Generic placeholder image

Current Nutrition & Food Science

Editor-in-Chief

ISSN (Print): 1573-4013
ISSN (Online): 2212-3881

Research Article

Pil-Pintar Intervention Reduce Anemia among Young Teen Girls: A Pilot Study

Author(s): M. Muwakhidah, Setyaningrum Rahmawaty*, Luluk Ria Rakhma, Endang Nur Widiyaningsih, Listyani Hidayati and Shofianabila Rusdanurmaala

Volume 20, Issue 8, 2024

Published on: 02 October, 2023

Page: [1000 - 1005] Pages: 6

DOI: 10.2174/1573401319666230915145543

Price: $65

Open Access Journals Promotions 2
Abstract

Background: Iron deficiency anemia and low adherence to take iron tablets are prevalent issues among teenage school girls in Indonesia. To address this concern and encourage regular iron supplementation, the public health office of Sukoharjo Central Java Indonesia introduced a pil-pintar program, colloquially known as the “smart pill.”

Aims: This study aimed to measure the increase in hemoglobin (Hb) levels and its correlation with nutrient intake related to Hb synthesis following the pil-pintar intervention.

Methods: A quasi-experimental design with a one-group pre-posttest approach was performed involving 49 school teenage girls aged 12-15 years in a public school in Sukoharjo, Indonesia. Each student was given an iron sugar coat tablet containing 182 mg of ferrous-fumarate (equivalent to 60 mg elemental iron) and 0.400 mg of folic acid per tablet, called pil-pintar, once a week for 12 weeks.

Results: A decrease in anemia prevalence by 24.4% and a notable increase in Hb levels by 1.0 mg/dL (p = 0.001) were observed in the 12 weeks of intervention. However, the study found no association between the nutrient intakes related to Hb production and the resulting Hb levels.

Conclusion: The pil-pintar program effectively improved the hemoglobin levels of anemic teenage girls in the Sukoharjo district, Indonesia.

Keywords: Adolescents, hemoglobin, iron, school, supplementation, nutritional intake.

Next »
Graphical Abstract
[1]
Kawade R. Zinc status and its association with the health of adolescents: A review of studies in India. Glob Health Action 2012; 5(1): 1-10.
[2]
Zeleke MB, Shaka MF, Anbesse AT, Tesfaye SH. Anemia and its determinants among male and female adolescents in Southern Ethiopia: A comparative cross-sectional study. Anemia 2020.
[3]
Hamali HA, Mobarki AA, Saboor M, et al. Prevalence of anemia among Jazan university students. Int J Gen Med 2020; 13: 765-70.
[4]
Fram MS, Nguyen HT, Frongillo EA. Food insecurity among adolescent students from 95 countries is associated with diet, behavior, and health, and associations differ by student age and sex. Curr Dev Nutr 2022; 6(3) nzac024.
[5]
Gebreyesus SH, Endris BS, Beyene GT, Farah AM, Elias F, Bekele HN. Anaemia among adolescent girls in three districts in Ethiopia. BMC Public Health 2019; 19(1): 1-11.
[6]
Dinkes Jawa Tengah. Buku Profil Kesehatan Provinsi Jawa Tengah tahun 2014.
[7]
Ministry of Health, Republic of Indonesia. Pedoman Penatalaksanaan Pemberian Tablet Tambah Darah.
[8]
Ministry of Health, Republic of Indonesia. Peraturan Menteri Kesehatan Republik Indonesia no. 28 tahun 2019 tentang Angka Kecukupan Gizi yang dianjurkan untuk masyarakat Indonesia, Jakarta.
[9]
Tamimi K. Rimbawan. Level of nutrient adequacy, physical activity, and cardiorespiratory fitness of Indocement officer, Bogor. Jurnal Gizi Pangan 2015; 10(1): 33-40.
[10]
World Health Organisation weekly iron and folic acid supplementation as an anaemia-prevention strategy in women and adolescent girls Lessons learnt from implementation of programmes among non-pregnant women of reproductive age 2018
[11]
Scott CM. Health Promotion Planning: An Educational and Ecological Approach. (3rd ed.), 1999.
[12]
Chung LMY, Fong SSM. Role of behavioral feedback in nutrition education for enhancing nutrition knowledge and improving nutritional behavior among adolescents. Asia Pac J Clin Nutr 2018; 27(2): 466-72.
[13]
Simanungkalit S, Simarmata O. Pengetahuan dan Perilaku Konsumsi Remaja Putri yang Berhubungan dengan Status Anemia. Buletin Penelitian Kesehatan 2019; 47(3): 175-82.
[14]
Stok FM, Renner B, Clarys P, Lien N, Lakerveld J, Deliens T. Understanding eating behavior during the transition from adolescence to young adulthood: A literature review and perspective on future research directions. Nutrients 2018; 10(6) : 667.
[15]
Yusoff H, Daud W, Ahmad Z. Nutrition education and knowledge, attitude and hemoglobin status of Malaysian adolescents. Southeast Asian J Trop Med Public Health 2012; 43(1): 192-200.
[16]
Pratiwi, Asri V. Correlation between knowledge and attitude of anemia and iron intake of teenage girls in SMA Negeri 9 Depok. Bachelor thesis, 2022. Universitas Binawan.
[17]
World Health Organization. Guideline daily iron. supplementation in infants and children 2016.
[18]
Mutalazimah M, Putri DP. Helminthiasis, iron intake, and hemoglobin levels in pregnant women. Enferm Clin 2021; 31: S252-6.
[19]
Safiri S, Kolahi AA, Noori M, et al. Burden of anemia and its underlying causes in 204 countries and territories, 1990-2019: results from the Global Burden of Disease Study 2019. J Hematol Oncol 2021; 14: 185.
[20]
Winarno FG. Fermented vegetable protein and related foods of Southeast Asia with special reference to Indonesia. J Am Oil Chem Soc 1979; 56(3Part2): 363-66.

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy