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Imarina Tarigan
STIKes Mitra Husada Medan, Medan, Indonesia
Arts Humanities Education Social Sciences Other

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Strengthening Posyandu Cadres through an Oketani Massage E-Booklet to Support Exclusive Breastfeeding Anna Waris Nainggolan; Dessy Ratna Sari Sembiring; Imarina Tarigan; Sodiria Zega; Putri Amanda Sari
Room of Civil Society Development Vol. 5 No. 3 (2026): Room of Civil Society Development
Publisher : Lembaga Riset dan Inovasi Masyarakat Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59110/rcsd.954

Abstract

Exclusive breastfeeding remains an important public health strategy to support infant growth and development during the first 1,000 days of life. In Dusun VIII, Bangun Rejo Village, Deli Serdang Regency, exclusive breastfeeding coverage is estimated at 65–70%, which is still below the national target of 80%. Several contributing factors include limited breastfeeding management skills, mothers’ perception of insufficient milk production, limited family support, and the lack of standardized educational media for Posyandu cadres. This community service programme aimed to strengthen the role of Posyandu/PKK cadres in supporting breastfeeding mothers through education, practical introduction to Oketani Massage, and the use of an Oketani Massage E-Booklet as digital educational media. The programme was implemented in Bangun Rejo Village from 20 February to 25 March 2026 using a participatory and descriptive community empowerment approach. The activities included socialization, exclusive breastfeeding literacy education, Oketani Massage simulation using a breast phantom, distribution of the E-Booklet, and descriptive evaluation through attendance records, activity documentation, observation, and informal feedback from cadre representatives. A total of 15 Posyandu/PKK cadres participated in the activity. The programme produced an Oketani Massage E-Booklet and received positive responses from cadres, particularly regarding its usefulness as a practical reference that can be accessed repeatedly through mobile phones. This programme contributes to community-based breastfeeding support by providing cadres with basic lactation education, practical simulation experience, and reusable digital learning material.
Strengthening Posyandu Cadres through an Oketani Massage E-Booklet to Support Exclusive Breastfeeding Anna Waris Nainggolan; Dessy Ratna Sari Sembiring; Imarina Tarigan; Sodiria Zega; Putri Amanda Sari
Room of Civil Society Development Vol. 5 No. 3 (2026): Room of Civil Society Development
Publisher : Lembaga Riset dan Inovasi Masyarakat Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59110/rcsd.954

Abstract

Exclusive breastfeeding remains an important public health strategy to support infant growth and development during the first 1,000 days of life. In Dusun VIII, Bangun Rejo Village, Deli Serdang Regency, exclusive breastfeeding coverage is estimated at 65–70%, which is still below the national target of 80%. Several contributing factors include limited breastfeeding management skills, mothers’ perception of insufficient milk production, limited family support, and the lack of standardized educational media for Posyandu cadres. This community service programme aimed to strengthen the role of Posyandu/PKK cadres in supporting breastfeeding mothers through education, practical introduction to Oketani Massage, and the use of an Oketani Massage E-Booklet as digital educational media. The programme was implemented in Bangun Rejo Village from 20 February to 25 March 2026 using a participatory and descriptive community empowerment approach. The activities included socialization, exclusive breastfeeding literacy education, Oketani Massage simulation using a breast phantom, distribution of the E-Booklet, and descriptive evaluation through attendance records, activity documentation, observation, and informal feedback from cadre representatives. A total of 15 Posyandu/PKK cadres participated in the activity. The programme produced an Oketani Massage E-Booklet and received positive responses from cadres, particularly regarding its usefulness as a practical reference that can be accessed repeatedly through mobile phones. This programme contributes to community-based breastfeeding support by providing cadres with basic lactation education, practical simulation experience, and reusable digital learning material.
Family Empowerment Based on Mambosuri Cultural Values to Support Exclusive Breastfeeding in the Gunung Tinggi Primary Health Care Area: Pemberdayaan Keluarga Berbasis Budaya Mambosuri dalam Mendukung ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi Anna Waris Nainggolan; Imarina Tarigan; Muhammad Riezky; Siti Nurmawan Sinaga; Esra E Sinaga; Cesy Marlianata Simanullang
Room of Civil Society Development Vol. 5 No. 1 (2026): Room of Civil Society Development
Publisher : Lembaga Riset dan Inovasi Masyarakat Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59110/rcsd.892

Abstract

Low exclusive breastfeeding coverage remains closely linked to limited family support and sociocultural influences in infant feeding decisions. In Batak communities, strong kinship structures position the extended family as a key decision-making unit during pregnancy and early childcare. This community engagement program employed a participatory family-based intervention using a one-group pretest–posttest design to empower families to support exclusive breastfeeding through a culturally grounded Mambosuri approach in the Gunung Tinggi Primary Health Care area. The program involved 32 third-trimester pregnant women and their families over a three-month period. The intervention integrated cultural reflection sessions, interactive family discussions, written commitment development, and pre–post evaluation of family knowledge. Findings showed a significant increase in mean knowledge scores from 62.4 to 84.7 (p < 0.001), as well as an increase in the proportion of the good comprehension category from 37.5% to 81.2%. The most notable improvement was observed in fathers’ perceived roles in breastfeeding support. However, the short duration of assistance and the absence of a control group limit broader generalization of the findings. These results suggest that integrating local cultural values into family-centered education may strengthen collective readiness for exclusive breastfeeding in similar community contexts.
Family Empowerment Based on Mambosuri Cultural Values to Support Exclusive Breastfeeding in the Gunung Tinggi Primary Health Care Area: Pemberdayaan Keluarga Berbasis Budaya Mambosuri dalam Mendukung ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi Anna Waris Nainggolan; Imarina Tarigan; Muhammad Riezky; Siti Nurmawan Sinaga; Esra E Sinaga; Cesy Marlianata Simanullang
Room of Civil Society Development Vol. 5 No. 1 (2026): Room of Civil Society Development
Publisher : Lembaga Riset dan Inovasi Masyarakat Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59110/rcsd.892

Abstract

Low exclusive breastfeeding coverage remains closely linked to limited family support and sociocultural influences in infant feeding decisions. In Batak communities, strong kinship structures position the extended family as a key decision-making unit during pregnancy and early childcare. This community engagement program employed a participatory family-based intervention using a one-group pretest–posttest design to empower families to support exclusive breastfeeding through a culturally grounded Mambosuri approach in the Gunung Tinggi Primary Health Care area. The program involved 32 third-trimester pregnant women and their families over a three-month period. The intervention integrated cultural reflection sessions, interactive family discussions, written commitment development, and pre–post evaluation of family knowledge. Findings showed a significant increase in mean knowledge scores from 62.4 to 84.7 (p < 0.001), as well as an increase in the proportion of the good comprehension category from 37.5% to 81.2%. The most notable improvement was observed in fathers’ perceived roles in breastfeeding support. However, the short duration of assistance and the absence of a control group limit broader generalization of the findings. These results suggest that integrating local cultural values into family-centered education may strengthen collective readiness for exclusive breastfeeding in similar community contexts.
Co-Authors Anna Waris Nainggolan Cesy Marlianata Simanullang Dessy Ratna Sari Sembiring Esra E Sinaga Muhammad Riezky Putri Amanda Sari Siti Nurmawan Sinaga Sodiria Zega