THE RELATIONSHIP BETWEEN COMPLIANCE WITH MULTIVITAMIN CONSUMPTION AND THE INCIDENCE OF CHRONIC ENERGY DEFICIENCY (CED) IN PREGNANT WOMEN IN THE WORKING AREA OF THE RAPPANG PUBLIC HEALTH CENTER
DOI:
https://doi.org/10.61677/jth.v4i2.892Keywords:
Multivitamins, CED, pregnant women, case-control study, family support.Abstract
Chronic Energy Deficiency (CED) among pregnant women remains one of the nutritional and public health problems in Indonesia. This study aimed to examine the risk factors of compliance knowledge, support provided by health workers, and family involvement in the occurrence of CED among pregnant women who received care at the Rappang Public Health Center in 2026. This study employed a case-control design involving 80 respondents, consisting of 40 cases and 40 controls. The case group was determined using total sampling, while the control group was selected using simple random sampling with a 1:1 ratio and age matching. Data collection was conducted through questionnaires, Mid-Upper Arm Circumference (MUAC) measurements, and the Maternal and Child Health (MCH) Handbook.and the Maternal and Child Health (MCH) Handbook. The data were then analyzed using the Chi-Square test and Odds Ratio (OR). The results showed that compliance knowledge was a risk factor for CED (OR=4.200; 95% CI: 1.350–13.065; p=0.010), as was family support (OR=4.846; 95% CI: 1.882–12.482; p=0.001). Meanwhile, the role of health workers did not show statistical significance (OR=2.029; 95% CI: 0.833–4.945; p=0.117). The occurrence of CED among pregnant women was associated with the level of compliance knowledge and family support. Therefore, optimizing health education and family support during pregnancy is necessary.
References
Abidah, N., & Sumarmi, S. (2024). Perbandingan Tingkat Kepatuhan Mengkonsumsi 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
Alim, N. S., Ida, A. S., Rahmawati, R., & Ningsi, A. (2024). Pengetahuan Ibu Hamil dengan Kejadian Kurang Energi Kronik di Puskesmas Antang Perumnas. Media Kebidanan, 3(1), 1–5. https://doi.org/10.32382/mkeb.v3i1.744
Amaliah, F., Salam, A., & Virani, D. (2021). Does the age, income and food expenditure of pregnant have an impact on the incidence of chronic energy deficiency. Community Research of Epidemiology (CORE), 1(2), 83–113. https://doi.org/10.24252/corejournal.v1i2.21027
Angraini, D. I., Apriliana, E., Zuraida, R., & Saftarina, F. (2024). Training on Early Detection of Chronic Energy Deficiency in Pregnancy. Community Development Journal, 8(1), 263–272. https://doi.org/10.33086/cdj.v8i1.5728
Anjarina, V. (2025). Hubungan Dukungan Keluarga, Sosial Budaya, dan Konsumsi Vitamin D Pada Ibu Hamil dengan Kekurangan Energi Kronik di PMB Nita Wahyuni Kabupaten Cianjur. Indonesian Scholar Journal of Nursing and Midwifery Science (ISJNMS), 4(8), 310–316. https://doi.org/10.54402/isjnms.v4i08.699
Atmadani, R. N., Arum, D. F., Akrom, A., & Urbayatun, S. (2025). Validity and Reliability Test New Questionnaire of Knowledge, Perception, Family Support, and Adherence of Pregnant Women with Anemia Using TTD Supplement. Jurnal Kebidanan Midwiferia, 11(2), 132–141. https://doi.org/10.21070/midwiferia.v11i2.1720
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(1), 1–10. https://doi.org/10.1186/s12889-025-22129-0
Damayanti, Ningsih, S. J., Karo Karo, T. M., & Bintang, S. S. (2022). Effectiveness Of Giving Biscuits To Increase Body Mass Index (Bmi) And Interpretation Of Fetal Weight In Pregnant Women Chronic Energy Deficiency. Jurnal Kebidanan Kestra (JKK), 4(2), 65–71. https://doi.org/10.35451/jkk.v4i2.987
Erina, T., Arisanti, A. Z., & Wulandari, Rr. C. L. (2025). Literature Review: The Relationship Between Chronic Energy Deficiency (CED) and The Incidence of Anemia in Pregnant Women. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan, 18(1), 27–39. https://doi.org/10.35960/vm.v18i1.1389
Febrianti, D., Sulaiman, Z., Mardhatillah, Said, S., Adri, K., & Ramlan, P. (2023). Implementasi Penggunaan Sosial Media dalam Program Promosi Kesehatan di Puskesmas Kota Enrekang. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(4), 621–626. https://doi.org/10.56338/mppki.v6i4.3030
Gomes, F., Adu-Afarwuah, S., Agustina, R., Ali, H., Arcot, A., Arifeen, S., Arnold, C. D., Black, R. E., Christian, P., Dewey, K. G., Fawzi, W. W., Hallamaa, L., Hoddinott, J., Kissell, M. C., Kraemer, K., Lachat, C., Moore, S. E., Maleta, K., Pereira, C., … Mwangi, M. N. (2025). Effect of prenatal multiple micronutrient supplementation compared with iron and folic acid supplementation on size at birth and subsequent growth through 24 mo of age: a systematic review and meta-analysis. The American Journal of Clinical Nutrition, 122(1), 185–195. https://doi.org/10.1016/j.ajcnut.2025.04.022
Indriani, I., & Stefanicia, S. (2024). Faktor-Faktor Kejadian KEK pada Ibu Hamil di Daerah Aliran Sungai (DAS). Jurnal Surya Medika, 10(2), 219–231. https://doi.org/10.33084/jsm.v10i2.7746
Irma, I., Rahman, S. N., Ryska, H., & Arsyad, J. F. (2026). Determinants of Chronic Energy Deficiency among Pregnant Women in Stunting-Endemic Communities of South Sulawesi, Indonesia: A Cross-Sectional Study. Jurnal Promotif Preventif, 9(3), 393–403. https://doi.org/10.47650/jpp.v9i3.2660
Lisdawati, L., Kusumastuti, I., & Susaldi, S. (2024). Hubungan Pengetahuan, Dukungan Suami dan Peran Tenaga Kesehatan dengan Perilaku Pencegahan Kekurangan Energi Kronik (KEK) pada Ibu Hamil. Indonesia Journal of Midwifery Sciences, 3(1), 356–364. https://doi.org/10.53801/ijms.v3i1.135
Melinda, M., Nadimin, N., Sukmawati, S., & Ipa, A. (2023). Asupan Zat Gizi Dan Berat Badan Ibu Hamil Kekurangan Energi Kronik Selama Program Konseling Gizi dan Pemberian PMT. Media Kesehatan Politeknik Kesehatan Makassar, 18(2), 183–191. https://doi.org/10.32382/medkes.v18i2.172
Nelawati, Merry, & Geiby, N. (2025). Faktor-Faktor Yang Berhubungan dengan Kejadian Kekurangan Energi Kronis (KEK) Pada Ibu Hamil di Wilayah Kerja Puskesmas Ranomut. Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika), 11(1), 69–80. https://doi.org/10.58550/jka.v11i1.312
Rachmi, R., Marjan, A. Q., Sufyan, D. L., & Wahyuningsih, U. (2024). Factors Affecting Chronic Energy Deficiency among Pregnant Women in East Nusa Tenggara Province, Indonesia. Jurnal Gizi dan Pangan, 19(1), 95–104. https://doi.org/10.25182/jgp.2024.19.Supp.1.95-104
Rosmita, R., Afrika, E., Indriani, P. L. N., & Handayani, S. (2025). Kejadian KEK (Kurang Energi Kronik) pada Ibu Hamil di Wilayah Kerja Puskesmas Simpang Babat Kabupaten Pali. Journal Health & Science : Gorontalo Journal Health and Science Community, 9(3), 236–244. https://doi.org/10.35971/gojhes.v9i3.33265
Siagian, M., Ginting, J. B., Girsang, E., Manalu, P., Sinaga, E. A., & Marpaung, I. P. P. (2025). Penyebab Kurang Energi Kronik Pada Ibu Hamil. Media Kesehatan Masyarakat Indonesia, 23(1), 86–92. https://doi.org/10.14710/mkmi.23.1.86-92
Suhartini, S., B.P, D., Yuliandini, A., Asiz, R., & Aismaria, B. (2025). Hubungan Pengetahuan dan Sikap Ibu Hamil Terhadap Kejadian Kekurangan Energi Kronik (KEK) di Puskesmas Tonrorita Kabupaten Gowa. Karya Kesehatan Siwalima, 4(1), 66–73. https://doi.org/10.54639/kks.v4i1.1768
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