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Anna Waris Nainggolan
STIKes Mitra Husada Medan
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Journal : Room of Civil Social Development

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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 Nainggolan, Anna Waris; Tarigan, Imarina; Riezky, Muhammad; Sinaga, Siti Nurmawan; Sinaga, Esra E; Simanullang, Cesy Marlianata
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 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