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World Health Organization (WHO) recommends exclusive breastfeeding from birth to six months of age as the best nutritional standard for infant growth and development. Indonesia, as one of the countries that follow this recommendation, still experiences a high failure rate of exclusive breastfeeding. The role of health workers, especially midwives, is very important in increasing exclusive breastfeeding coverage. However, there are still various challenges in implementing this role . This study used a scoping review method to identify challenges and opportunities for midwives in improving exclusive breastfeeding coverage. Inclusion criteria included articles published within the last five years, in Indonesian or English, and in the form of primary research or review articles with similar themes. Articles were searched through several databases such as PubMed, Wiley Online Library, and ScienceDirect. Of the 875 articles found, seven articles met the inclusion criteria and were analyzed using the PRISMA-ScR framework. These came from four continents: Europe, Asia, Africa, and the Americas. Thematic synthesis revealed three substantive themes: The analysis grouped the findings into three main themes: Exclusive breastfeeding knowledge and skills , Role of family and health workers , Government programs and policy . The findings point to a clear nexus between midwifery competence and exclusive breastfeeding success. Gaps in knowledge and skill can be addressed through purposeful, ongoing professional training. At the same time, engaging families especially fathers and embedding breastfeeding promotion within government policy frameworks are indispensable complements to individual-level midwifery support .
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Mudrika et al. (2026) studied this question.
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