This project will investigate the socioeconomic, demographic, and community, influences on infant feeding patterns and trends in Indonesia. Virtually all Indonesian infants are breastfed, and they are among the latest in the world to be weaned. Over the last three decades, the trend in Indonesia has been toward even longer durations of breastfeeding. However, Indonesian mothers tend to include other liquids or food in the infant's diet relatively early in the child's life, foregoing the potentially life-saving benefits of unsupplemented breastfeeding (which isolates infants from the bacterial pathogens that cause diseases of the digestive tract). The conceptual model guiding the research views infant feeding patterns as the result of decisions parents make based on their perceptions of the costs and benefits of unsupplemented and supplemented breastfeeding vis-a- vis other modes of feeding. These decisions are constrained by resources, institutions, cultural norms, and underlying physiological mechanisms. This framework yields as a number of hypotheses about influences on the incidence and duration of unsupplemented and supplemented breastfeeding, which will be tested using new retrospective data, from the Indonesian Family Life Survey (IFLS), on a large number of mothers and on each of their children. Systems of duration and limited-dependent-variable models will be used to investigate determinants of the decision to initiate breastfeeding, the duration of total breastfeeding, and the timing of supplementation. The analyses will allow the influences on infant feeding decisions to vary over the course of infancy and will recognize the sequential and correlated nature of decisions for different children in the same family. Explanatory variables include prices of water and sanitation, medical are, infant foods, and contraceptives; women's value of time; household resources; and the information available about the health and contraceptive effects of breastfeeding. Influences on the initiation and duration of breastfeeding in Indonesia will be compared with those in Malaysia, which has one of the shortest durations of breastfeeding among developing countries. The Malaysian analysis will use data from the First and Second Malaysian Family Life Surveys (MFLS-1 and MFLS-2). The MFLS data will also be used to evaluate the quality of long-term recall about infant feeding, by comparing MFLS-2 reports (in 1988) about births in 1976 and earlier to MFLS-1 reports (in 1976) about those same births.

Project Start
Project End
Budget Start
Budget End
Support Year
2
Fiscal Year
1992
Total Cost
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
Frankenberg, Elizabeth; Suriastini, Wayan; Thomas, Duncan (2005) Can expanding access to basic healthcare improve children's health status? Lessons from Indonesia's 'midwife in the village' programme. Popul Stud (Camb) 59:5-19
Thomas, Duncan; Frankenberg, Elizabeth (2002) Health, nutrition and prosperity: a microeconomic perspective. Bull World Health Organ 80:106-13
Frankenberg, E; Thomas, D (2001) Women's health and pregnancy outcomes: do services make a difference? Demography 38:253-65
Beegle, K; Frankenberg, E; Thomas, D (2001) Bargaining power within couples and use of prenatal and delivery care in Indonesia. Stud Fam Plann 32:130-46
Peabody, J W; Gertler, P J; Leibowitz, A (1998) The policy implications of better structure and process on birth outcomes in Jamaica. Health Policy 43:1-13
Peabody, J W; Gertler, P J (1997) Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica. J Epidemiol Community Health 51:90-5
Lillard, L A; Willis, R J (1997) Motives for intergenerational transfers: evidence from Malaysia. Demography 34:115-34
DaVanzo, J; Sine, J; Peterson, C et al. (1994) Reversal of the decline in breastfeeding in Peninsular Malaysia? Ethnic and educational differentials and data quality issues. Soc Biol 41:61-77
Peabody, J W; Rahman, O; Fox, K et al. (1994) Quality of care in public and private primary health care facilities: structural comparisons in Jamaica. Bull Pan Am Health Organ 28:122-41
Rahman, O; Strauss, J; Gertler, P et al. (1994) Gender differences in adult health: an international comparison. Gerontologist 34:463-9

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