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Successful exclusive breastfeeding through ‘‘Kiper Si Gizi’’ to mothers since pregnancy

1Department of Nutrition, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Central Java, Indonesia

2Nutrition Program, Puskesmas Dempet, Demak, Central Java, Indonesia

Received: 23 Apr 2025; Revised: 10 Jun 2025; Accepted: 3 Jul 2025; Available online: 30 Dec 2025; Published: 30 Dec 2025.

Citation Format:
Abstract

ABSTRACT

Background: One of the important intakes given to infants is exclusive breastfeeding. Training mothers to be ready to breastfeed is done since they are pregnant. Website media makes it easier for mothers to access information online.

Objective: To increase the success of exclusive breastfeeding through website-based nutrition education ‘Kiper Si Gizi’ (Kelompok Ibu Peduli ASI dan Gizi) for mothers since pregnancy.

Methods: Quasi-experimental design with two-group pre- and post-test control group design and two-group post-test only control group design. The subjects were 30 pregnant women in trimester 3 at Puskesmas Dempet, Demak Regency, who received ‘Kiper Si Gizi’ education and 30 mothers at Puskesmas Wedung II, Demak Regency, who received Maternal and Child Health (MCH) book education. Statistical tests to determine differences in knowledge, attitudes and differences in breastfeeding practices used Independent sample T-test. Chi Square test to test the difference in exclusive breastfeeding success between the two groups.

Results: The average change in knowledge of pregnant women after being given education using website media (25%) was more effective (p=0.007) than using MCH book media (16.33%). The average change in the attitude of pregnant women after being given education using website media (Δ=10.20) is more effective (p=0.025) than using MCH book media (Δ=7.4). The breastfeeding practice score of mothers after being educated using the website media (score=9.6) was more effective (p= 0.017) than using the  MCH book media (score=8.5). Mothers who breastfeed exclusively in the website group are more (83.3%) and different (p= 0.001) than the  MCH book group (40.7%).

Conclusion: Education with ‘Kiper Si Gizi’ can improve knowledge, attitudes, breastfeeding practices and more exclusive breastfeeding better than the  MCH book.

Keywords : Exclusive breastfeeding; MCH book; ‘Kiper Si Gizi’; website

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Successful Exclusive Breastfeeding Through ‘Kiper Si Gizi’ To Mothers Since Pregnancy
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Keywords: Exclusive breastfeeding; MCH book; ‘Kiper Si Gizi’; website

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  1. WHO. 2023. SDG Target 3.2 | Newborn and child mortality: By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality and under 5 mortality.[Internet]. Available from: https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/sdg-target-3.2-newborn-and-child-mortality
  2. Presiden RI. Peraturan Presiden RI. No. 111 Tahun 2022. Kementerian Sekretariat Negara RI. 2022;(124956):1–11
  3. Biro Pusat Statistik. Angka Kematian Bayi_AKB (Infant Mortality Rate_IMR) Hasil Long Form SP2020 Menurut Provinsi_Kabupaten_Kota, 2020 [Internet]. 2023. Available from: https://www.bps.go.id/id/statistics-table/1/MjIyMCMx/angka-kematian-bayi-akb--infant-mortality-rate-imr--hasil-long-form-sp2020-menurut-provinsi-kabupaten-kota--2020.html
  4. Kementrian Kesehatan RI. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2022. 2022;
  5. Indonesia PK. Profil Kesehatan Indonesia Tahun 2019. Vol. 58, Antimicrobial Agents and Chemotherapy. Jakarta: Kementerian Kesehatan RI; 2019. 7250–7257 p
  6. WHO. 2023. Infant and young child feeding [Internet]. Available from: https://www.who.int/news-room/fact- sheets/detail/infant-and-young-child-feeding
  7. Monika F. Buku Pintar ASI Dan Menyusui. 1st ed. Jakarta: PT. Misan Publika.; 2018
  8. BPS Provinsi Jawa Tengah. Jumlah Bayi Lahir, Bayi Berat Badan Lahir Rendah (BBLR), dan Bergizi Kurang [Internet]. 2023. Available from: https://demakkab.bps.go.id/indicator/30/331/1/jumlah-bayi-lahir-bayi-berat-badan-lahir-rendah-bblr-dan-bayi-bergizi-buruk.html
  9. Dinas Kesehatan Kabupaten Demak. Profil Kesehatan Kabupaten Demak 2022. 2022
  10. Astutik RY. Payudara Dan Laktasi. Jakarta: Salemba Medika; 2017
  11. Brown A, Davies R. Fathers’ experiences of supporting breastfeeding: Challenges for breastfeeding promotion and education. Matern Child Nutr. 2014;10(4):510–26. doi: 10.1111/mcn.12129
  12. Seyyedi N, Rahmatnezhad L, Mesgarzadeh M, Khalkhali H, Seyyedi N, Rahimi B. Effectiveness of a smartphone-based educational intervention to improve breastfeeding. Int Breastfeed J [Internet]. 2021;16(1):70. Available from: https://doi.org/10.1186/s13006-021-00417-w
  13. Permana AY, Romadlon P. Perancangan Sistem Informasi Penjualan Perumahan Mengunakan Metode SDLC Pada Pt. Mandiri Land Prosperous Berbasis Mobile. SIGMA. 2019;10(2)
  14. WHO Guideline. Food and Nutrition Bulletin. 2019
  15. Shofy MNA, Pujiastuti W, Maryani S. Efektivitas Aplikasi Berbasis Website “Rumah Asi” Terhadap Pengetahuan Dan Sikap Dalam Pemberian Asi Eksklusif. Poltekkes Semarang. 2019
  16. Almohanna AA, Win KT, Meedya S. Effectiveness of Internet-Based Electronic Technology Interventions on Breastfeeding Outcomes: Systematic Review. J Med Internet Res. 2020 May;22(5):e17361. doi: 10.2196/17361
  17. Hapsari SP S, Madjid IJ. Mentoring with ebooklet on duration of exclusive breasfeeding. J Divers Learn [Internet]. 2022 Aug [cited 2025May30];2(2):248–55. Available from: https://journalofdiversity.com/index.php/jdil/article/download/61/51
  18. Ketut SI. Metodologi Penelitian Kesehatan. Terbaru. Jakarta: Penerbit Andi; 2023
  19. Putri SHS. Buku Statistik Gizi dan Pangan. Malang: LPMM WCH; 2018
  20. Kementrian Kesehatan Republik Indonesia. Pedoman Pelayanan Kontrasepsi dan Keluarga Berencana. Direktorat Kesehatan Keluarga, editor. Jakarta; 2020
  21. Idayanti T, Herlina, Dewi VNL, Sari AS, Suhaid DN, Sulistiani RP, et al. Pentingnya Asi Eksklusif dan MP-ASI di Masa Pertumbuhan Golden Period. Bandung: Media Sains Indonesia; 2023
  22. Wawan A, Dewi. Teori Dan Pengukuran : Pengetahuan, Sikap, Dan Perilaku Manusia. Yogyakarta: Nuha Medika; 2019
  23. Aswitami NGAP. Efektivitas Edukasi ASI Eksklusif Terhadap Pengetahuan dan Pemberian ASI Eksklusif Pada Ibu Nifas. J Cent Res Publ Midwifery Nurs. 2019;3(2):40–5. doi.org/10.36474/caring.v3i2.132
  24. Kehinde J, O’Donnell C, Grealish A. The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery. 2023 Mar;118:103579. doi: 10.1016/j.midw.2022.103579
  25. Notoatmodjo S. Promosi Kesehatan Dan Perilaku Kesehatan. Jakarta: Rineka Cipta; 2014
  26. Siska F, Arni NK, Rahmawati R, Novianti D, Mardiyah Y, Aprindhiya B, et al. Personality Development. Jakarta: Publica Indonesia Utama; 2024
  27. Pristina, N., Katimenta, K.Y. and Vansky, S.A. 2024. Hubungan Pengetahuan dengan Sikap Ibu Hamil dalam Mempersiapkan Diri Memberikan ASI Eksklusif. Jurnal Penelitian Perawat Profesional. 6, 6 (Dec. 2024), 3039-3046. DOI: https://doi.org/10.37287/jppp.v6i6.4750
  28. M R, Shabadi N, Kulkarni P, Sunil Kumar D, Anup G, Narayana Murthy MR. Effectiveness of educational intervention on breastfeeding among primi pregnant women- a longitudinal study. Clin Epidemiol Glob Heal [Internet]. 2020;8(4):1306–11. Available from: https://doi.org/10.1016/j.cegh.2020.05.002
  29. Pakpahan AF et al. Pengembangan Media Pembelajaran. Abdul Kari. Medan: Yayasan Kita Menulis; 2020
  30. Aplikasi Sik-Asiek terhadap Pengetahuan dan Sikap tentang ASI Eksklusif Pratiwi Juhanida Lestari P, Agushybana F, Achadi Nugraheni S, Juhanida Lestari P, Promosi Kesehatan Universitas Diponegoro M, ProfHSoedarto J, et al. The effect of sik-ASIek applications on knowledge and attitude for exclusive breastfeeding. Media Ilmu Kesehat. 2019;8(2):108–15
  31. https://doi.org/10.30989/mik.v8i2.295
  32. Ziebart M, Kammermeier M, Koletzko B, Patro-Golab B. Mobile applications for promoting and supporting breastfeeding: Systematic review and meta-analysis. Matern Child Nutr. 2025 Jan;21(1):e13733. doi: 10.1111/mcn.13733.Epub2024Oct11.PMID:39390945;PMCID

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