Counseling on Education to Prevent Anemia in Pregnant Women with Banana and Dragon Fruit
Penyuluhan tentang Edukasi Mencegah Anemia Ibu Hamil dengan Pisang dan Buah Naga
DOI:
https://doi.org/10.53713/jcemty.v3i1.319Keywords:
anemia, pregnant women, ambon bananas, dragon fruitAbstract
Anemia is one of the significant health problems in pregnant women. Anemia can cause death in pregnant women and is risky for both the mother and the fetus to be born. Anemia can be prevented from iron tablets and foods that contain high iron, as well as fruits such as Ambon bananas and red dragon fruit. This community service aims to overcome priority problems at the Cempaka Putih District Health Center, namely the high rate of low birth weight caused by anemia in pregnant women. This activity is focused on increasing the knowledge of pregnant women about preventing the risk of low birth weight caused by anemia and efforts to prevent anemia through the AKSI NGEMIL SANG NAGA program. The data that our group took was secondary data that we obtained from the Local Area Reporting (PWS) GIZIKIA at the Cempaka Putih Health Center. From these data, the results showed a high incidence of low birth weight caused by anemia in pregnant women. So, we determined this problem to be the main one in the Cempaka Putih area of this community stage. The method used in this community service is the lecture/counseling method, discussion, and demonstration, targeting pregnant women TM I-III. The results of this community service went smoothly with 15 pregnant women, one cadre, and 1 PKK Pokja IV participant. This activity began with a pretest on 15 pregnant women participants; an average pretest score of 62 points was obtained. This shows that mothers' knowledge about anemia is still lacking, so counseling was carried out on anemia in pregnant women, and demonstrations of anemia prevention efforts by consuming Ambon bananas and dragon fruit. Participants seemed enthusiastic about participating in this activity; six mothers actively asked questions. Evaluation of the activity was carried out by giving a posttest to participants. The average posttest result was 97 points. This shows an increase in good knowledge from pregnant women about anemia to prevent low birth weight. Based on the results of the activities that have been carried out, there has been an increase in pregnant women's knowledge about anemia as an effort to prevent low birth weight.
References
Azhar, I. A., Wijayanti, W., & Wulandari, R. (2024). The Effect Of Dragon Fruit On Increasing Hemoglobin Levels In Adolescent Women: Literature Review. Journal of Advanced Nursing and Health Sciences, 40-53. https://doi.org/10.34035/kn.v5i1.1329
Balcha, W. F., Eteffa, T., Tesfu, A. A., Alemayehu, B. A., Chekole, F. A., Ayenew, A. A., Gessesse, N. A., Getu, A. A., Kassahun, E. A., Gezahegn, T. W., Adugna, K. F., & Nega, A. T. (2023). Factors associated with anemia among pregnant women attended antenatal care: a health facility-based cross-sectional study. Annals of medicine and surgery (2012), 85(5), 1712–1721. https://doi.org/10.1097/MS9.0000000000000608
Basrowi, R. W., & Dilantika, C. (2021). Optimizing iron adequacy and absorption to prevent iron deficiency anemia: the role of combination of fortified iron and vitamin C. World Nutrition Journal, 5(S1), 33-39. http://dx.doi.org/10.25220/WNJ.V05.S1.0005
Carolin, B. T., Silawati, V., Nurendah, S., & Novelia, S. (2023). The Effectiveness of Giving Fe Tablets with Tomato Juice on Hemoglobin Levels in Third Trimester Pregnant Women with Anemia. Nursing and Health Sciences Journal (NHSJ), 3(2), 184-187. https://doi.org/10.53713/nhsj.v3i2.205
Choudhury, A., Shahsavar, Y., Sarkar, K., Choudhury, M. M., & Nimbarte, A. D. (2022). Exploring Perceptions and Needs of Mobile Health Interventions for Nutrition, Anemia, and Preeclampsia among Pregnant Women in Underprivileged Indian Communities: A Cross-Sectional Survey. Nutrients, 15(17), 3699. https://doi.org/10.3390/nu15173699
Darmstadt, G. L., Al Jaifi, N. H., Ariff, S., Bahl, R., Blennow, M., Cavallera, V., ... & Paul, V. K. (2022). New WHO recommendations for the care of preterm or low birthweight infants have the potential to transform maternal and newborn healthcare delivery. The Lancet, 400(10366), 1828-1831. https://doi.org/10.1016/S0140-6736(22)02186-9
Davidson, E. M., Simpson, J. A., & Fowkes, F. J. (2023). The interplay between maternal–infant anemia and iron deficiency. Nutrition Reviews, 81(4), 480-491. https://doi.org/10.1093/nutrit/nuac066
Deivita, Y., Syafruddin, S., Andi Nilawati, U., Aminuddin, A., Burhanuddin, B., & Zahir, Z. (2020). Overview of Anemia; risk factors and solution offering. Gaceta Sanitaria, 35, S235-S241. https://doi.org/10.1016/j.gaceta.2021.07.034
Elsharkawy, N. B., Abdelaziz, E. M., Ouda, M. M., & Oraby, F. A. (2021). Effectiveness of Health Information Package Program on Knowledge and Compliance among Pregnant Women with Anemia: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(5), 2724. https://doi.org/10.3390/ijerph19052724
Faqih S. M., Ira Rahmawati, Peni Perdani Juliningrum, & Sulistyorini, L. (2025). The overview of nurses’ performance in low-birth-weight care in agricultural areas. Nursing and Health Sciences Journal (NHSJ), 5(1), 92-101. https://doi.org/10.53713/nhsj.v5i1.474
Febriani, I., Susilawati, & Aby Restanty, D. (2024). Effectiveness of Digital Pocketbooks and Posters on Anemia Knowledge in Adolescent Women. Nursing and Health Sciences Journal (NHSJ), 4(2), 171-176. https://doi.org/10.53713/nhsj.v4i2.294
Ferasinta, F., & Zulya Dinata, E. (2024). The Effect of Dutch Eggplant Juice (Solanum Betaceum Cav) on the Prevention of Anemia in Adolescents. Health and Technology Journal (HTechJ), 2(2), 157–160. https://doi.org/10.53713/htechj.v2i2.178
Firdaus, S. E., & Maulana, P. D. (2025). Acceleration of stunting reduction: Advancing social and environmental well-being through policy, education, and environmental management. Journal of Sustainability, Society, and Eco-Welfare, 2(2), 141–158. https://doi.org/10.61511/jssew.v2i2.2025.1496
Futriani, E. S., Wijayanti, T. P., Susanti1, T., Toyibah, Ernawati, & Astuti, E. (2024). Effectiveness of Giving Dragon Fruit on Increasing Hemoglobin Levels in Pregnant Women with Mild Anemia at Jakarta Harbor Hospital in 2024. Jurnal Penelitian Pendidikan IPA, 10(9), 6631–6637. https://doi.org/10.29303/jppipa.v10i9.8896
Halli, S. S., Biradar, R. A., & Prasad, J. B. (2021). Low Birth Weight, the Differentiating Risk Factor for Stunting among Preschool Children in India. International Journal of Environmental Research and Public Health, 19(7), 3751. https://doi.org/10.3390/ijerph19073751
Islam, M. Z., Chowdhury, M. R. K., Kader, M., Billah, B., Islam, M. S., & Rashid, M. (2024). Determinants of low birth weight and its effect on childhood health and nutritional outcomes in Bangladesh. Journal of Health, Population and Nutrition, 43(1), 64. https://doi.org/10.1186/s41043-024-00565-9
James, A. H. (2021). Iron Deficiency Anemia in Pregnancy. Obstetrics and gynecology, 138(4), 663–674. https://doi.org/10.1097/AOG.0000000000004559
Khare, A., Samudre, S., & Arora, A. (2022). Sneak-peek into iron deficiency anemia in India: The need for food-based interventions and enhancing iron bioavailability. Food Research International, 162, 111927. https://doi.org/10.1016/j.foodres.2022.111927
Khezri, R., Rezaei, F., Jahanfar, S., & Ebrahimi, K. (2025). Association between maternal anemia during pregnancy with low birth weight their infants. Scientific Reports, 15(1), 6446. https://doi.org/10.1038/s41598-025-91316-1
Liu, W., Liu, Q., Liu, W., & Qiu, C. (2021). Maternal risk factors and pregnancy complications associated with low birth weight neonates in preterm birth. Journal of Obstetrics and Gynaecology Research, 47(9), 3196-3202. https://doi.org/10.1111/jog.14830
Lutfia, S., & Al Farizi, S. (2024). Maternal risk factors for low birth weight infants: A systematic review study. World Journal of Advanced Research and Reviews, 21(1), 1548-1554. https://doi.org/10.30574/wjarr.2024.21.1.0151
Mildon, A., D. Jefferds, M. E., Rogers, L. M., Golan, J. M., & Arabi, M. (2023). Integrating and coordinating programs for the management of anemia across the life course. Annals of the New York Academy of Sciences, 1525(1), 160-172. https://doi.org/10.1111/nyas.15002
Muliawati, E., Carolin, B. T., & Lail, N. H. (2022). Comparison Between the Provision of White Ambon Banana Fruit and Red Dragon Fruit on Hemoglobin Levels . Nursing and Health Sciences Journal (NHSJ), 2(1), 87-93. https://doi.org/10.53713/nhs.v2i2.99
Novelia, S., Rukmaini, & Purnama Sari, I. (2022). THE Analysis of Factors Associated with Anemia Among Adolescent Girls. Nursing and Health Sciences Journal (NHSJ), 2(3), 266-273. https://doi.org/10.53713/nhs.v2i3.142
Obeagu, E. I. (2024). Anemia in Early Pregnancy: Screening, Prevention, and Treatment. Nursing, 4(6), 90-95. http://dx.doi.org/10.36348/merjn.2024.v04i06.003
Obeagu , E. I. (2025). The Impact of Anemia on the Immune System during Pregnancy: A Review. International Journal of Medical Sciences and Pharma Research, 11(1), 28–33. https://doi.org/10.22270/ijmspr.v11i1.137
Qurniasih, N., Besmaya, B. M., Komalasari, K., Candrasari, K., & Primadevi, I. (2024). Dragon fruit intervention for increasing hemoglobin level on pregnant woment in Sumber Agung Village . Science Midwifery, 12(1), 19-25. https://doi.org/10.35335/midwifery.v12i1.1394
Rahmawati, Rahmawati, I., & Alfarizi, M. (2024). Literature Review Study: Factors Affecting Caring Performance in Low Birth Weight (LBW) Infants. Nursing and Health Sciences Journal (NHSJ), 4(2), 218-226. https://doi.org/10.53713/nhsj.v4i2.363
Rahmiati, Jasmawati, & Nulhakim, L. (2023). Improvement Of Hemoglobin Levels In Pregnant Women With Anemia Through Dragon Fruit Consumption. International Journal Of Nursing And Midwifery Science (IJNMS), 7(2A), 23-28. https://doi.org/10.29082/IJNMS/2023/Vol7/Iss2A/490
Ruspita, R., Rahmi, R., & Nurlela. (2022). Effect of consuming ambon banana on increasing hemoglobin levels in pregnant women. Science Midwifery, 10(5), 4254-4258. https://doi.org/10.35335/midwifery.v10i5.1007
Seid, S., Wondafrash, B., Gali, N., Ali, A., Mohammed, B., & Kedir, S. (2022). Determinants of Low Birth Weight Among Newborns Delivered in Silte Zone Public Health Facilities, Southern Ethiopia: A Case-Control Study. Research and Reports in Neonatology, 12, 19–29. https://doi.org/10.2147/RRN.S368436
Shaohua, Y., Bin, Z., Mei, L., Jingfei, Z., Pingping, Q., Yanping, H., Liping, Z., Jiexin, Y., & Guoshun, M. (2022). Maternal risk factors and neonatal outcomes associated with low birth weight. Frontiers in Genetics, 13, 1019321. https://doi.org/10.3389/fgene.2022.1019321
Shi, H., Chen, L., Wang, Y., Sun, M., Guo, Y., Ma, S., Wang, X., Jiang, H., Wang, X., Lu, J., Ge, L., Dong, S., Zhuang, Y., Zhao, Y., Wei, Y., Ma, X., & Qiao, J. (2022). Severity of Anemia During Pregnancy and Adverse Maternal and Fetal Outcomes. JAMA network open, 5(2), e2147046. https://doi.org/10.1001/jamanetworkopen.2021.47046
Shofa, Nisak Berliana Ahmad, Dzakia Raisa, Hadi Kurniyawan, E., Tri Afandi, A., Endrian Kurniawan, D., & Rosyidi Muhammad Nur, K. (2024). Food Security on The Incidence of Stunting in Agricultural Areas. Nursing and Health Sciences Journal (NHSJ), 4(4), 451-458. https://doi.org/10.53713/nhsj.v4i4.432
Skolmowska, D., Głąbska, D., Kołota, A., & Guzek, D. (2021). Effectiveness of Dietary Interventions in Prevention and Treatment of Iron-Deficiency Anemia in Pregnant Women: A Systematic Review of Randomized Controlled Trials. Nutrients, 14(15), 3023. https://doi.org/10.3390/nu14153023
Sofyana, S. (2022). The Effect Of Combination Of Super Red Dragon Fruit Extract (Hylocereus Costaricensis) + Fe Tablets On Increasing Hemoglobin Levels In Pregnant Women In Trimester Iii With Anemia. Science Midwifery, 10(3), 2134-2138. https://doi.org/10.35335/midwifery.v10i3.622
Soliman, A., Sanctis, V. D., Alaaraj, N., Ahmed, S., Alyafei, F., Hamed, N., & Soliman, N. (2021). Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta Bio Medica : Atenei Parmensis, 92(1), e2021168. https://doi.org/10.23750/abm.v92i1.11346
Sukmawati, Yaqin Salam, A., & Kusyairi, A. (2024). Effect of Group Discussion on Iron Supplement Consumption Adherence and Hemoglobin Levels in Female Students at SMAN 1 Senduro, Lumajang. Health and Technology Journal (HTechJ), 2(6), 640–646. https://doi.org/10.53713/htechj.v2i6.284
Supriati, Y., & Kusumastuti, I. (2024). Effectiveness of giving dragon fruit and ambon banana to increase hemoglobin levels in anemic adolescent girls. Jurnal Ilmiah Kesehatan Sandi Husada, 13(1), 41-46. https://doi.org/10.35816/jiskh.v13i1.1137
Wardani, H. (2024). Risk Factors for Stunting among Children in Indonesia: A Systematic Review. Health and Technology Journal (HTechJ), 2(6), 578–589. https://doi.org/10.53713/htechj.v2i6.296
Watkins, V. Y., Frolova, A. I., Stout, M. J., Carter, E. B., Macones, G. A., Cahill, A. G., & Raghuraman, N. (2020). The relationship between maternal anemia and umbilical cord oxygen content at delivery. American Journal of Obstetrics & Gynecology MFM, 3(1), 100270. https://doi.org/10.1016/j.ajogmf.2020.100270
Widowati, R. (2023). Utilization of various honey, fruits, and vegetables to increase hemoglobin levels in pregnant women with anemia in Indonesia. In IOP Conference Series: Earth and Environmental Science (Vol. 1255, No. 1, p. 012037). IOP Publishing. http://dx.doi.org/10.1088/1755-1315/1255/1/012037
Williams, A. M., Brown, K. H., Allen, L. H., Dary, O., Moorthy, D., & Suchdev, P. S. (2023). Improving Anemia Assessment in Clinical and Public Health Settings. The Journal of Nutrition, 153, S29-S41. https://doi.org/10.1016/j.tjnut.2023.05.032
