What Works to Improve Duration of Exclusive Breastfeeding: Lessons from the Exclusive Breastfeeding Promotion Program in Rural Indonesia

Susiloretni, Kun Aristiati; Hadi, Hamam; Prabandari, Yayi Suryo; Soenarto, Yati; Wilopo, Siswanto Agus

doi:10.1007/s10995-014-1656-z

Cited by 48 publications

(59 citation statements)

References 45 publications

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“…This result is relevant according to Susiloretni et al 27 of the high level of knowledge about breastfeeding is positively associated to the duration of exclusive breastfeeding.…”

Section: Discussionsupporting

confidence: 52%

Changes in maternal conception about breastfeeding

Silva

Campos

Oliveira

et al. 2016

Rev. Bras. Saude Mater. Infant.

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“…This result is relevant according to Susiloretni et al 27 of the high level of knowledge about breastfeeding is positively associated to the duration of exclusive breastfeeding.…”

Section: Discussionsupporting

confidence: 52%

Changes in maternal conception about breastfeeding

Silva

Campos

Oliveira

et al. 2016

Rev. Bras. Saude Mater. Infant.

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“…Single portions or small quantities of a product provided without cost by manufacturers or distributors (7) Gift An item or material benefit given voluntarily by a company to another party for personal use (8) Supplies Quantities of a product provided for use over an extended period, free or at low price, for social purposes, including those provided to families in need (7) Promotional material…”

Section: Samples and Giftsmentioning

confidence: 99%

“…'Lactogen 1' is the brand name of one of Nestlé's infant formulas (8) Label Any tag, brand, marks, pictorial or other descriptive information material attached to a container of any breast-milk substitute (7) *Additional definitions used for monitoring purposes in the Indonesian setting. When further asked about the place where they received the gifts, women mentioned health facilities such as hospitals and midwives' clinics, but also supermarkets, baby shops, or even delivery to their homes or offices.…”

Section: Samples and Giftsmentioning

confidence: 99%

“…In contrast, information and promotional materials produced by breast-milk substitute companies (6) and the distribution of free samples of breast-milk substitutes have a detrimental impact on breast-feeding (7) . A study conducted in health facilities in rural areas in Central Java, Indonesia, also found that mothers in these areas were more likely to discontinue exclusive breast-feeding when health providers suggested the use of infant formula (8) . In 1981, the World Health Assembly (WHA) adopted the International Code of Marketing of Breast-milk Substitutes ('the Code') as a recommendation outlining the minimum international standard to support breast-feeding and to protect mothers from commercial pressure to feed breast-milk substitutes to their babies (9) .…”

mentioning

confidence: 99%

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Violations of the International Code of Marketing of Breast-milk Substitutes: Indonesia context

Hidayana¹,

Februhartanty

Parady

2016

Public Health Nutr.

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Objectives: To measure compliance with the International Code of Marketing of Breast-milk Substitutes ('the Code') in Indonesia. Design: The study was a cross-sectional survey using the Interagency Group on Breastfeeding Monitoring protocol. Setting: Public and private health facilities in six provinces on Java island in Indonesia. Subjects: A total of 874 women (382 pregnant women and 492 breast-feeding mothers of infants below 6 months) and seventy-seven health workers were recruited from eighteen participating health facilities. The study also analysed a total of forty-four labels of breast-milk substitute products, twenty-seven television commercials for growing-up milk (for children >12 months) of nine brands and thirty-four print advertisements of fourteen brands. Results: The study found that 20 % of the women had received advice and information on the use of breast-milk substitutes and 72 % had seen promotional materials for breast-milk substitutes. About 15 % reported receiving free samples and 16 % received gifts. Nearly a quarter of the health workers confirmed receiving visits from representatives of breast-milk substitute companies. Two health workers reported having received gifts from the companies. The most common labelling violations found were statements or visuals that discouraged breastfeeding and the absence of mention about the consideration of local climate in the expiration date. Conclusions: Violations of the Code by health workers, breast-milk substitute companies and their representatives were found in all provinces studied. A regular monitoring system should be in place to ensure improved compliance with and enforcement of the Code.

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“…LAM is difficult to implement because the coverage of exclusive breastfeeding in Indonesia and the world is still low (Ichsan, 2015). Women practicing exclusive breastfeeding in Indonesia was 40% (Susiloretni, Hadi, Prabandari, Soenarto, & Wilopo, 2015). WHO recommends exclusive breastfeeding coverage of up to 90% (Ichsan, 2015).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Pattern of Uterine Bleeding Among Breastfeeding Women Using Progesterone-Only Pills

Ratrikaningtyas

Rosdiana

Wilopo

2018

PHI

Self Cite

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Background: Progesterone-Only Pill (POPs) is one of the ideal oral contraceptive methods for breastfeeding women. Discontinuation of POPs was mostly due to bleeding pattern disorders.Objective: The purpose of this study is to identify the prevalence and pattern of uterine bleeding on breastfeeding women using contraceptive pills containing progesterone derivatives.Methods: This study is a double blind block randomized controlled trial for the treatment group (levonorgestrel or lynestrenol pills) and non-randomized controlled trial for the control group, 6-8 weeks’ postpartum women, 20 to 35-year-old, and breastfeeding. Monthly follow up was done for 6 months. Analysis was done using survival analysis, X2,and Cox’s Proportional Hazard.Results: A hundred and seven women were involved with a drop-out rate of 17.8%. Subjects characteristics were ≤ 32-year-old, multiparous, ever used contraception with birth spacing of 60 months. Spotting and amenorrhea was the most common pattern. Levonorgestrel causes bleeding/menstrual resumption sooner in breastfeeding women than Lynestrenol.Conclusion: The most common uterine bleeding on women using Progesterone-only Pills were spotting and amenorrhea. By recognizing such effects, for Indonesian women, POPs was expected to be produced in the country and can be included in the national family planning programs.

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What Works to Improve Duration of Exclusive Breastfeeding: Lessons from the Exclusive Breastfeeding Promotion Program in Rural Indonesia

Cited by 48 publications

References 45 publications

Changes in maternal conception about breastfeeding

Changes in maternal conception about breastfeeding

Violations of the International Code of Marketing of Breast-milk Substitutes: Indonesia context

Prevalence and Pattern of Uterine Bleeding Among Breastfeeding Women Using Progesterone-Only Pills

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