Strengthening Posyandu Cadres through an Oketani Massage E-Booklet to Support Exclusive Breastfeeding

https://doi.org/10.59110/rcsd.954

Authors

  • Anna Waris Nainggolan STIKes Mitra Husada Medan, Medan, Indonesia
  • Dessy Ratna Sari Sembiring STIKes Mitra Husada Medan, Medan, Indonesia
  • Imarina Tarigan STIKes Mitra Husada Medan, Medan, Indonesia
  • Sodiria Zega STIKes Mitra Husada Medan, Medan, Indonesia
  • Putri Amanda Sari STIKes Mitra Husada Medan, Medan, Indonesia

Keywords:

Oketani Massage, Breastfeeding Cadres, E-Booklet, Exclusive Breastfeeding, Community Empowerment

Abstract

Exclusive breastfeeding remains an important public health strategy to support infant growth and development during the first 1,000 days of life. In Dusun VIII, Bangun Rejo Village, Deli Serdang Regency, exclusive breastfeeding coverage is estimated at 65–70%, which is still below the national target of 80%. Several contributing factors include limited breastfeeding management skills, mothers’ perception of insufficient milk production, limited family support, and the lack of standardized educational media for Posyandu cadres. This community service programme aimed to strengthen the role of Posyandu/PKK cadres in supporting breastfeeding mothers through education, practical introduction to Oketani Massage, and the use of an Oketani Massage E-Booklet as digital educational media. The programme was implemented in Bangun Rejo Village from 20 February to 25 March 2026 using a participatory and descriptive community empowerment approach. The activities included socialization, exclusive breastfeeding literacy education, Oketani Massage simulation using a breast phantom, distribution of the E-Booklet, and descriptive evaluation through attendance records, activity documentation, observation, and informal feedback from cadre representatives. A total of 15 Posyandu/PKK cadres participated in the activity. The programme produced an Oketani Massage E-Booklet and received positive responses from cadres, particularly regarding its usefulness as a practical reference that can be accessed repeatedly through mobile phones. This programme contributes to community-based breastfeeding support by providing cadres with basic lactation education, practical simulation experience, and reusable digital learning material.

Downloads

Download data is not yet available.

References

Ahmadinezhad, G. S., Karimi, F. Z., Abdollahi, M., & NaviPour, E. (2024). Association between postpartum depression and breastfeeding self-efficacy in mothers: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 24, Article 273. https://doi.org/10.1186/s12884-024-06465-4

Çağan, E. S., Taşkın, R., Solmaz, E., Balcı, R., & Eminov, E. (2025). The effect of Oketani massage on breastfeeding success and breast engorgement in mothers delivering by cesarean section: Randomized controlled study. African Journal of Reproductive Health, 29(3), 85–93. https://hdl.handle.net/10520/ejc-ajrh_v29_n3_a11

Gavine, A., Shinwell, S. C., Buchanan, P., Farre, A., Wade, A., Lynn, F., Marshall, J., Cumming, S. E., Dare, S., & McFadden, A. (2022). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2022(10), Article CD001141. https://doi.org/10.1002/14651858.CD001141.pub6

Ho, H. M. Y., Fan, H. S. L., Hu, G. H., Nagesh, N., Ip, H. L., Leung, E. T. Y., Choi, E. P. H., & Lok, K. Y. W. (2024). Effectiveness of layperson-based interventions in promoting exclusive breastfeeding: A systematic review and meta-analysis. International Journal of Nursing Studies, 160, Article 104894. https://doi.org/10.1016/j.ijnurstu.2024.104894

Kementerian Kesehatan Republik Indonesia. (2024). Profil Kesehatan Indonesia 2023. Kementerian Kesehatan Republik Indonesia.

Metin, A., & Baltacı, N. (2024). The effects of video-assisted breastfeeding education given to primiparous pregnant women on breastfeeding self-efficacy: Randomized control study. BMC Pregnancy and Childbirth, 24, Article 142. https://doi.org/10.1186/s12884-024-06317-1

Munsittikul, N., Tantaobharse, S., Siripattanapipong, P., Wutthigate, P., Ngerncham, S., & Yangthara, B. (2022). Integrated breast massage versus traditional breast massage for treatment of plugged milk duct in lactating women: A randomized controlled trial. International Breastfeeding Journal, 17(1), Article 43. https://doi.org/10.1186/s13006-022-00485-6

Nainggolan, A. W., Damayanti, S., Sinaga, S. N., Siregar, E. P., Sembiring, I. K., Manisah, I., & Pratini, J. (2024). Efektivitas e-booklet pijat Oketani terhadap peningkatan self-efficacy dan kelancaran produksi ASI pada ibu postpartum di Puskesmas Gunung Tinggi. Journal Of Healthcare Technology And Medicine, 10(2), 106-114. https://doi.org/10.33143/jhtm.v10i2.4293

Ndraha, D. M. Y., Sinaga, S. N., Simanullang, E., & Purba, E. M. (2024). The effect of oxytocin massage on fluency breastfeeding in multiparous postpartum mothers in the working area Puskesmas Medan Johor year 2022. Journal of Public Health Science, 1(4), 350–356. https://doi.org/10.70248/jophs.v1i4.1984

Pratiwi, W. A. D., Yorita, E., Widiyanti, D., Rina, R., & Burhan, R. (2024). Factors affecting exclusive breastfeeding in the working area of the Sawah Lebar Health Center, Bengkulu City. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6(1). http://dx.doi.org/10.30829/contagion.v6i1.19229

Purba, E. M., Sandy, Y. D., Damanik, K. Y., Purba, S., & Nainggolan, A. W. (2024). Effectiveness of an e-booklet on exclusive breastfeeding in enhancing knowledge and attitudes of third-trimester pregnant women. Amerta Nutrition, 8(3SP), 305–314. https://doi.org/10.20473/amnt.v8i3SP.2024.305-314

Purnani, W., & Darmining. (2025). The effect of Oketani massage and oxytoxin massage on breast milk production in postpartum mothers in TPMB D in 2024. Journal for Quality in Women’s Health, 8(1), 27–34. https://doi.org/10.30994/jqwh.v8i1.274

Rapingah, S., Muhani, N., Besral, B., & Yuniar, P. (2021). Determinants of exclusive breastfeeding practices of female healthcare workers in Jakarta, Indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 16(1), 59–65. https://doi.org/10.21109/kesmas.v16i1.2715

Saavedra Sanchez, S., Rodríguez-Gallego, I., Leon-Larios, F., Andina-Diaz, E., Perez-Contreras, R., & Gonzalez-Sanz, J. D. (2024). Influence of perceived maternal self-efficacy on exclusive breastfeeding initiation and consolidation: A systematic review. Healthcare, 12(23), Article 2347. https://doi.org/10.3390/healthcare12232347

Tanrıverdi, D. Ç., Karaahmet, A. Y., & Bilgiç, F. Ş. (2025). Results of interventions to increase breastfeeding self-efficacy: Systematic review and meta-analysis. International Journal of Nursing Practice, 31(5), Article e70063. https://doi.org/10.1111/ijn.70063

Thepha, T., Carr, G., Marais, D., Kuasri, J., Klangphaow, K., & Tangpukdee, J. (2024). The effectiveness of digital health versus standard care on exclusive breastfeeding duration among postpartum mothers in LMIC: Systematic review and meta-analysis. Digital Health, 10, Article 20552076241309520. https://doi.org/10.1177/20552076241309520

UNICEF Indonesia. (2025). Breastfeeding in Indonesia on the rise, but mothers need more support. UNICEF Indonesia.

World Health Organization. (2019). WHO guideline: Recommendations on digital interventions for health system strengthening. World Health Organization.

World Health Organization. (2023). Infant and young child feeding. World Health Organization.

Downloads

Published

2026-07-02

How to Cite

Nainggolan, A. W., Sari Sembiring, D. R., Tarigan, I., Zega, S., & Sari, P. A. (2026). Strengthening Posyandu Cadres through an Oketani Massage E-Booklet to Support Exclusive Breastfeeding. Room of Civil Society Development, 5(3), 337–347. https://doi.org/10.59110/rcsd.954

Most read articles by the same author(s)

Similar Articles

<< < 1 2 3 4 5 6 7 8 > >> 

You may also start an advanced similarity search for this article.