Education, contraceptive use in women and the chance of six months exclusive breastfeeding in Indonesia

Ummi Kalsum, Bastaman Basuki

Education, contraceptive use in women and the chance of six months exclusive breastfeeding in Indonesia

Abstract


Abstrak
Latar belakang:Di Indonesia proporsi ibu-ibu yang melaksanakan pemberian air susu ibu (ASI) eksklusif selama enam bulan masih rendah. Pada tulisan ini disajikan beberapa faktor risiko yang berkaitan dengan
pemberian ASI eksklusif 6 bulan.
Metode: Analisis naskah ini memakai sebagian data Survei Demografi Kesehatan Indonesia (SDKI) 2012 di 33 provinsi di Indonesia berdasarkan desain stratified sampling. Pada analisis ini sub-sampel ialah wanita berumur 15-49 tahun yang mempunyai bayi lahir tunggal hidup berumur 6 bulan, mempunyai bayi hidup bersama ibunya, dan mempunyai data lengkap untuk keperluan analisis ini. Jumlah ibu yang mempunyai anak <2 tahun serta hidup bersama anaknya sebanyak 1040, dan 325 di antaranya yang mempunyai anak 6 bulan serta lengkap datanya.
Hasil:Ibu-ibu yang memberi ASI eksklusif hingga 6 bulan sebanyak 3,7%. Pemakaian kontrasepsi serta pendidikan merupakan dua faktor dominan terhadap kemungkinan pemberian ASI eksklusif. Dibandingkan
dengan ibu yang memakai kontrasepsi hormonal, ibu yang tidak memakai kontrasepsi non hormonal serta yang tidak memakai kontrasepsi 7,3 kali lipat dan 9,1 kali lipat lebih tinggi memberikan ASI eksklusif [masing-masing risiko relatif (RRa) = 7,25; P = 0,031; dan RRa = 9,08; P = 0,004]. Ditinjau dari segi pendidikan  ibu,  ibu  yang  yang  berpendidikan  rendah  dibandingkan  dengan  ibu  berpendidikan  tinggi/
menengah 4.2 kali lipat memberikan ASI eksklusif (RRa = 4,19; P = 0,027).
Kesimpulan:Ibu-ibu yang memberikan ASI eksklusif hingga 6 bulan lebih sering terdapat di antara ibu-ibu yang tidak memakai kontrasepsi serta yang berpendidikan rendah. (Health Science Indones 2014;1:17-22)
Kata kunci: ASI eksklusif, pendidikan ibu, kontrasepsi

Abstract
Background: Exclusive breastfeeding for 6 months among Indonesian women is very low. This paper aimed to assess several factors related to exclusive breastfeeding for 6 months in Indonesia.
Methods: This paper used part of the data from National Indonesian Demographic and Health Survey (IDHS) 2012 from all (33) provinces in Indonesia based on stratified sampling design. The sub-sample
included in this analysis were women aged 15-49 years who had a live last child aged 6 months at the time of interview, single birth, the baby lived with the mother, and had complete data for this analysis. The number women who with 2 year-old or less children and living with their mothers were 1040. For this analysis there were 325 women with 6 month-old babies.
Results: The proportion of those with exclusive breastfeeding for 6 months was 3.7%. The final model revealed that contraception use and mother’s education were dominant risk factors for exclusive breastfeeding for 6
months. Compared to those who used hormonal contraception, those with non-hormonal as well as those who did not use any contraception had 7.3-fold and 9.1-fold, respectively, chance of practising exclusive breastfeeding for 6 months [adjusted relative risk (RRa) = 7.25; P= 0.031; and RRa = 9.08; P = 0.004 respectively]. Furthermore, in term of mother’s education, those who had low education compare with middle/higher education had 4.2-fold chance of practicing exclusive breastfeeding for six months (RRa = 4.19; P = 0.027).
Conclusion: Exclusive breastfeeding for 6 months were more common among women who did not use any contraception as well as who had low education. (Health Science Indones 2014;1:17-22)
Key words: exclusive breastfeeding, education of mothers, contraceptive use

Keywords


exclusive breastfeeding, education of mothers, contraceptive use

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Health Science Journal of Indonesia

p-ISSN: 2087-7021
e-EISSN: 2338-3437

Published by : Badan Litbang Kesehatan, Kementerian Kesehatan RI

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