Breastfeeding Failure and Determinants: A Qualitative Study in Indonesia

  • Rasyika Nurul Fadjriah Bagian Promosi Kesehatan dan Ilmu Perilaku, Universitas Tadulako, Palu
    (ID)
  • Shendy Krishnasari Bagian Promosi Kesehatan dan Ilmu Perilaku, Universitas Tadulako, Palu
    (ID)
Keywords: exclusive breastfeeding, family support, health workers support, traditions

Abstract

Exclusive breastfeeding has a significant impact on the growth and development of children. The low coverage of exclusive breastfeeding has significantly contributed to stunting in this country. This study aimed to describe the determinants of the failure of exclusive breastfeeding from the aspect of the mother's knowledge, breast problems, family support, support from health workers, and traditions. The research method was qualitative with a case study design. The sampling technique used purposive sampling with 34 mothers and five cadres. Data was collected using FGD (Focus Group Discussion) and In-depth Interviews. Data analysis using content analysis and data validation using triangulation techniques. The results showed that the dominant mother did not know about exclusive breastfeeding. Breast problems were the dominant determinant of the failure of exclusive breastfeeding. Families and health workers had not provided good social support to mothers. The tradition found was providing sugar water and rice water to infants aged less than 6 (six). This study found that maternal knowledge, breast problems, family support, support from health workers, and traditions were the determinants of the failure of exclusive breastfeeding. This study recommends the need for education for mothers, families, and health workers to understand the urgency of exclusive breastfeeding.

1d.jpg

Downloads

Download data is not yet available.

References

Agho, K. E., Ezeh, O. K., Ghimire, P. R., Uchechukwu, O. L., Stevens, G. J., Tannous, W. K., & Maternal, G. (2019). Exclusive breastfeeding rates and associated factors in 13 “economic Community of West African States”(ECOWAS) countries. Nutrients, 11(12), 3007. https://doi.org/10.3390/nu11123007

Ahmed, K. Y., Page, A., Arora, A., & Ogbo, F. A. (2019). Trends and determinants of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2000 to 2016. International breastfeeding journal, 14(1), 1-14. https://doi.org/10.1186/s13006-019-0234-9

Ajami, M., Abdollahi, M., Salehi, F., Oldewage-Theron, W., & Jamshidi-Naeini, Y. (2018). The association between household socioeconomic status, breastfeeding, and infants' anthropometric indices. International journal of preventive medicine, 9. https://dx.doi.org/10.4103%2Fijpvm.IJPVM_52_17

Amir, L. H. (2014). Breastfeeding in public:“You can do it?”. International breastfeeding journal, 9(1), 1-3. https://doi.org/10.1186/s13006-014-0026-1

Angraresti, I. E., & Syauqy, A. (2016). Faktor-faktor yang berhubungan dengan kegagalan pemberian asi eksklusif di kabupaten semarang. Journal of Nutrition College, 5(4), 321-327. https://ejournal3.undip.ac.id/index.php/jnc/article/view/16431

Bartington, S., Griffiths, L. J., Tate, A. R., & Dezateux, C. (2006). Are breastfeeding rates higher among mothers delivering in Baby Friendly accredited maternity units in the UK?. International Journal of Epidemiology, 35(5), 1178-1186. https://doi.org/10.1093/ije/dyl155

Carolin, B. T., & Kholihah, K. (2019). Faktor-Faktor Yang Berhubungan Dengan Peranan Tenaga Kesehatan Terhadap Dukungan Pemberian Asi Eksklusif Di Rumah Sakit M Jakarta Selatan. Jurnal Akademi Keperawatan Husada Karya Jaya, 5(1). http://ejurnal.husadakaryajaya.ac.id/index.php/JAKHKJ/article/view/103

Dewi, P. D. P. K. (2020). Prediktor Kegagalan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Sawan I Kabupaten Buleleng. Jurnal Ilmiah Bidan, 5(1). https://www.e-journal.ibi.or.id/index.php/jib/article/view/147

Dinas Kesehatan Kota Palu. (2021). Profil Kesehatan Kota Palu Tahun 2020. Palu. https://dinkes.palukota.go.id/program/profil_kesehatan

Francis, J., Mildon, A., Stewart, S., Underhill, B., Tarasuk, V., Di Ruggiero, E., & O'Connor, D. L. (2020). Vulnerable mothers' experiences breastfeeding with an enhanced community lactation support program. Maternal & child nutrition, 16(3), e12957. https://doi.org/10.1111/mcn.12957

Hamidah, N., & Kuntoro, K. (2016). Peran Karakteristik Responden dan Dukungan Tenaga Kesehatan dalam Identifikasi Faktor yang Terkait dengan Kegagalan Pemberian ASI Eksklusif. Jurnal Biometrika dan Kependudukan, 5(1), 52-60. https://doi.org/10.20473/jbk.v5i1.2016.52-60

Hamidah, S. (2018). Hubungan Antara Dukungan Keluarga Dengan Pemberian ASI Eksklusif Pada Bayi Usia 0-6 Bulan. Jurnal Midpro, 8(1), 9. https://doi.org/10.30736/midpro.v8i1.2

Horta, B. L., & de Lima, N. P. (2019). Breastfeeding and type 2 diabetes: systematic review and meta-analysis. Current Diabetes Reports, 19(1), 1-6. https://doi.org/10.1097/MCO.0000000000000453

Idawati, I., Mirdahni, R., Andriani, S., & Yuliana, Y. (2021). Analisis Penyebab Kegagalan Pemberian Asi Eksklusif pada Bayi di RSUD Tgk. Chik Ditiro Kabupaten Pidie. Sang Pencerah: Jurnal Ilmiah Universitas Muhammadiyah Buton, 7(4), 593-608. https://doi.org/10.35326/pencerah.v7i4.1573

Jatmika, S. E. D., Shaluhiyah, Z., & Suryoputro, A. (2016). Dukungan Tenaga Kesehatan Untuk Meningkatkan Niat Ibu Hamil Dalam Memberikan ASI Eksklusif di Wilayah Kerja Puskesmas Gondokusuman, Kota Yogyakarta. Jurnal Promosi Kesehatan Indonesia, 9(2), 196-205. https://ejournal.undip.ac.id/index.php/jpki/article/view/12734

Jedrychowski, W., Perera, F., Jankowski, J., Butscher, M., Mroz, E., Flak, E., & Sowa, A. (2012). Effect of exclusive breastfeeding on the development of children’s cognitive function in the Krakow prospective birth cohort study. European journal of pediatrics, 171(1), 151-158. https://doi.org/10.1007/s00431-011-1507-5

Kementerian Kesehatan RI. (2021). Profil Kesehatan Indonesia Tahun 2020. Jakarta. https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-Tahun-2020.pdf

Mannan, H. (2018). Early infant feeding of formula or solid foods and risk of childhood overweight or obesity in a socioeconomically disadvantaged region of Australia: a longitudinal cohort analysis. International journal of environmental research and public health, 15(8), 1685. https://doi.org/10.3390/ijerph15081685

Moss, B. G., & Yeaton, W. H. (2014). Early childhood healthy and obese weight status: potentially protective benefits of breastfeeding and delaying solid foods. Maternal and child health journal, 18(5), 1224-1232. https://doi.org/10.1007/s10995-013-1357-z

Negin, J., Coffman, J., Vizintin, P., & Raynes-Greenow, C. (2016). The influence of grandmothers on breastfeeding rates: a systematic review. BMC pregnancy and childbirth, 16(1), 1-10. https://doi.org/10.1186/s12884-016-0880-5

Notoatmodjo, S., 2014, Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.

Ogbo, F. A., Agho, K., Ogeleka, P., Woolfenden, S., Page, A., Eastwood, J., & Global Child Health Research Interest Group. (2017). Infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality. PloS one, 12(2), e0171792. https://doi.org/10.1371/journal.pone.0171792

Ogbo, F. A., Dhami, M. V., Awosemo, A. O., Olusanya, B. O., Olusanya, J., Osuagwu, U. L., & Agho, K. E. (2019). Regional prevalence and determinants of exclusive breastfeeding in India. International breastfeeding journal, 14(1), 1-12. https://doi.org/10.1186/s13006-019-0214-0

Ogbo, F. A., Page, A., Idoko, J., Claudio, F., & Agho, K. E. (2016). Diarrhoea and suboptimal feeding practices in Nigeria: evidence from the national household surveys. Paediatric and perinatal epidemiology, 30(4), 346-355. https://doi.org/10.1111/ppe.12293

Pattison, K. L., Kraschnewski, J. L., Lehman, E., Savage, J. S., Downs, D. S., Leonard, K. S., & Kjerulff, K. H. (2019). Breastfeeding initiation and duration and child health outcomes in the first baby study. Preventive medicine, 118, 1-6. https://doi.org/10.1016/j.ypmed.2018.09.020

Ramadani, M. (2017). Dukungan keluarga sebagai faktor dominan keberhasilan menyusui eksklusif. Media Kesehatan Masyarakat Indonesia, 13(1), 34-41. https://journal.unhas.ac.id/index.php/mkmi/article/view/1580

Scott, J. A., Kwok, Y. Y., Synnott, K., Bogue, J., Amarri, S., Norin, E., & INFABIO Project Team. (2015). A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: results of a cohort study. Birth, 42(1), 78-85. https://doi.org/10.1111/birt.12138

Setyaningsih, F. T. E., & Farapti, F. (2019). Hubungan Kepercayaan dan Tradisi Keluarga pada Ibu Menyusui dengan Pemberian ASI Eksklusif di Kelurahan Sidotopo, Semampir, Jawa Timur. Jurnal Biometrika Dan Kependudukan, 7(2), 160–167. https://doi.org/10.20473/jbk.v7i2.2018.160-167

Solo, K. M. B., & Novita, R. V. T. (2020). Status Breast condition and Babies Health Influence Practice of Exclusive Breastfeeding. Media Keperawatan Indonesia, 3(3), 144. https://doi.org/10.26714/mki.3.3.2020.144-149

Syeda, B., Agho, K., Wilson, L., Maheshwari, G. K., & Raza, M. Q. (2021). Relationship between breastfeeding duration and undernutrition conditions among children aged 0–3 Years in Pakistan. International Journal of Pediatrics and Adolescent Medicine, 8(1), 10-17. https://doi.org/10.1016/j.ijpam.2020.01.006

Victora, C. G., Bahl, R., Barros, A. J., França, G. V., Horton, S., Krasevec, J., & Group, T. L. B. S. (2016). Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The lancet, 387(10017), 475-490. https://doi.org/10.1016/S0140-6736(15)01024-7

Victora, C. G., Horta, B. L., De Mola, C. L., Quevedo, L., Pinheiro, R. T., Gigante, D. P., & Barros, F. C. (2015). Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil. The lancet global health, 3(4), e199-e205. https://doi.org/10.1016/S2214-109X(15)70002-1

World Health Organization. (2016). Infant and young child feeding. http://www.who.int/mediacentre/factsheets/fs342/en/

World Health Organization. (2019a). Global Breastfeeding Scorecard, 2019: Increasing Commitment to Breastfeeding through Funding and Improved Policies and Programmes. Geneva, Switzerland. https://apps.who.int/iris/handle/10665/326049

World Health Organization. (2019b). Global Targets 2025. To Improve Maternal, Infant and Young Child Nutrition. https://www.who.int/multi-media/details/Nutrition-global-targets-2025

Yanuarini, T. A., Rahayu, D. E., & Prahitasari, E. (2017). Hubungan pengetahuan dengan sikap ibu dalam pemberian ASI eksklusif di wilayah kerja puskesmas pranggang kabupaten kediri. Jurnal Ilmu Kesehatan, 3(1), 1-9. https://doi.org/10.32831/jik.v3i1.39

Published
2022-06-30
How to Cite
Fadjriah, R. N., & Krishnasari, S. (2022). Breastfeeding Failure and Determinants: A Qualitative Study in Indonesia. Diversity: Disease Preventive of Research Integrity, 3(1), 1-10. https://doi.org/10.24252/diversity.v3i1.27118
Section
Volume 3, Issue 1, 2022
Abstract viewed = 220 times