scholarly journals PEMBENTUKAN KP – ASI (KELOMPOK PENDUKUNG ASI) DALAM MEWUJUDKAN KADARSIE (KELUARGA SADAR ASI EKSKLUSIF) DI WILAYAH KERJA PUSKESMAS MEUREBO KABUPATEN ACEH BARAT

Author(s):  
Fitriani Fitriani ◽  
Veni Nella Syahputri

ABSTRAK   Modal  dasar pembentukan manusia berkualitas dimulai sejak janin dalam kandungan dengan memberi nutrisi pada ibu hamil dilanjutkan pemberian ASI ekslusif setelah bayi dilahirkan  yaitu memberikan ASI saja termasuk kolostrum tanpa memberikan makanan serta minuman tambahan kepada bayi sejak dilahirkan sampai  usia 6 bulan kecuali obat. Pemberian ASI sangat penting untuk tumbuh kembang bayi secara optimal,  baik secara fisik maupun mental serta kecerdasan, oleh karena itu pemberian ASI perlu mendapat perhatian para ibu dan tenaga kesehatan agar proses menyusui dapat terlaksana dengan benar. (Proverawati, 2009). Kabupaten Aceh Barat merupakan salah satu Kabupaten Di Provinsi Aceh, dengan cakupan pemberian ASI Ekslusif belum mencapai Standar Pelayanan Minimal (SPM).Wilayah Kerja Dinas Kesehatan Kabupaten Aceh Barat terdiri dari 13 Puskesmas. Puskesmas Meurebo merupakan salah satu puskesmas dengan cakupan terendah yaitu 17,2 % pada  tahun 2016. (Provil Dinkes Aceh Barat 2017).Hasil wawancara dengan penaggung jawab program Kesehatan Ibu dan Anak (KIA) di Puskesmas Meurebo menunjukkan informasi bahwa Puskesmas sudah menjalankan program dalam upaya meningkatkan pemberian ASI eksklusif yaitu berupa penyuluhan dan kelas ibu hamilk. Tetapi program ini tidak berjalan dengan baik karena tidak dilakukan secara berkesinambungan dengan alasan keterbatasan tenaga pelaksana dilapangan.Disamping itu belum adanya Kelompok Pendukung ASI (KP-ASI) di wilayah tersebut, memberikan kontribusi negatif terhadap cakupan pemberian ASI eksklusif.Melihatpotensidankondisiibuhamil  serta  meyusui diwilayah kerja puskesmas Meurebo, sangat penting dibentuk suatu programyang bertujuan untukmeningkatkan pengetahuanibuhamildanmeningkatkan kepatuhan  ibu  menyusui dalam dalam mewujudkan keluarga sadar ASI eksklusif melalui pendekatan   peer  group  yaitu pembentukan Kelompok Pendukung ASI (KP-ASI).Anggota Kelompok Pendukung ASI dapat direkrut dari kader yang aktif dan ibu  berhasil memberikan ASI eksklusif pada bayinya. Kata Kunci: Kelompok, Pendukung, Air,Susu, Ibu, Eksklusif, Keluarga   ABSTRACT   The authorized capital for the formation of quality human beings starts from the fetus in the womb by nourishing pregnant women followed by exclusive breastfeeding after the baby is born, ie giving breast milk only including colostrum without providing additional food and drinks to the baby from birth to 6 months except medicine. Giving breast milk is very important for optimal growth and development of the baby, both physically and mentally as well as intelligence, therefore breastfeeding needs to get the attention of mothers and health workers so that the breastfeeding process can be carried out correctly. (Proverawati, 2009). West Aceh District is one of the Districts in Aceh Province, with coverage of Exclusive Breastfeeding not yet achieving Minimum Service Standards (SPM). The Working Area of ​​the West Aceh District Health Office consists of 13 Puskesmas. Meurebo Health Center is one of the lowest coverage health centers, which is 17.2% in 2016. (Profil of the West Aceh Health Office 2017). The results of interviews with the responsibility of the Maternal and Child Health (KIA) program in Meurebo Health Center show information that the Puskesmas has efforts to increase exclusive breastfeeding in the form of counseling and classes for pregnant women. But this program did not go well because it was not carried out on an ongoing basis due to the limitations of the field staff. Besides that, the absence of ASI Support Groups (KP-ASI) in the region, contributed negatively to the scope of exclusive breastfeeding. Looking at the potential and condition of pregnant and breastfeeding women in the work area of ​​the Meurebo health center, a program which aims to increase the knowledge of pregnant women and increase adherence to breastfeeding mothers in creating a conscious family of exclusive breastfeeding through a peer group approach is the establishment of ASI Support Groups. . Members of the ASI Support Group can be recruited from active cadres and mothers successfully give exclusive breastfeeding to their babies. Keywords: Group, Supporting, Water, Milk, Mother, Exclusive, Family

2020 ◽  
Vol 4 (2) ◽  
pp. 235-241
Author(s):  
Welly Sando ◽  
Dami Yanthi ◽  
Muhammad Dedi Widodo ◽  
Tengku Khairani

Implementation is the implementation of laws in which various actors, organizations, procedures, and techniques work together to carry out policies in an effort to achieve policy objectives or policy programs. Exclusive breastfeeding coverage The Meranti Islands District Health Office experienced the lowest exclusive breastfeeding coverage in 2019, namely Alai Community Health Center, which is 25% where the achievement of the exclusive Breastfeeding Program (ASI) in Meranti Islands Regency in 2019 is 50% and still far from the national target of 80%. This study aims to determine the implementation of the exclusive breastfeeding program at Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency in 2020. This type of qualitative research uses observational research. When the research was conducted in June-August at the Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency. The research subjects were the head of the puskesmas (IK1), pregnant women (IU1), PJ KIA (IP1), and posyandu cadres (IP2). Data analysis is used by systematically arranging the interview guidelines, then processing the data, data from observations are identified to describe each variable, a summary will be presented in narrative form. The results of this study indicate that the policies in the exclusive breastfeeding program have been implemented but the coverage of exclusive breastfeeding is still low because many pregnant women do not follow the recommendations that have been given by health workers in counseling such as the benefits of breastfeeding. It can be concluded that health workers in the policy of the exclusive breastfeeding program provide counseling to pregnant women and approach pregnant women in order to achieve an exclusive breastfeeding program. It is recommended that the head of the Alai Community


2019 ◽  
Vol 10 (1) ◽  
pp. 41 ◽  
Author(s):  
Wiwit Fetrisia ◽  
Yanti Yanti

Exclusive breastfeeding or more properly called exclusive breastfeeding. The reality in the field shows the production and ejection of breast milk is a bit of a constraint in breastfeeding. One solution to overcome the insufficiency of breast milk production is through techniques acupressure points for lactation. This study aimed to determine the effect of mother's milk production with acupressure point for lactation intervention in the work area of Muaro Paiti sub-district Kapur IX Lima Puluh Kota Regency 2018. A quasi-experimental design with control group pretest-posttest design. The study was conducted in the working area of Muaro Paiti Community Health Center in April 2018. The population was breastfeeding mother in the work area of Muaro Paiti health center which was 118 people, with purposive sampling of 16 people. Processing and data analysis is done computerized. Univariate results revealed the average production of breast milk before acupressure point for lactation intervention in breastfeeding mothers was 67,9 ml and after intervention 85.7 ml. Bivariate results have the effect of acupressure point for lactation intervention on maternal breastmilk production in the work area of Muaro Paiti District Health Center Kapur IX Lima Puluh Kota Regency  2018 (p = 0,0005). It is expected that health workers should be able to teach acupressure point for lactation techniques in breastfeeding mothers to increase milk production for mothers with breastfeeding production


2021 ◽  
Vol 8 (1) ◽  
pp. 64
Author(s):  
Bunga Tiara Carolin ◽  
Cholisah Suralaga ◽  
Ferdita Lestari

ABSTRAKWorld Health Organization (WHO) menetapkan target pemberian ASI pada bayi sekurang – kurangnya 50% pada tahun 2025. Capaian ASI di dunia saat ini sebesar 36%. Di indonesia (2019) cakupan ASI eksklusif masih 52,3%, dibawah target nasional. Berdasarkan laporan formulir pencatatan ASI eksklusif di Puskesmas baros bulan September beberapa desa masih berada dibawah target yaitu tidak mencapai 45 %. Tujuan penelitian untuk mengetahui pengaruh teknik hypnobreastfeeding terhadap kecukupan ASI bayi pada ibu menyusui di wilayah kerja Puskesmas Baros. Metode: Penelitian menggunakan desain quasi experiment dengan one group pretest-postest design. Populasi adalah 30 ibu menyusui yang berada di wilayah kerja Puskesmas Baros. Teknik pengambilan sampel menggunakan metode systematic random sampling. Subjek penelitian sebanyak 15 responden yang memenuhi kriteria inklusi. Uji statistik yang digunakan adalah paired T-Test. Hasil Penelitian menunjukkan ada peningkatan signifikan kecukupan asi dengan p-value 0,000, berarti ada pengaruh pemberian teknik Hypno breastfeeding terhadap kecukupan ASI. Ada pengaruh pemberian teknik Hypno breastfeeding terhadap kecukupan ASI. Diharapkan tekhnik hypnobreastfeeding ini dapat menjadi solusi bagi ibu menyusui yang mengalami masalah pengeluaran ASI. Kata kunci: ibu menyusui; kecukupan ASI; teknik hypno breastfeeding  Hypno-breastfeeding Techniques on Adequacy of Breast Milk among Breastfeeding Women ABSTRACT The World Health Organization has set a target of breastfeeding infants at least 50% by 2025. The achievement of breastfeeding in the world is currently 36%. In Indonesia (2019), exclusive breastfeeding coverage is still 52.3%, below the national target. Based on the report on the exclusive breastfeeding registration form at the Baros Health Center in September, several villages were still below the target, which was not reaching 45%. The purpose of this study was to determine the effect of the hypno-breastfeeding technique on the adequacy of breast milk for baby on breastfeeding mothers at Baros District Health Center. The study used a quasi-experimental design with one group pretest-posttest design. The population was 30 breastfeeding mothers who are in the area the Baros District Health Center. The sampling technique used systematic random sampling method. The research subjects were 15 respondents who met the inclusion criteria. The statistical test used is the paired T-Test. The results showed that there was a significant increase in the adequacy of breastfeeding with a p-value of 0.000, meaning that there is an effect of the Hypno-breastfeeding technique on the adequacy of breastfeeding. There is an effect of giving Hypno-breastfeeding technique to the adequacy of breast milk. It is hoped that this hypno-breastfeeding technique can be a solution for breastfeeding mothers who have problems with breastfeeding. Keywords: breastfeeding mother; adequacy of breast milk; Hypno-breastfeeding Technique


NSC Nursing ◽  
2021 ◽  
pp. 28-45
Author(s):  
Yuli Suryanti ◽  
Damris Muhammad ◽  
M.Naswir M.Naswir ◽  
Guspianto Guspianto

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


2019 ◽  
Vol 15 (2) ◽  
pp. 113
Author(s):  
Rini Rahmayanti ◽  
Yola Yolanda

Indonesia is still categorized as low in 2017, only 35.73% with a target of 50%. West Sumatra Province occupies the fifth position with exclusive breastfeeding coverage of 73.6%. The percentage of babies with exclusive breastfeeding in the city of Padang in 2017 was 74.77% of the target of 80%. Andalas Puskesmas has the lowest exclusive breastfeeding coverage of 59.84%. The purpose of this study was to determine the relationship between hormonal contraceptive use and breast milk production in breastfeeding mothers in the Kubu Village in the Parak Karakah Work Area of the Andalas Padang Health Center in 2019. This type of research was analytic with a cross sectional design. The population of mothers who have babies aged 1-6 months is 268 people with a sample of 73 people. Purposive sampling technique. Analyzed univariately using a frequency distribution table and bivariate using the Chi-Square statistical test. Univariate analysis results showed there were more than half (57.5%) with insufficient milk production. More than half (67.1%) use hormonal birth control. The results of bivariate analysis have a relationship between the use of hormonal contraception with the production of breast milk (X2h> X2t). The conclusion is that there is a relationship between hormonal contraceptive use factors, and milk production. It is expected that health workers can provide counseling to nursing mothers by providing health education about efforts to increase milk production. 


Author(s):  
Wiwi Wardani Tanjung

The Exclusive Breastfeeding has been shown to have an impact better on health growth, development, and all the impacts short and long term, but there are still many mothers who do not provide exclusive breastfeeding. One of the reasons mom does not provide exclusive breastfeeding to the baby was due to the release of breast milk that was not smooth that happened due to inhibition of the hormone prolactin which produces breast milk. Rolling Massase Technique was one action which gives a relaxing sensation to the mother and smooth the flow of nerves as well as the milk duct. The purpose of this research was to know the influence of rooling massage techniques on the smooth release of breast milk  in third trimester pregnant women in the work area In Public Health Center Of Batunadua 2020. This type of research was quantitative research with a quasi experimental design used the Post Test Only Design with Control Group design. The population in this study are all trimester III pregnant women who came to the Public Health Center Of Batunadua as many as 32 people. The sample in this study was 16 people in the intervention group and 16 people in the control group   by used accidental sampling method.  The analysis used was the Wilcoxon test. The results showed that massage rooling technique effect on smoothness expressing breastmilk in pregnant women Trimester III with p value = 0.008 (p <0.05). It was hoped that the Public  Health Center Of Batunadua In  Padangsdimpuan to do health education or health promotion which can be given to pregnant women  to prepare for smooth operation expressing breastmilk like  perform rooling massage technique.


2017 ◽  
Vol 5 (3) ◽  
pp. 325
Author(s):  
Diah Triratnasari

Tetanus problems are still the cause of neonatal death in Indonesia. Maternal and Neonatal Tetanus Elimination Program is a program to improve maternal and child health and evenly to be free from Tetanus disease by Immunization of Tetanus Diphtheria during pregnancy, its aims to build immunity in the mother and baby to avoid Tetanus infection. Tetanus Neonatorum case in 2014 in Indonesia amounted to 54 cases with the non-immunization status of Tetanus Diphtheria. The number of pregnant women targeted by Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center of Bangkalan District is 1073 pregnant women in 2016, but it just covered 585 pregnant women. This research was conducted with a cross sectional design with the number of samples taken by 93 mothers who became the target of Tetanus Diphtheria Immunization and had given birth in 2016 by using simple random sampling. The purpose of this study was to analyze factors related to the participation of pregnant women in the implementation of Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center 2016. The results of this study indicate that the age of the respondents is mostly aged 20 years to 30 years, with the number of children owned by respondents mostly amounted to 1. Lower knowledge possessed by respondents about tetanus disease and Tetanus Diphtheria immunization, so that health workers and family roles have an important role to encourage respondents to have awareness to immunize Tetanus Diphtheria during pregnancy.Keywords: husband support, Tetanus Diphtheria Immunization, knowledge, officer attitude


2021 ◽  
Vol 9 (E) ◽  
pp. 794-797
Author(s):  
Stang Stang ◽  
Tahir Abdullah ◽  
Sumarni Marwang

BACKGROUND: Considering the importance of giving exclusive breast milk (ASI) for the growth and development of children, collaborative support between health workers and husbands is very important. Support from husbands allows mothers to carry out breastfeeding process easier, so that the mothers’ mental condition will be stable and not stressful, and they will not feel exhausted. As a result, the mothers can provide the best breast milk. AIM: The aim of this study is to analyze the influence of a collaborative model on the role of husbands and health workers to improve mother’s behavior in giving exclusive breastfeeding. METHODS: This research used a quasi-experimental design. The intervention group consisted of husbands of third-trimester pregnant women who came from the working area of the Mangkoso Community Health Center, while the control consisted of husband from the Padongko Community Health Center, each group consisted of 30 people. In the intervention group, the collaborative model between the roles of husbands and health workers was applied, while in the control group, the husbands only received Maternal and Child Handbook (KIA). RESULT: The results showed that there were differences in knowledge about the role of husbands in supporting the exclusive breastfeeding between the intervention group and the control group with a value of p = 0.000. Knowledge of the husband’s role in supporting exclusive breastfeeding in the intervention group was very good, but it was bad in the control group. In the other hand, there was no differences in behavior of giving exclusive breast milk (ASI) between the intervention group and the control group with a value of p = 0.422. CONCLUSION: However, if we compared the behavior of exclusive breastfeeding before and after the application of the model in the intervention group, the increase was found to be very significant, which was 57.5%, from 12.5% to 70%. While in the control group the increase was only 20.9%, from 35.8% to 56.7%.


2020 ◽  
Vol 2 (2) ◽  
pp. 90
Author(s):  
Sri Maharani

Breast care during pregnancy is one important part that must be considered as preparation for breastfeeding later. Breasts need to be prepared since pregnancy so that if the baby is born it can function properly immediately when needed. Breast care is also very helpful in the success of early breastfeeding, which affects exclusive breastfeeding. Breast care (Breast Care) is a way of caring for breasts performed during pregnancy or the puerperium for the production of breast milk, other than that for cleanliness of the breast and the form of nipples that go in or flat. Nipples are actually not an obstacle for mothers to breastfeed well by knowing from the beginning, mothers have time to make it easier for nipples to breastfeed. Besides that it is also very important to pay attention to personal hygiene. Current problems faced by partners include the lack of knowledge of pregnant women regarding the importance of breast care during pregnancy, so it is considered necessary to provide counseling to provide knowledge to pregnant women to prepare pregnant women to give early breastfeeding at the time of delivery and provide exclusive breastfeeding to infants up to 2 years. Community service activities are carried out at the Puskesmas Putri Ayu Kota Jambi. Time of implementation in January 2019. The target is pregnant women. Community service methods survey approach, lecture, discussion, demonstration / simulation. The results obtained are pregnant women able to understand about the benefits of breast care during pregnancy. It is recommended for health workers, especially in Puskesmas to give more information about breast care to pregnant women by participating in activities carried out in the village and RT so that pregnant women get information about breast care and can prepare for early breastfeeding to infants properly.


2018 ◽  
Vol 5 (2) ◽  
pp. 79-85
Author(s):  
Silvia Ari Agustina ◽  
Muftiyatur Rohmah

Breast milk is very beneficial for babies, mothers, families, countries and the earth, so every mother is encouraged to do breastfeeding to their babies. The lowest coverage of exclusive breastfeeding in Gunungkidul District is Girisubo Health Center as much as 32.8%. Many factors influence the low coverage of exclusive breastfeeding, one of them is the support of the family especially the husband. Support from the nearest person (husband) is important in the success of exclusive breastfeeding. Objective this study to Know Relationship between Husband’s Support and woman’s attitude in their third trimester towards Exclusive Breastfeeding at Public Health Center of Girisubo Gunung Kidul. This study types was correlational analytic research with cross sectional study design. Sampling technique used purposive sampling with a large sample of 86 trimester pregnant women 3 who had a husband and live together. Data collection used closed questionnaires with Likert scale. Data analysis used chi square test. This research showed that Husband’s support in exclusive breastfeeding majority in less than 46 respondents (53,5%). Likewise with the attitude of pregnant women in giving the majority of the milk is also negative by 57%. The result of cross tabulation of husband support is negative, mother's attitude in giving ASI 32 fall in negative category, whereas the husband/s support is positive, negative pregnant woman attitude only 17. Result bivariate analysis is known that p value = 0,011, there is relationship between husband support with attitude of pregnant mother with OR value as much as 3,092. It can be concluded that there is a statistically significant relationship between the husband’s support and the attitude of the expectant mother. The husband's positive support to the wife, raises 3 positive attitudes of TM III pregnant women in exclusive breastfeeding.  Keywords: Attitude, Support, Exclusive Breast Milk ABSTRAK ASI sangat bermanfaat baik bagi bayi, ibu, keluarga, negara serta bumi, sehingga setiap ibu dianjurkan untuk memberikan ASI. Puskesmas Girisubo mempunyai cakupan pemberian ASI eksklusif terendah di wilayah Kabupaten Gunungkidul yaitu sebanyak 32,8%. Rendahnya cakupan dapat dipengaruhi banyak faktor, salah satunya adalah dukungan dari keluarga khususnya suami. Dukungan dari suami atau keluarga sangat berperan dalam keberhasilan pemberian ASI eksklusif. Tujuan dari peneitian ini adalah mengetahui korelasi dukungan suami dengan sikap Ibu Hamil Trimester III dalam Pemberian ASI Eksklusif di Puskesmas Girisubo Gunung Kidul. Jenis penelitian analitik korelasi dengan desain penelitian cross sectional. Teknik sampling menggunakan purposive sampling. Besar sampel yang digunakan sebanyak 86 ibu hamil trimester 3 yang memiliki suami dan tinggal bersama. Pengumpulan data menggunakan kuesioner tertutup dengan skala Likert. Analisis data menggunakan uji chi square. Hasil penelitian ini adalah Dukungan suami kepada istri dalam memberikan ASI eksklusif mayoritas negatif sebanyak 46 responden (53,5%). Begitu pula dengan sikap ibu hamil dalam memberikan ASI mayoritas juga negatif sebesar 57%. Hasil tabulasi silang dukungan suami yang negatif, sikap ibu hamil TM III dalam memberikan ASI 32 masuk dalam kategori negatif, sedangkan jika dukungan suami yang positif, sikap ibu hamil yang negatif hanya 17. Hasil analisis bivariat menunjukkan nilai p = 0,011, ada korelasi yang signifikan antara dukungan suami dengan sikap ibu hamil dengan nilai OR diketahui 3,092. Dapat disimpulkan bahwa terdapat korelasi yang signifikan secara statistik antara dukungan suami dengan sikap ibu hamil. Dukungan positif suami kepada istri, meningkatkan 3 kali sikap positif ibu hamil TM III dalam pemberian ASI Eksklusif.  Kata kunci: Sikap, Dukungan, ASI Eksklusif


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