Determinants of Iron Supplementation Adherence in Adolescent Girls: Challenges and Strategies: Scoping Review

Background: Anemia in adolescent girls is a health problem that can impact growth, cognitive development, and future productivity. Iron supplementation is one of the main strategies to prevent anemia, but compliance rates are still low. Objective: This review aims to identify factors that influence adolescent girls' adherence to iron supplementation, challenges faced, and strategies to improve adherence. Methods: The method used was a scoping review with the PRISMA-ScR approach. Literature searches were conducted on PubMed, ScienceDirect, Wiley and Google Scholar databases with related keywords. Of the 2,237 articles identified, 14 articles met the inclusion criteria. Results: Based on the results of the scoping review , five main themes were found in the study of adolescent girls' adherence to iron supplementation including adherence, influencing factors, health impact, improvement strategies, and the role of community and policy. These themes reflect key factors contributing to the effectiveness of supplementation as well as strategies to improve adherence. Conclusions: Recommended strategies to improve adherence include school-based education, adherence monitoring by teachers and health workers, and community-based health campaigns. More effective community-based interventions and educative approaches are needed to improve adolescent girls' adherence to iron supplementation to reduce anemia rates.