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School Based Iron Supplementation to Reduce Anemia Anggaraeni, Lina; Luh Ayu Purnami; Cindy Meilinda Sari
HealthCare Nursing Journal Vol. 7 No. 2 (2025): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i2.6688

Abstract

Anemia is a common health issue affecting adolescent girls, particularly in countries with low to middle income. One of the leading causes is iron deficiency, often due to insufficient dietary intake and poor compliance with supplementation programs, even when national initiatives such as Weekly Iron Folic Acid Supplementation (WIFAS) are in place. This study aimed to assess the impact of a comprehensive intervention conducted in schools on improving hemoglobin levels, knowledge, and adherence to iron supplementation among teenage girls. A quasi-experimental study using a pre-post control group design was carried out over twelve weeks in two public senior high schools located in Bali Mandara, Buleleng, Indonesia. A total of 200 female students aged between 15 and 17 years were randomly assigned into intervention and control groups. The intervention strategy included weekly supervised intake of iron tablets, biweekly educational sessions on anemia, peer support mechanisms, and involvement of parents in the program. The evaluation focused on changes in hemoglobin levels, knowledge related to anemia, and records of supplementation adherence. The results revealed notable improvements in all three indicators among students in the intervention group. Specifically, the program contributed to better awareness, more consistent tablet consumption, and an overall reduction in anemia prevalence. These findings suggest that combining education, direct supervision, and family participation within a school-based framework can effectively support anemia prevention and improve adolescent health outcomes.
The Dynamics of Mental Health Among Female Sex Workers in Buleleng Bali Sari, Cindy Meilinda; Purnami, Luh Ayu; Anggaraeni, Lina; Robby, Krish Naufal Anugrah
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4536

Abstract

Mental health in female sex workers (FSWs) are influenced by a complex array of factors. Significant challenges impacting mental health include social pressure and unstable working conditions. This study aims to understand the influence of social stigma, working conditions, and social support on the mental health of FSWs. Method: This research utilizes a quantitative approach with a cross-sectional design. The independent variables are social stigma, working conditions, and social support, while the dependent variable is mental health. The study population consists of FSWs in Buleleng Regency, with a sample size of 120 participants selected through purposive sampling. The research instruments include the Generalized Anxiety Disorder 7 (GAD-7) scale for measuring anxiety and the Perceived Stress Scale (PSS) for measuring stress. Data analysis was conducted using Structural Equation Modeling (SEM). Social stigma has a direct and significant impact on the mental health of FSWs (β = 0,294, t-statistic=2,868, p < 0,01). Additionally, working conditions also have a significant direct effect on mental health (β = -0,343, t-statistic=4,569, p < 0,01). Social support acts as a mediator, mitigating the negative impact of social stigma and working conditions on mental health (β = -0,247, t-statistik=2,253, p < 0,01), Overall indicating that social stigma, working conditions, and social support are key factors influencing the mental health of FSWs.