Efektivitas Edukasi Berbasis Health Belief Model terhadap Peningkatan Kesiapan Ibu dalam Melakukan IMD (Inisiasi Menyusui Dini) di BPM Ernita Pekanbaru
DOI:
https://doi.org/10.57213/medlab.v5i1.511Keywords:
Breastfeeding Knowledge, Education, Health Belief Model, Maternal Health, Maternal ReadinessAbstract
Early Initiation of Breastfeeding (EIBF) is an important intervention in reducing neonatal morbidity and mortality; however, pregnant women’s readiness to implement it is still influenced by perceptual and belief-related factors. The objective of this final project was to analyze the effectiveness of Health Belief Model (HBM)–based education on pregnant women’s readiness to perform EIBF at BPM Ernita Pekanbaru in 2025. This study employed a pre-experimental design with a one-group pretest–posttest approach involving 14 pregnant women, using HBM and EIBF readiness questionnaires that had been tested for validity and reliability. The results showed an increase in the mean scores of all HBM constructs after the intervention, namely perceived susceptibility (from 3.43 to 6.71), perceived severity (from 4.93 to 6.50), perceived benefits (from 5.57 to 6.71), perceived barriers (from 3.71 to 6.36), cues to action (from 4.86 to 7.43), and self-efficacy (from 5.21 to 6.43). In addition, EIBF readiness increased from 8.00 to 10.50, with the paired t-test yielding a p-value of 0.000. This study demonstrates that HBM-based education is effective in enhancing positive perceptions, strengthening pregnant woman perceptions of susceptibility,severity,benefits,and self efficacy.while also encouraging readiness to take action and reducing perceived barriers to performing Early Initation of Breastfeeding. In conclusion,HBM-based education is profen to be effective in increasing pregnant women’s readness to implement EIBF.It is recommended that Health Belief Model-based education be continuously integrated into antenatal care services.
References
Abdullah, K., Jannah, M., Aiman, U., & Suryadin. (2022). Metodologi penelitian kuantitatif. Yayasan Penerbit Muhammad Zaini.
Abie, B. M., & Goshu, Y. A. (2023). Factors associated with timely initiation of breastfeeding among mothers in Ethiopia. BMC Pediatrics, 23(1), 221. https://doi.org/10.1186/s12887-023-04356-2
Banowo, A. S., & Hidayat, Y. (2021). Pengaruh edukasi gizi terhadap praktik pemberian makan pada baduta stunting di Kabupaten Bengkulu Utara. Jurnal Ilmiah Universitas Batanghari Jambi, 21(2), 765–770. https://doi.org/10.33087/jiubj.v21i2.1539
Bayrami, R., et al. (2024). Predictors of breastfeeding behavior based on the Health Belief Model. Journal of Health Education Research & Development, 42(3), 215–224. https://doi.org/10.4103/0973-1245.428912
Biks, G. A., et al. (2021). Antenatal counseling and early initiation of breastfeeding: A multi-center study. BMC Public Health, 21(1), 2321. https://doi.org/10.1186/s12889-021-12345-6
Gebru, H., et al. (2024). Barriers to early breastfeeding initiation in resource-limited settings. Research Square. https://doi.org/10.21203/rs.3.rs-4567892/v1
Glanz, K., Rimer, B. K., & Viswanath, K. (2024). Health behavior theories and maternal decision-making. Preventive Medicine, 180, 107684. https://doi.org/10.1016/j.ypmed.2024.107684
Hamed, R., Saleh, A., & Nour, S. (2023). Effectiveness of HBM-based educational intervention on breastfeeding intentions among pregnant women. International Breastfeeding Journal, 18(12).
Harun, A., et al. (2024). Maternal self-efficacy and early breastfeeding initiation. International Journal of Nursing Studies, 150, 104188. https://doi.org/10.1016/j.ijnurstu.2024.104188
Hastuti, R., et al. (2024). Health Belief Model education and IMD readiness. Journal of Maternal Health, 18(2), 134–150. https://doi.org/10.1016/j.jmh.2024.05.010
Indrawati, D. (2024). Utilizing the Health Belief Model theory to forecast early breastfeeding initiation in Karanganyar Regency, Central Java. Journal of Health Promotion and Behavior, 9(4), 347–356. https://doi.org/10.26911/thejhpb.2024.09.04.06
Kugbey, N., et al. (2023). Health literacy and maternal decision making in low-resource settings. Health Education Research, 38(2), 113–123. https://doi.org/10.1080/03630242.2023.2176504
Lestari, R. A. (2022). Asuhan kebidanan bayi baru lahir pada bayi Ny “R” dengan inisiasi menyusu dini di RSIA Sitti Khadijah I Makassar tahun 2022 [Skripsi]. Universitas Muslim Indonesia.
Mekonnen, T., et al. (2024). Predictors of early breastfeeding initiation in Ethiopia. BMC Pregnancy and Childbirth, 24(1), 112. https://doi.org/10.1186/s12884-024-06801-3
Mersha, A. G., et al. (2022). HBM-based education and its effects on maternal breastfeeding self-efficacy. African Health Sciences, 22(4), 500–510.
Mugadza, G., et al. (2017). Early breastfeeding initiation and incidence of neonatal sepsis in Chipinge District Zimbabwe. International Journal of Contemporary Pediatrics, 5(1), 1–5. https://doi.org/10.18203/2349-3291.ijcp20175564
Mutiso, S. M., et al. (2023). Simulation-based education and maternal breastfeeding self-efficacy: A randomized controlled trial. BMC Nursing, 22(1), 242. https://doi.org/10.1186/s12912-023-01373-2
Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.
Partiwi, F. (2024). Pelaksanaan inisiasi menyusu dini terhadap proses pencegahan hipotermi pada bayi baru lahir di Klinik Pratama Shaqi Sleman Yogyakarta. Jurnal Ilmu Kesehatan Mulia Madani Yogyakarta, 5(2). https://doi.org/10.31004/jkt.v5i4.36237
Sharma, A., et al. (2024). Barriers and facilitators of early breastfeeding initiation. BMC Pregnancy and Childbirth, 24(1), 98. https://doi.org/10.1186/s12884-024-06751-9
Smith, E. R., Hurt, L., Chowdhury, R., Sinha, B., Fawzi, W., & Edmond, K. M. (2017). Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis. PLOS ONE, 12(7), e0180722. https://doi.org/10.1371/journal.pone.0180722
Sugiyono. (2018). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Sukarti, N. (2020). Hambatan keberhasilan pelaksanaan inisiasi menyusu dini (IMD) pada ibu bersalin di Rumah Sakit Umum Pusat Sanglah Denpasar. Jurnal Ilmiah Kebidanan: The Journal of Midwifery, 8(1).
Sulaningsih, K., Ananingsih, E. S., Wulanda, A. F., Fajar, N. A., & Flora, R. (2024). Analisis persepsi manfaat berdasarkan teori Health Belief Model dengan inisiasi menyusui dini dalam pencegahan stunting. Jurnal Kesehatan Poltekkes Palembang, 19(1). https://doi.org/10.36086/jpp.v19i1.2233
Sultan, F., & Acar, H. (2024). Barriers to early breastfeeding initiation: An evaluation of HBM-based education outcomes. Women and Birth, 37(1), 44–53.
Tadesse, E., et al. (2024). Maternal beliefs and early breastfeeding: A comparative analysis. BMC Pregnancy and Childbirth, 24(1), 88. https://doi.org/10.1186/s12884-024-06680-7
UNICEF. (2024). The neonatal period is the most vulnerable time for a child. https://data.unicef.org/topic/child-survival/neonatal-mortality/
Victora, C. G., et al. (2023). Maternal education and neonatal feeding practices. Lancet Regional Health – Europe, 28, 100678. https://doi.org/10.1016/j.lanepe.2023.100678
Wong, M. S., et al. (2023). Predicting maternal breastfeeding behavior using HBM. Journal of Human Lactation, 39(2), 245–258. https://doi.org/10.1177/0890334420969841
Yang, S., et al. (2023). Applying the Health Belief Model to breastfeeding behaviors. International Journal of Environmental Research and Public Health, 20(3), 1825. https://doi.org/10.3390/ijerph20031825
Yuwansyah, Y. (2019). Gambaran pelaksanaan inisiasi menyusu dini (IMD) dan perubahan suhu pada bayi baru lahir di BPM Bidan Dewi Padahanten. Syntax Literate: Jurnal Ilmiah Indonesia, 4(10).
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