ArticleJournal of health, population, and nutrition2025
Do the effects of type and place of birth on early initiation of breastfeeding differ by place of residence? Evidence from the Indonesian Demographic and Health Survey 2017.
Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTimely initiation of breastfeeding is one of the core infant and young child feeding practices recommended for optimal nutrition, growth, and the overall health of neonates. Using nationally representative data, we examined the association between the type and place of birth on early initiation of breastfeeding (EIBF) segregated by place of residence in Indonesia.
methodsData for 12,144 mother-child pairs were extracted from the 2017 Indonesian Demographic and Health Survey. The proportion of EIBF was presented as a percentage. Multivariable logistic regression analysis was employed to examine the association between type and place of delivery on EIBF. The regression results were presented using adjusted odds ratios (AOR) with their respective 95% confidence intervals (CI).
resultsThe prevalence of EIBF in urban and rural areas was 56.87% and 56.16%, respectively. Women who gave birth in a general hospital or clinic in both urban (AOR = 0.66; 95% CI = 0.53, 0.83) and rural (AOR = 0.61; 95% CI = 0.49, 0.77) areas were less likely to practice EIBF relative to those who gave birth in a private facility. Also, women who gave birth at home had lower odds of EIBF in urban (AOR = 0.62; 95% CI = 0.45, 0.85) and rural (AOR = 0.74; 95% CI = 0.58, 0.94) areas compared to those who gave birth in a health center. In addition, the likelihood of practicing EIBF was lower among women who had a caesarean section in urban (AOR = 0.42;95% CI = 0.35, 0.50) and rural (AOR = 0.31; 95% CI = 0.24, 0.40) compared to those who had a vaginal birth in both areas.
conclusionOur study has shown that women's place and type of birth significantly predict EIBF in rural and urban areas. Women who gave birth in public facilities and homes and those who gave birth through caesarean section had lower likelihood of practicing EIBF. Targeted interventions should be developed to address specific barriers and challenges associated with birth and EIBF in rural and urban setting settings.
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