Determinan Pelaksanaan Program Inisiasi Menyusu Dini Oleh Bidan Desa Di Puskesmas Kabupaten Magelang

Abstract

Early breast feeding initiation has an important role in decreasing infant mortality rate which was still considered as very high in Indonesia, it was 34/1000 live births (SDKI 2007). Execution of early breast feeding initiation program in Magelang District was incomplete. The purpose of this study was to identify determinant factors related to the execution of early breast feeding initiation by midwives in the district of Magelang. The study was observational research with cross-sectional approach. Structured questionnaire was used which had been tested for its validity and reliability. Independent variables were age, working period, knowledge, and motivation. While dependent variables were the execution of early breastfeeding initiation program. Respondents were 65 public health center midwives. Sampling method for choosing the public health centers was stratified random sampling, then midwives who had been certified  for Normal Birth Care plus Early Breastfeeding Initiation were taken.  Rank Spearman was applied as method of analysis. The youngest respondent were at age of 25 year, the oldest one were  56 years old and mostly were at the age of between  31-43 years. Majority of the respondents had short working period. There was a relation between working period and the execution of early breasfeeding initiation with p = 0,046  and  r = - 0,248. There was no relationship between age, knowledge, and motivation with execution of early breastfeeding initiation program. District Health Office needs to increase midwives’ knowledge of early breastfeeding initiation, conduct refreshing, and gives rewards for the midwives who had executed early breasfeeding initiation, gives punishment for the midwives who had not executed the program of early breastfeeding intiation.

Key Word: early breasfeeding  initiation, midwives