Implementation of Exclusive Breastfeeding Policy in Yogyakarta District

Abstract

Background: WHO has been recommending exclusive breastfeeding for six months since 2001. Mothers

should continue breastfeeding until the child is at least two years old. The benefits of exclusive breastfeeding

for mother and their children have been proven scientifically. Supporting this recommendation, the

government has established several policies. The national coverage of exclusive breastfeeding is still low,

including in the Municipality of Yogyakarta. Objective: This study aims to describe the implementation

of Regulation on exclusive breastfeeding. Method: The research is a qualitative research with case study

design. Data were obtained through in-depth interviews, focus group discussions (FGD), and supported

secondary data from Yogyakarta Municipal Health Office. In-depth interviews were conducted with health

officials, cadres, counselors, community health center officers determined by purposive sampling. FGD

was conducted by involving breastfeeding counselors. Results: The government implemented PERDA

no 1 2014 since February 2014, but the coverage of exclusive breastfeeding and early initiation are still

low. Yogyakarta District Government conducted various programs to support the implementation of the

regulation, such as counselor training, formation, and optimization of assisting groups, supervision of 10

LMKM in health facilities. There are several things should be improved, such as community involvement,

supervision, and punishment of violations of local regulations. Breastfeeding success is influenced by many

factors. Internal factors include mother’s education level, knowledge, parity, occupation, the success of

the previous breastfeeding, and self-efficacy. External factors include support of the immediate family or

husband, supporting community / supporting group, formula milk promotion, and health workers supports.

Conclusion: Effort are needed to improve the performance.