| Summary: | Background: Diarrhea is an infectious disease that causes deaths for infants in developing countries. In Indonesia, diarrheal disease is one problem in public health, because of the high morbidity and mortality rate, especially in infants. In 2000, incident rate (IR) of diarrhea was 301/1,000 and in 2010 it amounted to 411/1,000. An increase of 36.5% has happened in ten years. The incidence of diarrhea in East Nusa Tenggara Province in 2012 was estimated at 207,239 people and, of the number, 102,193 patients were treated, or by 51.2% of the total patients. In Timor Tengah Utara (TTU), diarrheal disease is the third contributor to infant mortality after malnutrition and pneumonia. In infants, the occurrence of diarrhea is much influenced by immunity, exclusive breastfeeding, pattern of breastfeeding, maternal knowledge, hygiene, and local socio-culture.
Objective: To determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months
Methods: The design of this study was case-control with a sample of 30 cases and 60 controls. The case group was defined by medical/paramedical diagnosis found in Nunpene Health Center of TTU District and diarrheal cases without being treated to health facilities, while the controls were infants who had never suffered from diarrhea at the age of 0-6 months in the work area of the health center. Data analysis was performed with univariable and bivariate analysis with chi square test and multivariable analysis using multiple logistic regressions.
Results: The results showed that risk factors affecting the incidence of diarrhea in infants based on bivariate analysis were maternal knowledge (OR = 11,800, p = 0,007, 95% CI: 1,311 � 106,217), and based on multivariable analysis were exclusive breastfeeding (OR = 4,750, p = 0,001, 95% CI: 1,860 � 12,129).
Conclusion: Non-exclusively breastfed infants aged 0-6 months had a risk of experiencing diarrhea 4.75 times greater than those who were exclusively breastfed.
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