scholarly journals Lack of Exclusive Breastfeeding among Working Mothers in Indonesia

Author(s):  
Yulia Sari

Continuity of breastfeeding process when mothers return to work is a serious issue that immediately must be followed up, so that exclusive breastfeeding program within the first six months can be achieved. Beside providing many benefits for babies, breastfeeding is also beneficial for mothers and entrepreneurs. This study aimed to determine relation of working mothers to exclusive breastfeeding. This study used was cross- sectional design with secondary data of Indonesia Demographic and Health Survey 2012 with samples as many as 1,193 mothers aged 15 – 49 years who had 0 – 5-month-old babies. Based on multivariate analysis, working mothers could decrease opportunity of exclusive breastfeeding in which mother who worked all the time were 1.54 times more likely not to give exclusive breastfeeding than mothers who did not work after controlled by maternal age at childbirth, household wealth index, and antenatal care frequency (p = 0.038; 95% CI = 1.0 to 2.3). Fulltime working mothers are twofold more likely to not be able to give exclusive breasfedding than unemployed mothers after being controlled by counfounder variable. AbstrakKeberlangsungan proses menyusui pada saat ibu kembali bekerja merupakan isu serius yang harus segera ditindaklanjuti agar program pemberian Air Susu Ibu (ASI) eksklusif selama enam bulan pertama kehidupan dapat tercapai. Selain memberikan banyak manfaat bagi bayi, ASI juga bermanfaat bagi ibu dan pengusaha. Penelitian ini bertujuan untuk mengetahui hubungan ibu bekerja terhadap pemberian ASI eksklusif. Desain penelitian yang digunakan adalah potong lintang dengan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dengan sampel berjumlah 1.193 ibu berusia 15 – 49 tahun yang memiliki bayi berusia 0-5 bulan. Berdasarkan analisis multivariat, ibu bekerja dapat menurunkan peluang pemberian ASI eksklusif dimana ibu yang bekerja sepanjang waktu lebih berisiko 1,54 kali untuk tidak memberikan ASI eksklusif dibandingkan ibu yang tidak bekerja setelah dikontrol oleh usia melahirkan ibu, indeks kesejahteraan rumah tangga dan frekuensi pemeriksaan kehamilan (p = 0,038; CI 95% = 1,0 - 2,3). Ibu bekerja dua kali memiliki peluang untuk tidak dapat memberikan ASI eksklusif daripada ibu yang tidak bekerja setelah dikontrol oleh variabel perancu.

Author(s):  
Enka Nur Ishmatika ◽  
◽  
Tris Eryando ◽  

ABSTRACT Background: Exclusive breastfeeding is one of the essential things in the early life of a baby. Historical, socio-economic, cultural, and individual factors influenced the decision of initiation and behavior of breastfeeding. This study aimed to examine the determinants of cessation of exclusive breastfeeding in Indonesia. Subjects and Method: This was a cross-sectional study conducted by using secondary data from the Indonesian Demographic and Health Survey (IDHS) 2017. A total of 1,497 mothers aged 15-49 years old with infants aged 0-5 month was selected by total sampling. The dependent variable was the cessation of exclusive breastfeeding. The independent variables were maternal age, living place, level of maternal education, work status, wealth index, number of live births, and infant age. The data were analyzed using multiple logistic regression. Results: Maternal age (cOR= 1.27; 95% CI= 0.81 to 1.98; p= 0.293), residence (aOR= 1.98; 95% CI= 1.36 to 2.91; p= 0.008), number of live births (aOR= 1.82; 95% CI= 1.06 to 3.12; p= 0.036), and work status (cOR= 1.18; 95% CI= 0.80 to 1.74; p= 0.417) increased the cessation of exclusive breastfeeding, and it was statistically significant except for maternal age and work status. Maternal education (cOR= 0.76; 95% CI= 0.46 to 1.24; p= 0.266), wealth index (cOR= 0.92; 95% CI= 0.58 to 1.47; p= 0.728), and infant age (aOR= 0.88; 95% CI= 0.79 to 0.99; p= 0.033) decreased the cessation of exclusive breastfeeding, it was statistically insignificant except for infant age. Conclusion: Residence, number of live births increase the cessation of exclusive breastfeeding. Maternal education and wealth index decrease the cessation of exclusive breastfeeding. Keywords: cessation, exclusive breastfeeding, determinants, IDHS Correspondence: Enka Nur Ishmatika. Faculty of Public Health, Universitas Indonesia, Depok, West Java, 16424. Email: [email protected]. Mobile: +6281240293100. DOI: https://doi.org/10.26911/the7thicph.03.54


2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Warsini Warsini ◽  
Sri Aminingsih ◽  
Rizky Ayu Fahrunnisa

Background Results of Indonesia Demographic and Health Survey (IDHS) in 2012 showed coverage exclusive breastfeeding in Indonesia have not been optimal, that was 42 %. This study was conducted to analyze the correlation between the kinds of giving births with the success of exclusive breastfeeding 6 (six) months.The subject and Methods The study was a quantitative analytic observational cross-sectional design. Large samples are 100 mothers  who had babies aged 6-12 months. Sampling random sampling. Collecting data using questionnaires.The results showed that the average maternal age 20-35 years (80%), birth weight children mostly above 2,500 g (97%), maternal gestational age infants mostly pretty months (99%) and all infants the respondent was not born with congenital abnormalities, meaning that 100% of infants born with a normal weight difference, kinds of giving birth the mean of paravaginal (70%), the success rate of exclusive breastfeeding by 56%. Statistical shows that there is a positive correlation and statistically significant between the kinds of giving births with the success of exclusive breastfeeding (OR = 2.53 ; CI 95% 1.05 until 6.10 ; p = 0.035).Conclusion There was a significant correlation between the kinds of giving births with the success of exclusive breastfeeding.Keywords: the kinds of giving births, exclusive breastfeeding


2016 ◽  
Vol 1 (1) ◽  
pp. 51
Author(s):  
Evi Rinata ◽  
Dini Iflahah

Breastfeeding is a natural process where nearly all mother can breastfeed her baby without help from others, but in fact not all mother can breastfeed with the correct technique of breastfeeding. Based on previous studies, in Primary Health Care of Waru, 75% breastfeed mothers with wrong technique. This research is analytic with cross sectional design, using the primary data and secondary data. The sampling using the probability sampling, with the simple random sampling technique. The sample used as much as 45 persons of breastfeeding mothers than 50 population. The data was presented in the form of the frequency tabulation and cross tabulation, and then was analyzed with the test of the chi-square and the fisher exact with α = 0,05. The result of this research showed maternal age ≥ 19 years old (93,3%), multipara (68,9%), level of education senior high school (44,4%), work as house wife (68,9%), pervaginam labour (57,8%) and cesarean section (42,2%), gestation age ≥ 37 weeks (93,3%) and birth weight ≥ 2500 grams (93,3%). Most of breastfeeding technique was incorrect (53,3%) and correct breastfeeding technique (46,7%). The majority of respondent has no breast problem (82,2%). There is statistically no relationship between maternal age (p=0,142), parity (2count=0,96), gestational age (p=0,142) and birth weight (p=0,142) with correct technique of breastfeeding


2019 ◽  
Vol 26 (1) ◽  
pp. 52-59
Author(s):  
Sanisahhuri Sanisahhuri ◽  
Sri Wahyuni ◽  
Susilo Wulan

Every baby has the right to get exclusive mother's water from birth for 6 (six) months, except for medical indications. During the provision of breast milk, the family, the government, the local government and the community must fully support the mother's baby with the provision of special time and facilities. Provision of special facilities is held at work and in public places. The purpose of this study was to determine the factors related to the provision of exclusive breastfeeding by mothers who worked in the Bengkulu Provincial Health Office. The study was conducted using Cross Sectional research design. The population in this study is all mothers who have children under the age of five years using total sampling technique. Data collection techniques using primary data by distributing questionnaires and secondary data are data obtained from the study of documents or files in the Bengkulu Provincial Health Office. Data were analyzed by univariate and bivariate using Chi-Square statistical test. The results of this study indicate that there is a significant relationship between the knowledge of mothers with exclusive breastfeeding by working mothers in the Bengkulu Provincial Health Office, namely 63.6% of mothers who have sufficient knowledge not to provide exclusive breastfeeding, then there is no significant relationship between husband's support and work environment with Exclusive breastfeeding by working mothers at the Bengkulu Provincial Health Office. Keywords: exclusive breastfeeding, husband’s support, mother knowledge, work environment


2019 ◽  
Vol 26 (1) ◽  
pp. 35-44
Author(s):  
Nurul Khairani ◽  
Suryani Suryani ◽  
S. Effendi ◽  
Herly Wulandika

The bad impact caused by not giving exclusive breastfeeding is the baby's immune system decreases, disruption of baby's growth and development, increases the risk of disease, and is susceptible to bacteria causing diarrhea. The purpose of the study was to determine the relationship between knowledge, working mothers and husband's support with exclusive breastfeeding in Padang Serai Public Health Center in Bengkulu. This type of research was an analytical survey using Cross Sectional design. The sample in this research was mothers who had  babies over the age of 6-12 months in Baruna 3 Posyandu and Baruna 2 Posyandu and the sampling used Accidental Sampling techniques, which  were as many as 34 mothers. Data collection used primary data and secondary data. This study used the Chi-Square test (Pearson Chi-Square) and Contingency Cofficient. The results of this research were obtained from 34 mothers, there were 17 mothers (50.0%) with less knowledge, 25 mothers (73.5%) who did not work outside the home, 19 mothers (55.9%) whose husbands not supportive and 26 mothers (76.5%) who did not give exclusive breastfeeding, there was a significant relationship between knowledge of mothers with exclusive breastfeeding, there was no significant relationship between mothers working with exclusive breastfeeding, and no significant relationship between husband's support with exclusive breastfeeding in the working area of Padang Serai Health Center in Bengkulu City. It was expected for mothers who had babies to be able to take part in health promotion activities, read books about ASI, to increase their knowledge of the importance of Exclusive Breastfeeding. Keywords: exclusive breastfeeding, husband’s support, knowledge, working                  mother                  


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Reshma Roshania ◽  
Rakesh Giri ◽  
Melissa Fox Young ◽  
G Sai Mala ◽  
Amy Webb Girard ◽  
...  

Abstract Objectives The objective of this study was to estimate the prevalence of child malnutrition and the determinants of nutrition status among circular migrant families working in the brick industry in Bihar, India, focusing on differences by origin. Methods We used a stratified, cluster sampling design consisting of a cross-sectional survey in 552 randomly selected brick kilns (clusters) throughout Bihar. Circular migration was defined as residence outside the home block for at least 60 days for employment plus at least one home return in the previous year. Per kiln, three circular migrant households with children 0–35 months of age were randomly selected. We collected kiln, household and child-level data including anthropometric measurements for each selected child (n = 1198). Descriptive, bivariate and logistic regression analyses were conducted in SAS. The primary outcomes were stunting (<-2 SD height-for-age z score) and wasting (<-2 SD weight-for-height z score). The primary exposure of interest was intrastate vs. interstate origin; covariates included household wealth index, parity of the mother, and child age and gender. Results Prevalence of stunting was lower among interstate migrants (47%) compared to intrastate migrants (55%, aOR: 0.66, 95%CI: 0.50–0.88). Wasting was higher among interstate migrants (43%) compared to intrastate migrants (34%, aOR:1.51, 95%CI: 1.17–1.94). Among children 6–23 months, 13% had a minimum acceptable diet; MAD was higher among interstate migrants (17%), compared to intrastate migrants (10%) (P = 0.014). Full immunization coverage among circular migrants was 39%, lower than the overall state (62%, NFHS IV). Open defecation was reported by over 90% of circular migrants. Conclusions Our results are likely to inform the ongoing policy discourse on circular migrants’ access to health and nutrition benefits. State of origin emerged as an important predictor of nutrition status, operating differently for acute and chronic malnutrition; we will further explore pathways of nutrition by origin in future analyses. Funding Sources Bill & Melinda Gates Foundation.


2020 ◽  
Vol 8 (2) ◽  
pp. 117
Author(s):  
Mohamad Anis Fahmi

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.


2019 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Eka Putri Primasari

Abstract: Breast milk is the best food for babies, especially in the first month of life. Breast milk contains all nutrients to build and provide the energy needed by the baby. The low rate of breastfeeding is a threat to child development. Several factors related to the success of exclusive breastfeeding are the level of knowledge of the mother and husband's support. The purpose of this study was to determine the relationship between the level of knowledge of mothers and husband's support  towards the success of exclusive breastfeeding in Lubuk Kilangan Puskesmas in 2017. This study was analytical with a cross sectional design. The population in this study amounted to 153 respondents. A sample of 31 respondents obtained by simple ramdom sampling. Data were analyzed bivariate. The statistical test results obtained p-value = 0,000. It can be concluded that there is a relationship between the knowledge of mothers about exclusive breastfeeding and husband's support for the success of exclusive breastfeeding.


2022 ◽  
Vol 3 (1) ◽  
pp. 202-208
Author(s):  
Balqis Dwiyanti Haedar ◽  
Rauly Ramadhani ◽  
Andi Sitti Rahma

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.


2017 ◽  
Vol 33 (8) ◽  
pp. 391
Author(s):  
Safitri Dwicahyani ◽  
Yayi Suryo Prabandari

Determinants of exclusive breastfeeding in SlemanPurposeThe purpose of this paper was to determine the factors associated with the exclusive provision of breast milk in Sleman.MethodsA cross-sectional study was conducted using secondary data derived from HDSS Sleman Cycles I and II. The sample in this study were 218 mothers with children aged 7 to <24 months.ResultsThe ownership of health insurance and the use of bottles and pacifiers were significantly associated with exclusive breastfeeding. Maternal age, maternal education, and maternal occupation were not significantly associated with exclusive breastfeeding. Mothers with health insurance are 2.14 times more likely to exclusively breastfeed than those without health insurance. Infants who never use bottles, and pacifiers before the age of 6 months are 5.14 times more likely to receive exclusive breastfeeding than those who used bottles / dots before the age of 6 months.ConclusionThe use of bottles, and pacifiers is the most dominant factor associated with exclusive breastfeeding. Coverage of health insurance, especially in pregnant and lactating mothers and effective health promotion programs related to exclusive breastfeeding needs to be improved. HDSS Sleman needs to analyze the data more in-depth on exclusive breast-feeding.


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