The correlation of exclusive breastfeeding toward decreasing of infectious diseases in baby aged 6-12 months

Article History

Submited : September 13, 2018
Published : January 4, 2019

Infant mortality Rate in Indonesia has increased in the last 5 years. The cause of death in infants aged 29 days to 11 months is dominated by infectious diseases. Previous research suggests that infectious diseases can be prevented by breastfeeding. Whereas Exclusive Breastfeeding coverage in Sleman District has increased over the last 5 years. The purpose of this study was to determine the correlation of exclusive breastfeeding towards decreasing of infectious diseases in infants aged 6-12 months. This study was conducted from March to April 2018. This study was a correlative analytic observational study with a historical cohort design. The subjects of this study were children aged 6-12 months in the working area of ​​Puskesmas Mlati II. Exclusive breastfeeding was assessed using interview and incidence of infectious diseases seen from medical records with a sample size of 130 babies with sampling using purposive sampling. The results showed that the low incidence of infectious diseases (60%) is greater than the high incidence of infectious diseases (40%). Statistical analysis with Chi-Square test obtained p value=0,000, so the analysis result was p<0.05 which showed that there was the correlation of exclusive breastfeeding towards the incidence of infectious diseases in infants aged 6-12 months. RR value 2,00 (95% CI 1,450-2,759) on the incidence of infectious diseases. Children who received exclusive breastfeeding had a decreasing incidence of infectious diseases 2,00 times greater than non-exclusive breastfeeding. Multivariate analysis obtained p value=0,017 means there was a correlation between exclusive breastfeeding, nutrition status, maternal education background, and socio-economic status to the incidence of infectious diseases in infants aged 6-12 months.

  1. Badan Pusat Statistik. Survei Demografi danKesehatan Indonesia (SDKI) 2013. Jakarta: Badan Pusat Statistik; 2013
  2. Dinas Kesehatan Provinsi. Profil Kesehatan Provinsi DIY 2017. Yogyakarta; 2017.
  3. Sarimawar Djaja dan Ning Sulistiyowati. Pola Penyebab Kematian Kelompok Bayi Dan Anak Balita, Hasil Sistem Registrasi Kematian Di Indonesia.Jurnal Ekologi Kesehatan Vol. 13 No 3. 2014; 265-272.
  4. Story L, Parish T. Breastfeeding Helps Prevent Two Major Infants Illnesses. The Internet Journal of Allied Health Science and Practice. 2008; 6(3): 1-5.
  5. Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar 2010. Jakarta: Kementerian Kesehatan Republik Indonesia; 2010.
  6. Puput S, Victoria FS. Perilaku Pemberian ASI Terhadap Frekuensi Diare pada Anak Usia 6-24 Bulan di Ruang Anak Rumah Sakit Baptis Kediri. J Stikes RS.Baptis Kediri. 2011;4(2) 89-93.
  7. Normaningsih A, Heni P, Margono. Pemberian ASI Eksklusif dan Kejadian Diare pada Bayi di Puskesmas Umbulharjo I Yogyakarta Tahun 2016. Jurnal Poltekkes Yogyakarta. 2017 (downloaded 24 Februari 2018). Available at http://ejournal.poltekkesjogja.ac.id/index.php/JKIA/article/view/124/124
  8. Munasir, Zakiudin, dan NiaKurniati. Buku Bedah ASI IDAI. Jakarta: Badan Penerbit IDAI; 2013.
  9. Widowati T, Mulyani NS, Nirwati H, Soenarto Y. Rotavirus pada anak usia balita. J Sari Pediatri. 2012; 13 (5): 340-5.
  10. Hanson LA, Korotkova M, Haversen L, Mattsby-Baltzer I, Hahn-Zoric M, Silfverdal S-A, et al. Breast-feeding, a complex support system for the offspring. Pediatrics Internat. 2002;44:347–52.
  11. Eidelman AI, Schanler RJ. Breastfeeding and the use of human milk. American Academy of Pediatrics. Journal Pediatrics. 2012;129:600–3.
  12. Kartika, Lia. Hubungan Pemberian ASI Eksklusif dengan Frekuensi Kejadian Sakit pada BayiUsia 6 – 12 Bulan di Puskesmas Seyegan Kabupaten Sleman Yogyakarta. Stikes Aisyiyah Yogyakarta. 2013.
  13. Nur Abidah, Nelly Marissa. Riwayat Pemberian Air Susu Ibu dengan Penyakit Infeksi pada Balita. Jurnal Kesehatan Masyarakat. 2014; 9:2
  14. Kaur Amarpreet, Karnail Singh, M. S. Pannu, et al. The Effect of Exclusive Breastfeeding on Hospital Stay and Mordibity due to Various Diseases in Infants under 6 Months of Age.International Journal of Pediatrics. 2016; 16 (2): 55 -63.
  15. Li Ruowei, Deborah Dee, Chuan Ming Li, et al. Breastfeeding and Risk of Infections at 6 Years. PEDIATRICS. 2014;134:1
  16. Magnus P, Irgens LM, Haug K, et al. Cohort profile: the Norwegian Mother and Child Cohort Study (MoBa).Int J Epidemiol. 2006; 112:843–7.
  17. Susanty M, Kartika M, Hadju V, Alharini S. Hubungan Pola Pemberian ASI dan MP-ASI dengan gizi buruk pada anak 6 -24 bulan di Kelurahan Pannampu Makassar. Jurnal Media Gizi Masyarakat Indonesia. 2012; 1 (2): 97 -103.
  18. C. T. L. Dornelles, J. P. Piva, dan P. J. C. Marostica. “Nutritional status, breastfeeding, and evolution of infants with acute viral bronchiolitis. Journal of Health, Population, and Nutrition, vol. 25, no. 3. 2007; 336–343.
  19. M. S. Kramer, B. Chalmers, E. D. Hodnett et al. Promotion of breastfeeding intervation trial (PROBIT): a randomized trial in the Republic of Belarus. The Journal of the American Medical Association, vol. 285, no. 4. 2001; 413–420.
  20. P. W. Howie, J. S. Forsyth, S. A. Ogston, A. Clark, and C. du V Florey, “Protective effect of breast feeding against infection,”The British Medical Journal, vol. 300, no. 6716. 2009; 11–16.
Fadhilah, D., Widyastuti, Y., & Arum, D. (2019). The correlation of exclusive breastfeeding toward decreasing of infectious diseases in baby aged 6-12 months. Jurnal Kesehatan Ibu Dan Anak, 12(1), 79-84. https://doi.org/10.29238/kia.v12i1.123
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