Laktasi Digital Asistensi (LADIA) sebagai Inovasi Teknologi dalam Konseling dan Informasi Laktasi

Abstract

Exclusive breastfeeding is a key factor in improving infant health and growth, as well as supporting the second (Zero Hunger) and third (Good Health and Well-being) Sustainable Development Goals. The World Health Organization (2023) reported a decline in the prevalence of exclusive breastfeeding in Indonesia from 69.7% in 2021 to 67.96% in 2022. Barriers to exclusive breastfeeding are influenced by limited access to accurate information and a lack of access to lactation counseling with healthcare professionals. Amidst technological advancements, digital innovations for lactation counseling are necessary to expand access to and support for breastfeeding. This study aims to identify scientific evidence regarding the potential of Digital Lactation Assistance (LADIA), an innovative technological intervention. A literature search was conducted on PubMed, ScienceDirect, and Google Scholar. Additional searches were performed through relevant publisher and journal websites (BMC/Springer) with a publication range of the last five years (2019–2024). The search strategy utilized Boolean operators: (“pregnant women” OR “breastfeeding mothers”) AND (“direct counseling” OR “digital counseling”) AND (“exclusive breastfeeding”). The retrieved articles were selected and reviewed using the PRISMA guidelines and flowchart. Out of 99,887 identified records, 11 articles met the inclusion criteria for narrative synthesis. Digital-based lactation counseling was found to be more flexible and accessible than face-to-face counseling, demonstrating the potential to increase breastfeeding motivation and continuation across several studies. However, some simple interventions (e.g., WhatsApp, Telegram, Phone Calls/SMS) lacked adequate interactive features. One article indicated that telelactation services are effective for mothers who lack the confidence to engage in face-to-face counseling. Evidence-Based Practice (EBP) regarding Digital Lactation Assistance (LADIA) shows potential in improving exclusive breastfeeding rates. Further development of interactive features and user feedback is required to optimize digital counseling applications