v ABSTRAK Larasati,Dewi.2014.PengaruhKepatuhanKonsumsiTabletSuplementasi Besi(Fe)terhadapKadarHemoglobin(Hb)PadaIbuHamilTri-mesterIIIdiKecamatanSukunKotaMalang.TugasAkhir,Program StudiS1KebidananFakultasKedokteranUniversitasBrawijaya.Pem-bimbing:(1)dr.DjokoSantoso,Mkes,DAHK.(2)Dr.dr.SitiCandra Windu Baktiyani, Sp.OG (K) Anemia pada ibu hamil mempunyai dampak kesehatan terhadap ibu dan anak dalam kandungan, meningkatkan risiko keguguran, kelahiran prematur, bayi dengan berat lahir rendah, serta sering menyebabkan kematian ibu dan bayi baru lahir.Sekitar50%dariseluruhjenisanemiadiperkirakanakibatdaridefisiensi besi. UNICEF dan WHO telah mempromosikan intervensi yang didasarkan pada penyediaansuplemenzatbesiuntukpopulasirentan(sepertiwanitahamil) sebagaipendekatanuntukmengatasimasalahkekuranganzatbesianemia. Namun,hanyasekitarsepertigadariperempuancenderungmematuhi90tablet pedomanfolatbesi,daninitidakberubahdariwaktukewaktu.Olehkarenaitu perlu adanya penelitian tentang pengaruh kepatuhan ibu hamil dalam mengkon-sumsitabletsuplementasibesiterhadapkadarhemoglobinpadakehamilantri-mester III. Penelitian ini menggunakan rancangan penelitian observasional anali-tikdenganpendekatancrosssectional.Populasidalampenelitianiniadalahibu hamiltrimesterIIIyangmelakukankunjunganantenataldiwilayahkerjaPusk-esmas Utama di Kecamatan Sukun danmengalami anemia pada awal trimester II. Dari semua uji analisa statistik untuk menilai perbedaan kadar Hb antara sebe-lumdansesudahkonsumsitabletsuplementasibesipadakelompokkepatuhan jumlah dan cara menunjukkan tidak adanya perbedaan yang bermakna (p>0,05). Kepatuhan cara dan jumlah tidak berpengaruh terhadap kadar Hb kehamilan tri-mester III (p= 0,338 pada kelompok kontrol tidak patuh jumlah dan p= 1,000 pada kelompok kontrol patuh jumlah). AKG zat besi menunjukkan hubungan signifikan terhadapkadarHbkehamilantrimesterIIIpadakelompokyangtidakpatuh (p=0,016). Perlu dilakukan penelitian yang mendalam tentang faktor-faktor karak-teristik lain dari responden yang dapat mempengaruhi kadar Hb pada kehamilan. Kata kunci : kepatuhan, tablet suplementasi Fe, kadar Hb trimester III kehamilan vi ABSTRACT Larasati,Dewi.2014.Effect OfAdherenceinConsumingIronSupplementa-tion Tablets to The Level of Hemoglobin (Hb) In The Third Trimester Pregnancy in Sukun Subdistrict, Malang. Final Assignment. Midwifery Program, Faculty of Medicine, Brawijaya University. Supervisors: (1) dr. DjokoSantoso,Mkes,DAHK.(2)Dr.dr.SitiCandraWinduBaktiyani, Sp.OG (K) Anemia in pregnant women have an impact to the health of mother and fetus, increasing the risk of miscarriage, premature birth, low birth weight babies, and often lead to death of mother and newborn. Approximately 50 % of all types ofanemiaarepredictedinresultfromirondeficiency.UNICEFandWHOhave promoted interventions based on providing iron supplements to vulnerable popu-lations(suchaspregnantwomen)asanapproachtoovercometheproblemof iron deficiency anemia. Only about one-third of the women tend to adhere to the guidelinesfolic90tabletsofiron,anditdoesnotchangeovertime.Therefore, thereisneedforresearchontheeffectsofmaternaladherenceinconsuming tabletsofironsupplementationonhemoglobinlevelsinthethirdtrimesterof pregnancy. This research used observational research design with cross section-al analytic. The population in this research is the third trimester pregnant women who visit antenatal care in the working area of the Main Primary Health Center in Sukun subdistrict and are anemic at the beginning of the second trimester. Statis-tical analysis to assessdifferences in hemoglobin concentration betweenbefore and after consumption of iron supplementation tablets on the amount and manner ofadherence groupshowednosignificantdifference(p>0.05).Adherence of the manner and the amount do not affect of Hb third trimester of pregnancy ( p = 0.338 in the control group of non-adherent in amount, and p = 1.000 in the control group of adherent in amount). Nutritional Adequacy Rate of iron (AKG) showed a significantrelationshiptothehemoglobininthethirdtrimesterofpregnancyin non-adherent group ( p = 0.016 ). For further research, there needs a depth re-search on other characteristic factors of the respondents that may affect Hb lev-els in pregnancy . Keywords:adherence,ironsupplementationtablets,Hbinthirdtrimesterpreg-nancy