ENHANCING COMMUNITY-BASED BREASTFEEDING SUPPORT: IMPACT OF STRUCTURED LACTATION MANAGEMENT EDUCATION FOR POSYANDU CADRES
DOI:
https://doi.org/10.30787/empowerment.v6i1.2252Keywords:
lactation management, breastfeeding support, Posyandu cadres, community health education, maternal healthAbstract
Breastfeeding is a fundamental aspect of maternal and child health; however, many mothers encounter various challenges that hinder successful breastfeeding practices. Community health cadres (Posyandu cadres) play a vital role in providing direct support and education to mothers, particularly in low-resource settings. This community service program aimed to empower health cadres through structured lactation management education as a strategic intervention to improve breastfeeding support. The activity was conducted in collaboration with the Department of Maternal and Child Health at Jumapolo Public Health Center and involved interactive training sessions, practical demonstrations, and distribution of educational materials. Pre- and post-training assessments showed a significant improvement in cadres’ knowledge and confidence in providing breastfeeding guidance. The program demonstrates that empowering cadres through targeted education can enhance their capacity to assist mothers, ultimately contributing to better breastfeeding outcomes and child health indicators. Continued support and periodic training are recommended to maintain cadre engagement and knowledge retention.
References
Arsil, Y. et al. (2023) ‘Family support and exclusive breastfeeding’, INCH Journal, 2(1), pp. 8–18. Available at: https://doi.org/10.36929/inch.v2i1.675.
Coker, T.R. et al. (2024) ‘Integrating community health workers’, BMC Primary Care, 25, p. 345. Available at: https://doi.org/10.1186/s12875-024-02582-3.
Damayanti, R. and Triyanti (2021) ‘Strengthening the role of Posyandu cadres’, Kesmas, 16(2), pp. 89–96. Available at: https://doi.org/10.21109/kesmas.v16i2.3796.
Dinas Kesehatan Kabupaten Karanganyar (2022) Profil Kesehatan Kabupaten Karanganyar 2021. Dinas Kesehatan Kabupaten Karanganyar.
Dinas Kesehatan Provinsi Jawa Tengah (2023) Profil Kesehatan Provinsi Jawa Tengah 2022. Dinas Kesehatan Provinsi Jawa Tengah.
Ferrer, R.L. et al. (2022) ‘Community health workers as trust builders’, Annals of Family Medicine, 20(5), pp. 438–445. Available at: https://doi.org/10.1370/afm.2848.
Haider, R. et al. (2000) ‘Peer counsellors and breastfeeding’, The Lancet, 356, pp. 1643–1647. Available at: https://doi.org/10.1016/S0140-6736(00)03159-7.
Hidayati, N. et al. (2021) ‘Training on breastfeeding counseling’, Jurnal Gizi dan Dietetik Indonesia, 9(2), pp. 79–86. Available at: https://doi.org/10.21927/ijnd.2021.9(2).79-86.
Kementerian Kesehatan Republik Indonesia (2024) Survei Status Gizi Indonesia (SSGI) 2024. Kementerian Kesehatan RI.
Kusumaningsih, F.S. et al. (2025) ‘Edukasi persiapan menyusui’, Buletin Udayana Mengabdi, 24(1). Available at: https://doi.org/10.24843/BUM.2025.v24.i01.p01.
Kusumaningtiar, D.A. and Wahidah, N. (2023) ‘Behavior of exclusive breastfeeding’, The Indonesian Journal of Public Health, 18(2), pp. 206–218. Available at: https://doi.org/10.20473/ijph.v18i2.2023.206-218.
Lassi, Z.S., Bhutta, Z.A. and Salam, R.A. (2020) ‘Community-based intervention packages’, Cochrane Database of Systematic Reviews, (11), p. CD007754. Available at: https://doi.org/10.1002/14651858.CD007754.pub3.
Liu, T. et al. (2024) ‘Public health education using social learning theory’, BMC Public Health, 24, p. 1906. Available at: https://doi.org/10.1186/s12889-024-19333-9.
Mislu, E. et al. (2024) ‘Effective breastfeeding techniques and associated factors’, Frontiers in Public Health, 12, p. 1337822. Available at: https://doi.org/10.3389/fpubh.2024.1337822.
Morrow, A.L. et al. (1999) ‘Peer counselling to promote breastfeeding’, The Lancet, 353, pp. 1226–1231. Available at: https://doi.org/10.1016/S0140-6736(98)08037-4.
Neves, P.A.R. et al. (2021) ‘Rates and time trends in exclusive breastfeeding worldwide’, The Lancet Global Health, 9(7), pp. e1112--e1120. Available at: https://doi.org/10.1016/S2214-109X(21)00131-5.
Nida, S. et al. (2024) ‘Systematic review of community health workers’, BMC Primary Care, 25, p. 82. Available at: https://doi.org/10.1186/s12875-024-02319-2.
Pérez-Escamilla, R. et al. (2023) ‘Breastfeeding: Crucially important’, The Lancet, 401, pp. 472–485. Available at: https://doi.org/10.1016/S0140-6736(22)01932-8.
Perry, H.B. et al. (2021) ‘Community health workers at the dawn of a new era’, Health Research Policy and Systems, 19, p. 111. Available at: https://doi.org/10.1186/s12961-021-00755-5.
Arsil, Y. et al. (2023) ‘Family support and exclusive breastfeeding’, INCH Journal, 2(1), pp. 8–18. Available at: https://doi.org/10.36929/inch.v2i1.675.
Coker, T.R. et al. (2024) ‘Integrating community health workers’, BMC Primary Care, 25, p. 345. Available at: https://doi.org/10.1186/s12875-024-02582-3.
Damayanti, R. and Triyanti (2021) ‘Strengthening the role of Posyandu cadres’, Kesmas, 16(2), pp. 89–96. Available at: https://doi.org/10.21109/kesmas.v16i2.3796.
Dinas Kesehatan Kabupaten Karanganyar (2022) Profil Kesehatan Kabupaten Karanganyar 2021. Dinas Kesehatan Kabupaten Karanganyar.
Dinas Kesehatan Provinsi Jawa Tengah (2023) Profil Kesehatan Provinsi Jawa Tengah 2022. Dinas Kesehatan Provinsi Jawa Tengah.
Ferrer, R.L. et al. (2022) ‘Community health workers as trust builders’, Annals of Family Medicine, 20(5), pp. 438–445. Available at: https://doi.org/10.1370/afm.2848.
Haider, R. et al. (2000) ‘Peer counsellors and breastfeeding’, The Lancet, 356, pp. 1643–1647. Available at: https://doi.org/10.1016/S0140-6736(00)03159-7.
Hidayati, N. et al. (2021) ‘Training on breastfeeding counseling’, Jurnal Gizi dan Dietetik Indonesia, 9(2), pp. 79–86. Available at: https://doi.org/10.21927/ijnd.2021.9(2).79-86.
Kementerian Kesehatan Republik Indonesia (2024) Survei Status Gizi Indonesia (SSGI) 2024. Kementerian Kesehatan RI.
Kusumaningsih, F.S. et al. (2025) ‘Edukasi persiapan menyusui’, Buletin Udayana Mengabdi, 24(1). Available at: https://doi.org/10.24843/BUM.2025.v24.i01.p01.
Kusumaningtiar, D.A. and Wahidah, N. (2023) ‘Behavior of exclusive breastfeeding’, The Indonesian Journal of Public Health, 18(2), pp. 206–218. Available at: https://doi.org/10.20473/ijph.v18i2.2023.206-218.
Lassi, Z.S., Bhutta, Z.A. and Salam, R.A. (2020) ‘Community-based intervention packages’, Cochrane Database of Systematic Reviews, (11), p. CD007754. Available at: https://doi.org/10.1002/14651858.CD007754.pub3.
Liu, T. et al. (2024) ‘Public health education using social learning theory’, BMC Public Health, 24, p. 1906. Available at: https://doi.org/10.1186/s12889-024-19333-9.
Mislu, E. et al. (2024) ‘Effective breastfeeding techniques and associated factors’, Frontiers in Public Health, 12, p. 1337822. Available at: https://doi.org/10.3389/fpubh.2024.1337822.
Morrow, A.L. et al. (1999) ‘Peer counselling to promote breastfeeding’, The Lancet, 353, pp. 1226–1231. Available at: https://doi.org/10.1016/S0140-6736(98)08037-4.
Neves, P.A.R. et al. (2021) ‘Rates and time trends in exclusive breastfeeding worldwide’, The Lancet Global Health, 9(7), pp. e1112--e1120. Available at: https://doi.org/10.1016/S2214-109X(21)00131-5.
Nida, S. et al. (2024) ‘Systematic review of community health workers’, BMC Primary Care, 25, p. 82. Available at: https://doi.org/10.1186/s12875-024-02319-2.
Pérez-Escamilla, R. et al. (2023) ‘Breastfeeding: Crucially important’, The Lancet, 401, pp. 472–485. Available at: https://doi.org/10.1016/S0140-6736(22)01932-8.
Perry, H.B. et al. (2021) ‘Community health workers at the dawn of a new era’, Health Research Policy and Systems, 19, p. 111. Available at: https://doi.org/10.1186/s12961-021-00755-5.
Rollins, N.C. et al. (2016) ‘Why invest in breastfeeding’, The Lancet, 387, pp. 491–504. Available at: https://doi.org/10.1016/S0140-6736(15)01044-2.
Shakya, P. et al. (2023) ‘Effectiveness of community-based peer support’, PLOS ONE, 18(3), p. e0283121. Available at: https://doi.org/10.1371/journal.pone.0283121.
Simbolon, D. and Putri, N. (2024) ‘Stunting prevention through exclusive breastfeeding’, Amerta Nutrition, 8, pp. 105–112. Available at: https://doi.org/10.20473/amnt.v8i1SP.2024.105-112.
Susiloretni, K.A. et al. (2020) ‘Improving exclusive breastfeeding practices’, Maternal & Child Nutrition, 16, p. e13031. Available at: https://doi.org/10.1111/mcn.13031.
Trisnantoro, L., Suwandono, A. and Dartanto, T. (2022) ‘Strengthening primary health care in Indonesia’, BMC Health Services Research, 22, p. 1483. Available at: https://doi.org/10.1186/s12913-022-08812-6.
Wandini, K. et al. (2025) ‘Breastfeeding education for mothers’, Jurnal Pemberdayaan Komunitas, 7(2). Available at: https://doi.org/10.37012/jpkmht.v7i2.2856.
Wati, L.R. et al. (2024) ‘Factors affecting cadres’ knowledge’, Journal of Midwifery, 9(1).
Yilak, G. et al. (2024) ‘Prevalence of ineffective breastfeeding techniques’, PLOS ONE, 19(6), p. e0303749. Available at: https://doi.org/10.1371/journal.pone.0303749.
Yulidasari, F. et al. (2017) ‘Health workers support and breastfeeding’, Jurnal Kesehatan Masyarakat [Preprint]. Available at: https://doi.org/10.15294/kemas.v13i1.6557.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Siska Ningtyas Prabasari, Muafiqoh Dwiarini, Judith Mgogo, Ernawati, Ilyasa Mifta Husnul Khotimah, Nirmala Justine

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.Empowerment Journal is licensed under a Creative Commons Attribution 4.0 International License.













