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Determinants of Exclusive Breastfeeding Practice in Indonesia: Analysis of Demographic and Health Surveys Program (DHS) 2017
Authors: Ulya Qoulan Karima, Chahya Kharin Herbawani, Ikha Deviyanti Puspita, Terry Y.R. Pristya, Septyana Choirunisa
Source: Advances in Health Sciences Research, Volume 30
Topic(s): Breastfeeding
Nutrition
Country: Asia
  Indonesia
Published: DEC 2020
Abstract: Background: Breastfeeding is the cornerstone of child survival, nutrition, and development. The World Health Organization (WHO) recommends exclusive breasfeeding for the first 6 months of life. The objective of this study is to estimate the prevalence of being not exclusive breasfeeding and to identify determinants factors associated with exclusive breastfeeding practice in Indonesia. Methods: A cross-sectional study was conducted among all mother with last infant of 0-5 months age enlisted in the woman’s individual questionnaires of Indonesian Demographic and Health Surveys Program (DHS) 2017. Total sample of 1,446 infants were analyzed after applied the weighted setting analysis. Multiple logistic regression analysis were applied in this research. Results: Prevalence of being not exclusive breasfeeding was 57.3%. The results of multivariate analysis showed an increased risk of being not exclusive breastfeeding in the group with early initiation of breastfeeding for > 1 hour (corrected PR= 1.80, 95% CI: 1.60-1.86) compared with = 1 hour. Infants who drank from bottle with nipple, had a greater risk of being not exclusive breastfeeding (corrected PR = 1.71, 95% CI: 1.48-1.68). Delivery by caesarean section, had a greater risk of being not exclusive breastfeeding (corrected PR = 1.14, 95% CI: 1.00-1.28). Compared with infants of 0-1 months age, there were increased risk of being not exclusive breastfeeding along with increasing age of infants (corrected PR = 1.17, 95% CI: 1.03-1.33 for 2-3 months age, and corrected PR = 1.32, 95% CI: 1.19-1.48 for 4-5 months age). Compared with preceding birth interval for 24-60 months, first child had a greater risk of being not exclusive breastfeeding (corrected PR = 1.15, 95% CI: 1.01-1.27). There was an interaction variables between early initiation of breastfeeding and drank from bottle with nipple Conclusion: Determinants of being not exclusive breastfeeding were initiation of breastfeeding, drank from bottle with nipple, delivery by section casarean, infants age, and preceding birth interval. There is need to increase health promotion regarding the factors associated with breasfeeding practice to the mothers especially on promoting early initiation of breasffeeding and the avoidance the using of bottle with nipple.
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