Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2021.0047
Iberoamerican Journal of Medicine
Original article

Factors related to the exclusive breastfeeding in the working area of PHC Poasia, Kendari City

Factores relacionados con la lactancia materna exclusiva en el área de trabajo de PHC Poasia, Kendari City

Desi Ratna Sari La Adili, Wa Ode Salma, Ramadhan Tosepu, Abd Hakim Husen

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Abstract

Introduction: Inadequate exclusive breastfeeding is responsible for more than 236,000 child deaths each year and significantly increases the risk of death in infancy and childhood. While the COVID-19 Pandemic continues, this should not be a barrier for breastfeeding mothers to breastfeed their babies. This study aims to analyze the factors related to exclusive breastfeeding during the COVID-19 pandemic in the working area of the Poasia Health Center, Kendari City.
Methods: This cross-sectional study involves 100 participants in the working area of the Poasia Public Health Center, Kendari City. The dependent variable in this study was exclusive breastfeeding during the COVID-19 pandemic, while the independent variables were age, employment status, education level, parity, family support, and support from health workers. Data analysis was carried out in stages, including univariate, bivariate, and multivariate analysis.
Results: The results showed a relationship between parity (p-value = 0.006), family support (p-value = 0.001), and support from health workers (p-value = 0.003) with exclusive breastfeeding in the working area of the Poasia Health Center, Kendari City. At the same time, age (p-value = 0.524), status, occupation (p-value = 0.452), and education level (p-value = 0.708) are not related. The results of multivariate analysis using logistic regression showed that family support was most associated with exclusive breastfeeding (Exponent (B) = 8.549).
Conclusions: The lower the mother's parity, the more likely she is to give exclusive breastfeeding. Good and maximal family and staff support will stimulate the mother to give exclusive breastfeeding.

Keywords

Exclusive breastfeeding; Parity; Family support; Helath worker support

Resumen

Introducción: La lactancia materna exclusiva inadecuada es responsable de más de 236.000 muertes infantiles cada año y aumenta significativamente el riesgo de muerte en la infancia y la niñez. Mientras continúa la pandemia de COVID-19, esto no debería ser una barrera para que las madres que amamantan amamanten a sus bebés. Este estudio tiene como objetivo analizar los factores relacionados con la lactancia materna exclusiva durante la pandemia Covid-19 en el área de trabajo del Centro de Salud Poasia, ciudad de Kendari.
Métodos: Este estudio transversal involucró a 100 participantes en el área de trabajo del Centro de Salud Pública de Poasia, ciudad de Kendari. La variable dependiente en este estudio fue la lactancia materna exclusiva durante la pandemia de COVID-19, mientras que las variables independientes fueron edad, situación laboral, nivel educativo, paridad, apoyo familiar y apoyo de los trabajadores de la salud. El análisis de los datos se realizó por etapas, incluyendo análisis univariante, bivariado y multivariado.
Resultados: Los resultados mostraron una relación entre la paridad (valor p = 0,006), el apoyo familiar (valor p = 0,001) y el apoyo de los trabajadores de la salud (valor p = 0,003) con la lactancia materna exclusiva en el área de trabajo de la Salud Poasia. Centro, ciudad de Kendari. Al mismo tiempo, la edad (valor de p = 0,524), el estado, la ocupación (valor de p = 0,452) y el nivel de educación (valor de p = 0,708) no están relacionados. Los resultados del análisis multivariado mediante regresión logística mostraron que el apoyo familiar estaba más asociado con la lactancia materna exclusiva (exponente (B) = 8.549).
Conclusiones: Cuanto menor sea la paridad de la madre, mayor es la probabilidad de que dé lactancia materna exclusiva. Un buen y máximo apoyo familiar y del personal estimulará a la madre a dar lactancia materna exclusiva.

Palabras clave

Lactancia materna exclusiva; Paridad; Apoyo familiar; Apoyo al personal sanitario

References

1. World Health Organization. Infant and young child feeding. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding (accessed June 2021).
2. Putri AT, Hasianna ST, Ivone J. Perbedaan Keberhasilan Pemberian ASI [Working Mothers and Successful Exclusive Breast Milk Provision; An Observational Study in Hermina Bogor Public Hospital]. J Med Health. 2020;2(6):166-76.
3. Salma WO, Yusuf I, Karo M, Banudi L. The effect of Sea urchin (Diadema setosum) gonad extract on IgM and IgG antibodies production in BALB/c mice infected by Salmonella typhi. Jurnal Gizi Klinik Indonesia. 2018;14(3):93-8. doi: 10.22146/ijcn.26834.
4. La Aga E, Alifariki LO. [Coverage and determinants of exclusive breastfeeding in urban slum area at Tallo district of Makassar City]. Majalah Kesehatan FKUB. 2019;6(1):44-55.
5. Alifariki O, Kusnan A, Asriati, Binekada IMC, Saida, Usman AN. The proxy determinant of complementary feeding of the breastfed child delivery in less than 6 months old infant in the fishing community of Buton tribe. Enferm Clin. 2020 Jun;30 Suppl 4:544-7. doi: 10.1016/j.enfcli.2019.10.135.
6. Svefors P, Sysoev O, Ekstrom EC, Persson LA, Arifeen SE, Naved RT, et al. Relative importance of prenatal and postnatal determinants of stunting: data mining approaches to the MINIMat cohort, Bangladesh. BMJ Open. 2019;9(8):e025154. doi: 10.1136/bmjopen-2018-025154.
7. Stuebe A. The risks of not breastfeeding for mothers and infants. Rev Obstet Gynecol. 2009;2(4):222-31.
8. Salma WO, Ruwiah R, Muchtar F, Mudjahidah NH, Nurdin KDS, Bastaman MR. Anchovy Engraulis encrasicolus is a potential for functional food. AcTion: Aceh Nutrition Journal. 2021;6(1):75-81. doi: 10.30867/action.v6i1.377.
9. Kementrian PPN/Bapenas. Pembangunan Gizi di Indonesia. Jaka: Direktorat Kesehatan Dan Gizi Masyarakat Kedeputian Pembangunan Manusia, Masyarakat Dan Kebudayaan Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional; 2019.
10. Kemenkes RI. Gizi dan kesehatan masyarakat. Jakarta: Rajawali Pers; 2019.
11. CNN Indonesia. 2018. Angka Pemberian ASI Eksklusif di Indonesia Masih Rendah. Available from: https://www.cnnindonesia.com/gaya-hidup/20180820165738-255-323681/angka-pemberian-asi-eksklusif-di-indonesia-masih-rendah (accessed June 2021).
12. Dinas Kesehatan Provinsi Sulawesi Tenggara. Profil Kesehatan Propinsi Sulawesi Tenggara. Kendari: Bidang P2PL Dinas Kesehatan Prov. Sultra; 2020.
13. Kemenkes RI : Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. Pedoman Pencegahan dan Pengendalian Coronavirus Disease. Jakarta; 2020. Availbale from: https://covid19.go.id/storage/app/media/Protokol/2020/Juli/REV-05_Pedoman_P2_COVID-19_13_Juli_2020.pdf(accesed June 2021).
14. Rohman Y. Kebijakan Pembatasan Sosial Berskala Besar (PSBB): Antara Keharusan dan Keengganan Dari Sudut Pandang Aspek Keuangan (APBD/APBN) Baik Pemerintah Pusat Maupun Pemerintah Daerah. Jurnal Bisnis dan Teknologi. 2021;13(1):21-37.
15. Susilawati E, Sulaeman A, Kartadarma S. Peningkatan Ketahanan Pangan Dan Pemenuhan Gizi Keluarga di Masa Pandemi Covid 19. Jurnal Pengabdian Masyarakat (Jupemas). 2021;1(2):39-44.
16. Afriani R. Hubungan Dukungan Sosial dan Sikap Ibu terhadap Keberhasilan Pemberian ASI Eksklusif Di Wilayah Puskesmas Benao Kabupaten Barito Utara Kalimantan Tengah. Universitas Airlangga; 2018.
17. Khoiriah A, Latifah L. Faktor-Faktor Yang Berpengaruh Terhadap Pemberian ASI Eksklusif Pada Bayi Berumur dibawah 6 Bulan. Jurnal’Aisyiyah Medika. 2018;2(1):69-87.
18. Bailey J, Clark M, Shepherd R. Duration of breastfeeding in young women: psychological influences. Br J Midwifery. 2008;16(3):172-8. doi: 10.12968/bjom.2008.16.3.28688.
19. Nommsen-Rivers LA, Chantry CJ, Peerson JM, Cohen RJ, Dewey KG. Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding. Am J Clin Nutr. 2010;92(3):574-84. doi: 10.3945/ajcn.2010.29192.
20. Hruschka DJ, Sellen DW, Stein AD, Martorell R. Delayed onset of lactation and risk of ending full breast-feeding early in rural Guatemala. J Nutr. 2003;133(8):2592-9. doi: 10.1093/jn/133.8.2592.
21. Asare BY, Preko JV, Baafi D, Dwumfour-Asare B. Breastfeeding practices and determinants of exclusive breastfeeding in a cross-sectional study at a child welfare clinic in Tema Manhean, Ghana. Int Breastfeed J. 2018;13:12. doi: 10.1186/s13006-018-0156-y.
22. Widdefrita W, Mohanis M. Peran Petugas Kesehatan dan Status Pekerjaan Ibu dengan Pemberian Asi Ekslusif. Jurnal Kesehatan Masyarakat Andalas. 2013;8(1):40-5.
23. Asemahagn MA. Determinants of exclusive breastfeeding practices among mothers in azezo district, northwest Ethiopia. Int Breastfeed J. 2016;11:22. doi: 10.1186/s13006-016-0081-x.
24. Polwandari F, Wulandari S. Gambaran Usia, Paritas, Tingkat Pendidikan, Status Pekerjaan, Dukungan Suami dan Tingkat Pengetahuan Ibu dalam Pemberian ASI Eksklusif. Faletehan Health Journal. 2021;8(1):58-64.
25. Rouhe H, Salmela-Aro K, Halmesmäki E, Saisto T. Fear of childbirth according to parity, gestational age, and obstetric history. BJOG. 2009;116(1):67-73. doi: 10.1111/j.1471-0528.2008.02002.x.
26. Alhainiah MH, Abdulljabbar HSO, Bukhari YA. The Prevalence, the Fetal and Maternal Outcomes in Grand Multiparas Women. Mater Sociomed. 2018;30(2):118-20. doi: 10.5455/msm.2018.30.118-120.
27. Fauzi FK. Hubungan antara Dukungan Keluargam Status Pekerjaan dan Paritas Ibu dengan Perilaku Pemberian ASI Eksklusif. Jurnal Keperawatan Muhammadiyah. 2019;4(2):239-43.
28. Graus TM, Brandstetter S, Seelbach-Göbel B, Melter M, Kabesch M, Apfelbacher C, et al. Breastfeeding behavior is not associated with health literacy: evidence from the German KUNO-Kids birth cohort study. Arch Gynecol Obstet. 2021. doi: 10.1007/s00404-021-06038-2.
29. Ku CM, Chow SK. Factors influencing the practice of exclusive breastfeeding among Hong Kong Chinese women: a questionnaire survey. J Clin Nurs. 2010;19(17-18):2434-45. doi: 10.1111/j.1365-2702.2010.03302.x.
30. Tan KL. Factors associated with exclusive breastfeeding among infants under six months of age in peninsular malaysia. Int Breastfeed J. 2011;6(1):2. doi: 10.1186/1746-4358-6-2.
31. Stremler J, Lovera D. Insight from a breastfeeding peer support pilot program for husbands and fathers of Texas WIC participants. J Hum Lact. 2004;20(4):417-22. doi: 10.1177/0890334404267182.
32. Matare CR, Craig HC, Martin SL, Kayanda RA, Chapleau GM, Kerr RB, et al. Barriers and Opportunities for Improved Exclusive Breast-Feeding Practices in Tanzania: Household Trials With Mothers and Fathers. Food Nutr Bull. 2019;40(3):308-25. doi: 10.1177/0379572119841961.
33. Sabati MR, Nuryanto N. Peran Petugas Kesehatan Terhadap Keberhasilan Pemberian ASI Eksklusif. Journal of Nutrition College. 2015;4(4):526-33.
34. Sabati MR, Nuryanto N. Peran Petugas Kesehatan Terhadap Keberhasilan Pemberian ASI Eksklusif (Studi Kualitatif Di Wilayah Puskesmas Sekaran Kecamatan Gunungpati Kota Semarang). Diponegoro University; 2015.
35. Astuti I. Determinan pemberian ASI eksklusif pada ibu menyusui. Jurnal Health Quality. 2013;4(1):1-76.


Submitted date:
07/16/2021

Reviewed date:
07/21/2021

Accepted date:
08/03/2021

Publication date:
08/10/2021

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