Hubungan Pengetahuan dan Karakteristik Ibu Baduta dengan Pemberian Asi Eksklusif di Wilayah Kelurahan Meruya Utara Tahun 2020

Abstrak Latar Belakang: Data WHO menunjukkan bahwa bayi 0 sampai dengan 6 bulan di dunia yang mendapatkan ASI Eksklusif hanyalah sebesar 38%. Pemberian ASI eksklusif dipengaruhi oleh beberapa hal, termasuk faktor sosio demografi ibu seperti usia, pendidikan, pengetahuan, dan pekerjaan ibu. Di Meruya Utara, perilaku ibu untuk melaksanakan ASI Eksklusif masih dipengaruhi dengan mitos atau tabu yang berpengaruh pada kurangnya pemahaman ibu sehingga menghambat pemberian ASI. Studi ini bertujuan untuk mengetahui hubungan pengetahuan dan karakteristik ibu baduta di Wilayah Kelurahan Meruya Utara dengan pemberian ASI Eksklusif. Metode: Studi ini ialah studi kuantitatif dengan desain studi Cross Sectional. Sebanyak 194 ibu dengan baduta di wilayah Kelurahan Meruya Utara menjadi sampel studi yang diperoleh menggunakan metode purposive sampling. Studi ini menggunakan pengetahuan dan karakteristik ibu berupa usia, pendidikan, status pekerjaan, dan tingkat penghasilan sebagai variabel independen. Sementara variabel dependennya adalah ASI Eksklusif. Uji statistik dilakukan menggunakan uji Chi-Square dengan tingkat signifikansi 0,05. Hasil: Hasil studi menunjukkan 46,9% ibu dengan baduta telah memberikan ASI Eksklusif. Hasil analisis bivariat menujukkan adanya hubungan yang signifikan antara pengetahuan ibu (p-value = 0,030), usia ibu (p-value = 0,022), dan tingkat pendidikan ibu (p-value = 0,017) dengan pemberian ASI Eksklusif. Sedangkan status pekerjaan (p-value = 0,250) dan tingkat penghasilan (p-value = 0,673) tidak memiliki hubungan signifikan. Kesimpulan: Ibu dengan baduta disarankan untuk rutin mengakses informasi kesehatan secara mandiri melalui internet guna memperoleh informasi terkait Kesehatan Ibu dan Anak sebagai upaya untuk meningkatkan derajat kesehatan masyarakat. Kata Kunci: ASI Eksklusif, Pendidikan, Pengetahuan, Usia Ibu Baduta, Abstract Background: There are only 38% of infants aged 0 to 6 months worldwide who are exclusively breastfed. Various kinds of things that can influence mothers in giving exclusive breastfeeding are mother’s age, education, knowledge, and occupation. In North Meruya, the behavior of exclusive breastfeeding is still influenced by myths or taboos that affect the lack of understanding of mothers about exclusive breastfeeding. The purpose of this study was to analyze the relationship between knowledge and characteristics of mothers with exclusive breastfeeding in the North Meruya Village. Methods: This was a cross sectional study. The sample of this study was 194 mothers who have children aged 6-24 months in North Meruya Village. The sampling technique was purposive sampling. This study uses knowledge and characteristics of mothers such as age, education, employment status, and income level as independent variables and exclusive breastfeeding as the dependent variable. The statistical test used was the Chi-Square test with a significance level of 0.05. Result: The results confirmed that 46.9% mothers had given an exclusive breastfeed. The bivariate analysis confirmed that there has been significant relationship among mother’s knowledge (p-value = 0.030), mother’s age (p-value = 0.022), and mother’s education level (p-value = 0.017) with the giving of exclusive breastfeed. Meanwhile, the variables that did not have significant relationship had been job status (p-value = 0.250) and profits level (p-value = 0.673). Conclusion: Mothers who have children aged 6-24 months are encouraged to regularly access health information independently through the internet to obtain information related to Maternal and Child Health as an effort to improve public health status. Keywords: Exclusive Breastfeeding, Education, Knowledge, Mother’s Age

A Prospective Randomized Study on Dietary Predictor of Anaemia Among Children Aged 6 Months to 3 Years

Background: The present study aimed to record anemia and predictor of anemia in 6 months to 3 years children. Subjects and Methods: The present study was conducted on 280 children age ranged 6 months -3 years of both genders. Children with Hb level <11 g/dL were considered anemic, and graded as mild (10–10.9 g/dL), moderate (7–9.9 g/dL), and severe (<7 g/dL). Results: There were 150 male and 130 female children and anemia was seen in 56 male and 70 female children. Anemia was detected in 25 children age ranged 6-12 months, 45 in age group 1-2 years and 56 in 2-3 years. 85 anemic children were <2.5 kgs at birth whereas 41 were >2.5 kgs at birth. 68 were not breastfed while 58 were on exclusive breastfeed. Conclusion: Authors found that low birth weight, female gender, not on breastfeed, vegetables and meat non consumers are determinants of anaemia in children.

PEMBERDAYAAN MASYARAKAT UNTUK MENINGKATKAN PEMBERIAN ASI EKSKLUSIF KELURAHAN AMPEL KOTA SURABAYA

ASI adalah cairan hasil sekresi kelenjar payudara Ibu, dan eksklusif apabila diberikan pada bayi sejak kelahiran hingga 6 bulan tanpa menambahkan dan atau mengganti dengan minuman yang lain kecuali obat. Pemberian ASI Eksklusif dapat menurunkan angka kesakitan dan kematian pada bayi. Cakupan ASI Eksklusif di Kelurahan Ampel sejumlah 59,2% dari 1418 balita hal ini menunjukkan capaian ASI Eksklusif di Kelurahan Ampel dibawah standar (77%). Tujuan kegiatan ini adalah memberdayakan masyarakat untuk meningkatkan pemberian ASI Eksklusif di Kelurahan Ampel Kota Surabaya. Manfaat kegiatan ini untuk memandirikan masyarakat dalam meningkatkan status kesehatan masyarakat khususnya dalam pemenuhan ASI Eksklusif di Kelurahan Ampel.Metode pelaksanaan kegiatan ini berupa FGD dan indepth interview yang diikuti oleh 10 ibu, penyuluhan yang diikuti oleh 44 orang, leadership, dan kaderisasi pemantau pemberian ASI Eksklusif yang diikuti oleh 7 orang. Hasil FGD menunjukkan bahwa perlu adanya intervensi di bidang kesehatan tentang pemberian ASI Eksklusif di Kelurahan Ampel. Inovasi kegiatan yang dapat dilakukan untuk meningkatkan pemberian ASI Eksklusif melalui program ASI eKsklusif Bayi kUat (ASIK BU). Program ASIK BU di Kelurahan Ampel dilakukan melalui kegiatan yang berupa kaderisasi karang taruna dan penyuluhan kepada WUS, Bumil dan Busui. Saran dari kegiatan ini berupa perlu adanya pemantauan dari penanggung jawab puskesmas Sidotopo secara berkala untuk melakukan monitoring dan evaluasi terhadap pelaksanaan program ASIK BU. Diharapkan masyarakatberkomitmen penuh dalam melaksanakan program ASIK BU. Pemerintah setempat dapat memberikan dukungan sosial maupun material salah satunya dalam bentuk pemberian penghargaan kepada kader dan ibu yang dapat memberikan ASI secara eksklusif. ABSTRACT Breastmilk is a fluid secretion from mother mammary gland, and called exclusive when breastmilk given to newborn until six months without adding and or replace with another fluid except medicine. Exclusive Breastfeeding can reduce infant morbidity and mortality rate. Breastfeed performance at Ampel Village is 59,2% from 1418 infants. It showed that is under standard of breastfeed (77%). Aim of this program is made empowerment to increase exclusive breastfeed performance at Ampel Village. Benefit of this program is Ampel People can increase health status especially exclusive breastfeed by themselves. Method of this program by using FGD, indepth interview that followed by 10 mothers, health education was followed 44 people. Leadership and forming of breastfeed cadres is followed by 7 peoples. FGD Result showed that necessity of health intervention especially exclusive breastfed monitoring at Ampel Village. Innovation can be done by ASI eKsklusif Bayi kUat (ASIK BU) program. ASIK BU at Ampel village done by forming of breastfeed cadres and gave health education to fertile woman, breastfeed mother, and pregnant woman. Recommendation of this program isperiodically monitored and evaluated by Puskesmas Sidotopo. Ampel Village people must put fully committed for this program. Government should support socially and materially which one by giving reward to mother who finished exclusive breastfeed and cadre who helping mother.

Perbedaan Status Gizi dan Penyakit Infeksi pada Anak Baduta yang Diberi ASI Eksklusif dan Non ASI Eksklusif

Background: The coverage of exclusive breastfeed in East Java has not reached the target has decreased in 2015. Working mother and the failed breast crawl implementation is factor that can inhibit exclusive breastfeed. Non exclusive breastfeed in infant will increase the risk of malnutrition and infectious disease.Objectives: The purpose of this study is to analyze the difference of nutritional status and infectious disease in exclusive breastfeed dan non exclusive breastfeed toodler age 12-24 months in Randegan village, Tanggulangin, Sidoarjo. Methods: The research was an observational analytic with cross sectional design. The sampel of this study was 44 toddlers in Randegan Village, Tanggulangin, Sidoarjo. Consists of 22 each exclusive breastfeed dan non breastfeed toddlers. The data were collected by questionnaires and weight measurement. Data were analyzed using chi square.Result: Normal nutritional status of exclusive breastfeed toddlers was 95.5% and of non exclusive breastfeed was 59.1%. The incidence of infection disease of exclusive breastfeed was 27.3% and of non exclusive breastfeed was 81.8%. The result of this study in both group showed of exclusive breastfeed and non exclusive breastfeed toodlers were significant (p<0.05) in nutritional status and incidence of infectious disease. Conclusion: Exclusive breastfeed toodlers has a better nutritional status and lower incedence of infectious disease than non exclusive breastfeed toddlers. Mother of toddlers should pay more attention to monitoring of growth and development in children, hygiene and sanitation, and giving nutritious and balanced food intake.ABSTRAK Latar belakang: Cakupan ASI eksklusif di Jawa Timur belum mencapai target dan mengalami penurunan pada tahun 2015. Ibu yang bekerja dan kegagalan pelaksanaan IMD merupakan faktor yang dapat menghambat pemberian ASI eksklusif. Pemberian non ASI eksklusif pada bayi akan meningkatkan risiko malnutrisi dan kejadian penyakit infeksi.Tujuan: Tujuan dari penelitian ini adalah untuk menganalisa perbedaan status gizi dan kejadin penyakit infeksi pada anak baduta ASI esklusif dan non ASI eksklusif usia 12-24 bulan di Desa Randegan, Tanggulangin, Sidoarjo. Metode: Penelitian ini merupakan penelitian observasional dengan menggunakan desain cross sectional. Sampel terdiri dari 44 anak baduta di Desa Randegan Kecamatan Tanggulangin Kabupaten Sidoarjo. Dimana terdiri dari anak baduta ASI eksklusif dan non ASI eksklusif masing-masing berjumlah 22 anak baduta. Pengumpulan data menggunakan kuesioner dan penimbangan berat badan. Data dianalisis menggunakan chi square.Hasil: Status gizi baik anak baduta ASI eksklusif yaitu 95,5% dan non ASI eksklusif yaitu 59,1%. Kejadian penyakit infeksi pada anak baduta ASI eksklusif yaitu 27,3% dan non ASI eksklusif yaitu 81,8%. Hasil dari penelitian pada kedua kelompok menunjukkan ada perbedaan signifikan (p<0,05) pada status gizi dan kejadian penyakit infeksi.Kesimpulan: Anak baduta ASI eksklusif memiliki status gizi baik yang lebih tinggi dan kejadian penyakit infeksi yang lebih rendah dari pada anak baduta non ASI eksklusif. Ibu anak baduta harus lebih memperhatikan higieni sanitasi lingkungan dan memberikan asupan makanan yang bergizi serta berimbang.

Perbedaan Status Gizi dan Penyakit Infeksi pada Anak Baduta yang Diberi ASI Eksklusif dan Non ASI Eksklusif

Background: The coverage of exclusive breastfeed in East Java has not reached the target has decreased in 2015. Working mother and the failed breast crawl implementation is factor that can inhibit exclusive breastfeed. Non exclusive breastfeed in infant will increase the risk of malnutrition and infectious disease.Objectives: The purpose of this study is to analyze the difference of nutritional status and infectious disease in exclusive breastfeed dan non exclusive breastfeed toodler age 12-24 months in Randegan village, Tanggulangin, Sidoarjo. Methods: The research was an observational analytic with cross sectional design. The sampel of this study was 44 toddlers in Randegan Village, Tanggulangin, Sidoarjo. Consists of 22 each exclusive breastfeed dan non breastfeed toddlers. The data were collected by questionnaires and weight measurement. Data were analyzed using chi square.Result: Normal nutritional status of exclusive breastfeed toddlers was 95.5% and of non exclusive breastfeed was 59.1%. The incidence of infection disease of exclusive breastfeed was 27.3% and of non exclusive breastfeed was 81.8%. The result of this study in both group showed of exclusive breastfeed and non exclusive breastfeed toodlers were significant (p<0.05) in nutritional status and incidence of infectious disease. Conclusion: Exclusive breastfeed toodlers has a better nutritional status and lower incedence of infectious disease than non exclusive breastfeed toddlers. Mother of toddlers should pay more attention to monitoring of growth and development in children, hygiene and sanitation, and giving nutritious and balanced food intake.ABSTRAK Latar belakang: Cakupan ASI eksklusif di Jawa Timur belum mencapai target dan mengalami penurunan pada tahun 2015. Ibu yang bekerja dan kegagalan pelaksanaan IMD merupakan faktor yang dapat menghambat pemberian ASI eksklusif. Pemberian non ASI eksklusif pada bayi akan meningkatkan risiko malnutrisi dan kejadian penyakit infeksi.Tujuan: Tujuan dari penelitian ini adalah untuk menganalisa perbedaan status gizi dan kejadin penyakit infeksi pada anak baduta ASI esklusif dan non ASI eksklusif usia 12-24 bulan di Desa Randegan, Tanggulangin, Sidoarjo. Metode: Penelitian ini merupakan penelitian observasional dengan menggunakan desain cross sectional. Sampel terdiri dari 44 anak baduta di Desa Randegan Kecamatan Tanggulangin Kabupaten Sidoarjo. Dimana terdiri dari anak baduta ASI eksklusif dan non ASI eksklusif masing-masing berjumlah 22 anak baduta. Pengumpulan data menggunakan kuesioner dan penimbangan berat badan. Data dianalisis menggunakan chi square.Hasil: Status gizi baik anak baduta ASI eksklusif yaitu 95,5% dan non ASI eksklusif yaitu 59,1%. Kejadian penyakit infeksi pada anak baduta ASI eksklusif yaitu 27,3% dan non ASI eksklusif yaitu 81,8%. Hasil dari penelitian pada kedua kelompok menunjukkan ada perbedaan signifikan (p<0,05) pada status gizi dan kejadian penyakit infeksi.Kesimpulan: Anak baduta ASI eksklusif memiliki status gizi baik yang lebih tinggi dan kejadian penyakit infeksi yang lebih rendah dari pada anak baduta non ASI eksklusif. Ibu anak baduta harus lebih memperhatikan higieni sanitasi lingkungan dan memberikan asupan makanan yang bergizi serta berimbang.

RELATIONSHIP BETWEEN THE DURATION OF BREASTFEEDING UNTIL THE FIRST 6 MONTHS WITH BODY COMPOSITION CHANGES ON MATERNAL POSTPARTUM

Most of the mothers are very attentitve to changes in body composition, especially postpartum weight loss. One of the factors believed to facilitate the weight loss and body fat loss in postpartum mothers is breastfeeding. Factor that affect the relationship between breastfeeding with maternal postpartum body composition are food intake and physical activity. The aim of this study is to analyze the change in body composition between the mother who give exclusive breastfeeding for 6 months and the mother who don’t and also attempts to analyze the effect of breastfeeding duration to the change in body composition and the factor affecting it.This study used the panel study with longitudinal approach. 32 respondents observed for 6 months. Fat mass measurement data are collected using skinfold caliper and breastfeeding status, food intake and physical actiuvity data are collected using interview. The relationship between breastfeeding with the change in body composition is analyzed using t-test analysis. T-test analysis are also used to test the effect of food intake and physical activity to breastfeeding. Regression analysis are used to analyze the effect of food intake and physical activity to body composition.According to the result of statistical analysis, there is no significance effect of breastfeeding for 6 months to the change in maternal postpartum body composition (fat mass and free fat mass) (p = 0.743; p = 0.771) and also no significance effect of food intake and physical activity to the relation between breastfeeding with the change in body composition. There is a significance effect of breastfeeding for 4 months to the change in the body composition (p = 0.046). The average fat mass change in mother who give exclusive breastfeed is higher than the one who don’t.From 32 respondents in this study, only 4 mothers can successfully give exclusive breastfeed for 6 months. The average fat mass change in mother who give exclusive breastfeed is higher than the one who don’t. There is no significance effect of breastfeeding for 6 months to the change in maternal postpartum body composition (fat mass and free fat mass). There is a significance effect of breastfeeding for 4 months to the change in maternal postpartum body composition.Keywords: Breastfeeding, body composition, maternal postpartum

THE EFFECTIVITY OF BREASTFEEDING TECHNIQUE EDUCATION RELATED TO ONSET OF LACTATION OF CAESAREAN SECTION-DELIVERED MOTHER IN MATARAM CITY GENERAL HOSPITAL

Introduction: Globally, World Health Organization (WHO) and United Nations Children (UNICEF) have urged about giving exclusive breastfeed for newborn baby. Indonesian Government had already targeted 80% of the newborn to be given exclusive breastfeed. But the reality told that exclusive breastfeed program wasn’t done well. Although there were a lot of benefits for giving exclusive breastfeed especially for newborn baby and mother, but in fact there were still a lot of mothers that didn’t give it to their baby. One of the reasons was caused by the lactation onset. The woman that did her delivery by caesarean section would have slower onset of lactation compared to normal delivery, because surgical procedure would resist breast milk production process.Objective: To identify the effectivity of breastfeeding technique education related to lactation onset of caesarean section-delivered mother in Mataram City General Hospital.Research method: This research was a quasi-experimental research. This research was held in Mataram City General Hospital. There were 24 intervention and 24 control samples. The independent variable was breastfeeding technique education, and the dependent variable was onset of lactation of caesarean section-delivered mother. Other variables measured were age, occupation, education, number (times) of giving birth, and caesarean section delivery. Sample collection technique was using consecutive sampling and data analysis was using univariable and bivariable chi-square.Result: There was significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the intervention group (chi square score = 0,026), but there was no significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the control group (chi square score = 0,563).Conclusion: There was significant effect of breastfeeding education for mother that was given intervention, like counseling, compared to control group that was only given leaflet related to mother’s Onset of lactation after caesarean section delivery. Keyword : Breastfeeding Education, Onset of lactation, Caesarean Section

Faktor keberhasilan ibu pekerja dalam memberikan ASI eksklusif di Puskesmas Sedayu I, Bantul, Yogyakarta

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Breastmilk is the first food and the best food for the baby. Breastmilk contains variety of nutrients needed for the baby. It is important to identify the success factors in giving exclusive breastfeeding Objectives: To obtain deeper understanding about factors that determine the success of carrier women in giving exclusive breastfeed ing in Puskesmas Sedayu II, Bantul, Yogyakarta </em></p><p><em><strong>Methods</strong>: This research used qualitative study design with phenomenological approach. There were five participants in this study, who lived near Puskesmas Sedayu II, Bantul, Yogyakarta. The participant aged 27-32 years and had children aged 6-12 months. The education background of participants were high school until under graduate study. Participants worked as private employees and healthworkers in private hospitals in Yogyakarta.</em></p><p><em><strong>Results</strong>: Partisipants understood about the importance of exclusive breastfeeding, the trusted in breastmilk production, concern with nutrition intake during breastfeed, and had the support from closed people to give exclusive breastfeeding.</em></p><p><em><strong>Conclusions</strong>: Factors that determine the success of working mothers in giving exclusive breastfeeding include: understanding of participants about giving exclusive breastfeeding, trusting in the breastmilk production, concerning in nutrition intake during breastfeed, and supporting from people closed people to give exclusive breastfeeding.</em></p><p><strong>KEYWORDS</strong>:<em> exclusive breastfeeding, success factors, support</em></p><p><br /><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: ASI merupakan makanan yang pertama dan terbaik bagi bayi. ASI mengandung berbagai zat gizi yang dibutuhkan bagi bayi, sehingga penting untuk mengidentifi kasikan faktor keberhasilan dalam pemberian ASI eksklusif.</em></p><p><em><strong>Tujuan</strong>: Untuk mendapatkan pemahaman yang mendalam tentang faktor keberhasilan ibu pekerja dalam memberikan ASI eksklusif di Puskesmas Sedayu II, Bantul, Yogyakarta.</em></p><p><em><strong>Metode</strong>: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan penelitian berjumlah 5 yang bertempat tinggal di wilayah kerja Puskesmas Sedayu II, Bantul, Yogyakarta dengan karakteristik partisipan usia 27-32 tahun dan mempunyai anak usia 6-12 bulan. Pendidikan partisipan yaitu SMK hingga S1. Pekerjaan partisipan sebagai karyawan swasta dan tenaga kesehatan di RS swasta di Yogyakarta.</em></p><p><em><strong>Hasil</strong>: Ibu memahami tentang pentingnya ASI eksklusif, yakin terhadap produksi ASI, memperhatikan asupan gizi selama menyusui, dan mendapat dukungan orang terdekat untuk memberikan ASI eksklusif. </em></p><p><em><strong>Kesimpulan</strong>: Faktor keberhasilan ibu bekerja memberikan ASI ekslusif meliputi: pemahaman ibu tentang pentingnya ASI eksklusif, keyakinan terhadap produksi ASI, memperhatikan asupan gizi selama menyusui, dan dukungan orang terdekat terhadap pemberian ASI eksklusif. </em></p><p><strong>KATA KUNCI</strong><em>: ASI eksklusif, faktor keberhasilan, dukungan orang terdekat</em></p>