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Pregnancy is a crucial period that requires special attention to maternal nutritional status, including the prevention of anemia through the consumption of Multiple Micronutrient Supplements (MMS). Compliance with MMS consumption remains a challenge due to physical, psychological, and social factors. This study aims to analyze the role of Posyandu cadres as peer support in improving compliance with MMS consumption and preventing anemia in pregnant women in the Bongo II Community Health Center, Boalemo Regency. The study used a pre-experimental one-group pretest-posttest design with a total sample of 20 pregnant women. Peer support interventions in the form of education, motivation, reminders, and routine monitoring were carried out for 4 weeks. Data were collected through questionnaires, MMS consumption records, and hemoglobin level examinations, then analyzed using the Wilcoxon test and paired t-test. The results showed a significant increase in the mean score of MMS consumption compliance from 61.2 to 80.5 (p = 0.002) and the mean hemoglobin level from 10.7 g/dL to 11.4 g/dL (p = 0.014). This finding confirms the effectiveness of peer support by Posyandu cadres in increasing compliance with MMS consumption and improving anemia status.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Low Birth Weight (LBW) remains a critical global health issue that significantly contributes to neonatal morbidity and mortality, particularly in developing countries such as Indonesia. The main challenge in addressing LBW lies in its complex and multifactorial risk profile, which involves biological, social, environmental, and healthcare-related determinants. This study aims to analyze and synthesize the risk factors associated with LBW based on recent scientific literature. A literature review method was applied by searching articles from Portal Garuda, DOAJ, PubMed, and Google Scholar published between 2020 and 2025 using relevant keywords. The findings indicate that maternal age, interpregnancy interval, nutritional status, anemia, preeclampsia, infections, socioeconomic conditions, environmental exposure, and the quality of antenatal care are significant determinants of LBW. The synthesis of evidence confirms that LBW is influenced by the interaction of multiple individual and healthcare system factors rather than a single cause. In conclusion, this study highlights the urgent need to strengthen antenatal care services, improve maternal nutritional status, control maternal diseases during pregnancy, and implement community-based promotive and preventive strategies as key efforts to reduce the incidence of LBW.

Anemia in pregnant women is a health problem that contributes significantly to Low Birth Weight (BBLR), a serious issue in Indonesia with a prevalence exceeding 15% according to WHO, and is a major contributor to the high Neonatal Mortality Rate. This study aims to examine the relationship between anemia in pregnant women and the incidence of BBLR at the Sungai Durian Health Center, Sintang Regency. Using a case control analytical research design with secondary data from medical records in 2024, the sample used was 116 respondents, consisting of 58 pregnant women with BBLR babies as the case group and 58 pregnant women with normal birth weight babies (BBLN) as the control group, which were taken by total sampling technique. Data analysis was carried out using the Chi-Square test and the Odds Ratio (OR) with a significance level of 95%. The results of the study show that the incidence rate of BBLR at the Sungai Durian Health Center in 2024 is 25.8%, and the incidence of anemia in pregnant women is 46.6%. Statistical tests showed a significant relationship between anemia in pregnant women and the incidence of BBLR (p < 0.05). Pregnant women with anemia had a 21.758 times greater risk of giving birth to a BBLR baby compared to non-anemic mothers (OR=21.758; CI 95% = 1.45–7.08). The study concluded that there was a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at the Sungai Durian Sintang Health Center.

Adolescents are a vulnerable age group to nutritional problems due to increased nutritional requirements during periods of rapid growth. Suboptimal nutritional status, including undernutrition and anaemia, can negatively affect health and academic performance. This study aimed to describe the nutritional status of adolescents at SMA Negeri 2 Kendari, Southeast Sulawesi Province. This study employed a descriptive observational design conducted from August to September 2025 with a total sample of 226 twelfth-grade students’ selected using proportionate stratified random sampling. Data were collected through measurements of body weight and height to determine nutritional status based on the BMI-for-Age indicator and haemoglobin levels were assessed using a digital haemometer. Data were analyzed using univariate analysis. The results showed that most respondents had normal nutritional status (52.2%), while a considerable proportion were undernutrition (47.8%). In addition, more than half of the respondents were anaemia (50.9%). These findings indicate that although anthropometric nutritional status was generally normal, anemia remains a health problem that requires attention among adolescents. Regular monitoring of nutritional status and hemoglobin levels accompanied by nutrition education is recommended. Further studies are recommended to use an analytical study design to identify factors associated with nutritional status and anaemia.

Anemia in pregnancy remains a major public health concern, particularly in developing countries where prevalence reaches 38%. Iron deficiency is the leading cause, contributing to adverse maternal and fetal outcomes such as preterm delivery, low birth weight, and maternal mortality. Compliance with iron supplementation is critical, yet data from North Sulawesi indicate that only 60% of pregnant women adhere to recommended intake. This study aimed to analyze the relationship between compliance with Fe tablet consumption and anemia incidence among pregnant women at the Suluun Community Health Center, South Minahasa. Using a cross-sectional design, 100 respondents were selected via purposive sampling based on Slovin’s formula. Data collection involved questionnaires assessing compliance and demographics, alongside hemoglobin measurements to determine anemia status. Statistical analysis employed Chi-Square and logistic regression tests. Results showed that 56.7% of respondents were compliant, while 43.3% were non-compliant. A significant relationship was found between compliance and anemia incidence (p=0.004), with 76.9% of non-compliant women experiencing anemia compared to 23.5% of compliant women. These findings highlight the importance of education, family support, and healthcare access in improving adherence to iron supplementation. Strengthening health programs targeting these factors is essential to reduce anemia prevalence among pregnant women.

Pengabdian masyarakat Universitas Bojonegoro di Desa Mojoagung menunjukkan bahwa pendekatan pendidikan berbasis feminisme, diskusi interaktif, dan distribusi tablet penambah darah (TTD) yang didukung oleh penyuluhan pola makan sehat dapat membantu meningkatkan kesadaran akan gender dan gizi perempuan.kesehatan. Program ini mampu menurunkan prevalensi anemia hingga 30%, memberdayakan perempuan secara sosial, dan meningkatkan kesadaran akan hak-haknya. Selain itu, keberlanjutan dan pertumbuhan program bergantung pada kerja sama dengan fasilitas medis dan organisasi masyarakat non-pemerintah. Menurut hasil dari beberapa penelitian terkait, pemberdayaan perempuan melalui kesadaran gender yang lebih besar dan akses ke perawatan kesehatan inklusif dapat membantu meningkatkan kesehatan dan status gizi perempuan sekaligus mendorong perubahan sosial yang tahan lama. Strategi berbasis komunitas yang melibatkan keluarga dan komunitas sangat penting untuk mencapai tujuan ini, terutama dalam hal mencegah anemia, meningkatkan kesehatan anak-anak, dan memajukan hak-hak perempuan di masyarakat.

Vitamin A Deficiency (VAD) and iron deficiency anemia (IDA) are global nutritional issues affecting children, particularly in developing countries. The interaction between these two conditions can lead to a more complex condition known as Vitamin A Deficiency Anemia (VADA). This study aims to review the molecular relationship between Vitamin A deficiency and iron metabolism leading to VADA, as well as its impact on children's health. The methodology used in this article is a literature review of various clinical studies, epidemiological research, and relevant molecular experiments. The results show that VADA is primarily a functional iron deficiency, where iron absorption is impaired despite overall body iron levels not being critically low. This mechanism involves the regulation of hepcidin, redistribution of iron, and its effects on erythropoiesis. Additionally, therapy with Vitamin A supplementation has been shown to increase erythropoietin and hemoglobin production in children with dual deficiencies. The implications of these findings highlight the need for more integrated therapeutic strategies that consider both Vitamin A and iron status simultaneously. Further research is needed to understand the molecular mechanisms more deeply involved in this interaction and to develop more effective therapies for children with VADA.

The pregnancy period is a crucial time for ensuring the health of the mother and fetus through the provision of balanced nutrition. However, nutritional issues such as anemia and chronic energy deficiency (CED) are still commonly found among pregnant women. The use of local nutritious foods, such as moringa leaves (Moringa oleifera), can be a potential solution to support nutritional needs. This community service activity aims to improve the knowledge and skills of pregnant women in preparing healthy menus and balanced eating patterns using moringa leaves. The activity was carried out through interactive lectures, coaching on menu preparation, cooking demonstrations of moringa leaf dishes, and evaluation through pre-tests and post-tests. The participants were pregnant women in the working area of the Wara Selatan Health Center in Palopo City, totaling 25 people. The results showed an increase in participants' nutritional knowledge, with an average pre-test score of 55 rising to 82 in the post-test. Participants were also able to prepare a balanced daily menu based on moringa leaves and produce several processed products, including moringa soup, moringa fritters, and moringa pudding. It can be concluded that the healthy menu coaching activity using local moringa leaves effectively improves the knowledge and skills of pregnant women regarding balanced nutrition. The use of local foods such as moringa leaves has the potential to support the improvement of maternal nutritional status in a simple, economical, and sustainable manner.

A 64-year-old male patient presented to the emergency department (ED) of RS Cut Meutia with complaints of left-sided chest pain radiating to both arms, which had been occurring for two days prior to his hospital admission. The chest pain was described as sharp, sudden, and progressively worsening, and it persisted without relief from positional changes. The pain intensity was rated as 9/10 and was accompanied by cold sweats and nausea. The patient had a history of type 2 diabetes mellitus for 15 years and had been on antidiabetic medications, although he could not recall the names of the medications. The patient was a smoker but had quit smoking upon being diagnosed with diabetes. Vital signs and general status were within normal limits upon examination. Local examination of the heart revealed a murmur on auscultation. Laboratory results showed anemia, leukocytosis, hyperglycemia, and hypercholesterolemia. Electrocardiography (EKG) indicated signs of inferior STEMI (ST-Elevation Myocardial Infarction). The patient was treated with furosemide 1 amp/12 hours, atorvastatin 1x20 mg, arixtra 1x0.25 mg, aspilet 1x8 mg, clopidogrel 1x75 mg, nitrokaf retard 2x2.5 mg, and bisoprolol 1x2 mg, along with non-pharmacological management, including three-way catheter insertion and oxygen therapy at 2-4 liters per minute. Acute Coronary Syndrome (ACS) carries a poor prognosis if not managed promptly and correctly. Understanding the appropriate management of ACS is crucial in preventing further myocardial occlusion and improving patient outcomes. Therefore, rapid and accurate intervention is vital in improving the prognosis for patients with ACS.

Low Birth Weight (LBW) is a condition in which a newborn weighs less than 2.5 kg, generally caused by premature birth (<37 weeks) or intrauterine growth restriction. LBW increases the risk of health problems such as growth delays, cognitive impairments, infections, respiratory disorders, cardiovascular issues, gastrointestinal problems, kidney disorders, and higher rates of infant morbidity and mortality. This study aimed to identify factors associated with LBW in the working area of Rosalina Munthe Clinic. The study used an analytical design with a cross-sectional approach, and data were analyzed using univariate and bivariate methods with SPSS. Results showed that 33.3% of respondents had LBW infants. Mothers with unsafe age were 39.7%, those with unsafe pregnancy intervals were 61.9%, low socioeconomic status was found in 66.7%, and low educational level in 81%. Analysis revealed a significant association between maternal age and LBW incidence. However, pregnancy interval, anemia, and socioeconomic status showed no significant association with LBW. This study highlights that maternal age plays a key role in LBW occurrence, while other factors require further investigation to understand their contribution to the risk of delivering low birth weight infants.

The number of school-age adolescent girls in Banggai Regency, Central Sulawesi, still faces serious challenges related to nutritional problems such as anemia and chronic energy deficiency (SEZ). Low nutritional literacy and unbalanced food consumption habits also worsen their nutritional status, especially during puberty when nutritional needs increase significantly. This service activity aims to increase the understanding and awareness of young women on the principles of balanced nutrition through a participatory educational approach. The implementation of the activity was carried out at SMP Negeri 2 Bunta, Simpang Raya District, involving 30 students in grades VII and VIII as well as UKS supervisory teachers. The intervention included providing material on "Fill My Plate", the 4 pillars of balanced nutrition, and the risk of nutritional disorders in adolescents. The material was delivered in the form of interactive counseling using leaflet media, accompanied by knowledge measurement through pre-test, post-test, and one-week post-activity evaluation. The results of the activity showed a significant increase in students' understanding of the principles of balanced nutrition, with the knowledge score of the good category increasing from 40% to 87%. Most of the participants were able to mention the composition of the meal portion, the importance of breakfast, restrictions on fast food consumption, and the need to drink enough water every day. This activity also has an impact on increasing the capacity of teachers in assisting and monitoring the health status of students through the UKS program. Teachers become more active in conducting periodic counseling and recording the nutritional development of female students on a regular basis. School-based balanced nutrition counseling has been proven to be effective in improving adolescent nutritional literacy. This educational model can be replicated in other regions with cross-sectoral support such as education offices, health centers, and village governments, to support the achievement of sustainable development goals in the health sector.

The development targets in the Health sector in the 2020–2024 National Medium-Term Development Plan (RPJMN) place one of the main targets for maternal and child health is to reduce the incidence of children under five years old (toddlers) stunting (low height / short) by 30.8% (2018) to 19% in 2024. Optimal Health Status must be prepared since a woman before marriage. Then continued when the woman is pregnant, and while breastfeeding. Childhood is the foundation for growth and development in the next stage, if there are nutritional problems then the consequences that arise are permanent. The risk of stunting by 7x can occur in women 15-49 years who experience anemia and when they become pregnant will be at risk of giving birth to stunted babies. In women of childbearing age aged 15-49 years is the foundation for growth and development in the next stage, if during this period women experience nutritional problems then the consequences that arise can be permanent or irreversible. Its essence is a critical period when a system is plastic and sensitive to its environment, followed by a permanent loss of plasticity and functional capacity (Ummi Kalsum et al., 2021). Before education was provided, most adolescents showed a low level of understanding, namely 31 respondents (56.7%), and awareness of the importance of monitoring nutritional status during adolescence was also minimal. However, after interactive counseling with an easy-to-understand approach, there was a significant increase in knowledge, with 41 respondents (68.3%) showing an increase in understanding, reflected in a change in the knowledge category to a better level. This activity emphasizes the importance of promotive and preventive interventions in areas at high risk of nutritional problems. The implementation of direct and participatory education involving cadres and health workers has proven effective in increasing awareness and forming healthy lifestyle behaviors in adolescents. Therefore, similar education programs need to be implemented continuously to reduce anemia rates to prevent stunting and prevent stunting from adolescence.

Hemoglobin and hematocrit examinations serve as important early indicators of hematological status, reflecting the blood’s capacity to transport oxygen. A decrease in these two parameters leads to anemia, which is often undetected due to minimal early symptoms and low awareness to undergo examinations. This activity was carried out using the Plan-Do-Check-Act (PDCA) approach, by examining hemoglobin and hematocrit levels in adult participants. Capillary blood samples were analyzed using a portable device at the examination location. Education was delivered through leaflets regarding the importance of iron, vitamin B12, and folate intake to support erythrocyte formation. The examination was attended by 104 participants, the majority of whom were women. The average hemoglobin was recorded as approaching the lower limit of normal values, while hematocrit levels showed wide variations. More than half of the participants were classified as having anemia. This high proportion of anemia highlights the urgent need for targeted nutritional education. Hemoglobin and hematocrit screening proves effective as an early detection tool for hematological disorders. Education that is linked to laboratory findings should be prioritized to promote improved dietary patterns, particularly the consumption of iron-rich foods, vitamin B12, and folate, in order to prevent erythropoietic dysfunction and long-term health complications.

Anemia in pregnant women is one of the contributing factors to stunting in toddlers. The consumption of iron (Fe) tablets by pregnant women requires supervision from family members to support the success of the stunting reduction program in Bangli Regency. Iron tablet intervention in pregnant women has been proven to reduce the risk of complications, lower the incidence of low birth weight in infants, and decrease maternal mortality during childbirth. This study used a cross-sectional survey design, involving 48 pregnant women. Data collection was conducted using total sampling during the period from January 2024 to January 2025 at Kintamani IV Public Health Center. Bivariate data analysis was carried out using the chi-square test. The results of the study showed that 68% of pregnant women experienced mild anemia. Most pregnancies were in the third trimester (39%), and 43% of the participants were in their first pregnancy. The majority of the pregnant women had good knowledge levels. There was a significant relationship between pregnant women’s knowledge and their adherence to consuming iron tablets, with a p-value of 0.019. The odds ratio (OR = 5.014) indicated that pregnant women with good knowledge were five times more likely to adhere to iron tablet consumption compared to those with limited knowledge. Support and monitoring of the nutritional status of pregnant women are essential to reduce the incidence of low birth weight and stunting among toddlers in Selulung Village, Kintamani District.  

Background: Maternal nutritional status plays a crucial role in determining both maternal and neonatal health outcomes. According to data from the Indonesian Ministry of Health (2021), the prevalence of anemia among pregnant women reached 48.9%, while in Gorontalo Province, around 30% experienced malnutrition. Poor nutritional status during pregnancy is associated with increased risks of complications, including preterm birth, low birth weight, and higher maternal and neonatal mortality rates. Therefore, nutrition education is considered an essential strategy to enhance knowledge and promote adequate dietary intake among pregnant women.Objective: This study aimed to evaluate the effectiveness of nutrition education in improving the knowledge and nutritional status of pregnant women at the South Bulango Community Health Center. Methods: A quantitative study with a pre-experimental design was conducted involving 30 pregnant women selected through purposive sampling. Inclusion criteria included women aged 18–35 years, free from severe comorbidities, and willing to participate. Data were collected using questionnaires to assess nutritional knowledge, interviews to explore dietary patterns, and anthropometric measurements such as weight, height, and mid-upper arm circumference (MUAC). Data analysis employed descriptive statistics and the Wilcoxon test to assess differences before and after the intervention. Results: Most participants were aged 20–35 years (66.6%), had secondary education (63.3%), and were housewives (60%). Post-intervention results showed a substantial increase in good nutritional knowledge from 13.3% to 60%. Nutritional status also improved progressively across trimesters, with normal MUAC increasing from 33.3% to 60%, while undernutrition declined from 50% to 13.3%. The Wilcoxon test indicated a significant difference (p = 0.000; p < 0.05). Conclusion: Nutrition education effectively enhances both knowledge and nutritional status among pregnant women and should be integrated into routine antenatal care services.

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

Background: Iron-containing blood-boosting tablet supplements are crucial for meeting micronutrient needs in pregnant women and children. Micronutrient deficiencies, such as iron, have the potential to cause stunting. This supplementation program is expected to improve the nutritional status of the Indonesian population, prevent stunting, and support optimal growth.Objective: This systematic literature review aims to analyze the relationship between iron-boosting tablet supplements in meeting micronutrient needs and preventing stunting in children (toddlers and infants) in Indonesia.Method: A systematic literature search was conducted to identify relevant articles in 3 main databases (Scopus, PubMed, and Google Scholars). Studies on the consumption of iron-boosting tablets for meeting micronutrient needs in stunting cases require a systematic review with inclusion criteria limited to articles published between 2015-2024, free full text, in Indonesian and English.Results: Of the 10 articles analyzed, most showed that consumption of Iron-Boosting Tablets (TTD) in pregnant women can increase hemoglobin levels and reduce the risk of anemia, which contributes to the prevention of stunting in children. However, the compliance rate of pregnant women in consuming TTD is still low due to side effects and lack of awareness. Additionally, socio-economic factors also play a role in children's nutritional status, where families with low incomes have a higher risk of anemia and stunting.Conclusion: TTD supplementation plays an important role in the prevention of anemia and stunting in children. However, its effectiveness is greatly influenced by the level of consumption compliance and socio-economic factors. Therefore, more intensive education and multi-sectoral policies are needed to improve accessibility and compliance with TTD consumption in stunting prevention efforts in Indonesia.    

Pregnancy anemia is a medical condition that occurs when a pregnant woman experiences a lack of red blood cells or hemoglobin in her blood during pregnancy. Hemoglobin is a protein in red blood cells that is responsible for transporting oxygen from the lungs to the rest of the body and returning carbon dioxide to the lungs to be released. This study aims to determine the relationship between knowledge, age, education and nutritional status with the incidence of anemia in pregnant women in Soppeng district in 2024. The study design used Cross Sectional. Pregnant women at La Temmamala Hospital were 50 people. Based on the results of the Chi-square statistical test, the p Value = 0.273> α = 0.05 was obtained, so H0 was accepted and Ha was rejected, thus it can be concluded that there is no relationship between knowledge and the incidence of anemia in pregnant women at La Temmamala Hospital, Soppeng Regency. Based on the results of the Fisher's Exact Test statistical test, the p Value = 1,000 > α = 0.05 was obtained, so H0 was accepted and Ha was rejected, thus it can be concluded that there is no relationship between age and the incidence of anemia in pregnant women at La Temmamala Hospital, Soppeng Regency. Based on the results of the Fisher's Exact Test statistical test, the p Value = 1,000 > α = 0.05 was obtained, so H0 was accepted and Ha was rejected, thus it can be concluded that there is no relationship between age and the incidence of anemia in pregnant women at La Temmamala Hospital, Soppeng Regency.m Based on the results of the Chi-square statistical test, the p Value = 0.000 <α = 0.05 was obtained, so H0 was rejected and Ha was accepted. Thus, it can be concluded that there is a relationship between nutritional status and the incidence of anemia in pregnant women at La Temmamala Hospital, Soppeng Regency. For the author as information on the importance of mother's knowledge about For the author as information on the importance of mother's knowledge about the importance of ANC examination. For the government in general to optimize the dissemination of information about the importance of conducting pregnancy examinations

Anemia in pregnancy is still a major problem experienced by almost half of pregnant women in all countries in the world including Indonesia. Many pregnant women refuse and do not comply with taking FE tablets for various reasons so that the prevalence of anemia in pregnant women is still high. A mother is said to be compliant with taking FE tablets if ≥ 90 % of the amount should have been taken. Anemia in pregnancy is a national problem because it reflects the value of the socio-economic welfare of the community, and has a very large impact on the quality of human resources, which is called "potential danger to mother and child". The purpose of the service is to provide education on the addition of nutrients to reduce anemia. Based on the results of the activity, the delivery of material. The results of this activity are the participation of pregnant women during educational and simulation activities running smoothly, indicated by the activeness of pregnant women and attended by all pregnant women class participants and there is an increase in understanding of anemia by 50 %. The service was carried out on 23 June 2023 at Waonosari Polindes in the class of pregnant women. The method used was education and simulation in making soy milk and date pudding. Indonesia itself has an anemia prevention program for pregnant women by providing a minimum FE supplement of 90 tablets during pregnancy.