Development of an Education Model for Increasing Husbands' Knowledge about Exclusive Breastfeeding in Makassar City
Abstract
Husbands' knowledge about exclusive breastfeeding (EB) is still low; this causes a lack of support for breastfeeding mothers, which results in low coverage of exclusive breastfeeding. Purpose: to analyze the effect of developing an exclusive breastfeeding education model on increasing husbands' knowledge. The Method of study is a combination of research and development (R&D), Borg and Gall, quasi-experimental, non-equivalent control group design. Population of husbands of pregnant women: sample, husbands of pregnant women who check their pregnancies at the Community Health Center in the third trimester. Purposive sampling of 60 people was divided into two groups; the intervention group received an exclusive breastfeeding education module plus the MCH book, and the control group received the MCH book, with knowledge measurement (pre-test) in the two control groups. Intervention and post-test were carried out once a week for 4 weeks. Data analysis used the Wilcoxon signed-rank test and the Mann-Whitney test. The Results of the study show that there is an effect of giving exclusive breastfeeding education modules on husbands' knowledge, with an overall post-test p-value of 0.000 < 0.05. There was no effect of giving the MCH handbook to the husband's knowledge, p-value 0.391> 0.05. There were differences in knowledge in the two groups, with the mean ranks greater in the intervention group, namely pre-test 32.67 > 28.33, post-test 1 37.35 > 23.65, post-test 2 41.15 > 19.85, and post-test 3 43.78 > 17.22. There is a difference in knowledge between the intervention and control groups. The exclusive breastfeeding education module increases husbands' knowledge about the importance of breastfeeding, especially exclusive breastfeeding. Conclusion: The exclusive breastfeeding education module increases husbands' knowledge about the importance of breastfeeding, especially exclusive breastfeeding, to be used as a health promotion medium in healthcare facilities.
References
Hossain S, Mihrshahi S. Exclusive Breastfeeding and Childhood Morbidity: A Narrative Review. International Journal of [revista en Internet] 2022 [acceso 11 de julio de 2023]; 19(22): Environ Res Public Heal. 2022;19.
Mohamed Ahmed SO, Ashgar RI, Mohammed Abdelgader AA, Abdalla Hamid HI, Mathkor DM, Abdelsadig Ali MA, et al. Exclusive breastfeeding: Impact on infant health. Clin Nutr Open Sci. 2023;51.
Ahmed SOM, Hamid HIA, Jothi Shanmugam A, Tia MMG, Alnassry SMA. Impact of exclusive breastfeeding on physical growth. Clin Nutr Open Sci. 2023;49.
Wu Q, Tang N, Wacharasin C. Factors influencing exclusive breastfeeding for 6 months postpartum: A systematic review. Int J Nurs Knowl. 2022;33(4).
Arsyad NA. Breast Milk Volume Using Portable Double Pump Mikrokontroller Arduino Nano. Hasanuddin University; 2019.
WHO. Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva: World Health Organization; 2017. World Heal Organ Geneva. 2017;
Dewi PDPK, Watiningsih AP, Megaputri PS, Dwijayanti LA, Ni Ketut Jayanti IGADW. Prediktor Kegagalan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Sawan I Kabupaten Buleleng. J Ilm Bidan. 2020;V(1):1–10.
Direktorat Statistik Kesejahteraan Rakyat. Profil Statistik Kesehatan 2021. Badan Pus Stat. 2021;148.
Dinkes Kota Makassar. cakupan ASI eksklusif. makassar; 2021.
Gorlanova O, Appenzeller R, Mahmoud YS, Ramsey KA, Usemann J, Decrue F, et al. Effect of breastfeeding duration on lung function, respiratory symptoms and allergic diseases in school-age children. Pediatr Pulmonol. 2020;55(6).
Agho KE, Ahmed T, Fleming C, Dhami MV, Miner CA, Torome R, et al. Breastfeeding practices among adolescent mothers and associated factors in Bangladesh (2004–2014). Nutrients. 2021;13(2).
Sunil P, S. G, Gopalan SK, P. N. Rate of early initiation of breast-feeding among mothers delivered in a tertiary care maternity centre: a descriptive cross-sectional study. Int J Contemp Pediatr. 2023;10(10).
Ahmad M, Arsin AA, Sirajuddin S, Syafar M. Polymorphism nucleotide oligomerization domain-2 (NOD2) in neonatal with early breastfeeding initiation. Enferm Clin. 2020;30.
Olaniyan MF, Oladele AA, Tijani A, Muhibi MA, Olaniyan TB. Susceptible Genes and Polymorphisms Associated with Communicable and Noncommunicable Diseases. J Bio-X Res. 2024;7:1–21.
Fitri N, Lestari Y, Evareny L. The Relation Between Husband Support with Exclusive Breastfeeding in Baby Age 6-12 Months in Air Dingin Health Center. J Midwifery. 2017;2(2):74.
Fadjriah RN, Krisnasari S, Gugu Y. Relationship between family social support and exclusive breastfeeding behavior at talise health center, indonesia. Open Access Maced J Med Sci. 2021;9.
Hasanah DR, Putri NK, Pramono AY. The Effectiveness Of Forming Breastfeeding Support Group Programs To Improve Exclusive Breastfeeding. Indones J Heal Adm. 2020;8(1).
Ngoenthong P, Sansiriphun N, Fongkaew W, Chaloumsuk N. Integrative Review of Fathers’ Perspectives on Breastfeeding Support. JOGNN - J Obstet Gynecol Neonatal Nurs. 2020;49(1):16–26.
Awoke S, Mulatu B. Determinants of exclusive breastfeeding practice among mothers in Sheka Zone, Southwest Ethiopia: A cross-sectional study. Public Heal Pract. 2021;2(July 2020):100108.
Pratiwi BA, Kartini A, Jati SP, Sriatmi A. Partner’s Role in Breastfeeding Continuity: A Systematic Review of Qualitative Study. Vol. 7, Amerta Nutrition. 2023.
Werdani KE, Wijayanti AC, Sari LE, Puspasari AY. The role of husband in supporting exclusive breastfeeding among teenage mothers in Boyolali, Indonesia. Enferm Clin. 2021;31.
Stang S, Abdullah T, Marwang S. The influence of collaborative model between the role of husbands and healthcare workers on mother’s behavior in giving exclusive breastfeeding. Open Access Maced J Med Sci. 2021;9(E):794–7.
Mamun MA Al, Lawrie G, Wright T. Instructional design of scaffolded online learning modules for self-directed and inquiry-based learning environments. Comput Educ. 2020;144.
Sandhi A, Nguyen CTT, Lin-Lewry M, Lee GT, Kuo SY. Effectiveness of breastfeeding educational interventions to improve breastfeeding knowledge, attitudes, and skills among nursing, midwifery, and medical students: A systematic review and meta-analysis. Vol. 126, Nurse Education Today. 2023.
Mahayati NMD, Lindayani IK, Suarniti NW, Astiti NKE, Armini NW. Development of Breastfeeding Technique E-Modules for Postpartum Mothers. In 2023.
Herval ÁM, Oliveira DPD, Gomes VE, Vargas AMD. Health education strategies targeting maternal and child health. Medicine (Baltimore). 2019;98(26).
Moerchen V, Taylor-DeOliveira L, Dietrich M, Armstrong A, Azeredo J, Belcher H, et al. Maternal and Child Health Pipeline Training Programs: A Description of Training Across 6 Funded Programs. Matern Child Health J. 2022;26.
Musdalifah, Manapa ES, Ahmad M, Nontji W, Deviana Soraya Riu, Hidayanti H. Pengembangan Modul Deteksi Risiko Stunting Terhadap Pengetahuan Ibu Hamil. Oksitosin J Ilm Kebidanan. 2020;7(2):62–75.
Vinny Alvionita, Manapa ES, Ahmad M, Werna Nontji, Deviana Soraya Riu, Usman AN. Pengembangan Modul Deteksi Risiko Perdarahan Pada Kehamilan Efektif Meningkatkan Pengetahuan Ibu Hamil. Oksitosin J Ilm Kebidanan. 2020;7(2):134–48.
Arnianti, Manapa ES, Ahmad M, Deviana Soraya Riu, Nontji W, Hidayanti H. Pengaruh Modul Deteksi Risiko Anemia pada Kehamilan terhadap Pengetahuan Ibu Hamil. Oksitosin J Ilm Kebidanan. 2020;7(2):120–33.
Efitra E, Reflita R. Modul Enam Sasaran Keselamatan Pasien dalam Pembelajaran Klinik terhadap Perilaku Mahasiswa Keperawatan. J Keperawatan Silampari. 2021;5(1):295–308.
- PSS. Effectiveness of Video Assisted Teaching Module on Knowledge and Practice of Staff Nurses Regarding Hospital Acquired Infections in Neonatal Units at Selected Hospitals, Salem. Int J Innov Res Eng Multidiscip Phys Sci. 2023;11(1):10–3.
Alrubaiee GG, Baharom A, Faisal I, Shahar HK, Daud SM, Basaleem HO. Implementation of an educational module on nosocomial infection control measures: a randomised hospital-based trial. BMC Nurs. 2021;20(1):1–10.
Azura IN, Azlina I, Rosnani Z, Norhayati MN. Effectiveness of an Antenatal-Exercise Counseling Module on Knowledge and Self-Efficacy of Nurses in Northeast Peninsular Malaysia: A Quasi-Experimental Study. Malaysian J Med Sci MJMS. 2020;27(3):84.
Dashti S, Abdul Hamid H, Mohamad Saini S, Tusimin M, Ismail M, Jafarzadeh Esfehani A, et al. A randomised controlled trial on the effects of a structural education module among women with polycystic ovarian syndrome on nutrition and physical activity changes. BMC Womens Health. 2022;22(1):1–11.
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