https://doi.org/10.4081/hls.2024.12089
Effectiveness of the SETIA (Self Empowering Woman, Empathy, Trust, Intimate and Affection) program in enhancing exclusive breastfeeding in Indonesia
Submitted: 15 November 2023
Accepted: 21 May 2024
Published: 3 July 2024
Accepted: 21 May 2024
Abstract Views: 218
PDF: 69
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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The sustainability of breastfeeding remains a challenge for primiparous mothers. Empowering women through home visits by midwives needs to be enhanced to ensure the continuity of breastfeeding. This research aimed to compare the effectiveness of the SETIA (Self-Empowering Women, Empathy, Trust, Intimacy, and Affection) program with a standard program in assisting primiparous mothers to breastfeed their babies after one month. A total of 50 primiparous participants were divided into two groups through simple random sampling. The standard group received four home visits, while the SETIA group received five home visits within one month postpartum. The breastfeeding competency variable was evaluated after one month using the World Health Organization (WHO) instruments and interviews about exclusive breastfeeding. The variables were analyzed using comparative statistics. The results showed no significant difference between the standard and SETIA groups, with Mann-Whitney U values of 253.5 and Wilcoxon values of 578.5 (p-value=0.086, α<0.05). However, there is evidence that the intervention group managed breastfeeding problems better, and more mothers continued breastfeeding after one month. Therefore, the authors suggest more frequent home visits to help new mothers adapt to their breastfeeding roles, especially in the first week after birth. Further research is needed to assess exclusive breastfeeding after six months in both groups.
Safaah N, Yunitasari E, Efendi F, et al. Relationship between exclusive breastfeeding and stunting among children aged 2-5 years in Indonesia. Gac Med Caracas 2022;130:S1019-24.
DOI: https://doi.org/10.47307/GMC.2022.130.s5.21
Rollins NC, Bhandari N, Hajeebhoy N, et al. Why invest, and what it will take to improve breastfeeding practices? Lancet 2016;387:491-504.
DOI: https://doi.org/10.1016/S0140-6736(15)01044-2
Dewi I, Widianti AT, Fatmawati A, et al. The predictors need for complementary interventions using mobile application technology in women with breast cancer. J Ners 2023;18:169-75.
DOI: https://doi.org/10.20473/jn.v18i2.45799
Suja Shamili G, Aruna G. Effectiveness of information booklet on knowledge and practices of expressed breast milk among working postnatal mothers in selected maternity hospitals at Nellore. IOSR J Eng 2016;06:17-19.
The Demographic and Health Surveys (DHS) Program. Nutrition. 2020. Available from: https://dhsprogram.com/topics/Nutrition/index.cfm
Nasrul N, Hafid F, Ramadhan K, et al. Factors associated with bottle feeding in children aged 0–23 months in Indonesia. Child Youth Serv Rev 2020;116:105251.
DOI: https://doi.org/10.1016/j.childyouth.2020.105251
Jiang H, Li M, Yang D, et al. Awareness, intention, and needs regarding breastfeeding: findings from first-time mothers in Shanghai, China. Breastfeed Med Off J Acad Breastfeed Med 2012;7:526-34.
DOI: https://doi.org/10.1089/bfm.2011.0124
Ouyang Y-Q, Su M, Redding SR. A survey on difficulties and desires of breast-feeding women in Wuhan, China. Midwifery 2016;37:19-24.
DOI: https://doi.org/10.1016/j.midw.2016.03.014
Suradi R, Hegar B, Partiwi IGAN, et al. Indonesia menyusui. 2010. Available from: https://perpustakaan.kemkes.go.id/inlislite3/opac/detail-opac?id=12896
Mardiyanti I, Devy SR, Ernawati E. Analysis of sociodemographic and information factors on family behaviour in early detection of high-risk pregnancy. J Ners 2019;14:144-50.
DOI: https://doi.org/10.20473/jn.v14i2.16561
Gómez L, Verd S, de-la-Banda G, et al. Perinatal psychological interventions to promote breastfeeding: a narrative review. Int Breastfeed J 2021;16:1-16.
DOI: https://doi.org/10.1186/s13006-020-00348-y
Gianni ML, Bettinelli ME, Manfra P, et al. Breastfeeding difficulties and risk for early breastfeeding cessation. Nutrients 2019;11:2266.
DOI: https://doi.org/10.3390/nu11102266
Mangel L, Mimouni FB, Mandel D, et al. Breastfeeding difficulties, breastfeeding duration, maternal Body Mass Index, and breast anatomy: are they related? Breastfeed Med Off J Acad Breastfeed Med 2019;14:342-6.
DOI: https://doi.org/10.1089/bfm.2018.0262
Wahyuni SD, Santoso B, Triharini M, Susan N. Perceptions of working mothers toward breastfeeding self-efficacy. J Ners 2020;15:50-6.
DOI: https://doi.org/10.20473/jn.v15i1Sp.18910
Hadisuyatmana S, Has EMM, Sebayang SK, et al. Women’s empowerment and determinants of early initiation of breastfeeding: a scoping review. J Pediatr Nurs 2021;56:e77-92.
DOI: https://doi.org/10.1016/j.pedn.2020.08.004
Kuncaraning R, Yugiana E, Noviani A. Profil statistik kesehatan 2021. 2021. Available from: https://www.bps.go.id/id/publication/2021/12/22/0f207323902633342a1f6b01/profil-statistik-kesehatan-2021.html
Muniroh L, Sulistyorini Y, Abihail CT. Family support is the strongest predictor that influences mother’s self-efficacy level on complementary feedings practices among toddlers in Tengger tribe. Nutr Food Sci 2024;54:535-46.
DOI: https://doi.org/10.1108/NFS-07-2023-0158
Pedoman Bagi Ibu Hamil, Bersalin, Nifas, Dan Bayi Baru Lahir. Direktorat Jenderal Kesehat Masy Kementeri Kesehat RI 2020. 2020. Available from: https://www.google.com/search?q=Direktorat+Jenderal+Kesehat+Masy+Kementeri+Kesehat+RI+2020&rlz=1C5CHFA_enIT976IT976&oq=Direktorat+Jenderal+Kesehat+Masy+Kementeri+Kesehat+RI+2020&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBBzE2MWowajSoAgCwAgA&sourceid=chrome&ie=UTF-8#:~:text=Permenkes%20Nomor%2021,%E2%80%BA%20Home%20%E2%80%BA%20Download
Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences. 11th edition. Wiley; Hoboken, USA; 2018.
United Nations International Children's Emergency Fund (UNICEF). Breastfeeding assessment tools. Available from: https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/implementing-standards-resources/breastfeeding-assessment-tools/
Naufal FF, Indita HR, Muniroh L. The relationship between maternal knowledge and family support with exclusive breastfeeding. Amerta Nutr 2023;7:442-8.
DOI: https://doi.org/10.20473/amnt.v7i3.2023.442-448
Supeni S, Jariyah A. Antenatal class increases knowledge and attitude of pregnant women in succeeding early breastfeeding initiation. J Asian Multicult Res Med Heal Sci Study 2022;3:69-78.
DOI: https://doi.org/10.47616/jamrmhss.v3i2.294
Dwijayanti I, Al Mamun A, Setiarsih D, et al. Exploring global mothers’ knowledge, attitudes, and practice of complementary feeding: a scoping review. Nutrition 2024;120;112335.
DOI: https://doi.org/10.1016/j.nut.2023.112335
McGinnis S, Lee E, Kirkland K, et al. Let’s talk about breastfeeding: the importance of delivering a message in a home visiting program. Am J Health Promot 2018;32:989-96.
DOI: https://doi.org/10.1177/0890117117723802
Setyawati E. The effectivity of home visit and self-care treatment methods on self-efficacy of breastfeeding mothers. Media Ilmu Kesehat 2018;7:179-84.
DOI: https://doi.org/10.30989/mik.v7i2.239
Mauri PA, Zobbi VF, Zannini L. Exploring the mother’s perception of latching difficulty in the first days after birth: an interview study in an Italian hospital. Midwifery 2012;28:816-23.
DOI: https://doi.org/10.1016/j.midw.2011.09.010
Dahlberg U, Haugan G, Aune I. Women’s experiences of home visits by midwives in the early postnatal period. Midwifery 2016;39:57-62.
DOI: https://doi.org/10.1016/j.midw.2016.05.003
Yonemoto N, Nagai S, Mori R. Schedules for home visits in the early postpartum period. Cochrane Database Syst Rev 2021;7:CD009326.
DOI: https://doi.org/10.1002/14651858.CD009326.pub4
Çerçer Z, Nazik ED. The effects of the breastfeeding problems management model on breastfeeding problems, breastfeeding motivation and breastfeeding success: a randomized controlled trial. J Pediatr Nurs 2023;73:e116-24.
DOI: https://doi.org/10.1016/j.pedn.2023.07.021
Nilsson IMS, Kronborg H, Rahbek K, Strandberg-Larsen K. The significance of early breastfeeding experiences on breastfeeding self-efficacy one week postpartum. Matern Child Nutr 2020;16:e12986.
DOI: https://doi.org/10.1111/mcn.12986
Bengough T, Dawson S, Cheng H-L, et al. Factors that influence women’s engagement with breastfeeding support: A qualitative evidence synthesis. Matern Child Nutr 2022;18:e13405.
DOI: https://doi.org/10.1111/mcn.13405
Mirmolaei ST, Valizadeh MA, Mahmoodi M, Tavakol Z. Comparison of effects of home visits and routine postpartum care on the healthy behaviors of Iranian low-risk mothers. Int J Prev Med 2014;5:61-8.
Scharff DP, Elliott M, Rechtenwald A, et al. Evidence of effectiveness of a home visitation program on infant weight gain and breastfeeding. Matern Child Health J 2021;25:676-83.
DOI: https://doi.org/10.1007/s10995-020-03072-5
Huang R, Wan Y, Yao X, et al. Predictive factors of exclusive breastfeeding attrition at Week 6 post-partum among mothers of preterm infants based on the theory of planned behaviour. Matern Child Nutr 2023;19:e13470.
DOI: https://doi.org/10.1111/mcn.13470
Shah MK, Austin KR. Do home visiting services received during pregnancy improve birth outcomes? Findings from Virginia PRAMS 2007-2008. Public Health Nurs 2014;31:405-13.
DOI: https://doi.org/10.1111/phn.12103
How to Cite
Setyawati, E., Wijayanti, E., Kusumayanti, I., Noviasari, D., Handayani , S., Pasiriani, N., & Rahmawati , E. (2024). Effectiveness of the SETIA (Self Empowering Woman, Empathy, Trust, Intimate and Affection) program in enhancing exclusive breastfeeding in Indonesia. Healthcare in Low-Resource Settings, 12(3). https://doi.org/10.4081/hls.2024.12089
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