Factors Associated with Adherence to Implementation of Early Breastfeeding Initiation among Midwives at Aceh Tamiang General Hospital, North Sumatera

Arie Willyana1), Juanita2), Destanul Aulia3)


1)Masters Program in Hospital Administration, Faculty of Public Health, Universitas Sumatera Utara

2)Department of Health Policy and Administration, Faculty of Public Health, Universitas Sumatera Utara



Background: Breastfeeding has many health benefits for both the mother and infant. World Health Organization recommends the provision of mother’s breast milk to infants within one hour of birth referred to as “early initiation of breast­feeding”. It ensures that the infant receives the colostrum or “first milk” rich in pro­tective factors. Midwives have an important role to help lactating mothers to im­plement early initiation of breastfeeding. This study aimed to examine factors asso­ciated with adherence to implementation of early breastfeeding initiation among midwives at Aceh Tamiang general hospital, North Sumatera.

Subjects and Method: This was a cross-sectional study conducted at Tamiang General Hospital, North Sumatera. A total of 46 midwives were selected for this study. The dependent variable was adherence to implementation early initiation of breastfeeding. The independent variable was competence. The confounding fac­tors included among others availability of standard operating procedure. The data were collected by questionnaire and analyzed by a multiple logistic reg­res­sion.

Results: Midwives with higher competence were more likely to adhere to the imple­mentation early initiation of breastfeeding, after adjusting for confounding factors (OR= 6.49; p= 0.002).

Conclusion: Competence is associated with adherence to the implementation early initiation of breastfeeding among midwives.

Keywords: early initiation of breastfeeding, competence, adherence, implementation, midwives.

Correspondence: Arie Willyana. Masters Program in Hospital Administration, Faculty of Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: awil.azzhi@gmail.com. Mobile: 082160592020.

DOI: https://doi.org/10.26911/theicph.2018.04.04

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