Role of Early Initiation of Breastfeeding and Nutritional Counseling on Exclusive Breastfeeding in Indonesia
Keywords:
Early Initiation Breastfeeding, Exclusive Breastfeeding, Indonesia, Nutrition CounselingAbstract
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.
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