School-Based Health Promotion and Knowledge of Iron Supplementation among Adolescent Girls: A Quasi-Experimental Study
DOI:
https://doi.org/10.35816/jiksh.v15i1.235Keywords:
Adolescent, Anemia, Health Education, Iron, KnowledgeAbstract
Introduction: Iron deficiency anemia remains a significant public health problem among adolescent girls due to increased iron requirements during rapid growth and menstruation. Inadequate knowledge about iron (Fe) tablet consumption contributes to low adherence to supplementation programs. School-based health promotion is considered a strategic approach to improving adolescents’ understanding and preventive behaviors. This study aimed to determine the effect of health promotion on adolescent girls’ knowledge of iron (Fe) tablet consumption at State Senior High School 2, Luwu, Indonesia.
Research Methodology: A quantitative pre-experimental study using a one-group pretest–posttest design was conducted from September to October 2024. A total of 46 adolescent girls were selected through total sampling. Knowledge was measured using a structured 10-item questionnaire administered before and one week after the intervention. The health promotion intervention was delivered through lectures supported by leaflet media. Data were analyzed using the Wilcoxon signed-rank test to assess differences in knowledge scores before and after the intervention.
Results: Before the intervention, 65.2% of respondents had poor knowledge, while 34.8% had good knowledge. After health promotion, 100% of respondents achieved good levels of knowledge. The Wilcoxon signed-rank test showed a statistically significant improvement in knowledge scores (p = 0.000 < 0.05), with all participants demonstrating positive rank changes.
Conclusion: Health promotion delivered through lectures and leaflets significantly improved adolescent girls’ knowledge of iron (Fe) tablet use. School-based educational interventions represent an effective strategy to strengthen anemia prevention programs and promote adherence to iron supplementation among adolescents.
References
Alfiah, S., & Dainy, N. C. (2023). Asupan Zat Besi, Vitamin C dan Konsumsi Tablet Tambah Darah Berhubungan dengan Kejadian Anemia Remaja Putri SMPIT Majmaul Bahrain Bogor. Jurnal Ilmu Gizi Dan Dietetik, 2(2), 103–108. https://doi.org/10.25182/jigd.2023.2.2.103-108
Apriyanti, D., Rusmilawaty, R., Rafidah, R., & Prihatanti, N. R. (2025). Efektifitas Pendidikan Kesehatan Menggunakan Booklet dan Leaflet Terhadap Pengetahuan Remaja Putri Tentang Tablet Tambah Darah Di SMPN 16 Banjarmasin Tahun 2024. Jurnal Penelitian Multidisiplin Bangsa, 1(8), 1467–1477. https://doi.org/10.59837/jpnmb.v1i8.271
Caraka, R. E., Supardi, K., Gio, P. U., Goldameir, N. E., Isnaniawardhani, V., Djatmiko, B., Putri, R. L., Lukas, A., Chen, R. C., & Pardamean, B. (2025). Bayesian Network analysis of spatial disparities in child nutrition status and health determinants across Indonesia. International Journal of Applied Earth Observation and Geoinformation, 144(1), 104936. https://doi.org/10.1016/j.jag.2025.104936
Helmyati, S., Syarifa, C. A., Rizana, N. A., Sitorus, N. L., & Pratiwi, D. (2024). Penerimaan Program Tablet Tambah Darah pada Remaja Putri di Indonesia. Amerta Nutrition, 7(3SP), 50–61. https://doi.org/10.20473/amnt.v7i3SP.2023.50-61
Kamal Agus Efendi, Ari Yuniastuti, & Intan Zainafree. (2025). Perceptions and beliefs of adolescent girls regarding adherence to iron supplementation: An analysis using the health belief model. Nursing and Health Sciences Journal (NHSJ), 5(3), 364–372. https://doi.org/10.53713/nhsj.v5i3.570
Lusiana, D. A. M., Nugraheni, S. A., & Musthofa, S. B. (2025). Effectiveness Of Educational Media in Preventing Anemia Among Adolescent Girl: A Scoping Review. Media Penelitian Dan Pengembangan Kesehatan, 35(2), 804–815. https://doi.org/10.34011/jmp2k.v35i2.2834
Mufti, I. R., & Farida, M. L. (2025). Prevention of Anemia in Adolescents Through Nutrition Education And Iron Supplementation in Cihideung Village in 2025. Jurnal Pengabdian Masyarakat, 6(2), 766–772. https://doi.org/10.32815/jpm.v6i2.2819
Muliani, R. H., & Rakhimah, F. (2024). The Influence of Knowledge About Nutrition on Anemia Status In Adolescent Women. Jurnal Kebidanan Midwiferia, 10(1), 1–10. https://doi.org/10.21070/midwiferia.v9i2.1685
Mulianingsih, M., Suriah, S., Hidayanty, H., Amiruddin, R., Hadju, V., Salmah, A. U., & Yusron, M. A. (2024). Nutritional Deficiency Anemia Status among Adolescent Girls in North Lombok District, West Nusa Tenggara, Indonesia. The Open Public Health Journal, 17(1), 1–7. https://doi.org/10.2174/0118749445353728241130164045
Nasrul, N., Hafid, F., Taqwin, T., Hikmah, Risma, Nuswantari, A., & Sariman, S. (2025). Iron Supplement Consumption, Dietary Intake, Nutritional Status, and Anemia Among Adolescent Girls in Banawa, Donggala Regency. Journal of Health and Nutrition Research, 4(2), 892–904. https://doi.org/10.56303/jhnresearch.v4i2.549
Nepal, G., Yadav, J. K., Lamsal, S., & Ojha, R. (2025). Pragmatic strategies for improving prevention, diagnosis, and treatment of epilepsy in low- and middle-income countries. Epilepsy Research, 215(April 2025), 107586. https://doi.org/10.1016/j.eplepsyres.2025.107586
Olivia, H., Yusriani, Y., & Alwi, M. K. (2024). Pengaruh Peer Educator dan Media Leaflet terhadap Perceived Barrier to Action dalam Konsumsi Tablet Tambah Darah. Jurnal Keperawatan Profesional (KEPO), 5(1), 130–137. https://doi.org/10.36590/kepo.v5i1.948
Prasetyowati, A. (2024). Prevalensi Anemia Pada Remaja Putri di Kecamatan Mungkid, Kabupaten Magelang Tahun 2024. Syntax Idea, 6(8), 3746–3752. https://doi.org/10.46799/syntax-idea.v6i8.4396
Safitri, L., Suhrawardi, S., Kristiana, E., & Isnaniah, I. (2025). Efektivitas Pendidikan Kesehatan Melalui Media Leaflet Terhadap Tingkat Pengetahuan Anemia Remaja Putri di SMPN 8 Satap Mantewe Kabupaten Tanah Bumbu Tahun 2024. Jurnal Penelitian Multidisiplin Bangsa, 1(8), 1432–1437. https://doi.org/10.59837/jpnmb.v1i8.297
Salam, S. S., Ramadurg, U., Charantimath, U., Katageri, G., Gillespie, B., Mhetri, J., Patil, S., Mallapur, A., Karadiguddi, C., Vastrad, P., Dandappanavar, A., Roy, S., Peerapur, B., Goudar, S., & Anumba, D. O. C. (2023). 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: An International Journal of Obstetrics & Gynaecology, 130(S3), 113–123. https://doi.org/10.1111/1471-0528.17619
Septiana, K. S., Adnani, Q. E. S., Susiarno, H., Tarawan, V., Arya, I., & Anwar, R. (2025). The Influence of Anemia Education Media on Increasing Self-Awareness and Compliance in Consuming Iron Supplements in Adolescent Girls: A Systematic Review. International Journal of Women’s Health, Volume 17(June 2025), 2277–2289. https://doi.org/10.2147/IJWH.S532950
Sigit, F. S., Ilmi, F. B., Desfiandi, P., Saputri, D., Fajarini, N. D., Susianti, A., Lestari, L. A., & Faras, A. (2024). Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia. Clinical Epidemiology and Global Health, 25(December 2023), 101500. https://doi.org/10.1016/j.cegh.2023.101500
Simbolon, D., Anggraini, H., & Sari, A. P. (2023). Kepatuhan Konsumsi Tablet Fe dan Pencegahan Anemia pada Remaja Putri di Indonesia: Meta-Analisis. Nutri-Sains Jurnal Gizi Pangan Dan Aplikasinya, 7(2), 85–98. https://doi.org/10.21580/ns.2023.7.2.11325
Sofiantin, N., Sanaky, M. J., Hardyansa, H., & Israyanti, A. D. (2025). Comparative analysis of cholesterol and hemoglobin levels in dewormed and non-dewormed school-age children. Jurnal Ilmiah Kesehatan Sandi Husada, 14(2), 463–461. https://doi.org/10.35816/jiskh.v14i2.1335
Thifal, F., Noviasty, R., Ulfa, U. M., Farahita, L., Utari, A., Kurniawati, E. R., & Wisnuwardani, R. W. (2023). Factors related to the compliance to consuming iron-folic acid in young women in East Kalimantan, Indonesia. AcTion: Aceh Nutrition Journal, 8(2), 260. https://doi.org/10.30867/action.v8i2.928
Winarni, S., Shaluhiyah, Z., Sulistyawati, S., Lisnawati, N., Hulaila, A., & Chumair, N. O. (2024a). Knowledge, Attitudes, Eating Practices, and Iron (Fe) Consumption among Adolescent Girls (Aged 10-18 Years) in Central Java, Indonesia. The Open Public Health Journal, 17(1), 1–11. https://doi.org/10.2174/0118749445352293241105110603
Zakiah, S., Toaha, A., Abri, N., & Wahyutri, E. (2023). The Effect of Nutrition Education on Knowledge, Attitudes, and Iron Intake in Adolescent Girls. Journal of Health and Nutrition Research, 2(3), 131–139. https://doi.org/10.56303/jhnresearch.v2i3.174
Zuair, A. A. (2025). Assessment of a school-based, nursing-lead program to combat iron deficiency anemia among Saudi female adolescents: a pilot exploratory study. Discover Public Health, 22(1), 47. https://doi.org/10.1186/s12982-025-00427-7
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Irmayanti, Devi Darwin, Andi Sufiani, Citra Dewi Kafitri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Statement:
The authors retain the copyright of this work and grant Jurnal Ilmiah Kesehatan Sandi Husada the right of first publication. The work is simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original author(s) and the initial publication in this journal are properly credited.
The authors are permitted to copy and redistribute the published version of the work, including posting it to an institutional repository or including it in a book, with acknowledgment of its initial publication in Jurnal Ilmiah Kesehatan Sandi Husada.
Similar Articles
- Nofita Tudang Rombeallo, Indrawati Aris Tyarini, Ari Setiawati, Effect of e-book media on adolescent girls’ knowledge of mental health issues anxiety , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Putu Noviana Sagitarini, Ni Komang Tri Agustini, Ida Ayu Ningrat Pangruating Diyu, Ni Made Candra Citra Sari, Determinants of Reproductive Health Behavior among Adolescents: A Cross-Sectional Study , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Irmawati S, Fanny Fatimah Mayasari Masdar, Rosdianah, Muh.Yunus, Digital mental health education: the impact of e-book intervention on anxiety knowledge among adolescent girls , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Alamsyah, Arfinayanti, Ruqaiyah, Tut Handayani, Ayatullah Harun, Health Information Exposure and Obstetric Emergency Knowledge Among Pregnant Women: A Cross-Sectional Study in Makassar, Indonesia , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Syaharuddin, Suprapto, Darmi Arda, Maria Kurni Menga, Rudolf Cymorr Kirby Palogan Martinez, Effect of health education on self-care behavior in patients with type 2 diabetes mellitus , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Isymiarni Syarif, Wahyuni Langelo, Jukarnain, Andi Nursiah, Nur Masita, Family Health Tasks and Childhood Stunting in Primary Care: A Cross-Sectional Study in Indonesia , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Farida Latif, Sri Wahyuni, Sarifudin Andi Latif, Effectiveness of audio-visual and poster media in improving handwashing knowledge among adolescents , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Aisyah AR, Zulkarnain, Mother’s role in maintaining oral health of children under five , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Risna Ayu Rahmadani, Yuliati Lumintang, Ike FA Chabibah, Mother’s level of education and attitude determines the provision of complete basic immunization in infants , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
- Asridawati Akib, Rukinah, Theresia Limbong, Effect of anemia in pregnant women on the incidence of premature labor and low birth weight , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 13 No. 2 (2024): July - Desember
You may also start an advanced similarity search for this article.
