Suggestion for further research
Further research is desired to investigate the pathways acceptability in practice and to confirm suitability of aspirin prescription for anemic women. Towards the end of the study, new evidence emerged to indicate that anaemia in pregnancy might also be a risk factor for preeclampsia in LMICs (48, 49). This is directly relevant to situations in Indonesia where anemia prevalence is high due to malnutrition, genetics or infections such as malaria and hookworm, that cause inflammation in the placenta (48-51). The use of aspirin in anaemic women, however, is not currently supported in any of the existing international HDP guidelines (12) or tested in the survey, that therefore the management requires further careful clinical investigation.