Open Access Maced J Med Sci. 2021 Mar 11; 9(E):229-234. 229 Scientifc Foundation SPIROSKI, Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 2021 Mar 11; 9(E):229-234. https://doi.org/10.3889/oamjms.2021.5771 eISSN: 1857-9655 Category: E - Public Health Section: Public Health Education and Training Development of videos “poma” to increase coverage of exclusive breastfeeding in Aceh Province, Indonesia Anita Anita 1 *, Nurlaili Ramli 1 , Hermansyah Hermansyah 2 1 Department of Midwifery, Polytechnic of Health, Ministry of Health, Aceh, 23231, Indonesia; 2 Department of Nursing, Polytechnic of Health, Ministry of Health, Aceh, 23231, Indonesia Abstract BACKGROUND: The percentage of exclusive breastfeeding for infants 0–6 months in Aceh in 2019 was 55.24% and decreased compared to 2018, 60.84%. Exclusive breastfeeding in Aceh Province is still below the national fgure. One of the eforts to increase the coverage of exclusive breastfeeding is the development of videos. The messages in the videos most infuence the perception of who is breastfeeding. AIM: The aim of the study is video development to increase coverage of exclusive breastfeeding in Aceh Province, Indonesia. METHODS: This study uses the research and development research method. The research was conducted in the Darul Imarah district. The research subjects in this development research were breastfeeding mothers. Data collection was carried out using assessment sheets, observations, questionnaire sheets, process skills test sheets carried out by compiling tests/assessment instruments, selecting media, selecting formats, and preparing preliminary designs/designs. The development stage is carried out by expert validation and development trials. RESULTS: The results showed that researchers’ dissemination and implementation to breastfeeding mothers showed that 70% of babies received exclusive breastfeeding one month after seeing the video, and there were still 40% of babies who had received formula milk. The expert team’s assessment results showed that 73.3% still needed to match the Acehnese language with the players’ scenario. Overall, POMA video development efectively increases exclusive breastfeeding in Darul Imarah District, Aceh Besar District. CONCLUSION: POMA video development is efective in increasing exclusive breastfeeding in Darul Imarah District, Aceh Besar District. Edited by: Sasho Stoleski Citation: Anita A, Ramli N, Hermansyah H. Development of Videos “poma” to Increase Coverage of Exclusive Breastfeeding in Aceh Province, Indonesia. Open Access Maced J Med Sci. 2021 Mar 11; 9(E):229-234. https://doi.org/10.3889/oamjms.2021.5771 Keywords: Video development; Exclusive breastfeeding; Promotion *Correspondence: Anita Anita, Department of Midwifery, Polytechnic of Health-Ministry of Health, Aceh, Indonesia. E-mail: anita@poltekkesaceh.ac.id Received: 23-Jan-2021 Revised: 24-Feb-2021 Accepted: 01-Mar-2021 Copyright: © 2021 Anita Anita, Nurlaili Ramli, Hermansyah Hermansyah Funding: This research did not receive any fnancial support Competing Interest: The authors have declared that no competing interest exists Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution- NonCommercial 4.0 International License (CC BY-NC 4.0 Introduction The WHO and UNICEF have supported exclusive breastfeeding as the healthiest food choice for newborns [1]. Exclusive breastfeeding up to 6 months of age is recommended by the World Health Organization as an optimal way of infant feeding, providing adequate nutrition for infants and protection against respiratory infections and diarrheal diseases [2], [3]. Regardless of the benefts, the practice of breastfeeding can be negatively afected by many factors, including economic, cultural, and individual including mothers and babies [4]. Exclusive breastfeeding is recommended for at least 6 months and should be started within the 1 st h of life [5]. Breastfeeding is a mother’s choice based on many circumstances and factors. Among these main factors are the knowledge, attitudes, and perceptions of pregnant women on breastfeeding importance [6]. Apart from the benefts of breastfeeding, many factors infuence absorption, exclusivity, and duration. Some of these factors include the mother and infant’s age, demanding nature of breastfeeding, lack of education, insufcient breast milk supply, breast tenderness, work or school disruption, and personal and family attitudes [7]. National coverage of exclusive breastfeeding for infants aged <6 months is 67.74%. The percentage of exclusive breastfeeding for infants 0–6 months in Aceh in 2019 was 55.24%, decreasing compared to 2018, 60.84% [8]. These data indicate that exclusive breastfeeding in Aceh Province is still below the national fgure; this is possible because of mothers’ insufcient knowledge of exclusive breastfeeding. Infants who are not breastfed face an increased risk of pneumonia, gastroenteritis, otitis media, obesity, diabetes, childhood leukemia, sudden infant death syndrome, and necrotizing enterocolitis [9]. A recent longitudinal study also confrmed that breastfeeding for at least 1 year is correlated with better mental health in children from birth to at least 14 years of age [10]. Women who breastfeed have a lower risk of developing diabetes, cardiovascular disease, hypertension, hyperlipidemia, rheumatoid arthritis, and a decrease in breast and ovarian cancer [11]. Breastfeeding benefts society by reducing health- care costs [12] and missed work time by mothers with nursing babies [13]. One of the socialization methods in increasing exclusive breastfeeding is using video media. Multimedia, especially video, has both audiovisual elements, useful as tools in the teaching and