scholarly journals Faktor-faktor yang Berhubungan dengan Pemberian Asi Satu Jam Pertama Setelah Melahirkan

2006 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Setiyowati Rahardjo
Keyword(s):  
Breast Milk ◽  
Antenatal Care ◽  
Care Provider ◽  
Residential Location ◽  
Infant Mortality Rate ◽  
Dominant Factor ◽  
Secondary Source ◽  
Cross Sectional ◽  
Birth Attendance ◽  
Good Nutrition

Di Indonesia, Angka Kematian Bayi (AKB) masih yang tertinggi di negara-negara ASEAN. Penyebab utama kematian anak balita tersebut adalah penyakit infeksi saluran nafas dan diare yang dapat dicegah antara lain dengan pemberian ASI secara benar dan tepat. Pada periode 2002-2003, sekitar 95,9% balita sudah mendapat ASI, tetapi hanya 38,7 % balita mendapat ASI pertama satu jam setelah lahir. Tujuan penelitian ini adalah untuk mengetahui berbagai faktor yang berhubungan dengan pemberian ASI dalam satu jam pertama setelah melahirkan. Penelitian ini menggunakan sumber data sekunder SDKI 2002-2003 dengan desain cross sectional. Sampel berjumlah 6.018 terdiri dari ibu yang memiliki anak berusia 0 – 24 bulan terakhir yang masih hidup dan dilahirkan tanpa operasi dan mendapat ASI. Analisis data dilakukan dengan model regresi logistik multivariat. Ditemukan proporsi pemberian ASI satu jam pertama setelah melahirkan adalah 38,3%. Faktor dominan yang berhubungan dengan pemberian ASI dalam satu jam pertama adalah tenaga periksa hamil. Faktor lain adalah daerah tempat tinggal, kehamilan diinginkan, tenaga periksa hamil, penolong persalinan, akses terhadap radio, dan berat lahir. Terdapat interaksi antara daerah dengan tenaga periksa, kehamilan diinginkan dengan tenaga periksa, dan berat lahir dengan penolong persalinan. Perlu upaya meningkatkan pengetahuan dan motivasi petugas kesehatan mengenai pentingnya ASI segera dan ASI eksklusif, upaya peningkatan pengetahuan ibu dan calon ibu mengenai tata laksana pemberian ASI yang benar serta program ke- luarga berencana.Kata kunci : ASI satu jam pertama, faktor risiko, SDKI 2002 – 2003.Infant Mortality Rate (IMR) in Indonesia is still the highest among the other ASEAN countries. The major cause for infant and children mortality is infections, espe- cially the upper respiratory tracts infection and diarrhea. The prevention efforts for reducing the infections are a good nutrition management for infant and children such as adequate and appropriate breastfeeding. A good start for breastfeeding is about 30 minutes after delivery. The Indonesia DHS 2002-2003 showed that 95.5% children under five have already have breast-milk, but only 38.7% of them are having the first breast-milk within one hour after delivery. The Objective of this study is to know the factors related to the breastfeeding given within one hour after delivery. The study uses secondary source of data of the Indonesia DHS 2002-2003 with a cross-sectional design. The number of sample is 6.018, which are mothers who have the latest life child aged 0 to 24 months and still having breastfed and de- livered without surgery. Data are analyzed using the application multivariate logistic regression. The study has found that the proportion of breastfeeding given within one hour after delivery as high as 38.28%. The dominant factor related to the breastfeeding given within one hour after delivery is the antenatal care provider. Other factor are: the residential location, wanted pregnancy, the antenatal care provider, birth attendance, accessibility on radio, and newborn’s weight. There is an inter-action between residential location and the antenatal care provider, wanted pregnancy and the antenatal care provider, and newborn’s weight and the birth atten- dance. There is a need to make an effort on: increasing the knowledge and motivation for the health provider about the importance of the immediate administration of breastfeeding to the newborn and the exclusive breastfeeding. The efforts should be supported by government policy.Key words : Breastfed in first one hour, risk factor, IDHS 2002-2003.

scholarly journals Dominant Factors Affecting Regional Inequality of Infant Mortality in Vietnam: A Structural Equation Modelling Analysis

2020 ◽  
Author(s):  
Mai P. Nguyen ◽  
Chi M. Nguyen
Keyword(s):  
Infant Mortality ◽  
Structural Equation Modelling ◽  
Structural Equation ◽  
Causal Effect ◽  
Infant Mortality Rate ◽  
Dominant Factor ◽  
Growth Strategies ◽  
Medical Interventions ◽  
Equation Modelling ◽  
Birth Attendance

Background: Despite Vietnam’s acclaiming achievements of reducing overall infant mortality rate (IMR), the IMR decline does not occur equally in all regions in Vietnam. This study aims to investigate dominant factors that affect the inequality of infant mortality across regions in Vietnam during the period 2005-2015. Methods: We use nationally representative data to construct a panel data of 6 economic regions in Vietnam from 2005 to 2015. We employ the structural equation modelling (SEM) approach to quantify the causal effect of socio-economic status (SES), accessing to skilled birth attendance (SBA) and other relevant factors on the disparity of IMR across regions. Results: SES, which is measured by 3 indicators – illiteracy rate (IR), poverty rate (PR) and income per capita – is the dominant factor causing regional inequalities of infant mortality, followed by the use of SBA. Among these indicators, the PR is the most important one causing the regional disparity of IMR and accessing to SBA. The total effect of SES on infant mortality disparity is 2.6 times as high as that of accessing skilled healthcare personnel. Conclusion: Bridging the regional gap of using skilled health personnel would contribute to improving the infant mortality inequality in Vietnam. This inequality, however, is not significantly improved only with medical interventions but also with broader and more comprehensive socio-economic interventions at both national and regional levels. Our findings confirm that poverty reduction and growth strategies should be the main focus to boost medical interventions and improve IMR all over the country.

A study on perception about antenatal care among primigravida attending a tertiary care hospital

2019 ◽  
Vol 9 (1) ◽  
pp. 56
Author(s):  
Priya Somu ◽  
Sakthi Narmatha D.
Keyword(s):  
Mortality Rate ◽  
Antenatal Care ◽  
Care Center ◽  
Tertiary Care ◽  
Infant Mortality Rate ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Health Care Center ◽  
Basic Care

Background: Maternal mortality rate and Infant mortality rate remains high in India when compared to several other countries. Understanding and being aware about the basic care provided during pregnancy is an important factor to make the pregnant woman to utilize the antenatal care. Hence this study was planned to assess the existing knowledge of primi gravid mothers attending the tertiary health care center about the various antenatal care services provided.Methods: This cross-sectional study was conducted among the primi gravid females attending the outpatient department of Obstetrics and Gynecology in Sri Muthukumaran Medical College Hospital and Research Institute, Chennai during months of June 2018 to May 2019. A total of 280 primi gravid mothers were included in the study. Data was collected through one to one interview and analyzed using statistical package for social sciences (SPSS) version 17.Results: In this study 82.9%, 70.4%, 80.7% of the mothers were aware about consumption of IFA tablets, TT injection and adequate ANC visits, respectively. PNDT act was known to 76.1% of the participants. Only 12.5% of the primi mothers were aware about Janani Suraksha Yojna (JSY) scheme and 91.8% of the mothers were aware about Dr. Muthulakshmi Maternity Benefit scheme.Conclusions: Knowledge about ANC services was found to be fair among the primi mothers but not sufficient, which shows the need for the healthcare professionals to educate young woman even from adolescent age itself.

scholarly journals Analysis of Early Given Breast Milk Complementary Foods in Baby Age 0-6 Month at Larangan Health Public Center in Health Departement of Pamekasan

2018 ◽  
Vol 2 (1) ◽  
pp. 68-78
Author(s):  
Nur Khalilah ◽  
Nurwijyanti Nurwijyanti ◽  
Nurdina Nurdina
Keyword(s):  
Breast Milk ◽  
Quantitative Research ◽  
Social Economy ◽  
Dominant Factor ◽  
Social Culture ◽  
Complementary Foods ◽  
Cross Sectional ◽  
Culture And Health ◽  
Observational Design

Breast Milk Complementary Foods (MP-ASI) is a supplementary food given to infants other than breast milk after 6 months of age until the age of 24 months. Breast milk complementary foods is given to meet the energy and nutrient needs of infants that are not covered by breast milk. the factors that are suspected to be the cause of mother giving ASI AS early are knowledge, social economy, culture and health cadre role. The purpose of this study was to analyze the factors that influence the provision of early given Breast milk complementary foods in infants aged 0-6 months. The type of this research is quantitative research with analytic observational design with cross sectional. This study was conducted from February to March 2018 at Larangan Health Public Center of Pamekasan with a population of mothers who have babies 0-6 months who provide early Breast milk complementary foods of 86 people. The sample size was 71 respondents, with sampling accidental sampling type. The independent variables are knowledge, socioeconomic, cultural and health cadre's role. The dependent variable is the provision of early Breast milk complementary foods in infants aged 0-6 months. Data were collected using questionnaires. Data were analyzed using test logistic regression with α = 0.05. The results showed that the variable X1 (knowledge) with p = 0.035; OR = 3,725, variable X2 (social economy) p = 0,135; OR = 4,226, X3 (culture) p = 0,003; OR = 9,973, X4 (role of health cadre) p = 0,134; OR = 2, 187. So it can be concluded that the factors that affect Y (provide early Breast milk complementary foods in infants aged 0-6 months) are cultural and knowledge factors, with the most dominant factor is cultural factor with influence of 9.973. Social culture or tradition has a relationship with the provide early Breast milk complementary foods. The mindset of most people still trust it can accelerate the growth of babies by follow the tradition as a adherence to parents. So it can affect the knowledge, perception, and attitudes of a person to something, therefore need more intense health promotion efforts again in order to exclusive coverage of exclusive breastfeeding increases.

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI PERBEDAAN BERAT BADAN LAHIR BAYI DI RSUD. Dr. M . YUNUS KOTA BENGKULU

2018 ◽  
Vol 8 (2) ◽  
pp. 143-151
Author(s):  
Meli Marisiantini
Keyword(s):  
Birth Weight ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Health Workers ◽  
Statistical Tests ◽  
Infant Mortality Rate ◽  
Dominant Factor ◽  
Low Birth Weight Infants ◽  
Caffeine Consumption ◽  
Cross Sectional

Nowadays, Infant Mortality Rate (IMR) is still high in Indonesia, it is about 32 per 1.000 livebirths, and low birth weight infants accounted for 34% as the major cause (SDKI, 2012). InDr.M.Yunus hospital at Bengkulu city, cases of LBW has increased from the preceding year,approximately 391 infants (14.4%) of 2713 childbirths. The purpose of this research is known thefactors which affect average of birth weight infants in C1 Midwifery room at Dr.M.Yunus Bengkulu in2013. The study design was observational descriptive with cross-sectional method which the populationare women who delivered in the maternity room at Dr.M.Yunus hospital, and also with accidentalsampling technique which samples are 48 respondents, data were processed using univariate andbivariate. The results of statistical tests showed there are influences of those factors to affect average ofbirth weight infant in Dr.M.Yunus hospital in 2013 and long-standing is the most dominant factor. It isexpected that health workers can be provide counseling to pregnant women in order to know the risks ifthe women have a bad lifestyle (exposure to cigarette smoke, caffeine consumption, and prolongedstanding) and also set the age for pregnancy planning.

scholarly journals Kinerja Bidan di Desa dalam Program Jaminan Pemeliharaan Kesehatan Masyarakat Miskin

2009 ◽  
Vol 4 (1) ◽  
pp. 18
Author(s):  
Arfah Husna ◽  
Besral Besral
Keyword(s):  
Logistic Regression ◽  
Work Experience ◽  
Work Motivation ◽  
Multivariate Logistic Regression Analysis ◽  
Dominant Factor ◽  
Multivariate Logistic Regression ◽  
District Health ◽  
Cross Sectional ◽  
Birth Attendance ◽  
Village Midwife

Cakupan pelayanan kebidanan program Jaminan Pelayanan Kesehatan Masyarakat Miskin (JPKMM) di Kabupaten Aceh Selatan tahun 2006 yang belum mencapai target mengindikasikan kinerja bidan di desa dalam pelayanan kebidanan program JPKMM masih rendah. Penelitian ini bertujuan mengetahui kinerja bidan desa dan faktor-faktor yang berhubungan. Kinerja bidan desa diukur dengan melihat cakupan pelayanan kebidanan program JPKMM meliputi cakupan pemeriksaan kehamilan minimal 4 kali dan cakupan pertolongan persalinan. Disain penelitian yang digunakan adalah cross sectional dengan populasi seluruh bidan desa yang bertugas di Kabupaten Aceh Selatan tahun 2007. Sampel adalah bidan desa yang sudah bertugas minimal setahun yang berjumlah 104 orang. Disimpulkan bahwa sebagian besar kinerja bidan desa masih rendah (56%). Faktor-faktor yang berhubungan dengan kinerja bidan desaadalah: tidak adanya pesaing, adanya pembinaan, pengetahuan dan motivasi. Faktor-faktor yang tidak berhubungan dengan kinerja bidan desa adalah umur,status pernikahan, status kepegawaian (PNS/PTT), domisili, jumlah desa, sikap, imbalan, kemampuan dan pendidikan. Disarankan kepada Dinas Kesehatan untuk memberikan pembinaan yang lebih intensif kepada bidan desa dan memberikan penghargaan untuk meningkatkan motivasinya. Disarankan kepada bidan di desa untuk terus-menerus melakukan peningkatan pelayanan kepada pasien dan selalu menerapkan prinsip 3S (salam, senyum dan sopan) sertaproaktif mendatangi pasien ke rumahnya untuk memberikan pelayanan kebidanan ataupun memelihara hubungan sosial yang baik.Kata kunci: Bidan desa, pelayananAbstractThis research aimed to find out the performance of village midwife and its determinant factors. The performance of midwifery service within the Jaminan Pemeliharaan Kesehatan Masyarakat Miskin (JPKMM) program was measured by the coverage of antenatal care and coverage of trained birth attendance. The design of this study is cross sectional and data was analyzed using univariate, bivarite, and multivariate logistic regression. The population was all village midwives (137 persons) in Aceh Selatan District in the year 2007. The sample was village midwife who has at least one year work experience in a certain vil-lage and it consists of 104 persons. The result shows that the performance of village midwife is still low (56%). Multivariate logistic regression analysis confirmed that the dominant factor related to good performance were no competitor, good supervision, knowledge and motivation. Factors which not associated with performance were age, marital status, employee status, domicile, number of village to be covered, attitude, reward, and education. We recommend that the District Health Office must supervise intensively and giving more reward to improve work motivation. The village midwife should improve their quality ofservices and implement the 3S principle ( salam, senyum and sopan) and conducting home visit to provide maternal health services and to maintain good so-cial relationship with the communityKeywords: Village midwives, performance

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI PEMBERIAN ASI EKSKLUSIF PADA IBU PEKERJA

2020 ◽  
Vol 3 (1) ◽  
pp. 73-80
Author(s):  
Sri Melda Br Bangun ◽  
Putri Damayanti Damanik ◽  
Basyariah Lubis
Keyword(s):  
Exclusive Breastfeeding ◽  
Working Mothers ◽  
Food Additives ◽  
Working Hours ◽  
Infant Mortality Rate ◽  
Dominant Factor ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Rest Time

Exclusive breastfeeding is breastfeeding for the first 6 months without drinks or eat other food additives. The low exclusive breastfeeding is a reason for the high infant mortality rate in Indonesia. The research aims to know the factors that effect of giving exclusive breastfeeding toward working mothers at Grandmed Hospital Lubuk Pakam such as the supporting of husband, breastfeeding place facilities, and the additional rest time. This research included an analytic observational quantitative study with a cross sectional design. The population is 21 person of working mothers. Data collection techniques are used questionnaires. The statistical test used in this research is chi-square and simple linear regression. The theoretical basis is the Green and Kreutzer Behavior Theory (1980). Based on the results and analysis of research, it was found that the majority of respondents aged are 26-30, with last education is D3, and they had babies aged 1-2 months. A total of 66.7% provide exclusive breastfeeding. There is a relationship of supporting husband  with the giving of exclusive breastfeeding. The most dominant factor influenced giving of exclusive breastfeeding is husband's support factor where  p-value=0,012<α(0.05). It is suggest for management of Grandmed Hospital to provide facilities that support Breastfeeding Corner like a icebox in the workplace and provide the opportunity to express milk during working hours

scholarly journals Birth Preparedness and Its Association with Skilled Birth Attendance and Postpartum Checkups among Mothers in Gibe Wereda, Hadiya Zone, South Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Yohannes Lakew ◽  
Fasil Tessema ◽  
Chernet Hailu
Keyword(s):  
Antenatal Care ◽  
Educational Status ◽  
Skilled Birth Attendance ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Danger Signs ◽  
Birth Attendance ◽  
Three Delays

Background. Birth preparedness program was designed to enhance skilled birth attendance and postpartum checkups of women in a developing country to reduce the three delays that lead women and neonates to death and disability. However, the relationship between birth preparedness with skilled birth attendance and postpartum checkups among mothers is not well studied. Therefore this study is intended to assess the association between birth preparedness and skilled birth attendance and postpartum checkups. Methods. A community based cross-sectional study was conducted from March to April 2014. Eight out of 22 Kebeles were selected using probability proportional to size sampling method. Seven hundred and forty-five mothers were selected randomly from the sampling frame, generated from family folders obtained from health posts. Data was collected using pretested questionnaire by face-to-face interview. Data was entered into EpiData version 3.1 database and analyzed by SPSS version 16. Result. Out of 745 sampled mothers 728 (97.7%) participated in the study. One hundred and twelve (15.4%) and 128 (17.6%) mothers got skilled birth attendance and received postpartum checkups for their last child, respectively. Birth preparedness, educational status of women and their husbands, and antenatal care visits of mothers were found to be predictor of skilled birth attendance and postpartum checkups. Mothers well prepared for child birth were 6.7 times more likely to attend skilled birth attendance [AOR = 6.7 (2.7–16.4)] and 3 times more likely to follow postpartum checkups [AOR = 3.0 (1.5–5.9)] than poorly prepared mothers, respectively. Travel time to reach the nearest health facility was found as predictor for postpartum checkups of mothers; mothers who travel ≤ 2 hours were three times more likely to follow postpartum checkups than mothers who travel > 2 hours (AOR (95% CI) = 3.4 (1.5–7.9)). Conclusion and Recommendation. Skilled birth attendance and postpartum checkups were low. Encouraging women to attend recommended antenatal care visits and providing advice and education on birth preparedness and obstetric danger signs are important interventions to increase skilled birth attendance and postpartum checkups.

scholarly journals Determinan Kepatuhan Bidan di Desa terhadap Standar Antenatal Care

2012 ◽  
Vol 7 (2) ◽  
pp. 69 ◽  
Author(s):  
Guspianto Guspianto
Keyword(s):  
Organizational Commitment ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Compliance Rate ◽  
Development Program ◽  
Safe Motherhood ◽  
Dominant Factor ◽  
District Health ◽  
Cross Sectional

Upaya menurunkan kematian ibu menjadi prioritas utama program pembangunan kesehatan nasional. Pelayanan antenatal care (ANC) menjadi bagian dari “Empat Pilar Safe Motherhood” sebagai kebijakan Kementerian Kesehatan untuk mempercepat penurunan angka kematian ibu (AKI).Kualitas layanan ANC dari aspek kinerja bidan di desa diukur antara lain dengan parameter tingkat kepatuhan terhadap standar ANC dalam memberikan kepuasan kepada ibu hamil. Penelitian ini bertujuan untuk mengetahui berbagai faktor yang berhubungan dengan kepatuhan bidan di desa terhadap standar ANC. Desain penelitian cross sectional ini menggunakan data sekunder Dinas Kesehatan Kabupaten Muaro Jambi dengan sampel 165 bidan di desa. Penelitian ini menemukan tingkat kepatuhan bidan di desa terhadap standar ANC masih di bawah standar minimal sekitar 74,28%.Berbagai faktor yang memengaruhi tingkat kepatuhan bidan di desa terhadap standar ANC adalah supervisi, pengetahuan, dan komitmen organisasi. Supervisi merupakan faktor yang paling dominan dan faktor pengetahuan merupakan perancu hubungan faktor supervisi dan komitmen organisasi dengan tingkat kepatuhan terhadap standar ANC. Disarankan untukmelaksanakan upaya supervisi secara kontinu dan komprehensif diawali dari pengukuran tingkat kepatuhan, mengidentifikasi permasalahan, melakukan upaya perbaikan, dan memberikan umpan balik sehingga mutu pelayanan kesehatan khususnya ANC dapat terus ditingkatkan.Kata kunci: Bidan desa, standar antenatal care, tingkat kepatuhanAbstractEfforts to reduce maternal mortality is national health development program priority. Antenatal care (ANC) became part of the “Four Pillars of Safe Motherhood” as a policy of the Ministry of Health to accelerate the reducing of maternal mortality rate (MMR). The quality of ANC in terms of performance of services are measured by village midwives compliance towards the ANC standards in giving satisfaction to pregnant women. This study aimed at identifyng factors that influenced compliance rate of village midwifes towards ANC standards. This is a cross sectional study using secondary data from District Health Office Muaro Jambi, using 165 village midwifes as sample. This study found that compliance rate of village midwifes is still below the minimum ANC standard, 74,28%. This study proved that factors that influence compliance of village midwifes to ANC standards are supervision, knowledge, and organizational commitment. Supervision is the most dominant factor and knowledge is the confounder factor in the relationship between supervision and organizational commitment to compliance towards ANC standards. It is recommended to carry out continuously and comprehensive supervision by measuring compliance, identify problems, make improvements, and provide feedback so that quality of health care especially ANC could continously improved.Keywords: Village midwife, standard of antenatal care, compliance rate

scholarly journals The Effect of Service Quality on Patient's Family Satisfaction in the Nicu Care of the Public Hospital in Datu Beru Takengon Region

2020 ◽  
Vol 1 (5) ◽  
pp. 22-29
Author(s):  
Kusnatalia Kusnatalia ◽  
Arifah Devi Fitriani ◽  
Asriwati Amirah
Keyword(s):  
Multivariate Analysis ◽  
Patient Safety ◽  
Sampling Technique ◽  
Family Satisfaction ◽  
Infant Mortality Rate ◽  
World Health ◽  
Dominant Factor ◽  
P Value ◽  
Technical Competence ◽  
Cross Sectional

The World Health Organization (WHO) infant mortality rate is the first indicator in determining a child's health status, 3.6 million of the 120 million newborns experience asphyxia, and nearly 1 million babies die. Meanwhile, the prevalence of patients treated at the NICU at the Datu Beru Takengon Hospital from 2016 to 2019 continues to decline every year. The purpose of this study was to determine and analyze the effect of technical competence, efficiency and patient safety on patient family satisfaction. The research design used an analytic survey with a cross-sectional design. The data that had been collected were processed using univariate and bivariate and multivariate analysis. The population of all parents of babies who were treated in the NICU Care Room at Datu Beru Takengon Hospital was 329 people. The sampling technique used accidental sampling. The number of samples that will be studied is 67 people. The results of the research on technical competence variables obtained p-value = 0,000, efficiency 0,000, and patient safety 0,000 <α 0.05, meaning that there is an influence between technical competence, efficiency and patient safety on family satisfaction, from the results of multivariate analysis, the most influential variables are found. in this study is the technical competency variable with an Exp B value of 1.003. The conclusion is that there is an influence between technical competence, efficiency and patient safety while the multivariate analysis shows that the most dominant factor is the variable of technical competence on family satisfaction. It is recommended that the hospital be able to improve the technical competence of nurses in the NICU room by holding training and workshops both internal and external training.

scholarly journals Hubungan Pemeliharaan ASI dengan Keberhasilan Pemberian ASI Eksklusif pada Ibu dengan Masalah Menyusui di Puskesmas Mantrijeron Kota Yogyakarta

2020 ◽  
Vol 7 (1) ◽  
pp. 64
Author(s):  
Ainis Cahya Budi ◽  
Ida Nursanti ◽  
Dwi Yati
Keyword(s):  
Breast Milk ◽  
Correlation Coefficient ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Health Centre ◽  
Infant Mortality Rate ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling

Angka Kematian Bayi (AKB) di Indonesia saat ini masih sebesar 32 per 1.000 kelahiran hidup. Tingginya AKB dipengaruhi oleh tidak diberikannya ASI eksklusif. ASI eksklusif merupakan pemberian nutrisi pada bayi berupa air susu ibu tanpa makanan atau minuman tambahan lain selain vitamin. Bayi yang tidak diberikan ASI eksklusif tidak mendapatkan kekebalan sehingga mudah terkena penyakit dan meningkatkan risiko kekurangan gizi. Dalam masyarakat proses pemberian ASI eksklusif tidak terlaksana dengan baik. Tujuan: Mengetahui hubungan pemeliharaan ASI dengan keberhasilan pemberian ASI eksklusif di Wilayah Kerja Puskesmas Mantrijeron. Metode: Penelitian ini merupakan penelitian kuantitatif non eksperimental dengan menggunakan rancangan penelitian cross sectional. Teknik sampling  yang digunakan adalah purposive sampling dengan jumlah sampel sebanyak 35 responden. Alat ukur yang digunakan adalah check list pemeliharaan ASI dan kuesioner keberhasilan pemberian ASI eksklusif. Analisis data meliputi univariat dan bivariat. Uji statistik yang digunakan adalah Chi-Square dan menggunakan uji alternatif Fisher.Hasil: Hasil uji Fisher diperoleh tingkat signifikansi p-value 0,044 (p-value < 0,05) dan nilai correlation coefficient 0,375, menunjukkan bahwa ada hubungan antara pemeliharaan ASI dengan keberhasilan pemberian ASI eksklusif di Wilayah Kerja Puskesmas Mantrijeron dengan keeratan hubungan lemah.Kesimpulan: ada hubungan antara pemeliharaan ASI dengan keberhasilan pemberian ASI eksklusif pada ibu dengan masalah menyusui di Wilayah Kerja Puskesmas Mantrijeron Yogyakarta.Kata Kunci: inefektif menyusui; keberhasilan pemberian ASI eksklusif; pemeliharaan ASIRELATIONSHIP OF BREAST MILK CARE AND THE SUCCESS OF EXCLUSIVE BREAST FEEDING IN MOTHER WITH BREAST FEEDING PROBLEM IN YOGYAKARTAABSTRACTThe Infant Mortality rate in Indonesia is still 32 per 1,000 live births. The high IMR is influenced by not giving exclusive breastfeeding. Exclusive breastfeeding is the provision of nutrition to infants in the form of breast milk without additional food or drinks other than vitamins. Infants who are not exclusively breastfed do not get immunity so they are susceptible to disease and increase the risk of malnutrition. In the community the exclusive breastfeeding process is not carried out properly. Objective: This study was to find out the relation between breast milk care and the success of exclusive breastfeeding in the Mantrijeron Community Health Centre. Method: This research was a quantitative non-experimental study using a cross sectional study design. The sampling technique used was purposive sampling with a sample size of 35 respondents. The measuring instrument used was a Breast Milk Care checklist and an exclusive breastfeeding success questionnaire. Data analysis included univariate and bivariate. Result: The statistical test used was Chi-Square and Fisher alternative test was used. Fisher test results obtained a significance level of p-value 0.044 (p-value <0.05) and a correlation coefficient value of 0.375, indicating that there is an association between breastfeeding and the success of exclusive breastfeeding in the city of Yogyakarta with a weak association.Conclusion:Maintenance of breast milk has an association with the success of exclusive breastfeeding.Keywords: ineffective breastfeeding; Success of exclusive breastfeeding; maintenance of breast milk

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