Faktor-Faktor yang Berhubungan dengan Pelaksanaan Inisiasi Menyusu Dini (IMD) pada Ibu Bersalin di Wilayah Kerja UPTD Puskesmas Cigasong Kabupaten Majalengka Tahun 2015

Halaman : 73 - 82

Penulis : Yeti Yuwansyah

Edisi : Volume III Nomor 1 Januari 2017

Jurnal : JURNAL BIDAN MIDWIFE JOURNAL

Tahun : 2015

ISSN : 2477-3441

ISSN Online : 2477-345X

ABSTRAK

Pentingnya melakukan IMD dengan benar selain untuk mencegah penyebab kematian pada bayi juga sebagai pendukung keberhasilan program ASI Eksklusif yang dapat menurunkan angka kematian pada bayi. Pelaksanaan IMD diUPTD Puskesmas Cigasong yaitu sebesar 32,2%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan IMDpada Ibu Bersalin di UPTDPuskesmas CigasongKabupaten Majalengka tahun 2015. Penelitian ini merupakan penelitian kuantiatif dengan desain cross sectional. Populasi dalam penelitian ini yaitu seluruh ibu bersalin diwilayah kerja UPTDPuskesmas CigasongKabupaten Majalengka sebanyak 82 ibu bersalin yang di teliti(total sampling). Teknik pengumpulan data dengan teknik wawancara dan instrumennya menggunakan kuesioner, daftar tilik lembar observasi dan data rekam medik. Analisis univariat menggunakan distribusi frekuensi, analisis bivariat dan multivariat. Hasil penelitian menunjukkan faktor yang berhubungan bermakna dengan pelaksanan inisiasi menyusu dini yaitu kondisi bayi (p = 0,001, OR =27,429, 95% CI), kondisi ibu (p = 0,002, OR = 6, 429, 95% CI), tempat bersalin (p = 0, 036, OR = 2,656, 95% CI), penolong persalinan (p = 0,021, OR = 2,942, 95%CI), pengetahuan (p = 0,000,OR = 6,745, 95% CI), pendididkan ( p = 0,000, OR = 6,00, 95% CI), paritas (p = 0,002, OR = 4,558, 95% CI), sikap (p = 0,000, OR = 8,889, 95% CI).pada analisis multivariate, faktor yang berhubungan bermakna dengan pelaksanaan inisiasi menyusu dini (IMD) adalah sikap ibu (p = 0,000 , OR = 8,889, 95% CI), paritas (p = 0,016, OR = 4,657, 95% CI), kondisi ibu (p = 0,004, OR = 6,010, 95% CI). Faktor paling dominan adalah kondisi sikap ibu dengan Odd Ratio ( p = 0,000, OR = 8,889, 95% CI). Perlu dilakukan penguatan program untuk ketercapaian target IMD yaitu dengan evaluasi secara terus – menerus kinerja petugas kesehatan dalam mensosialisasikan pentingnya pelaksanaan IMD

Kata Kunci : Inisiasi Menyusu Dini (IMD), Sikap, Perdesaan

FACTORS ASSOCIATED TO THE IMPLEMENTATION OF EARLY BREASTFEEDING INITIATION (EBI) ON POSTPARTUM WOMENT IN

THE WORK AREA OF CIGASONG PUBLIC HEALTH CENTRE UPTD, MAJALENGKA DISTRICT 2015

ABSTRACK

EBI is important to be well performed to prevent the cause of death in infants as well as to support the success of exclusive breastfeeding program that can reduce mortality in infants. The implementation of EBI in Cigasong PHC UPTD was still low whereas 32.2% mothers did not have EBI in newborns. This study aims to determine the factors associated to the implementation of Early Breastfeeding Initiation (EBI) by the midwives in the work area of ​​Cigasong PHC UPTD Majalengka District 2015. This study was a quantitative study with cross sectional design. The population in this study were all postpartum women in the work area of ​​ Cigasong PHC UPTD Majalengka District as many as 82 women total sampling. Data collection technique used here was interview and the instruments were questionnaires, observation sheet checklists and medical record data. The analysis used were univariate analysis by frequency distribution table, bivariate and multivariate The study results showed that the factors which significantly associated to the implementation of early breastfeeding initiation were infants’ condition (p = 0.001, OR = 27.429, 95% CI), maternal conditions (p = 0.002, OR = 6, 429, 95% CI), place of birth (p = 0, 036, OR = 2.656, 95% CI), birth attendants (p = 0.021, OR = 2.942, 95% CI), knowledge (p = 0.000, OR = 6.745, 95% CI), education level (p = 0.000, OR = 6.00, 95% CI), parity (p = 0.002, OR = 4.558, 95% CI), attitude (p = 0.000, OR = 8.889, 95% CI). In multivariate analysis, factors which significantly associated to the implementation of early breastfeeding initiation (EBI) were the women’s attitude (p = 0.000, OR = 8.889, 95% CI), parity (p = 0.016, OR = 4.657, 95% CI), maternal conditions (p = 0.004 , OR = 6.010, 95% CI). The most dominant factor was women’s attitude condition with Odd Ratio (p = 0.000, OR = 8.889, 95% CI). It is necessary to strengthen the program for the achievement of EBI target by continuously evaluating the health workers performance in disseminating the importance of EBI implementation.

Key word : Early Breasfeeding Initiation (EBI), Attitude, Rural