Background: Anemia in Indonesia is mostly caused by micronutrient deficiency such as iron. Although much have been done to address anemia in the community, the problem remains. As health is not solely government’s responsibility, community participation should be seen as an alternative effective approach.
Objective: The influence of women’s organizations to community participation and their self-sustenance in anemia prevention and control was examined.
Methods: It was a quasi-experimental study with pretest and post-test control group design involving 30 women in reproductive-age who were selected through a multi-stage random sampling method; and 20 health providers, of whom were members of Dasa Wisma, posyandu cadres, PKK, and Karang Taruna. At the intervention group, women’s organization in anemia prevention and control was enabled in order to increase community participation. Hemoglobin level was measured as the outcome of the intervention program.
Results: By empowering women’s organization, participation level of community members in the intervention group significantly increased, shown by family’s willingness to provide and consume iron-sufficient foods in their daily diets. As an outcome, hemoglobin level of reproductive-aged women at the intervention group slightly raised from its initial level, whilst the level in the control group was relatively stagnant.
Conclusion: Involving the community member has been proven as an effective approach in anemia prevention and control. Given that women’s social movement are existed in many settings, therefore, empowering such organization as a manifestation of community participation can be applied in other setting, and also for other health program.
Copyright (c) 2016 Waryana, Supadi, Wiworo Haryani
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United Nations Programme on HIV/AIDS. Report on the Global acquired immunodeficiency syndrome epidemic. Geneva: UNAIDS; 2016.
AIDS Datahub. Datahub for Asia and Pacific: Female sex worker. Geneva: UNAIDS; 2015.
Baral S, Beyrer C, Muessig K, et al. Burden of HIV among female sex workers in low-income and middle-income countries: A systematic review and meta-analysis. The Lancet Infectious Diseases. 2012;12(7):538-549.
Weitzer R. Sociology of sex work. Annual Review of Sociology. 2009;35:213-234.
Fajans P, Ford K, Wirawan DN. AIDS knowledge and risk behaviors among domestic clients of female sex workers in Bali, Indonesia. Social Science & Medicine. 1995;41(3):409-417.
Ford K, Wirawan DN, Fajans P. Factors related to condom use among four groups of female sex workers in Bali, Indonesia. AIDS education and prevention. 1998;10(1):34-45.
Basuki E, Wolffers I, Devillé W, Erlaini N. Reasons for not using condoms among female sex workers in Indonesia. AIDS Education and Prevention. 2002;14(2):102.
Nemoto T, Operario D, Takenaka M, Iwamoto M, Le MN. HIV risk among Asian women working at massage parlors in San Francisco. AIDS Education and Prevention. 2003;15(3):245.
Miyazaki M, Une H, Babazono A, Kato M, Takagi S, Chimura H. Sexually transmitted diseases in Japanese female commercial sex workers working in massage parlors with cell baths. Journal of Infection and Chemotherapy. 2003;9(3):248-253.
Hochbaum G, Rosenstock I, Kegels S. Health belief model. United States: Public Health Service; 1952.
Rosenstock IM. The health belief model and preventive health behavior. Health Education & Behavior. 1974;2(4):354-386.
Jacobalis S. Beberapa teknik dalam manajemen mutu manajemen rumah sakit [Several techniques in quality hospital management]. Yogyakarta: Universitas Gadjah Mada; 2000.
Green LW, Kreuter MW. Health program planning: An educational and ecological approach. New York: McGraw-Hill Companies; 2005.
Widyastari DA, Shaluhiyah Z, Widjanarko B. Adolescents in peril: Internet and other factors influencing adolescents'sexual attitudes. Jurnal Kesehatan Reproduksi. 2010;1(1 Des):1-13.
Widyastari DA, Shaluhiyah Z, Widjanarko B. The influence of internet exposure on adolescents’ sexual attitudes: a study among secondary school students in Semarang, Central Java, Indonesia. Thailand: Institute for Population and Social Research (IPSR), Mahidol University. 2009.
Shanahan J, Morgan M. Television and its viewers: Cultivation theory and research. Cambridge: Cambridge University Press; 1999.