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"ABSTRAKPemberian ASI eksklusif masih rendah sehingga perlu dilakukan upaya untukmeningkatkan cakupannya. Tujuan penelitian ini adalah teridentifikasi mitos, budaya,pengetahuan dan sikap yang mempengaruhi pemberian ASI ekslusif, terbentuknyamodel pendidikan kesehatan terhadap perilaku pemberian ASI eksklusif sebagai dasaruntuk suksesnya target pencapaian pemberian ASI eksklusif melalui penerapan modelpendidikan kesehatan berbasis budaya yang telah teruji, dan praktek pemberian ASI 1bulan. Penelitian ini merupakan operasional riset dengan menggunakan mixed methodyaitu kualitatif dan kuantitaif. Sampel kualitatif diambil secara snowboll denganjumlah 19 orang dan kuantitaif diambil secara puorposive sesuai kriteria inklusidengan jumlah 84 orang dan terbagi dalam dua kelompok yaitu 42 orang kelompokintervensi dan 42 orang kelompok kontol. Kelompok intervensi mendapatkanpendidikan kesehatan IMTASIE. Hasil penelitian kualitatif mengidentifikasi mitosdan budaya yang mempengaruhi pemberian ASI eksklusif masih sangat kuatdipertahankan, pengetahuan ibu kurang, dan semua ibu ingin memberikan ASI. Hasilpenelitian kuantitatif Model IMTASIE yang dikembangkan secara signifikanmemberikan efek terhadap praktik pemberian ASI satu bulan dengan nilai p value0.026 (<0.05). Berdasarkan hasil penelitian ini direkomendasikan perlunya pelibatantokoh masyarakat dalam kegiatan pendidikan kesehatan tentang pemberian ASIeksklusiff dari perspektif budaya

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ABSTRACTExclusive breastfeeing rate is still low, hence needs marked promotion. The objectiveof this study is to identify the myths, culture, knowledge, and attitude affecting theexclusive breastfeeding practice, to form and to implement a culture-based healtheducation model (IMTASIE) on exclusive breastfeeding. This study was designed asan operational mixed-method research. Qualitative sample was recruited throughsnowball sampling and reached 19 participants. Whereas, purposive sampling of 84participants, divided into treatment and control group, each comprised of 42participants, involved in the quantitative test. Treatment group received IMTASIEhealth education. The qualitative results revealed the myths and culture surroundingexclusive breastfeeding practice which were still strongly held by mothers, lack ofmothers? knowledge on exclusive breastfeeding in spite of their willingness tobreastfeed. IMTASIE model significantly influenced the exclusive breastfeedingpractice for the first month with p value 0.026 (<0.05). The results implied theimportance of involving community leaders in culture-based health education onexclusive breastfeeding."

"This study examined breastfeeding practices and self-efficacy among mothers residing in rural areas. A cross sectional study was conducted for 104 mothers via purposeful sampling in a Posyandu (maternal and child health service) in Kampar district, one of the rural areas in Riau, Indonesia. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was used in the questionnaires to collect data. Chi-square test was used for bivariate analysis. Majority of the respondents (71.2%) were 20–35 years old; 69.3% of the respondents’ level of education were low (such as junior and senior high school levels). Approximately 91.3% of them were housewives. Exclusive breastfeeding prevalence was only 30.8%, with insufficient milk being the most common reasons cited by the mothers as failure to breastfeed exclusively. Porridge and mineral water were the most commonly supplied food given to babies under 6 months among 31.7% and 36.5% mothers, respectively. The respondents faced some breast problems, where 72.1% mothers did not have good breastfeeding skills. Approximately 59.6% mothers had higher breastfeeding self-efficacy than the mean score for BSES-SF, which was 58.58 (11.58 standard deviation [SD]). Mothers’ age was significantly correlated with the BSES among mothers (p < 0.01). Increasing young mother’s breastfeeding self-efficacy during the antenatal care period is important to lower these young mothers’ perception of having insufficient milk."

"Penelitian terdahulu menyebutkan bahwa ibu melahirkan secara sectio cae-sarea cenderung lebih lambat melakukan inisiasi menyusu dini dan mem-punyai prevalensi lebih rendah dalam praktik ASI ekslusif dibanding Ibumelahirkan pervaginam. Ibu post sectio caesarea juga tidak memulaimenyusui bayinya pada hari pertama melahirkan. Tujuan penelitian iniadalah mengetahui faktor yang menyebabkan rendahnya praktik inisiasiASI pada Ibu post sectio caesarea termasuk peran tenaga kesehatan di se-buah rumah sakit di Surabaya. Sebanyak 72 ibu yang melahirkan secarasectio caesarea selama bulan Juni 2012 telah menandatangani informedconsent, diobservasi sejak masuk rumah sakit sampai akhir hari ke-2 postsectio caesarea, dan diwawancara dengan menggunakan kuesioner. Hasilpenelitian menunjukkan semua ibu sudah mempunyai pengetahuan yangbaik tentang ASI, 26,4% di antaranya sudah mempunyai pengalaman se-belumnya dalam memberikan ASI, tetapi hanya 6,9% dan total 29,2% yangmulai memberikan ASI pada hari pertama dan kedua pasca sectio cae-sarea. Dukungan tenaga kesehatan dalam hal membantu proses pember-ian ASI dilaporkan masih rendah. Uji korelasi mendapatkan bahwa dukun-gan tenaga kesehatan dan kondisi rawat gabung adalah faktor yangberhubungan dengan praktik pemberian ASI (p value 0,39; p = 0,001; phivalue = 0,47; p = 0,001). Rendahnya pemberian ASI ibu pasca sectio cae-sarea berkorelasi dengan rendahnya dukungan tenaga kesehatan dan pe-nundaan rawat gabung.Previous studies showed that breastfeeding initiation was late in babiesborn with sectio caesarea compared to those with vaginal delivery andprevalence of exclusive breastfeeding practice was low in the former group.There was no breastfeeding initiation in the first day of post sectio caesarea.The objective of this study was to define factors correlated to low breast-Rendahnya Praktik Menyusui pada Ibu Post SectioCaesarea dan Dukungan Tenaga Kesehatan di RumahSakitThe Low Practices of Breastfeeding for Sectio Caesarea Women and HealthWorkers Support in HospitalDwi Retno Wulandari, Linda Dewantifeeding practice initiation on post sectio caesarea mother, including the roleof health workers in a hospital in Surabaya. 72 post sectio caesarea moth-ers were observed and interviewed on 1-30 June 2012 to find the factorscorrelated with breastfeeding practice. The results showed that although allthe mothers already had a good knowledge about breastfeeding, and 26.4%of them had previous experience in breastfeeding, only 6.9% and 29.2% oftotal breastfeeding is started on the first and second post sectio caesarearespectively. Support for breastfeeding practice from health workers waslow, and there were significant correlation between the support and room-ing conditions with breastfeeding practices (p = 0.001). We concluded thatlow level of breastfeeding practice on mother with sectio caesarea correlat-ed with low support of health professional and with the delay of room-inpractice."