Exclusive Breastfeeding Prevalence and Feeding Patterns of Children Living at Rural Areas in Serba Jadi Sub District, Indonesia (original) (raw)
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Barriers to Optimal Breastfeeding in Rural Indonesia
Archives of Epidemiology
Background: Despite its importance, the rate of exclusive breastfeeding for the first 6 months of life in Indonesia was only 42% as recently as 2012. Objective: This study examines determinants of breastfeeding behaviors in rural Indonesia. Methods: We conducted a cross-sectional survey among 2086 women 14-55 years of age, living in seven regions of Indonesia. Results: Participating mothers had an average age of 28 years old and had 1.9 children on average. Girls (64% vs. 58.2%) were more likely to be breastfed in the first hour of birth than boys (OR=1.268; 95% CI 1.062-1.515). Boys breastfed for an average of 6.4 months, compared to 9.2 months for girls. Nearly half (48.9%, 500/1023) of boys received foods other than breastmilk within the first three days of life, compared to 40.0% (425/1063) of girls. The belief that boys need better nutrition than girls (OR=0.706; 95% CI 0.572-0.872) was associated with lack of exclusive breastfeeding in the first 3 days of life. Conclusions: Our findings indicate differential exclusive breastfeeding behaviors for male and female children. Health communication strategies promoting optimal breastfeeding behaviors, attitudes and beliefs related to gender and breastfeeding are needed. Addressing cultural practices that contribute to non-exclusive breastfeeding for the first 6 months of life is essential for stainable behavior change.
Indian Journal of Public Health Research & Development, 2018
Background and Aim: Infant's nutritional needs for optimal growth and development up to of 6 months can be supplied by exclusive breastfeeding because it contains all the nutrients as the infant needs. However, the exclusive breastfeeding practice has been relatively low in Indonesia, including Tapakis District in West Sumatera Province. The study aimed to explore the determinant factors related to this practice. Method: A cross sectional study was conducted in Uakan Tapakis District, on 88 mothers who have a child aged 0-12 months. To understand the determinant factors, the data was analyzed both using bivariate and multivariate analysis. Result: The result shows that exclusive breastfeeding is associated to knowledge (p=0.025), attitude (p=0.038), motivation (p=0.044), occupational status (p=0,025), health resource availability (p=0,028), health officer role (p = 0,013) and family support (p= 0,038). Moreover, the most dominant variable is the role of health workers in supporting the breastfeeding practice (p= 0.013, OR=8.772). Conclusion: The health workers, especially midwife plays significant role in supporting breastfeeding practice. It is necessary to have good communication and health education from health workers for the succeed implementation.
Prevalence of exclusive breastfeeding in Indonesia: a qualitative and quantitative study
Paediatrica Indonesiana, 2015
Background Breast milk is the best and most ideal food for babies because it contains all nutrition needed for their optimal growth and development. Babies who receive breast milk will have strong immune system, good brain development, and closer emotional bonding with their mothers. Considering the importance of breast milk, Indonesian government has been campaigning to endorse exclusive breastfeeding up to six months in the last four years. To date, there is no national data available to evaluate the exclusive breastfeeding program. Therefore, Indonesian Pediatric Society (IDAI) conducted a national survey on breastfeeding to investigate exclusive breastfeeding rate in Indonesia. Objective To find out the prevalence of exclusive breastfeeding in Indonesia. Methods This study included 22 provinces in Indonesia and targeted on mothers with infants aged 0-11 months. For the quantitative portion of the study we used simple random sampling design to get the prevalence from the population. For the qualitative interview data we used a stratified random sampling design to ensure that each infant age group was well represented. Survey location in each province was selected based on defining the capital city to be urban area and its suburban areas to be rural. This study was performed between October-November 2010. Results We found that the prevalences of breastfeeding among baby 0-11 months was quite high which were 91%, 86%, and 72% in infants aged 0-3 months, 0-6 months, and 6-11 months, respectively. Interestingly, the prevalence of breastfeeding in urban area was higher than in rural area for infants aged 6-11 months. However, despite the high prevalence of giving breast milk, less than half of mothers gave breast milk exclusively, to babies aged 0-3 months and to those aged 0-6 months. The awareness to exclusively breastfeed was greater for urban mothers than for rural ones in those with infants aged 0-6 months. Mothers with high socioeconomic status had the highest prevalence of exclusive breastfeeding. The prevalence of breastfeeding without formula was still the highest up to 12 months but the role of giving
KnE Life Sciences, 2018
Based sed on Indonesia Demographic Health Survey (IDHS) in 2012, incidences of diarrhea and acute respiratory infections in infants aged 0-11 months are 516 and 147 respectively. Additionally, infant mortality rate based on IDHS in 2012 is 32 infant deaths per 1,000 live births. Many efforts are done to overcome these problems, one of which is by exclusive breastfeeding. However, exclusive breastfeeding coverage is still low. According to IDHS in 2012, exclusive breastfeeding for infants is 41.5%. Data from Health Office of Padang Panjang City showed that there is no increase in the coverage of exclusive breastfeeding for the last three years. The aim of this study was to determine the factors associated with exclusive breastfeeding in Padang Panjang City in 2015. A cross-sectional study was conducted between December 2014 to July 2015. The subjects of 152 mothers who had infants aged 6-12 months were selected by using multistage sampling method. Analysis results showed that the significant factors were past exclusive breastfeeding experience with PR= 2.61 (95% CI= 1.4-4.8), early initiation breastfeeding with PR=1.99 (95% CI= 1.1-3.6), and family support with PR= 2.67 (95% CI= 1.1-6.4). Past breastfeeding experience is the dominant factor of exclusive breastfeeding with PR= 3.3 (95% CI= 1.5-7.5).
Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia
Paediatrica Indonesiana, 2016
Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months. Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants. Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey. Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000). There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001). There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031). Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996). Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to From the Breastfeeding Task Force 1 and the Research and Human Resource Task Force
2021
Maternal and child health status (MCHS) plays an essential role in the exclusive breastfeeding practice (EBP), which in turn helps to determine the nutritional status and development of children (NSC & CD) aged 0-6 months. This study aimed to determine the prevalence and factors influencing EBP, NSC, and CD to MCHS in Jember, East Java, Indonesia. A family-based survey was conducted among 470 mothers with children aged 0-6 months, by using a stratified random sampling method. Furthermore, a self-administered questionnaire was used to measure the characteristics of children and mothers, MCHS, EBP, NSC (z score with weight per age= WAZ and height per age= HAZ), and CD (pre-screening developmental questionnaire=PSDQ). The prevalence of EBP was 74.7% (95% CI= 65.5 – 81.2%), with influential factors being education, family income, children's age, and distress to limitations. Also, the Z-score of WAZ and HAZ were 2.99±0.22 and 3.01±0.22, respectively (3% of underweight and 1.7% of stu...
Indonesian Journal of Medical Sciences and Public Health, 2021
Introduction: Until now, the practice of exclusive breastfeeding is still far from the national target. The success of exclusive breastfeeding is determined by many factors, including the mother’s education, knowledge, and awareness about the importance of breastfeeding for child growth. This study aims to determine the relationship between the mother’s level of education and knowledge on exclusive breastfeeding in ten stunting locus villages located in Pandeglang Regency, Banten, Indonesia. Methods: This study uses a cross-sectional design with data collection methods through interviews and direct observation. The population consists of mothers who have children under 2 years of age. The study was conducted for 6 months from November 2019. The variables studied included the mother’s age, occupation, number of children, education, and knowledge of exclusive breastfeeding. Result: As many as 99.6% of respondents have a good level of knowledge about exclusive breastfeeding. The level ...
Althea Medical Journal
Background: Stunting has become a public health problem in Indonesia, with the prevalence of stunting is 37.2% nationally and 25.6% in West Java. One of the causes of stunting is malnutrition that may occur because of not giving exclusive breastfeeding on the first 1000 days of life (FDL). The purpose of this study was to determine whether there was difference between exclusive and non-exclusive breastfeeding among stunted and normal 6-9 month-old-children. Methods: This study was conducted using a cross-sectional analytic study during August-October 2018 with consecutive sampling method. This study involved 110 pairs of mothers and children aged 6-9 months who resided in villages which were within the work area of Jatinangor Public Health Center. Nutritional status was determined based on length-forage z score according to WHO. The type of breastfeeding was known based on the questionnaire. Data was analyzed by chi square test. Result: There were 60 of 110 children (54.5%) who did not receive exclusive breastfeeding. The incidence of stunting in children was 12.7% (14 of 110), of whom 10 children had no exclusive breastfeeding (p>0.05). Conclusions: Although the incidence of stunting is higher in non-exclusive breastfeeding group, there is no difference in the proportion of stunting in children aged 6-9 months between those who are exclusively breastfed and those who are not, however, exclusive breastfeeding is encouraged.
Proceedings of the 1st International Conference on Health, 2019
Based on the Data Provided, Exclusive Breastfeeding in the Tambora District Health Center by 47.6% is still below the targets of the Indonesian national government. This study discusses the factors associated with exclusive breastfeeding in the Tambora Community Health Center Working Area in West Jakarta in 2019. This study uses a cross-sectional design with a sample of 53 mothers who have 180-365 days of babies, using the stratified sampling techniques sampling method Analyzed by the Chi-square test. Univariate results items, namely exclusive breastfeeding (56.6%), mothers who did not work (64, 2%), good knowledge 58.5), receiving family support (52.8%), receiving support from health workers (62.3%). There was a relationship between maternal parity (PR = 2.100, 95% CI = 1.077 to 4.093), maternal knowledge (PR = 2.192, 95% CI = 1.162 to 4.4134), family support (PR = 3.173, 95% CI = 1,4866.775) and health care support (PR = 3.771, 95% CI = 1.886 to 7.543) with exclusive breastfeeding...
Malaysian Journal of Public Health Medicine
Maternal and child health status (MCHS) plays an essential role in the exclusive breastfeeding practice (EBP), which in turn helps to determine the nutritional status and development of children (NSC & CD) aged 0-6 months. This study aimed to determine the prevalence and factors influencing EBP, NSC, and CD to MCHS in Jember, East Java, Indonesia. A family-based survey was conducted among 470 mothers with children aged 0-6 months, by using a stratified random sampling method. Furthermore, a self-administered questionnaire was used to measure the characteristics of children and mothers, MCHS, EBP, NSC (z score with weight per age= WAZ and height per age= HAZ), and CD (pre-screening developmental questionnaire=PSDQ). The prevalence of EBP was 74.7% (95% CI= 65.5 – 81.2%), with influential factors being education, family income, children's age, and distress to limitations. Also, the Z-score of WAZ and HAZ were 2.99±0.22 and 3.01±0.22, respectively (3% of underweight and 1.7% of stu...