Coverage and Adherence of Weekly Iron Folic Acid Supplementation among School Going Adolescent Girls in Indonesia

Alfiah, Elma; Briawan, Dodik; Khomsan, Ali; Dewi, Mira; Ekayanti, Ikeu; Mardewi,; Raut, Manoj Kumar; Zakaria, Abanti; Roche, Marion

doi:10.3177/jnsv.66.s118

Cited by 13 publications

(20 citation statements)

References 7 publications

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“… 23 The dominant public health response to anaemia has been to provide nutrients, primarily iron, to populations at risk through supplementation, fortification of staple foods, and multiple micronutrient powders. Although these strategies can be beneficial in contexts where micronutrient intakes are inadequate, particularly when supplementation is provided as part of antenatal care, 24 , 25 coverage of many of these intervention programmes remains low 26 , 27 , 28 , 29 and complementary interventions are generally needed to address other causes of anaemia. 30 The availability of animal-source foods has increased in most low-income and middle-income countries, especially in east Asia.…”

Section: Discussionmentioning

confidence: 99%

National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data

Stevens

Paciorek

Flores-Urrutia

et al. 2022

The Lancet Global Health

189

142

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Section: Discussionmentioning

confidence: 99%

National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data

Stevens

Paciorek

Flores-Urrutia

et al. 2022

The Lancet Global Health

189

142

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“…This study used instruments in the form of questionnaires adapted from several sources, including the knowledge level questionnaire adapted from Rokhmawati's research (2015), the menstrual pattern questionnaire adapted from Aprillia's research (2019), and the iron supplement consumption compliance questionnaire adapted from Alfiah et al (2019) and Rasni et al(2019). The assembled instruments are then subjected to content validity testing.…”

Section: Results and Discussion Instrument Testmentioning

confidence: 99%

“…The number of questions related to compliance with iron supplement consumption totaled 5 and obtained an average validity value of 0.888889, or high validity criteria. The items in the iron supplement consumption compliance questionnaire were adapted from research by Rasni et al (2019) and Alfiah et al (2019), which had not previously been tested for validity. The number of question items adapted from Rasni's research questionnaire (2019), are 4 question items and 1 item related to reasons for not consuming iron tablets, was adapted from research by Alfiah et al (2019).…”

Section: Results and Discussion Instrument Testmentioning

confidence: 99%

Influence of Knowledge Level about Anemia and Menstrual Patterns on Adherence to Consumption Iron Supplement in Adolescents at A Public Senior High School in Magelang

Nugraheni,

Latifah,

Wijayatri

2023

Pharmacon

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Anemia is a health problem in all age groups, from toddlers to old age. Adolescent girls are prone to anemia due to their monthly menstrual cycle, so iron supplementation is needed, one of which is Supplementary Blood Tablets. This study was to find out the influence of the knowledge level about anemia and menstrual patterns on compliance of iron supplement consumption in adolescents at a public senior high school in Magelang. This analytical research was carried out in December 2022 using a survey method with a research instrument in the form of a questionnaire in the form of a Google Form which was distributed via the Whatsapp application. The sampling technique was probability sampling in the form of proportionate stratified random sampling with the inclusion criteria for young women, active high school students, menstruating, aged 15-18 years, as well as exclusion criteria for high school students who were not willing to participate as research respondents. A population of 500 students came from grades 10, 11, and 12 and was calculated using the slovin formula (e = 5%) to obtain a sample of 250 students. The research questionnaire was adapted from four different studies with a total of 39 question items that had been tested for instrument validity content using the Aiken index calculation, and all questionnaire items tested valid with results 0.8. The results showed that young women at a public senior high school in Magelang had a "good" level of knowledge about anemia with a percentage of 58.8%, 85.2% experienced normal menarche, 77.2% had normal menstrual cycles, 71.6% experienced dysmenorrhea, and adherence to iron supplement consumption was low. 84.4% of respondents "didn't comply" and 66.4% "forgot to consume" so it is necessary to increase socialization from health and education agencies regarding the importance of consumming iron supplement in adolescents . While the SPSS version 26 analysis was carried out using normality and homogeneity tests, non-parametric statistical tests were used with chi-square test yielded P values of 0.6240.05 and 0.2750.05, meaning that the level of knowledge about anemia and menstrual patterns had no effect on the adherence to iron supplement consumption in adolescents at a public senior high school in MagelangKeywords: knowledge of anemia, menstrual patterns, consumption compliance, iron tablets, young women

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“…A study in Bali have found a similar finding that there were various reason for non-adherence of WIFA supplementation due to bad taste, forgotten, losses, taken other drugs, and nausea 22 . Moreover, a previous study in East Java and East Nusa Tenggara have reported the low level of coverage and adherence of WIFA supplementation, and it was suggested that in order to prevent forgetfulness in taking IFA tablet, WIFA distribution and consumption should be conducted at school in the same time 23 . A good understanding of the consequences of anemia is expected to increase their awareness of anemia, hence may increase student's acceptance and adherence towards the WIFA supplementation.…”

Section: Students' History Of Wifa Supplementationmentioning

confidence: 99%

Study Characteristics of School Adolescent Girls on Iron Folic Acid Supplementation Program as the Prevention of Anemia in Adolescent

Prasetya¹,

Khomsan

Riyadi

et al. 2022

AMNT

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Background: Efforts to accelerate stunting reduction involve specific and sensitive nutrition interventions. School adolescent girls are the target group in reducing stunting through anemia prevention. Iron folic acid (IFA) supplementation program is the specific nutrition intervention to prevent anemia in adolescent girls. Objectives: This research aims to study the characteristics of students who received the IFA supplementation program. Methods: Research design was a cross sectional that involved 123 students from 12 public high schools in Cianjur District, West Java Province. Student’s characteristics consist of knowledge on anemia and their adherence on IFA supplementation program. Data collection is carried out by self-administering questionnaires monitored by enumerator. Data is performed by using mean ± SD and n (%). Results: Student’s knowledge on anemia mostly (61.8%) were categorized as low, as 30.9% were moderate, and only 7.3% were high. Students (44.7%) knew how to detect anemia is by measuring blood hemoglobin levels. As of 59.3% and 51.2% students knew the main causes of anemia are inadequate iron intake and blood loss during menstruation. Approximately 60-80% students recognized the common symptoms and sign of anemia. Most students (76.8%) have received IFA on a weekly basis and 41.2% students acknowledge their adherence in the IFA consumption with aim to prevent anemia (85.1%), the rest 23.4% and 14.9% due to the advice by the teachers and health officers. Students who have no adherence were due to their fear on the side effects, the tablet taste, forgetfulness, and feeling healthy. Conclusions: Iron folic acid supplementation program have been conducted and well targeted, however, student’s understanding on the objectives, benefit, and their adherence is needed to be gained.

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Coverage and Adherence of Weekly Iron Folic Acid Supplementation among School Going Adolescent Girls in Indonesia

Cited by 13 publications

References 7 publications

National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data

National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data

Influence of Knowledge Level about Anemia and Menstrual Patterns on Adherence to Consumption Iron Supplement in Adolescents at A Public Senior High School in Magelang

Study Characteristics of School Adolescent Girls on Iron Folic Acid Supplementation Program as the Prevention of Anemia in Adolescent

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