الفهرس 
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Abstract
Iron deficiency anemia (IDA) is one of the main health problems in Egypt and other developing countries. The prevalence of anemia with pregnancy in Egypt seems higher than other neighboring countries. In Sharkia Governorate in Egypt, the prevalence of anemia among pregnant women (2002) was reported to be around 55%. IDA is a preventable disease but its consequences can’t be prevented or treated easily. The aim of this study is to; evaluate the impact of management protocol on pregnant women with IDA using health promotion model (HBM) through changing their perception and behavior regarding the risk of IDA. A quasi-experimental research design with pre-post assessment was selected in carrying out this study and a representative sample of 180 pregnant women diagnosed with IDA was divided into study group (n=90) and control group (n=90). The tools used for data collection were; an interview questionnaire form, assessment sheet, assessment of women knowledge, observation checklist, HBM constructs and follow up record. The present results revealed that mean age of patients was partially similar in both the study and control groups (27.8 ± 4.8 and 25.3 ±3.5). Meanwhile, the great proportion had secondary level of education and they were mostly housewives. The implementation of the present study intervention led to significant improvements among women in the study group. Thus, the mean hemoglobin level did statistically increase at the third assessment of the intervention group compared to those in the control group (11.8±0.7 vs. 10.7±0.6). Meanwhile, satisfactory knowledge and practice have increased from a pre-program level of to a post-program level of (7.0% to 58.0% and from 0.0% to 67.8%). Moreover, statistically significant improvement was noticed in the HBM constructs specifically (perceived risk of IDA, perceived barrier and perceived benefit compared to those in the control group (16.9±0.9, 12.7±1.5 &11.5±0.4 vs. 11.9±1.8, 8.5±1.2 & 3.1±0.6 respectively). It can be concluded that, low level of perceiving risk of IDA is associated with poor dietary practices as a preventive behavior. Using HBM to change pregnant women’s behavior and dietary practices; produce significant changes at post intervention assessment, in the level of pregnant women’s perceptions regard the risk of iron deficiency anemia. The study recommended that, further study should be conducted, using a sample with a large size, different levels of IDA and in different geographical settings to generalize the study result. Meanwhile, the educational booklet which is informative and conclusive should be distributed to all the pregnant women at their initial visit to the ANC.