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Population-Based Survey of Exclusive Breastfeeding in Indonesia: A Secondary Analysis
Authors: Agushybana F, Siramaneerat I, Raksamat W, and Siriphakhamongkhon S
Source: Pacific Rim International Journal of Nursing Research, 22(1): 6-7
Topic(s): Breastfeeding
Country: Asia
Published: MAR 2018
Abstract: Abstract: Less than half of Indonesian mothers follow the World Health Organization recommendation to provide exclusive breastfeeding practice. Exclusive breastfeeding is associated with reducing an infant’s risk of communicable and non-communicable diseases. Little is known about factors related to exclusive breastfeeding in Indonesia. This study examined the factors that predict exclusive breastfeeding in Indonesia by applying secondary analysis of data from the Indonesian Demographic Health Survey 2012, after relevant permission was given. The participants were women aged 15-49 years old, and the survey was implemented using multi-stage cluster random sampling. The sample of 1508 respondents was comprised of women who gave birth over the previous two years, were currently breastfeeding, and their baby was aged 0-5 months and living with mother. The IDHS survey provided three kinds of questionnaires: one for households, one for men, and one for women. The women’s questionnaire included questions about demographic characteristics, their reproductive history, pregnancy, antenatal and postnatal care, as well as immunization and nutrition. The data were analyzed using descriptive statistics and multiple logistic regression analysis. The results revealed that only 40% of mothers breastfed exclusively. The multivariate logistic regression analysis indicated that three of ten factors could significantly predict exclusive breastfeeding, namely occupation, region and initiation of breastfeeding. This study has strong implications for health policy makers, and health professionals. Nurses should work with health systems and community to improve exclusive breastfeeding practice by increasing early breastfeeding initiation within an hour of delivery, and helping to sustain breastfeeding for at least six months. This can be done through health promotion and education by health workers. Health promotion activities should include the benefits of exclusive breastfeeding, and education on suitable nutrition during pregnancy and postpartum.