JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)
Vol. 14 No. 2 (2026)

Effect of an android-based KEKASIH class on breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women in Bengkulu City

Epti Yorita (Poltekkes Kemenkes Bengkulu, Indonesia)
Rina (Poltekkes Kemenkes Bengkulu, Indonesia)
Mariati (Poltekkes Kemenkes Bengkulu, Indonesia)
Rolita Efriani (Poltekkes Kemenkes Bengkulu, Indonesia)
Sri Yanniarti (Poltekkes Kemenkes Bengkulu, Indonesia)



Article Info

Publish Date
22 Jun 2026

Abstract

Background: Exclusive breastfeeding coverage remains suboptimal in many regions in Indonesia, including Bengkulu City. This is related to several factors, such as pre-lacteal feeding practices, limited maternal knowledge, inadequate family support, and cultural influences. Strengthening breastfeeding education during pregnancy is essential to improve maternal preparedness and support successful exclusive breastfeeding. Objectives: This study aimed to examine the effect of an Android-based KEKASIH Class educational program on breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women. Methods: A quasi-experimental study with a non-equivalent control group design was conducted among 70 third-trimester pregnant women in Bengkulu City. Participants were selected using purposive sampling and divided into an intervention group and a control group. The intervention group received breastfeeding education through the Android-based KEKASIH Class application, while the control group received conventional education through antenatal classes. Data were analyzed using univariate analysis and non-parametric tests, including the Wilcoxon signed-rank test and the Mann–Whitney U test. Results: The results showed significant improvements in breastfeeding knowledge, attitudes, and breastfeeding self-efficacy in both groups after the intervention (p < 0.05).There was no statistically significant difference between the intervention and control groups (p > 0.05), indicating that both educational approaches were effective in improving maternal readiness for breastfeeding. Conclusions: The findings demonstrate that both the Android-based KEKASIH Class and conventional antenatal education can effectively improve breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women. Digital health education can therefore be considered an alternative strategy to support breastfeeding promotion programs.

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Journal Info

Abbrev

JNKI

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health Other

Description

Jurnal Ners dan Kebidanan Indonesia (Indonesian Journal of Nursing and Midwifery) abbreviated JNKI (p-ISSN 2354-7642 and e-ISSN 2503-1856) is the journal of nursing and midwifery published by Department of Nursing and Department of Midwifery, Faculty of Health Sciences, Alma Ata University in ...