Sandra Fikawati
Pusat Kajian Gizi dan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia

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Tracer Study : Melacak Jejak Lulusan FKM UI (Hasil Study Kualitatif Tracer Sarjana Kesehatan Masyarakat FKM UI 2006) Syafiq, Ahmad; Fikawati, Sandra
Kesmas The National Journal of Public Health Vol. 1 No. 6 Juny 2007
Publisher : Kesmas The National Journal of Public Health

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Abstract

One important indicator of the success of higher education is the contribution of its alumni in the community and development. Tracer study provides information on alumni contribution and involvement in the community including working and employment dynamics. Faculty of Public Health University of Indonesia (FPHUI) has conducted a quantitative tracer study in 2003 which informed selected aspects related to alumni and their existence in employment world. This study is a qualitative tracer study to complement the first tracer study and aimed at digging further information on learning experience in FPHUI, working experience, and alumni and user’s satisfaction on education in FPHUI. In-depth interviewed were conducted to 24 informants which divided into 4 groups of institution (government, private sector/industry, non government organization and higher education institutions). Subjects were traced in a multimode way and data was analyzed based on the study main theme. Study exhibits that field-based learning is perceived as the most important learning experience and soft-skill is highly appreciated and most relevant in the real work situation. The study also found that most users and alumni are satisfied with education in FPHUI. Key words: Tracer study, alumni, soft-skill
Penyebab Keberhasilan dan Kegagalan Praktik Pemberian ASI Eksklusif Fikawati, Sandra; Syafiq, Ahmad
Kesmas The National Journal of Public Health Vol. 4 No. 3 December 2009
Publisher : Kesmas The National Journal of Public Health

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Abstract

Coverage of exclusive breastfeeding (EBF) was targeted by Ministry of Health RI to reach 80%. The target is very difficult to achieve. Studies showed that EBF rate in Indonesia are very low. There are various factors affecting the success or failure of EBF. This study aims at digging information on predisposing, enabling, and reinforcing factors associated with success of EBF in Jagakarsa community health center, South Jakarta. Design of the study is qualitative with 14 informants that is mother with infant age >6-24 months and divided based on the success of EBF implementation. Data was collected through in-depth interview and was triangulated based on data sources including midwives and husbands as well as analysis triangulation by expert. Education, knowledge, and experience are predisposing factors that influence the success of EBF, while early breastfeeding initiation is a strong enabling factor, and support from midwife acts as a strong reinforcing factor. The study also found that advertisement of formulated milk was very successful in influencing mother’s success in EBF especially for those with low education. It is suggested to increase mother’s knowledge about EBF during antenatal care and not after the delivery. Legal aspect and rules should be implemented in a stricter way and to cover both mass-media advertisement and hidden campaign through health personnel.Key words: Exclusive breastfeeding, mother’s knowledge, early breastfeeding initiation
Pre-Eklampsia Berat di RSUD Bayu Asih Purwakarta Yulianti, Lia; Fikawati, Sandra
Kesmas The National Journal of Public Health Vol. 3 No. 1 August 2008
Publisher : Kesmas The National Journal of Public Health

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Abstract

In the period of 2004-2005, the severe preeclampsia condition among pregnant woman in RSUD Bayu Asih Purwakarta had been increased from 15,2% to 23,6%. It was predicted that the increase was related to factors such as education, job, mother age, parity, pregnancy age, illness, and antenatal care. The objective of this study is to analyse several factors related to severe preeclampsia condition among pregnant woman who delivered in RSUD Bayu Asih Purwakarta in the period of 2004-2005. The study design used in this research is case control that conducted among 133 cases mother who suffered from severe preeclampsia condition and 133 mothers who did not suffer from severe preeclampsia. The method of analysis used in this study is logistic regression method. This research found that mother age, illness, and education were related to severe preeclampsia condition. On the other hand, job, parity, pregnancy age, and antenatal care were not related to the severe preeclampsia condition. Illness has the strongest relationship to severe preeclampsia condition. According to the study results, pregnant women especially those age more than 35 year and primigravida need clear information about severe preeclampsia condition so they can seek the needed health service. The hospital must collect complete information about patiens’ medical record. Key words: Severe preeclampsia, pregnant women, hospital
Pre-Eklampsia Berat di RSUD Bayu Asih Purwakarta Yulianti, Lia; Fikawati, Sandra
Jurnal Kesehatan Masyarakat Nasional vol. 3 No. 1 Agustus 2008
Publisher : Jurnal Kesehatan Masyarakat Nasional

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Abstract

Pada periode 2004 - 2005, kejadian pre-eklampsia berat pada ibu hamil di RSUD Bayu Asih Purwakarta meningkat dari 15,2% menjadi 23,6%. Peningkatan kejadian PEB ini diperkirakan dipengaruhi faktor pendidikan, pekerjaan, umur ibu, paritas, umur kehamilan, riwayat penyakit, dan pemeriksaan antenatal. Penelitian ini bertujuan melakukan analisis berbagai faktor determinan pre-eklampsia berat pada Ibu hamil di RSUD Bayu Asih Purwakarta. Penelitian dengan disain studi case control ini dilakukan pada 133 kasus ibu dengan pre-eklampsia berat dan 133 kontrol ibu dengan non pre-eklampsia berat di RSUD Bayu Asih Purwakarta tahun 2004-2005. Metoda analisis yang digunakan adalah metoda analisis regresi logistik ganda. Penelitian ini menemukan faktor-faktor umur ibu, riwayat penyakit, dan pendidikan berhubungan secara bermakna dengan kejadian pre-eklampsia berat. Faktor yang berhubungan paling erat dengan kejadian pre-eklampsia berat adalah riwayat penyakit. Disarankan untuk melakukan penyuluhan pada ibu hamil, khususnya yang berumur >35 tahun dan primigravida dan ibu yang pernah mengalami pre-eklampsia berat agar mampu mendeteksi secara dini gejala dan tanda pre-eklampsia berat untuk segera mencari pelayanan rumah sakit juga melengkapi pengisian data file rekam medis pasien agar dapat memberikan tindakan medis yang sesuai dan tepat.Kata kunci : Pre-eklampsia berat, ibu hamil, rumah sakitAbstractIn the period of 2004 - 2005, the severe preeclampsia condition among pregnant woman in RSUD Bayu Asih Purwakarta had been increased from 15,2% to 23,6%. It was predicted that the increase was related to factors such as education, job, mother age, parity, pregnancy age, illness and antenatal care. The objective of this study is to analyse several factors related to severe preeclampsia condition among pregnant woman who delivered in RSUD Bayu Asih Purwakarta in the period of 2004-2005. The study design used in this research is case control that conducted among 133 cases mother who suffered from severe preeclampsia condition and 133 mothers who did not suffer from severe preeclampsia. The method of analysis used in this study is logistic regression method. This research found that mother age, illness, and education were related to severe preeclampsia condition. On the other hand, job, parity, pregnancy age, and antenatal care were not related to the severe preeclampsia condition. Illness has the strongest relationship to severe preeclampsia condition. According to the study results, pregnant women especially those age more than 35 year and primigravida need clear information about severe preeclampsia condition so they can seek the needed health service. The hospital must collect complete information about patiens’ medical record.Keywords : Severe preeclampsia, pregnant women, hospital
Tracer Study : Melacak Jejak Lulusan FKM UI (Hasil Study Kualitatif Tracer Sarjana Kesehatan Masyarakat FKM UI 2006) Syafiq, Ahmad; Fikawati, Sandra
Jurnal Kesehatan Masyarakat Nasional Vol. 1 No. 6 Juni 2007
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.881 KB) | DOI: 10.21109/kesmas.v1i6.285

Abstract

Salah satu indikator penting keberhasilan pendidikan tinggi adalah sumbangsih lulusannya dalam masyarakat dan pembangunan. Tracer study dapat menyediakan informasi mengenai sumbangsih dan keterlibatan alumni di masyarakat termasuk dinamika di dunia kerja. Fakultas Kesehatan Masyarakat UI (FK-MUI) sudah melaksanakan tracer study kuantitatif pada tahun 2003 yang menginformasikan beberapa aspek terkait dengan lulusan dan keberadaannya di dunia kerja. Penelitian ini merupakan tracer study kualitatif untuk melengkapi gambaran yang diperoleh pada tracer study pertama tersebut dan mencoba menggali lebih dalam informasi mengenai pengalaman pembelajaran di FKMUI, pengalaman bekerja, dan kepuasan lulusan dan pengguna lulusan terhadap pendidikan di FKMUI. Wawancara mendalam dilakukan terhadap 24 informan yang dibagi menjadi empat kelompok institusi kerja yaitu pemerintahan, sektor swasta/industri, LSM, dan lembaga pendidikan tinggi. Subyek dilacak secara multi moda dan data dianalisis berdasarkan tema utama penelitian. Hasil penelitian menunjukkan bahwa pembelajaran berbasis lapangan dipersepsi sebagai pengalaman belajar yang paling penting dan bahwa soft-skill adalah keterampilan yang sangat dihargai dan relevan di dunia kerja nyata. Penelitian ini juga mengungkap bahwa pada umumnya lulusan dan pengguna lulusan merasa puas dengan pendidikan di FKMUI.Kata kunci: Tracer study, lulusan, soft-skillAbstractOne important indicator of the success of higher education is the contribution of its alumni in the community and development. Tracer study provides infor- mation on alumni contribution and involvement in the community including working and employment dynamics. Faculty of Public Health University of Indonesia (FPHUI) has conducted a quantitative tracer study in 2003 which informed selected aspects related to alumni and their existence in employment world. This study is a qualitative tracer study to complement the first tracer study and aimed at digging further information on learning experience in FPHUI, working experience, and alumni and user’s satisfaction on education in FPHUI. In-depth interviewed were conducted to 24 informants which divided into 4 groups of institution (government, private sector/industry, non government organization and higher education institutions). Subjects were traced in a multimode way and data was analyzed based on the study main theme. Study exhibits that field-based learning is perceived as the most important learning experience and soft-skill is highly appreciated and most relevant in the real work situation. The study also found that most users and alumni are satisfied with education in FPHUI.Key words: Tracer study, alumni, soft-skill
Penyebab Keberhasilan dan Kegagalan Praktik Pemberian ASI Eksklusif Fikawati, Sandra; Syafiq, Ahmad
Jurnal Kesehatan Masyarakat Nasional Vol. 4 No. 3 Desember 2009
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.772 KB) | DOI: 10.21109/kesmas.v4i3.184

Abstract

Target cakupan ASI eksklusif oleh Depkes RI sebesar 80% masih sulit dilaksanakan. Berbagai studi menunjukkan cakupan ASI eksklusif di Indonesia masih sangat rendah. Ada berbagai faktor yang mempengaruhi keberhasilan dan kegagalan pelaksanaan ASI eksklusif. Penelitian ini bertujuan untuk menggali berba-gai faktor predisposisi, pemungkin, dan pendorong yang berhubungan dengan keberhasilan atau kegagalan pelaksanaan ASI eksklusif di Puskesmas Kecamatan Jagakarsa, Jakarta Selatan. Disain studi adalah studi kualitatif dengan 14 informan yaitu ibu bayi yang berusia >6-24 bulan yang dibagi berdasarkan keberhasilan pelaksanaan ASI eksklusifnya. Data dikumpulkan melalui wawancara mendalam dan dilakukan triangulasi sumber data mencakup bidan puskesmas dan suami serta triangulasi analisis oleh pakar. Pendidikan, pengetahuan, dan pengalaman ibu adalah faktor predisposisi yang berpengaruh positif terhadap keberhasilan ASI eksklusif, sedangkan IMD adalah faktor pemungkin yang kuat terhadap keberhasilan ASI eksklusif. Dari segi faktor pendorong, dukungan tenaga kesehatan penolong persalinan paling nyata pengaruhnya dalam keberhasilan pelaksanaan ASI eksklusif. Di sisi lain, iklan susu formula di media massa ternyata mempengaruhi keberhasilan ASI eksklusif terutama pada ibu yang berpendidikan rendah. Disarankan untuk meningkatkan pengetahuan ibu tentang pelaksanaan ASI eksklusif khususnya pada saat antenatal care dan bukannya setelah persalinan. Perlu ditegakkan aturan ketat ik-lan susu formula baik di media massa maupun kampanye terselubung melalui tenaga kesehatan penolong persalinan.Kata kunci : ASI eksklusif, pengetahuan ibu, inisiasi menyusu diniAbstractCoverage of exclusive breastfeeding (EBF) was targeted by Ministry of Health RI to reach 80%. The target is very difficult to achieve. Studies showed that EBF rate in Indonesia are very low. There are various factors affecting the success or failure of EBF. This study aims at digging information on predisposing, enabling, and reinforcing factors associated with success of EBF in Jagakarsa community health center, South Jakarta. Design of the study is qualitative with 14 informants that is mother with infant age >6-24 months and divided based on the success of EBF implementation. Data was collected through in-depth in-terview and was triangulated based on data sources including midwives and husbands as well as analysis triangulation by expert. Education, knowledge, and experience are predisposing factors that influence the success of EBF, while early breastfeeding initiation is a strong enabling factor, and support from mid-wife acts as a strong reinforcing factor. The study also found that advertisement of formulated milk was very successful in influencing mother’s success in EBF especially for those with low education. It is suggested to increase mother’s knowledge about EBF during antenatal care and not after the delivery. Legal aspect and rules should be implemented in a stricter way and to cover both mass-media advertisement and hidden campaign through health personnel. Key words : Exclusive breastfeeding, mother’s knowledge, early breastfeeding initiation
Status Gizi Ibu dan Persepsi Ketidakcukupan Air Susu Ibu Fikawati, Sandra; Syafiq, Ahmad
Jurnal Kesehatan Masyarakat Nasional Vol. 6 No. 6 Juni 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.793 KB) | DOI: 10.21109/kesmas.v6i6.77

Abstract

Menyusui eksklusif kurang dari 6 bulan berkontribusi terhadap 1,4 juta kematian bayi dan 10% angka kesakitan balita. Persepsi Ketidakcukupan Air Susu Ibu (PKA) yang memengaruhi kepercayaan diri untuk menyusui menjadi salah satu penyebab utama kegagalan pemberian air susu ibu (ASI) eksklusif di dunia. Salah satu faktor penyebab PKA adalah ketidakmampuan ibu hamil untuk mencapai kenaikan berat badan (BB) yang direkomendasikan sehingga ibu berisiko melahirkan bayi berat lahir rendah (BBLR) dan memiliki cadangan lemak rendah untuk memproduksi ASI. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi ibu dan PKA. Penelitian ini merupakan kajian terhadap 3 studi yang menganalisis di Kabupaten Karawang, Kecamatan Cilandak, dan Kecamatan Tanjung Priok pada tahun 2010 dan 2011. Hasil penelitian menunjukkan hubungan yang bermakna antara status gizi ibu dan PKA dengan odds ratio (OR) masing-masing 3,7 (1,470 - 9,081); 3,9 (1,551 – 9,832); dan 4,5 (1,860 – 11,008). Disimpulkan bahwa PKA dialami oleh ibu menyusui yang selama hamil tidak mencapai kenaikan BB yang direkomendasikan menyebabkan ibu berhenti memberikan ASI eksklusif. Penemuan yang penting ini dapat digunakan untuk mengubah anggapan para pakar ASI dan masyarakat bahwa semua ibu, apapun kondisi status gizinya, mampu menyusui ekslusif. Penelitian ini diharapkan menjadi masukan bagi penentu kebijakan untuk memerhatikan status gizi ibu menyusui.Kata kunci: Status gizi ibu, persepsi ketidakcukupan ASI, ASI eksklusifAbstractExclusive breastfeeding for less than 6 months contributed to the 1,4 million deaths of infants and 10% toddlers’ morbidity. Perceived Insufficient Milk (PIM) became one of the main causes of exclusive breastfeeding failure in the world. PIM could occured by inability of pregnant women to achieve the recommended weight gain thus mothers have the risk of giving birth of low birth weight (LBW) infants and have low fat reserves to produce milk. Low production of breast milk will negatively affect the confidence of mothers to  breastfeed. This study aimed to examine three studies that analyzed the relationship between maternal nutritional status and PIM. The study was conducted in three places Karawang district, Tanjung Priok subdistrict, and Cilandak sub district in 2010 and 2011. The results of this study showed significant associations between maternal nutritional status and PIM with odds ratio (OR) 3,7 (1,47 to 9,08); 3,9 (1,55 to 9,83); and 4,5 (1,86 to 11,01) respectively. It concluded that PIM was experienced by breastfeeding mothers whose maternal weight gain during pregnancy did not achieve the recommendation and caused the mother to stop exclusive breastfeeding. This discovery is important and useful to change the existing perception among breastfeeding experts and communities all mothers, regardless their nutritional status, are able to breastfeed exclusively. The study is expected to provide input for policy makers to pay more attention to the nutritional status of breastfeeding mothers.Key words: Maternal nutritional status, perceived insufficient milk, exclusive breastfeeding
Kajian Keselamatan Kebakaran pada Lima Sekolah Dasar di DKI Jakarta Lestari, Fatma; Fikawati, Sandra; Syafiq, Ahmad; Sukmaningtias, Anisa
Jurnal Kesehatan Masyarakat Nasional Vol. 6 No. 1 Agustus 2011
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.24 KB) | DOI: 10.21109/kesmas.v6i1.115

Abstract

Kebakaran gedung di Indonesia merupakan masalah besar. Untuk mengkaji keselamatan kebakaran, telah dilakukan penelitian kualitatif di sekolah-sekolah dasar negeri (SDN) di Daerah Khusus Ibu Kota (DKI) Jakarta. Tiga SDN di Jakarta Selatan (SDN Pondok Labu 11 Pagi, SDN Pondok Labu 12Pagi, dan SDN Pondok Labu 15 Pagi) dan 2 SDN di Jakarta Timur (SDN Kramat Jati 16 Pagi dan SDN Kramat Jati 18 Pagi) dipilih sebagai sampel secara purposif. Empat komponen keselamatan kebakaran yang diatur regulasi (sarana proteksi kebakaran, akses mobil pemadam kebakaran, sarana penyelamatan jiwa, dan Manajemen Keselamatan KebakaranGedung (MKKG) dikaji secara kualitiatif dengan mewawancarai orangorang yang bertanggung jawab dan mengamati semua komponen keselamatan kebakaran. Ditemukan bahwa di semua SDN tidak ada sarana proteksi kebakaran seperti alat pemadam api ringan (APAR) dan hidran serta tidak ada sarana penyelamatan jiwa termasuk nomor telepon darurat, tempatberhimpun sementara, lampu darurat, dan petunjuk arah keluar. Namun, ada 3 SDN (SDN Pondok Labu 11 Pagi, SDN Kramat Jati 16 Pagi, dan SDN Kramat Jati 18 Pagi) yang memiliki akes jalan mobil pemadam kebakaran ke sekolah, tetapi semua SDN hanya memiliki 2-4 pintu keluar. MKKG belum dilaksanakan di semua SDN. Disimpulkan bahwa keselamatan kebakaran di sekolah-sekolah dasar sangat buruk karena hampir semua komponen keselatan kebakaran belum diimplementasikan.Kata kunci: Keselamatan kebakaran sekolah, keselamatan dan kesehatan sekolah, sekolah dasarAbstractFire on building is a major problem in Indonesia. To assess fire safety, a qualitative research has been conducted in elementary schools in DKI Jakarta. Three state elementary schools (SDNs) in South Jakarta (i.e. SDN Pondok Labu 11 Pagi, SDN Pondok Labu 12 Pagi, and SDN Pondok Labu 15 Pagi) and two SDNs in East Jakarta (i.e. SDN Kramat Jati 16 Pagi and SDN Kramat Jati 18 Pagi) were selected purposively as samples. Four regulatedfire safety components (i.e. fire protection system, fire truck access, life safety system, and Building Fire Safety Management) were assessed qualitatively by interviewing responsible persons and observing all fire safety components. It was found that in all the SDNs there were no fire protectionsystem such as portable fire extinguisher and hydrant available and no life safety system has been implemented including emergency phone number, assembly point, emergency lamp, as well as safety signs. However, there were three SDNs (i.e. SDN Pondok Labu 11 Pagi, SDN Kramat Jati 16 Pagi, and SDN Kramat Jati 18 Pagi) had fire truck access to schools, but all SDNs had only 2 to 4 exit doors. In all SDNs, Building Fire Safety Management has not been implemented. It is concluded that the fire safety in elementary schools was very bad as almost all the four components of the fire safety have not been completely implemented.Key words: School fire safety, school safety and health, elementary school
Tracer Study : Melacak Jejak Lulusan FKM UI (Hasil Study Kualitatif Tracer Sarjana Kesehatan Masyarakat FKM UI 2006) Syafiq, Ahmad; Fikawati, Sandra
Jurnal Kesehatan Masyarakat Nasional Vol. 1 No. 6 Juni 2007
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.881 KB) | DOI: 10.21109/kesmas.v1i6.285

Abstract

Salah satu indikator penting keberhasilan pendidikan tinggi adalah sumbangsih lulusannya dalam masyarakat dan pembangunan. Tracer study dapat menyediakan informasi mengenai sumbangsih dan keterlibatan alumni di masyarakat termasuk dinamika di dunia kerja. Fakultas Kesehatan Masyarakat UI (FK-MUI) sudah melaksanakan tracer study kuantitatif pada tahun 2003 yang menginformasikan beberapa aspek terkait dengan lulusan dan keberadaannya di dunia kerja. Penelitian ini merupakan tracer study kualitatif untuk melengkapi gambaran yang diperoleh pada tracer study pertama tersebut dan mencoba menggali lebih dalam informasi mengenai pengalaman pembelajaran di FKMUI, pengalaman bekerja, dan kepuasan lulusan dan pengguna lulusan terhadap pendidikan di FKMUI. Wawancara mendalam dilakukan terhadap 24 informan yang dibagi menjadi empat kelompok institusi kerja yaitu pemerintahan, sektor swasta/industri, LSM, dan lembaga pendidikan tinggi. Subyek dilacak secara multi moda dan data dianalisis berdasarkan tema utama penelitian. Hasil penelitian menunjukkan bahwa pembelajaran berbasis lapangan dipersepsi sebagai pengalaman belajar yang paling penting dan bahwa soft-skill adalah keterampilan yang sangat dihargai dan relevan di dunia kerja nyata. Penelitian ini juga mengungkap bahwa pada umumnya lulusan dan pengguna lulusan merasa puas dengan pendidikan di FKMUI.Kata kunci: Tracer study, lulusan, soft-skillAbstractOne important indicator of the success of higher education is the contribution of its alumni in the community and development. Tracer study provides infor- mation on alumni contribution and involvement in the community including working and employment dynamics. Faculty of Public Health University of Indonesia (FPHUI) has conducted a quantitative tracer study in 2003 which informed selected aspects related to alumni and their existence in employment world. This study is a qualitative tracer study to complement the first tracer study and aimed at digging further information on learning experience in FPHUI, working experience, and alumni and user’s satisfaction on education in FPHUI. In-depth interviewed were conducted to 24 informants which divided into 4 groups of institution (government, private sector/industry, non government organization and higher education institutions). Subjects were traced in a multimode way and data was analyzed based on the study main theme. Study exhibits that field-based learning is perceived as the most important learning experience and soft-skill is highly appreciated and most relevant in the real work situation. The study also found that most users and alumni are satisfied with education in FPHUI.Key words: Tracer study, alumni, soft-skill
ASI Eksklusif dan Persepsi Ketidakcukupan ASI Prabasiwi, Adila; Fikawati, Sandra; Syafiq, Ahmad
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 3 Februari 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.031 KB) | DOI: 10.21109/kesmas.v9i3.691

Abstract

Persepsi ketidakcukupan air susu ibu (PKA) adalah keadaan ibu merasa ASI-nya tidak cukup untuk memenuhi kebutuhan bayinya. PKA merupakan salah satu penyebab utama kegagalan ASI eksklusif di dunia. Penelitian ini bertujuan untuk mengetahui faktor paling dominan berhubungan dengan PKA di Kecamatan Tegal Selatan dan Kecamatan Margadana, Kota Tegal tahun 2014. Penelitian ini merupakan penelitian primer dengan desain studi potong lintang. Sampel berjumlah 88 ibu dari bayi berusia 0 - 6 bulan yang dipilih secara purposive sampling. Status gizi ibu dilihat dari kenaikan berat badan ibu sewaktu hamil apakah sesuai dengan rekomendasi dari Institute of Medicine. Asupan energi ibu saat laktasi diukur melalui wawancara dengan menggunakan semi-quantitative-Food Frequency Questionnaire (FFQ / Food Amount Questionnaire (FAQ)). Untuk variabel pengetahuan, digunakan kuesioner terstruktur. Uji analisis yang digunakan adalah uji kai kuadrat (bivariat) dan uji regresi logistik ganda (multivariat). Hasil penelitian menunjukkan bahwa sebanyak 51,1% ibu mengalami PKA. Variabel pengetahuan (nilai p = 0,001), asupan energi (nilai p = 0,019) dan Inisiasi Menyusu Dini (IMD) (nilai p = 0,048) berhubungan signifikan dengan PKA setelah dikontrol variabel status gizi, paritas, rawat gabung, perlekatan menyusui, dukungan keluarga, dan dukungan tenaga kesehatan. Faktor pengetahuan merupakan faktor yang paling dominan berhubungan dengan PKA.Exclusive Breastfeeding and Perception of Insufficient Milk SupplyPerception of insufficient milk supply (PIM) is the condition in which a mother feels that her breastmilk is insufficient to meet the needs of their babies. Such perception is one of main reasons of the exclusive breastfeeding failure in the world. This study aimed to find out the most dominant factors related to PIM in Tegal Selatan District and Margadana Sub-Districts at Tegal City in 2014. This study was a primary study with a cross sectional design. A total sample of 88 mothers of 0 - 6 months old babies selected in by purposive sampling. Mother’s nutritional status was seen from the increasing of mother’s weight gain during the pregnancy was it met the standards from Institute of Medicine. The mother’s energy intake during lactation was measured through interview using semi-quantitative Food Frequency Questionnaire (FFQ / Food Amount Questionnaire (FAQ)) form. Knowledge variable used structured questionnaire. Analysis used are chi square test (bivariate) and multiple regression logistic (multivariate). The result showed that 51.1% mothers experienced PIM. Variables knowledge (p value = 0.001), energy intake (p value = 0.019), and early initiation of breastfeeding (p value = 0.048) were significantly related to perception after controlled by nutritional status, parity, rooming-in, latch on, family support, and health practitioners support variable. Knowledge is the most dominant factor related to the PIM.