Knowledge and Attitudes in Relation to Compliance with Iron Supplement Tablet Consumption among Adolescent Girls at Maryam Junior High School, Surabaya

Authors

  • Khusnul Khatimah Politeknik Kesehatan Kementerian Kesehatan Surabaya
  • Fahmi Hafid Politeknik Kesehatan Kementerian Kesehatan Surabaya
  • Nuning Marina Pengge Politeknik Kesehatan Kementerian Kesehatan Surabaya
  • Mujayanto Mujayanto Politeknik Kesehatan Kementerian Kesehatan Surabaya

Keywords:

Knowledge, Attitude, Compliance, Iron Supplement, Adolescent Girls

Abstract

Anemia remains a significant public health problem among adolescent girls, primarily caused by iron deficiency during the period of rapid growth and menstruation. The Indonesian government has promoted iron supplementation through the distribution of Tablet Tambah Darah (TTD) to reduce anemia prevalence. This study aimed to analyze the relationship between knowledge and attitude with compliance in consuming TTD among adolescent girls at Maryam Junior High School, Surabaya. This observational analytic study employed a cross-sectional design and involved 59 female students selected through proportional random sampling. Data were collected using a validated questionnaire covering knowledge, attitude, and compliance, and analyzed using the chi-square test. Of the total respondents, 50.8% had poor knowledge, 47.5% had moderate knowledge, and only 1.7% had good knowledge. Most participants (98.3%) had a positive attitude toward TTD consumption. However, only 40.7% were compliant with the recommended consumption, while 59.3% were classified as non-compliant. Statistical analysis showed a significant association between knowledge and compliance (p = 0.035), indicating that adolescents with better knowledge were nearly four times more likely to comply with TTD intake. Conversely, attitude was not significantly related to compliance (p = 0.404). These findings suggest that strengthening knowledge through structured health education and school-based campaigns is essential to improve adherence to iron supplementation programs, while attitude alone does not predict compliance.

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Published

2025-10-02

How to Cite

Khatimah, K., Hafid, F. ., Pengge, N. M. ., & Mujayanto, M. (2025). Knowledge and Attitudes in Relation to Compliance with Iron Supplement Tablet Consumption among Adolescent Girls at Maryam Junior High School, Surabaya. Journal of Nutrition and Health Development, 1(1). Retrieved from https://www.journalmpci.com/index.php/jnhd/article/view/724

Issue

Vol. 1 No. 1 (2025)

Section

Articles
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Copyright (c) 2025 Khusnul Khatimah, Fahmi Hafid, Nuning Marina Pengge, Mujayanto

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