Vol. 6 No. 4 (2026): November 2026
Open Access
Peer Reviewed

The Relationship Between Anemia and Chronic Energy Deficiency (Kek) In Pregnant Women at The Talun Public Health Center, Cirebon District In 2024

Authors

Muhammad Tidar Sinatrya , Ade Yusuf , Department of Obstetrics and Gynecology, Faculty of Medicine, Swadaya Gunung Jati

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Received: 2026-10-28
Accepted: 2026-11-10
Published: 2026-11-10

Abstract

Background:Anemia during pregnancy remains a major public health problem that contributes to increased maternal and fetal morbidity and mortality. One of the contributing risk factors is Chronic Energy Deficiency (CED), a condition characterized by prolonged inadequate intake of energy and essential nutrients, which may impair hemoglobin synthesis. In Indonesia, the prevalence of anemia among pregnant women remains high, reaching approximately 44.1% based on national health data. Pregnant women with CED are at a higher risk of developing anemia; therefore, it is important to investigate the relationship between these two conditions. Objective: To determine the prevalence of anemia and Chronic Energy Deficiency (CED) and to analyze the association between anemia and CED among pregnant women at Talun Community Health Center, Cirebon Regency, in 2024. Methods: This analytical observational study employed a cross-sectional design. A total of 89 pregnant women were included using a total sampling technique. Data were obtained from the medical records of pregnant women at Talun Community Health Center, Cirebon Regency, in 2024. Univariate analysis was presented as frequency distributions and percentages, while bivariate analysis was performed using the Chi-square test with a significance level of p<0.05. Results: Of the 89 respondents, 18 (20.2%) had anemia and 26 (29.2%) had CED. Among pregnant women with anemia, 16 had CED and 2 did not. The Chi-square test demonstrated a statistically significant association between anemia and CED (p=0.001). Conclusion: There was a significant association between Chronic Energy Deficiency and anemia among pregnant women at Tafhun Community Health Center, Cirebon Regency, in 2024. Early detection through mid-upper arm circumference (MUAC) measurement, routine hemoglobin screening, nutritional education, and monitoring adherence to iron supplementation should be strengthened as part of antenatal care services.

Keywords:

Anemia, Chronic Energy Deficiency, CED, Pregnant Women, Mid-Upper Arm Circumference and Cross-Sectional Study.

References

[1] World Health Organization, Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity. Geneva, Switzerland: WHO, 2011.

[2] F. G. Cunningham, K. J. Leveno, S. L. Bloom, et al., Williams Obstetrics, 26th ed. New York, NY, USA: McGraw-Hill, 2022.

[3] T. O. Scholl, “Maternal iron status: Relation to fetal growth, length of gestation, and iron endowment of the neonate,” Nutrition Reviews, vol. 69, suppl. 1, pp. S23–S29, 2011.

[4] World Health Organization, Global Anaemia Estimates, 2023 Edition. Geneva, Switzerland: WHO, 2023.

[5] Kementerian Kesehatan Republik Indonesia, Profil Kesehatan Indonesia 2022. Jakarta, Indonesia: Kementerian Kesehatan RI, 2023.

[6] Dinas Kesehatan Provinsi Jawa Barat, Profil Kesehatan Provinsi Jawa Barat Tahun 2020. Bandung, Indonesia: Dinas Kesehatan Provinsi Jawa Barat, 2021.

[7] Dinas Kesehatan Kabupaten Cirebon, Profil Kesehatan Kabupaten Cirebon Tahun 2022. Cirebon, Indonesia: Dinas Kesehatan Kabupaten Cirebon, 2023.

[8] A. F. Sirait, M. Tantriady, Z. A. Azzura, et al., “Prevalence of anemia in pregnant women at Medan Tuntungan Health Center, Medan City in 2023,” Sumatera Medical Journal, vol. 8, no. 3, 2025.

[9] N. Yuliana et al., “Gambaran kejadian anemia pada ibu hamil di Puskesmas Cikupa,” Jurnal Sains Kesehatan, 2024.

[10] Kementerian Kesehatan Republik Indonesia, Buku Kesehatan Ibu dan Anak (KIA). Jakarta, Indonesia: Kementerian Kesehatan RI, 2020.

[11] Kementerian Kesehatan Republik Indonesia, Pedoman Pencegahan dan Penanggulangan Anemia pada Ibu Hamil. Jakarta, Indonesia: Kementerian Kesehatan RI, 2020.

[12] American College of Obstetricians and Gynecologists, “Practice Bulletin No. 233: Anemia in pregnancy,” Obstetrics & Gynecology, vol. 138, no. 2, pp. e55–e64, 2021.

[13] Suarni, Cahyati, A. R. Amaliah, and A. Wahyuni, “Hubungan kekurangan energi kronik dengan kejadian anemia ibu hamil di Puskesmas Oransbari Kabupaten Manokwari Selatan,” Jurnal Mitrasehat, vol. 15, no. 3, 2025, doi: 10.51171/jms.v15i3.569.

[14] F. D. Yanti, R. M. S. Ginting, and E. Susanti, “The effect of chronic energy deficiency, anemia, and compliance with iron supplement consumption in pregnant women on low birth weight,” Journal of Health and Nutrition Research, vol. 3, no. 1, 2023, doi: 10.56303/jhnresearch.v3i1.201.

[15] H. Mufidah, “Distribusi anemia pada ibu hamil di wilayah kerja Puskesmas Berbah Sleman Yogyakarta tahun 2019–2021,” Jurnal Kebidanan, vol. 11, no. 1, pp. 45–53, 2022.

[16] S. Prawirohardjo, Ilmu Kebidanan, edisi ke-4. Jakarta, Indonesia: Bina Pustaka Sarwono Prawirohardjo, 2014.

[17] A. V. Hoffbrand and P. A. H. Moss, Essential Haematology, 7th ed. Oxford, U.K.: Wiley-Blackwell, 2016.

[18] I. D. N. Supariasa, B. Bakri, and I. Fajar, Penilaian Status Gizi, edisi ke-2. Jakarta, Indonesia: EGC, 2016.

[19] Kementerian Kesehatan Republik Indonesia, Pedoman Pencegahan dan Penanggulangan Kekurangan Energi Kronis pada Ibu Hamil. Jakarta, Indonesia: Direktorat Gizi Masyarakat, 2015.

[20] Kementerian Kesehatan Republik Indonesia, Peraturan Direktur Jenderal Kesehatan Masyarakat Nomor 576 Tahun 2025 tentang Petunjuk Teknis Pemberian Makanan Tambahan Berbahan Pangan Lokal bagi Ibu Hamil dan Balita Bermasalah Gizi. Jakarta, Indonesia: Kementerian Kesehatan RI, 2025.

Author Biographies

Muhammad Tidar Sinatrya, Student of the Faculty of Medicine, Swadaya Gunung Jati University, Cirebon, Indonesia

Author Origin : Indonesia

Ade Yusuf, Department of Public Health Sciences, Faculty of Medicine, Swadaya Gunung Jati University

Author Origin : Indonesia

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How to Cite

Muhammad Tidar Sinatrya, Ade Yusuf, & Department of Obstetrics and Gynecology, Faculty of Medicine, Swadaya Gunung Jati. (2026). The Relationship Between Anemia and Chronic Energy Deficiency (Kek) In Pregnant Women at The Talun Public Health Center, Cirebon District In 2024. International Journal of Science and Environment (IJSE), 6(4), 684–693. https://doi.org/10.51601/ijse.v6i4.845

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