scholarly journals Factors influencing knowledge and practice of exclusive breastfeeding in Nyando District, Kenya

2012 ◽  
Vol 12 (54) ◽  
pp. 6632-6645
Author(s):  
NM Nyanga ◽  
◽  
C Musita ◽  
A Otieno ◽  
D Kaseje

The overall objective of this study was to determine factors influencing the knowledge and practice of Exclusive Breast Feeding1 (EBF) among lactating mothers with infants aged zero2 to six months at Ahero Sub District Hospital in Nyando District, Kenya. A cross- sectional design was conducted to 117 breastfeeding mothers at Ahero Sub-District Hospital at Maternal Child Health clinic; these were selected consecutively until the desired sample was attained. The independent variables were maternal education, marital status, both maternal and child age, maternal employment status, health factors (place of delivery and maternal chronic illness), and cultural beliefs while dependent variables included EBF practice and mothers’ knowledge of EBF3 (awareness of EBF and its benefits), pre lacteal feeds and exclusive breastfeeding consistency. Exclusiveness was measured in time initiated (30 minutes initiation after birth) Data were collected by trained enumerators who administered a structured questionnaire. Analysis was done using Statistical Package for Social Scientists (SPSS) by running frequencies and cross tabulation. Chi square test was used to check for strength of association between variables at 95% confidence level. The study found that there was low EBF practice (33%) in the area and this posed a great concern. It was established that marital status, employment, maternal education, place of delivery and both infant and mothers’ age were closely associated with knowledge and practice of EBF. Marital status and employment were strong predictors of both knowledge and practice which showed statistical significance of P= 0.02 and P=0.00, respectively. It was evident that family support is a key factor in the success of EBF with special focus on partner involvement. Actions to empower women and promotion of EBF campaign are recommended to achieve the fourth Millennium Development Goal (MDG) and probably reduce infant mortality in the area. Further studies are required to assess the impact of a strong focused educational program (focused on building family support) on improving EBF rates.

2022 ◽  
Vol 1 (1) ◽  
pp. 227-237
Author(s):  
Moza Suzana

ABSTRACT: FACTORS RELATED TO EXCLUSIVE BREASTING BEHAVIOR IN INFANTS AGED 6-24 MONTHS IN THE WORK AREA OF SANGGARAN AGUNG PUSKESMAS, KEINCI REGENCY, JAMBI PROVINCE Introduction: The problem of exclusive breastfeeding in infants is caused by a lack of mother's knowledge, mother's attitude towards exclusive breastfeeding, busy working mothers, and low maternal education. In Indonesia, the exclusive breastfeeding coverage target is 80%, according to the 2013 Riskesdas report, the milk adequacy rate of 30.2% is still below the target.Objective: To determine the factors associated with exclusive breastfeeding behavior in infants aged 6-24 months in the Sanggaran Agung Community Health Center Work Area in 2020.Methods: This type of research is quantitative with a cross-sectional design. This research was conducted on August 2-10, 2020, with the population being all mothers with children under five in the Sanggaran Agung Health Center Work Area as many as 65 people, and samples were taken using the Total Population technique. Data was collected through a questionnaire sheet. Data were analyzed by univariate and bivariate with Chy Square test.Results: The results showed the frequency distribution of exclusive breastfeeding behavior (not giving exclusive breastfeeding 46.2%, exclusive breastfeeding 53.8%), knowledge factor (not good 41.5%, good 58.5%), place of delivery (non-health facilities) 30.8%, health facilities 69.2%), birth attendants (non-health workers 27.7%, health workers 72.3%), support from health workers (less supportive 44.6%, supported 55, 4%) and family support (less supportive 35.4%, supportive 64.6%).Conclusion: Based on the results of the study, it can be concluded that there is a relationship between knowledge of mothers, birthing places, birth attendants, support for health workers and family support with exclusive breastfeeding behavior for infants aged 6-24 months in the Sanggaran Agung Public Health Center, Kerinci Regency, Jambi Province in 2020. Support from health centers and related stakeholders to increase mother's knowledge about exclusive breastfeeding and provide support to mothers to be able to give exclusive breastfeeding to their babies. Keywords: Knowledge, place of delivery, birth attendant, support for health workers, family support, exclusive breastfeeding behavior  INTISARI: FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAK PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 6-24 BULAN DI WILAYAH KERJA PUSKESMAS SANGGARAN AGUNG KABUPATEN  KERINCI PROVINSI JAMBI Pendahuluan: Permasalah ASI eklusif pada bayi adalah karena pengetahuan ibu yang kurang, sikap ibu terhadap pemberian ASI eklusif, ibu sibuk kerja, pendidikan ibu yang rendah. Di Indonesia target cakupan ASI ekslusif adalah 80%, menurut laporan Riskesdas 2013, angka kecukupan ASI sebanyak 30,2% masih dibawah target.Tujuan: Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan perilaku pemberian ASI Eksklusif pada bayi Usia 6-24 Bulan Di  Wilayah Kerja Puskesmas Sanggaran Agung Tahun 2020.Metode: Jenis penelitian ini adalah kuantitatif dengan desain Cross Sectional, Penelitian ini telah dilaksanakan pada tanggal 2-10 Agustus 2020, dengan populasi adalah semua ibu yang memiliki baduta di Wilayah Kerja Puskesmas Sanggaran Agung sebanyak 65 orang dan sampel diambil dengan teknik Total Populasi. Pengumpulan data dilakukan melalui lembar kuesioner. Data dianalisa secara univariat dan bivariat dengan Uji Chy Square.Hasil: Hasil penelitian didapatkan distribusi frekuensi Perilaku pemberian ASI Ekslusif (Tidak ASI Ekslusif 46,2%, ASI Ekslusif 53,8%), faktor pengetahuan (kurang baik 41,5%, Baik 58,5%), tempat persalinan (Non fasilitas kesehatan 30,8%, Fasilitas kesehatan 69,2%), penolong persalinan (non tenaga kesehatan 27,7%, tenaga kesehatan 72,3%), dukungan petugas kesehatan (kurang mendukung 44,6%, mendukung 55,4%) dan dukungan keluarga (kurang mendukung 35,4%, mendukung 64,6%).Kesimpulan: Berdasarkan hasil penelitian maka dapat disimpulkan bahwa Ada hubungan pengetahuan ibu, tempat persalinan, penolong persalinan, dukungan tenaga kesehatan dan dukungan keluarga dengan perilaku pemberian ASI eksklusif pada bayi usia 6-24 bulan di Wilayah Kerja Puskesmas Sanggaran Agung Tahun  Kabupaten Kerinci Provinsi Jambi 2020. Dukungan dari pihak puskesmas dan stakeholder terkait untuk dapat meningkatkan pengetahuan ibu tentang ASI Ekslusif serta memberikan dukungan bagi ibu untuk dapat memberikan ASI Ekslusif untuk bayinya. Kata Kunci :   Pengetahuan, tempat persalinan, penolong persalinan, dukungan tenaga kesehatan, dukungan keluarga, Perilaku Pemberian ASI Ekslusif


2021 ◽  
Vol 129 (s2) ◽  
Author(s):  
Reza Putri Maghriza ◽  
Ninuk Dwi Ariningtyas ◽  
Yelvi Levani ◽  
Musa Ghufron

Introduction: In Indonesia, coverage of exclusive breastfeeding has not yet met the government’s goal of 80%. This study aimed to ascertain the relationship between maternal education and occupation, family support, and belief in myths and exclusive breastfeeding success in a rural region.


2021 ◽  
Vol 4 (6) ◽  
pp. 71-83
Author(s):  
Nwankwo I.P. ◽  
Ilo I.C.

The current WHO/UNICEF feeding recommends that breastfeeding with good nutrition is essential to achieving the UN sustainable development goals. This study was carried out to assess the environmental variables influencing exclusive breastfeeding of infants aged 0–6 months in Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State, Nigeria. Three objectives guided the study. Cross sectional descriptive survey design was used for the study. The instrument for data collection was a structured questionnaire which was validated by experts and was administered to four hundred (400) post natal women of child bearing age who were randomly selected. The data collected were analyzed using statistical methods, which included mean, chi square, and t-test which were presented in frequencies and percentages. The result revealed that 44.7% of babies were exclusively breastfed while more than half (55.3%) were not exclusively breastfed. The result of this study also showed that maternal education had a significant effect on their exclusive breastfeeding pattern (P < 0.05) as 65.9% of mothers who breastfed exclusively had up to tertiary education. An association was also found between the parity of mother and breastfeeding practices. This is because 46.3% of mothers who had three or more children breastfed their children exclusively. This study showed a positive association between place of delivery and breastfeeding practices. Place of delivery revealed a significant difference between the two groups as exclusive breastfeeding was observed in 95.5% babies delivered in government health facilities compared with 4.5% delivered at private health facilities. Health workers should educate the mothers about the benefit of exclusive breastfeeding. Some other factors found to prevent mothers from practicing exclusive breastfeeding were finance, 36 (16.3%); personal reasons, 51 (20.1%); lack of time as they have to go back to work, 72 (32.6%); dissatisfaction, 40 (18.0%); stress, 9 (4.0%); baby's refusal, 7 (3.2%); and pains, 6 (2.7%).


2017 ◽  
Vol 1 (1) ◽  
pp. 15-21
Author(s):  
Ika Mustika

Exclusive breastfeeding until 6 month is very important for baby. The proportion of mothers who exclusively breastfeed their babies up to 6 months remains low. Factors influencing the exclusive breastfeeding namely sociodemograph factors , factors pre / post delivery , and psychosocial factors. This aims of this study to identify determinant factors of exclusive breastfeeding on mother. This research method is a systematic review , by analyzing the various studies on exclusive breastfeeding. There are 17 studies. The results obtained occupational factors most studied with significant results ( median OR = 1.265 ). Psychosocial factors that have significant relationship is support of her husband (average OR = 4.716 ) and family support ( average OR = 1.770 ). Conclusions : factors influencing the exclusive breastfeeding is occupational factor. Socialization and support from people nearby, health workers, and all parties is needed for exclusive breastfeeding for six months can be achieved.


2020 ◽  
Vol 5 (2) ◽  
pp. 164
Author(s):  
Haripin Togap Sinaga ◽  
Marni Siregar

Globally the coverage of early initiation breastfeeding (EIBF) and exclusive breastfeeding (EBF) still low. In Indonesia, the coverage of EIBF and exclusive breastfeeding was 52,8% and 37,3%. This study aimed to review what factors affected the target of EIBF and EBF. Method, the study was a literature review. Eleven scientific articles were critically reviewed based on objectives, methods, and results presented in the articles. The articles were written by Indonesian authors and published in indexed journals during the year 2015 to 2020. Three databases were used; SINTA, Google Scholar, and National Library to search the articles using keywords “Early Initiation Breastfeeding and Exclusive breastfeeding” Data were analyzed with the qualitative method by presenting a summary, compare and contrasting, and critics and opinion. Results, of eleven articles, three were qualitative studies with total respondents 22, 28, and 81 mothers and eight quantitative studies range respondent from 110 mothers to 300.000 household mothers.  There were six factors affecting EIBF and EBF coverage; 1) implementation of government regulation, 2) family support, 3) maternal education and occupation, 4) breastfeeding counseling, 5) pre-term babies and 6) local culture.  In conclusion, the main factors causing the low coverage of EIBF and EBF are government commitment, family support, mother's education and occupation, inactive breastfeeding counseling, babies born at term, and cultural factors.


2018 ◽  
Vol 12 (3) ◽  
Author(s):  
Niken Meilani ◽  
Maulida Lailatussu’da ◽  
Nanik Setiyawati ◽  
Sammy Onyapidi Barasa

AbstractThe number of adolescent pregnancies in Indonesia is still very high. Sewon Subdistrict had the highest number of adolescent deliveries in Bantul District in 2015-2016. Adolescent mothers barely practice exclusive breastfeeding. This study aimed to determine factors influencing exclusive breastfeeding among adolescent mothers in Sewon Subdistrict, Bantul District. This study used cross-sectional study design was and a sample size of 45 that were adolescent mothers of 6-24- month-old infants. Data was collected using a structured questionnaire. Data analysis involved bivariate analysis using chi-square test and fisher’s exact test, while multivariate analysis used logistic regression. Results showed that 53.3% of adolescent mothers did not practice exclusive breastfeeding. Bivariate analysis showed that pregnancy status (p value = 0.029), perception of childbirth experience (p value = 0.045), perception of breastfeeding (p value = 0.005), husband support (p value = 0.009) and family support (p value = 0.000) were correlated to exclusive breasfeeding. Multivariate analysis showed that perception of breastfeeding (p value = 0.015; OR = 9.746) and family support (p value = 0.014; OR = 7.637) as the most influential factors to exclusive breastfeeding among adolescent mothers with a probability of 72.7%. There is low practice of exclusive breastfeeding among adolescent mother in Bantul, Yogyakarta and family support are most dominant factors influencing exclusive breastfeeding. AbstrakPersentase kehamilan remaja di Indonesia cukup tinggi. Kecamatan Sewon memiliki angka persalinan remaja tertinggi di Kabupaten Bantul pada tahun 2015-2016. Ibu usia remaja hampir tidak mempraktekkan pemberian ASI eksklusif, meski diketahui bemanfaat bagi bayi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja di Kecamatan Sewon, Kabupaten Bantul. Penelitian ini menggunakan desain potong lintang dan sampel penelitian berjumlah 45 orang ibu usia remaja yang mempunyai bayi usia 6-24 bulan. Pengumpulan data menggunakan kuesioner terstruktur. Analisis bivariat menggunakan kai kuadrat dan fisher’s exact test, sedangkan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa 53.3% ibu usia remaja tidak memberikan ASI eksklusif. Analisis bivariat menunjukkan faktor status kehamilan (nilai p = 0.029), persepsi pengalaman melahirkan (nilai p= 0.045), persepsi menyusui (nilai p= 0.005), dukungan suami (nilai p= 0.009), dukungan keluarga (nilai p = 0,000) berhubungan dengan pemberian ASI eksklusif. Hasil analisis multivariat menunjukkan persepsi menyusui (p=0.015; RP=9.746) dan faktor dukungan keluarga (nilai p =0,014; RP = 7,637) sebagai faktor yang paling berpengaruh terhadap pemberian ASI eksklusif dengan probabilitas sebesar 72.7%. Masih rendahnya pemberian ASI ekslusif pada ibu remaja di Bantul, Yogyakarta, dan dukungan keluarga merupakan faktor paling dominan yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Megersa Kumera ◽  
Jemal Haidar

Abstract Background Despite the enormous benefit of exclusive breastfeeding (EBF) to mothers and infants, the practice of exclusive breastfeeding is globally low. In sub-Saharan Africa and Ethiopia, the prevalence of EBF stands at 35% and 59%, respectively. The low EBF practice in Ethiopia as well as in the studied region calls for further study and thus we studied the EBF practice in the study area since little is known about its current magnitude and factors influencing its practice for some programmatic improvements. Methods A facility based cross-sectional study linked to a community was conducted from June-July 2019 among 412 mothers who had antenatal follow-up and delivered in health facilities of Asosa town over a period of one year prior to the study. Data on socio demographic characteristics and other important variables were collected through face to face interview while gestational age in weeks was recorded from their medical chart by trained health extension workers in accordance with relevant ethical guidelines and regulations. The collected data were then cleaned and entered into Epi-data software version 3.02. Analysis was done by SPSS version 20. Binary and multivariate logistic regression were performed to identify the contributing factors. P-value of less than 0.05 and 95% confidence interval was considered to determine statistical significance. Results Of the 412 respondents, the majority (88.1%) were multi-gravida and above. Slightly higher than a quarter (26.0%) and over half (55.4%) had neither received antenatal nor postnatal care. The proportion of mothers who exclusively breastfed their children was 76.0% and the overall aggregated good practice of EBF score was 64.1%. Mothers who completed primary school [AOR = 4.5; 95% CI = 1.1,18.2], had four or more ANC [AOR = 1.8;95CI = 0.79–0.98], and postnatal follow-up [AOR = 0.21;95% CI = 0.07–0.67], and had male infants [AOR = 2.3; 95% CI = 1.0–4.95] were among the factors influencing the exclusive breastfeeding practice score. Conclusion While three in four mothers exclusively breastfed their newborns and about two-thirds had good EBF score, the observed women’s retention on the continuum of the maternal care pathway is low with one in four had no antenatal and over half had no postnatal care which are important derivers for EBF practice. To improve the EBF score and narrow the observed maternal and child health disparities, it is essential to promote maternal education and increase the recomended coverage of antenatal and postnatal care for mothers.


Aquichan ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 1-13
Author(s):  
Vitória de Oliveira Cavalcante ◽  
Maria Lucilândia de Sousa ◽  
Camila da Silva Pereira ◽  
Nadilânia Oliveira da Silva ◽  
Thaís Rodrigues de Albuquerque ◽  
...  

Objective: To describe the consequences of using artificial nipples to exclusive breastfeeding. Materials and method: An integrative review carried out in the Medline®, Cinahl, Lilacs, Web of Science, and Scopus databases to answer the following question: What are the consequences of using artificial nipples to exclusive breastfeeding? Results: 38 articles were analyzed; the analysis gave rise to two categories: neonatal factors and maternal factors influencing exclusive breastfeeding. Breastfeeding interruption was the neonatal factor most associated with the use of artificial nipples, while the level of maternal education stood out as an intervening factor in exclusive breastfeeding. Pacifiers were the dummy type more commonly mentioned, followed by feeding bottles and nipple shields. Conclusions: The consequences of offering artificial nipples to breastfed infants are mostly negative and associated with the newborn, such as early weaning, refusal to breastfeed, impaired suction technique, incorrect latch-on, interference with orofacial development, and interruption of exclusive breastfeeding. Mothers who offered artificial nipples to their infants are more likely to experience pain, nipple fissures, frustration, and reduced interaction with their infants.


Author(s):  
Lathifah ‘Arub ◽  
◽  
Eti Poncorini Pamungkasari ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  

ABSTRACT Background: Breastfeeding peer support helps lactating women to sustain breastfed and reduce cultural barriers. This study aimed to examine the effects of maternal age, maternal education, maternal employment, type of labor, knowledge, attitude, family support, and social capital on breastfeeding practice. Subjects and Method: A cross sectional study was conducted at 25 integrated health posts in Karanganyar, Central Java, from August to September 2019. A sample of 200 lactating mothers with children aged 7-12 months was selected by stratified random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal age, maternal education, maternal employment, type of labor, knowledge, attitude, family support, and social capital. The data were collected by questionnaire and analyzed by a multipe logistic regression. Results: Exclusive breastfeeding increased with maternal age 20-34 years (b= 1.96; 95% CI= 0.53 to 3.39; p= 0.007), maternal education ≥Senior high school (b= 1.47; 95% CI= 0.08 to 2.87; p= 0.038), good knowledge (b= 1.73; 95% CI= 0.33 to 3.12; p= 0.015), positive attitude (b= 1.61; 95% CI= 0.28 to 2.94; p= 0.017), strong family support (b= 1.39; 95% CI= 0.13 to 2.65; p= 0.030), and strong social capital (b= 1.34; 95% CI= 0.01 to 2.68; p= 0.049). Exclusive breastfeeding decreased with mothers working outside the house (b= -2.95; 95% CI= -4.37 to -1.53; p<0.001) and sectio cesarean labor (b= -1.57; 95% CI= -3.06 to -0.08; p= 0.039). Conclusion: Exclusive breastfeeding increases with maternal age 20-34 years, maternal education ≥Senior high school, good knowledge, positive attitude, strong family support, and strong social capital. Exclusive breastfeeding decreases with mothers working outside the house and sectio cesarean labor. Keywords: exclusive breastfeeding, bipsychosocial Correspondence: Lathifah ‘Arub. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +625789212539. DOI: https://doi.org/10.26911/the7thicph.03.89


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