Prevalence and Determinants of Pre-lacteal Feeding: Insights from the 2017 Indonesia Demographic and Health Survey

Siti Nurokhmah; Siti Masitoh; Kusuma Estu Werdani

doi:10.21109/kesmas.v16i2.4283

Prevalence and Determinants of Pre-lacteal Feeding: Insights from the 2017 Indonesia Demographic and Health Survey

Siti Nurokhmah, Siti Masitoh, Kusuma Estu Werdani

Abstract

Pre-lacteal feeding is widely known as a distraction to exclusive breastfeeding, and the malpractice continues to be prevalent in Indonesia. Therefore, this study aimed to explore the potential determinants of pre-lacteal feeding among mothers of infants below 24 months. A sample of 6,455 mother-infant pairs from the 2017 Indonesia Demographic and Health Survey (IDHS) was used. Also, multivariate logistic regression was employed to identify factors associated with pre-lacteal feeding practice. In Indonesia, 44% of infants were introduced to solid/liquid feeds in their first three days of life. Infant formula was the most common pre-lacteal feed given, followed by any other milk, plain and sugar water, and honey. Early initiation of breastfeeding and living in an urban area was protective method against pre-lacteal feeding (AOR: 0.24; 95%CI: 0.21-0.28; AOR: 0.76; 95%CI: 0.65-0.90, respectively), while cesarean delivery acted as arisk factor (AOR: 1.36; 95%CI: 1.14-1.63). Meanwhile, gender role attitude, parity, perceived birth size, and household wealth index was also associated with pre-lacteal feeding. Overall, the percentage of mothers introducing pre-lacteal feeds was still high. The modifiable covariates associated with pre-lacteal feedings, such as early initiation of breastfeeding, parity, and birth size, were the major factors discouraging this practice.

Keywords

breastfeeding, determinants, early initiation of breastfeeding, Indonesia, pre-lacteal feeding

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References

1.Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J,et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016; 387 (10017): 475–90.

2. Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, et al. Why invest, and what it will take to improve breastfeeding practices?. Lancet. 2016; 387 (10017): 491–504.

3. Brahm P, Valdés V. The benefits of breastfeeding and risks associated with not breastfeeding. Revista Chilena de Pediatría. 2017; 88 (1): 7–14.

4. Walters D, Horton S, Siregar AYM, Pitriyan P, Hajeebhoy N, Mathisen R, et al. The cost of not breastfeeding in Southeast Asia. Health Policy and Planning. 2016; 31 (8): 1107–16.

5. Amele EA, Demissie BW, Desta KW, Woldemariam EB. Prelactealfeeding practice and its associated factors among mothers of children age less than 24 months old in Southern Ethiopia. Italian Journal of Pediatrics. 2019; 45 (1): 15.

6. Belachew AB, Kahsay AB, Abebe YG. Individual and community-level factors associated with introduction of prelacteal feeding in Ethiopia.Archives of Public Health. 2016; 74 (1): 1–11.

7. Raheem RA, Binns CW, Chih HJ, Sauer K. Determinants of the introduction of prelacteal feeds in the Maldives. Breastfeeding Medicine. 2014; 9 (9): 473–8.

8. Kementerian Kesehatan Republik Indonesia. Laporan nasional riset kesehatan dasar 2018. 2018. p. 1–582.

9. Doherty T, Sanders D, Jackson D, Swanevelder S, Lombard C, ZembeW, et al. Early cessation of breastfeeding amongst women in South Africa: an area needing urgent attention to improve child health. BMC Pediatrics. 2012; 12: 105.

10. Karkee R, Lee AH, Khanal V, Binns CW. Initiation of breastfeeding and factors associated with prelacteal feeds in Central Nepal. Journal of Human Lactation. 2014; 30 (3): 353–7.

11. Ara G, Khanam M, Papri N, Nahar B, Haque MA, Kabir I, et al. Peercounselling improves breastfeeding practices: a cluster randomized controlled trial in urban Bangladesh. Maternal & Child Nutrition. 2018; 14 (3): e12605.

12. Flax VL, Hawley I, Ryan J, Chitukuta M, Mathebula F, Nakalega R, et al. After their wives have delivered, a lot of men like going out: perceptions of HIV transmission risk and support for HIV prevention methods during breastfeeding in sub-Saharan Africa. Maternal & Child Nutrition; 2020.

13. Champeny M, Pries AM, Hou K, Adhikary I, Zehner E, Huffman SL. Predictors of breast milk substitute feeding among newborns indelivery facilities in urban Cambodia and Nepal. Maternal & Child Nutrition. 2019; 15 (S4): e12754.

14. National Population and Family Planning Board, Indonesia. Indonesia demographic and health survey 2017. Jakarta, Indonesia: BKKBN, BPS, Kemenkes, and ICF; 2018.

15. Benedict RK, Craig HC, Torlesse H, Stoltzfus RJ. Trends and predictors of optimal breastfeeding among children 0-23 months, South Asia: analysis of national survey data. Maternal & Child Nutrition. 2018; 14 Suppl 4: e12698.

16. Agho KE, Ogeleka P, Ogbo FA, Ezeh OK, Eastwood J, Page A. Trends and predictors of prelacteal feeding practices in Nigeria (2003-2013).Nutrients. 2016; 8 (8).

17. Temesgen H, Negesse A, Woyraw W, Getaneh T, Yigizaw M. Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis. Int Breastfeed J. 2018; 13 (1): 49.

18. Nguyen PH, Keithly SC, Nguyen NT, Nguyen TT, Tran LM, Hajeebhoy N. Prelacteal feeding practices in Vietnam: problems and determinant factors. BMC Public Health. 2013; 13: 1–11.

19.Kounnavong S, Pak-gorstein S, Akkhavong K, Palaniappan U. Key determinants of optimal breastfeeding practices in Laos. Food and Nutrition Sciences. 2013; 04 (10).

20. Ministry of Health, Nepal. New ERA: inner city fund international. Nepal demographic and health survey 2016. Kathmandu, Nepal:MOH/Nepal, New ERA, and ICF; 2017.

21. Central Statistical Agency, Ethiopia; Inner City Fund International. Ethiopia demographic and health survey 2016. Addis Ababa, Ethiopia:CSA and ICF; 2017.

22. Paramashanti BA, Hadi H, Gunawan IMA. Timely initiation of breastfeeding is associated with the practice of exclusive breastfeeding in Indonesia. Asia Pacific Journal of Clinical Nutrition. 2016; 25(Suppl 1): S52–6.

23. Saputri NS, Spagnoletti BRM, Morgan A, Wilopo SA, Singh A, McPake B, et al. Progress towards reducing sociodemographic disparities in breastfeeding outcomes in Indonesia: a trend analysis from 2002 to 2017. BMC Public Health. 2020; 20 (1): 1–15.

24. Saaka M, Hammond AY. Caesarean section delivery and risk of poor childhood growth. Journal of Nutrition and Metabolism. 2020; 1–12.

25. Hobbs AJ, Mannion CA, Mcdonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months pospartum. BMC Pregnancy Childbirth. 2016; 16 (90): 1–9.

26.Senarath U, Dibley MJ, Agho KE. Factors associated with nonexclusive breastfeeding in 5 east and southeast Asian countries: a multilevel analysis. Journal of Human Lactation. 2010; 26 (3): 248–

Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal). 2021; 16 (2): 100-107

27. Patel A, Banerjee A, Kaletwad A. Factors associated with prelacteal feeding and timely initiation of breastfeeding in hospital-delivered infants in India. Journal of Human Lactation. 2013; 29 (4): 572–8.

28. Berde AS, Ozcebe H. Risk factors for prelacteal feeding in sub-Saharan Africa: a multilevel analysis of population data from twenty-two countries. Public Health Nutrition. 2017; 20 (11): 1953–62.

DOI: http://dx.doi.org/10.21109/kesmas.v16i2.4283