Abstract
Although the fertility rate in East Nusa Tenggara Province has decreased over the last 10 years, the birth rate is still higher than other provinces in Indonesia. Interestingly, the infertility index for breastfeeding in East Nusa Tenggara Province is the lowest compared to other provinces in Indonesia, which means that women of childbearing age in East Nusa Tenggara Province breastfeed their children with the longest breastfeeding period. Therefore, this study aims to determine the fertility decomposition and characteristics of breastfeeding mothers in East Nusa Tenggara Province in 2017. The data source of this study uses the results of the 2017 Indonesian Demographic and Health Survey (IDHS) using women of childbearing age who have given birth. The analysis used in this study included fertility decomposition analysis and continued with univariable, bivariable, logistic regression analysis. The results of this study indicate that breastfeeding as a proxy for infertility towards fertility in the province of East Nusa Tenggara has an index value (Ci) of 0.72 and after controlling for maternal characteristics variables, age, education and work status of mothers are the factors most related to breastfeeding behavior in East Nusa Tenggara in 2017. Promotion of good breastfeeding techniques and the benefits of breastfeeding needs to be improved in order to improve the quality of life of infants, spacing pregnancies and reduce the incidence of tengkes (stunting).
Highlights
NTT Province is ranked 33 nationally with an HDI value of 63.73 in 2017
Contraceptive use, intentional abortion, and breastfeeding are the most important immediate variables and have a direct effect on reducing fertility because together they account for nearly 96% of the variation in fertility in a population (Bongaarts and Potter, 1983)
The use and effectiveness of contraceptives are the main factors affecting the decline in fertility rates in Indonesia, compared to other factors, namely the pattern of marriage and breastfeeding behavior
Summary
NTT Province is ranked 33 nationally with an HDI value of 63.73 in 2017. The number of poor people in NTT is 1.13 million people with a poverty line of IDR 343,396 per capita per month. Between 2002/03 and 2017, in NTT, the index of the proportion of marriage (Cm) and infertility during breastfeeding (Ci), the index of noncontraception (Cc), decreased This means that the effect of limiting fertility from marital patterns, infertility during breastfeeding and the use and effectiveness of contraceptives has increased respectively. The pattern of marriage, contraceptive use and effectiveness, and breastfeeding resulted in prevented births of TF - TNMFR = 14.67 - 10.55 = 4.12 births per married woman. For women with children under 2 years, the determinants of amenorrhoea (no menstruation) after giving birth are one of them because exclusive breastfeeding, so that exclusive breastfeeding is associated with post partum amenorrhoea (Afifi, 2008)
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