Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia

Ananta, Yovita; Gandaputra, Ellen; Waiman, Elina; Partiwi, I Gusti Ayu Nyoman; Marzuki, Nanis S.; Yohmi, Elizabeth; Panjaitan, Eveline; Oswari, Hanifah; Hegar, Badriul

doi:10.14238/pi56.1.2016.05

Cited by 4 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The rates of exclusive breastfeeding (62.4%) in our study, to our surprise, were higher than we expected from the statistics provided by these study PHCs (14.8 to 25.0%) and were higher than the national estimates (37.3%) in Indonesia [ 4 ]. Nevertheless, the result of this study was consistent with the rates of exclusive breastfeeding (63.3%, 60%) reported in two recent studies conducted in Yogyakarta regions [ 24 , 25 ], in which the definition for exclusive breastfeeding by WHO during the first 6 months postpartum was adopted. The relatively high exclusive breastfeeding rates in Yogyakarta regions might be related to multilevel breastfeeding interventions launched since 2012, including peer breastfeeding support and lactation counseling [ 26 ].…”

Section: Discussionsupporting

confidence: 91%

The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

et al. 2020

View full text Add to dashboard Cite

Background: Perceived milk supply is an important modifiable factor for optimal breastfeeding. However, little is known about maternal perception of milk supply or how it impacts breastfeeding practices. The aim of this study was to examine relationships of perceived milk supply, maternal breastfeeding self-efficacy, and skin-to-skin contact with early initiation and exclusive breastfeeding among mothers of infants less than 6 months of age in Indonesia. Methods: This was a cross-sectional study conducted in Yogyakarta City, Indonesia between August and October 2015. Maternal perception of milk supply was assessed using the Hill and Humenick Lactation Scale. Data on breastfeeding practices, and maternal and infant factors were collected using a structured questionnaire. Multiple regression and multivariate logistic regression analyses were performed to obtain estimates of associations. Results: Thirty four percent of mothers had initiated breastfeeding within an hour after birth, and 62.4% of mothers were exclusively breastfeeding. High levels of perceived breast milk supply were reported in mothers who practiced skin-to-skin contact or rooming-in with their infants, experienced positive infant sucking behavior, or had high breastfeeding self-efficacy (p < 0.05). Mothers with a higher level of perceived milk production (Odds Ratio [OR] 3.20; 95% Confidence Interval [CI] 1.76, 5.83) or practicing skin-to-skin contact (OR 2.36; 95% CI 1.13, 4.91) were more likely to exclusively breastfeed, while employed mothers were less likely to breastfeed their infants exclusively (OR 0.47; 95% CI 0.24, 0.93). Conclusions: In this study, skin-to-skin contact and breastfeeding self-efficacy are important determinants of perceived milk supply. Higher perception of milk supply was positively linked with exclusive breastfeeding. Our study highlights the importance of the assessment for mother's perception of milk supply, maternal breastfeeding self-efficacy, and skin-to-skin contact in achieving optimal breastfeeding outcomes.

show abstract

Section: Discussionsupporting

confidence: 91%

The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…It is consistent with studies conducted in; Motta town, Ethiopia 50.1% [ 14 ], Gahanna 64% [ 20 ], Debre Markos, Ethiopia 60.8% [ 29 ], Ecuador 62.8% [ 35 ] and Hawassa, Ethiopia 60.9% [ 16 ]. On the other hand, the result was higher than the studies done in; Indonesia 40% and 46% [ 36 , 37 ] Saudi Arabia 43.9% [ 38 ], Nigeria 33.5% [ 39 ], Papua New Guinea 17% [ 40 ], Democratic Republic Congo 39% [ 41 ], Addis Ababa, Ethiopia 29.3% [ 11 ] and North West Ethiopia 30.7% [ 12 ]. However, the result was lower than studies conducted in; Debre Birhan, Ethiopia 68.6% [ 17 ],Afar, Ethiopia 81.1% [ 19 ], Tigray, Ethiopia70.2% [ 18 ], United States73% [ 28 ] and India 87% [ 42 ].…”

Section: Discussionmentioning

confidence: 76%

Exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia: A community based cross sectional study

Ayalew

2020

Heliyon

View full text Add to dashboard Cite

Background Breastfeeding can offer the ideal food for infants. It contains all the necessary nutrients for the growthand development of infants and antibodies that can protect from many childhood illnesses. Understanding the extent of, and barriers to exclusive breastfeeding in Ethiopia is important for learning how to best improve level of exclusive breastfeeding. No single study has been conducted on first-time mothers in the country. . Therefore, this study aimed to assess prevalence of exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia. Method A community-based cross-sectional study was conducted from March to April, 2016 among (n = 400) randomly selected first-time mothers in Bahir Dar city, northwest Ethiopia. Data were collected using structured interviewer-administered questionnaire and analyzed using SPSS version20., bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P -value <0.05. Results Prevalence of exclusive breastfeeding practice 24 h before the survey was 57.3% (95%CI: 52.3%–62%). Mothers not being married (aOR = 2.79, 95 %CI: 1.08, 7.17), supported by their husband (aOR = 4.15, 95%CI: 2.13, 6.28), with no breast complication (aOR = 3.66, 95% CI: 2.13, 6.28), who had four or more antenatal care (aOR = 2.51, 95%CI: 1.49, 4.23) were more likely to practice exclusive breastfeeding. Conclusion A significant proportion of mothers had a low level of exclusive breastfeeding practice that was lower than the national recommended level. Mothers not being married, supported by their husbands, with no breast problems who had four or more antenatal care visits were more likely to practice exclusive breastfeeding. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase exclusive breastfeeding in the first-time mothers.

show abstract

“…In the same year the Indonesian ministry of health reported that the EBF rate was 54% nationwide. The current national Indonesian EBF rate of 46.3% [ 34 ] is above the global average rate of EBF (37% across 75 countries), [ 11 ] although it is still below the Indonesian government’s target of >75% [ 35 ]. The higher EBF rate in our study may be due to the families’ engagement in the vaccine clinical trial, providing a higher exposure to health care providers and to the national program that encouraged EBF.…”

Section: Discussionmentioning

confidence: 99%

Nutritional status, exclusive breastfeeding and management of acute respiratory illness and diarrhea in the first 6 months of life in infants from two regions of Indonesia

et al. 2017

View full text Add to dashboard Cite

BackgroundInfant morbidity and mortality rates remain high in Indonesia, with acute respiratory illnesses (ARI) and diarrhea the leading two health problems in children under 5 years. We aimed to describe the nutritional status, feeding practice and case management of ARI and diarrhea of infants from two regions of Indonesia during the first 6 months of life.MethodsThis study was an observational study conducted in parallel to an immunogenicity and efficacy trial of an oral rotavirus vaccine RV3-BB) in the Klaten and Yogyakarta regions, Indonesia. Mothers were interviewed at 3 time points: within the first 6 days of their infant’s life, and at 8–10 and 22–24 weeks of age. Questions asked included pregnancy history, infant nutritional status, feeding status and health of infants within up to 2 weeks prior to the assessment.ResultsBetween February 2013 and January 2014, 233 mother-infant pairs were recruited. 60% (136/223) of infants were exclusively breastfed (EBF) until 6 months of age with the strongest support for EBF reported by mothers themselves 70% (101/223) and 25% (36/223) from their partners. At 6 months, 6% (14/223) of infants were underweight and severely underweight; 4% (8/ 223) wasted and severely wasted; and 12% (28/223) were stunted and severely stunted. Non-recommended medication use was high, with 54% (21/39) of infants with reported cough within 2 weeks of an assessment receiving cough medication, 70% (27 /39) an antihistamine, 26% (10/39) a mucolytic and 15% (6 /39) an oral bronchodilator. At age 22–24 week, infants with reported diarrhea within 2 weeks of an assessment had low use of oral rehydration solutions (ORS) (3/21;14%) and zinc therapy (2/ 21;10%).ConclusionIn this unique observational study, breastfeeding rates of 60% at 6 months were below the Indonesian national target of >75%. Adherence to WHO guidelines for management of ARI and diarrhea was poor, with high use of non-recommended cough medications and oral bronchodilators in the first 6 months of life and low use of ORS and zinc therapy. Ongoing education of primary health care workers and parents regarding management of common illness is needed in Indonesia.

show abstract

Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia

Abstract: Background Breast milk is the ideal food for infants. According

Cited by 4 publications

References 23 publications

The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

Exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia: A community based cross sectional study

Nutritional status, exclusive breastfeeding and management of acute respiratory illness and diarrhea in the first 6 months of life in infants from two regions of Indonesia

Contact Info

Product

Resources

About