The Breastfeeding Implementation in the Primary Health Center A Case Study at Puskesmas Tutuyan Working Area, East Bolaang Mongondow Regency, Indonesia
Main Article Content
Abstract
Breastfeeding provides optimal nutrition for infants and is a key global public health strategy for improving children's health. However, a low understanding of breastfeeding among mothers, families, and communities poses challenges. This study explored breastfeeding practices in Puskesmas Tutuyan, East Bolaang Mongondow Regency. Using a qualitative phenomenological design, six mothers with infants aged 0-6 months and two midwives were interviewed and observed. Data were analyzed using Collaizi's 1987 seven-step method. Findings showed that while mothers aged 23-35 understood the benefits of breastfeeding, their attitudes and practices were lacking, often citing insufficient breast milk and inadequate support from health workers. Three factors influenced breastfeeding practices: predisposing (knowledge and attitudes), reinforcing (milk supply and information availability), and enabling (support from health workers and family). It is recommended that midwives increase educational efforts, provide breastfeeding support, and establish support groups, with regular monitoring and evaluation every six months to improve breastfeeding practices in Puskesmas Tutuyan.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Accepted 2024-06-17
Published 2024-06-17
Plaudit
References
WHO, “International Code of Marketing of Breast-Milk Substitutes,” WHO, 2020. [Online]. Available: https://www.who.int/nutrition/publications/infantfeeding/9241541601/en/.
C. G. Victora et al., “Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect,” Lancet, vol. 387, no. 10017, pp. 475–490, 2016, https://doi.org/10.1016/S0140-6736(15)01024-7. DOI: https://doi.org/10.1016/S0140-6736(15)01024-7
L. M. Lamberti, C. L. Fischer Walker, A. Noiman, C. Victora, and R. E. Black, “Breastfeeding and the risk for diarrhea morbidity and mortality,” BMC Public Health, vol. 11 Suppl 3, no. Suppl 3, p. S15, Apr. 2011, https://doi.org/10.1186/1471-2458-11-S3-S15. DOI: https://doi.org/10.1186/1471-2458-11-S3-S15
UNICEF and WHO, “Pekan Menyusui Dunia: UNICEF dan WHO menyerukan Pemerintah dan Pemangku Kepentingan agar mendukung semua ibu menyusui di Indonesia selama COVID-19,” WHO, 2020. [Online]. Available: https://www.who.int/indonesia/news/detail/03-08-2020-pekan-menyusui-dunia-unicef-dan-who-menyerukan-pemerintah-dan-pemangku-kepentingan-agar-mendukung-semua-ibu-menyusui-di-indonesia-selama-covid-19.
J. Yan, L. Liu, Y. Zhu, G. Huang, and P. P. Wang, “The association between breastfeeding and childhood obesity: a meta-analysis,” BMC Public Health, vol. 14, p. 1267, Dec. 2014, https://doi.org/10.1186/1471-2458-14-1267. DOI: https://doi.org/10.1186/1471-2458-14-1267
J. Qiao, L. J. Dai, Q. Zhang, and Y. Q. Ouyang, “A meta-analysis of the association between breastfeeding and early childhood obesity,” J. Pediatr. Nurs., vol. 53, pp. 57–66, 2020, https://doi.org/10.1016/j.pedn.2020.04.024. DOI: https://doi.org/10.1016/j.pedn.2020.04.024
A. Fasano, “Another reason to favor exclusive breastfeeding: microbiome resilience,” J. Pediatr. (Rio. J)., vol. 94, no. 3, pp. 224–225, 2018, https://doi.org/10.1016/j.jped.2017.10.002. DOI: https://doi.org/10.1016/j.jped.2017.10.002
R. Riksani, Keajaiban ASI (Air Susu Ibu). Jakarta: Dunia Sehat, 2012.
B. Kurniawan, “Determinan Keberhasilan Pemberian Air Susu Ibu Eksklusif,” J. Kedokt. Brawijaya, vol. 27, no. 4, pp. 236–240, 2013, https://doi.org/10.21776/ub.jkb.2013.027.04.11. DOI: https://doi.org/10.21776/ub.jkb.2013.027.04.11
K. North, M. Gao, G. Allen, and A. C. C. Lee, “Breastfeeding in a Global Context: Epidemiology, Impact, and Future Directions,” Clin. Ther., 2021, https://doi.org/10.1016/j.clinthera.2021.11.017. DOI: https://doi.org/10.1016/j.clinthera.2021.11.017
A. Moser and I. Korstjens, “Series: Practical guidance to qualitative research. Part 1: Introduction,” Eur. J. Gen. Pract., pp. 271–273, 2017, https://doi.org/10.1080/13814788.2017.1375093. DOI: https://doi.org/10.1080/13814788.2017.1375093
S. Tenny, G. D. Brannan, J. M. Brannan, and N. C. Sharts-Hopko, “Qualitative Study,” Treasure Island (FL), 2021.
A. Moser and I. Korstjens, “Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis,” Eur. J. Gen. Pract., vol. 24, no. 1, pp. 9–18, Dec. 2018, https://doi.org/10.1080/13814788.2017.1375091. DOI: https://doi.org/10.1080/13814788.2017.1375091
Rahmawati, Anita, and Prayoga, “Analisis Faktor yang Mempengaruhi Produksi Air Susu Ibu (ASI) pada Ibu Menyusui yang Bekerja,” J. Ners dan Kebidanan (Journal Ners Midwifery), 2017, doi: https://doi.org/10.26699/jnk.v4i2.ART.p134-140. DOI: https://doi.org/10.26699/jnk.v4i2.ART.p134-140
T. A. Ogunlesi, “Maternal socio-demographic factors influencing the initiation and exclusivity of breastfeeding in a Nigerian semi-urban setting,” Matern. Child Health J., vol. 14, no. 3, pp. 459–465, May 2010, https://doi.org/10.1007/s10995-008-0440-3. DOI: https://doi.org/10.1007/s10995-008-0440-3
Y. Kriselly, “Studi Kualitatif Terhadap Rendahnya Cakupan Asi Eksklusif Di Wilayah Kerja Puskesmas Kereng Pangi Kecamatan Katingan Hilir Kabupaten Katingan Propinsi Kalimantan Tengah,” Fak. Kesehat. Masy. UI, 2012.
W. Wattimena, Y. Yesiana, M. Minarti, N. Nainggolan, and S. Somarwain, “Dukungan Suami Dengan Keberhasilan Isteri Untuk Menyusui (Husband Support in Wife Breastfeeding Success),” J. Ners Lentera, vol. 3, no. 1, pp. 10–20, 2015.