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What Works to Improve Duration of Exclusive Breastfeeding: Lessons from the Exclusive Breastfeeding Promotion Program in Rural Indonesia
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Abstract 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\60. Factors which shortened EBF
duration were grandmother’s lack of support for EBF (HR
2.04, 95 % CI 1.33, 3.14), received formula samples at
discharge (HR 1.99, 95 % CI 1.25, 3.16), and maternal
experience of breast engorgement (HR 1.97, 95 % CI 1.32,
2.94). High maternal breastfeeding knowledge was the only
factor associated with longer duration of EBF. Barriers to
EBF were breast engorgement, receiving formula samples
at discharge, and a grandmother’s lack of support for EBF.
Informasi Detail
| Pernyataan Tanggungjawab |
Kun A. Susiloretni
|
|---|---|
| Pengarang |
Kun A. Susiloretni - Pengarang Utama
Siswanto Agus Wilopo - Pengarang Tambahan Hamam Had - Pengarang Tambahan Yayi Suryo Prabandari - Pengarang Tambahan Yati S. Soenarto - Pengarang Tambahan |
| NIM | |
| Bahasa |
English
|
| Deskripsi Fisik |
11
|
| Dilihat sebanyak |
767
|
| Penerbit | Matern Child Health Jounal : ., 2015 |
|---|---|
| Edisi | |
| Subjek | |
| Klasifikasi |
NONE
|