Factors Related to Breastfeeding Self-Efficacy in Breastfeeding Mothers in the Working Area of the Dungingi Health Center
Keywords:
Breastfeeding self-efficacy, knowledge, maternal attitude, family support, exclusive breastfeeding
Abstract
Breastfeeding self-efficacy (BSE) is a mother's belief in her ability to breastfeed which plays an important role in the success of exclusive breastfeeding. The low coverage of exclusive breastfeeding in the working area of the Dungingi Health Center shows that there are still various factors that affect the level of confidence of mothers in breastfeeding. This study aims to analyze the relationship between knowledge, maternal attitudes, and family support with BSE in breastfeeding mothers. The research uses a quantitative method with an analytical design through a cross-sectional approach. The research population amounted to 51 primipara breastfeeding mothers with a research sample of 51 respondents obtained using the total sampling technique. Data collection was carried out using questionnaires on knowledge, maternal attitudes, family support, and BSES-SF. Data analysis was carried out using the Fisher Exact test with a significance level of ? = 0.05. The results showed that most of the respondents had good knowledge (86.3%), a positive attitude (88.2%), good family support (70.6%), and a high level of BSE (60.8%). The results of the bivariate analysis showed a relationship between maternal knowledge and BSE (p=0.011), maternal attitudes with BSE (p=0.002), and family support with BSE (p=0.010). The conclusion of this study shows that knowledge, maternal attitudes, and family support are related to BSE in breastfeeding mothers, especially primipara mothers. Therefore, health workers are expected to improve education and involve families in supporting the success of exclusive breastfeeding.
References
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Darwika, F. (2024). Factors related to the self-efficacy of breastfeeding mothers to exclusive breastfeeding in the Working Area of the Rabaa Feed Health Center, Fifty Cities Regency in 2024. 2(1).
Dennis, C. L., McQueen, K., Dol, J., Brown, H., Beck, C., & Shorey, S. (2024). Psychometrics of the breastfeeding self-efficacy scale and short form: a systematic review. BMC Public Health, 24(1), 1–25. https://doi.org/10.1186/s12889-024-17805-6
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Hu, L., He, W., & Zhou, L. (2025). Association Between Family Support and Breastfeeding Self-Efficacy in a Cross-Sectional Study. Nursing Open, 12(4).
Hutabarat, R. P., Lestari, W., & Rustam, M. (2025). Breastfeeding Self Efficacy in Primipara and Multipara Mothers. 35–43.
Irawan, A., Sarniyati, & Friandi, R. (2022). Schizophrenia sufferers in the working area of the Kumun Health Center in 2022. 2, 705–713.
Khusniyati, E., & Purwati, H. (2024). Analysis of Breastfeeding Self-Efficacy (BSE) in Breastfeeding Mothers. 3(1), 139–145.
Lestaluhu, V. (2023). The relationship between breastfeeding self efficacy and family support with the success of exclusive breastfeeding. Generation Development: Journal of Health, 15(1), 56–61.
Lynn, Z., & Chuemchit, M. (2024). Determinants of prenatal breastfeeding knowledge , attitudes and self- efficacy among Burmese migrant pregnant mothers in Samut Sakhon Province , Thailand : a cross- sectional study. 1–11.
Manjapallikkunnel, S. R., Nalinakumari, A., Nair, K., & Sujatha, C. (2023). Knowledge, Attitude and Practices Among Mothers of Infants Regarding Breastfeeding. 17(3), 1–6.
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Muhiddin, U. J., & Adnin, N. (2025). The Relationship of Knowledge Level and Attitude About Lactation Management in Breastfeeding Mothers to the Success of Exclusive Breastfeeding. 5(1), 1–18.
Munte, L., Mulyani, S., Indah, Y., Sari, P., & Mutmainnah, M. (2025). Knowledge , attitudes , and support of husbands in relation to breastfeeding among primiparous mothers in the Pakuan Baru Health Center. Psalms 8, 1–6.
Nisa, F., Rahayu, E. P., & Dewi, U. M. (2023). Factors affecting breastfeeding mothers self-leadership in exclusive breastfeeding. 12(3), 3269–3272.
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Nurbaiti. (2021). Mothers' Knowledge and Attitudes towards Exclusive Breastfeeding in the Working Area of the Simpang Kawat Health Center. 10(2), 300–305.
Probo, V. I. E., Sunartono, S., & Novelia, Z. I. (2024). Counseling on the importance of exclusive breastfeeding to form an outstanding generation in the working area of the Kalumpang Health Center, Ternate City. Journal of Bhinneka Community Service, 2(4), 90–95.
Purba, E. M., Sandy, Y. D., Damanik, K. Y., Hidayati, F., Purba, S., & Waris, A. (2025). Association of Family Support and Breastfeeding Self Efficacy with Exclusive Breastfeeding Practice Among Lactating Mothers in The Working Area of Gunung Tinggi Health Center. 6(2).
Rahayu, S., & Zulala, N. N. (2023). The Relationship between Maternal Age and Exclusive Breastfeeding Achievement at Pajangan Health Center. Health Information and Promotion, 2(2), 113–120.
Rahmadani, E., & Sutrisna, M. (2022). The Relationship of Breastfeeding Self Efficacy of Mothers to the Bengkulu City Kenkat Health Center. Research & Learning in Nursing Science, 6(2), 64–69.
Rahmawati, N. (2025). Counseling on the benefits of exclusive breastfeeding for mothers, babies and families at PMB Midwives. 8, 1493–1501.
Riana, H., Jumiyati, & Afni, nur. (2024). The Importance of Exclusive Breastfeeding for Babies at the Posyandu of Ulunggolaka Village. Academic Journal of Community Service, 2(6), 89–99.
Selfiana, & Mustikaningrum, F. (2025). Ghidza: Journal of Nutrition and Health on Breastfeeding Patterns in the Kartasura Health Center Service Area, Sukoharjo Regency The Relationship between Self-Efficacy and Family Support on Breastfeeding Patterns in the Kartasura Health Center Work Area ,. 9(1), 134–140.
Setiyani, & Purwo, R. (2025). Knowledge relationships, cultural perceptions, family support for breastfeeding self-efficacy. 9(1), 1–10.
Setyorini, D. D., & Putri, I. M. (2025). Breastfeeding Self-Efficacy is related to the success of exclusive breastfeeding for babies 6-12 months in the Working Area of the Umbulharjo I Health Center, Yogyakarta City, Breastfeeding. Journal of Health Research Science, 8(2), 97–108.
Sharifipour, F., Javadnoor, M., Beboodi, Z., Moghadam, & Najafian, M. (2023). Primiparous Mothers ' Perception and Expectations Regarding Social Support During the Postpartum Period : A Qualitative Study.
Sihombing, E. K. (2024). The Relationship between Attitudes and Knowledge of Breastfeeding Mothers with Exclusive Breastfeeding for Babies 0-6 Months in Gunung Pathousands Village, Deli Serdang Regency in 2023. 2(1).
Silaban, V. F., Simamora, V., Tobing, V. H., Situmorang, V. T., Fadilla, W., & Ningsih, W. (2024). The Relationship of Breastfeeding Self Efficacy of Breastfeeding Mothers to the Success of Exclusive Breastfeeding in Babies 0-6 Months in the Work Area of UPTD Ngabang Health Center. Journal of Ners, 8(1), 1116.
Sukarta, A., & Roni, N. (2025). The Relationship of Family Support with Breastfeeding Self-Efficacy in Young Mothers. 8(May), 40–49.
Susanti, K., Lisviarose, L., & Ningsih, R. N. (2022). The Relationship of Breasfeeding Self Efficacy (BSE) to the Success of Exclusive Breastfeeding for Breastfeeding Mothers in the Working Area of the Rejosari Health Center, Pekanbaru City. Al-Insyirah Midwifery: Journal of Midwifery Sciences, 11(1), 37–42.
Timiyatun, E., & Oktavianto, E. (2021). Family support correlates with breastfeeding self-efficacy in breastfeeding mothers. Notokusumo Journal of Nursing, 9(2), 24–34.
Titaley C, Dibley M, Ariawan I, Mu'asyaroh A, & Alam A. (2021). Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months: results from the BADUTA study in East Java, Indonesia. International Breastfeeding Journal [online journal] 2021 [accessed November 20, 2023]; International Breastfeeding Journal, 5, 1–15.
Topuz, S., Duman, N. B., Uysal, G., & Ocalan, D. (2021). Breastfeeding self-efficacy and related factors during early postpartum period. 40(3), 216–225.
Wulandari, P., Susilawati, & Sutrisno. (2021). Literature Study: Factors Affecting Breastfeeding Self Efficacy. Journal of Midwifery, 3(2), 6–20.
Yuliani, D. R., Amalia, R., Hapsari, W., & Aini, F. N. (2025). Breastfeeding self-efficacy of pregnant women with cognitive aspects (knowledge) and psychological aspects (attitudes, confidence and anxiety) of pregnant women and husbands. 7(1), 32–40.
Yulianti, H., & D. Mirong, I. (2022). Knowledge and Self-Efficacy of Breastfeeding in Postpartum Adolescent Mothers After Counseling. Sec. 7(11).
Aprilyani, R., Patodo, M. S., Pranajaya, S. A., Purnama, R., Putri, G. A., Wahyuni, E., Pramudito, A., & Restika, A. (2022). Family psychology.
Astari, A., Asfeni, & Adila, D. R. (2020). The relationship between the level of knowledge and attitude of primipara mothers towards the treatment of blistered nipples. 8(1).
Bahriah, Y., & Kurniati, Y. (2024). The Relationship of Family Support and Breastfeeding Self-Efficacy PMB Yuli Bahriah. 14(2).
Chumaira, R. L., Anggorowati, A., & Zubaidah, Z. (2024). Factors influencing maternal self-efficacy and breastfeeding practices among working mothers: A literature review. Holistic Journal of Health, 18(1), 26–35.
da Silva, M. V., Machado, R. Z., Bittencourt, V. F. Z., Bittencourt, M. F., Willig, D. Q., & Iser, B. P. M. (2025). Breastfeeding Self-Efficacy in Postpartum Woman. Healthcare (Switzerland), 13(14), 1–12.
Darwika, F. (2024). Factors related to the self-efficacy of breastfeeding mothers to exclusive breastfeeding in the Working Area of the Rabaa Feed Health Center, Fifty Cities Regency in 2024. 2(1).
Dennis, C. L., McQueen, K., Dol, J., Brown, H., Beck, C., & Shorey, S. (2024). Psychometrics of the breastfeeding self-efficacy scale and short form: a systematic review. BMC Public Health, 24(1), 1–25. https://doi.org/10.1186/s12889-024-17805-6
Hamranani, S. S. T., Retnawati, S. H., & Permatasari, D. (2024). Indonesian Journal of Global Health Research. Indonesian Journal of Global Health Research, 6(4), 1389–1396.
Hasanah, W. R., Husada, D., Yunitasari, E., Ilmu, D., Anak, K., Surabaya, R. S., Nursing, F., Airlangga, U., Batuaji, D., & Rw, R. T. (2022). The relationship between attitudes towards exclusive breastfeeding in Kediri Regency. 6(1), 28–36.
Hu, L., He, W., & Zhou, L. (2025). Association Between Family Support and Breastfeeding Self-Efficacy in a Cross-Sectional Study. Nursing Open, 12(4).
Hutabarat, R. P., Lestari, W., & Rustam, M. (2025). Breastfeeding Self Efficacy in Primipara and Multipara Mothers. 35–43.
Irawan, A., Sarniyati, & Friandi, R. (2022). Schizophrenia sufferers in the working area of the Kumun Health Center in 2022. 2, 705–713.
Khusniyati, E., & Purwati, H. (2024). Analysis of Breastfeeding Self-Efficacy (BSE) in Breastfeeding Mothers. 3(1), 139–145.
Lestaluhu, V. (2023). The relationship between breastfeeding self efficacy and family support with the success of exclusive breastfeeding. Generation Development: Journal of Health, 15(1), 56–61.
Lynn, Z., & Chuemchit, M. (2024). Determinants of prenatal breastfeeding knowledge , attitudes and self- efficacy among Burmese migrant pregnant mothers in Samut Sakhon Province , Thailand : a cross- sectional study. 1–11.
Manjapallikkunnel, S. R., Nalinakumari, A., Nair, K., & Sujatha, C. (2023). Knowledge, Attitude and Practices Among Mothers of Infants Regarding Breastfeeding. 17(3), 1–6.
McGovern, L. M., O'Toole, L., Laws, R. A., Skinner, T. C., McAuliffe, F. M., & O'Reilly, S. L. (2024). An exploration of prenatal breastfeeding self-efficacy: a scoping review. International Journal of Behavioral Nutrition and Physical Activity , 21(1), 1–14.
Meyda, R. (2025). The relationship between maternal self-efficacy and exclusive breastfeeding. 5(1), 1–9.
Muhiddin, U. J., & Adnin, N. (2025). The Relationship of Knowledge Level and Attitude About Lactation Management in Breastfeeding Mothers to the Success of Exclusive Breastfeeding. 5(1), 1–18.
Munte, L., Mulyani, S., Indah, Y., Sari, P., & Mutmainnah, M. (2025). Knowledge , attitudes , and support of husbands in relation to breastfeeding among primiparous mothers in the Pakuan Baru Health Center. Psalms 8, 1–6.
Nisa, F., Rahayu, E. P., & Dewi, U. M. (2023). Factors affecting breastfeeding mothers self-leadership in exclusive breastfeeding. 12(3), 3269–3272.
Nuraini, Y. (2022). The relationship between family support and maternal attitudes in exclusive breastfeeding.
Nurbaiti. (2021). Mothers' Knowledge and Attitudes towards Exclusive Breastfeeding in the Working Area of the Simpang Kawat Health Center. 10(2), 300–305.
Probo, V. I. E., Sunartono, S., & Novelia, Z. I. (2024). Counseling on the importance of exclusive breastfeeding to form an outstanding generation in the working area of the Kalumpang Health Center, Ternate City. Journal of Bhinneka Community Service, 2(4), 90–95.
Purba, E. M., Sandy, Y. D., Damanik, K. Y., Hidayati, F., Purba, S., & Waris, A. (2025). Association of Family Support and Breastfeeding Self Efficacy with Exclusive Breastfeeding Practice Among Lactating Mothers in The Working Area of Gunung Tinggi Health Center. 6(2).
Rahayu, S., & Zulala, N. N. (2023). The Relationship between Maternal Age and Exclusive Breastfeeding Achievement at Pajangan Health Center. Health Information and Promotion, 2(2), 113–120.
Rahmadani, E., & Sutrisna, M. (2022). The Relationship of Breastfeeding Self Efficacy of Mothers to the Bengkulu City Kenkat Health Center. Research & Learning in Nursing Science, 6(2), 64–69.
Rahmawati, N. (2025). Counseling on the benefits of exclusive breastfeeding for mothers, babies and families at PMB Midwives. 8, 1493–1501.
Riana, H., Jumiyati, & Afni, nur. (2024). The Importance of Exclusive Breastfeeding for Babies at the Posyandu of Ulunggolaka Village. Academic Journal of Community Service, 2(6), 89–99.
Selfiana, & Mustikaningrum, F. (2025). Ghidza: Journal of Nutrition and Health on Breastfeeding Patterns in the Kartasura Health Center Service Area, Sukoharjo Regency The Relationship between Self-Efficacy and Family Support on Breastfeeding Patterns in the Kartasura Health Center Work Area ,. 9(1), 134–140.
Setiyani, & Purwo, R. (2025). Knowledge relationships, cultural perceptions, family support for breastfeeding self-efficacy. 9(1), 1–10.
Setyorini, D. D., & Putri, I. M. (2025). Breastfeeding Self-Efficacy is related to the success of exclusive breastfeeding for babies 6-12 months in the Working Area of the Umbulharjo I Health Center, Yogyakarta City, Breastfeeding. Journal of Health Research Science, 8(2), 97–108.
Sharifipour, F., Javadnoor, M., Beboodi, Z., Moghadam, & Najafian, M. (2023). Primiparous Mothers ' Perception and Expectations Regarding Social Support During the Postpartum Period : A Qualitative Study.
Sihombing, E. K. (2024). The Relationship between Attitudes and Knowledge of Breastfeeding Mothers with Exclusive Breastfeeding for Babies 0-6 Months in Gunung Pathousands Village, Deli Serdang Regency in 2023. 2(1).
Silaban, V. F., Simamora, V., Tobing, V. H., Situmorang, V. T., Fadilla, W., & Ningsih, W. (2024). The Relationship of Breastfeeding Self Efficacy of Breastfeeding Mothers to the Success of Exclusive Breastfeeding in Babies 0-6 Months in the Work Area of UPTD Ngabang Health Center. Journal of Ners, 8(1), 1116.
Sukarta, A., & Roni, N. (2025). The Relationship of Family Support with Breastfeeding Self-Efficacy in Young Mothers. 8(May), 40–49.
Susanti, K., Lisviarose, L., & Ningsih, R. N. (2022). The Relationship of Breasfeeding Self Efficacy (BSE) to the Success of Exclusive Breastfeeding for Breastfeeding Mothers in the Working Area of the Rejosari Health Center, Pekanbaru City. Al-Insyirah Midwifery: Journal of Midwifery Sciences, 11(1), 37–42.
Timiyatun, E., & Oktavianto, E. (2021). Family support correlates with breastfeeding self-efficacy in breastfeeding mothers. Notokusumo Journal of Nursing, 9(2), 24–34.
Titaley C, Dibley M, Ariawan I, Mu'asyaroh A, & Alam A. (2021). Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months: results from the BADUTA study in East Java, Indonesia. International Breastfeeding Journal [online journal] 2021 [accessed November 20, 2023]; International Breastfeeding Journal, 5, 1–15.
Topuz, S., Duman, N. B., Uysal, G., & Ocalan, D. (2021). Breastfeeding self-efficacy and related factors during early postpartum period. 40(3), 216–225.
Wulandari, P., Susilawati, & Sutrisno. (2021). Literature Study: Factors Affecting Breastfeeding Self Efficacy. Journal of Midwifery, 3(2), 6–20.
Yuliani, D. R., Amalia, R., Hapsari, W., & Aini, F. N. (2025). Breastfeeding self-efficacy of pregnant women with cognitive aspects (knowledge) and psychological aspects (attitudes, confidence and anxiety) of pregnant women and husbands. 7(1), 32–40.
Yulianti, H., & D. Mirong, I. (2022). Knowledge and Self-Efficacy of Breastfeeding in Postpartum Adolescent Mothers After Counseling. Sec. 7(11).
Published
2026-05-25
How to Cite
Savitri H. Sune, Nurdiana Djamaluddin, & Nur Ayun R. Yusuf. (2026). Factors Related to Breastfeeding Self-Efficacy in Breastfeeding Mothers in the Working Area of the Dungingi Health Center. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(3), 1620~1627. https://doi.org/10.56338/ijhess.v8i3.11153
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