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Anemia in pregnancy affects birth prematurity and low birth weight. Efforts to prevent maternal anemia with iron-folate supplementation program once a day, although pregnant women irregularly take supplements because side effects complaints as nausea and vomitted. This study aims to determine the effect of iron-folate supplementation program once a day and twice a week for hemoglobin concentrations of pregnant women in the Pringsewu district 2013. Is a quasi experimental research design (non-randomized pre test-post test control group design) in 96 pregnant women aged 20-35 years with a gestational age of 10-30 weeks were purposive sampling divided into three groups: TTD1, TTD2, and TTDF as many as 32 people each groups. Source of research data is the primary data measuring hemoglobin concentrations. Analysis using two different test mean and multiple linear regression. The result showed the biggest increase in hemoglobin concentrations in the group of pregnant women who were given ironfolate supplementation program plus folic acid supplementation twice a week. Therefore, recommended preventive maternal anemia with iron-folate supplementation program plus folic acid supplementation twice a week.
Anak sekolah adalah investasi bangsa karena mereka adalah generasi penerus bangsa. Merupakan kelompok usia yang sedang mengalami proses tumbuh kembang fisik dan psikosostal yang pesat. Salah satu masalah gar yang senng terjadi adalah anemia gizt. Anemia gizi best dapat menimbulkan berbagal dampak pada anak sekolah antara lain kesakitan dan kemattan akan meningkat, perkembangan otak dan pertumbuhan tisik teriambat, perkembangan motonk, mental, kecerdasan terhambat, daya tangkap belajar menurun. Revalensi anemia anak sekolah menurut laporan SKK 1 tahun 1995 sebesar 47,2%. Sedangkan hasil SKKRT 2001 menunjukkan prevalensu anemia pada kelompok umur - 14 tahun sebesar 28,3%. Salah satu strategi untuk mencegah dan menanggulangi masalati anemia jangka pendek yang telah dilakukan oleh pemenntah maupun non pemenntah diarahkan untuk membenkan suplementasi tablet besi. Penelitian ini bertujuan untuk mengetahui pengaruh pembenan suplementasi tablet besi dua Kali seminggu selama 12 minggu terhadap perubahan status anemia gizi dan taktor-taktor yang berhubungan dengan status anemia akhir anak SD di SU Jakarta Mara. Data yang digunakan adalah data sekunder dan studs data dasar pembenan suplementasi tablet best yang dilakukan oleh Yayasan Kusuma Buana ( YKB) tahun LUUS pada 6 SD di Jakarta Mara dengan rancangan one group pre post test tanpa ada kelompok kontrol. Sampel berjumlah 144 anak, dengan kriteria siswa yang mendenta anemia dare kelas 111 sampai dengan kelas V, mendapat suplementasi tablet besi, ketika wawancara tidak sakit, dan belum menarche. Hasil penelitian mi menunjukkan baflwa anemia anak sekolah sebelum mendapat suplementasi 144 anak (1 N%) sedangkan anemia setelah suplementasi menurun menjadi 17 anak Hasil analisis bivariat mendapatkan adanya hubungan yang bermakna antara kebiasaan makan utama, dengan nilai p = 0,006 (nilai RR 1,618; 95% C1: 1,146-2,285), konsumsi sumber zat besi hem dengan nilai p= 0,021 (nilai RR 1,482; 95%CI : 1,075- 2,043 ), besar keluarga dengan nilal p = 0,045 (nilai RR 1,503; 95% 1,0114 - 2,249), pendidikan ibu dengan nilai p = 0,017 (nilai RR 1,538; 95% CI: 1,078- 2,196) terhadap status anemia akhir. Disarankan agar pemenntah (Departemen Kesehatan dan DinasKesehatan Jakarta utara) menjadikan anak sekolah sebagai salali satu prioritas sasaran program penanggulangan anemia mengingat prevalensi anemia anak sekolah masih linggi, melakukan sosialisasi tentang tmgginya prevalensi pada anak sekolah dan dampak yang ditimbulkannya. Yalu dilalcukan penyuluhan terhadap anak sekolah dan orangtua tentang kebiasaan sarapan pagi, makanan jajanan, bahan makanan sumber zat besi, penyebab dan dampak anemia. Diperlukan pula penelitian lebih lanjut mengenai suplementasi zat besi dengan menggunakan kelompok pembanding (kontrol).
Schoolchild is nation investment because they are nation next generation. It was age group that experiencing rapid physical and psychosocial development. One of the nutrition problems that often occur is nutrition anemia. Ferrum anemia could emerge various impacts to schoolchild such as sickness and death will increase, brain development and physical development pursued, motorik, mental and intelligence development pursued, and learning adding capacity decrease. Anemia prevalence of schoolchild according to SKRT 1995 is 47,2%. While SKRT 2001 result shows anemia prevalence on 5-14 years old age group 28,3%. One of the strategy to prevent and overcome short-term anemia problems that conducted by whether government or non-government suggested to give ferrum supplementation. This research was aimed to found the influence of ferrum tablet supplementation distribution twice a week for 12 weeks toward nutrition anemia status change and factors that related with last anemia status of elementary school children in six North Jakarta elementary schools. Data used is secondary data from basic data study of ferrum supplementation distribution that conducted by Kusuma Buana Foundation (YKB) year 2005 on 6 North Jakarta elementary schools using one group pre-post test design without control group. Total research subject are 144 children, using criteria of students who suffer anemia from Ill`d grade to grade, getting ferrum supplementation, when conducting interview not in sick condition and not yet menarche. This research shows that schoolchild anemia cases before getting 144 children supplementation (100%) while anemia cases after supplementation decrease to 77 children (53,5%). From bivariate analysis result obtained significant relation between main eat behavior, with p = 0,006 (RR value 1,618; 95% CI; 1,146-2,285), hem ferrum source consumption with p = 0,045 (RR value 1,503; 95% Cl; 1,004-2,249), mother education with p = 0,017 (RR value 1,538; 95% CI; 1,078-2,196) toward last anemia status. Government suggested (North Jakarta Health Department and Health Official) making schoolchild as one of the anemia prevention program target considering that schoolchild anemia prevalence still high, conducting socialization toward high prevalence of schoolchild and emerged influence. Need conducted counseling toward elementary school child and parents about breakfast behavior, snack food, food substances with ferrum source, anemia cause and impact. Further research also needed toward ferrum supplementation and using control group.