ASSOCIATION BETWEEN FAMILY SUPPORT AND EXCLUSIVE BREASTFEEDING PRACTICE AMONG MOTHERS OF INFANTS AGED 0-6 MONTHS IN BEKASI CITY
Keywords
Breastfeeding Practice, Cross-Sectional Study, Exclusive Breastfeeding, Family Support, Maternal HealthAbstract
Abstract: Family support is an important reinforcing factor in the success of exclusive breastfeeding. Support from family members may include physical, emotional, psychological, instrumental, and informational assistance that helps mothers maintain breastfeeding during the first six months of an infant's life. This study aimed to examine the association between family support and exclusive breastfeeding practice among mothers of infants aged 0-6 months in the working area of Pengasinan Public Health Center, Bekasi City. This study used a cross-sectional design involving 194 mothers of infants aged 0-6 months who were registered at integrated health posts (Posyandu). Respondents were selected using simple random sampling and interviewed using a structured questionnaire. Data were analyzed using univariate analysis, chi-square tests, and multivariable analysis to assess the association between family support and exclusive breastfeeding practice after controlling for covariates. The results showed that 45.9% of mothers practiced exclusive breastfeeding, while 72.7% reported receiving good family support. Mothers who received good family support were more likely to practice exclusive breastfeeding than those who received inadequate family support. After adjustment for covariates, family support remained significantly associated with exclusive breastfeeding practice, with an adjusted prevalence ratio of 4.111 (95% CI: 1.994-8.476; p = 0.0001). The most frequently reported form of support was family encouragement for mothers to breastfeed their infants as early as possible. This study concludes that family support is significantly associated with exclusive breastfeeding practice among mothers of infants aged 0-6 months. Health care providers should actively involve family members in breastfeeding education and promotion programs to strengthen maternal support systems and improve exclusive breastfeeding coverage.
References
[1] Abbas, P., & Haryati, A. S. (2012). Hubungan pemberian ASI eksklusif dengan kejadian infeksi saluran pernapasan akut (ISPA) pada bayi. Fakultas Kedokteran Universitas Islam Sultan Agung.
[2] Abdullah, G. I. (2012). Determinan pemberian ASI eksklusif pada ibu bekerja di Kementerian Kesehatan RI tahun 2012. Universitas Indonesia.
[3] Alonzo, A. (2016). Infant feeding knowledge and breastfeeding-related measurement instruments. [Reference details to be completed by author].
[4] Astono, S. P. (2016). Analisis data pada bidang kesehatan. PT RajaGrafindo Persada.
[5] Black, R. E., et al. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382, 427-451.
[6] Budiman. (2011). Penelitian kesehatan. PT Refika Aditama.
[7] Cai, X. (2012). Global trends in exclusive breastfeeding. International Breastfeeding Journal, 7, 12.
[8] Cai, X., Wardlaw, T., & Brown, D. W. (2012). Global trends in exclusive breastfeeding. International Breastfeeding Journal, 7, 12.
[9] Dahlan, M. S. (2009). Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. Salemba Medika.
[10] Departemen Kesehatan RI. (2003). Ibu bekerja tetap memberikan air susu ibu (ASI). Direktorat Jenderal Bina Kesehatan Masyarakat, Direktorat Gizi Masyarakat.
[11] Departemen Kesehatan RI. (2006). Petunjuk praktis bagi kader dalam mendampingi ibu menyusui. Direktorat Jenderal Kesehatan Masyarakat, Direktorat Gizi Masyarakat, UNICEF.
[12] Dinas Kesehatan Provinsi Jawa Barat. (2012). Profil kesehatan Provinsi Jawa Barat tahun 2012. Dinas Kesehatan Provinsi Jawa Barat.
[13] Dixon, M., & Khan, L. (2011). Treatment of breast infection. BMJ, 342.
[14] Fahriani, R. (2013). Faktor yang memengaruhi pemberian ASI eksklusif pada bayi cukup bulan yang dilakukan IMD di salah satu rumah sakit sayang bayi di Jakarta. Universitas Indonesia.
[15] Fitri, D. I., Chundrayetti, E., & Semiarti, R. (2014). Hubungan pemberian ASI dengan tumbuh kembang bayi umur 6 bulan di Puskesmas Nanggalo. Jurnal Kesehatan Andalas, 3, 134-138.
[16] Friedman. (1998). Keperawatan keluarga: Teori dan praktik (Edisi 3). EGC.
[17] Friedman. (2010). Keperawatan keluarga: Teori dan praktik. Prentice Hall.
[18] Green, L. W., Krekreuter, M. W., Sigrid, G. D., & Patridge, K. B. (1980). Perencanaan pendidikan kesehatan: Sebuah pendekatan diagnostik. Proyek Pengembangan Fakultas Kesehatan Masyarakat, Departemen Pendidikan dan Kebudayaan RI.
[19] Grossman, L. K., et al. (1990). Infant Feeding Test Form-A. [Reference details to be completed by author].
[20] Hidayat, A. A. (2007). Metode penelitian kebidanan dan teknik analisis data. Salemba Medika.
[21] Ida. (2012). Faktor-faktor yang berhubungan dengan pemberian ASI eksklusif 6 bulan di wilayah kerja Puskesmas Kemiri Muka Kota Depok. Universitas Indonesia.
[22] Inoue, M., Binns, C. W., Katsuki, Y., & Ouchi, M. (2013). Japanese mothers' breastfeeding knowledge and attitudes assessed by the Iowa Infant Feeding Attitudes Scale. Asia Pacific Journal of Clinical Nutrition, 22(2), 261-265.
[23] Kementerian Kesehatan RI. (2012). Situasi dan analisis ASI eksklusif. Kementerian Kesehatan RI.
[24] Kementerian Kesehatan RI. (2016). Profil kesehatan Indonesia tahun 2016. Kementerian Kesehatan RI.
[25] Kramer, M. (2001). Promotion of Breastfeeding Intervention Trial (PROBIT): A randomized trial in the Republic of Belarus. Journal of the American Medical Association, 285, 413-420.
[26] Kristiyansari, W. (2011). ASI, menyusui, dan SADARI. Mulya Medika.
[27] Najah. (2017). Hubungan dukungan keluarga dengan perilaku menyusui eksklusif pada ibu di Posyandu Kecamatan Mampang tahun 2017. Universitas Indonesia.
[28] Notoatmodjo, S. (2003). Pendidikan dan perilaku kesehatan. Rineka Cipta.
[29] Notoatmodjo, S. (2010). Metodologi penelitian kesehatan. Rineka Cipta.
[30] Nurlinawati. (2014). Hubungan dukungan keluarga dengan pemberian ASI eksklusif pada bayi di Kelurahan Kenali Besar Kota Jambi. Universitas Indonesia.
[31] Qiu, L. (2009). Initiation of breastfeeding and prevalence of exclusive breastfeeding at hospital discharge in urban, suburban and rural areas of Zhejiang, China. International Breastfeeding Journal, 4, 1-7.
[32] Ratnasari, D., Pramashanti, B. A., Haman, H., Yugistyowati, A., Astiti, D., & Nurhayati, E. (2017). Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pacific Journal of Clinical Nutrition, 26(Suppl. 1), S31-S35.
[33] Sastroasmoro, S., & Ismail, S. (2008). Dasar-dasar metodologi penelitian klinis (Edisi 3). Sagung Seto.
[34] Setiadi. (2008). Konsep dan proses keperawatan keluarga. Pustaka Pelajar.
[35] Simbolon, P. (2017). Dukungan keluarga dalam pemberian ASI eksklusif. Deepublish.
[36] Soetjiningsih. (1997). ASI: Petunjuk untuk tenaga kesehatan. EGC.
[37] Soysa, P., et al. (1981). Menyusui dan kesehatan. Departemen Kesehatan, Direktorat Bina Gizi Masyarakat, UNICEF, dan Perdhaki.
[38] Syafiq, A., & Fikawati, S. (2009). Penyebab keberhasilan dan kegagalan praktik pemberian ASI eksklusif. Jurnal Kesehatan Masyarakat Nasional, 4(3), 236-239.
[39] Varney, H. Buku ajar asuhan kebidanan. EGC.
[40] VT, R. N. (2011). Efektivitas paket “Bunda Ceria” terhadap rasa nyeri dan pembengkakan payudara serta produksi ASI pada ibu postpartum di Jakarta. Universitas Indonesia.
[41] Walker, M., & Wetson, A. (2006). Breastfeeding management for clinicians: Using the evidence. Jones and Bartlett.
[42] Wawan, A., & Dewi, M. (2010). Teori dan pengukuran pengetahuan, sikap, dan perilaku manusia. Nuha Medika.
[43] WHO. (2009). Baby-Friendly Hospital Initiative: Revised, updated and expanded for integrated care. World Health Organization and UNICEF.
[44] WHO. (2010). Indicators for assessing infant and young child feeding practices: Part 2, Measurement. World Health Organization.
[45] WHO. (2014). Exclusive breastfeeding. World Health Organization.
[46] WHO. (2015). Breastfeeding. World Health Organization.
[47] WHO & UNICEF. (2014). Global nutrition targets 2025: Breastfeeding policy brief. World Health Organization.
[48] Wibowo, A. (2014). Metodologi penelitian praktis bidang kesehatan. PT RajaGrafindo Persada.
[49] Wijayanti, W. (2010). Hubungan antara pemberian ASI eksklusif dengan angka kejadian diare pada bayi umur 0-6 bulan di Puskesmas Gilingan Kecamatan Banjarsari Surakarta. Universitas Sebelas Maret.
[50] Wijayanti, Y. (2015). Determinan pemberian ASI eksklusif pada tujuh hari pertama kelahiran di wilayah kerja Puskesmas Kelurahan Kaliabang Tengah Kota Bekasi tahun 2015. Universitas Indonesia.
[51] Yuliarti, N. (2010). Keajaiban ASI: Makanan terbaik untuk kesehatan, kecerdasan, dan kelincahan si kecil. Andi Offset.





