Faktor-faktor yang berhubungan dengan praktik pemberian ASI eksklusif pada bayi usia 0-6 bulan di Kabupaten Timor Tengah Selatan

https://doi.org/10.22146/ijcn.49313

Ari Tri Astuti(1*), Hamam Hadi(2), Madarina Julia(3)

(1) Program Studi Gizi Program Sarjana, Fakultas Ilmu Kesehatan, Universitas Respati Yogyakarta
(2) Universitas Alma Ata, Yogyakarta
(3) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Factors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Tengah Selatan District

Background: The health profile of Indonesia in 2018 indicated only  68,74% of infants were exclusively breastfed. East Nusa Tenggara is one of the provinces with lower exclusive breastfeeding coverage than national data in 2018 with only 52,67%. A survey in Timor Tengah Selatan district showed that exclusive breastfeeding also decreased from 2015 and 2016 which was 63.3% to 59.1%. Several factors have been known to be associated with exclusive breastfeeding practice, such as mother’s education and occupation, household expenditure, antenatal care history, and husband’s support.

Objective: To identify factors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Selatan District, East Nusa Tenggara province.

Methods: An observational study with a cross-sectional design was conducted among 155 lactating mothers of infants aged 0-6 months. The secondary data from "Study on behavioral analysis and food consumption/dietary practices among children under five, elementary school-age children, pregnant and lactating mother in Timor Tengah Selatan District of East Nusa Tenggara Province” were used. Raw data were collected in July 2012 in Amanuban Barat and Kie subdistrict, Timor Tengah Selatan. The data were analyzed in July-December 2014 using Chi-Square and logistic regression test. 

Results: Household expenditure, antenatal care location, and subdistrict associated with exclusive breastfeeding practice (p<0.05). Lactating mothers who did prenatal care at primary health care/primary health care satellite/hospital were 3.51 times more likely to breastfeed exclusively (OR=3.51; 95%CI: 1.03-11.9). Household expenditure (OR=0.27; 95%CI: 0.09-0.84) and subdistrict (OR=0.19; 95%CI: 0.05-0.71) had protective effect.

Conclusions: A significant association was found between exclusive breastfeeding practice and household expenditure, antenatal care location, and the subdistrict in Timor Tengah Selatan district.


Keywords


antenatal care history; exclusive breastfeeding; household expenditure; husband’s support; mother’s education; mother’s occupation

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References

  1. WHO Collaborative Study Team on the Role of Breastfeeding on the Prevention of Infant Mortality. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet. 2000;355(9202):451-5.
  2. Kramer M, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. Adv Exp Med Biol. 2004;554:63-77. doi: 10.1007/978-1-4757-4242-8_7
  3. Uruakpa FO, Ismond MAH, Akobundu ENT. Colostrum and its benefits: a review. Nutrition Research. 2002;22(6):755-67. doi: 10.1016/S0271-5317(02)00373-1
  4. Horta BL, Bahl R, Martines JC, Victora CG. Evidence on the long-term effects of breastfeeding: systematic reviews and meta-analyses. [series online] 2007 [2013 Maret 27]. Available from: URL: http://whqlibdoc.who.int/publications/2007/9789241595230_eng.pdf
  5. American Dietetic Association. Position of the American Dietetic Association: promoting and supporting breastfeeding. J Am Diet Assoc. 2009;109(11):1926-42. doi: 10.1016/j.jada.2009.09.018
  6. Kementerian Kesehatan RI. Profil kesehatan Indonesia tahun 2018. [series online] 2018 [cited 6 Januari 2020]. Available from: URL: https://pusdatin.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-profil-kesehatan.html
  7. Dinas Kesehatan Kabupaten Timor Tengah Selatan. Profil Dinas Kesehatan Kabupaten Timor Tengah Selatan [series online] 2017 [cited 6 Januari 2020]. Available from: URL: www.depkes.go.id
  8. Sasaki Y, Ali M, Kakimoto K, Saroeun O, Kanal K, Kuroiwa C. Predictors of exclusive breast-feeding in early infancy: a survey report from Phnom Penh, Cambodia. J Pediatr Nurs. 2010;25(6):463-9. doi: 10.1016/j.pedn.2009.04.010
  9. Roig AO, Martínez MR, García JC, Hoyos SP, Navidad GL, González RGDL, et al. Factors associated to breastfeeding cessation before 6 months. Rev. Latino-Am. Enfermagem. 2010;18(3):373-80. doi: 10.1590/S0104-11692010000300012
  10. Abada TS, Trovato F, Lalu N. Determinants of breastfeeding in the Philippines: a survival analysis. Soc Sci Med. 2001;52(1):71-81. doi: 10.1016/s0277-9536(00)00123-4
  11. Hornbeak DM, Dirani M, Sham WK, Li J, Young TL, Saw SM, et al. Emerging trends in breastfeeding practices in Singaporean Chinese women: finding from a population-based study. Ann Acad Med Singapore. 2010;39(2):88-94.
  12. Khoury AJ, Moazzem SW, Jarjoura CM, Carothers C, Hinton A. Breast-feeding initiation in low-income women: role of attitudes, support, and perceived control. Women’s Health Issues. 2005;15(2):64-72. doi: 10.1016/j.whi.2004.09.003
  13. Kools EJ, Thijs C, Kester ADM, Vries HD. The motivational determinants of breast-feeding: predictors for the continuation of breast-feeding. Prev Med. 2006;43(5):394-401. doi: 10.1016/j.ypmed.2006.03.012
  14. Lundberg PC, Thu TTN. Breast-feeding attitudes and practices among Vietnamese mothers in Ho Chi Minh City. Midwifery. 2012;28(2):252-7. doi: 10.1016/j.midw.2011.02.012
  15. Agho KE, Dibley MJ, Odiase JI, Ogbonmwan SM. Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy and Childbirth. 2011;11(2). doi: 10.1186/1471-2393-11-2
  16. Alma Ata Centre for Healthy Life and Food (ACHEAF), United Nation Food World Program (UNWFP). Final report analisis tentang perilaku dan praktik konsumsi makanan/diet pada anak di bawah 5 tahun, anak sekolah, ibu hamil, dan ibu menyusui di Kabupaten Timor Tengah Selatan, Provinsi NTT, Indonesia. Yogyakarta: ACHEAF; 2013.
  17. Chudasama RK, Amin CD, Parikh YN. Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: a prospective study. Online J Health Allied Scs. 2019;8(1):3.
  18. Dashti M, Scott JA, Edwards CA, Al-Sughayer M. Determinant of breastfeeding initiation among mothers in Kuwait. Int Breastfeed J. 2010;5:7. doi: 10.1186/1746-4358-5-7
  19. Purnamawati S. Faktor-faktor yang berhubungan dengan pola pemberian ASI pada bayi usia empat bulan (analisis data Susenas 2001). Media Litbang Kesehatan. 2003;8(3):29-37.
  20. Sriningsih I. Faktor demografi, pengetahuan ibu tentang air susu ibu dan pemberian ASI eksklusif. KEMAS: Jurnal Kesehatan Masyarakat. 2011;6(2):100-6.
  21. Srivastava NM, Awasthi S. Breastfeeding practices for newborns among urban poor in Lucknow, northern India: a prospective follow-up study. Clinical Epidemiology and Global Health. 2014;2(2):66-74.
  22. Abuidhail J, Al-Modallal H, Yousif R, Almresi N. Exclusive breast feeding (EBF) in Jordan: prevalence, duration, practices, and barriers. Midwifery. 2014;30(3):331-7. doi: 10.1016/j.midw.2013.01.005
  23. Apostolakis-Kyrus K, Valentine C, DeFranco E. Factors associated with breastfeeding initiation in adolescent mothers. J Pediatr. 2013;163(5):1489-94. doi: 10.1016/j.jpeds.2013.06.027
  24. Noer ER, Muis SF, Aruben R. Praktik inisiasi menyusu dini dan pemberian ASI eksklusif studi kualitatif pada dua puskesmas, Kota Semarang. Media Medika Indonesia. 2011;45(3):144-50.
  25. Barclay L, Longman J, Schmied V, Sheehan A, Rolfe M, Fenwick J, et al. The professionalising of breastfeeding-where are we a decade on?. Midwifery. 2012;28(3):281-90. doi: 10.1016/j.midw.2011.12.011
  26. Coutinho SC, de Lira PIC, de Carvalho Lima M, Ashworth A. Comparison of the effect of two systems for the promotion of exclusive breastfeeding. Lancet. 2005;366(9491):109-100. doi: 10.1016/S0140-6736(05)67421-1
  27. Aprilia Y. Analisis sosialisasi program inisiasi menyusu dini dan ASI eksklusif kepada bidan di Kabupaten Klaten [Tesis]. Semarang: Program Studi Magister Ilmu Kesehatan Masyarakat Universitas Diponegoro Semarang; 2010.
  28. Meedya S, FahyK, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth. 2010;23(4):135-45. doi: 10.1016/j.wombi.2010.02.002
  29. Powell R, Davis M, Anderson AK. A qualitative look into mother’s breastfeeding experiences. Journal of Neonatal Nursing. 2014;20(6):259-65. doi: 10.1016/j.jnn.2014.04.001
  30. Badan Pusat Statistik Kabupaten Timor Tengah Selatan. Amanuban Barat dalam angka 2014. [series online] 2014 [cited 23 Januari 2015]. Available from: URL: http://timortengahselatankab.bps.go.id/index.php?hal=publikasi_detil&id=150
  31. Badan Pusat Statistik Kabupaten Timor Tengah Selatan. Kecamatan Kie dalam Angka 2014. [series online] 2014 [cited 23 Januari 2015]. Available from: URL: http://timortengahselatankab.bps.go.id/index.php?hal=publikasi_detil&id=163
  32. Sarbini D, Hidayati L. Hubungan antara tingkat pendapatan keluarga dan pendidikan ibu dengan pemberian ASI eksklusif di Kecamatan Jebres Kotamadya Surakarta. Jurnal Kesehatan.2008;1(2):115-22.
  33. Rachmadewi A, Khomsan A. Pengetahuan, sikap, dan praktek ASI ekslusif serta status gizi bayi usia 4-12 bulan di pedesaan dan perkotaan. Jurnal Gizi dan Pangan. 2009;4(2):83-90. doi: 10.25182/jgp.2009.4.2.83-92
  34. Dickson I. The association between breastfeeding practices in Mongolia and geographical location of the mother and child. [Thesis]. Washington: Master of Public Health, University of Washington; 2012.
  35. Veile A, Martin M, McAllister L, Gurven M. Modernization is associated with intensive breastfeeding patterns in the Bolivian Amazon. Soc Sci Med. 2014;100:148-58. doi: 10.1016/j.socscimed.2013.10.034



DOI: https://doi.org/10.22146/ijcn.49313

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