Objective: To identify school community readiness to adopt a school-based adolescent nutrition intervention. Design: Cross-sectional study: mixed-methods design. The community readiness model was used to guide instrument development and qualitative analysis. Quantitative data are presented using descriptive statistics. Each statement was rated on a seven-point Likert scale, thereby producing scores between 1 (strongly disagree) and 7 (strongly agree). Setting: Ten of the twenty current public secondary schools in Bogor, Indonesia. Participants: Ninety teachers and ten school principals. Results: Eating behaviour problem awareness was present among all participants; awareness of efforts to improve eating habits was also present, but these efforts were perceived as having low efficacy; support from the City Education Authority and Health Authority was present, but the support type did not match the perceived needs; nutrition education had not been implemented across the entire school community due to competing priorities; existing nutrition policies did not provide concrete scenarios and clear guidelines for nutrition-friendly schools; the availability and accessibility of healthy foods at schools were considered to be key factors in improved adolescent nutrition; positive attitudes existed among respondents towards the implementation of various nutrition programmes, and the median and mode were seven in all types of school-based intervention. Conclusions: The school community readiness level regarding school-based adolescent nutrition interventions is currently in the action phase, implying that community leaders have begun organising efforts to address issues in adolescent nutrition and are aware of their consequences. Future support should be directed towards improving existing efforts and offering concrete ideas and clear policy guidelines for implementation.
One strategy to reduce anemia in adolescent girl age was through school-based iron folic-acid supplementation. Parents have the important role in improving the female students' compliance. This study aim to identify parent's knowledge, attitude and their role to improve female student's compliance to consume iron folic-acid tablets, mechanism and supplementation period and female student's compliance. Using a cross sectional design, 135 parents had involved for 3 months from 9 high-schools in Depok area.The majority of respondents had less knowledge (54.1%) and never received socialization (61.5%). T-test and correlation test were applied. There were correlations between parent's knowledge and attitude toward student's compliance (p=0.00). The differences was found in female student's compliance between parents who supervised when drinking at home with those who was not supervised (p = 0,000) and between parents who received socialization about anemia and those who never received (p = 0,000). The multivariate statistical results showed a fit regression equation about parents' role in improving female student's compliance to consume iron supplement (p value = 0.000). The regression model shows the greatest influence factor for female sudent's compliance to consume iron folic-acid with supervision at home (ß=0.709, p=0.000), parent's experience got socialization, tablet distribution mechanism and supplemantation schedule of giving iron folic acid (ß = 0.551, p=0.01, ß=0.435, p=0.01 and ß=0.429, p=0.00 respectively). It is suggested that school needs to involve parents in the program.
Koeksistensi anemia banyak di negara berpenghasilan rendah dan menengah, dan beberapa faktor penyebabnya yaitu kemiskinan, pengetahuan yang terbatas terkait pencegahan anemia, dan asupan nutrisi yang tidak memadai. Penelitian ini bertujuan untuk mempelajari dan mengetahui hubungan pengetahuan, sikap, dan status sosioekonomi dengan upaya pencegahan anemia gizi besi pada remaja putri di Desa Sirnagalih, Kabupaten Bogor. Penelitian ini adalah penelitian kuantitatif dengan desain studi potong lintang (cross sectional) dengan menggunakan data primer. Populasi adalah remaja Putri di Desa Sirnagalih yang berusia 10-19 tahun dan sudah mengalami menstruasi. Pemilihan sampel dengan teknik quota sampling dan didapatkan 72 orang. Analisis data dilakukan dengan uji univariat untuk mendeskripsikan karakteristik sosiodemografi, pengetahuan, sikap, dan perilaku pencegahan anemia pada remaja putri, uji bivariat dengan Chi-square dan uji multivariat menggunakan regresi logistik. Sebagian besar remaja putri di Desa Sirnagalih, Kabupaten Bogor memiliki perilaku pencegahan anemia yang baik (52,8%). Didapatkan hasil, bahwa variabel yang berhubungan dengan perilaku pencegahan anemia adalah pengetahuan (p-value 0,005), sikap (p-value 0,021), dan pendapatan keluarga (0,021). Hasil analisis multivariat didapatkan variabel independen paling berpengaruh adalah pendapatan keluarga dengan nilai POR 12,068 (95% CI 2,447-59,523; p= 0,002). Disarankan untuk puskesmas setempat mengadakan penyuluhan kepada remaja putri terkait anemia, dan Tablet Tambah Darah (TTD) sebagai salah satu pencegahan anemia.
Upaya pencegahan anemia pada remaja putri menjadi sangat penting untuk mencegah resiko abortus, melahirkan bayi dengan berat lahir rendah, rahim tidak dapat berkontraksi dengan baik, perdarahan setelah persalinan yang berakibat dengan kematian. Salah satu upaya pencegahan anemia dalam bidang promosi kesehatan yaitu dengan menggunakan media pembelajaran sebagai bentuk kegiatan edukasi tentang anemia. Tujuan dari penelitian ini untuk mengetahui perbedaan efektivitas penggunaan jenis media edukasi tentang anemia terhadap pengetahuan, sikap, efikasi diri remaja putri desa Sirnagalih. Jenis penelitian ini kuantitatif dengan desain quasi eksperimen – non equivalent control desain. Jumlah sampel dalam penelitian ini sebanyak 60 orang yang diperoleh dengan teknik purposive sampling. Instrumen yang digunakan adalah kuesioner pretest dan posttest. Analisis yang digunakan dalam penelitian ini yaitu uji Wilcoxon dan Mann Whitney. Hasil penelitian setelah dilakukan edukasi kesehatan terdapat adanya perbedaan tingkat pengetahuan, sikap dan efikasi diri remaja tentang anemia (p<0.005). Simpulan penelitian menunjukkan media video lebih efektif untuk digunakan sebagai media edukasi tentang anemia kepada remaja putri karena berdasarkan uji statistik didapatkan nilai rata-rata media video lebih tinggi dibandingkan nilai rata-rata media poster.
Background:School based weekly iron and folic acid supplementation (WIFAS) program was aimed to decrease anemia prevalence and improve the adherence to consume iron tablet.Limited information on the school perspective and their readiness to implement the program.Objectives:To analyze program guidelines, stakeholders’ perspective and school readiness to implement the program which will help evaluate and improve adherence to WIFAS.Methods:Using cross sectional design with mixed method approach to utilize social ecological model and community readiness model.Results: Most of schools received awareness campaign regarding the program,only 38,9% have conducted a drinking together session once a week,only 27,8% recorded their students’ adherence.The average score for the school readiness was 3.36 (SD ±0.82), the school was in the vague awareness stage.There is a correlation between the score of school’s knowledge, attitude toward WIFAS program,City Health Authority and Education Regional Office ‘s support score, the total score of the school readiness, ever got socialization with implementation of WIFAS (r= 0.35, r=0.2, r=0.49, r=0.21, r= 0.66, r= 0.43, p value <0.005).The strongest correlation with implementation of WIFAS at school was the school readiness total score, ever received socialization and score school’s knowledge on WIFAS (p value <0.005) and City health Authority and Education regional office’s support score for WIFAS program as covariant (p >0.05).Conclusions: School readiness is important factor of community and environment which contribute to behavior change.School realize that anemia and schoolgirl adherence to consume WIFAS had to solved but did not know how and assume outside parties can help solve the problem.The City Health Authority and Education Regional Office is expected to help improve the school readiness to implement the program.
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