Yekti Widodo
Pusat Teknologi Intervensi Kesehatan Masyarakat, Balitbangkes, Kemenkes RI, Jl. Percetakan Negara No. 29 Jakarta 10560

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PERUBAHAN STATUS GIZI BALITA PADA PROGRAM EDUKASI DAN REHABILITASI GIZI Ariska, Yusi; Kustiyah, Lilik; Widodo, Yekti
Jurnal Gizi dan Pangan Vol. 10 No. 3 (2015)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.763 KB) | DOI: 10.25182/jgp.2015.10.3.%p

Abstract

ABSTRACTThis study was aimed to analyze factors that influence the change in nutritional status of children under-five years who participated in Nutrition Education and Rehabilitation Program. This research used secondary data with a pre-post intervention study (one group before and after intervention design) of 141 subjects. Six months intervention program which applied to the children consisted of provision of complementary feeding and supplement of zinc along with nutrition and health education for the mothers. This research conducted at District of East Kutai, Province of East Kalimantan. The average WAZ score of subjects after participating had increased significantly (-1.9±0.6) compared before participating in this program (-2.3±0.5) (p<0.05). Subjects with a good appetite tended to increase WAZ score four times than the worse one, while diarrhea subjects tended to have 0.3 times smaller WAZ score increase than non-diarrhea subjects.Keywords: children under-five years, diarrhea, nutrition education, rehabilitationABSTRAKPenelitian ini bertujuan untuk menganalisis faktor-faktor yang berpengaruh terhadap perubahan status gizi balita pada Program Edukasi dan Rehabilitasi Gizi. Penelitian ini menggunakan data sekunder. Desain yang digunakan adalah pre-post intervention study dengan jumlah subjek sebanyak 141 balita. Intervensi yang diberikan pada balita berupa pemberian makanan tambahan bersama, suplemen zink, dan penyuluhan gizi dan kesehatan bagi ibu balita. Intervensi tersebut diberikan selama 6 bulan dan dilaksanakan di Kabupaten Kutai Timur, Provinsi Kalimantan Timur. Rata-rata z-score BB/U balita setelah mengikuti Program Edukasi dan Rehabilitasi Gizi adalah nyata lebih tinggi (-1,9±0,6) dibandingkan sebelum mengikuti program tersebut (-2,3±0,5) (p<0,05). Anak balita yang memiliki nafsu makan yang baik cenderung mengalami kenaikan status gizi (BB/U) empat kali lebih besar daripada balita yang nafsu makannya kurang baik. Balita yang mengalami diare memiliki kecenderungan 0,3 kali lebih kecil mengalami kenaikan status gizi (BB/U) dibandingkan yang tidak mengalami diare.Kata kunci: balita, diare, edukasi gizi, rehabilitasi
STRATEGI BARU PENYULUHAN GIZI-KESEHATAN DALAM MENINGKATKAN PERILAKU SEHAT IBU SELAMA HAMIL DAN MENYUSUI Husaini, Jajah K.; Widodo, Yekti; Salimar, Salimar
Jurnal Penelitian Gizi dan Makanan JILID 24 (2001)
Publisher : Jurnal Penelitian Gizi dan Makanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/pgm/article/view/1501

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A New Strategy of Nutrition Education In Improving Health Behaviour of Pregnant and Lactating Women.Background: The new health paradigm of the year 2010 is emphasizing on preventive and promotive measures through the improvement of health behavior of the population. On the same time, the economic crisis has worsened the nutritional status, particularly for pregnant and lactating women, leading to increase of malnutrition and mortality among infants and women. Programs in improving health behavior, particularly in many nutrition programs, have poorly designed and poorly implemented at grass root levels and therefore may not assess nutrition knowledge, attitude and practice prroperty, with the consequence that the results may have little meanings.Objective: The aim of the study was to examine model of empowering pregnant and lactating women through, the improvement of heatlh and nutriton behavior by using the method of Womens Contact. Womens Contact or Kontak Ibu was a trained person who always give services to pregnant and lactating women, including midwives, traditional birth attendants, community volunteers, such as ceders, etc.Methods: The study areas were located in Bogor and Tangerang Districts. In the treatment group areas 21 Kontak Ibu were trained for 2 days in improving their skills in nutrition and heatlh education and supervised. In the control group areas 20 Kontak Ibu were trained for 1 day and Without supervised during the 4 months of intervention period. The material of nutrition and heatlh education developed by the previous study, was provided for all Kontak Ibu. In the treatment area 80 women (40 pregnant and 40 lactating) received the services given by Kontak Ibu. The same number and proportion of women also received the services in control areas.Results: The performance of Kontak Ibu in the treatment areas generally better than in the control areas in term of the frequency of giving education, number of women receiving services, referral forms completed, and number of targeted women visited. The women who improved their practices in solving the problem of morning sickness and low appetite for pregnant women, and problem of eating and diarrhea for infants were significantly (p<0.05) higher in the treatment than in the control group. Other practices, such as solving problem of headache, edema, vances. fever, etc. were improved in both groups.Conclusion: It is found in both group the new service strategy using method of Kontak Ibu changed several behaviors among women in communites. The changes in the experiment group were more remarkable than in the control group.Suggestion: The strategies of Kontak Ibu services changed behavior of both the service providers ard the women seeking services. It is therefore likely that application of the model Kontak Ibu services could be implemented in the existing nutrition improvement programs.Key words: nutrition education, behavior, pregnant and lactating women, womens contract
PERUBAHAN POLA KONSUMSI PANGAN KELUARGA PADA SEBELUM DAN SEWAKTU KRISIS EKONOMI Husaini, Yayah K.; Widodo, Yekti; Triwinarto, Agus; Salimar, Salimar
Jurnal Penelitian Gizi dan Makanan JILID 23 (2000)
Publisher : Jurnal Penelitian Gizi dan Makanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/pgm/article/view/1488

Abstract

CHANGES OF HOUSEHOLD CONSUMPTION PATTERN BEFORE AND DURING THE ECONOMIC CRISIS.Background: It is generally agreed that the economic crisis has an impact on food insecurity and malnutrition. Peoples ability to secure an adequate diet during the crisis in Indonesia would have been declined, however, data are not adequately available.Objective: The purpose of this study was to examine the magnitude of the impact of the crisis on household food consumption in three rural areas: Cianjur (West Java), South Lampung (Lampung) and Tanah Datar (West Sumatera).Method: The study on food consumption had been conducted in 1993/1994 (before crisis), and a similar study was repeated in 1999 during the peak of the crisis in the same areas. A total of 346 households in the three areas were surveyed. The food consumption was recorded using a 24- hour method; knowledge and attitudes on foods were collected by interview. Information on socio-cultural and tradition surrounding foods use were also gathered. The consumption of foods as part of the five groups (staples, plant and animal protein resources, vegetables, fruits, and milk) were examined, and ranked their frequencies of consumption and their contribution to each food groups. This would allow us to make comparison on household consumption patterns in the three different areas at before and during the peak of the crisis.Results: Rice was eaten two or three times a day and there was no significant changes in the frequency of consumption of rice during the crisis. Noodes and flours were eaten less frequent, but com and cassava were increased during the crisis. Although during the crisis there was a decrease in the consumption of meat, but not the case for fresh fish, salted fish, eggs, tofu and tempeh. Peoples have had switched the consumption pattern more on less expensive foods. Peoples in Tanah Datar (West Sumatera) was apparently better in coping mechanism as the response to the crisis than the other two areas. In Tanah Datar, diet was likely more diversified, perhaps even better than the situation at before crisis.Conclusions: The results suggest that the effects of the economc crisis on household food consumption were varied, depend on the nature (land) and environment, level of education, pattern of employment and socio-cultural in each areas.Key Words: economic crisis, consumption pattern, diet, coping mechanism
STRATEGI PENINGKATAN PRAKTIK PEMBERIAN ASI EKSKLUSIF Widodo, Yekti; Harahap, Heryudarini; Muljati, Sri; Triwinarto, Agus
Jurnal Penelitian Gizi dan Makanan Vol 26, No 1 (2003)
Publisher : Jurnal Penelitian Gizi dan Makanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/pgm/article/view/1428

Abstract

STRATEGY TO IMPROVEMENT EXCLUSIVE BREASTFEEDING COVERAGEBackground: Exclusive breastfeeding practice in Indonesia not yet gratified, ranging from 3,6% up to 27,5%. Therefore require to be developed a promotion strategy to motivate the exclusive breastfeeding, by entangling target of besides mother with given by a complete information about exclusive breastfeeding. Objectlves: Knowing exclusive breastfeeding promotion impact to coverage of exclusive breastfeeding. Methods: This research represent the research observational, with kohort design. Sampel research is all pregnancy women which old age its pregnancy have entered the third trimester. All sampel research given the counselling with interpersonal communication and non-formal condition and also the discussion with husband, parent, grandmother. At this research the strategy counselling to motivate the exclusive breastfeeding by giving information about exclusive breastfeeding, creating condition and environment supporting, improving husband involvement, other family member, traditional birth attendant, cadre, and rural midwife (bidan di desa) and also lessen the negative consequence, like busy, baby rewel, and insufficient breastfeeding. Counselling conducted by special worker which have been trained, since the pregnant women in third trimester until the baby 4 month ages. Results: Total sampel in this research is 221 all family have been given the motivation for the pracllcaly of exclusive breastfeeding. From 221 sampel gave the motivation 110 sampel (49,8%) earning given exclusive breastfeeding during 4 month, while 111 sampel (50,2%) cannot given exclusive breastfeeding because some reason among other things: husband, arent, and or parent in law not support, feel too busy, child need the practice eat, fear later child become difficult eat. This applying counselling strategy can motivate the mother to give the exclusive breastfeeding during 4 month reach 49,8%. This matter indicate that this strategy is good enough to increase exclusive breastfeeding coverage. Conclusions: Counselling strategy with infonnal communications and while non-formal condition and given the complete information and also to combining discussion with the counselling target, is good enough to motivate and look after the exclusive breastfeeding gift behavior. Recommendations: Applying of strategy counselling in order to exclusive breastfeeding promotion need the commitment all of health worker to support and also have to entangle the husband, parent, parent in law, and traditional birth attendant as counselling target. Keywords: exclusive breastfeeding, counselling exclusive, breastfeeding improvement
RELIABILITAS DAN FEASIBILITAS PENGGUNAAN KARTU MENUJU SEHAT PERKEMBANGAN (KMS-P) MOTOR MILESTONE ANAK UMUR 3-18 BULAN DI PUSKESMAS DAN POSYANDU Husaini, Yayah K.; Jahari, Abas B.; Harahap, Heryudarini; Widodo, Yekti; Hadis, Fawzia A.
Jurnal Penelitian Gizi dan Makanan Vol 29, No 1 (2006)
Publisher : Jurnal Penelitian Gizi dan Makanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/pgm/article/view/1401

Abstract

RELIABILITAS DAN FEASIBILITAS PENGGUNAAN KARTU MENUJU SEHAT PERKEMBANGAN (KMS-P) MOTOR MILESTONE ANAK UMUR 3-18 BULAN DI PUSKESMAS DAN POSYANDU.Background: To monitor growth and development of a child could use the Road to the Health Card of Under Five (KMS-Balita) for growth and Road to the Health Card of Motor Development (KMS-Perkembangan) for development. The KMS-Perkembangan (KMS-P) has been developed based on a scientific research design following the WHO-procedure for the development of a reference. In order the KMS-P could be used at Posyandu and/or at Puskesmas, it needs to be examined the reability and the feasibility in the field condition.Objectives: To examine the reliability and the feasibility of using KMS-P for children aged 3-18 months underfield condition.Methods: The study was carried out in Bogor City and Sukabumi District A total of 10 Puskesmas and 74 Pusyandu located in 19 villages were included as the study sites. The crossectional study designed was implemented, and 872 mothers and their children aged 3-18 months, 75 village cadres and 37 health providers were included as the sample studied. Data on general characteristics and motor milestones, reability and feasibility of using the KMS-P included plotting, its interpretation, and evaluating the child motor development were collected.Results: The study reveals that under field condition, 100% of health providers, 74.7% of village cadres and 77.56% mothers of the children studied could use the KMS-P property. The KMS-P has been developed simple, practicable, and action oriented.Conclusions: The reliability and feasilility of using KMS-P under field condition is highly acceptable. The prospect of KMS-P is very encouraging.Keywords: reliability, feasibility, motor milestone, motor development.
NORMA PERKEMBANGAN MOTOR MILESTONE ANAK SEHAT DAN BERGIZI BAIK DALAM RANGKA PENGEMBANGAN SUATU RUJUKAN Jahari, Abas B.; Harahap, Heryudarini; Widodo, Yekti; Husaini, Yayah K.; Soewondo, Soesmalijah
Jurnal Penelitian Gizi dan Makanan Vol 29, No 1 (2006)
Publisher : Jurnal Penelitian Gizi dan Makanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/pgm/article/view/1400

Abstract

Norm of Motor Milestone Achievements In Healthy and Well Nourished Children Leading To The Development A Reference.Background: The prevalence of malnutrition is still high in Indonesia, and one of its functional consequences is level of the intelectual capacity of children. Motor development is an essential of cognitive performance, and it is generally believed related with nutritional status of children, however very few studies had been carried out in the field condition.Objectlves: To describe the ceiling of motor milestone achievements of healthy and well nourished children aged 3-18 months in the development of norms for Indonesian children.Methods: The study was conducted in 4 big cities: Surabaya, Malang, Bandung and Bogor in 2100 healthy and well nourished children aged 3-18 months came from high SES (socio-economic status) families who had no constraints on achieving normal growth and development. There were 17 milestones observed by well trainned enumerators following standard procedure. Analysis of percentiles 5, 10, 50, 90, and 95 for age against motor achievement were carried out for all children.Results: The difference in the attainment of the ceiling of motor milestones between males and females were not significant at any points of observation, therefore sex combined norm curve of motor development for children aged 3-18 months was ilustrated.Conclusions: The norm of motor milestone development for Indonesian children aged 3-18 months has been developed. Before being used as a reference, it needs to be evaluated or it is reliability and feasibility.Keywords: motor milestone, motor development, reference of motor development.
PENGARUH FAKTOR SOSIAL EKONOMI DAN BUDAYA TERHADAP PERILAKU PERSALINAN DI PERDESAAN DAERAH ANGKA KEMATIAN IBU RENDAH DAN TINGGI Widodo, Yekti; Amanah, Siti; Pandjaitan, Nurmala K; Susanto, Djoko
Jurnal Kesehatan Reproduksi Vol 8, No 1 (2017): Jurnal Kesehatan Reproduksi Vol. 8 No. 1 Tahun 2017
Publisher : Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/kespro.v1i8.6753.77-88

Abstract

Background: Maternal complications are the risk of maternal death. Unsafe childbirth behavior is still a major challenge in Indonesia that is influenced by social, economic and cultural factors. Objective: The study aimed to identify socio-economic and cultural influences on the behavior of childbirth in rural areas with low and high maternal mortality Method: Cross-sectional study was conducted in rural areas with low and high maternal mortality. The sample of the study were nursing mothers. The sample size of each research area is 120, bringing the total to 240 samples. Data were collected through interviews using questionnaires and interview guidelines. Data analysis was done descriptively and analytically with multiple regression test. Results: In the low maternal mortality areas, almost all (99.2%) of the samples performed safe deliveries. Safe delivery was influenced by the equality of the mother's social status with her husband, social support for healthy behaviors, and high maternal social value for the family. In the high maternal mortality areas, the majority (66.6%) of the samples performed unsafe childbirth. Unsafe childbirth behavior was influenced by strong social support to unhealthy behavior and low husband's financial support. Conclusion: Safe childbirth behavior in low maternal mortality area was influenced by mother's social status, social support to healthy behavior, and mother's social value. Unsafe childbirth behavior in high maternal mortality areas was influenced by social support for unhealthy behaviors and financial support.
CAKUPAN PEMBERIAN ASI EKSKLUSIF: AKURASI DAN INTERPRETASI DATA SURVEI DAN LAPORAN PROGRAM Widodo, Yekti
GIZI INDONESIA Vol 34, No 2 (2011): September 2011
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Akurasi  dan  interpretasi cakupan  data  pemberian  air susu  ibu  (ASI)  eksklusif  atau  menyusui  eksklusif sangat penting diketahui untuk memberikan gambaran tentang status menyusui eksklusif di suatu negara. Di  Indonesia  data  cakupan  praktik  menyusui  eksklusif  pada  bayi  di  bawah  usia  6  bulan  berbeda-beda tergantung  pada  definisi  dan  metode  pengumpulan  data  yang  digunakan.  Cakupan  praktik  menyusui eksklusif  pada  bayi  di  bawah  usia  6  bulan  berkisar  antara  15,3  sampai  74,2  persen.  Akurasi  dan interpretasi  data  cakupan  tersebut  sangat  penting  untuk  diketahui.  Data  cakupan  tersebut  menjadi berbahaya karena dapat menyebabkan kesalahan interpretasi dan menimbulkan asumsi bahwa cakupan praktik menyusui eksklusif di Indonesia sudah mencapai angka yang tinggi, dan jika hal tersebut diyakini oleh para petugas kesehatan maka upaya untuk meningkatkan cakupan praktik menyusui eksklusif akan semakin  melemah.  Hal  ini  menjadi  sangat  berbahaya  terhadap  upaya  meningkatkan  cakupan  praktik menyusui  eksklusif.  Perbedaan  interpretasi  data  survei  dan  definisi  tentang  menyusui  eksklusif  perlu dibahas berdasarkan sumber pustaka yang relevan. Rekomendasi berdasarkan interpretasi data cakupan praktik menyusui eksklusif hanya dapat dilakukan setelah dievaluasi secara hati-hati dan cermat terhadap definisi dan metode survey yang digunakan,Kata kunci: ASI ekslusif, akurasi, interpretasi
GAMBARAN KONSUMSI ZAT GIZI ANAK UMUR 6 BULAN – 12 TAHUN DI INDONESIA Widodo, Yekti; Sandjaja, nFN; Sumedi, Edith
GIZI INDONESIA Vol 36, No 2 (2013): September 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Prevalensi gangguan gizi pada anak di Indonesia terutama stunting masih cukup tinggi dan menempati posisi kelima terbesar di dunia. Penyebab multi sektoral gangguan gizi termasuk makanan, kesehatan dan pola asuh. Di tingkat individu, penyebab langsung gangguan gizi tersebut adalah masih rendahnya kuantitas konsumsi makanan dan rendahnya kualitas bahan makanan yang dikonsumsi,  serta adanya penyakit infeksi. Tulisan ini bertujuan untuk mengetahui konsumsi makanan anak di Indonesia. Studi SEANUTS dilakukan di 48 kabupaten di wilayah perkotaan dan perdesaan. Data tingkat kecukupan konsumsi zat gizi anak Indonesia umur 6 bulan-12 tahun diperoleh dengan metode recall 1x24 jam yang meliputi 3600 anak. Konversi bahan makanan yang dikonsumi ke dalam zat gizi dilakukan berdasarkan daftar komposisi bahan makanan Indonesia dan tingkat kecukupan konsumsi zat gizi dihitung berdasarkan AKG Indonesia. Hasilnya menunjukkan rata-rata tingkat  kecukupan konsumsi energi, vitamin A, asam folat, vitamin C, kalsium, dan besi masih di bawah AKG (44-77%), sedangkan rata-rata tingkat kecukupan konsumsi protein dan fosfor sudah di atas AKG (106-114%). Rata-rata tingkat kecukupan konsumsi zat gizi tertinggi adalah kelompok umur 6-11 bulan dan terendah kelompok umur 9-12 tahun. Proporsi anak dengan tingkat konsumsi zat gizi di bawah AKG tertinggi pada kelompok umur 9-12 tahun dan terendah umur 6-11 bulan. Dapat disimpulkan bahwa anak-anak pada kelompok umur lebih tua, dengan ibu berpendidikan rendah, kuintil sosial ekonomi rendah, dan tinggal di perdesaan, mempunyai risiko lebih tinggi mengonsumsi zat gizi di bawah AKGABSTRACTDIETARY INTAKE OF INDONESIAN CHILDREN 6 MONTH - 12 YEAR OF AGEThe prevalence of undernutrition in Indonesia is still high. Stunting, one type of undernutrition with the highest prevalence is rank number five in the world. The multisectoral causes of undernutrition include food, health, and caring practices. At individual level, the immediate causes are inadequate and low quality of dietary intake and infectious disease. This SEANUTS study aimed to assess dietary intake among children in Indonesia. The study was conducted in 48 districts covering urban and rural areas of 3,600 children 6 month-12 years of age. Dietary intake was assessed by 1x24 hour dietary recall by trained nutritionists. Indonesian food composition tables were used to calculate nutrient contents and then compared the nutrient intakes to Indonesian recommended dietary allowances (RDA) to assess their adequacy. The overall results showed that the average intakes of energy, vitamin A, vitamin C, folate, iron, and calsium and phosphor were still below the RDA (44-77%), while protein and phosphor were above the RDA (106-114%). The inadequacy varies among age group, the older the children the more deficit of nutrient intake. The highest average intake was among  children 6-11 month of age groups and lowest is among children 9-12 year of age. By using cut-off point of Indonesian RDA, there were still high proportion of children deficit in nutrient intakes. It is concluded that children of older age group, living with low maternal education, low socioeconomic status, and in rural area were significantly higher risk of deficit in nutrient intake below RDA. Keywords: nutrient consumption, RDA, Indonesian children
FAKTOR YANG BERHUBUNGAN DENGAN POLA MENYUSUI BAYI DAN ANAK USIA 6-23 BULAN DI INDONESIA Widodo, Yekti; Sandjaja, Sandjaja
GIZI INDONESIA Vol 38, No 2 (2015): September 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

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ABSTRACT Exclusive breastfeeding for the first 6 months after birth and continued breastfeeding for up to 2 years is a very beneficial. The objectives of the study were to get better insight on the proportion of breastfeeding and its associated factors among Indonesian children to support breastfeeding awareness program. SEANUTS was a multi-centered nutrition study conducted in Indonesia, Malaysia, Thailand, and Vietnam. A subsample of 2.391 Indonesian children 6-23 months of age was analyzed using ANCOVA and multiple logistic regression. The results showed that 4.5 percent of the children were never breastfed. The study showed that factors significantly associated with never being breastfed were child not lived with his/her mother (OR = 5,0), mother’s education was junior high school or less (OR = 2,7), and child caregiver was not his/her mother (OR = 3,27). Delivery helped by private health practitioner or at home was significantly protective against not being breasfed (OR = 0,37). The overall proportion of children 6-23 months of age still being breastfed was 73.3 percent. Factors significantly associated with weaning were early weaned (OR = 1,13), working mother (OR = 2,0), child caregiver not his/her mother (OR = 1,62), and not lived with his/her mother (OR = 9,35). Factors associated with longer breastfeeding were living in rural areas (OR = 0,69), older age of mother 30-39 years (OR = 0,67), delivery at home (OR = 0,45) or health practitioner (OR = 0,65). In conclusion, the research indicated that not all babies get breastfeed in an optimal level. Health promotion program to increase breastfeeding awareness should be targeted more for health profesionals in hospital and maternity clinics, mother’s education was at junior high school or less, young mother, and in the urban area. Keywords: breastfeeding, weaning, Indonesian children ABSTRAK Menyusui eksklusif selama 6 bulan dan dilanjutkan pemberian ASI sampai anak usia 2 tahun, terbukti sangat bermanfaat. Tujuan penelitian adalah menganalisis faktor yang berhubungan dengan pola menyusui guna mendukung program menyusui di Indonesia. Data merupakan subsampel penelitian SEANUTS Indonesia yaitu anak 6-23 bulan berjumlah 2391. SEANUTS merupakan multi-centered study yang dilakukan di Indonesia, Malaysia, Thailand, dan Vietnam pada tahun 2011. Analisis data dilakukan secara deskriptif dan diuji statistik dengan ANCOVA dan multiple logistic regression. Hasil penelitian menunjukkan proporsi anak yang tidak pernah mendapat ASI adalah 4,5 persen. Hasil analisis menunjukkan faktor yang berhubungan dengan perilaku tidak menyusui yaitu tidak tinggal dengan ibu (OR = 5,0), pendidikan ibu SMP ke bawah (OR = 2,7), tidak diasuh oleh ibu kandung (OR = 3,27). Persalinan di klinik bidan atau di rumah bersifat protektif terhadap perilaku tidak menyusui (OR = 0,37). Proporsi anak usia 6-23 bulan yang masih disusui adalah 73,3 persen. Faktor yang berhubungan dengan disapih lebih awal adalah (OR = 1,13), ibu bekerja (OR = 2,0), pengasuh bukan ibu (OR = 1,62), dan anak tidak tinggal dengan ibu (OR = 9,35). Faktor yang berhubungan dengan durasi menyusui lebih lama adalah tinggal di perdesaan (OR = 0,69), umur ibu 30-39 tahun (OR = 0,67), persalinan di rumah (OR = 0,45), di klinik bidan (OR = 0,65). Penelitian ini menunjukkan tidak semua bayi mendapat ASI secara optimal. Target program promosi kesehatan untuk meningkatkan pemberian ASI sampai usia 2 tahun adalah petugas kesehatan di rumah sakit, orang tua bayi berpendidikan SMP ke bawah, ibu usia muda, dan di daerah perkotaan.