The effect of red guava juice supplementation combined with iron tablets on hemoglobin levels among premarital women

Ana Mariza (Universitas Malahayati) ROR
Repi Septika Dewi (Universitas Malahayati)
Dewi Yuliasari (Universitas Malahayati)
Nurliyani Nurliyani (Universitas Malahayati)
DOI: 10.56922/mchc.v5i7.14 Published: 2026-10-15 pp. 839-844
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Background: Anemia among women of reproductive age remains a public health concern. In 2024, Ambarawa Health Center, Pringsewu District, reported 24 cases of anemia among unmarried women. Red guava juice contains vitamin C, which may support non-heme iron absorption.

Purpose: To determine the effect of red guava juice combined with iron tablets on hemoglobin levels in premarital women.

Method: This quantitative study used a two-group pretest–posttest quasi-experimental design. Of 30 premarital women identified in the study area, 20 with anemia were included through total sampling and assigned to an intervention group (n = 10), receiving red guava juice and iron tablets, or a control group (n = 10), receiving iron tablets alone. Hemoglobin levels were measured before and after the intervention.

Results: Mean hemoglobin levels increased from 10.95 ± 0.58 to 11.64 ± 0.66 g/dL in the intervention group and from 10.89 ± 0.40 to 11.18 ± 0.41 g/dL in the control group. The mean increases were 0.69 and 0.29 g/dL, respectively, yielding a descriptive between-group difference in change of 0.40 g/dL. A between-group significance test and confidence interval were not available in the supplied data.

Conclusion: Hemoglobin levels increased in both groups, with a greater descriptive increase in the group receiving red guava juice and iron tablets. The additional effect of red guava juice cannot be confirmed statistically without a verified between-group analysis.

Suggestion: Premarital women should adhere to iron supplementation and consume vitamin C-rich foods as part of a balanced diet.

The effect of red guava juice supplementation combined with iron tablets on hemoglobin levels among premarital women. (2026). The Journal of Mother and Child Health Concerns, 5(7), 839-844. https://doi.org/10.56922/mchc.v5i7.14
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