Consumption Of Tablets Research Articles

ANEMIA IN YOUNG WOMEN IN THE CITY OF SOUTH TANGERANG IN 2023

Background: A health problem in adolescents that is still happening today is anemia. The problem of anemia in young women needs further treatment because young women are prospective mothers who will give birth to children as the successor to the nation. Purposes: The study aimed to describe the incidence of anemia and the recipients of blood-added tablets for young women in the city of South Tangerang. Methods: This research was conducted using descriptive research. The population of this study was young women who had been screened for Hemoglobin (Hb). From January to May 2023 in all junior high schools/equivalent grades 7,8,9 and high school/equivalent grades 10,11,12 in the city of South Tangerang there were 46,624 people. The data were obtained from the Hb screening report from the South Tangerang City Health Office and were analyzed univariately in the form of a frequency distribution. Results: The results showed that 15,015 girls (32.20%) experienced anemia with mild anemia at 54.41%, moderate anemia at 40.39%, and severe anemia at 5.20%. The highest percentage of anemia was in grade 9 reaching 37.56% and the highest prevalence of anemia for young women was in the Setu sub-district of 40.27%. For blood-added tablet recipients for young women in South Tangerang City, the rate has reached 67.63% of the target of 68%. Conclusions: This study concludes that the incidence of anemia in female adolescents is still high, exceeding the national target and the proportion of female adolescents receiving iron tablets is good. Collaboration between various parties is needed to reduce the prevalence of anemia among school girls' parents, regional officials from the health office, the education and culture office, and the Ministry of Religion of the city of South Tangerang regarding nutritional action activities and monitoring and evaluation of consumption of blood-added tablets in young women.

THE EFFECT OF THE PROVISION OF MANDIRI POCKET BOOK (KUSADARI) CONSUMPTION KNOWLEDGE AND COMPLIANCE TABLET FOR ADDING BLOOD FOR PREGNANT MOTHERS

Background: Pregnant women were one of the prone groups to nutritional problems, where during pregnancy the need for iron increased so that they were at high risk of anemia, especially iron deficiency. This happened because the nutritional needs of the mother and fetus increase so that they were at high risk of it. One of the government's efforts in the context of preventing and overcoming iron deficiency anemia and folic acid in pregnant women was to give Blood-Added Tablets (TTD) which were given every day as much as one tablet or a minimum of 90 (ninety) tablets during pregnancy.
 Methods: This research type was a Quasy Experimental Design with a pretest-posttest design used. The subjects of this study were pregnant women in the first and second trimesters and the number of samples was 35 respondents. Data were taken using a questionnaire and analyzed using univariate analysis and bivariate analysis.
 Results: There was a difference in the knowledge score at the end of the study before and after education with pocket book media (p = 0.000), while the compliance score at the end of the study showed a difference in compliance before and after education with pocket book media (p = 0.000)
 Conclusion: There was an effect of providing an independent monitoring pocket book on the knowledge and compliance of the consumption of Blood-Added Tablets (TTD) in pregnant women. Keywords: Pregnant women, pocket book, blood-added tablets, knowledge, compliance to taking Blood-Added Tablets (TTD).

Specific educational program for adolescent anemia prevention (Progres MIRA) to adolescent girls in remote areas of Bengkulu, Indonesia

Background: Anemia prevalence worldwide ranges from 30-50%, mostly occurring in developing countries, predominantly affecting adolescent groups. In Indonesia, the prevalence of anemia in females aged ≥15 years is 22.7%. Cases in Indonesia include 45% in Denpasar City and 62% in Bengkulu Province. Generally, adolescent girls are vulnerable to anemia due to significant blood loss during menstruation, posing risks of Low Birth Weight (LBW) and stunting during childbirth.Purpose: To determine the effectiveness of Progres MIRA (Specific Education Program for Anemia Prevention in Adolescents) on compliance with iron supplement consumption and hemoglobin levels in adolescent girls on Enggano Island, North Bengkulu Regency in 2023.Method: This study used a quasi-experimental post-test only method with a control group. The Progres MIRA research intervention involved a specific education program for anemia prevention in a special classroom setting. The independent variable was Progres MIRA, the dependent variables were hemoglobin levels and compliance with consuming iron supplement tablets, and external variables included menstrual duration, menstrual cycle, nutrient intake, and economic status.Results: The research findings showed that 82.9% of adolescent girls had a menstrual duration of >6 days, which influenced the amount of iron supplement tablet consumption among them. The menarche age among adolescent girls in the Progres MIRA group was 28.6% at an age <12 years. Compliance levels in treatment related to the menstrual duration variable obtained a ρ-value= 0.01, menarche age obtained a ρ-value= 0.57, malnutrition deficiency index obtained a ρ-value= 0.04, and MUAC obtained a ρ-value= 0.10. This indicates that Progres MIRA effectively increases compliance with iron supplement tablet consumption among adolescent girls.Conclusion: Progres MIRA is effective in improving compliance with iron supplement tablet consumption among adolescent girls. Recommended Dietary Allowance (RDA) significantly affects compliance with iron supplement tablet consumption among adolescent girls.

Correlation Between Body Mass Index and Compliance With Iron Tablet Consumption with The Incidence of Anemia in Adolescent Girls

Background: The substance-based on research data from Health Basic (Riskesdas) 2018, the prevalence of anemia in teenage women in Indonesia by 32%. This means 3-4 out of 10 teenagers Princess suffering from anemia. The factor that exacerbates anemia in teenage princesses is the lack of intake of the substance iron, where the substance iron in teenage princesses is really needed by the body for accelerated growth and development. Besides that, teenage princesses experience menstruation every month, so they need it. Meanwhile, the amount of food consumed is not fulfilled, because the factor wants to slim. The aims study was to determine the relationship between body mass index (BMI) and the behavior of consuming iron supplement tablets with the incidence of anemia in adolescent girls at the Private Vocational High School Keluarga Bunda Jambi.
 Method: The method is an analytic study with a cross-sectional approach. The research sample was all students in grades X and XI at the Private Vocational High School Keluarga Bunda Jambi, totaling 52 people, (total sampling). Data collection was carried out in May 2021 using a questionnaire and the hemoglobin value was obtained through examination of the hematology analyzer at the Medical Laboratory Technology of Health Polytechnic of Jambi, data analysis using Chi-square.
 Result: The results of the study showed that the incidence of anemia in young women was 25%. Based on BMI, the most common anemia occurred in the normal BMI group (46.1%), followed by a thin BMI of 30.7%. The highest incidence of anemia (92.3%) was in the group of adolescent girls who did not take iron tablets regularly
 Conclusion: There is a relationship between adherence to taking Iron Blood tablets and the incidence of anemia with a P-value of 0.000, but there is no significant relationship to BMI.

Peningkatan Pengetahuan Masyarakat Tentang Manfaat Fe Pada Kegiatan Kalteng Expo Tahun 2023

People, especially women of childbearing age, are prone to anaemia because they lose a lot of blood during menstruation. Women of childbearing age who suffer from anaemia have a high risk of anaemia during pregnancy. This will have an impact on the inhibition of fetal growth and development and potentially lead to complications of pregnancy and childbirth. Therefore, women of childbearing age (WUS) need to take Blood Addition Tablets (TTD) once a week. To overcome these problems, it is necessary to increase knowledge about the benefits of fe tablet consumption. The results of this activity were attended by 39 women of childbearing age who visited Kalteng Expo 2023. During the activity, the residents were very enthusiastic. This can be seen in the liveliness of the residents following the counselling activities and the increase in knowledge from before and after being given education.

Hubungan Peran Tenaga Kesehatan Dengan Kepatuhan Konsumsi Tablet Fe Pada Ibu Hamil Di Puskesmas Silau Laut Kec. Silau Laut Kab. Asahan Tahun 2023

In pregnant women, iron plays an important role in fetal growth. This study aims to determine the relationship between the role of health workers and compliance with the consumption of Fe tablets at the Silau Laut Community Health Center, Kec. Sea Glare District. Asahan 2023. This type of research is an analytical survey with a cross-sectional research design, the number of samples used was 32 people obtained using total sampling techniques. The data analysis technique uses chi square. The results obtained in this study were P value = 0.006 < 0.05, which shows that there is a relationship between the role of health workers and compliance with the consumption of Fe tablets. It is recommended that pregnant women increase their compliance in consuming Fe tablets during their pregnancy to maintain the health of themselves and their womb

Pengetahuan, Sikap, Dukungan dan Persepsi Konsumsi Tablet Tambah Darah (TTD) pada Mahasiswi Fakultas Kedokteran dan Ilmu Kesehatan Universitas Kristen Satya Wacana

Iron-deficiency anemia is a significant nutritional concern in Indonesia. This type of anemia is more common among children, adolescents, pregnant and breastfeeding women, and low-income workers. Although students from the Faculty of Medicine and Health Sciences have been informed about anemia and iron (Fe) tablets, there are still many who have not started taking them. This research aims to describe the knowledge, attitudes, support, and perception of Fe tablet consumption among female students at this University. The research used a descriptive-analytic method with a cross-sectional approach. The study population consisted of 93 female students from the 2021 batch, specifically from the Faculty of Medicine and Health Sciences. The research sample was selected based on inclusion and exclusion criteria. A questionnaire was used as the research instrument and analyzed using univariate analysis. The findings revealed that only 22.6% of the respondents reported consuming Fe tablets, while 77.4% did not. Twenty-six respondents displayed a good level of knowledge, and 31 had a positive attitude. The level of support from family and peers was low, with only 22 respondents reporting family support and 30 reporting peer support. Despite not taking iron tablets regularly, the respondents' knowledge, attitudes, perception of benefits, and constraints were generally in a good category. However, the support variable obtained still needs improvement as it remains in the low category, which contributes to the irregular intake of iron tablets by the respondents.

Anemia in Pregnancy: Study Phenomenology

Introduction: The prevalence of anemia in pregnant women in Indonesia remains high. This condition is concerning because the government has run a program of giving iron tablets to pregnant women since 1970. This study aimed to determine socioenvironmental factors that cause anemia in pregnant women. Methods: This qualitative research used phenomenological methods. In-depth interviews were conducted with 20 mothers with anemia and 12 focus group discussion (FGD) informants. Qualitative data analysis was applied to analyze the data. Results: The study found three factors: anemia in the preconception period, diets that cause a lack of iron consumption, and knowledge and consumption of iron tablets in pregnant women. Anemia in pregnant women is a continuous cycle of anemia which begins in the preconception period. Adolescent eating behavior and supplementation programs for pregnant women integrated with antenatal care are still problematic. Discussion and Conclusion: The findings of this study provide important information for preventing anemia in pregnant women, increasing counseling, and evaluating the implementation of iron supplementation in pregnant women. The policy of administering iron tablets to pregnant women to prevent anemia is not effective in reducing the prevalence of anemia. This government policy must be accompanied by a community movement program because the findings of this study show the problems that exist in the individual factors of the mother.

IMPROVEMENT OF HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA THROUGH DRAGON FRUIT CONSUMPTION

Pregnant women are at risk of experiencing anemia, which can have health impacts such as bleeding and giving birth to low birth weight babies (LBW). The global prevalence of anemia is 43%, while in Indonesia it is 37.1%, and in the Rantau Pulung Community Health Center (Puskesmas) area, it is 39.3%. Efforts to address low hemoglobin levels often involve regular consumption of iron tablets during pregnancy. Non-pharmacological interventions include the consumption of dragon fruit, rich in vitamin C, vitamin B1, vitamin B2, vitamin B3, and protein, to increase hemoglobin levels. To determine the influence of dragon fruit on increasing hemoglobin levels in pregnant women with anemia in the working area of the Rantau Pulung Community Health Center. This study utilized a quasi-experimental design with a pre-test post-test non-equivalent control group. The study population included a total of 26 pregnant women with anemia. The sampling technique used was total sampling, resulting in 26 participants divided into an experimental group of 13 and a control group of 13. The measurement tool was observation of hemoglobin levels. Data analysis employed paired t-tests and independent t-tests. There was a difference in hemoglobin levels before and after the administration of iron tablets combined with dragon fruit by 1.1692 g%, and a difference in hemoglobin levels before and after the administration of iron tablets by 0.7077 g%. The administration of iron tablets combined with dragon fruit was effective in increasing hemoglobin levels in pregnant women in the working area of the Rantau Pulung Community Health Center in East Kutai Regency, with a p-value of 0.004. Consuming 500 g of dragon fruit daily can increase the hemoglobin levels of pregnant women due to its content of vitamin C, vitamin B1, vitamin B2, vitamin B3, and protein. The administration of dragon fruit effectively increases hemoglobin levels in pregnant women.

FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS MEURAXA BANDA

From the results of research in the work area of the Meuraxa Health Center, 435 pregnant women were obtained from January to December 2022, and pregnant women who experienced anemia were 11.15% of pregnant women. An initial survey conducted on December 12, 2022, found 5 respondents of pregnant women who experienced anemia in the working area of the Meuraxa Banda Aceh Health Center, of the 5 respondents, found 3 pregnant women who experienced anemia due to lack of knowledge of the importance of taking Fe tablets, and 2 respondents of pregnant women who experienced anemia due to low economic factors so that the need to meet nutritional status was difficult to meet. The purpose of the study was to determine the factors that influence the incidence of anemia in pregnant women in the working area of the Meuraxa Banda Aceh Health Center in 2023. This research method is analytical observational conducted on June 15, 2023 in the working area of the Meuraxa Banda Aceh Health Center with a population of 70 pregnant women. The research instrument is a questionnaire. Data analysis using univariate and bivariate analysis with the SPSS statistical program. The results of statistical tests with Chi Square obtained a p value = 0.000 (P <0.05) means that there is an influence between age and the incidence of anemia in pregnant women, the results of statistical tests with Chi Square obtained a p value = 0.008 (P <0.05) means that there is an influence between income and the incidence of anemia in pregnant women, the results of statistical tests with Chi Square obtained a p value = 0.000 (P < 0.05) means there is an influence between knowledge and the incidence of anemia in pregnant women, the results of statistical tests with Chi Square obtained a p value = 0.000 (P < 0.05) means there is an influence between consumption of Fe tablets with the incidence of anemia in pregnant women. The conclusion of this study is there is an influence of age, income, knowledge, consumption of Fe tablets with the incidence of anemia in pregnant women.

Correlation between Knowledge and Attitude with Compliance with Blood Supplement Tablet Consumption in SMAN 10 Students in the Working Area of Puskesmas Andalas, Padang City

The high incidence of anemia occurs in the adolescent age group and female sex. In preventing anemia and reducing the incidence of anemia in Indonesia, the government is holding a blood-added tablet supplementation program for young girls at school. To support the program, this research was carried out with the aim of knowing the relationship between knowledge and attitude with adherence to blood supplement consumption by female students of SMAN 10 in the working area of the Andalas Health Center, Padang City. This research was conducted from March to June 2023. The method used was an observational analytic design, the sampling technique used was purposive sampling which met the inclusion and exclusion criteria. The sample used in this study was female students of SMAN 10 in the working area of the Andalas Public Health Center, Padang City. The results of the univariate test of SMAN 10 female students in the work area of the Andalas Health Center, Padang City, most of them had high knowledge (66.5%), negative attitudes (55.7%), low compliance (74.3%). Then the results of the chi square test obtained that the relationship between knowledge and attitudes did not have a significant relationship with a P value of 0.542 (≥ 0.05), and the relationship between attitude and adherence to consumption of iron tablets had a significant relationship with a P value (≤ 0.05).

SAT247 CODE STEMI Due To Excessive Ingestion Of TUMS

Abstract Disclosure: E. Hershkop: None. Hypercalcemia is defined as a serum calcium greater than 10.5mg/dL. It is most commonly caused by malignancy or hyperparathyroidism; a less common cause is excess calcium ingestion, referred to as Milk Alkali Syndrome (MAS). Severe hypercalcemia can lead to renal failure, arrhythmias, and coma. A rare EKG finding is ST elevation mimicking an acute ST Elevation Myocardial Infarction (STEMI). We describe a case of severe hypercalcemia caused by excessive ingestion of TUMS antacids that presented as diffuse ST elevations on EKG which were mistaken for an acute MI. To our knowledge, this is the first case in the literature describing hypercalcemia with ST elevations caused by excessive TUMS ingestion. Case: A 74 year old male with a history of diabetes, hypertension, stroke, and acid reflux presented for recurrent falls due to leg weakness. He endorsed constipation with bowel movements every 5-6 days. Upon further questioning, he reported taking 6 to 7 TUMS antacid tablets (each containing 200mg calcium) daily for the past two months to treat ‘heartburn’. He denied having chest pain. His medications included hydrochlorothiazide, losartan, amlodipine, atorvastatin, glimepiride, and famotidine. On physical exam he had reduced strength in both lower extremities - 1/5 left, 3/5 right. EKG on arrival showed ST elevation in leads III, aVF, and V1-V5, with T wave inversions in aVR and aVL, suggestive of a STEMI. A STEMI code was called. Since he denied chest pain, troponins were lateralized at 0.1 ng/mL, and an echocardiogram showed no wall motion abnormalities, cardiology recommended conservative management. Laboratory evaluation revealed calcium of 15.5 mg/dL, albumin of 3.8 g/dL, BUN of 39 mg/dL, creatinine of 2.2 mg/dL, magnesium of 1.4 mg/dL, phosphorus of 3 mg/dL, 25-OH vitamin D of 24 ng/mL, PTH of 9 pg/mL, undetectable 1-25 OH vitamin D and PTHrP, and normal TSH and SPEP. CT head/chest/abdomen/pelvis showed no evidence of malignancy. He was treated with IV hydration and 1 dose of calcitonin. His calcium level, leg strength, and ST elevations began to improve within 12 hours and returned to normal within four days. Conclusion: Our patient had severe hypercalcemia likely secondary to excessive consumption of oral antacid tablets, as other causes were ruled out, and his EKG findings masqueraded as a STEMI-a rare presentation of hypercalcemia. Consumption of supplements may be overlooked when investigating hypercalcemia and should be specifically asked about. In addition, providers should be aware of EKG changes found in hypercalcemia to avoid unnecessary cardiac intervention. Presentation: Saturday, June 17, 2023

The Influence of the Pocket Book (BUSAKMIL) on the Consumption of Blood Supplement Tablets and Consumption Patterns of Anemic Pregnant Women at the Harapan Baru Community Health Center in 2023

This research aims to determine the effect of BUSAKMIL on the consumption of blood supplement tablets and consumption patterns of anemic pregnant women in the Harapan Baru Community Health Center working area. The method uses a Quasi Experiment with a One Group Pretest-Posttest design and a sample of 29 respondents. The results of the study showed that there was an influence of the pocketbook (BUSAKMIL) on the consumption of blood supplement tablets by anemic pregnant women at the Harapan Baru Community Health Center in 2023 (p=0.000) and there was no influence of the pocketbook (BUSAKMIL) on protein and carbohydrate consumption patterns (p=0.109; p =0.0161) and there is an influence of the pocketbook (BUSAKMIL) on energy and fat consumption patterns (p=0.021; p=0.028) of anemic pregnant women at Harapan Baru Community Health Center.

A Cross-sectional study to evaluate maternal health care services utilization among women residing in an urban slum area, Ahmedabad

Background: Reducing the global Maternal Mortality Ratio to less than 70 per 1,00,000 live births is the first target of Sustainable Development Goal-3. Adequate utilization of Maternal and Child Health (MCH) services is essential for improved maternal and neonatal health outcomes. The utilization of MCH services is a complicated phenomenon, and several factors have an impact on it. This study aims to assess the current status of utilization of antenatal, intranatal, and postnatal maternal health services and determinants of utilization. Methods: This cross-sectional study was conducted in an urban slum during 1st January and February 2020 using a pre-tested, semi-structured questionnaire. A total of 126 women who delivered after 1st January 2018 were included as study subjects after getting informed oral consent. Data entry and analysis were done in Microsoft Excel. P-value<0.05 was considered statistically significant. Result: In all, 64% of study subjects had adequate Antenatal care (ANC) services utilization. The majority (94.5%) had institutional delivery. In all, 62% of women breastfed their child within four hours after birth. The reason for inadequate utilization was mainly due to lack of unawareness of MCH services. Conclusion: Overall, MCH services are good in this area. Efforts should be made to improve the quality of services for ANC registration within first trimester, Iron and Folic Acid tablet consumption, initiation of early breastfeeding, and postnatal care services, and the major determinants that influence utilization of MCH services including mother's education and parity

TINGKAT PENGETAHUAN IBU HAMIL BERHUBUNGAN DENGAN KONSUMSI TABLET TAMBAH DARAH

Anemia is a major nutritional problem in Indonesia, especially iron deficiency anemia. Anemia has a serious impact on pregnant women. The impact on the mother and fetus is the occurrence of wrinkles, bleeding during pregnancy, premature labor, disturbances to the fetus, labor and puerperal disorders. It is very important to overcome anemia in pregnant women, one of which is by taking Blood Supplement Tablets. There are many factors that can affect pregnant women in consuming Blood Supplement Tablets, one of which is the level of knowledge of pregnant women. The purpose of this study was to determine the relationship between the level of knowledge of pregnant women and the consumption of iron tablets. This study used quantitative methods, population and sample of 106 pregnant women using total sampling. The results showed that pregnant women who had good knowledge were 71 people (67.0%), moderate knowledge were 26 people (24.5%), knowledge was lacking as many as 9 people (8.5%) with a p value of 0.00. It can be interpreted that the level of knowledge of pregnant women is related to the consumption of iron tablets.

A Prospective Analysis of Opioid Prescription, Consumption, and Psychometric Correlations in Outpatient Plastic Surgery Procedures

Background: Understanding opioid prescription, consumption, and the factors related to these is important to prescribe opioids responsibly. Our primary purpose is to determine the factors predicting opioid prescription, and the secondary purpose is to examine the factors predicting opioid tablet consumption. Methods: A prospective cohort was evaluated using 2 surveys. The primary outcome was type of prescription given (opioid vs non-opioid). The secondary outcome was the number of opioid tablets consumed at the second survey. Demographics, the pain catastrophizing scale, and patient health questionnaire-4 (PHQ-4) for depression and anxiety were collected. Statistics included Chi-Square, student's t-test, univariable, and multivariate regression analyses. Results: Four hundred and forty patients completed the first survey, of which 193 completed the second. Two-hundred and fourteen (49%) patients received an opioid prescription. Opioids were given most often after: surgery in the main operating room (OR 23.6 [10.0-55.2]), breast or abdomen (OR 11.1 [1.2-101.1]), upper limb (OR 4.0 [1.7-9.3]), and less often after dermatologic surgery (OR 0.2 [0.1-0.5]). Among patients who received opioids, a mean of 10 opioid tablets were consumed at the post-operative survey. More tablets were consumed when: age was less than 60 ( P < .05), with pre-operative opioid use ( P = .03), and with a high score on the PHQ-4 ( P = .002). Conclusions: The patterns of opioid prescription and consumption after outpatient Plastic Surgery are elucidated. Plastic surgeons over-estimate patients’ opioid requirements. Potentially less opioids could be prescribed in the minor procedure room without an increase in pain crises. Public health campaigns should focus on the proper disposal of unused opioid tablets.

RISK FACTORS FOR THE INCIDENCE OF ANEMIA IN YOUNG WOMEN

Background: The prevalence of anemia in adolescents is still high in Jambi Province at 60.45%. Anemia can cause a decrease in body resistance and fitness, thereby inhibiting adolescent productivity. Purpose: Research objectives to determine the prevalence of anemia and risk factors for the incidence of anemia in young women. Methods: Cross-sectional research design, located in State Senior High School 8 of Jambi City from January to April 2019. Population 552 girls, with a sample of 83 girls in classes X and XI. The proportioned stratified random sampling technique was taken. The research variables were knowledge, breakfast, tablets, blood consumption, nutritional status, enhancing foods and iron absorption inhibitors, infectious diseases, and heavy meal frequency. The dependent variable was anemia. Interviews and secondary data from the measurement of Hb were conducted for primary data collection. Data would be analyzed with chi-square analysis. Results: The incidence of anemia among young women was 42.17%. There was relationship of knowledge (PR=2.05; 95% CI=1.30-3.24), blood tablet supplementation (PR=2.95; 95% CI =1.02-8.54), Breakfast (PR=3.03; 95% CI=1.41-6.48), and frequency of heavy eating (PR = 0.52; 95% CI=0.28-0.97) with the incidence of anemia. Conclusion: Factors associated with anemia among young women are knowledge, consumption of tablets plus blood, breakfast, and frequency of heavy eating.

Faktor Risiko Kejadian Anemia pada Ibu Hamil di Wilayah Puskesmas Pitu Kabupaten Ngawi

The prevalence of anemia in Indonesia has been increasing every year. The causes of anemia during pregnancy include factors such as gestational age, pregnancy spacing, adherence to iron tablet consumption, and economic status. This study aims to analyze the risk factors for anemia in pregnant women in the Pitu Health Center area of Ngawi Regency. The research uses a descriptive analytic approach with a case-control design. The sampling technique employed is purposive sampling, with a total of 34 subjects in the case group and 34 subjects in the control group. Data analysis was conducted using three methods: univariate analysis with frequency distribution, bivariate analysis with chi-square tests, and multivariate analysis with logistic regression. The results of the univariate analysis indicate that adherence to iron tablet consumption is still low in the case group (33.5%). The bivariate analysis shows that gestational age has a p-value of 0.446, pregnancy spacing has a p-value of 1.000, adherence to iron tablet consumption has a p-value of 0.003 (OR=5.250), and economic status has a p-value of 0.031 (OR=4.060). Through multivariate analysis, it was found that adherence to iron tablet consumption (OR=5.050) has the most significant association with the occurrence of anemia in pregnant women. In conclusion, this research suggests that there is an influence of iron tablet consumption on the occurrence of anemia in pregnant women in the Pitu Health Center area of Ngawi Regency. Pregnant women who do not adhere to iron tablet consumption are 5.2 times more at risk of anemia compared to pregnant women who adhere to iron tablet consumption.

Effectiveness of Nutrition Education on Knowledge of Anemia and Hemoglobin Level in Female Adolescents Aged 12-19 Years: a Systematic Reviews and Meta-Analysis

Background: Anemia is a common health problem among adolescents that needs to be resolved immediately. It is estimated that more than 50% of female adolescents aged 12-15 years have anemia. Some of the anemia's effects on adolescents include stunted growth, decreased learning ability, and susceptibility to infectious diseases. Objectives: To identify evidence for nutrition education's effectiveness on anemia knowledge and hemoglobin levels in female adolescents aged 12 to 19. Methods: Using study eligibility criteria, three electronic databases (Scopus, Science Direct, and Pubmed) were searched within five years for relevant articles. Review Manager (RevMan) version 5.4.1 was used to analyze the research findings. Results: Based on the results, there was no significant relationship between education and anemia knowledge in the control and treatment groups (p<0.05). Neither group also had a significant relationship between nutrition education and Hb concentration. However, the Active, Creative, Effective, and Fun Learning or Pembelajaran Aktif, Kreatif, Efektif, dan Menyenangkan (PAKEM) program approach impacted adolescent anemia knowledge. The mean difference value of 0, which indicates the intervention group is more effective than the control group, presented significant results. The estimated effect can be seen in the forest plot image to the left of the vertical line. Conclusions: Based on the meta-analysis, the PAKEM method is a nutritional education method that provides significant results on female adolescents' knowledge regarding anemia and Fe tablet consumption. However, the nutritional education method did not affect hemoglobin levels.

AN OVERVIEW OF THE REPRODUCTIVE HEALTH OF TEENAGE GIRL IN THE BERENG BENGKEL VILLAGE

Adolescence is a period of change or transition from childhood to adulthood. WHO defines adolescents as individuals who experience a transitional period gradually reaching sexual maturity. BPS 2022 data estimates that youth in Indonesia is equivalent to 24% of the total population. Healthy adolescents are an investment for the nation's future to meet the demographic bonus in 2030. Young women must be introduced to reproductive health so that adolescents know what is happening to themselves, especially those related to the reproductive organs which are used as determinants of size. a measure of health parameters and used as an indicator of the success or failure of programs to reduce stunting and reduce maternal and infant mortality. This study aims to determine the description of the health of Teenage Girl in the Bereng Bengkel Village. This type of research is descriptive with a quantitative approach. A total of 61 teenage girl aged 10-20 years as a population and the sampling technique was "Accidental sampling" and found 37 teenager. Data analysis using SPSS, obtained the results of Teenage Girl behavior (consumption of FE tablets 64,9%), information on reproductive health (reproductive organs 67,6%, characteristics of puberty 86,5%, pregnancy 48,7%, impact of free sex 62,1%, STI 64,9%, HIV 51,3% , and Personal Hygiene 75,7%). Regarding menstruation (menarche at the age of 11-16 years 73%, regular menstrual cycles 86,5%, no dysmenorrhea 81,1%, and no reproductive health problems such as vaginal discharge, etc. 73%). Furthermore, Teenage Girl plan to marry at the age of 20-35 years (73%), and participate in PKPR activities (81,1%). Reproductive health for teenage girl in the Bereng Bengkel Village is a responsibility and needs an important role from the family, school, government, to related stakeholders.