SOCIAL MARKETING IN PROMOTING IRON-FOLIC SUPPLEMENTATION FOR ADOLESCENT GIRLS IN INDONESIA: DOCUMENT STUDY AND LITERATURE REVIEW
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Abstrak
Suplementasi Tablet Tambah Darah untuk menanggulangi anemia pada remaja putri di Indonesia telah dimulai tahun 1990-an. Namun hingga saat ini, kepatuhan konsumsi masih rendah dan prevalensi anemia masih tinggi. Pemerintah Indonesia telah gencar mempromosikan pentingnya konsumsi Tablet Tambah Darah. Penguatan pemasaran sosial dalam pelaksanaan suplementasi ini sangat diperlukan untuk meningkatkan kepatuhan remaja putri dalam mengonsumsi Tablet Tambah Darah. Tujuan penelitian ini untuk menganalisis penerapan pemasaran sosial dalam promosi Tablet Tambah Darah bagi remaja putri di Indonesia. Metode studi dokumen dan literature review digunakan dalam penelitian ini. Dokumen berupa kebijakan, laporan, serta berbagai media terkait suplementasi Tablet Tambah Darah pada remaja putri. Untuk literature review, pencarian artikel dilakukan dalam Scopus, ScienceDirect, Pubmed, dan Google Scholar dengan kata kunci promotion, iron-folic supplementation, dan adolescent girls, dengan kriteria inklusi berupa artikel hasil penelitian primer di Indonesia terkait pemasaran atau promosi Tablet Tambah Darah bagi remaja putri, dalam Bahasa Inggris atau Indonesia, full text, open access, dan diterbitkan Januari 2019-Agustus 2023 pada jurnal terindeks Scopus atau Sinta. Kriteria eksklusi berupa literature/systematic review, prosiding, atau artikel yang tidak dipublikasikan. Pemberian Tablet Tambah Darah saat ini dilakukan melalui kegiatan Aksi Bergizi di sekolah. Dari 19 artikel yang dikaji menunjukkan faktor yang memengaruhi kepatuhan konsumsi, metode dan media promosi, serta monitoring dan evaluasi pemberian Tablet Tambah Darah. Aspek pemasaran sosial telah diterapkan dalam perencanaan, implementasi, monitoring dan evaluasi pada pemberian Tablet Tambah Darah bagi remaja putri di Indonesia. Namun, masih diperlukan perbaikan terkait spesifikasi produk, pesan, metode, keterlibatan orang tua dan masyarakat, serta pendampingan dan pembinaan.
Rincian Artikel
Referensi
A. Ahmed and A. Mohammed, “Anemia and its associated factor among adolescent school girls in Godey and Degehabur council Somali region, eastern Ethiopia,” BMC Nutr, vol. 8, no. 1, p. 55, Dec. 2022, doi: 10.1186/s40795-022-00548-1.
Kementerian Kesehatan RI, Pedoman Pencegahan dan Penanggulangan Anemia pada Remaja Putri dan Wanita Usia Subur (WUS). Jakarta: Kementerian Kesehatan RI, 2018. Accessed: May 08, 2023. [Online]. Available: https://ayosehat.kemkes.go.id/buku-pedoman-pencegahan-dan-penanggulangan-anemia-pada-remaja-putri-dan-wanita-usia-subur
Kementerian Kesehatan RI, “Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka.” Kementerian Kesehatan RI, 2024. Accessed: Jul. 20, 2024. [Online]. Available: https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
Kementerian Kesehatan RI, “Laporan Nasional Riskesdas 2018.” Kementerian Kesehatan RI, 2018. Accessed: Aug. 13, 2023. [Online]. Available: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
M. K. Savitri, N. D. Tupitu, S. A. Iswah, and A. Safitri, “Hubungan kepatuhan konsumsi tablet tambah darah dengan kejadian anemia pada remaja putri: a systematic review,” Jurnal Kesehatan Tambusai, vol. 2, no. 2, pp. 43–49, Jun. 2021, doi: 10.31004/jkt.v2i2.1784.
A. Feriyanti, N. S. Deviatin, I. Nurmala, S. Widati, and D. R. Atmaka, “Determinant of adherence to iron supplementation in adolescent girl in specific intervention for stunting prevention: systematic review,” Media Gizi Indonesia, vol. 1, pp. 90–96, 2022, doi: https://doi.org/10.20473/mgi.v17i1SP.90–96.
Kementerian Sekretariat Negara RI, Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 Tentang Percepatan Penurunan Stunting. 2021. Accessed: Dec. 08, 2023. [Online]. Available: https://peraturan.bpk.go.id/Details/174964/perpres-no-72-tahun-2021
M. Singh, O. Rajoura, and R. Honnakamble, “Assessment of weekly iron–folic acid supplementation with and without health education on anemia in adolescent girls: a comparative study,” Int J Prev Med, vol. 11, no. 1, pp. 66–69, 2020, doi: 10.4103/ijpvm.IJPVM_552_18.
C.-H. Liao, “Evaluating the Social Marketing Success Criteria in Health Promotion: A F-DEMATEL Approach,” IJERPH, vol. 17, no. 17, p. 6317, Aug. 2020, doi: 10.3390/ijerph17176317.
B. B. Longest, Managing Health Programs and Projects Health Program Management: From Development Through Evaluation, Second Edition. San Francisco: Jossey-Bass A Wiley Brand, 2015.
R. Almestahiri, S. Rundle-Thiele, J. Parkinson, and D. Arli, “The Use of the Major Components of Social Marketing: A Systematic Review of Tobacco Cessation Programs,” Social Marketing Quarterly, vol. 23, no. 3, pp. 232–248, Sep. 2017, doi: 10.1177/1524500417704813.
J. Berger et al., “Community mobilization and social marketing to promote weekly iron-folic acid supplementation in women of reproductive age in Vietnam: impact of anemia and iron status,” Nutrition Reviews, vol. 63, no. 12, pp. S95–S108, 2005, doi: https://doi.org/10.1111/j.1753-4887.2005.tb00166.x.
World Health Organization, “Guideline: Intermittent Iron and Folic Acid Supplementation in Menstruating Women.” World Health Organization, Geneva, 2011. Accessed: Aug. 31, 2023. [Online]. Available: https://apps.who.int/iris/handle/10665/44649
Kementerian Kesehatan RI, Peraturan Menteri Kesehatan Nomor 88 Tahun 2014 tentang Standar Tablet Tambah Darah Bagi Wanita Usia Subur dan Ibu Hamil. 2014.
Kementerian Kesehatan RI, Rencana Strategis Kementerian Kesehatan tahun 2015-2019: Keputusan Menteri Kesehatan Republik Indonesia nomor HK.01.07/Menkes/422/2017, Revisi I. Jakarta: Kementerian Kesehatan RI, 2017.
Kementerian Kesehatan RI, Surat Edaran Direktur Jenderal Kesehatan Masyarakat Kementerian Kesehatan RI Nomor HK.03.03/V/0595/2016 Tentang Pemberian Tablet Tambah Darah pada Remaja Putri dan Wanita Usia Subur. 2016.
Kementerian Kesehatan RI, Petunjuk Teknis Pelaksanaan Gerakan Nasional Aksi Bergizi. Jakarta: Kementerian Kesehatan RI, 2022. Accessed: Feb. 09, 2023. [Online]. Available: https://ayosehat.kemkes.go.id/buku-petunjuk-teknik-gerakan-nasional-aksi-bergizi
Departemen Kesehatan RI, Keputusan Direktur Jenderal Pembinaan Kesehatan Masyarakat Departemen Kesehatan RI Nomor 1656/BM/DJ/BGM/XI/1997 Tentang Penanggulangan Anemia Gizi Untuk Calon Pengantin Wanita. 1997.
Kementerian Kesehatan RI, Pedoman Pelaksanaan Teknis Surveilans Gizi. Jakarta: Kementerian Kesehatan RI, 2020.
Kementerian Kesehatan RI, Peraturan Menteri Kesehatan Republik Indonesia Nomor 13 Tahun 2022 Tentang Perubahan Atas Peraturan Menteri Kesehatan Nomor 21 Tahun 2020 Tentang Rencana Strategis Kementerian Kesehatan Tahun 2020-2024. 2022.
Kementerian Pendidikan, Kebudayaan, Riset, dan Teknologi, Kementerian Kesehatan RI, Kementerian Agama, and Kementerian Dalam Negeri, Keputusan Bersama Menteri Pendidikan, Kebudayaan, Riset, dan Teknologi, Menteri Kesehatan, Menteri Agama, dan Menteri Dalam Negeri Republik Indonesia Nomor : 03lKBl2022 Nomor : HK.O1.O8/MENKES/ 1325 I 2022 Nomor : 835 Tahun 2022 Nomor : 119-5091.A Tahun 2022 Tentang Penyelenggaraan Peningkatan Status Kesehatan Peserta Didik. 2022.
H. Z. G. Puspitasari, N. K. A. Armini, R. Pradanie, and M. Triharini, “Anemia prevention behavior in female adolescents and related factors based on theory of planned behavior: a cross-sectional study,” J. Ners, vol. 17, no. 1, pp. 25–30, Apr. 2022, doi: 10.20473/jn.v17i1.27744.
M. R. Ansari et al., “The acceptability of weekly iron-folic acid supplementation and its influencing factors among adolescent school girls in Yogyakarta city: a mix-methods study,” Mal J Nutr, vol. 27, no. 1, pp. 053–066, Mar. 2021, doi: 10.31246/mjn-2020-0019.
A. U. Seminar et al., “Awareness about anaemia and weekly iron-folic acid supplementation (WIFAS) among school-going adolescent girls and parents in East Java and East Nusa Tenggara, Indonesia,” J Nutr Sci Vitaminol, vol. 66, no. Supplement, pp. S111–S117, 2020, doi: 10.3177/jnsv.66.S111.
H. H. Silitonga et al., “The role of social support and interpersonal trust to improve compliance of iron supplementation amongst adolescent girls: a qualitative approach,” Niger Postgrad Med J, vol. 30, no. 1, pp. 75–80, 2023, doi: 10.4103/npmj.npmj_277_22.
A. Apriningsih, S. Madanijah, C. M. Dwiriani, R. Kolopaking, and Y. Crosita, “School readiness in weekly iron folic acid supplementation program in urban area, West Java, Indonesia,” AMNT, vol. 4, no. 4, pp. 290–298, Nov. 2020, doi: 10.20473/amnt.v4i4.2020.291-298.
Centre for Tropical Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Indonesia et al., “The acceptability of weekly iron-folic acid supplementation and its influencing factors among adolescent school girls in Yogyakarta city: a mix-methods study,” Mal J Nutr, vol. 27, no. 1, pp. 053–066, Mar. 2021, doi: 10.31246/mjn-2020-0019.
V. M. Oddo et al., “Evidence-based nutrition interventions improved adolescents’ knowledge and behaviors in Indonesia,” Nutrients, vol. 14, no. 9, p. 1717, Apr. 2022, doi: 10.3390/nu14091717.
N. P. O. Madestria et al., “Effect of education through video and packaging modifications of iron tablets on female adolescent behavior in the iron supplementation intake in SMPN 2 and SMPN 1 Parigi,” Gaceta Sanitaria, vol. 35, pp. S127–S130, 2021, doi: 10.1016/j.gaceta.2021.10.011.
A. Apriningsih, S. Madanijah, C. M. Dwiriani, R. Kolopaking, and Y. Crosita, “School Readiness in Weekly Iron Folic Acid Supplementation Program in Urban Area, West Java, Indonesia,” AMNT, vol. 4, no. 4, p. 291, Nov. 2020, doi: 10.20473/amnt.v4i4.2020.291-298.
A. Apriningsih, M. R. Arianda, W. Wahyuningtyas, and F. A. Makiyah, “Readiness of The Community-Based Organization in Improving Female Adolescents Iron Folate Status in a Rural Area,” J. prof. medika, vol. 16, no. 1, Jun. 2022, doi: 10.33533/jpm.v16i1.4268.
“Berger et al_2005_Community_Mobilization_and_Soc.pdf.”
S. Aisah, S. Ismail, and A. Margawati, “Animated educational video using health belief model on the knowledge of anemia prevention among female adolescents: an intervention study,” Malays Fam Physician, vol. 17, no. 3, pp. 97–104, Nov. 2022, doi: 10.51866/oa.136.
Y. N. Lasamahu and S. Widati, “Differences in teenage girls’ knowledge and attitude before and after being exposed in public service announcement media of ‘iron supplementation’ (study at SMP Negeri 10 Surabaya),” IJPH, vol. 17, no. 2, pp. 252–263, 2022, doi: 10.20473/ijph.vl17il.2022.252-263.
R. Adlu and A. Fayasari, “Effect of nutrition education using the podcast method on adolescent girls’ knowledge and attitudes on anemia in Central Jakarta,” Aceh. Nutri. J., vol. 8, no. 2, p. 139, Jun. 2023, doi: 10.30867/action.v8i2.696.
D. S. Dewi, Asmawati, E. Buston, and R. Annisa, “Direct supervision of daily consumption of blood supplement tablets during menstruation can increase adolescent hemoglobin levels,” Jurnal Keperawatan Terpadu, vol. 5, pp. 27–37, 2023.
N. Meilani and N. Setiyawati, “Directly observed treatment for iron tablet supplements consumption among female senior high school students,” Kemas, vol. 18, no. 3, pp. 375–382, Jan. 2023, doi: 10.15294/kemas.v18i3.38594.
T. Rohani, “The Teenfit application intervention to increase knowledge hemoglobin results of female students,” Journal of Tianjin University Science and Technology, vol. 54, no. 8, pp. 113–125, 2021, doi: 10.17605/OSF.IO/BU7XD.
F. Fitriana and D. Dwi Pramardika, “Evaluasi program tablet tambah darah pada remaja putri,” MPPKI, vol. 2, no. 3, pp. 200–207, Sep. 2019, doi: 10.31934/mppki.v2i3.807.
R. Wahdah, S. Sulistyaningsih, and H. F. Kurniawati, “Evaluation of getar thala innovation program (gerakan tanggulangi anemia remaja dan thalassemia) during the Covid-19 pandemic,” Jurnal Aisyah: Jurnal Ilmu Kesehatan, vol. 8, no. 2, Apr. 2023, doi: 10.30604/jika.v8i2.1675.
UNICEF Indonesia, “Social and Behaviour Change Communication Strategy: Improving Adolescent Nutrition in Indonesia.” UNICEF, 2021. Accessed: Aug. 31, 2023. [Online]. Available: https://www.unicef.org/indonesia/media/9201/file/Social%20behavioural%20change%20communication%20strategy.pdf
H. Cheng, P. Kotler, and N. R. Lee, Eds., Social Marketing for Public Health: Global Trends and Success Stories. Sudbury, Mass.: Jones and Bartlett, 2011.
L. Cragg, D. Maggie, and W. MacDowall, Health Promotion Theory, 2. ed. Maidenhead: Open Univ. Press, 2015.
A. D. M. of H. and F. W. Government of India, “Guidelines for Control of Iron Deficiency Anaemia National Iron+ Initiative Towards Infinite Potential in an Anaemia Free India.” Ministry of Health and Family Welfare Government of India, 2013.
G. R. Do Amaral E Melo, F. De Carvalho Silva Vargas, C. M. Dos Santos Chagas, and N. Toral, “Nutritional interventions for adolescents using information and communication technologies (ICTs): a systematic review,” PLoS ONE, vol. 12, no. 9, p. e0184509, Sep. 2017, doi: 10.1371/journal.pone.0184509.
K. Koum, J. Busch-Hallen, T. Cavalli-Sforza, B. Crape, S. Smitasiri, and The Cambodian Weekly Iron-Folic Acid Program Team, “Weekly iron-folic acid supplements to prevent anemia among Cambodian women in three settings: process and outcome of social marketing and community mobilization,” Nutrition Reviews, vol. 63, no. 12, pp. S126–S133, 2005, doi: 10.1301/nr.2005.dec.s126-s133.
P. S. Lourdes, I. Angeles-Agdeppa, U. M. M. Etorma, A. C. Ramos, and T. Cavalli-Sforza, “Weekly iron-folic acid supplementation to improve iron status and prevent pregnancy anemia in Filipino women reproductive age: the Philippine experience through government and private partnership,” Nutrition Reviews, vol. 63, no. 12, pp. S109–S115, 2005, doi: 10.1301/nr.2005.dec.s109-s115.
Kementerian Kesehatan RI, Petunjuk Teknis Penggerakan Aksi Bergizi di SMP/MTs/SMA/MA/SMK/MAK/Pesantren. Jakarta: Kementerian Kesehatan RI. Accessed: Sep. 20, 2023. [Online]. Available: https://ayosehat.kemkes.go.id/pub/files/1bcd4961fccaae42065f75b48c3f6235.pdf
Kementerian Kesehatan RI, Buku Saku Pencegahan Anemia Pada Ibu Hamil dan Remaja Putri. Jakarta: Kementerian Kesehatan RI, 2023.
Kementerian Kesehatan RI, “Laporan Akuntabilitas Kinerja Instansi Pemerintah (LAKIP) Direktorat Gizi dan Kesehatan Ibu dan Anak Tahun Anggaran 2022.” 2023. Accessed: Sep. 17, 2023. [Online]. Available: https://e-renggar.kemkes.go.id/file_performance/1-465909-02-4tahunan-954.pdf