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All Journal International Archives of Medical Sciences and Public Health International Archives of Medical Sciences and Public Health
Toto Sudargo
Midwifery Study Program, Master’s Program, Guna Bangsa Health College, Yogyakarta, Indonesia
Religion Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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EFFECTIVENESS OF LOCAL FOOD–BASED NUTRITION EDUCATION AND IRON SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN SECOND-TRIMESTER PREGNANT WOMEN Dianita Widya Gandhi; Gunarmi; Toto Sudargo; Nurhayati; Juda Julia Kristiarini
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1515

Abstract

Anemia affects 40.0% of pregnant women in Taliabu Island Regency, North Maluku—a severe public health problem by WHO classification. This study evaluated the effectiveness of local food-based nutrition education combined with iron supplementation on hemoglobin levels in second-trimester pregnant women. A quasi-experimental pretest posttest control group design was conducted from October to December 2025. Forty-four pregnant women (13–28 weeks gestation) were recruited by purposive sampling and allocated by facility to an intervention group (n = 22) or control group (n = 22). Over eight weeks, the intervention group received four biweekly nutrition education sessions using the P-Process framework, weekly locally sourced iron-rich foods, and daily iron-folic acid supplementation (60 mg elemental iron, 400 mcg folic acid); controls received supplementation only. Hemoglobin was measured by HemoCue hemoglobinometry at baseline and endpoint, and analyzed using the Wilcoxon Signed Rank and Mann-Whitney U tests. The intervention group showed significant within-group hemoglobin improvement (Z = -4.110, p < 0.001) and higher endpoint hemoglobin than controls (Z = -5.691, p < 0.001). Tablet compliance was also higher (Z = -6.032, p < 0.001), though knowledge, attitude, and practice scores did not differ (p = 1.000). Local food-based nutrition education integrated with iron supplementation is more effective than supplementation alone and is recommended for scale-up in comparable remote, resource-constrained settings.
EFFECTIVENESS OF LOCAL FOOD–BASED NUTRITION EDUCATION AND IRON SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN SECOND-TRIMESTER PREGNANT WOMEN Dianita Widya Gandhi; Gunarmi; Toto Sudargo; Nurhayati; Juda Julia Kristiarini
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1515

Abstract

Anemia affects 40.0% of pregnant women in Taliabu Island Regency, North Maluku—a severe public health problem by WHO classification. This study evaluated the effectiveness of local food-based nutrition education combined with iron supplementation on hemoglobin levels in second-trimester pregnant women. A quasi-experimental pretest posttest control group design was conducted from October to December 2025. Forty-four pregnant women (13–28 weeks gestation) were recruited by purposive sampling and allocated by facility to an intervention group (n = 22) or control group (n = 22). Over eight weeks, the intervention group received four biweekly nutrition education sessions using the P-Process framework, weekly locally sourced iron-rich foods, and daily iron-folic acid supplementation (60 mg elemental iron, 400 mcg folic acid); controls received supplementation only. Hemoglobin was measured by HemoCue hemoglobinometry at baseline and endpoint, and analyzed using the Wilcoxon Signed Rank and Mann-Whitney U tests. The intervention group showed significant within-group hemoglobin improvement (Z = -4.110, p < 0.001) and higher endpoint hemoglobin than controls (Z = -5.691, p < 0.001). Tablet compliance was also higher (Z = -6.032, p < 0.001), though knowledge, attitude, and practice scores did not differ (p = 1.000). Local food-based nutrition education integrated with iron supplementation is more effective than supplementation alone and is recommended for scale-up in comparable remote, resource-constrained settings.
Co-Authors Dianita Widya Gandhi Gunarmi Juda Julia Kristiarini Nurhayati