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The Effectiveness of the Snakes and Ladders Game in Improving Knowledge, Attitudes, and Behavior in Preventing Anemia in Adolescent Girls Prahastuti, Brian Sri; Jumhati, Siti; Kurnia, Ai Lela
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3058

Abstract

Anemia among adolescent girls remains a significant public health concern, with a prevalence of 36% in Sukabumi District in 2024. The main contributing factors include iron deficiency, unbalanced dietary patterns, and limited nutritional knowledge. Engaging educational interventions are urgently needed to improve adherence to anemia prevention programs, particularly iron supplementation, free health screenings for adolescents, and the Free Nutritious Meal initiative. This study examined the effectiveness of a modified snakes-and-ladders–based educational game incorporating anemia-related content. A quasi-experimental quantitative design with a two-group pretest–posttest approach was employed, involving 80 adolescent girls in 2025. Data analysis utilized normality testing (skewness), paired t-tests, independent t-tests, and the N-Gain test. The mean knowledge score increased by 2.3 points, attitude score by 3.3 points, and behavior score by 2.4 points. Paired t-test results in the intervention group showed significant improvements in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001) before and after the intervention. Similarly, the control group demonstrated differences in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001) over time. Post-intervention independent t-tests indicated significant differences between the intervention and control groups in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001). The N-Gain analysis revealed an average score of 58,4% (moderately effective) in the intervention group and 23% (ineffective) in the control group. These findings indicate that the educational snakes-and-ladders game is moderately effective in enhancing knowledge, attitudes, and behaviors related to anemia prevention. It is recommended that the Health and Education Offices integrate this game into extracurricular programs and school-based health checks as a complementary strategy to the Free Nutritious Meal initiative.
The Relation of Food Taboo, Diet Patern and Anaemia Among Pregnant Women in Puskesmas Cipayung Prahastuti, Brian Sri; Jumhati, Siti; Meilani, Reni
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3066

Abstract

Anemia is a global public health problem. The prevalence of anemia in pregnant women in Indonesia reaches 27.7%, while anemia in third-trimester pregnant women at the Cipayung Community Health Center in January–May 2025 was recorded at 14.35%. Several factors influence the incidence of anemia in pregnant women, including sociocultural factors, diet, income, and knowledge. A good diet for pregnant women should include sources of carbohydrates, protein, fat, vitamins, and minerals, tailored to the needs of the pregnancy. This study aims to determine the risk factors for anemia in pregnant women due to the influence of cultural taboos and dietary patterns. This study design uses a quantitative analytical method with a cross-sectional approach. This study was conducted in July 2025, the population was pregnant women who underwent ANC examinations at the Cipayung Community Health Center with a sample of 105 respondents. Data analysis of this study began with univariate data analysis, simple correlation tests, using the Chi-square method and subsequent analysis using multiple logistic regression tests. The results of the multivariate analysis study showed that the cultural variables of food taboos (p.value = 0.003 with OR 5.569), dietary patterns (p.value = 0.043 with OR 2.759) were associated with the incidence of anemia in pregnant women, nutritional adequacy (p = 0.003; OR = 5.113) was associated with the incidence of anemia. Suggestions for education to be carried out in the 20-35 year age group about dietary patterns and cultural food taboos.