Islamic Community Empowerment Through the Da’wah Movement to Improve Adolescent Girls’ Compliance with Iron Supplements for Stunting Prevention in Madrasahs and Public Schools

Hasan Mukmin

doi:10.15575/jpi.v11i2.48954

Authors

Hasan Mukmin Faculty of Da'wah and Communication Sciences, Universitas Islam Negeri Raden Intan Lampung, Indonesia

DOI:

https://doi.org/10.15575/jpi.v11i2.48954

Keywords:

Adolescent girls, Iron Supplementation, Islamic Empowerment, Stunting

Abstract

Anemia in adolescent girls is a serious public health problem in Indonesia, contributing to the high prevalence of stunting. Despite widespread distribution of iron supplements, adolescent girls' compliance with iron supplements remains low. This study aims to explore how community empowerment based on Islamic values can improve adolescent girls' adherence to iron supplements as a measure to prevent stunting in madrasahs and public schools of Pringsewu Regency, Lampung, Indonesia. Data were analyzed using Miles and Huberman's interactive model and interpreted in light of Julian Rappaport's empowerment theory, which encompasses the components of trust, norms, and social networks. The study involved adolescent girls from 62 junior high schools under the authority of the Pringsewu District Education and Culture Office, as well as 43 Islamic junior and senior high schools (madrasahs). The results indicate that Islamic values play a significant role in shaping health behavior. Trust in religious leaders, internalization of Islamic health norms, and support from religious community-based social networks positively contribute to increased adherence to iron supplements. The integration of spiritual responsibility and health practices has been shown to promote higher motivation and compliance. Religion-based empowerment provides a contextual and meaningful framework for improving adolescent girls' compliance with iron supplements. These findings contribute to the notion that health education that prioritizes a contextual spiritual approach can be a relevant and sustainable strategy for preventing stunting, particularly within Islamic educational institutions.

References

Abu-Ras, W., Aboul-Enein, B. H., Almoayad, F., Benajiba, N., and Dodge, E. (2024). Mosques and public health promotion: A scoping review of faith-driven health interventions. Health Education & Behavior, 51(5), 677–690. 10.1177/10901981241252800

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Anomaly, J., and Brennan, G. (2014). Social Norms, the Invisible Hand, and the Law. QUT Law Review, 33(2), 263-283. https://doi.org/10.2139/ssrn.2527984

Aprilia, D., Mahayaty, L., Siagian, M. L., and Tono, S. F. N. (2023). Empowerment of Great Parents in the Importance of Maintaining the Health of Early Childhood As a Strategy Towards Zero Stunting. Community Development Journal, 7(3), 153-162. https://doi.org/10.33086/cdj.v7i3.5291

Apriningsih, A., Madanijah, S., Dwiriani, C. M., and Kolopaking, R. (2019). Peranan Orang-Tua Dalam Meningkatkan Kepatuhan Siswi Minum Tablet Zat Besi Folat Di Kota-Depok. Gizi Indonesia, 42(2), 71–82. https://doi.org/10.36457/gizindo.v42i2.459

Berg, B. L. (2001). Qualitative research methods for the social sciences (4th ed). Allyn and Bacon.

Betania, S. U., Wiboworini, B., and Qadrijati, I. (2024). Analysis of stunting handling indicators based on SSGI 2022 data in Lampung Province: Multilevel analysis. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 12(5), 372–386. http://dx.doi.org/10.21927/ijnd.2024.12(5).372-386

Cislaghi, B., and Berkowitz, A. D. (2021). The evolution of social norms interventions for health promotion: Distinguishing norms correction and norms transformation. Journal of Global Health, 11, 03065. https://doi.org/10.7189/jogh.11.03065

Conrad, E. J., Becker, M., Powell, B., and Hall, K. C. (2020). Improving Health Promotion Through the Integration of Technology, Crowdsourcing, and Social Media. Health Promotion Practice, 21(2), 228–237. https://doi.org/10.1177/1524839918811152

Dewi, D. S., Asmawati, A., Buston, E., and Annisa, R. (2023). Direct supervision of daily consumption of blood supplement tablets during menstruation can increase adolescent hemoglobin levels. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 5(1), 27–37. https://doi.org/10.32807/jkt.v5i2.363

Dwiyana, P., Angesti, A. N., Prikhatina, R. A., Kharisma, K., and Salsabila, D. M. (2024). Analisis Dukungan Orang Tua terhadap Program Pemberian Tablet Tambah Darah Remaja Putri. Jurnal Gizi dan Pangan Soedirman, 8(1), 56. https://doi.org/10.20884/1.jgipas.2024.8.1.11874

Elfattah, H. Y. A. (2025). Faith-Based Mental Health Promotion in Muslim Communities: The Role of Islamic Education and Spiritual Practices. Sinergi International Journal of Islamic Studies, 3(1), Article 1. https://doi.org/10.61194/ijis.v3i1.709

Faizi, M. A., and Saputra, A. A. (2025). Manajemen Pelaksanaan Kegiatan Posyandu dalam Meningkatkan Kesehatan Ibu dan Anak Berbasis Islam. Indonesian Journal of Community Engagement, 1(3), Article 3. https://doi.org/10.70895/ijce.v1i3.43

Global Nutrition Report. (2024). Indonesia—Laporan Gizi Global. Retrieved July 10, 2025, from https://globalnutritionreport.org/resources/nutrition-growth-commitment-tracking/indonesia/

González, R. (2024). The role of norms as promoters of social change. Political Psychology, 46(2), 455–481. https://doi.org/10.1111/pops.13025

Gopalakrishnan, L., El Ayadi, A., and Diamond-Smith, N. (2024). The role of community-level men’s and women’s inequitable gender norms on women’s empowerment in India: A multilevel analysis using India’s National Family Health Survey–5. PLOS ONE, 19(12), e0312465. https://doi.org/10.1371/journal.pone.0312465

Gosdin, L., Sharma, A. J., Tripp, K., Amoaful, E. F., Mahama, A. B., Selenje, L., Jefferds, M. E., Martorell, R., Ramakrishnan, U., and Addo, O. Y. (2021). A school-based weekly iron and folic acid supplementation program effectively reduces anemia in a prospective cohort of Ghanaian adolescent girls. The Journal of Nutrition, 151(6), 1646–1655. https://doi.org/10.1093/jn/nxab024

Helmyati, S., Syarifa, C. A., Rizana, N. A., Sitorus, N. L., and Pratiwi, D. (2023). Acceptance of Iron Supplementation Program among Adolescent Girls in Indonesia: A Literature Review. Amerta Nutrition, 7(3), 50–61. https://doi.org/10.20473/amnt.v7i3SP.2023.50-61

Herrera-Peco, I., and Torre-Montero, J. C. (2020). Preface of Special Issue “Cares in the Age of Communication: Health Education and Healthy Lifestyles”: Social Media and Health Communication in a Pandemic? European Journal of Investigation in Health, Psychology and Education, 10(2), 575–578. https://doi.org/10.3390/ejihpe10020042

Indrawatiningsih, Y., Hamid, S. A., Sari, E. P., and Listiono, H. (2021). Faktor-Faktor Yang Mempengaruhi terjadinya Anemia pada Remaja Putri. Jurnal Ilmiah Universitas Batanghari Jambi, 21(1), 331–337. http://dx.doi.org/10.33087/jiubj.v21i1.1116

Israel, B. A., Schulz, A. J., Parker, E. A., and Becker, A. B. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173–202. https://doi.org/10.1146/annurev.publhealth.19.1.173

Khorasgani, M. R., and Beikzadeh, B. (2023). The Impact of Lifestyle on the Immune System: Focus on Islamic Lifestyle: A Narrative Review. International Journal of Preventive Medicine, 14(1), 105. https://doi.org/10.4103/ijpvm.ijpvm_11_22

Knijff, M., Roshita, A., Suryantan, J., Izwardy, D., and Rah, J. H. (2021). Frequent Consumption of Micronutrient-Rich Foods Is Associated With Reduced Risk of Anemia Among Adolescent Girls and Boys in Indonesia: A Cross-Sectional Study. Food and Nutrition Bulletin, 42(1_suppl), S59–S71. https://doi.org/10.1177/0379572120977455

Kruk, J., and Aboul-Enein, B. H. (2024). Religion-and spirituality-based effects on health-related components with special reference to physical activity: A systematic review. Religions, 15(7), 835. https://doi.org/10.3390/rel15070835

Kustriyani, A., Deviani, D. A., and Prasasti, A. (2023). Sosialisasi dan Pemberian Tablet Tambah Darah (TTD) Remaja Putri SMP Muhammadiyah 3 Banyuwangi. Journal of Health Innovation and Community Service, 2(1), 21–26.

Lowi, T., and Olson, M. (1970). Decision Making vs. Policy Making: Toward an Antidote for Technocracy. Public Administration Review, 30(3), 314–325. https://doi.org/10.2307/974053

McLoughlin, G. (2020). Intermittent iron supplementation for reducing anaemia and its associated impairments in adolescent and adult menstruating women. JBI Evidence Implementation, 18(2), 274–275. https://doi.org/10.1097/xeb.0000000000000212

Metzner, G., Höhn, C., Waldeck, E., Stapel, M., and Glattacker, M. (2022). Rehabilitation-related treatment beliefs in adolescents: A qualitative study. Child: Care, Health and Development, 48(2), 239–249. https://doi.org/10.1111/cch.12922

Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative data analysis: A methods sourcebook. Thousand Oaks: SAGE Publications.

Milstein, G., Palitsky, R., and Cuevas, A. (2020). The religion variable in community health promotion and illness prevention. Journal of Prevention & Intervention in the Community, 48(1), 1–6. https://doi.org/10.1080/10852352.2019.1617519

Munir, A., Susanti, R. A., Rahman, A., and Jayanti, M. I. (2025). Pemberdayaan Komunitas melalui Penyuluhan Agama Islam dalam Menanggulangi Stunting di Desa RAI OI Kecamatan Sape Kabupaten Bima. Taroa: Jurnal Pengabdian Masyarakat, 4(1), 12–24. https://doi.org/10.52266/taroa.v4i1.2949

Nasruddin, H., Syamsu, R. F., and Permatasari, D. (2021). Angka kejadian anemia pada remaja di indonesia. Cerdika: Jurnal Ilmiah Indonesia, 1(4), 357–364.Retrieved from http://cerdika.publikasiindonesia.id/index.php/cerdika/index

Nelson, G. B., Kloos, B., and Ornelas, J. (2014). Community psychology and community mental health: Towards transformative change. Oxford University Press.

Nichter, M. (2008). Global Health: Why Cultural Perceptions, Social Representations, and Biopolitics Matter. University of Arizona Press. https://doi.org/10.2307/j.ctv131btjg

Nurjanah, A., and Azinar, M. (2023). Kepatuhan Konsumsi Tablet Tambah Darah Remaja Putri pada Sekolah Percontohan Kesehatan Reproduksi dan Seksualitas. HIGEIA (Journal of Public Health Research and Development), 7(2), 244–254. https://doi.org/10.15294/higeia.v7i2.64227

Oddo, V. M., Roshita, A., and Rah, J. H. (2019). Potential interventions targeting adolescent nutrition in Indonesia: A literature review. Public Health Nutrition, 22(1), 15–27. https://doi.org/10.1017/S1368980018002215

Permatasari, T., Briawan, D., & Madanijah, S. (2023). Hubungan Asupan Zat Besi Dengan Status Anemia Remaja Putri Di Kota Bogor. Prepotif : Jurnal Kesehatan Masyarakat, 4(2), 95–101. https://doi.org/10.31004/prepotif.v4i2.935

Rappaport, J. (1981). In praise of paradox: A social policy of empowerment over prevention. American Journal of Community Psychology, 9(1), 1–25. https://psycnet.apa.org/doi/10.1007/BF00896357

Rappaport, J. (2005). Community Psychology Is (Thank God) More Than Science. American Journal of Community Psychology, 35(3–4), 231–238. https://doi.org/10.1007/s10464-005-3402-6

Riadi, B., Fuad, M., Yulianti, D., and Firdaus, R. (2024). Social, Cognitive, Teaching, and Technology Presence in Blended Inquiry Learning: A Higher Education Study. Online Learning In Educational Research (OLER), 4(2), 143–155. https://doi.org/10.58524/oler.v4i2.507

Ridho, F. M., Fauzan, Moh., Faisal, A., and Hanafi, H. (2024). The Effectiveness of Health Communication in Preventing Stunting. Jurnal Studi Ilmu Sosial Dan Politik, 3(2), 99–107. https://doi.org/10.35912/jasispol.v3i2.2609

Sallis, J. F., Owen, N., and Fisher, E. B. (2008). Ecological models of health behavior. In Health behavior and health education: Theory, research, and practice, 4th ed (pp. 465–485). Jossey-Bass/Wiley.

Sari, I. M. M., Yanti, D. E., Aryastuti, N., and Amirus, K. (2023). Behavioral Factor Analysis of Blood Supplement Tablet Consumption in Adolescent Girls as an Effort to Prevent Stunting. Jurnal Penelitian Pendidikan IPA, 9(6), 4294–4302. https://doi.org/10.29303/jppipa.v9i6.3532

Shah, S. P., Shah, P., Desai, S., Modi, D., Desai, G., and Arora, H. (2016). Effectiveness and feasibility of weekly iron and folic acid supplementation to adolescent girls and boys through peer educators at community level in the tribal area of Gujarat. Indian Journal of Community Medicine, 41(2), 158–161. https://doi.org/10.4103/0970-0218.173498

Sholicha, C. A., and Muniroh, L. (2019). Correlation Between Intake of Iron, Protein, Vitamin C and Menstruation Pattern with Haemoglobin Concentration among Adolescent Girl in Senior High School 1 Manyar Gresik. Media Gizi Indonesia, 14(2), 147. https://doi.org/10.20473/mgi.v14i2.147-153

Sulistyowati, E., Sukmawati, S., Handayani, A., Nadia, N., Rara’Panggalo, H., and Sampe, J. (2023). Pedoman Pemberian Tablet Tambah Darah (TTD) Bagi Remaja Putri di SMA Negeri 8 Makassar. Jurnal Pengabdian Bidang Kesehatan, 1(4), 135–141. https://doi.org/10.57214/jpbidkes.v1i4.32

Tulus, T., Aunurrahman, A., Halida, H., Dahlan, H., Wigati, N., and Mulya, H. (2024). Thematic approach and its effectiveness in improving learning outcomes, motivation, and critical thinking in natural and social sciences. Journal of Advanced Sciences and Mathematics Education, 4(2), 207–218. https://doi.org/10.58524/jasme.v4i2.475

Turner, J., Parsi, M., and Badireddy, M. (2025). Anemia. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK499994/

Upadhyay, C., and Upadhyay, N. (2017). Effect of anemia on pregnancy outcome: A prospective study at tertiary care hospital. Int J Reprod Contracept Obstet Gynecol, 6(12), 5379–5383. https://doi.org/10.18203/2320-1770.ijrcog20175246

Wahyuni, W., and Zulaikha, F. (2024). Hubungan Antara Anemia Dan Indeks Masa Tubuh Ibu Hamil Terhadap Kejadian Stunting Pada Anak: Literature Review. Caring: Jurnal Keperawatan, 13(1), 15–23. Retrieved from https://dspace.umkt.ac.id//handle/463.2017/3950

Wang, E., and Liao, Y.-T. (2023). Effects of member similarity on group norm conformity, group identity and social participation in the context of social networking sites. Internet Research, 34(3), 868–890. https://doi.org/10.1108/INTR-09-2021-0632

Widnall, E., Dodd, S., Russell, A. E., Curtin, E., Simmonds, R., Limmer, M., and Kidger, J. (2024). Mechanisms of school-based peer education interventions to improve young people’s health literacy or health behaviours: A realist-informed systematic review. PLOS ONE, 19(5), e0302431. https://doi.org/10.1371/journal.pone.0302431

Yang, Z. (2023). Research on the Management of Student Daily Behavioral Norms and the Guiding Mechanism of Cultivating Education. Int. J. New Dev. Educ, 5(19), 33–37. Retrieved from https://francis-press.com/papers/12548

Yulianto, A., Hasyim, D. I., and Saputri, N. (2023). Riwayat Pemberian ASI Eksklusif dengan Kejadian Stunting Pada Balita. Jurnal Ilmiah Kesehatan, 12(2), 121–130. https://doi.org/10.52657/jik.v12i2.2064

Zhang, Z., Abdullah, H., Ghazali, A. H. A., D’Silva, J. L., Ismail, I. A., and Huang, Z. (2024). The influence of health awareness on university students’ healthy lifestyles: The chain mediating role of self-esteem and social support. PLOS ONE, 19(10), e0311886. https://doi.org/10.1371/journal.pone.0311886