Teacher and Peer Support of Blood Supplement Tablet Consumption Compliance in Anemia
DOI:
https://doi.org/10.22487/ftnxjc18Keywords:
Anemia, Teacher Support, Peer Support, TTD ConsumptionAbstract
Anemia in adolescent girls is a public health problem due to iron deficiency triggered by menstruation and rapid growth, with a high prevalence in Junior High School students in Boyolali so that it requires a Blood Supplement Tablet (TTD) supplementation program for prevention. This study aims to analyze the relationship between teacher and peer support for TTD consumption compliance in grade VII students of Junior High School 1, 2, and 6 Boyolali in 2025. The study used a cross-sectional observational analytical design with a sample of 170 female students selected proportionate random sampling from a population of 373 female students aged 12-14 years; data collected through a validated 39-item Likert questionnaire (Cronbach alpha 0.804-0.954) measuring emotional, informational, judgmental, instrumental, and TTD adherence support; univariate analysis for frequency and bivariate distribution of Chi-Square with α=0.05. Univariate results showed equal teacher support (poor 50.6%; good 49.4%), poor peer support (51.2%), low obedience (non-compliance 57.6%; compliance 42.4%). The results of the analysis showed that there was a relationship of teacher support (p=0.000; 95% CI 2.30-8.207) and peer support (p=0.000; CI 95% 1.552-5.482) on TTD consumption adherence. Therefore, there is a need to develop a school-based TTD intervention model that prioritizes the role of teachers and peers.
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1 As Shiddiq Mh, Lestarini Ia, Restuningdyah Nap. Factors Associated With Compliance To Iron Supplementation Tablet Consumption Among Adolescent Girls In Coastal Area Of West Lombok. J Biol Trop. 2025;25(4):5722–30.
2 Prasetya G, Khomsan A, Riyadi H, Anwar F. Study Characteristics Of School Adolescent Girls On Iron Folic Acid Supplementation Program As The Prevention Of Anemia In Adolescent. Amerta Nutr. 2022;6(1sp):1–7.
3 Raden Roro Ratuningrum Anggorodiputro, Lilis Suryani, Rina Marlina, Lauren Diwa Angelina, Aulia Siti Rahayu Pa. Penyuluhan, Media Leaflet, Pengetahuan, Anemia, Remaja Putri. Penelit Keperawatan Kontemporer. 2023;1:1–9.
4 Kementerian Kesehatan Ri. Pedoman Pemberian Tablet Tambah Darah ( Ttd ) Bagi Remaja Putri. Jakarta; 2020 P. 1–25.
5 Riskesdas. Buku Saku Pencegahan Anemia Pada Ibu Hami. 2023. 1–47 P.
6 Dinkes Jateng. Tengah Tahun 2023 Jawa Tengah. Buku Profil Kesehatan Provinsi Jawa Tengah Tahun 2023. 2023. 267 P.
7 Fatwa Am, Sari Dk. Hubungan Kepatuhan Mengkonsumsi Tablet Fe Dengan Kualitas Hidup Siswi Smp Negeri 1 Boyolali. Ijoh Indones J Public Heal. 2025;Vol 3 No 3(3):538–49.
8 Aulya Y, Siauta Ja, Nizmadilla Y. Analisis Anemia Pada Remaja Putri. J Penelit Perawat Prof [Internet]. 2022;4(4):1377–86. Available From:
Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/Jppp
9 Ni Putu Dewi Murdani, Ni Luh Gede Intan Saraswati Idaks. Hubungan Dukungan
Teman Sebaya Dengan Kepatuhan Mengonsumsi Tablet Tambah Darah Pada Siswi Sma Negeri 1 Bangli. Manuju Malahayati Nurs J. 2021;32(3):167–86.
10 Kemenkes Ri. Pedoman Pemberian Tablet Tambah Darah (Ttd) Bagi Ibu Hamil [Internet]. Indonesia), Sri Wahyuni Sukotjo (Nutrition Specialist Unicef; Ruslina E, Editor. Kementerian Kesehatan Republik Indonesia. 2020. 24 P. Available From: Https://Promkes.Kemkes.Go.Id/Pub/Files/Files99516ttd_Bumil_Ok2.Pdf
11 Santrika Sdj. Literature Review : Factors Related To Iron Tablets Consumption Compliance Among Adolescent Girls In Indonesia. Media Gizi Kesmas. 2024;13(1):878–97.
12 Pakpahan M. Promosi Kesehatan & Prilaku Kesehatan. Jakarta: Egc. 2021. 168 P.
13 Octaviani Ikke Ningtyas, Elisa Ulfiana N. Hubungan Pengetahuan Tentang Anemia Dan Dukungan Keluarga Terhadap Kepatuhan Konsumsi Tablet Tambah Darah Pada Remaja Putri Di Smpn 01 Brondong Lamongan. Indones J Midwifery. 2021;4(September):128–39.
14 Allo Aa, Ndun Hjn, Liufeto Mo. Analisis Faktor Risiko Kepatuhan Konsumsi Tablet Tambah Darah Pada Remaja Putri Di Sma Negeri 5 Kupang. J Penelit Kedokt Dan Kesehat. 2024;6(2):722–30.
15 Putra Armadilo Januarta Ds. Pengaruh Edukasi Gizi Terhadap Kepatuhan Konsumsi Tablet Tambah Darah Pada Remaja Putri Di Sma Negeri 1 Bantul. Inov Kesehat Glob. 2026;3(2):45–53.
16 Hilmiati P, Ernalia Y, Sembiring Np. Hubungan Pengetahuan, Sikap, Dan Dukungan Teman Sebaya Dengan Konsumsi Tablet Tambah Darah Di Smas Al Huda Pekanbaru: The Relationship Between Knowledge, Attitudes, And Peer Support With Iron Tablet Consumption At Al Huda High School, Pekanbaru. Pros Semin Nas Integr Pertan Dan Peternak. 2025;3(1):222–30.
17 Adinda Bunga Savira, Dwi Hendriani Epr. Pengaruh Pendampingan Tutor Sebaya Terhadap Pengetahuan Dan Kepatuhan Minum Tablet Tambah Darah (Ttd) Pada Remaja Putri Smk Medika Samarinda. Med Nutr Ilmu Kesehat. 2024;4(1):1–6.
18 Anggraeni T, Setiaji B, Irianto Se, Budiati E-. Analisis Perilaku Konsumsi Tablet Tambah Darah Pada Remaja Putri Di Smp Dan Sma/ Sederajat. J Ilm Kesehat Media Husada. 2025;14(1):19–28.
19 Nurjanah A, Azinar M. Adherence To Iron Supplement Tablet Consumption Among Adolescent Girls In Reproductive And Sexual Health Pilot Schools. Higeia (Journal Public Heal Res Dev. 2023;7(2):244–54.
20 Hayuti Windha Pagiu, Lucia Yogyana Suramas S. Hubungan Pengetahuan Dan Dukungan Guru Dengan Kepatuhan Mengonsumsi Tablet Tambah Darah ( Ttd ) Pada Remaja Putri. 2024;2(1):223–36.
21 Asmara Ra, Dolifah D, Rahmat Dy. Motivasi Konsumsi Tablet Tambah Darah Pada Remaja Putri Di Sman 1 Sukatani Kabupaten Bekasi. 2026;8(1):27–34.
22 Damayanti, Fitri Adawiyah Ar. Determinan Kepatuhan Mengonsumsi Tablet Tambah Darah ( Ttd ) Pada Remaja Putri Di Sman 02 Gunung Putri Kabupaten Bogor. J Untuk Masy Sehat Vol 9, No 1 April 2025 E-Issn. 2025;9(1):15–31.
23 Thifal F, Noviasty R, Ulfa Um, Farahita L, Utari A, Kurniawati Er, Et Al. Factors Related To The Compliance To Consuming Iron-Folic Acid In Young Women In East Kalimantan, Indonesia. Action Aceh Nutr J. 2023;8(2):260.
24 Pou R, Azhari Es, Virzanisda R. Dukungan Guru Terhadap Kepatuhan Konsumsi Tablet Tambah Darah Rutin Remaja Putri Sekolah. J Penelit Dan Karya Ilm Lemb Penelit Univ Trisakti. 2024;9:97–105.
25 Apriningsih, Madanijah S, Dwiriani Cm, Kolopaking R. Determinant Of Highschool Girl Adolescent’adherence To Consume Iron Folic Acid Supplementation In Kota Depok. J Nutr Sci Vitaminol (Tokyo). 2020;66:S369–75.
26 Fauzia Nuraina V, Sulistyoningsih H. The Relationship Between Nutritional Knowledge, Nutritional Status, And Adherence To The Consumption Of Blood Added Tablets (Ttd) With The Incidence Of Anemia In Adolescent Girls At Smk Al Ishlah Singaparna In 2023. J Midwifery Public Heal. 2023;5(2):1–18.
27 Pradnyawati Lg. Program Revitalisasi Pemberian Tablet Tambah Darah Dalam Pencegahan Stunting Di Sma Negeri 1 Kintamani. Warmadewa Minesterium Med J. 2024;3(3):194–9.
28 Elsya Novaria, Dwi Yulia Maritasari Ap. Faktor Yang Mempengaruhi Konsumsi Tablet Tambah Darah Pada Remaja Putri Di Sman 1 Tumijajar. J Manaj Inf Kesehat (Health Inf Manag [Internet]. 2025;10(1):11–23. Available From: Https://Www.Ojs.Stikessaptabakti.Ac.Id/Jmis/Article/View/573
29 Abdulsalam Othman S, Taher Omar Km, Mtaher Omar K, Taha Abdulazeez S. Dukungan Teman Sebaya Berhubungan Dengan Konsumsi Tablet Tambah Darah Pada Remaja Putri. Wind Public Heal J [Internet]. 2023;72(2):161–77. Available From: Http://Philstat.Org.Ph
30 Rahman H, Yusuf Ra. Hubungan Teman Sebaya Dengan Perilaku Konsumsi Tablet Peminatan Gizi , Fakultas Kesehatan Masyarakat , Universitas Muslim Indonesia Address : Article History : Wind Public Heal J. 2025;6(2):370–6.
31 Sumardillah Ds, Dwi K, Kemala R, Wangi Gq. Faktor Determinan Kepatuhan Konsumsi Tablet Tambah Darah Pada Siswi Smp Berdasarkan Teori Perilaku Terencana. 2025;94–101.
32 Ulfa M, Pratama K, Khair F. Dukungan Teman Sebaya Dengan Perilaku Konsumsi Tablet Tambah Darah. J Ris Keperawatan Dan Kesehat. 2025;2(4):165–71.
33 Sitindaon Rs, Putri Rn, Ernia R, Maghfiroh M, Studi Teknologi Laboratorium Medis P, Kesehatan F, Et Al. Analisis Faktor Perilaku Siswi Remaja Terhadap Kepatuhan Konsusmsi Tablet Tambah Darah (Ttd) Di Sekolah X. Communnity Dev J. 2024;5(4):7282–7.
34 Islamiyah Af, Lidia K, Lidesna A, Amat S, Adang Pt, Kedokteran F, Et Al. Hubungan Tingkat Pengetahuan Dengan Kepatuhan Konsumsi Tablet Tambah Darah ( Ttd ) Pada Remaja Putri Di Smp Negeri 6 Kota Kupang. Klin J Ilm Kedokt Dan Kesehat. 2026;5(1):18–28.
35 Defintasari Sri Raharjo, Indrayanti. Peer Group Support For Iron Tablet Medication Adherance Un Female Teenagers Of Sma N 1 Banguntapan In 2020. J Heal. 2020;8(1):36–41.
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