Improving Maternal Adherence through Multiple Micronutrient Supplement Education
DOI:
https://doi.org/10.34306/adimas.v7i1.1593Kata Kunci:
MMS, Pregnant Women, First Trimester, Third Trimester, SSGI 2024Abstrak
Micronutrient deficiencies during pregnancy may increase the risk of maternal anemia, low birth weight, and impaired fetal growth associated with stunting. According to the 2024 Indonesian Nutritional Status Survey (SSGI), the prevalence of stunting in West Java decreased to 15.9%, however, strengthening nutrition-specific interventions for pregnant women remains necessary. This community service initiative was designed to improve pregnant women's knowledge of Multiple Micronutrient Supplements (MMS) and support regular supplementation during pregnancy. The program involved 25 pregnant women in the early and late trimesters in Tajurhalang District, Bogor Regency, West Java. An educational-participatory approach was implemented through interactive lectures, discussions, demonstrations, individual counseling, and knowledge evaluation using pre-test and post-test. The mean pre-test score increased from 58.20 to 88.20 in the post-test, representing an improvement of 30.00 points (51.55%). Participants also reported nausea, forgetting to take supplements, and concerns about side effects as barriers to MMS consumption, while family support, particularly from husbands, was considered helpful in maintaining regular supplementation. The educational program demonstrated an improvement in participants' knowledge of the benefits, appropriate timing, and importance of MMS during pregnancy. Continuous education, family involvement, and monitoring by health workers and health cadres are needed to support sustained adherence to MMS consumption.
Unduhan
Referensi
[1] Badan Kebijakan Pembangunan Kesehatan, Survei Status Gizi Indonesia (SSGI) 2024 Dalam Angka. Jakarta: Kementerian Kesehatan Republik Indonesia, 2025.
[2] Kementerian Kesehatan Republik Indonesia, “Laporan survei status gizi indonesia (ssgi) 2024,” Jakarta, 2025.
[3] World Health Organization, “Multiple micronutrient supplementation during pregnancy,” https://www. who.int/tools/elena/interventions/micronutrients-pregnancy, Aug. 2023, last updated 9 August 2023, accessed 24 August 2026.
[4] Y. D. Anna, H. Djajadikerta, and A. Setiawan, “Strengthening the foundations of socialpreneurship through integrated reporting a systematic bibliometric perspective,” Aptisi Transactions on Technopreneurship (ATT), vol. 8, no. 1, pp. 296–309, 2026.
[5] F. Syaharani et al., “Status gizi, pola konsumsi dan kejadian anemia pada ibu hamil,” Nutrition Scientific Journal, 2024.
[6] R. Agustina, D. Rianda, W. Lasepa, F. S. Birahmatika, V. Stajic, and R. Mufida, “Nutrient intakes of pregnant and lactating women in indonesia and malaysia: Systematic review and meta-analysis,” Frontiers in Nutrition, vol. 10, p. 1030343, 2023. [Online]. Available: https://doi.org/10.3389/fnut.2023.1030343
[7] Ministry of Health Republic of Indonesia and UNICEF, “Maternal nutrition in indonesia: Landscape analysis and recommendations,” 2023. [Online]. Available https://www.unicef.org/indonesia/media/19111/file/Maternal%20nutrition%20in%20Indonesia.pdf
[8] E. R. Smith, F. Gomes, S. Adu-Afarwuah, V. M. Aguayo, S. El Arifeen, Z. A. Bhutta, E. C. Caniglia, P. Christian, D. Devakumar, K. G. Dewey, W. W. Fawzi, H. Friis, E. Gomo, O. Guindo, L. Hallamaa, S. Isanaka, P. Kæstel, C. Lachat, K. Maleta et al., “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, vol. 16, no. 7, p. 100455, 2025. [Online]. Available: https://doi.org/10.1016/j.advnut.2025.100455
[9] A. M. J. Verney, J. F. Busch-Hallen, D. D. Walters, S. N. Rowe, Z. A. Kurzawa, and M. Arabi, “Multiple micronutrient supplementation cost–benefit tool for informing maternal nutrition policy and investment decisions,” Maternal & Child Nutrition, vol. 19, no. 4, 2023. [Online]. Available: https://doi.org/10.1111/mcn.13523
[10] J. Zhong, N. Li, J. Chen, J. Liu, Z. Li, J. Wang, and X. Liu, “The effect of multiple micronutrients supplementation on preventing anemia during pregnancy: A retrospective cohort study,” Nutrition & Metabolism, vol. 22, no. 1, 2025. [Online]. Available: https://doi.org/10.1186/s12986-025-00944-x
[11] D. Fitria, A. Dianingsih, D. F. Sholiha, H. Mamnukha, and B. Wiboworini, “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.
[12] M. Magno, A. da Costa, S. Q. da Carvalho, and D. Loe, “Hijacking democracy in asia challenges for socialpreneurship and institutional resilience,” Aptisi Transactions on Technopreneurship (ATT), vol. 7, no. 3, pp. 1041–1051, 2025.
[13] N. Rahma et al., “Pengaruh pemberian edukasi terhadap kepatuhan mengonsumsi multiple micronutrient suplemen (mms) dan kadar hb pada ibu hamil di kabupaten maros= the effect of nutrition education on compliance with consuming multiple micronutrient supplements (mms) and hb levels in pregnant women in maros regency,” 2024.
[14] A. R. P. Hamzah, S. Amir, N. Hasan, U. Najamuddin, and I. F. Ibnu, “Hubungan tingkat pendidikan, pengetahuan, dan dukungan keluarga dengan kepatuhan konsumsi multi-micronutrient supplement (mms) pada ibu hamil di wilayah kerja puskesmas labakkang: 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,” Jurnal Gizi Masyarakat Indonesia (The Journal of Indonesian Community Nutrition), vol. 14, no. 1, 2025
[15] D. Misnawati, B. Perdana, S. Ariana, N. Damayanti, and D. R. Saputra, “Filter bubble phenomenon on instagram and its impact on teenagers lifestyle and social interaction,” Aptisi Transactions on Technopreneurship (ATT), vol. 7, no. 3, pp. 973–985, 2025.
[16] H. Olivia, Y. Yusriani, and M. K. Alwi, “Pengaruh peer educator dan media leaflet terhadap perceived barrier to action dalam konsumsi tablet tambah darah,” Jurnal Keperawatan Profesional (KEPO), vol. 5, no. 1, pp. 130–137, 2024.
[17] A. Anjaya, A. Alyani, N. Nugrahani, R. Fakhrunnisa, C. Herbawani et al., “Effectiveness of health education methods on awareness and compliance of iron tablet consumption in adolescent girls,” Miracle Journal of Public Health, vol. 7, no. 2, pp. 75–85, 2024.
[18] N. S. M. K. M. D. B. PA Sunarya, U Rahardja, “Impact of waterfall method on systematic academic information system development,” Technomedia Journal, vol. 9, no. 3, pp. 360–372, 2025.
[19] L. Mulansari, D. L. Badriah, and D. N. Iswarawanti, “Pengaruh edukasi video dan leaflet terhadap pengetahuan dan sikap siswi dalam konsumsi tablet tambah darah,” Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal, vol. 15, no. 02, pp. 503–512, 2024.
[20] A. Asrina, F. P. Idris et al., “Edukasi konsumsi tablet tambah darah bagi remaja putri untuk pencegahan anemia,” Idea Pengabdian Masyarakat, vol. 5, no. 01, pp. 104–111, 2025.
[21] M. Y. Pusadan, A. Ghifari, and Y. Anshori, “Implementasi data mining untuk prediksi status proses persalinan pada ibu hamil menggunakan algoritma naive bayes,” Technomedia Journal, vol. 8, no. 1 Juni, pp. 137–153, 2023.
[22] D. Dina, J. Junaedi, and Z. Zafira, “Efek pemberian multi mikronutrien suplemen (mms) dan garam beryodium pada ibu hamil terhadap berat badan bayi baru lahir di kabupaten majene,” Jurnal Pendidikan dan Teknologi Kesehatan, vol. 8, no. 1, pp. 186–197, 2025.
[23] K. Puspitasari, B. J. I. Kandarina, and P. D. Ratrikaningtyas, “Eksplorasi penerimaan multiple micronutrient supplement (mms) pada ibu hamil: Studi kasus di kabupaten kulon progo, yogyakarta: Exploring the acceptance of multiple micronutrient supplement (mms) among pregnant women: A case study in kulon progo district, yogyakarta,” Amerta Nutrition, vol. 10, no. 1, pp. 96–105, 2026.
[24] E. Retnaningtyas, E. Kartikawati, D. Nilawati et al., “Upaya peningkatan pengetahuan ibu hamil melalui edukasi mengenai kebutuhan nutrisi ibu hamil,” ADI Pengabdian Kepada Masyarakat, vol. 2, no. 2, pp. 19–24, 2022.
[25] R. U. Hasanah, Y. T. Yulianti, and S. Lailiyah, “Sosialisasi pencegahan stunting dan pemberian multi mikronutrien suplemen (mms) kepada ibu hamil di desa klungkung, sukorambi, jember,” BERBAKTI: Jurnal Pengabdian Kepada Masyarakat, vol. 1, no. 3, pp. 254–262, 2024.
[26] A. N. Oktavianingsih, S. Wahyuni, and H. A. Putri, “Gambaran faktor-faktor yang mempengaruhi ibu hamil dalam kepatuhan konsumsi multiple micronutrient supplement (mms) di puskesmas ngaliyan kota semarang,” Journal of Midwifery Science: Basic and Applied Research, vol. 8, no. 1, 2026.
[27] A. Sutarman, U. Rahardja, F. P. Oganda, S. Millah, and N. N. Azizah, “The role of information technology in empowering the creative economy for sustainable tourism,” Aptisi Transactions on Technopreneurship (ATT), vol. 5, no. 2sp, pp. 175–185, 2023.
[28] M. Wahyudi, T. A. A. Sandi, W. Bismi, U. Rahardja, L. Pujiastuti et al., “Performance analysis of open shortest path first multiarea using virtual link method,” in 2023 11th International Conference on Cyber and IT Service Management (CITSM). IEEE, 2023, pp. 1–5.
[29] E. C. Caniglia, R. Zash, S. A. Swanson, E. Smith, C. Sudfeld, J. L. Finkelstein, M. Diseko, G. Mayondi, M. Mmalane, J. Makhema et al., “Iron, folic acid, and multiple micronutrient supplementation strategies during pregnancy and adverse birth outcomes in botswana,” The Lancet Global Health, vol. 10, no. 6, pp. e850–e861, 2022
[30] K. G. Dewey and S. H. Zlotkin, “Antenatal multiple micronutrient supplements: time for alignment to support country action,” The Lancet, vol. 405, no. 10484, pp. 1033–1035, 2025.
[31] T. M. Silubonde, C. E. Draper, J. Baumgartner, L. J. Ware, C. M. Smuts, and S. A. Norris, “Barriers and facilitators of micronutrient supplementation among non-pregnant women of reproductive age in johannesburg, south africa,” PLOS global public health, vol. 2, no. 11, p. e0001310, 2022.
[32] J. Siswanto, U. Rahardja, I. Sembiring, K. D. Hartomo, H. D. Purnomo, A. Iriani et al., “Number of road accidents predicting using deep learning-based lstm development models,” in 2023 11th International Conference on Cyber and IT Service Management (CITSM). IEEE, 2023, pp. 1–6.
[33] Y. Sulaiman et al., “Efek pemberian multi mikronutrien suplement (mms) dan garam beriodium terhadap panjang badan bayi baru lahir di kabupaten majene,” Jurnal Pendidikan dan Teknologi Kesehatan, vol. 7, no. 2, pp. 272–283, 2024.
[34] J. M. Putri, “Hubungan keteraturan pengkonsumsian tablet fe dan asam folat dengan berat badan lahir rendah pada bayi baru lahir,” Ph.D. dissertation, Universitas Muhammadiyah Malang, 2025.
[35] E. Estyqomah, M. Melviani, and P. V. Darsono, “Faktor-faktor yang mempengaruhi konsumen dalam pengambilan keputusan penggunaan produk suplemen penambah berat badan di banjarmasin timur,” Innovative: Journal Of Social Science Research, vol. 3, no. 5, pp. 9218–9228, 2023.
[36] N. Lutfiani, D. A. Astrieta, V. Wildan, H. Sulistyaningrum, M. R. Anwar, and E. D. Astuti, “Emotional well-being and psychological support in infertility a multi-modal ai approach,” International Journal of Cyber and IT Service Management (IJCITSM), vol. 5, no. 1, pp. 81–92, 2025.
[37] S. Wulandari and N. A. Wantini, “Ketidaknyamanan fisik dan psikologis pada ibu hamil trimester iii di wilayah puskesmas berbah sleman daerah istimewa yogyakarta,” Jurnal Kebidanan Indonesia, vol. 12, no. 1, 2021.
[38] A. Fandir, B. Dahlia, J. Alwi, and N. Zakiah, “Efek pemberian multi micro nutrient (mmn) dan konseling gizi terhadap status gizi wanita prakonsepsi: Effects of giving multi micro nutrients (mmn) and counseling nutrition on the nutritional status of preconception women,” Media Gizi Pangan, vol. 31, no. 1, pp. 31–38, 2024.
[39] U. Rahardja, P. A. Sunarya, Q. Aini, S. Millah, and S. Maulana, “Technopreneurship in healthcare: Evaluating user satisfaction and trust in ai-driven safe entry stations,” Aptisi Transactions on Technopreneurship (ATT), vol. 6, no. 3, pp. 404–417, 2024.
[40] N. T. Sanas et al., “Pengaruh pemberian multiple micronutrient suplement dan edukasi video tik tok terhadap peningkatan kadar hemoglobin pada remaja putri= the effect of giving multiple micronutrient supplement and education tik tok videos on increasing hemoglobin levels in adolescent girls,” Ph.D. dissertation, Universitas Hasanuddin, 2024.
[41] M. K. Nikmah, F. N. Isnaeni, and S. Gz, “Hubungan antara pengetahuan dan kepatuhan konsumsi multiple micronutrient supplementation (mms) dengan kejadian anemia pada ibu hamil di wilayah kerja uptd puskesmas randublatung kabupaten blora,” Ph.D. dissertation, Universitas Muhammadiyah Surakarta, 2026.
[42] Y. Y. R. Rachmawati, Y. P. A. Sanjaya, and S. Edilia, “Web-based temperature, oxygen saturation, and heart rate monitoring system,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 4, no. 1, pp. 38–45, 2022.
[43] Makueni County Government. (2026, May) Makueni advances with multiple micronutrient supplementation as study reveals low ifas adherence among pregnant women. [Online]. Available: https://makueni.go.ke/2026/departments/health/makueni-advances-with-multiple-micronutrient-supplementation-as-study-reveals-low-ifas-adherence/among-pregnant-women
[44] T. Firoz, J. Daru, J. Busch-Hallen, Tunc¸alp, and L. M. Rogers, “Use of multiple micronutrient supplementation integrated into routine antenatal care: A discussion of research priorities,” Maternal & Child Nutrition, vol. 21, no. 1, 2025. [Online]. Available: https://doi.org/10.1111/mcn.13722
