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The Indonesian Journal of Public Health

ISSN 1829-7005

Vol. 3 / No. 1 / Published : 2006-07

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Original Article :

Systematic review-based recommendation for an optimalduration of exclusive breastfeeding in indonesian population(a critical appraisal)

Author :

  1. Trias Mahmudiono*1
  1. Post Graduate Student of School of Population Health of Queensland University

Abstract :

The length of exclusive breastfeeding (EBF) recommendation has been debated for the last decade between four and six months. Experts’opinion divided around what so called “weanling dilemma” and safety or concern on milk substitutes sanitation, furthermore, it also relatedto the target community, whether they are develop or developing nations. For each nation, developing recommendation or national programon EBF should be based on the strongest evidence found preferably from systematic review of randomized control trials. A review involvingadequate and proportional evidence from either developed or developing countries reveals the beneficial value of six compare to four monthsEBF. Considering its strength and limitations, the review has a good objectivity. The applicability of the review in developing six monthsEBF recommendation for Indonesian population is regarded to be suitable because the results of the review are seen to be cost effective andappropriate with less harm, and even protective against diarrhea. This is a critical appraisal of a systematic review written by Kramer andKakuma (2002).

Keyword :

exclusive breastfeeding, systematic review, critical appraisal,


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