Predictors of early initiation of breastfeeding in Indonesia: A population-based cross-sectional survey

Abstract

Introduction Commencing breastfeeding within one hour of birth is defined as early initiation of breastfeeding (EIBF). Both the mother and child benefit from EIBF. This study aims to identify the predictors of EIBF among Indonesian women. Methods This paper analyses data from a weighted sample of 6,616 women collected at the Indonesia Demographic and Health Survey (IDHS) 2017.The frequency of EIBF is measured by the proportion of children born in the two years preceding the survey who received breastmilk within one hour of birth. The analysis uses bivariate and multivariate logistic regression for complex sample designs, adjusted for confounders to examine the relationship of EIBF with women's individual, household and community level characteristics. Results Overall, 57% (95% CI: 54.9%-58.2%) of the children born in the two years preceding the survey had EIBF. Statistically significant (p<0.05) predictors of EIBF are women's non-working status, second or higher order of the birth of the most recent child, average or large size of the most recent child at birth, poor status of the household and non-agricultural work of the woman's husband; while statistically highly significant (p<0.01) predictors are skin-to-skin contact with the newborn (OR: 2.62; 95% CI: 2.28-3.00), Caesarean deliveries (OR: 0.47; 95% CI: 0.40-0.56), and skilled birth attendants (OR: 1.83; 95% CI: 1.65-2.08). Caesarean deliveries reduce the likelihood of EIBF by half compared to vaginal deliveries. Women's age, education or rural-urban residence display no statistically significant relationship with EIBF.

Factors associated with early initiation of breastfeeding among children less than 24 months old: the 2019 Ethiopian mini demographic and health survey

“…It is still lower when compared to the previous studies of EIBF prevalence in other countries, such as Angola (98.4%), Cuba (89.2%) and Sri Lanka (85.5%) [ 21 ], and also lower than the national 92% EIBF targeted by the health sector development program of Ethiopia [ 13 ]. However, the overall prevalence of EIBF in Ethiopia is much higher compared to the economic community of West Africa state (ECOWAS) (43%) [ 22 ], Ghana (55.7%) [ 17 ], Tanzania (71.4%) [ 23 ], the kingdom of Saudi Arabia (43.6%) [ 24 ], India (41.5%) [ 25 ], Indonesia (57%) [ 26 ] and the Middle East (34.3%) [ 27 ]. The reason for the higher prevalence of EIBF in the current study compared to the previous study might be due to the successful health extension program implementation in the Ethiopian primary health care system.…”

Predictors of early initiation of breast feeding; Evidence from 2019 Ethiopian mini demographic and health survey

“…It is still lower when compared to the previous studies of EIBF prevalence in other countries such as Zimbabwe (78%) [21], Angola (98.4%), Cuba (89.2%) and Sir Lanka (85.5%) [22], and also lower than the national 92% EIBF targeted by the health sector development program of Ethiopia [13]. However, the overall prevalence of EIBF in Ethiopia is much higher compared to economic community of west Africa state (ECOWAS) (43%) [23], Ghana (55.7%) [17], Tanzania (71.4%) [24], kingdom of Saudi Arabia (43.6%) [25], India (41.5%) [26], Indonesia (57%) [27] and Middle East (34.3%) [28]. The reason for the higher prevalence of EIBF in the current study compared to the previous study might be due to the successful health extension program implementation in Ethiopian primary health care system.…”

“…Nigeria [18], Namibia [39], West Africa state [23], Nepal [40,41], India [26], Indonesia [8, 27,42], Bangladesh [43,44], South Asia [45], Middle East [28], Turkey [46], Romania [47]. A secondary analysis of the WHO Global survey published in 2017 also showed EIBF to be signi cantly lower among women with caesarean section delivery [22].…”

Peran Perawat dan Bidan terhadap Pelaksanaan Inisiasi Menyusu Dini (IMD)

“…Untuk tercapai IMD, maka banyak faktor-faktor yang mempengaruhinya, di antaranya adalah petugas (pengetahuan dan sikapnya), pengetahuan dan sikap ibu tentang IMD, sarana kesehatan, dan dukungan keluarga (Fitriana, 2017;Irama & Muhartati, 2018;Kaban, 2018;Mujur et al, 2019;Siahaan & Panjaitan, 2020;Sulistianingsih, 2020). Dalam penelitian lain yang dilakukan secara cross-sectional, bahwa yang mempengaruhi keberhasilan IMD secara signifikan adalah kontak kulit ke kulit, cara melahirkan dan alat bantu yang digunakan untuk melahirkan (Gayatri & Dasvarma, 2020). Beberapa penelitian menemukan bahwa status paritas ibu berpengaruh terhadap keberhasilan IMD (Ruhayati et al, 2019;Gayatri & Dasvarma, 2020).…”

“…Dalam penelitian lain yang dilakukan secara cross-sectional, bahwa yang mempengaruhi keberhasilan IMD secara signifikan adalah kontak kulit ke kulit, cara melahirkan dan alat bantu yang digunakan untuk melahirkan (Gayatri & Dasvarma, 2020). Beberapa penelitian menemukan bahwa status paritas ibu berpengaruh terhadap keberhasilan IMD (Ruhayati et al, 2019;Gayatri & Dasvarma, 2020). Penelitian yang dilakukan oleh Adewuyi et al (2017) bahwa keberhasilan IMD di daerah perkotaan lebih tinggi daripada daerah pedesaan.…”