Efektifitas Pemberian TTD Melalui Program Gelang Mia Pada Remaja Terhadap Tingkat Anemia (Studi Analitik Pada Remaja Putri di SMP Seluruh Kecamatan Pare)

Abstract

Tablet Tambah Darah (TTD) untuk menanggulangi anemia belum maksimal diberikan. Anemia pada remaja putri harus ditangani karena kasus kematian ibu hamil sebagian besar karena ibu hamil yang menderita penyakit dan perdarahan, persiapan remaja putri sebagai wanita usia subur siap untuk menjalani proses kehamilan saat tiba usianya. Tujuan penelitian menganalisis hubungan riwayat kesehatan selama pemberian TTD, obat yang diminum bersama TTD, IMT, minuman yang diminum untuk minum TTD dengan tingkat anemia serta menganalisa perbedaan tingkat anemia sebelum pemberian TTD dengan setelah pemberian TTD melalui program gelang mia selama 1 tahun. Desain penelitian analitik dengan pendekatan cross sectional terhadap populasi semua remaja putri di SMP wilayah Kecamatan Pare tahun 2019. Sampel sebagian remaja putri yang telah mendapatkan TTD melalui program gelang mia sejumlah 629 siswi. Analisa data dilakukan uji statistik Wilcoxon Signed Ranks Test pada hasil pemeriksaan HB bulan Juni 2019 dengan data sekunder kadar HB bulan Maret 2018. Hasil penelitian tabulasi riwayat penyakit selama pemberian TTD dengan tingkat anemia, responden dalam kondisi sehat memiliki kadar HB normal yaitu sebanyak 507 responden (82.7%), obat yang diminum bersama TTD, responden hanya minum TTD saja yaitu 329 responden (54.2%) memiliki kadar HB normal, IMT normal responden memiliki kadar HB normal yaitu sebanyak 148 responden (80.9%), air putih untuk minum TTD responden memiliki kadar HB normal yaitu sebanyak 515 responden (82.7%). Analisis perbedaan antara tingkat anemia remaja putri sebelum minum TTD 347 responden (55.2%) memiliki kadar HB normal dan sebagian kecil 4 responden (0.6%) mengalami anemia berat. Setelah responden minum TTD memiliki kadar HB normal 521 responden (82.8%) dan 1 responden (0.2%) mengalami anemia berat. Efektifitas pemberian TTD melalui program gelang mia pada remaja terhadap tingkat anemia menunjukkan nilai asymp.sig (2-tailed) adalah 0.000 pada taraf kepercayaan 5%, p value < 0,05, ada perbedaan signifikan tingkat anemia sebelum pemberian TTD dan dan setelah mengkonsumsi TTD selama 1 tahun melalui program gelang mia. Riwayat kesehatan yang baik, Obat lain yang diminum bersama TTD, IMT yang normal, air putih untuk minum TTD berpengaruh terhadap kadar hemoglobin dalam darah. Keteraturan mengkonsumsi TTD setiap minggu efektif terhadap penurunan tingkat anemia pada remaja. The Effectiveness of giving additional blood tablet through gelang mia program to the students of anemia (analytical study to students of junior high school level in Pare sub-district). Anemia on girls must be cured must prepare herself as productive woman to undergo pregnancy process when the time comes. The goal of this research is to analyze the medical report, medicine consumed, IMT, the drink used to consume blood additional tablet with the level of anemia and to analyze the difference of anemia level between before giving blood additional tablet and after giving blood additional tablet through gelang mia program for 1 year. The research design used analytical design with cross sectional. The populations were all girls of junior high school students in 2019 in Pare sub-district. The samples were some girls getting blood additional tablet through gelang mia program. The analyses used Wilcoxon Signed Ranks statistical test based on the result of HB test on June 2019 with secondary HB level on March 2018.  The research result based of the tabulation medical report and anemia level showed that healthy respondent having normal HB level were 507 (82.7%). Other medicine besides blood additional tablet consumed by respondents were not consumed, they just consumed blood additional tablet.  They were 329 (54.2%). They had normal HB level. Normal IMT respondents having normal HB were 148 (80.9%). Respondents having normal HB level consumed blood additional tablet by water were 515 (82.7%). Based on the analysis to the difference among anemia level of 629 teenagers before consuming blood additional tablet, it was found that 347 (55.2%) had normal hemoglobin level, and 4 (0.6%) had acute anemia. After respondents had drunk that tablet, 521 (82.8%) had normal hemoglobin, and 1 (0.2%) had acute anemia. The effectiveness of giving blood additional tablet through gelang mia on teenager toward the level of anemia showed that asymp.sig score (2-tailed) was 0.000. It meant that in the truth level of 5%, p value < 0.05, H0 was rejected. There was significant difference anemia level before consuming blood additional tablet and after consuming blood additional tablet for a year. Good medical report during consuming blood additional tablet, other medicine consumed with that tablet, normal IMT, fresh water to drink blood additional tablet influence the hemoglobin level in blood. Regular consuming that tablet every week is effective to decrease teenager’s anemia level.