(Qualitative Study) Analysis of Midwives Practice in Service of Providing Exclusive Mothers Milk for a Baby in Merak II Room at Sorong Public Health Hospital Type C in West Papua Year 2007

Abstract

The result of Indonesia Health Demographic Survey in year 2002-2003 showed that providing exclusive mothers milk for a baby less than 2 months was only 64%. It was caused by as follows : a baby directly was taken a bath after birth, was provided formula milk, and was put separately from a mother during treated at a hospital. A midwife is one of health profession that has a big influence within community, and has a responsibility to make a program of exclusive mothers milk succesfully. According to World Health Organization (WHO), midwives must be able to provide tratment, supervision, and advices to a mother during period of pregnancy, childbirth, and post partum. Beside that, midwives must be able to guide a childbirth process based on their responsibility and to promote mothers milk for a baby. Aim of this researchwas to obtain information about midwives practice in service of providing exclusive mothers milk for a baby in Merak II room at Sorong Public Hospital Type C. This was a qualittaive research using in-depth interview, Focus Group Discussion (FGD), and triangulation. Number of respondent was five midwives who worked in Merak II room. FGD was performed towards four persons who were the Head of room. In-depth interview was done for triangulation purpose towards the Head of room, the Hospital Director, and five post partum mothers who were hospitalized in Merak II room at Sorong Public Health Type C. The result of this research shows that most of the informants have sufficient understanding about exclusive mothers milk, and support the program of providing mothers milk for a new birth baby. Unfortunately, in fact, a baby drinks formula milk; most of the midwives have a low motivation because they obtain sufficient reward from a formula milk industry; and no punishment that will be received by midwives if they provide formula milk for a baby. All of the midwives said that they have never been supervised. Most of the midwives said that the inhibitor factors in service of providing exclusive mothers milk are: there is no policy that regulates management of lactation and training, and there is no standard operating procedures. Sumber Utama : www.mikm.undip.ac.id