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Background: Low immunization coverage and exclusive breastfeeding coverage are problems in various regions. This program is caused by a lack of maternal knowledge and family support. This problem increases the risk of infection, growth disorders, and impacts the health status of infants. Therefore, the IMASI MOVEMENT (Immunization and Exclusive Breastfeeding Movement) is needed to increase community knowledge and participation regarding infant and toddler health. Method: The methods used include interactive counseling, demonstrations of breastfeeding techniques according to the pink book (KIA), distribution of leaflets, and evaluation through pre-tests and post-tests. Evaluation was carried out on aspects of structure, process, results, and impact of the activity. Results: The results of the activity showed an increase in participants' knowledge scores by ?50–60% after education. Participant attendance reached ?85% of the target, and there was an increase in participation in integrated health post activities compared to the previous month. Discussion: The increase in knowledge scores in the post-test results compared to the pre-test indicates that the educational intervention is effective in increasing mothers' understanding of the benefits of exclusive breastfeeding and the importance of immunization. These findings indicate that community-based health education is an effective strategy to improve maternal health literacy and has the potential to increase the coverage of exclusive breastfeeding and complete basic immunization. Conclusion: This program has proven effective in increasing awareness and health behavior of mothers and toddlers as an effort to prevent stunting and infectious diseases.

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

Exclusive breastfeeding is a crucial step in improving infant health, yet it remains under-practiced in Indonesia. This is primarily due to a lack of knowledge and positive attitudes among mothers. Health education using leaflets has become a popular strategy in community-based nursing due to its simplicity and ease of understanding. The purpose of this study was to evaluate the effectiveness of leaflets in improving maternal knowledge, attitudes, and practices regarding exclusive breastfeeding. A systematic literature search was conducted using the PRISMA methodology. Data were collected from scientific articles published between 2020 and 2025 that met the inclusion criteria for intervention studies using information leaflets with pregnant, breastfeeding, and postpartum women. Twenty original articles meeting these criteria were analyzed. The results showed that most studies found a significant increase in maternal knowledge after distribution of information leaflets (p < 0.005). Furthermore, improvements in attitudes toward exclusive breastfeeding were observed, although practices varied. Many studies have shown that audiovisual materials are more effective than leaflets, although leaflets are easier to use and distribute. Factors such as social support and infrastructure influence the success of exclusive breastfeeding. This study concluded that leaflets were effective in improving mothers' knowledge and attitudes toward exclusive breastfeeding and remained valuable inhome care, especially when combined with other educational methods

Exclusive breastfeeding is a crucial step in improving infant health, yet it remains under-practiced in Indonesia. This is primarily due to a lack of knowledge and positive attitudes among mothers. Health education using leaflets has become a popular strategy in community-based nursing due to its simplicity and ease of understanding. The purpose of this study was to evaluate the effectiveness of leaflets in improving maternal knowledge, attitudes, and practices regarding exclusive breastfeeding. A systematic literature search was conducted using the PRISMA methodology. Data were collected from scientific articles published between 2020 and 2025 that met the inclusion criteria for intervention studies using information leaflets with pregnant, breastfeeding, and postpartum women. Twenty original articles meeting these criteria were analyzed. The results showed that most studies found a significant increase in maternal knowledge after distribution of information leaflets (p < 0.005). Furthermore, improvements in attitudes toward exclusive breastfeeding were observed, although practices varied. Many studies have shown that audiovisual materials are more effective than leaflets, although leaflets are easier to use and distribute. Factors such as social support and infrastructure influence the success of exclusive breastfeeding. This study concluded that leaflets were effective in improving mothers' knowledge and attitudes toward exclusive breastfeeding and remained valuable inhome care, especially when combined with other educational methods

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

Exclusive breastfeeding during the first six months of a baby's life is an important effort in improving children's health and growth and development. However, the success of exclusive breastfeeding still faces various challenges, one of which is influenced by socio-cultural factors that develop in society. The purpose of this study is to determine the relationship between socio-cultural factors and the success of exclusive breastfeeding at Grha Permata Ibu Hospital In 2025. This study used a quantitative method with an analytical observational cross-sectional design. The study population consisted of mothers with infants aged 6–9 months at Grha Permata Ibu Hospital. The sample size was 96 respondents, obtained using the Lemeshow formula with total sampling technique. Data collection was conducted using a sociocultural questionnaire and an exclusive breastfeeding success questionnaire. Data analysis was performed univariately and bivariately using the chi-square test. Based on the chi-square test results, a p-value of <0.001 was obtained, meaning that the p-value was <α (0.05), so it can be concluded that there is a relationship between sociocultural factors and the success of exclusive breastfeeding at Grha Permata Ibu Hospital in 2025.

Breast milk (ASI) is the best source of nutrition for newborns because it contains complete, safe, and stable nutrients, thus supporting optimal growth and development of infants. However, some breastfeeding mothers still do not fully understand the sufficiency of breast milk and its benefits for babies. Therefore, health education efforts are needed to improve the knowledge and understanding of breastfeeding mothers regarding breastfeeding. Health education is an educational activity aimed at inviting and encouraging the community to be willing to take actions that can maintain and improve health. This health education activity on the sufficiency of breast milk for breastfeeding mothers was held on January 24, 2026, at the Sungai Durian Community Health Center (UPTD). The method used in this activity was the delivery of material through health counseling accompanied by a measurement of the level of knowledge using pretest and posttest questionnaires. After the presentation of the material, breastfeeding mothers were asked to complete a posttest questionnaire to assess their understanding of the material that had been provided. The measurement results showed a significant difference between the pretest and posttest scores, indicating an increase in knowledge of breastfeeding mothers after being provided with health education. Thus, it can be concluded that health education activities about breast milk sufficiency are effective in increasing the understanding of breastfeeding mothers regarding the importance of providing sufficient breast milk for babies.

Stunting is a phenomenon of growth impairment experienced by infants and young children under 5 years of age, particularly toddlers aged 0–59 months. Based on Global Prevalence Data, approximately 21.9% to 22% of toddlers worldwide experience stunting. Several factors that contribute to stunting include breastfeeding and complementary feeding (MP-ASI) practices. This study aims to explore the association between experiences of exclusive breastfeeding and complementary feeding (MP-ASI) and the incidence of stunting among children in the Kampa Community Health Center area. The method used in this study was a cross-sectional approach. The study was conducted during the period of January 8–13, 2024, at the Kampa Community Health Center, involving toddlers aged 6–59 months, with a population of 1,576 toddlers. The sample consisted of 68 mothers who had stunted toddlers, measured using a height-for-age (H/A) Z-score of less than -2 standard deviations (SD). The sampling technique applied was total sampling. Data collection was carried out using a microtoise and questionnaires. Data analysis was performed using the Chi-square method. The findings showed a significant relationship between a history of exclusive breastfeeding and the incidence of stunting with a P value of 0.00 < 0.05, as well as a significant relationship between exclusive complementary feeding (MP-ASI) and the incidence of stunting in toddlers with a P value of 0.04 < 0.05. It is recommended that health workers organize counseling classes on lactation and conduct demonstrations on how to prepare complementary foods (MP-ASI), focusing on the use of affordable local food ingredients that are rich in animal protein. In addition, continuous training for community health cadres needs to be carried out to improve early detection through accurate anthropometric measurements, so that toddlers at risk of stunting can be promptly managed.

Exclusive breastfeeding is the provision of only breast milk without any other food or drink from birth to six months of age. The practice of exclusive breastfeeding is very important in supporting infant growth and development and reducing infant morbidity and mortality. However, the coverage of exclusive breastfeeding is still not optimal, including for mothers with first-born children (first-born toddlers). This study aims to determine the determinants of exclusive breastfeeding in first-born toddlers in the work area of ​​Dewantara Health Center, North Aceh with variables of knowledge, attitude, and support for breastfeeding. This study uses a quantitative research type with a cross-sectional design. The population in this study were all mothers who had their first-born children (first-born toddlers) in the work area of ​​Dewantara Health Center, as many as 30 people. The sampling technique used total sampling so that the entire sample population was used. Data collection was carried out using a questionnaire and analyzed using the Chi-Square test. The results showed no significant relationship between maternal knowledge and exclusive breastfeeding (p=0.241), no relationship between maternal attitudes and exclusive breastfeeding (p=0.786), and no relationship between breastfeeding support and exclusive breastfeeding (p=0.850). The conclusion of this study is that knowledge, attitudes, and support for breastfeeding are not significantly related to exclusive breastfeeding in first-born toddlers. It is recommended that health workers improve breastfeeding education and support, and strengthen family support for the success of exclusive breastfeeding.

Stunting remains a major public health problem in Indonesia, particularly in Aceh Province. Family smoking behavior and adherence to exclusive breastfeeding are considered important determinants of child nutritional status. This study aimed to analyze the relationship between family smoking behavior and exclusive breastfeeding adherence with stunting among toddlers in Tuha Village, Trienggadeng District, Pidie Jaya Regency. This study used a quantitative cross-sectional design with a sample of 46 toddlers selected using simple random sampling. Data were collected through structured questionnaires and analyzed using univariate and bivariate analysis with logistic regression tests. The results showed that family smoking behavior was significantly associated with stunting (p = 0.002; OR = 0.12; 95% CI: 0.03–0.47). Meanwhile, exclusive breastfeeding adherence was not significantly associated with stunting (p = 0.940; OR = 0.94; 95% CI: 0.17–5.09). These findings indicate that exposure to cigarette smoke in the household is an important risk factor affecting child nutritional status. Strengthening family-based interventions, especially smoke-free home initiatives, is essential to reduce stunting prevalence.

Desa Gununglurah, Kecamatan Cilongok, Kabupaten Banyumas, merupakan salah satu wilayah prioritas intervensi stunting. Permasalahan stunting masih berkaitan erat dengan praktik pemberian ASI dan MPASI yang belum optimal, terutama rendahnya pengetahuan ibu mengenai kandungan gizi dan zat bioaktif ASI, teknik penyimpanan ASI yang benar, serta pemberian MPASI sesuai usia dan kebutuhan gizi anak. ASI eksklusif selama enam bulan pertama kehidupan berperan penting dalam pencegahan stunting karena mengandung nutrisi lengkap dan faktor imunologis. Penyimpanan ASI yang tidak tepat dapat menurunkan kualitas gizi dan bioaktivitasnya, khususnya pada ibu bekerja. Setelah usia enam bulan, pemberian MPASI yang tidak memenuhi prinsip gizi seimbang, tekstur, dan kebersihan berpotensi menghambat pertumbuhan dan perkembangan anak. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan ibu terkait kandungan gizi dan zat bioaktif ASI, teknik penyimpanan ASI yang tepat, serta praktik pemberian MPASI yang benar. Metode pelaksanaan meliputi penyuluhan, diskusi interaktif, dan demonstrasi praktis. Evaluasi dilakukan menggunakan pre-test dan post-test untuk menilai peningkatan pengetahuan peserta. Kegiatan ini diharapkan dapat meningkatkan pola asuh gizi keluarga dan berkontribusi dalam upaya pencegahan stunting di Desa Gununglurah.

Nutritional problems can occur due to two factors, namely direct factors and indirect factors. Direct factors are unbalanced nutritional intake and infectious diseases. The achievement of Exclusive Breastfeeding in Pesawaran Regency during 2014-2019 fluctuated. In 2014, babies who received exclusive breastfeeding were 30.19%, in 2015 it decreased to 20.85%, in 2016 it increased to 49.76% and in 2019 it was 50.48% and still below the expected national target of 80% 11. Based on the results of a pre-survey of 30 breastfeeding mothers, there were 17 mothers (56.6%) with an average age of 15-25 years and most of them with low levels of education who did not provide exclusive breastfeeding on the grounds that the mother worked and did not get support from her husband to provide exclusive breastfeeding (Pesawaran Regency Health Office). The purpose of this community service activity is to increase mothers' knowledge about fulfilling balanced nutrition and exclusive breastfeeding so that toddlers are free from stunting.

The World Health Organization (WHO) stated that the prevalence of exclusive breastfeeding data globally, although there has been an increase, has not increased significantly, which is around 44% of the target of 50%. Factors suspected of influencing failure are knowledge, perception, family support, and employment. Objective: To determine the factors influencing the failure of exclusive breastfeeding in mothers with babies aged 6-12 months. Method: This type of research is descriptive analytical using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 62 people and all of them were used as samples (total sampling). Sampling was done by purposive sampling. The data used were primary data and secondary data. The analysis was conducted univariately and bivariately using the Chi-Square test. Results: Factors that influence the failure of exclusive breastfeeding at the Murni Teguh Rosiva Mother and Child Hospital Medan are perception (p = 0.000 <0.05), family support (p = 0.015 <0.05), and work (p = 0.032 <0.05), while the knowledge variable has no effect (p = 0.654 > 0.05). Conclusion: perception, support, family and work influence the failure of exclusive breastfeeding. Suggestion: It is recommended that nurses at the Murni Teguh Rosiva Medan Hospital encourage new mothers to only give breast milk to their babies until they are 6 months old

Exclusive breastfeeding ensures the optimal development of children's potential intelligence. Babies without complete exclusive breastfeeding are more vulnerable to malnutrition. They face risks of both under-nutrition and over-nutrition. This study aims to determine the correlation between exclusive breastfeeding and nutritional status among infants in Kuta Cot Glie Public Health Center, Aceh Besar. This research was an analytical study with a cross-sectional approach. The sample consisted of 74 infants aged 0-6 months, selected using a Total Sampling technique. The study was conducted from May 1st to 23rd, 2025. The data were analyzed using univariate and bivariate methods with the Chi-Square test. Of the total 74 respondents, 44 respondents (59.5%) had a normal nutritional status. Additionally, 43 respondents (58.1%) were exclusively breastfed. The Chi-Square test showed a p-value = 0.001 < 0.05. The findings indicate a correlation between exclusive breastfeeding and nutritional status in infants. This study suggests that mothers exclusively breastfeed their babies. Therefore, mothers should also increase their knowledge by seeking information from various sources, such as clinics and professionals. This can help them understand the benefits of exclusive breastfeeding and how to prevent malnutrition in infants.

Exclusive breastfeeding (ASI) is the provision of only breast milk to infants for the first six months without additional food or drink, including water. Breast milk has important benefits in improving infant health, growth, and survival. However, the coverage of exclusive breastfeeding in Indonesia, including in the Pasar Health Center in Prabumulih City, has not yet reached the national target of 80%. One factor influencing the success of exclusive breastfeeding is husband's support. The purpose of this study was to determine the correlation between husband's support and exclusive breastfeeding. The study used a quantitative approach with a cross-sectional design. The sample size was 49 mothers with infants aged 7–12 months. The study was conducted in the Pasar Health Center in May 2025. The results showed that 28 infants (57.1%) received exclusive breastfeeding, and 30 mothers (61.2%) reported receiving support from their husbands. Statistical tests using the chi-square test showed a significant relationship between husband's support and exclusive breastfeeding (p = 0.000). These findings indicate that husband's support plays an important role in successful breastfeeding. This research suggests that involving husbands in breastfeeding education and support is highly recommended to increase the coverage of exclusive breastfeeding in the community.

Exclusive breastfeeding, sometimes known as ASI, is the practice of giving infants only breast milk, along with vitamins, supplements, and prescription medications for illnesses, and no other liquids or solid foods, either directly from the breast or expressed. The purpose of this study was to determine the relationship between maternal awareness of pumping and the effectiveness of exclusive breastfeeding at the Lampulo Community Health Center. This study used a cross-sectional methodology and an analytical quantitative design. 53 breastfeeding mothers constituted the study population. There were 53 respondents in total, and the sampling strategy used the total sampling method. A 20-question survey taken from Desriati Sinaga's 2024 study served as the instrument. The Lampulo Community Health Center in Banda Aceh conducted this study from May 19 to June 25, 2025. The Chi-square test results showed a p-value of 0.001 < 0.05. Based on the research findings, maternal awareness of expressing breast milk is related to the success of exclusive breastfeeding at the Lampulo Community Health Center. These findings are expected to form the basis for more comprehensive instructions for breastfeeding mothers to improve the success of exclusive breastfeeding with expressed breast milk.

Exclusive breastfeeding is a key strategy to improve child health and nutrition, yet its practice in Indonesia remains suboptimal. This study aimed to analyze the relationship between husbands’ knowledge about exclusive breastfeeding and mothers’ motivation to breastfeed in Ie Masen Kayee Adang Village, Syiah Kuala District, Banda Aceh City. Using a cross-sectional design, data were collected from 50 husbands whose wives were breastfeeding infants aged 0–12 months through questionnaires distributed directly and via Google Form. The instrument’s validity and reliability were tested and met the required standards. Data were analyzed using the Chi-Square test. The results showed that most husbands had a high level of knowledge (68%), and most mothers demonstrated high motivation to breastfeed (64%). The Chi-Square analysis indicated a significant relationship between husbands’ knowledge and mothers’ motivation (p = 0.039). These findings suggest that involving husbands as active partners in health promotion and breastfeeding education programs can increase maternal motivation and improve exclusive breastfeeding practices. This study highlights the importance of family-centered interventions to strengthen breastfeeding support and enhance maternal and child health outcomes.

Background: Stunting is a chronic nutritional problem in toddlers caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). One of the main factors that influence the incidence of stunting is exclusive breastfeeding and maternal nutritional knowledge. Indonesia still faces a high prevalence of stunting, which if not addressed immediately can impact the quality of human resources in the future.Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021.Method: This study used a case control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and processed using the Chi-Square test. Results: The results showed a significant relationship between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant relationship between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant relationship. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

Exclusive breastfeeding for the first six months of a baby's life is an important strategy to support optimal growth and development. Breast milk has many benefits for babies, such as strengthening the immune system and supporting brain development. However, various obstacles such as emotional stress, lack of self-confidence, and minimal support from family and the community remain significant barriers to successful breastfeeding. These issues often lead to failure to provide exclusive breastfeeding in accordance with health recommendations. This study aimed to evaluate the effectiveness of hypnobreastfeeding training in improving breastfeeding knowledge, attitudes, and practices among mothers with infants aged 0–6 months in the Bojongkerta area of Bogor City. Hypnobreastfeeding is a psychological approach that combines relaxation techniques, positive affirmations, and education about breastfeeding to help mothers feel more confident in the breastfeeding process. This study used a quasi-experimental approach with a pre- and post-test design without a control group. A total of 31 breastfeeding mothers participated in this training, which included education about breastfeeding, positive affirmation techniques, and relaxation exercises. Data analysis results showed a significant increase in mothers' knowledge and attitudes towards breastfeeding after the training intervention. Furthermore, the study also recorded an increase in the success of exclusive breastfeeding during the observation period. Based on these findings, it can be concluded that hypnobreastfeeding is an effective approach to supporting the empowerment of breastfeeding mothers at the community level. This method offers a psychologically based solution to overcome social barriers that affect the success of exclusive breastfeeding.

Exclusive breastfeeding plays a crucial role in reducing neonatal mortality rates, preventing growth disorders, and enhancing immunological resilience. However, adherence to exclusive breastfeeding practices remains below the targeted level. This study aims to analyze the relationship between maternal characteristics, knowledge, and family support with the success of exclusive breastfeeding in infants. A cross-sectional design was used, conducted at the UPTD Sawang Health Center, South Aceh Regency, during February–March 2025. The population consisted of all mothers with infants aged 7–12 months visiting the health center, totaling 120 individuals. A sample of 97 respondents was selected using purposive sampling. Data were collected through a structured questionnaire, followed by data processing that included response completeness checks, variable coding, and data entry. Data analysis comprised univariate analysis to present the frequency distribution of maternal characteristics and knowledge, and bivariate analysis using the Chi-Square (χ²) test with a significance level of α=0.05 to test the hypotheses. The results showed that maternal employment was significantly associated with the success of exclusive breastfeeding (p < 0.001), whereas maternal education (p = 0.566), income (p = 0.915), maternal knowledge (p = 0.351), and family support (p = 0.252) were not significantly related. In conclusion, maternal employment has a significant relationship with exclusive breastfeeding success