<![CDATA[Anemia is a persistent global health challenge, particularly affecting women of reproductive age and residents of rural regions. This descriptive cross-sectional study assessed the prevalence and clinical characteristics of anemia among adult residents of Ngadas Village, a highland community in East Java, Indonesia. A total of 57 adults (48 females, 9 males) participated in a single-day community screening conducted by the Faculty of Medicine, Brawijaya University. Data collection included structured questionnaires, clinical examinations, and hemoglobin testing using the Sinocare H101 analyzer. The mean hemoglobin level was 14.6 ± 1.7 g/dL, with an overall anemia prevalence of 7.0%, indicating mild public health significance according to WHO classification. Fatigue (35.1%) and dizziness (49.1%) were the most common symptoms, whereas clinical signs such as pallor and cheilitis were infrequent. Women of reproductive age predominated, yet no pregnant respondents were anemic, suggesting the possible effectiveness of iron–folate supplementation programs. Although dietary protein and iron intake appeared adequate, frequent tea and coffee consumption among women (62.5%) could inhibit non-heme iron absorption. The findings underscore the predominance of subclinical anemia and the need for routine hemoglobin screening and targeted nutrition education. Strengthening preventive strategies in rural highland communities remains essential to sustain low anemia prevalence and improve public health outcomes.]]>
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