Cultural Insights and Local Food Traditions in Designing Health Literacy Tools for Anemia Prevention

Authors

DOI:

https://doi.org/10.56294/saludcyt20252154

Keywords:

Anaemia prevention, Health literacy, Local food utilization, Cultural-based education, Behavioural intervention

Abstract

Background:  iron deficiency anaemia is a significant health problem, especially in women of reproductive age and brides-to-be. Behavioural factors, culture, and local food utilisation play an important role in anaemia prevention efforts. Educational media such as leaflets based on local culture can improve health literacy.
Aim: to review the literature on the influence of behaviour, culture and local food in the development of a health literacy leaflet for anaemia prevention.
Methods:  this study used descriptive literature review method with PRISMA approach. Data were collected from four major databases (PubMed, Scopus, ProQuest, and Google Scholar) using relevant keywords. Inclusion criteria included articles published in the last 10 years (2014-2024) related to health literacy and anaemia prevention.
Results: the 29 articles reviewed, it was found that leaflet-based education with content adapted to local culture was effective in improving community knowledge and behaviour towards anaemia prevention. Some studies highlighted the importance of utilising local foods such as green leafy vegetables, seaweed, and local meat as sources of iron.
Conclusion: the use of local culture-based health literacy leaflets can be an effective strategy in the prevention of anaemia in brides-to-be. Interventions that consider cultural factors and community behaviour are expected to increase the effectiveness of health literacy programmes in a sustainable manner. 

References

1. Mishra A, Marwah S, Divedi P, Dewan R, Ahluwalia H. A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy. Cureus [Internet] 2021;Available from: http://dx.doi.org/10.7759/cureus.12802

2. Pusporini AD, Salmah AU, Wahyu A, Seweng A, Indarty A, Suriah, et al. Risk factors of anemia among pregnant women in community health center (Puskesmas) Singgani and Puskesmas Tipo Palu. Gac Sanit [Internet] 2021;35:S123–6. Available from: http://dx.doi.org/10.1016/j.gaceta.2021.10.010

3. Rockey DC, Altayar O, Falck-Ytter Y, Kalmaz D. AGA Technical Review on Gastrointestinal Evaluation of Iron Deficiency Anemia. Gastroenterology [Internet] 2020;159(3):1097–119. Available from: http://dx.doi.org/10.1053/j.gastro.2020.06.045

4. Balcha WF, Eteffa T, Arega Tesfu A, Abeje Alemayehu B. Maternal Knowledge of Anemia and Adherence to its Prevention Strategies: A Health Facility-Based Cross-Sectional Study Design. Inq J Heal Care Organ Provision, Financ [Internet] 2023;60. Available from: http://dx.doi.org/10.1177/00469580231167731

5. Khani Jeihooni A, Rakhshani T, Harsini PA, Layeghiasl M. Effect of educational program based on theory of planned behavior on promoting nutritional behaviors preventing Anemia in a sample of Iranian pregnant women. BMC Public Health [Internet] 2021;21(1). Available from: http://dx.doi.org/10.1186/s12889-021-12270-x

6. UNICEF. The State of the World’s Children 2019: Children, Food and Nutrition--Growing Well in a Changing World [Internet]. New York: 2019. Available from: https://www.unicef.org/reports/state-of-worlds-children-2019

7. Loechl CU, Datta-Mitra A, Fenlason L, Green R, Hackl L, Itzkowitz L, et al. Approaches to Address the Anemia Challenge. J Nutr [Internet] 2023;153:S42–59. Available from: http://dx.doi.org/10.1016/j.tjnut.2023.07.017

8. Fierro-Suero S, Almagro BJ, Sáenz-López P. Validation of the achievement emotions questionnaire for physical education (AEQ-PE). Int J Environ Res Public Health 2020;17(12):4560.

9. Rinnanik R, Buchori B, Yulianti VD, Bimantoro L, Thoyib T. Kursus Calon Pengantin: Upaya Meningkatkan Kesiapan Mental Pengetahuan Kesehatan dan Ekonomi Keluarga. NEAR J Pengabdi Kpd Masy 2021;1(1):68–74.

10. Nurainun N, Yusuf AM. Analisis tingkat kesiapan menikah calon pengantin. Edukatif J Ilmu Pendidik 2022;4(2):2110–5.

11. Zulaizeh FM, Pipitcahyani TI, Aini EN, Sholikah SM. PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENINGKATAN PENGETAHUAN CALON PENGANTIN MENGENAI KESEHATAN PRANIKAH: THE INFLUENCE OF HEALTH EDUCATION ON INCREASING THE KNOWLEDGE OF PROSPECTIVE BRIDES ABOUT PRE-MARITAL HEALTH. J Midwifery Sci Women’s Heal 2023;4(1):13–22.

12. Astuti DT, Putri R, Lisca SM. Pengaruh penyuluhan, pemeriksaan kesehatan reproduksi, dan pemberian tablet tambah darah terhadap tingkat pengetahuan dan kesadaran kesehatan reproduksi bagi calon pengantin sebagai upaya pencegahan stunting di kecamatan cinere tahun 2022. SENTRI J Ris Ilm 2023;2(4):1163–73.

13. Mastuti SR, Yolandia RA, Sugesti R. Hubungan Kebiasaan Makan, Konsumsi Suplemen Zat Besi, Dan Kek Dengan Anemia Pada Calon Pengantin Di Puskesmas Toboali Tahun 2023. SENTRI J Ris Ilm 2023;2(5):1442–50.

14. Dahlia M, Putri R, Zakiyah R. Hubungan Siklus Menstruasi, Asupan Makan, Dan Status Gizi Dengan Anemia Pada Calon Pengantin Di Puskesmas Toboali Tahun 2022. SENTRI J Ris Ilm 2023;2(4):1190–200.

15. Tadesse AW, Hemler EC, Andersen C, Passarelli S, Worku A, Sudfeld CR, et al. Anemia prevalence and etiology among women, men, and children in Ethiopia: a study protocol for a national population-based survey. BMC Public Health [Internet] 2019;19(1). Available from: http://dx.doi.org/10.1186/s12889-019-7647-7

16. Alamneh TS, Melesse AW, Gelaye KA. Determinants of anemia severity levels among children aged 6–59 months in Ethiopia: Multilevel Bayesian statistical approach. Sci Rep [Internet] 2023;13(1). Available from: http://dx.doi.org/10.1038/s41598-022-20381-7

17. Lavoie A, Lemire M, Lévesque B, Ayotte P. Determinants of iron deficiency and anemia among Nunavimmiut: results from the Qanuilirpitaa? 2017 Nunavik Health Survey. Can J Public Heal [Internet] 2023;115(S1):152–67. Available from: http://dx.doi.org/10.17269/s41997-023-00775-4

18. Aguree S, Owora A, Hawkins M, Reddy MB. Iron Deficiency and Iron Deficiency Anemia in Women with and without Obesity: NHANES 2001–2006. Nutrients [Internet] 2023;15(10):2272. Available from: http://dx.doi.org/10.3390/nu15102272

19. Turawa E, Awotiwon O, Dhansay MA, Cois A, Labadarios D, Bradshaw D, et al. Prevalence of Anaemia, Iron Deficiency, and Iron Deficiency Anaemia in Women of Reproductive Age and Children under 5 Years of Age in South Africa (1997–2021): A Systematic Review. Int J Environ Res Public Health [Internet] 2021;18(23):12799. Available from: http://dx.doi.org/10.3390/ijerph182312799

20. da Silva Lopes K, Yamaji N, Rahman MO, Suto M, Takemoto Y, Garcia-Casal MN, et al. Nutrition-specific interventions for preventing and controlling anaemia throughout the life cycle: an overview of systematic reviews. Cochrane Database Syst Rev [Internet] 2021;2022(1). Available from: http://dx.doi.org/10.1002/14651858.cd013092.pub2

21. Ompusunggu B, Kalsum U, Andraini R. Effectiveness of Anemia Prevention Education with Video Media and Leaflets on Knowledge and Attitudes of Young Women in Consuming Blood-Added Tablets at Senior High School 1 Muara Lawa. KESANS Int J Heal Sci [Internet] 2023;2(9):746–58. Available from: http://dx.doi.org/10.54543/kesans.v2i9.194

22. Chaudry ZA, Khan A, Moeen N. Prevalence of Anemia Among Women of Reproductive Age Presenting at Teaching Hospital Gujrat. In: Medical Forum Monthly. 2019.

23. JAFARI A, TAVAKOLY SANY SB, PEYMAN N. The Status of Health Literacy in Students Aged 6 to 18 Old Years: A Systematic Review Study. Iran J Public Health [Internet] 2021;Available from: http://dx.doi.org/10.18502/ijph.v50i3.5584

24. Muchomba FM. Effect of Schooling on Anemia and Nutritional Status Among Women: A Natural Experiment in Ethiopia. Am J Epidemiol [Internet] 2022;191(10):1722–31. Available from: http://dx.doi.org/10.1093/aje/kwac111

25. Magfirah AN, - C, Indriasari R, Syam A, Salmah AU, A Taslim N. Effectiveness of android-based educational media on knowledge, dietary intake and hemoglobin levels for prevention of anemia in adolescent females. J Public Heal Dev [Internet] 2023;21(2):212–22. Available from: http://dx.doi.org/10.55131/jphd/2023/210218

26. Hernianti, Citrakesumasari, Nurhaedar Jafar, Rahayu Indriasari, Andi Zulkifli, Hasnawati Amqam. Education using instagram on knowledge, attitudes and eating habits as prevention of anemia in adolescent girls in Makassar: 10.55131/jphd/2023/210207. J Public Heal Dev [Internet] 2023;21(2 SE-Original Articles):82–90. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/262840

27. Verma K, Baniya GC. Prevalence, knowledge, and related factor of anemia among school-going adolescent girls in a remote area of western Rajasthan. J Fam Med Prim Care [Internet] 2022;11(4):1474–81. Available from: http://dx.doi.org/10.4103/jfmpc.jfmpc_1372_21

28. May Astuti NA, Kurniasari R. THE EFFECT OF NUTRITIONAL EDUCATION THROUGH POSTER MEDIA AND VIDEO ON THE IMPROVEMENT OF KNOWLEDGE ABOUT ANEMIA IN ADOLESCENT PRINCESS. PLACENTUM J Ilm Kesehat dan Apl [Internet] 2022;10(2):112. Available from: http://dx.doi.org/10.20961/placentum.v10i2.56226

29. Abdulrahaman MD, Faruk N, Oloyede AA, Surajudeen-Bakinde NT, Olawoyin LA, Mejabi O V, et al. Multimedia tools in the teaching and learning processes: A systematic review. Heliyon [Internet] 2020;6(11):e05312. Available from: http://dx.doi.org/10.1016/j.heliyon.2020.e05312

30. Asad MM, Hussain N, Wadho M, Khand ZH, Churi PP. Integration of e-learning technologies for interactive teaching and learning process: an empirical study on higher education institutes of Pakistan. J Appl Res High Educ [Internet] 2020;13(3):649–63. Available from: http://dx.doi.org/10.1108/jarhe-04-2020-0103

31. Hasanica N, Catak A, Mujezinovic A, Begagic S, Galijasevic K, Oruc M. The Effectiveness of Leaflets and Posters as a Health Education Method. Mater Socio Medica [Internet] 2020;32(2):135. Available from: http://dx.doi.org/10.5455/msm.2020.32.135-139

32. Lehrl S, Linberg A, Niklas F, Kuger S. The Home Learning Environment in the Digital Age—Associations Between Self-Reported “Analog” and “Digital” Home Learning Environment and Children’s Socio-Emotional and Academic Outcomes. Front Psychol [Internet] 2021;12. Available from: http://dx.doi.org/10.3389/fpsyg.2021.592513

33. Irawati H, Kartini A, Nugraheni SA. Pengaruh booklet terhadap pengetahuan dan sikap kesehatan reproduksi calon pengantin terkait pencegahan risiko kehamilan di Kabupaten Pemalang. J Manaj Kesehat Indones 2019;7(2):124–31.

34. Austin. Introduction: Growing well in a changing world [Internet]. State World’s Child.2019;14–33. Available from: http://dx.doi.org/10.18356/22661d90-en

35. Hajat A, MacLehose RF, Rosofsky A, Walker KD, Clougherty JE. Confounding by socioeconomic status in epidemiological studies of air pollution and health: challenges and opportunities. Environ Health Perspect 2021;129(6):65001.

36. Pawlak K, Kołodziejczak M. The role of agriculture in ensuring food security in developing countries: Considerations in the context of the problem of sustainable food production. Sustainability 2020;12(13):5488.

Downloads

Published

2025-09-05

How to Cite

1.
Gandhi DW, Citrakesumasari C, Fajarwati Ibnu I, Amqam H, Nasir S, Bulkis S. Cultural Insights and Local Food Traditions in Designing Health Literacy Tools for Anemia Prevention. Salud, Ciencia y Tecnología [Internet]. 2025 Sep. 5 [cited 2025 Sep. 14];5:2154. Available from: https://sct.ageditor.ar/index.php/sct/article/view/2154