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  2. Vol 18, No 2 (2023)
  3. Rahmiwati

Effect of Local Culture-based Nutrition Education on Compliance with Iron and Folic Acid Supplementation in Female Adolescent

Anita Rahmiwati, Kusharisupeni Djokosujono, Tri Krianto, Diah Mulyawati Utari, Ratna Djuwita, Asih Setiarini, Besral Besral, Dadang Hikmah Purnama, Cesilia Meti Dwiriani, Nana Mulyana

Abstract


The non-compliance of female adolescents with the consumption of iron and folic acid supplementation (IFAS) poses a challenge to reducing the incidence of anemia. Therefore, this study aimed to determine the effect of nutrition education using the local culture-based approach on the level of knowledge and attitudes regarding awareness, interest, evaluation, trial, and adoption dimensions, as well as compliance of female adolescents in consuming IFAS. The intervention was conducted using a quantitative quasi-experimental design approach. The sample comprised 68 and 58 senior high school girls in the control and intervention groups. The intervention group received IFAS and local culture-based nutrition education for 12 weeks and followed up after four weeks; while, the control group was given a leaflet and IFAS. Univariate analysis was conducted to analyze the participants’ characteristics; while, bivariate analysis used an independent T-test. The multivariate analysis was carried out using multiple linear and logistic regression analyses. The study showed a statistically significant increase in knowledge and attitudes scores in the intervention group (p-value<0.01) compared to the control group. In conclusion, the compliance with IFAS in the intervention group was 82.8%.

Keywords


compliance; female adolescent; iron and folic acid supplementation; local culture; nutrition education

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References


 1. Nainggolan O, Hapsari D, Titaley CR, Indrawati L, Dharmayanti I, Kristanto AY. The relationship of body mass index and mid-upper arm circumference with anemia in non-pregnant women aged 19-49 years in Indonesia: Analysis of 2018 Basic Health Research data. PloS one. 2022; 17 (3): e0264685. DOI: 10.1371/journal.pone.0264685

 2. Sosa-Moreno A, Reinoso-González S, Mendez MA. Anemia in women of reproductive age in Ecuador: Data from a national survey. PloS one. 2020; 15 (9): e0239585. DOI: 10.1371/journal.pone.0239585

 3. Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Riskesdas 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

 4. Dinas Kesehatan Kabupaten Ogan Komering Ilir. Laporan Survei Anemia Rematri. Kayu Agung: Dinas Kesehatan Kabupaten Ogan Komering Ilir; 2019.

 5. Julaecha. Upaya Pencegahan Anemia pada Remaja Putri. J Abdimas Kesehat. 2020; 2 (2): 109-112. DOI: 10.36565/jak.v2i2.105

 6. World Health Organization. Weekly iron and folic acid supplementation as an anaemia-prevention strategy in women and adolescent girls: lessons learnt from implementation of programmes among non pregnant women of reproductive age. Geneva: World Health Organization; 2018.

 7. Shaka MF, Wondimagegne YA. Anemia, a moderate public health concern among adolescents in South Ethiopia. PLoS One. 2018; 13 (7): e0191467. DOI: 10.1371/journal.pone.0191467

 8. Wangaskar SA, Sahu SK, Majella MG, Rajaa S. Prevalence of Anaemia and Compliance to Weekly Iron-Folic Acid Supplementation Programme amongst Adolescents in Selected Schools of Urban Puducherry, India. Niger Postgrad Med J. 2021; 28 (1): 44-50. DOI: 10.4103/npmj.npmj_336_20

 9. Permatasari T, Briawan D, Madanijah S. Efektivitas Program Suplementasi Zat Besi pada Remaja Putri di Kota Bogor. Media Kesehat Masy Indones. 2018; 14 (1): 1-8. DOI: 10.30597/mkmi.v14i1.3705

 10. Rakanita Y, Sinuraya RK, Suradji EW, Suwantika AA, Syamsunarno MRRAA, Abdulah R. The Challenges in Eradication of Iron Deficiency Anemia in Developing Countries. SRP. 2020; 11 (5): 383-401. DOI: 10.31838/srp.2020.5.55

 11. Dubik SD, Amegah KE, Alhassan A, Mornah LN, Fiagbe L. Compliance with Weekly Iron and Folic Acid Supplementation and Its Associated Factors among Adolescent Girls in Tamale Metropolis of Ghana. J Nutr Metab. 2019; 8242896. DOI: 10.1155/2019/8242896

 12. Singh M, Rajoura OP, Honnakamble RA. Assessment of weekly iron–folic acid supplementation with and without health education on anemia in adolescent girls: A comparative study. Int J Prev Med. 2020; 11: 203. DOI: 10.4103/ijpvm.IJPVM_552_18

 13. Kamel Boulos MN, Giustini DM, Wheeler S. Instagram and WhatsApp in health and healthcare: An overview. Future Internet. 2016; 8 (3): 37. DOI: 10.3390/fi8030037

 14. Notoadmojo. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta; 2012.

 15. Rahmiwati A. Intervensi Pendidikan Gizi berbasis Budaya Lokal Terhadap Kepatuhan Konsumsi Tablet Tambah Darah Remaja Putri di Kabupaten Ogan Komering Ilir [Dissertation]. Depok: Universitas Indonesia; 2022. p. 279.

 16. Afriani SH. Kelakar Bethok in Palembang Malay Language: A Linguistic Analysis. J Malay Islamic Stud. 2019; 3 (1): 1-6. DOI: 10.19109/jmis.v3i1.4569

 17. Kementerian Kesehatan Republik Indonesia. Pedoman Pencegahan dan Penanggulangan Anemia pada Remaja Putri dan Wanita Usia Subur (WUS). Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

 18. Mularsih S. Hubungan Pengetahuan Remaja Putri Tentang Anemia dengan Perilaku Pencegahan Anemia pada Saat Menstruasi di SMK Nusa Bhakti Kota Semarang. J Kebidanan. 2017; 6 (2): 80-85.

DOI: 10.26714/jk.6.2.2017.80-85

 19. Subratha HFA. Gambaran Tingkat Pengetahuan Remaja Putri Tentang Anemia di Tabanan. J Med Usada. 2020; 3 (2): 48-53.

DOI: 10.54107/medikausada.v3i2.75

 20. Wahyuningsih A, Uswatun A. Hubungan Pengetahuan Tentang Anemia dengan Kepatuhan Mengkonsumsi Tablet Tambah Darah Remaja Putri di SMA Negeri 1 Karanganom. INVOLUSI: J Ilmu Kebidanan. 2019; 9 (1): 1-12.

 21. Schanke AK, Thorsen K. A Life-Course Perspective on Stigma-Handling: Resilience in Persons of Restricted Growth Narrated in LifeHistories. Disabil Rehabil. 2014; 36 (17): 1464-73.

DOI: 10.3109/09638288.2013.853842

  22. Runiari N, Ruspawan IDM. Media Video dan Whatsapp Reminder terhadap Kepatuhan Remaja Putri Minum Tablet Tambah Darah. J Keperawatan. 2021; 13 (2): 19-28. DOI: 10.32583/keperawatan.v13i2.1466

 23. Noverina D, Dewanti LP, Sitoayu L. Pengaruh Explanation Video terhadap Pengetahuan dan Kepatuhan Konsumsi Tablet Tambah Darahdi SMPN 65 Jakarta Utara. Darussalam Nutr J. 2020; 4 (1): 35-43. DOI: 10.21111/dnj.v4i1.4048

 24. Gebreyesus, SH, Endris BS, Beyene GT, Farah AM, Elias F, Bekele HN. Anaemia among adolescents girls in three districts in Ethiopia. BMC Public Health. 2019; 19 (1): 92. DOI:

1186/s12889-019-6422-0

 25. Mayguspin GA, Hidayati L, Puspowati SD, Kisnawaty SW. Pengaruh Pendidikan Gizi terhadap Pengetahuan dan Konsumsi TTD pada Remaja Putri. In: The 16th University Research Colloquium 2022: Bidang MIPA dan Kesehatan; 2022 Sep 24; Pekalongan, Indonesia. Pekalongan: LPPM Universitas Muhammadiyah Pekajangan Pekalongan; 2023. p. 693-705.

 26. Ersser SJ, Cowdell F, Latter S, Gardiner E, Flohr C, Thompson AR, et al. Psychological and educational interventions for atopic eczema in children. Cochrane Database Syst Rev. 2014; 2014 (1): CD004054. DOI: 10.1002/14651858.CD004054.pub3

 27. Kong M, Shin SH, Lee E, Yun EK. The effect of laughter therapy on radiation dermatitis in patients with breast cancer: A single-blind prospective pilot study. Onco Targets Ther. 2014; 7: 2053-9. DOI: 10.2147/OTT.S72973

 28. Koo JE, Lee GU. An effect of physical activity-based recreation programs on children’s optimism, humor styles, and school life adjustment. J Exerc Rehabil. 2015; 11 (3): 169-74. DOI: 10.12965/jer.150210

 29. Hui C, Tam F. Learning Subject Knowledge and Acquiring Twenty-First Century Skills Through Game Development in the Classroom. In: Baek Y, Ko R, Marsh T, editors. Trends and Applications of Serious Gaming and Social Media. Gaming Media and Social Effects. Singapore: Springer; 2014. DOI: 10.1007/978-981-4560-26-9_9

 30. Elliot DL, Goldberg L, Goldberg MJ. Digital Video Technology and Production 101: Lights, Camera, Action. Health Promot Pract. 2014; 15 (1): 86-90. DOI: 10.1177/1524839913510722

 31. Lee SJ, Reeves TC. Edgar Dale and the Cone of Experience. In: RE West, editor. Foundations of Learning and Instructional Design Technology. Ed Tech Books; 2018.

 32. Adam M, McMahon SA, Prober C, Bärnighausen T. Human-centered design of video-based health education: An iterative, collaborative, community-based approach. J Med Internet Res. 2019; 21 (1): e12128. DOI: 10.2196/12128




DOI: http://dx.doi.org/10.21109/kesmas.v18i2.6832

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