Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative study
Purpose – The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of a child's life. However, while the national coverage was 61.33%, the coverage in Sukoharjo was 39.33%. Effective intervention is needed to promote the importance of exclusive breastfeedi...
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| Format: | Article |
| Language: | English |
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College of Public Health Sciences, Chulalongkorn University
2021-08-01
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| Series: | Journal of Health Research |
| Subjects: | |
| Online Access: | https://www.emerald.com/insight/content/doi/10.1108/JHR-12-2019-0274/full/pdf?title=barriers-and-support-to-exclusive-breastfeeding-in-sukoharjo-district-central-java-province-indonesia-a-qualitative-study |
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| author | Burhannudin Ichsan Ari Natalia Probandari Eti Poncorini Pamungkasari Harsono Salimo |
| author_facet | Burhannudin Ichsan Ari Natalia Probandari Eti Poncorini Pamungkasari Harsono Salimo |
| author_sort | Burhannudin Ichsan |
| collection | DOAJ |
| description | Purpose – The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of a child's life. However, while the national coverage was 61.33%, the coverage in Sukoharjo was 39.33%. Effective intervention is needed to promote the importance of exclusive breastfeeding, and this requires knowledge of the barriers and support structures in place. This study analyzed the supports and barriers of exclusive breastfeeding in Sukoharjo, Central Java, Indonesia. Design/methodology/approach – This qualitative study used in-depth interviews conducted from December 2017 to March 2018. The population consisted of 33 informants (29 mothers with babies over six months of age, a pregnant mother, two midwives working in the community health center and a staff member in the district health department). Findings – There were barriers to and support for exclusive breastfeeding in Sukoharjo, Central Java province, Indonesia. The district already has support systems in place, while the barriers emerge from society, the baby's condition, environmental and other sources. The government has tried to overcome the barriers. Research limitations/implications – The limitation of this study was that the triangulation method was not utilized. However, the use of various informants strengthened the findings. Practical implications – The district government, especially the health department, needs to establish a program to evaluate existing exclusive breastfeeding support programs thoroughly. Smarter and more comprehensive interventions may be needed, for example, by integrating various supports into one activity. For researchers, the findings of this study imply that they can conduct experimental community research using the framework of the two aforementioned theories of behavior change. For example, investigation of combining the support of trained peers with the presence of family members such as the grandmothers of the babies. If both types of support are conducted concurrently, it may strengthen support and reduce barriers from either inside or outside the home. Social implications – The district government, especially the health department, needs to establish a program to evaluate existing exclusive breastfeeding support programs thoroughly. Smarter and more comprehensive interventions may be needed, for example, by integrating various supports into one activity. For researchers, the findings of this study imply that they can conduct experimental community research using the framework of the two aforementioned theories of behavior change. For example, investigation of combining the support of trained peers with the presence of family members such as the grandmothers of the babies. If both types of support are conducted concurrently, it may strengthen support and reduce barriers from either inside or outside the home. Originality/value – There are barriers to exclusive breastfeeding in Sukoharjo, but the government has made effective attempts to overcome them. The support systems in place were in line with the theory of planned behavior (TPB) and social cognitive theory (SCT). |
| first_indexed | 2024-03-12T18:55:20Z |
| format | Article |
| id | doaj.art-384aafa0c269469996ab72fc1b53b901 |
| institution | Directory Open Access Journal |
| issn | 0857-4421 2586-940X |
| language | English |
| last_indexed | 2024-03-12T18:55:20Z |
| publishDate | 2021-08-01 |
| publisher | College of Public Health Sciences, Chulalongkorn University |
| record_format | Article |
| series | Journal of Health Research |
| spelling | doaj.art-384aafa0c269469996ab72fc1b53b9012023-08-02T06:57:09ZengCollege of Public Health Sciences, Chulalongkorn UniversityJournal of Health Research0857-44212586-940X2021-08-0135648249210.1108/JHR-12-2019-0274655486Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative studyBurhannudin Ichsan0Ari Natalia Probandari1Eti Poncorini Pamungkasari2Harsono Salimo3Faculty of Medicine, Universitas Muhammadiyah Surakarta, Surakarta, IndonesiaDepartment of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, IndonesiaDepartment of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, IndonesiaPediatrics, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, IndonesiaPurpose – The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of a child's life. However, while the national coverage was 61.33%, the coverage in Sukoharjo was 39.33%. Effective intervention is needed to promote the importance of exclusive breastfeeding, and this requires knowledge of the barriers and support structures in place. This study analyzed the supports and barriers of exclusive breastfeeding in Sukoharjo, Central Java, Indonesia. Design/methodology/approach – This qualitative study used in-depth interviews conducted from December 2017 to March 2018. The population consisted of 33 informants (29 mothers with babies over six months of age, a pregnant mother, two midwives working in the community health center and a staff member in the district health department). Findings – There were barriers to and support for exclusive breastfeeding in Sukoharjo, Central Java province, Indonesia. The district already has support systems in place, while the barriers emerge from society, the baby's condition, environmental and other sources. The government has tried to overcome the barriers. Research limitations/implications – The limitation of this study was that the triangulation method was not utilized. However, the use of various informants strengthened the findings. Practical implications – The district government, especially the health department, needs to establish a program to evaluate existing exclusive breastfeeding support programs thoroughly. Smarter and more comprehensive interventions may be needed, for example, by integrating various supports into one activity. For researchers, the findings of this study imply that they can conduct experimental community research using the framework of the two aforementioned theories of behavior change. For example, investigation of combining the support of trained peers with the presence of family members such as the grandmothers of the babies. If both types of support are conducted concurrently, it may strengthen support and reduce barriers from either inside or outside the home. Social implications – The district government, especially the health department, needs to establish a program to evaluate existing exclusive breastfeeding support programs thoroughly. Smarter and more comprehensive interventions may be needed, for example, by integrating various supports into one activity. For researchers, the findings of this study imply that they can conduct experimental community research using the framework of the two aforementioned theories of behavior change. For example, investigation of combining the support of trained peers with the presence of family members such as the grandmothers of the babies. If both types of support are conducted concurrently, it may strengthen support and reduce barriers from either inside or outside the home. Originality/value – There are barriers to exclusive breastfeeding in Sukoharjo, but the government has made effective attempts to overcome them. The support systems in place were in line with the theory of planned behavior (TPB) and social cognitive theory (SCT).https://www.emerald.com/insight/content/doi/10.1108/JHR-12-2019-0274/full/pdf?title=barriers-and-support-to-exclusive-breastfeeding-in-sukoharjo-district-central-java-province-indonesia-a-qualitative-studyexclusive breastfeedingsupportindonesia |
| spellingShingle | Burhannudin Ichsan Ari Natalia Probandari Eti Poncorini Pamungkasari Harsono Salimo Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative study Journal of Health Research exclusive breastfeeding support indonesia |
| title | Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative study |
| title_full | Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative study |
| title_fullStr | Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative study |
| title_full_unstemmed | Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative study |
| title_short | Barriers and support to exclusive breastfeeding in Sukoharjo district, Central Java province, Indonesia: a qualitative study |
| title_sort | barriers and support to exclusive breastfeeding in sukoharjo district central java province indonesia a qualitative study |
| topic | exclusive breastfeeding support indonesia |
| url | https://www.emerald.com/insight/content/doi/10.1108/JHR-12-2019-0274/full/pdf?title=barriers-and-support-to-exclusive-breastfeeding-in-sukoharjo-district-central-java-province-indonesia-a-qualitative-study |
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