Study Characteristics of School Adolescent Girls on Iron Folic Acid Supplementation Program as the Prevention of Anemia in Adolescent
Studi Karakteristik Siswi Penerima Program Tablet Tambah Darah sebagai Upaya Pencegahan Anemia pada Remaja
Downloads
Background: Efforts to accelerate stunting reduction involve specific and sensitive nutrition interventions. School adolescent girls are the target group in reducing stunting through anemia prevention. Iron folic acid (IFA) supplementation program is the specific nutrition intervention to prevent anemia in adolescent girls.
Objectives: This research aims to study the characteristics of students who received the IFA supplementation program.
Methods: Research design was a cross sectional that involved 123 students from 12 public high schools in Cianjur District, West Java Province. Student's characteristics consist of knowledge on anemia and their adherence on IFA supplementation program. Data collection is carried out by self-administering questionnaires monitored by enumerator. Data is performed by using mean ± SD and n (%).
Results: Student's knowledge on anemia mostly (61.8%) were categorized as low, as 30.9% were moderate, and only 7.3% were high. Students (44.7%) knew how to detect anemia is by measuring blood hemoglobin levels. As of 59.3% and 51.2% students knew the main causes of anemia are inadequate iron intake and blood loss during menstruation. Approximately 60-80% students recognized the common symptoms and sign of anemia. Most students (76.8%) have received IFA on a weekly basis and 41.2% students acknowledge their adherence in the IFA consumption with aim to prevent anemia (85.1%), the rest 23.4% and 14.9% due to the advice by the teachers and health officers. Students who have no adherence were due to their fear on the side effects, the tablet taste, forgetfulness, and feeling healthy.
Conclusions: Iron folic acid supplementation program have been conducted and well targeted, however, student's understanding on the objectives, benefit, and their adherence is needed to be gained.
UNICEF. The state of the world's children 2019 – children, food and nutrition: Growing well in a changing world. https://www.unicef.org/reports/state-of-worlds-children-2019 (2019).
WHO. Weekly iron and folic acid supplementation as an anaemia-prevention strategy in women and adolescent girls: lessons learnt from implementation of programmes among non-pregnant women of reproductive age. https://www.who.int/publications/i/item/WHO-NMH-NHD-18.8 (2018).
The Global Nutrition Report. 2018 Global Nutrition Report: Country Nutrition Profiles. https://globalnutritionreport.org/resources/nutrition-profiles/asia/south-eastern-asia/indonesia/ (2018).
Kementerian Kesehatan RI. Hasil Utama Riset Kesehatan Dasar 2018. https://kesmas.kemkes.go.id/ (2018).
Kementerian Kesehatan RI. Studi Status Gizi Balita Terintegrasi SUSENAS 2019. (2019).
Kementerian Kesehatan RI. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tahun 2021. (Kemenkes RI, 2021).
Kementerian Kesehatan RI. Rencana Strategis Kementerian Kesehatan Tahun 2015-2019. https://ppid.kemkes.go.id/uploads/img_5cd07f7e6d039.pdf (2015).
[TNP2K] Tim Nasional Percepatan Penanggulangan Kemiskinan (the National Team for the Acceleration of Poverty Reduction). 100 Kabupaten/Kota Prioritas Untuk Intervensi Anak Kerdil/Stunting (100 Districts/City of Priority for the Intervention in Stunting). (2017).
Kementerian Kesehatan RI. Pedoman Pencegahan dan Penanggulangan Anemia pada Remaja Putri dan Wanita Usia Subur (WUS). (Kemenkes RI, 2018).
Salam, R. A. et al. Interventions to Improve Adolescent Nutrition: A Systematic Review and Meta-Analysis. J. Adolesc. Heal. Off. Publ. Soc. Adolesc. Med. 59, S29–S39 (2016).
Gosdin, L. et al. A School-Based Weekly Iron and Folic Acid Supplementation Program Effectively Reduces Anemia in a Prospective Cohort of Ghanaian Adolescent Girls. J. Nutr. 151, 1646–1655 (2021).
Briawan, Dodik; Khomsan, Ali; Ekayanti, Ikeu; Dewi, M. Report of Baseline Survey for an Improved IFA Supplementation Program for 15 to 19 Years of Age School going Adolescent Girls (MITRA Youth) in East Java and East Nusa Tenggara Provinces in Indonesia. (2018).
Permatasari, T., Briawan, D. & Madanijah, S. Efektifitas Program Suplementasi Zat Besi pada Remaja Putri di Kota Bogor. Media Kesehat. Masy. Indones. 14, 1–8 (2018).
Andriastuti, M., Ilmana, G., Nawangwulan, S. A. & Kosasih, K. A. Prevalence of anemia and iron profile among children and adolescent with low socio-economic status. Int. J. Pediatr. Adolesc. Med. 7, 88–92 (2020).
Kim, J. Y. et al. Relationship between socioeconomic status and anemia prevalence in adolescent girls based on the fourth and fifth Korea National Health and Nutrition Examination Surveys. Eur. J. Clin. Nutr. 68, 253–258 (2014).
Sumarlan, Eka S; Windiastuti, Endang; Gunardi, H. Iron Status, Prevalence and Risk Factors of Iron Deficiency Anemia Among 12 to 15-Year-Old Adolescent Girls from Different Socioeconomic Status in Indonesia. Makara J. Heal. Res. 22, 46–52 (2018).
Seminar, A. U. et al. Awareness about Anaemia and Weekly Iron-Folic Acid Supplementation (WIFAS) among School-Going Adolescent Girls and Parents in East Java and East Nusa Tenggara, Indonesia. J. Nutr. Sci. Vitaminol. (Tokyo). 66, S111–S117 (2020).
Apriningsih, Madanijah, S., Dwiriani, C. M. & Kolopaking, R. Determinant of Highschool Girl Adolescent' Adherence to Consume Iron Folic Acid Supplementation in Kota Depok. J. Nutr. Sci. Vitaminol. (Tokyo). 66, S369–S375 (2020).
Maulida, F., Setiarini, A. & Achadi, E. L. Evaluation of The Implementation of Fe Tablets for Adolescent Girl in 2019 at Pekanbaru City. Amerta Nutr. 5, 19–29 (2021).
WHO. Guideline: Intermittent iron folic acid supplementation in menstruating women. (2011).
Sedlander, E., Long, M. W., Bingenheimer, J. B. & Rimal, R. N. Examining intentions to take iron supplements to inform a behavioral intervention: The Reduction in Anemia through Normative Innovations (RANI) project. PLoS One 16, e0249646 (2021).
Handayani, IGAAD; Suantara, IMR; Sugiani, P. Suplementasi Tablet Tambah Darah efektif Meningkatkan Kadar Hemoglobin Darah Remaja Putri Di Tampaksiring Kabupaten Gianyar (Iron tablet supplementation effectively increases haemoglobin level in adolescent girls in Tampaksiring Gianyar District). JIG 4, 111–118 (2013).
Alfiah, E. et al. Coverage and Adherence of Weekly Iron Folic Acid Supplementation among School Going Adolescent Girls in Indonesia. J. Nutr. Sci. Vitaminol. (Tokyo). 66, S118–S121 (2020).
WHO. Global Accelerated Action for Health of Adolescents (AA-HA). (2017).
Roche, M. L. et al. A Community-Based Positive Deviance/Hearth Infant and Young Child Nutrition Intervention in Ecuador Improved Diet and Reduced Underweight. J. Nutr. Educ. Behav. 49, 196-203.e1 (2017).
Rimal, R. N. et al. Iron and folic acid consumption and changing social norms: cluster randomized field trial, Odisha, India. Bull. World Health Organ. 99, 773–782 (2021).
Ganjoo, R. et al. Improving iron folic acid consumption through interpersonal communication: Findings from the Reduction in Anemia through Normative Innovations (RANI) project. Patient Educ. Couns. 105, 81–87 (2022).
Copyright (c) 2022 Amerta Nutrition
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
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.