Factors Affected Low Coverage of Exclusive Breast Feeding in Cilacap Tengah, Central Java, Indonesia
Abstract
Background: Human resources (HR) quality is a requirement of absolute attainment of development in all fields. Nutritional status of being one of the very important factors in the quality of human resources is mainly associated with intelligence, productivity and creativity. To achieve an optimum between flower growing by giving breast milk to infants from birth in the early minutes of life until the age of 6 months exclusive breast milk given without other food. This study was aimed to determine the cause of the low coverage of breast milk exclusively and the factors that affected it.
Subject and methods: This was a case study with qualitative design, was carried out in July-August 2016 in Cilacap, Central Java. A total sample of parents with infants aged 7-24 months of age, the mother/mother-in-law and health workers. The data was collected by interviews, observation and documents, and analyzed with data presentation, data reduction, and the withdrawl of the conclusion.
Results: Pre-disposing Factors good motivation, attitudes, education and employment of the informant was indeed affect Exclusive breast feeding in the process. Enabling Factors are readily available and easily accessible due to the support of the party giver services though in terms of infrastructure there are still shortcomings in various things. While Reinforcing factors demonstrates the role of health workers and the people closest to either mother or mother-in-law strongly affect the behavior ofthe mother in giving breast feedingexclusively. Restricting factors namely wrong beliefs about the incessant promotion of baby food, infant formula and health problems in the mother and the baby. In addition, the existence of the recording and reporting of less fit so that it affects the actual coverage figures in society.
Conclusion: the cause of the low coverage of exclusive breast feeding include knowledge of mother/mother-in-law limited about breast milk exclusively, the role of health workers that is not optimal, the existence of a mistaken beliefs and culture in the community about BREAST MILK exclusively and recording and reporting factors that still need to be addressed so that Exclusive breast feeding data in accordance with the conditions in the community.
Keywords: exclusive breast feeding, coverage
Correspondence: Pemi Sunarsih Ruhyana. Midwifery Academic Graha Mandiri Cilacap, Jl. Dr. Soetomo No. 4B Cilacap. Email: pemisunarsihruhyana@gmail.com.
Journal of Health Policy and Management (2016), 1(1): 20-28
https://doi.org/10.26911/thejhpm.2016.01.01.04
References
Baskoro A (2008). ASI Panduan Praktis Ibu Menyusui. Yogyakarta. Banyu Media.
Aritonang, Citra BR (2011). Hubungan Karakteristik, Pengetahuan, Sikap dan Perilaku Keluarga dengan Perilaku Pemberian ASI Eksklusif di Puskesmas Bandar Haluan Kabupaten Simalungun Prov Sumatra Utara. FKM UI.
As’ad M (2005). Psikologi Industri Seri Ilmu Sumber Daya Manusia. Yogyakarta. Penerbit Liberty.
Briawan D (2004). Pengaruh Susu Formula Terhadap Penggunaan Air Susu Ibu. Disertasi: Bogor. Program Doktor Sekolah Pasca Sarjana IPB.
Departemen Kesehatan RI (2007). Pedoman Pendampingan Keluarga Menuju Kadarzi: Jakarta.
Departemen Kesehatan RI (2001). Buku Panduan Manajemen Laktasi, Dit. Gizi Masyarakat. Jakarta. Depkes RI
Departemen Kesehatan RI (2009). Pedoman Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak (PWSKIA). Jakarta. Depkes RI.
Departemen Kesehatan RI. (2004a). KepmenkesRI No.450/MENKES/ V/2004 tentang Pemberian Air Susu Ibu (ASI) secara Eksklusif pada Bayi Indonesia. Jakarta. Departemen Kesehatan RI.
Departemen Kesehatan RI (2004b). Kebijakan Departemen Kesehatan tentang Peningkatan Pemberian Air Susu Ibu (ASI) Pekerja Wanita. Jakarta. Departemen Kesehatan RI
Departemen Kesehatan RI (2005). Manajemen Laktasi: Buku Panduan bagi Bidan dan Petugas Kesehatan di Puskesmas, Dit. Gizi Masyarakat. Jakarta. Depkes RI.
Denzin N, Lincoln YS (2000). Handbook of Qualitative Research. London: Sage Publications.
Green LW, Kreuter (1991). Health Promotion Planning An Educational and Environmental Approach. 2nd Ed, Mayfield Publishing Company, London, hal. 142-177.
Kementrian Kesehatan RI (2010). Rencana Aksi Pembinaan Gizi Masyarakat. Jakarta
Kementrian Kesehatan RI (2010). Surat Edaran Penguatan Pelaksanaan Sepuluh Langkah Menuju Keberhasilan Menyusui No. BM/E/ Menkes/ 1407/-IX/2010.Jakarta.
Krammer, Michael S (2008). Breast Feeding and Child Cognitive Development. Arch Gen Psychiatry. 65(5): 578-5584.
Lawrence RA (1994). Breastfeeding: A guide for the medical profession, 4th Ed, Mosby, Missouri. Nutrition and Health Surveillance System, 2002, Breastfeeding and Complementary Feeding Practices in Indonesia, Nutrition and Health Surveillance System Annual Report 2002. Helen Keller Worldwide. Jakarta.
Moleong LJ (2006). Metode Penelitian Kualitatif. Bandung. PT. Remaja Rosdakarya.
Nuryanto (2002). Hubungan Faktor Ibu, Faktor Pelayanan Kesehatan dan Pemberian ASI saja Pada Anak Usia 0-11 Bulan. Tesis FKM UI.
Pope C, Mays N (2000). Qualitative Research in Health Care. London: BMJ Books.
Pudjiadi S (2001). Bayiku Sayang: Petunjuk Bergambar untuk Merawat Bayi dan Jawaban atas 62 Pertanyaan yang Mencemaskan. Jakarta. Fakultas Kedokteran UI.
Roesli U (2005). Mengenal ASI Eksklusif. Jakarta. Trubus Agriwidya
Roesli U (2001). Bayi Sehat berkat ASI Eksklusif. Jakarta. PT. Elex Media Komputindo
Rohani (2010). Faktor-faktor yang meningkatkan risiko kegagalan pemberian ASI eksklusif pada ibu bayi usia 6-9 bulan di Kota Mataram Provinsi Nusa Tenggara Barat. Tesis. Universitas Udayana. Bali.
Saleh LOA (2011). Faktor-Faktor yang Menghambat Praktik ASI Eksklusif pada Bayi Usia 0-6 Bulan. Tesis: Semarang. Program Pascasarjana Universitas Diponegoro.
Soetjiningsih (1997). ASI Petunjuk untuk Tenaga Kesehatan. Jakarta. Penerbit Buku Kedokteran EGC.
Soetjiningsih (2007). Seri Gizi Klinik, ASI Petunjuk untuk Tenaga Kesehatan: Jakarta. Buku Kedokteran EGC.
Suhardjo (1992). Pemberian Makanan pada Bayi dan Anak. Yogyakarta, Penerbit Kanisius.
Syah dan Muhibbin (2008). Psikologi Belajar. Jakarta: PT. Raja Grafindo Press.
UNICEF (2010). Penuntun Hidup Sehat. UNICEF Indonesia.
UNICEF, WHO, IDAI (2005). Rekomendasi tentang Pemberian Makan Bayi pada Situasi Darurat: Jakarta.
Pernyataan Bersama UNICEF WHO IDAI 7 Januari 2005.
Utomo B (2000). The Slowing Progress of Breastfeeding Promotion Program in Indonesia: Causes and Recommendation, Kumpulan Makalah Diskusi Pakar bidang Gizi tentang ASI-MP ASI,Antropometri, BBLR, Kerjasama antara Persatuan Ahli Gizi Indonesia, LIPI, UNICEF.
Weimen J (2001). The Economic Benefits of Breastfeeding: A Review and Analysis, U.S Department of Agriculture, Food Assistance and Nutrition Research. Report No. 13.Washington, DC.
Worthington BS (1993). Nutrition in Pregnancy and Lacatation. Fifth edition.USA.