Faktor-faktor yang Berhubungan dengan Pemberian ASI Satu Jam Pertama Setelah Melahirkan

Abstract

Infant Mortality Rate (IMR) in Indonesia is still the highest among the other ASEAN countries. The major cause for infant and children mortality is infections, especially the upper respiratory tracts infection and diarrhea. The prevention efforts for reducing the infections are a good nutrition management for infant and children such as adequate and appropriate breastfeeding. A good start for breastfeeding is about 30 minutes after delivery. The Indonesia DHS 2002-2003 showed that 95.5% children under five have already have breast-milk, but only 38.7% of them are having the first breast-milk within one hour after delivery. The Objective of this study is to know the factors related to the breastfeeding given within one hour after delivery. The study uses secondary source of data of the Indonesia DHS 2002-2003 with a cross-sectional design. The number of sample is 6.018, which are mothers who have the latest life child aged 0 to 24 months and still having breastfed and delivered without surgery. Data are analyzed using the application multivariate logistic regression. The study has found that the proportion of breastfeeding given within one hour after delivery as high as 38.28%. The dominant factor related to the breastfeeding given within one hour after delivery is the antenatal care provider. Other factor are: the residential location, wanted pregnancy, the antenatal care provider, birth attendance, accessibility on radio, and newborn’s weight. There is an interaction between residential location and the antenatal care provider, wanted pregnancy and the antenatal care provider, and newborn’s weight and the birth attendance. There is a need to make an effort on: increasing the knowledge and motivation for the health provider about the importance of the immediate administration of breastfeeding to the newborn and the exclusive breastfeeding. The efforts should be supported by government policy. Key words: Breastfed in first one hour, risk factor, IDHS 2002-2003