The Effect of Combined Consumption of Iron Tablets with Vitamin C (Ascorbic Acid) Tablets and Guava Fruit on Hemoglobin Levels in Adolescent Girls with Anemia at the As-Saruniyah Health Center in Cianjur Regency in 2025

Abstract

Anemia often affects adolescent girls due to psychological conditions that often cause stress, menstruation, or unhealthy lifestyles, especially in terms of nutritional needs. The purpose of this study was to determine the effectiveness of consuming iron tablets combined with vitamin C and guava fruit in increasing hemoglobin levels in adolescent girls with anemia at the As-Saruniyah Health Center in Cianjur Regency. The research method used was quasi-experimental (Quasi Experimental Design), with a Nonequivalent Control Group Design. The sample size was 30 adolescent girls, divided into an intervention group and a control group, selected using purposive sampling. The research was conducted in August 2025. Data analysis was performed using univariate and bivariate analysis with the Paired T Test (T Dependent) and the Difference Test using the independent T-test. The results showed an average increase in Hb of 1.24 g/dL, with a statistical test result of P-value 0.0001 < α (0.05) in the guava group and an average increase in Hb of 1.18 g/dL, with a statistical test result of P-value 0.0001 < α (0.05) in the vitamin C group. Meanwhile, the difference test results showed an average difference of 0.13 g/dL. The statistical test results showed a P-value of 0.768 > α (0.05), indicating that there was no significant difference between the effects of the combination of iron tablets with guava and vitamin C. It is hoped that this study can provide an alternative way of consuming iron tablets.