal anaemia among pregnant women in Dhaka city. BMC Womens Health 2015;15:77.

Aditianti A, Permanasari Y, Julianti ED. Companion for drinking blood-boosting tablets (IST) can improve IST consumption compliance on anemic pregnant women. J Penelitian Gizi Makanan 2015;38(1):71-8.

Indonesian Ministry of Health. Guidance on Blood Supplement Tablet Program. Jakarta: Indonesian Ministry of Health RI; 2015.

Scheers N. Regulatory effects of Cu, Zn, and Ca on Fe absorption: The intricate play between nutrient transporters. Nutrients 2013;5(3):957-70.

Hallberg L, Hulthén L. Prediction of dietary iron absorption: An algorithm for calculating absorption and bioavailability of dietary iron. Am J Clin Nutr 2000;71(5):1147-60.

Hurrell R, Egli I. Iron bioavailability and dietary reference values. Am J Clin Nutr 2010;91(5):1461S-7.

Ma Q, Kim EY, Lindsay EA, Han O. Bioactive dietary polyphenols inhibit heme iron absorption in a-dose dependent manner in human intestinal caco2-cells. J Food Sci 2011;76(5):H143-50.

Kumar KJ, Asha N, Murthy DS, Sujatha M, Manjunath V. Maternal anemia in various trimesters and its effect on newborn weight and maturity: An observational study. Int J Prev Med 2013;4(2):193-9.




About this article

Title

THE INFLUENCE OF PHARMACIST COUNSELING ON CHANGES IN HEMOGLOBIN LEVELS OF PREGNANT WOMEN AT A COMMUNITY HEALTH CENTER IN INDONESIA

Keywords

Anemia, Counseling, Pregnancy women.

DOI

10.22159/ajpcr.2017.v10s5.23111

Date

01-10-2017

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol. 10, Special Issue (Oct.), 2017 [PTMDS 2017] Page: 114-117

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

97 Views | 44 Downloads

Authors & Affiliations

Puji Lestari Heryadi
Department of Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok, Indonesia.
Indonesia

Rani Sauriasari
Department of Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok, Indonesia.
Indonesia

Retnosari Andrajati
Department of Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok, Indonesia.
Indonesia


Article Tools


Email this article (Login required)
Email the author (Login required)

Refbacks

  • There are currently no refbacks.