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Purba, Edy Marjuang
Universitas Negeri Medan
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Journal : Journal of Innovative and Creativity

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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 Anna Waris Nainggolan Anugerah, Ajeng Inggit Aritonang, Ribur Cristianna Simanjuntak Dalimunthe, Agustina Dalimunthe, Tetty Dermawan Dermawan Desi Yolanda Ginting Desyandri Desyandri Dewi, Eva Ratna Dewi, Eva Ratna Diah Retno Wahyuningrum Diana Wulan Eka Falentina Tarigan Eka Purnama Sari Eka Purnama Sari, Eka Purnama Eka Purnamasari Emilia, Esi Eris Junaeti Erli Mutiara Erni Rukmana Eva Ratna dewi Eva Ratna Dewi Fau, Yentiria Febriana Sari, Febriana Fitri Jelita Fransiari, M.Edwin Friza N. S Situmorang ginting, laurena Hardi Firmansyah Haryana, Nila Reswari Hendrik Edison Siahaineinia Herni Maulina Azhar Hidayati, Fitni Hondro, Surya Meistin Kristianti Humaida Hanim Imarina Tarigan Imarina Tarigan Imran Surbakti Ingtyas, Fatma Tresno Iqra Manisah Jasica Pratini Jelita, Fitri Juliana Juliana Juniara Fetriani Kanaya Yori Damanik Kurnia, Oni Latifah Rahman Nurfazriah Laurena Ginting Lidya Natalia Br Sinuhaji Lusiatun Lusiatun Lusiatun, Lusiatun Magdalena Barus magdalena Barus Manullang, Rasmi Manurung, Herna Rinayanti Mariatun Mariatun Markus Doddy Marliani Marliani Marliani Marliani Marlina Lamawati Simbolon Martaulina Sinaga Mayla Atika Sari Melpa Agripa S Mohammad Hakimi Muhammmad Edwin Fransiari Nadeak, Yasrida Ndraha, Destin Murni Yanti Nismala Dewi Nova Marianti Purba Nur Azizah Nur Azizah Lubis Nur Fatimah Sam Pohan Nurhayati, Tengku Nursi Oktaviani Oni Kurnia Painem, Painem Parningotan Simanjuntak Pasaribu, Karl Fritzs Pasaribu, Veronika Sinar Open Pratiwi, Caca Purba, Rasita Putri, Kalasta Ayunda Rahmawati Rahmawati Rasita Purba Rasmi Manullang Ridesman Ridesman Rismalia Tarigan Rismalia Tarigan Risnawati Tanjung Risti Rosmiati Romauli Silalahi Rumondang Sitorus SAUT PURBA Saut Purba seh malem Sembiring, Mediana Siadari, Yemima Silalahi, Romauli Simamora, Cike Grenada Sriningsih Simamora, Lasria Simanjuntak Simanjuntak Simanullang, Ester SINAGA, ROSMANI Sinaga, Siti Nurmawan Sinuhaji, Lidya Natalia Sinuhaji, Lidya Natalia Br Sitanggang, Tressy Siti Nurmawan Sinaga Siti Nurmawan Sinaga Situmorang, Friza N. S situmorang, tetti seriati Sutanti, Siti Tengku Nurhayati tetti seriati situmorang Theodola Baning Rahayujati Turipah Turipah Utami Nurhafsari Putri Yasrida Nadeak Yatty Destani Sandy Yemima Siadari Zurkaidah Zurkaidah