Factors Influencing Initiation and Duration of Breastfeeding in Indonesia

[[abstract]]Background: Breastfeeding is essential for both mother’s health and children’s nutrition and health. Breastfeeding duration in Indonesia has declined in recent year. Objectives: The purposes of the study are to understand breastfeeding initiation and breastfeeding duration in Indonesia and factors that influence them. Method: The secondary data is provided from Indonesia Demographic and Health Survey 2002-2003. We use 5,523 respondents of ever married women aged 15-49 years old who gave the latest birth (child was alive), not pregnant and had breastfed their children before the survey. We identify factors that influence breastfeeding initiation and breastfeeding duration as predisposing factors (socio-demographic factors such as age, parity, education, marital status and smoking status); enabling factors (place of ante natal care, place of delivery, who gave ANC, who assisted delivery, area of residence, socioeconomic status, working status, delivery by Caesarean operation) and reinforcing factors (had sore breast and had sadness/depression). Then breastfeeding initiation becomes enabling factor for breastfeeding duration. Results: Primipara (aOR=0.7 and p<0.001), higher maternal education (aOR=0.64 and p<0.05), who received ANC at public (aOR=0.5 and p<0.001) and private health facility (aOR=0.49 and p<0.001), who were given ANC (aOR=0.7 and p<0.05) and delivery assisted (aOR=0.78 and p<0.001) by non health care personal, higher socioeconomis status (aOR=0.8 and p<0.01), who delivered baby by Caesarean operation (aOR=0.7 and p<0.05) and who did not have breast sore (aOR=0.3 and p<0.001) are less likely to have early breastfeeding initiation. Higher maternal age (aOR=0.67 and p<0.001), primipara (aOR=0.59 and p<0.001), higher maternal education (aOR=0.59 and p<0.01), divorced women (aOR=0.48 and p<0.001), who delivered baby at private health facility (aOR=0.82 and p<0.05), who received ANC from non health care personal (aOR=0.69 and p<0.01), who were delivery assisted by health care personal (aOR=0.82 and p<0.01) who delivered baby by Caesarean operation (aOR=0.59 and p<0.001) and who initiated breastfeeding earlier (aOR=0.82 and p