Hambatan pemberian ASI ekslusif pada ibu bekerja: teori ekologi sosial

Abstract

Obstacles of providing exclusive breastfeeding among working mothers using social-ecological theoryBackground: The coverage of exclusive breastfeeding (EBF) in Indonesia was increased to 38% but it was lower than the Millennium Development Goals (MDGs) target (80%). One of the influence factors is to return to work. Society assumed that a mother who stays at home more successful to provide EBF than working mothers. A previous study indicated that some obstacles become early cessation factors among working mothers.Objective: To explore the obstacle of breastfeeding using social-ecological theory.Methods: Qualitative research inquiry based on phenomenology design. Informants were chosen through purposive sampling. Inclusion criteria were working mothers who succeeded provide exclusive breastfeeding, had children age 6-24 months, lived, and formally worked at Manado. Data triangulation was conducted through in-depth interviews with the manager/supervisor/colleague. Data collected using in-depth interviews and observation.Results: A total of twelve informants have interviewed consists of six working mothers and six triangulation informants. The result indicated that lack of confidence was related to providing exclusive breastfeeding. This is caused by family influence, culture, health provider, and lack of awareness from the working place. A support group was the main factors that influence the mother to overcome all obstacles.Conclusions: The main obstacles for working mothers to provide EBF come from interpersonal factors that determined by other factors: intrapersonal, organizational, community. Therefore working mothers need breastfeeding preparation since early pregnancy to decrease breastfeeding obstacles.

Factors Associated with Exclusive Breastfeeding Practice by Mothers who Work as Health Workers

“…One obstacle affecting the mother's belief to give exclusive breastfeeding is the influence of a close family. (Agustina, Prabandari and Sudargo, 2020) in their research, shows that working mothers tend to ask their parents for help to take care of their babies when they return to work. However, these parents have different perceptions regarding exclusive breastfeeding.…”

Hubungan Pola Makan Dengan Produksi Asi Pada Ibu Menyusui

“…Pemberian ASI eksklusif yang belum memenuhi target di Kota Pekanbaru pada 2018 persentase pemberian ASI eksklusif pada bayi 0-6 bulan sebesar 37 %, berdasarkan data dari Dinas Kesehatan kota Pekanbaru 2019 pemberian ASI eksklusif sebesar 50,70% dapat disebabkan oleh beberapa hambatan yang dialami ibu. Hambatan tersebut berkaitan dengan kurangnya pengetahuan tentang manfaat ASI, kurangnya dukungan dari keluarga dan tempat bekerja, serta adanya pengaruh budaya seperti mempercayai mitos tertentu (Agustina, Prabandari, & Sudargo, 2020).…”

Tingkat Pengetahuan, Sikap, dan Dukungan Atasan tentang Pemberian ASI Eksklusif pada Tenaga Kesehatan dan Non Kesehatan

“…Peraturan tempat kerja, seperti pemberian cuti, shift kerja, hakhak pemenuhan ASI mempunyai pengaruh terhadap keputusan ibu, tetap menyusui secara eksklusif atau akan menyambung dengan pemberian susu formula (Faradila & Riendera, 2021). Hal lain yang dapat menghambat pemberian ASI antara lain pengetahuan dan sikap ibu bekerja terhadap pemberian ASI, kondisi psikologis ibu, lama intensitas kerja, serta beban kerja yang dialami ibu di tempat kerja (Agustina et al, 2020). Banyak tempat yang mempunyai sentra pekerja wanita, antara lain pabrik, domestik, serta pelayanan kesehatan.…”