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Anemia during pregnancy is a significant maternal health issue with serious impacts on maternal and perinatal outcomes, including complications such as severe preeclampsia, postpartum hemorrhage, and low birth weight (LBW), all of which contribute to increased morbidity and mortality rates. This literature review aims to analyze the clinical impacts of pregnancy anemia, related complications, and effective management strategies based on the latest scientific evidence (2020-2024). The study examines the relationship between anemia and preeclampsia, LBW, and postpartum hemorrhage, as well as the importance of nutritional fulfillment in prevention and management. Five research articles from indexed journals were collected from the Scopus database, with inclusion criteria of studies with clear designs, focusing on pregnancy anemia, and published in Indonesian or English. The analysis results show that pregnancy anemia is a predisposing factor for preeclampsia through mechanisms such as placental hypoxia and oxidative stress. Anemia is also closely related to an increased incidence of LBW and postpartum hemorrhage, particularly due to lower hemoglobin reserves and uterine contractility issues. Adequate nutritional fulfillment is influenced by socioeconomic barriers, supplementation side effects, and lack of family support. Anemia management requires a comprehensive approach, including routine screening, prophylactic supplementation, nutritional education, and effective referral systems for complex cases. Prevention through early detection and timely intervention is crucial in reducing maternal and perinatal morbidity.

Background: Anemia is one of the public health problems commonly found among adolescent girls, especially in developing countries like Indonesia. This condition affects concentration, academic performance, and productivity, making early detection an essential step to prevent long-term complications. Objective: This study aims to determine the results of early detection of anemia based on clinical symptoms and hemoglobin (Hb) levels among adolescent girls at SMPN 18 Palembang. Methods: This research used a descriptive design with a cross-sectional approach. A total of 132 seventh-grade female students were selected randomly. Data were collected through an anemia symptom questionnaire and hemoglobin level measurement using a hemoglobinometer. Results: The study found that 23.5% of respondents were anemic (Hb < 12 g/dL), and 48.5% showed symptoms of anemia. However, the sensitivity of symptoms in detecting anemia was only 39%, specificity was 19%, with a positive predictive value (PPV) of 60.93% and a negative predictive value (NPV) of 8.82%. Conclusion: Based on the findings, symptom-based detection alone is not sufficiently accurate to diagnose anemia. Hemoglobin level examination is still required as a more valid and objective screening method for the early detection of anemia in adolescent girls In addition to medical intervention, the study advocates for increased awareness and education about anemia, its causes, and prevention methods among students, parents, and educators. Addressing nutritional deficiencies, especially iron intake, through dietary improvements and supplementation is essential in combating anemia in adolescent girls.

Anemia is a medical condition characterized by a decrease in the number of red blood cells (erythrocytes) or hemoglobin (Hb) levels in the blood which results in impaired oxygen transport to body tissues. Mild anemia is more common and is asymptomatic and does not require treatment. Anemia can have a negative impact on endurance, productivity, and is high risk during pregnancy because it can affect fetal growth and development, increase the risk of pregnancy and childbirth complications, and even maternal and child death. The Community Service (PKM) activity carried out at the Asisi Church, Tebet District aims to increase public awareness of the importance of early detection of anemia through hemoglobin and hematocrit screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes capillary blood tests with Point-of-Care Testing (POCT) tools and education about symptoms, risk factors, and prevention of anemia. Of the 68 participants involved, 40 people (58.82%) were identified as having anemia, while 28 people (41.18%) had normal hemoglobin levels. These results emphasize the importance of early anemia screening to prevent long-term complications and build public awareness of the importance of maintaining optimal hemoglobin levels to support ongoing health and quality of life.   Keywords: Anemia, Early Detection, Hemoglobin, Hematocrit, Screening

Anemia is a hematological disorder that is often not recognized in the adult age group. One lifestyle factor that can affect hemoglobin and hematocrit levels is the consumption of tea or coffee with meals, because the tannin and polyphenol content inhibits the absorption of non-heme iron. Early detection of hemoglobin and hematocrit levels accompanied by education about eating and drinking habits is an important strategy in preventing anemia. This screening activity is carried out using the Plan-Do-Check-Act (PDCA) approach. Examination of hemoglobin and hematocrit levels is carried out using Point-of-Care Testing (POCT) from capillary blood. Education is provided to all participants through leaflets and group counseling regarding the effect of tea and coffee consumption on iron absorption. A total of 91 participants took part in this activity, consisting of 39.6% men and 60.4% women, with an average age of 47.4 years. The average hemoglobin was recorded at 11.2 ± 1.6 g/dL and hematocrit at 33.0 ± 4.7%. As many as 42.9% of participants experienced anemia based on hemoglobin levels below normal values ​​according to gender. Hemoglobin and hematocrit examinations successfully identified a significant proportion of individuals at risk of anemia. Education on the right time to consume tea or coffee and increasing consumption of foods rich in iron and vitamin C are preventive interventions that can be applied to maintain optimal hematological status.   Keywords: Hemoglobin, Hematocrit, Anemia, Iron, Tea, Coffee, Diet

Early marriage remains a significant issue contributing to the high prevalence of stunting in Indonesia, particularly in rural areas. The lack of awareness among adolescents and parents regarding the negative impacts of early marriage and the importance of proper nutrition is a major contributing factor. The PENA EMAS (Early Marriage Prevention for Stunting Elimination Towards Healthy Children) program was implemented in Tanjung Buaya Village as part of the KKN-T Posko 22 UNIMMAN initiative to raise public awareness about the dangers of early marriage and its link to stunting risk. This program utilized three main stages: preparation, implementation, and evaluation. Activities included educational sessions, adolescent health screenings, local vegetable planting initiatives, and interactive media such as podcasts and educational competitions. The evaluation results showed an increase in community awareness of family planning and nutrition fulfillment, with five adolescents identified as having anemia based on hemoglobin (Hb) level tests. The conclusion of this program is that community-based educational interventions with participatory approaches can enhance awareness among adolescents and parents in preventing early marriage and reducing stunting risk. Recommended follow-up actions include regular health check-ups, adolescent mentoring, and the empowerment of Youth Ambassadors for Stunting Prevention to ensure the program’s sustainability.