Effectiveness of the Lactation Buddy Intervention Based on WhatsApp Group on the Success of Exclusive Breastfeeding
DOI:
https://doi.org/10.21070/midwiferia.v11i2.1751Keywords:
exclusive breastfeeding, digital intervention, lactation buddy, WhatsApp GroupAbstract
Exclusive breastfeeding is the most effective nutritional intervention to prevent stunting. However, Lamongan Regency still records low exclusive breastfeeding coverage. This study aimed to analyze the effectiveness of the Lactation Buddy intervention through WhatsApp Group in supporting exclusive breastfeeding practice. This research employed a quasi-experimental design with a non-randomized control group pretest-posttest. The study was conducted in Deket Kulon Village, Deket Sub-district, Lamongan Regency, involving 60 mothers with infants aged 0–6 months who were recruited using purposive sampling and divided into intervention (n=30) and control (n=30) groups. The intervention group received three-month assistance through WhatsApp Group facilitated by health workers and lactation counselors, while the control group obtained standard care. Data were collected using structured questionnaires, interviews, and observations. Results indicated significant improvement in the intervention group: the average knowledge score increased from 65.3 to 85.7 (p<0.001), positive attitudes toward breastfeeding rose from 60% to 80% (p=0.002), and correct breastfeeding practices improved from 53.3% to 83.3% (p<0.001). Furthermore, exclusive breastfeeding success was achieved by 83.3% of mothers in the intervention group compared to 56.7% in the control group (p=0.01). The findings confirm that the Lactation Buddy intervention via WhatsApp Group is effective in improving maternal knowledge, attitudes, practices, and exclusive breastfeeding success, and may serve as a scalable strategy to support stunting prevention in Deket Kulon Village, Deket Sub-district, Lamongan Regency.
References
Arief, Y. S., & Azizah, N. (2023). Mother’s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia. Healthcare in Low-Resource Settings, 11(S1), 11209. https://doi.org/10.4081/hls.2023.11209
Dinas Kesehatan Provinsi Jawa Timur. (2023). Profil Kesehatan Provinsi Jawa Timur 2023. Surabaya: Dinas Kesehatan Provinsi Jawa Timur.
Fan, H. S. H., Ho, Y. X., Lok, K. Y. W., Ko, R. W. S., Wong, J. Y. H., Chau, P. H., & Tarrant, M. (2022). Feasibility and effectiveness of WhatsApp online group on breastfeeding by peer counsellors: A randomized controlled trial. International Breastfeeding Journal, 17(1), 91. https://doi.org/10.1186/s13006-022-00535-z
Gayatri, M. (2021). Exclusive breastfeeding practice in Indonesia: A population-based study. Korean Journal of Family Medicine, 42(5), 395–402. https://doi.org/10.4082/kjfm.20.0131
Kementerian Kesehatan RI. (2022). Survei Status Gizi Indonesia (SSGI) 2022. Jakarta: Badan Kebijakan Pembangunan Kesehatan, Kemenkes RI.
McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., Veitch, E., Rennie, A. M., Crowther, S. A., Neiman, S., & MacGillivray, S. (2017). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2017(2), CD001141. https://doi.org/10.1002/14651858.CD001141.pub5
Muthoharoh, H. (2025). Correlation Between Birth Weight and Exclusive Breastfeeding with Stunting in Children Aged 6–24 Months. Midwiferia: Jurnal Kebidanan, 11(1), 63–71. https://doi.org/10.21070/midwiferia.v11i1.1726
Ogbo, F. A., Eastwood, J., Hendry, A., Jalaludin, B., & Agho, K. E. (2020). Global breastfeeding initiatives, community-based interventions and breastfeeding practices: A systematic review. International Journal of Environmental Research and Public Health, 17(17), 6260. https://doi.org/10.3390/ijerph17176260
Rachmawati, I., Widyawati, M. N., Saptandari, L., & Efendi, F. (2023). Digital peer support using WhatsApp to improve exclusive breastfeeding practice: A randomized controlled trial in East Java. BMC Public Health, 23(1), 1152. https://doi.org/10.1186/s12889-023-16244-9
Statista. (2022). Most popular messaging apps worldwide 2022. Retrieved from https://www.statista.com/statistics/258749/most-popular-global-mobile-messenger-apps
The Practice of Exclusive Breastfeeding by Region in Indonesia. (2023). Public Health, 221, 147–153. https://doi.org/10.1016/j.puhe.2023.01.010
Wang, Y., Wu, Y., Xiong, R., & Li, Y. (2021). Digital health interventions to promote breastfeeding: A systematic review. Maternal & Child Nutrition, 17(3), e13103. https://doi.org/10.1111/mcn.13103
Widiyanto, Y., Rachmawati, I., & Widyawati, M. N. (2020). Barriers to exclusive breastfeeding in Central Java, Indonesia: A qualitative study. Journal of Health Research, 35(6), 482–493. https://doi.org/10.1108/JHR-10-2019-0225
World Health Organization. (2020). Infant and young child feeding: Key facts. Geneva: WHO. Retrieved from https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker, N., Rollins, N. C., & the Lancet Breastfeeding Series Group. (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
Downloads
Published
License
Copyright (c) 2025 Husnul Muthoharoh, Siti Sholikha, Kustini Kustini, Risma Syahadatut Dinuriyah, Hibatun Mubarokah El Fitri

This work is licensed under a Creative Commons Attribution 4.0 International License.


