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"Self Efficacy merupakan salah satu prediktor penting dalam penentuan inisiasi, durasi dan eksklusivitas dalam menyusui. Penelititan ini bertujuan untuk mengkaji pengaruh konseling menyusui dengan pendekatan teori sosial kognitif terhadap self efficay ibu dalam menyusui di Koba Bangka Tengah pada bulan Mei-Juni tahun 2015. Desain penelitian adalah quasy experimental dengan rancangan non-randomized control group pretest posttest design, total sampel sebanyak 48 ibu menyusui yang terbagi menjadi 24 ibu menyusui pada kelompok kontrol yang mendapatkan leaflet menyusui dan 24 ibu pada kelompok intervensi yang mendapatkan konseling menyusui dengan pendekatan teori sosial kognitif. Analisis data meliputi analisis univariat, bivariat, dan multivariat. Analisis bivariat menggunakan uji T independen, dan uji Wilcoxon. Sedangkan analisis multivariat menggunakan regresi linier. Perbandingan nilai self efficacy sebelum dan sesudah perlakuan pada masing-masing kelompok meningkat bermakna (p=0,001). Perbandingan selisih nilai self efficacy pada kelompok intervensi lebih tinggi bermakna dibandingkan kelompok kontrol (p=0,002). Kelelahan postpartum dan tingkat pendidikan berhubungan bermakna terhadap perbedaan nilai self efficacy. Hasil analisis multivariat menunjukkan adanya pengaruh kelelahan postpartum, pengetahuan menyusui, pendidikan ibu, dan konseling menyusui terhadap perbedaan nilai self efficacy. Konseling menyusui merupakan faktor yang paling berpengaruh terhadap perbedaan nilai self efficacy (p=0,003) dengan koef (B) sebesar 3,286. Konseling lebih dapat meningkatkan self efficacy ibu dalam menyusui dibandingkan pemberian leaflet menyusui.

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Self efficacy has been describe as an important predictor in determining the initiation, duration and exclusivity of breastfeeding. The purpose of this study was to examine the effect of breastfeeding counseling by social cognitive theory approach to self efficacy in breast-feeding mothers in Central Bangka Koba in May-June 2015. The study design was quasy experimental with a non-randomized control group pretest posttest design, sample size of this study was 48 nursing mothers were divided into 24 nursing mothers in the control group who received breastfeeding leaflets and 24 mothers in the intervention group who received breastfeeding counseling by social cognitive theory approach. Data analysis included univariate, bivariate, and multivariate analyzes. Bivariate analysis used independent t test and Wilcoxon test. While the multivariate analysis used linear regression. Comparison of self-efficacy before and after treatment in each group increased significantly (p = 0.001). Comparison of the difference in the value of self-efficacy in the intervention group was significantly higher than the control group (p = 0.002). Postpartum fatigue and a significant level of education influenced to the difference in the value of self-efficacy. Multivariate analysis showed the influence of fatigue postpartum, breastfeeding knowledge, maternal education, and breastfeeding counseling to the difference in the value of self-efficacy. Breastfeeding counseling is the most influential factor to the difference in the value of self-efficacy (p = 0.003) with koef (B) of 3.286. Breastfeeding counseling could improve self efficacy than breastfeeding leaflets."

"Salah satu upaya pemerintah dalam meningkatkan pemberian ASI diIndonesia adalah dengan memberikan konseling menyusui di pelayanankesehatan. Penelitian perlu dilakukan untuk mengevaluasi pelaksanaankonseling menyusui di Kota Jambi dengan mengeksplorasi komponen in-put, activity, output, dan outcome. Penelitian ini merupakan penelitian kuali-tatif menggunakan strategi studi kasus. Penelitian dilakukan di empatpuskesmas Kota Jambi pada bulan Desember 2013 sampai denganFebruari 2014. Pengumpulan data dilakukan dengan studi dokumen, ob-servasi pelaksanaan konseling menyusui dan sarana prasarana, wawan-cara mendalam, serta focus group discussion. Analisis data yang digunakanadalah analisis tematik. Hasil penelitian menunjukkan bahwa komponen in-put dan activity kurang optimal seperti kurangnya sumber daya manusia,keterbatasan sarana prasarana, belum ada petunjuk teknis pelaksanaankonseling menyusui, belum ada pemantauan pascapelatihan, kurangnyakomitmen personal konselor, belum ada penegasan program, serta lemah-nya pengawasan. Komponen output masih kurang baik, terlihat pada belumterdapat data jumlah klien yang diberi konseling menyusui dan jumlah moni-toring/supervisi. Komponen outcome menunjukkan bahwa kepuasan klienkonseling menyusui kurang. Pelaksanaan konseling menyusui di KotaJambi masih kurang optimal. Terlihat dari komponen input masih kurangmemadai, komponen activity belum berjalan optimal, sedangkan komponenoutput dan komponen outcome belum mencapai hasil yang diharapkan.The government?s efforts in improving breastfeeding in Indonesia is to pro-vide breastfeeding counseling services in health care especially at primaryhealth care centre. Therefore it is necessary to evaluate the implementationof breastfeeding counseling in the City of Jambi by exploring its input, ac-tivity, output, and outcomes components. This study was a qualitative re-search using case study strategy. The study was conducted in four healthcenters City of Jambi during December 2013 to February 2014. Data werecollected through document study, breastfeeding counseling and executioninfrastructure observation, in-depth interviews, and focus group discussion.Data analysis includes transcription, reduction, coding, categorizing,themes, and interpretation of research results. The results showed that thecomponent inputs and activity were not done optimally due to a lack of hu-man resources, infrastructure limitations, unavailability of technical guide-lines, non-existence of post training monitoring or supervision, lack of coun-selor?s personal commitment, lack of program clarity, as well as poor mana-gement and supervision of the health department. A service output were notalso good as indicated by data unavailability of clients served and none ofmonitoring has been conducted. Outcome component showed that therewere still a lack of client satisfaction and resolved breastfeeding problemsafter acquiring breastfeeding counseling as an conclusion, implementationof breastfeeding counseling in the City of Jambi is still less than optimal,seen from the input components is still inadequate, activity components arenot yet optimal, while the outputs and outcomes components not achievingthe expected."

"ABSTRAKMenyusui merupakan hal yang penting bagi ibu melahirkan. Konseling menyusui adalah salah satu upaya untuk keberhasilan menyusui. Tujuan penelitian ini untuk mengetahui pengaruh konseling menyusui terhadap sikap menyusui ibu melahirkan yang dirawat. Desain penelitian berupa quasi experimental design dengan pendekatan post test-only non equivalent control group. Jumlah sampel penelitian 60 orang yang diambil menggunakan teknik nonprobability sampling (sampel non random) dengan metode consecutive sampling. Hasil penelitian menunjukkan ada pengaruh konseling menyusui terhadap sikap menyusui ibu melahirkan (p value=0,02). Faktor umur, pendidikan, paritas, suku, pengalaman menyusui, pengalaman mendapat informasi dan dukungan keluarga tidak berhubungan dengan sikap menyusui. Peran petugas kesehatan sebagai konselor menyusui perlu dioptimalkan untuk keberhasilan menyusui ibu melahirkan yang dirawat.

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ABSTRACTBreastfeeding is important for mothers giving birth. Breastfeeding counseling is one of the efforts for the success of breastfeeding. The purpose of this study was to determine the effect of breastfeeding counseling on maternal breastfeeding attitudes treated. Design research is a quasi-experimental design with post-test-only approach to non equivalent control group. Total sample of 60 people were taken using a technique nonprobability sampling (non-random sample) with consecutive sampling method. Results showed no effect of breastfeeding counseling on breastfeeding maternal attitude (p value = 0.02). Age, education, parity, ethnicity, breastfeeding experience, the experience gets the information and family support is not related to breastfeeding attitudes. The role of health workers as breastfeeding counselors need to be optimized for successful breastfeeding maternal treated."

"Perinasia adalah organisasi seminat di bidang perinatologi, dimana salah satu kegiatannya menyelenggarakan pelatihan konseling menyusui dengan menggunakan modul pelatihan WHO/UNICEF metode 40 jam. Penelitian ini bertujuan untuk mengevaluasi pelatihan konseling menyusui modul 40 jam oleh Perinasia periode tahun 2015-2016. Penelitian ini mengacu pada model evaluasi empat level Kirkpatrick, terfokus pada evaluasi reaksi dan pembelajaran. Desain penelitian adalah kuasi eksperimen, dilanjutkan dengan survei cepat Rapid Survey Method . Evaluasi level reaksi dan pembelajaran dilakukan pada 385 data peserta yang memenuhi kriteria sampel, dilanjutkan wawancara telepon pada 60 eks peserta pelatihan untuk mengetahui pengalaman implementasi setelah pelatihan.Hasil penelitian menunjukkan pelatihan konseling menyusui mampu memberikan kepuasan bagi sebagian besar peserta, baik pada level reaksi maupun pembelajaran. Penelitian juga membuktikan bahwa pelatihan konseling menyusui modul 40 jam sesuai untuk semua golongan karakteristik baik jenis kelamin, umur, pengalaman pelatihan dan profesi. Kepuasan dilevel reaksi dan pengetahuan berpengaruh terhadap pencapaian dilevel perilaku. Respon survei cepat mencapai 45 dari sampel, diperoleh informasi bahwa sebagian besar peserta mampu mengimplementasikan hasil pelatihannya ditempat kerja masing-masing dengan baik dan dapat memberikan dampak yang positif bagi lingkungan kerjanya. Dampak bukan dalam bentuk finansial, melainkan peningkatan pelayanan pasien. Sarannya, agar dirancang metode evaluasi untuk dapat mengevaluasi keterampilan, kompetensi, dan komitmen peserta pelatihan.

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Perinasia is an organization of interest in the field of perinatology, where one of its activities conducts breastfeeding counseling training using WHO UNICEF method of training method 40 hours. This study aims to evaluate counseling training module feeding 40 hours by Perinasia period 2015 2016. This study refers to a four level Kirkpatrick evaluation model, focused on evaluation of reactions and learning. The study design was quasi experiment, followed by rapid survey Rapid Survey Method . Evaluation of reaction and learning levels was conducted on 385 participant data that met the sample criteria, followed by telephone interviews on 60 ex trainees to find out the implementation experience after the training.The results showed that breastfeeding counseling training can provide satisfaction for most participants, both at reaction level and learning level. The study also proved that 40 hour module feeding counseling training is appropriate for all classes of characteristics of either sex, age, training experience and profession. Satisfaction at the level of reaction and knowledge affect the attainment of behavioral level. A rapid survey response of 45 of the sample obtained information that most participants were able to properly implement their training outcomes in their workplace and could have a positive impact on their work environment. The impact is not in financial form, but rather the improvement of patient care. Suggestion, to be designed evaluation method to be able to evaluate skill, competence, and commitment of trainee."