Lactation management education intervention (Momasi) on Primipara (0-3 months) in the Sudiang Raya Community Health Center Makassar City

ABSTRACT

Primipara are often faced the difficulty and even failure in breastfeeding, the low of lactation management is the main cause. This research aimed to assess the difference in lactation management education media on increasing knowledge, attitude, and practice of lactation management in primipara aged 0-3 months at the Sudiang Raya Public Health Center Makassar City. The research method was a quasi-experimental design with a pre-posttest control group design. The total sample was 60 primiparas who had infants aged 0-3 months (30 intervention groups, 30 control groups). Sampling was done by a simple random sampling. The intervention group used modern media, namely an apllication based on smartphone called MOMASI (Mobile Lactation Management) used for 12 weeks and the control group used a conventional media, leaflets. Data were analyzed using Paired T-test, Independent T-test, Mann Whitney and Chi-Square. The results showed, before education there was no significant difference between the two groups on the average score of knowledge, attitude, and lactation management practice (p= 0.671, 0.910, 0.095;p > 0.000). In the intervention and control groups, there was a significant increase on the average score of knowledge, attitude, and practice of lactation management between before and after the intervention (p=0.000). After education, there was a significant difference between the two groups on the average score of knowledge, attitude, and practice of lactation management (p=0.000). In the difference on the average scores of knowledge, attitude, and practice of lactation management after the intervention, the MOMASI group was better than the Leaflet group. MOMASI and Leaflets can improve knowledge, attitude, and practice of lactation management. However, MOMASI is more efficient and effective in Communication, Information and Education (KIE), especially during the Covid-19 pandemic.