Improvement of Breastfeeding Efficacy Through Small Group Education of Cadres with Pregnant Women

Epti Yorita, Sri Yanniarti, Yulinda Yulinda, Rina Rina, Rialike Burhan

Abstract


WHO recommends that every infant should be exclusively breastfed, but until now the coverage of exclusive breastfeeding is still low due to factors such as knowledge, breastfeeding efficacy, family support, lactation problems, and barriers in the health care system.  This study aims to determine the effectiveness of Small group education of cadres with pregnant women on breastfeeding efficacy among third trimester pregnant women on Enggano Island. The research design was a quasi-experimental pre-test and post-test with a control group. The treathird trimesterent group was pregnant women who received Small group education of cadres with pregnant women while the control group was pregnant women who received conventional education. The study was conducted at Enggano Health Centre from January to November 2023 with a sample of 50 pregnant women in the third trimester of pregnancy from 25-36 weeks of age, selected by purposive sampling.  The research instruments were modules and leaflets on exclusive breastfeeding, developed through a needs assessment, while breastfeeding efficacy was measured using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data were analysed univariate, bivariate with  wilcoxon and multivariate with spearman rank test. The results showed that there was an effect of Small group education of cadres with pregnant women class education on breastfeeding effectiveness with p=0.00 mean difference of 19.56. There was an effect of conventional class education on breastfeeding effectiveness in the control group with p=0.46 mean difference of 1.12. The class was more effective in improving breastfeeding practices among pregnant women with p=0.00 mean difference of 47.26. Class and education level were the most dominant factors in improving breastfeeding efficiency among pregnant women. The conclusion of this study is that the small group education of cadre with pregnant women is effective in improving breastfeeding efficacy in pregnant women in the third trimester. 

Keywords: Breastfeeding, Education, Efficacy, Small Group

Full Text:

PDF

References


Amini, P., Omani-Samani, R., Sepidarkish, M., Almasi-Hashiani, A., Hosseini, M., & Maroufizadeh, S. (2019). The Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF): A validation study in Iranian mothers. BMC Research Notes, 12(1), 1–6. https://doi.org/10.1186/s13104-019-4656-7

Awaliyah, S. N., Rachmawati, I. N., & Rahmah, H. (2019). Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction. BMC Nursing, 18(Suppl 1), 1–7. https://doi.org/10.1186/s12912-019-0359-6

Badan Pusat Statistik Provinsi Bengkulu. (2022). Katalog :Profil Kesehatan Ibu Dan Anak Provinsi Bengkulu 2022. https://bit.ly/BPSProvinsiBengkulu

Bilal Safdar, M., Naveed, M., Razzaq, M., Ejaz, M., Tahir, A., & Waheed Rathore, A. (2021). Impact of Maternal age and Parity on Exclusive Breast Feeding Practices. Pakistan Journal of Medical and Health Sciences, 15(10), 2527–2529. https://doi.org/10.53350/pjmhs2115102527

Değer, M. S., Sezerol, M. A., & Altaş, Z. M. (2023). Breastfeeding Self-Efficacy, Personal Well-Being and Related Factors in Pregnant Women Living in a District of Istanbul. Nutrients, 15(21), 4541. https://doi.org/10.3390/nu15214541

Eugenie, T., Batlejeri, J., & Napitupulu, M. (2018). Pengetahuan Ibu Merupakan Faktor Dominan dalam Pemberian ASI Eksklusif. Jurnal Ilmu Dan Teknologi Kesehatan, 2(2), 2–7. http://ejurnal.poltekkesjakarta3.ac.id/index.php/jitek/article/view/39/34

Fatiah, M. S., Tambing, Y., & Catursaptani, R. (2022). Pengaruh Pemberian ASI Eksklusif terhadap Amenorrhea Laktasi di Indonesia. Jurnal Bidan Cerdas, 4(3), 141–151. https://doi.org/10.33860/jbc.v4i3.803

Gizaw, A. T., Sopory, P., & Morankar, S. (2022). Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia. PLoS ONE, 17(12 December), 1–16. https://doi.org/10.1371/journal.pone.0279941

Hui, A., Philips-Beck, W., Campbell, R., Sinclair, S., Kuzdak, C., Courchene, E., Roulette, M., Mousseau, W., Beaulieu, D., Wood, E., Munroe, G., Desjarlais, F., Ludwig, S., Wicklow, B., McGavock, J., Sellers, E., Nickel, N., Jiang, D., Thiessen, K., … Shen, G. X. (2021a). Impact of remote prenatal education on program participation and breastfeeding of women in rural and remote Indigenous communities. EClinicalMedicine, 35, 100851. https://doi.org/10.1016/j.eclinm.2021.100851

Hui, A., Philips-Beck, W., Campbell, R., Sinclair, S., Kuzdak, C., Courchene, E., Roulette, M., Mousseau, W., Beaulieu, D., Wood, E., Munroe, G., Desjarlais, F., Ludwig, S., Wicklow, B., McGavock, J., Sellers, E., Nickel, N., Jiang, D., Thiessen, K., … Shen, G. X. (2021b). Impact of remote prenatal education on program participation and breastfeeding of women in rural and remote Indigenous communities. EClinicalMedicine, 35, 100851. https://doi.org/10.1016/j.eclinm.2021.100851

Jaya, V. O., & Pratiwi, C. S. (2022). Faktor-Faktor yang Mempengaruhi Efikasi Diri Menyusui Ibu Hamil Trimester 3. Journal of Midwifery and Reproduction, 5(2), 94–103.

Kabir, M. R., Ghosh, S., & Shawly, A. (2019). Causes of Early Marriage and Its Effect on Reproductive Health of Young Mothers in Bangladesh. American Journal of Applied Sciences, 16(9), 289–297. https://doi.org/10.3844/ajassp.2019.289.297

Kemenkes. (2021). Profil Kesehatan Indonesia Tahun 2020. In Kementerian Kesehatan RI. https://doi.org/10.1524/itit.2006.48.1.6

Koushede, V., Brixval, C. S., Thygesen, L. C., Axelsen, S. F., Winkel, P., Lindschou, J., Gluud, C., & Due, P. (2017). Antenatal small-class education versus auditorium-based lectures to promote positive transitioning to parenthood – A randomised trial. PLOS ONE, 12(5), e0176819. https://doi.org/10.1371/journal.pone.0176819

Laksono, A. D., Wulandari, R. D., Ibad, M., & Kusrini, I. (2021). The effects of mother’s education on achieving exclusive breastfeeding in Indonesia. BMC Public Health, 21(1), 1–6. https://doi.org/10.1186/s12889-020-10018-7

Maleki, A., Faghihzadeh, E., & Youseflu, S. (2021). The Effect of Educational Intervention on Improvement of Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis. Obstetrics and Gynecology International, 2021. https://doi.org/10.1155/2021/5522229

Monteiro, J. C. D. S., Guimarães, C. M. de S., Melo, L. C. de O., & Bonelli, M. C. P. (2020). Breastfeeding self-efficacy in adult women and its relationship with exclusive maternal breastfeeding. Revista Latino-Americana de Enfermagem, 28, 1–9. https://doi.org/10.1590/1518-8345.3652.3364

Neves, R. O., Bernardi, J. R., da Silva, C. H., Goldani, M. Z., & Bosa, V. L. (2020). Can parity influence infant feeding in the first six months of life? Ciencia e Saude Coletiva, 25(11), 4593–4600. https://doi.org/10.1590/1413-812320202511.01432019

Nguyen, N. T., Prasopkittikun, T., Payakkaraung, S., & Vongsirimas, N. (2022). Factors predicting six-month exclusive breastfeeding among mothers in Ho Chi Minh City, Vietnam. Journal of Health Research, 36(2), 219–230. https://doi.org/10.1108/JHR-03-2020-0080

Nisa, Z. H. (2023). Faktor-Faktor Yang Berhubungan Dengan Ketidakberhasilan Dalam Pemberian Asi Eksklusif Pada Ibu Yang Memiliki Bayi Usia 0-6 Bulan Di Klinik Pratama Spn Polda Metro Jaya Periode 06 Juni 06 – 06 Juli 2022. Jurnal Ilmiah Kesehatan BPI, 7(1), 50–59. https://doi.org/10.58813/stikesbpi.v7i1.123

Nkoka, O., Ntenda, P. A. M., Kanje, V., Milanzi, E. B., & Arora, A. (2019). Determinants of timely initiation of breast milk and exclusive breastfeeding in Malawi: A population-based cross-sectional study. International Breastfeeding Journal, 14(1), 1–9. https://doi.org/10.1186/s13006-019-0232-y

Novira, D. (2019). Local Genius of Engganese Community in Bengkulu Province (An Etnographic Study of Health and Illness Perception). Research on Humanities and Social Sciences, 9(4), 41–48. https://doi.org/10.7176/RHSS/9-4-05

Novira, D. (2020). The Exploration of Local Knowledge on Ethnomedicine in Traditional Healing Practices at Enggano Island Bengkulu Province. Research on Humanities and Social Sciences, 10(24), 95–102. https://doi.org/10.7176/RHSS/10-24-12

Otsuka, K., Taguri, M., Dennis, C.-L., Wakutani, K., Awano, M., Yamaguchi, T., & Jimba, M. (2014). Effectiveness of a Breastfeeding Self-efficacy Intervention: Do Hospital Practices Make a Difference? Maternal and Child Health Journal, 18(1), 296–306. https://doi.org/10.1007/s10995-013-1265-2

Piro, S. S., & Ahmed, H. M. (2020). Impacts of antenatal nursing interventions on mothers’ breastfeeding self-efficacy: an experimental study. BMC Pregnancy and Childbirth, 20(1), 19. https://doi.org/10.1186/s12884-019-2701-0

Prastyoningsih, A., Rohmantika, D., Pratiwi, E. N., Maharani, A., & Rohmah, A. N. (2021). The Effect of Education Breastfeeding to Breastfeeding Self Efficacy in Central Java Indonesia. PLACENTUM: Jurnal Ilmiah Kesehatan Dan Aplikasinya, 9(3), 1. https://doi.org/10.20961/placentum.v9i3.54967

Putri, G. N., Winarni, S., & Dharmawan, Y. (2017). Gambaran Umur Wus Muda Dan Faktor Risiko Kehamilan Terhadap Komplikasi Persalinan Atau Nifas Di Kecamatan Bandungan Kabupaten Semarang (Vol. 5). http://ejournal-s1.undip.ac.id/index.php/jkm

Ratzon, R., Cohen, A., Hadar, A., Froimovici, M., & Bilenko, N. (2022). Impact of Group vs. Individual Prenatal Care Provision on Women’s Knowledge of Pregnancy-Related Topics: An Open, Controlled, Semi-Randomized Community Trial. Journal of Clinical Medicine, 11(17). https://doi.org/10.3390/jcm11175015

Suartiningsih, S. A. K., Astiti, N. K. E., Ningtyas, L. A. W., Sriasih, N. G. K., & Wirata, I. N. (2023). The relationship between breastfeeding contact with breastfeeding self-efficacy in Wangaya Hospital Denpasar City. JNKI (Jurnal Ners Dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery), 10(4), 285. https://doi.org/10.21927/jnki.2022.10(4).285-291

Swift, E. M., Zoega, H., Stoll, K., Avery, M., & Gottfreðsdóttir, H. (2021). Enhanced Antenatal Care: Combining one-to-one and group Antenatal Care models to increase childbirth education and address childbirth fear. Women and Birth, 34(4), 381–388. https://doi.org/10.1016/j.wombi.2020.06.008

Topothai, C., Topothai, T., Suphanchaimat, R., Waleewong, O., Putthasri, W., Patcharanarumol, W., & Tangcharoensathien, V. (2022). Exclusive Breastfeeding Experiences of Thai Mothers in Metropolitan Bangkok. International Journal of Women’s Health, Volume 14(February), 155–166. https://doi.org/10.2147/IJWH.S344389

Topuz, Ş., Duman, N. B., Uysal, G. K., & Öcalan, D. (2021). Breastfeeding self-efficacy and related factors during early postpartum period. Universa Medicina, 40(3), 216–225. https://doi.org/10.18051/univmed.2021.v40.216-225

WHO. (2017). The international code of marketing of breast - milk substitutes. https://www.who.int/publications/i/item/9241541601

Wulandari, H., Nurmiaty, N., Aisa, S., & Halijah, H. (2022). Pemberdayaan Remaja dan Orangtua tentang Pendewasaan Usia Perkawinan dan Dampak Perkawinan Usia Dini di Kelurahan Bungkutoko, Kecamatan Abeli, Kota Kendari. Jurnal Inovasi, Pemberdayaan Dan Pengabdian Masyarakat, 2(1), 30–37. https://doi.org/10.36990/jippm.v2i1.493

Yorita, E., Dahrizal, D., Sahidan, S., Gustina, M., Wahyudi, A., Muslim, Z., & Ardiansyah, S. (2023). Upaya Pencegahan Stunting melalui Pengolahan Makanan Berbasis Ikan pada Balita di Pulau Enggano, Kabupaten Bengkulu Utara. Poltekita: Jurnal Pengabdian Masyarakat, 4(1), 132–139. https://doi.org/10.33860/pjpm.v4i1.1445

Yorita, E., Dahrizal, Sahidan, Gustina, M., & Yulinda. (2023). Modification of The Headman Role on Increasing Knowledge and Attitudes About Breastfeeding and Complementary Food in A Remote Island. Media Gizi Indonesia, 18(1SP), 55–60. https://doi.org/10.20473/mgi.v18i1SP.55-60




DOI: http://dx.doi.org/10.30829/contagion.v5i4.18015

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Epti Yorita, Sri Yanniarti, Yulinda Yulinda, Rina Rina, Rialike Burhan

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 
Contagion: Scientific Periodical Journal of Public Health and Coastal Health by Program Studi Ilmu Kesehatan Masyarakat is licensed under Creative Commons Attribution-ShareAlike 4.0 International License.