Multilevel Analysis on the Determinants of Exclusive Breastfeeding at Gunung Anyar Community Health Center, Surabaya, Indonesia

Authors

  • Zummatul Atika Masters program in Public Health, Universitas Sebelas Maret
  • Harsono Salimo Department of Pediatrics, Dr. Moewardi Hospital, Surakarta
  • Yulia Lanti Retno Dewi Department of Nutrition, Faculty of Medicine, Universitas Sebelas Maret

Abstract

Background: Exclusive breastfeeding is provision of breast milk for infants from 0 to 6 months of age with no additional food or drink intake. Provision of medicine, vitamin, and mineral is allowable during the period of exclusive breastfeeding. There is a lack of studies examining factors associated with exclusive breastfeeding in Surabaya using multilevel analysis. This study aimed to examine factors associated with exclusive breastfeeding in Surabaya using multilevel analysis.

Subjects and Method: This was an analytic observational study with a cross sectional design. The study was carried out at Gunung Anyar community health center (puskesmas), Surabaya, East Java, Indonesia. A total of 25 puskesmas was selected by stratified random sampling, covering both accredited and non-accredited puskesmas. A total of 8 lactating mothers from each puskesmas were selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were subjective norm, leisure time for breastfeeding, attitude, husband support, family support, and health personnel support. The data were collected by questionnaire and analyzed by a multilevel logistic regression.

Results: Exclusive breastfeeding was positively affected by positive subjective norm (b=4.31; 95% CI= 1.63 to 6.99; p=0.002), leisure time for breastfeeding (b=3.97; 95% CI= 1.12 to 6.81; p=0.006), positive attitude (b=3.01; 95% CI= 0.57 to 5.45; p=0.016), strong husband support (b=2.39; 95% CI= 0.29 to 4.51; p=0.026), strong family support (b=2.71; 95% CI= 0.46 to 4.97; p=0.018), and strong health personnel support (b=4.13; 95% CI= 1.28 to 6.99; p=0.005). Posyandu showed strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 69.47%.

Conclusion: Exclusive breastfeeding is positively affected by positive subjective norm, leisure time for breastfeeding, positive attitude, strong husband support, strong family support, and strong health personnel support.

Keywords: exclusive breastfeeding, subjective norm, attitude, husband support, health personnel support

Correspondence:

References

Abdullah GI (2012). Determinan pemberian asi eksklusif pada ibu bekerja di kementerian kesehatan RI tahun 2012.

Agho KE, Dibley MJ, Odiase JI, Ogbonmwan SM (2011). Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy and Childbirth, 11(1), 2. https://doi.org/10.1186/14712393112.

Asemahagn MA (2016). Determinants of exclusive breastfeeding practices among mothers in azezo district, northwest Ethiopia. International Breastfeeding Journal, 11(1), 22. https://doi.org/10.1186/s130060160081x.

Astuti I (2013). Determinan Pemberian ASI Eksklusif Pada Ibu Menyusui. Health Quality, 4, 1

Didik B, Hardhana B, Yudianto M, Soenardi T (2016). Data and Information Indonesia Health Profile 2016. Yoeyoen Aryantin Indrayani S.Ds; B. B. Sigit; Sinin, 168. Retrieved from http://www.depkes.go.id/resources/download/pusdatin/lainlain/Datadan Informasi Kesehatan Profil Kesehatan Indonesia 2016smaller size web.pdf

Dinas Kesehatan Kota Surabaya. (2016). Profil Kesehatan Kota Surabaya, 194. Diakses November 2017.

Irianto K (2014). Balance Nutrition in Reproductive Health. Bandung: Alfabeta.

Isroni A (2013). determinan pemberian asi ekslusif pada ibu menyusui. Jurnal Health Quality, 4, 1

Jamei, Ostovar, Javadyade H (2017). Predictors of Exclusive Breastfeeding Among Nulliparous Iranian Mothers: Application of the Theory of Planned Behaviour. International Journal of Pediatrics.

Kaushal A, Singh M, Sharma P, Chander V, Kumar RS (2017). Determinants of exclusive breastfeeding among lactating women in sub Himalayan region, 70

Kementrian Kesehatan RI (2012). Ayo ke Posyandu seiap bulan, Jakarta Bhakti Husada Diakses November 2017.

Mamonto T (2015). Faktor-faktor yang berhubungan dengan ASI eksklusif pada bayi di wilayah kerja puskesmas Kotobangon kecamatan Kotamobagu Timur kota Kotamobagu. Universitas Sam Ratulangi.

Murti B (2013). Desain dan Ukuran Sampel Untuk Penelitian Kuantitatif dan Kualitatif di Bidang kesehatan. Yogyakarta: Gadjah Mada University Press.

Mustika I (2017). Determinan Pemberian ASI Eksklusif pada Ibu Menyusui Tinjauan Sistematis Penelitian Tahun 2011 2016 Exclusive Breastfeeding Determinants in Breastfeeding Mother A Systematic Research Review 2011 2016, 1(4), 15

Ramandey S (2017). Kebidanan Teori dan Asuhan Vol. 2. Jakarta: EGC.

Riyanto A (2011). Aplikasi Metodologi Penelitian Kesehatan. Yogyakarta: Nuha Medika.

Riyanto A (2013). Kapita Selekta Kuesioner Pengetahuan dan Sikap dalam Penelitian Kesehatan. Jakarta: Salemba Medika.

Sinta P (2018). Multilevel Analysis on the Biopsychosocial and Economic Determinants of Exclusive Breastfeeding.

Sulaeman ES (2016). Pembelajaran Model dan Teori Perilaku Kesehatan Konsep dan Aplikasi. Surakarta: UNS PRESS.

Tampah Naah AM, KumiKyereme A (2013). Determinants of exclusive breastfeeding among mothers in Ghana: a cross-sectional study. International Breastfeeding Journal, 8(1), 13. https://doi.org/10.1186/17464358813

Teklehaymanot A, Hailu A, Wossen B (2013). Intention of Exclusive Breastfeeding Among Pregnant Women Using Theory of Planned Behaviour in Medebay Zana District, Tigray Region, North Etiopia. Public Health Research, 3(6).

WHO (2016). Breastfeeding. WHO. Retrieved from http://www.who.int/maternal_child_adolescent/topics/newborn/nutrition/breastfeeding/en/Diakses November 2017

Windari E, Dewi A, Siswanto (2017). Pengaruh Dukungan Tenaga Kesehatan Terhadap Pemberian ASI Eksklusif di wilayah kerja Puskesmas Sisir Kota Baru. Journal of Issue in Midwifery.

Yal

Downloads

Published

2018-07-18

How to Cite

Atika, Z., Salimo, H., & Dewi, Y. L. R. (2018). Multilevel Analysis on the Determinants of Exclusive Breastfeeding at Gunung Anyar Community Health Center, Surabaya, Indonesia. Journal of Maternal and Child Health, 3(3), 176–183. Retrieved from https://www.thejmch.com/index.php/thejmch/article/view/98

Issue

Section

Articles