Pendidikan gizi dan pesan gizi melalui short message service terhadap pengetahuan, perilaku, dan kepatuhan ibu hamil minum tablet besi
Abstract: Low compliance as
one cause of high prevalence of anemia in Indonesia is mainly due to
forgetfulness. Nutrition education and short message service (SMS) are expected
to become media to send nutrition message and remind pregnant mothers of taking
iron tablet.
Objective: To identify impact of nutrition education and nutrition
message through SMS to knowledge, behavior and compliance of pregnant mothers
with taking iron tablet.
Method: The study was a quasi experiment that used pre and post test
control/non equivalent control group design involving 3 groups of experiment,
i.e. nutrition education only, nutrition education and SMS, and control as
comparator. Subject of the study consisted of 121 pregnant mothers. The study
was carried out from November 2009 to April 2010 at Palangka Raya Municipality
in Pahandut, Kayon and Tangkiling Health Centers. Statistical analysis was
performed by using paired t-test, ANOVA, Tukey test, and multivariate test.
Results: Pregnant mothers that got nutrition education and SMS
intervention significantly improved their knowledge and behavior (p<0.05).
Pregnant mothers that got nutrition education and SMS had knowledge 18 point
higher (coef=18.26), behavior 4 point better (coef=4.07) and probability 4
times more compliant than the control group (OR=3.79; p=0.03). Nutrition
education and SMS intervention could increase compliance and significantly
affect increase of hemoglobin (Hb) level up to 1.3g/dl (p<0.05). Increase of
Hb level went in line with increase of compliance (dose-response) in pregnant
mothers with preliminary Hb level <11g/dl. Meanwhile in pregnant mothers
with preliminary Hb level ≥11g/dl, increase of Hb level was statistically significant
when compliance reached ≥90%.
Conclusion: Pregnant mothers that got nutrition education and SMS had
better knowledge, behavior and compliance with taking iron tablet than those
that only got nutrition education and the control group. High compliance could
significantly increase Hb level.
Keywords: anemia; pregnant
mother; knowledge; behavior; compliance; hemoglobin level; SMS; nutrition
education
Penulis: Mars Khendra
Kusfriyadi, Hamam Hadi, Anis Fuad
Kode Jurnal: jpkesmasdd120431
