The objective of this study were to analyze the effect of different compliance monitoring cards of iron supplementation and the determinants in female adolescents in Bogor. Design of this study was quasi experimental. There were 240 adolescent girls from 6 different schools in Bogor who participated and allocated into 3 groups: receiving either monitoring card from Health Department (M), monitoring card verified by teacher and parents (M+T), and monitoring card verified by teacher with additional information about anemia and iron supplementation (M+TP). The data of iron supplement consumption compliance, perception of iron supplementation, nutritional knowledge, motivation, parents and teacher support were collected. The results showed that a significant difference on compliance level among the groups (p<0.05). The M+TP group had the highest compliance level. Weekly compliance rate was higher (15%) compared to compliance during which participants were menstruating. The most determining factor for compliance level was teacher support (p<0.05; OR=4.7; 95%CI:1.5-14.2). The developed monitoring cards can improve compliance of iron supplement consumption on female adolescents.
ABSTRAKPenelitian ini bertujuan mengaji penggunaan kartu monitoring yang berbeda serta faktor-faktor yang berpengaruh terhadap tingkat kepatuhan konsumsi Tablet Tambah Darah (TTD) pada remaja putri. Desain penelitian adalah quasi eksperimental. Jumlah subjek penelitian adalah 240 remaja putri dari 6 sekolah yang dibagi ke dalam 3 kelompok intervensi, yaitu kelompok yang diberi kartu monitoring dari Dinas Kesehatan (M), kartu monitoring dengan penambahan tanda tangan orangtua dan guru (M+T), dan kartu monitoring berupa leaflet dengan penambahan tanda tangan guru dan informasi tentang anemia serta TTD (M+TP). Data yang dikumpulkan adalah kepatuhan mengonsumsi TTD, persepsi tentang TTD, pengetahuan gizi dan motivasi, serta dukungan orangtua dan guru. Hasil penelitian menunjukkan perbedaan tingkat kepatuhan pada ketiga kelompok perlakuan (p<0,05). Kelompok M+TP memiliki tingkat kepatuhan tertinggi dibandingkan kelompok M dan M+T. Tingkat kepatuhan saat mingguan lebih tinggi (15%) dibandingkan ketika menstruasi. Faktor yang paling memengaruhi tingkat kepatuhan adalah adanya dukungan guru (p<0,05; OR=4,7; 95%CI:1,5-14,2). Kartu monitoring yang dikembangkan dapat meningkatkan kepatuhan konsumsi TTD remaja putri.