School Readiness in Weekly Iron Folic Acid Supplementation Program in Urban Area, West Java, Indonesia
Downloads
Background:School based weekly iron and folic acid supplementation (WIFAS) program was aimed to decrease anemia prevalence and improve the adherence to consume iron tablet.Limited information on the school perspective and their readiness to implement the program.Objectives:To analyze program guidelines, stakeholders' perspective and school readiness to implement the program which will help evaluate and improve adherence to WIFAS.Methods:Using cross sectional design with mixed method approach to utilize social ecological model and community readiness model.Results: Most of schools received awareness campaign regarding the program,only 38,9% have conducted a drinking together session once a week,only 27,8% recorded their students' adherence.The average score for the school readiness was 3.36 (SD ±0.82), the school was in the vague awareness stage.There is a correlation between the score of school's knowledge, attitude toward WIFAS program,City Health Authority and Education Regional Office ‘s support score, the total score of the school readiness, ever got socialization with implementation of WIFAS (r= 0.35, r=0.2, r=0.49, r=0.21, r= 0.66, r= 0.43, p value <0.005).The strongest correlation with implementation of WIFAS at school was the school readiness total score, ever received socialization and score school's knowledge on WIFAS (p value <0.005) and City health Authority and Education regional office's support score for WIFAS program as covariant (p >0.05).Conclusions: School readiness is important factor of community and environment which contribute to behavior change.School realize that anemia and schoolgirl adherence to consume WIFAS had to solved but did not know how and assume outside parties can help solve the problem.The City Health Authority and Education Regional Office is expected to help improve the school readiness to implement the program.
World Health Organization. the Global Prevalence of Anaemia in 2011. WHO Rep. 48 (2011) doi:10.1017/S1368980008002401.
Health Research and Development Body, H. M. R. I. Laporan Riset Kesehatan Dasar. Kementerian Kesehatan Republik Indonesia (2013) .1 Desember 2013.
Kementrian Kesehatan RI. Kementerian Kesehatan Republik Indonesia. Rencana Strategis Kementerian Kesehatan Tahun Rencana Strategis Kementerian Kesehatan Tahun 2015-2019. (2015). doi:351.077 Ind r.
Ahmed, T., Hossain, M., Istiaque, K. & Asia, S. Global Burden of Maternal and Child Undernutrition and Micronutrient Deficiencies. Ann Nutr. Metab. 61, 8–17 (2013).
Briawan, D. Efikasi Suplemen Besi-Multivitamin Untuk Perbaikan Status Besi Remaja Wanita. (Institut Pertanian Bogor 2008).
Vir, S. C., Singh, N., Nigam, A. K. & Jain, R. Weekly iron and folic acid supplementation with counseling reduces anemia in adolescent girls: A large-scale effectiveness study in Uttar Pradesh, India. Food Nutr. Bull. 1, 186–194 (2008).
Joshi, M. & Gumashta, R. Weekly Iron Folate Supplementation in Adolescent Girls – An Effective Nutritional Measure for the Management of Iron Deficiency Anaemia. Glob. J. Health Sci. 5, 188–194 (2013).
Kementerian Kesehatan RI Badan Penelitian dan Pengembangan Kesehatan. Laporan Nasional RISKESDAS 2018. (2019).
Bhatt, R. J. A study of access and compliance of iron and folic acid tablets for prevention and cure of anaemia among adolescent age group females in Ahmedabad district of India surveyed under multi indicator cluster survey. Glob. J. Med. Public Heal. 2, 2–6 (2013).
Aprianti Riri, S. M. G. and K. T. Factors Correlated With The Intention of Iron Tablet Consumption among Female Adolescent. J. Ners 13, 122–127 (2018).
Apriani Mirza, A. S. Adolescent Compliance on Iron Tablet Consumption: A Systematic Review. Adv. Sci. Lett. 24, 6371–6375 (2018).
Creswell, J. W. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Research design Qualitative quantitative and mixed methods approaches (2013). doi:10.1007/s13398-014-0173-7.2.
Chaleunsouk, L. The School Food and Beverage Policy: Examining Schools' Readiness to Implement the Policy With Organizational Readiness for Change. Analysis 170 (2012).
Kementerian Kesehatan Republik Indonesia. Pedoman pencegahan dan penanggulanngan anemia pada Remaja Putri dan Wanita Usia Subur. 14 (2016).
Gubernur Jawa Barat. SURAT EDARAN GUBERNUR JAWA BARAT. N0. 440/25/Yanbangsos Tentang Dukungan Kebijakan Pemberian Tablet Tambah Darah pada Remaja Putri dan Wanita Usia Subur.23 Maret 2018. (2018).
Alnasir, F. A. Health attitudes of school teachers. Saudi Med. J. 25, 326–330 (2004).
Tinago, C. B., Annang Ingram, L., Blake, C. E. & Frongillo, E. A. Individual and structural environmental influences on utilization of iron and folic acid supplementation among pregnant women in Harare, Zimbabwe. Matern. Child Nutr. 13, 1–11 (2017).
Kavle, J. A. & Landry, M. Community-based distribution of iron-folic acid supplementation in low- and middle-income countries: A review of evidence and programme implications. Public Health Nutr. 21, 346–354 (2018).
Priya, Sh. et al. Factors influencing weekly iron folic acid supplementation programme among school children: Where to focus our attention? Saudi J. Heal. Sci. 5, 28 (2016).
Sharada AK. & Thilak, SA.. Evaluation of Weekly Iron and Folic Acid Supplementation Programme for adolescents in rural schools of Kannur, North Kerala, India: A cross-sectional study. Int. J. Med. Sci. Public Heal. 5, 2259 (2016).
Kheirouri, S. & Alizadeh, M. Process evaluation of a national school-based iron supplementation program for adolescent girls in Iran. BMC Public Health 14, 959 (2014).
Bali, S. et al. How non consumers differ from consumers: A qualitative approach to synthesise the attributes of iron folic acid end users. J. Clin. Diagnostic Res. 11, LC18–LC22 (2017).
Fagan, A. A., Hanson, K., Hawkins, J. D. & Arthur, M. W. Implementing effective community-based prevention programs in the community youth development study. Youth Violence Juv. Justice (2008) doi:10.1177/1541204008315937.
í…hström, M., Larsson, N. & Lindberg, L. Change of Community Readiness Over Time: Measurements of Reduction of Parental Support and Availability of Alcohol in Seven Communities. Health Promot. Pract. 17, 586–595 (2016).
Nykiforuk, C. & N. L. Idea Readiness Tool:Understanding a School Community's Readiness for Adopting a New Idea and Strategies for Taking Action. (School of Public Health, University of ALberta, 2016).
Kostadinov, I., Daniel, M., Stanley, L., Gancia, A. & Cargo, M. A systematic review of community readiness tool applications: Implications for reporting. International Journal of Environmental Research and Public Health vol. 12 (2015).
Kostadinov, I., Daniel, M., Stanley, L. & Cargo, M. Assessing community readiness online: A concurrent validation study. BMC Public Health 15, 1–6 (2015).
AMERTA NUTR by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.
