Anemia among pregnant women remains a major public health problem in Indonesia and may increase the risk of complications during pregnancy, childbirth, and the postpartum period. Balanced nutrition health education is one of the strategies that can improve pregnant women's knowledge regarding nutritional requirements during pregnancy and help prevent anemia. This study aimed to determine the effectiveness of balanced nutrition health education in reducing the incidence of anemia among second-trimester pregnant women at Amuntai Selatan Public Health Center. This study employed a pre-experimental design with a one-group pretest-posttest design. The sample consisted of 30 second-trimester pregnant women selected through purposive sampling. Data were collected using a knowledge questionnaire and hemoglobin measurements before and after the intervention. Data were analyzed using the Paired Sample t-test with a significance level of α = 0.05. The results showed that the mean knowledge score increased from 65.00 to 80.67 after the intervention. The mean hemoglobin level also increased from 9.75 g/dL to 11.78 g/dL. The Paired Sample t-test showed a p-value of 0.000 (<0.05), indicating a significant difference before and after the intervention. Balanced nutrition health education was effective in improving knowledge and hemoglobin levels, thereby contributing to the reduction of anemia among second-trimester pregnant women at Amuntai Selatan Public Health Center.
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