• Yuni Kusmiyati PUI Novakesmas, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
  • Siti Tyastuti Midwifery Department, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
  • Yulita Rizky Supriyati Midwifery Department, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
  • Nirmala Sari Midwifery Department, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia


Background: Anemia is a global public health problem affecting both developing and developed countries with major  consequences on human health as well as social and economic development. Anemia resulting from iron deficiency that may adversely affects the infants’ cognitive and motor development. The objective of this research was to find out the risk factors of iron deficiency anemia (IDA) in 6 months old infants. 

Methods: This was an observational research with case-control design. Population was all 6 months old infants having been examined for their hemoglobin levels in Tegalrejo public health center in Yogyakarta from 2017 to 2018. 164 samples were taken with random sampling contained of 82 infants with anemia diagnosis in case group and 82 infants with normal hemoglobin levels for control group. Dependent variable was iron deficiency anemia (IDA) assessed based on hemoglobin level less than 11 gr% and independent variables were IDA risk factors (birth weight, sex, maternal education, maternal occupation, and maternal age) obtained from medical records and direct interviews. Data were analyzed by using logistic regression. 

Results: the risk factor influencing IDA was exclusive breastfeeding (p<0.05). Infants who did not receive exclusive breastfeeding had 2.16 folds higher risk of having IDA than those who received exclusive breastfeeding. Other risk factors such as birth weight, sex, maternal education, maternal occupation, and maternal age did not correlate significantly to iron deficiency anemia (IDA). 

Conclusion: Exclusive breastfeeding was the significant risk factor toward iron deficiency anemia in 6 months old infants after controlling other risk factors. Therefore, these finding can be implemented by maternal and child health practitioners to make iron deficiency anemia prevention program by eliminating or minimizing its risk factor.

Keywords: Iron deficiency, Anemia, Exclusive breastfeeding, 6-month-old infants.


WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization. 2015.

Balitbangkes. Riset Kesehatan Dasar 2013( Indonesia Basic Health Research 2013). Jakarta: Balitamgkes. 2013

Cahyaningdiah D, Utomo B, Hidayat A. Faktor-faktor yang berhubungan dengan anemia pada bayi usia 5–7 bulan (Factors associated with anemia in infants aged 5-7 months). J Kedokter Trisakti. 2001; 20(1):1-8.

Stoltzfus RJ, Mullany L, Black RE. Iron deficiency anaemia. In: Ezzati M, Lopez Ad, Rodgers A, Murray CJL, editors. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. Geneva: World Health Organization; 2004:163– 210

Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. Lancet. 2011;378:2123–35

WHO.Iron deficiency anaemia: assesment, prevention and control. Geneva, World Health Organization. 2011.

WHO. Assessing the iron status of populations: report of a joint World Health Organization/ Centers for Disease Control and Prevention technical consultation on the assessment of iron status at the population level, 2nd ed. Geneva, World Health Organization, 2009.

Behrman, Richard E. Esensi Pediatri Nelson Edisi 4. Jakarta: EGC.2010.

Helmyati S, Hamam H, Wiryatun L. Kejadian anemia pada bayi usia 6 bulan yang berhubungan dengan sosial ekonomi keluarga dan usia pemberian makanan pendamping ASI (The incidence of anemia in infants aged 6 months related to family social economy and age of giving complementary food for breastfeeding). Berita Kedokteran Masyarakat: 2007. 23 (1): 35:40.

Habte D, et al. Maternal risk factors for childhood anaemia in Ethiopia, African Journal Of Reproductive Health. 2013;17 (3): 110-118

Baranwal A, Baranwal A , Roy N. Association of household environment and prevalence of anemia among children under-5 in India. Front. Public Health.2014; 2(196):1-7.

Alelign T, Degarege A and Erko B.Prevalence and factors associated with undernutrition and anaemia among school children in Durbete Town, northwest Ethiopia. Archives of Public Health (2015) 73:34

Assefa E, Mossie A, Hamza L. Prevalence and severity of anemia among school children in Jimma Town, Southwest Ethiopia. Biomed Central Hematology BMC Hematol. 2014; 14(3): 1-9.

Leite M S et al. Prevalence of anemia and associated factors among indigenous children in Brazil: results from the First National Survey of Indigenous People’s Health and Nutrition. Nutrition Journal. 2013;12(69):1-11.

Garti H, Ali Z, Garti HA. Maternal daily work hours affect nutritional status of children in Northern Ghana.Nutrire, 2018.43(16):1-7.

WHO.Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and mineral nutrition information system. Geneva, World Health Organization, 2011.

Spinelli MGN, Marchioni DML, Souza JMP, Souza SB, Szarfarc SC.Fatores de risco para anemia em criancas de 6 a 12 meses no Brasil. Rev Panam Salud Publica. 2005;17(2):84-91.

Malkanthi S, Udith K, Jayasinghe M. Risk Factor Associated with high prevalence of anemia among children under 5 years of age in paddy-farming househholds in Sri Lanka. Food and Nutrition Bulletin, 2010. 31 (4): 475-482.



How to Cite

Kusmiyati, Y., Tyastuti, S., Supriyati, Y. R., & Sari, N. (2019). RISK FACTORS FOR IRON DEFICIENCY ANEMIA IN INFANTS AGED 6 MONTHS IN TEGAL REJO PUBLIC HEALTH CENTER, YOGYAKARTA, INDONESIA. Proceedings of the International Conference on Applied Science and Health, (4), 1009–1014. Retrieved from https://publications.inschool.id/index.php/icash/article/view/727