The Effect of Exclusive Breastfeeding Module Intervention on the Knowledge and Attitudes of Prospective Fathers about Breastfeeding in Bengkulu City

  • Sabrina Sella Universitas Muhammadiyah Bengkulu
  • Riska Yanuarti Universitas Muhammadiyah Bengkulu https://orcid.org/0000-0002-0869-7901
  • Agus Ramon Universitas Muhammadiyah Bengkulu
  • Ida Samidah Universitas Muhammadiyah Bengkulu
  • Bintang Agustina Pratiwi Universitas Muhammadiyah Bengkulu https://orcid.org/0000-0002-3202-730X
Keywords: attitude, exclusive breastfeeding module, knowledge, prospective fathers

Abstract

Bengkulu City has experienced a decline in exclusive breastfeeding coverage over the past three years (2020-2022). Research related to education for prospective fathers in Bengkulu City has not been widely implemented. This study aims to analyze the effect of exclusive breastfeeding module interventions on the knowledge and attitudes of prospective fathers about breastfeeding in Bengkulu City. A quasi-experimental study was conducted in April-September 2024 with a population of prospective fathers who have wives with a gestational age of more than 27 weeks or the third trimester. The sample consisted of 15 people in the control group and 15 people in the intervention group. The sampling method used purposive sampling. The research variables include the knowledge and attitudes of prospective fathers about breastfeeding, as well as the exclusive breastfeeding module. The instrument used was a questionnaire that had been tested for validity and reliability. Data analysis was carried out univariately and bivariately. There were insignificant results from the knowledge variable between the two groups, both pre-test (p = 0.074) and post-test (0.546). While on the attitude variable, significant results were obtained between the two groups, both pre-test (0.001) and post-test (0.044). The exclusive breastfeeding module intervention only affected the attitude variable of prospective fathers about breastfeeding between the intervention group and the control group, both before and after the intervention. While on the knowledge variable of prospective fathers about exclusive breastfeeding, there was no effect between the two groups, both pre-test and post-test.

References

Adiguna, I. M. A., & Dewi, W. C. W. S. (2016). Pengetahuan Ayah Sebagai Breastfeeding Father Tentang Pemberian Asi Eksklusif Di Wilayah Kerja Puskesmas Tampaksiring I Gianyar Bali 2014. Jurnal Medika, 5(6), 2303–1395. http://ojs.unud.ac.id/index.php/eum

Agrawal, J., Chakole, S., & Sachdev, C. (2022). The Role of Fathers in Promoting Exclusive Breastfeeding. Cureus, 14(10). https://doi.org/10.7759/cureus.30363

Azwar, S. (2011). Sikap dan perilaku dalam : sikap manusia teori dan pengukurannya. Pustaka Pelajar.

Baldwin, S., Bick, D., & Spiro, A. (2021). Translating fathers’ support for breastfeeding into practice. Primary Health Care Research & Development, 22, e60. https://doi.org/10.1017/S1463423621000682

Bich, T. H., Long, T. K., & Hoa, D. P. (2019). Community-based father education intervention on breastfeeding practice—Results of a quasi-experimental study. Maternal and Child Nutrition, 15(September 2018), 1–12. https://doi.org/10.1111/mcn.12705

Daryanti, N., Rahmawati, T., & Purnamasari, Y. (2021). Efektivitas Media Audiovisual dalam Meningkatkan Pengetahuan Menyusui. Promosi Kesehatan Indonesia, 16(2), 75–82. https://jpk.uinsby.ac.id

deMontigny, F., Gervais, C., Larivière-Bastien, D., & St-Arneault, K. (2018). The role of fathers during breastfeeding. Midwifery, 58, 6–12. https://doi.org/10.1016/j.midw.2017.12.001

Dinas Kesehatan Provinsi Bengkulu. (2023). Laporan Tahunan Kinerja Dinas Kesehatan Provinsi Bengkulu Tahun 2022. In Dinas Kesehatan Provinsi Bengkulu.

Dinkes Provinsi Bengkulu. (2019). Profil Kesehatan Provinsi Bengkulu 2018. In Profil Kesehatan Provinsi Bali. Dinas Kesehatan Provinsi Bengkulu.

Dinkes Provinsi Bengkulu. (2020). Profil Kesehatan Provinsi Bengkulu Tahun 2019. In Dinkes Provinsi Bengkulu.

Dinkes Provinsi Bengkulu. (2021). Profil Kesehatan Provinsi Bengkulu Tahun 2020. In Dinkes Provinsi Bengkulu.

Fadjriah, R. N., Krisnasari, S., & Gugu, Y. (2021). Relationship between Family Social Support and Exclusive Breastfeeding Behavior at Talise Health Center, Indonesia. Open Access Macedonian Journal of Medical Sciences, 9(E), 312–316. https://doi.org/10.3889/oamjms.2021.5987

Ferreira, T. D. M., Piccioni, L. D., Queiroz, P. H. B., Silva, E. M., & Vale, I. N. do. (2018). Influence of grandmothers on exclusive breastfeeding: cross-sectional study. Einstein (São Paulo), 16(4). https://doi.org/10.31744/einstein_journal/2018AO4293

Flax, V. L., Negerie, M., Ibrahim, A. U., Leatherman, S., Daza, E. J., & Bentley, M. E. (2014). Integrating Group Counseling, Cell Phone Messaging, and Participant-Generated Songs and Dramas into a Microcredit Program Increases Nigerian Women’s Adherence to International Breastfeeding Recommendations. The Journal of Nutrition, 144(7), 1120–1124. https://doi.org/10.3945/jn.113.190124

Gallegos, D., Russell-Bennett, R., Previte, J., & Parkinson, J. (2014). Can a text message a week improve breastfeeding? BMC Pregnancy and Childbirth, 14(1), 374. https://doi.org/10.1186/s12884-014-0374-2

Gebremariam, K. T., Mulugeta, A., & Gallegos, D. (2023). Theory-based mHealth targeting fathers and mothers to improve exclusive breastfeeding: a quasi-experimental study. International Breastfeeding Journal, 18(1), 2. https://doi.org/10.1186/s13006-022-00537-x

Hety, D., Susanti, I., Adiesti, F., & Muhith, A. (2020). Maternal Knowledge, Husband’s Support, Cultural Support and Role of Health Workersin the Exclusive Breastfeeding Program at Mojosari Health Center. Proceedings of the Proceedings of the Third International Seminar on Recent Language, Literature, and Local Culture Studies, BASA, 20-21 September 2019, Surakarta, Central Java, Indonesia. https://doi.org/10.4108/eai.20-9-2019.2297054

Krikitrat, P., Sansiriphun, N., Deeluea, J., Sonted, S., Chaiwipassatorn, W., & Bressington, D. (2023). Factors Affecting Thai Fathers’ Self-Efficacy to Support Exclusive Breastfeeding. Nursing Reports, 13(4), 1511–1523. https://doi.org/10.3390/nursrep13040127

Lau, Y., Htun, T. P., Tam, W. S. W., & Klainin-Yobas, P. (2016). Efficacy of e-technologies in improving breastfeeding outcomes among perinatal women: a meta-analysis. In Maternal and Child Nutrition (Vol. 12, Issue 3, pp. 381–401). https://doi.org/10.1111/mcn.12202

Mananohas, A., Rachmawati, T. S., & Anwar, R. K. (2023). Penggunaan media sosial dalam meningkatkan literasi kesehatan di “Ayah ASI Indonesia.” Informatio: Journal of Library and Information Science, 3(1), 1. https://doi.org/10.24198/inf.v3i1.44526

Mariani, N. N. (2024). MEDIA INFORMASI Pengaruh Media Video terhadap Peningkatan Pengetahuan dan Peran Ayah dalam Keberhasilan Menyusui di Kabupaten Cirebon. 20, 80–84.

Mat Nawi, N. I., & Abdul Hamid, S. B. (2021). Determinants of fathers’ involvement in breastfeeding practices in Kuala Selangor. Malaysian Journal of Nutrition, 27(1), 015–026. https://doi.org/10.31246/mjn-2020-0070

Maviso, M. K., Kaforau, L. M., & Hastie, C. (2023). Influence of grandmothers on breastfeeding practices in a rural community in Papua New Guinea: A critical discourse analysis of first-time mothers’ perspectives. Women and Birth, 36(2), e263–e269. https://doi.org/10.1016/j.wombi.2022.08.001

Metasari, D., & Sianipar, B. K. (2019). Hubungan Persepsi Ibu Tentang Ketidakcukupan ASI (PKA) Terhadap Pemberian ASI Eksklusif Pada Bayi di Wilayah Kelurahan Kuala Lempuing Kota Bengkulu. Journal of Nursing and Public Health, 7(1), 41–45. https://doi.org/10.37676/jnph.v7i1.786

Mohamed, M. J., Ochola, S., & Owino, V. O. (2020). A Qualitative Exploration of the Determinants of Exclusive Breastfeeding (EBF) Practices in Wajir County, Kenya. International Breastfeeding Journal, 15(1). https://doi.org/10.1186/s13006-020-00284-x

Mufdlilah, Zulfa Zakiah, S., & Johan Bintangdari, R. (2019). Buku Panduan Ayah ASI.

Nurbaiti, N. (2021). Pengetahuan dan Sikap Ibu terhadap Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Simpang Kawat. Jurnal Akademika Baiturrahim Jambi, 10(2), 300. https://doi.org/10.36565/jab.v10i2.335

Panahi, F., Rashidi Fakari, F., Nazarpour, S., Lotfi, R., Rahimizadeh, M., Nasiri, M., & Simbar, M. (2022). Educating fathers to improve exclusive breastfeeding practices: a randomized controlled trial. BMC Health Services Research, 22(1), 554. https://doi.org/10.1186/s12913-022-07966-8

Qin, M., Chang, G., Zhou, X., Wang, L., Liang, Y., Xu, Y., Liu, S., Cai, S., & Dai, M. (2024). Fathers’ needs of breastfeeding support: Perspective of health nurses. Midwifery, 132(February), 103959. https://doi.org/10.1016/j.midw.2024.103959

Raeisi, K., Shariat, M., Nayeri, F., Raji, F., & Dalili, H. (2014). A single center study of the effects of trained fathers’ participation in constant breastfeeding. Acta Medica Iranica, 52(9), 694–696. http://www.ncbi.nlm.nih.gov/pubmed/25421843

Simanjuntak, B. Y., & Wahyudi, A. (2021). Edukasi tentang 1000 hari pertama kehidupan dalam meningkatkan pengetahuan dan sikap calon pengantin laki-laki. AcTion: Aceh Nutrition Journal, 6(1), 100. https://doi.org/10.30867/action.v6i1.426

Susilowati, E., Puspitasari, S., & Lestari, R. (2020). Pengaruh kelas ayah terhadap dukungan ASI eksklusif. Kebidanan Indonesia, 12(3), 120–130. https://jurnalbidankebidanan.ac.id/

UNICEF, W. (2022). Pekan Menyusui Sedunia: UNICEF dan WHO serukan dukungan yang lebih besar terhadap pemberian ASI di Indonesia seiring penurunan tingkat menyusui selama pandemi COVID-19. Unicef Indonesia. https://www.unicef.org/indonesia/id/siaran-pers/pekan-menyusui-sedunia-unicef-dan-who-serukan-dukungan-yang-lebih-besar-terhadap

Vaga, B. B., Olsen, A., & Torkildsen, J. (2018). The role of fathers in breastfeeding success: A systematic review. International Journal of Nursing Studies, 85, 50–56.

Vázquez‐Vázquez, A. del P., Fewtrell, M. S., Chan‐García, H., Batún‐Marrufo, C., Dickinson, F., & Wells, J. C. K. (2022). Do maternal grandmothers influence breastfeeding duration and infant nutrition? Evidence from Merida, Mexico. American Journal of Biological Anthropology, 179(3), 444–459. https://doi.org/10.1002/ajpa.24623

Widyastutik, O., Chartasim, Y., Trisnawati, E., & Selviana, S. (2021). Factors Related to Breastmilk Production on Postpartum Mothers in East Pontianak, West Kalimantan. The Indonesian Journal of Public Health, 16(2), 297. https://doi.org/10.20473/ijph.v16i2.2021.297-314

Yulita Ichwan, E., Dwi Fitriani, C., & Nirmala Sari, G. (2024). Effectiveness of Audiovisual Media on Childbirth Support and Pregnancy Anxiety: A Quasi-experimental Study. Journal of Holistic Nursing And Midwifery, 34(3), 237–244. https://doi.org/10.32598/jhnm.34.3.2620

Zakar, R., Zakar, M. Z., Zaheer, L., & Fischer, F. (2018). Exploring parental perceptions and knowledge regarding breastfeeding practices in Rajanpur, Punjab Province, Pakistan. International Breastfeeding Journal, 13(1), 24. https://doi.org/10.1186/s13006-018-0171-z

Published
2025-04-01
How to Cite
Sella, S., Yanuarti, R., Ramon, A., Samidah, I., & Pratiwi, B. A. (2025). The Effect of Exclusive Breastfeeding Module Intervention on the Knowledge and Attitudes of Prospective Fathers about Breastfeeding in Bengkulu City. Indonesian Journal of Global Health Research, 7(2), 361-370. https://doi.org/10.37287/ijghr.v7i2.5473