Iron deficiency anemia remains a major public health concern, particularly among adolescent girls, due to increased iron requirements during puberty and menstruation. Despite national programs providing free iron (Fe) tablets, adherence to consumption remains low, often due to lack of knowledge, fear of side effects, and limited motivation. This study aimed to assess the effectiveness of audio-visual education in improving Fe tablet consumption compliance among adolescent girls. A quasi-experimental one-group pretest-posttest design was used, involving 52 adolescent girls in Sambiki Tua Village. Participants were provided with a short educational video highlighting the importance of iron, how to properly take Fe tablets, and potential consequences of anemia. Compliance was measured before and four weeks after the intervention. Prior to the intervention, only 23.1% of respondents were compliant, while 76.9% were non-compliant. After the audio-visual education, compliance increased significantly to 84.6%, with the Wilcoxon Signed-Rank Test showing a p-value of 0.000. These findings indicate that audio-visual media is an effective educational tool for promoting health behavior change among adolescents. Incorporating such media into school-based and community health programs could be a strategic approach to reduce anemia prevalence and improve nutritional health in this vulnerable group.
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