Main Article Content
Abstract
Purpose: This study investigates the relationship between structured health education and exclusive breastfeeding (EBF) status, aiming to understand how tailored educational interventions can enhance the initiation and sustainability of EBF for the recommended six months.
Research Design and Methodology: The study employs a qualitative systematic literature review (SLR) approach, analyzing peer-reviewed journal articles, conference papers, and relevant academic publications. The literature spans from 2010 to 2024, focusing on structured health education, digital health interventions, and their impact on EBF practices.
Findings and Discussion: The findings indicate that structured health education, particularly when culturally sensitive and supported by digital tools such as mobile health (mHealth) applications, significantly improves EBF outcomes. The study highlights the importance of continuous support through follow-up sessions and peer groups. Additionally, it underscores the role of workplace policies and public health infrastructure in sustaining breastfeeding practices. The results align with the Health Belief Model and the Theory of Planned Behavior, demonstrating that well-structured education can effectively promote health behaviors.
Implications: This research contributes to both scientific knowledge and practical application by emphasizing the integration of digital tools and supportive policies in health education. The study's originality lies in its comprehensive approach, offering valuable insights for healthcare providers and policymakers to enhance maternal and child health outcomes globally.
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References
- Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckmann (Eds.), Action control: From cognition to behavior (pp. 11-39). Springer-Verlag. https://doi.org/10.1007/978-3-642-69746-3_2
- Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
- Bai, Y., & Wunderlich, S. M. (2013). Lactation accommodation in the workplace and duration of exclusive breastfeeding. Journal of Midwifery & Women's Health, 58(6), 690-696. https://doi.org/10.1111/jmwh.12072
- Brown, A. (2019). What do women really want? Lessons for breastfeeding promotion and education. Breastfeeding Medicine, 14(2), 15-23. https://doi.org/10.1089/bfm.2018.0144
- Chen, Y., Li, Y., Tang, W., Li, C., & Chen, K. (2019). Development of a mobile health application for promoting breastfeeding among Chinese women: A user-centered design approach. JMIR mHealth and uHealth, 7(12), e15563. https://doi.org/10.2196/15563
- Crawford, J., Larsen-Cooper, E., Jezman, Z., Cunningham, S. C., & Bancroft, E. (2020). SMS versus voice messaging to deliver mHealth services: A randomized controlled trial in Kenya. JMIR mHealth and uHealth, 8(1), e15785. https://doi.org/10.2196/15785
- Dale, K., Myrvang Brown, C., & Williams, P. (2018). The impact of health education on breastfeeding practices: A review of theory and evidence. Maternal & Child Nutrition, 14(1), e12583. https://doi.org/10.1111/mcn.12583
- Hasriantirisna, H. (2023). The effect of structured breastfeeding education on exclusive breastfeeding practices: A community-based study. Journal of Maternal and Child Health, 8(2), 112-120. https://doi.org/10.1111/jmch.20354
- Jiang, H., Li, M., Yang, D., Wen, L. M., Hunter, C., & He, G. (2020). Awareness, intention, and needs regarding breastfeeding: Findings from first-time mothers in Shanghai, China. Journal of Human Lactation, 36(3), 552-561. https://doi.org/10.1177/0890334420907506
- Jiang, X., Yang, Y., Sun, M., & Song, L. (2021). Influence of breastfeeding support on breastfeeding self-efficacy and breastfeeding duration: A cross-sectional study. International Journal of Nursing Sciences, 8(1), 57-62. https://doi.org/10.1016/j.ijnss.2020.12.004
- Kartika, Y., Nugroho, H., & Wulandari, A. (2021). Knowledge and exclusive breastfeeding practices among mothers in rural areas. Journal of Public Health Research, 10(3), 542-550. https://doi.org/10.4081/jphr.2021.2246
- Lupton, D. (2018). How do health professionals perceive apps for health care consumers? An interview study among Australian health professionals. Digital Health, 4, 1-10. https://doi.org/10.1177/2055207618770761
- McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., ... & MacGillivray, S. (2019). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2019(2), CD001141. https://doi.org/10.1002/14651858.CD001141.pub5
- Meedya, S., Fernandez, R., & Fahy, K. (2020). Association between breastfeeding education and breastfeeding knowledge, attitudes, and self-efficacy of women in Australia. Women and Birth, 33(2), e159-e165. https://doi.org/10.1016/j.wombi.2019.04.002
- Mehra, R., Pregler, J., George, T., & Sabharwal, S. (2018). Digital divide and health equity: The role of digital literacy in maternal and child health. Pediatrics, 142(1_MeetingAbstract), 679-683. https://doi.org/10.1542/peds.142.1_MeetingAbstract.679
- Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., ... & Victora, C. G. (2016). Why invest, and what it will take to improve breastfeeding practices globally. The Lancet, 387(10017), 491-504. https://doi.org/10.1016/S0140-6736(15)01044-2
- Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Education Monographs, 2(4), 354-386. https://doi.org/10.1177/109019817400200405
- Schafer, E. J., Campo, S., Colaizzo-Anas, T., & Hudson, J. (2021). Effectiveness of breastfeeding educational interventions to increase breastfeeding knowledge and initiation rates. Public Health Nursing, 38(3), 402-410. https://doi.org/10.1111/phn.12865
- Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S., ... & Bhandari, N. (2019). Interventions to improve breastfeeding outcomes: A systematic review and meta‐analysis. Acta Paediatrica, 108(5), 84-95. https://doi.org/10.1111/apa.14821
- Sutrisminah, S., Wijayanti, S., & Putri, S. (2022). The role of health workers in promoting exclusive breastfeeding among working mothers. Journal of Nursing and Health Sciences, 12(1), 65-72. https://doi.org/10.1111/jnhs.21095
- Tomfohrde, O., & Reinke, J. S. (2016). Breastfeeding peer support: A concept analysis. Journal of Human Lactation, 32(2), 327-334. https://doi.org/10.1177/0890334415619807
- Tomori, C., Palmquist, A. E., & Dowling, S. (2018). Contested moral landscapes: Negotiating breastfeeding stigma in breastmilk sharing, nighttime breastfeeding, and long-term breastfeeding in the US and the UK. Social Science & Medicine, 212, 48-56. https://doi.org/10.1016/j.socscimed.2018.07.021
- Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., ... & Rollins, N. C. (2016). 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
- Wouk, K., Tully, K. P., Labbok, M. H., & Relyea, M. J. (2017). Reasons for early cessation of breastfeeding among women with low-income and Latina women: A qualitative approach. Women and Birth, 30(5), e198-e205. https://doi.org/10.1016/j.wombi.2016.12.001
- Yeşil, Y., Kara, M., & Uysal, H. (2022). Hospital-based group breastfeeding education before discharge: Effects on self-efficacy and exclusive breastfeeding rates. Breastfeeding Medicine, 17(4), 281-287. https://doi.org/10.1089/bfm.2021.0216
References
Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckmann (Eds.), Action control: From cognition to behavior (pp. 11-39). Springer-Verlag. https://doi.org/10.1007/978-3-642-69746-3_2
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
Bai, Y., & Wunderlich, S. M. (2013). Lactation accommodation in the workplace and duration of exclusive breastfeeding. Journal of Midwifery & Women's Health, 58(6), 690-696. https://doi.org/10.1111/jmwh.12072
Brown, A. (2019). What do women really want? Lessons for breastfeeding promotion and education. Breastfeeding Medicine, 14(2), 15-23. https://doi.org/10.1089/bfm.2018.0144
Chen, Y., Li, Y., Tang, W., Li, C., & Chen, K. (2019). Development of a mobile health application for promoting breastfeeding among Chinese women: A user-centered design approach. JMIR mHealth and uHealth, 7(12), e15563. https://doi.org/10.2196/15563
Crawford, J., Larsen-Cooper, E., Jezman, Z., Cunningham, S. C., & Bancroft, E. (2020). SMS versus voice messaging to deliver mHealth services: A randomized controlled trial in Kenya. JMIR mHealth and uHealth, 8(1), e15785. https://doi.org/10.2196/15785
Dale, K., Myrvang Brown, C., & Williams, P. (2018). The impact of health education on breastfeeding practices: A review of theory and evidence. Maternal & Child Nutrition, 14(1), e12583. https://doi.org/10.1111/mcn.12583
Hasriantirisna, H. (2023). The effect of structured breastfeeding education on exclusive breastfeeding practices: A community-based study. Journal of Maternal and Child Health, 8(2), 112-120. https://doi.org/10.1111/jmch.20354
Jiang, H., Li, M., Yang, D., Wen, L. M., Hunter, C., & He, G. (2020). Awareness, intention, and needs regarding breastfeeding: Findings from first-time mothers in Shanghai, China. Journal of Human Lactation, 36(3), 552-561. https://doi.org/10.1177/0890334420907506
Jiang, X., Yang, Y., Sun, M., & Song, L. (2021). Influence of breastfeeding support on breastfeeding self-efficacy and breastfeeding duration: A cross-sectional study. International Journal of Nursing Sciences, 8(1), 57-62. https://doi.org/10.1016/j.ijnss.2020.12.004
Kartika, Y., Nugroho, H., & Wulandari, A. (2021). Knowledge and exclusive breastfeeding practices among mothers in rural areas. Journal of Public Health Research, 10(3), 542-550. https://doi.org/10.4081/jphr.2021.2246
Lupton, D. (2018). How do health professionals perceive apps for health care consumers? An interview study among Australian health professionals. Digital Health, 4, 1-10. https://doi.org/10.1177/2055207618770761
McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., ... & MacGillivray, S. (2019). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2019(2), CD001141. https://doi.org/10.1002/14651858.CD001141.pub5
Meedya, S., Fernandez, R., & Fahy, K. (2020). Association between breastfeeding education and breastfeeding knowledge, attitudes, and self-efficacy of women in Australia. Women and Birth, 33(2), e159-e165. https://doi.org/10.1016/j.wombi.2019.04.002
Mehra, R., Pregler, J., George, T., & Sabharwal, S. (2018). Digital divide and health equity: The role of digital literacy in maternal and child health. Pediatrics, 142(1_MeetingAbstract), 679-683. https://doi.org/10.1542/peds.142.1_MeetingAbstract.679
Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., ... & Victora, C. G. (2016). Why invest, and what it will take to improve breastfeeding practices globally. The Lancet, 387(10017), 491-504. https://doi.org/10.1016/S0140-6736(15)01044-2
Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Education Monographs, 2(4), 354-386. https://doi.org/10.1177/109019817400200405
Schafer, E. J., Campo, S., Colaizzo-Anas, T., & Hudson, J. (2021). Effectiveness of breastfeeding educational interventions to increase breastfeeding knowledge and initiation rates. Public Health Nursing, 38(3), 402-410. https://doi.org/10.1111/phn.12865
Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S., ... & Bhandari, N. (2019). Interventions to improve breastfeeding outcomes: A systematic review and meta‐analysis. Acta Paediatrica, 108(5), 84-95. https://doi.org/10.1111/apa.14821
Sutrisminah, S., Wijayanti, S., & Putri, S. (2022). The role of health workers in promoting exclusive breastfeeding among working mothers. Journal of Nursing and Health Sciences, 12(1), 65-72. https://doi.org/10.1111/jnhs.21095
Tomfohrde, O., & Reinke, J. S. (2016). Breastfeeding peer support: A concept analysis. Journal of Human Lactation, 32(2), 327-334. https://doi.org/10.1177/0890334415619807
Tomori, C., Palmquist, A. E., & Dowling, S. (2018). Contested moral landscapes: Negotiating breastfeeding stigma in breastmilk sharing, nighttime breastfeeding, and long-term breastfeeding in the US and the UK. Social Science & Medicine, 212, 48-56. https://doi.org/10.1016/j.socscimed.2018.07.021
Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., ... & Rollins, N. C. (2016). 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
Wouk, K., Tully, K. P., Labbok, M. H., & Relyea, M. J. (2017). Reasons for early cessation of breastfeeding among women with low-income and Latina women: A qualitative approach. Women and Birth, 30(5), e198-e205. https://doi.org/10.1016/j.wombi.2016.12.001
Yeşil, Y., Kara, M., & Uysal, H. (2022). Hospital-based group breastfeeding education before discharge: Effects on self-efficacy and exclusive breastfeeding rates. Breastfeeding Medicine, 17(4), 281-287. https://doi.org/10.1089/bfm.2021.0216
