Pengaruh dukungan pelayanan kesehatan terhadap pemberian asi eksklusif pada bayi sampai usia 4 bulan di Kota Pekanbaru

Zulfayeni Zulfayeni; Madarina Julia; Siti Helmyati

doi:10.22146/ijcn.17401

Pengaruh dukungan pelayanan kesehatan terhadap pemberian asi eksklusif pada bayi sampai usia 4 bulan di Kota Pekanbaru

https://doi.org/10.22146/ijcn.17401

Zulfayeni Zulfayeni^(1*), Madarina Julia⁽²⁾, Siti Helmyati⁽³⁾

(1) Dinas Kesehatan Propinsi Riau
(2) Bagian Anak RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi Ilmu Gizi Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Background: The prevalence of exclusive breastfeeding until the age of 4 months is low. One of the many factors associated with it is healthcare supports on breastfeeding.

Objective: The aim of this study was to assess the effect of healthcare supports for breastfeeding on the prevalence of exclusive breastfeeding until the age 4 months.

Methods: This was a cohort study including 99 infants born at 10 birth clinics in Pekanbaru City during August-December 2003. Exposure was whether mother received supports for breastfeeding. Infants were followed monthly for 4 months to assess the duration they received exclusive breastfeeding.

Results: Healthcare supports for breastfeeding were significantly associated with the duration of exclusive breastfeeding, i.e. RR (95%CI): 1.66 (1.08-2.54). Variables associated with longer duration of exclusive breastfeeding were availability of rooming in and early lactation. Early formula feeding did not support exclusive breastfeeding. Other variables associated with exclusive breastfeeding were husbands’ and other family members’ supports, maternal opinion on exclusive breastfeeding and maternal occupation.

Conclusion: Healthcare supports on breastfeeding were important for promoting exclusive breastfeeding.

Keywords

healthcare supports; exclusive breastfeeding; rooming in; early lactation

Full Text:

PDF

References

Deputi 2 Menteri Negara Pemberdayaan Perempuan. Kebijaksanaan dan Strategi Peningkatan Penggunaan Air Susu Ibu. Jakarta: Meneg PP; 2000.

Latief D. Review Peningkatan Penggunaan ASI (PP-ASI) dan Makanan Pendamping ASI (MP-ASI). Jakarta: Departemen Kesehatan RI; 2000.

Dinas Kesehatan Kota Pekanbaru. Laporan Cakupan ASI Eksklusif Tahun 2002. Pekanbaru: Dinas Kesehatan Kota Pekanbaru; 2002.

Lemeshow S, Hosmer D, Klar J. 1990. Adequacy of Sample Size in Heath Studies. (Terjemahan) Pramono D. Yogyakarta: UGM-Pers; 1997. h. 49-52

World Health Organization. Evidence for the Ten Steps to Succesfull Breastfeeding, Family and Re-productive Health. Geneva: Division of Child Health and Development; 1998.

Irawati A, Widodo Y, dan Triwinarto A. ASI Eksklusif: Status Kini dan Harapan di Masa Datang. Prosiding Kongres Nasional Persagi dan Temu Ilmiah; 2002; Jakarta, Indonesia.

Muchtadi D. Gizi Untuk Bayi: Ais Susu Ibu, Susu Formula, dan Makanan Tambahan. Jakarta: Pustaka Sinar Harapan; 1996.

Akre J. Pemberian Makanan Untuk Bayi: Dasar-dasar Fisiologis. Perkumpulan Perinatologi Indone-sia (Perinasia). Jakarta: Binarupa Aksara; 1994.

Soeparmanto P, dan Rahayu SC. Hubungan antara Pola Pemberian ASI dengan Faktor Sosial, Ekonomi, Demografi, dan Perawatan Kesehatan. Medika Agustus 2002;27(8):502.

Eregie CO. Observation on Certain Factors Asso-ciated With Exclusive Breastfeeding. Institute of Child Health, Univercity of Benin, Nigeria. BMJ 2003:32.

Eregie CO. Impact of The Baby Friendly Hospital Initiative: An Observation from An African Population. Institute of Child Health, Univercity of Benin, Nige-ria. BMJ 2003:32.

Cattaneo A, dan Buzzetti R. Quality Improvement Re-port: Effects on Rates of Breastfeeding of Training for The Baby Friendly Hospital Initiative. BMJ 2003:323

DOI: https://doi.org/10.22146/ijcn.17401