scholarly journals Determinants of Breastfeeding Practices among Lactating Mothers in a Rural Block ofHaryana, India

Author(s):  
Priyanka Choudhary ◽  

Background: Human breast milk contributes to the physical growth of infants by meeting their nutritional needs and higher intelligence quotient by enhancing their brain development. Objective: To assess the prevalence of exclusive breastfeeding and to determine the contributing factors of exclusive breastfeeding practice in a rural area of Haryana. Methods: It was community-based cross-sectional study, conducted in a rural field practice area attached to the Department of Community Medicine of Pt BD Sharma, PGIMS, Rohtak. The study participants were infants aged 6-11 completed months and their mothers. Multistage sampling technique was used for enrolling 200 study subjects. SPSS was us for statistical analysis. Results: 119 (59.5%) infants were exclusively breastfed for 6 months. Homemakers were 1.37 times more likely to feed exclusively than working women. Women from joint families were 2.64 times more likely to feed exclusively than women from nuclear families. Exclusive breastfeeding had a statistically significant association with mode of delivery, breastfeeding counselling, motivation to feed till 2 years, receiving postnatal checkup, number of children, initiation of breastfeeding within 1 hour, and colostrum being given to infants. Infants given breastfeed within 1 hour had 1.12 times more chance of exclusive breastfeeding. Conclusion: Antenatal breastfeeding counselling and home-based postnatal visits by health workers increases the practice of colostrum administration, initiation of breastfeeding within 1 hour, and exclusive breastfeeding for 6 months. Capacity building in form of training and sensitisation of hospital staff, MPHW (F), and ASHA will help increaseexclusive breastfeeding among lactating mothers.

2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.


2019 ◽  
Vol 10 (3) ◽  
pp. 163-171
Author(s):  
Indah Purnama Sari ◽  
Dewi Handayani ◽  
Fatmalina Febry

Exclusive breastfeeding is one of the successful indicators in improving the health of babies. From 2013 until 2014, the practice of exclusive breastfeeding has decreased in Indonesia and has not reached the national targets of around 80% of babies being exclusively breastfed. This study aimed to identify the prevalence and determinants of exclusive breastfeeding in Seberang Ulu I, Palembang. A community-based cross sectional study was executed from July 5, 2016 to August 5, 2016 among mothers who had infants aged less than six months. A purposive sampling technique was used to select a sample of 125 participants. Data were collected using a structured questionnaire by the face-to-face interview technique. Bivariate and multiple logistic regression analysis were used to determine factors associated with the practice of breastfeeding exclusively and to control confounding effects. The prevalence of exclusive breastfeeding was 26.4% (95% CI: 20.0%-35.1%). After adjusting for confounders (mothers’ attitudes and health workers’ support), mothers who had good knowledge were 11.66 times more likely to breastfeed exclusively than those who had poor knowledge (AOR: 11.66, 95% CI: 3.07-44.31). The prevalence of exclusive breastfeeding in Seberang Ulu I, Palembang, was still very low and has not reached the national target. The recommendation is to maximize the role of health workers in providing information about exclusive breastfeeding, so that they can continue providing motivation for mothers, husbands and families, so that the success and sustainability of exclusive breastfeeding practices could be achieved.   Keywords: Mother’s knowledge, mother’s attitude, health workers support, exclusive breastfeeding


2021 ◽  
Vol 4 (1) ◽  
pp. 1-11
Author(s):  
Strahmawati Hamzah

WHO stated that 53% of cases were recorded as acute pneumonia, 55% of cases were recorded as deaths due to diarrhea, this was because the mother did not exclusively breastfeed. In Indonesia, the coverage rate of breastfeeding is still quite low, only 54,3%. The purpose of this study was to analyze the factors associated with exclusive breastfeeding in Gogagoman Village. This type of research is an analytic observational with a cross sectional study approach. The number of samples in this study were 122 mothers with simple random sampling technique, data were collected using a questionnaire through interviews and analyzed using the chi square test (α = 0,05). The results showed that there was a relationship between maternal knowledge p-value = 0.012, there was a relationship with maternal attitudes p-value = 0,000, there was a relationship with family support p-value = 0,005, there was a relationship between support for health workers, p-value = 0,000, and there was a relationship between promotion of formula milk p-value = 0,000 with exclusive breastfeeding for babies. In conclusion, the factors related to exclusive breastfeeding for babies in Gogagoman Village are knowledge, attitudes, family support, support for health workers and promotion of formula milk.


2020 ◽  
Vol 3 (1) ◽  
pp. 23
Author(s):  
Erlina Puspitaloka Mahadewi ◽  
Ade Heryana

UNICEF and WHO data showed that exclusive breastfeeding can reduce infant morbidity and mortality by 88%. The coverage of exclusively breastfeeding infants was 61.33%, the highest percentage was in West Nusa Tenggara (87.35%) and the lowest percentage was in Papua (15.32%). Exclusive breastfeeding is given when the baby is born until the age of 6 months. In Indonesia there are 31.36% of 37.94% of children sick because they do not receive exclusive breastfeeding. Aim of this study to determine the relationship of knowledge, work, and family support with the behavior of exclusive breastfeeding health center working area Bekasi City. This study was a cross sectional approach with a sample of 130 respondents. The sampling in this study using simple random sampling technique, analyzed by the chi square test conducted in July 2019 to April 2020. Results of this study there were 96 respondents (73.8%) mothers who did not provide exclusive breastfeeding and 34 resondents (26.2%) mothers who give exclusive breastfeeding to their babies. There was a significant relationship between knowledge (p = 0,000 and PR = 1,588), employment (p = 0,000 and PR = 1,995), family support (p = 0,001 and PR = 1,514) with exclusive breastfeeding health center working area Bekasi. It was concluded that knowledge, employment, and family support were related to exclusive breastfeeding. It was recommended for health workers to create innovations and new programs to increase exclusive breastfeeding, and in the family level should provide support for exclusive breastfeeding practices.Berdasarkan data UNICEF dan juga data WHO pemberian ASI eksklusif dapat menurunkan angka kesakitan dan kematian bayi lebih dari 88%. Cakupan bayi yang mendapat ASI eksklusif sebesar 61,33%, persentase tertinggi terdapat pada Nusa Tenggara Barat (87,35%) dan persentase terendah terdapat di Papua (15,32%). ASI eksklusif diberikan saat bayi mulai dilahirkan sampai pada usia 6 bulan. Di Indonesia terdapat 31,36% dari 37,94% anak yang sakit dikarenakan tidak dapat menerima ASI eksklusif. Penelitian ini bertujuan mengetahui hubungan pengetahuan, pekerjaan dan dukungan keluarga dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Bekasi. Penelitian menggunakan pendekatan cross sectional, dengan besar sampel sebanyak 130 responden. Pengambilan sampel pada penelitian ini menggunakan teknik simple random sampling, dan analisis data menggunakan uji chis-quare yang dilakukan pada bulan Juli 2019 sampai April 2020. Hasil penelitian terdapat 96 (73,8%) ibu yang tidak memberikan ASI eksklusif dan 34 responden (26,2%) yang telah memberikan ASI eksklusif kepada bayinya. Terdapat hubungan yang signifikan antara pengetahuan (p = 0,000 dan PR = 1,588), pekerjaan (p = 0,000 dan PR = 1,995) dan dukungan keluarga (p = 0,001 dan PR = 1,514) dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Kota Bekasi. Disimpulkan bahwa pengetahuan, pekerjaan, dan dukungan keluarga berhubungan dengan pemberian ASI eksklusif. Disarankan untuk petugas kesehatan membuat inovasi dan program baru untuk meningkatkan pemberian ASI eksklusif, dan pada tingkat keluarga kiranya memberikan dukungan terhadap pemberian ASI eksklusif.


2021 ◽  
Vol 3 (3) ◽  
pp. 119-128
Author(s):  
Monika Eksadela ◽  
Muhammad Syukri ◽  
Adelina Fitri

Background: The coverage of exclusive breastfeeding in Hiang Health Center Working Area in 2019 was 49.1%. Purpose: This study aimed to determine the relationship between family and health worker support with exclusive breastfeeding at the Hiang Health Center, Kerinci Regency Methods: This study used a cross-sectional design with a sample of 165 people. Samples were taken using proportional random sampling technique. The samples taken were mothers who had children aged 6-23 months with the mother's condition physically healthy, able to read, write and speak Indonesian, did not suffer from serious diseases that harm the baby when breastfeeding, such as HIV, Active TB, and Hepatitis. Data collection was carried out from April to May 2021 with the interview method using a structured questionnaire. Data processing was carried out univariate and bivariate using chi-square test. Results: The proportion of children who did not get exclusive breastfeeding was 45.5%. Bivariate analysis showed that family support (p=0.004 OR= 1.68 95%CI 1.2-2.3), and support from health workers (p=0.000 OR=2.42 95% CI 1.73 - 3.37) were associated with exclusive breastfeeding. Conclusion: Family and the health workers support were associated with exclusive breastfeeding.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Joseph Yaw Yeboah ◽  
David Forkuor ◽  
Williams Agyemang-Duah

Abstract Objective In spite of the benefits associated with exclusive breastfeeding practice (EBP), the practice remains low in Ghana. This study investigates prevalence and factors associated with EBP among lactating mothers of infants aged 6–24 months in Metropolitan Kumasi. Cross-sectional hospital-based data were collected at 5 health facilities from 160 randomly sampled lactating mothers. Multivariate logistic regressions were performed to determine factors associated with EBP. Results The prevalence of EBP was 50.6%. The study revealed that mothers aged 30–49 years (AOR = 1.948; 95% CI [1.146–3.310]), with normal delivery (AOR = 1.824; 95% CI [0.863–2.467]) and those who were unemployed (AOR = 1.202; 95% CI [0.557–2.593]) and without sore nipple (AOR = 1.890; 95% CI [1.534–3.484]) were significantly more likely to practise exclusive breastfeeding. The study further found that respondents with 3–4 deliveries were 0. 492 times significantly less likely to practise exclusive breastfeeding (AOR = 0.492; 95% CI [0.274–0.886]). The study has established the primacy of socio-demographic and health-related factors such as mothers’ age, employment status, number of deliveries (parity), mode of delivery and sore nipples in explaining EBP among lactating mothers. We recommend that policy on exclusive breastfeeding should consider multiple socio-demographic and health-related factors, especially, those associated with EBP.


2021 ◽  
Vol 2 (5) ◽  
pp. 1875-1884
Author(s):  
Erlina Puspitaloka Mahadewi ◽  
Intan Silviana Mustikawati ◽  
Mohamad Reza Hilmy ◽  
Ade Heryana

The present study reports the comprehensive study on the exclusive breastfeeding around support factors for successful activityof breastfeeding. In the three years lately UNICEF and WHO data on exclusive breastfeeding can reduce infant morbidity and mortality by more than 80%. The coverage of infants who are exclusively breastfed is 65.35%, the highest percentage is in West Nusa Tenggara 80.35% and the lowest percentage is in Papua 18.32%. In Indonesia, there are 35.25% of 38% of children who are sick because they cannot receive exclusive breastfeeding. Exclusive breastfeeding is given when the baby is born until the age of 6 months. This study aims to determine knowledge, work and family support related to exclusive breastfeeding behavior in the work area of ​​near with the RSIA PBH hospital in Lampung, Indonesia area in 2021. Using a cross sectional, a large sample of 120 respondents. Sampling in this study used a simple random sampling technique, and the chi-square test was carried out from January to August 2021. The results of the study were 95 respondents (79,16%) mothers who did not give exclusive breastfeeding and 25 respondents (20.84%) mothers who have exclusively breastfed their babies. There is a significant relationship between knowledge (P = 0.000 and PR = 1.588), occupation (P = 0.000 and PR = 1.995) and family support (P = 0.001 and PR = 1.514) with exclusive breastfeeding behavior in the patients inside hospital work area in 2021. The paper presents the characterization support from the company, hospital and the closest family for exclusive breastfeeding is also very important. Based on the results of the study, it is recommended that health workers make innovations and new programs to increase exclusive breastfeeding


2019 ◽  
Vol 4 (2) ◽  
pp. 122
Author(s):  
Parida Hanum ◽  
Rotua Lenawati Tindaon

Exclusive breastfeeding is that babies are only given breast milk for 6 months, without the addition of other liquids such as formula milk, oranges, honey, tea water, water, and without additional solid foods such as bananas, milk porridge, biscuits, rice porridge, rice team. The objective of the research was to find factors related to exclusive breastfeeding. The research is done by using cross sectional with  Rank Spearman’s test. The population in this study were mothers who had babies 0-6 months in the Klinik Pratama Sunggal in 2019 totaling 15 people and the sampling technique was total Sampling. The result of the research showed knowledgeable mothers (46.7%), higher education (80%), unemployed (60%), supportive (86.7%), not exclusive breastfeeding (80%). The results of the bivariate analysis showed a relationship between maternal knowledge and exclusive breastfeeding (p-value = 0.027), no relationship between maternal education and exclusive breastfeeding (p-value = 0.369), a relationship between maternal work and exclusive breastfeeding (p -value = 0.015), there is no relationship between husband's support and exclusive breastfeeding (p-value = 0.484. The conclusion of this study is that there is a relationship between knowledge and employment with exclusive breastfeeding, there is no relationship between husband's education and support with exclusive breastfeeding. Suggestions for health workers in Medan Sunggal Pratama Clinic in 2019 are expected to improve the quality of services and counseling about exclusive breastfeeding to mothers during pregnancy in order to achieve exclusive breastfeeding for infants.


2019 ◽  
Vol 4 (2) ◽  
pp. 123
Author(s):  
Cut Sriyanti ◽  
Nizwar Siregar ◽  
Mudatsir Mudatsir ◽  
Azhari Gani

Breast milk was a food source to meet all the baby's needs for nutrients. Early initiation of breastfeeding may improve survival of children, improve health status, and improve brain development and motoric.  Efforts to improve the health of infants with exclusive breastfeeding can be done by involving students with the mentoring process. This studied aims to find out the level of success of mentoring by students on the provision of breastfeeding exclusive in Aceh Province. The project design was cross-sectional study with a number of subjects were 86 infant under two years. The sampling technique uses cluster sampling. Data analyses using Chi-Square test. The results of the studied found that of 43 respondents who received a breastmilk income, 76,7% gave exclusive breastfeeding and 23,3% did not give exclusive breastfeeding.  Then of 43 respondents who did not get the assistance, as 53,5% gave exclusive breastfeeding, and 46,5% did not give exclusive breastfeeding. Results known to have a significant relationship between mentoring with exclusive breastfeeding (p= 0,020). Students mentoring is effective in increasing the provision of exclusive breastfeeding to infant under two years of age. ASI merupakan sumber makanan untuk memenuhi semua kebutuhan nutrisi pada bayi. Inisiasi menyusui dini dapat meningkatkan kelangsungan hidup anak-anak, meningkatkan status kesehatan, dan meningkatkan perkembangan otak dan motorik. Upaya meningkatkan kesehatan bayi dengan pemberian ASI eksklusif dapat dilakukan dengan melibatkan siswa dengan proses pendampingan. Penelitian bertujuan untuk mengetahui tingkat keberhasilan pendampingan oleh siswa tentang pemberian ASI eksklusif di Provinsi Aceh. Desain penelitian adalah studi cross-sectional dengan jumlah subjek 86 anak di bawah dua tahun. Teknik pengambilan sampel menggunakan cluster sampling. Analisis data menggunakan uji Chi-Square. Hasil penelitian menujukkan bahwa dari hasil pendampingan oleh siswa terdapat 76,7% yang telah memberikan ASI eksklusif. Sedangkan tidak mendapatkan pendampingan hanya sebesar 53,5% yang memberikan ASI eksklusif. Terdapat hubungan signifikan antara pendampingan dengan pemberian ASI eksklusif (p= 0,020). Kesimpulan, pendampingan siswa efektif dalam meningkatkan pemberian ASI eksklusif untuk bayi di bawah usia dua tahun. Saran, perlu penguatan kepada dinas pendidikan bahwa lintas sektor ini sangat bagus dalam meningkatkan kesehatan masyarakat.


2021 ◽  
Author(s):  
Anna Rozensztrauch ◽  
Magdalena Klaniewska ◽  
Marta Berghausen - Mazur

Abstract Background The World Health Organization identifies exclusive breastfeeding as the gold standard for child nutrition. Breastfeeding provides many benefits to both the baby and the mother. First days after birth are crucial for breastfeeding and determine its further path. Unfortunately, very often it is also the time of facing the first breastfeeding problems. The aim of this study was to analyze selected factors influencing a mother's decision to breastfeed. Methods This is a cross-sectional study conducted between March 2019 and November 2019 in selected Polish maternity wards. Data were collected through completion of author's questionnaire and a standardized questionnaire, the Multidimensional Perceived Social Support Scale and also through informal interviews with mothers. During statistical analysis the chi-square test of independence, the Kolmogorov-Smirnov test, as well as the non-parametric Mann-Whitney U test in addition to Fisher's exact test were performed. Results The results showed that there is no correlation between the mode of delivery and the mother’s choice of infant feeding method. Whereas knowledge of the benefits of breastfeeding and received support affects the mother’s decision on infant feeding method. The study also showed that the 83% of newborns were put to the breast within the first two hours after birth. However, only 58% continued to be breastfed in the subsequent days. As many as 42% of the newborns were supplemented with formula despite early initiation of breastfeeding. Analyses showed that exclusive breastfeeding was more often chosen by mothers with higher education. And the most common breastfeeding problem reported by 62% of the respondents was perceived insufficient milk supply and also breastfeeding pain, reported in 48,5% mothers. Conclusions It is extremely important to continually promote breastfeeding among women. The role of midwives is crucial in this regard, as they should encourage the initiation of breastfeeding, support mothers during the perinatal and postnatal periods, and increase their sense of competence and confidence in their ability to breastfeed. Accessible, professional, and empathetic support can help reduce the number of women supplementing with modified milk. Undoubtedly, the postpartum period is important for breastfeeding outcomes, but it is significant that breastfeeding education and promotion begin during pregnancy.


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