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Indonesia Exclusive Breastfeeding Policy Analysis: Evaluation of the policy actions and its potential to address socioeconomic inequality
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
2017 (engelsk)Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
Abstract [en]

Background: Policy analysis focusing on reducing socioeconomic inequality in policy actions is still rarely performed. The study objective is to analyse if the Indonesian exclusive breastfeeding policy has potential to address socioeconomic inequality. As for the specific objectives are to utilize the Gradient Evaluation Framework as an assessment tool, and to compare exclusive breastfeeding rates before and after the policy established.

Methods: The policy that will be evaluated is the Indonesia Government Regulation Number 33 Year 2012 concerning Exclusive Breastfeeding. The study method is policy analysis using the Gradient Evaluation Framework where literature review including grey literature, and personal communication with several organizations were applied, and also conducted a comparison of two waves cross-sectional study from secondary data using Indonesia Family Life Survey (IFLS 4 and IFLS 5). This study setting is Indonesia. Analysis of the policy will follow the Gradient Evaluation Framework steps, and the cross-sectional analysis will be performed using Chi-Square through Stata software.

Results: Two of eight components covered in rapid assessment of the Gradient Evaluation Framework showed that the exclusive breastfeeding policy has potentials to address social gradient. Although another six components showed “in between” potentials, and one component was showed as unfulfilled. The overall policy description discussed in Dimension Two showed the complexity of policy making and actions to achieve its goal. Based on cross-sectional study comparison analysis, the exclusive breastfeeding rate was decreasing from 68.89 percent in 2007 to 44.44 percent in 2014.

Conclusions: The combination of framework application and quantitative methods to policy analysis provided a complementary perspective on the outcome achievement. The Gradient Evaluation Framework can be utilized to evaluate Indonesia exclusive breastfeeding policy potentials to address socioeconomic inequality in breastfeeding practice, although several adjustments are required. Further quantitative and qualitative research are required.

sted, utgiver, år, opplag, sider
2017. , s. 44
Serie
Centre for Public Health Report Series, ISSN 1651-341X ; 2017:18
Emneord [en]
Breastfeeding, Indonesia, breastfeeding policy, socioeconomic inequality
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-141309OAI: oai:DiVA.org:umu-141309DiVA, id: diva2:1153167
Eksternt samarbeid
RAND Corperation; WHO - Rustini Floranita
Utdanningsprogram
Master's Programme in Public Health
Presentation
2017-05-22, Natural sciences building N230, Umeå University, Umeå, 15:00 (engelsk)
Veileder
Examiner
Tilgjengelig fra: 2017-12-19 Laget: 2017-10-27 Sist oppdatert: 2017-12-19bibliografisk kontrollert

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