title: Benefits of a Dedicated Breastfeeding Facility and Support Program for Exclusive Breastfeeding among Workers in Indonesia.
abstract: OBJECTIVE
  A mother's working environment is believed to be a major determinant of exclusive breastfeeding (EBF) practice. We aimed to define the influence of a facility dedicated to breastfeeding and a breastfeeding support program at the workplace on breastfeeding practice.
  
  
  METHODS
  A cross-sectional study was performed in five workplaces. The inclusion criteria were female workers whose last child was between 6 and 36 months old. Observational data were obtained and a questionnaire was filled out. The World Health Organization definition for EBF was used.
  
  
  RESULTS
  Data from 186 subjects (74 office workers and 112 factory workers) were collected. Just over half (52%) of the mothers were between 20 and 46 years old, 75.3% had graduated from high school and university, 12.9% had more than two children and 36.0% owned a house. The prevalence of EBF during the last 6 months was 32.3%. A proper dedicated breastfeeding facility was available for 21.5% of the mothers, but only 7.5% had been in contact with a breastfeeding support program. The presence of a dedicated breastfeeding facility increased EBF practice almost threefold, by an odds ratio (OR) of 2.74 and a 95% confidence interval (CI) of 1.34-5.64 (p<0.05). Knowledge of the breastfeeding support program increased EBF practice by almost six times (OR, 5.93; 95% CI, 1.78-19.79) (p<0.05).
  
  
  CONCLUSIONS
  Our findings suggest that Governments should make it obligatory for employers to offer a breastfeeding support program and a dedicated breastfeeding facility at the workplace as these simple measures significantly increase EBF.
authors.affiliation: Master of Occupational Medicine Study Program, Department of Community Medicine, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
authors.forename: Ray W
authors.initials: RW
authors.lastname: Basrowi
authors.affiliation: Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
authors.forename: Astrid B
authors.initials: AB
authors.lastname: Sulistomo
authors.affiliation: Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
authors.forename: Nuri Purwito
authors.initials: NP
authors.lastname: Adi
authors.affiliation: Department of Pediatrics, Universitair Kinderziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
authors.forename: Yvan
authors.initials: Y
authors.lastname: Vandenplas
keywords: Breast feeding; Breastfeeding support program; Dedicated breastfeeding facility; Manpower