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"Indonesia is still being challenged by nutritional problems, both under and over nutrition. The availability of various unhealthy food with attractive packaging combined with misconception of balance diet as 4 sehat 5 sempurna , might contribute to situation. This study aims at evaluating effectiveness of IEC strategy in changing knowledge, attitudes and practice regarding behavior diet among elementary school communities. The study design is a before and after, located at 2 public schools in depok, with 132 students grade 4 and 5 and their mother. Qualitative approach as well as baseline and endline surveys were used. Most students and their parents considered that balance diet is 4 sehat 5 sempurna. This knowledge was originated from their teachers teaching media. The teacher's knowledge was based on school reference book. Intervention has improved students main knowledge and attitude. While some pratices have improved there are others still need to be improved. It is concluded that IEC intervention is potential to change KAP of students. Teachers need to be supported by correct reference book to be in line with what they are teaching."

"Anemia merupakan masalah kesehatan utama yang diderita 26,5% anak usia sekolah dan remaja di Indonesia. Dengan pendidikan gizi pada anak anemia di Sekolah Dasar diharapkan terjadi peningkatan pengetahuan gizi dan pola makan sehingga akan meningkatkan asupan besi dan kadar hemoglobin. Penelitian ini bertujuan mempelajari efek suplementasi besi dan pendidikan gizi terhadap pengetahuan gizi dan kadar hemoglobin anak SD yang anemia. Desain penelitian ini Quasy experiment with pretest postest control group. Penelitian dilakukan pada 107 sampel yang dibagi menjadi tiga kelompok. Pengolahan data dilakukan dengan One Way Anova dan Kruskal Wallis Test untuk uji beda. Hasil penelitian menunjukkan kadar hemoglobin dan pengetahuan gizi pada ketiga kelompok mengalami peningkatan.Peningkatan kadar hemoglobin terbesar pada kelompok suplementasi besi, vitamin C dan pendidikan gizi (2,89 poin), sedangkan peningkatan pengetahuan gizi terbesar pada kelompok suplementasi vitamin C dan pendidikan gizi (17,44 poin). Ada perbedaan bermakna perubahan pengetahuan gizi dan kadar hemoglobin anak SD yang anemia sebelumdan sesudah intervensi pada ketiga kelompok intervensi. Disimpulkan Pendidikan gizi dipadukan dengan pemberian suplementasi besi dan vitamin C pada anak anemia akan memberikan hasil kenaikan kadar hemoglobin yang paling signifikan daripada pendidikan gizi atau suplementasi saja."

"Prevalensi anemia gizi pada anak Sekolah Dasar (SD) yang sampai sekarang masih tinggi (sekitar 30 %), merupakan sasaran prioritas ketiga dalam penanggulangan anemia.Dampak buruk yang diakibatkan oleh anemia gizi, khususnya bagi anak sekolah akan dapat menurunkan konsentrasi dan prestasi belajar, malas, lemah, pasif, apatis dan sering terkena penyakit sehingga akhimya perkembangan dan pertumbuhannya akan terganggu.Dalam upaya peningkatan dan pengembangan kualitas sumberdaya manusia yang sehat, produktif dan mempunyai inteligensia yang tinggi, maka pemerintah dalam hal ini Direktorat Bina Gizi Masyarakat, Departemen Kesehatan RI telah melaksanakan program Pemberian Makanan Tambahan bagi anak Sekolah Dasar (PMT-AS) dan tablet besi khususnya pada desa tertinggal di Indonesia.Dalam penelitian ini, digunakan data sekunder yang dikumpulkan pada pelaksanaan program PMT-AS dan tablet besi terhadap 189 orang anak SD yang berasal dari 5 SD pada 5 Kabupaten di Propinsi Jawa Barat.Penelitian ini bertujuan untuk mengetahui pengaruh Pemberian Makanan Tambahan dan tablet besi terhadap perubahan status anemi gizi anak sekolah. Untuk itu, desain penelitian yang digunakan adalah Praeksperimental dengan perlakuan ulang, dengan intervensi berupa makanan tambahan yang terdiri dari 200 - 300 kalori dengan 10 - 12 gram protein yang dibenkan selama 4 (empat bulan), serta tablet besi dosis 120 mg sebanyak 90 buah tablet yang diberikan yang diberikan setiap hari selama 3(tiga bulan).Variabel yang diteliti adalah status anemia gizi setelah intervensi (dependen) dan variabel independen adalah : status anemia gizi sebelum intervensi, status gizi , umur, jenis kelamin, pengetahuan gizi, sikap gizi serta perilaku gizi.Hasil penelitian menunjukkan adanya penurunan prevalensi anemia gizi dan 87.3 % menjadi 21.2 % setelah diberikan intervensi. Sedangkan dari hasil analisis statistik secara multivariat diketahui bahwa faktor yang sangat berpengaruh terhadap status anemia gizi setelah diberikan intervensi, berturut-turut adalah status anemia gizi awal, status gizi serta perilaku gizi anak.Berdasarkan hasil penelitian ini, disarankan agar dalam pelaksanaan program penanggulangan anemia pada anak SD khususnya di desa tertinggal Propinsi Jawa Barat agar seluruh anak SD dibenkan tablet besi (blanket program), sedangkan secara individual perlu untuk mempnoritaskan anak yang menderita anemia serta mempunyai status gizi kurang yang kemungkinan besar tidak hanya terdapat di IDT. Disarankan pula agar dalam memberikan intervensi untuk penanggulangan anemia, untuk selalu dapat mengetahui kadar Hb anak dengan tepat sebelum dan sesudah pelaksanaan intervensi.

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Effect of Iron Suplementation on Nutritional Anemia Status of Elementary School Children Recieving Suplementary School Feeding Package and Iron Tablets in Less Developed Villages, West Java 1995Up to now, the prevalence of nutritional anemia in school children is still high (± 30 %) and even though the third priority in nutritional anemia program.

Nutritional anemia has negative impact especially to school children. It will cause laziness, fatigue, less active, apathetic, and also decreasing learning capacity due to shortened attention span. So those would lower educational achievement, beside that anemic children are easily get sick which will affect their growth.

Healthy, productive and intelligent people are the goal of human resources development. The government especially Nutrition Development of the Ministry of Health conducts a supplementary school feeding and iron tablets. The target group is elementary school children of less developed villages in Indonesia.

This study used evaluative data on 189 children who received supplementary school feeding and Iron tablets in 5 elementary school in 5 districts in West Java which were collected In 1995. The objectives of the study are to find out the effect of supplementary feeding and iron tablets on the anemia status of children who received the package.

Study design was a pre-experimental designs which supplementary feeding and an iron tablet was given as intervention. The package consists of 200 - 300 calories and 10 - 12 gram protein per day were given for 4 months and 120 mg iron tablets was given daily for 3 months (90 tablets).

Nutrition anemia status alter intervention was the dependent variable while the independent variables were nutritional anemia status before intervention, nutritional status before intervention, age, sex, nutritional knowledge, attitude and practice on nutrition before intervention.

The result showed that after the intervention, the nutritional anemia status pevalence was decreased from 87.3 % to 21.2 %. Multivariate analysis showed that nutritional anemia status, nutritional status, and practices of nutrition before intervention were the variables that influence anemia status after intervention.

At macro level it is suggested that the implementation of similar program should be covered all school children (blanket program) of less developed villages. While at individually level, it is suggested that priority should be given only to children who suffered from anemia and under nutrition not only in the less developed villages area."

"Ruang lingkup dan cara penelitian : Suatu penelitian eksperimental telah dilaksanakan pada 29 orang wanita hamil trimester II dengan anemia (kadar Hb 8 - 10,9 g%) pengunjung poliklinik Kesehatan Ibu dan Anak Puskesmas di wilayah Kecamatan Kebayoran Baru Jakarta Selatan. Penelitian bertujuan untuk melihat pengaruh pemberian pil besi (ferrosulfat 200 mg + asani folat 0,25 mg) & riboflavin (5 mg) terhadap kenaikan kadar Hb. Kelompok I (perlakuan) diberikan pil besi & riboflavin dan kelompok II (kontrol) hanya diberikan pil besi. Lama penelitian; 6 (enam) minggu, diberikan 1 X / hari. Hasil : Terdapat prevalensi anemia 30,77 % dengan kadar Hb 10,18 ± 0,92 untuk kelompok perlakuan dan 10,29 ± 0,49 untuk kelompok kontrol. Asupan kalori, protein, zat besi dan riboflavin di bawah AKG. Terdapat kenaikan status hematologi kedua kelompok setelah suplementasi, secara analisis statistik tidak berbeda bermakna (p > 0,05 ). Kelompok perlakuan rerata nilai perubahan VER & HER naik Iebih besar dibanding kelompok kontrol. Kelompok perlakuan rerata nilai perubahan VER 3,13 ± 2,42 dan HER 1,84 ± 2,56, kelompok kontrol rerata nilai perubahan VER 0,86 ± 3,11 dan HER 0,07 ± 1,44. Secara analisis statxstik berbeda bermakna (p < 0,05 ). Kesimpulan : Prevalensi anemia pada wanita hamil trimester II 30,70 %. Penyebabnya asupan zat gizi kurang dari AKG. Kenaikan Hb setelah suplementasi pil besi ditambah riboflavin setiap hari selama 6 minggu tidak berbeda bermakna. Kenaikan VER dan HER secara analisis statistik pada kekompok perlakuan berbeda bermakna dibanding dengan kelompok kontrol.

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Material and methods: An experimental study was done on 29 pregnant women, 2nd trimester, with anemia (Hb 8 - 10,9 g %) attending the mother and child Health Care at the Public Health Centre of Kebayoran Baru, Jakarta Selatan. The aim of the study was to study the effect of Iron and Riboflavin Tablets supplementation on the level of Hb. The treatment group was given Iron Tablets (Ferrous sulfate 200 mg and folic acid 0,25 mg) and Riboflavin 5 mg where as the control group was given Iron Tablets only. The duration of the study was 6 weeks.

Results : The prevalence of anemia was 30,77 % with Hb levels of 10,18 ± 0,92 for the treatment group and 10,29 ± 0,49 for the control group. Calory intake, Protein, Iron and Riboflavin were below the RDA. Hematological state increases in both groups after supplementation but it was not statistically significant (p > 0,05). In the treatment group the changes of MCV & MCH was bigger compared to control that was changes MCV 3,13 ± 2,42 and MCH 1,84 ± 2,56 compared to changes MCV 0,86 ± 3,11 and MCH 0,07 t 1,44. These results were statistically significant (p < 0,05).

Conclusion : The prevalence of anemia in pregnant woman, 2ND triunes ter was 30,70 %. The etiology of anemia was mainly nutrient intake that was below the RDA. Iron and Riboflavin Tablets Supplementation every day for 6 weeks did not increase the hemoglobin level significantly compared to iron tablets supplementation alone. However, changes in MCV & MCH in riboflavin group were significantly different."

"Anemia merupakan salah satu masalah gizi, yang perlu mendapat perhatian khusus. Remaja putri termasuk golongan yang rawan menderita anemia karena mengalami mensturasi setiap bulan dan sedang dalam masa petumbuhan. Tujuan penelitian untuk mengetahui perbedaan efektifitas suplementasi TTD program lama dan baru Kemenkes terhadap perubahan kadar hemoglobin siswi anemia di Kabupaten Bengkulu Utara. Rancangan penelitian randomized control group pretest dan postest. Subyek penelitian dikelompokkan menjadi 2 kelompok perlakuan yaitu kelompok A (19 siswi) diberi suplementasi program lama (satu tablet per minggu dan satu tablet selama haid) dan kelompok B (19 siswi) diberi suplementasi program baru (satu tablet per minggu). Pemberian suplementasi TTD diminum di depan peneliti diberikan selama 8 minggu. Data asupan zat gizi diperoleh dengan kuesioner food recall, lama haid, lama menarche, kebiasaan minum teh atau kopi, pengetahuan tentang anemia dan TTD diperoleh melalui kuesioner berstruktur, kadar Hb awal dan akhir dengan cyanmethemoglobin. Hasil penelitian menunjukkan tidak terdapat perbedaan efektifitas perubahan kadar Hb pada kedua kelompok intervensi (p=0.402) dan tidak ada hubungan bermakna antara variabel internal dan eksternal terhadap perubahan kadar hemoglobin siswi kecuali Hb awal (p=0.001) dengan rata-rata perubahan Hb siswi kelompok A sebesar 1.77 g/dl sedangkan kelompok B sebesar 1.44 g/dl.

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Anemia is one of the nutritional problems, which needs to be highly concerned. Adolescent girls are included to a group which is susceptible to anaemia because of their monthly menstruation and gowth periods. This study aims to investigate difference effectiveness between old and new programs of the ministry iron supplementation in changes hemoglobin level among anemic students in Kabupaten Bengkulu Utara.

Design of this study is randomized control group pretest dan posttest.Subjects were randomized into two groups, group A (19 subjects) old program supplementation ( once per week and once per day in menstrual period) and group (B) new program supplementation (once per week). Supplementation of iron tablet was given for a consecutive 8 weeks. Nutrient intake obtained with the food recall questionnaire, days menstruation, menarche, drinking tea or kopi, knowledge anemia and iron tablet through structured questionnaire and level of hemoglobin by cymenthemoglobin.

The study shows no difference found in the change of hemoglobin level of the two groups (p=0.402) and internal and external variable were not significantly in the change of hemoglobin level except early hemoglobin with mean hemoglobin change in old program supplementation was 1.77 g/dl while in new program supplementation the change was 1.44 g/dl."

"The research was conducted in SDN Mekar Jaya, East Depok . The purpose of this research is to find out the correlationbetween nutritional knowledge and food habit. data were collected from one Primary School , 150 SD students and parents were selected randomly . data were analyzed by Pearson correlation and distribution Frequency...."