Husband’s Perception on Anemia among Pregnant Women based on Cultural Perspective: A Qualitative Study
DOI:
https://doi.org/10.3889/oamjms.2022.7617Keywords:
Anemia, Culture, Husband, Pregnant womenAbstract
BACKGROUND: Anemia is one of the most common nutritional problems during pregnancy. Husbands have an important role in supporting their wives in pregnancy to prevent complications. Husband’s culture and beliefs will affect support for the health status of pregnant women.
AIM: This study aims to explore husbands’ perceptions regarding anemia and cultural beliefs related to pregnancy.
METHODS: This qualitative study was conducted using twelve in-depth interviews (IDIs) with husbands who have pregnant wives who were recruited through a purposive sampling method. Data were collected through IDIs using open-ended questions to gain insight about Husband’s Perception on Anemia among Pregnant Women based on Cultural Perspective. Data analysis was conducted by an inductive content analysis method to evaluate, encode, and analyze the interview’s result.
RESULTS: Four themes emerged from interviews: (1) Husbands’ happiness and support to their wives during pregnancy; (2) Husbands’ perceptions and actions related to anemia symptoms; (3) Cultural beliefs during pregnancy believed by Acehnese people; and (4) the importance of local wisdom-based counseling.
CONCLUSIONS: Our findings provide new insights into how husbands’ perceptions on anemia during pregnancy, how they support their pregnant wives, and what their believed in cultural views about pregnancy. These findings would assist in developing/adapting more strategic policies to prevent anemia in pregnancy.Downloads
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Stephen G, Mgongo M, Hussein T, Katanga J, Stray-Pedersen B, Msuya SE. Anaemia in pregnancy: Prevalence, risk factors, and adverse perinatal outcomes in Northern Tanzania. Anemia. 2018;2018:1846280. https://doi.org/10.1155/2018/1846280 PMid:29854446 DOI: https://doi.org/10.1155/2018/1846280
World Health Organization. Iron Deficiency Anaemia: Assessment, Prevention and Control. Geneva: World Health Organization; 2001.
Takele WW, Tariku A, Shiferaw FW, Demsie A, Alemu WG, Anlay DZ. Anemia among women attending antenatal care at the University of Gondar Comprehensive Specialized Referral Hospital, Northwest Ethiopia, 2017. Anemia. 2018;2018:7618959. DOI: https://doi.org/10.1155/2018/7618959
Indonesian Ministry of Health. Main Results of Basic Health Research 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.
Aceh Besar District Public Health Office. Aceh Besar District Public Health Profile 2017. Aceh; 2017.
World Health Organization. Worldwide Prevalence of Anaemia 1993-2005: WHO Global Database on Anaemia. Geneva: World Health Organization 2008.
Triharini M, Armini NK. Family functioning, intention, and adherence to iron supplementation among pregnant women in Surabaya, Indonesia. Eur J Biosci. 2020;14(2):6841-7.
Singh P, Khan S, Mittal R. Anemia during pregnancy in the women of Western Nepal. Bali Med J. 2013;2(1):14-6.
Di Renzo GC, Spano F, Giardina I, Brillo E, Clerici G, Roura LC. Iron deficiency anemia in pregnancy. Womens Health. 2015;11(6):891-900. DOI: https://doi.org/10.2217/whe.15.35
Ayensu J, Annan R, Lutterodt H, Edusei A, Peng LS. Prevalence of anaemia and low intake of dietary nutrients in pregnant women living in rural and urban areas in the Ashanti region of Ghana. PLoS One. 2020;15(1):1-15. https://doi.org/10.1371/journal.pone.0226026 PMid:31978048 DOI: https://doi.org/10.1371/journal.pone.0226026
Indonesian Ministry of Health. Guidelines for Integrated Antenatal Care. Jakarta: Kementerian Kesehatan Republik Indonesia, Direktur Jenderal Bina Kesehatan Masyarakat; 2010. p. 1-40.
Abebaw B, Dessie Y, Baraki N, Oumer A, Gebru M. Adherence to iron and folic acid supplementation and associated factors among antenatal care attendants in Northwest Ethiopia. Int J Public Health Sci. 2020;9(1):20-8. DOI: https://doi.org/10.11591/ijphs.v9i1.20385
Sadore AA, Gebretsadik LA, Hussen MA. Compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha District, South Ethiopia: Community based cross-sectional study. J Environ Public Health. 2015;2015:781973. https://doi.org/10.1155/2015/781973 PMid:26839573 DOI: https://doi.org/10.1155/2015/781973
Chander S. Public Health Nutrition In Developing Countries. Part 1. New Delhi: Woodhead Publishing India Pvt. Ltd.; 2011.
Wiradnyani LA, Khusun H, Achadi EL, Ocviyanti D, Shankar AH. Role of family support and women’s knowledge on pregnancy-related risks in adherence to maternal iron-folic acid supplementation in Indonesia. Public Health Nutr. 2016;19(15):2818-28. https://doi.org/10.1017/S1368980016001002 PMid:27181394 DOI: https://doi.org/10.1017/S1368980016001002
Purbowati N. Effect of counseling using flipchart and leaflet on the compliance of pregnant women in consuming iron tablet. Tunas Tunas Ris Kesehat. 2016;6(3):143-7.
Kasnodihardjo, Kristiana L. Cultural practice of pregnancy care in Gadingsari Village, Bantul, Yogyakarta. J Kesehat Reproduksi. 2013;3:113-23.
Iradukunda F. Food taboos during pregnancy. Health Care Women Int. 2020;41(2):159-68. DOI: https://doi.org/10.1080/07399332.2019.1574799
Darmawati D, Siregar TN, Kamil H, Tahlil T. Exploring Indonesian mothers’ perspectives on anemia during pregnancy: A qualitative approach. Enferm Clin. 2020;2020:30551-9. https://doi.org/10.1016/j.enfcli.2020.11.002 PMid:33384251 DOI: https://doi.org/10.1016/j.enfcli.2020.11.002
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. https://doi.org/10.1016/j.nedt.2003.10.001 PMid:14769454 DOI: https://doi.org/10.1016/j.nedt.2003.10.001
Vaismoradi M, Jones J, Turunen H, Snelgrove S. Theme development in qualitative content analysis and thematic analysis. J Nurs Educ Pract. 2016;6(5):100-10. DOI: https://doi.org/10.5430/jnep.v6n5p100
Sanchez-Gonzalez LR, Castro-Melendez SE, Angeles-Torres AC, Castro-Cortina N, Escobar-Valencia A, Quiroga-Garza A, et al. Efficacy and safety of adjuvant recombinant human erythropoietin and ferrous sulfate as treatment for iron defici. Eur J Obstet Gynecol Reprod Biol. 2016;205:32-6. https://doi.org/10.1016/j.ejogrb.2016.08.004 PMid:27566219 DOI: https://doi.org/10.1016/j.ejogrb.2016.08.004
Khalafallah AA, Dennis AE. Iron deficiency anaemia in pregnancy and postpartum: Pathophysiology and effect of oral versus intravenous iron therapy. J Pregnancy. 2012;2012:630519. https://doi.org/10.1155/2012/630519 PMid:22792466 DOI: https://doi.org/10.1155/2012/630519
Triharini M, Sulistyono A, Adriani M. Adherence to iron supplementation amongst pregnant mothers in Surabaya, Indonesia: Perceived benefits, barriers and family support. Int J Nurs Sci. 2018;5(3):243-8. https://doi.org/10.1016/j.ijnss.2018.07.002 PMid:31406832 DOI: https://doi.org/10.1016/j.ijnss.2018.07.002
Nur R, Mamar S, Demak IP, Fadhliah, Patui N, Radiah, et al. Husban behavior in pregnancy-postpartum care and wife’s reproductive health. KnE Life Sci. 2019;2019:349-59. DOI: https://doi.org/10.18502/kls.v4i13.5265
Agushybana F. Influence of husband support on complication during pregnancy and childbirth in Indonesia. J Health Res. 2016;30(4):249-55.
Fernandes A, Sanga F, Gero S. The role of husband in assisting wife who suffer anemia in pregnancy. J Kesehat Masy. 2017;13(1):28-34. DOI: https://doi.org/10.15294/kemas.v13i1.5955
Mizukoshi M, Ikeda M, Kamibeppu K. The experiences of husbands of primiparas with depressive or anxiety disorders during the perinatal period. Sex Reprod Healthc. 2016;8:42-8. https://doi.org/10.1016/j.srhc.2016.02.002 PMid:27179377 DOI: https://doi.org/10.1016/j.srhc.2016.02.002
Alfatan PN, Darmawati D. Husband’s support for pregnant women’s compliance in consuming iron tablets. Nurs stud sci J. 2018;3(3):208-14.
Bin ZS, Das GR, Al Kibria GM, Hossain N, Bulbul MM, Hoque DM. Husband’s involvement with mother’s awareness and knowledge of newborn danger signs in facility-based childbirth settings: A cross-sectional study from rural Bangladesh. BMC Res Notes. 2018;11(1):286. https://doi.org/10.1186/s13104-018-3386-6 PMid:29743103 DOI: https://doi.org/10.1186/s13104-018-3386-6
Aditianti, Permanasari Y, Julianti ED. Family and cadre supports increased iron pils compliance in anemic pregnant women. Penelit Gizi Makanan. 2015;38(1):71-8. DOI: https://doi.org/10.22435/pgm.v38i1.4424.71-78
Alfatan PN, Darmawati D. Husband’s support and pregnant women wife obedience in consuming iron supplements. J Ilm Mhs Fak Keperawatan. 2018;3(3):208-2014.
Chourasia A, Pandey CM, Awasthi A. Factors influencing the consumption of iron and folic acid supplementations in high focus states of India. Clin Epidemiol Glob Health. 2017;5(4):180-4. DOI: https://doi.org/10.1016/j.cegh.2017.04.004
Lindberg LD, Kost K, Maddow-Zimet I. The role of men’s childbearing intentions in father involvement. J Marriage Fam. 2017;79(1):44-59. https://doi.org/10.1111/jomf.12377 PMid:29977094 DOI: https://doi.org/10.1111/jomf.12377
Chowdhury S, Chakraborty P. Food taboos in pregnancy and early lactation among women living in a rural area of West Bengal. J Fam Med Prim Care. 2017;6(2):169-70.
Gao H, Stiller CK, Scherbaum V, Biesalski HK, Wang Q, Hormann E, et al. Dietary intake and food habits of pregnant women residing in urban and rural areas of Deyang city, Sichuan Province, China. Nutrients. 2013;5(8):2933-54. https://doi.org/10.3390/nu5082933 PMid:23912325 DOI: https://doi.org/10.3390/nu5082933
Mohammed SH, Taye H, Larijani B, Esmaillzadeh A. Food taboo among pregnant Ethiopian women: Magnitude, drivers, and association with anemia. Nutr J. 2019;18(1):1-9. https://doi.org/10.1186/s12937-019-0444-4 PMid:30904017 DOI: https://doi.org/10.1186/s12937-019-0444-4
Ismail B, Sufi R, Joesoef MD, Leumiek HK, Nurdin. Ensiklopedia Budaya Adat Aceh. Banda Aceh: Majelis Adat Aceh; 2018.
Darmawati D, Siregar TN, Kamil H, Tahlil T. Acehnese cultural leaders’ perspective on anemia in pregnant women: A qualitative study. Adv Public Health. 2020;2020:8710254. https://doi.org/10.1155/2020/8710254 DOI: https://doi.org/10.1155/2020/8710254
Navidian A, Rigi SN, Soltani P. Effects of group sexual counseling on the traditional perceptions and attitudes of Iranian pregnant women. Int J Womens Health. 2016;8:203-11. https://doi.org/10.2147/IJWH.S104887 PMid:27366105 DOI: https://doi.org/10.2147/IJWH.S104887
Lewis S, Lee A, Simkhada P. The role of husbands in maternal health and safe childbirth in rural Nepal: A qualitative study. BMC Pregnancy Childbirth. 2015;15(1):1-10. DOI: https://doi.org/10.1186/s12884-015-0599-8
Kaphle S, Hancock H, Newman LA. Childbirth traditions and cultural perceptions of safety in nepal: Critical spaces to ensure the survival of mothers and newborns in remote mountain villages. Midwifery. 2013;29(10):1173-81. https://doi.org/10.1016/j.midw.2013.06.002 PMid:23845450 DOI: https://doi.org/10.1016/j.midw.2013.06.002
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Copyright (c) 2022 Darmawati Darmawati, Tongku Siregar, Hajjul Kamil, Cut Husna, Teuku Tahlil (Author)
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