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Title:	Infant feeding practices and factors associated with it : a study among sasak mothers in East Lombok Indonesia
Authors:	Cri Sajjana Prajna Wekadigunawan (P38156)
Supervisor:	Rahmah Mohd Amin, Prof. Dr.
Keywords:	Infant feeding Practices Sasak mothers East Lombok Indonesia Public health
Issue Date:	26-Aug-2013
Description:	A mixed method cross sectional study was carried out on the Infant Feeding Practices (IFP) and factors associated with it among Sasak mothers in East Lombok, Lombok Island Indonesia. Seven hundreds mothers with infants six aged to 12 months were recruited as respondents. A face-to-face interview using a structured questionnaire on IFP and factors such as mothers' socio-demographic and reproductive characteristics, infants' health, family influences, health care accessibility, traditional beliefs and knowledge were carried out from February until June 2010. Qualitative exploration on IFP using focus group discussion, in-depth interview and observation during home visit were carried out. 51.4% were found to have poor IFP. Factors such as good knowledge (OR=0.68; CI=0.47 - 0.98), weak traditional beliefs (OR=0.54; CI=0.35 - 0.83), not working mothers (OR=0.60; CI=0.41-0.87), low family influence (OR=0.56; CI=0.40 - 0.78) and low education (OR=0.31; CI=0.16-0.60) were found to be significantly associated with good infant feeding practices. FGD with mothers, successfully identified seven themes such as knowledge about the importance of breastfeeding, make preparation for breast milk flow, unique traditional technique to encourage breastfeeding, granny insisted on mixed feeding, prelacteal feeding still practiced, misconceptions about first milk and technique to stop breastfeeding. One prominent response from FGD among grandmothers was "We tasted the salt first". The health care staff stressed about breastfeeding hindrance from relatives, not easy with first child, milk representatives, still often offered midwives in rural areas to use formula milk. A Sasak culture expert said that the provision of 'nasi papak' (masticated rice) in infants is their way to strengthen the relationship between the mother and her child. In breeding culture, the existence of several types of bacteria found in masticated rice. A part from working status and poor knowledge regarding IFP, traditional beliefs and family influence played an important role in influencing the poor infant feeding practices in East Lombok. Therefore tackling the negative beliefs and practices as well as strengthening method of delivering health education according to local needs need to be given priority.,Ph.D
Pages:	216
Call Number:	WA20.5.W437i 2013 9HUKM
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Medicine / Fakulti Perubatan

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