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Factors affecting breastfeeding mothers self-leadership in exclusive breastfeeding

  • Fauziyatun Nisa ,
  • Esty Puji Rahayu ,
  • Uke Maharani Dewi ,


Introduction: One of the leading factors of exclusive breastfeeding success in motherhood is self-leadership. Previous studies found that the role of external factors also has an impact on exclusive breastfeeding. Yet, until this day the level of exclusive breastfeeding in Indonesia and worldwide has not achieved its goal. The aim of this study was to analyze the factors that influence the self-leadership of breastfeeding mothers in exclusive breastfeeding.

Methods: The analytic study with a cross-sectional design was conducted in this study. The population was all breastfeeding mothers who had babies aged 7-12 months. This study used simple random sampling which required 125 respondents. The independent variables are knowledge, attitudes, self-efficacy, and social support. The dependent variable is self-leadership. Data analysis used a logistic regression test to find out which variable had the most influence with a p-value < 0.05.

Results: The multivariate analysis revealed a significant influence between knowledge on self-leadership (p=0.001), attitudes (p=0.005), self-efficacy (p=0.013), and social support (p=0.000). While the results of multivariate analysis showed that the most influential on breastfeeding mothers’ self-leadership was social support.

Conclusion: There is a significant association between knowledge of self-leadership, attitudes, self-efficacy, and social support.


  1. Dias CC, Figueiredo B. Breastfeeding and depression: A systematic review of the literature. J Affect Disord. 2015;171:142–54.
  2. Kemendikbud, World Health Organization & U. Modul Pendidikan Keluarga pada 1000 Hari Pertama Kehidupan (HPK). Discuss Pap. 2019;2013–5.
  3. Anderson JS, Prussia GE. The self-leadership questionnaire: Preliminary assessment of construct validity. J Leadersh Organ Stud. 1997;4(2):119–43.
  4. Jeffery D, Christopher P. The revised self-leadership questionnaire: Testing a hierarchical factor structure for self-leadership. J Manag Psychol. 2002;17:672–91.
  5. Senghore T, Omotosho TA, Ceesay O, Williams DCH. Predictors of exclusive breastfeeding knowledge and intention to or practice of exclusive breastfeeding among antenatal and postnatal women receiving routine care: A cross-sectional study. Int Breastfeed J. 2018;13(1):1–8.
  6. Nisa F, Damayanti N, Suhariadi F, Anggasari Y, Dewi FE, Arini D. Breastfeeding based on Breastfeeding Self-efficacy and Social Support in Wonokromo Surabaya. Open Access Maced J Med Sci. 2020;9:1026–31.
  7. Ismail TAT, Muda WAMW, Bakar MI. The extended theory of planned behavior in explaining exclusive breastfeeding intention and behavior among women in Kelantan, Malaysia. Nutr Res Pract. 2016;10(1):49–55.
  8. Blyth R, Creedy DK, Dennis CL, Moyle W, Pratt J, De Vries SM. Effect of maternal confidence on breastfeeding duration: An application of breastfeeding self-efficacy theory. Birth. 2002;29(4):278–84.
  9. Brajesh B, Ranjan, M., D.A. N, Shekhar C. Determinants and differentials of postpartum amenorrhea associated with breastfeeding among women in Bihar, India. Int J Reprod Contraception, Obstet Gynecol. 2016;5(1):154–65.
  10. Arifin S, Suhariadi F, Damayanti NA. The influence of leadership style of midwife coordinator toward the performance of village midwives on antenatal care through the job involvement. Indian J Public Heal Res Dev. 2018;9(1):249–52.
  11. Yu S, Ko YK. Communication competency as a mediator in the self-leadership to job performance relationship. Collegian. 2017;24(5):421–5. Available from:
  12. Şahin F. The interaction of self-leadership and psychological climate on job performance. African J Bus Manag. 2011;5(5):1787–94.
  13. Scott JA, Binns CW, Oddy WH, Graham KI. Predictors of breastfeeding duration: Evidence from a cohort study. Pediatrics. 2006;117(4).
  14. Insaf TZ, Fortner RT, Pekow P, Dole N, Markenson G, Chasan-Taber L. Prenatal stress, anxiety, and depressive symptoms as predictors of intention to breastfeed among Hispanic women. J Women’s Heal. 2011;20(8):1183–92.

How to Cite

Nisa, F., Rahayu, E. P., & Dewi, U. M. (2023). Factors affecting breastfeeding mothers self-leadership in exclusive breastfeeding . Bali Medical Journal, 12(3), 3269–3272.




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