Breastfeeding Self-Efficacy and Successful Exclusive Breastfeeding Among Lactating Mothers

Abstract

Low breastfeeding self‑efficacy (BSE), defined as mothers’ confidence in their ability to breastfeed, contributes to the risk of early failure or discontinuation of exclusive breastfeeding before infants reach six months of age. This condition is reflected in the declining exclusive breastfeeding coverage at the Panekan Community Health Center. This study aimed to analyze the relationship between BSE levels and the success of exclusive breastfeeding in the Panekan Community Health Center working area. A quantitative analytical method with a cross‑sectional design was used. The population consisted of 241 breastfeeding mothers with infants aged 6–11 months, and 152 respondents were selected through proportional simple random sampling. Data were collected using the BSES‑SF Likert‑scale questionnaire and a structured exclusive breastfeeding history questionnaire. The Spearman rank correlation test (α = 0.05) was applied for data analysis. Results showed that 61.8% of mothers had high BSE, and 75.0% successfully provided exclusive breastfeeding for six months. The correlation test yielded rs = 0.757 with p = 0.001 (p < 0.05), indicating a strong and significant positive relationship between BSE and exclusive breastfeeding success. In conclusion, higher BSE significantly increases the likelihood of successful exclusive breastfeeding. Integrating BSE screening into ANC services and providing psychologically oriented lactation counseling, supported by active family involvement, is recommended to improve breastfeeding outcomes.

Keywords: breastfeeding self‑efficacy; exclusive breastfeeding; breastfeeding mothers