scholarly journals Strategi Intervensi Program dan Pemanfaatan Potensi Lokal dalam Upaya Peningkatan Cakupan ASI Eksklusif di Kabupaten Balangan

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Rukmini Rukmini ◽  
Eka Fatmawati ◽  
Yuli Trisnanto ◽  
Yunita Fitrianti
Keyword(s):  
Exclusive Breastfeeding ◽  
Infant Health ◽  
Health Workers ◽  
Participant Observation ◽  
Secondary Data ◽  
Community Empowerment ◽  
Service Programs ◽  
Initial Stage ◽  
Maternal And Infant Health ◽  
Low Coverage

Abstract Exclusive breastfeeding is the initial stage in nutritional intake for children. Problems that occur because the pattern of breastfeeding is not in accordance with the concept of exclusive breastfeeding, such as providing complementary foods with breast milk (MP-ASI) earlier. This paper is a policy article, based on the results of qualitative research with a health ethnographic approach, to determine the factors that influence the low coverage of exclusive breastfeeding. The research was conducted in Mauya Village (ethnic Banjar) and Marajai Village (ethnic Dayak Meratus), Balangan District, South Kalimantan. The main informants are mothers who have babies 0-6 months (16 people), while the informants who support village midwives (2 people), traditional / community leaders (2 people) and health workers (2 people). Data collection by participant observation, in-depth interviews and unstructured interviews, audio-visual documentation and secondary data search in facilities and health workers. The results show that the practice of exclusive breastfeeding in Mauya Village and Marajai Village, Balangan Regency is still low influenced by several factors, namely aspects of maternal and infant health, availability of health care workers and facilities, social, economic, cultural, geographic conditions, access to information media. It can be concluded that there are 3 main factors, namely predisposing, enabling, and driving factors that are interrelated in the practice of exclusive breastfeeding. This article recommends that program intervention efforts to overcome the problem of exclusive breastfeeding,it is necessary to carry out comprehensive and integrated intervension both in improving the quality of health service programs, community empowerment and cross-sector cooperation and utilization of local cultural potentials. Abstrak Pemberian air susu ibu (ASI) eksklusif merupakan tahap awal dalam asupan gizi bagi anak. Permasalahan yang terjadi karena pola pemberian ASI yang tidak sesuai dengan konsep ASI eksklusif, seperti memberikan Makanan Pendamping Air Susu ibu (MP-ASI) lebih dini. Tulisan ini merupakan artikel kebijakan berdasarkan hasil penelitian kualitatif dengan pendekatan etnografi kesehatan, untuk mengetahui faktor-faktor yang memengaruhi rendahnya cakupan ASI eksklusif. Penelitian dilakukan di Desa Mauya (etnik Banjar) dan Desa Marajai (dominasi etnik Dayak Meratus), Kabupaten Balangan Kalimantan Selatan. Informan utama adalah ibu yang memiliki bayi 0-6 bulan (16 orang),sedangkan informan pendukung bidan kampung (2 orang), tokoh adat/tokoh masyarakat (2 orang) dan petugas kesehatan (2 orang). Pengumpulan data dengan participant observation, wawancara mendalam dan wawancara tidak terstrukur, dokumentasi audio visual, dan penelusuran data sekunder di fasilitas dan petugas kesehatan. Hasil menunjukkan praktik ASI eksklusif di Desa Mauya dan Desa Marajai Kabupaten Balangan masih rendah dipengaruhi beberapa faktor yaitu aspek kesehatan ibu dan bayi, ketersediaan petugas dan fasilitas pelayanan kesehatan, faktor sosial, ekonomi, budaya, kondisi geografis, akses media informasi. Dapat disimpulkan ada tiga faktor utama yakni faktor predisposisi, pemungkin, dan pendorong yang saling terkait dalam praktik ASI eksklusif. Artikel ini merekomendasikan upaya intervensi program untuk mengatasi permasalahan ASI eksklusif dilakukan secara menyeluruh, komprehensif dan terintegrasi baik pada peningkatan kualitas program pelayanan kesehatan, pemberdayaan masyarakat dan kerjasama lintas sektor serta pemanfaatan potensi budaya lokal.

scholarly journals Peningkatan Pengetahuan Ibu Nifas tentang Manajemen ASI Perah di Kabupaten Bangka Tengah

2021 ◽  
Vol 2 (1) ◽  
pp. 33-42
Author(s):  
Eka Safitri Yanti
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Infant Health ◽  
Health Workers ◽  
Positive Impact ◽  
Local Health ◽  
Lactating Mothers ◽  
Significant Difference ◽  
Maternal And Infant Health ◽  
Before And After

Exclusive breastfeeding coverage is still low in Central Bangka Regency. One of the factors causing this is the lack of public knowledge about the management of stored breast milk. Therefore, the team provides counseling on the management of breast milk for Posyandu cadres as well as pregnant and lactating mothers in Tanjung Gunung Village, Central Bangka Regency. After the counseling was carried out, there was a positive impact on the knowledge of mothers about the management of stored breast milk. The statistical results also showed that there was a significant difference between the scores of mothers’ knowledge before and after counseling (p = 0.042). Thus, this activity can be one of the efforts to increase the coverage of exclusive breastfeeding. However, these efforts must also continue to be supported by both the community, community leaders and local health workers. For village officials and the health office, the results of this community service can be used as a medium for policy making, especially on maternal and infant health. Cakupan ASI eksklusif masih tergolong rendah pada Kabupaten Bangka Tengah. Salah satu faktor yang menjadi penyebab hal ini adalah masih rendahnya pengetahuan masyarakat tentang ASI perah. Oleh karena itu, tim pengabdi memberikan penyuluhan tentang manajemen ASI Perah terhadap kader Posyandu serta ibu hamil dan menyusui di Desa Tanjung Gunung Kabupaten Bangka Tengah. Setelah dilakukan penyuluhan tersebut, ada dampak positif terhadap pengetahuan ibu tentang manajemen ASI perah. Hasil statistik juga menunjukkan terdapat perbedaan yang bermakna antara skor pengetahuan ibu sebelum dan sesudah dilakukan penyuluhan (p=0,042). Dengan demikian, kegiatan penyuluhan ini dapat menjadi salah satu dari upaya untuk meningkatkan cakupan ASI eksklusif. Namun, upaya ini juga harus terus didukung baik oleh masyarakat, tokoh masyarakat maupun petugas kesehatan setempat. Bagi perangkat desa dan dinas kesehatan, hasil pengabdian masyarakat ini dapat dijadikan salah satu media untuk pengambilan kebijakan terutama pada kesehatan ibu dan bayi.

scholarly journals PERAN LSM KUSUMA BUANA DALAM PENDAMPINGAN PSK DI DESA BONGAS, INDRAMAYU, JAWA BARAT

2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Erllyn Nurdiansyah *
Keyword(s):  
Participant Observation ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Social Institution ◽  
Community Empowerment ◽  
Mentoring Programs ◽  
Assistance Program ◽  
Sex Worker ◽  
Data Source

LSM Kusuma Buana is one of social institution which focus with countermeasures on sex worker problem in Bongas Vilage, Indramayu, Jawa Barat. The purpose of LSM Kusuma Buana to be effort autonomous for PSK. Purpose of this reseacrh are: 1). To description profil of LSM Kusuma Buana as social institution to handle PSK problem. 2). To description character of LSM Kusuma Buana to handle PSK problem in Bongas, Indramayu, Jawa Barat. This research uses kualitatif research methods. Were used primary and secondary data sources. Technique obtained in this research is descriptive analysis that is the data which obtained in this research presented the analyzed descriptively to get an idea about the facts. Information obtained by using purposive sampling tecnique, that is sampling based on speatic objectives. Informats in this study is the LSM Kusuma Buana, prostitutes and former prostitutes. Data was collected by interview methocl, passive participant observation, documentation and literature studies. To examine the validity of this data source using triangulation techniques source and methods. Techniques which used in analyzing the data is data colection, data reduktion, data presentation, and conclusion. The result showed that: 1). LSM Kusuma Buana as social institusion is the first in Bongas Vilage in assitance prostitutes. 2). The role of LSM Kusuma Buana or Kusuma Bongas as home and friend for sex worker, besides its role as facilitator and catalyst, coach and education, as well as colector of capital. 3). Assistance by LSM Kusuma Buana formed a working group named Kusuma Bongas to empower sex worker by providing mentoring programs, such as community empowerment in the form of revolving capital and education about the worse effect of prostitutions and AIDS, health service and skills activties. Form of empowerement that was given to comecrial sex worker and sex worker make increasingly independent and empowered. 4). Empowerment was given to the prostitutes greated positively by them, because the program can empower prostitutes in Bongas Vilage, Indramayu, Jawa barat. Key words: role of social institutional, assistance program, empowerement  

scholarly journals PEMODELAN TEMPAT PEMBERIAN ASI EKSLUSIF DI LINGKUNGAN PEKERJAAN

2020 ◽  
Vol 2 (2) ◽  
pp. 58-65
Author(s):  
Jaji Jaji ◽  
◽  
Antarini Idriasari ◽  
M Zainal Fikri
Keyword(s):  
Exclusive Breastfeeding ◽  
Working Mothers ◽  
Community Health Centers ◽  
Health Workers ◽  
Working Hours ◽  
Formula Milk ◽  
Rest Periods ◽  
Flexible Work Schedules ◽  
Low Coverage ◽  
Dairy Milk

The low coverage of breastfeeding is a threat to the growth and development of children. Some of the things that hinder exclusive breastfeeding include the low level of knowledge of mothers and families about the benefits of breastfeeding, and how to breastfeed properly. In addition, the lack of lactation counseling services and support from health workers, socio-cultural factors, the incessant marketing of formula milk, and factors of working mothers. Some things that can facilitate breastfeeding for working mothers are support from the office environment, support from superiors, coworkers, flexible work schedules, rest periods, positive work colleagues 'attitudes towards breastfeeding, working mothers' attitudes. While some things that can hinder breastfeeding are psychological stress caused by tight work time and discomfort at the time of breastfeeding. Lack of time and location of breastfeeding rooms is also recognized as one of the obstacles in breastfeeding during working hours. The counseling and assistance activities of exclusive breastfeeding are a real form of triad prevention that must be carried out by health workers, especially nurses at the community Health centers. Expressing milk is one of the solutions to keep breastfeeding at work. 5 facilities that can be provided by the workplace to keep breastfeeding, namely: a breast milk pump, a room for milking or a room for breastfeeding, rest periods for milking or for breastfeeding, there is a refrigerator for storing milk and there is support from the workplace. Mothers are committed to giving exclusive breastfeeding to their children, and for workplace institutions to provide opportunities for mothers who have children aged 0-6 months, continue to give their milk by relaxing time for the management of dairy milk.

scholarly journals VIDEO-BASED INTERVENTION ON THE KNOWLEDGE OF BREAST-MILK SUPPORT GROUP IN SEMBUBUK VILLAGE, MUARO JAMBI REGENCY: A PRE-EXPERIMENT STUDY

NSC Nursing ◽  
2021 ◽  
pp. 28-45
Author(s):  
Yuli Suryanti ◽  
Damris Muhammad ◽  
M.Naswir M.Naswir ◽  
Guspianto Guspianto
Keyword(s):  
Breast Milk ◽  
Support Groups ◽  
Support Group ◽  
Exclusive Breastfeeding ◽  
Infant Health ◽  
Health Workers ◽  
Wilcoxon Test ◽  
P Value ◽  
Breastfeeding Support ◽  
The One

Introduction: Breast milk is the best food for babies because it contains nutrients to support growth and development. The achievement rate of exclusive breastfeeding in ASIA countries has not yet reached the expected target. The coverage of exclusive breastfeeding in Jambi Province in 2018 was 59.36%. The success of exclusive breastfeeding is not only influenced by the mother's physical and mental readiness to breastfeed. Still, it is also influenced by support from health workers and the family. The study aimed to determine the effect of counseling using breastfeeding video on grandmothers' knowledge as breastfeeding support in Sembubuk Village, Muaro Jambi Regency. Methods: This type of pre-experimental research using the One Group Pretest-Posttest design, which saw 40 grandmothers of the Breast Milk Support Group members, was carried out from June 2020 to July 2021. Respondents answer the questionnaires to complete the data collection. The intervention carried out in this study was the provision of counseling using video media about breastfeeding. Data were analyzed through univariate and bivariate using the Wilcoxon test. Results: The results showed the p-value = 0.0001, which means that breastfeeding video affects grandmothers' knowledge in breastfeeding support groups in Sembubuk village, Muaro Jambi District. Conslusion: The results of this study are expected to increase public knowledge and insight regarding the importance of breastfeeding for infant health so that positive behavior is formed in breastfeeding, providing additional appropriate information to advance understanding of breastfeeding support groups about breastfeeding. Keywords: Exclusive breastfeeding, health education, Knowledge, Video-based

scholarly journals Engaging Afghan men at a societal level to increase women’s access to contraception

2019 ◽  
Vol 6 (4) ◽  
Author(s):  
Andrew Macnab ◽  
Wais Aria ◽  
Josephine de Freitas
Keyword(s):  
Infant Health ◽  
Health Workers ◽  
Cultural Issues ◽  
Internally Displaced ◽  
Unplanned Pregnancies ◽  
Maternal And Infant Health ◽  
Mother And Child ◽  
Societal Level ◽  
Men's Groups ◽  
One Year

Mother and child mortality rates in Afghan internally displaced person (IDP) camps are high. Most women have unplanned pregnancies; many are child brides. Contraception can lower maternal mortality/morbidity from unintended pregnancy and short birth intervals, but in Afghan culture men make health decisions. Using knowledge of Afghan society gleaned from Afghan health workers, we trained respected elders and imams to start men’s groups to share practical, financial, and religious facts about contraception and promote discussion. The aim was to inform and allay misconceptions and fears so informed spousal conversation could occur; the overall objective was to allow women wanting spaced pregnancies or smaller families to gain spousal understanding and approval for use of contraception. Societal responses were monitored for one year among nine hundred families in three IDP camps where weekly men’s groups were conducted. Taking photographs captured unique ethnographic aspects of the intervention especially for those involved in this research who were not in Afghanistan and hence missed being directly engaged with the community. The maternal and infant health challenges and cultural issues addressed are global in nature; this model is globally applicable to other camps and Islamic societies.

scholarly journals Mother’s Accompaniment in Exclusive Breastfeeding in Surakarta City

2021 ◽  
Vol 2 (4) ◽  
pp. 249-258
Author(s):  
Ropitasari Ropitasari ◽  
Sri Anggarini Parwatiningsih ◽  
Fresthy Astrika Yunita ◽  
M.Nur Dewi Kartika ◽  
Hardiningsih Hardiningsih ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Community Service ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Maternal Factors ◽  
Breastfeeding Practices ◽  
Need Support ◽  
Low Coverage ◽  
Breastfeeding Practice

The huge benefits of exclusive breastfeeding have not been able to increase the number of exclusive breastfeeding coverage in Indonesia. This is due to the low knowledge of pregnant women on the importance of exclusive breastfeeding. Low support from families, communities and health workers, especially breastfeeding counselors, is one of the factors causing the low coverage of exclusive breastfeeding. Mothers need support from those around them for success of exclusive breastfeeding behavior. The role of health workers in health promotion is also needed so that the exclusive breastfeeding program runs optimally. This activity aims to increase the knowledge and skills of mothers in exclusive breastfeeding. The community service method used is assistance to mothers in exclusive breastfeeding with the concept of one student one client. It was carried out in the working area of the Surakarta City Health Office with 30 participants. It begins with counseling mothers about exclusive breastfeeding, observations about maternal assistance in exclusive breastfeeding, and an evaluation of the course of mentoring through filling out a questionnaire about exclusive breastfeeding and breastfeeding practices. The role of health workers in supported exclusive breastfeeding includes providing counseling on IMD and breastfeeding since pregnancy with husband, involving husbands in IMD implementation, posyandu with home visits involving cadres and providing counseling for pregnant women, providing lactation corners, counseling involving all puskesmas officers, distributing leaflets and posters, holding pregnancy classes, and involving cadresto hold Kelompok Pendukung Ibu (KP-Ibu). The failure of exclusive breastfeeding was generally because the mother works so that breastfeeding motivation decreased, family support was low, worried about insufficient breastfeeding, and low knowledge of breastfeeding. There was a relationship between knowledge and breastfeeding practice and it was statistically significant (p=0.004, OR: 25.14, CI95%:0.89-5.56). The role of health workers and cadres in supported exclusive breastfeeding through maternal assistance was quite good, however the failure of exclusive breastfeeding generally came from maternal factors. There was a relationship between knowledge and breastfeeding practice and statistically significant.

CSR (Corporate Social Responsibility) Of PT. Sarihusada And Community Empowerment-Based Integrated Service Post (Posyandu) to Establish A Child Friendly Village In Yogyakarta Indonesia

2020 ◽  
Vol 7 (12) ◽  
pp. 298-303
Author(s):  
Eva Agustinawati Agustinawati ◽  
Ravik Karsidi ◽  
Drajat Tri Kartono ◽  
Kusnandar Kusnandar
Keyword(s):  
Participant Observation ◽  
Group Discussion ◽  
Secondary Data ◽  
Community Empowerment ◽  
Interactive Methods ◽  
Snowball Sampling ◽  
River Bank ◽  
The People ◽  
Research Problems ◽  
Integrated Service

Badran in Yogyakarta which is located in the river bank of Winongo river used to be known as a dirty and slum area. Some children were malnourished due to unhealthy food and environment. This situation led people to being determined to establish a village that is more conducive for children. In cooperation with PT. Sarihusada, the community empowered Posyandu(Integrated Service Posts) to help them improve their health especially toddlers. This research is a qualitative research since the research findings based on the research problems, purposes, approaches as well as analysis cannot be achieved by using statistical or quantitative approaches.This reasearch uses primary and secondary data sources. The sampling  techniques used in this research are  purposive sampling and snowball sampling. The data collecting technique was conducted through interactive methods including in-depth interviews, participant observation, and Focus Group Discussion (FGD).The data validation in this research was conducted by using the source triangulation and data analysis which consists of data reduction, data display and conclusions. The results of the research demonstrate that the Integrated Service Posts (Posyandu) that exist in Badran village are the results of collaboration between the people of the village and the CSR of  PT. Sarihusada through Rumah Srikandi (The House of Srikandi). The operation of the Posyandu is managed fully by the cadres of the Posyandu itself who come from the Badran village. The nutritionists of PT. Sarihusada mentored the mothers who have toddlers the ways to process healthy and nutritious food. Furthermore, PT. Sarihusada also provides milk for toddlers everytime the service held at Posyandu. After the CSR program of PT. Sarihusada has been completed, people contributed 500 rupiahs a month for the operational costs of the Posyandu sustenance.

scholarly journals The Relationship between Exclusive Breastfeeding and Diarrhea in Under Six Months Infants in 2017 (Analysis of Indonesian Health Demography Data Survey 2017)

2021 ◽  
Vol 6 (2) ◽  
pp. 333-340
Author(s):  
Fikriya Rusyda ◽  
Sudarto Ronoatmodjo
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Employment ◽  
Employment Status ◽  
Health Workers ◽  
Secondary Data ◽  
Education Level ◽  
Economic Level ◽  
Diarrhea Incidence ◽  
Data Survey ◽  
The Relationship

Background: Diarrhea is the main cause of malnutrition in underfive children. One of the efforts to prevent diarrhea in infants is exclusive breastfeeding. Exclusive breastfeeding is infant that receives only breast milk without any additional consumption from 0 to 6 months. Under six months infant who are not exclusively breastfed have a higher risk of developing diarrhea than those who are exclusively breastfed.Methods: This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in under six months infants in Indonesia. This study analyze secondary data from the 2017 Indonesian Demographic and Health Survey. The sample in this study consist of all live infants aged 0-6 months born to women aged 15-49 years in Indonesia who were successfully interviewed and had a complete answer (no answer missing). After weighting, 1898 samples were obtained.Result: The result found that the proportion of diarrhea incidence in Indonesia is 9.1%. Meanwhile of all infants, 36% were not exclusively breastfed. The results showed that there was a significant relationship between infants who were not exclusively breastfed and diarrhea incidence in Indonesia after adjusted by mother's education level, maternal employment status, mother’s economic level, area of residence, and latrine ownership (PR = 2.12, 95% CI = 1.46-3.07).Conclusion : Infants who were not exclusively breastfed increase the risk for diarrhea. Therefore it is necessary to have a program to increase the coverage of exclusive breastfeeding. The program can take the form of counseling by health workers in health services.

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