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

The aim of the study was to identify determinants of exclusive breastfeeding (EBF) at the individual, family, community, and organizational level. This study was a secondary analysis of data from a multilevel promotion of EBF program in two rural public health centers (PHCs) in the Demak district, C...

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Veröffentlicht in:	Maternal and child health journal 2015-07, Vol.19 (7), p.1515-1525
Hauptverfasser:	Susiloretni, Kun Aristiati, Hadi, Hamam, Prabandari, Yayi Suryo, Soenarto, Yati S., Wilopo, Siswanto Agus
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Age Attitudes Babies Breast feeding Breast Feeding - ethnology Breast Feeding - statistics & numerical data Breastfeeding & lactation Children & youth Community health care Education Families & family life Female Gynecology Health Knowledge, Attitudes, Practice Health Promotion - methods Health Promotion - organization & administration Humans Indonesia Infant Intervention Knowledge Male Maternal and Child Health Medicine Medicine & Public Health Middle Aged Midwifery Mothers Mothers - education Mothers - psychology Pediatrics Population Economics Pregnancy Prevalence Public Health Questionnaires Rural Population Secondary analysis Sociology Surveys and Questionnaires Survival analysis Time Factors Variables Workers Young Adult
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Zusammenfassung:	The aim of the study was to identify determinants of exclusive breastfeeding (EBF) at the individual, family, community, and organizational level. This study was a secondary analysis of data from a multilevel promotion of EBF program in two rural public health centers (PHCs) in the Demak district, Central Java, Indonesia. The program was a quasi-experimental study with a pretest–posttest control group. A total of 599 participants were enrolled, consisting of 163 mother infant pairs, 163 fathers, 163 grandmothers, 82 community leaders, and 28 midwives. EBF duration and its determinants were measured and analyzed using Cox proportional-hazard model. Mothers with a high level of breastfeeding knowledge had the greatest EBF duration. Mothers who had a knowledge score >80 had a 73 % (HR 0.27, 95 % CI 0.15, 0.48) greater chance of EBF compared to mothers who had a knowledge score of
ISSN:	1092-7875 1573-6628
DOI:	10.1007/s10995-014-1656-z