Trends in Digital Health Education for Iron Supplementation During Pregnancy (2010-2025): A Bibliometric Study
Abstract
Introduction: Iron deficiency anemia is one of the major health issues that significantly impacts pregnant women, both in developing and developed countries. Interventions through health education, particularly digital-based education, are increasingly being used to improve compliance with iron supplementation. However, little is known about how global research trends on this topic have evolved over time. This study aims to analyze global research trends in scientific literature related to digital health education and mHealth interventions for iron supplementation and anemia prevention in pregnant women. To achieve this, a bibliometric analysis was conducted to map publication growth, collaboration networks, and emerging themes in the field.
Methods: Data retrieval was conducted through the PubMed database using relevant keywords “Iron” AND “Anemia” AND ‘Pregnancy’ AND (“Health education” OR “Mobile health” OR “Digital health”). Articles published between 2010 and 2025 were selected. Bibliometric analysis was conducted using the VOSviewer tool to map keywords, author collaborations, and publication trends.
Results: A total of 78 relevant publications were identified, with a significant increase in the past decade. Ethiopia, the USA, China, Egypt, and Indonesia were among the countries with the highest contributions. Dominant themes included mHealth and app-based approaches. Network mapping revealed major thematic clusters in technology-based interventions, compliance behavior, and pregnancy outcomes.
Conclusion: Research trends indicate growing interest in the use of digital platforms to educate pregnant women about iron supplementation and anemia prevention. This reflects a paradigm shift toward more personalized and technology-based interventions. Further studies are needed to evaluate the effectiveness and sustainability of various digital intervention models.
References
Wibowo N, Irwinda R, Hiksas R. Anemia Defisiensi Besi Pada Kehamilan. Jakarta: UI Publishing; 2021.
Sari JS, Fitria F, Esitra E. Faktor-Faktor Yang Memengaruhi Kepatuhan Ibu Hamil Mengonsumsi Suplemen Zat Besi : Systematic Literature Review. PLACENTUM J Ilm Kesehat dan Apl. 2020;8(1):18.
Murniati IA, Birgita M, Warkula GB. Faktor- faktor yang Mempengaruhi Terjadinya Anemia Defisensi Zat Besi Pada Ibu Hamil. J Kesehat Tambusai. 2024;5(3):9074–81.
Arisanti AZ, Catur R, Wulandari L, Desi YA, Studi P, Kebidanan S, et al. Faktor-Faktor yang Mempengaruhi Kepatuhan Ibu Hamil dalam Mengkonsumsi Tablet Fe: Literature Review Factors Affecting the Compliance of Pregnant Mothers in Consuming Fe Tablets: Literature Review. J Ilm Kebidanan. 2022;9(2):131–41.
Whitehead L, Seaton P. The Effectiveness of Self-Management Mobile Phone and Tablet Apps in Long-term Condition Management: A Systematic Review. J Med Internet Res. 2016;18(5):e97.
Dewi A, Wirasto A, Dewi T. The Use of Mobile-phone Applications to Improve the Compliance of Pregnant Women to Take Iron Tablets: A Systematic Review. Clin Exp Heal Sci [Internet]. 2023;9:85–90. Available from: https://www.researchsquare.com/article/rs-3023111/latest
Yani A, Suriah S, Jafar N. Pngaruh SMS Reminder Terhadap Perilaku Ibu Hamil Mengkonsumsi Tablet Fe. Media Kesehat Masy Indones. 2017;13(1):12.
Sudarmi, Wahyuni IGAPS, Sundayani L, Angraeni NPDA. Efek Leaflet, Sms Reminder Terhadap Konsumsi TTD dan Peningkatan Hemoglobin pada Kehamilan. Open J Syst. 2022;17(1978):473–84.
Dzakiyyah Anwar, Andi Faradilah, Andi Irhamnia Sakinah, Rini Fitriani. The Effect of SMS Gateway Intervention on Increasing Knowledge in Pregnant Women with Anaemia. J Promkes. 2024;12(1):45–53.
Yulyani L, Ramadhaniati F, Kurniati N. Edukasi dan Pendampingan Konsumsi Tablet Fe pada Remaja Putri Melalui Penyuluhan dan Pemanfaatan Media Sosial di SMA N 1 Kota Bengkulu. Communnity Dev J. 2024;5(3):5545–51.
Taryzafitri N, Meihartati T, Astutik W. Pengaruh Media Edukasi Audio Visual Terhadap Pengetahuan Remaja Putri Tentang Anemia di SMA Negeri 1 Berau. Innov J Soc Sci Res. 2025;5(2):3752–64.
Fadhilah AN, Simanjuntak BY, Haya M. Kajian Literatur: Studi Intervensi Media Edukasi Visual dan Audiovisual terhadap Peningkatan Pengetahuan Remaja tentang Anemia di Negara Berkembang. Amerta Nutr. 2022;6(1):91.
Lee SH, Nurmatov UB, Nwaru BI, Mukherjee M, Grant L, Pagliari C. Effectiveness of mHealth interventions for maternal, newborn and child health in low- and middle-income countries: Systematic review and meta-analysis. J Glob Health. 2016;6(1).
Díaz-López A, Ribot B, Basora J, Arija V. High and low haemoglobin levels in early pregnancy are associated to a higher risk of miscarriage: A population-based cohort study. Nutrients. 2021;13(5).
Harding K, Biks GA, Adefris M, Loehr J, Gashaye KT, Tilahun B, et al. A mobile health model supporting Ethiopia’s eHealth strategy. HHS Public Acces. 2018;4(2):54–65.
Nuryuliana. Meta-Analisis : Efektivitas Penggunaan Mhealth terhadap Kepatuhan Mengkonsumsi Suplemen Zat Besi dan Asam Folat pada Wanita Hamil. J Vent J Ris ilmu Kesehat dan Keperawatan. 2025;3(1):28–41.
Meiranny A, Arisanti AZ, Rahmawati PN. Literature Review : Pengaruh Media Edukasi terhadap Pengetahuan Ibu Hamil tentang Anemia. Faletehan Heal J. 2023;10(2):222–30.
Azmeraw M, Kassaw A, Habtegiorgis SD, Tigabu A, Amare AT, Mekuria K, et al. Prevalence of anemia and its associated factors among children aged 6–23 months, in Ethiopia: a systematic review and meta analysis. BMC Public Health. 2023;23(1):1–16.
Filasari H, Triwibowo H, Walten DErN. Pengaruh Pendidikan Kesehatan Melalui Media Audio Visual terhadap Peningkatan Pengetahuan pada Ibu Hamil tentang Anemia. J Pengemb Ilmu dan Prakt Kesehat. 2024;15(1):287–95.
Knowles J, Walters T, Yarparvar A, Brown R. A Review of Anemia Prevalence, and Prevention and Control Strategies, in the Eastern Europe and Central Asia Region. Curr Dev Nutr [Internet]. 2024;8(12):104477. Available from: https://doi.org/10.1016/j.cdnut.2024.104477
Beressa G, Whiting SJ, Belachew T. Effect of nutrition education on hemoglobin level of pregnant women in Southeast Ethiopia: a cluster randomized controlled trial. BMC Public Health. 2025;25(507):1–11.
International Institute for Population Sciences. Aemia Mukt Bharat Dashboard: An information sharing tool to address anemia [Internet]. 2022. Available from: https://www.iipsindia.ac.in/content/anemia-mukt-bharat-dashboard-information-sharing-tool-address-anemia
Chu F, Ji J, Ma Y, Guan Q, Chen L, Chen Z, et al. Global burden of renal anemia in 204 countries and territories, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Medrxiv [Internet]. 2024; Available from: https://www.medrxiv.org/content/10.1101/2024.03.12.24304162.abstract
Abdissa HG, Duguma GB, Ababulgu FA, Lemu YK, Gerbaba M, Noll J, et al. Pregnant mother’s intention to use mobile phone-based messaging interventions for improving maternal and newborn health practices in Jimma Zone, Ethiopia. BMC Digit Heal [Internet]. 2024;2(35):1–12. Available from: https://doi.org/10.1186/s44247-024-00094-9
Aliyi A, Mesfin B, Hassen F, Dejene G, Wondimu H, Yizengaw M, et al. Antenatal care management platform. BMC Digit Heal [Internet]. 2023;1(51):1–10. Available from: https://doi.org/10.1186/s44247-023-00052-x
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