Awareness about Anaemia and Weekly Iron-Folic Acid Supplementation (WIFAS) among School-Going Adolescent Girls and Parents in East Java and East Nusa Tenggara, Indonesia (Proceedings of the 13th Asian Congress of Nutrition (ACN) : Nutrition and Food Innovation for Sustained Well-being) (original) (raw)
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Journal of Nutritional Science and Vitaminology
Since 2016, Indonesia has been implementing a weekly iron-folic acid supplementation (WIFAS) program in two provinces for school going adolescent girls to reduce anaemia. This study aimed to explore the awareness and understanding of school-going adolescent girls and parents regarding anaemia and WIFAS. The study was conducted in 10 districts, each from East Java province and East Nusa Tenggara province. Twenty focused group discussions (FGDs) were conducted with school-going adolescent girls (n5174) and ten FGDs with parents (n566). Also, in-depth interviews (IDIs) were conducted with school-going adolescent girls (n520) and their parents (n510) from 20 schools. All FGDs and IDIs were audio-recorded, transcribed verbatim, and analyzed for themes using NVivo Pro 12 software. School going adolescent girls and parents had high levels of misinformation about anaemia and healthy nutritional practices, which were influenced by socio-cultural milieu and local dietary habits. Both parents and girls perceived low risk of anaemia for school-going adolescent girls. Girls stated that their parents' opinion about anaemia influenced their desire to consume iron supplements. In conclusion, girls and parents would benefit from increased access to information about anaemia risks and prevention, and the benefits of WIFAS for adolescent girls. Prevention of anemia should include relevant dietary guidance that considers their socio-cultural milieu and local dietary habits.
Influencing factors and knowledge gaps on anemia prevention among female students in Indonesia
International Journal of Evaluation and Research in Education (IJERE), 2021
Adolescents (10-19 years old) are at high risk of developing iron deficiency anemia. Prevalence of anemia in young women in Indonesia was 37.1% which increased to 48.9% in 2018, with the proportion of anemia in the age group of 15-24 years and 25-34 years. The objectives of this study were to understand the influencing factors and gaps of knowledge related anemia prevention among female high school students. A qualitative case study design was conducted (April-May 2020) among nine female students (15-18 years old) from two senior high schools in Banjarmasin, Indonesia. Sampling technique used in this study was purposive sampling. Registered student who has total study period in the school not less than six months and students who refused to participate in this study were excluded. Data collection was used focus group discussion via WhatsApp messenger video call. Data analysis was mixed between content analysis and thematic analysis. Female students admit that they lack the initiative to find out about anemia. With the lack of understanding about anemia, the female students admitted that they did not really know whether preventing anemia was an important thing to do. The anemia education program at schools needs to enhance the female student's knowledge about iron tablet consumption.
Evaluation of Prevalence and Knowledge about Anaemia and Their Determinants Among Adolescent Girls
https://www.ijhsr.org/IJHSR\_Vol.13\_Issue.2\_Feb2023/IJHSR-Abstract20.html, 2023
Adolescence is the crucial period of growth and development between the ages of 10-19 years. This is a vulnerable period for the development of nutritional anaemia. Lack of knowledge concerning nutrition is one of the most significant reasons for nutritional problems and inappropriate nutritional practices can lead to numerous complications. Methods: A school based cross sectional study was carried out in two social welfare residential schools situated in Hyderabad & Secunderabad. Total of 862 adolescent girls were screened from both the schools. Demographics, menstrual history, clinical history, KAP, anthropometry and haemoglobin were assessed. Results: A total of 862 girls were screened of which 746 (86.5%) were anaemic and 116 (13.5%) were non-Anaemic. %). Mild anemia was seen in 22% (95% CI range: 20-25%), moderate anemia was seen in 55% (95% CI range: 51%-58%), severe anemia was seen in 10% (95% CI range: 7.9%-12%). Only 13% had no anemia (95% CI range: 11-16%). The prevalence of stunting & thinness was 21.2% & 10.1% among the girls. Age, nutritional status, knowledge and clinical history were important predictors of anaemia. Conclusion: Anaemia was highly prevalent amongst the adolescent girls. There was poor knowledge about anaemia and its prevention. Personal Hygiene practice was found good among the girls. Focus should be on counselling adolescents to promote healthy eating habits and promotion of iron-rich foods.
BMJ, 2018
and colleagues highlight lessons from a multisectoral project implementing weekly iron supplementation for adolescent girls in West Java, Indonesia, which provides a scalable model for reducing anaemia • Data drive decisions and accountability, so harmonisation and collaboration on data collection, monitoring systems, and joint responsibility for, and ownership of, shared results, outcomes, and goals are key to engagement by all stakeholders on 24 April 2020 by guest. Protected by copyright. http://www.bmj.com/ BMJ: first published as 10.1136/bmj.k4541 on 7 December 2018. Downloaded from Supplement 1: Methods for the WIFAS project case study Supplement 2: The project timeline Supplement 3: Behaviour change intervention strategy and campaign Supplement 4: Endline achievements Supplement 5: Decentralisation in the health and education sectors See www.bmj.com/multisectoral-collaboration for other articles in the series.
Association of Anaemia with Dietary Practices in Adolescent Girls
2018
Background: Anaemia is one of the ten most serious public health problems world over. Adolescent girls are more at risk to be anaemic due to their rapid growth, hormonal changes, imbalance between food intake and requirement and onset of menarche. This may lead to impaired intellectual growth, development, immunity and reproductive abilities. This study was planned to assess the prevalence of anaemia and its association with dietary habits in adolescent girls of District Rawalpindi. Methods: This cross-sectional analytical study was conducted in six villages of two union councils of district Rawalpindi. A sample of 104 randomly selected unmarried adolescent girls (11–19 years) was included in the study. Portable haemoglobin meter (Hemocue) was used to estimate haemoglobin levels. Demographic data was obtained by a self-structured questionnaire. Dietary variables were collected by using food frequency questionnaire and 24 hour’s dietary recall method. Analysis was done using SPSS...
Open Access Macedonian Journal of Medical Sciences, 2020
BACKGROUND: Many adolescent girls had a lack of nutrients in daily food consumption. This condition will cause one of the health problems is anemia. AIM: This study was performed to determine the effect of anemia free club interventions to improve adolescent dietary intakes in Bandar Lampung City, Indonesia. METHODS: A quasi-experimental study was conducted to assess the effect of anemia free club interventions and dietary iron intakes among adolescent school girls. The study was conducted at Bandar Lampung City, Indonesia. The sample size included 102 participants of senior high school girls in Bandar Lampung City, consisting of 55 participants for intervention group and 47 participants for control group. Nutrition education based anemia free club sessions for 12 weeks as the intervention group, while the control group did not. The sampling technique is proportional random sampling. Data collected consisted of dietary iron intakes (food recall), nutritional status (body mass index/...
Journal of Women Empowerment and Studies
Iron deficiency anemia (IDA) affects more than a third of the world's population. The most typical causes of IDA in females are menstruation and gastrointestinal bleeding. Haem iron and non-haem iron are two types of metal. Hemoglobin and iron stores should be restored to normal levels as part of the treatment for IDA. The anemia rate among women of childbearing age is to be cut in half by 2030, according to the revised global nutrition objectives approved by the World Health Assembly. Using information from the most extensive nutrition study ever conducted in Asia, researchers analyzed the prevalence and causes of anemia in Indian teenagers (10-19 years old). In thirteen states of India, most anemia among women is high enough to pose a severe threat to public health. Accessible, open-access databases such as DOAJ, Google Scholar, etc., were searched using keywords for this brief review paper. In this analysis of iron deficiency anemia, Indian female data predominated. The artic...
International Journal of Medicine and Public Health
Background: Anemia is very common worldwide among adolescent girls. WHO Regional office for SouthEast Asia sketched that "Iron deficiency anemia is the most glaring nutritional deficiency, with no less than 25-40% of adolescent girls as victims of moderate and sometimes severe anemia. In countries of this region, at least 40-50% of adolescent pregnant girls are anemic". According to study conducted by Indian Council of Medical Research adolescent girls from 16 districts of 11 states of India showed that, the prevalence of anemia was 90.1% and 7.1% having severe anemia (Hb < 70 g/L). Adolescence being a rapid transition phase with high requirement of additional nutrition. Anemia among adolescent girls develops due to accelerated increase in the requirements for iron, coupled with poor dietary intake, menstrual loss high rate of infection and worm infestation. Objectives: This study was carried out to assess the knowledge, attitude, practice and health seeking behavior change regarding anemia after weekly iron folic acid supplementation and intensive health education among adolescent school girls of Delhi. Materials and Methods: This was an intervention study conducted among adolescent school girls of Delhi. The study was conducted among 106 adolescent school girls of XI class by administering a pre-tested questionnaire based on the following four domains-knowledge, attitude, practices and health seeking behavior regarding anemia. Weekly Iron Folic Acid Supplementation (WIFS) and intensive health education was given for six months as an intervention. Health education package included power point presentation, pamphlets and visual display of iron rich foods like green leafy vegetables, germinated pulses (sprouts), citrus fruits and jaggery. Data entry and analysis was done using SPSS software version 17. Results: Only 34.9 percent girls had heard about anemia and 38.9 percent felt that anemia is a health problem. When asked for the reasons for anemia, around 8 (7.5%) could answer correctly. There was change in knowledge, practices and health seeking behavior after the intervention and was statistically significant. Conclusion: WIFS and intensive health education intervention has an impact on improving knowledge, attitude, practices and health seeking behavior of adolescent school girls. Additional nutritional interventional research is needed to reinforce good practices to prevent anemia.
Background: Anaemia is very prevalent in adolescent girls, especially in developing countries like India. Treatment of anaemia based on the cause during adolescence decreases morbidity and mortality during early pregnancy. Despite weekly iron and folic acid supplementation programmes, the prevalence of anaemia among women and adolescent girls is still high. The objective of the study was to assess the proportion of anaemia and its determinants among adolescent school girls. Methods: An observational study was conducted in adolescent school girls of Chandragiri from January to March, 2018. Demographic data, knowledge and practices of personal hygiene were collected. Nutritional status was assessed by collecting anthropometric, body composition measurements, dietary habits and haemoglobin was estimated. Results: Of the 111 girls studied, 55.9% were found to be anaemic. Knowledge and practices of personal hygiene was lower in anaemic girls compared to non-anaemic girls. The extent of deficit of iron rich food consumption was low in both anaemic and non-anaemic girls. Conclusions: Prevalence of mild anaemia was high and iron rich foods intake was low in our study subjects. Assessment of burden of anaemia among adolescent girls is essential to address gaps in implementation of public health programs and effective intervention programs can be designed to reduce the burden of anaemia.