Use of reminder box for the amount of iron tablet consumption in pregnant women

Nurbaiti Nurbaiti* -  Jurusan Kebidanan, Politeknik Kesehatan Kemenkes Aceh, Aceh, Indonesia
DOI : 10.30867/action.v8i2.637

Supp. File(s): Research Instrument Research Instrument Research Instrument common.other

One of the health issues affecting pregnant women in Indonesia is iron deficiency anemia. Iron tablet supplementation is used to manage anemia, but this program has not been successful because of low compliance from forgetfulness. The use of a reminder can increase the amount of iron pill consumption. This study aimed to determine how much iron pill ingestion was impacted by the reminder box. This kind of research uses a post-test-only control group, which has a quasi-experimental design. Sixty respondents were divided into 30 intervention groups and 30 control groups. The intervention group received iron tablets in a box marked with the day, date, and time as a reminder to take their prescription, while the control group received theirs in plastic. Both groups were observed for 30 days, recording their observations on a monitoring form. An impartial t-test was utilized in the data analysis. The average amount of iron tablets ingested did not differ between the intervention and control groups (p= 0,417), although the intervention group consumed more than the average amount. Reminder boxes enhance consumption, but additional proof is required. It is unclear whether placing reminders where they are simple to notice and access will impact compliance.

Supplement Files

Keywords : Consumption, Iron Tablet, Reminder Box

  1. Al Rahmad, A. H., Iskandar, I., Fadjri, T. K., & Hadi, A. (2022). Utilization of the Growth Chart module in Increasing Mother’s Knowledge to Monitor the Grow up of Toddlers. Kesmas Indonesia, 14(1), 110–120. https://doi.org/10.20884/1.ki.2022.14.1.640
  2. Boeni, F., Spinatsch, E., Suter, K., Hersberger, K. E., & Arnet, I. (2014). Effect of drug reminder packaging on medication adherence: A systematic review revealing research gaps. Systematic Reviews, 3(1). https://doi.org/10.1186/2046-4053-3-29
  3. Dayer, L., Heldenbrand, S., & Anderson, P. (2013). Smartphone medication adherence apps: Potential benefits to patients and providers: Response to Aungst. Journal of the American Pharmacists Association, 53(4), 345. https://doi.org/10.1331/JAPhA.2013.13121
  4. Fenerty, S. D., West, C., Davis, S. A., Kaplan, S. G., & Feldman, S. R. (2012). The effect of reminder systems on patients’ adherence to treatment. Patient Preference and Adherence, 6, 127–135. https://doi.org/10.2147/PPA.S26314
  5. Fite, M. B., Roba, K. T., Oljira, L., Tura, A. K., & Yadeta, T. A. (2021). Compliance with Iron and Folic Acid Supplementation (IFAS) and associated factors among pregnant women in Sub- Saharan Africa: A systematic review and metaanalysis. PLoS ONE, 16(4 April), 1–17. https://doi.org/10.1371/journal.pone.0249789
  6. Friedrisch, J. R., & Friedrisch, B. K. (2017). Prophylactic iron supplementation in pregnancy: A controversial issue. Biochemistry Insights, 10, 117862641773773. https://doi.org/10.1177/1178626417737738
  7. Global Heatlh Report. (2017). Nutrition Report: Nourishing the SDGS: development initiatives.
  8. Hadi, A., Marfina, M., & Iskandar, I. (2017). Efikasi suplementasi tablet besi, vitamin C, penyuluhan dan pendampingan terhadap kadar hemoglobin ibu hamil. AcTion: Aceh Nutrition Journal, 2(2), 91–96. https://doi.org/10.30867/action.v2i2.60
  9. Kemenkes RI. (2018). Hasil utama riskesdas. In Badan Penelitian dan Pengembangan Kesehatan. Kementerian Kesehatan RI.
  10. Khalafallah, A. A., & Dennis, A. E. (2012). Iron deficiency anaemia in pregnancy and postpartum: Pathophysiology and effect of oral versus intravenous iron therapy. Journal of Pregnancy, 2012, 1–10. https://doi.org/10.1155/2012/630519
  11. Lutsey, P. L., Dawe, D., Villate, E., Valencia, S., & Lopez, O. (2008). Iron supplementation compliance among pregnant women in Bicol, Philippines. Public Health Nutrition, 11(1), 76–82. https://doi.org/10.1017/S1368980007000237
  12. Mithra, P., Unnikrishnan, B., Rekha, T., Nithin, K., Mohan, K., Kulkarni, V., Holla, R., & Agarwal, D. (2014). Compliance with iron-folic acid (IFA) therapy among pregnant women in an urban area of South India. African Health Sciences, 14(1), 255–260. https://doi.org/10.4314/ahs.v14i1.39
  13. Nahrisah, P., Somrongthong, R., Viriyautsahakul, N., Viwattanakulvanid, P., & Plianbangchang, S. (2020). Effect of Integrated Pictorial Handbook Education and Counseling on Improving Anemia Status, Knowledge, Food Intake, and Iron Tablet Compliance Among Anemic Pregnant Women in Indonesia: A Quasi-Experimental Study. Journal of Multidisciplinary Healthcare, 13, 43–52. https://doi.org/10.2147/JMDH.S213550
  14. Rahman, M. A., Khan, M. N., & Rahman, M. M. (2020). Maternal anaemia and risk of adverse obstetric and neonatal outcomes in South Asian countries: A systematic review and meta-analysis. Public Health in Practice, 1(December 2019), 1–9. https://doi.org/10.1016/j.puhip.2020.100021
  15. Riyanto, S., & Hatmawan, A. (2020). Metode Riset Penelitian Kuantitatif. Penelitian di bidang manajemen, teknik, pendidikan dan eksperimen. In Yogyakarta: Penerbit Deepublish.
  16. Sailer, F., Pobiruchin, M., Wiesner, M., & Meixner, G. (2015). An Approach to improve medication adherence by smart watches. Studies in Health Technology and Informatics, 210(April 2016), 956–958. https://doi.org/10.3233/978-1-61499-512-8-956
  17. Siabani, S., Siabani, S., Siabani, H., Moeini Arya, M., Rezaei, F., & Babakhani, M. (2018). Determinants of compliance with iron and folate supplementation among pregnant women in West Iran: A population based cross-sectional study. Journal of Family and Community Medicine, 12(4), 197–203. https://doi.org/PMC6581656
  18. Telisa, I., & Eliza, E. (2020). Asupan zat gizi makro, asupan zat besi, kadar haemoglobin dan risiko kurang energi kronis pada remaja putri. AcTion: Aceh Nutrition Journal, 5(1), 80–86. https://doi.org/10.30867/action.v5i1.241
  19. Tuncalp, Ö., Rogers, L. M., Lawrie, T. A., Barreix, M., Peña-Rosas, J. P., Bucagu, M., Neilson, J., & Oladapo, O. T. (2020). WHO recommendations on antenatal nutrition: an update on multiple micronutrient supplements. BMJ Global Health, 5(7), e003375. https://doi.org/10.1136/bmjgh-2020-003375
  20. Ugwu, E. O., Olibe, A. O., Obi, S. N., & Ugwu, A. O. (2014). Determinants of compliance to iron supplementation among pregnant women in Enugu, Southeastern Nigeria. Nigerian Journal of Clinical Practice, 17(5), 608–612. https://doi.org/10.4103/1119-3077.141427
  21. WHO. (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and mineral nutrition information system. World Health Organization.
  22. WHO. (2013). Essential Nutrition Actions: Improving maternal, newborn, infant and young child health and nutrition. World Health Organization.
  23. WHO. (2021). Global Anaemia Estimates. (https://www.who.int/data/gho/data/ Themes/topics/anaemia_in_women_and_children, accessed 27 Sept 2022).
  24. Wicaksono, A., Hendley, R., & Beale, R. (2019). Investigating the impact of adding plan reminders on implementation intentions to support behaviour change. Interacting with Computers, 31(2), 177–191. https://doi.org/10.1093/iwc/iwz012

Open Access Copyright (c) 2023 Nurbaiti
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: [email protected]

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here