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Proceedings Series on Health & Medical SciencesProceedings Series on Health & Medical Sciences

Exclusive breastfeeding (EBF) for the first six months of life is essential for infant health, growth and development, yet its coverage remains low in Indonesia. The study aimed to assess exclusive breastfeeding practices in Indonesia and examine the association of early initiation of breastfeeding and other antenatal care service (ANC) with EBF in Indonesian. This cross-sectional study analyzed secondary data from the 2022 Indonesia National Nutrition Survey. Data of 3,718 infants aged 6 months from 33 provinces on breastfeeding practice were extracted. Multiple logistic regression analysis was performed to identify the factors associated with EBF, presenting Adjusted Odds Ratio (AOR), 95% Confidence Interval (95% CI) and spatial distribution was mapped using QGIS. The results revealed that only 45.70%. History of early breastfeeding (AOR=1.60; 95% CI: 1.40-1.83), received nutrition counseling (AOR=1.21; 95% CI: 1.06-1.38) and infants with normal or higher birth weight (≥2,500 grams) were more likely to be exclusively breastfed (AOR=1.68; 95% CI: 1.27-2.21). Employment of mothers also showed significant associations with EBF practices (AOR=1.20; 95% CI: 1.04-1.37). Less than half of infants received exclusive breastfeeding. Early breastfeeding and nutrition counseling improved EBF, especially among employed mothers. Emphasis on those factors during ANC is needed, particularly in low EBF coverage provinces.

This study found that exclusive breastfeeding (EBF) coverage among infants aged six months in Indonesia remains suboptimal.Early initiation of breastfeeding, receipt of nutrition counseling, maternal employment, and normal or above-normal birth weight were significantly associated with EBF.Efforts to increase EBF should focus on promoting immediate breastfeeding after birth, strengthening nutrition counseling during ANC and PNC visits, and expanding health promotion programs.

Penelitian lebih lanjut perlu dilakukan untuk menggali lebih dalam mengenai faktor-faktor kontekstual yang mempengaruhi keberhasilan inisiasi menyusu dini dan konseling gizi, seperti peran dukungan keluarga, norma sosial, dan kualitas layanan kesehatan di berbagai daerah. Selain itu, studi intervensi yang dirancang secara khusus untuk meningkatkan pengetahuan dan keterampilan petugas kesehatan dalam memberikan konseling gizi yang efektif kepada ibu hamil dan menyusui sangat diperlukan. Terakhir, penelitian kualitatif dapat dilakukan untuk memahami pengalaman dan persepsi ibu bekerja mengenai tantangan dalam menyusui eksklusif, serta strategi yang mereka gunakan untuk mengatasi hambatan tersebut, sehingga dapat dirumuskan kebijakan dan program yang lebih responsif terhadap kebutuhan mereka.

  1. Likelihood of infectious diseases due to lack of exclusive breastfeeding among infants in Bangladesh... doi.org/10.1371/journal.pone.0263890Likelihood of infectious diseases due to lack of exclusive breastfeeding among infants in Bangladesh doi 10 1371 journal pone 0263890
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