Factors, and Provision of Exclusive Breastfeeding among Farmer Families in Dry and Wet Lands, Kupang, East Nusa Tenggara

 1)Yovita Y. Hendrika Bulu, 2)Marten R. Pellokila, 3)Intje Picauly


1)Kupang District Health Office, Kupang

2)Faculty of Agriculture, Universitas Nusa Cendana Kupang

3)Faculty of Faculty of Animal Husbandry, Universitas Nusa Cendana Kupang



Background : Breastfeeding is beneficial for both mother and child, as breast milk is con­­­­si­de­red the best source of nutrition for  an  infant.  However, lack  of  knowledge,  pre­­­­­­vail­ing  mis­­con­ceptions  and  cultural  taboos  significantly  contribute  to  un­de­si­rable breast­­­­­­feeding prac­tices such as delayed initiation and discarding of colostrum. In Indo­ne­sia since a large number of babies born are of low birth weight, proper breast­feeding practice is a major concern. This stu­dy aimed to determine the association bet­ween socio-economic, cultural factors factors and pro­vision of exclusive breastfeeding among farmer families in dry and wet lands, Kupang, East Nusa Tenggara.

Subjects and Methods : This was a cross sectional study conducted at Baun  and Ta­rus com­mu­nity health centers in Kupang, East Nusa Tenggara on December 2017 to Ja­nu­ary 2018. A total sample of 124 farmer familes was selected for this study by simple random sampling. A sample of 58 dry land farmer familes was selected from Baun com­munity health center and 66 wet land farmer familes was selected from Tarus com­mu­­nity health center. The dependent va­riable was the provision of exclusive breast­feeding. The inde­pendent variables were cultural fac­tors (tradition, myth and fa­mily support) social factors (education and mother’s knowledge) and economic factors. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: The provision of exclusive breastfeeding was inversely associated withtra­di­tion (OR=0.18; 95% CI= 0.05 to 0.72; p=0.010), but positively associated with ma­ter­nal education (OR=4.43; 95%CI= 1.36 to 14.41; p=0.013).

Conclusion : The provision of exclusive breastfeeding is inversely associated withtra­dition, but positively associated with maternal education.

Keywords: exclusive breastfeeding, tradition, maternal education.

Correspondence: Yovita Y. Hendrika Bulu. Kupang District Health Office, Kupang, East Nusa Tenggara.

Email: yovita_fitry@yahoo.com. Mobile: 085331102391.

DOI: https://doi.org/10.26911/theicph.2019.03.43

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