skip to main content

Correlation between Knowledge, Attitudes, and Behaviour of Mothers about Exclusive Breastfeeding and Its Success Rate in Karangmulyo Village

*Alnaora Tanjinna Zulfihda  -  Department of Medicine, Faculty of medicine, Universitas Diponegoro, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia. 50275, Indonesia
Nurul Setiyorini  -  , Indonesia
Ari Budi Himawan  -  , Indonesia
Nahwa Arkhaesi  -  Department of Pediatrics, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia, Indonesia

Citation Format:
Abstract

Background: Exclusive breastfeeding (ASI) is a condition when the baby only receives breast milk from his mother or foster mother for the first 6 months. The rate of exclusive breastfeeding is 37% worldwide and 54.1% in Jakarta. Infants who are not breastfed are associated with an increased incidence of infectious morbidity. Knowledge is one of the basic factors that determine a person's reaction and decision-making when faced with a situation. Knowledge will bring up a person's attitude to determines the behavior or action to be taken. Aim: To know the relationship between mother’s knowledge, attitudes, and behavior about exclusive breastfeeding with the level of success. Methods: Analytic observational study with a cross-sectional design conducted for 2 months in Karangmulyo Village, Kendal Regency, Central Java. The research subjects consisted of 66 mothers who had children aged 6-24 months. Assessment is carried out on the level of knowledge, attitudes, and behavior of mothers regarding exclusive breastfeeding, as well as the success rate of exclusive breastfeeding. Data analysis used the Mann-Whitney test, Chi-square, and Fischer exact. Significant p<0.05. Results: Most mothers have a good level of knowledge (n=57), attitude (n=45), and a sufficient level of behavior (n=64) regarding exclusive breastfeeding. There was no significant result in the level of knowledge (p=0.528; 0.820), attitude (p=0.339; 1.000), behaviour (p=0.342; 0.515) with the success of exclusive breastfeeding. Conclusion: There is no relationship between the level of knowledge, attitudes, and behavior on the success of exclusive breastfeeding. 

Fulltext View|Download
Keywords: Exclusive breastfeeding, knowledge, attitude, behavior

Article Metrics:

  1. Elyas L, Mekasha A, Admasie A, Assefa E. Exclusive Breastfeeding Practice and Associated Factors among Mothers Attending Private Pediatric and Child Clinics, Addis Ababa, Ethiopia: A Cross-Sectional Study. International Journal of Pediatrics. 2017;2017:1–9
  2. Reddy S, Abuka T. Determinants of Exclusive Breastfeeding Practice among Mothers of Children Under Two Years Old In Dilla Zuria District, Gedeo Zone, Snnpr, Ethiopia, 2014. Journal of Pregnancy and Child Health. 2015;03(01)
  3. Hazir T, Akram DS, Nisar Y bin, Kazmi N, Agho KE, Abbasi S, et al. Determinants of suboptimal breast-feeding practices in Pakistan. Public Health Nutrition. 2013 Apr 4;16(4):659–72
  4. Rapingah S, Muhani N, Besral B, Yuniar P. Determinants of Exclusive Breastfeeding Practices of Female Healthcare Workers in Jakarta, Indonesia. Kesmas: National Public Health Journal. 2021 Feb 1;16(1)
  5. Binns C, Lee M, Low WY. The Long-Term Public Health Benefits of Breastfeeding. Asia Pacific Journal of Public Health. 2016 Jan 20;28(1):7–14
  6. Kementerian Kesehatan Republik Indonesia. RISKESDAS 2018. Jakarta; 2018
  7. Badan Pusat Statistik Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah 2020. Semarang; 2020
  8. Stuebe A. The risks of not breastfeeding for mothers and infants. Rev Obstet Gynecol. 2009;2(4):222–31
  9. Horta B, Victoria C. Long-term effects of breastfeeding: a systematic review. 2014
  10. World Health Organization. Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services [Internet]. 2017 [cited 2022 Apr 9]
  11. Reddy S, Abuka T. Determinants of Exclusive Breastfeeding Practice among Mothers of Children Under Two Years Old In Dilla Zuria District, Gedeo Zone, Snnpr, Ethiopia, 2014. Journal of Pregnancy and Child Health. 2015;03(01)
  12. Babakazo P, Donnen P, Akilimali P, Ali NMM, Okitolonda E. Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: a prospective study. International Breastfeeding Journal. 2015 Dec 27;10(1):19
  13. Holtzman O, Usherwood T. Australian general practitioners’ knowledge, attitudes and practices towards breastfeeding. PLOS ONE. 2018 Feb 28;13(2):e0191854
  14. Idris SM, Tafeng AGO, Elgorashi A. Factors Influencing Exclusive Breastfeeding among Mother with Infant Age 0-6 Months. International Journal of Science and Research. 2015;4(8):28–33
  15. Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study. International Breastfeeding Journal. 2015 Dec 20;10(1):1
  16. Ulak M, Chandyo RK, Mellander L, Shrestha PS, Strand TA. Infant feeding practices in Bhaktapur, Nepal: a cross-sectional, health facility based survey. International Breastfeeding Journal. 2012;7(1):1
  17. Nkala T, Msuya S. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross- sectional study. International Breastfeeding Journal. 2011;6(1):17
  18. Mundagowa PT, Chadambuka EM, Chimberengwa PT, Mukora- Mutseyekwa F. Determinants of exclusive breastfeeding among mothers of infants aged 6 to 12 months in Gwanda District, Zimbabwe. International Breastfeeding Journal. 2019 Dec 9;14(1):30
  19. Hamze L, Mao J, Reifsnider E. Knowledge and attitudes towards breastfeeding practices: A cross-sectional survey of postnatal mothers in China. Midwifery. 2019 Jul;74:68–75
  20. Mogre V, Dery M, Gaa PK. Knowledge, attitudes and determinants of exclusive breastfeeding practice among Ghanaian rural lactating mothers. International Breastfeeding Journal. 2016 Dec 17;11(1):12
  21. Zhang Z, Zhu Y, Zhang L, Wan H. What factors influence exclusive breastfeeding based on the theory of planned behaviour. Midwifery. 2018 Jul;62:177–82
  22. Dukuzumuremyi JPC, Acheampong K, Abesig J, Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. International Breastfeeding Journal. 2020 Dec 14;15(1):70
  23. World Health Organization. Infant and young child feeding: a tool for assessing national practices, policies and programmes. Geneva; 2003
  24. United Nations Children’s Fund. Infant and young child feeding [Internet]. New York; 2019 [cited 2022 Dec 15]. Available from: https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding
  25. Gayatri M. Exclusive Breastfeeding Practice in Indonesia: A Population-Based Study. Korean J Fam Med. 2021 Sep 20;42(5):395–402
  26. Tan K. Factors associated with exclusive breastfeeding among infants under six months of age in peninsular malaysia. Int Breastfeed J. 2011;6(1):2
  27. Februhartanty J, Wibowo Y, Fahmida U, Roshita A. Profiles of Eight Working Mothers Who Practiced Exclusive Breastfeeding in Depok, Indonesia. Breastfeeding Medicine. 2012 Feb;7(1):54–9
  28. Dun-Dery EJ, Laar AK. Exclusive breastfeeding among city-dwelling professional working mothers in Ghana. Int Breastfeed J. 2016 Dec 6;11(1):23
  29. Ogbo FA, Dhami MV, Awosemo AO, Olusanya BO, Olusanya J, Osuagwu UL, et al. Regional prevalence and determinants of exclusive breastfeeding in India. Int Breastfeed J. 2019 Dec 16;14(1):20
  30. Tjung V, Umma HA, Subandono J. Relationship between Number and Order of Children with Exclusive Breastfeeding Practices in Surakarta. Smart Society Empowerment Journal. 2021 Mar 2;1(1):7
  31. Zhang Z, Zhu Y, Zhang L, Wan H. What factors influence exclusive breastfeeding based on the theory of planned behaviour. Midwifery. 2018 Jul;62:177–82
  32. Susilawati D. The Level of Knowledge and Support of Husband With Exclusive Breastfeeding at Padang. Journal of Midwifery. 2019 Sep 18;4(1):15
  33. Wawan A, Dewi M. Teori dan Pengukuran Pengetahuan, Sikap, dan Prilaku Manusia. 1st ed. Vol. 1. Yogyakarta: Nuha Medika; 2011. 1–132 p
  34. Rana MdM, Islam MdR, Karim MdR, Islam AZ, Haque MdA, Shahiduzzaman Md, et al. Knowledge and practices of exclusive breastfeeding among mothers in rural areas of Rajshahi district in Bangladesh: A community clinic based study. PLoS One. 2020 May 8;15(5):e0232027
  35. Morris C, Schofield P, Hirst C. Exploration of the Factors Influencing Attitudes to Breastfeeding in Public. Journal of Human Lactation. 2020 Nov 11;36(4):776–88
  36. Nuampa S, Ratinthorn A, Patil CL, Kuesakul K, Prasong S, Sudphet M. Impact of personal and environmental factors affecting exclusive breastfeeding practices in the first six months during the COVID-19 pandemic in Thailand: a mixed-methods approach. Int Breastfeed J. 2022 Oct 17;17(1):73
  37. Maharlouei N, Pourhaghighi A, Raeisi Shahraki H, Zohoori D, Lankarani KB. Factors Affecting Exclusive Breastfeeding, Using Adaptive LASSO Regression. Int J Community Based Nurs Midwifery. 2018 Jul;6(3):260–71
  38. Agrina A, Kimura R, Tsuda A. Mother’s exclusive breastfeeding behavior: a cross sectional study in Pekanbaru, Indonesia. Int J Res Med Sci. 2015;S109–18
  39. Afiyanti Y, Juliastuti D. Exclusive breastfeeding practice in Indonesia. Br J Midwifery. 2012 Jul;20(7):484–91

Last update:

No citation recorded.

Last update:

No citation recorded.