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Effectiveness of Breastfeeding Counseling Training to Improve Knowledge, Attitude, and Skill of Support Groups

*Gita Sekar Prihanti orcid scopus  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Dwi Wilyani  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Alifah Hasna  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Alberta Rohadatul 'Aisy  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Bagus Putra Kurniawan  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Dita Sulung Saputri  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Maharani Tontowi  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Meuthia Quin Lathiefa Geraldine Elfahmi  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Umi Arof Arum Mufida  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Wellystianti Panca Ningrum Aprilia Musa  -  Department of Medical Education, Faculty of Medicine, University of Muhammadiyah Malang, Indonesia
Open Access Copyright (c) 2024 Jurnal Promosi Kesehatan Indonesia

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Abstract

Background: WHO and UNICEF advocate exclusive breastfeeding for the first six months of baby’s life and continue with complementary foods for up to two years, supporting the 2030 SDGs target for optimal health during the first 1000 days. The success of exclusive breastfeeding is still limited in some areas; therefore, it is necessary to establish breastfeeding support groups. Effective breastfeeding also requires educational interventions that change attitudes, knowledge, and skills in breastfeeding support groups. This study aims to determine the effect of breastfeeding counseling training on the knowledge, attitude, and skills of breastfeeding support groups.

Method: The study was conducted in three villages in the work area of the Pesantren (Islamic Boarding House) II Public Health Center Kediri: Jamsaren, Tosaren, and Pakunden villages. The study was administered from January to February 2020.  The sample was taken with Purposive Sampling, and the number of samples was 60, varying from pregnant women, nursing mothers, husband/family, cadres, and midwives. This study used a quasi-experiment with one group pre-test-post-test design where all respondents did a pre-test, got lactation counseling training, and then took a post-test. The questionnaire evaluated knowledge, attitudes, and skills, and assessed by modifying lactation counseling training observation sheets from WHO.

Result: This study exercised a quasi-experimental model with one group pre-test-post-test design. Data were analyzed univariately, while comparative testing was carried out bivariate using the Wilcoxon test, and the Mann-Whitney. Wilcoxon's analysis showed that breastfeeding counseling training had an influence on the knowledge (p=0.000), attitudes (p=0.001), and skills (p=0,000) of the breastfeeding support group. Breastfeeding counseling training is effective in increasing knowledge, attitudes, and skills. It was expected that the Health Department and Public Health Center implement it regularly with wider coverage and automatically create a new breastfeeding support group.

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THE EFFECTIVENESS OF BREASTFEEDING COUNSELING TRAINING TO IMPROVE KNOWLEDGE, ATTITUDE, AND SKILLS OF BREASTFEEDING SUPPORT GROUP
Subject exclusive breastfeeding, exclusive breastfeeding training, breastfeeding support group.
Type ethical clearance
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Keywords: exclusive breastfeeding; breastfeeding training; breastfeeding support group

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  1. WHO. Breastfeeding. WHO. 2015. Available from: https://www.who.int/news-room/questions-and-answers/item/breastfeeding
  2. Bappenas RI. Roadmap of SDGs Indonesia: a Highlight Ministry of National Development Planning/ National Development Planning Agency. 2021. Available from: https://sdgs.bappenas.go.id/website/wp-content/uploads/2021/02/Roadmap_Bahasa-Indonesia_File-Upload.pdf
  3. Kementrian Kesehatan RI. Profil Kesehatan Indonesia 2018. Kementrian Kesehatan RI. 2019; Available from: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwieuoOg17qDAxUL7jgGHV7mCtkQFnoECAoQAQ&url=https%3A%2F%2Fwww.kemkes.go.id%2Fapp_asset%2Ffile_content_download%2Fprofil-kesehatan-indonesia-2018.pdf%3Futm_medium%3Demail%26utm_source%3Dtransaction&usg=AOvVaw0qpMyA3BSB0FkAOaz5wW-f&opi=89978449
  4. Dinas Kesehatan Kota Kediri. Penilaian Kinerja Puskesmas. Kediri; 2018
  5. Gupta A, Suri S, Dadhich JP, Trejos M, Nalubanga B. The World Breastfeeding Trends Initiative: Implementing the Global Strategy for Infant and Young Child Feeding in 84 countries. J Public Health Policy. 2019 Mar 6;40(1):35–65. Available from: https://doi.org/10.1057/s41271-018-0153-9
  6. Yuniyanti B, Rofi’ah S, Rubiyanti. Efektivitas Kelompok Pendukung Asi (Kp-Asi) Eksklusif Terhadap Perilaku Pemberian Asi Eksklusif. Jurnal Ilmiah Bidan. 2017;2(1):48–54. Available from: https://doi.org/10.1186/s13006-019-0235-8
  7. Habib H. Impact of An Educational Intervention of 40 Hours Training of Breast Feeding Promoting on The Knowledge and Attitude of A Sample of Health Professional Staff: A Study of A Pre And Post Evaluation. European Journal of Biology and Medical Science Research. 2016;4(4):32–56. Available from: www.eajournals.org
  8. McCoy MB, Geppert J, Dech L, Richardson M. Associations Between Peer Counseling and Breastfeeding Initiation and Duration: An Analysis of Minnesota Participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Matern Child Health J. 2018 Jan 1;22(1):71–81. Available from: https://doi.org/10.1007/s10995-017-2356-2
  9. Alberdi G, O’Sullivan EJ, Scully H, Kelly N, Kincaid R, Murtagh R, et al. A feasibility study of a multidimensional breastfeeding-support intervention in Ireland. Midwifery. 2018 Mar 1;58:86–92. Available from: https://doi.org/10.1016/j.midw.2017.12.018
  10. Shakya P, Kunieda MK, Koyama M, Rai SS, Miyaguchi M, Dhakal S, et al. Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis. PLoS One. 2017 May 1;12(5). Available from: https://doi.org/10.1371/journal.pone.0177434
  11. Kitiyo P, Kimiywe J, Ogada I. Exclusive Breastfeeding Knowledge And Attitudes Among Mothers In Mother-To-Mother Support Groups In Kitui County, Kenya. Vol. 10, International Journal of Health Sciences and Research (www.ijhsr.org). 2020. Available from: www.ijhsr.org
  12. Cascone D, Tomassoni D, Napolitano F, Di Giuseppe G. Evaluation of knowledge, attitudes, and practices about exclusive breastfeeding among women in Italy. Int J Environ Res Public Health. 2019 Jun 2;16(12). Available from: https://doi.org/10.3390/ijerph16122118
  13. Nehring-Gugulska M, Nehring P, Królak-Olejnik B. Breastfeeding knowledge among Polish healthcare practitioners supporting breastfeeding mothers. Nurse Educ Pract. 2015 Sep 1;15(5):381–6. Available from: https://doi.org/10.1016/j.nepr.2015.03.011
  14. Soelistyorini D, Razak M, Poltekkes RN, Malang K, Besar J, No I, et al. Hubungan Pelatihan Konseling Menyusui terhadap Tingkat Pengetahuan bagi Kader di Puskesmas Kendalsari Kota Malang. Jurnal Idaman. 2017;1(1):1–4. Available from: https://ojs.poltekkes-malang.ac.id/index.php/idaman/article/view/174/61
  15. Sekar Prihanti G, Yasirto Fujaya M, Djauhari T, Hermayanti D, Pengajar Fakultas Kedokteran Universitas Muhammadiyah Malang S. Peningkatan Ketrampilan Kader Posyandu Dalam Konseling Laktasi Sebagai Upaya Menggalakkan Asi Eksklusif. Jurnal Berkala Ilmiah Kedokteran dan Kesehatan. 2015;1(2). Available from: https://jurnal.unimus.ac.id/index.php/APKKM/article/view/1926/1966
  16. Hashim TH, Mgongo M, Katanga J, Uriyo JG, Damian DJ, Stray-Pedersen B, et al. Predictors of appropriate breastfeeding knowledge among pregnant women in Moshi Urban, Tanzania: A cross-sectional study. Int Breastfeed J. 2017 Feb 14;12(1). Available from: https://doi.org/10.1186/s13006-017-0102-4
  17. Panstw Zakl R, Hamułka J, Zielińska MA, Sobczak A. Breastfeeding Knowledge And Exclusive Breastfeeding of Infants in First Six Months of Life. Hig. 2017;68(1):51–9. Available from: http://wydawnictwa.pzh.gov.pl/roczniki_pzh/
  18. Ihudiebube-Splendor CN, Okafor CB, Anarado AN, Jisieike-Onuigbo NN, Chinweuba AU, Nwaneri AC, et al. Exclusive Breastfeeding Knowledge, Intention to Practice and Predictors among Primiparous Women in Enugu South-East, Nigeria. J Pregnancy. 2019;2019. Available from: https://doi.org/10.1155/2019/9832075
  19. Ke J, Ouyang YQ, Redding SR. Family-Centered Breastfeeding Education to Promote Primiparas’ Exclusive Breastfeeding in China. Journal of Human Lactation. 2018 May 1;34(2):365–78. Available from: https://doi.org/10.1177/0890334417737293
  20. Yılmaz M, Aykut M. The effect of breastfeeding training on exclusive breastfeeding: a randomized controlled trial. Journal of Maternal-Fetal and Neonatal Medicine. 2021;34(6):925–32. Available from: https://doi.org/10.1080/14767058.2019.1622672
  21. Thomas S, Mohanty N, Dasila PK, Hospital M, Mumbai Corresponding Author N. Effect of Antenatal Lactation Counselling on Knowledge and Breastfeeding Practices among Mothers. International Journal of Health Sciences & Research (www.ijhsr.org). 2018;8:138. Available from: www.ijhsr.org
  22. Patel S, Patel S. The Effectiveness of Lactation Consultants and Lactation Counselors on Breastfeeding Outcomes. Journal of Human Lactation. 2016 Aug 1;32(3):530–41. Available from: https://doi.org/10.1177/0890334415618668
  23. Mogre V, Dery M, Gaa PK. Knowledge, attitudes and determinants of exclusive breastfeeding practice among Ghanaian rural lactating mothers. Int Breastfeed J. 2016 May 17;11(1). Available from: https://doi.org/10.1186/s13006-016-0071-z
  24. Aldana-Parra F, Olaya G, Fewtrell M. Effectiveness of a new approach for exclusive breastfeeding counselling on breastfeeding prevalence, infant growth velocity and postpartum weight loss in overweight or obese women: Protocol for a randomized controlled trial. Int Breastfeed J. 2020 Jan 6;15(1). Available from: https://doi.org/10.1186/s13006-019-0249-2
  25. Choudhary R, Meena C, Gothwal S, Sitaraman S, Sharma S, Verma DR. Effect of lactation counselling on breastfeeding: randomized control trial. Int J Contemp Pediatrics. 2017 Aug 23;4(5):1610. Available from: https://doi.org/10.18203/2349-3291.ijcp20173187
  26. McFadden A, Siebelt L, Marshall JL, Gavine A, Girard LC, Symon A, et al. Counselling interventions to enable women to initiate and continue breastfeeding: A systematic review and meta-analysis. Vol. 14, International Breastfeeding Journal. BioMed Central Ltd.; 2019. Available from: https://doi.org/10.1186/s13006-019-0235-8
  27. Sinha B, Chowdhury R, Sankar MJ, Martines J, Taneja S, Mazumder S, et al. Interventions to improve breastfeeding outcomes: A systematic review and meta-analysis. Vol. 104, Acta Paediatrica, International Journal of Paediatrics. 2015. p. 114–35. Available from: https://doi.org/10.1111/apa.13127
  28. Huang Y, Ouyang YQ, Redding SR. Previous breastfeeding experience and its influence on breastfeeding outcomes in subsequent births: A systematic review. Vol. 32, Women and Birth. Elsevier B.V.; 2019. p. 303–9. Available from: https://doi.org/10.1016/j.wombi.2018.09.003
  29. Laugen CM, Islam N, Janssen PA. Social Support and Exclusive Breast feeding among Canadian Women. Paediatr Perinat Epidemiol. 2016 Sep 1;30(5):430–8. Available from: https://doi.org/10.1111/ppe.12303
  30. Pérez-Escamilla R, Buccini GS, Segura-Pérez S, Piwoz E. Perspective: Should Exclusive Breastfeeding Still Be Recommended for 6 Months?. Vol. 10, Advances in Nutrition. Oxford University Press; 2019. p. 931–43. Available from: https://doi.org/10.1093/advances/nmz039
  31. Hansen E, Tesch L, Ayton J. ’They’re born to get breastfed’- how fathers view breastfeeding: A mixed method study. BMC Pregnancy Childbirth. 2018 Jun 18;18(1). Available from: https://doi.org/10.1186/s12884-018-1827-9
  32. Heidari Z, Keshvari M, Kohan S. Clinical Trial to Comparison the Effect of Family-centered Educational-supportive Program on Mothers’ Empowerment in Breast-feeding. Vol. 4, Int J Pediatr. 2016. Available from: https://doi.org/10.22038/ijp.2016.6556
  33. Burgio MA, Laganà AS, Porta RP, Porpora MG. Breastfeeding Education: Where Are We Going? A Systematic Review Article Article in Iranian Journal of Public Health. 2016. Available from: http://ijph.tums.ac.ir
  34. Bich TH, Long TK, Hoa DP. Community-based father education intervention on breastfeeding practice—Results of a quasi-experimental study. Matern Child Nutr. 2019 Jan 1;15. Available from: https://doi.org/10.1111/mcn.12705
  35. Burcu Yurtsal Z, Kocoglu G. The effects of antenatal parental breastfeeding education and counseling on the duration of breastfeeding, and maternal and paternal attachment. Integr Food Nutr Metab. 2016;2(4). Available from: https://doi.org/10.15761/ifnm.1000134
  36. Davidson EL, Ollerton RL. Partner behaviours improving breastfeeding outcomes: An integrative review. Vol. 33, Women and Birth. Elsevier B.V.; 2020. p. e15–23. Available from: https://doi.org/10.1016/j.wombi.2019.05.010
  37. Abu-Abbas MW, Kassab MI, Shelash KI. Fathers and Breastfeeding Process: Determining Their Role And Attitudes. European Scientific Journal, ESJ. 2016 Jun 29;12(18):327. Available from: https://doi.org/10.19044/esj.2016.v12n18p327
  38. Hanafi MI, Shalaby SAH, Falatah N, El-Ammari H. Impact of health education on knowledge of, attitude to and practice of breastfeeding among women attending primary health care centres in Almadinah Almunawwarah, Kingdom of Saudi Arabia: Controlled pre-post study. J Taibah Univ Med Sci. 2014 Sep 1;9(3):187–93. Available from: https://doi.org/10.1016/j.jtumed.2013.11.011
  39. Mohan RM. Impact of Lactation Counseling to Mothers on. Breast Feeding Practices IAIM. 2019;6(2):13–22. Available from: http://iaimjournal.com/
  40. Lee YH, Chang GL, Chang HY. Effects of education and support groups organized by IBCLCs in early postpartum on breastfeeding. Midwifery. 2019 Aug 1;75:5–11. Available from: https://doi.org/10.1016/j.midw.2019.03.023
  41. Negin J, Coffman J, Vizintin P, Raynes-Greenow C. The influence of grandmothers on breastfeeding rates: A systematic review. BMC Pregnancy Childbirth. 2016 Apr 27;16(1). Available from: https://doi.org/10.1186/s12884-016-0880-5
  42. Yuistika Handayani D, Dwi Aprilina H. Pemberdayaan kader posyandu dalam program asi eksklusif di desa Pamijen, Sokaraja, Banyumas. MEDISAINS: Jurnal Ilmiah Ilmu-ilmu Kesehatan. 2015;13(1). Available from: https://doi.org/10.30595/MEDISAINS.V13I1.1819
  43. Sadovnikova A, Chuisano SA, Ma K, Grabowski A, Stanley KP, Mitchell KB, et al. Development and evaluation of a high-fidelity lactation simulation model for health professional breastfeeding education. Vol. 15, International Breastfeeding Journal. BioMed Central Ltd.; 2020. Available from: https://doi.org/10.1186/s13006-020-0254-5
  44. Alianmoghaddam N, Phibbs S, Benn C. Resistance to breastfeeding: A Foucauldian analysis of breastfeeding support from health professionals. Women and Birth. 2017 Dec 1;30(6):e281–91. Available from: https://doi.org/10.1016/j.wombi.2017.05.005
  45. Ambarwati R, Muis SF, Susantini P. Pengaruh konseling laktasi intensif terhadap pemberian air susu ibu (ASI) eksklusif sampai 3 bulan. Jurnal Gizi Indonesia. 2013;2(1):15–23. Available from: https://doi.org/10.14710/jgi.2.1
  46. de Jesus PC, de Oliveira MIC, Fonseca SC. Repercussão da capacitação de profissionais de saúde em aleitamento materno sobre seus conhecimentos, habilidades e práticas hospitalares: uma revisão sistemática. J Pediatr (Rio J). 2016 Sep 1;92(5):436–50. Available from: https://doi.org/10.1016/j.jped.2015.09.008
  47. Alnasser Y, Almasoud N, Aljohni D, Almisned R, Alsuwaine B, Alohali R, et al. Impact of attitude and knowledge on intention to breastfeed: Can mHealth based education influence decision to breastfeed exclusively? Annals of Medicine and Surgery. 2018 Nov 1;35:6–12. Available from: https://doi.org/10.1016/j.amsu.2018.09.007
  48. Nilsson IMS, Strandberg-Larsen K, Knight CH, Hansen AV, Kronborg H. Focused breastfeeding counseling improves short- and long-term success in an early-discharge setting: A cluster-randomized study. Matern Child Nutr. 2017 Oct 1;13(4). Available from: https://doi.org/10.1111/mcn.12432
  49. Wouk K, Chetwynd E, Vitaglione T, Sullivan C. Improving Access to Medical Lactation Support and Counseling: Building the Case for Medicaid Reimbursement. Matern Child Health J. 2017 Apr 1;21(4):836–44. Available from: https://doi.org/10.1007/s10995-016-2175-x
  50. Parashar M, Singh S, Kishore J, Patavegar BN. Breastfeeding Attachment and Positioning Technique, Practices, and Knowledge of Related Issues Among Mothers in a Resettlement Colony of Delhi. Infant Child Adolesc Nutr. 2015 Dec 1;7(6):317–22. Available from: https://doi.org/10.1177/1941406415602528

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