Improving Anemia Prevention Behavior Through the Anemia-Free Integrated Network Approach (AFRINA) Among Prospective Brides in Bengkulu, Indonesi

Afrina  Mizawati; Nusyirwan  Effendi; Delmi  Sulastri; Rozi Sastra Purna

doi:10.12873/

Autores/as

Afrina Mizawati Faculty Of Medicine, Doctoral Programme Of Public Health, Universitas Andalas, Padang, Indonesia https://orcid.org/0000-0002-8164-7388
Nusyirwan Effendi Faculty of Social and Political Science, Department of Social and Political Science, Andalas University, Padang, West Sumatera, Indonesia
Delmi Sulastri Faculty Of Medicine, Department Of Nutrition, Universitas Andalas, Padang, Indonesia
Rozi Sastra Purna Faculty Of Medicine, Department Of Psychology, Universitas Andalas, Padang, Indonesia

DOI:

https://doi.org/10.12873/

Palabras clave:

anemia prevention, AFRINA model, prospective brides, family support, motivation

Resumen

Introduction:
Anemia remains a major public health issue among women of reproductive age in Indonesia, particularly prospective brides. Fragmented health education, limited family involvement, and weak intersectoral collaboration have reduced the effectiveness of prevention programs. The Anemia-Free Integrated Network Approach (AFRINA) was developed as an integrated model combining digital health education, family engagement, and cross-sector collaboration to strengthen anemia prevention behavior.

Objective:
This study evaluated the effectiveness of the AFRINA model in improving preventive behavior, family support, and motivation among prospective brides in Bengkulu, Indonesia.

Method:
A quasi-experimental pretest–posttest control group design was applied to 74 prospective brides recruited from five district religious offices in Bengkulu City. Participants were divided equally into intervention and control groups. The intervention group received education through the AFRINA digital application, while the control group received conventional counseling. Data were collected from June to August 2025 and analyzed using Wilcoxon and Mann–Whitney tests with a significance level of p<0.05.

Results:
The AFRINA intervention significantly increased preventive behavior (mean difference = 9.81; p<0.001), family support (8.57; p<0.001), and motivation (8.17; p<0.001) compared to the control group. The improvements were higher in the intervention group, showing the model’s effectiveness in enhancing behavioral and psychosocial determinants of anemia prevention.

Conclusion:
The AFRINA model, integrating digital communication, family engagement, and intersectoral collaboration, effectively improves preventive behavior, family support, and motivation among prospective brides. This model offers an innovative, scalable framework to strengthen premarital health programs and reduce anemia risk among women of reproductive age.

Biografía del autor/a

Afrina Mizawati, Faculty Of Medicine, Doctoral Programme Of Public Health, Universitas Andalas, Padang, Indonesia

Afrina Mizawati is a lecturer and researcher at the Department of Midwifery, Poltekkes Kemenkes Bengkulu, Indonesia, and a doctoral student in the Public Health Doctoral Program at Universitas Andalas, Padang, Indonesia. Her research interests focus on maternal and child health, nutrition, anemia prevention, and community-based health interventions. She has been actively involved in developing the Anemia-Free Integrated Network Approach (AFRINA) model to improve reproductive health outcomes among women of reproductive age and prospective brides.
Nusyirwan Effendi, Faculty of Social and Political Science, Department of Social and Political Science, Andalas University, Padang, West Sumatera, Indonesia

Nursyirwan Effendi is a lecturer and researcher at the Faculty of Social and Political Sciences, Universitas Andalas, Padang, Indonesia. His academic background and research interests focus on sociology, community development, and social determinants of health. He has contributed to several interdisciplinary studies related to public health, health behavior, and community empowerment in Indonesia.
Delmi Sulastri, Faculty Of Medicine, Department Of Nutrition, Universitas Andalas, Padang, Indonesia

Delmi Sulastri is a lecturer and researcher at the Faculty of Medicine, Department of Nutrition, Universitas Andalas, Padang, Indonesia. Her research interests include nutrition, non-communicable diseases, maternal and child health, and community-based nutrition interventions. She has been actively involved in studies promoting healthy lifestyles and nutritional education among various population groups in Indonesia.
Rozi Sastra Purna, Faculty Of Medicine, Department Of Psychology, Universitas Andalas, Padang, Indonesia

Rozi Sastra Purna is a lecturer and researcher at the Faculty of Medicine, Department of Psychology, Universitas Andalas, Padang, Indonesia. His research interests focus on health psychology, behavioral change, and community health promotion. He has contributed to interdisciplinary research exploring psychological factors influencing health behavior and motivation in public health programs.

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