Perubahan Hemoglobin Pascakonsumsi Tablet Tambah Darah Remaja Putri Program Sekolah Sehat SMAN 5 Jember

DOI: https://doi.org/10.33650/trilogi.v7i3.16744
Authors

(1) * Yasmin Daliana Salsabila   (Poltekkes Malang)  
        Indonesia
(2)  Lulut Sasmito   (Poltekkes Malang)  
        Indonesia
(*) Corresponding Author

Abstract


Adolescent girls are more vulnerable to iron deficiency anemia. Female adolescents have a higher risk of anemia, partly due to blood and iron loss through menstruation. According to WHO data, the prevalence of anemia among women aged 15–49 years was 29.9% in 2019 (WHO). In East Java Province, the prevalence of anemia among adolescents was 19.6% (East Java Health Office, 2020). The prevalence of anemia among adolescents in Jember Regency is relatively high, reaching 41% of the 76,000 adolescents (Jember District Health Office, 2023). To determine the change in hemoglobin levels after the administration of iron supplement tablets to adolescent girls in the Healthy School Movement Program at SMAN 5 Jember. This study used a pre-experimental design with a One-Group Pretest-Posttest Design. The sampling technique used was Proportionate Stratified Random Sampling, involving 30 adolescent girls. Data were analyzed using the paired sample t-test. The study showed that before taking the iron supplement tablets, the average hemoglobin level was 13.257 g/dL. After taking the supplements, the average hemoglobin level increased to 13.837 g/dL, with a difference of 0.58 g/dL indicating an improvement. The paired sample t-test showed a p-value of 0.017, which is less than α = 0.05, indicating a significant difference in hemoglobin levels. Therefore, the alternative hypothesis (H₁) was accepted. The administration of iron supplement tablets to adolescent girls for one month, at a dosage of one tablet once weekly and one tablet daily during menstruation, resulted in a change in hemoglobin levels — from a mean of 13.257 g/dL before treatment to 13.837 g/dL after treatment, with an increase of 0.58 g/dL. Respondents are advised to continue consuming iron supplement tablets regularly, at least once a week, in accordance with the recommendations from the school or health center. In this study sample, hemoglobin levels increased after one month of iron supplementation.



Keywords

: Hemoglobin Level; Adolescent Girls; Iron Supplement Tablets.







References


Alfianti, E. A., Dieny, F. F., Kurniawati, D. M., & Wijayanti, H. S. (2024). Perbedaan asupan zat gizi, pengetahuan anemia, dan kepatuhan konsumsi Tablet Tambah Darah (TTD) pada remaja putri di pesantren dan nonpesantren. Jurnal Gizi Klinik Indonesia, 21(1). https://doi.org/10.22146/ijcn.93227

Alfianti, S. A., & Dainy, N. C. (2023). Asupan zat besi, vitamin C dan konsumsi Tablet Tambah Darah berhubungan dengan kejadian anemia remaja putri SMPIT Majmaul Bahrain Bogor. Jurnal Ilmu Gizi dan Dietetik, 2(2), 103–108. https://doi.org/10.25182/jigd.2023.2.2.103-108

Damayati, D. S., Habibi, H., Susilawaty, A., Junita, S., Nurfaika, N., & Maharani, Z. (2025). Implementation of iron supplementation program increases hemoglobin levels among adolescent girls: A study in Somba Opu, Gowa. Sociality: Journal of Public Health Service, 4(2), 179–184. https://doi.org/10.24252/sociality.v4i2.60479

Fatmawati, Masithah, S., Hasanah, S. U., & Rahmaniar, A. M. (2026). Effects of iron supplementation and nutrition education on adolescent girls' knowledge, adherence, and hemoglobin levels. Journal of Nutrition Explorations, 4(3). https://doi.org/10.36568/jone.v4i3.752

Fauziyah, A., & Putri, H. P. (2023). Iron intake and iron inhibitor and enhancer intake with the incidence of anemia among adolescent girls. Jurnal Ilmiah Kesehatan (JIKA), 5(1), 1–8. https://doi.org/10.36590/jika.v4i3.484

Haerani, A. R., & Febrianti. (2022). Perilaku remaja putri mengonsumsi Tablet Tambah Darah: Studi kualitatif di SMK An-Nuriyah Jakarta tahun 2021. Journal of Religion and Public Health, 4(1). https://doi.org/10.15408/jrph.v4i1.28840

Marliah, D., Patricia, T., Permatasari, S., Furtuna, D. K., & Widodo, T. (2025). Analisis kadar hemoglobin sebelum dan sesudah pemberian Tablet Tambah Darah pada remaja putri di wilayah kerja Puskesmas Pahandut 2023. Jurnal Surya Medika, 11(2). https://doi.org/10.33084/jsm.v11i2.10522

Marselina, M., Rau, M. J., Buchair, H., Rahmania, R., Umar, M., Simbaju, D., & Hartini, D. A. (2023). Penyuluhan anemia dan pemberian Tablet Tambah Darah pada remaja putri. Poltekita: Jurnal Pengabdian Masyarakat, 4(3), 897–903. https://doi.org/10.33860/pjpm.v4i3.1932

Medyawati, C., Ermawati, I., & Supriyadi, B. (2024). Faktor-faktor penyebab anemia pada ibu hamil: Analisis hubungan dengan umur dan kunjungan ANC di Puskesmas Klabang. TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora, 5(1), 155–163. https://doi.org/10.33650/trilogi.v5i1.8286

Mukti, A. S., Hindiarti, Y. I., & Fatimah, S. (2025). Kepatuhan konsumsi Tablet Tambah Darah dengan kejadian anemia pada remaja putri. Borneo Nursing Journal, 7(2), 396–400. https://doi.org/10.61878/bnj.v7i2.180

Nadiyah, N., Sitoayu, L., & Dewanti, L. P. (2022). Remaja putri pedesaan di Indonesia berisiko anemia dua kali lebih tinggi. Gizi Indonesia, 45(1). https://doi.org/10.36457/gizindo.v45i1.614

Nida, Y., Risnawati, & Ba’diah, A. (2025). Efektivitas pemberian Tablet Tambah Darah terhadap peningkatan kadar hemoglobin (Hb) remaja putri di Pekanbaru. Jurnal Ilmu Kebidanan, 14(1). https://doi.org/10.35328/kebidanan.v14i1.2869

Noerfitri, N., Rohayati, R., Rumana, N. A., Astutik, E., & Muhaimin, A. (2026). Evaluation of the management of iron tablet supplementation program for adolescent girls in Indonesia: A scoping review. Berita Kedokteran Masyarakat, 42(8). https://doi.org/10.22146/bkm.v42i08.28751

Pibriyanti, K., Habiba, A. B., Luthfiya, L., & Fathimah. (2024). Pengetahuan, sikap dan kepatuhan mengonsumsi Tablet Tambah Darah sebagai faktor risiko kejadian anemia remaja putri. Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya, 8(2). https://doi.org/10.21580/ns.2024.8.2.20708

Putri, N. M. M. D. N., Mataram, I. K. A., & Suarjana, I. M. (2024). Hubungan konsumsi zat gizi (protein, besi, asam folat, vitamin C) dan konsumsi Tablet Tambah Darah dengan kadar Hb pada remaja putri kelas 10 di SMK Negeri Tabanan. Jurnal Ilmu Gizi: Journal of Nutrition Science, 13(1), 62–71. https://doi.org/10.33992/jig.v13i1.2730

Rachmawati, D., Mentari, A. A., & Ulum, M. (2024). Optimalisasi kesehatan remaja putri: Peningkatan hemoglobin melalui Tablet Tambah Darah (Fe). Journal of Borneo Holistic Health, 7(1).

Rusmiati, D., Beda Ama, P. G., & Wahyuni, D. (2025). Efektivitas suplementasi Tablet Tambah Darah dalam meningkatkan kadar hemoglobin remaja putri. Jurnal Ilmiah Kesehatan, 17(2). https://doi.org/10.37012/jik.v17i2.2975

Sari, P., Judistiani, R. T. D., Herawati, D. M. D., Dhamayanti, M., & Hilmanto, D. (2022). Iron deficiency anemia and associated factors among adolescent girls and women in a rural area of Jatinangor, Indonesia. International Journal of Women's Health, 14, 1137–1147. https://doi.org/10.2147/IJWH.S376023

Sari, R. Y., Wisnuwardani, R. W., Hasnidar, & Wibowo, C. Y. (2025). Edukasi dan pengawasan konsumsi Tablet Tambah Darah terhadap peningkatan kadar hemoglobin pada remaja putri: Studi quasi eksperimen. Quality: Jurnal Kesehatan, 19(1). https://doi.org/10.36082/qjk.v19i1.2065

Silitonga, H. T. H., Salim, L. A., & Nurmala, I. (2024). A systematic review of iron supplementation’s effects on adolescent girls. Jurnal Gizi Indonesia, 12(2), 60–69. https://doi.org/10.14710/jgi.12.2.60-69

Siyami, A. S., Achyar, K., & Kusuma, I. R. (2023). Hubungan pengetahuan terhadap kepatuhan konsumsi Tablet Tambah Darah dengan kejadian anemia pada remaja putri. Jurnal Riset Kesehatan Masyarakat, 3(2), 80–86. https://doi.org/10.14710/jrkm.2023.18844

Samputri, F. R., & Herdiani, N. (2022). Pengetahuan dan dukungan keluarga dengan kepatuhan konsumsi Tablet Tambah Darah pada remaja putri. Media Kesehatan Masyarakat Indonesia, 21(1), 69–73. https://doi.org/10.14710/mkmi.21.1.69-73

Yosditia, B. E., Rahmiati, B. F., Ardian, J., & Jauhari, M. T. (2023). Asupan sumber zat besi dan konsumsi Tablet Tambah Darah serta kadar hemoglobin. Nutriology: Jurnal Pangan, Gizi, Kesehatan, 4(1), 26–32. https://doi.org/10.30812/nutriology.v4i1.2895


Dimensions, PlumX, and Google Scholar Metrics

10.33650/trilogi.v7i3.16744


Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 noni anadasari

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Creative Commons License
 

TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora
Published by Lembaga Penerbitan, Penelitian dan Pengabdian kepada Masyarakat (LP3M) of Nurul Jadid University, Probolinggo, East Java, Indonesia.