Effectiveness of the Peer Educator Model in Improving Hemoglobin Level among Adolescent Girls in Depok City

Authors

  • Rahmi Nurmadinisia Program Studi Kesehatan Masyarakat, STIKes Raflesia, Depok, Jawa Barat, Indonesia
  • Susilawati Susilawati Program Studi Kesehatan Masyarakat, STIKes Raflesia, Depok, Jawa Barat, Indonesia

Keywords:

Anemia, Adolescent, Intervention, Model, Compares

Abstract

Background: Anemia remains a global public health concern due to its high prevalence among adolescent girls and women of reproductive age. According to the 2022 Indonesian Health Survey, the prevalence of anemia among adolescent girls was 23%. Hemoglobin (Hb) testing conducted by the Depok City Health Office revealed  that 9,514 (36.34%) students were found to be anemic. Objective: This study aimed to determine the effectiveness of the peer educator model in improving hemoglobin levels among adolescent girls in Depok City. Methods: This study employed a prospective cohort design with a quantitative quasi-experimental pretest-posttest approach. The study was conducted among 11th and 12th grade female students at Raflesia IT High School, Depok. A total of 63 participants were included in the study. Hemoglobin levels were measured before and after the intervention, which involved peer education-based health education and mentoring on anemia prevention.  Results: The peer educator model effectively increased hemoglobin levels among the participants. A significant improvement in mean Hb levels was observed after the intervention (p=0.015). Conclusion: The peer educator model was  proven effective in improving hemoglobin levels among adolescent girls. Training non-anemic students as peer educators is recommended to enhance peer-to-peer support and education in anemia prevention programs.

References

WHO. Anaemia. Feb 2025. 2024. [Internet]. Available from https://www.who.int/health-topics/anaemia#tab=tab_1

GLOBAL NR. Global Nutrition Report. Global Nutrition Report. Bristol, UK: Development Initiative Poverty Research; 2020. 118 p.

Corrons JLV, Krishnevskaya E. Rare anemias in adolescents. Acta Biomed. 2021;92(1):1–11.

Sefaya K, Nugraheni S, Pangestuti D. Pengaruh pendidikan gizi terhadap pengetahuan gizi dan tingkat kecukupan gizi terkait pencegahan anemia remaja (studi pada siswa kelas XI SMA Teuku Umar Semarang). J Kesehat Masy. 2017;5(1):272–82.

SSGI. Hasil Survei Status Gizi Indonesia. Kementeri Kesehat Republik Indones [Internet]. 2022;1–99. Available from: https://promkes.kemkes.go.id/materi-hasil-survei-status-gizi-indonesia-ssgi-2022

Kota Depok DK. Profil Kesehatan Kota Depok Tahun 2023 [Internet]. Depok, Jawa Barat; 2023. Available from: https://satudata.depok.go.id/opendatadepok2022/upload/file/079c56d949b8f485b37a75ec5f6f1d9b.pdf

Tarini NWD, Sugandini W, Sulyastini NK. Prevalence of Anemia and Stunting in Early Adolescent Girls. 2020;394(Icirad 2019):397–402. Available from: https://doi.org/10.2991/assehr.k.200115.065

Samson KLI, Fischer JAJ, Roche ML. Associations with cognitive and academic performance in adolescents : a systematic review. Nutrients. 2022;14(224):1–35. Available from: https://doi.org/10.3390/nu14010224

Dian Magdalena, Edi Hartoyo, Djalalluddin, Husaini HP. Pengaruh Whatsapp Blast , Dukungan Guru Dan Sikap Remaja Putri Terhadap Kepatuhan Minum Tablettambah Darah ( Ttd ) Di Wilayah Puskesmas Tampang Tumbang Anjir ( Kajian Evaluasi Program Puskesmas Tampang Tumbang Anjir ). 2024;8:1342–9. Available from: https://journal.universitaspahlawan.ac.id/index.php/ners/article/view/24669/19677

Owais A, Merritt C, Lee C, Bhutta ZA. Anemia among women of reproductive age: An overview of global burden, trends, determinants, and drivers of progress in low-and middle-income countries. Nutrients [Internet]. 2021;13(8). Available from: https://www.mdpi.com/2072-6643/13/8/2745

Alfiah S, Dainy NC. Asupan Zat Besi, Vitamin C dan Konsumsi Tablet Tambah Darah Berhubungan dengan Kejadian Anemia Remaja Putri SMPIT Majmaul Bahrain Bogor. J Ilmu Gizi dan Diet. 2023;2(2):103–8. Available from: https://doi.org/10.25182/jigd.2023.2.2.103-108

Leung, Alexander K C, Lam, Joseph M, Wong, Alex HC, Hon, Kam Lun LX. Iron Deficiency Anemia: An Updated Review. Curr Pediatr Rev [Internet]. 2024;20(3):339–56. Available from: https://doi.org/10.2174/1573396320666230727102042

Primantika DA, Erika Dewi Noorratri. IJOH: Indonesian Journal of Public Health. IJOH Indones J Public Heal. 2023;01(02):1–6.

Abu-Baker NN, Eyadat AM, Khamaiseh AM. The impact of nutrition education on knowledge, attitude, and practice regarding iron deficiency anemia among female adolescent students in Jordan. Heliyon [Internet]. 2021;7(2):e06348. Available from: http://dx.doi.org/10.1016/j.heliyon.2021.e06348

Rima Andini F, Agestika L. Efektivitas Edukasi Gizi Berbasis Digital Melalui Peer-group dalam Pencegahan Anemia pada Remaja Putri. Amerta Nutr. 2022;6(1SP):220–5. Available from: https://doi.org/10.20473/amnt.v6i1SP.2022.220-225

Yurisma M, Agestika L, Afrizal SH, Binawan U. Efektifitas Peer Group Education Terhadap the Effectiveness of Peer Group Education on the Knowledge and Attitude of Anemia in Adolescent Women in the Boarding School. 2024;6(2):96–104. Available from: https://doi.org/10.54771/pffky341

Kulkarni B, Augustine LF, Pullakhandam R, Pradhan AS, Dasi T, Palika R, et al. € Screen and Treat for Anaemia Reduction (STAR)’ strategy: Study protocol of a cluster randomised trial in rural Telangana, India. BMJ Open. 2021;11(12):1–10. Available from: https://doi.org/10.1136/bmjopen-2021-052238

Yanniarti S, Yorita E, Burhan R, Ichwan EY, Wahyuni TS. Education program for adolescent girl anemia to improve adherence to iron supplementation in remote areas. Malahayati Int J Nurs Heal Sci. 2025;7(10):1286–93. Available from: https://doi.org/10.33024/minh.v7i10.502

Lutfiasari D, Martini S, Widati S. The effectiveness of peer group on adolescent anemia prevention behavior: a systematic review. J Public Health Africa. 2023;14(S2):70–4. Available from: https://doi.org/10.4081/jphia.2023.2542

Zuraida R, Lipoeto NI, Masrul M, Fessshartanty J. 2. Open Access Macedonian Journal of Medical Sciences. 2020 Apr 20, 8(B)_145-149..pdf. 2020;8:145–9. Available from: https://doi.org/10.3889/oamjms.2020.4168

Anwar RS, Tajmiati A, Rismawati S. PENGARUH PEMBERIAN TABLET Fe DENGAN PEMANFAATAN APLIKASI CERIA TERHADAP PENINGKATAN KADAR HB PADA REMAJA PUTRI DI MTs NEGERI 4 TASIKMALAYA THE EFFECT OF GIVING FE TABLETS WITH THE UTILIZATION OF THE CERIA APPLICATION ON INCREASING HB LEVELS IN FEMALE ADOL. 2024;22–9. Available from: https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/arimbi/article/view/645/332

Darwis N, Fatmawati, Ikdafila, Aerni A. Pengaruh Edukasi Berbasis Media E-Pocketbook Ceria Terhadap Tingkat Pengetahuan Remaja Putri tentang Anemia Di Wilayah Kerja Puskesmas Lempa Kecamatan Pammana Kabupaten Wajo. Innov J Soc Sci Res [Internet]. 2025;5(4):3166–83. Available from: https://j-innovative.org/index.php/Innovative

Rahman MJ, Rahman MM, Sarker MHR, Matsuyama R, Kakehashi M, Tsunematsu M, et al. Impact of mobile health-based nutritional education on hemoglobin levels in anemic adolescent girls in rural Bangladesh: a randomized controlled trial. BMC Public Health. 2025;25(1). Available from: https://doi.org/10.1186/s12889-025-23687-z

Aisah S, Ismail S, Margawati A. Animated educational video using health belief model on the knowledge of anemia prevention among female adolescents: An intervention study. Malaysian Fam Physician. 2022;17(3):97–104. Available from: https://doi.org/10.51866/oa.136

Febry Dwistika W, Dwi Utami K, Anshory J. the Effect of Anemia Education With Animated Videos on Adherence To Consumption of Blood-Added Tablets and Hemoglobin Levels of Adolescent Girls At Smpn 17 Samarinda. Jolastic. 2024;2(1):36–50. Available from: https://doi.org/10.46799/jlsp.v2i1.39

Downloads

Published

2025-06-30

How to Cite

Nurmadinisia, R., & Susilawati, S. (2025). Effectiveness of the Peer Educator Model in Improving Hemoglobin Level among Adolescent Girls in Depok City . JURNAL KESEHATAN REPRODUKSI, 16(1), 56–64. Retrieved from http://journaliakmitangsel2.iakmi.or.id/index.php/kespro/article/view/390