The effect of giving blood supplement tablets to adolescent girls on increasing haemoglobin levels  in Cirebon District  to prevent stunting and develop a quality generation in Cirebon District

Vianty Mutya Sari; Siti Difta Rahmatika; Wiwin Widayanti

doi:10.21927/jnki.2022.10(1).7-15

The effect of giving blood supplement tablets to adolescent girls on increasing haemoglobin levels in Cirebon District to prevent stunting and develop a quality generation in Cirebon District

Vianty Mutya Sari, Siti Difta Rahmatika, Wiwin Widayanti

Abstract

Background : Several conditions that affect adolescent health, including adolescent reproductive health are nutritional problems. Nutritional problems that occur in adolescents include anemia and chronic lack of energy. Anemia is a decreasing quantity of red blood cells in the circulation or the amount of haemoglobin under normal limits. The challenge of anemia in young women from 37.1% in Riskedas 2013 which actually increased to 48.9% in Riskesdas 2018, with the proportion of anemia in the age group 15-24 years and 25-34 years. These things clearly reinforce that adolescent health will determine the success of health development, especially in an effort to print the quality of the nation's next generation in the future. Anemia among adolescents can be caused by a lack of macronutrient and micronutrient intake. The micronutrients are needed by the body, especially by teenagers. Insufficiency of micronutrients in the body can cause anemia. Anemia has several types, one of which is nutritional anemia. One of the causes of nutritional anemia is iron deficiency. Based on Permenkes, RI No. 88, 2014, giving blood supplement tablets is one of the important efforts in the prevention and control of anemia because it is an effective way to prevent anemia due to iron deficiency and folic acid deficiency. Blood supplement tablets are tablets that are given to the fertile and pregnant women. For fertile women, it is given once in a week and once a day during period.

Purpose : To determine the effect of giving blood supplement tablets to adolescent girls to increase hemoglobin levels, so, it can be seen whether female adolescents are anemic or not. If there are many adolescents with anemia, it is expected that health workers and the community should pay more attention to the importance of anemia-free of adolescents to prevent stunting. Therefore, there many healthy generations born in Cirebon .

Method : This study uses a quasi-experimental design, where there is a treatment of giving blood supplement tablets for 3 months to junior high school students who have experienced menstruation whose hemoglobin levels were previously checked. After giving blood tablets for 3 months, the hemoglobin level was rechecked which involved 20 female students at Cirebon district.

Result : The average of haemoglobin levels before given the treatment was 11.40 grams% with a standard deviation of 1.7634. Meanwhile the average of haemoglobin levels after given the treatment was increased 2.67 grams% to 14.07 grams% with a standard deviation of 1.3719. The result of statistical tests using the Dependent T test, p=0,000, means at 5% alpha, the final hypothesis accepted. There is a significant difference in haemoglobin levels before and given the treatment (giving the blood supplement tablet). This means there is an effect of giving the blood supplement tablets to adolescent girls on increasing haemoglobin levels.

Conclusions : There is an effect of giving blood supplement tablets to adolescent girls on increasing haemoglobin levels.

Keywords

adolescents; anemia; stunting; blood supplement tablets; hemoglobin levels

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References

Kemenkes, “Laporan Riskesdas 2018,” 2018.

B. K. Departemen Kesehatan, “Perilaku Berisiko Kesehatan pada Pelajar SMP dan SMA di Indonesia tahun 2015,” https://www.who.int/ncds/surveillance/gshs/GSHS 2015 Indonesia Report_bahasa, 2018.

D. Briawan, Anemia masalah gizi pada remaja wanita. Jakarta: EGC, 2014.

Kemenkes RI, “Pesan Untuk Remaja Putri Indonesia : Cantik Itu Sehat Bukan Kurus,” kemkes.go.id, 2018. kemkes.go.id

M. D. Rizki, “Hubungan Antara Asupan Zink dengan Anemia pada Remaja di Sukoharjo Jawa Tengah,” Skripsi, pp. 1–12, 2017.

Kemenkes RI, Pedoman Pencegahan dan Penatalaksanaan Anemia pada Remaja Putri dan WUS. 2018.

J. Julaecha, “Upaya Pencegahan Anemia pada Remaja Putri,” Jurnal Abdimas Kesehatan., vol. 2, no. 2, p. 109, 2020, doi: 10.36565/jak.v2i2.105.

Kemenkes RI, “Buletin Stunting,” Kementeri. Kesehatan. RI, vol. 301, no. 5, pp. 1163–1178, 2018.

D. Pritasari, Gizi Dalam Daur Kehidupan. BPSDMK KEMENKES R1, 2017.

Atikah Proverawati, Buku Ajar Gizi Dalam Kebidanan. Jogjakarta: Nuha Medika, 2017.

Kemenkes RI, “Peraturan Menteri Kesehatan Republik Indonesia Nomor 88 Tahun 2014 Tentang Standar Tablet Tambah Darah Bagi Wanita Usia Subur Dan Ibu Hamil.,” 2014

Kemenkes RI, “Kemenkes, 2016. Surat Keputusan Kementrian Kesehatan tentang Edaran Pemberian tablet tambah darah remaja putri dan WUS,” 2016

Kemenkes RI, “Pedoman pemberian Tablet Tambah Darah (TTD) bagi remaja putri pada masa pandemi COVID-19,” Kementrian Kesehat. RI, p. 22, 2020, [Online]. Available: http://appx.alus.co/direktoratgiziweb/katalog/ttd-rematri-ok2.pdf

Riskesdas, Laporan Riskesdas Provinsi Jawa Barat. 2018. [Online]. Available: https://litbang.kemkes.go.id

Dinas Kesehatan Kabupaten Cirebon, “Profil Kesehatan Kabupaten Cirebon Tahun 2018,” Cirebon, 2018. [Online]. Available: https://dinkes.cirebonkab.go.id/wp-content/uploads/Profil-Kesehatan-Kabupaten-Cirebon-Tahun-2018.pdf

Kemenkes RI, “Pedoman Penatalaksanaan Pemberian Tablet Tambah Darah,” Kemenkes RI, p. 46, 2015, [Online]. Available: https://promkes.kemkes.go.id/download/fpck/files51888Buku Tablet Tambah darah 100415.pdf

T. H. Listyaningrum, “Implementasi permenkes 88 tahun 2014 di pukesmas daerah istimewa yogyakarta (DIY),” JHeS (Journal Heal. Stud., vol. 3, no. 1, pp. 1–11, 2019, doi: 10.31101/jhes.793.

V. M. Sari and S. D. Rahmatika, “Gambaran Kejadian Anemia pada Remaja Putri di Kabupaten Cirebon,” Colostrum Jurnal Kebidanan, vol. 2, no. 2, pp. 33–37, 2021, [Online]. Available: http://ojs.poltekkes-medan.ac.id/colostrum/article/view/1103

Kemenkes RI, “Kenali Masalah Gizi Ancam Remaja Indonesia,” kemkes.go.id, 2018. kemkes.go.id

M. Andriastuti, G. Ilmana, S. A. Nawangwulan, and K. A. Kosasih, “Prevalence of anemia and iron profile among children and adolescent with low socio-economic status,” Int. J. Pediatr. Adolesc. Med., vol. 7, no. 2, pp. 88–92, 2020, doi: 10.1016/j.ijpam.2019.11.001.

P. Padila, P. Panzilion, J. Andri, N. Nurhayati, and H. J, “Pengalaman Ibu Usia Remaja Melahirkan Anak di Masa Pandemi COVID-19,” Journal. Telenursing, vol. 3, no. 1, pp. 63–72, 2021, doi: 10.31539/joting.v3i1.2075.

F. P. S. G. MPH, Penulis: Farah Paramita, S.Gz, MPH. 2019.

BKKBN, “Cegah Stunting dari Masa Kehamilan,” https://ntb.bkkbn.go.id, 2021. https://ntb.bkkbn.go.id

Handayani, “Remaja Sehat Bebas Anemia,” Rumah sakit paru respira, 2021. http://rsprespira.jogjaprov.go.id/remaja-sehat-bebas-anemia/

C. Anggi Vina Hariyati, Adil Zulkarnain, “Pengaruh Pemberian Tablet Fe Terhadap Haemoglobin Pada Taruni,” J. Holistics Heal. Sci., vol. 2, no. 2, pp. 52–67, 2020.

Y. Yuanti, Y. F. Damayanti, and M. Krisdianti, “Pengaruh Pemberian Tablet Fe Terhadap Kenaikan Kadar Hemoglobin Pada Remaja,” Jurnal Ilmu Kesehatan. Kebidanan, vol. 9, no. 2, pp. 1–11, 2020.

dkk Hermiaty Nasrudin, “Angka Kejadian Anemia remaja Di Indonesia,” Cerdika Jurnal Ilmu Indonesia, vol. 1, no. 4, pp. 357–364.

Y. Susanti, D. Briawan, and D. Martianto, “Suplementasi Besi Mingguan Meningkatkan Hemoglobin Sama Efektif Dengan Kombinasi Mingguan Dan Harian Pada Remaja Putri,” Jurnal Gizi dan Pangan, vol. 11, no. 1, pp. 27–34, 2016.

Kementerian Kesehatan Republik Indonesia, Profil Kesehatan Indonesia 2016. 2016. [Online]. Available: http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-2016.pdf

S. Hartati, A. Kebidanan, and S. Negeri, “The Effect of Iron ( Fe ) Tablets to the Anemia Status of Adolescent Women,” Heal. Journal no. 1, pp. 55–59, 2021.

E. Haryanti, K.- Kamesworo, and M.- Maksuk, “Pengaruh Pemberian Tablet Besi Dalam Meningkatkan Kadar Hemoglobin Remaja Umur Putri Di Sekolah Menengah Atas Lahat,” JPP (Jurnal Kesehat. Poltekkes Palembang), vol. 15, no. 2, pp. 136–139, 2021, doi: 10.36086/jpp.v15i2.537.

T. Permatasari, D. Briawan, and S. Madanijah, “Efektivitas Program Suplementasi Zat Besi pada Remaja Putri di Kota Bogor (Effectiveness of Iron Supplementation Programme in Adolescent girl at Bogor City),” Jurnal Mkmi, vol. 14, no. 1, pp. 1–8, 2018, [Online]. Available: http://dx.doi.org/10.30597/mkmi.v14i1.3705

T. Tonasih, S. D. Rahmatika, and A. Irawan, “Efektifitas Pemberian Tablet Tambah Darah Pada Remaja Terhadap Peningkatan Hemoglobin (Hb) Di STIKes Muhammadiyah Cirebon,” Jurnal Smart Kebidanan, vol. 6, no. 2, p. 106, 2019, doi: 10.34310/sjkb.v6i2.292.

E. A. Emut Haolatul Mutmainnah1 Siti Saadah Mardiah2, “Pengaruh Pemberian Tablet Fe Terhadap Perubahan Kadar Hb Padaremajaputri Di Pondok Pesantren Miftahul Khoer Tasik Malaya Tahun 2018,” ejurnal.stikesrespati, vol. 9, no. 2, 2018.

D. A. Ningsih, “Hubungan Konsumsi Tablet Fe Dengan Kadar Hb Pada Remaja Putri,” CHMK Midwifery Sci. J., vol. 3, no. 1, pp. 33–42, 2020, [Online]. Available: http://cyber-chmk.net/ojs/index.php/bidan/article/view/809

M. H. Sulaiman, R. Flora, M. Zulkarnain, I. Yuliana, and R. Tanjung, “Defisiensi Zat Besi dengan Kejadian Anemia pada Ibu Hamil,” Journal Telenursing, vol. 4, no. 1, pp. 11–19, 2022.

DOI: http://dx.doi.org/10.21927/jnki.2022.10(1).7-15