Edukasi Kepatuhan Konsumsi Tablet Tambah Darah sebagai Upaya Pencegahan Anemia pada Remaja di Wilayah Kerja Puskesmas Mangkung
Abstract
Adolescent anemia remains a significant public health problem in Indonesia, primarily caused by inadequate iron intake, limited nutritional literacy, and low adherence to iron supplementation programs. Although both male and female adolescents are affected, females are at higher risk due to physiological factors. This community service program aimed to improve adolescents’ knowledge, understanding, and initial attitudes toward Iron-Folic Acid (IFA) supplementation as a strategy for anemia prevention. The program was conducted at Salman Al-Farisi Islamic Boarding School in Central Lombok, involving both male and female adolescents. The intervention consisted of a single-session participatory education approach, including interactive lectures, group discussions, demonstrations of proper IFA consumption, and the use of educational media such as posters and leaflets. The results demonstrated a significant improvement in knowledge, with the proportion of participants with good knowledge increasing from 20% to 70%, and poor knowledge decreasing from 45% to 5%. Participants also showed more positive initial attitudes and greater openness toward IFA consumption. However, due to the one-time nature of the intervention, long-term adherence could not be evaluated. Therefore, the primary outcome of this program is an increased level of behavioral readiness, serving as a foundation for long-term behavior change. In conclusion, this educational intervention successfully strengthened adolescents’ cognitive and affective foundations for anemia prevention. Continuous education and routine monitoring are recommended to promote sustained adherence to IFA supplementation programs.
References
Anjaya, A. M., Alyani, A. D., Nugrahani, N., Athalia, R., Herbawani, F., & Kharin, C. (2024). Efektivitas Metode Pendidikan Kesehatan terhadap Kesadaran dan Kepatuhan Konsumsi Tablet Tambah Darah pada Remaja Putri. Miracle Journal of Public Health (MJPH), 7(2), 75–85. https://doi.org/10.36566/mjph/Vol7.Iss2/371
Apriani, L. A., Lestari, M. A., Ismiati, I., & Wiguna, R. I. (2023). Pencegahan Kanker Payudara melalui Edukasi Kesehatan SADARI pada Siswi Madrasah Aliyah Qamarul Huda. Jurnal Abdimas Kesehatan (JAK), 5(1), 103. https://doi.org/10.36565/jak.v5i1.453
Choirun Niza, Annas Buanasita, Mujayanto, Nugroho, Fahmi Hafid, & Zainun Sharif Ishak. (2024). The Relationship Between Knowledge and Attitude About Anemia with Compliance to Consume Iron Supplement Tablets in Female Adolescents of Grade X at State Senior High School 13 Surabaya. Journal of Nutrition Explorations, Vol.2 No.3, 405–414. https://doi.org/https://doi.org/10.36568/jone.v2i3.370
Eka Yuli Handayani, Eka Yuliana Sari, Siti Nurkhasanah, Sri Wulandari, & Muhammad Arif Ismail. (2023). Hubungan Lama Menstruasi Remaja dengan Kejadian Anemia pada Remaja Putri Di Smp N 2 Tambusaikabupaten Rokan Hulu. Jannatul Makwa Health, 2(2), 55–62. https://doi.org/10.69886/jmh.v2i2.30
Hamid, N. S., Ansariadi, Amiruddin, R., Noor, N. N., Birawida, A. B., & Stang. (2024). Anemia prevention measures in female students in the Islamic Boarding School of Al-Junaidiyah Biru, Indonesia. Journal of Education and Health Promotion, 13. https://pubmed.ncbi.nlm.nih.gov/39850308/
Icek Ajzen. (2020). The Theory of Planned Behavior; Frequently asked Questions. THEORETICAL ARTICLE, Vol.2, 314–324. https://doi.org/10.1002/hbc2.195
Kementerian Kesehatan Republik Indonesia. (2021). Pedoman pencegahan dan penanggulangan anemia pada remaja putri dan wanita usia subur. Kemenkes RI.
. (2021). Petunjuk teknis pelaksanaan pemberian tablet tambah darah bagi remaja putri. Direktorat Gizi Masyarakat, Kemenkes RI.
Kemenkes. (2023). Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka. In Kota Kediri Dalam Angka.
Lee, S., Son, Y., Hwang, J., Kim, M. S., GBD Dietary Iron Deficiency Collaborators, Shin, J. Il, Yon, D. K., & Kassebaum, & N. J. (2025). Global, regional and national burden of dietary iron deficiency from 1990 to 2021: a Global Burden of Disease study. Nature Medicine. https://doi.org/10.1038/s41591-025-03624-8
Nasruddin, Rachmat Faisal Syamsu, & Dinda Permatasari. (2021). Angka Kejadian Anemia Pada Remaja di Indonesia. CERDIKA: Jurnal Ilmiah Indonesia, Vol. 1 No. 4, 357–364. https://doi.org/https://doi.org/10.69886/jmh.v2i2.30
Nguyen, Thanh Huon, Dai Quang, Thi Lam, Hong Long, Ngoc Anh, & Dao Van Dung. (2025). Anemia in adolescent girls in a northern mountainous province of Vietnam: A analytical cross-sectional study among 805 participants. Journal of Public Health Research, Vol.14(No.4), 1–9. https://doi.org/10.1177/22799036251380893
Risma, R., Hadju, V., Zulkifli, A., Hidayanti, H., Russeng, S. S., Indarty, A., Monoarfa, Y., & Syakir, M. (2025). Determinants of anemia among adolescents girls in district Banggai, Indonesia. International Journal of Public Health Science (IJPHS), 14(2), 1008. https://doi.org/10.11591/ijphs.v14i2.23992
Sari, Dewi Judistiani, Diah Herawati, Dhamayanti, & Hilmanto. (2022). Iron Deficiency Anemia and Associated Factors Among Adolescent Girls and Women in a Rural Area of Jatinangor, Indonesia. International Journal of Women’s Health, 4, 1137–1147.
Soekidjo Notoatmodjo. (2020). Metodologi Penelitian Kesehatan. Rineka Cipta.
Stevens, G. A., Paciorek, C. J., Flores-Urrutia, M. C., Borghi, E., Namaste, S., Wirth, J. P., Suchdev, P. S., Ezzati, M., Rohner, F., Flaxman, S. R., & Rogers, L. M. (2022). National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data. The Lancet Global Health, 10(5), e627–e639. https://doi.org/10.1016/S2214-109X(22)00084-5
Widyanthini & Widyanthari. (2021). Analisis Kejadian Anemia pada Remaja Putri di Kabupaten Bangli, Provinsi Bali, Tahun 2019. Buletin Penelitian Kesehatan, Vol.49(No.2), 87–94. https://repository.badankebijakan.kemkes.go.id/id/eprint/5384/
World Health Organization. (2025). Anaemia fact sheet. https://www.who.int/news-room/fact-sheets/detail/anaemia?utm_
WHO. (2016). Guideline: Daily iron supplementation in adult women and adolescent girls.
WHO. (2025). WHO global anaemia estimates Key findings, 2025. Department of Nutrition and Food Safety World Health Organization.
Yanniarti, S., Yorita, E., Burhan, R., Ichwan, E. Y., & Wahyuni, T. S. (2025). Education program for adolescent girl anemia to improve adherence to iron supplementation in remote areas. Malahayati International Journal of Nursing and Health Science, 07(10), 1286–1293.
Yanyan Mulyani, Elis Susilawati, Denni Fransiska Helena, I Gusti Agung Ayu Hari Triandini, & Herlina Husein. (2023). Peningkatan Kesehatan Remaja Menyongsong Keluarga Sehat dan Zero Stunting dengan Yuk Café di Desa Cikahuripan. SELAPARANG. Jurnal Pengabdian Masyarakat Berkemajuan , 860–865.



