Peer review_ THE ROLE OF MATERNAL HEALTH KNOWLEDGE AND BELIEFS TOWARD BREASTFEEDING BEHAVIOR IN PUSKESMAS MERDEKA WEST BOGOR DISTRICT 2017

Agustina, Agustina and Ati, Nuraeni (2020) Peer review_ THE ROLE OF MATERNAL HEALTH KNOWLEDGE AND BELIEFS TOWARD BREASTFEEDING BEHAVIOR IN PUSKESMAS MERDEKA WEST BOGOR DISTRICT 2017. Journal of critical reviews.

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Abstract

Abstract Exclusive breastfeeding program has been proclaimed by the government in Indonesia, in this case the Ministry of Health. In 2003, the recommended period of exclusive breastfeeding was from 4 to 6 months. However, the results were still not in accordance with the expected target – only reached 48.6% in 2012. The percentation in West Java reached 47.85% (Indonesian Health Profile, 2012), and 28.2% in Bogor City and from the data report of Puskesmas Merdeka in November 2015, exclusive breastfeeding coverage only reached 20% from the target of 80%. Infant exclusive breastfeeding behavior is closely related to the mothers’ knowledge and understanding of the importance of exclusive breastfeeding for infants, maternal health beliefs and attitudes to the incessant marketing of formula milk offered in the neighborhood. Based on the results of interviews and observations with KIA officers at Puskesmas Merdeka, providing the education about exclusive breastfeeding had been done since the pregnancy period. But in fact, many mothers gave infants formula milk before the age of 4 and 6 months. The purpose of this research is to know how far the role of maternal health knowledge and beliefs toward breastfeeding behavior. The benefits of research are to increase the range of knowledge, experience, and knowledge related to breastfeeding behavior. The research was conducted from April to October 2016. Cross Sectional approach was used in the research. The working area of Puskesmas Merdeka West Bogor district was chosen as the place to conduct the research. The samples were 140 respondents who had infants aged 6-12 months. Purposive sampling was used as the sampling technique. The result of bivariate analysis showed that there was a significant correlation of knowledge with breastfeeding behavior of p value = 0,00 and OR value of 6,30 (CI 95% = 2,74-14,49). Well-knowledged Mothers had a good chance to have 6.3 times good behavior compared to mothers with less knowledge. Also, maternal health beliefs had a significant relationship with breastfeeding behavior, with P value = 0.01, OR value of 2.58 (CI 95% = 1.29-5.16). Mothers with good health beliefs had a chance to have 2.5 times good behavior compared to mothers with less good health beliefs. It is recommended for health officers at Puskesmas Merdeka to improve health promotion efforts more with advocacy strategy both cross program and cross sectors to change mothers’ behavior by paying attention to maternal health knowledge and beliefs aspects which can be done through active participation approach and persuasive communication.

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