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All Journal International Journal of Public Health Science (IJPHS) Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS) Pharmaceutical Journal of Indonesia Journal Syifa Sciences and Clinical Research (JSSCR) Hubungan Tingkat Pengetahuan Petugas Pengelola Obat dengan Tingkat Ketersediaan Obat Di Puskesmas Kota Malang Jurnal Mandala Pengabdian Masyarakat Poltekita: Jurnal Pengabdian Masyarakat Indonesian Journal of Pharmaceutical Education Gemakes: Jurnal Pengabdian Kepada Masyarakat Indonesian Journal of Pharmacy and Natural Product Journal of Public Health and Pharmacy Jurnal Sains dan Kesehatan
Gusti Ayu Putu Laksmi Puspa Sari
Faculty of Pharmacy, Universitas Mahasaraswati Denpasar, Denpasar 80233, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Attitude and Social Support Associated with Weekly Iron-Folic Acid Adherence Among Adolescent Girls in Badung, Bali, Indonesia Gusti Ayu Putu Laksmi Puspa Sari; Ni Putu Udayana Antari; I Gusti Agung Ari Kusuma Yana; Yosi Irawati Wibowo; Adji Prayitno Setiadi; Ni Nyoman Yudianti Mendra
Indonesian Journal of Pharmaceutical Education Vol 6, No 1 (2026): January–April 2026
Publisher : Jurusan Farmasi Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/ijpe.v6i1.37340

Abstract

Anemia among adolescent girls in Indonesia remains a significant public health problem. Attitude and social support may influence the success of anemia prevention through adherence to weekly iron–folic acid (IFA) supplementation. This cross-sectional study analyzed the association between attitude, family support, peer support, school support, and adherence to weekly IFA supplementation among adolescent girls in one junior high school in Badung, Bali, Indonesia. All eligible adolescent girls were included in the study (n = 141), and data were collected using a structured questionnaire. Univariate analysis was used to describe respondent characteristics, while bivariate analysis using the Chi-square test and Fisher’s exact test was performed to examine associations between variables. A total of 83.0% of respondents were adherent to weekly IFA supplementation. Among all respondents, 45.4% had a positive attitude, 13.5% had family support, 72.3% had peer support, and 95.7% had school support. School support was significantly associated with adherence to weekly IFA supplementation (p = 0.001), and adolescent girls who received school support had higher odds of adherence than those who did not (OR = 30.5; 95% CI: 3.4–276.2). These findings indicate that school support plays an important role in improving adherence to weekly IFA supplementation among adolescent girls. Strengthening the role of educational institutions through structured supervision and health education may enhance adherence and support anemia prevention programs in this population.
Predictors of Iron Supplement Adherence and Hemoglobin Levels Among Adolescent Girls in Bali: A PLS-SEM Analysis I Gusti Agung Ari Kusuma Yana; Yosi Irawati Wibowo; Antonius Adji Prayitno Setiadi; Cecilia Brata; Gusti Ayu Putu Laksmi Puspa Sari
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.8751

Abstract

Introduction: Anemia among adolescent girls remains a global public health concern. Adolescence is a critical window of rapid growth and increased iron requirements. The World Health Organization recognizes adolescent anemia as a priority. Although weekly iron supplementation programs have been widely implemented, adherence remains suboptimal. Previous studies have primarily identified associated factors using bivariate or conventional regression approaches, with limited application of multivariate pathway modelling to simultaneously examine determinants of adherence and hemoglobin outcomes. This study aimed to examine predictors of iron tablet adherence and their association with hemoglobin levels among adolescent girls using Partial Least Squares Structural Equation Modeling (PLS-SEM) approach. Methods: A quantitative study with a pretest–posttest one-group design without a control group was conducted. Data were collected using validated questionnaires from adolescent girls (n = 772), of whom 483 participated in final analysis attending schools in Bali, Indonesia, between August and November 2024. Statistical analyses and PLS-SEM were performed to identify key predictors of adherence and hemoglobin levels. Results: A total of 483 adolescent girls participated in the study (response rate: 62.6%). The structural model explained 4.6% of the variance in iron tablet adherence (R² = 0.046) and 38.4% of the variance in hemoglobin levels (R² = 0.384). Family support (? = 0.051; p = 0.041), school support (? = 0.131; p = 0.011), and attitude (? = ?0.071; p = 0.003) significantly predicted adherence. In turn, adherence showed a positive association with hemoglobin levels (? = 0.570; p < 0.000). Conclusion: Family support, school support, and attitude were significantly associated with iron supplement adherence among adolescent girls. Although the explanatory power of the model for adherence was modest, adherence was positively associated with hemoglobin levels at post-test measurement. These findings should be interpreted as exploratory and hypothesis-generating. Multifactorial strategies that strengthen social support and sustained monitoring may enhance the effectiveness of anemia prevention programs among adolescent girls.
Co-Authors Adji Prayitno Setiadi Agung Agustini, Ni Putu Dewi Antonius Adji Prayitno Setiadi Ari Kusuma Yana, I Gusti Agung Cecilia Brata Debby Juliadi Fitria Megawati I Gusti Agung Ari Kusuma Yana I Gusti Agung Ari Kusuma Yana I Gusti Agung Ari Kusuma Yana I Putu Tangkas Suwantara Irawati Wibowo, Yosi Megawati, Fitria Mendra, Ni Nyoman Yudianti Ni Luh Kade Arman Anita Dewi Ni Nyoman Yudianti Mendra Ni Putu Dewi Agustini Ni Putu Udayana Antari Ni Putu Udayana Antari Pradnyaswasri, Ni Putu Diah Rani, Ni Putu Lidya Maha Setiadi, Adji Prayitno Sunderland, Bruce Suradnyana, I Gede Made Wardani, I Gusti Agung Ayu Kusuma Wibowo, Yosi Irawati Wiryani, Luh Santhi Utami Yana, I Gusti Agung Ari Kusuma Yosi Irawati Wibowo Yosi Irawati Wibowo