FACTORS INFLUENCING COLOSTRUM PRACTICE OF WOMEN ATTENDING COMMUNITY HEALTH POSTS IN SOUTH JAKARTA, INDONESIA, AUGUST, 1993.
Contributors: University Of Hawaii.
Published: 1996
Number of pages: 148
Subjects: Health Sciences, Public Health.; Health Sciences, Nutrition.; Health Sciences, Nursing.
Description: This cross-sectional study was done on 1428 presently breast feeding women 14-34 years and their children 0-36 months who attended 65 community health posts of 10 districts in South Jakarta, Indonesia in August 1993. This study investigated the factors influencing colostrum practice of mothers attending community health posts (POSYANDU) in South Jakarta, Indonesia. A qualitative study was also done to complement the quantitative study. A district in South Jakarta (Cilandak) was selected for a focus group which had socioeconomic variability. Participants were health cadres who are "gatekeepers" of health care in the community.

The results of chi-square analysis showed that mothers with higher education (p $<$.01), those who delivered in a clinic (p $<$.01), those encouraged by the family (p $<$.001), those having positive colostrum knowledge (p $<$.001), those who had colostrum education (p $<$.001). and those receiving antenatal colostrum promotion (p $<$.001) were more likely to feed colostrum to their babies. The results of a multi variate analysis of these significant factor's (n = 1394) showed that colostrum knowledge (p =.0001) was the dominant major influencing mother's colostrum practice followed by colostrum education (p =.0003) and family support (p =.0134). However, there was no significant relationship between colostrum practice and child's nutritional status (Weight-for-Age, Z-Score). The significant factors could be used as indicators to assess positive colostrum practice in the community.

Results of the focus group showed that: (1) Colostrum was a natural and ideal food that promotes breast milk production and is useful against disease, (2) They first heard about colostrum from within the family, neighborhood, and local health center, (3) Colostrum is either given directly to the baby, thrown away, or if breast feeding is delayed or the breasts become swollen, the colostrum is also thrown away. More antenatal colostrum promotion, which is socioculturally sensitive, should focus on key messages that are clear and accurate regarding the benefits of colostrum given directly after birth and the avoidance of prelacteals. These health messages could be incorporated in the present health cadre curriculum. Health promotion on colostrum should start at the prenatal period, both during adolescence and pregnancy. Family support should come from elders and through colostrum promotion which should include members of the immediate family (especially the husband).
Notes: Source: Dissertation Abstracts International, Volume: 57-07, Section: B, page: 4327.

Thesis (DR.P.H.)--UNIVERSITY OF HAWAII, 1996.

School code: 0085.