Comparison of booklet educational media effectiveness toward exclusive breastfeeding adherence

Nur Rahmawati Sholihah

Abstract


Background: Exclusive breastfeeding provides infants with breast milk and no additional food, water, or other liquids (except medicines and vitamins, if necessary) for the first 6 months of life. Current practice of exclusive breastfeeding in Indonesia among infants aged 4-5 months is 27%, while between age 5-6 months is 3.4%. The main contributing factors of the poor adherence to exclusive breastfeeding is the lack of knowledge, which affects behavior and motivation. Producing inclusive, appropriate, and acceptable media is essential to manage this issue.

Objectives: The current study aimed to compare the effectiveness between application and booklet as educational media toward mother's adherence in exclusive breastfeeding.

Methods: A quasi experimental study with pre-post test with control group design carried out. The research subjects were mothers with infants aged 4-6 months in the adminstrative area of the Gamping II Public Health Center, Sleman Regency and consist of 3 villages; Banyuraden (8 hamlet), Nogotirto (8 hamlet), Trihanggo (12 hamlet)  Sample determined with purposive sampling, while recruitment performed by simple random sampling. The number of samples in the control and intervention grups were 32 respondents, and total sample is 64. Exclusive breastfeeding adherence was evaluated by knowledge, and attitudes questionnaire, validated with breastfeeding record within 24 hours. Comparative analysis was performed with Mann Whitney and Mc Nemar test.

Results: p value yielded from pretest and posttest in the intervention group p=0.109. It was inferred that there was no significant difference of breastfeeding adherence in association with the intervention. The control group p value was p=0.039 indicating significant difference of adherence in breastfeeding practice.

Conclusions: Booklet improves adherence to exclusive breastfeeding due to the depth of materials, familiar for the intended audience, practical, easy for content distribution, visually captive, attractive and easy to use. In-app educational media could increase knowledge and attitudes in particular to exclusive breastfeeding

Keywords


adherence; application; booklet; educational media

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References


WHO & UNICEF. Indicators for assessing infant and young child feeding practices. World Heal Organ. 2008;(November).

World Health Organization, UNICEF. WHO | Global strategy for infant and young child feeding. Who. 2017;53(3).

Nyakake L, Ssenyondo M, Murungi S, Ainomugisha P, Ahumuza G. Improving awareness about exclusive breast feeding among mothers attending post-natal clinics in health centers of Kampala City, Uganda. Ann Nutr Metab. 2017;71.

Dinas Kesehatan Derah Istimewa Yogyakarta. Profil Kesehatan Daerah Istimewa Yogyakarta Tahun 2013. 2013. 2013;

A. M. Behaviour change communication using mobile phones: Implications for infant and young child feeding interventions. FASEB J. 2017;31(1 Supplement 1).

Sartika R, Noer ER. Faktor-Faktor Yang Mempengaruhi Kkeberhasilan Relaktasi (Studi Kualitatif di Rumah Sakit ST. Elisabet Semarang). J Nutr Coll. 2013;2(1).

Sari DUP, Wahyuni E, Yorita E. Faktor-faktor yang Mempengaruhi Kegagalan Pemberian ASI Ekslusif. Progr Stud Kebidanan, Politek Kesehat Kemenkes Bengkulu, Benkulu. 2021;

Lumbigannon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database of Systematic Reviews. 2007.

Hartati S, Hakim N. A New Exclusive Breastfeeding Booklet to Improve Self-Efficacy. KnE Life Sci. 2021;

Puspitasari I, Indrianingrum I. Kefektifan Aplikasi M-HEALTH Sebagai Media Promosi Kesehatan Dalam Upaya Peningkatan Pengetahuan, Sikap, Perilaku Pencegahan Tanda Bahaya Kehamilan. J Ilmu Keperawatan dan Kebidanan. 2021;12(1).

Assriyah H, Indriasari R, Hidayanti H, Thaha AR, Jafar N. Hubungan Pengetahuan, Sikap, Umur, Pendidikan, Pekerjaan, Psikologi Dan Inisiasi Menyusui Dini Dengan Pemberian ASI Eksklusif Di Puskesmas Sudiang. J Gizi Masy Indones J Indones Community Nutr. 2020;9(1).

Angkut C. Pendidikan Ibu Berhubungan Dengan Pemberian ASI Eksklusif. J Kebidanan Malahayati. 2020;6(3).

Friska Armynia Subratha H. Determinan Kegagalan Pemberian ASI Eksklusif Pada Ibu Rumah Tangga Di Kecamatan Marga. J Med USADA. 2020;3(1).

Hidayah W, Anasari T. Hubungan Kepatuhan Ibu Hamil Mengkonsumsi Tablet Fe Dengan Kejadian Anemia di Desa Pageraji Kecamatan Cilongok Kabupaten Banyumas. J Ilm Kebidanan. 2012;3(2).

Rosuzeita F, Che Rabiaah M, Rohani I, Mohd Shukri O. The effectiveness of breastfeeding intervention on breastfeeding exclusivity and duration among primiparous mothers in hospital Universiti Sains Malaysia. Malaysian J Med Sci. 2018;25(1).

Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Vol. 2016, Cochrane Database of Systematic Reviews. 2016.

Valencia de Oro AL, Miguel Ramirez J, Gomez D, Thomson P. An Interactive Aplication for Education in Structural Dynamics. Dyna-Colombia. 2011;78(165).




DOI: http://dx.doi.org/10.21927/jnki.2023.11(2).157-166

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