A Nurse-Led Program to Improve Hemoglobin and Prevent Anemia among Adolescent Girls in Coastal Odisha

INTERVENTION: Intervention1: NIPA (Nurse‐Led Intervention for Prevention of Anemia): Participants in the intervention group will receive a structured Nurse‐Led Intervention for Prevention of Anemia (NIPA) over a period of 12 weeks. The intervention includes: Health education sessions on anemia, its causes, consequences, symptoms, prevention, and management. Nutrition education focusing on locally available iron‐rich foods, enhancers and inhibitors of iron absorption, dietary diversification, and healthy eating practices. Demonstration of preparation of iron‐rich local recipes and distribution of educational materials. Self‐efficacy enhancement sessions to improve confidence in adopting healthy dietary practices and adherence to anemia prevention behaviors. Monitoring and reinforcement of Weekly Iron and Folic Acid Supplementation (WIFS) compliance through regular follow‐up and counseling. Menstrual health education and guidance on maintaining adequate nutrition during menstruation. Parent sensitization and involvement to support dietary modification and adherence to iron supplementation. Control Intervention1: Routine School Health Care: Participants in the control group will receive routine school health services and standard care available through existing school health programs, including the Weekly Iron and Folic Acid Supplementation (WIFS) program and health education activities routinely conducted by the school or health department. No additional nurse‐led intervention will be provided during the study period. CONDITION: Health Condition 1: R798‐ Other specified abnormal findingsof blood chemistry PRIMARY OUTCOME: Change in Hemoglobin Level among adolescent girls as measured using a standardized hemoglobinometer.Timepoint: 0 week ; 1 week after intervention ; 4 week after intervention SECONDARY OUTCOME: Knowledge score regarding anemia prevention. ; Dietary practice score related to iron‐rich food consumption. ; Self‐efficacy score for anemia preventive behaviors. ; Compliance with Iron and Folic Acid (IFA) supplementation.Timepoint: Baseline and 12 weeks (3 months) post‐intervention. INCLUSION CRITERIA: Adolescent girls aged 10 19 years enrolled in selected schools of coastal Odisha. Willing to participate in the study and provide written assent (for minors) along with written informed consent from parents/guardians. Available during the study period and willing to participate in all intervention and follow‐up sessions. Able to understand and communicate in Odia or English. Not currently participating in any other nutrition‐ or health‐related intervention study.