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"Indonesia termasuk salah satu negara yang masih berusaha keluar dari persoalan anemia defisiensi zat besi pada remaja putri. Dalam penanggulangannya, berbagai langkah upaya telah dilakukan oleh pemerintah, salah satunya melalui program suplementasi Tablet Fe/TTD (Tablet Tambah Darah). Penelitian ini bertujuan untuk mengetahui bagaimana gambaran kepatuhan dan efek samping yang dirasakan oleh remaja putri di Kota Depok dalam mengonsumsi Tablet Fe yang diberikan. Desain penelitian yang digunakan pada penelitian ini adalah cross-sectional dengan sampel penelitian sebanyak 329 remaja putri yang diperoleh melalui teknik purposive sampling. Pengumpulan data dilakukan melalui kuesioner yang disebar saat penelitian. Hasil uji univariat ditemukan bahwa sebagian besar (65.3%) remaja putri patuh dalam mengonsumsi Tablet Fe dan hanya sebagian kecil yang mengalami efek samping dalam mengonsumsi Tablet Fe (27.7%) dengan keluhan yang dirasakan meliputi atas mual, muntah, diare, nyeri pada ulu hati, dan warna BAB menjadi hitam. Dengan begitu, dibutuhkan metode promosi kesehatan yang efektif agar terciptanya kepatuhan dalam mengonsumsi Tablet Fe beserta monitoring rutin untuk meminimalisasi efek samping yang dirasakan oleh remaja putri.

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Indonesia is one of the countries that is still trying to get out of the problem of iron deficiency anemia in adolescent girls. In dealing with this, the government has taken various steps, one of which is through Iron Tablet supplementation program. This study aims to find out the description of compliance and side effects experienced by adolescent girls in Depok City when consuming the Iron Tablet provided. The research design used in this study was cross-sectional with a research sample of 329 adolescent girls obtained through a purposive sampling technique. Data collection was carried out through questionnaires distributed during the research. The results of the univariate test found that the majority (65.3%) of adolescent girls were compliant in consuming Iron Tablets and only a small percentage experienced side effects when consumingIron Tablets (27.7%) with the side effects felt including nausea, vomiting, diarrhea, pain in the pit of the stomach, and, the color of the stool turning black. Effective health promotion methods are needed to create compliance in consuming Fe tablets along with regular monitoring to minimize side effects felt by adolescent girls."

"ABSTRAK Anemia remaja umumnya terjadi karena kurangnya konsumsi makanan mengandung zat besi karena mempertahankan body image untuk berpenampilan ideal. Masalah anemia yang tidak diatasi akan berdampak pada prestasi belajar di sekolah dan bagi remaja putri, anemia akan mempengaruhi fungsi reproduksinya. Masalah anemia yang ditemukan pada remaja putri perlu penanganan yang serius. Praktik Spesialis Keperawatan Komunitas menuntut perawat untuk dapat memberikan solusi pennyelesaian masalah dan pencegahan anemia remaja melalui ?Gerakan Remaja SeTiA?. Kegiatan ini merupakan suatu bentuk intervensi pencegahan dan penyelesaian masalah anemia pada remaja di SMP X Kota Depok Jawa Barat. Gerakan Remaja SeTiA memberikan hasil yang positif dengan bukti dapat meningkatkan rata-rata kadar hemoglobin pada remaja dengan nilai rata-rata hemoglobin pemeriksaan awal 11.42 dan akhir adalah 15.15, nilai p=0,019. Nilai ini lebih kecil dari 5%, sehingga disimpulkan terjadi kenaikan hemoglobin. Intervensi ?Gerakan Remaja SeTiA? diharapkan dapat diterapkan di berbagai sekolah.ABSTRACT Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools.;Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools.;Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools.;Anemia in adolescents generally occurs due to lack of consumption of iron contained foods. It is because adolescent girls tend to maintain ideal body image for dressed. Anemia problems that are not addressed will have an impact on learning achievement at school and for girls it will affect reproductive function in the future. Problems found in adolescent girls need to be solved. Practice of Specialist Community Nursing requires nurses to be able to provide solutions and anemia prevention through ?Movement of Healthy Teenager Free from Anemia-SeTiA". This movement is a form of intervention to prevent and overcome the problem of anemia in adolescents at junior X Depok, West Java. SeTiA movement gives positive results with evidence that may increase average of hemoglobin levels in adolescents. Rate of initial hemoglobin value was 11:42 and the final was 15:15, p = 0.019. This value is smaller than 5%, so it can be concluded that there was an increase in hemoglobin value. Movement of Healthy Teenager Free from Anemia-SeTiA in X junior high is expected to be implemented in various schools."

"Anemia merupakan salah satu masalah kesehatan masyarakat global yang memiliki dampak besar terhadap kesehatan, sosial dan ekonomi. Prevalensi anemia anak usia 5 – 14 tahun di Indonesia berdasarkan data Riskesdas tahun 2018 yaitu sebesar 26,8% dan pada perempuan usia 15 – 24 tahun sebesar 32,0%. Proporsi anemia remaja putri di Provinsi Jawa Barat masih cukup tinggi. Penelitian bertujuan untuk mengetahui faktor determinan kejadian anemia pada remaja putri usia 12 – 18 tahun di Provinsi Jawa Barat. Penelitian ini menggunakan desain cross sectional dengan 595 sampel yang memenuhi kriteria inklusi dan eksklusi. Data yang digunakan adalah Riskesdas 2018. Variabel independen meliputi karakteristik remaja, sosial ekonomi dan lingkungan, status gizi, status KEK dan asupan makanan dan minuman. Analisis bivariat menggunakan uji chi-square dan analisis multivariat menggunakan regresi logistik ganda model determinan. Prevalensi anemia remaja putri usia 12 – 18 tahun di Provinsi Jawa Barat tahun 2018 sebesar 26,9%. Hasil analisis bivariat menunjukan bahwa variabel yang berhubungan dengan anemia remaja putri adalah pendidikan remaja (p value 0,025). Analisis multivariat menunjukkan bahwa pendidikan remaja menjadi faktor dominan pada kejadian anemia remaja putri di Provinsi Jawa Barat tahun 2018. Remaja putri dengan pendidikan ≤SMP/ Sederajat memiliki peluang 1,63 kali lebih rendah untuk mengalami anemia dibandingkan remaja putri dengan pendidikan > SMP/ Sederajat.

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Anemia is one of the global public health problems that has a major impact on health, social and economic. The prevalence of anemia among children aged 5–14 years in Indonesia based on Riskesdas data in 2018 was 26.8% and among women aged 15–24 years was 32.0%. The proportion of anemia among adolescent girls in West Java Province is still quite high. The study aims to determine the determinants of the incidence of anemia in adolescent girls aged 12–18 years in West Java Province. This study used a cross-sectional design with 595 samples that met the inclusion and exclusion criteria. The data used was Riskesdas 2018. Independent variables included adolescent characteristics, socioeconomic and environmental, nutritional status, SEZ status, and food and beverage intake. Bivariate analysis used the chi-square test, and multivariate analysis used the multiple logistic regression determinant model. The prevalence of anemia among adolescent girls aged 12-18 years in West Java Province in 2018 was 26.9%. The results of bivariate analysis showed that the variable associated with anemia in adolescent girls was adolescent education (p value 0.025). Multivariate analysis showed that adolescent education was the dominant factor in the incidence of anemia among adolescent girls in West Java Province in 2018. Adolescent girls with education ≤ junior high school / equivalent have a 1.63 times lower chance of experiencing anemia than adolescent girls with education > junior high school / equivalent."

"Anemia is the main micronutrient deficiency problem among adolescent school girls in Indonesia. Anemia due to iron deficiency often coexists with zine deficiency. Iron and zinc have anlagonistic interaction. Therefore, it was appropriate ratio of iron-zinc supplementation. Objective The study was aimed to investigate the different ratios of iron-zinc supplementation Fe: Zn = 2: 1 and Fe: Zn = 4: 1 on improving the iron and zinc status and eventually reduction of the morbidity of anemic adolescent school girls compared to iron supplementation alone. Methodology randomized, double blind community trial was conducted among anemic adolescent school girls (10-12 years old). Selection of subjects was conduted in two steps. Firstly, 238 girls (out of 1358 girls), with hemoglobin concentration level < 115 g/L using Hemocue were recruited and given antihelminthic drug (500 mg mebendazole as a single dose). Secondly, those who had hemoglobin concentration < 120 g/L using Cell Dyn from venous blood one week after deworming (n+133) were enrolled into the study. The 133 subjects were assigned randomly to one of the three groups for daily iron-zinc supplementation for 12 weeks with: Group 1 (n=45): iron (60 mg/day), Group 2 (n=45): iron and zinc (30 mg and 15 mg/day) or group 3 (n=43): iron and zinc (60 mg and 15 mg/day).Supplement intake was supervised at base line, weight and height were measured and the available iron and zinc intake from diet was estimated using a model modified from WHO/FAO and Murphy, based on the data 24-hour Food Recall and Food Frequency Questionnare. Iron (hemoglobin/Hb, serum ferritin/SF, serum transferrin receptor/TfR, zinc protoporphyrin/ZPP, Mean Corpuscular Volume/MCV, Red-cell Distribution Width/RDW, body iron/BI) and zinc (serum zinc/SZ) status and supplementation. Morbidity status of diarrhea and Acule Respiratory Infection (ARI) were recorded weekly. The phagocytes cell and Cell-Mediated Immunity were measured only for 50% of the subjects. Results and Discussion By the end of the supplementation, most indicators of iron status were increased significantly in all subjects both they took iron supplementation with or without zinc, and the proportion of iron deficiency anemia reduced. Iron supplementation alone or iron-zinc improved zinc status. The proportion of zinc deficiency was sinificantly reduced only among subjects who took iron-zinc supplementation with the ratio of Fe: Zn =2: 1. which was significantly lower compared to the other two groups at the end of supplementation. In iron/zinc 2 : 1 group, no subject had iron deficiency anemia and zinc deficiency after 12 weeks of supplementation, which suggested that iron-zinc supplementation with the ration of Fe: Zn = 2 : 1 had reduced both iron deficiency anemia and zinc deficiency. In this study, iron deficiency among anemic school girls was due to insufficiency of iron in red blood cell, and iron or iron-zinc supplementation for 12 weeks had less benefit to increase iron status. The possibility; of hemoglobinopathies such as thalassemia trait affecting adolescent girls in this study should be considered as several studies indicated that the prevalence of tlinlassemia trait among the same population in Indonesia is high. Iron deficiency also occurred at the storage level, which increased and reached the normal value with iron or iron-zinc supplementation. At the end of supplementation, the mean value of most indicators of iron status in all groups did not reach the normal value (such as Hb < 120 g/L, ZPP > 40 umol/mol heme, MCV <2 80 fL, RDW > l4%), perhaps the 12-weeks of iron supplementation was not long enough to fulfill iron for the 120 erythrocyte life cycle. lt seems, that the competition between iron and zinc occurred both at the storage level and the erythrocyte formation, and iron-zinc supplementation with the ratio of Fe: Zn = 2: 1 had minimal interaction as the improvement of both iron and zinc status was higher compared to the other groups. Most anemic adolescent school girls in this study had low available iron and zinc intake from the diet, with low intake of enhancers and high intake of inhibitors, which is not enough to promote either iron or zinc absorption from the supplements. The reduction of the proportion ol' subjects suffering from ARI was the highest among subjects who took either iron alone (3l.1% to 6.7%) compared to those who took iron- zinc supplement with ratio 2: 1 (1 7.3% to l1.l%) or iron-zinc supplement with ratio 4: 1(16.3 % to l4%), indicating that iron alone reduced morbidity status in tenn of Acute Respiratory Infection (ARI). However, adding zinc to iron supplements with ratio 2: 1 scents to improve the specific immune response of anemic adolescent school girls, as shown that the ratio of CD-4/CD-S was slightly increased among subjects who took iron- zinc supplement with the ratio of Fe: Zn= 2: 1 Conclusions and Recommendations lt was concluded, that both iron deficiency anemia (22%) and zinc deficiency (15.8%) were problems in the study area. Iron deficiency and hemoglobinopathies such as that assemia trait might be the causes of anemia among adolescent school girls. A daily 30 mg iron and 15 mg zinc supplementation among anemic adolescent schools girls for 12 weeks improved iron and zinc status and reduced iron deficiency anemia and zinc deficiency. Iron supplementation alone increased iron status, while adding zinc to iron supplementation protected the adverse effect of iron on decreasing zinc status. The competition between iron and zinc might occur in the role of both nutrients for erythrocytes formation as well-as at storage level, and supplementation with the ratio of Fe: Zn = 2: 1 had minimal interaction on improving bot.h iron and zinc status. As most of the anemic adolescent school girls had inadequate iron and zinc intake from the diet, the deficiencies of other micronutrients such as; vitamin A, folic acid and vitamin B12 should also be considered as the causes of anemia. Combined iron-zinc supplementation with the ratio of Fe: Zn = 2: 1 was appropriate on reducing the risk of anemic adolescent school girls suffering from Acute Respiratory Infection, however the mechanism of both iron and zinc on enhancing immune system could not clearly be shown from the results of this study. It is recommended to establish an iron-zinc supplementation program with ratio of 2: 1 through the existing channel of school health program to alleviate iron de iciency anemia and zinc deficiency 'among adolescent girls. Research cum action prioritized is to explain the contribution of bioavailability iron and zinc intake from the diet including increase the enhancers and minimize the inhibitors to the absorption of iron-zinc supplementation with ratio of Fe: Zn = 2: 1. The possibility of hemoglobinopathies such as thalassemia trait, as the cause of anemia needs further investigations."

"Pendidikan kesehatan multi method approaches bertujuan memberikan pemahaman pada anak usia sekolah terkait risiko anemia beserta faktor-faktornya dengan mengintegrasikan comprehensive school health model, family centre nursing model, dan school health promotion model yang mengutamakan pencegahan primer. Karakter anak yang cenderung berpikir konkrit, membuat anak belum memahami faktor-faktor penyebab anemia meliputi nutrisi, kebersihan diri, dan aktifitas–istirahat. Pelaksanaan pendidikan kesehatan multi method approaches, meliputi ceramah, permainan edukasi, diskusi, audiovisual, demonstrasi dan penugasan. Hasil aplikasi menggambarkan pengaruh positif terhadap penurunan risiko anemia. Kegiatan ini diharapkan dapat dikembangkan melalui metode lain, sehingga lebih efektif menurunkan risiko anemia pada anak usia sekolah di Indonesia.

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The purpose of health education multi method approaches is to give learning for school age children about risk of anemia and its factors with integrating models of comprehensive school health, family centre nursing and school health promotion, especially primary prevention. Child’s thinking character is concretely, so they don’t understand about factors of anemia as nutrition, personal hygiene, rest and activity. Multi method approaches using lecture, game education, discussions, audiovisual, demonstration, and an assignment. The result shows the positive influence to decrease risk of anemia. This activity is expected to be developed through other methods, so more effectively to reduce risk of anemia of school age children in Indonesia."

"Latar Belakang: Masalah anemia gizi besi pada remaja akan berpengaruh pada kondisi kesehatan dimasa yang akan datang jika tidak ditangani sedini mungkin. Anemia juga akan berpengaruh pada kualitas generasi muda yang seharusnya aktif dan berprestasi.Tujuan: Gerakan Ayo BERSERI merupakan inovasi yang diharapkan dapat menjadi salah satu upaya untuk memaksimalkan penanganan anemia gizi besi pada remaja putri. Metode: Pelaksanaan Gerakan Ayo BERSERI menggunakan pendekatan keperawatan komunitas dengan populasi remaja usia sekolah menengah kejuruan di SMK wilayah kelurahan Jatijajar kota Depok. Besar sampel sebanyak 87 orang yang dipilih menggunakan total sampling. Hasil menunjukkan ada perbedaan yang signigikan antara pengetahuan,sikap dan tindakan (p value 0,000) sebelum dan sesudah dilakukan intervensi. Selain itu juga terdapat perbedaan yang bermakna antara kejadian anemia sebelum dan sesudah intervensi (p value 0,000). Gerakan Ayo BERSERI dapat meningkatkan perilaku (pengetahuan, sikap dan tindakan) dan berpengaruh pada kejadian anemia pada remaja putri. Simpulan: Pelaksanaan Gerakan Ayo BERSERI dapat terintegrasi dengan program PKPR di puskesmas dan PMR di sekolah sehingga remaja dapat mendapatkan pelayanan yang optimal dan berkelanjutan.

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Background: The problem of iron nutritional anemia in adolescents will affect health conditions in the future if not treated as early as possible. Anemia will also affect the quality of the younger generation who should be active and accomplished. Purpose: The Ayo BERSERI movement is an innovation that is expected to be one of the efforts to maximize the treatment of iron nutritional anemia in adolescent girls. Method: The implementation of the Ayo BERSERI Movement uses a community nursing approach with a population of vocational high school-age adolescents in SMK Jatijajar sub-district, Depok city. The sample size is 87 people selected using total sampling. Results : There was a significant difference between knowledge, attitudes and actions (p value 0.000) before and after the intervention. In addition, there was also a significant difference between the incidence of anemia before and after the intervention (p value 0.000). The Ayo BERSERI movement can improve behavior (knowledge, attitudes and actions) and affect the incidence of anemia in adolescent girls. Conclusion: The implementation of the Ayo BERSERI Movement can be integrated with the PKPR program in health centers and PMR in schools so that youth can get optimal and sustainable services. "

"Prevalensi anemia pada kehamilan di Puskesmas Mojotengah kabupaten Wonosobo masih tinggi yaitu sebesar 87% pada tahun 2011, meskipun suplementasi tablet besi sudah dilaksanakan. Penelitian ini bertujuan untuk mengetahui hubungan cakupan asupan tablet besi dan absorbsi zat besi dengan kejadian anemia pada kehamilan di Puskesmas Mojotengah kabupaten Wonosobo tahun 2012. Penelitian ini dilakukan dengan studi cross sectional pada bulan April ? Mei 2012. Pengambilan sampel dilakukan dengan cara incidental, jumlah sampel yang diambil sebanyak 88 orang ibu hamil trimester II dan III. Hasil penelitian menunjukan persentase kejadian anemia pada kehamilan sebesar 87.5%. Variabel yang diteliti adalah cakupan asupan tablet besi cukup sebesar, keteraturan minum tablet besi, minuman penyerta konsumsi tablet besi, suplemen penyerta konsumsi tablet besi, frekuensi minum teh sehari, jenis buah yang sering dikonsumsi, jenis sayur yang sering dikonsumsi, jenis lauk yang sering dikonsumsi. Dari hasil analisis dari semua variable yang diteliti ditemukan tidak ada hubungan dengan kejadia anemia pada kehamilan. Namun untuk variable cakupan asupan tablet besi yang dikategorikan kurang memiliki kecenderungan lebih besar untuk mengalami anemia pada kehamilan yaitu 3.9 kali. Memperluas sasaran penyuluhan tidak hanya ibu hamil akan tetapi WUS (Wanita Usia Subur) juga sangat penting untuk menjadi sasaran penyuluhan pencegahan dan penanganan anemia pada kehamilan.

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The prevalence of anemia in pregnancy in the district health center Mojotengah Wonosobo still high at 87% in 2011, despite iron supplementation tablets have been implemented. This study aims to determine the relationship coverage of iron tablet intake and absorption of iron by the incidence of anemia in pregnancy at the Health Center Mojotengah Wonosobo district in 2012. The research was conducted with a cross bulkhead study in April-May 2012. Sampling was done by way of incidental, number of samples taken as many as 88 people trimester pregnant II and III.

The results showed the percentage incidence of anemia in pregnancy by 87.5%. The variables studied were coverage sufficient intake of iron tablets, order taking iron tablets, drinks accompanying the consumption of iron tablets, iron tablets supplements accompanying consumption, frequency of drinking tea a day, which is often consumed fruits, vegetables frequently consumed species, type of dish that is often consumed.

From the analysis of all variables under study found no association with Genesis anemia in pregnancy. But for variable coverage of iron tablet intake is categorized as less have a greater tendency to develop anemia in pregnancy is 3.9 times. Expanding the target extension is not only pregnant women but the WUS (women of childbearing age) is also very important to target prevention counseling and treatment of anemia in pregnancy."

"Remaja putri di Indonesia 57,1% nya menderita anemia (Depkes, 2004 ). Hal ini merupakan masalah yang penting bagi remaja putri karena akan berdampak pada kesehatan reproduksi, padahal mereka merupakan calon ibu yang akan melahirkan generasi penerus. Pengetahuan remaja putri tentang anemia akan mempengaruhi kualitas kesehatannya. Untuk menggambarkan pengelahuan remaja putri tentang anemia dilakukan penelitian dengan desain deskriptif sederhana pada 77 sampel yang dipilih secara simple random sampling di SMUN 81 pada 3 Desember 2004. Penelitian ini menggunakan kuesioner daiam bentuk tes. Dari hasil penelitian didapatkan sebanyak 31,17% responden mempunyai tingkat pengetahuan tinggi tentang anemia, dan 68,83% mempunyai tingkat pengetahuan sedang, serta tidak ada responden yang mempunyai pengetahuan rendah. Peneliti merekomendasikan agar area penelitian berikutnya dapat diperluas dengan jumlah sampel yang lebih besar sehingga akan lebih representatif dan hasilnya lebih memungkinkan untuk digeneralisasi."

"Anemia gizi merupakan salah satu masalah gizi utama di Indonesia yang harus ditanggulangi secara serius. Terjadinya anemia gizi biasanya disebabkan karena jumlah zat besi yang dikonsumsi tidak sesuai dengan jumlah yang dibutuhkan. Di samping itu berbagai faktor juga dapat mempengaruhi terjadinya anemia gizi antara lain kebiasaan makan, kurangnya konsumsi zat gizi lain misalnya vitamin A, vitamin C, protein, infeksi, sanitasi lingkungan, investasi cacing, dan sosial ekonomi. Konsekuensi yang timbul akibat terjadinya anemia gizi adalah produktivitas rendah, terhambatnya perkembangan mental dan kecerdasan, menurunnya kekebalan terhadap penyakit infeksi, morbiditas dll.Prevalensi anemia gizi remaja putri berdasarkan beberapa hasil penelitian ternyata cukup tinggi, sementara upaya penanggulangan anemia belum mengarah kepada sasaran remaja ini.Penelitian ini merupakan suatu studi analisis yang menggunakan data sekunder dari Pusat Penelitian dan' Pengembangan Gizi, Departemen Kesehatan RI. Jenis penelitian ini termasuk penelitian observasional tipe potong lintang. Tujuan penelitian ini adalah untuk mempelajari faktor-faktor yang berhubungan dengan kejadian anemia gizi remaja putri. Variabel dependen penelitian ini adalah status anemia remaja putri, sedangkan variabel independen meliputi investasi cacing, tingkat konsumsi energi, protein, vitamin A, vitamin C dan zat besi, status Cu, pendidikan ayah, pendidikan ibu, dan kebiasaan minum teh. Analisa data meliputi univariat dengan distribusi frekuensi, bivariat dengan uji kai kuadrat, dan multivariat dengan regresi logistik.Hasil penelitian menunjukkan bahwa prevalensi anemia gizi remaja putri sebesar 41.54 %, Disamping itu variabel yang berhubungan berrnakna secara statistik (p < 0.05) dengan kejadian anemia gizi remaja putri adalah variabel investasi cacing, tingkat konsumsi energi, protein, dan vitamin C. Dan variabel yang paling berhubungan secara bersama-sama terhadap kejadian anemia gizi adalah variabel tingkat konsumsi vitamin C (p < 0.0383, OR = 2.71, CI 95 % = 1.76614 - 3.65i 66).Berdasarkan hasil penelitian yang diperoleh, disarankan agar penangguulangan anemia gizi pada remaja putri sudah harus mulai diprioritaskan sehingga perlu adanya program khusus penanggulangan anemia gizi pada remaja putri ini. Disarankan pula dilaksanakannya penyuluhan kepada ibu-ibu mengenai pengetahuan tentang anemia sebab dan akibatnya serta perlunya makanan seimbang kepada remaja putri. Disamping itu perlu adanya penelitian lain mengenai anemia gizi remaja putri sehingga informasi yang didapat bisa saling melengkapi.

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Nutritional anemia is one of the major nutritional problems in Indonesia that must be seriously tackled. Nutritional anemia normally occurs when the amount of the iron consumed does not equal to the requirements. Besides, several other factors also contribute to the incidence of nutritional anemia such as, among other things, eating habits, lack of consumption of other nutrients including vitamins A and C, a lack of protein, infection, environmental sanitation, worms infestation, social economic conditions, etc. The consequences arising from nutritional anemia include low productivity, disturbance in mental and intelligence development, decreasing immunity against infectious diseases, morbidity, etc.

According to the results of the research, the prevalence of nutritional anemia among female adolescence is relatively high, whereas the efforts taken to combat anemia have not been directed to' this specific target population.

This research is an analytical study using secondary data from Nutritional Research and Development Centre, Department of Health of the Republic of Indonesia. This is an observational research of a cross-sectional type. The objective of the research is to study the factors relating to the incidence of the nutritional anemia among female adolescence. The dependent variable of the research is the status of anemia among female adolescence, while the independent variables include worms investation, the level of energy, protein, vitamin A, vitamin C and iron consumptions, the status of Cu, educational background of the girls' parents and the habits of tea drinking. Analysis of the data is carried out using univariate method by frequency distribution, bivariate method by chi square test, and multivariate method by logistical regression.

The results of the research have demonstrated that the prevalence of nutritional anemia among female adolescence reaches as high as 41.54 %. In addition, the variables having statistically significant relationship (p < 0.05) with the incidence of nutritional anemia among female adolescence include the investation of worms, and the level of energy, protein, and vitamin C consumptions. And the variable having the closest bearing to the incidence of nutritional anemia is the level of vitamin C consumption (p = 0.0383, OR = 2.71, 95 % CI = 1.76614 - 3.65166).

Based on the results of the research, it is recommended that the handling of nutritional anemia among female adolescence should be prioritized by commencing a special improvement program. Another recommendation is given for the implementation of guidance and education campaign to the mothers on the causes and consequences of anaemia, and the need of providing a balanced diet for their daughters. Further researches and studies on nutritional anemia among female adolescence are deemed necessary, so that all the information obtained will complement each other."

"Ruang Lingkup dan Metodologi Penelitian:Anemia pada pekerja wanita, masih merupakan masalah kesehatan yang dapat menurunkan produktivitas kerja. Penelitian ini merupakan studi intervensi yang bertujuan untuk membandingkan efek suplementasi Tablet Tambah Darah (TTD) dengan dan tanpa vitamin C terhadap kadar hemoglobin. Total sampel berjumlah 72 orang. Pengumpulan data dilakukan dengan cara pengamatan, wawancara, pemeriksaan laboratorium (Hemoglobin dan serum ferritin), penilaian pengetahuan tentang gizi dan anemia, penilaian pola makan, asupan makan siang di perusahaan (energi, protein, zat besi), dan pengumpulan data sekunder. Responden dibagi atas dua kelompok, kelompok I (kelompok perlakuan) yang diberikan TTD ditambah 100 mg vitamin C dan kelompok II (kelompok kontrol) yang diberikan hanya TTD . Intervensi yang dilakukan adalah: 1. Pemberian Obat cacing dosis tunggal, 2. Pemberian Tablet Tambah Darah /TTD (200 mg ferro sulfat dan 0.25 mg asam folat) dengan dan tanpa 100 mg vitamin C, satu kapsul perminggu dan satu kapsul selama 10 hari (waktu haid), dalam jangka waktu 16 minggu. Pengawasan dilakukan dengan ketat dan mencatat efek dari pemberian suplemen tersebut. Evaluasi hasil intervensi, dilakukan dengan cara membandingkan perubahan dari kadar hemoglobin, serum ferritin, dan indeks masa tubuh, sebelum dan sesudah intervensi.Hasil dan Kesimpulan:Dari 72 pekerja wanita ditemukan 56 orang (77.77%) menderita anemia. Faktor lain yang mempengaruhi anemia pada penelitian ini, adalah asupan makanan. Setelah intervensi selama 16 minggu, berhasil meningkatkan kadar hemoglobin, serum ferritin secara bermakna p < 0.05 pada kelompok I dan kelompok II. Untuk melihat efektivitas antara kelompok perlakuan dan kelompok kontrol dianalisa efektivitasnya, memberikan hasil terjadi peningkatan kadar hemoglobin, serum ferritin, dan indeks masa tubuh lebih tinggi pada kelompok perlakuan dibandingkan kelompok kontrol, walaupun secara statistik tidak bermakna. Peningkatan kadar hemoglobin rata-rata bagi kelompok I sebesar 2.51 ± 1.54 g/dl, dan kelompok II rata-rata 2.19 ± 1.62 g/dl. Peningkatan kadar serum ferritin pada kelompok I rata-rata 36.03 ± 21.83 ug/l, sedangkan kelompok II 28.64 ± 34.46 ug/l.

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The Scope and Methodology:

At present, Anemia on female workers is still a health problem that reduces their productivity at work. This research is an intervention study that aims in comparing the effect of FIT supplement with and without vitamin C toward hemoglobin level. The study collected from a total of 72 samples, by observation, interview, laboratory testing (hemoglobin and ferritin serum), anemia and nutrition level of knowledge, evaluation of eating pattern, on-site food consumption at lunch (energy, protein, iron), and secondary data collection. Respondents are divided into two groups, group I (treatment group) are given FIT and 100 mg vitamin C, and group II (control group) that are given only FIT. Performed interventions include: 1.Providing single dosage of anthelmintic. 2. Providing FIT (200 mg Ferro-sulfate and 0.25 mg folat acid) with and without 100 mg vitamin C, one capsule per week, and one capsule per day for 10 days during menstruation, within the period of 16 weeks. The procedure was strictly controlled and every effect was collected as research data Evaluations of intervention effect were performed by comparing the difference of hemoglobin level, ferritin serum and body mass index, before and after intervention.

Result and Conclusion:

56 out of 72 (77.77%) female workers have anemia. After 16 weeks of intervention, hemoglobin and serum ferritin level were successfully increased. By analyzing the collected data of the given FIT in the treatment group and the control group, we can see that the treatment group have higher level of hemoglobin, ferritin serum and body mass index, compared to the control group, even though statically the result is not significant. The increase of hemoglobin level on average for group I is about 2.51 ± 1.54 g/dl, and for group II the average of 2.19 ± 1.62 g/dl. The increase of serum ferritin level on average for group I is about 36.03 ± 21.83 ug/l, and for group II the average of 28.64 ± 34.46 ug/l."