Spousal Support and Its Influence on Exclusive Breastfeeding Success in Indonesian Infants: A Systematic Literature Review

https://doi.org/10.33860/jbc.v7i2.4050

Authors

  • Septi Aruani Magister of Midwifery, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia
  • Diniati Sukmana Magister of Midwifery, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia
  • Qorinah Estiningtyas Sakilah Adnani Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia https://orcid.org/0000-0002-4625-4861
  • Hadi Susiarno Departement of Obstetrics and Gynecology, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia https://orcid.org/0000-0002-7446-8437
  • Viktor Abiola Adepoju Departement of HIV and Infectious Diseases, Jhpiego (an Affiliate of Johns Hopkins University), Abuja, Nigeria https://orcid.org/0000-0001-8379-1001

Keywords:

husband’s support; exclusive breastfeeding; Indonesia

Abstract

Background: Exclusive breastfeeding involves providing only breast milk to infants from birth to six months. Globally, 48% of infants were exclusively breastfed in 2023, with Indonesia reporting 68.6% for infants aged 0-5 months. The husband's support plays a crucial role in exclusive breastfeeding success through emotional, informational, instrumental, and evaluative support which enhance maternal comfort and extend breastfeeding duration. This study investigates the impact of spousal support on exclusive breastfeeding for infants (0–6 months). Methods: A literature review was conducted with twenty articles sourced from Google Scholar, Semantic Scholar, and Garuda databases. Results: The review identified that affective support, such as empathy, motivation, and encouragement, was reported in 75% of studies and strongly correlated with maternal confidence and reduced breastfeeding fatigue. Informational support such as guidance on latching techniques or resolving milk supply issues, was present in 50% of studies and was particularly impactful for primiparous mothers. Instrumental support, found in 70% of studies, included household assistance and infant care and was associated with reduced maternal stress and sustained breastfeeding. Appraisal support was also noted but less frequently emphasized. Conclusion: Emotional, informational, and instrumental support from husbands plays a pivotal role in sustaining exclusive breastfeeding. Interventions should prioritize father-inclusive education and engagement strategies to improve breastfeeding outcomes. Policymakers and healthcare providers must actively integrate paternal support components into maternal-child health programs

Downloads

Download data is not yet available.

Author Biography

Qorinah Estiningtyas Sakilah Adnani, Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia

Midwifery Working Group, Center for Health System Studies and Health Worker Education Innovation, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia

References

Afriani, Amin, W., Sabur, F., & Hariyanti. (2023). Pengetahuan dan Dukungan Suami Tentang Pemberian ASI Eksklusif di Kelurahan Cambaya Kota Makassar. Jurnal Cakrawala Ilmiah, 2(10). https://doi.org/10.53625/jcijurnalcakrawalailmiah.v2i10.5881

Atyeo, C., & Alter, G. (2021). The multifaceted roles of breast milk antibodies. Cell, 184(6), 1486–1499. https://doi.org/10.1016/j.cell.2021.02.031

A’yun, S. Q., & Yuliaswati, E. (2024). Hubungan Antara Dukungan Suami dengan Pemberian Asi Eksklusif. Observasi : Jurnal Publikasi Ilmu Psikologi, 2(4), 193–202. https://doi.org/10.61132/OBSERVASI.V2I4.714

Batlajery, J., Maryanah, Hamidah, & Nurfakrohni, F. A. (2023). Hubungan Dukungan Suami terhadap Keberhasilan Pemberian ASI Eksklusif pada Pasien Post Partum di Praktek Mandiri Bidan Sutjiati Kebunjeruk Jakarta Barat Tahun 2022. Jurnal Fisioterapi Dan Kesehatan Indonesia, 3(1). https://doi.org/10.56338/jfki.v3i1.183

Endang, Rohaya, & Afrika, E. (2023). Hubungan Dukungan Suami, Pengetahuan, dan Pekerjaan Ibu dengan Keberhasilan ASI Eksklusif (7-12 Bulan) di Puskesmas Pegayut Kecamatan Pemulutan. Jurnal Ilmiah OBSGIN, 15(4). https://doi.org/10.56338/jfki.v3i1.183

Erlidwisi, N. I., Tarigan, R. A., & Huzaima. (2024). The Relationship between Husband Support and Mother’s Employment Status with Exclusive Breastfeeding in Tanjung Buntung Community Health Center. MEDICA (International Medical Scientific Journal), 6(1). https://doi.org/10.56338/jfki.v3i1.183

Gayatri, M. (2021). Exclusive breastfeeding practice in Indonesia: a population-based study. Korean Journal of Family Medicine, 42(5), 395. https://doi.org/10.4082/kjfm.20.0131

Gunarmi, Maimunah, S., & Yulivantina, E. V. (2023). Studi Deskriptif Karakteristik Dukungan Suami dalam Pemberian ASI Eksklusif. Jurnal Kesehatan, 12(2). https://doi.org/10.37048/kesehatan.v12i2.310

Hasibuan, R., & Boangmanalu, W. (2023). Pengetahuan, Dukungan Suami, dan Peran Tenaga Kesehatan Terhadap Pemberian ASI Eksklusif. Media Informasi, 19(1). https://doi.org/10.37160/bmi.v19i1.164

unaidi, & Hadija, N. (2024). The Relationship between Mother’s Knowledge and Husband’s Support with Exclusive Breastfeeding. Jurnal Kolaboratif Sains, 7(6). https://doi.org/10.56338/jks.v4i12.2122

Kemenkes RI. (2012). Peraturan Pemerintah Republik Indonesia nomor 33 tahun 2012 tentang Pemberian Air Susu Ibu Eksklusif. Kementerian Kesehatan, Republik Indonesia.https://peraturan.bpk.go.id/Download/34987/PP%20Nomor%2033%20Tahun%202012.pdf

Laksono, A. D., Wulandari, R. D., Rohmah, N., Rukmini, R., & Tumaji, T. (2023). Regional disparities in hospital utilisation in Indonesia: a cross-sectional analysis data from the 2018 Indonesian Basic Health Survey. BMJ Open, 13(1), e064532. https://doi.org/10.1136/bmjopen-2022-064532

Likhar, A., & Patil, M. S. (2022). Importance of maternal nutrition in the first 1,000 days of life and its effects on child development: a narrative review. Cureus, 14(10). https://doi.org/10.7759/cureus.30083

Maulida, L. F., Ernita, Titisari, I., Juniarti, R. A., & Hadijah. (2024). Hubungan Paritas dan Dukungan Suami terhadap Pemberian ASI Eksklusif. Ensiklopedia of Journal, 6(4). https://doi.org/10.33559/eoj.v6i4.2497

Maulina, P., Oktalia, J., & Follona, W. (2022). The Relationship of Husband Support with Exclusive Breastfeeding. The Southeast Asian Journal of Midwifery, 8(1). http://repository.unar.ac.id/jspui/handle/123456789/1841

Meek, J. Y., Noble, L., & Breastfeeding, S. on. (2022). Policy statement: breastfeeding and the use of human milk. Pediatrics, 150(1), e2022057988. https://doi.org/10.1542/peds.2022-057988

Mohammed, S., Yakubu, I., Fuseini, A.-G., Abdulai, A.-M., & Yakubu, Y. H. (2023). Systematic review and meta-analysis of the prevalence and determinants of exclusive breastfeeding in the first six months of life in Ghana. BMC Public Health, 23(1), 920. https://doi.org/10.1186/s12889-023-15758-w

Mustary, M., Syamsul, M., Selvia, Vitarani, A., & Intang, S. N. (2022). Hubungan Dukungan Suami dalam Pemberian ASI Eksklusif di Dusun Bonti-Bonti Desa Mattoangin Bantimurung Kab.Maros. SEHATRAKYAT (Jurnal Kesehatan Masyarakat), 1(2). https://doi.org/10.54259/sehatrakyat.v1i2.921

Napitupulu, L. P., Patricia, T., & Widiarti, A. (2023). Relationship between Husband Support and Mother’s Knowledge with Exclusive Breastfeeding at Puskesmas Pahandut Palangka Raya. Barigas: Jurnal Riset Mahasiswa, 1(2). https://doi.org/10.37304/barigas.v1i2.7996

Pakilaran, G., Rasni, H., Nur, K. R. M., & Wijaya, D. (2022). Family support on exclusive breastfeeding in babies aged 0-6 months in Indonesia: Literature Review. Nursing and Health Sciences Journal (NHSJ), 2(2), 104–107. https://doi.org/10.53713/nhs.v2i2.53

Parums, D. V. (2021). Review articles, systematic reviews, meta-analysis, and the updated preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 guidelines. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 27, e934475-1. https://doi.org/10.12659/MSM.934475

Putri, A. O., Rahman, F., Laily, N., Rahayu, A., Noor, M. S., Yulidasari, F., Sari, A. R., Rosadi, D., Anhar, V. Y., & Wulandari, A. (2020). Air susu ibu (ASI) dan upaya keberhasilan menyusui. Banjarbaru: CV. Mine.

Santi, M., Nur, W., Widyastuti, Y., & Khasanah, F. (2023). Determinants of Exclusive Breastfeeding in Lactating Mothers in Yogyakarta, Indonesia. Open Access Macedonian Journal of Medical Sciences, 11(E). https://doi.org/10.3889/oamjms.2023.11286

Sari, Y., Kursani, E., Nurhapipa, W, S. V., & Nurlisis. (2023). Pengaruh Dukungan Suami Terhadap Pemberian ASI Eksklusif pada Ibu Menyusui di Puskesmas Selensen Kabupaten Indragiri Hilir. PREPOTIF : Jurnal Kesehatan Masyarakat, 7(3). https://doi.org/10.31965/infokes.Vol7.Iss3.1505

Silaen, R. S., Novayelinda, R., & Zukhra, R. M. (2022). Hubungan Dukungan Suami dengan Pemberian ASI Eksklusif. Journal of Holistic Nursing and Health Science, 5(1). https://doi.org/10.14710/hnhs.5.1.2022.1-10

Simanjuntak, R., Wardani, D. S., Indrawan, I. W. A., & Hinisa, F. N. (2024). Husband Support and Coping Stress on Exclusive Breastfeeding in Primipara. Jurnal Info Kesehatan, 22(2). https://doi.org/10.31965/infokes.Vol22.Iss2.1505

Sirait, N. A., Agrina, & Sari, T. H. (2022). Hubungan Dukungan Suami dan Motivasi Ibu dengan Pemberian ASI Eksklusif di Wilayah Pesisir Pekanbaru. JUKEJ: Jurnal Kesehatan Jompa, 2(2). https://doi.org/10.37304/barigas.v1i2.7996

Susilawati, Anzani, M. P., & Arifin, R. F. (2022). Husband’s Support and Mother’s Motivation with Exclusive Breastfeeding in Babies Aged 0–6 Months in Tipar Village, Sukabumi City. Risenologi, 71(1). https://doi.org/10.47028/j.risenologi.2022.71a.332

Theodorah, D. Z., & Mc’Deline, R. N. (2021). “The kind of support that matters to exclusive breastfeeding” a qualitative study. BMC Pregnancy and Childbirth, 21, 1–8. https://doi.org/10.1186/s12884-021-03590-2

WHO. (2023a). WHO Guideline for complementary feeding of infants and young children 6-23 months of age. World Health Organization. https://www.who.int/publications/i/item/9789240081864

WHO. (2023b). WHO Guideline for complementary feeding of infants and young children 6-23 months of age. World Health Organization. https://www.who.int/publications/i/item/9789240081864

Wu, Q., Tang, N., & Wacharasin, C. (2022). Factors influencing exclusive breastfeeding for 6 months postpartum: A systematic review. International Journal of Nursing Knowledge, 33(4), 290–303. https://doi.org/10.1111/2047-3095.12360

Yanhari, A. D., Kurniasari, Y., & Yugistyowati, A. (2023). The Relationship Between Family Support and Success of Exclusive Breastfeeding in Infants Aged 6-12 Months in the Working Area of Puskesmas Sewon II Yogyakarta. Journal of Global Nutrition (JGN), 3(2). https://doi.org/10.31965/infokes.Vol7.Iss3.1505

Yu, F., Liu, C., & Sharmin, S. (2022). Performance, usability, and user experience of rayyan for systematic reviews. Proceedings of the Association for Information Science and Technology, 59(1), 843–844. https://doi.org/10.1002/pra2.745

Downloads

Published

2025-07-23

How to Cite

Aruani, S., Sukmana, D., Adnani, Q. E. S., Susiarno, H., & Adepoju, V. A. (2025). Spousal Support and Its Influence on Exclusive Breastfeeding Success in Indonesian Infants: A Systematic Literature Review. Jurnal Bidan Cerdas, 7(2), 200–211. https://doi.org/10.33860/jbc.v7i2.4050

Issue

Section

Articles