Compliance of Iron Supplementation and Determinants among Adolescent Girls: A Systematic Review

Hanna Tabita  Hasianna Silitonga; Lutfi Agus  Salim; Ira  Nurmala; Minarni  Wartiningsih

doi:10.18502/ijph.v52i1.11664

Hanna Tabita Hasianna Silitonga Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga Surabaya, Surabaya, Indonesia
Lutfi Agus Salim Faculty of Public Health, Universitas Airlangga Surabaya, Surabaya, Indonesia
Ira Nurmala Faculty of Public Health, Universitas Airlangga Surabaya, Surabaya, Indonesia
Minarni Wartiningsih Department of Public Health, Preventive Medicine and Community Medicine, Faculty of Medicine, Universitas Ciputra Surabaya, Surabaya, Indonesia

DOI: https://doi.org/10.18502/ijph.v52i1.11664

Keywords: Adolescent; Woman; Iron-deficiency anemia; Compliance

Abstract

Background: Iron deficiency anemia in children or women in pregnancy, is a public health problem in some countries. The World Health Organization (WHO) has called on all countries to achieve a 5% reduction in anemia in women of childbearing age, including adolescent girls, by 2025. One of the programs is iron supplementation. The success depends on the adherence of adolescent girls to consume iron tablets. This systematic review aimed to find the level of compliance to iron supplementation consumption among adolescent girls and explore barriers and facilitator factors to such adherence.

Methods: This article was a systematic review and conducted a multi-database search. The articles passed the PRISMA flow diagram process. The inclusion and exclusion rules decided the qualification of studies included. Of 1066 articles, we obtained 20 studies for the systematic review.

Result: The lowest compliance found were 26.2% and 26.3%, and was high (>80%) in intervention studies involving supervision and monitoring and peer educator. All articles' barrier and facilitator factors were classified into four categories; personal, social, environmental, and regimen.

Conclusion: Efforts to improve adolescent compliance to take iron tablets should consider all of these factors.