Abstract : Anemia causes an enormous burden of disease worldwide. Globally, there were more than 1-2 billion case of Anemia in 2016. Iron deficiency anemia is one of top five causes of disability globally, the leading cause of disabilities live in income countries low and middle income (LMICs). The purpose of this study was to determine the anemia with associated factors in pregnant women. This is a literature review studies about risk factor of anemia. Search engines used in literature review are Medline, Embase, Web of Science, Cochrane Library, Pubmed. This study was focus conducted asses the relative contribution of iron deficiency to anemia in pregnant woman in rural area. This study revealed three key factors to be associated with anemia among pregnant women. Intervention including nutrition counseling and enrolling pregnant women with low nutritional status in nutritional program should be the core components of anemia control strategies, needed to address the high prevalence of anemia among women pregnancy in rural area.