ANALYSIS OF FACTORS INFLUENCING MOTHER'S COMPLIANCE ON BREASTFEEDING PRACTICES ACCORDING TO WHO GUIDELINES

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Published Jan 31, 2026
https://doi.org/10.34012/jkpi.v10i1.8018
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Vol. 10 No. 1 (2026): January Edition

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Arti Wardani
a:1:{s:5:"en_US";s:34:"Kendedes School of Health Sciences";}
Annisa Fithri
Kendedes School of Health Sciences
Ulfa Nur Hidayati
Kendedes School of Health Sciences
Nanik Susanti
Kendedes School of Health Sciences
Lilik Winarsih
Kendedes School of Health Sciences

Abstract

Breastfeeding is an essential step to support the health of mothers and infants, as recommended by the World Health Organization (WHO). However, maternal adherence to breastfeeding practices according to these guidelines still faces various challenges, such as lack of understanding, social support, and health constraints. This study aims to analyze the factors that influence maternal adherence to breastfeeding practices based on WHO guidelines. The research used a descriptive analytic method with a cross-sectional design. The research sample consisted of 200 breastfeeding mothers who were selected through purposive sampling in the urban and rural areas of Malang City. Data were collected using a structured questionnaire that included variables such as maternal education level, family support, information access, and maternal health condition. Data analysis was performed using logistic regression tests to determine the relationship between these variables and the level of maternal adherence to breastfeeding practices. The results showed that maternal education level (OR = 2.35; p < 0.01) and family support (OR = 1.78; p < 0.05) had a significant relationship with breastfeeding adherence. Additionally, adequate information access and good maternal health also contributed to higher adherence levels. Factors such as education, family support, information access, and maternal health significantly influence maternal adherence to breastfeeding practices in accordance with WHO guidelines. The findings underscore the importance of comprehensive breastfeeding education programs, family involvement, and improved healthcare services to support successful breastfeeding practices.

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How to Cite
Wardani, A., Fithri, A., Hidayati, U. N., Susanti, N., & Winarsih, L. (2026). ANALYSIS OF FACTORS INFLUENCING MOTHER’S COMPLIANCE ON BREASTFEEDING PRACTICES ACCORDING TO WHO GUIDELINES. Jurnal Kesmas Prima Indonesia, 10(1), 104–113. https://doi.org/10.34012/jkpi.v10i1.8018

References

  1. Nugraha, A., & Putri, D. (2020). The Effect of Health Education on Breastfeeding Practices. Journal of Maternal and Child Health, 8(2), 123-130.
  2. WHO. (2022). Infant and Young Child Feeding. Retrieved from [https://www.who.int]
  3. Li, H., et al. (2023). Maternal emotional regulation strategy is associated with newborn feeding practices within 72 h after delivery: Cross sectional analyzes of a multi-center study in China. Journal of Affective Disorders, 333, 202-208. https://doi.org/10.1016/j.jad.2023.04.042
  4. Rahmawati, L., & Yusuf, A. (2019). Factors Influencing the Success of Exclusive Breastfeeding. Journal of Nutrition and Health, 11(1), 45-52
  5. Ministry of Health of the Republic of Indonesia. (2023). Indonesian Health Profile 2022.
  6. Rollins, N.C., et al. (2022). Why Invest, and What Will It Take to Improve Breastfeeding Practices? The Lancet, 387(10017), 491-504.
  7. Sari, DP, & Sari, DP (2023). Factors Influencing Breastfeeding Self-Efficacy in Breastfeeding Mothers in the Bandarharjo Community Health Center Work Area, Semarang City. Journal of Public Health, 11(1), 1-10. Retrieved fromhttps://repository.unissula.ac.id/33554/2/30902000229_fullpdf.pdf
  8. Litwan, K., et al. (2023). An analysis of actors participating in the design and implementation of workplace breastfeeding interventions in Mexico using the NetMap analysis approach. Frontiers in Public Health, 11, 1192600.https://doi.org/10.3389/fpubh.2023.1192600
  9. McFadden, A., et al. (2021). Support for Healthy Breastfeeding Mothers with Healthy Term Babies. Cochrane Database of Systematic Reviews, 2, CD001141.
  10. Fitriani, T., et al. (2023). Factors Influencing Mothers' Perceptions of Exclusive Breastfeeding. Journal of Public Health, 19(2), 1-8.
  11. UNICEF. (2022). Global Breastfeeding Scorecard 2022. Retrieved from [https://www.unicef.org]
  12. Anggraeni, L. (2023). The Relationship between the Level of Knowledge of Breastfeeding Mothers and Exclusive Breastfeeding Techniques. Education and Development Journal, 11(2), 129–133.
  13. World Health Organization (WHO). (2024). Mothers Need More Breastfeeding Support During the Critical Period of Newborn Care. Retrieved fromhttps://www.who.int/indonesia/id/news/detail/01-08-2024-mothers-need-more-breastfeeding-support-during-critical-newborn-period
  14. Widita Muharyani, P., Maulida, PN, Adhisty, K., Herliawati, H., & Aprimilda, D. (2022). Challenges Faced by Breastfeeding Mothers in Fulfilling Children's Rights: Exclusive Breastfeeding. Journal of Nursing, 14(3), 1–8.
  15. Hidayah, S., Ginting, S., & Besral, B. (2020). Factors Influencing Mothers in Providing Exclusive Breastfeeding: A Literature Review. Diagnosis, 1(3), 1-16. Retrieved from https://ifrelresearch.org/index.php/diagnosa-widyakarya/article/download/ 834/880/2900
  16. Fitriani, T., et al. (2023). Factors Influencing Mothers' Perceptions of Exclusive Breastfeeding. Journal of Public Health, 19(2), 1-8.
  17. Pérez-Escamilla, R., & Segura-Pérez, S. (2023). Breastfeeding Social Policies: Advances and Challenges. Journal of Maternal and Child Health, 7(1), 15-20.
  18. Victora, CG, et al. (2021). Breastfeeding in the 21st Century: Epidemiology, Mechanisms, and Lifelong Effects. The Lancet, 387(10017), 475-490.
  19. Pratiwi, DR (2023). Analysis of Factors Related to Exclusive Breastfeeding in Breastfeeding Mothers in the Y Community Health Center Work Area. Journal of Public Health, 19(4), 1-8.
  20. Binns, C., et al. (2022). Mastitis in Lactating Mothers: Biology, Prevention, and Treatment. International Breastfeeding Journal, 17(1)