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Anna Waris Nainggolan
STIKes Mitra Husada Medan
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Journal : Journal of Innovative and Creativity

 1 
Efektivitas Aplikasi TUKKOT ASI Dalam Peningkatan Breastfeeding Self-Efficacy dan Sikap Ibu Hamil Dalam Kesiapan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi Anna Waris Nainggolan; Imarina Tarigan; Siti Nurmawan Sinaga; Humaida Hanim; Imran Surbakti; Edy Marjuang Purba
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8444

Abstract

Exclusive breastfeeding is the most effective public health intervention for reducing infant morbidity, mortality, and the risk of stunting; however, global and national coverage rates remain below established targets, partly due to low breastfeeding self-efficacy and suboptimal maternal attitudes during the antenatal period. This study aimed to analyze the effectiveness of the TUKKOT ASI Application, which is based on the Batak local wisdom of “Mambosuri,” in improving breastfeeding self-efficacy and pregnant women’s attitudes toward readiness for exclusive breastfeeding. A quasi-experimental design with a pretest–posttest control group approach was employed involving 40 third-trimester pregnant women in the working area of Gunung Tinggi Public Health Center in 2025, selected through purposive sampling. The instruments used were the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF) and a validated attitude questionnaire based on the Theory of Planned Behavior. Data were analyzed using the Wilcoxon test and chi-square test at a significance level of p<0.05. The results showed a significant increase in breastfeeding self-efficacy (mean 10.1±3.7 to 16.8±2.2; p=0.001) and attitudes (mean 5.7±1.4 to 7.9±1.5; p=0.003) following the intervention. Significant associations were found between self-efficacy (p=0.028) and attitudes (p=0.001) with readiness for exclusive breastfeeding. Mothers with higher self-efficacy and positive attitudes were more likely to demonstrate better readiness. It is concluded that the TUKKOT ASI Application is an effective culturally based digital intervention model to enhance pregnant women’s readiness for exclusive breastfeeding and has the potential to be integrated into primary healthcare services.
Co-Authors Ade Rachmat Yudiyanto Amalia Fajrika Anggriani Silitonga Aritonang, Ribur Aruan, Lasria Yolivia Astaria Br Ginting Astaria Br. Ginting Batubara, Zulkarnain Br. Hutahaean, Hanna Novelia R Br.Manjorang, Novita Andriani Damanik, Lira Agnes Monica Damanik, Nopalina Suyanti Damayanty S Deby Cyntia Yun Dermawan Dermawan Desi Yolanda Ginting Devi Erlitna Edi Subroto Efitasari, Yuni Eka Purnama Sari Eka Purnamasari Elida Berta Tarigan Erin Padilla Siregar Ernamari, Ernamari Eva Dona Sinaga Fau, Yentiria Febriana Sari, Febriana Flora Sinaga Friza N. S Situmorang ginting, laurena Habeahan, Nia Haslim, Syahrin Sakinah Hulzanah, Mifta Humaida Hanim Imarina Tarigan Imarina Tarigan Imarina Tarigan Imran Surbakti Iqra Manisah Jasica Pratini Jitasari Tarigan Sibero Juliana Munthe Kanaya Yori Damanik Khairiyah Khairiyah Khairunnisa Situmorang Kurnia, Oni Laurena Ginting Lidya Natalia Br Sinuhaji Lisa Putri Damanik Lusianti, Juana Lusiatun Lusiatun Lusiatun, Lusiatun Magdalena Barus magdalena Barus Manisah, Iqrah Manullang, Rasmi Mariatun Mariatun Melpa Agripa S Nadeak, Yasrida Nopalina Suyanti Damanik Nopalina Suyanti Damanik Nova Marianti Purba Nuraisyah Nuraisyah Oni Kurnia Painem, Painem Pardosi, Krisdayanti PARNINGOTAN SIMANJUNTAK Parningotan Simanjuntak Pasaribu, Karl Fritzs Pratini, Jasica Pratiwi, Caca Pratiwi, Mutia Purba, Edy Marjuang Rasmi Manullang Ridesman Ridesman Riezky, Muhammad Rinse Waty Haloho Ritonga, Yesika Riyanni, Vivi S, Damayanti Sarma Lumbanraja Saut Purba SAUT PURBA Sembiring, Ice Kerisdayanti Siadari, Yemima Siahaan, Sastra Amelia Sihombing, Santi Sri Nengsih Silaban, Marta Armita Silalahi, Feronika Simanjorang, Novita Adriani Simanjuntak, Lisdayanti Simanullang, Cesy Marlianata Simanullang, Ester Sinaga, Esra E SINAGA, ROSMANI Sinaga, Siti Nurmawan Siska Gustika Siti Nurmawan Sinaga Situmorang, Friza N. S Situmorang, Friza Novita Sari situmorang, tetti seriati Situngkir, Monica Sonia Novita Sari Sri Indrayani Sri Rezeki Sulistiawati sulistiawati Tarigan, Imarina tetti seriati situmorang Tuljannah, Zahara Turipah Turipah Vivi Riyanni Yasrida Nadeak Yatty Destani Sandy Yemima Siadari Yesica Geovany Sianipar Yun, Deby Cytia Zulkarnain Batubara