Salah satu upaya pemerintah dalam meningkatkan pemberian ASI di
Indonesia adalah dengan memberikan konseling menyusui di pelayanan
kesehatan. Penelitian perlu dilakukan untuk mengevaluasi pelaksanaan
konseling 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 empat
puskesmas Kota Jambi pada bulan Desember 2013 sampai dengan
Februari 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 digunakan
adalah 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 pelaksanaan
konseling menyusui, belum ada pemantauan pascapelatihan, kurangnya
komitmen personal konselor, belum ada penegasan program, serta lemah-
nya pengawasan. Komponen output masih kurang baik, terlihat pada belum
terdapat data jumlah klien yang diberi konseling menyusui dan jumlah moni-
toring/supervisi. Komponen outcome menunjukkan bahwa kepuasan klien
konseling menyusui kurang. Pelaksanaan konseling menyusui di Kota
Jambi masih kurang optimal. Terlihat dari komponen input masih kurang
memadai, komponen activity belum berjalan optimal, sedangkan komponen
output 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 primary
health care centre. Therefore it is necessary to evaluate the implementation
of 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 health
centers City of Jambi during December 2013 to February 2014. Data were
collected through document study, breastfeeding counseling and execution
infrastructure 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 the
component 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 not
also good as indicated by data unavailability of clients served and none of
monitoring has been conducted. Outcome component showed that there
were still a lack of client satisfaction and resolved breastfeeding problems
after acquiring breastfeeding counseling as an conclusion, implementation
of breastfeeding counseling in the City of Jambi is still less than optimal,
seen from the input components is still inadequate, activity components are
not yet optimal, while the outputs and outcomes components not achieving
the expected.
