FAKTOR DETERMINAN PELAKSANAAN INISIASI MENYUSU DINI (IMD)OLEH BIDAN DI KABUPATEN BREBES

Abstract

Latar belakang: Salah satu peran dan fungsi bidan adalah sebagai pelaksana, dimana Bidan merupakan petugas kesehatan yang membantu pertolongan persalinan, dan mempunyai peranan penting untuk memfasilitasi ibu dalam keberhasilan pelaksanaan IMD. Pertolongan persalinan di wilayah Kabupaten Brebes sebesar 98,30 % dilakukan oleh bidan. Presentase inisiasi menyusui dini di Brebes 40,39%. Tujuan penelitian: Untuk mengetahui dan menganalisis faktor determinan pelaksanaan inisiasi menyusui dini (IMD) oleh bidan di Puskesmas wilayah kerja Dinas Kesehatan Kabupaten Brebes. Metode penelitian: Jenis penelitian observasional dengan metode survey dan pendekatan cross sectional. Instrumen penelitian menggunakan kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya. Menggunakan analisis bivariat dengan uji chi square dan analisis multivariat dengan uji regresi logistik. Jumlah sampel 213 orang responden yaitu bidan desa di wilayah Kabupaten Brebes. Hasil penelitian: Hasil uji regresi logistik menunjukan variabel yang berpengaruh terhadap pelaksanaan inisiasi menyusu dini adalah usia bidan (OR 0.026 CI 95% 0.0050-0.14), pelatihan (OR 2.77 CI 95% 1.29-5.97) dan lama kerja (OR 9.63 CI 95% 3.85-24.1). Sedangkan faktor yang tidak berhubungan dengan pelaksanaan IMD adalah sikap, refreshing pelatihan, dukungan, dan kebijakan atasan. Kesimpulan: Dapat disimpulkan variabel yang paling berpengaruh terhadap pelaksanaan inisiasi menyusu dini adalah lama kerja (OR 9.63 CI 95% 3.85-24.1). Kata Kunci : Faktor Determinan, Pelaksanaan IMD, Bidan Background: One of the roles and functions of being a midwife is as an implementer, in which of being a health worker assisting in delivery assistance and has an important role to facilitate the mother in the successful implementation of Early Breastfeeding Initiation (Inisiasi Menyusui Dini or IMD). Delivery aids are performed by health personnel who possess midwifery competencies in Brebes Regency for about 98.30%. The percentage of early breastfeeding initiation in Brebes was 40.39%. Purpose: The purpose of this research is to know and analyze the determinant factors early breastfeeding initiation (IMD) implemented by midwives working for Public Health Center (Pusat Kesehatan Masyarakat or Puskesmas) in the working area of Brebes Regency Health Office. Methods: This type of research is observational research with survey method and cross sectional approach. The research instrument uses a structured questionnaire that has been tested for its validity and reliability. The research also uses bivariate analysis with chi-square test and multivariate analysis with logistic regression test. The sample is 213 respondents of village midwives in Brebes Regency. Results: The results of logistic regression test showed that the variables affecting the implementation of early breastfeeding initiation were midwife age (OR 0.026 CI 95% 0,0050-0,14), training (OR 2.77 CI 95% 1,29-5,97 ) and duration of work (OR 9.63 CI 95% 3.85-24.1). While the factors that are not related to the implementation of IMD is the attitude, refreshing training, support, and policy superiors. Conclusion: It can be concluded that the most influential variable on initiation of early breastfeeding is length of work (OR 9.63 CI 95% 3,85-24,1). Keywords : Determinant Factors, Implementation of IMD, Midwifes