Determinan keberhasilan program suplementasi zat besi pada siswi sekolah

https://doi.org/10.22146/ijcn.17715

Dodik Briawan(1*), Ari Adriyani(2), Pusporini Pusporini(3)

(1) Departemen Gizi Masyarakat Fakultas Ekologi Manusia IPB
(2) Program Studi Gizi Masyarakat dan Sumber Daya Keluarga IPB
(3) Seksi Kesehatan Keluarga Dinas Kesehatan Kota Bekasi
(*) Corresponding Author

Abstract


Background: The iron supplementation program is implemented in many countries for improving the iron status. However, this program is not always successfully reducing the prevalence of anemia due to the various factors.

Objective: To determine the success factors of iron supplementation program at the female school students.

Method: The program of iron supplementation at the school was run by the Health Office of Bekasi City. The pre-post design study was applied among junior and senior high school female students. The variables collected were age, health status, menstrual pattern, hand washing habit, body mass index, capsule compliance, and food consumption. The hemoglobin (Hb) was measured by cyanmethemoglobin method. The logistic regression was applied to analyses the determinant factors.

Results: The prevalence of anemia among female students was decreased by 3.4% after four month of supplementation. However, its result was different between the junior and senior high school students, in fact the prevalence of anemia at the junior students was increased. The number of students at the junior high school who decreased in hemoglobin and became anemia were more than the senior high school. The logistic regression analyses showed that the success determinant of iron supplementation program were students not anemic before supplementation (OR = 10.81; 90% CI: 7.04-16.50) and they used to hand washing (OR = 11.22; 90% CI: 1.90-64.60).

Conclusion: After the iron supplementation program, the decrease prevalence of anemia was different between the junior and senior high school students. The determinants of success program were hand washing habits and the anemia status before supplementation.

Keywords


anemia; female students; iron supplementation; success determinant

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References

Arisman. Gizi dalam Daur Kehidupan. Jakarta: EGC Press; 2004.

Departemen Kesehatan RI. Gizi dalam Angka sampai dengan Tahun 2003. Jakarta: Ditjend Pembinaan Kesehatan Masyarakat; 2005.

Departemen Kesehatan RI. Pedoman Penanggulangan Anemia Gizi untuk Remaja Putri dan Wanita Usia Subur. Jakarta: Ditjen Pembinaan Kesehatan Masyarakat; 1998.

UNICEF/UNU/ WHO [United Nation for Children Education Fund/United Nation University/ World Health Organization]. Iron Deficiency Anaemia: Assessment, Prevention and Control a Guide for Programme Managers. New York: UNICEF/UNU/ WHO; 2001.

Briawan D, Harahap H, Martianto D. Hubungan Konsumsi Pangan dan Status Gizi dengan Body Image pada Remaja di Bogor. Gizi Indonesia 2008; 31(1): 49-59.

Hurlock EB. Psikologi Perkembangan: Suatu Pendekatan Sepanjang Rentang Kehidupan. (Terjemahan) Istiwidiyanti, Seoedjarwo, Sinabat RM, editor. Edisi ke-5. Jakarta: Erlangga; 1996.

Dillon DHS. Nutritional Health of Indonesian Adolescent Girls: the Role of Riboflavin and Vitamin A on Iron Status [disertasi]. Netherlands: Wageningen University; 2005.

Soekarjo DD, de Pee S, Kusin JA, Schreurs WHP, Schultink W, Muhilal, et al. Effectiveness of Weekly Vitamin A (10 000 IU) and Iron (60 mg) Supplementation for Adolescent Boys and Girls Through Schools in Rural and Urban East Java, Indonesia. Eur J Clin Nutr 2004; 58(6): 927-37.

Briawan D. Efikasi Suplemen Besi-Multivitamin untuk Perbaikan Status Besi Remaja Wanita. Gizi Indonesia 2008; 30(1): 36-46.

Permaesih D, Herman S. Faktor-faktor yang Mempengaruhi Anemia pada Remaja. Buletin Penelitian Kesehatan 2005; 33(4):162-71.

Beard JL, Dawson H, Pinero DJ. Iron Metabolism: a Comprehensive Review. Nutr Rev 1996; 54(10): 295-317.

Ekstrom EC. Supplementation for Nutritional Anemias. In: Ramakrishnan U, editor. Nutritional Anemias. Florida: CRC Press; 2001. p.129-52.

Allen LH. 2002. Iron Supplementation: Scientific Issues Concerning Efficacy and Implications for Research and Programs. J Nutr 2002;132: 813S-9S.

FAO/WHO [Food Agricultural Organization/World Health Organization]. Human Vitamin and Mineral Requirements. Rome: FAO/WHO; 2001.

Stoltfuz RJ, Dreyfuss ML. Guidelines for The Use of Iron Supplements to Prevent and Treat Iron Deficiency Anemia. New York: ILSI Press; 1998.

Schultink W, Dillon DHS. Supplementation Strategies to Alleviate Iron Deficiency: Experiences from Indonesia. Nutr Res 1998; 18(12):1943-52.



DOI: https://doi.org/10.22146/ijcn.17715

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