MICRONUTRIENT INTAKE AND PERCEIVED BARRIERS AMONG ANAEMIC PREGNANT WOMEN IN ACEH, INDONESIA
AbstractBackground: Estimating vitamin, mineral intakes related to anaemia and describing perception regard pregnancy diet, accessibility to foodstuff among first ANC visitor of anaemic pregnant women aged above 20 years in Province Aceh, Indonesia. Methods: A cross sectional mix-method of quantitatively and focus group discussion (FGD) was conducted at two municipalities having more than 40% anaemic pregnancy. One hundred fifty-eight anaemic pregnant women were interviewed regarding socio-demographic and three days of 24-hours food recall, in addition to FGD at each municipality using FGD guidelines about nutritional anaemia. Food recall data was analysed using software NutriSurvey Indonesia, deficiency is defined as daily intake below 77% recommended dietary allowances (RDA) Indonesia. The FGD result was analysed by content analysis and clarified with representative quotes. Result: Prevalence of deficiencies intake were folate (98.7%), vitamin B6 (91.1%), vitamin B2 (90.5%), iron (89.2%), zinc (87.3%), vitamin E (84.8%), vitamin C (79.7%), vitamin A (74.1%), copper (67.1%) and vitamin B12 (30.4%). Anaemic pregnant women noticed to consume more amount of food during pregnancy, and preferred to access foodstuff at shop nearby the house. Conclusion: Other than low iron intake, more than 90% anaemic pregnant women were also deficiency in folate, vitamin B6 and vitamin B2. Perceived of less acknowledgement about affordable cost micronutrient-rich food, high cost of quality-food, sufficient to varieties foodstuff at neighbourhood shop prevents them from making correct food choices subsequently barrier to the food access and intake.Keywords: anaemic pregnancy; vitamin and mineral intake; perception
Ministry of Health. Basic health research 2018. Health Research and Development Agency of the Republic of Indonesia. Jakarta: Ministry of Health, Republic of Indonesia; 2018.
WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. World Health Organization; 2011.
Darnton-Hill I, Mkparu UC. Micronutrients in pregnancy in low-and middle-income countries. Nutrients 2015;7(3):1744–68.
Sukchan P, Liabsuetrakul T, Chongsuvivatwong V, Songwathana P, Sornsrivichai V, Kuning M. Inadequacy of nutrients intake among pregnant women in the deep south of Thailand. BMC Public Health 2010;10(1):572.
Ministry of Health Republic of Indonesia,. Health profile of Indonesia 2017.
Economic Censes. Central Bureau Statistic Jakarta, Indonesia. https://www.rand.org/content/dam/rand/www/external/labor/bps/datadocpdf/podes/podes96eco.pdf
Ministry of Health Republic of Indesia. Health profile of Indonesia 2013.
Prabsangob K, Somrongthong R, Kumar R. Effectiveness of Self-Help Group Program for the Management of Type-2 Diabetes Patients in Rural Thailand. Pak J Nutrition. 2019; 18 (2):141–5.
Gibson RS. Principles of nutritional assessment. Oxford university press, USA; 2005.
The United States Agency for International Development. Infant and young child nutrition project. Guidance for formative research on maternal nutrition,. Washington; 2012.
Janz NK, Becker MH. The health belief model: A decade later. Health Educ Q 1984;11(1):1–47.
Charmaz K. Constructing grounded theory: A practical guide through qualitative analysis. Sage; 2006.
Kodyat BA. Balanced nutrition guidelines 2014. Republic of Indonesia, ministry of health regulation; 2014.
Krukowski RA, West DS, Harvey-Berino J, Elaine Prewitt T. Neighborhood impact on healthy food availability and pricing in food stores. J Community Health 2010;35(3):315–20.
Hartriyanti Y, Suyoto PS, Muhammad HF, Palupi IR. Nutrient intake of pregnant women in Indonesia: a review. Mal J Nutr 2012;18(1):113–24.
Daba G, Beyene F, Fekadu H, Garoma W. Assessment of knowledge of pregnant mothers on maternal nutrition and associated factors in Guto Gida Woreda, East Wollega Zone, Ethiopia. J Nutr Food Sci 2013;3(6):1.
Baig-Ansari N, Badruddin SH, Karmaliani R, Harris H, Jehan I, Pasha O, et al. Anaemia prevalence and risk factors in pregnant women in an urban area of Pakistan. Food Nutr Bull 2008;29(2):132–9.
Gao H, Stiller CK, Scherbaum V, Biesalski HK, Wang Q, Hormann E, et al. Dietary intake and food habits of pregnant women residing in urban and rural areas of Deyang City, Sichuan Province, China. Nutrients 2013;5(8):2933–54.
Thitipitchayanant K, Somrongthong R, Kumar R, Kanchanakharn N. Effectiveness of self-empowerment-affirmation-relaxation (Self-EAR) program for postpartum blues mothers:A randomize controlled trial. Pak J Med Sci. 2018;34(6):1-6.
Kartono D, Hermina I, Faatih M. In: Total Diet Survey 2014: Individual Food Consumption Survey in Aceh Province. Jakarta: National Institute of Health Research and Development; 2014.
Saldanha LS, Buback L, White JM, Mulugeta A, Mariam SG, Roba AC, et al. Policies and program implementation experience to improve maternal nutrition in Ethiopia. Food Nutr Bull 2012;33(2 Suppl):S27–50.
Penney TL, Brown HE, Maguire ER, Kuhn I, Monsivais P. Local food environment interventions to improve healthy food choice in adults: a systematic review and realist synthesis protocol. BMJ Open 2015;5(4):e007161.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.