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Abstrak :
ABSTRAK
Pemberian ASI eksklusif masih rendah sehingga perlu dilakukan upaya untuk meningkatkan cakupannya. Tujuan penelitian ini adalah teridentifikasi mitos, budaya, pengetahuan dan sikap yang mempengaruhi pemberian ASI ekslusif, terbentuknya model pendidikan kesehatan terhadap perilaku pemberian ASI eksklusif sebagai dasar untuk suksesnya target pencapaian pemberian ASI eksklusif melalui penerapan model pendidikan kesehatan berbasis budaya yang telah teruji, dan praktek pemberian ASI 1 bulan. Penelitian ini merupakan operasional riset dengan menggunakan mixed method yaitu kualitatif dan kuantitaif. Sampel kualitatif diambil secara snowboll dengan jumlah 19 orang dan kuantitaif diambil secara puorposive sesuai kriteria inklusi dengan jumlah 84 orang dan terbagi dalam dua kelompok yaitu 42 orang kelompok intervensi dan 42 orang kelompok kontol. Kelompok intervensi mendapatkan pendidikan kesehatan IMTASIE. Hasil penelitian kualitatif mengidentifikasi mitos dan budaya yang mempengaruhi pemberian ASI eksklusif masih sangat kuat dipertahankan, pengetahuan ibu kurang, dan semua ibu ingin memberikan ASI. Hasil penelitian kuantitatif Model IMTASIE yang dikembangkan secara signifikan memberikan efek terhadap praktik pemberian ASI satu bulan dengan nilai p value 0.026 (<0.05). Berdasarkan hasil penelitian ini direkomendasikan perlunya pelibatan tokoh masyarakat dalam kegiatan pendidikan kesehatan tentang pemberian ASI eksklusiff dari perspektif budaya

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ABSTRACT
Exclusive breastfeeing rate is still low, hence needs marked promotion. The objective of this study is to identify the myths, culture, knowledge, and attitude affecting the exclusive breastfeeding practice, to form and to implement a culture-based health education model (IMTASIE) on exclusive breastfeeding. This study was designed as an operational mixed-method research. Qualitative sample was recruited through snowball sampling and reached 19 participants. Whereas, purposive sampling of 84 participants, divided into treatment and control group, each comprised of 42 participants, involved in the quantitative test. Treatment group received IMTASIE health education. The qualitative results revealed the myths and culture surrounding exclusive breastfeeding practice which were still strongly held by mothers, lack of mothers? knowledge on exclusive breastfeeding in spite of their willingness to breastfeed. IMTASIE model significantly influenced the exclusive breastfeeding practice for the first month with p value 0.026 (<0.05). The results implied the importance of involving community leaders in culture-based health education on exclusive breastfeeding.

Abstrak :
This study examined breastfeeding practices and self-efficacy among mothers residing in rural areas. A cross sectional study was conducted for 104 mothers via purposeful sampling in a Posyandu (maternal and child health service) in Kampar district, one of the rural areas in Riau, Indonesia. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was used in the questionnaires to collect data. Chi-square test was used for bivariate analysis. Majority of the respondents (71.2%) were 20–35 years old; 69.3% of the respondents’ level of education were low (such as junior and senior high school levels). Approximately 91.3% of them were housewives. Exclusive breastfeeding prevalence was only 30.8%, with insufficient milk being the most common reasons cited by the mothers as failure to breastfeed exclusively. Porridge and mineral water were the most commonly supplied food given to babies under 6 months among 31.7% and 36.5% mothers, respectively. The respondents faced some breast problems, where 72.1% mothers did not have good breastfeeding skills. Approximately 59.6% mothers had higher breastfeeding self-efficacy than the mean score for BSES-SF, which was 58.58 (11.58 standard deviation [SD]). Mothers’ age was significantly correlated with the BSES among mothers (p < 0.01). Increasing young mother’s breastfeeding self-efficacy during the antenatal care period is important to lower these young mothers’ perception of having insufficient milk.

Abstrak :
Penelitian terdahulu menyebutkan bahwa ibu melahirkan secara sectio cae- sarea cenderung lebih lambat melakukan inisiasi menyusu dini dan mem- punyai prevalensi lebih rendah dalam praktik ASI ekslusif dibanding Ibu melahirkan pervaginam. Ibu post sectio caesarea juga tidak memulai menyusui bayinya pada hari pertama melahirkan. Tujuan penelitian ini adalah mengetahui faktor yang menyebabkan rendahnya praktik inisiasi ASI pada Ibu post sectio caesarea termasuk peran tenaga kesehatan di se- buah rumah sakit di Surabaya. Sebanyak 72 ibu yang melahirkan secara sectio caesarea selama bulan Juni 2012 telah menandatangani informed consent, diobservasi sejak masuk rumah sakit sampai akhir hari ke-2 post sectio caesarea, dan diwawancara dengan menggunakan kuesioner. Hasil penelitian menunjukkan semua ibu sudah mempunyai pengetahuan yang baik tentang ASI, 26,4% di antaranya sudah mempunyai pengalaman se- belumnya dalam memberikan ASI, tetapi hanya 6,9% dan total 29,2% yang mulai memberikan ASI pada hari pertama dan kedua pasca sectio cae- sarea. Dukungan tenaga kesehatan dalam hal membantu proses pember- ian ASI dilaporkan masih rendah. Uji korelasi mendapatkan bahwa dukun- gan tenaga kesehatan dan kondisi rawat gabung adalah faktor yang berhubungan dengan praktik pemberian ASI (p value 0,39; p = 0,001; phi value = 0,47; p = 0,001). Rendahnya pemberian ASI ibu pasca sectio cae- sarea berkorelasi dengan rendahnya dukungan tenaga kesehatan dan pe- nundaan rawat gabung.

Previous studies showed that breastfeeding initiation was late in babies born with sectio caesarea compared to those with vaginal delivery and prevalence of exclusive breastfeeding practice was low in the former group. There was no breastfeeding initiation in the first day of post sectio caesarea. The objective of this study was to define factors correlated to low breast- Rendahnya Praktik Menyusui pada Ibu Post Sectio Caesarea dan Dukungan Tenaga Kesehatan di Rumah Sakit The Low Practices of Breastfeeding for Sectio Caesarea Women and Health Workers Support in Hospital Dwi Retno Wulandari, Linda Dewanti feeding practice initiation on post sectio caesarea mother, including the role of health workers in a hospital in Surabaya. 72 post sectio caesarea moth- ers were observed and interviewed on 1-30 June 2012 to find the factors correlated with breastfeeding practice. The results showed that although all the mothers already had a good knowledge about breastfeeding, and 26.4% of them had previous experience in breastfeeding, only 6.9% and 29.2% of total breastfeeding is started on the first and second post sectio caesarea respectively. Support for breastfeeding practice from health workers was low, and there were significant correlation between the support and room- ing conditions with breastfeeding practices (p = 0.001). We concluded that low level of breastfeeding practice on mother with sectio caesarea correlat- ed with low support of health professional and with the delay of room-in practice.