Nutrition Education Intervention and Improved Haemoglobin Level among In-School Adolescent Girls in Ogun State, Nigeria
Keywords:
Nutrition, education intervention, haemoglobin, iron deficiency anaemia, dietary practicesAbstract
The study assesses the effectiveness of a nutrition education intervention on iron deficiency anaemia (IDA) among in-school adolescent girls, aged 10-19, in Ogun State, Nigeria. It uses a quasi-experimental design with pre- and post-intervention assessments. The study randomly assigns two public secondary schools in each district to either an intervention group, which received six weeks of nutrition education, or a control group, involving 277 participants across three senatorial districts. Findings at baseline indicated a high prevalence of IDA, with 84.48% of participants affected, including 59.6% with moderate anaemia. Knowledge about IDA was poor, with 83% lacking sufficient understanding, and dietary assessments revealed inadequate iron intake, particularly among the control group (56.2%). At the post-intervention, knowledge improved significantly, with 88.1% of the experimental group demonstrating good knowledge. Attitudes also shifted positively, with 87.4% of the experimental group displaying improved attitudes towards IDA. Conclusively, the intervention led to better dietary practices and higher average haemoglobin levels in the experimental group compared to controls. Hence, nutrition education enhances knowledge and dietary practices and increases access to iron-rich foods for improved health outcomes.
Keywords: , , , ,
References
Abioye, A. I., et al. (2020). Dietary diversity and anaemia among adolescents in Nigeria. Public Health Nutrition, 23(1), 45-54. https://doi.org/10.1017/S1368980019001672
Akanbi, O. M., et al. (2020). Nutrition education and dietary practices among pregnant women in Nigeria. International Journal of Nutrition and Wellness, 6(2), 45-53.
Balarajan, Y., et al. (2011). Anaemia in low income and middle-income countries. The Lancet, 378(9809), 2123-2135. https://doi.org/10.1016/S0140-6736(10)62014-0
Befekadu, A., et al. (2020). Knowledge and practice about anaemia among adolescents in Ethiopia. BMC Nutrition, 6(1), 1-8. https://doi.org/10.1186/s40795-020-00238-8
Bennett, G. (2010). Development-support communication: A strategy for enhancing nutrition education. Food & Nutrition Bulletin, 31(2), 120-129. https://doi.org/10.1177/156482651003100203
Burgess, C., et al. (2018). Effectiveness of iron fortification strategies. The Journal of Nutrition, 148(3), 411-420. https://doi.org/10.1093/jn/nxx001
Chhoun, C., et al. (2019). Anaemia and haemoglobin disorders in reproductive-age women in rural Cambodia. BMC Women's Health, 19(1), 1-11. https://doi.org/10.1186/s12905-019-0862-1
Dibba, M., et al. (2021). Knowledge and awareness of iron deficiency anaemia among adolescents in Nigeria. Journal of Nutrition Education and Behavior, 53(2), 123-130. https://doi.org/10.1016/j.jneb.2020.09.012
Dijkhuizen, M. A., et al. (2005). Iron and folate supplementation in pregnancy: A systematic review. British Journal of Nutrition, 94(4), 492-497. https://doi.org/10.1079/BJN20051443
Food and Agriculture Organization (FAO) (2019). Nutrition education: A global perspective. http://www.fao.org/nutrition/education/en/
Friedman, H. S., et al. (2017). Youth engagement in health promotion: The role of peer educators. Health Promotion Practice, 18(2), 234-242. https://doi.org/10.1177/1524839916673356
Getachew, T., et al. (2020). Prevalence of intestinal helminths and anaemia among pregnant women in Oromia, Ethiopia. BMC Infectious Diseases, 20(1), 1-8. https://doi.org/10.1186/s12879-020-5118-9
Gibson, R. S. (2005). Principles of nutritional assessment. Oxford University Press.
Hawkes, C., & Ruel, M. T. (2006). The role of nutrition education in food security. Food Security, 1(1), 77-85. https://doi.org/10.1007/s12571-009-0009-2
Hernandez, A., et al. (2015). Haemoglobin levels in breastfed infants. Journal of Pediatrics, 167(5), 1123-1129. https://doi.org/10.1016/j.jpeds.2015.07.029
Kader, M. A., et al. (2019). Nutrition education interventions and dietary practices among adolescents. Journal of Nutrition Education and Behavior, 51(4), 431-439. https://doi.org/10.1016/j.jneb.2018.12.005
Lozoff, B., et al. (2016). Behavioral and developmental effects of iron deficiency in infancy. Pediatrics, 138(1), e20160599. https://doi.org/10.1542/peds.2016-0599
Mason, J. B., et al. (2015). The effectiveness of nutrition education interventions. Public Health Nutrition, 18(1), 1-12. https://doi.org/10.1017/S1368980014000491
Mardiah, S., et al. (2020). Attitudes toward anaemia among high school female students in Indonesia. Journal of Health Sciences, 8(1), 25-32. https://doi.org/10.17576/jhealthsci-2020-0801-04
Musa, M. A., et al. (2021). Nutrition knowledge and its correlation with nutrient intake among elementary school students in Kenya. Journal of Nutrition Education and Behavior, 53(5), 392-398. https://doi.org/10.1016/j.jneb.2020.09.008
National Population Commission (2018). Nigeria Demographic and Health Survey. https://dhsprogram.com/pubs/pdf/FR359/FR359.pdf
Pérez-Escamilla, R., et al. (2017). Nutrition education in the 21st century: A global perspective. Advances in Nutrition, 8(4), 661-670. https://doi.org/10.3945/an.117.015128
Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390-395. https://doi.org/10.1037/0022-006X.51.3.390
Ruel, M. T., et al. (2013). Food-based approaches to addressing micronutrient deficiencies. Food and Nutrition Bulletin, 34(3), 259-276. https://doi.org/10.1177/156482651303400306
Rosenstock, I. M. (1974). The Health Belief Model and preventive health behavior. Health Education Monographs, 2(4), 354-386. https://doi.org/10.1177/109019817400200403
Sankoh, O., et al. (2020). Knowledge and attitudes towards anemia among pregnant women in Sierra Leone. BMC Pregnancy and Childbirth, 20(1), 1-10. https://doi.org/10.1186/s12884-020-03490-7
Tufte, T. (2001). Communication for social change: An overview. Communication for Social Change Working Paper Series, 1, 1-18. http://csctaskforce.org/knowledge-library/communication-for-social-change-an-overview/
UN (2015). Transforming our World: The 2030 Agenda for Sustainable Development. https://sdgs.un.org/2030agenda
UNICEF (2020). Nutrition: A Global Perspective. https://www.unicef.org/reports/nutrition-global-perspective
Verma, S., et al. (2018). Evaluating the effectiveness of nutrition education interventions among adolescents in India. Journal of Health, Population and Nutrition, 37(1), 1-10. https://doi.org/10.1186/s41043-018-0155-7
World Health Organization (WHO) (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. https://www.who.int/publications/i/item/WHO-nMH-NHD-MNM-11.1
World Health Organization (WHO) (2020). World Malaria Report 2020. https://www.who.int/publications/i/item/9789240061924
Zainal, H., et al. (2020). The impact of nutrition education on knowledge, attitudes, and hemoglobin status in Malaysia. International Journal of Environmental Research and Public Health, 17(4), 1234. https://doi.org/10.3390/ijerph17041234
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 International Journal of Health and Medical Information (IJHMI)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.