Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia

https://doi.org/10.22146/jkr.35436

Utami Dewi(1*), Siswanto Agus Wilopo(2), Tunjung Wibowo(3)

(1) Universitas Hangtuah, Pekanbaru
(2) Department of Biostatistics, Epidermiology, and Population Health
(3) Department of Pediatrics, Faculty of Medicine, University of Gadjah Mada
(*) Corresponding Author

Abstract


Background: It is recommended for a mother to initiate to give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding shows that non breast milk-supplementary food is given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.

Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.

Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with KaplanMeier, Log regression and Cox regression.

Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95).

Conclusion: Pre-lacteal feeds showed a significant result with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and ≥ 35 years, low economic status, and birth assistant with non professional.

Keywords: infant’s survival, pre-lacteal feeds, infant


Keywords


infant’s survival; pre-lacteal feeds; infant

Full Text:

PDF PDF


References

  1. Abidin Z. 2009. Perlindungan Anak dan Implementasinya. Tersedia dalam: http://www. kabarindonesia.com/beritaprint.php. Diakses pada 2 Oktober 2009.
  2. Black RE, Morris SS, Bryce J. 2003. Where and why are 10 million children dying every year? Lancet. 361: 2226-2234.
  3. Badan Pusat Statistik, Macro International. 2007. Survei Demografi dan Kesehatan Indonesia 2007. Calverton, Maryland, USA: BPS dan Macro International.
  4. Suhardjo. 1992. Pemberian makanan pada bayi dan anak. Yogyakarta: Kanisius.
  5. Sastroasmoro S, Ismael S. 2008. Dasar-dasar metodologi penelitian klinis. Jakarta: Sagung Seto.
  6. Hasan MI. 2002. Metodologi penelitian dan aplikasinya. Jakarta: Ghalia Indonesia.
  7. Boedihardjo SD. 1994. Pemberian makanan untuk bayi, dasar-dasar fisiologis. Jakarta: Perinasia.
  8. Suraatmaja S. 1997. Aspek gizi air susu ibu, dalam ASI petunjuk untuk tenaga kesehatan. Soetjiningsih, editor. Jakarta: EGC.
  9. Edmond KM, Kirkwood BR, Tawiah CA, Agyei SO. 2008. Impact of early infant feeding practices on
  10. mortality in low birth weight infants from rural Ghana. Journal of perinatology. 28: 438-444.
  11. Ristrini B W. 1990. Menyusui dan kelangsungan hidup anak. Majalah Demografi Indonesia. 17(34).
  12. Butz WP, Vanzo DJ, Habicht JP. 1982. How biological and behavioral influence on mortality in Malaysia vary during the first year of life, population studies. 37.
  13. Nurmiati B. 2008. Pengaruh durasi pemberian ASI terhadap ketahanan hidup bayi di Indonesia. Makara Kesehatan.12(2).
  14. Moultan LH, Rahmathullah L, Halsey NA, Thulasiraj RD, Katz J, Tielsch JM. 2005. Evaluation of nonspecific effect of infant immunizations on early infant mortality in a southern Indian population. Tropical Medicine and International Health. 10(10): 947-955.
  15. Wilopo SA. 2007. Pola, trend dan perbedaan praktik menyusui di Indonesia: analisis deskriptif peran modernisasi dan budaya tradisional dari data Survey Demografi Kesehatan Indonesia. Jurnal Gizi Klinik Indonesia. 6(1): 42-51.
  16. Nepal D, Sankar J, Misra S, Paul V. 2005. Determinant of early initiation of breastfeeding in a tertiary neonatal unit. J Pediatr. 29:2
  17. Agnarsson I, Mpello A, Gunnlaugsson G, Hofvander Y, Greiner T. 2001. Infant feeding practice during the first six months of life in a rural area in Tanzania. Medical Journal. 78:1
  18. Huyen T. 1998. Maternal education and place of residence in the timing of the initiation of breastfeeding in Vietnam. Chicago: Chicago University.
  19. Kathleen, MM, Shankar RT. 2009. The practice of prelacteal feeding to newborns among hindu and muslim families. J.Midwifery Women’s Health. 5(1):78-81.
  20. Prakasam C.P. 1990. Influence of Mother age on child survival in Pakistan: Evidence from DHS data. Available from http://www.iassh.org/reach_ review/research/Pakistan_paper.pdf.
  21. Buor D. 2001. Mother’s education and childhood mortality in Ghana. Health Policy. 64:297-309.
  22. Bhuiya A, Streatfield K. 1991. Mother’s education and survival of female children in a rural area of Bangladesh. Popul Stud. 45: 253-264.
  23. 73
  24. Simbolon D. 2006. Kelangsungan hidup bayi di perkotaan dan pedesaan Indonesia. Jurnal Kesehatan Masyarakat Nasional. 1(1).
  25. Ariawan I. 2006. Indeks sosio-ekonomi menggunakan Principal Component Analysis. Jurnal Kesehatan Masyarakat Nasional. 1(2): 83-87
  26. Harto EP. 2000. Kematian Bayi di Kabupaten Purworejo Kajian dari Pemanfaatan Pelayanan Kesehatan dan Kondisi Sanitasi Lingkungan. Tesis. Yogyakarta: Program Studi Ilmu Kesehatan Masyarakat, Universitas Gadjah Mada.
  27. Utomo B. 1988. Kematian bayi dan anak di Indonesia, beberapa implikasi kebijakan. Dalam: Singarimbun, M. Editor. Kelangsungan hidup anak, Yogyakarta: Gadjah Mada University Press.
  28. Winarno E. 2002. Mengkaji implementasi kebijakan lintas sektoral peningkatan kesejahteraan sosial masyarakat dalam upaya penurunan tingkat kematian bayi. Jurnal Penelitian Kesejahteraan Sosial, Balai Besar Penelitian Dan Pengembangan Pelayanan Kesejahteraan Sosial (B2P3KS), Yogyakarta.
  29. Akwara PA. 1994. Breastfeeding and infant and child mortality in Amagoro Division of Busia Distrist, Kenya. Afr Popul Stud. 9; 1-21.
  30. Hong R, Beltran MR. 2007. Impact of prenatal care on infant survival in Bangladesh. J. Matern Child Health. 11; 199-206.
  31. Widayaton. 1999. Program penempatan bidan di desa di Indonesia dan tingkat pemanfaatan pelayanan kesehatan ibu dan anak : Bukan dukun atau dokter: tinjauan tentang program bidan di desa di Kawasan Timur Indonesia, Jakarta.
  32. Hakimi M. 1999. Determinan pemilihan penolong dan tempat pertolongan persalinan di Kabupaten Purworejo. Laporan Penelitian. Yogyakarta: Laboratorium Penelitian Kesehataan dan Gizi Masyarakat FK UGM.



DOI: https://doi.org/10.22146/jkr.35436

Article Metrics

Abstract views : 1215 | views : 1371 | views : 1764

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Jurnal Kesehatan Reproduksi



Jurnal Kesehatan Reproduksi Indexed by:

 

 



SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043