The extended family and breastfeeding practices in

Jailolo, North Maluku, Indonesia

Shianita 1
Stanie , Ekawaty Lutfia 2
Haksari , Tunjung Wibowo 2
1Jailolo
Primary Health Care, Jailolo, North Maluku, Indonesia
2Department of Child Health, Faculty of Medicine, Universitas Gadjah Mada /

Sardjito General Hospital, Yogyakarta, Indonesia

BACKGROUND honey baby porridge breast milk

banana coffee
Breast milk is recommended exclusively for infant water 8.30% 4.20% 4.20% only
4.20% 22.58%
nutrition during the first 6 months after birth. Despite
this widespread information, exclusive breastfeeding plain
(EBF) rate in Indonesia is still low. Educational water formula
approach focusing on mothers as individual 4.20% 52.32%
caregivers for their infants continues to be widely
used.

OBJECTIVE Figure 1. Foods given to the infants prior to

6-months-old
To describe current breastfeeding practices and the
role of extended family in a rural area of a developing 51.60%
country.

METHODS
33.77%
A cross-sectional study with convenient sampling
method of mothers who breastfed their 0 to 6-month-
old infants was conducted in October 2016. All
mothers residing in the Jailolo Primary Health Care’s
working area were included. A questionnaire from
World Health Organization Baby-Friendly Hospital 10.42%
Initiative (WHO BFHI) on infant-feeding practice was
4.21%
used. Questions identifying the baseline
characteristics and family type were added.

working mother's lack of suggestion

RESULTS mother convenience breastmilk from
grandmothers
Thirty-one mothers were interviewed. EBF rates of
infants aged 0 to 6 months were 22.58%. More than Figure 2. Non-exclusive breastfeeding reasons
half of the mothers (58.1%) lived with their extended
family. CONCLUSIONS
EBF rate is still low. Suggestion from the infants’
Table 1. Non-exclusive breastfeeding risk grandmothers on giving additional food was
p reported to be the main reason for not
Variables OR 95% CI practicing EBF. A more holistic lactation
value
Living with nuclear family 0.24 0.12-12.43 0.06 educational program targeting the mothers’
Living with extended family 4.29 0.82-22.34 0.18 support system that compromises infants’
Mother’s formal education nutrition is likely to have a greater impact on
2.67 0.48-14.90 0.14 increasing EBF rates.
<9 years
Working mother 1.78 0.17-18.45 0.15
Single parity 1.83 0.27-9.98 0.09
Mother’s age ≥35 years 0.60 0.12-3.03 0.07

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