Factors Associated with Exclusive Breastfeeding in Hamadi Public Health Center, Jayapura City

Abstract

Background: The target of exclusive breastfeeding in Indonesia is 80%, but in reality, the agreed target has not been achieved. Papua Province data for 2014-2015 shows that the success of exclusive breastfeeding for babies aged 2 months is only 64%. This percentage decreases markedly in infants aged 2 to 3 months to 45% and in infants aged 4 to 5 months only reaches 14%. The success of exclusive breastfeeding of 15,983 babies aged 6 months, only 3,302 of them were breastfed, about 20.6% of them were exclusively breastfed. Objective: To analyze the factors associated with exclusive breastfeeding for infants in the working area of the Hamadi Public Health Center, Jayapura City. Methods: This type of research is quantitative analytic with a cross-sectional approach. This research was conducted in September 2020 - January 2021. The total population was 412 people and a sample of 100 people using a simple random sampling technique. The data was obtained using a questionnaire and analyzed using chi-square and binary logistic regression with a significant level of 5%. Results: Factors related to the exclusive breastfeeding are attitude (p-value = 0.009, RP = 3.563, 95% CI = 1.336-9.502) , family support (p-value = 0.005, RP = 3.467, 95% CI = 1.429-8.408) and health personnel support (p-value = 0.001, RP = 4.206, 95% CI = 1.764-10.025), while the factors that are not associated with exclusive breastfeeding, namely knowledge (p-value = 0.050, RP = 2.563, 95% CI = 0.986-6.662), age (p-value = 0.157), education (p-value = 0.186), and occupation (p-value = 0.571). The most dominant risk factor is attitude, where mothers with positive attitudes have a 2.864 times greater chance of giving exclusive breastfeeding compared to mothers who have negative attitudes.