87
Effect Of Reinforcing Factor To Perspective of the Nursing Mothers Against Breastfeeding Exclusive In Genuk’s Primary
Health Care
1
Elisa Ulfiana*,
2Endri Astuti
Program Studi DIV Kebidanan Semarang Jurusan Kebidanan Semarang Poltekkes Kemenkes Semarang
*Email : my_ulep@yahoo.com
Abstract
The result of Indonesian Demographic Health Survey (SDKI) Infant Mortality Rate (IMR) from 2007 to 2012 decreased by 32/1000 live births. But not achieve yet the MDGs target by 2015 amounted 23/1000 live births. In order to reduce morbidity and mortality of children, UNICEF and WHO recommends exclusive breastfeeding program. Data from Genuk Health Center Semarang City about the scope of exclusive breastfeeding in 2014 as much as 29.43% is still far from the target (55%). The purpose of this research to determine the effect of reinforcing factors in perspective breastfeeding mothers to exclusive breastfeeding in the Genuk Health Center.This research is a quantitative research using research design correlation with cross sectional approach. The population in this study are breastfeeding mothers at Genuk Health Center, Semarang. Samples are 63 respondents breastfeeding mother with a sampling technique using total sampling. The result showed that good husband support is 37 respondents (60,6%), good midwife support is 31 respondents (50,8%) ,public figure support is 31 respondents (50,8%), good partner supportis 35 respondents (57,4%) in the exclusive breastfeeding.
Bivariate test showed there is no relationship between a husband (p value = 0.295), midwife (p value = 0.6), friend (p value = 0.184) with exclusive breastfeeding. There is a relationship between public figure (p value = 0.008) and the fourth reinforcing (p value = 0.034) with exclusive breastfeeding. Multivariate analysis showed that the public figure have the most powerful influence on exclusive breastfeeding. From the results of this research are expected by the several reinforcing factors be the way to increase milk production for mothers, to improve the achievement of exclusive breastfeeding and data sources for further development of midwifery research.
Key words: Reinforcing Factor, Exclusive breastfeeding Introduction
Infant Mortality Rate (IMR) in Indonesia according to Indonesia Demographic Health Survey (SDKI) in 2012 is 32/1000 live birth, it has decreased when compared to 2007 that is 34/1000 live birth. However, the Infant Mortality Rate (IMR) is still far from the Millennium Development Goals (MDGs) target that must be achieved by 2015, namely AKB 23/1000 live birth.
In order to reduce morbidity and mortality, the United Nation Childrens Fund (UNICEF) and the World Health Organization (WHO) recommends that children should only breastfeed for at least six months. Supplementary feeding should be given after 6 months of age, and breastfeeding continues until the child is two years old (WHO, 2005). The coverage of exclusive ASI in Central Java has increased from year to year, from 45.86% in 2011 and 49.96%
in 2012 and in 2013 to 57.67%. However, exclusive ASI coverage in central Java is very far from the target of 80%.
Based on data sources obtained from Genuk Public Health Center Semarang City in 2014 is still far from the target (55%) that is only 29.43%, and 2015 the coverage level of exclusive breastfeeding is still low (Genuk PHC Profile, 2015).
Based on these data then the problem of the coverage of exclusive breastfeeding achievement can be caused by several factors that can be studied one of them through factors that affect behavior. The behavioral theory used in this study is Theory of Lawrence Green.
According to Lawrence Green Theory (1991), a person's or society's health is influenced by two main factors, namely behavior factors and non behavioral factors. Furthermore, the behavior itself is determined or formed from 3 factors, namely predisposing factors, enabling factors,reinforcing factors. Reinforcing factors include attitudes and behaviors of health workers, community leaders, religious leaders, parents or other officers who are a reference group of community behavior.
Seen from Yuyun's research result in 2013, there was a significant relationship between husband support and breastfeeding mother with exclusive breastfeeding practice in Ngemplak Simongan Health Center with p value = 0,007 (<0,05) and value of x2 count = 7,172 ≥ x2 table
= 3,841.
Based on the above description, see still far coverage of achievement of exclusive breastfeeding from target and previously never done research about Influence Reinforcing Factor in Perspective of Breastfeeding Mother to Exclusive Breastfeeding in Genuk Public Health Center. Therefore, the authors are interested to examine the effect of reinforcing factor in breastfeeding ladies' perspective on exclusive breastfeeding in Genuk Public Health area.
Method
This research use quantitative approach ; cross sectional approach. Sampling technique in this research is Non Probability Sampling that is saturated sample. The population of this research is breastfeeding mother at Genuk Public Health Center, Semarang City by using total sampling technique with 63 respondents of breastfeeding mother. The tools used to collect data in this study using the Questionnaire Sheet. The questionnaire contained: Mothers breastfeeding perception of the effect of parental support on breastfeeding. Breastfeeding mother's perception about the influence of husband support in the perspective of breastfeeding mothers against breastfeeding. The perception of breastfeeding mothers about the effect of attitudes of health workers in breastfeeding. The perception of breastfeeding mothers about the influence of the attitude of community leaders in breastfeeding. The perception of breastfeeding mothers about the influence of friend's attitude in breastfeeding. Breastfeeding perception of reinforcing factors most influential on exclusive breastfeeding in Genuk Public Health Center area.
Results and Discussion a. Univariate Analysis
Reinforcing factors for exclusive breastfeeding
According to the Ministry of Health of the Republic of Indonesia in 2010 about the importance of breastfeeding especially exclusive breastfeeding for babies is extraordinary.
For babies, exclusive breastfeeding is the most nutritious food suitable for the baby's needs, protecting babies from various diseases. Exclusive breastfeeding may also reduce infant mortality from childhood diseases such as diarrhea, respiratory infections and other infectious diseases, so exclusive breastfeeding is part of optimal and very important breastfeeding practice (UNICEF, 2008).
According to Lawrance Green and his colleagues (1980) the reinforcing factors include the attitudes of husbands, family attitudes, friend attitudes, attitudes of health workers, community leaders, and religious leaders. In this study, support for lactating factors in breastfeeding ladies' perspectives included support from husbands in breastfeeding, support of health workers (midwives) in breastfeeding, support of community leaders in breastfeeding, peer or friends support in breastfeeding. The Reinforcing factor in the perspective of breastfeeding mothers in exclusive breastfeeding is divided into two categories: good and bad.
89
Table 1 Reinforcing factors for exclusive breastfeeding
No Reinforcing factors F %
1 Good 37 60,7
2 Not Good 24 39,3
Total 61 100
Based on table 1 the results showed that the strengthening factor in the perspective of breastfeeding mothers in exclusive breastfeeding exclusively amounted to 37 (60.7%).
While the Reinforcing factor in breastfeeding mother's perspective in exclusive breastfeeding that's not good is 24 (39.3%).
Husband's support in breastfeeding
The seminar commemorating World Breastfeeding Week 2008 put forward many factors that become problem of low breastfeeding in Indonesia, one of the supporting factors is the husband, the one who is the closest person who plays a key role during pregnancy, labor and after the baby is born including breastfeeding. Support provided by the husband will affect the psychological condition of the mother that will impact on the success of breastfeeding. The husband is contributing factor for the emotional and psychological activity that is given to the breastfeeding mother. According to the theory of Lawrance Green and his friends (1980) one of the reinforcing factor is the husband. Seen from Ramadhani's research results in 2010, 55.4% of mothers gave exclusive breastfeeding and 57% of mothers said their husbands supported exclusive breastfeeding.
Table 2 Support of husbands in exclusive breastfeeding
No Husband’s Support F %
1 Good 37 60,6
2 Not Good 24 39,4
Total 61 100
Based on Table 2 the results showed that the support of a good husband amounted to 37 (60.6%). While the husband support is not good for 24 (39,4).
Questions for husbands 'support about exclusive breastfeeding consist of 17 questions, detailed answers to respondents' questions according to the researcher's analysis as follows:
Table 3 Distribution of Respondents' Answer based on Husband Support
exclusive breastfeeding
Exclusive Breastmilk information exclusive breastfeeding
benefits information breastfeeding
No Question F % F %
1 The husband provides information about
42 68.9 19 31.1 2 Husband forbids me from searching for
56 91.8 5 8.2 3 Husband provides information on how to give
42 68.9 19 31.1 4 Husband provides exclusive breastfeeding
41 67.2 20 32.8 5 The husband asked the midwife about exclusive
37 60.7 24 39.3
exclusive breastfeeding about breastfeeding
whenever I raise a problem about breastfeeding for my health
me about breastfeeding problems
exclusive breastfeeding consumption at the
about exclusive breastfeeding was less than 6 months old increase milk production
difficulties of exclusive breastfeeding
how to give exclusive breastfeeding.
breastfeeding
Breastmilk information exclusive breastfeeding of exclusive breastfeeding breastfeeding
exclusive breastfeeding about breastfeeding
services
6 The husband responds well when discussing
56 91.8 5 8.2 7 The husband is ignorant whenever I'm talking
46 75.4 15 24.6 8 The husband provides suggestions and solutions
52 85.2 9 14.8 9 The husband has no health insurance or savings
43 70.5 18 29.5 10 The husband rarely has free time to discuss with
45 73.8 16 26.2 The husband advised and told me to follow the
11 counseling and health education about 38 puskesmas and surrounding areas
62.3 23 37.7
The husband facilitated my need to follow the 12 counseling on the importance of exclusive 38
breastfeeding
62.3 23 37.7
13 My husband did not take me to health education
39 63.9 22 36.1 14 Husband bought me a formula when my child
42 68.9 19 31.1 15 Husband reminds me to consume foods that
56 91.8 5 8.2 The husband is the place for me to devote all
16 my feelings about the concerns about the 59 breastfeeding
96.7 2 3.28
17 The husband provides advice or suggestions on
52 85.2 9 14.8
No Question F % F %
1 Midwives provide information on exclusive
58 95.1 3 4.9
2 Midwives forbid me to seek Exclusive
54 88.5 7 11.5
3 Midwives provide information on how to give
58 95.1 3 4.9
4 Midwives provide information on the benefits
56 91.8 5 8.2
5 Midwives provide leaflets about exclusive
31 50.8 30 49.2 6 Midwives respond well when discussing
60 98.4 1 1.6
7 The midwife is indifferent whenever I'm talking
57 93.4 4 6.6
Midwives provide suggestions and solutions
8 whenever I convey a problem about 59 breastfeeding
96.7 2 3.3
9 Midwives provide free breastfeeding counseling
59 96.7 2 3.3
91 me about breastfeeding problems
breastfeeding consumption at the community
education about exclusive breastfeeding was less than 6 months old
formula milk to thehouse house increase milk production
difficulties of exclusive breastfeeding
increase my breastmilk production.
Based From the distribution of husband support above, most of respondents have got support from their husband. It's prove that most respondent husbands serve as a place to devote all concern feelings about difficulties breastfeeding in exclusive breastfeeding as much as 96.7%, husbands respondents who not forbid to seek information about exclusive breastfeeding as much as 91.8%, husbands respondents have provided good support when discussing with respondents about exclusive breastfeeding as much as 91.8%, and followed by husband respondents who reminded respondents to consume foods that increase milk production as much as 91.8%. However, some of the respondent's husband who did not initiative asked the midwife about exclusive breastfeeding as much as 39,3%. Husband advised and asked to follow the counseling and health education about exclusive breastfeeding in community Health centers (Puskesmas) or the surrounding environment as much as 37.7%, Husband facilitate the need to follow the counseling about the importance of exclusive breastfeeding as much as 37.7%. The husband who not participate to deliver health education about exclusive breastfeeding as much as 36.1%.
1. Midwife support in breastfeeding.
Midwife support to breastfeeding mothers about exclusive breastfeeding divided into 2 categories namely; good and not good.
Table 4 Midwife support to breastfeeding
No Midwife Support F %
1 Good 31 50,8
2 Not Good 30 49,2
Total 61 100
Based on Table 4 the results showed that midwives who support to exclusive exclusive breastfeeding are about 31 (50,8)%. Besides, midwives who support against exclusive breastfeeding that's not good are about 30 (49,2)%.
Questions for midwife support about exclusive breastfeeding consist of 18 questions, detailed answers to respondents' questions according to the researcher's analysis as follows:
10 Midwives rarely have free time to discuss with
42 68.9 19 31.1 The midwife advised and told me to follow the
11 counseling and health education on exclusive 44 health centre and surrounding areas
72.1 17 27.9
The midwife facilitated my need to follow the 12 counseling on the importance of exclusive 25
breastfeeding
41.0 36 59.0
13 The midwife did not take me to health
35 57.4 26 42.6 14 Midwife gave me formula milk when my child
56 91.8 5 8.2
15 When I gave birth , the midwife brought me
56 91.8 5 8.2
16 Midwives remind me to consume foods that
61 100.0 0 0.0 The midwife is the place for me to devote all
17 my feelings about the concerns about the 50 breastfeeding
82.0 11 18.0
18 The midwife reminded me not to stress to
60 98.4 1 1.6
Table 5 Distribution of Respondents' Answer based on Midwife Support to Breastfeeding Mothers about Exclusive Breastfeeding
From the results according to the distribution question items, some respondents answered that the midwife reminded to consume foods that increase milk production by 100%, followed by the midwife gave a good response when discussing about exclusive breastfeeding as much as 98,4%, and the midwife reminded to not stress to keep breastmilk production as much as 98.4%.
1. Support Community Leaders in breastfeeding.
Support of community leaders on breastfeeding mothers about Exclusive Breastfeeding is divided into two categories: good and bad.
Table 6 Community Promoter Support in breastfeeding
No Support of community leaders F %
1 Good 31 50,8
2 Not Good 30 49,2
Total 61 100
Based on Table 6 the results showed that the support of community leaders in exclusive breastfeeding is good as much as 31 (50.8%). While the support of community leaders in exclusive breastfeeding is not good as much as 30 (49.2%).
Questions for the support of community figures on Exclusive Breastfeeding consists of 17 questions, detailed answers to the questions respondents according to the researcher's analysis are as follows:
Table 7 Distribution of Respondents' Responses based on Community Promotion Support to Breastfeeding Mothers about Exclusive Breastfeeding
exclusive breastfeeding.
Exclusive Breastfeeding information how to give exclusive breastfeeding
exclusive breastfeeding benefits information breastfeeding leaflets
when discussing exclusive breastfeeding I'm talking about breastfeeding
about exclusive breastfeeding consumption at community health centre and surrounding areas
No Question F % F %
1 the village head's mother provided information on
29 47.5 32 52.5 2 the village head's mother forbid me to seek
55 90.2 6 9.8 3 the village head's mother provides information on
30 49.2 31 50.8 4 the village head's mother mothers provide
29 47.5 32 52.5 5 the village head's mother provides exclusive
51 83.6 10 16.4 6 the village head's mother gave a good response
38 62.3 23 37.7 7 the village head's mother is indifferent whenever
44 72.1 17 27.9 the village head's mother provides suggestions
8 and solutions whenever I convey a problem about 36 breastfeeding
59.0 25 41.0 the village head's mother mothers rarely has free
9 time to discuss with me about breastfeeding 36 problems
59.0 25 41.0 the village head's mother suggested and asked me
10 to follow the counseling and health education
35 57.4 26 42.6
93
the village head's mother facilitated my need to
education about exclusive breastfeeding
foods that increase breastmilk production
to increase my breastmilk production.
2. Friend's Support in Breastfeeding.
Friend's support for breastfeeding mothers about Exclusive Breastfeeding is divided into two categories: good and bad.
Table 8 Partner supportin Breastfeeding
No Partner support F %
1 Good 35 57,4
2 Not Good 26 42,6
Total 61 100
Based on table 8 the results showed that the support of friends in exclusive exclusive breastfeeding as much as 35 (57.4%). While the unsupported friends in exclusive breastfeeding as much as 26 (42.6%).
Questions for the support of friends about exclusive breastfeeding consists of 17 questions, detailed answers to the questions respondents according to the researcher's analysis as follows:
Table 9 Distribution of Respondents' Answer based on Friend's Support to Breastfeeding Mothers about Exclusive Breastfeeding.
breastfeeding information
exclusive breastfeeding information
exclusive breastfeeding breastfeeding
whenever I raise a problem about breastfeeding about breastfeeding problems
breastfeeding consumption in puskesmas and
11 follow the counseling about the importance of 14 exclusive breastfeeding
23.0 47 77.0 12 the village head's mother did not take me to health
24 39.3 37 60.7 13 When I got home I brought formula milk home 43 70.5 18 29.5 14 the village head's mother reminds me to consume
26 42.6 35 57.4 the village head's mother is the place for me to
15 devote all the worries about the difficulties of 37 exclusive breastfeeding breastfeeding.
60.7 24 39.3 16 the village head's mother reminds me not to stress
29 47.5 32 52.5
No Question F % F %
1 Friends provide information about exclusive
47 77.0 14 23.0 2 Friends forbid me to seek Exclusive Breastmilk
51 83.6 10 16.4 3 Friends provide information on how to give
46 75.4 15 24.6 4 Friends provide exclusive breastfeeding benefits 50 82.0 11 18.0 5 Friends give exclusive breastfeeding leaflets 15 24.6 46 75.4 6 Friends give a good response when discussing
56 91.8 5 8.2 7 My friend is indiferent whenever I'm talking about
52 85.2 9 14.8 8 Friends provide suggestions and solutions
52 85.2 9 14.8 9 Friends rarely have free time to discuss with me
41 67.2 20 32.8 Friends advised and told me to follow the
10 counseling and health education about exclusive 33 54.1 28 45.9
surrounding areas
about the importance of Exclusive Breastfeeding.
Exclusive Breastfeeding.
aged 0-6 months.
milk production
breastmilk production
From the distribution results according to the question items, some respondents answered that the Friends facilitated their need to follow the counseling about the importance of Exclusive Breastfeeding as much as 96.7%, followed by good friends when discussing exclusive breastfeeding 91.8%.
3. The frequency distribution of exclusive breastfeeding behavior
Exclusive Breast-feeding Behavior is categorized into 2 ie respondents who give exclusive breastfeeding and who that's not give exclusive breastfeeding.
Table 10 Distribution of Respondents by Exclusive Breastfeeding Behavior in Genuk Public Health Centers of 2016
Give Exclusive Breastfeeding F %
Yes Exclusive 23 37,7
No Exclusive 38 62,3
Total 61 100
Based on Table 10 the results of the research, found that respondents who did not give exclusive breastfeeding as much as 38 respondents (62.4%) and more than those who give exclusive breastfeeding only 23 respondents (37.7%).
a. Bivariate Analysis
1. Husband's relationship to the wife about exclusive breastfeeding
In respondents who gave exclusive breastfeeding supported by more husbands that is as much as 43.6%, and 29.2% of respondents are not supported either by her husband. While the non-exclusive breastfeeding respondents received good support from husband as much as 56.8%
and who did not get good support from the husband more that is 70.8%. To see the relationship of husband's support to wife about exclusive breastfeeding can be seen in the following table:
Table 11 Relationship of Husbands Support to Wives About Exclusive Breastfeeding No
P = 0.295
11 Friends facilitate my need to follow the counseling
59 96.7 2 3.3 Friends did not take me to health education about
53 86.9 8 13.1 12 Friends feeding me formula for my baby. 54 88.5 7 11.5 13 Friends advised me to give formula to my baby
42 68.9 19 31.1 14 Friends remind me to consume foods that increase
54 108 7 11.5 A friend is a place for me to devote all the worries
15 about the difficulty of exclusive breastfeeding 53 breastfeeding.
86.9 8 13.1
16 Friends remind me not to stress to increase my
54 88.5 7 11.5
Husband’ Exclusive Not Exclusive Total Breastfeeding Breastfeeding
s Support N % N % N %
1 Good 16 43,26 21 56,8 37 100
2 Not Good 7 29,2 17 70,8 24 100
95
Based on the results of statistical tests with significance level of 5% X2 test results, p value of 0.295 this proves that there is no relationship between husband support to wife about exclusive breastfeeding (p> 0.05).
2. Midwife's relationship to exclusive breastfeeding
The respondents who gave exclusive breastfeeding were supported by more midwives, 41.9%, and 33.3% of respondents were not supported either by the midwife. While the non- exclusive breastfeeding respondents received good support from midwives as much as 58.1%
and who did not get good support from midwives more that is 66.7%. To see the relationship of midwife support to exclusive breastfeeding can be seen in the following table:
Table 12 Relationship of Midwife Support to Exclusive Breastfeeding No Midwife’s
Support
Exclusive Breastfeeding
Not Exclusive
Breastfeeding Total
N % N % N %
1 Good 13
41,9 18
58,1 31 10
0
2 Not Good 10
33,3 20
66,7 30 10
0 P = 0.600
Based on the results of statistical tests with the significance level of 5% X2 test results, p value of 0.600 this proves that there is no relationship between midwife support to exclusive breastfeeding (p> 0.05).
3. Relationship of public figures to exclusive breastfeeding
The respondents who gave exclusive breastfeeding were supported by more community leaders, 54.8%, and 20.0% of respondents were not supported by community leaders. While the respondents who are not exclusively breastfed get good support from community leaders as much as 45.2% and who do not get good support from community leaders more that is 80.0%.
To see the relationship of support of community leaders to exclusive breastfeeding can be seen in the following table:
Table 13 Relationship of Community Leaders' Support to Exclusive Breastfeeding N Community
o Figure
Exclusive Breastfeeding
Not Exclusive Breastfeeding Total
P = 0.008
Based on the results of statistical tests with the significance level of 5% X2 test results, p value of 0.008 this proves that there is a relationship between support of community leaders to exclusive breastfeeding (p value <0.05).
Support of public figures on Green theory is one of the reinforcing factors or factors that encourage or strengthen behavior. To get good support for breastfeeding, it is suggested that there are factors that encourage to increase mother's knowledge, mother's morale, and mother's belief to give exclusive breastfeeding that can be obtained from information sources: midwives, doctors, nurses, friends, husbands, posyandu cadres, dasawisma, PKK , and media. Therefore, to improve the attitude of respondents to exclusive breastfeeding support that is still not good in order to be good the necessary stimulus-stimulus on a regular basis. The support of good community leaders towards exclusive breastfeeding is possible because community leaders such as Ibu RT / RW have been exposed to knowledge and get information from health education counselors such as midwives, doctors, nurses, or mass media or electronics.
N % N % N %
1 Good 17 54,8 14 45,2 31 100
2 Not Good 6 20,0 24 80,0 30 100
4. Friend's relationship to exclusive breastfeeding
In respondents who give exclusive breastfeeding is supported by more friends as much as 45.7%, and 26.9% of respondents are not supported well by friends. While the non-exclusive breastfeeding respondents received good support from friends as much as 54.3% and who did not get good support from friends more that is 73.1%. To see the relationship of partner supportto exclusive breastfeeding can be seen in the following table:
Table 14 Relationship of Friend's Support to Exclusive Breastfeeding N Patner Exclusive Not Exclusive
Total Breastfeeding Breastfeeding
o suport N % N % N %
1 Good 16 45,7 19 54,3 35 100
2 Not Good 7 26,9 19 73,1 26 100
P = 0.184
Based on the results of statistical tests with the significance level of 5% X2 test results, p value of 0.184 this proves that there is no relationship between the support of friends against exclusive breastfeeding (p> 0.05).
5. The relationship to the four reinforcing factors against exclusive breastfeeding
Respondents who exclusively breastfed were supported both by four more Reinforcing factors, 48.6%, and 20.8% of respondents were not supported either by the four reinforcing factors. While the non-exclusive breastfeeding respondents got good support from the four reinforcing factors as much as 51.4% and those who did not get good support from the four reinforcing factors more that is 79.2%. To see the relation of support factor to the exclusive breastfeeding can be seen in the following table:
Table 15 Relationship of reinforcing factors to exclusive breastfeeding No Reinforcing Factor
exclusive breastfeeding
Not exclusive breastfeeding Total
N % N % N %
1 Good 18 48,6 19 51,4 37 100
2 Not Good 5 20,8 19 79,2 24 100
P = 0.034
Based on the results of statistical tests with significance level of 5% X2 test results, p value of 0.034 and this proves that there is a correlation between reinforcement factors against exclusive breastfeeding (p value <0.05).
The conclusion of bivariate test result of each bivariable indepeden to dependent variable can be seen in table below:
Table 16 Summary of Bivariate Test between independent variables and dependent No Independent
Variable Dependent variable P Value Direction 1 Husband Suport Give Exclusive
Breastfeeding 2 Midwife Suport Give Exclusive
Breastfeeding
0.295 There is no related 0.600 There is no related 3 Community Leader
Suport Give Exclusive
Breastfeeding 0.008 There is a related
97 4 Partner Suport Give Exclusive
Breastfeeding
5 Reinfocing Faktors Give Exclusive 0.184 There is no related
0.34 There is a related
Breastfeeding
1. Multivariate Analysis.
By using logistic regression analysis of enter method of 5 independent variable that is husband, midwife, community figure, friend, reinforcing factors together, tested by using Logistic regression method obtained one variable showing influence on dependent variable influence of reinforcing factor in lactating mothers perspective to exclusive bbreastfeedin. From the above it can be concluded that the effective response variables of community leaders have the strongest influence on exclusive breastfeeding.
With the method Enter obtained results that can be seen in the table below:
Table 17 Effect of independent variables on the dependent variable (Logistic Regression)
B S.E. Wald df Sig. Exp(B)
95,0% C.I.for EXP(B) Lower Upper Husband Support -.056 .827 .005 1 .946 .946 .187 4.783 Midwife Suport .058 .622 .009 1 .925 1.060 .313 3.584 Community
Leaders' Support 1.298 .732 3.139 1 .076 3.660 .871 15.378 Patner suport .013 .802 .000 1 .987 1.013 .211 4.879 4 factor Suports .496 1.193 .173 1 .677 1.643 .159 17.025 Constant -2.065 1.275 2.622 1 .105 .127
From the table above showed that from independent variable after analyzed by using logistic test Regression with enter method is obtained; of the four reinforcing factors have no influence in the practice of exclusive breastfeeding, as seen from the value of exp (B) the support factor of community leaders has a value of 3,660 , although it does not have a significant influence but with the support of good community leaders will have a probability of 3.66 times for exclusive breastfeeding compared with community leaders who have poor support.
Conculsion
1. Husband's wife's support for exclusive breastfeeding is largely good at 37 respondents (60.6%).
2. The support of midwives in exclusive breastfeeding is largely favorable at 31 respondents (50.8%).
3. Support of community figures in exclusive breastfeeding is mostly good, ie 31 respondents (50.8%).
4. The support of friends in exclusive breastfeeding is largely good as much as 35 respondents (57.4%).
5. There is no relationship between husband's support for wife about exclusive breastfeeding with p> 0,295.
6. There is no relationship between midwife support for exclusive breastfeeding with p>
0,600.
7. There is a relationship between support of community leaders towards exclusive breastfeeding with p> 0.008.
8. There is no relationship between the support of a friend to exclusive breastfeeding with p>
0.184.
9. There is a relationship between the four reinforcing factors against exclusive breastfeeding with p> 0.008.
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