Evaluation of the Multiple Micronutrient Supplement (MMS) program to prevent anemia in pregnant women at public health center x
DOI:
https://doi.org/10.54957/ijhs.v6i3.2281Kata Kunci:
Anemia, Evaluation, MMS, Pregnant WomenAbstrak
Anemia in pregnant women remains a significant health issue that requires attention, as it can affect the health of both the mother and the fetus. In the service area of the X Community Health Center, the prevalence of anemia among pregnant women remains quite high, necessitating effective preventive measures, one of which is the Multiple Micronutrient Supplementation (MMS) program. This study aims to evaluate the implementation of the MMS program in preventing anemia among pregnant women at the X Community Health Center. The study employed a qualitative method using the Input, Process, and Output (IPO) evaluation approach. The input aspects examined included policies, human resources, facilities and infrastructure, logistics, funding, and the knowledge of pregnant women. Process aspects included MMS administration, education, consumption compliance, monitoring, side effects, and family support, while output aspects included MMS coverage, changes in pregnant women’s hemoglobin levels, perceived benefits, and satisfaction among pregnant women. The primary informants in this study were 10 pregnant women in the service area of the X Community Health Center, while the triangulation informants consisted of 2 health center staff members from the X area who were selected using purposive sampling. Data were collected through in-depth interviews and analyzed thematically. The results of the study indicate that the MMS program is functioning fairly well, with a consistent supply of supplements and easily accessible services. However, challenges remain, including the absence of specific standard operating procedures (SOPs), suboptimal compliance monitoring, and uneven education. Therefore, improvements are needed in monitoring, record-keeping, and education so that the MMS program can operate more effectively in helping to prevent anemia in pregnant women.
Referensi
Abidah, N., & Sumarmi, S. (2024). A Comparison of Adherence Levels of Pregnant Women to Consuming Multiple Micronutrient Supplements and Iron Folic Acid at Mulyorejo Public Health Center, Surabaya. Amerta Nutrition, 8(1), 17–25. https://doi.org/10.20473/amnt.v8i1.2024.17-25
Allotodang, T. G., Pandapotan, R. A., & Suhayanly, N. (2025). Pola Pasien Anemia yang dirawat Inap di RS Ukrida Tahun 2021-2023. Jurnal MedScientiae, 4(1), 54–57. https://doi.org/10.36452/jmedscientiae.v4i1.3653
Ardan, Savitri Effendy, D., & Asriati. (2022). Evaluasi Program Pemberian Tablet Fe pada Ibu Hamil. Jurnal Ilmiah Obsgin, 14(4), 1–12. https://stikes-nhm.e-journal.id/OBJ/index
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). https://doi.org/10.1186/s12889-025-22129-0
Baybo, M. P., Lolo, W. A., & Jayanti, M. (2022). Analisis Pengendalian Persediaan Obat Di Puskesmas Teling Atas. 5(1), 7–13.
Dewiyanti Fitria, Agita Dianingsih, Dila Fatiha Sholiha, Hana Mamnukha, & Budiyanti Wiboworini. (2025). Edukasi Gizi dan Distribusi Suplemen MMS Bagi Ibu Hamil: Studi Kasus di Puskesmas Banyudono II Kabupaten Boyolali. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(3), 796–805. https://doi.org/10.55123/sehatmas.v4i3.5648
Hamzah, A. R. P., Amir, S., Hasan, N., Najamuddin, U., & Ibnu, I. F. (2025). Hubungan Tingkat Pendidikan, Pengetahuan, dan Dukungan keluarga dengan Kepatuhan Konsumsi Multi-Micronutrient Supplement (MMS) pada Ibu Hamil di Wilayah Kerja Puskesmas Labakkang. The Journal of Indonesian Community Nutrition, 14(1), 70–86. https://journal.unhas.ac.id/index.php/mgmi/article/view/39807/12880
Kemenkes RI, 2024. (2024). Suplemen Bagi Ibu Hamil Kini Makin Lengkap dengan MMS. https://dinkes.boyolali.go.id/277/suplemen-bagi-ibu-hamil-kini-makin-lengkap-dengan-mms
Kissell, M. C., Pereira, C., Gomes, F., Woldesenbet, K., Tessema, M., Kelemu, H., Noor, R., Escubil, L., Panicker, A., Mishra, A., Hoang, M. A., Kroeun, H., Sauer, C., Sokchea, M., Karakochuk, C. D., Horino, M., West, K. P., Seita, A., Toure, D., … Mwangi, M. N. (2025). Acceptability of Antenatal Multiple Micronutrient Supplementation (MMS) Compared to Iron and Folic Acid (IFA) Supplementation in Pregnant Individuals: A Narrative Review. Nutrients , 17(18), 1–15. https://doi.org/10.3390/nu17182994
Kursiah Warti Ningsih, Roza Asnel, Ahmat Saputra, M. C. (2024). Al-Tamimi Kesmas Perilaku Ibu Hamil Dalam Mengkonsumsi Tablet Fe Terhadap Kejadian Anemia Pendahuluan Menurut World Health Organization ( WHO ) pada tahun 2019 , prevalensi anemia pada ibu hamil di dunia sebanyak 36 , 5 % dengan prevalensi terbesar terdap. 13, 75.
Lubis, I., Purba, A. Z. P., Aldona, C., Dina, P., & Siregar, M. S. (2024). Analisis Gambaran Persepsi Tenaga Kesehatan terhadap Kualitas Pelatihan dan Pengembangan Profesional di Puskesmas Simalingkar 2024. Manajemen Informasi Kesehatan, 9(1), 102–111.
Mahalia, L. D., Oktaviyani, P., & Munifa, M. (2024). Evaluasi Penggunaan Tablet Tambah Darah Pemerintah pada Ibu Hamil di Kalimantan Tengah: Evaluation of Government Blood Suplemen Tablet on Pregnant Women in Central Kalimantan. Jurnal Surya Medika (JSM), 10(1 SE-Articles), 371–375. https://journal.umpr.ac.id/index.php/jsm/article/view/7238
Maharani, A., Lakoan, M. R., & Adiana, S. (2024). Analisis insiden kondisi potensial cedera di instalasi farmasi rumah sakit “X” daerah Jawa Barat periode Januari 2022 - Desember 2023. Indonesian Journal of Health Science, 4(6), 738–744. https://doi.org/10.54957/ijhs.v4i6.1144
Mandoro FG, & Sahputra IH. (2024). Perancangan Sistem Informasi Manajemen Kesehatan dan Keselamatan Kerja Menggunakan Pendekatan ISO 45001:2018 di PT. X. Jurnal Titra, 12(2), 113–120. https://publication.petra.ac.id/index.php/teknik-industri/article/view/14250
Mardiana, T. Y., Agusanty, S. F., & Sulistyaningsih, I. (2025). Pengaruh Whatsapp Reminder Terhadap Kepatuhan Konsumsi Tablet Fe Pada Ibu Hamil Di Wilayah Puskesmas Karya Mulya Kota Pontianak. Media Gizi Khatulistiwa, 2(2), 1–6. https://nutritionjournal.my.id/index.php/NNJ/article/view/47
Masako Horino. (2025). Evaluating Implementation Of Antenatal Multiple Micronutrient Versus Iron-Folic Acid Supplementation Within The Unrwa Health Care System In Jordan. 2(March), 306–312.
Naftali, G. et al. (2022). Literature Review Faktor – Faktor Yang Mempengaruhi Kejadian Persalinan Literature Review Faktor – Faktor Yang. Jurnal Skripsi, 15(1).
Novianti, H., Maidar, M., & Arlianti, N. (2025). Faktor determinan kejadian anemia pada ibu hamil trimester III. The Journal Of Mother and Child Health Concerns, 4(7), 569–577. https://doi.org/10.56922/mchc.v4i7.1433
Nurhidayati, E., Mansyur, M., Wiradnyani, L. A. A., Ariteja, S., Februhartanty, J., & Kusumadewi, D. (2024). Exploring Management Aspects of Multiple Micronutrient Supplementation Program for Pregnant Women in Sidoarjo District, East Java. Gizi Indonesia, 47(1), 21–34. https://doi.org/10.36457/gizindo.v47i1.826
Putri, F. L., Rr. Catur Leny Wulandari, & Arum Meiranny. (2023). Kepatuhan Ibu Hamil dalam Mengonsumsi Tablet Fe. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(10), 1933–1939.
Putriamanah, N. Y., & Fikawati, S. (2025). Implementasi Program Pemberian Tablet Tambah Darah pada Remaja Putri di Indonesia (Analisis Diagram Fishbone). Jurnal Ners, 9(3), 3998–4003. https://doi.org/10.31004/jn.v9i3.45066
RI, K. K. (2020). Profil Kesehatan Indonesia Tahun 2020. In IT - Information Technology (Vol. 48, Number 1). https://doi.org/10.1524/itit.2006.48.1.6
Risya Ahriyasna, Def Primal, N. (2023). Jurnal Kesehatan Perintis. Flavanoid Dalam Rebusan Kawa Daun (Coffea Canephora) Memperbaiki Kadar Glukosa Darah Dan Regenerasi Sel Beta Pankreas Tikus Diinduksi Diabetes, 10(1), 60–67. https://jurnal.upertis.ac.id/index.php/JKP/article/view/857/398
Rosintan Napitupulu. (2024). Health and Financial Journal. Health and Financial Journal, 1(1), 27–31.
Rustiawan, A., & Pratiwi, A. (2022). Evaluasi Program Pemberian Tablet Tambah Darah Pada Ibu Hamil di Puskesmas Gedongtengen. Abdi Geomedisains, 2(2), 61–71. https://doi.org/10.23917/abdigeomedisains.v2i2.313
Sakung, J., Tosae, D., Gunarmi, & Arundhana, A. I. (2022). Differences in Hemoglobin Levels in Pregnant Women through Multi-Micronutrient Supplements and Iron Tablets. Open Access Macedonian Journal of Medical Sciences, 10(B), 1–5. https://doi.org/10.3889/oamjms.2022.7794
Serli Haitul Hasanah, A. L. (2024). Hubungan Pola Makan dengan Kejadian Anemia pada Ibu Hamil : Studi Literatur Association of Diet Patterns With Anemia Among Pregnant Women : A Literature Study. Ilmu Gizi Indonesia, 11(1), 14–20.
Smith, E. R., Gomes, F., Adu-Afarwuah, S., Aguayo, V. M., El Arifeen, S., Bhutta, Z. A., Caniglia, E. C., Christian, P., Devakumar, D., Dewey, K. G., Fawzi, W. W., Friis, H., Gomo, E., Guindo, O., Hallamaa, L., Isanaka, S., Kæstel, P., Lachat, C., Maleta, K., … Sudfeld, C. R. (2025). 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, 16(7). https://doi.org/10.1016/j.advnut.2025.100455
Subair, H., & Erni Moilis. (2025). Effectiveness of TTD and MMS Supplementation in Preventing Anemia in Pregnant Women in the Working Area of the Moncongloe Community Health Center, Maros Regency. Jurnal Kesehatan Dan Kedokteran, 4(3), 09–15. https://doi.org/10.56127/jukeke.v4i3.2303
Wahyuni, A. N. N. V. N. R. (2023). Gambaran Pengetahuan, Sikap dan Perilaku Ibu Hamil Dalam Mengkonsumsi Tablet Fe. Jurnal Keperawatan, 8(2), 1–13. https://www.ncbi.nlm.nih.gov/books/NBK558907/
Wang, R., Xu, S., Hao, X., Jin, X., Pan, D., Xia, H., Liao, W., Yang, L., & Wang, S. (2025). Anemia during pregnancy and adverse pregnancy outcomes: a systematic review and meta-analysis of cohort studies. Frontiers in Global Women’s Health, 6(January). https://doi.org/10.3389/fgwh.2025.1502585
Widiastini, P. M. F., Purnami, L. A., & Triguno, Y. (2023). E-issn 2746-0940 p-issn 2716-1706. Prima Wiyata Health, 4(2), 47–56.
Widyaningsih, A. S., Irsam, M., & Rohmani, A. (2025). Faktor-Faktor yang Mempengaruhi Kejadian Anemia pada Ibu Hamil di Puskesmas Kedungmundu Semarang Tahun 2023. Jurnal Sehat Indonesia (JUSINDO), 7(2), 849–860. https://doi.org/10.59141/.v7i2.277
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2026 Siti Purwitasari, Adib Maulana Pratama, Vanessa Zaskia Putri, Nasya Andini Wahda, Era Febriana Rahmadhani, Teguh Irawan, Yulis Indriyani
Artikel ini berlisensi Creative Commons Attribution 4.0 International License.
