Analysis of Blood Supply Tablet Program Management in an Effort to Reduce the Prevalence of Anemia Among Female Students in Pesawaran District, Indonesia in 2025

Abstract

The consumption of iron supplement tablets (TTD or “Tablet Tambah Darah”) is crucial for adolescent girls to prevent anemia. Irregular intake of these supplements can lead to increased rates of anemia. In Pesawaran District, the prevalence of TTD distribution among adolescent girls is 54.75%, which falls short of the national target of 75%. This study aimed to analyze the management of the TTD program as an effort to reduce the prevalence of anemia among junior and senior high school girls in Pesawaran District in 2025. This qualitative study was conducted in Pesawaran District, involving key informants such as nutrition program officers and junior and senior high school students. Data were collected through in-depth interviews conducted from March 3–25, 2025. The results indicate that while the Health Department shows strong commitment, regulatory frameworks have not yet been established. Planning has been carried out, including intervention design, hemoglobin screening, and logistics procurement. However, implementation faces challenges due to the absence of formal regulations and a lack of collaboration between the Health and Education Departments, resulting in limited school support. The involvement of teachers, particularly UKS (school health unit) teachers, remains low. In terms of evaluation, program monitoring has been conducted using checklists and pocketbooks to track student compliance. Follow-up actions include addressing implementation barriers through mini workshops aimed at formulating improvement plans. It is recommended that the Head of the Pesawaran Health Office initiate co-management of the TTD program. Overall, the TTD program in Pesawaran District demonstrates a strong commitment from the health sector but requires strengthened regulations and inter-sectoral collaboration to more effectively reduce anemia prevalence among adolescent girls.