Analysis of Determinants of Exclusive Breastfeeding during the Emergency Response Period in the 2014 Karo Regency Sinabung Eruption Refugee

Oct 13, 2025 by talynt.org 74 views

Analysis of Determinants of Exclusive Breastfeeding during the Emergency Response Period in the 2014 Karo Regency Sinabung Eruption Refugee

Introduction

Exclusive breastfeeding is a crucial aspect of providing optimal nutrition for babies. However, in many parts of the world, including Indonesia, the rates of exclusive breastfeeding remain below the standard set by health programs. In emergency situations such as natural disasters, attention to maternal and child health often takes a backseat, and exclusive breastfeeding is often ignored. This study aims to analyze the behavior of breastfeeding mothers in refugee camps due to the eruption of Mount Sinabung in 2014.

Background

In Karo Regency, Indonesia, the rate of exclusive breastfeeding in 2012 was only 39.2%, which is still below the standard set in the 2015 Healthy Indonesia Program. The importance of exclusive breastfeeding cannot be overstated, as it provides babies with the necessary nutrients for optimal growth and development. However, in emergency situations, the attention to maternal and child health often takes a backseat, and exclusive breastfeeding is often ignored.

The Right to Exclusive Breastfeeding

According to Law No. 36 of 2009 and Government Regulation No. 33 of 2012, exclusive breastfeeding is the right of every baby. This means that mothers have the right to breastfeed their babies exclusively, without any interference or obstacles. However, in emergency situations, this right is often ignored, and mothers are left without the necessary support and resources to breastfeed their babies.

Research Methodology

This study adopted a quantitative approach with a cross-sectional design. The research sample consisted of mothers who provided exclusive breastfeeding to their babies in refugee camps. The sampling technique used was proportional sampling, and data was collected through interviews guided by questionnaires in the period February to March 2014. Data analysis was carried out using univariate analysis, bivariate analysis with chi-square tests, and multivariate analysis using multiple logistics regression.

Research Results

The results of the statistical analysis showed a significant relationship between several variables and exclusive breastfeeding. The related factors were:

Age: The study found that mothers who were older (P-value = 0.003 <0.05) were more likely to practice exclusive breastfeeding.
Knowledge: The study found that mothers who had better knowledge about the importance of exclusive breastfeeding (p-value = 0,000 <0.05) were more likely to practice exclusive breastfeeding.
Attitude: The study found that mothers who had a positive attitude towards exclusive breastfeeding (p-value = 0,000 <0.05) were more likely to practice exclusive breastfeeding.
Family Support: The study found that mothers who received support from their families (P-value = 0.022 <0.05) were more likely to practice exclusive breastfeeding.

On the other hand, the educational variable (p-value = 0.078), the availability of facilities (p-value = 0.214), and the support of health workers (p-value = 0.063) did not show a significant relationship with exclusive breastfeeding.

Analysis and Recommendations

From the results of this study, it can be concluded that age, knowledge, attitudes, and family support are important determinants in the practice of exclusive breastfeeding in the midst of emergency conditions. This shows that increased knowledge and positive attitudes about the importance of exclusive breastfeeding can increase the number of breastfeeding among mothers in refugee camps.

The recommendation for the Health Office is to provide input to the Emergency Response Command to provide proper breastfeeding facilities at the refugee location. In addition, the role of health workers needs to be improved in providing education about exclusive breastfeeding, as well as providing support needed by breastfeeding mothers, to ensure that their babies get optimal nutrition even in an emergency.

Conclusion

By paying attention to the results of this analysis, it is hoped that health policies and programs can be more focused on supporting mothers and infants in difficult times, so that exclusive breastfeeding rates can be improved and children's health can be maintained. Exclusive breastfeeding is a crucial aspect of providing optimal nutrition for babies, and it is essential that mothers receive the necessary support and resources to breastfeed their babies exclusively.

Recommendations for Future Research

Future research should focus on exploring the factors that influence the practice of exclusive breastfeeding in emergency situations. Additionally, research should be conducted to identify the most effective strategies for improving exclusive breastfeeding rates in emergency situations.

Limitations of the Study

This study had several limitations. The study was conducted in a specific context, and the results may not be generalizable to other emergency situations. Additionally, the study relied on self-reported data, which may be subject to bias.

Implications for Policy and Practice

The results of this study have several implications for policy and practice. The study highlights the importance of providing support and resources to mothers in emergency situations to enable them to breastfeed their babies exclusively. The study also emphasizes the need for health workers to provide education and support to breastfeeding mothers in emergency situations.

Conclusion

In conclusion, this study provides valuable insights into the determinants of exclusive breastfeeding in emergency situations. The study highlights the importance of age, knowledge, attitudes, and family support in the practice of exclusive breastfeeding. The study also emphasizes the need for health workers to provide education and support to breastfeeding mothers in emergency situations. By paying attention to the results of this analysis, it is hoped that health policies and programs can be more focused on supporting mothers and infants in difficult times, so that exclusive breastfeeding rates can be improved and children's health can be maintained.
Q&A: Exclusive Breastfeeding in Emergency Situations

Q: What is exclusive breastfeeding?

A: Exclusive breastfeeding is the practice of feeding a baby only breast milk, without any other foods or liquids, for the first six months of life.

Q: Why is exclusive breastfeeding important?

A: Exclusive breastfeeding is important because it provides babies with the necessary nutrients for optimal growth and development. Breast milk contains antibodies that help protect babies from infections and diseases, and it also helps to promote a healthy gut and immune system.

Q: What are the benefits of exclusive breastfeeding in emergency situations?

A: In emergency situations, exclusive breastfeeding can provide several benefits, including:

Providing babies with the necessary nutrients for optimal growth and development
Helping to promote a healthy gut and immune system
Reducing the risk of infections and diseases
Providing a sense of security and comfort for babies
Helping to promote bonding between mothers and babies

Q: What are the challenges of exclusive breastfeeding in emergency situations?

A: In emergency situations, exclusive breastfeeding can be challenging due to several factors, including:

Limited access to clean water and sanitation facilities
Limited access to healthcare and medical services
Limited access to breastfeeding support and resources
Increased stress and anxiety levels
Limited access to nutritious food and other essential resources

Q: What can be done to support exclusive breastfeeding in emergency situations?

A: To support exclusive breastfeeding in emergency situations, several steps can be taken, including:

Providing access to clean water and sanitation facilities
Providing access to healthcare and medical services
Providing breastfeeding support and resources, such as lactation consultants and breastfeeding classes
Reducing stress and anxiety levels through counseling and other support services
Providing access to nutritious food and other essential resources

Q: What are the key findings of the study on exclusive breastfeeding in emergency situations?

A: The study found that age, knowledge, attitudes, and family support are important determinants in the practice of exclusive breastfeeding in emergency situations. The study also found that increased knowledge and positive attitudes about the importance of exclusive breastfeeding can increase the number of breastfeeding among mothers in emergency situations.

Q: What are the implications of the study for policy and practice?

A: The study has several implications for policy and practice, including:

The need for health workers to provide education and support to breastfeeding mothers in emergency situations
The need for healthcare systems to provide access to breastfeeding support and resources
The need for governments and organizations to provide support and resources to breastfeeding mothers in emergency situations
The need for research to be conducted to identify the most effective strategies for improving exclusive breastfeeding rates in emergency situations

Q: What are the limitations of the study?

A: The study had several limitations, including:

The study was conducted in a specific context, and the results may not be generalizable to other emergency situations
The study relied on self-reported data, which may be subject to bias
The study did not control for other factors that may influence exclusive breastfeeding, such as socioeconomic status and education level.

Q: What are the recommendations for future research?

A: Future research should focus on exploring the factors that influence the practice of exclusive breastfeeding in emergency situations. Additionally, research should be conducted to identify the most effective strategies for improving exclusive breastfeeding rates in emergency situations.

Q: What are the implications of the study for mothers and families?

A: The study has several implications for mothers and families, including:

The importance of exclusive breastfeeding for optimal growth and development
The need for breastfeeding support and resources in emergency situations
The need for mothers to be aware of the benefits and challenges of exclusive breastfeeding in emergency situations
The need for mothers to seek support and resources if they are experiencing difficulties with exclusive breastfeeding.