Improvement in Hemoglobin Levels and Its Determinants among Pregnant Women with Anemia Following Health Education and Date Fruit Consumption at a Primary Health Center

Authors

  • Dika Saraswati Universitas Deztron Indonesia
  • Faradita Wahyuni STIKes Senior Medan
  • Wynda Myke Nola Manik Universitas Deztron Indonesia

Keywords:

Operasi caesar, suami, penyembuhan luka

Abstract

Anemia during pregnancy remains a significant health problem that may increase the risk of complications for both mothers and fetuses. Date fruit consumption, as a source of iron and nutrients that support hemoglobin (Hb) synthesis, is considered a potential non-pharmacological intervention to improve Hb levels. This study aimed to analyze the determinants of hemoglobin improvement among pregnant women with anemia following date fruit consumption education at Pamarayan Primary Health Center. This study employed a quasi-experimental design with a one-group pretest-posttest approach involving 48 pregnant women with anemia. The intervention consisted of educational sessions using leaflets accompanied by the consumption of five dates per day for 30 days. The Shapiro-Wilk test indicated that Hb data were not normally distributed; therefore, changes in Hb levels were analyzed using the Wilcoxon signed-rank test, while factors influencing Hb improvement were analyzed using chi square. Hb level increased significantly from 8.8 g/dL to 11.2 g/dL (p<0.001). Parity, educational level, occupation, nutritional status, adherence to iron tablet supplementation, and the frequency of antenatal care (ANC) visits were significantly associated with Hb improvement (p<0.05). Optimizing antenatal care services is essential to support the prevention and management of anemia during pregnancy.

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References

Alahyane, A., Harrak, H., Elateri, I., Ayour, J., Ait-Oubahou, A., Benichou, M., & Abderrazik, M. E. (2021). Evaluation of some nutritional quality criteria of seventeen Moroccan dates varieties and clones, fruits of date palm (Phoenix dactylifera L.). Brazilian Journal of Biology = Revista Brasleira de Biologia, 82, e236471. https://doi.org/10.1590/1519-6984.236471

Ariani, S., Nurkholilah, S., & Winarni, L. (2023). Faktor-faktor yang berhubungan dengan kejadian anemia pada ibu hamil. Jurnal Kesehatan, 12 (1), 87–93. https://jurnal.uym.ac.id/index.php/kesehatan/article/view/274

Ayensu, J. (2022). Knowledge, attitudes, and practices regarding anaemia among pregnant women attending antenatal clinic at the University of Cape Coast hospital in the Cape Coast Metropolis, Ghana. Integrated Health Research Journal, Vol 1(2). https://doi.org/10.47963/ihrj.v1i2.1372

Barakat, H., & Alfheeaid, H. A. (2023). Date Palm Fruit (Phoenix dactylifera) and Its Promising Potential in Developing Functional Energy Bars: Review of Chemical, Nutritional, Functional, and Sensory Attributes. Nutrients, 15(9). https://doi.org/10.3390/nu15092134

Dinas Kesehatan Provinsi Banten. (2023). Profil Kesehatan Banten. Dinas Kesehatan Provinsi Banten, 1(6), 8–11. https://dinkes.bantenprov.go.id/storage/dinkes/files/1109/PROFIL KESEHATAN/Profil Kesehatan Banten Tahun 2023.pdf

Haryani, S., & Sulastri, D. (2025). Prevalensi dan faktor risiko anemia pada pekerja perempuan di rumah sakit. Jurnal Ners, 9(3), 5451–5456. Jurnal Ners, 9(3), 5451–5456. https://doi.org/10.31004/jn.v9i3.48065

Isnaini, Y. S., Yuliaprida, R., & Pihahey, P. J. (2021). Hubungan Usia, Paritas Dan Pekerjaan Terhadap Kejadian Anemia Pada Ibu Hamil. Jurnal Nursing Arts Vol 15 (2). https://jurnal.poltekkes-sorong.id/index.php/NA/article/view/39

Jumiati, Judati, M. D., & Martini, T. (2025). Majalah Kesehatan Indonesia Non-Pharmacological Management of Pregnancy Anemia and Labor Acceleration : The Role of Date Fruit Consumption. 6(2), 57–64. https://doi.org/10.47679/makein.2025239

Sepriani, L., & Manurung, N. (2026). Hubungan Kepatuhan Kunjungan Antenatal Care dengan Kejadian Anemia pada Ibu Hamil di Klinik Romana Desa Tanjung Anom, Kecamatan Pancur Batu, Kabupaten Deli Serdang. Journal of Innovative and Creativity, 6 (1) 2026, 6499-6508. https://joecy.org/index.php/joecy/issue/archive

Razali N, Mohd Nahwari SH, Sulaiman S, H. J. (2017). Date fruit consumption at term: Effect on length of gestation, labour and delivery. J Obstet Gynaecol., Jul;37(5): https://doi.org/doi: 10.1080/01443615.2017.1283304. Epub 2017 Mar 13. PMID: 28286995.

Samsir, Ainal M., Asmariana, Y., et al. (2025). The Influence of Education Level, Knowledge, and Pregnancy Spacing on the Incidence of Anemia Among Pregnant Women. Bulletin of Inspiring Developments and Achievements in Midwifery. https://doi.org/10.69855/bidan.v1i1.78

Sari, D. P., Handayani, S., & Lestari, W, (2020). Hubungan asupan zat gizi makro dan mikro dengan kadar hemoglobin pada ibu hamil. Jurnal Gizi Dan Kesehatan, 12(2), 85–94.

Satuhu, S. (2010). Kurma Khasiat dan Olahannya. Penebar Swadaya.

T. Murhadi, & Zuli Iklima Hayati. (2023). Pengaruh Pemberian Sari Kurma Terhadap Peningkatan Kadar Haemoglobin Pada Ibu Hamil Dengan Anemia Di Puskesmas Kluet Utara Kabupaten Aceh Selatan. Jurnal Penelitian Progresif, 2(1), 17–22. https://doi.org/10.61992/jpp.v2i1.58

Ufarah Indah Sari, Masita Fujiko, & Mir’atul Ginayah. (2024). Characteristics Of Pregnant Women With Anemia. Jurnal EduHealth, 15(04 SE-Articles), 154–168. https://ejournal.seaninstitute.or.id/index.php/healt/article/view/5334

Widowati, R., Kundaryanti, R., & Lestari, P. P. (2019). Pengaruh pemberian sari kurma terhadap kenaikan kadar hemoglobin pada ibu hamil. Al-Azhar Indonesia Seri Sains Dan Teknologi, 5(2), 60–65. https://jurnal.uai.ac.id/index.php/SST/article/viewFile/351/341. https://doi.org/10.36722/sst.v5i2.351

Wijaya, C., Firmansyah, Y., Santoso, A. H., Obstetri, B., Kedokteran, F., Tarumanagara, U., Faal, B. I., Kedokteran, F., Tarumanagara, U., Jalan, A., Parman, L. S., & Rw, R. T. (2025). Hubungan Usia Ibu dengan Kejadian Anemia pada Kehamilan ketika level hemoglobin ( Hb ) pada trimester pertama dan ketiga  11 g / dL , serta pada trimester. 5. https://doi.org/10.55606/jikki.v5i1.5937

Winaningsih, Gantini, D., & Irianti, B. (2025). Pengaruh Suplementasi Fe Dan Kurma Terhadap Kadar Hemoglobin Ibu Hamil Trimester III Di Puskesmas Kalimanggis. Asian Research Midwifery and Basic Science Journal, 3(1). https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/arimbi/article/view/816 DOI: 10.37160/arimbi.v2i1.816

Published

2026-07-31

How to Cite

Saraswati, D., Wahyuni, F., & Manik, W. M. N. (2026). Improvement in Hemoglobin Levels and Its Determinants among Pregnant Women with Anemia Following Health Education and Date Fruit Consumption at a Primary Health Center. Faletehan Health Journal, 13(02), 184–195. Retrieved from https://journal.lppm-stikesfa.ac.id/index.php/FHJ/article/view/932