Hambatan Keberhasilan Pelaksanaan Inisiasi Menyusu Dini (IMD) pada Ibu Bersalin di Rumah Sakit Umum Pusat Sanglah Denpasar

Ni Nyoman Sukarti, I Gusti Ayu Trisna Windiani, Desak Yuli Kurniati

Abstract


The problem of neonatal mortality is still a priority in Indonesia because 59% has contributed to infant mortality. Early breastfeeding (IMD) and exclusive breastfeeding is one of the intervention programs to reduce neonatal and infant mortality. This study aims to explore the implementation of early breastfeeding initiation at the Sanglah Central General Hospital Denpasar using qualitative methods. Data were obtained through in-depth interviews with 5 specialist doctors, 3 mothers giving birth and 5 focus group disscusion activities with 22 midwives. Data collection was carried out from October 2018 to January 2019. Data were analyzed thematically and presented using a narrative approach. The main themes that emerged in this study were 3, namely the knowledge of health workers related to the IMD program, supporting infrastructure facilities from hospitals for the implementation of IMD, and the implementation of the IMD program at Sanglah Hospital. The results of this study indicate that the implementation of IMD has not been carried out properly and correctly. The low knowledge of officers about IMD regulation and the motivation of officers in implementing IMD in mothers. The implementation has also not been supported by information media such as posters, photos, leaflets, booklets and counseling books. Implementation needs to be further enhanced by campaigning for early breastfeeding initiation to increase knowledge both of health workers and the wider community.

Keywords


early breastfeeding initiation, exclusive ASI, Qualitative

Full Text:

PDF

References


BKKBN (2017) Survei Demografi dan Kesehatan Indonesia 2017, Kementerian Kesehatan. Available at: http://www.dhsprogram.com. BKKBN (2017) Survei Demografi dan Kesehatan Indonesia 2017, Kementerian Kesehatan. Available at: http://www.dhsprogram.com.

Kemenkes RI, 2017, Profil Kesehatan Indonesia Tahun 2017.

Rinjani, G. and Budiharsana, M. P. (no date) Faktor-faktor yang Berhubungan dengan Kematian Perinatal di Indonesia (Analisis Lanjut SDKI 2012)

Sejatiningsih, S. dan Raksanagara, A. S. (2015) ‘Program Inisiasi Menyusui Dini dalam rangka Menurunkan Angka Kematian Neonatal.

Pepres RI (2012) Peraturan Pemerintah Republik Indonesia Nomor 33 Tahun 2012 Tentang Pemberian Air Susu Ibu Eksklusif

Pusat data dan Informasi Kementerian Kesehatan RI (2017) Menyusui sebagai Dasar Kehidupan Menyusui.

Roesli, U. (2009) ‘Mengenal Asi Ekslusif’, Trubus Agriwidya

Mantasia (2018), Relationship knowledge and attitude of fields in the implementation of initiation of early herein in the region Work puskesmas bontomarannu kab.Takalar, Jurnal Fenomena Kesehatan, Vol 1(1): 26-32

Aprillia, Y. (2009) Analisis Sosialisasi Program Inisisiasi Menyusu Dini dan ASI Eksklusif kepada Bidan di Kabupaten Klaten. Diakses melalui: http://eprints.undip.ac.id/23747/

Santi, M. Y. (2017) ‘Upaya Peningkatan Cakupan ASI Eksklusif dan Inisiasi Menyusu Dini (IMD)’, Jurnal Kesmas Indonesia, 9(1), pp. 78–90.

Mujiati dan Novianti (2015) ‘Pelaksanaan Sosialisasi Inisiasi Menyusu Dini (IMD) di Rumah Sakit St Carolus dan Rumah Sakit Umum Daerah (RSUD) Budhi Asih Jakarta’, Buletin Penelitian Kesehatan, 43(4), pp. 247–256

Novianti dan Anissa, R. (2016) ‘Dukungan tenaga Kesehatan Terhadap Pelaksanaan IMD : Studi Kasus di RS Swasta X dan RSUD Y di Jakarta’, Jurnal Kesehatan Reproduksi, 7(2), pp. 95–108.

Lestari, M. (2019) ‘Faktor Terkait Inisiasi Menyusu Dini pada Ibu Postpartum di Rumah Sakit Umum Daerah Kota Cilegon’, Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 3(1), pp. 17–23. doi: 10.22435/jpppk.v3i1.1228.

Orun, E. dkk. (2010) ‘Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital’, The Turkish journal of Pediatrics, 52, pp. 10–16. Available at: https://instagram.com/p/BVg7gJbhywf/

Indramukti, F. (2013) ‘Faktor Yang Berhubungan Dengan Praktik Inisiasi Menyusu Dini (Imd) Pada Ibu Pasca Bersalin Normal Di Wilayah Kerja Puskesmas Blado I’, Unnes Journal of Public Health, 2(2). Available at: http://journal.unnes.ac.id/sju/index.php/ujph.

Rusada, D. A., Yusran, S. and Jufri, N. N. (2016) ‘Faktor Yang Berhubungan Dengan Pelaksanaan Program Inisiasi Menyusu Dini (Imd) Di Puskesmas Poasia Kota Kendari Tahun 2016’

Zainal, E., Sutedja, E. dan Madjid, T. H. (2019) Hubungan antara pengetauan IBu, Sikap Ibu, IMD, dan Peran Bidan dengan Pelaksanaan ASI Eksklusif serta Faktor-faktor yang memengaruhi Peran Bidan pada IMD dan ASI Eksklusif

Fitriyani and Aisyah, R. D. (2016) ‘Hubungan Pengetahuan Dan Frekuensi Anc Dengan Sikap Dalam Persiapan Laktasi Di Wilayah Kabupaten Pekalongan Tahun 2016’, The 4 th Univesity Research Coloquium, pp. 55–62. doi: ISSN 2407-9189

Edmond, K. M. et al. (2006) ‘Delayed breastfeeding initiation increases risk of neonatal mortality’, Pediatrics, 117(3). doi: 10.1542/peds.2005-1496.




Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Ciptaan disebarluaskan di bawah Creative Commons Attributions-ShareAlike 4.0 International License

View My Stats