Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach

Abstract We explored paternal roles in timely breastfeeding initiation and exclusive breastfeeding practices in Jakarta using a mixed-methods approach in sequence of focus group discussions (FGDs – phase 1) and a quantitative survey (phase 2). The study population was parents with infants aged bel...

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Main Authors: Judhiastuty Februhartanty, Siti Muslimatun, Anuraj H Shankar, Nelden Djakababa, Rulina Suradi
Format: Article
Language:English
Published: University of Brawijaya 2020-08-01
Series:Indonesian Journal of Human Nutrition
Online Access:https://ijhn.ub.ac.id/index.php/ijhn/article/view/397
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spelling doaj-01d9a135d7a8492589f1db9431b8fb232020-11-25T03:41:58ZengUniversity of BrawijayaIndonesian Journal of Human Nutrition2442-66362355-39872020-08-0171314310.21776/ub.ijhn.2020.007.01.4232Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method ApproachJudhiastuty Februhartanty0Siti Muslimatun1Anuraj H Shankar2Nelden Djakababa3Rulina Suradi4Southeast Asian Ministers of Education Organization Regional Centre for Food and Nutrition (SEAMEO RECFON)/Pusat Kajian Gizi Regional (PKGR) Universitas Indonesia, Jl Salemba Raya No 6, Jakarta 10430, INDONESIADepartment of Food Science, Indonesia International Institute for Life Science (i3L), Jalan Pulomas Barat Kav. 88 Jakarta 13210, INDONESIADepartment of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, Massachusetts 02115, USAFreelance consultant and journalistDepartment of Child Health, Faculty of Medicine, Universitas Indonesia, Jakarta, INDONESIAAbstract We explored paternal roles in timely breastfeeding initiation and exclusive breastfeeding practices in Jakarta using a mixed-methods approach in sequence of focus group discussions (FGDs – phase 1) and a quantitative survey (phase 2). The study population was parents with infants aged below 6 months. Data on paternal roles, maternal attributes, and breastfeeding practices were collected from 43 purposively selected parents in phase 1 and 536 couples in phase 2. FGDs provided insights to finalize the questionnaire for the survey. Nine paternal roles were identified: 1-accompanying the mother during antenatal and postnatal visits, 2-suggesting places for health checkups and delivery, 3-seeking information about child nutrition, 4-accompanying the mother during delivery, 5-facilitating psychological support of the mother, 6-childcare involvement, 7-engagement in childcare discussions, 8-involvement in decisions about infant feeding mode, and 9-enthusiasm for fatherhood. Roles 3 (aOR=1.65; 95%CI=1.07 to 2.54) and 9 (1.59; 1.04-2.44) were positively associated with timely initiation of breastfeeding. Role 8 was positively associated with exclusive breastfeeding (1.69; 1.10-2.60), but roles 2 (0.49; 0.32-0.76) and 5 (0.97; 0.41-0.64) were negatively associated with exclusive breastfeeding. Fathers played roles in breastfeeding practices under study. Fathers need a tailored breastfeeding promotion to stimulate necessary support for breastfeeding mothers. Keywords: initiation of breastfeeding, exclusive breastfeeding, fathers, mixed-methods approach, Indonesiahttps://ijhn.ub.ac.id/index.php/ijhn/article/view/397
collection DOAJ
language English
format Article
sources DOAJ
author Judhiastuty Februhartanty
Siti Muslimatun
Anuraj H Shankar
Nelden Djakababa
Rulina Suradi
spellingShingle Judhiastuty Februhartanty
Siti Muslimatun
Anuraj H Shankar
Nelden Djakababa
Rulina Suradi
Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach
Indonesian Journal of Human Nutrition
author_facet Judhiastuty Februhartanty
Siti Muslimatun
Anuraj H Shankar
Nelden Djakababa
Rulina Suradi
author_sort Judhiastuty Februhartanty
title Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach
title_short Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach
title_full Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach
title_fullStr Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach
title_full_unstemmed Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach
title_sort paternal roles in breastfeeding in jakarta, indonesia: a mixed-method approach
publisher University of Brawijaya
series Indonesian Journal of Human Nutrition
issn 2442-6636
2355-3987
publishDate 2020-08-01
description Abstract We explored paternal roles in timely breastfeeding initiation and exclusive breastfeeding practices in Jakarta using a mixed-methods approach in sequence of focus group discussions (FGDs – phase 1) and a quantitative survey (phase 2). The study population was parents with infants aged below 6 months. Data on paternal roles, maternal attributes, and breastfeeding practices were collected from 43 purposively selected parents in phase 1 and 536 couples in phase 2. FGDs provided insights to finalize the questionnaire for the survey. Nine paternal roles were identified: 1-accompanying the mother during antenatal and postnatal visits, 2-suggesting places for health checkups and delivery, 3-seeking information about child nutrition, 4-accompanying the mother during delivery, 5-facilitating psychological support of the mother, 6-childcare involvement, 7-engagement in childcare discussions, 8-involvement in decisions about infant feeding mode, and 9-enthusiasm for fatherhood. Roles 3 (aOR=1.65; 95%CI=1.07 to 2.54) and 9 (1.59; 1.04-2.44) were positively associated with timely initiation of breastfeeding. Role 8 was positively associated with exclusive breastfeeding (1.69; 1.10-2.60), but roles 2 (0.49; 0.32-0.76) and 5 (0.97; 0.41-0.64) were negatively associated with exclusive breastfeeding. Fathers played roles in breastfeeding practices under study. Fathers need a tailored breastfeeding promotion to stimulate necessary support for breastfeeding mothers. Keywords: initiation of breastfeeding, exclusive breastfeeding, fathers, mixed-methods approach, Indonesia
url https://ijhn.ub.ac.id/index.php/ijhn/article/view/397
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