DOI: https://doi.org/10.14710/jpki.21.2.116%20-%20129

The Effectiveness of Education Models to Increase Exclusive Breastfeeding Practices: A Scoping Review

*Murti Ani  -  Faculty of Medicine Universitas Diponegoro, Indonesia
Zahroh Shaluhiyah  -  Faculty of Public Health Universitas Diponegoro, Indonesia
Anggorowati Anggorowati  -  Faculty of Nursing Universitas Diponegoro, Indonesia
Siti Khuzaiyah  -  PAPRSB Institute of Health Sciences, University of Brunei Darussalam, Brunei Darussalam, Brunei Darussalam
Open Access Copyright (c) 2026 Authors
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Experts recommend exclusive breastfeeding for the first six months of life to achieve optimal growth and health. However, this practice has not yet become widespread, and global growth rates remain relatively low. Various educational breastfeeding models have been widely implemented to help mothers succeed in exclusive breastfeeding. This study aims to explore and summarize the evidence for effective education models to increase exclusive breastfeeding.

Method: A comprehensive search was conducted across three databases (PubMed, ScienceDirect, and Scopus). The PRISMA guidelines were used to select 20 peer-reviewed studies published between January 2016 and December 2025 that met the inclusion criteria. Data were extracted on education models, intervention objectives, and behavioral outcomes.

Result: The results of the study showed that self-disclosure in MSM was influenced by Mothers need access to skilled, practical help and counseling support from trained health workers and counselors to implement optimal breastfeeding practices. A combination of antenatal and postnatal interventions, including home visits and media education such as flipcharts, booklets, videos, educational kits, telephone, SMS text messages, and WeChat support, can also increase exclusive breastfeeding at 6 months. The choice of breastfeeding education model influences the practice of exclusive breastfeeding. Therefore, it is important to consider the available time, resources, and media to support mothers in providing exclusive breastfeeding and achieving their breastfeeding education goals.

Keywords: Breastfeeding, Education, Effectiveness, Model
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Keywords: Breastfeeding , Education, Effectiveness, Model

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Section: Research Article
Language : EN
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  1. World Health Organization. Infant and young child feeding. Geneva: World Health Organization; 2021
  2. UNICEF, Scorecard Working Group. Protecting breastfeeding through bold national actions during the COVID-19 pandemic and beyond. New York: Global Breastfeeding Collective; 2021
  3. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016 Jan 30;387(10017):475-90
  4. Badan Pusat Statistik. Persentase bayi usia kurang dari 6 bulan yang mendapatkan ASI eksklusif menurut provinsi (persen). Jakarta (ID): Badan Pusat Statistik; 2024
  5. Republik Indonesia. Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 tentang Percepatan Penurunan Stunting. Jakarta (ID): Sekretariat Negara; 2021
  6. Kemenkes RI. Laporan akuntabilitas kinerja instansi pemerintah (LAKIP) tahun 2022. Jakarta (ID): Kementerian Kesehatan Republik Indonesia; 2023
  7. Dib S, Fair FJ, McCann LJ, Nicholls A, Kalea AZ, Soltani H, Campbell F, herber OR, de la Rosa MR. Effects of exclusive breastfeeding promotion interventions on child outcomes: a systematic review and meta-analysis. Ann Nutr Metab. 2023
  8. Poton WL, Soares ALG, de Oliveira ERA, Gonçalves H. Breastfeeding and behavior disorders among children and adolescents: a systematic review. Rev Saude Publica. 2018;52:43
  9. Westerfield KL, Koenig K, Oh R. Breastfeeding: common questions and answers. Am Fam Physician;2018
  10. Hossain M, Islam A, Kamarul T, Hossain G. Exclusive breastfeeding practice during first six months of an infant’s life in Bangladesh: a country based cross-sectional study. BMC Pediatr. 2018 Mar 2;18(1):85
  11. Prentice AM. Breastfeeding in the modern world. Ann Nutr Metab. 2022 Jul 9;78:29–38
  12. Coo S, García MI, Prieto F. Quality of mother-infant interaction, breastfeeding, and perinatal mental health. Infant Behav Dev. 2024 Jun 1;75:101932
  13. Von Seehausen MP, de Oliveira MIC, do Carmo Leal M, Domingues RMSM, Boccolini CS. Baby-friendly hospital initiative and exclusive breastfeeding during hospital stay. Rev Saude Publica. 2023;57(1):12
  14. Pramono AY, Desborough JL, Smith JP, Bourke S. The social value of implementing the ten steps to successful breastfeeding in an Indonesian hospital: a case study. Yale J Biol Med. 2021;94(2):231-241
  15. Pramono A, Smith J, Desborough J. The baby friendly hospital initiative and ten steps to successful breastfeeding programs: applying the non-adoption, abandonment, spread, scale up, sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia. Int Breastfeed J. 2025 Dec 1;20(1):15
  16. Zong X, Wu H, Zhao M, Magnussen CG, Xi B. Global prevalence of WHO infant feeding practices in 57 LMICs in 2010–2018 and time trends since 2000 for 44 LMICs. EClinicalMedicine. 2021 Jul 1;37:100952
  17. Bellù R, Condò M. Breastfeeding promotion: evidence and problems. La Pediatria Medica e Chirurgica. 2017;39(2):156
  18. Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, Renfrew MJ, MacGillivray S. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016;(10):CD001680
  19. Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018 Nov 19;18(1):143
  20. World Health Organization. Pelatihan konseling menyusui modul 40 jam WHO/UNICEF. Geneva: World Health Organization; 2011
  21. Gu Y, Zhu Y, Zhang Z, Wan H. Effectiveness of a theory-based breastfeeding promotion intervention on exclusive breastfeeding in China: a randomised controlled trial. Midwifery. 2016 Nov 1;42:93-9
  22. Abdulahi M, Fretheim A, Argaw A, Magnus JH. Breastfeeding education and support to improve early initiation and exclusive breastfeeding practices and infant growth: a cluster randomized controlled trial from a rural Ethiopian setting. Nutrients. 2021 Apr 1;13(4):1122
  23. Gupta A, Dadhich JP, Ali SM, Thakur N. Skilled counseling in enhancing early and exclusive breastfeeding rates: an experimental study in an urban population in India. Indian Pediatr. 2019;56(2):117-121
  24. Admasu J, Egata G, Bassore DG, Feleke FW. Effect of maternal nutrition education on early initiation and exclusive breast-feeding practices in South Ethiopia: a cluster randomised control trial. J Nutr Sci. 2022 May 30;11:e41
  25. Muda CMC, Ismail TAT, Jalil RA, Hairon SM, Sulaiman Z, Johar N. Postnatal breastfeeding education at one week after childbirth: what are the effects? Women Birth. 2019 Apr 1;32(2):e243–51
  26. Santamaría-Martín MJ, Martín-Iglesias S, Schwarz C, Rico-Blázquez M, Portocarrero-Nuñez JA, Diez-Izquierdo L, Fuentelsaz-Gallego C, ller-Ponce M. Effectiveness of a group educational intervention – PROLACT - in primary care to promote exclusive breastfeeding: a cluster randomized clinical trial. BMC Pregnancy Childbirth. 2022 Dec 1;22(1):412
  27. Alahmed S, Frost S, Fernandez R, Win K, Mutair A Al, Harthi M Al, Gallagher R. Evaluating a woman-centred web-based breastfeeding educational intervention in Saudi Arabia: a before-and-after quasi-experimental study. Women Birth. 2024 Sep 1;37(5):101642
  28. Nabulsi M, Tamim H, Shamsedine L, Charafeddine L, Yehya N, Kabakian-Khasholian T, Cole JG, Sidani S. A multi-component intervention to support breastfeeding in Lebanon: a randomized clinical trial. PLoS One. 2019 Jun 1;14(6):e0218460
  29. Puharić D, Malički M, Borovac JA, Šparac V, Poljak B, Aračić N, Missoni S, Lesiak A. The effect of a combined intervention on exclusive breastfeeding in primiparas: a randomised controlled trial. Matern Child Nutr. 2020 Jul 1;16(3):e12948
  30. Dodou HD, Chaves AF, Pinho MA, Lopes BB, Silva BG, Rodrigues DP, Monteiro JC, Oriá MO. Effects of a telephone educational intervention on breastfeeding: a clinical trial. Acta Paul Enferm;2023
  31. Hmone MP, Li M, Agho KE, Alam NA, Chad N, Dibley MJ. Tailored text messages to improve breastfeeding practices in Yangon, Myanmar: the M528 individually randomized controlled trial. Am J Clin Nutr. 2023 Mar 1;117(3):518–28
  32. Rodríguez-Gallego I, Corrales-Gutierrez I, Gomez-Baya D, Leon-Larios F. Effectiveness of a postpartum breastfeeding support group intervention in promoting exclusive breastfeeding and perceived self-efficacy: a multicentre randomized clinical trial. Nutrients. 2024 Mar 28;16(7):1002
  33. Gilano G, Dekker A, Fijten R. The effect of mHealth on exclusive breastfeeding and its associated factors among women in South Ethiopia: a cluster randomized controlled trial. Nutrients. 2025 Nov 1;17(21):3420
  34. Tseng JF, Chen SR, Au HK, Chipojola R, Lee GT, Lee PH, Kuo SY. Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: a single-blind, randomised controlled study. Int J Nurs Stud. 2020 Nov 1;111:103767
  35. Ara G, Khanam M, Papri N, Nahar B, Haque MA, Kabir I, Rahman AS, Mansur BA, Sarker MH, Mustafa Mah, Dibley MJ. Peer counselling improves breastfeeding practices: a cluster randomized controlled trial in urban Bangladesh. Matern Child Nutr. 2018 Jul 1;14(3):e12571
  36. Billah SM, Ferdous TE, Siddique AB, Raynes-Greenow C, Kelly P, Choudhury N, El Arifeen S, Menon P. The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh. Matern Child Nutr. 2022 Jul 1;18(3):e13354
  37. Beyene BN, Wako WG, Moti D, Edin A, Debela DE. Postnatal counseling promotes early initiation and exclusive breastfeeding: a randomized controlled trial. Front Nutr. 2025;12:104230
  38. Ogundairo YO, Thomas AO, Olufunmilola OA. Use of drama for improving breastfeeding initiation, exclusive breastfeeding and breastfeeding self-efficacy among rural pregnant women from selected communities in two local government areas (LGAs) in Ibadan, Nigeria. PLoS One. 2024 Aug 1;19(8):e0307512
  39. Wu Q, Huang Y, Liao Z, Van Velthoven MH, Wang W, Chang S, Zhang Y. Effectiveness of WeChat for improving exclusive breastfeeding in Huzhu County China: randomized controlled trial. J Med Internet Res. 2020 Dec 3;22(12):e23273
  40. Souza EFDC, Pina-Oliveira AA, Shimo AKK. Effect of a breastfeeding educational intervention: a randomized controlled trial. Rev Lat Am Enfermagem. 2020;28:e3243
  41. You H, Lei A, Xiang J, Wang Y, Luo B, Hu J. Effects of breastfeeding education based on the self-efficacy theory on women with gestational diabetes mellitus a CONSORT-compliant randomized controlled trial. Medicine (Baltimore). 2020 Apr 1;99(16):e19632
  42. Ojantausta O, Pöyhönen N, Ikonen R, Kaunonen M. Health professionals’ competencies regarding breastfeeding beyond 12 months: a systematic review. Int Breastfeed J. 2023;18(1):34
  43. Shaluhiyah Z, Qatrannada SA, Kusumawati A, Miah MS. The effect of digital health intervention in promoting healthy behavior: a systematic scoping review on strategies to prevent non-communicable diseases. Dialogues Health. 2025;4:100120

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