Mother’s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia

Published: 9 February 2023
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Introduction: Exclusive breastfeeding is one of the important indicators in achieving nutritional problems in children. Unfortunately, only 1 in 2 babies are exclusively breastfed in Indonesia. Therefore, this study aims to examine the factors associated with exclusive breastfeeding in the country.

Design and Methods: Data were obtained from the Indonesian Family Life Survey (IFLS), by using a cross-sectional design involving a total of 2,217 mothers. The independent variables include weaning food, knowledge, labor difficulties, postpartum visits, number of children, marital status, sex of children, and low birth weight (LBW), while the dependent variable include exclusive breastfeeding. Subsequently, chi-square test and logistic regression were used to examine the relationship between exclusive breastfeeding and the related factors.

Results: The prevalence of exclusive breastfeeding in Indonesia was 36.5%. Bivariate analysis showed that the variables associated with exclusive breastfeeding were weaning feeding, knowledge, low birth weight, and difficulty in labor with p-values of 0.005, 0.000, 0.040, and 0.005, respectively. The most dominant variable for exclusive breastfeeding behavior is knowledge with a value of OR = 1.85.

Conclusions: There is a significant relationship between knowledge of mothers, weaning food, and low birth weight with exclusive breastfeeding behavior. Meanwhile, the main determinant among the variables is mother's knowledge. Therefore, health workers and community service cadres need to provide counseling about health, assistance, and motivation to mothers, thereby they will be able to properly provide exclusive breastfeeding.

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Shetty P. Indonesia’s breastfeeding challenge is echoed the world over. Bull World Health Organ 2014;92:234–5. DOI: https://doi.org/10.2471/BLT.14.020414
WHO. World Breastfeeding Week: UNICEF and WHO call on the Government and employers to support breastfeeding mothers in Indonesia during COVID-19. 2020. Available from: https://www.who.int/indonesia/news/detail/03-08-2020-world-breastfeeding-week-unicef-and-who-call-on-the-government-and-employers-to-support-breastfeeding-mothers-in-indonesia-during-covid-19
BPS. Persentase Bayi Usia Kurang Dari 6 Bulan Yang Mendapatkan Asi Eksklusif Menurut Provinsi (Persen), 2018-2020. [Percentage of Infants Age Less Than 6 Months Getting Exclusive Breastfeeding by Province (Percent), 2018-2020.] 2021. Available from: https://www.bps.go.id/indicator/30/1340/1/persentase-bayi-usia-kurang-dari-6-bulan-yang-mendapatkan-asi-eksklusif-menurut-provinsi.html
Sankar MJ, Sinha B, Chowdhury R, et al. Optimal breastfeeding practices and infant and child mortality: A systematic review and meta-analysis. Acta Paediatr Int J Paediatr 2015;104:3–13. DOI: https://doi.org/10.1111/apa.13147
Fisk CM, Crozier SR, Inskip HM, et al. Breastfeeding and reported morbidity during infancy: Findings from the Southampton Women’s Survey. Matern Child Nutr 2011;7:61–70. DOI: https://doi.org/10.1111/j.1740-8709.2010.00241.x
Wulandari RA. The Influence of Exclusive Breastfeeding Toward The Occurrence of Childhood Pneumonia in East Java. J Berk Epidemiol 2018;6:236. DOI: https://doi.org/10.20473/jbe.V6I32018.236-243
Hidayah Nurul. The Correlation Of Sex And Exclusive Breastfeeding Status With Acute Respiratory Infection (Ari) Incidence Among Under-Five Children At The Cempaka Public Health Center Banjarmasin. Din Kesehat 2017;8:330–5.
Mazumder S, Taneja S, Dube B, et al. Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial. Lancet 2019;394:1724–36. DOI: https://doi.org/10.1016/S0140-6736(19)32223-8
WHO. Exclusive breastfeeding for six months best for babies everywhere. 2011. Available from: https://apps.who.int/mediacentre/news/statements/2011/breastfeeding_20110115/en/index.html
Ho C. Optimal duration of exclusive breastfeeding. Int J Evid Based Healthc 2013;11:140–1. DOI: https://doi.org/10.1111/1744-1609.12015
UNICEF, BAPPENAS. Achieving the SDGs for children in Indonesia: Emerging findings for reaching the targets. Indones Minist Natl Dev Plan United Nations Child Fund 2019;288.
WHO. Global Targets 2025. 2021. Available from: https://apps.who.int/nutrition/global-target-2025/en/index.html
Rahman MA, Khan MN, Akter S, et al. Determinants of exclusive breastfeeding practice in Bangladesh: Evidence from nationally representative survey data. PLoS One 2020;15:1–14. DOI: https://doi.org/10.1371/journal.pone.0236080
Um S, Chan YZC, Tol B, et al. Determinants of exclusive breastfeeding of infants under six months among Cambodian mothers. J Pregnancy 2020;2020. DOI: https://doi.org/10.1155/2020/2097285
Elyas L, Mekasha A, Admasie A, et al. Exclusive Breastfeeding Practice and Associated Factors among Mothers Attending Private Pediatric and Child Clinics, Addis Ababa, Ethiopia: A Cross-Sectional Study. Int J Pediatr 2017;2017:1–9. DOI: https://doi.org/10.1155/2017/8546192
Sholeye OO, Abosede OA, Salako AA. Exclusive Breastfeeding and Its Associated Factors among Mothers in Sagamu, Southwest Nigeria. J Heal Sci 2015;5:25–31.
EL-Houfey AA, Saad K. Factors that Exclusive Breastfeeding. Int Nursing, Midwife Heal Related Cases 2018;4:16–28.
Tambunan AT, Tanggulungan F, Poppy R, et al. Relationship between Mothers’ Knowledge and Exclusive Breastfeeding Behavior in One Private Hospital in West Indonesia. Int J Nurs Heal Serv 2021;4:1–8.
Rosyid ZN, Sumarmi S. Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif. [The Relationship Between Mother's Knowledge and IMD With Exclusive Breastfeeding Practices.] Amerta Nutr 2017;1:406. DOI: https://doi.org/10.20473/amnt.v1i4.7129
Karcz K, Lehman I, Królak-olejnik B. The link between knowledge of the maternal diet and breastfeeding practices in mothers and health workers in Poland. Int Breastfeed J 2021;1–15. DOI: https://doi.org/10.1186/s13006-021-00406-z
Rapingah S, Muhani N, Besral, et al. Determinants of exclusive breastfeeding practices of female healthcare workers in Jakarta, Indonesia. Kesmas 2021;16:59–65. DOI: https://doi.org/10.21109/kesmas.v16i1.2715
Ouyang YQ, Nasrin L. Father’s knowledge, attitude and support to mother’s exclusive breastfeeding practices in bangladesh: A multi-group structural equations model analysis. Healthcare 2021;9:276. DOI: https://doi.org/10.3390/healthcare9030276
Pineda RG. Predictors of breastfeeding and breastmilk feeding among very low birth weight infants. Breastfeed Med 2011;6:15–9. DOI: https://doi.org/10.1089/bfm.2010.0010
Hill PD, Ledbetter RJ, Kavanaugh KL. Breastfeeding patterns of low-birth-weight infants after hospital discharge. J Obstet Gynecol Neonatal Nurs 1997;26:189–97. DOI: https://doi.org/10.1111/j.1552-6909.1997.tb02132.x
Lessa A, Garcia AL, Emmett P, et al. Does early introduction of solid feeding lead to early cessation of breastfeeding? Matern Child Nutr 2020;16:1–9. DOI: https://doi.org/10.1111/mcn.12944
Paramita A, Pramono MS. The Pattern and Factor Analysis of the Breastfeeding Duration in 2013. J Ekol Kesehat 2015;14:157–70. DOI: https://doi.org/10.22435/jek.v14i2.4670.157-170
Kronborg H, Foverskov E, Væth M. Predictors for early introduction of solid food among Danish mothers and infants: An observational study. BMC Pediatr 2014;14:1–10. DOI: https://doi.org/10.1186/1471-2431-14-243
WHO. Infant and young child feeding [Internet]. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
Islami MJ, Broidy L, Baird K, et al. Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support. PLoS One 2021;16:1–19. DOI: https://doi.org/10.1371/journal.pone.0251419
Agrasada GV, Ewald U, Kylberg E, Gustafsson J. Exclusive breastfeeding of low birth weight infants for the first six months: Infant morbidity and maternal and infant anthropometry. Asia Pac J Clin Nutr 2011;20:62–8.

How to Cite

Kapti, R. E., Arief, Y. S., & Azizah, N. (2023). Mother’s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia. Healthcare in Low-Resource Settings, 11(s1). https://doi.org/10.4081/hls.2023.11209

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