ABSTRAK
Langkah awal untuk berhasilnya pemberian ASI pada bayi dengan pelaksanaan Inisiasi Menyusu Dini (IMD). IMD pada satu jam pertama sangat membantu dalam keberlangsungan pemberian ASI Eksklusif dan lama menyusui. Tujuan penelitian untuk menganalisis faktor yang memengaruhi pelaksanaan inisiasi menyusu dini pada bidan praktek swasta di Kota Binjai.
Jenis penelitian ini merupakan penelitian observational analitik dengan rancangan penelitian menggunakan pendekatan cross sectional. Populasi adalah seluruh bidan praktek swasta di Kota Binjai sebanyak 340 orang dan sampel berjumlah 111 orang dengan teknik metode proporsi. Pengumpulan data penelitian melalui kuesioner dan observasi untuk menganalisis pengaruh karakteristik bidan praktek swasta yang meliputi umur, pendidikan, masa kerja, pelatihan, pengetahuan, sikap, motivasi terhadap pelaksanaan Inisiasi Menyusu Dini.
Hasil penelitian menunjukkan ada pengaruh pelatihan bidan praktek swasta terhadap pelaksanaan IMD, bidan praktek swasta pernah mengikuti pelatihan mempunyai peluang untuk melaksanakan IMD. Variabel pelatihan dominan memengaruhi pelaksanaan IMD. Ada pengaruh pengetahuan bidan praktek swasta terhadap pelaksanaan IMD, bidan praktek swasta berpengetahuan baik mempunyai peluang untuk pelaksanaan IMD.
Disarankan kepada Dinas Kesehatan meningkatkan pelatihan terkait pelaksanaan IMD kepada bidan, membuat suatu peraturan atau kebijakan tertulis tentang promosi IMD, dan memberikan reward/penghargaan bagi bidan yang melaksanakan IMD pada setiap pertolongan persalinan. Diharapkan organisasi IBI memfasilitasi kegiatan seminar dan pelatihan tentang inisiasi menyusu dini untuk meningkatkan pengetahuan, kemampuan dan keterampilan bidan dalam pelaksanaan IMD. Diharapkan bagi Bidan praktek swasta agar meningkatkan kesadaran pentingnya pelaksanakan inisiasi menyusu dini dalam setiap pertolongan persalinan, sehingga dapat memengaruhi proses menyusui lebih lama sampai bayi berusia 2 tahun.
ABSTRACT
The first step to successful breastfeeding infants with the implementation of Early Initiation of Breastfeeding. Early Initiation of Breastfeeding in the first hour is very helpful in the sustainability of exclusive breastfeeding and duration of breastfeeding. The research objective to analyze of factors affecting the implementation of Early Initiation of
Breastfeeding of private midwife practitioners in Binjai.
This type of research is an analytic observational study with study design using cross sectional approach. The population is all private midwife in Binjai as many as 340 people and the sample amounted to 111 people with engineering proportions method. Research data collection via questionnaires and observation to analyze the influence of private midwife practitioners characteristics including age, education, employment, training, knowledge,
attitudes, motivation towards the implementation of Early Initiation of Breastfeeding.
The results showed no effect of private midwife training on the implementation of Early Initiation of Breastfeeding, private midwife practitioners training ever have the opportunity to implement Early Initiation of Breastfeeding. The dominant variable affecting the implementation of Early Initiation of Breastfeeding was training. There is a private midwife practitioners influence of knowledge on the implementation of Early Initiation of Breastfeeding, private midwife practitioners good knowledge have the opportunity for the
implementation of Early Initiation of Breastfeeding.
Suggested to the City Health Office Binjai to increase training related on the implementation of Early Initiation of Breastfeeding to the midwife, create a policy in writing about the promotion of Early Initiation of Breastfeeding and the reward for midwives who perform Early Initiation of Breastfeeding in the intra natal care. The organization IBI expected to facilitate of seminars and training of early initiation of breastfeeding to increase
of knowledge, abilities, and skills to the midwife on the implementation of Early Initiation of Breastfeeding. The private midwife practitioners expected to increase awareness of the importance on the implementation of Early Initiation of Breastfeeding in the intra natal care, so that influence the longer breastfeeding until the baby is 2 years old.
