Improving Exclusive Breastfeeding Knowledge Through the “HEMAT” Emo-Demo Approach Among Postpartum and Breastfeeding Mothers

Main Article Content

DINI TRIWAHYUNI
Giska Trien Nanda

Abstract

Exclusive breastfeeding is a key intervention for supporting infant survival, growth, and development. However, its coverage in Indonesia remains low at approximately 55%, falling short of the national target of 80%. The early postpartum period is a critical phase that can influence breastfeeding success, yet mothers often encounter several challenges, particularly limited knowledge regarding infant stomach capacity, the supply-and-demand mechanism of breast milk production, and appropriate nutritional intake during lactation. This community service program aimed to improve knowledge and encourage optimal exclusive breastfeeding practices among postpartum mothers through an Emotional Demonstration (Emo Demo) approach using the acronym “HEMAT”: Hanya ASI saja (Breast Milk Only), Eksklusif 6 bulan (Exclusive for Six Months), Makan bergizi untuk ibu (Nutritious Food for Mothers), ASI lancar alami (Natural and Smooth Breast Milk Production), and Tanpa tambahan (No Additional Food or Drink).


The program was conducted on June 14, 2026, at the Independent Midwifery Practice of Deyeri/Deri in Palembang City and involved 20 postpartum mothers. The intervention consisted of interactive educational sessions, Emotional Demonstrations, and group discussions, supported by educational materials in the form of leaflets and posters. Participants’ knowledge was assessed before and after the intervention using pre-test and post-test questionnaires, and the results were analyzed using a paired t-test.The findings demonstrated a substantial improvement in participants’ knowledge, with the mean score increasing from 68.0 (SD 11.05) before the intervention to 90.5 (SD 10.50) afterward. The mean increase was 22.5 points (95% CI: 17.49–27.51), and the difference was statistically significant (p < 0.001). In addition, the proportion of participants classified as having good knowledge increased from 30.0% at baseline to 90.0% after the intervention. These findings suggest that the HEMAT Emo Demo approach is effective in improving postpartum mothers’ knowledge and may contribute to the promotion of optimal exclusive breastfeeding practices.

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TRIWAHYUNI D, Trien Nanda G. Improving Exclusive Breastfeeding Knowledge Through the “HEMAT” Emo-Demo Approach Among Postpartum and Breastfeeding Mothers. khidmah [Internet]. 2026Oct.31 [cited 2026Nov.1];8(2):181-9. Available from: https://khidmah.ikestmp.ac.id/index.php/khidmah/article/view/640
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References

Alreshidi, H. and Abdelsamed, M. (2022) “Assessment of mother’s knowledge and their perceptions toward health education programs of breastfeeding in Hail Saudi Arabia,” International Journal of Medicine in Developing Countries, 6(March), pp. 724–730. Available at: https://doi.org/10.24911/ijmdc.51-1646603704.
Arndt, M.B. et al. (2024) “Global, regional, and national progress towards the 2030 global nutrition targets and forecasts to 2050: a systematic analysis for the Global Burden of Disease Study 2021,” The Lancet, 404(10471), pp. 2543–2583. Available at: https://doi.org/10.1016/S0140-6736(24)01821-X.
BDA Women’s Health and Fertility Specialist Group (2025) Nourishing Motherhood: A guide to your health and nutrition after having baby. BDA Women’s Health and Fertility Specialist Group. Available at: www.mind.org.uk.
Brown, J.E. (2017) Nutrition Through the Life Cycle. 6th ed. Boston: Cengage Learning.
Caressa, D.A. et al. (2025) “Efektivitas Emo-Demo Pembuatan Gummy Buah Naga dan Ikan Lemuru Terhadap Pengetahuan Gizi di Ibu PKK Desa Wringinpitu,” Jurnal Kesehatan Tambusai, 6(September), pp. 11264–11275.
Hernández-Cordero, S. et al. (2022) “Countries’ experiences scaling up national breastfeeding, protection, promotion and support programmes: Comparative case studies analysis,” Maternal and Child Nutrition, 18(S3). Available at: https://doi.org/10.1111/mcn.13358.
Johan, R.B. et al. (2024) “Knowledge of Exclusive Breastfeeding Among Adolescent Mothers in Primary Health Tarakan, Nort Kalimantan, Indonesia,” Pancasakti Journal of Public Health Science and Research, 4(3), pp. 97–105. Available at: https://doi.org/10.47650/pjphsr.v4i3.1728.
Kariyawasam, K.P. et al. (2025) “Comparative Analysis of Breastfeeding and Infant Formulas: Short- and Long-Term Impacts on Infant Nutrition and Health,” Food Science and Nutrition, pp. 1–47. Available at: https://doi.org/10.1002/fsn3.70788.
Kementerian Kesehatan RI (2023) Survei Kesehatan Indonesia (SKI) 2023 dalam Angka. Jakarta: Kementerian Kesehatan RI. Available at: https://layanandata.kemkes.go.id/katalog-data/ski/ketersediaan-data/ski-2023.
Lowdermilk, D.L. et al. (2019) Maternity and Women’s Health Care. 12th ed. St. Louis: Mosby.
Modak, A., Ronghe, V. and Gomase, K.P. (2023) “The Psychological Benefits of Breastfeeding: Fostering Maternal Well-Being and Child Development,” Cureus, 15(10). Available at: https://doi.org/10.7759/cureus.46730.
Muro-Valdez, J.C. et al. (2023) “Breastfeeding-Related Health Benefits in Children and Mothers: Vital Organs Perspective,” Medicina (Lithuania), 59(9), pp. 1–14. Available at: https://doi.org/10.3390/medicina59091535.
Roșca, I. et al. (2025) “Exclusive Breastfeeding or Formula Use? A Cross-Sectional Survey of Romanian Mothers’ Feeding Practices and Influencing Factors,” Medicina (Lithuania), 61(8), pp. 1–16. Available at: https://doi.org/10.3390/medicina61081425.
Sokar, S.Y.S. (2025) “Assessment of Mothers’ Knowledge, Attitude and Self-Efficacy Regarding Early Initiation and Exclusive Breastfeeding,” Helwan International Journal for Nursing Research and Practice, 4(9), pp. 219–233. Available at: https://doi.org/10.21608/hijnrp.2025.364302.1294.
Tomori, C. et al. (2022) “What works to protect, promote and support breastfeeding on a large scale: A review of reviews,” Maternal & Child Nutrition, 18(S3). Available at: https://doi.org/10.1111/mcn.13344.
World Health Organization (2017) Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services, World Health OrganizationWHO. Available at: https://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng.pdf.