User

Multilevel Analysis on the Contextual Effect of Posyandu on Exclusive Breastfeeding in Sleman, Yogyakarta

Esti Lestari, Eti Poncorini Pamungkasari, Yulia Lanti Retno Dewi

Abstract

Background: There is a piece of increasing evidence that exclusive breastfeeding (EBF) up to six-month of age has important consequences on health and nutritional outcomes of children. However, studies on the contextual effect of integrated health post (posyandu) on EBF are scarce. The purpose of this study was to examine the contextual effect of posyandu on exclusive breastfeeding using multilevel analysis.

Subjects and Method: A cross-sectional study was conducted in Sleman, Yogyakarta, from November to December 2018. A sample of 200 lactating mothers was selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were knowledge, education, age, parity, birth spacing, employment, and family support. The data were collected by a multilevel logistic regression.

Results: Exclusive breastfeeding increased with good knowledge (b= 2.66; 95% CI= 0.85 to 4.47; p= 0.004), high education (b= 2.10; 95% CI= 0.29 to 3.91; p= 0.023), maternal age 20-35 years (b= 3.35; 95% CI= 1.46 to 5.24; p<0.001), multiparous (b= 2.90; 95% CI= 0.41 to 3.39; p= 0.012), birth spacing ≥2 years (b= 2.91; 95% CI= 0.92 to 4.89; p= 0.004), unemployed mother (b= 4.53; 95% CI= 2.39 to 6.67; p<0.001), strong family support (b= 2.88; 95% CI= 1.04 to 4.72; p= 0.002). Integrated health post had substantial contextual effect on exclusive breastfeeding with ICC= 29.2%.

Conclusion: Exclusive breastfeeding increases with high knowledge, high education, maternal age 20-35 years, multiparous, birth spacing, unemployed mother, strong family support. Integrated health post has the substantial contextual effect on exclusive breastfeeding.

Keywords: exclusive breastfeeding, integrated health post, multilevel analysis

Correspondence: Esti Lestari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: estylestary727@gmail.com. Mobile: 082363242993.

Journal of Maternal and Child Health, 2019, 4(4): 250-259
https://doi.org/10.26911/thejmch.2019.04.04.04

Full Text:

PDF

References

Adisasmito W (2007). Sistem Kesehatan, edisi 1. Jakarta, PT. Raja Grafindo Persada.

Arriadna (2013). Profil Dinas Kesehatan Kota Cilegon: Cilegon. Dinas Kese-hatan Kota Cilegon.

BKKBN (2011). Kamus istilah kependudukan dan keluarga berencana. Jakarta: BKKBN.

Dinas Kesehatan Kabupaten Sleman (2016). Profil Kesehatan Kabupaten Sleman Tahun 2015. Sleman.

Dinas Kesehatan Provinsi Yogyakarta (2017). Profil Kesehatan Provinsi Yogyakarta Tahun 2016. Yogyakarta.

Draman N, Mohamad N, Yusoff HM, Muhamad R (2017). The decision of breastfeeding practices among parents attending primary health care facilities in Suburban Malaysia. Journal of Taibah University Medical Sciences. 1-6.

Dyah, Happy (2015). Pemberdayaan kader posyandu dalam program ASI eksklusif di DesaPamijen, Sokaraja, Banyumas. Purwokerto: Jurnal Medisains 13(1).

Emilda AS (2011). Pengaruh dukungan keluarga dalam pemberian ASI eksklusif pada ibu bekerja di Kota Langsa. Tesis, Universitas Gadjah Mada.

Haryani (2014). Alasan tidak diberikan ASI eksklusif oleh ibu bekerja di Kota Mataram Nusa Tenggara Barat. Tesis, Universitas Udayana.

Hidayati (2012). Usia ibu dalam pemberian ASI Ekslusif. Program Studi Ilmu DIII Kebidanan STIKES Tri Mandiri Sakti Bengkulu: Bengkulu.

Kementerian Kesehatan RI (2017). Pedoman Penyelenggaraan Pekan ASI Sedunia (PAS) Tahun 2017.Jakarta.

_____ (2017). Profil Kesehatan Indonesia. Jakarta: Pusat Data danInformasi.

Kristiansen AL, Lande B, Overby NC, Andersen LF. (2010). Factors associated with exclusive breastfeeding and breastfeeding in Norway. Public Health Nutrition: 13(12), 2087–2096.

Mabud NH, Mandang J, Mamuaya T (2014). Hubungan pengetahuan, pendidikan, paritas, dengan pemberian ASI eksklusif di Puskesmas Bahu Kecamatan Malalayang Kota Manado. Jurnal Ilmiah Bidan. 2(2), 51–56.

Mogre V, Nyaba R, Aleyira S (2014). Lifestyle Risk Factors of General and Abdominal Obesity in Students of the School of Medicine and Health Science of the University of Development Studies, Tamale, Ghana. ISRN Obesity: 1–10. https://doi.org/10.1155/2014/508382

Rachmaniah Nova (2014). hubungan tingkat pengetahuan ibu tentang ASI dengan tindakan ASI eksklusif. Surakarta: Fakultas Kedokteran Universitas Muhammadiyah Surakarta.

Roesli U (2007). Mengenal ASI Eksklusif. Jakarta: TrubusAgriwidaya.

Sari TK (2015). Faktor-faktor yang berhubungan dengan kegagalan asi eksklusif di wilayah Kerja Puskesmas Pringapus Kabupaten Semarang Tahun 2015. Program Studi D IV Kebidanan STIKES Ngudi Waluyo Ungaran.

Sinta P (2017). Multilevel analysis on the biosocial and economic determinants of exclusive breastfeeding. Journal of Maternal and Child Health (2017), 2(4): 356370. https://doi.org/10.26911/thejmch. 2017.02.04.06.

Sudiharto (2007). Asuhan keperawatan keluarga dengan pendekatan keperawatan transkultural. Jakarta: EGC.

Tan KL (2011) Factors associated with exclusive breastfeeding among infants under six months of age in peninsular malaysia. Int Breastfeed J, 6(1): 2.

The Lancet (2016). Breastfeeding: achieving the new normal. Lancet Series on breastfeeding. 387(10017).

Untari J (2017). Hubungan antara karakteristik ibu dengan pemberian asi eksklusif di wilayah kerja puskesmas Minggir Kabupaten Sleman. Jurnal Formil (Forum Ilmiah) Kes Mas Respati, 2(1).

Wahyuningsih (2012). Hubungan pengetahuan ibu bersalin tentang inisiasi menyusu dini dengan pelaksanaan inisiasi menyusu dini di bidan praktek swasta Benis Jayanto Ceper Klaten. Jurnal Klinis Kesehatan 3(01).

Refbacks

  • There are currently no refbacks.