Analysis of determinant factors of exclusive breastfeeding in Indonesia: A case of Ulakan Tapakis district

Background and Aim: Infant’s nutritional needs for optimal growth and development up to of 6 months can be supplied by exclusive breastfeeding because it contains all the nutrients as the infant needs. However, the exclusive breastfeeding practice has been relatively low in Indonesia, including Tapakis District in West Sumatera Province. The study aimed to explore the determinant factors related to this practice. Method: A cross sectional study was conducted in Uakan Tapakis District, on 88 mothers who have a child aged 0-12 months. To understand the determinant factors, the data was analyzed both using bivariate and multivariate analysis. Result: The result shows that exclusive breastfeeding is associated to knowledge (p=0.025), attitude (p=0.038), motivation (p=0.044), occupational status (p=0,025), health resource availability (p=0,028), health officer role (p = 0,013) and family support (p= 0,038). Moreover, the most dominant variable is the role of health workers in supporting the breastfeeding practice (p= 0.013, OR=8.772). Conclusion: The health workers, especially midwife plays significant role in supporting breastfeeding practice. It is necessary to have good communication and health education from health workers for the succeed implementation.