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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.
Pengembangan Aplikasi TUKKOT ASI Berbasis Budaya Batak Mambosuri Dalam Peningkatan Kesiapan Pemberian ASI Eksklusif Pada Ibu Hamil Trimester III: Development of the TUKKOT ASI Application Based on Batak Mambosuri Culture to Enhance Readiness for Exclusive Breastfeeding among Third-Trimester Pregnant Women Nainggolan, Anna Waris; Silaban, Marta Armita; Simanjuntak, Parningotan; Simanullang, Cesy Marlianata; Siagian, Lastini
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.83-95

Abstract

Background: Exclusive breastfeeding rate in Indonesia was 68%, which were also lower than the targeted national 80%. One such cause is unpreparedness of pregnant women for breastfeeding. In Batak culture, the Moumbasuri method during pregnancy month seven is regarded as a social, spiritual and psychosocial intervention to support pregnant women, but has not been adequately utilised to reinforce breastfeeding preparation. This type of local wisdom can be incorporated into digital media for better readiness toward exclusive breastfeeding among third trimester pregnant mothers. Objective: To develop and evaluate the Technology for Optimal Readiness (TUKKOT) ASI application, grounded in Mambosuri culture, as an educational tool to enhance readiness for exclusive breastfeeding. Methods: The used Research and Development (R&D) model was based on the structure of Analysis, Design, Development, Implementation, and Evaluation (ADDIE). It was composed by needs analysis, content design, validation with specialists and implementation (40 pregnant women on the third trimester) and evaluated using Wilcox test. Outcomes: The analysis showed that 57.5% of participants had low knowledge, while 47.5% demonstrated good readiness. The application featuring home, Mambosuri, readiness, and profile sections received an expert feasibility score of 88.9%. After a one month period, a user satisfaction level of 90.8% was achieved. Significant improvements were demonstrated through statistical analysis in knowledge (p-value<0.001), family support (p-value<0.005), and readiness for breastfeeding (p-value<0.001). Conclusion: An effective increase in knowledge, family support, and breastfeeding preparedness among women in the third trimester of pregnancy was achieved through the use of the Mambosuri based TUKKOT ASI application. Embedding local wisdom in digital media is one strategic method to support the success of Indonesia’s exclusive breastfeeding program.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KECEMASAN IBU POSTPARTUM PADA MASA PERSALINAN DI RSU VINA ESTETIKA MEDAN TAHUN 2023 Devi Erlitna; Anna Waris Nainggolan; Imarina Tarigan
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 2 No. 3 (2024): Agustus : JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v2i3.734

Abstract

Excessive fear, anxiety, stress or anger can cause slow labor progress. Feelings of tiredness, fear and hopelessness are the result of pre-labor or a prolonged latent phase. Women who are not supported emotionally, or have had difficulties in previous births, can feel anxious and afraid to face labor, resulting in labor without significant progress and labor that is very painful. Age that is too young and too old, too much parity and knowledge is suspected to increase anxiety in mothers. The aim of this research is to determine the factors related to postpartum maternal anxiety during childbirth at RSU Vina Estetica Medan in 2023. This type of research is analytical observational with cross-sectional. The population in this study was all postpartum mothers who gave birth at RSU Vina Estetica Medan for the January-April 2023 period, namely 116 people. The sample taken based on the Slovin formula was 54 people. Data analysis was carried out using statistical tests using chi-square, to see the relationship between the independent variable and the dependent variable. The results of the research show that there is a relationship between age and knowledge of postpartum mothers and anxiety during labor at RSU Vina Estetica Medan in 2023. There is no relationship between parity and anxiety of postpartum mothers during labor. It is recommended that health workers at RSU Vina Estetica Medan provide regular counseling to mothers about childbirth starting at the beginning of the pregnancy check-up, in order to reduce postpartum maternal anxiety..
HUBUNGAN KOMPRES HANGAT DENGAN INTENSITAS NYERI PADA IBU NIFAS DENGAN BENDUNGAN ASI DI KLINIK PRATAMA SAM KAMPUNG BARU MEDAN MAIMUN Desi Yolanda Ginting; Anna Waris Nainggolan; Nova Marianti Purba; Edy marjuang Purba
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 2 No. 3 (2024): Agustus : JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v2i3.859

Abstract

Breast milk production can be influenced by two factors, namely production and expenditure. Use a warm compress, namely warm water which is then compressed onto the breasts using a towel. Not infrequently non-medical therapy as above is often applied to postpartum mothers whose breast milk has not yet come in, of course first by conducting training with the puskesmas coordinator midwife, to improve maximum service. The research was carried out by determining the initial level of pain intensity (pretest) before giving a warm compress and then continuing with measuring the pain intensity (posttest) after giving a warm compress. The results of the Independent sample t test showed P Value = 0.001, meaning p < 0.05, stating that there is a relationship between warm compresses and pain intensity in mothers with breast milk dams at the Pratama SAM Kampung Baru Clinic, Medan Maimun in 2023. Other research on the effectiveness of compresses Varney said that warm compresses are considered the right action to relieve pain, and for some women who experience problems with breast milk, it is known that using warm compresses alternately can provide a feeling of comfort. Apart from that, the intense pain when there is a blockage in the breast means that mothers tend to choose the easiest method, one of which is a warm compress.
Pelatihan Kader Terpadu Untuk Meningkatkan Keterampilan Dan Pengetahuan Tentang Asi Eksklusif Di Desa Sembahe Baru Kabupaten Deli Serdang Edy Marjuang Purba; Laurena Ginting; Saut Purba; Dermawan; Anna Waris Nainggolan
Jurnal Pengabdian Masyarakat Sapangambei Manoktok Hitei Vol. 4 No. 2 (2024): Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI
Publisher : Universitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36985/80gzw866

Abstract

Cakupan ASI eksklusif sebagai salah satu indicator Kesehatan bayi di Desa Sembahe Baru masih cukup rendah (< 70%). Tidak tercapainya cakupan pemberian ASI ekslusif dipengaruhi beberapa faktor dan salah satu yang utama adalah kurangnya dukungan yang diberikan oleh kader desa. Berdasarkan hasil wawancara yang dilakukan diketahui kader yang tidak mau dan mampu memberikan dukungan disebabkan karena mereka belum pernah mendapatkan pelatihan tentang ASI eksklusif. Tujan kegiatan pengabdian ini adalah untuk meningkatkan keterampilan dan pengetahuan kader dalam melakukan edukasi tentang ASI eksklusif kepada ibu baru melahirkan dan ibu sedang menyusui < 6 bulan melalui pelatihan kader Terpadu. Pelatihan dilakukan sebanyak tiga kali pada bulan Juli yang bertempat di Balai Desa Sembahe Baru dan diikuti oleh sebanyak 15 orang kader. Hasil kegiatan pengadian diperoleh bahwa sebagian besar kader berusia 31 - 40 tahun yaitu sebanyak 8 orang (53,3%), sebagian besar kader memiliki tingkat pendidikan SMA yaitu sebanyak 12 orang (80,0%), sebagian besar kader mengabdi lebih >2 tahun sebagai kader yaitu sebanyak 10 orang (66,7%). Skor keterampilan kader sebelum pelatihan (4,33) meningkat setelah pelatihan (6,20). Dengan uji wilcoxon diketahui bahwa ada pengaruh pelatihan yang telah dilakukan terhadap peningkatan keterampilan kader dengan nilai p-value = 0,008. Skor pengetahuan kader sebelum pelatihan (5,93) meningkat setelah pelatihan (8,13). Dengan uji wilcoxon diketahui bahwa ada pengaruh pelatihan yang telah dilakukan terhadap peningkatan pengatahuan kader tentang ASI eksklusif dengan nilai p-value=0,004. Disarankan kepada pemerintah Desa Sembahe Baru untuk tetap memonitoring kegiatan kader dalam melakukan edukasi ASI ekslusif kepada ibu baru melahirkan dan ibu sedang menyusui <6 bulan sehingga mereka memiliki komitmen yang tinggi dalam memberikan ASI eksklusif
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 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 , Riska Susanti 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 Siagian, Lastini Siahaan, Sastra Amelia Sihombing, Santi Sri Nengsih Silaban, Marta Armita Silalahi, Feronika Simamora, Lasria Simanjorang, Novita Adriani Simanjuntak, Lisdayanti SIMANJUNTAK, PARNINGOTAN 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 Srilina Br Pinem 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