Paid maternity leave extension and exclusive breastfeeding practice:Evidence from Brunei


Background: Exclusive breastfeeding (EBF) of infants in their first 6 months postpartum is beneficial. However, maternal employment and short maternity leave impede EBF practice. In 2011, Brunei implemented a new Maternity Leave Regulation to extend paid maternity leave. Objectives: To compare the prevalence of EBF between employed and nonworking mothers in Brunei, before and after extending paid maternity leave, to determine its effect on EBF and to determine the effects of maternal and infant sociodemographic characteristics. Methods: Cross-sectional review of feeding records for infants born in 2010 (n = 6412, 85.5% all live births) and 2013 (n = 6680, 85.7%). Results: EBF prevalence at 6 months postpartum increased from 29% in 2010 to 41% in 2013. EBF prevalence was higher among multiparous mothers (P < 0.001), mothers of Malay ethnicity (P < 0.05), and mothers of girls (P < 0.01 only in 2013) in both years. EBF prevalence among government-employed mothers (81.0%, 67.7%, and 57.8%) was greater than it was among nonworking mothers (79.1%, 66.3%, and 56.9%) by 1.9, 1.4, and 0.9 percentage points, respectively, during the first 3 months of active paid maternity leave in 2013. Mothers employed in the government and private sectors showed greater increases in the practice of EBF (15.5 and 10.8 percentage points respectively) than nonworking mothers (8.8 percentage points) from 2010 to 2013. Conclusions: EBF prevalence increased after extending paid maternity leave, with the greatest increases seen among employed mothers. Maternal ethnicity, parity, and the sex of the infant were also correlated with EBF.

Publication DOI:
Divisions: College of Business and Social Sciences > School of Social Sciences & Humanities > Politics, History and International Relations
Additional Information: © 2017 The Authors.This work is licensed under the Creative Commons Attribution NonCommercial-NoDerivatives 4.0 License.
Uncontrolled Keywords: Breastfeeding,Child health,Early life,Health policies,Maternal,Nutrition,Parity,Biochemistry, Genetics and Molecular Biology(all)
Publication ISSN: 1875-855X
Last Modified: 03 Jan 2024 08:17
Date Deposited: 10 Nov 2022 10:52
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Related URLs: https://sciendo ... 5/abm-2018-0020 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2017-12
Published Online Date: 2017-12-30
Authors: Alhaji, Mohammed M.
Roslin, Sharbawi
Kay, Adrian (ORCID Profile 0000-0002-5854-4516)
Tuah, Nik A.A.

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