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Untuk mendapatkan gizi yang baik pada bayi yang haru lahir, ibu harus sesegera mungkin menyusui bayinya ksrena ASI sangat berperan panting untuk mempertahankan kelangsungan hidup bayi. Oleh karena itu, bayi yang berumur 0-6 bulan dianjurkan hanya diberi ASI tanpa pengganti ASI maupun makanan pendamping. Berdasarkan laporan profil kesebatan Kab. Siak target pencapaian pembarian ASI eksklusif 45,2% pada tabun 2005. Mengingat pentingnya pemberian ASI eksklusif dalam upaya peningkatan sumber daya manusia, maka perluadanya usaha yang keras melalui penyuluhan-penyuluhan pada masyarakat luas. Tujuan penelitian ini adalah untu mengetahui faktor predisposisi, faktor pendukung dan faktor pendorong yang berhubungan dengan pemberian ASI eksklusif di wilayah kerja Puskesmas buatan II kab. Siak tahun 2007. Adapun rancangan penelitian adalah cross sectional pada 109 ibu menyusui di wilayah kerja puskesmas Buatan II kab. Siak tahun 2007. Dari hasil penelitian ini diketahui proporsi ibu yang memberikan ASI eksklusif di wilayah kerja puskesmas Buatan II cakupannya masih rendah yaitu: 17.4 %. Faktor-faktor yang berpengaruh terhadap pemberian Asi eksklusif adalah pendidikan, sikap, kemampuan petugas, dukungan petugas (p<0,05). Sedang faktor umur, pengetahuan, pekerjaan, fasilitas keselmtan dan dukungan keluarga tidak berhubungan secara signifikan dengan pemberian ASI eksklusif (p>O,O5). Tidak ada hubungan interaksi antara variabel pendidikan dengan sikap dan kemampuan petugas dengan dukungan petugas. Ibu yang berpendidikan tinggi mempunyai peluang 4,557 kali untuk menyusui secara eksklusif dlbanding ibu yang mempunyai pendidikan rendah. Ibu yang mempunyai sikap positif mempunyai peluang 5,101 kali menyusui secara eksklusif dibanding ibu yang mempunyai sikap negatif: Ibu yang mendapatkan pelayanan kesehatan dengan kemampuan petugas yang baik mempunyai peluang 6,974 kali menyusui secara eksklusif dlbanding ibu yang mendapatkan pelayanan keselmtan dengan kemampuan petugas yang kurang. lbu yang mendapaikan dukungan petugas kesehatan mempunyai peluang 5,333 kali menyusui secara eksklusif dibanding ibu yang kurang mendapatkan dukungan dari petugas kasehatan.
To provide good nutrition for a new home baby, the mother should as soon as possible breast-feed her baby a breast milk is very important to save the lire of the baby. That's the reason why babies between the ages of 0 - 6 months are encouraged to be breast-fed without any additional mother's milk replacement or food supplement. Based on the report from Siak regency health profile, achievement target for exclusive breast-feeding is 45.2 % in 2005. Knowing the importance of exclusive breast-feeding in improving human resources quality, it's imperative to work even harder through counseling to the public. The goal of the research is to uncover the predisposition factors, supporting factors and encouraging factors related to the exclusive breast-feeding in the working district of "puskesmas buatan II, Siak regency in 2007. While the research itself is designed by cross sectional to 109 mothers who breast-feed in the working district of "Puskesmas Buatan II" siak regency in 2007. The result of this research is the knowledge thet the percentage of mothers who breast-fed their babies exclusively in working district of»Puskesmas buatan [l '; was still very low which was: 17.4%. Factors that affected the exclusive breast-feeding is the variable of education, attitude, staff skill staff support (p>0.05a). While factors such as age, knowledge, job, health facility and family support has no significant relation with exclusive breast-feeding. Theres no inter-act relation between the variable of education with attitude, and between quality of the staff and its support. The opportunity for mothers who have higher education In breast-feed their babies exclusively is 4.557 times more than mothers with lower education. The opportunity for mothers who have positive attitude to breast-feed their babies exclusively is 5.101 times more than mothers with negative attitude. Opportunity for mothers who get health service from a better quality health institution staff are 6.974 times more likely to breast-feed their babies than mothers who get health service from a poor quality of health institution staff Mothers who get support from the health institution staff have the opportunity to breast-feed 5.333 times more than mothers who don't have support from the heals institution staff.
Dari hasil penelitian diperoleh perilaku pemberian ASI eksklusif hanya sebesar 34,6%. Dari 11 variabel yang diteliti terdapat 5 variabel yang memiliki hubungan bermakna dengan perilaku pemberian ASI Eksklusif yaitu pengetahuan ibu, sikap ibu, IMD (Inisiasi Menyusu Dini), dukungan suami dan dukungan petugas kesehatan.
Hasil penelitian menyarankan mengenai upaya peningkatan pengetahuan masyarakat tentang pentingnya memberikan ASI eksklusif kepada bayi selama 6 bulan pertama melahirkan. Upaya peningkatan pengetahuan dilakukan secara menyeluruh dan berkesinambungan serta tidak hanya kepada ibu hamil dan menyusui saja, namun terhadap suami, keluarga dan masyarakat, agar masyarakat sadar dan mempunyai sikap positif tentang pentingnya memberikan ASI eksklusif kepada bayi selama 6 bulan.
Kata kunci : ASI Eksklusif, pengetahuan ibu, sikap ibu, IMD (Inisisasi Menyusu Dini), dukungan suami dan dukungan petugas kesehatan
The Achievement of exclusive breastfeeding in the last 3 years at Puskesmas Kecamatan ePasar Rebo is lower than the Ministry of Health's target ( less than 80%). The purpose of this study is to determine the factors associated with exclusive breastfeeding behavior in Puskesmas Kecamatan Pasar Rebo East Jakarta, 2017. The design of this study cross sectional with a sample of mothers who have babies aged 6-24 months.
Based on this research, the behavior of exclusive breastfeeding is only 34,6%. From 11 variables studied, there are 5 variables that have significant relationship with exclusive breastfeeding behavior that is mother's knowledge, mother attitude, IMD (Early Breastfeeding Initiation), husband support and health officer support.
The results suggest about efforts to conduct health promotion about the importance of giving exclusive breastfeeding to babies during the first 6 months of childbirth. Also, this health promotion are conducted thoroughly and continuously and not only to pregnant and lactating mothers, but to husbands, families and communities, so that people are aware and have a positive attitude about the importance of giving exclusive breastfeeding to babies for 6 months.
Keywords : Exclusive breastfeeding, mother's knowledge, mother attitude, IMD (Early Breastfeeding Initiation), husband support and health officer support
Penelitian menemukan bahwa proporsi pemberian ASI eksklusif untuk tahun 2017 sebesar 56,8% (95%CI: 54%-66%), hal ini mengindikasikan adanya perbaikan kondisi pemberian ASI eksklusif di Puskesmas Kecamatan Setiabudi. Temuan lain adalah ada hubungan antara dukungan tenaga kesehatan dengan perilaku pemberian ASI eksklusif. Hal ini menunjukkan bahwa peran tenaga kesehatan sangatlah penting terhadap keberhasilan dalam ASI eksklusif. Bidan dan kader perlu berperan lebih besar dalam pemantauan pemberian ASI eksklusif.
Kata kunci: ASI eksklusif, Dukungan tenaga kesehatan, Puskesmas Kecamatan Setiabudi
Exclusive breastfeeding is breastfeeding alone without any fluids or solids except vitamins, minerals or medicines up to 6 months of age. The exclusive breastfeeding coverage at Health Center of Setiabudi Subdistrict in 2016 was 43.5%. This condition has not reached the national target of 80%. This study among measured the proportion of exclusive breastfeeding and studied factors related to breastfeeding infants aged 0-6 months in Health Center of Setiabudi Subdistrict with cross sectional design.
The study found that the proportion of exclusive breastfeeding for 2017 was 56.8% (95%CI: 54%-66%), indicating improvement in exclusive breastfeeding conditions in Health Center of Setiabudi Subdistrict. Another finding is that there is a relation between support of health workers and exclusive breastfeeding behaviors. This suggests that the role of health workers is crucial to success in exclusive breastfeeding, especially midwives and cadre roles in exclusive breastfeeding monitoring.
Keywords: Exclusive breastfeeding, Support of health workers, Health Center of Setiabudi Subdistrict