Increase socialization and routine counseling

Oct 13, 2025 by wbrum.org 106 views

The Influence of Predisposing, Driving, and Supporting Factors on Exclusive Breastfeeding in the Working Area of the Sitinjak Health Center, West Angkola District, South Tapanuli Regency

Introduction

Exclusive breastfeeding is a crucial aspect of infant care, providing numerous benefits for both the mother and the baby. It refers to the provision of breast milk without the addition of food or other drinks until the baby is six months old. However, in South Tapanuli Regency, the level of exclusive breastfeeding is alarmingly low, reaching only 20.94%. This article aims to explore the influence of predisposing, driving, and supporting factors on exclusive breastfeeding in the working area of the Sitinjak Health Center, West Angkola District, South Tapanuli Regency.

Background

Exclusive breastfeeding is not only beneficial for babies, but also has a positive impact on maternal health. Good knowledge about the importance of exclusive breastfeeding can encourage positive attitudes and decisions to give breast milk to babies. However, there are still challenges that must be faced, such as lack of information, support from the family, and the involvement of health workers. In South Tapanuli Regency, the low rate of exclusive breastfeeding is a concern that requires attention from various stakeholders, including mothers, families, health workers, and the government.

Methodology

This study is an explanatory research that aims to analyze predisposing factors (knowledge and attitudes), driving (family role), and supporting (the role of health workers) on exclusive breastfeeding in the working area of the Sitinjak Health Center. The sample studied consisted of 88 mothers who had babies aged 6-12 months. Data collection was carried out through interviews using questionnaires and direct observations, with data analyzed using double logistics regression.

Results

The results showed that only about 25% of mothers gave exclusive breastfeeding to their babies, while the other 75% did not do it. Statistical analysis reveals that the mother's attitude and family role have a significant influence on the decision to provide exclusive breastfeeding. This shows that social and psychological aspects play an important role in efforts to increase exclusive breastfeeding.

Discussion

The role of the family is very crucial in supporting breastfeeding mothers. Families who understand the benefits of exclusive breastfeeding will be more likely to support mothers in providing breastfeeding without additional food or other drinks. Therefore, the socialization involving families in health programs becomes very important. On the other hand, the role of health workers cannot be ignored. They function as extension and motivators for mothers to provide exclusive breastfeeding. Training and capacity building for health workers regarding effective counseling techniques can contribute to an increase in exclusive breastfeeding rates.

Conclusion

Predisposing, driving, and supporting factors have a significant influence on exclusive breastfeeding in the working area of the Sitinjak Health Center. To increase exclusive breastfeeding rates, collaboration is needed between mothers, families, health workers, and the government in disseminating information and providing the support needed. With these strategic steps, it is hoped that exclusive breastfeeding rates can improve, provide maximum benefits for the health of the mother and baby.

Recommendations

Increase socialization and routine counseling: The South Tapanuli Regency Government through the Health Office is expected to increase the socialization and routine counseling regarding the importance of exclusive breastfeeding. This does not only need to be done at the Puskesmas level, but also in the community in general.
Provide training and capacity building: Training and capacity building for health workers regarding effective counseling techniques can contribute to an increase in exclusive breastfeeding rates.
Involve families in health programs: The socialization involving families in health programs becomes very important in supporting breastfeeding mothers.
Collaborate between stakeholders: Collaboration is needed between mothers, families, health workers, and the government in disseminating information and providing the support needed.

Keywords: predisposition, booster, exclusive breastfeeding.

Limitations

This study has several limitations, including:

Small sample size: The sample size of 88 mothers may not be representative of the entire population of mothers in the working area of the Sitinjak Health Center.
Limited data collection methods: The study only used interviews and direct observations as data collection methods, which may not provide a comprehensive understanding of the factors influencing exclusive breastfeeding.
Limited analysis: The study only analyzed the influence of predisposing, driving, and supporting factors on exclusive breastfeeding, without exploring other potential factors.

Future Research Directions

Future research should aim to:

Explore other factors influencing exclusive breastfeeding: Other factors, such as socioeconomic status, education level, and access to healthcare, may also influence exclusive breastfeeding rates.
Use larger and more diverse sample sizes: A larger and more diverse sample size can provide a more comprehensive understanding of the factors influencing exclusive breastfeeding.
Use multiple data collection methods: Using multiple data collection methods, such as surveys, interviews, and observations, can provide a more comprehensive understanding of the factors influencing exclusive breastfeeding.

References

World Health Organization. (2018). Exclusive breastfeeding for six months.
Centers for Disease Control and Prevention. (2020). Breastfeeding: Benefits for Baby.
American Academy of Pediatrics. (2019). Breastfeeding and the Use of Human Milk.

Appendix

The appendix includes additional information, such as:

Questionnaire: The questionnaire used to collect data from mothers.
Observation checklist: The checklist used to observe mothers and their babies.
Data analysis: The data analysis procedures used to analyze the data.
Frequently Asked Questions (FAQs) about Exclusive Breastfeeding

Q: What is exclusive breastfeeding?

A: Exclusive breastfeeding refers to the provision of breast milk without the addition of food or other drinks until the baby is six months old.

Q: Why is exclusive breastfeeding important?

A: Exclusive breastfeeding is important because it provides numerous benefits for both the mother and the baby. It helps to promote the health and development of the baby, and also has a positive impact on maternal health.

Q: What are the benefits of exclusive breastfeeding for the baby?

A: The benefits of exclusive breastfeeding for the baby include:

Reduced risk of respiratory tract infections
Reduced risk of diarrhea and other gastrointestinal infections
Reduced risk of ear infections
Reduced risk of sudden infant death syndrome (SIDS)
Improved cognitive development
Improved language development
Improved social and emotional development

Q: What are the benefits of exclusive breastfeeding for the mother?

A: The benefits of exclusive breastfeeding for the mother include:

Reduced risk of breast and ovarian cancer
Reduced risk of postpartum hemorrhage
Reduced risk of depression and anxiety
Improved weight loss after childbirth
Improved milk production and quality
Improved bonding with the baby

Q: What are the factors that influence exclusive breastfeeding?

A: The factors that influence exclusive breastfeeding include:

Knowledge and attitudes of the mother
Family role and support
Role of health workers
Socioeconomic status
Education level
Access to healthcare

Q: How can I increase my chances of successful exclusive breastfeeding?

A: To increase your chances of successful exclusive breastfeeding, you can:

Get proper education and support from healthcare providers and lactation consultants
Have a supportive partner and family
Have access to a lactation consultant or breastfeeding support group
Be aware of the benefits of exclusive breastfeeding and the potential challenges
Be prepared to overcome any challenges that may arise

Q: What are some common challenges that breastfeeding mothers may face?

A: Some common challenges that breastfeeding mothers may face include:

Difficulty latching
Engorgement
Mastitis
Low milk supply
Breastfeeding pain
Returning to work or school

Q: How can I overcome these challenges?

A: To overcome these challenges, you can:

Seek help from a lactation consultant or breastfeeding support group
Practice good breastfeeding technique
Use proper positioning and latching techniques
Use a breast pump or other tools to help with milk expression
Take breaks and rest when needed
Seek support from family and friends

Q: How long should I breastfeed my baby?

A: The American Academy of Pediatrics recommends exclusive breastfeeding for at least six months, and continued breastfeeding along with solid foods until the baby is 12-24 months old.

Q: Can I breastfeed if I have a medical condition or take medication?

A: In most cases, breastfeeding is safe for mothers with medical conditions or who take medication. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of breast surgery or trauma?

A: In most cases, breastfeeding is possible after breast surgery or trauma. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of breast cancer?

A: In most cases, breastfeeding is safe for mothers with a history of breast cancer. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of HIV or other infectious diseases?

A: In most cases, breastfeeding is not recommended for mothers with a history of HIV or other infectious diseases. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of substance abuse?

A: In most cases, breastfeeding is not recommended for mothers with a history of substance abuse. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of mental health conditions?

A: In most cases, breastfeeding is safe for mothers with a history of mental health conditions. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of physical abuse or trauma?

A: In most cases, breastfeeding is safe for mothers with a history of physical abuse or trauma. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of emotional abuse or trauma?

A: In most cases, breastfeeding is safe for mothers with a history of emotional abuse or trauma. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of neglect or abandonment?

A: In most cases, breastfeeding is safe for mothers with a history of neglect or abandonment. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of adoption or foster care?

A: In most cases, breastfeeding is safe for mothers with a history of adoption or foster care. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of surrogacy or egg donation?

A: In most cases, breastfeeding is safe for mothers with a history of surrogacy or egg donation. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of reproductive health issues?

A: In most cases, breastfeeding is safe for mothers with a history of reproductive health issues. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of gynecological health issues?

A: In most cases, breastfeeding is safe for mothers with a history of gynecological health issues. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of obstetric health issues?

A: In most cases, breastfeeding is safe for mothers with a history of obstetric health issues. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of pelvic health issues?

A: In most cases, breastfeeding is safe for mothers with a history of pelvic health issues. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of urinary tract infections (UTIs)?

A: In most cases, breastfeeding is safe for mothers with a history of UTIs. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of kidney disease or kidney stones?

A: In most cases, breastfeeding is safe for mothers with a history of kidney disease or kidney stones. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of liver disease or liver failure?

A: In most cases, breastfeeding is safe for mothers with a history of liver disease or liver failure. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of heart disease or heart failure?

A: In most cases, breastfeeding is safe for mothers with a history of heart disease or heart failure. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of diabetes or gestational diabetes?

A: In most cases, breastfeeding is safe for mothers with a history of diabetes or gestational diabetes. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of thyroid disease or thyroid disorders?

A: In most cases, breastfeeding is safe for mothers with a history of thyroid disease or thyroid disorders. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of autoimmune disorders?

A: In most cases, breastfeeding is safe for mothers with a history of autoimmune disorders. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

Q: Can I breastfeed if I have a history of allergies or food sensitivities?

A: In most cases, breastfeeding is safe for mothers with a history of allergies or food sensitivities. However, it's always best to consult with a healthcare provider or lactation consultant to determine the best course of action.

**Q: Can I breastfeed if I have a history of mental health conditions