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Journal : Amerta Nutrition

Efek Pemberian Edukasi Buklet dan Pendampingan Kader terhadap Konsumsi Tablet Tambah Darah pada Ibu Hamil Anemia di Jakarta Timur: Effect of Booklet Education and Cadre Assistance on Iron Tablets Consumption among Anemic Pregnant Women in East Jakarta Fayasari, Adhila; Istianah, Isti; Fauziana, Sri
Amerta Nutrition Vol. 8 No. 1SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i1SP.2024.19-26

Abstract

Background: Anemia during pregnancy significantly increases maternal risk and poor pregnancy outcomes by 1.71-fold. Enhancing pregnant women's knowledge and adherence to health guidelines requires a comprehensive approach. Objectives: This study analyzed the effects of booklet education and cadre assistance on adherence to iron tablet consumption among anemic pregnant women in East Jakarta. Methods: This quasi-experimental study was conducted in 2019 on anemic pregnant women in Makasar Public Health Center, Jakarta. This study comprised three groups: iron-folic acid supplementation only (IF), iron-folic acid supplementation with booklet education (IFB), and iron-folic acid supplementation with booklet education and cadre assistance (IFBA), serving as control, intervention I, and intervention II, respectively. The interventions lasted for three months. Adherence to iron supplementation and knowledge, attitude, and behavior (KAB) regarding anemia were measured. The data were analyzed using ANOVA/Kruskall-Wallis test, Wilcoxon test, and Mc-Nemar test with a significance level of 0.05. Results: There was no difference in the increase of knowledge and behavior regarding anemia among the three groups (p < 0.05) although the behavior score in the IFBA group was significantly higher than in the other two groups. In addition, there was no difference in the percentage of adherence to iron tablet consumption before and after the intervention in the IF, IFB, and IFBA groups (p > 0.05). However, the IFBA group showed an increase of about 41% in adherence. Conclusions: There was no difference in the increase of knowledge and attitude regarding anemia among the three groups, except for behavior. However, the IFBA group showed a significant increase in knowledge, attitude, and behavior after the intervention.
Intervensi Berbasis Produk Pangan Lokal untuk Meningkatkan Kadar Hemoglobin pada Remaja Putri Anemia di Indonesia: Tinjauan Sistematis: Local Food-Based Interventions to Improve Hemoglobin Levels Among Anemic Female Adolescents in Indonesia: A Systematic Review Fayasari, Adhila; Nilansari, Anis Febri; Pambudi, Brevi Istu
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.410-419

Abstract

Background: Anemia is prevalent among female adolescents. Food-based approaches have been developed to improve hemoglobin levels. However, their effectiveness has not been thoroughly evaluated yet. Objectives: This review aims to analyze the effectiveness of food-based interventions, either alone or in combination with iron supplementation, in improving hemoglobin (Hb) levels among anemic female adolescents in Indonesia. Methods: This review was conducted using the PICO framework and followed the PRISMA guidelines. Articles were retrieved from PubMed, Scopus, Google Scholar, Garuda, and ResearchGate. Eligible studies included experimental designs with control groups involving female adolescents aged 10-18 years, published between 2014 and 2024. Interventions consisted of food-based products, while comparators included iron tablets alone or in combination with a placebo. Hemoglobin levels were the primary outcome assessed. Discussions: Of the 1,142 studies identified, 13 met the inclusion criteria and were included in a systematic review. Commonly used dietary interventions included iron-rich food sources, such as fish and nuts, and vitamin C-rich food sources, including dates and guava. Local food-based interventions were associated with increases in hemoglobin levels, with reported Hb improvements ranging from 0.8 to 2.7 g/dL. Several studies demonstrated statistically significant differences both within intervention groups and between intervention and control groups. Although effect sizes varied, most interventions showed meaningful benefits. Conclusions: Local food-based nutrition interventions in Indonesia, particularly those combed with iron supplementation, consistently improve hemoglobin levels and show promise as effective strategies to reduce anemia among female adolescents.
Co-Authors Afiah Romadhona, Nur Afraihana, Nur Agestika, Lina Agustina, Liana Alfaz, Ni'ma Ghida Allifiya, Bella Nur Amalia, Vinka Angga Rizqiawan Anggraeni, Maya Anisa Noviani Anugrah, Dena Aprilla Aprilla Aqila Permata Dewi Assyifa, Aulia Azhari, Muhammad Arif Bertorio, Margala Juang Chika Meidiana Amelia Chika Meidiana Amelia Daniah Yuliani Dewi Khairiyah Dewi Wulandari Diani, Dita Dleydy Deyshelina Sumilat Doloksaribu, Susi Susanti Emy Huriyati Farida Agustin Farida Agustin, Farida Fathah Dian Sari Fauziah, Rizda Fauziana, Sri Febri Nilainsari, Anis Felia Handayani Felia Handayani, Felia Gina Ganda Fitriana Gunarti Yahya Gunarti Yahya, Gunarti Gusti Kumala Dewi Gusti Kumala Dewi, Gusti Kumala Harjito, Zaneta Hasuna, Munada Madalia Hasyisya Avicenna Rahmadani Ina Ratnawati Indrianti Irna Aprianti Iskari Ngadiarti Isti Istianah Isti Istianah Istianah, Isti Istiqomah, Indah Sulistiyani Juang Bertorio, Margala Juanita, Elizabeth Karmila Karmila Kevinti Febrina Kezia Natasha Kurniati, Lilik Lestari, Putri Winda Linggar Puspa Virginia Lutfiana, Andi Madarina Julia Mariska, Refi Maya Anggraeni Meylina Djafar Meylina Djafar Mia Srimiati Mira Krisma Yudina Mutiah Mustaqimatusy Syahadah Nilansari, Anis Febri Nurullita Rossa Febriana Oktaviani, Putri Pratiwi Padli Yanti, Mellisa Pambudi, Brevi Istu Puspa Virginia, Linggar Putri Kurniawati Putri Kurniawati, Putri Putri Pratiwi Oktaviani Putri Sekar Wardhani Qothrun Nada, Azzahra Rara Maulidya Putri Ratnayani Ratu Fitria Nurhaliza Rike Minati Sekti Rita Uliatiningsih Rizka Akbar Rizki Salsabila, Ade Rohmansyah, Ryan Safira Indri Cahyani Salsabila, Delia Sandra Sandra Saputri, Ananda Egy Sekti, Rike Minati Selvi Purnama Dewi Soekatri, Moesijanti Yudiarti Endang Sri Fauziana Sri Fauziana Sulistia, Putri Syarif Darmawan Syarif Darmawan, Syarif Tiny Kurnianih Tri Ardianti Khasanah Tri Sari Wijayanti Tridaleatari, Ferra Arik Vera Kasmira Wahyu Sugianto Widodo, Monicha Wenny Pertiwi Wijayanti, Tri Sari Winantoro, Dimas Wahyu Yasfa Aulia, Hunalika Yoeniske Angreine Yudhowanti, Septiajati Yudina, Mira Krisma Yulia Warda Zahrani Astuti, Elsa