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The Effectiveness of Health Promotion Strategies for Pregnant Women on Fe Tablet Consumption in the Work Area of Bebesen Health Center, Central Aceh Regency

weak monitoring, and reporting of and the lack of routine Hb level checks. This study aims to evaluate the effectiveness of promotion strategies for women on the consumption of Fe tablets in the Health Center Work Area. Methods: Experimental research with participatory action research design (PAR). A sample of 44 pregnant women who were in with but the and had made a health visit to a health place in the area of the Health Center. Data analysis was carried out with SPSS. Version 25, in the form of univariate and bivariate analysis. Results: The promotional strategy applied was effective in changing the mother's in consuming Fe tablets, Z count = 5.781 (Z count > 1.96), and p-value = 0.000 (p<0.05). Conclusion: Provision of effective health promotion strategies on consumption behavior of Fe tablets.

the lowest coverage was at Bebesen Health Center at 0.56% for Fe1 and 0% for Fe3. 5 Failure to achieve the distribution target of Fe tablets in the district can increase the prevalence of anemia. However, there is no clear reporting of anemia in pregnant women, let alone data on adherence to consuming Fe tablets. One of the reasons is the weak monitoring, recording, and reporting system of health workers in consuming Fe tablets and the lack of routine Hb level checks. There are several factors that influence the adherence of pregnant women to taking Fe tablets, namely knowledge of pregnant women, education, and antenatal care visits. Health workers play an important role in every antenatal care visit, and health workers must recognize high-risk pregnancies, especially malnutrition, and provide health education to pregnant women. 6 One of the health workers involved in the management of anemia in pregnant women is a midwife. Midwives can act as implementers of midwifery services, managers of health service institutions, and educators in midwifery care by providing health education and counseling as well as research. 7 Midwifery service providers, midwives can act as providers and counselors, and health workers can act as communicators, motivators, facilitators, and consultants. 8.9 Health workers must be aware of their role as customers, namely staff who are given the special task of providing medical and health care services to people who use the services. 10 In the management of anemia in pregnancy, midwives, must give Fe tablets to all pregnant women and at every antenatal visit, provide counseling about nutrition, foods that contain iron and are rich in vitamin C and ask whether pregnant women take Fe tablets according to the provisions. 7 Seeing this condition, it is necessary to make efforts to improve behavior through a health promotion approach. Health promotion is a process of empowering or empowering communities to maintain, improve and protect their health through increasing awareness, willingness, and ability, as well as developing a healthy environment. Health promotion in the context of community empowerment should pay attention to the side of local wisdom where the community has traditions and customs as the potential that can be developed as social capital because it can foster mutual trust in cooperation and foster a sense of responsibility. 11 Health promotion strategies can be carried out through advocacy, social support, and community empowerment. This study aims to evaluate the effectiveness of health promotion strategies for pregnant women on the consumption of Fe tablets in the Work Area of Bebesen Health Center, Central Aceh Regency, Indonesia.

Methods
The study design is a quasi-experimental research with participatory action research design (PAR). This The study begins with an initial evaluation (pretest) of the behavior of the target mother in consuming  Table 1 shows a comparison of the behavioral categories of respondents before and after the Health promotion intervention. Before the Health promotion was carried out, it was seen that the majority, namely 65.9% of respondents, had a behavior that was categorized as bad in consuming Fe tablets. This, of course, will cause anemic conditions in respondents.

Results
After the health promotion intervention was carried out, it was seen that there was an improvement in the behavior of the respondents, where the majority, as many as 56.8%, showed good behavior related to the consumption of Fe tablets. Based on the average behavioral score, it was found that there was an improvement in behavioral scores between before promotion and after health promotion.
The improvement in the scores was statistically different, which showed that Health promotion significantly improved the respondents' behavioral scores regarding the consumption of Fe tablets.

Discussion
Advocacy is an activity aimed at decision-makers or policymakers both in the field of policy and other sectors outside of health that have an influence on the public so that decision-makers issue policies that benefit public health. This advocacy is more touching on policymakers to know and pay more attention to health. Advocacy can be done by influencing policymakers to be able to make regulations that can favor health, and these regulations can create an environment that can influence healthy behavior to be consume Fe tablets will be well established. [15][16][17] Society or community is one of the global health promotion strategies for empowerment (empowerment), so community empowerment is very important to do so that the community as the primary target has the will and ability to maintain and improve their health. All community empowerment is expected to help people gain the ability to make decisions and determine the actions they will take related to

Conclusion
Health promotion strategies, including advocacy, social support, and community empowerment, are effective in improving behavior for consuming Fe tablets in the Bebesen Health Center Work Area, Central Aceh Regency, Indonesia.