Implementation and impeding factors of early breastfeeding initiation at working area of Cangkuang community health centre and pharmacy implementer unit Kertasari Bandung


International Seminar and Scientific Journal Workshop,
February 17th-18th 2016 Jakarta, Indonesia

International Proceeding

Indrayani1, Ida Kholidah2, Endah Purwasari2, Nelil Mudarris3

1Bina Husada Midwifery Academy, Tangerang; 2Dewi Sartika Midwifery Academy, Bandung; 3Bunda Auni Midwifery Academy, Bogor

Abstract
Background: Mother’s milk contains nutrition and liquid needed by babies within their first six months. Breastfeeding will reduce a risk of gastrointestinal infection, constipation, allergy, and diarrhea. The success of exclusive breastfeeding was influenced by early breastfeeding initiation (EBI). There were research results mentioning the benefit of EBI, but they have not been implemented well. This research aims to find out the implementation of EBI and impeding factors of it.
Research Method: This research employed mixed methods with sequential explanatory strategy. Quantitative research employed cross-sectional approach and qualitative research with phenomenological approach. Data collection was conducted from November 2014 to March 2015. Participants were who midwives working at Cangkuang community health centre and Pharmacy Implementer Unit Kertasari. Sampling technique for quantitative was total sampling. Inclusion criteria was midwives who were actively help in giving birth, and exclusion criteria was midwives who hold Diploma 1 of Midwifery. Total sample of the quantitative research was 16 participants. Sampling technique for qualitative was purposive sampling with indepth interview to 11 participants. Data verification was done by data triangulation method.
Results: This research found 68.8% of midwives did not implement EBI, and therefore inhibited the EBI. Inhibition factors include midwife factor, system support, baby factor, and mother/family factor. Midwife factor include knowledge, skills, attitude, and time management. Mother/family factor, on the other hand, include knowledge, family attitude, and mother condition.
Conclusion: Implementation of EBI has not run been well-conducted and experienced many obstacles. No sanction to midwife who do not implement EBI is one of the reasons. It is necessary to monitor the giving birth attendance, especially the EBI.

Keywords: Implementation, inhibitor, early breastfeeding initiation

Cited:
Indrayani, Kholidah, I., Purwasari, E. & Mudarris, N. 2016. Implementation and impeding factors of early breastfeeding initiation at working area of Cangkuang community health centre and pharmacy implementer unit Kertasari Bandung. In:  International Seminar and Scientific Journal Workshop, February 17th-18th 2016 Jakarta, Indonesia. SEAMOLEC & AIC Indonesia, 145-153.

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