Determinants of Exclusive Breastfeeding in Lactating Mothers in Yogyakarta, Indonesia

Mina Yumei Santi; Wafi  Nur; Yani  Widyastuti; Furaida  Khasanah

doi:10.3889/oamjms.2023.11286

Authors

Mina Yumei Santi Department of Midwifery, Health Polytechnic Ministry of Health of Yogyakarta, Yogyakarta, Indonesia https://orcid.org/0000-0001-5870-2070
Wafi Nur Department of Midwifery, Health Polytechnic Ministry of Health of Yogyakarta, Yogyakarta, Indonesia https://orcid.org/0000-0002-2650-5029
Yani Widyastuti Department of Midwifery, Health Polytechnic Ministry of Health of Yogyakarta, Yogyakarta, Indonesia
Furaida Khasanah Department of Dental Nursing, Health Polytechnic Ministry of Health of Yogyakarta, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.11286

Keywords:

exclusive breastfeeding, determinants, lactating mother, infant-feeding

Abstract

BACKGROUND: The national coverage of exclusive breastfeeding (EBF) in Indonesia still low and one of the causes was from lactating mothers’ factor. The EBF coverage in Bantul Regency, Yogyakarta was still below the national target (80%). Breast milk has been proven to be the best source of nutrition that provides various benefits for babies, mothers, families, and the country. Benefits for babies are better immunity, as well as intelligence and mental development.

AIM: The research aims to analyze the determinants of exclusive breastfeeding in lactating mothers in Yogyakarta, Indonesia.

METHODS: An observational analytical research with cross-sectional design in Bantul Regency, Yogyakarta, Indonesia. The population was lactating mothers in Sewon and Srandakan, Bantul uses a sample of 100 people with purposive sampling method. Data were collected with questionnaires and analyzed with Chi-square test and Multiple Logistic Regressions using Statistical Package for the Social Sciences-16. The husband’s support (informational support, award support, instrumental support, and emotional support) is declared not supportive if the total value is less than the mean.

RESULTS: Factors that related to EBF were husband’s informational support, husband’s total support, and the promotion of infant formula (p < 0.05). The variable that proven to be the determinant of EBF was the promotion of infant formula (odds ratio = 4.47, 95% CI = 1.50–13.30) in probability equal to 0.007.

CONCLUSION: The study showed a low prevalence of EBF. Totally support of the husband, especially the information support was needed by lactating mothers. The most influential factor that proved to be a determinant of EBF in lactating mothers was the promotion of infant formula. It was necessary to prevent and stop all ways of promoting formula milk, especially in healthcare facilities or through advertisements and involving community leaders or well-known figures to campaign for the benefits of EBF for the community through various media.

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References

World Health Organization. Advocacy Brief: Breastfeeding and Family-friendly Policies. Geneva: World Health Organization; 2019. Available from: https://www.apps.who.int/iris/handle/10665/326099 [Last accessed on 2022 May 15].

Mahmoodi F, Noroozi M, Mehr LA, Beigi M. Breastfeeding and its outcome in women receiving epidural analgesia for childbirth. Iran J Nurs Midwifery Res. 2019;24(5):355-9. https://doi.org/10.4103/ijnmr.IJNMR_219_18 PMid:31516521 DOI: https://doi.org/10.4103/ijnmr.IJNMR_219_18

Bakar A, Rohma EF, Kurnia IQ, Qomariah SN. Exclusive breastfeeding prevents the incidence of acute respiratory tract infections in toddlers who have high-risk factors. Jurnal Ners. 2018;13(2):213-8. https://doi.org/10.20473/jn.v13i1.10888 DOI: https://doi.org/10.20473/jn.v13i2.10888

Wallby T, Lagerberg D, Magnusson M. Relationship between breastfeeding and early childhood obesity: Results of a prospective longitudinal study from birth to 4 years. Breastfeed Med. 2017;12:48-53. https://doi.org/10.1089/bfm.2016.0124 PMid:27991826 DOI: https://doi.org/10.1089/bfm.2016.0124

Oddy WH. Breastfeeding, childhood asthma, and allergic disease. Ann Nutr Metab. 2017;70 Suppl 2:26-36. https://doi.org/10.1159/000457920 PMid:28521318 DOI: https://doi.org/10.1159/000457920

Barir B, Murti B, Pamungkasari EP. The associations between exclusive breastfeeding, complementary feeding, and the risk of stunting in children under five years of age: A path analysis evidence from Jombang East Java. J Matern Child Health. 2019;4(6):486-98. https://doi.org/10.26911/thejmch.2019.04.06.09 DOI: https://doi.org/10.26911/thejmch.2019.04.06.09

Binns C, Lee M, Low WY. The long-term public health benefits of breastfeeding. Asia Pac J Public Health. 2016;28(1):7-14. https://doi.org/10.1177/1010539515624964 PMid:26792873 DOI: https://doi.org/10.1177/1010539515624964

Fore H, Ghebreyesus TA. WHO/UNICEF Statement on the 40th Anniversary of the International Code of Marketing Breast Milk Substitutes; 2021. Available from: https://www.who.int/ news/item/21-05-2021-who-unicef-statement-on-the-40th- anniversary-of-the-international-code-of-marketing-breastmilk- substitutes [Last accessed on 2022 May 22].

Minister of Health Republic of Indonesia. Profil Kesehatan Indonesia Tahun 2014. Jakarta: Minister of Health Republic of Indonesia; 2015. Available from: https://www.pusdatin. kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-profil- kesehatan.html [Last accessed on 2022 Jun 12].

Minister of Health Republic of Indonesia. Profil Kesehatan Indonesia Tahun 2015. Jakarta: Minister of Health Republic of Indonesia; 2016. Available from: https://www.pusdatin.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-profil- kesehatan.html [Last accessed on 2022 Jun 12].

Bantul Regency Health Office. Profil Kesehatan Kabupaten Bantul Tahun 2015; 2016. Available from: https://www.dinkes.bantulkab.go.id/data/hal/1/8/23/41-profil-kesehatan-2016 [Last accessed on 2022 Jun 13].

Adugna B, Tadele H, Reta F, Berhan Y. Determinants of exclusive breastfeeding in infants less than six months of age in Hawassa, an urban setting, Ethiopia. Int Breastfeed J. 2017;12:45. https://doi.org/10.1186/s13006-017-0137-6 PMid:29142586 DOI: https://doi.org/10.1186/s13006-017-0137-6

Rapingah S, Muhani N, Besral B, Yuniar P. Determinants of exclusive breastfeeding practices of female healthcare workers in Jakarta, Indonesia. Kesmas J Kesehatan Masyarakat Nasional (Natl Public Health J). 2021;16(1):59-65. https://doi.org/10.21109/kesmas.v16i1.2715 DOI: https://doi.org/10.21109/kesmas.v16i1.2715

Xu F, Binns C, Zheng S, Wang Y, Zhao Y, Lee A. Determinants of exclusive breastfeeding duration in Xinjiang, PR China. Asia Pac J Clin Nutr. 2007;16(2):316-21. PMid:17468089

Karima UQ, Herbawani CK, Puspita ID, Pristya TY, Choirunisa S. Determinants of exclusive breastfeeding practice in Indonesia: Analysis of demographic and Health Surveys Program (DHS) 2017. Adv Health Sci Res. 2020;30:339-46. https://doi.org/10.2991/ahsr.k.201125.059 DOI: https://doi.org/10.2991/ahsr.k.201125.059

Muis UA, Utomo B. Determinants of exclusive breastfeeding: Analysis of 2017 Indonesian demographic and health survey data. Int J Sci Res Publ. 2019;9(7):361-5. https://doi.org/10.29322/IJSRP.9.07.2019.p9147 DOI: https://doi.org/10.29322/IJSRP.9.07.2019.p9147

Shi H, Yang Y, Yin X, Li J, Fang J, Wang X. Determinants of exclusive breastfeeding for the first six months in China: A cross-sectional study. Int Breastfeed J. 2021;16:40. https://doi.org/10.1186/s13006-021-00388-y DOI: https://doi.org/10.1186/s13006-021-00388-y

Nishimura H, Krupp K, Gowda S, Srinivas V, Arun A, Madhivanan P. Determinants of exclusive breastfeeding in rural South India. Int Breastfeed J. 2018;13:40. https://doi.org/10.1186/s13006-018-0178-5 PMid:30181763 DOI: https://doi.org/10.1186/s13006-018-0178-5

Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M, Berhe T, et al. Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. Int Breastfeed J. 2020;15(1):5 https://doi.org/10.1186/s13006-020-0252-7 PMid:32000821 DOI: https://doi.org/10.1186/s13006-020-0252-7

Tan KL. Factors associated with exclusive breastfeeding among infants under six months of age in Peninsular Malaysia. Int Breastfeed J. 2011;6(1):2-8. https://doi.org/10.1186/1746-4358-6-2 PMid:21284889 DOI: https://doi.org/10.1186/1746-4358-6-2

Shifraw T, Worku A, Berhane Y. Factors associated exclusive breastfeeding practices of urban women in Addis Ababa public health centers, Ethiopia: A cross sectional study. Int Breastfeed J. 2015;10:22-7. https://doi.org/10.1186/s13006-015-0047-4 PMid:26155301 DOI: https://doi.org/10.1186/s13006-015-0047-4

Emmanuel A, Clow SE. Does maternal employment affect breastfeeding in Plateau state, Nigeria? Afr J Nurs Midwifery. 2017;19(2):11. https://doi.org/10.25159/2520-5293/1130 DOI: https://doi.org/10.25159/2520-5293/1130

Bajoulvand R, González-Jiménez E, Imani-Nasab MH, Ebrahimzadeh F. Predicting exclusive breastfeeding among Iranian mothers: Application of the theory of planned behavior using structural equation modeling. Iran J Nurs Midwifery Res. 2019;24(5):323-9. https://doi.org/10.4103/ijnmr.IJNMR_164_18 PMid:31516516 DOI: https://doi.org/10.4103/ijnmr.IJNMR_164_18

Morain S, Barnhill A. Do infant formula giveaways undermine or support women’s choices? AMA J Ethics. 2018;20(10):E924-31. https://doi.org/10.1001/amajethics.2018.924 PMid:30346920 DOI: https://doi.org/10.1001/amajethics.2018.924

Kuliukas L, Hauck YL, Jorgensen A, Kneebone K, Burns SK, Maycock BR, et al. Process evaluation of a peer-led antenatal breastfeeding class for fathers: Perceptions of facilitators and participants. BMC Pregnancy Childbirth. 2019;19(1):48. https://doi.org/10.1186/s12884-019-2198-6 PMid:30696411 DOI: https://doi.org/10.1186/s12884-019-2198-6

Fadjriah RN, Krisnasari S, Gugu Y. Relationship between family social support and exclusive breastfeeding behavior at Talise health center, Indonesia. Open Access Maced J Med Sci. 2021;9(E):312-6. https://doi.org/10.3889/oamjms.2021.5987 DOI: https://doi.org/10.3889/oamjms.2021.5987

Mannion CA, Hobbs AJ, McDonald SW, Tough SC. Maternal perceptions of partner support during breastfeeding. Int Breastfeed J. 2013;8(1):4. https://doi.org/10.1186/1746-4358-8-4 PMid:23651688 DOI: https://doi.org/10.1186/1746-4358-8-4

Durmazoğlu G, Çiçek Ö, Okumuş H. The effect of spousal support perceived by mothers on breastfeeding in the postpartum period. Turk Arch Pediatr. 2021;56(1):57-61. https://doi.org/10.14744/turkpediatriars.2020.09076 PMid:34013231 DOI: https://doi.org/10.14744/TurkPediatriArs.2020.09076

Adib-Hajbaghery M, Hashemi-Demneh T. Effect of telephone follow-up on postdelivery breastfeeding and maternal attachment. J Nurs Midwifery Sci. 2017;4(4):117-24. https://doi.org/10.4103/JNMS.JNMS_6_18 DOI: https://doi.org/10.4103/JNMS.JNMS_6_18

Bora R. Breast feeding in developing countries: Is there a scope for improvement. J Neonatal Biol. 2016;5(1):208. https://doi.org/10.4172/2167-0897.1000208 DOI: https://doi.org/10.4172/2167-0897.1000208

Hamade H, Chaaya M, Saliba M, Chaaban R, Osman H. Determinants of exclusive breastfeeding in an urban population of primiparas in Lebanon:Across-sectional study. BMC Public Health. 2013;13(1):702. https://doi.org/10.1186/1471-2458-13-702 PMid:23902627 DOI: https://doi.org/10.1186/1471-2458-13-702

Santi MY. The Improvement Efforts of Exclusive Breastfeeding and Early Initiation of Breastfeeding. J Kesmas Indones. 2017;9(1):78-90. Available from: https://www.jos.unsoed.ac.id/index.php/kesmas indo/article/view/230/199.

The Ministry of State Secretariat. Regulation of The Government of The Republic of Indonesia Number 33 of 2012 on Exclusive Breastfeeding (Peraturan Pemerintah Republik Indonesia Nomor 33 Tahun 2012 tentang Pemberian Air Susu Ibu Eksklusif); 2012.

Hernández-Cordero S, Vilar-Compte M, Castañeda-MárquezAC, Rollins N, Kingston G, Pérez-Escamilla R. Exposure to marketing of breastmilk substitutes in Mexican women: Sources and scope. Int Breastfeed J. 2022;17(16):16. https://doi.org/10.1186/s13006-022-00455-y PMid:35236370 DOI: https://doi.org/10.1186/s13006-022-00455-y

Piwoz EG, Huffman SL. The impact of marketing of breast- milk substitutes on WHO-recommended breastfeeding practices. Food Nutr Bull. 2015;36(4):373-86. https://doi.org/10.1177/0379572115602174 PMid:26314734 DOI: https://doi.org/10.1177/0379572115602174