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"Penyebab kegagalan program ASI eksklusif adalah pemberian makanan prelakteal. Tujuan penelitian ini adalah untuk mengetahui hubungan faktor pengetahuan ibu tentang ASI eksklusif, IMD, Penolong persalinan dan tempat persalinan terhadap pemberian makanan prelakteal. Metode penelitian ini menggunakan desain analitik dengan pendekatan cross sectional. Analisis bivariat menggunakan uji chi square, t test independent dan regresi logistic.Hasil penelitian didapatkan proporsi pemberian makanan prelakteal sebesar 75,6%. Faktor yang berhubungan dengan pemberian makanan prelakteal adalah pengetahuan ibu (p = 0,012), penolong persalinan (p= 0,044) dan IMD (p < 0,001).The causes of the failure of exclusive breastfeeding program is prelacteal feeding. Objective of this study was to determine the relationship of factors of maternal knowledge about exclusive breastfeeding, Immediate breastfeeding, place of delivery and birth attendants to prelacteal feeding. This research method using analytical design with cross sectional approach. Bivariate analysis using chi square test, independent t test and logistic regression.

The results obtained prelacteal feeding proportion is 75.6%. Factors related to prelacteal feeding are mother knowledge of breastfeeding (p=0,012), birth attendants (p=0,044) and Immediate breast feeding (p < 0,001)."

"Gerakan Keluarga Berencana Nasional bertujuan ganda yaitu untuk meningkatkan kesejahteraan ibu dan anak serta mewujudkan norma keluarga kecil bahagia dan sejahtera (NKKBS). Dalam mewujudkan tujuan tersebut, program keluarga berencana nasional memakai beberapa metoda kontrasepsi yang disesuaikan dengan situasi dan kondisi fisik peserta KB itu sendiri. Menggunakan alat kontrasepsi merupakan salah satu metoda KB yang terbaik untuk mengatur kelahiran anak, AKDR merupakan alternatif pilihan bagi pasangan muda yang ingin menunda kehamilannya, juga merupakan alternatif kedua setelah kontap bagi pasangan tua yang ingin mengakhiri kehamilannya.Di Kecamatan Sekayu Kabupaten Musi Banyuasin, persentase akseptor berdasarkan metode kontrasepsi adalah, suntik KB (47,58%), p11 (21,90%), implant (19,77%), AKDR (6,20%), khusus AKDR relatif rendah bila dibandingkan dengan nasional (13,6%), juga bila dilihat dari propinsi Sumatera Selatan (6,25%). Hal ini tentunya banyak faktor yang mempengaruhi rendahnya pemakaian AKDR di wilayah tersebut salah satu diantara faktor tersebut adalah faktor sosial budaya.Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemilihan alat kontrasepsi di Kelurahan Serasan Jaya, Soak Baru dan Balai Agung. Rancangan penelitian yang digunakan adalah Cross Sectional, dengan responden 102 orang akseptor KB. Data yang dikumpulkan dengan menggunakan kuesioner, kemudian diolah dengan analisis univariat, bivariat dan multivariat dengan teknik analisis chi square dan regresi logistik.Alasan responden memilih AKDI sebagian besar mengatakan aman (78,8%), sedangkan alasan tidak memakai AKDR mayoritas mengatakan takut efek samping (88,23%). Hasil analisis chi square menunjukkan adanya hubungan antara umur, pendidikan suami, jumlah anak hidup dan dukungan suami dalam memilih alat kontrasepsi. Analisis regresi logistik diperoleh faktor yang paling dominan adalah dukungan suami.Dalam rangka meningkatkan pemakaian AKDR di wilayah khususnya Serasan Jaya, Soak Baru dan Balai Agung, perlu diberi KIE (komunikasi informasi dan edukasi) terutama ditujukan untuk PUS yang belum menggunakan alat kontrasepsi .

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The Role of Husbans to Support to the Selection of Contraceptive Device on Family Planning Patient at Serasan Jaya Village, Soak Baru and Balai Agung Sub-Districts, Musi Banyuasin District, South Sumatera Province, 2002The National Family Planning Movement has double aims that are to increase mother and child welfare, and also to form prosperous and welfare of the small family norm (NIXBS). In parsing those goals, the National Family Planning Program used some contraceptive methods that adjusted to situation and condition of Family Planning physical patient herself The using of contraceptive device is one of the best Family Planning methods to arrange child birth, IUDs is the alternative selection for young couple who wants to postpone her pregnancy, it also second alternative after "kontap" for old couple who wants to ending her pregnancy.

In Sekayu Sub-District, Musi Banyuasin District, the percentage of acceptor based on contraceptive method are injectable (47,58%), pill (21,90%), implant (19,77%), IUDs (6,25%), especially for IUDs relative small if compared with national (13,6%), also when it seen at South Sumatera (6,25%). The factor that influences to lowering the use of IUDs on those areas, one of them is social-demographic.

The objective of this study is to know factors that were related in the selection of contraceptive device at Serasan Jaya, Soak Baru, and Balai Agung villages. The study design used cross-sectional, with the respondent is 102 acceptors of Family Planning. The data is collected by questionnaire, and then the data is analyzed by univariate, bivariate, and multivariate used technical analysis chi-square and regression logistic.

Reason of respondent selected IUDs the most of them are safety (78,8%), while the reason was not used IUDs, the majority of them afraid the side effects (88,23%). The result of chi-square analysis showed that there was relationship between age, husband's education, the number of live birth child, and husband's support in selecting the contraceptive device, Regression logistic analysis obtained that the most dominant factor is husband's support.

In order to improve the using of IUDs at the villages, especially at Serasan Jaya, Soak Baru and Balai Agung, it is need to provide Information, Education, and Communication) especially addressed to fertile-age couple."

"Latar Belakang: Remaja memiliki risiko terhadap perilaku kesehatan reproduksinya termasuk perilaku seksual.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku seksual remaja.Metode: penelitian ini menggunakan metode penelitian analitik dengan pendekatan cross sectional. populasi yang diteliti adalah remaja di SMA Negeri "X" Kota Sekayu Kabupaten Musi Banyuasin tahun 2012. Analisis bivariat dengan menggunakan uji Chi square.Hasil: Penelitian menunjukkan bahwa 34% melakukan perilaku seksual berisiko. Berdasarkan uji bivariat menunjukkan adanya hubungan yang signifikan antara jenis kelamin, pengetahuan, sikap, pola asuh, dan paparan media pornografi dengan perilaku seksual remaja.

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Background: Adolescent have an increasing risk of reproductive health behavior including sexual behavior.

Objective: This study aims to determine the factors associated with adolescent sexual behavior.

Methods: This study uses analytical research method with cross sectional approach. Population studied was in high school adolescent state "X" Sekayu City Distric of Musi Banyuasin 2012. Bivariate analysis was using Chi square test.

Result: The study showed that 34% to risky sexual behavior. Bivariate test showed a significant relationship between gender, knowledge, attitude, parenting, and exposure to pornographic media with adolescent sexual behavior."

"Masalah kekurangan gizi di wilayah kerja Puskesmas Perawatan MKB Lompoe Kota Parepare tahun 2011 sebanyak 9,02 persen dengan cakupan pemberian ASI Eksklusif sebesar 28,9 persen. Bertujuan untuk mengetahui pengetahuan, sikap dan perilaku ibu dalam pemberian ASI eksklusif dengan status gizi bayi umur 6-12 bulan dengan menggunakan pendekatan cross sectional. Populasi sasaran adalah seluruh bayi umur 6-12 bulan. Sampel penelitian sebanyak 112 responden, menggunakan kuisioner. Perhitungan statistik di lakukan menggunakan analisis univariat dan bivariat dengan uji chi-square. Dalam penelitian ini diketahui hubungan antara pengetahuan ibu dengan BB/U (p=0,003), PB/U (p=0,035) dan BB/PB (p=0,011), sikap ibu dengan PB/U (p=0,000) serta perilaku ibu dengan BB/U (p=0,020), BB/PB (p=0,008). Saran untuk menambahkan materi penyuluhan tentang ASI Eksklusif.

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Problem of malnutrition in the work area region of MKB Care Health Center Lompoe Parepare City was 9.02 percent in 2011, with coverage of exclusive breastfeeding for 28.9 percent. Aims to assess maternals knowledge, attitudes and behaviors of exclusive breastfeeding with the nutritional status of infants aged 6-12 months by using cross sectional approach. The target population is all infants aged 6-12 months. The samples were 112 respondents, using a questionnaire. Statistical calculations performed using univariate and bivariate analysis with chisquare test. In this research was discovered that the relationship between maternal knowledge with BW/U (p=0,003), PB/U (p=0,035) and BB/PB (p=0,011), maternal attitude with PB/U (p=0,000) and maternal behavior with BB/U (p=0,020), BB/PB (p=0,008). Suggestion to add more counseling material related to exclusive breastfeeding."

"Cakupan inisiasi menyusu dini (IMD) di Indonesia masih rendah. Tempat persalinan dan penolong persalinan dapat mendukung wanita bersalin untuk melakukan IMD. Penelitian ini bertujuan untuk mengetahui hubungan antara tempat dan penolong persalinan dengan praktik IMD pada wanita usia subur (WUS) di Indonesia. Desain penelitian ini adalah cross sectional dan menggunakan data sekunder Survei Demografi Kesehatan Indonesia Tahun 2007 dan 2017. Sampel pada penelitian ini adalah wanita usia 15-49 tahun yang melahirkan anak terakhir dalam periode 5 tahun terakhir sebelum survei . Hasil analisis dengan uji regresi logistik ganda menunjukkan bahwa tidak ada perbedaan signifikan antara WUS yang bersalin di rumah dan di rumah sakit pemerintah dibandingkan dengan yang bersalin di rumah sakit swasta/ RSIA/ RS bersalin dalam praktik IMD. Sementara WUS yang bersalin di poskesdes/ polindes (AOR: 1,78, 95% CI: 1,35-2,35), puskesmas (AOR: 1,53, 95% CI: 1,31-1,78), praktik bidan mandiri (AOR: 1,56, 95% CI: 1,37-1,77), dan bidan desa (AOR: 1,35, 95% CI: 1,14-1,59) berpeluang lebih besar melakukan IMD daripada tempat bersalin lainnya. Persalinan yang ditolong oleh tenaga kesehatan dibandingkan dengan yang ditolong oleh dukun bayi menunjukkan tidak ada perbedaan signifikan dalam praktik IMD. Peningkatan monitoring pelaksanaan IMD, sosialisasi dan pelatihan secara periodik kepada tenaga kesehatan, jumlah fasilitas kesehatan yang menerapkan Baby-Friendly Hospital Initiative, serta promosi kesehatan kepada masyarakat luas diperlukan untuk memperbaiki cakupan IMD.

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The coverage of early initiation of breastfeeding (EIBF) in Indonesia is still low. The place of delivery and birth attendants can support women who give birth to perform EIBF. This study aims to determine the relationship between place and birth attendant with the practice of EIBF in women of childbearing age (WCA) in Indonesia. . The design of this study is cross sectional and uses secondary data from the 2007 and 2017 Indonesian Health Demographic Survey. The sample in this study were women aged 15-49 years who gave birth to their last child in the last 5 years before the survey. The results of the analysis by multiple logistic regression tests showed that there was no significant difference between WCA who gave birth at home and in government hospitals compared to those who gave birth in private hospitals birth in EIBF practice. While WCA who gave birth at the village health post/ village maternity post (AOR: 1.78, 95% CI: 1.35-2.35), primary health center (AOR: 1.53, 95% CI: 1.31-1.78), private midwives (AOR: 1.56, 95% CI: 1.37-1.77), and village midwives (AOR: 1.35, 95% CI: 1.14-1.59) had a greater chance of EIBF than other delivery places. Deliveries assisted by health personnel compared to those assisted by traditional birth attendants showed no significant difference in EIBF practice. Improved monitoring of EIBF implementation, periodic outreach and training to health workers, the number of health facilities implementing the Baby-Friendly Hospital Initiative, and health promotion to the wider community are needed to improve EIBF coverage."

"Pendahuluan: Pemberian ASI ekslusif direkomendasikan hingga anak berusia 6 bulan. Kurangnya pemberian ASI ekslusif merupakan faktor risiko morbiditas dan mortalitas bayi dan anak. Berbagai faktor yang mempengaruhi pemberian ASI ekslusif diantaranya depresi, inisiasi menyusui dini, wilayah tempat tinggal, status bekerja dan status pernikahan. Penelitian ini bertujuan untuk mengetahui hubungan depresi postpartum dengan pemberian ASI ekslusif pada anak 0-5 bulan di Indonesia berdasarkan data SDKI 2017. Metodologi: Penelitian ini menggunakan desain studi cross sectional dengan sumber data berasal dari data sekunder Survei Demografi Kesehatan Indonesia tahun 2017. Sampel penelitian ini adalah WUS yang melahirkan anak terakhir berumur 0-5 bulan berjumlah 1.266. Analisis data menggunakan regresi logistik untuk mengetahui prevalen odd rasio. Signifikansi dinilai dengan melihat rentang kepercayaan (confident interval) CI 95%. Hasil: Dari 1.266 responden diperoleh prevalensi depresi postpartum 10,2%, pemberian ASI ekslusif 67,1%. Hasil analisis menunjukan responden yang depresi berpeluang 0,762 kali (CI 95% 0,506 – 1,148) untuk tidak memberikan ASI ekslusif setelah dikontrol variabel inisiasi menyusui dini, status bekerja dan status pernikahan. Kesimpulan: Tidak terdapat hubungan depresi postpartum dengan pemberian ASI ekslusif. Namun terdapat hubungan variabel lainnya dengan pemberian ASI ekslusif diantaranya variabel inisiasi menyusui dini, status bekerja dan status pernikahan.Kata kunci: Depresi postpartum, ASI ekslusif, regresi logistik, SDKI, Indonesia

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Background: Exclusive breastfeeding is recommended for children up to 6 months old. Lack of exclusive breastfeeding is a risk factor for infant and child morbidity and mortality. Various factors that influence exclusive breastfeeding include depression, early breastfeeding initiation, place of residence, work status and marital status. This study aims to determine the association between postpartum depression with exclusive breastfeeding for children 0-5 months in Indonesia based on Indonesian Demographic Health Survey 2017.

Methods: Design study was cross-sectional and data was obtained from Indonesian Demographic Health Survey 2017. Sample was women childbearing age who gave birth to last child aged 0-5 months, total 1.266 respondents. Data were analysed using logistic regression to determine the prevalence odds ratio. Significant level was assessed by confident interval (CI) 95%.

Results: From 1.266 respondents, the prevalence of postpartum depression was 10.2%, exclusive breastfeeding was 67.1%. The results of the analysis showed that depressed respondents had an odd 0.762 (95% CI 0.506 - 1.148) to not give exclusive breastfeeding after being controlled by early breastfeeding initiation, work status and marital status.

Conclusion: There was no association between postpartum depression with exclusive breastfeeding. But there was a association between other variables with exclusive breastfeeding including variable early breastfeeding initiation, work status and marital status.

Key words: Postpartum depression, exclusive breastfeeding, logistic regression, IDHS, Indonesia"

"Penelitian ini menggunakan penelitian kualitatif, dengan metode dekriptif. Data dikumpulkan dengan menggunakan teknik wawancara, pengamatan dan studi kepustakaan. Wawancara dilakukan terhadap 10 informan yang sengaja dipilih secara purposive oleh peneliti berdasarkan kebutuhan informasi yang diperlukan dan sesuai dengan kebutuhan penelitian.Berdasarkan pembahasan dari hasil penelitian didapatkan pokok-pokok hasil kesimpulan bahwa keberhasilan kebijakan sekolah gratis di Kabupaten Musi Banyuasin dikarenakan dalam proses implementasi kebijakan itu dilakukan mulai dari aktifitas organisasi, interpretasi dan penerapan sesuai dengan prosedur dan maksud dari kebijakan serta didukung oleh faktor-faktor komunikasi, sumber daya, sikap pelaksana dan struktur birokrasi.

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This research using quaiitativc approach with deseriptive method. Data collectcd by using interview, observation and literature study. Interview was done to 10 informan whose being chosen purposive by researcher bccause of the needs of the research.

According to analysis, some principal can be take as conclusion of the research is the successed of the free school policy at Musi Banyuasin District happened because of the process it self that begin since the organization activity, the interpretation and aplication that fit with procedur and the purpose of the policy and also being support by communication faetor, the resources, executor attitude and birocrat structure."

"[Perkembangan anak pada periode emas sangatlah penting karena menentukan kualitas individu terutama pada 1 tahun pertama. Berdasarkan data WHO lebih dari 200 juta anak di negara berkembang berisiko perkembangan terhambat.Di Beiji diketahui prevalensi perkembangan terhambat sebesar 9,7 %. ASI eksklusif merupakan faktor yang berkaitan dengan perkembangan anak. Di Musi Banyuasinprevalensi ASI eksklusif baru mencapai 56,83%. Penelitian ini bertujuan untuk menganalisis hubungan riwayat pemberian ASI eksklusif dengan perkembangan suspek terhambat pada anak usia 12 bulan. Di samping itu dilakukan metode kualitatif kepada 11 informan yang bertujuan menggali pemahaman ibu secara mendalam mengenai hubungan ASI eksklusif dan perkembangan anak. Penelitian ini dilakukan dengan desain cross sectional. Responden terdiri dari 320 anak usia 12 bulan yang berasal dari 19 Puskesmas di Kabupaten Musi Banyuasin. Diperoleh hasil hubungan antara riwayat pemberian ASI eksklusif danperkembangan dengan PR adjusted 1,932 (95% CI: 0,719-5,186). Selain itu diketahui mayoritas ibu telah paham bahwa ASI eksklusif berhubungan dengan perkembangan anak, namun tradisi pemberian makan dari nenek sebagai faktor utama dalam pencapaian ASI eksklusif.;The children development in golden period is very important because determine quality of individu especially in the first year. Based on WHO data, more than 200 millions children in developing countries had developmental delay risk. In Beiji, the prevalence of developmental delay 9,7%. Exclusive breastfeeding as a factor of developmental delay. In Musi Banyuasin regency, the prevalence of exclusive breastfeeding is 56,3%. This study purposes is to analyze the relationship betweenhistory of exclusive breastfeeding and suspected delayed development among 12 months infants. Besides, we had done qualitative methode among 11 informans to mining the deeply knowing of mom about relationship of exclusive breasfeeding to infant development. This study used cross sectional design involved 320 sample (infants) at 19 Puskesmas in Musi Banyuasin Regency. The result showedthat the relationship between exclusive breastfeeding and developmental delay among infants was PR adjusted 1,932 (95% CI: 0,719-5,186). Furthermore, study found that mostly moms had known that exclusive breastfeeding related to infant development, but feeding tradition from grand mothers were play as a role factor in practicing exclusive breastfeeding among mothers;The children development in golden period is very important because determine quality of individu especially in the first year. Based on WHO data, more than 200millions children in developing countries had developmental delay risk. In Beiji, the prevalence of developmental delay 9,7%. Exclusive breastfeeding as a factor of developmental delay. In Musi Banyuasin regency, the prevalence of exclusive breastfeeding is 56,3%. This study purposes is to analyze the relationship between history of exclusive breastfeeding and suspected delayed development among 12 months infants. Besides, we had done qualitative methode among 11 informans to mining the deeply knowing of mom about relationship of exclusive breasfeeding to infant development. This study used cross sectional design involved 320 sample (infants) at 19 Puskesmas in Musi Banyuasin Regency. The result showed that the relationship between exclusive breastfeeding and developmental delay among infants was PR adjusted 1,932 (95% CI: 0,719-5,186). Furthermore, study found that mostly moms had known that exclusive breastfeeding related to infantdevelopment, but feeding tradition from grand mothers were play as a role factor in practicing exclusive breastfeeding among mothers., The children development in golden period is very important because determinequality of individu especially in the first year. Based on WHO data, more than 200millions children in developing countries had developmental delay risk. In Beiji,the prevalence of developmental delay 9,7%. Exclusive breastfeeding as a factorof developmental delay. In Musi Banyuasin regency, the prevalence of exclusivebreastfeeding is 56,3%. This study purposes is to analyze the relationship betweenhistory of exclusive breastfeeding and suspected delayed development among 12months infants. Besides, we had done qualitative methode among 11 informans tomining the deeply knowing of mom about relationship of exclusive breasfeedingto infant development. This study used cross sectional design involved 320sample (infants) at 19 Puskesmas in Musi Banyuasin Regency. The result showedthat the relationship between exclusive breastfeeding and developmental delayamong infants was PR adjusted 1,932 (95% CI: 0,719-5,186). Furthermore, studyfound that mostly moms had known that exclusive breastfeeding related to infantdevelopment, but feeding tradition from grand mothers were play as a role factorin practicing exclusive breastfeeding among mothers]"

"Angka Kematian Bayi AKB menjadi salah satu poin prioritas pembangunan kesehatan dan indikator kualitas hidup dan derajat kesehatan masyarakat. Salah satu cara untuk menurunkan tingginya AKB adalah dengan memenuhi kebutuhan gizi bayi dan balita melalui pemberian ASI secara eksklusif selama 6 bulan. Cakupan ASI eksklusif di Jakarta tahun 2015 sebesar 67,1, sedangkan di wilayah kota Jakarta Selatan sebesar 34,5 dan untuk wilayah Puskesmas Kecamatan Pasar Minggu pada tahun 2015 sebesar 68 dan mengalami penurunan pada tahun 2016 menjadi 59,4 . Penelitian ini bertujuan untuk mengetahui hubungan hubungan pengetahuan ibu, Inisiasi Menyusu Dini, dan keterpaparan informasi susu formula dengan pemberian ASI eksklusif pada bayi usia 0 ndash; 6 bulan di Puskesmas Kecamatan Pasar Minggu Tahun 2017. Desain penelitian ini adalah penelitian kuantitaif dengan responden seluruh ibu yang mempunyai bayi usia 7 ndash; 24 bulan sebanyak 84 responden. Teknik pengumpulan data menggunakan kuesioner, kemudian dianalisa secara univariat dan bivariat menggunakan chi-square. Hasil penelitian menunjukkan bahwa hanya 35,7 responden yang ASI eksklusif. Hasil analisis bivariat yang terbukti berhubungan secara bermakna adalah pengetahuan ibu p=0,024, dan Keterpaparan informasi dan promosi susu formula p=0,009 dengan perilaku pemberian ASI eksklusif. Disarankan bagi Puskesmas kecamatan Pasar Minggu untuk memberikan informasi tentang ASI eksklusif dan IMD pada ibu dan keluarganya sejak dalam masa kehamilan, meningkatkan pengetahuan tenaga kesehatan mengenai tata cara pelaksanaan IMD dan kebijakan terkait IMD dan ASI eksklusif dan melakukan supervisi, serta meningkatkan sosialisasi pentingnya pemberian ASI eksklusif dan larangan pemberian susu formula untuk bayi 0 - 6 bulan tanpa indikasi medis, menyediakan klinik laktasi atau sarana konsultasi laktasi untuk ibu yang mengalami kesulitan atau masalah dalam proses menyusui. Bagi Ibu dan keluarga untuk meningkatkan mereka suami/ibu/ibu mertua tentang ASI sejak kehamilan, tentang IMD dan peraturan pemerintah tentang larangan penggunaan susu formula untuk bayi 0 ndash; 6 bulan tanpa indikasi medis.

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Infant Mortality Rate IMR became one of the priority points of health development and quality of life indicator and public health status. The way used to decrease the high rate of IMR is to fulfill the nutritional needs of infants and toddlers through exclusive breastfeeding for 6 months. The coverage of exclusive breastfeeding in Jakarta in 2015 amounted to 67.1, while in South Jakarta city area was 34.5 and for the Puskesmas Kecamatan Pasar Minggu area in 2015 was 68 and decreased in 2016 to 59.4 . This study aims to determine the relationship of knowledge of mother, Initiation of Early Breastfeeding, and exposure of infant formula information with exclusive breastfeeding in infants aged 0 6 months in Puskesmas Pasar Minggu Subdistrict 2017. The design of this study is a quantitative study with respondents all mothers who have infants aged 7 24 months as many as 84 respondents. Technique of collecting data using questioner, then analyzed by univariat and bivariate using chi square.

The results showed that only 35.7 of respondents were exclusive breastfeeding. The result of bivariate analysis that proved to be significantly related was maternal knowledge p 0,024, and exposure of information and promotion of infant formula p 0,009 with exclusive breastfeeding behavior. Suggested to Puskesmas Kecamatan Pasar Minggu to provide information on exclusive breastfeeding and IMD to mothers and their families since pregnancy, to increase the knowledge of health personnel on IMD implementation procedures and related policies on IMD and exclusive breastfeeding and to supervise and to increase the socialization of the importance of exclusive breastfeeding and prohibition of infant formula feeding 0 6 months without medical indication, providing lactation clinic or lactation consultation facility for mother having difficulties or problems in breastfeeding process. For mothers and families to improve their knowledge husband mother mother in law about breastfeeding since pregnancy, IMD and government regulations about the prohibition of using infant formula 0 6 months without medical indication. "

"ASI merupakan gizi terbaik untuk mengoptimalkan tumbuh kembang bayi dan sistem kekebalan tubuh bayi. WHO menganjurkan untuk memberikan ASI eksklusif selama 6 bulan. IMD merupakan kunci keberhasilan pemberian ASI eksklusif. Tujuan penelitian mengetahui hubungan antara pelaksanaan IMD dengan pemberian ASI eksklusif pada bayi usia 0-5 bulan di Indonesia menurut SDKI 2017. Penelitian ini merupakan penelitian cross-sectional dengan menggunakan SDKI 2017. Populasi dari penelitian ini adalah seluruh Wanita Usia Subur (WUS) 15-49 tahun di Indonesia, sampel sebanyak 1243 WUS dengan anak usia 0-5 bulan dan masih menyusui serta memenuhi kriteria inklusi dan eksklusi. Variabel dependen dalam penelitian ini adalah ASI eksklusif, variabel independen utama yaitu Inisiasi Menyusu Dini (IMD) dan variabel kovariat umur, paritas, pendidikan, status pekerjaan, status ekonomi, daerah tempat tinggal, frekuensi kunjungan ANC, tempat persalinan, metode persalinan dan penolong persalinan. Analisis yang dilakukan yaitu analisis univariat, bivariate dengan chi square dan analisis multivariate dengan regresi logistic ganda model faktor resiko. Hasil penelitian menunjukkan bahwa persentase ASI eksklusif pada bayi usia 0-5 bulan di Indonesia yaitu sebesar 37,5%, dan IMD (39,5%). Hasil analisis multivariate menunjukkan bahwa terdapat hubungan yang signifikan antara IMD dengan pemberian ASI eksklusif setelah dikontrol oleh variabel kovariat dengan (p=0,001 dan OR=2,537) artinya ibu yang melaksanakan IMD memiliki peluang 2,537 untuk memberikan ASI eksklusif. Pada penelitian ini tidak ada variabel konfounding dalam hubungan IMD dengan pemberian ASI eksklusif. Berbagai upaya perlu dilakukan untuk meningkatan capaian pemberian ASI eksklusif yaitu optimalisasi proses KIE terkait IMD dan ASI eksklusif, memfasilitasi ibu untuk melakukan IMD sesuai prosedur, pelatihan pelaksanaan IMD untuk setiap tenaga kesehatan yang menjadi penolong persalinan dan adanya kebijakan yang terintegrasi di setiap fasilitas kesehatan dari pusat ke daerah terkait pelaksanaan IMD sesuai flowchart.

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Breast milk is the best nutrition to optimize baby growth and development and the baby's immune system. WHO recommends exclusive breastfeeding for 6 months. Early initiation of breastfeeding (EIBF) is the key of exclusive breastfeeding’s success. The purpose of the study was to determine the relationship between EIBF and exclusive breastfeeding for infants 0-5 months in Indonesia according to the 2017 IDHS. This research was a cross-sectional study using the 2017 IDHS. The population of this study were all of fertile women 15- 49 years old in Indonesia, a sample of 1243 women on fertile age who have the children 0-5 months and still breastfeeding and met the inclusion and exclusion criteria. The dependent variable in this study was exclusive breastfeeding, the main independent variable EIBF and the covariates were age, parity, education, employment status, economic status, area of residence, frequency of ANC visits, place of delivery, delivery method and birth attendant. The analysis for this research is univariate analysis, bivariate with chi square and multivariate analysis with logistic regression. The results showed that the percentage of exclusive breastfeeding for infants 0-5 months in Indonesia (37,5%) and EIBF (39,5%). The results of the multivariate analysis showed that there was a significant relationship between early initiation of breastfeeding and exclusive breastfeeding after being controlled by covariate variables with (p=0.001 and OR=2.537) meaning that mothers who carried out early initiation of breastfeeding had a 2.537 chance of exclusive breastfeeding. In this study, there were no confounding variables between early initiation of breastfeeding and exclusive breastfeeding. Various efforts need to be done to increase the achievement of exclusive breastfeeding with optimizing the IEC process related to EIBF and exclusive breastfeeding, facilitating mothers to carry out EIBF according to procedures, training in the implementation of EIBF for every health worker who assists childbirth and the existence of integrated policies in every health facility from the center to areas related to the implementation of EIBF according to the flowchart."