scholarly journals DETERMINANTS OF UNSUCCESFUL EXCLUSIVE BREASTFEEDING - A SCOPING REVIEW

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Yuliandary Yunus ◽  
Prima Dhewi Ratrikaningtyas ◽  
Dwi Ernawati

Background: Globally, 40% of children under the age of 6 months are exclusively breastfed. The results of the Basic Health Research (RISKESDAS) in 2018, the rate of exclusive breastfeeding for infants aged 0-6 months, it merely reached 37.3%. Purpose: To discover the factors that affected the failure of exclusive breastfeeding. Method: Scoping review adapted the Arskey and O'Malley framework, using a database from PubMed, Willey. and ScienceDirect. Finding: 21 articles out of 1563 selected based on inclusion and exclusion criteria. Factors related to the failure of exclusive breastfeeding were divided into three factors, namely (1) sociodemographic factors consist of knowledge, occupation, age, environment and socio-culture, (2) health factors consist maternal parity, BMI, and psychological, (3) psychosocial factors consist of attitudes, breastfeeding intentions, family support, support from health workers and information obtained by the mother. Conclusion: The factors that most affected the failure of exclusive breastfeeding were the lack of family support for breastfeeding mothers, the support of passive health workers in providing information about exclusive breastfeeding and the work status of mothers who required mothers to work outside the home. In-depth research must be needed to find out the best strategy in increasing the achievement of exclusive breastfeeding. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0892/a.php" alt="Hit counter" /></p>

2021 ◽  
Vol 4 (1) ◽  
pp. 1-11
Author(s):  
Strahmawati Hamzah

WHO stated that 53% of cases were recorded as acute pneumonia, 55% of cases were recorded as deaths due to diarrhea, this was because the mother did not exclusively breastfeed. In Indonesia, the coverage rate of breastfeeding is still quite low, only 54,3%. The purpose of this study was to analyze the factors associated with exclusive breastfeeding in Gogagoman Village. This type of research is an analytic observational with a cross sectional study approach. The number of samples in this study were 122 mothers with simple random sampling technique, data were collected using a questionnaire through interviews and analyzed using the chi square test (α = 0,05). The results showed that there was a relationship between maternal knowledge p-value = 0.012, there was a relationship with maternal attitudes p-value = 0,000, there was a relationship with family support p-value = 0,005, there was a relationship between support for health workers, p-value = 0,000, and there was a relationship between promotion of formula milk p-value = 0,000 with exclusive breastfeeding for babies. In conclusion, the factors related to exclusive breastfeeding for babies in Gogagoman Village are knowledge, attitudes, family support, support for health workers and promotion of formula milk.


2020 ◽  
Vol 3 (1) ◽  
pp. 23
Author(s):  
Erlina Puspitaloka Mahadewi ◽  
Ade Heryana

UNICEF and WHO data showed that exclusive breastfeeding can reduce infant morbidity and mortality by 88%. The coverage of exclusively breastfeeding infants was 61.33%, the highest percentage was in West Nusa Tenggara (87.35%) and the lowest percentage was in Papua (15.32%). Exclusive breastfeeding is given when the baby is born until the age of 6 months. In Indonesia there are 31.36% of 37.94% of children sick because they do not receive exclusive breastfeeding. Aim of this study to determine the relationship of knowledge, work, and family support with the behavior of exclusive breastfeeding health center working area Bekasi City. This study was a cross sectional approach with a sample of 130 respondents. The sampling in this study using simple random sampling technique, analyzed by the chi square test conducted in July 2019 to April 2020. Results of this study there were 96 respondents (73.8%) mothers who did not provide exclusive breastfeeding and 34 resondents (26.2%) mothers who give exclusive breastfeeding to their babies. There was a significant relationship between knowledge (p = 0,000 and PR = 1,588), employment (p = 0,000 and PR = 1,995), family support (p = 0,001 and PR = 1,514) with exclusive breastfeeding health center working area Bekasi. It was concluded that knowledge, employment, and family support were related to exclusive breastfeeding. It was recommended for health workers to create innovations and new programs to increase exclusive breastfeeding, and in the family level should provide support for exclusive breastfeeding practices.Berdasarkan data UNICEF dan juga data WHO pemberian ASI eksklusif dapat menurunkan angka kesakitan dan kematian bayi lebih dari 88%. Cakupan bayi yang mendapat ASI eksklusif sebesar 61,33%, persentase tertinggi terdapat pada Nusa Tenggara Barat (87,35%) dan persentase terendah terdapat di Papua (15,32%). ASI eksklusif diberikan saat bayi mulai dilahirkan sampai pada usia 6 bulan. Di Indonesia terdapat 31,36% dari 37,94% anak yang sakit dikarenakan tidak dapat menerima ASI eksklusif. Penelitian ini bertujuan mengetahui hubungan pengetahuan, pekerjaan dan dukungan keluarga dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Bekasi. Penelitian menggunakan pendekatan cross sectional, dengan besar sampel sebanyak 130 responden. Pengambilan sampel pada penelitian ini menggunakan teknik simple random sampling, dan analisis data menggunakan uji chis-quare yang dilakukan pada bulan Juli 2019 sampai April 2020. Hasil penelitian terdapat 96 (73,8%) ibu yang tidak memberikan ASI eksklusif dan 34 responden (26,2%) yang telah memberikan ASI eksklusif kepada bayinya. Terdapat hubungan yang signifikan antara pengetahuan (p = 0,000 dan PR = 1,588), pekerjaan (p = 0,000 dan PR = 1,995) dan dukungan keluarga (p = 0,001 dan PR = 1,514) dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Kota Bekasi. Disimpulkan bahwa pengetahuan, pekerjaan, dan dukungan keluarga berhubungan dengan pemberian ASI eksklusif. Disarankan untuk petugas kesehatan membuat inovasi dan program baru untuk meningkatkan pemberian ASI eksklusif, dan pada tingkat keluarga kiranya memberikan dukungan terhadap pemberian ASI eksklusif.


Author(s):  
Nahdiyatul Mukaromah ◽  
◽  

ABSTRACT Background: Menarche (first menstrual period) is a sign of physical maturity in adolescent girls, which has an impact in the future, both from a psychological and socio-cultural perspective on adolescents. Menarche provides different responses and emotions to adolescent; this is due to differences in preparation for dealing with menarche. Scoping review aims to overview the menarche acceptance among adolescent. Subjects and Method: This was a scoping review study using the Arksey & O’Malley framework with 5 stages, including: identifying scoping review questions, identifying relevant articles using databased including PubMed, ScienceDirect, and EBSCO. This study using gray literature, selecting relevant articles using inclusion and exclusion criteria, mapping data charting and compiling, summarizing and producing a review report. Results: There were 6 articles selected using the Hawker assessment checklist tools. Articles obtained were using qualitative methods. The article selected in this study were based on the methodology, year of publication, and the participants used in the article. Two major themes that emerged as a result of the scoping review were knowledge and attitude. Conclusion: The acceptance of menarche among adolescents will differ depending on the information and support environment for adolescents. The acceptance of menarche in adolescents was still need an attention from health workers, families, and teachers. The provision of pre-menarche health education before adolescent reach menarche is important. So that adolescents are better prepared to gain good experiences and perceptions. Keywords: acceptance, menarche, adolescence, scoping review Correspondence: Nahdiyatul Mukaromah. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi, Yogyakarta, Indonesia. Email: [email protected]. Mobile: 085880451711 DOI: https://doi.org/10.26911/the7thicph.03.03


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Rania Mansour ◽  
Hady Naal ◽  
Tarek Kishawi ◽  
Nassim El Achi ◽  
Layal Hneiny ◽  
...  

Abstract Background Fragile and conflict-affected settings (FCAS) have a strong need to improve the capacity of local health workers to conduct health research in order to improve health policy and health outcomes. Health research capacity building (HRCB) programmes are ideal to equip health workers with the needed skills and knowledge to design and lead health-related research initiatives. The study aimed to review the characteristics of HRCB studies in FCASs in order to identify their strengths and weaknesses, and to recommend future directions for the field. Methods We conducted a scoping review and searched four databases for peer-reviewed articles that reported an HRCB initiative targeting health workers in a FCAS and published after 2010. Commentaries and editorials, cross-sectional studies, presentations, and interventions that did not have a capacity building component were excluded. Data on bibliographies of the studies and HRCB interventions and their outcomes were extracted. A descriptive approach was used to report the data, and a thematic approach was used to analyse the qualitative data. Results Out of 8822 articles, a total of 20 were included based on the eligibility criteria. Most of the initiatives centred around topics of health research methodology (70%), targeted an individual-level capacity building angle (95%), and were delivered in university or hospital settings (75%). Ten themes were identified and grouped into three categories. Significant challenges revolved around the lack of local research culture, shortages in logistic capability, interpersonal difficulties, and limited assessment and evaluation of HRCB programmes. Strengths of HRCB interventions included being locally driven, incorporating interactive pedagogies, and promoting multidisciplinary and holistic training. Common recommendations covered by the studies included opportunities to improve the content, logistics, and overarching structural components of HRCB initiatives. Conclusion Our findings have important implications on health research policy and related capacity building efforts. Importantly, FCASs should prioritize (1) funding HRCB efforts, (2) strengthening equitable international, regional, and national partnerships, (3) delivering locally led HRCB programmes, (4) ensuring long-term evaluations and implementing programmes at multiple levels of the healthcare system, and (5) adopting engaging and interactive approaches.


2017 ◽  
Vol 1 (1) ◽  
pp. 15-21
Author(s):  
Ika Mustika

Exclusive breastfeeding until 6 month is very important for baby. The proportion of mothers who exclusively breastfeed their babies up to 6 months remains low. Factors influencing the exclusive breastfeeding namely sociodemograph factors , factors pre / post delivery , and psychosocial factors. This aims of this study to identify determinant factors of exclusive breastfeeding on mother. This research method is a systematic review , by analyzing the various studies on exclusive breastfeeding. There are 17 studies. The results obtained occupational factors most studied with significant results ( median OR = 1.265 ). Psychosocial factors that have significant relationship is support of her husband (average OR = 4.716 ) and family support ( average OR = 1.770 ). Conclusions : factors influencing the exclusive breastfeeding is occupational factor. Socialization and support from people nearby, health workers, and all parties is needed for exclusive breastfeeding for six months can be achieved.


NSC Nursing ◽  
2021 ◽  
pp. 1-19
Author(s):  
Asnidawati Asnidawati ◽  
Wa Ode Salma ◽  
Adius Kusnan

Background: Breast’s milk is an excellent food for the growth and development of infants. The United Nations Children's Funds (UNICEF) and the World Health Organization (WHO) recommend that children only be exclusively breastfed for six months and continued until two years. This study analyzes the effect of family support, health workers, and socio-culture on exclusive breastfeeding in the working area of the Rumbia Health Center, Rumbia District, Bombana Regency. Methods: This study involved 86 mothers who had babies aged 0-6 months who were registered and domiciled in the working area of the Rumbia Health Center spread over 4 Kelurahan and 1 Village, which were selected by purposive sampling using a cross-sectional design from February to April 2021. Data analysis using odds ratio (OR) and logistic regression at significance level < 0.05. Results: The largest age group in the range of 20-35 years, as many as 68 people (79.1%), undergraduate as many as 32 people (37.2%), and income above Rp. 2.552.014, - / month as many as 60 people (69.8%). The results showed an effect of family support on exclusive breastfeeding (p = 0.002<0.05). There is no influence of socio-cultural factors on exclusive breastfeeding (p = 0.282>0.05) and the results of multivariate analysis of the most dominant variables associated with exclusive breastfeeding in the working area of Rumbia Health Center District Rumbia Bombana Regency is supported by health workers with an OR = 9.199 (p-value = 0.039<0.05). Conclusions: This study concludes that the support of health workers plays a very important role in exclusive breastfeeding to infants aged six months, which can impact improving the health of toddlers. Keywords: Determinant, breastfeeding exclusive, toddler, mother


2021 ◽  
Vol 2 (5) ◽  
pp. 1875-1884
Author(s):  
Erlina Puspitaloka Mahadewi ◽  
Intan Silviana Mustikawati ◽  
Mohamad Reza Hilmy ◽  
Ade Heryana

The present study reports the comprehensive study on the exclusive breastfeeding around support factors for successful activityof breastfeeding. In the three years lately UNICEF and WHO data on exclusive breastfeeding can reduce infant morbidity and mortality by more than 80%. The coverage of infants who are exclusively breastfed is 65.35%, the highest percentage is in West Nusa Tenggara 80.35% and the lowest percentage is in Papua 18.32%. In Indonesia, there are 35.25% of 38% of children who are sick because they cannot receive exclusive breastfeeding. Exclusive breastfeeding is given when the baby is born until the age of 6 months. This study aims to determine knowledge, work and family support related to exclusive breastfeeding behavior in the work area of ​​near with the RSIA PBH hospital in Lampung, Indonesia area in 2021. Using a cross sectional, a large sample of 120 respondents. Sampling in this study used a simple random sampling technique, and the chi-square test was carried out from January to August 2021. The results of the study were 95 respondents (79,16%) mothers who did not give exclusive breastfeeding and 25 respondents (20.84%) mothers who have exclusively breastfed their babies. There is a significant relationship between knowledge (P = 0.000 and PR = 1.588), occupation (P = 0.000 and PR = 1.995) and family support (P = 0.001 and PR = 1.514) with exclusive breastfeeding behavior in the patients inside hospital work area in 2021. The paper presents the characterization support from the company, hospital and the closest family for exclusive breastfeeding is also very important. Based on the results of the study, it is recommended that health workers make innovations and new programs to increase exclusive breastfeeding


2019 ◽  
Vol 11 (02) ◽  
pp. 147
Author(s):  
Fatimah Dewi Anggraeni ◽  
Eva Putriningrum

ABSTRAKLatar Belakang : ASI sangat diperlukan bagi kesehatan dan tumbuh kembang bayi serta kesehatan ibu. Data di Daerah Istimewa Yogyakarta menunjukan capaian ASI eksklusif tahun 2012 menunjukkan adanya kondisi yang menyebabkan adanya penurunan yaitu sebesar 48%. Penurunan yang terus menerus tanpa ada penanganan dan fokus khusus, maka banyak bayi yang tidak mendapatkan haknya yaitu memperoleh ASI. Dampak lebih jauh dapat terjadi penurunan status gizi bayi. Hal ini jika dibiarkan maka tidak menutup kemungkinan akan menurunkan kualitas generasi penerus bangsa. Salah satu faktor yang dapat memengaruhi kegagalan pemberian ASI eksklusif adalah kesibukan ibu bekerja. Tujuan Penelitian untuk mengetahui hambatan manajemen laktasi pada ibu bekerja di wilayah kerja Puskesmas Sentolo II Kabupaten Kulon Progo. Metode Penelitian adalah kualitatif. Pengambilan sampel informan dilakukan secara purposive dengan jumlah 20 informan. Analisis data yang digunakan adalah analisi kualitatif dengan metode deduktif. Hasil : Hambatan ibu dalam managemen laktasi yaitu kurangnya pengetahuan tentang manajemen laktasi, kurang maksimalnya sosialisasi dari tenaga kesehatan, anggapan Sindrom ASI kurang, Motivasi/kesadaran ibu dalam pemberian ASI Eksklusif masih rendah,  Dukungan ditempat kerja masih kurang,  dan Minimnya dukungan dari keluarga/pengasuhKesimpulan : Hambatan dalam pemberian ASI yaitu pengetahuan, presepsi tentang asi, motivasi ibu, dukungan keluarga, dukungan tempat kerja, dukungan tenaga kesehatan.Kata Kunci : Hambatan,  Bekerja, Pemberian ASI THE OBSTACLE OF WORKING MOTHER IN PROVIDING EXCLUSIVE BREASTFEEDING IN INFANTS IN NURSING MOTHERS IN PUSKESMAS SENTOLO II, KULONPROGO, YOGYAKARTAABSTRACTBackground : ASI very important for baby’s health and growth and also maternal health. The Yogyakarta data profile shows the exclusive breastfeeding target in 2012 is decline as much as 48%. Babies will not get their right to obtain breast milk if the continuous decline do not get special handling and focus. Further impacts can occur in infant's nutritional status. This is if left unsealed it will likely decrease the quality of the nation's future generation.  One factor that can affect the failure of exclusive breast feeding is the busyness of working mothers. Research objectives is to know the obstacles of the lactation management of working mothers in the workplace Puskesmas Sentolo II Regency of Kulon Progo. Research methode is Qualitative research. Informant sampling is done in purposive with the number of 20 informant. Analysis of the data used is qualitative analyzers with deductive methods. Result: The mother barrier in the management of lactation is a lack of knowledge about the management of lactation, the maximum dissemination of health workers, the assumption of less breast syndrome, motivation/awareness of mothers in the provision of exclusive breastfeeding is still low, support in the workplace is still lacking, and lack of support from the family/caregiver. Conclusion: The barriers of mothers in the management of lactation in nursing mothers is low knowledge, conception of breastfeeding, mother motivation, family support, support of health workers, suport of health workers,Keywords: Barriers, Women Working, Breast Feeding


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Iin Kristianti ◽  
Nidya Tri Rosanty

ASI eksklusif adalah pemberian ASI saja tanpa tambahan makanan  dan minuman lainnya kepada bayi sejak lahir sampai berusia 6 bulan. Pemberian ASI secara eksklusif dipengaruhi oleh berbagai faktor yang meliputi faktor pendidikan, pekerjaan, pengetahuan, keterpaparan terhadap informasi, dukungan keluarga dan dukungan petugas kesehatan. Cakupan pemberian ASI eksklusif di Kelurahan Wilayah Kerja UPT Puskesmas Pegambiran sebesar 54,7% dan belum memenuhi dari target 75%. Tujuan penelitian ini untuk mengetahui hubungan antara determinan perilaku dengan pemberian ASI eksklusif di Kelurahan Pegambiran Wilayah Kerja UPT Puskesmas Pegambiran Kota Cirebon Tahun 2018. Rancangan penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini berjumlah 154  bayi yang berumur 7-11 bulan,  dengan jumlah sampel sebanyak 65 orang diambil secara propotional random sampling.  Pengambilan data penelitian dengan menggunakan kuesioner dengan teknik wawancara. Uji analisis untuk melihat hubungan variabel bebas dan variabel terikat dengan uji Chi Square. Hasil uji statistik didapatkan bahwa pendidikan ibu (p value = 0,785), pekerjaan ibu (p value = 1.000), pegetahuan ibu (p value = 0,977), tidak ada hubungan dengan pemberian ASI eksklusif di Kelurahan Pegambiran Wilayah Kerja UPT Puskesmas Pegambiran Kota Cirebon Tahun 2018.  Keterpaparan terhadap informasi (p value = 0,014), dukungan keluarga (p value = 0,018) dan dukungan petugas kesehatan (pvalue= 0,006) ada hubungan dengan pemberian ASI eksklusif di Kelurahan Pegambiran Wilayah Kerja UPT Puskesmas Pegambiran Kota Cirebon Tahun 2018.Kata Kunci   : ASI eksklusif, determinan perilaku  ABSTRACTExclusive breastfeeding is the only granting exclusive breast milk alone without additional food and other drinks to infants from birth to 6 months old. Breastfeeding exclusively influenced by a variety of factors which include the factor of education, work, knowledge, exposure to information, family support and support for health workers. Scope of exclusive breastfeeding in Kelurahan Pegambiran UPT Clinic work area amounted to 54.7% and has not met the target of 75%. The purpose of this research is to know the relationship between the determinants of behavior with exclusive breastfeeding in Kelurahan Pegambiran UPT Clinic work area Pegambiran the city of Cirebon in the Year 2018. This research method using descriptive analytic study design with cross sectional approach. The population in this research totalled 154 7-11 months old baby with samples as many as 65 people were selected based on the method of propotional random sampling. Research data retrieval by using a questionnaire with interview techniques. Test analysis to look at the relationship of free variables and bound variables with the Chi Square test. Based on the results of the study, pointed out that there is no relationship between the mother's education (p value = 0.785), the work of the mother (p value = 1,000), mothers knowledge (p value = 0.977), exposure to information (p value = 0.014), family support (p value = 0.018) and support health workers (p value = 0.006) with exclusive breastfeeding in Kelurahan Pegambiran UPT Clinic work area Pegambiran the city of Cirebon in the year 2018.Keywords : Exclusive breastfeeding, determinant of behavior 


2018 ◽  
Vol 7 (2) ◽  
pp. 97-99
Author(s):  
Riesmiyatiningdyah Riesmiyatiningdyah ◽  
Kusuma Wijaya Ridi Putra ◽  
Mahfudh Jamil

Background. The survival of children to grow and develop and get good care is needed to achieve a healthy generation. The success of exclusive breastfeeding in infants 0-6 months in Indonesia still does not meet expectations due to a poor knowledge of the importance Exclusive Breastfeeding and their perception of infant formula is better than breast milk. The low achievement of breastfeeding (ASI) exclusively due to several factors, namely low knowledge of the mother of the importance of breastfeeding, the sex of the baby, birth weight or premature birth, culture that does not support, families that do not support, and social change that happening in the community.Objective. This study aimed to examine predictive factors toward the success of exclusive breastfeeding among breastfeeding mothers in Child’s Poly DKT Gubeng Pojok Hospital, Surabaya.Methods. The design of this study is a cross-sectional study. The variables studied were age, occupation, level of education, family support, and exclusive breastfeeding success. The results of this study were analyzed using the Stepwise Multiple Regression method with SPSS 21.Result. Family support (β = 0.78, p < .001) were significant predictor of exclusive breastfeeding success and accounted 75.9% in the variance of exclusive breastfeeding success (R2 = .759, F (4, 27) = 9.18, p < .001).Conclusion. The importance of family support in supporting the success of exclusive breastfeeding in infants 0-6 months. For this reason, health workers are expected to improve their approach to families so that they want to provide support to breastfeeding mothers. Keywords: Exclusive breastfeeding, infants 0-6 months, factors affecting, breastfeeding mothers


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