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The Role of Early Initiation of Breastfeeding for Successful Exclusive Breastfeeding among Working Mothers in Indonesia Sumarmi, Sri; Laksono, Agung Dwi; Samsudin, Mohamad; Kusumawardani, Hastin Dyah; Rohmah, Nikmatur; Wisnuwardani, Ratih Wirapuspita
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.70686

Abstract

Background: Working mothers are often considered at risk for suboptimal exclusive breastfeeding (EBF) due to employment-related constraints. Early initiation of breastfeeding (EIBF) is widely recognized as a critical first step in optimal infant feeding; however, its specific contribution to sustained EBF among working mothers remains insufficiently quantified at the national level.Purpose: This study examined the role of EIBF in achieving EBF among working mothers in Indonesia.Methods: This secondary analysis used data from the 2022 Indonesian National Nutritional Status Survey, including 46,130 children aged 0−23 months born to working mothers. Exclusive breastfeeding was the outcome, with early initiation of breastfeeding as the main exposure. Seven covariates were examined: residence, maternal age, marital status, education, household wealth, antenatal care utilization, and child gender. Adjusted associations were estimated using binary logistic regression.Results: The prevalence of EBF among working mothers was 40.4%, while 59.7% practiced EIBF. Working mothers who initiated breastfeeding within the first hour after birth were significantly more likely to achieve EBF than those who did not (AOR = 1.715; 95% CI: 1.706−1.724). All covariates showed significant associations with EBF.Conclusion: EIBF emerged as the strongest determinant of EBF among working mothers in Indonesia, even after controlling for socioeconomic and health service factors. These findings provide robust national evidence supporting the integration of EIBF as a core strategy within maternal health services and workplace breastfeeding policies. However, maternal socioeconomic characteristics, health service utilization, and contextual factors also shape EBF practices, indicating the need for comprehensive multi-level strategies.
Hubungan Faktor Sosial Ekonomi dan Proses Pengambilan Keputusan dengan Praktik Pemberian MPASI oleh Ibu Berdasarkan Teori Perilaku Konsumen di Wilayah Kerja Puskesmas Putat Jaya Nadia Shafira Ristyaning Putri; Sri Sumarmi
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 5 No. 2 (2026): Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v5i2.8770

Abstract

Inappropriate complementary feeding (MPASI) practices remain a public health concern, particularly during the first 1,000 days of life, as they contribute to the risk of growth disorders such as stunting. This study aimed to analyze the relationship between socioeconomic factors and maternal decision-making processes with complementary feeding practices based on consumer behavior theory. This study employed an observational analytic design with a cross-sectional approach involving 240 mothers with children aged 6–23 months in the working area of Puskesmas Putat Jaya, Surabaya. Data were collected through structured interviews and analyzed using the Chi-Square test. The results showed significant relationships between socioeconomic status and decision-making processes, as well as between decision-making processes and complementary feeding practices (p<0.05). Mothers with higher socioeconomic status tended to have better decision-making processes and more appropriate feeding practices. However, overall practices were not fully aligned with recommended standards. These findings indicate that improving complementary feeding practices requires not only knowledge enhancement but also strengthening maternal decision-making capacity within their socioeconomic context.
Hubungan Pola Makan dan Aktivitas Fisik dengan Status Gizi pada Remaja di SMA Muhammadiyah 7 Sutorejo Surabaya Galuh Purwaningsih; Sri Sumarmi
Media Gizi Kesmas Vol 11 No 2 (2022): MEDIA GIZI KESMAS (DECEMBER 2022)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v11i2.2022.399-406

Abstract

Latar Belakang: Masalah gizi pada remaja masih terjadi di Indonesia, khususnya di Jawa Timur. Menurut Riskesdas 2018, status gizi dengan indeks IMT/U pada remaja usia 16-18 tahun di provinsi ini masih tinggi, dengan prevalensi status gizi kurus 6,8%, gemuk 11,3% dan obesitas 5,1%. Proses pertumbuhan dan perkembangan pada masa remaja yang terjadi secara cepat menyebabkan peningkatan kebutuhan energi dan zat gizi. Jika hal ini tidak terpenuhi maka akan timbul masalah gizi.Tujuan: Tujuan penelitian ini untuk menganalisis hubungan pola makan, dan aktivitas fisik dengan gizi lebih pada remaja di SMA Muhammadiyah 7 Sutorejo, Surabaya.Metode: Jenis penelitian ini adalah observasional dengan desain cross-sectional. Sampel pada penelitian ini berjumlah 36 orang diambil dengan teknik simple random sampling. Pengumpulan data dilakukan melaluiwawancara dengan menggunakan food frequency questionnaire (FFQ), food recall 2x24 jam, kuesioner recall aktivitas fisik 2x24 jam dan pengukuran antropometri untuk mengetahui Berat Badan dan Tinggi Badan. Analisis data menggunakan uji chi-square melalui program IBM SPSS Statistics v23. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki status gizi normal (77%), namun prevalensi status gizi gemuk masih tergolong tinggi (14,8%). Terdapat hubungan antara kecukupan energi (p=0,03), karbohidrat (p=0,000), protein (p=0,04) dan lemak (p=0,04), serta aktivitas fisik (p=0,041) dengan status gizi siswi. Kesimpulan: penelitian ini adalah terdapat hubunan antara kecukupan zat gizi dan aktivitas fisik dengan status gizi siswi. Diharapkan responden dapat selalu menjaga berat badan idealnya dan salahsatunya dengan menambah aktivitas fisik.Kata kunci: masalah gizi, pola makan, aktivitas fisik, status gizi, remaj