Developing an integrated model for anemia prevention in prospective brides: A qualitative exploration of multisectoral collaboration in bengkulu city of Indonesia

Problem considered: Anemia among women of reproductive age, particularly prospective brides, remains a significant public health concern in Indonesia.Despite national programs, preventive efforts are often fragmented and lack structured education, family engagement, and cross-sector collaboration.This study aimed to explore determinants of anemia prevention practices to inform the development of the Anemia-Free Integrated Network Approach (AFRINA).Methods: This descriptive qualitative study employed in-depth interviews and focus group discussions with 71 informant (24 prospective brides and 47 supporting stakeholders), including midwives, health officials, and community leaders, purposively and snowball recruited to ensure diverse perspectives.Data collection was conducted between September and December 2024.Semi-structured interview guides explored knowledge, screening practices, supplementation adherence, and intersectoral collaboration.Data were analyzed using thematic analysis to identify barriers, enablers, and opportunities related to anemia prevention. Results:The analysis revealed five major themes related to premarital anemia prevention: limited exposure to anemia information; superficial understanding of anemia risks; inconsistent and unenforced screening policies; poor adherence to iron supplementation; and weak coordination and shared responsibility across health, religious, and community sectors.These themes directly informed the development of the AFRINA Framework, which emphasizes structured education, early intervention, strengthened supplementation adherence, multisectoral collaboration, and coordinated referral pathways.Conclusions: Anemia prevention among prospective brides requires a holistic approach that integrates digital health communication, family engagement, and cross-sector policy implementation.The findings from this qualitative phase serve as a foundation for developing a targeted intervention model tailored to local needs.