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
https://doi.org/10.59110/rcsd.892
Keywords:
ASI eksklusif, pemberdaan keluarga, budaya Mambosuri, dukungan suami, promosi kesehatan ibuAbstract
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.
Downloads
References
Baca-Motes, K., Brown, A., Gneezy, A., Keenan, E. A., & Nelson, L. D. (2013). Commitment and behavior change: Evidence from the field. Journal of Consumer Research, 39(5), 1070–1084. https://doi.org/10.1086/667226
Bautista-Gomez, M. M., Zuluaga, L. S., & Medina-Tabares, M. F. (2024). Cultural adaptation of health interventions for ethnic communities in vulnerable settings: A qualitative data synthesis. New Trends in Qualitative Research, 20(3), e920. https://doi.org/10.36367/ntqr.20.3.2024.e920
Ejie, I. L., Eleje, G. U., Chibuzor, M. T., Anetoh, M. U., Nduka, I. J., Umeh, I. B., Ogbonna, B. O., & Ekwunife, O. I. (2021). A systematic review of qualitative research on barriers and facilitators to exclusive breastfeeding practice in sub-Saharan African countries. International Breastfeeding Journal, 16, 44. https://doi.org/10.1186/s13006-021-00380-6
Elsenbroich, C., & Gilbert, N. (2014). Internalisation and social norms. In N. Gilbert & C. Elsenbroich (Eds.), [Book title] (pp. 133–142). Springer. https://doi.org/10.1007/978-94-007-7052-2_9
Giusto, A., et al. (2025). The call to increase adoption of family-based interventions in global mental health programming. Psychiatric Services. Advance online publication. https://doi.org/10.1176/appi.ps.20240243
Guadamuz, S. L. O. (2020). Participación comunitaria y salud materna en el Alto Wangky, desde la perspectiva de género. FAREM, 36, 67–81. https://doi.org/10.5377/FAREM.V0I36.10612
Harianja, R. F., & Sudrajat, A. (2021). The local wisdom of Batak Toba through the philosophy of Dalihan Na Tolu in a kinship environment. Budapest International Research and Critics in Linguistics and Education (BIRLE) Journal, 4(2), 759–765. https://doi.org/10.33258/birle.v4i2.1838
Hoover, C. (2022). Engaging families in life course intervention research: An essential step in advancing equity. Pediatrics, 149(Supplement 5). https://doi.org/10.1542/peds.2021-053509g
Isenberg, N., & Brauer, M. (2022). Commitment and consistency. Routledge. https://doi.org/10.4324/9780367198459
Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2023. Kementerian Kesehatan RI.
Kinshella, M.-L. W., Hiwa, T., Pickerill, K., Vidler, M., & Sevene, E. (2021). Barriers and facilitators to exclusive breastfeeding in low- and middle-income countries: A qualitative evidence synthesis. International Breastfeeding Journal, 16, 56. https://doi.org/10.1186/s13006-021-00394-0
Konukbay, D., Çelik, A. S., & Aydin, A. (2024). Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: A cross-sectional study of postpartum women in Turkey. BMC Pregnancy and Childbirth, 24(1), 231. https://doi.org/10.1186/s12884-024-06456-5
Lai, W. F. G. (2014). Social support and illness. In The Wiley Blackwell encyclopedia of health, illness, behavior, and society (pp. 2193–2195). Wiley. https://doi.org/10.1002/9781118410868.wbehibs210
Martin, S. L., et al. (2021). Engaging family members in maternal, infant and young child nutrition activities in low- and middle-income countries: A systematic scoping review. Maternal & Child Nutrition, 17(3), e13158. https://doi.org/10.1111/mcn.13158
Martin, S. L., et al. (2021). Engaging family members in maternal, infant and young child nutrition activities in low- and middle-income countries: A systematic scoping review. Maternal & Child Nutrition, 17(3), e13158. https://doi.org/10.1111/mcn.13158
Maryuni, M., et al. (2024). Kepercayaan tradisional, praktik budaya, dan pola pengambilan keputusan pada ibu hamil di pedesaan dan perkotaan Indonesia. Jurnal Kesehatan Reproduksi, 15(1), 16–29. https://doi.org/10.58185/jkr.v15i1.189
Masulili, F., Rahman, A., & Yusuf, S. (2022). Intervensi keluarga tentang pemberian ASI eksklusif melalui perspektif budaya Kaili. Jurnal Inovasi, Pemberdayaan dan Pengabdian Masyarakat, 2(2). https://doi.org/10.36990/jippm.v2i2.702
Meher, C., & Zaluchu, F. (2024). Scoping review peran konteks sosial dalam pemberian ASI eksklusif. Inovasi, 21(2). https://doi.org/10.33626/inovasi.v21i2.908
Napitupulu, N. F., Hadi, A. J., & Butar-Butar, K. (2025). Stunting Prevention through Local Wisdom of Mambosuri Culture in Pregnant Women of Batak Tribe. Jurnal Keperawatan Priority, 8(1), 139-151. https://doi.org/10.34012/jukep.v8i1.5808
Nidaa, I., & Krianto, T. (2022). Scoping review: Faktor sosial budaya terkait pemberian ASI eksklusif di Indonesia. Jurnal Litbang Kota Pekalongan, 20(1). https://doi.org/10.54911/litbang.v20i1.190
Ratnasari, D., Paramashanti, B. A., Hadi, H., Yugistyowati, A., Astiti, D., & Nurhayati, E. (2017). Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pacific Journal of Clinical Nutrition, 26, S31–S35. https://search.informit.org/doi/10.3316/informit.915808981100465
Ratnasari, D., Paramashanti, B. A., Hadi, H., Yugistyowati, A., Astiti, D., & Nurhayati, E. (2017). Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pacific journal of clinical nutrition, 26(Supplement).
Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., Piwoz, E. G., Richter, L. M., & Victora, C. G. (2021). Why invest, and what it will take to improve breastfeeding practices? The Lancet, 387(10017), 491–504. https://doi.org/10.1016/S0140-6736(15)01044-2
Silaban, I., & Sibarani, R. (2021). The tradition of Mambosuri Toba Batak traditional ceremony for a pregnant woman with seven months gestational age for women's physical and mental health. Gaceta Sanitaria, 35, S558-S560. https://doi.org/10.1016/j.gaceta.2021.07.033
Thrasher, J. F., et al. (2004). Behavior-specific social support for healthy behaviors among African American church members: Applying optimal matching theory. Health Education & Behavior, 31(2), 193–205. https://doi.org/10.1177/1090198103259184
Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker, N., & Rollins, N. C. (2021). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7
Yunardi, Y., Mudjiran, M., Masrul, M., & Syah, N. A. (2025). Model of Husband’s Bonding Behaviour for the Success of Exclusive Breastfeeding in Rural Sumatra. Journal of Medical Advances and Education (JMAE), 1(1), 43-54. https://doi.org/10.55043/jmae.v1i1.373
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Anna Waris Nainggolan, Imarina Tarigan, Muhammad Riezky, Siti Nurmawan Sinaga, Esra E Sinaga, Cesy Marlianata Simanullang
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
