Determinants of Incidence of Chronic Energy Deficiency (SEZ) in Pregnant Women at the Central City Health Center

  • Citra Nefadillah Pratiwi Djafar Jurusan Kesehatan Masyarakat, Fakultas Olahraga dan Kesehatan Universitas Negeri Gorontalo
  • Laksmyn Kadir Jurusan Kesehatan Masyarakat, Fakultas Olahraga dan Kesehatan Universitas Negeri Gorontalo
  • Suardi Jurusan Kesehatan Masyarakat, Fakultas Olahraga dan Kesehatan Universitas Negeri Gorontalo
Keywords: SEZ, Pregnant Women, Behavior, Husband Support, Compliance

Abstract

Chronic Energy Deficiency (KEK) in pregnant women is still a public health problem that can increase the risk of anemia and low birth weight babies (BBLR). The incidence of KEK is influenced by various factors such as healthy nutritional behavior, number of family members, Antenatal Care (ANC) visits, husband support, compliance with Fe consumption and maternal age. This study aims to determine the determinants of the incidence of Chronic Energy Deficiency (SEZ) in pregnant women at the Central City Health Center.

This study uses an observational analytical method with a cross-sectional design. The research was carried out from January 29 to February 19, 2026 with a sample of 43 respondents. Sampling technique uses accidental sampling method. The research instrument uses a questionnaire that has been tested for Validity and Reliability. Data analysis was carried out univariate and bivariate using the Chi-square test  with the value of .

The results of the study showed that as many as 39.5% of respondents experienced SEZ incidents and 60.5% did not experience SEZs. There was no association between the number of family members (=0.850), Antenatal Care (ANC) visits (=0.281), and maternal age (=0.151) with the incidence of SEZs. However, there was a relationship between healthy nutritional behavior (=0.000), husband support (=0.000), and compliance with Fe consumption (=0.001) with the incidence of KEK in pregnant women.

The conclusion of the study showed that healthy nutritional behavior, husband support, and compliance with Fe consumption were related to the incidence of KEK in pregnant women, while the number of family members, ANC visits, and maternal age were not related to the incidence of KEK in pregnant women at the Central city health center. It is recommended that health workers improve nutrition education, monitor Fe consumption, and involve families, especially husbands, in efforts to prevent KEK in pregnant women.

References

Andi Fatimah Jamir. (2021). Efforts to Prevent Chronic Energy Deficiency (SEZ) by Adhering to Consuming FE Tablets and Food Intake in Pregnant Women at the Makale Health Center, Tana Toraja Regency.

Aryaneta. (2024). Assistance for Pregnant Women in Providing Quality Anc Motivation, Efforts to Improve Maternal and Fetal Health. 1.

Fakhrurrozaq. (2025). The Relationship Between Antenatal Care (ANC) Compliance and the Incidence of Chronic Energy Deficiency (SEZ) at the Prambontergayang Health Center, Tuban Regency.

Fitriah. (2023). Anemia with the incidence of chronic energy deficiency (KEK) in pregnant women. Jik Journal of Health Sciences, 7(1), 124.

Prepare. (2021). Handling Malnutrition for Pregnant Women.

Lisdawati. (2024). The Relationship of Knowledge, Husband Support and the Role of Health Workers with Chronic Energy Deficiency Prevention (SEZ) Behavior in Pregnant Women.

Ningrum and Puspitasari. (2021). Delivery In A Mother With A History Of Chronic Energy Lack Of.

Princess Utami. (2022). Determinants of Chronic Energy Deficiency (KEK) in Pregnant Women. Health Dynamics Journal of Midwifery and Nursing, 13(1), 2549–4058.

Sani. (2020). The Relationship of Maternal Age During Pregnancy with Stunted in Toddlers 24-59 Months (Vol. 13, Number 4).

Loyal. (2025). Factors of Maternal Demographic Characteristics on Maternal Nutritional Status During Pregnancy (Vol. 7, Number 1).

Trisnawati and Mokodompit. (2025). The Relationship between Nutritional Behavior and Attitude with the Incidence of Chronic Energy Deficiency in Pregnant Women in the Working Area of the North Wara Health Center, Palopo City. Indonesian Journal of Science and Health Research, 2(1), 29–36.

Ulfah & Latip Abdul. (2024). The Relationship between Husband's Support Diet and Culture with the incidence of Kek in pregnant women at the Dander Health Center, Bojonegoro Regency.

Scott. (2022). Knowledge and Attitudes of Pregnant Women with Patterns of Compliance in Consuming Blood Supplement Tablets in East Aceh Regency. Journal of Sago Nutrition and Health, 4(1), 8.

Published
2026-05-31
How to Cite
Citra Nefadillah Pratiwi Djafar, Laksmyn Kadir, & Suardi. (2026). Determinants of Incidence of Chronic Energy Deficiency (SEZ) in Pregnant Women at the Central City Health Center. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(3). https://doi.org/10.56338/ijhess.v8i3.9901
Section
Articles