ABSTRACT
Background: Antenatal care (ANC) is low in developing countries, with an estimated 20% of Indonesian women not initiating ANC during the first trimester. The present study sought to determine the impact of a mentoring program on the timing of the first ANC visit. Methods: This cluster randomized controlled trial was conducted in 3 subdistricts of the Bantul District, divided into 61 clusters per treatment arm, with a final sample size of 205 confirmed pregnant women. The mentoring program consisted of (1) health education, (2) monitoring, and(3) text-message reminders. The primary outcome was the timing of first ANC visit. A multilevel mixed-effect logistic regression model was used to measure the effect of the program on the likelihood of having an earlier first ANC visit, with statistical significance at α=0.05. Results: At the individual-level, the intervention group had a mean time of first ANC visit±2 days earlier than the control group (P<0.05). After adjusted for cluster and other covariates, the odds of starting the first ANC visit early (<39 days of gestation) was higher in the intervention group (adjusted odds ratio [AOR] 3.00; 95% confidence interval [CI] 1.17-7.72). Conclusion: Maternal mentoring can improve the timing of the first ANC visit. This program has the potential to be adopted by health care systems in settings where there is little education on the importance of ANC. Future research could extend the length of mentorship until delivery in order to better understand the relationship between mentorship and early ANC on pregnancy outcomes.
ABSTRACT
Anemia is a condition in which the number of red blood cells or hemoglobin levels in the blood is less than normal. Anemia remains a major problem for global public health. The World Health Organization (WHO) estimates that anemia affected more than 1.62 billion people worldwide. Data from National Health Survey (Riskesdas) in 2013 shown that anemia prevalence was 21.7%. Yogyakarta Health Profile showed that the prevalence of anemia women of reproductive age has increased from 22,45% to 28,1% between 2010 and 2014, while in Bantul was 20% indicating a moderate public health problem. The objective of this study was to determine the correlation between knowledge, iron intake, and folate intake with anemia status among women of reproductive age in Bantul Regency.: This research used cross sectional method. The samples were selected by using probability sampling method with simple random sampling technique by lottery and specifying inclusion and exclusion criteria. Data was analyzed with Chi-square test using SPSS. The results showed that there was no correlation between knowledge level and anemia status. Anemia status was significantly correlated with iron intake, but not with folate intake. Conclusion: Anemia was associated with iron intake among women of reproductive age.
