Effect of Video Counseling about Prevention of Anemia on Adolescent Girls Behavior in Supporting the First 1000 Days of Life

Abstract

BACKGROUND: Lack of knowledge, attitudes, and behavior awareness to prevent anemia among adolescent girls in supporting 1000 HPK has resulted in high anemia incidence in Indonesia. Multimedia counseling is a method of learning that involves audio, visual, and discussion to make it more interesting and easy to understand. AIM: This study analyzed the effect of multimedia counseling about prevention of anemia on adolescent girls behavior to prevent anemia. MATERIALS AND METHODS: This study used pre-test–post-test with control group design, with a quasi-experimental design using the case–control method. The study population was 259, the samples were 90 respondents who were assigned to two groups, namely, 45 people in anemia group and 45 in non-anemia group. The samples were selected by simple random sampling. Respondents were given multimedia counseling about anemia prevention, behavioral questionnaire and food frequency questionnaire (FFQ). Capillary blood test was conducted using Quik-Check, an the respondents were followed up every week and evaluated for 5 weeks. Results were tested using t-test and linear regression. RESULTS: Multimedia counseling had an effect on knowledge (t = 3.097; CI = 95%; 2.229–10.215; p = 0.003), attitude (t = 9.56; CI = 95%; 10.055–15.331; p = 0.001), behavior (t = −2.22; CI = 95%; −4.628–−0.260; p = 0.029), FFQ (t = −2.18; CI = 95%; −4.883 – −0.227; p = 0.032), and BMI (t = −10.40; CI = 95%; −5.094 - −3.460; p = 0.001) among adolescent girls in preventing anemia with R-Square of 0.952 (95%). CONCLUSION: There was an effect of multimedia counseling on the increase in knowledge, attitudes, and behavior in preventing adolescent anemia. Provision of ongoing multimedia counseling and monitoring of female careers in preventing adolescent anemia needs to be improved. Therefore, the role of health-care providers for monitoring and evaluation is very necessary.