Exploring Indonesian mothers' perspectives on anemia during pregnancy: A qualitative approach

Enferm Clin (Engl Ed). 2020 Dec 28;S1130-8621(20)30551-9. doi: 10.1016/j.enfcli.2020.11.002. Online ahead of print.
[Article in English, Spanish]


Objective: The study aims to investigate the perceptions of anemia among pregnant women to design culturally relevant interventions in Indonesia.

Method: Qualitative study with dates from 24 pregnant women in a province in Indonesia through focus group discussions. Data were analyzed using the inductive content analysis method.

Results: Five themes emerged from the experiences of pregnant women with anemia: (1) anemia during pregnancy is perceived as a woman's destiny; (2) lack of knowledge related to clinical indicators of anemia; (3) the traditional taboo related to anemia; (4) the husband and family provide support related to anemia prevention; and (5) there is a need for cultural and religious-based health counseling.

Conclusions: Interventions to provide health information about anemia in pregnancy should be designed with consideration of local knowledge, beliefs and values, combined with medical elements. It is likely these interventions can change the perceptions of pregnant women's perceptions about anemia, ensuring that they are able to maintain their pregnancy. The implementation of programs to support these women should involves health workers who can understand their needs and who are adequately trained in cultural competence.

Keywords: Anemia; Cultura; Culture; Investigación cualitativa; Mujeres embarazadas; Pregnant women; Qualitative research.