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Simanullang, Cesy Marlianata
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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.
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.
Co-Authors Anna Waris Nainggolan Riezky, Muhammad Siagian, Lastini Silaban, Marta Armita SIMANJUNTAK, PARNINGOTAN Sinaga, Esra E Sinaga, Siti Nurmawan Tarigan, Imarina