Anemia status, knowledge level, attitude and motivation of anemic adolescent girls in school-based educational interventions in Jambi City, 2025

Authors

  • Ismi Nurwaqiah Ibnu Study Program of Public Health Science, Faculty of Medicine and Health Science, Universitas Jambi
  • Guspianto Study Program of Public Health Science, Faculty of Medicine and Health Science, Universitas Jambi
  • Meinarisa Study Program of Nursing Science, Faculty of Medicine and Health Science, Universitas Jambi
  • Dessy Pramudiani Study Program of Psichology, Faculty of Medicine and Health Science, Universitas Jambi

DOI:

https://doi.org/10.22437/proca.v1i2.50510

Keywords:

adolescent girl; anemia; education intervention; behavior; motivation

Abstract

Background: Anemia among adolescents is influenced not only by nutritional deficiencies but also by limited knowledge, attitudes, and perceptions related to anemia prevention. Objective: This study aimed to evaluate the effectiveness of a school-based nutrition education intervention using a behavioral change approach among adolescent girls in Jambi City. Methods: A quasi-experimental design was employed involving 65 participants divided into an intervention group (n=37) and a control group (n=28). All participants were screened for anemia (hemoglobin <12 g/dL) and assessed for knowledge, attitude, motivation, and nutritional intake at baseline and post-intervention. The control group received standard anemia prevention modules, while the intervention group participated in the “8000 Days Against Anemia Club,” a six-week program combining lectures, games, peer counseling, and practical activities. Results: Statistical analysis using the t-test showed that the intervention significantly reduced anemia prevalence from 100% to 7.1% and increased mean hemoglobin levels by approximately 2 g/dL, while the control group retained a high anemia prevalence of 78.4%. In addition, the intervention group demonstrated marked improvements in knowledge, attitudes, and motivation toward anemia prevention. Conclusion: These findings indicate that participatory, school-based educational approaches effectively enhance awareness and produce measurable biological impacts in reducing anemia among adolescent girls.

Downloads

Download data is not yet available.

Author Biographies

Ismi Nurwaqiah Ibnu, Study Program of Public Health Science, Faculty of Medicine and Health Science, Universitas Jambi

Study Program of Public Health Science, Faculty of Medicine and Health Science, Universitas Jambi

Guspianto, Study Program of Public Health Science, Faculty of Medicine and Health Science, Universitas Jambi

Study Program of Public Health Science, Faculty of Medicine and Health Science, Universitas Jambi

Meinarisa, Study Program of Nursing Science, Faculty of Medicine and Health Science, Universitas Jambi

Study Program of Nursing Science, Faculty of Medicine and Health Science, Universitas Jambi

Dessy Pramudiani, Study Program of Psichology, Faculty of Medicine and Health Science, Universitas Jambi

Study Program of Psichology, Faculty of Medicine and Health Science, Universitas Jambi

References

[1] Nehar KN, Bakal RL, Hatwar PR, Gawai AY, Diwnale SS. Iron Deficiency Anemia: Etiology, Pathophysiology, Diagnosis, and Treatment Approaches. Journal of Drug Delivery and Therapeutics 2024;14:185–99. https://doi.org/10.22270/jddt.v14i11.6899.

[2] Kumar A, Sharma E, Marley A, Samaan MA, Brookes MJ. Iron deficiency anaemia: Pathophysiology, assessment, practical management. BMJ Open Gastroenterol 2022;9. https://doi.org/10.1136/bmjgast-2021-000759.

[3] Rah JH, Melse-Boonstra A, Agustina R, van Zutphen KG, Kraemer K. The Triple Burden of Malnutrition Among Adolescents in Indonesia. Food Nutr Bull 2021;42:S4–8. https://doi.org/10.1177/03795721211007114.

[4] WHO. Global nutrition targets 2025: anaemia policy brief 2014. https://www.who.int/publications/i/item/WHO-NMH-NHD-14.4 (accessed September 10, 2025).

[5] Badan Kebijakan Pembangunan Kesehatan. SKI 2023 DALAM ANGKA. 2024.

[6] Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2023. Jakarta: 2024.

[7] Wessling-Resnick M. Iron: Basic Nutritional Aspects. Molecular, Genetic, and Nutritional Aspects of Major and Trace Minerals 2017:161–73. https://doi.org/10.1016/B978-0-12-802168-2.00014-2.

[8] Reski RN, Hadju V, Indriasari R, Muis M. Anemia, chronic energy deficiency and their relationship in preconception women. Enferm Clin 2020;30:76–80. https://doi.org/10.1016/J.ENFCLI.2020.06.018.

[9] Fatimah S, Rosyad SR, Wulandatika D. Anemia Reduction Program In Adolescents: Scoping Review. Gaster 2024;22:122–36. https://doi.org/10.30787/GASTER.V22I1.1410.

[10] Agustina R, Wirawan F, Sadariskar AA, Setianingsing AA, Nadiya K, Prafiantini E, et al. Associations of Knowledge, Attitude, and Practices toward Anemia with Anemia Prevalence and Height-for-Age Z-Score among Indonesian Adolescent Girls. Food Nutr Bull 2021;42:S92–108. https://doi.org/10.1177/03795721211011136.

[11] Lu S ning, Ding W, Wang J zhi, Yin S qin, Li S guo, Zhou X wu, et al. Application of an innovative grid-based surveillance strategy to ensure elimination and prevent reintroduction of malaria in high-risk border communities in China. BMC Public Health 2022;22:1–7. https://doi.org/10.1186/S12889-022-13753-1/Tables/1.

[12] Maria I, Aurora WID, Darmawan A, Kusdiyah E, Nuriyah. Anemia status in high school students, jambi city. Jambi Medical Journal: Jurnal Kedokteran Dan Kesehatan 2023;11:334–9. https://doi.org/10.22437/JMJ.V11I3.27552.

[13] Djalil Lukmanul Hakim D, Sahiratmadja E, Author C. Prevalence And Factors Associated with Anemia Among Adolescent in Jambi City Indonesia. Galore International Journal of Health Sciences and Research n.d.;9. https://doi.org/10.52403/gijhsr.20240110.

[14] Simangunsong B, Puspitasari N, Studi Magister Ilmu Kesehatan Masyarakat P, Kesehatan Masyarakat F. Factors Associated with Anemia Among Adolescent Girls Aged 10-19 Years in Central Kalimantan. Jurnal Ilmu Kesehatan Masyarakat 2024;15:320–33. https://doi.org/10.26553/JIKM.2024.15.3.320-333.

[15] Sari P;, Herawati DMD;, Dhamayanti M;, Hilmanto D, Sari P, Diah Herawati DM, et al. Anemia among Adolescent Girls in West Java, Indonesia: Related Factors and Consequences on the Quality of Life. Nutrients 2022, Vol 14, Page 3777 2022;14:3777. https://doi.org/10.3390/NU14183777.

[16] Ariwibowo C, Ariwibowo C, Zuraida R, Susianti S. The Effect of Multifaceted Intervention on Iron Intake and Hemoglobin (Hb) Levels in Teenage Girl with Mild Moderate Anemia at The Vocational School State of Tanjung Sari in South Lampung Regency. Jurnal Aisyah : Jurnal Ilmu Kesehatan 2022;7:355–62. https://doi.org/10.30604/jika.v7iS1.1273.

[17] Zakiyah MSU, Nasir S, Syafar M, Azzahra Y. Effect Of Multifaceted Intervention On Knowledge, Attitude, Iron Intake, Hemoglobin (Hb) Levels In Adolescent Women With Mild To Moderate Anemia At Senior High School 2 Tomia Of Wakatobi Regency. J Neonatal Surg 2025;14.

[18] Indriyani, F., & Wahyudi, H. A Decade of KDIGO updates (2012–2025): What’s new in the evaluation and management of anemia in chronic kidney disease?. Svāsthya: Trends in General Medicine and Public Health, 2025;2(5), e110.

[19] Oddo VM, Roshita A, Rah JH. Potential interventions targeting adolescent nutrition in Indonesia: A literature review. Public Health Nutr 2019;22:15–27. https://doi.org/10.1017/S1368980018002215.

[20] UNICEF. Social and Behaviour Change Communication Strategy: Improving Adolescent Nutrition in Indonesia. 2021.

[21] Salam RA, Hooda M, Das JK, Arshad A, Lassi ZS, Middleton P, et al. Interventions to Improve Adolescent Nutrition: A Systematic Review and Meta-Analysis. The Journal of Adolescent Health 2016;59:S29. https://doi.org/10.1016/J.JADOHEALTH.2016.06.022.

[22] Seth DrU. Innovative educational program based on banduras social cognitive theory for food label understanding in early adolescents. International Journal of Home Science 2018;4:103–7. https://doi.org/10.22271/23957476.2018.v4.i3b.1154.

[23] Ekubagewargies DT, Ahmed F, Lee P. Effectiveness of Peer-Led Interventions in Improving the Dietary Behavior of Adolescents in Low- and Middle-Income Countries: A Systematic Review. Nutr Rev 2025;83:1183. https://doi.org/10.1093/Nutrit/NUAF037.

[24] Fitranti DY, Fitriyah K, Kurniawati MD, Wardah1 S, Sarwanti S, Afifah SN, et al. Pencegahan Anemia Pada Remaja Putri dengan Metode Focus Group Discussion di SMA Negeri 3 Pekalongan. Proactive 2022;1:46–54.

[25] Utomo, B., Umiastuti, P., Fauziyah, S., Sucipto, T. H., Adnyana, I. M. D. M., Eljatin, D. S., & Muthu, P.. The use of anemia comics as the learning medium in Senior High School Students from Gresik, East Java, Indonesia. World Journal of Advanced Research and Reviews, 2024, 24(01), 2243–2249. https://doi.org/10.30574/wjarr.2024.24.1.3247.

[26] Salam SS, Ramadurg U, Charantimath U, Katageri G, Gillespie B, Mhetri J, et al. Impact of a school-based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre-post interventional study. BJOG 2023;130:113–23. https://doi.org/10.1111/1471-0528.17619.

[27] Rahman MJ, Rahman MM, Sarker MHR, Matsuyama R, Kakehashi M, Tsunematsu M, et al. Impact of mobile health-based nutritional education on hemoglobin levels in anemic adolescent girls in rural Bangladesh: a randomized controlled trial. BMC Public Health 2025;25:1–16. https://doi.org/10.1186/S12889-025-23687-Z/TABLES/6.

[28] Ghadam OS, Sohrabi Z, Mehrabi M, Fararouei M, Shahraki M, Hejazi N, et al. Evaluating the effect of digital game-based nutrition education on anemia indicators in adolescent girls: A randomized clinical trial. Food Sci Nutr 2022;11:863–71. https://doi.org/10.1002/FSN3.3120.

[29] Afiah Romadhona N, Ardianti Khasanah T, Studi Gizi P, Ilmu Kesehatan dan Teknologi F, Binawan U, Artikel I. The Effect of Educational Videos on Knowledge About Anemia and Adherence to Iron Tablet Consumption Among Students of Taman Madya 5 High School. Media Gizi Ilmiah Indonesia 2025;3:17–24. https://doi.org/10.62358/MGII.V3I1.45.

[30] Zakiah S, Toaha A, Abri N, Wahyutri E. The Effect of Nutrition Education on Knowledge, Attitudes, and Iron Intake in Adolescent Girls. Journal of Health and Nutrition Research 2023;2:131–9. https://doi.org/10.56303/JHNRESEARCH.V2I3.174.

[31] Ren T, Lu Y, Dai Z, Yang J, Wu Y, Chang F, et al. Effects of Nutrition-Specific Interventions to Prevent and Control Nutrition-Related Anemia in Infants, Children, and Adolescents: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials. J Acad Nutr Diet 2025;125:964-983.e13. https://doi.org/10.1016/j.jand.2025.01.002.

[32] Indriasari R, Mansur MA, Rachmat M. Comprehensive knowledge and supports from closest relatives are crucial to improve awareness and participation of Indonesian adolescent girls in anemia prevention program. Int J Adolesc Med Health 2024;36:513–21. https://doi.org/10.1515/IJAMH-2024-0064/machinereadablecitation/ris.

Downloads

Published

30-11-2025

How to Cite

Ibnu, I. N., Guspianto, Meinarisa, & Pramudiani, D. (2025). Anemia status, knowledge level, attitude and motivation of anemic adolescent girls in school-based educational interventions in Jambi City, 2025. Proceedings Academic Universitas Jambi, 1(2), 944–954. https://doi.org/10.22437/proca.v1i2.50510

Issue

Section

RESEARCH DISSEMINATION