Effectiveness of an E-booklet on Exclusive Breastfeeding in Enhancing Knowledge and Attitudes of Third-Trimester Pregnant Women
Efektivitas E-booklet Tentang ASI Eksklusif dalam Peningkatan Pengetahuan dan Sikap Ibu Hamil Trimester III
Downloads
Background: Knowledge and attitudes of third-trimester pregnant women significantly affect the success of exclusive breastfeeding. This period is critical for mothers to prepare for childbirth, including understanding infant nutrition. Enhancing knowledge and attitudes requires effective media aligned with technological advancements, such as an E-booklet.
Objectives: To evaluate the impact of an E-booklet on exclusive breastfeeding in enhancing the knowledge and attitudes of third-trimester pregnant women in the Tuntungan Health Center area.
Methods: This quasi-experimental study used a pre-test and post-test design with a control group. A total of 60 third-trimester pregnant women (30 in the experimental group and 30 in the control group) were chosen through purposive sampling. The intervention consisted of distributing an E-booklet over a two-week period. Changes in knowledge and attitudes were evaluated using the Wilcoxon and Mann-Whitney tests.
Results: Most participants in both groups were aged 20–25 years (50.0% and 56.7%), had higher education (73.3% and 70.0%), parity ≤2 (63.3% and 66.7%), were unemployed (63.3% and 56.7%), and had high incomes (60.0% and 56.7%). The experimental group showed a mean knowledge score increase of 5.70 (SD=2.57) compared to 0.86 (SD=1.37) in the control group. Attitude scores increased by 8.87 (SD=3.37) in the experimental group compared to 1.43 (SD=3.65) in the control group. Mann-Whitney analysis indicated that the E-booklet significantly improved knowledge and attitudes (p-value=0.001).
Conclusions: The E-booklet effectively enhanced the knowledge and attitudes of third-trimester pregnant women regarding exclusive breastfeeding. It is a promising educational tool to promote exclusive breastfeeding in communities.
Bahriyah, F., Putri, M., & Jaelani, A. K. Hubungan Pekerjaan Ibu Terhadap Pemberian Asi Eksklusif Pada Bayi Di Wilayah Kerja Puskesmas Sipayung. Jurnal Endurance 2, 113–118 (2022). https://doi.org/10.22216/jen.v2i2.1134
Peraturan Pemerintah Republik Indonesia Nomor 33 Tahun 2012 Tentang Pemberian Air Susu Ibu Eksklusif. Retrieved January 15, 2024, from https://peraturan.bpk.go.id/Details/5245/pp-no-33-tahun-2012
Nuzzi G, Trambusti I, DI Cicco ME, Peroni DG. Breast milk: more than just nutrition! Minerva Pediatr (Torino). Apr;73(2):111-114. PMID: 33880902 (2021). https://doi.org/10.23736/S2724-5276.21.06223-X
Lokossou, G. A. G., Kouakanou, L., Schumacher, A., & Zenclussen, A. C. Human Breast Milk: From Food to Active Immune Response With Disease Protection in Infants and Mothers. In Frontiers in Immunology (Vol. 13). Frontiers Media S.A. (2022). https://doi.org/10.3389/fimmu.2022.849012
Wallenborn JT, Levine GA, Carreira Dos Santos A, Grisi S, Brentani A, Fink G. Breastfeeding, Physical Growth, and Cognitive Development. Pediatrics. 2021 May;147(5):e2020008029. PMID: 33888567 (2021). https://doi.org/10.1542/peds.2020-008029.
Von Stumm S, Plomin R. Breastfeeding and IQ Growth from Toddlerhood through Adolescence. PLoS One. 2015 Sep 25;10(9):e0138676. PMID: 26406251; PMCID: PMC4583278 (2015). https://doi.org/10.1371/journal.pone.0138676.
Kementerian Kesehatan RI. Riset Kesehatan Dasar (RISKESDAS) 2018. Jakarta: Kemenkes (2018)..
Becker GE, Quinlan G, Ward F, O'Sullivan EJ. Dietitians supporting breastfeeding: a survey of education, skills, knowledge and attitudes. Ir J Med Sci. 2021 May;190(2):711-722. PMID: 32996084 (2020). https://doi.org/10.1007/s11845-020-02384-3.
Sabo A, Abba J, Sunusi Usman U, Musa Saulawa I, Alzoubi MM, Al-Mugheed K, Alsenany SA, Farghaly Abdelaliem SM. Knowledge, attitude, and practice of exclusive breastfeeding among mothers of childbearing age. Front Public Health. 19;11:1277813. PMID: 38169742; PMCID: PMC10758446 (2023). https://doi.org/10.3389/fpubh.2023.1277813.
Modjadji P, Seabela ES, Ntuli B, Madiba S. Beliefs and Norms Influencing Initiation and Sustenance of Exclusive Breastfeeding: Experiences of Mothers in Primary Health Care Facilities in Ermelo, South Africa. Int J Environ Res Public Health. 2023 Jan 13;20(2):1513. PMID: 36674268; PMCID: PMC9864642 (2023). https://doi.org/10.3390/ijerph20021513.
Nguyen TT, Cashin J, Ching C, Baker P, Tran HT, Weissman A, Nguyen TT, Mathisen R. Beliefs and Norms Associated with the Use of Ultra-Processed Commercial Milk Formulas for Pregnant Women in Vietnam. Nutrients. ;13(11):4143. PMID: 34836398; PMCID: PMC8621914 (2021). https://doi.org/10.3390/nu13114143.
Hossain S, Mihrshahi S. Exclusive Breastfeeding and Childhood Morbidity: A Narrative Review. Int J Environ Res Public Health. 10;19(22):14804. PMID: 36429518; PMCID: PMC9691199 (2022). https://doi.org/10.3390/ijerph192214804.
Ickes SB, Sanders H, Denno DM, Myhre JA, Kinyua J, Singa B, Lemein HS, Iannotti LL, Farquhar C, Walson JL, Nduati R. Exclusive breastfeeding among working mothers in Kenya: Perspectives from women, families and employers. Matern Child Nutr. 2021 Oct;17(4):e13194. Epub 2021 May 5. PMID: 33949782; PMCID: PMC8476403 (2021). https://doi.org/10.1111/mcn.13194.
Yuliantie, P., Kusvitasari, H., & Mariana, F. Identifikasi Keterpaparan Promosi Susu Formula Terhadap Pemberian Asi Eksklusif. HEALTH CARE: JURNAL KESEHATAN, 12(1), 206-214, (2023). https://doi.org/10.36763/healthcare.v12i1.360
Hidayanti, D. Pengaruh Terpaan Iklan Susu Formula di TV, Kelompok Acuan, Tingkat Sosial Ekonomi, dan Pengetahuan Ibu Terhadap Perilaku Ibu Untuk Memberikan ASI Ekslusif di Kabupaten Semarang. Konvergensi: jurnal ilmiah ilmu komunikasi, 1(2), 160-185, (2015). https://doi.org/10.51353/kvg.v5i1
Aisyah, S., & Amalia, R. Hubungan Dukungan Petugas Kesehatan, Dukungan Keluarga dan Pengetahuan Ibu dengan Pemberian ASI Eksklusif. Jurnal Ilmiah Universitas Batanghari Jambi, 22(2), 661-667, (2022). http://dx.doi.org/10.33087/jiubj.v22i2.1824
Ratnasari D, Paramashanti BA, Hadi H, Yugistyowati A, Astiti D, Nurhayati E. Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pac J Clin Nutr. Jun;26(Suppl 1):S31-S35, (2017). doi: http://dx.doi.org/10.6133/apjcn.062017.s8.
Dewi, R. R., Ardian, J., & Lastyana, W. Hubungan Dukungan Keluarga dengan Pemberian ASI Ekslusif pada Bayi Usia 0-6 Bulan. Nutriology: Jurnal Pangan, Gizi, Kesehatan, 4(2), 39-44. (2023). https://doi.org/10.30812/nutriology.v4i2.3251
Zakarija-Grković I, Puharić D, Malički M, Hoddinott P. Breastfeeding booklet and proactive phone calls for increasing exclusive breastfeeding rates: RCT protocol. Matern Child Nutr. Jan;13(1):e12249. doi: 10.1111/mcn.12249. Epub 2016 Mar 15. PMID: 26990672; PMCID: PMC6866199 (2017). https://doi.org/10.1111/mcn.12249
Putri, I., & Mutiah, C. Hubungan Pengetahuan Dan Dukungan Keluarga Dengan Pemberian Asi Eksklusif Pada Bayi Usia 0-6 Bulan Di Desa Sungai Pauh. Jurnal Sains dan Kesehatan Darussalam, 2(2), 16-22, (2022). https://doi.org/10.56690/jskd.v2i2.61
Naja F, Chatila A, Ayoub JJ, Abbas N, Mahmoud A; MINA collaborators; Abdulmalik MA, Nasreddine L. Prenatal breastfeeding knowledge, attitude and intention, and their associations with feeding practices during the first six months of life: a cohort study in Lebanon and Qatar. Int Breastfeed J. 17(1):15. PMID: 35209913; PMCID: PMC8867651, (2022). https://doi.org/10.1186/s13006-022-00456-x
Wu Y, Liu W, Liu X, Li Y, Wang Y, Chu Y, Pi Q, Zhao X, Lu J, Wang A. Breastfeeding competency and its influencing factors among pregnant women in third trimester pregnancy: a cross-sectional study. Sci Rep. 13(1):1240. doi:. PMID: 36690676; PMCID: PMC9870990. (2023). https://doi.org/10.1038/s41598-023-28477-4
Lestari, I. P., & Astuti, E. D. Hubungan Pengetahuan Ibu Hamil Trimester III dengan Minat Pemberian ASI Eksklusif. Sinar: Jurnal Kebidanan, 3(2), 8-14, (2021). https://doi.org/10.30651/sinar.v6i2.23757
Najahah, I., & Mawaddah, S. Monograf Peningkatan Pengetahuan ASI Eksklusif melalui Media E-booklet. Penerbit NEM. (2022).
Rochana, S., Aksari, S. T., & Alfiani, T. Pengaruh Edukasi Kesehatan Dengan E-booklet Terhadap Breastfeeding Self Efficacy Dan Maternal Depressive Symptom Di Masa Pandemi Covid 19. Jurnal Kesehatan Al-Irsyad, 15(1), 104-115, (2022). https://doi.org/10.36760/jka.v15i1.337
Apriliyanti, D., Noviardhi, A., & Subandriani, D. N. Pengaruh edukasi dengan media E-booklet tentang ASI eksklusif dan makanan pendamping ASI (MP-ASI) terhadap pengetahuan dan sikap ibu hamil dalam program pencegahan stunting. Jurnal Riset Gizi, 10(1), (2022). https://doi.org/10.31983/jrg.v10i1.8763
Maryati, S., & Yanti, D. Promosi Kesehatan Dengan Media Booklet Dan Media Leaflet Dalam Meningkatkan Pengetahuan Ibu Hamil Tentang ASI Ekslusif. Journal of Health (JoH), 11(1), 001-006, (2024). https://doi.org/10.30590/joh.v11n1.643
Siregar, N. Hubungan Pengetahuan dan Sikap Ibu Dengan Pemberian Asi Eksklusif Di Puskesmas Labuhan Rasoki Tahun 2019. Jurnal Education and development, 8(4), 262-262. (2020). https://doi.org/10.37081/ed.v12i3
Purba, E. M. (2020). Hubungan karakteristik ibu dengan pemberian asi eksklusif di wilayah kerja puskesmas korpri kecamatan berastagi kabupaten karo tahun 2019. CHMK Health Journal, 4(2), 149-157, (2020) https://doi.org/10.34011/jmp2k.v34i2.2020
Rosa, R., Tyastuti, S., & Rahmawati, A. (2019). Pengaruh Pendidikan Kesehatan dengan Media Booklet Terhadap Peningkatan Pengetahuan dan Sikap pada Ibu Hamil Trimester III Tentang ASI Eksklusif di Puskesmas Gedongtengen Kota Yogyakarta Tahun 2019 (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta).
Husaidah, S., Amru, D. E., & Sumarni, S. (2020). Hubungan Antara Tingkat Pendidikan Dan Pengetahuan Ibu Nifas Dengan Pemberian Asi Eksklusif Di Puskesmas Batua Makassar 2019. Jurnal Sehat Mandiri, 15(1), 130-139. https://doi.org/10.33761/jsm.v15i1.162
Gemilang, S. W., & Werdani, K. E. (2020). Hubungan Usia, Pendidikan, dan Pekerjaan dengan Pemberian ASI Eksklusif (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Assriyah, H., Thaha, A. R., & Jafar, N. Hubungan pengetahuan, sikap, umur, Pendidikan, pekerjaan, psikologis, dan inisiasi menyusui dini dengan pemberian ASI eksklusif di Puskesmas Sudiang. Jurnal Gizi Masyarakat Indonesia (The Journal of Indonesian Community Nutrition), 9(1), (2020). https://doi.org/10.30597/jgmi.v9i1.10156
Laksono AD, Wulandari RD, Ibad M, Kusrini I. The effects of mother's education on achieving exclusive breastfeeding in Indonesia. BMC Public Health. 2021 Jan 6;21(1):14. doi: 10.1186/s12889-020-10018-7. PMID: 33402139; PMCID: PMC7786474. https://doi.org/10.1186/s12889-020-10018-7
Wuryanti, S., & Marsiati, H. Relationship Between Maternal Education and Knowledge on Coverage of Exclusive Breastfeeding in Ten Stunting Locus Villages in Pandeglang District, Banten. Indonesian Journal of Medical Sciences and Public Health, 2(1), 40-46, (2021). https://doi.org/10.20473/ijph.v16i2.2021.166-176
Hinisa, F. N., Wardani, D. S., Andarini, S., & Simanjuntak, R. Faktor Internal Dan Persepsi Ibu Tentang Peran Petugas Kesehatan Terhadap Pemberian Asi Eksklusif. Media Penelitian dan Pengembangan Kesehatan, 34(2), 454-463. (20240 https://doi.org/10.34011/jmp2k.v34i2.2020
Lauwers, J., & Swisher, A. (2020). Counseling the Nursing Mother: A Lactation Consultant’s Guide: A Lactation Consultant’s Guide. Jones & Bartlett Learning.
Berutu, H. (2021). Faktor-Faktor Yang Berhubungan Dengan Pemberian Asi Eksklusif Di Wilayah Kerja Puskesmas Sitinjo Kabupaten Dairi Tahun 2020. Jurnal Ilmiah Keperawatan Imelda, 7(1), 53-67. ://doi.org/10.52943/jikeperawatan.v7i1.512
Shofiya D, Sumarmi S, Ahmed F. Nutritional status, family income and early breastfeeding initiation as determinants to successful exclusive breastfeeding. J Public Health Res. 2020 Jul 2;9(2):1814. PMID: 32728560; PMCID: PMC7376458. https://doi.org/10.4081/jphr.2020.1814
Dewi, G. K., & Yovani, Y. Pengaruh Media E-booklet Terhadap Perubahan Pengetahuan dan Praktik Pemberian Makanan Pendamping ASI: E-booklet Media Effect on Changes in Knowledge and Practices of Weaning Food. Jurnal Pangan Kesehatan dan Gizi Universitas Binawan, 2(2), 48-54 (2022). https://doi.org/10.54771/jakagi.v2i2.494
Hossain S, Mihrshahi S. Exclusive Breastfeeding and Childhood Morbidity: A Narrative Review. Int J Environ Res Public Health; 19(22) doi:. PMID: 36429518; PMCID: PMC9691199 (2022). https://doi.org/10.3390/ijerph192214804
Dewi, G. K., & Yovani, Y. Pengaruh Media E-booklet Terhadap Perubahan Pengetahuan dan Praktik Pemberian Makanan Pendamping ASI: E-booklet Media Effect on Changes in Knowledge and Practices of Weaning Food. Jurnal Pangan Kesehatan dan Gizi Universitas Binawan, 2(2), 48-54 (2022). https://doi.org/10.54771/jakagi.v2i2.494
Widuri, Y. W., Margono, M., & Retnaningsih, Y. The Effectiveness Of Video And E-booklet Media In Health Education On Improving The Knowledge Of Pregnant Women About The Pregnancy Danger Signs At Jetis 1 Public Health Center Of Bantul Regency. Interest: Jurnal Ilmu Kesehatan, 18-28 (2021). https://doi.org/10.37341/interest.v0i0.298
Rosa, R., Tyastuti, S., & Rahmawati, A. Pengaruh Pendidikan Kesehatan dengan Media Booklet Terhadap Peningkatan Pengetahuan dan Sikap pada Ibu Hamil Trimester III Tentang ASI Eksklusif di Puskesmas Gedongtengen Kota Yogyakarta Tahun 2019 (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta) (2019). http://eprints.poltekkesjogja.ac.id/id/eprint/2207
Copyright (c) 2025 Amerta Nutrition
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
AMERTA NUTR by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.
