Model of Husband’s Bonding Behaviour for the Success of Exclusive Breastfeeding in Rural Sumatra

Abstract

The success of exclusive breastfeeding is not only a matter for the wife but also requires the involvement of the husband. Husbands have a very decisive role in the success of exclusive breastfeeding. This study aimed to explore the husband's bonding behaviour model towards the success of exclusive breastfeeding in rural communities of Sumatra Island. This study applied a qualitative study design. The informants were divided into three groups: support providers, support receivers, and expert informants. Data collection was conducted using semi-structured interviews. A multilevel coding strategy was applied for data analysis, consisting of meanings, categories, themes, and concepts. Data collection and analysis were conducted using an iterative process. The findings identified four husbands’ bonding behaviours for the success of exclusive breastfeeding. The behaviours are encouraging with affection, unstressing advice, helping sincerely, and being responsible. These behaviours are significantly influenced by the husbands’ understanding of the benefits of exclusive breastfeeding and their obedience to religious orders. The findings indicated that the success of breastfeeding is not only determined by maternal factors but also by paternal involvement. Husbands’ bonding behaviours could be improved by increasing knowledge about breastfeeding and religious beliefs. Thus, both health workers and religious leaders play an important role in the success of exclusive breastfeeding in rural Sumatra.