Doctoral Study Program, Faculty of Medicine, Universitas Padjadjaran, Bandung 45363, Indonesia.
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung 45363, Indonesia.
Int J Environ Res Public Health. 2022 Oct 24;19(21):13811. doi: 10.3390/ijerph192113811.
Iron deficiency anemia (IDA) in adolescent girls is a problem that has not been resolved. This study aimed to explore the critical aspects of an integrated health care system model for preventing IDA in adolescent girls in a rural area of Indonesia. This qualitative research employed a grounded theory approach in order to build a substantive theory. This study used in-depth interviews with adolescents, parents, teachers, health workers, and persons in charge of adolescent programs at the health office, education office, and ministry of religion. Purposive sampling was performed until data saturation was achieved. Codes, categories, and themes were generated through thematic data analysis to develop a substantive theory. Data analysis was performed using MAXQDA 2022 software. A total of 41 people participated in this study. This investigation generated twenty-two categories and seven themes. These themes relate to policymaker commitments, stakeholder governance, quality, adolescents' lifestyles, adolescents' self-factors, adolescents' access to health services, and social support. The themes identified become fundamental aspects of the integrated health care system model for preventing IDA in adolescent girls. The model of the integrated health care system consists of several essential points, which include awareness and efforts from policymakers and adolescent girls, supported by parents, teachers, and the community.
缺铁性贫血（IDA）在青春期少女中是一个尚未解决的问题。本研究旨在探索印度尼西亚农村地区预防青春期少女 IDA 的综合医疗保健系统模型的关键方面。本研究采用扎根理论方法构建了一个实质性理论。本研究对青少年、家长、教师、卫生工作者以及卫生办公室、教育办公室和宗教部负责青少年项目的人员进行了深入访谈。采用目的性抽样，直到达到数据饱和。通过主题数据分析生成代码、类别和主题，以开发实质性理论。数据分析使用 MAXQDA 2022 软件进行。共有 41 人参与了这项研究。这项研究产生了二十二个类别和七个主题。这些主题涉及决策者的承诺、利益相关者的治理、质量、青少年的生活方式、青少年的自我因素、青少年获得卫生服务的机会以及社会支持。确定的主题成为预防青春期少女 IDA 的综合医疗保健系统模型的基本方面。综合医疗保健系统模型包括几个要点，包括决策者和青春期少女的意识和努力，得到家长、教师和社区的支持。
