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Effectiveness of Beetroot (Beta vulgaris) Juice in Reducing Anemia among Pregnant Women Ayu Dewi Nastiti Nastiti; R.A. Helda Puspitasari; Dwining Handayani; Esa Rosyda Umam; Nurul Fahmi Rizka Laily; Siti Nurhidayati
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.490

Abstract

Anemia in pregnancy remains a global health problem with high prevalence, particularly in developing countries, including Indonesia. Limited adherence to iron supplement consumption has prompted the need for alternative, locally available food-based interventions that are more acceptable to the community. This study aimed to evaluate the effectiveness of beetroot (Beta vulgaris) juice in increasing hemoglobin (Hb) levels and alleviating clinical symptoms of anemia among pregnant women in the Tengger region, East Java. A pre-experimental one-group pretest–posttest design was employed. Thirty-eight pregnant women in their second to third trimester who met the inclusion criteria consumed 200 ml of beetroot juice daily for 14 days. Hemoglobin levels were measured before and after the intervention using the cyanmethemoglobin method and documentation of anemia-related clinical symptoms. The findings revealed a significant increase in Hb levels from an average of 10.4 ± 0.8 g/dL to 11.5 ± 0.9 g/dL (p < 0.001). The proportion of pregnant women with mild anemia decreased from 76.3% to 34.2%, while the proportion of non-anemic status increased. In addition, clinical complaints such as weakness, dizziness, and shortness of breath were also significantly reduced. No serious adverse events were reported, with mild side effects that did not interfere with respondent compliance. In conclusion, administering beetroot juice effectively increases hemoglobin levels and improves clinical symptoms of anemia in pregnant women, and has the potential to be an affordable, non-pharmacological nutritional strategy that can support integration into antenatal programs in resource-limited settings.
Community-Led Health Education and Social Mobilization for Improving Stunting Prevention Behavior Erik Kusuma; Ayu Dewi Nastiti; Dwining Handayani; R.A. Helda Puspitasari; Iis Rahmawati
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.4.323-332

Abstract

Background: Stunting remains prevalent in Indonesia’s coastal regions, where social norms and resource limitations hinder the implementation of preventive practices. In Tapa’an Village, Pasuruan, these challenges are compounded by the influence of extended family, unstable income, and restricted access to clean water. This study aimed to evaluate the effect of a community-led health education program combined with digital reinforcement on mothers’ stunting-prevention behaviors, using the Theory of Planned Behavior (TPB) framework.Method: A quasi-experimental one-group pretest–posttest design was conducted with 57 mothers of children under five. Data on attitude, subjective norms, perceived behavioral control, and behavioral intention were collected using validated questionnaires. Statistical analyses included paired t-tests and ANOVA to assess mean differences, and Pearson correlation to explore inter-domain relationships, chosen to capture both magnitude and interaction of behavioral change.Result : Significant improvements were found across all TPB constructs (p < 0.001) with large effect sizes (η² > 0.80). The most substantial change occurred in behavioral intention, driven by enhanced attitudes and social approval. Mothers described greater motivation, confidence, and collective encouragement after receiving digital reminders. The integration of participatory learning and digital cues effectively transformed individual awareness into a shared community practice. Digital reinforcement uniquely sustained motivation beyond group sessions, especially among digitally active mothers in extended families. Despite the design’s lack of a control group and short observation period, findings highlight the model’s potential for adaptation in coastal maternal health programs. Embedding digital reinforcement into Puskesmas activities could strengthen long-term stunting prevention efforts.