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

Abstract Background Timely 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 e...

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Main Authors: Kadar Ramadhan, Qorinah Estiningtyas Sakilah Adnani, Siti Khuzaiyah, Richard Gyan Aboagye, Joshua Okyere, Bright Opoku Ahinkorah
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Journal of Health, Population and Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s41043-025-00988-y
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author Kadar Ramadhan
Qorinah Estiningtyas Sakilah Adnani
Siti Khuzaiyah
Richard Gyan Aboagye
Joshua Okyere
Bright Opoku Ahinkorah
author_facet Kadar Ramadhan
Qorinah Estiningtyas Sakilah Adnani
Siti Khuzaiyah
Richard Gyan Aboagye
Joshua Okyere
Bright Opoku Ahinkorah
author_sort Kadar Ramadhan
collection DOAJ
description Abstract Background Timely 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. Methods Data 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). Results The 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. Conclusion Our 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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publishDate 2025-08-01
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spelling doaj-art-361f72b951614d7d853ae08c5da3bab32025-08-24T11:35:42ZengBMCJournal of Health, Population and Nutrition2072-13152025-08-0144111010.1186/s41043-025-00988-yDo 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 2017Kadar Ramadhan0Qorinah Estiningtyas Sakilah Adnani1Siti Khuzaiyah2Richard Gyan Aboagye3Joshua Okyere4Bright Opoku Ahinkorah5Department of Midwifery, Poltekkes Kemenkes PaluDepartment of Public Health, Faculty of Medicine, Universitas PadjadjaranMidwifery Program, Faculty of Health Sciences, Universitas Muhammadiyah PekajanganDepartment of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied SciencesDepartment of Population and Health, University of Cape CoastFaculty of Health and Medical Sciences, The University of AdelaideAbstract Background Timely 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. Methods Data 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). Results The 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. Conclusion Our 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.https://doi.org/10.1186/s41043-025-00988-yEarly initiation of breastfeedingIndonesiaPlace of birthPlace of residenceType of birth
spellingShingle Kadar Ramadhan
Qorinah Estiningtyas Sakilah Adnani
Siti Khuzaiyah
Richard Gyan Aboagye
Joshua Okyere
Bright Opoku Ahinkorah
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
Journal of Health, Population and Nutrition
Early initiation of breastfeeding
Indonesia
Place of birth
Place of residence
Type of birth
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Early initiation of breastfeeding
Indonesia
Place of birth
Place of residence
Type of birth
url https://doi.org/10.1186/s41043-025-00988-y
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