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Peer-reviewedCC BYKEMAS: Jurnal Kesehatan Masyarakat

Integrating Multiple Micronutrient Supplementation into Antenatal Care in Rural Indonesia

  • Rosdiana Syakur1
  • Ajeng Kurniati2
  • Andi Maryam3
  • Sutiyono4
4 affiliations
  1. 1Department of Public Health , Indonesia Timur University, South Sulawesi, Indonesia
  2. 2Department of Pharmacy , Indonesia Timur University, South Sulawesi, Indonesia
  3. 3Department of Midwifery , Kurnia Jaya Persada University, South Sulawesi, Indonesia
  4. 4Depatment of Nursing, An Nuur University, Central Java, Indonesia
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Abstract

The This study evaluated the effectiveness of Multiple Micronutrient Supplementation (MMS) compared to Iron–Folic Acid (IFA) in improving maternal nutritional out comes in Indonesia. Maternal undernutrition and anemia contribute to low birth weight and stunting, while antenatal programs largely rely on IFA. This quasi-experimental pre–post parallel-group study was conducted in 2025 in Grobogan District, Central Java, who involved 60 pregnant women who were randomly assigned to MMS (n = 30) or IFA (n = 30). Maternal nutritional status was assessed through changes in body weight, mid-upper arm circumference (MUAC), and hemoglobin levels. Ethical approval was obtained (No. 48/Kom.etik/VI/2025). Data were analyzed using paired t-tests or Wilcoxon tests for within-group comparisons and independent t-tests or Mann–Whitney tests for between-group differences. Both groups showed significant weight gain (MMS: +2.93 kg; IFA: +3.47 kg; p < 0.05), with no significant difference between groups (p = 0.363). MUAC increased significantly in the IFA group (+0.96 cm; p = 0.018) but not in the MMS group. Hemoglobin increased significantly in the IFA group (+1.02 g/dL; p = 0.008), whereas MMS showed a non-significant decline. These findings indicate that although both supplements improved maternal weight, IFA was more effective in increasing hemoglobin.

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Cite

BibTeXRIS
BibTeX
@article{syakur2026integrating,
  title = {{Integrating Multiple Micronutrient Supplementation into Antenatal Care in Rural Indonesia}},
  author = {Rosdiana Syakur and Ajeng Kurniati and Andi Maryam and Sutiyono},
  journal = {KEMAS: Jurnal Kesehatan Masyarakat},
  year = {2026},
  month = jul,
  doi = {10.15294/kemas.v21i4.35707},
  url = {https://doi.org/10.15294/kemas.v21i4.35707},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Integrating Multiple Micronutrient Supplementation into Antenatal Care in Rural Indonesia
AU  - Rosdiana Syakur
AU  - Ajeng Kurniati
AU  - Andi Maryam
AU  - Sutiyono
PY  - 2026
DA  - 2026/07/01
JO  - KEMAS: Jurnal Kesehatan Masyarakat
DO  - 10.15294/kemas.v21i4.35707
UR  - https://doi.org/10.15294/kemas.v21i4.35707
AB  - The This study evaluated the effectiveness of Multiple Micronutrient Supplementation (MMS) compared to Iron–Folic Acid (IFA) in improving maternal nutritional out comes in Indonesia. Maternal undernutrition and anemia contribute to low birth weight and stunting, while antenatal programs largely rely on IFA. This quasi-experimental pre–post parallel-group study was conducted in 2025 in Grobogan District, Central Java, who involved 60 pregnant women who were randomly assigned to MMS (n = 30) or IFA (n = 30). Maternal nutritional status was assessed through changes in body weight, mid-upper arm circumference (MUAC), and hemoglobin levels. Ethical approval was obtained (No. 48/Kom.etik/VI/2025). Data were analyzed using paired t-tests or Wilcoxon tests for within-group comparisons and independent t-tests or Mann–Whitney tests for between-group differences. Both groups showed significant weight gain (MMS: +2.93 kg; IFA: +3.47 kg; p < 0.05), with no significant difference between groups (p = 0.363). MUAC increased significantly in the IFA group (+0.96 cm; p = 0.018) but not in the MMS group. Hemoglobin increased significantly in the IFA group (+1.02 g/dL; p = 0.008), whereas MMS showed a non-significant decline. These findings indicate that although both supplements improved maternal weight, IFA was more effective in increasing hemoglobin.
SN  - 1858-1196
SN  - 2355-3596
ER  -