The Relationship Between Mother's Knowledge Level about Exclusive Breastfeeding and the Provision of Exclusive Breastfeeding at the KIA Polyclinic of Weda Regional General Hospital, Central Halmahera Regency
Keywords:
Anemia, Hemoglobin, Pregnant Women, Sweet Potato, TunaAbstract
Anemia during pregnancy remains a problem associated with maternal and fetal morbidity and mortality. In addition to iron supplementation, nutrient-rich foods may provide complementary nutritional support. Sweet potato and tuna croquettes contain protein, heme iron, vitamin B12, β-carotene, and vitamin C, which contribute to hemoglobin synthesis. This study aimed to evaluate the effectiveness of sweet potato and tuna croquettes in increasing hemoglobin levels among pregnant women with anemia in the working area of Belang Primary Health Center. This pre-experimental study used a one-group pretest–posttest design. Conducted from March to May 2026, it involved 20 pregnant women with anemia selected through total sampling. Hemoglobin levels were measured before and after intervention. Data were analyzed using Paired Sample t-test with SPSS at a 95% confidence level. Mean hemoglobin increased from 10.38 ± 0.75 g/dL before the intervention to 11.49 ± 0.88 g/dL afterward. The increase was statistically significant (p < 0.001). Sweet potato and tuna croquettes were effective in increasing hemoglobin levels and may serve as a complementary strategy for anemia management in pregnancy through antenatal care services.
References
American Academy of Pediatrics. (2022). Breastfeeding and the use of human milk. Pediatrics, 150(1), e2022057988. https://doi.org/10.1542/peds.2022-057988
Balogun, O. O., Dagvadorj, A., Anigo, K. M., Ota, E., & Sasaki, S. (2015). Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: A quantitative and qualitative systematic review. Maternal & Child Nutrition, 11(4), 433–451. https://doi.org/10.1111/mcn.12180
Horta, B. L., de Mola, C. L., & Victora, C. G. (2015). Breastfeeding and intelligence: A systematic review and meta-analysis. Acta Paediatrica, 104(467), 14–19. https://doi.org/10.1111/apa.13139
Ikatan Dokter Anak Indonesia. (2020). Pemberian ASI eksklusif pada bayi.
Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2022. Kementerian Kesehatan Republik Indonesia.
Kimani-Murage, E. W., Madise, N. J., Fotso, J. C., Kyobutungi, C., Mutua, M. K., Gitau, T. M., & Yatich, N. (2011). Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health, 11, 396. https://doi.org/10.1186/1471-2458-11-396
Notoatmodjo, S. (2018). Promosi kesehatan dan perilaku kesehatan (Edisi revisi). Rineka Cipta.
Pangandaheng, P. P., & Retnaningsih, R. (2025). The effect of lactation education on increasing knowledge of breastfeeding mothers at Manembo-Nembo Hospital, Bitung City. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 3(2), 192–203. https://doi.org/10.55606/detector.v3i2.5947
Ramadani, M., & Hadi, E. N. (2021). Hubungan tingkat pengetahuan ibu dengan pemberian ASI eksklusif pada bayi usia 0–6 bulan. Jurnal Kesehatan Masyarakat Indonesia, 16(2), 87–94. https://doi.org/10.30651/jkm.v6i2.8220
Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., Piwoz, E. G., Richter, L. M., & Victora, C. G. (2016). Why invest, and what it will take to improve breastfeeding practices? The Lancet, 387(10017), 491–504. https://doi.org/10.1016/S0140-6736(15)01044-2
Sari, D. P., Handayani, L., & Putri, R. A. (2022). Faktor-faktor yang berhubungan dengan keberhasilan pemberian ASI eksklusif pada ibu menyusui. Jurnal Kebidanan Indonesia, 13(1), 45–53. https://doi.org/10.62527/jakia.1.1.9
Setyorini, E., Wahyuni, S., & Lestari, D. (2020). Pengaruh edukasi laktasi terhadap keberhasilan pemberian ASI eksklusif pada ibu postpartum. Jurnal Keperawatan dan Kebidanan, 12(3), 210–218.
UNICEF. (2022). Breastfeeding: A mother's gift for every child.
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. (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
World Health Organization. (2023). Infant and young child feeding.
World Health Organization, & UNICEF. (2021). Indicators for assessing infant and young child feeding practices.
Yuliarti, K., Pratiwi, A., & Nurhayati, S. (2021). Hubungan tingkat pengetahuan ibu dengan praktik pemberian ASI eksklusif di wilayah kerja puskesmas. Jurnal Ilmu Kesehatan Masyarakat, 17(1), 33–41.
Zakarija-Grković, I., & Stewart, F. (2020). Treatments for breast engorgement during lactation. Cochrane Database of Systematic Reviews, 9(9), CD006946. https://doi.org/10.1002/14651858.CD006946.pub4
Zielińska, M. A., Sobczak, A., & Hamułka, J. (2017). Breastfeeding knowledge and exclusive breastfeeding of infants in first six months of life. Roczniki Państwowego Zakładu Higieny, 68(1), 51–59.
