Exclusive breastfeeding based on the health promotion model in madura island

Exclusive breastfeeding is an Indonesian government program in reducing mortality and morbidity of infants. Exclusive breastfeeding percentage in Indonesia have not met the target. There was a decrease of 18.7% in exclusive breastfeeding in Sreseh, Madura. National percentage of breastfeeding is 80%; East Java percentage of breastfeeding is 61.9%; Sampang Regency percentage of breastfeeding is 46.8%, and in Sreseh, Madura is 42.4%. This study aimed to explain the exclusive breastfeeding based on the health promotion model theory. The study used descriptive-analytic with a cross-sectional approach. The total population was 221 people selected by simple random sampling resulted in 85 respondents as samples. Inclusion criteria were mothers who have babies aged 6-12 months. The instrument used was the questionnaire then analyzed using validity and reliability tests. The chi-square test with a significance level α <0.05 was applied for the bivariate test. The dependent variables in this study were the benefits of action, self-efficacy, interpersonal factors, and situational factors. The finding showed a correlation between the benefits of action (p=0.000), self-efficacy (p=0.000), interpersonal influence (p=0.000), and situational influence (p=0.000) with exclusive breastfeeding. The benefits of action, self-efficacy, interpersonal influences, and situational influences in the Health Promotion Model have a correlation with exclusive breastfeeding. Self-efficacy is the most dominant factor compared to other factors related to exclusive breastfeeding. Therefore, self-efficacy needs to be improved in mothers.