Pengaruh Pendidikan Kesehatan dengan Lembar Balik Terhadap Perilaku Pemberian Asi pada Ibu Post Partum The Effect of Health Education with Flipcharts on Breastfeeding Behavior in Post Partum Mothers

Main Article Content

Luluk Fajria Maulida

Abstract

One of the obstacles in breastfeeding attitude is the lack of lactation communication and counseling. Breastfeeding health education is designed to enforce healthy lifestyle of breastfeeding by delivering proof based information. Flipchart media usage can be easily understood by health counsellors and clients. The study is to investigate the influence of health education using flipchart over breastfeeding attitude in post-partum mothers. This research was used a quasi experiment design with posttest only design with control group. A random assignment sampling design was used to 42 respondents which were divided into 2 groups; intervention group and control group. The samples were randomized using numbers and were divided into intervention and control group. The intervention group was given health education after delivery and questionnaires were given in intervention and control group a week after postpartum. The average score postpartum maternal behavior in the intervention group (18,43) is higher than the control group (15,14). The results of chi square test p = 0.00; RR = 3.16; CI = 1,58-6,31. External variables related to the behavior of breastfeeding is the education level of p = 0.02. Health education using flipchart significantly affects breastfeeding behavior in postpartum mothers.

Article Details

Section
Public Health

References

Amir, L.H. (Published 12 May 2014) Managing Common Breastfeeding Problems In The Community. British Medical Journal.Hlm : 1.

Brown, J. E., Isaacs, J., Krinke, B., Lechtenberg, E & Murtaugh, M. (2013) Nutrition Trought the Life Cycle 5th Edition. USA. Hlm : 165.

Budiati, T. (2009) Efektifitas Pemberian Paket Paket “ Sukses ASI Terhadap Produksi ASI Ibu Menyusui Dengan Seksio Sesarea Di Wilayah Depok Jawa Barat”. TESIS.UI. Hlm 59-60.

Dias, D.O.L, Justo, G.E.R., Espirito, S.L., Meirelles, N.L. (2014) Counselling sessions increased duration of exclusive breastfeeding: a randomized clinical trial with adolescent mothers and grandmothers. Nutrition Journal.Hlm : 1.

Drew, K., Kismet, T.R., & Stephanie, L.W. (2008) Strategies for Breastfeeding Success. American Family Physician Volume 78 No. 2.Hlm : 225.

Gun, J.J, & Sun, H.K. (2010) Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth.Journal Korean Academy Nursing Volume 40 No. 2. Hlm 277.

Halunna, L., Kaunonen M., Koskinen, K., Tarkka M.T. (2010). Breastfeeding Support For Mothers And Families During Pregnancy And Birth And After Nursing Research Foundation. Hlm : 13-4.

Ida. (2012). Faktor-faktor yang Berhubungan Dengan Pemberian ASi Eksklusif 6 Bulan Di Wilayah Kerja Puskesmas Kemiri Muka Kota Depok Tahun 2011. Tesis : UI .

Imdad, A., Yakoob M.Y., & Bhutta Z.A. (2011). Effect Of Breastfeeding Promotion Interventions On Breastfeeding Rates, With Special Focus On Developing Countries. BMC Public Health 11(Suppl 3):S24.

Kailaku, S.I., Bakhtiary I.A., Umar, N., & Aritonang, A.T. (2013). Kesadaran Dan Pemahaman Tenaga Kesehatan Mengenai Kebijakan Terkait Menyusui Di Indonesia. Tersedia dalam :http://www.perinasia.com/post/188?title=Kesadaran+Dan+Pemahaman+Tenaga+Kesehatan+Mengenai+Kebijakan+Terkait+Menyusui+Di+Indonesia [Diakses 25 Oktober 2015].

Khoiriyah, A. (2014) Hubungan Antara Efikasi Diri Dan Dukungan Suami Dalam Menyusui Dengan Pemberian ASI Eksklusif Pada Ibu Menyusui Di Wilayah Kerja Puskesmas Urangagung Sidoarjo. Tesis. Universitas Sebelas Maret. Hlm: 3.

Kuswanti, I. (2014). Pengaruh Pendidikan Kesehatan Terhadap Keterampilan Menyusui Pada Ibu Post Partum Ditinjau Dari Paritas. Jurnal Kesehatan Samodra Ilmu Volume 5 No.2 Hlm:172.

Lestari, W. Amelia, N.R., & Rahmalia, S. (2012). Efektifitas Pendidikan Kesehatan Tentang ASI Terhadap Tingkat Pengetahuan, Kemampuan dan Motivasi Menyusui Primipara. Jurnal Ners Indonesia, Volume 2 No. 2.

Lim, R. (2012) ASI Eksklusif Dong! Buku untuk Para Ayah .Bali : Yayasan Bumi Sehat. Hlm : 6,11,22.

Lopes, S.D.S, Laigner, M.R., Primo, C.C., Leite, F.M.C. (2013) Baby-Friendly Hospital Initiative: evaluation of the Ten Steps to Successful Breastfeeding. Rev paul Pediatri Volume 31 No. 4. Hlm : 490.

Marmi.( 2012) ASI Saja Mama Berilah Aku ASi Karena Aku Bukan Anak Sapi. Yogyakarta : Pustaka Belajar. Hlm : 54-68.

Mubarak, W. I., & Chayatin, N. 2009. Ilmu Kesehatan Masyarakat : Teori dan Aplikasi. Jakarta : Salemba Medika. hlm 358, 361.

National Institute for Health and Care Excellence (NICE).(2015) Postnatal Care.UK : Public health guidance 37. Hlm 30,32-33.

National Institute for Health and Care Excellence (NICE).(2014) Maternal and Child Nutrition.UK : Public health guidance 11. Hlm: 36,38.

Notoatmodjo, S. (2007) Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.

Notoatmodjo, S. (2010) Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta.

Parsa, P, Masoumi, Z., Parsa, N., Parsa, B. 2015. Parents’ Health Beliefs Influence Breastfeeding Patterns among Iranian Women. Oman Medical Journal Volume 30 No. 3.Hlm :187.

Pulungan, R. (2008) “Pengaruh Metode Penyuluhan Terhadap Peningkatan Pengetahuan dan Sikap Dokter Kecil dalam Pemberantasan Sarang Nyamuk Demam Berdarah (PSD-DBD) di Kecamatan Helvetia Tahun 2007”.Tesis.Medan: Sekolah Pasca Sarjana Universitas Sumatra Utara.

Rachmawati, M. Darwita, R.R., & Setiawati, F. (2012). Peran Media Lembar Balik Dalam Meningkatkan Perilaku Ibu Terhadap Kesehatan Gigi & Mulut Anak Dan Evaluasi Dengan KMGS. FKG UI. Hlm : 2-4.

Rodrigues, A.P., Nascimento, L.A.D., Dodt, R.C.M., Oria, M.O.B., & Ximines, L.B. (2013) ValidationOf A Flipchart For Promotion Of Self-Efficacy In Breastfeeding. Acta Paul Emferm Volume 26 No. 6.Hlm : 586.

Roesli, U & Elizabeth, Y. (2007) Manajemen Laktasi dalam Bedah ASI Kajian dari Berbagai Sudut Pandang Ilmiah. Jakarta : IDAI.

Saragih, F.S. (2010) Pengaruh Penyuluhan Terhadap Pengetahuan dan Sikap Ibu tentang Makanan Sehat dan Gizi Seimbang DiDesa Merek Raya Kecamatan Raya Kabupaten Simalngun tahun 2010.

Skripsi. Universitas Sumatera Utara Saraswati, E.R. (2014) Pengaruh Penyuluhan Cara Menyusui Yang Benar Terhadap perilaku Pemberian ASI Minggu Pertama pada Ibu Nifas di RS PKU Muhammadiyah Yogyakarta. Naskah Publikasi. STIKES ‘Aisyiyah Yogyakarta.

Sitepu. A. 2010. Efektivitas Penyuluhan Kesehatan Menggunakan Metode Ceramah Disertai Pemutaran Vcd Dan Tanpa Pemutaran VCD dalam Meningkatkan Pengetahuan dan Sikap Ibu Tentang Penyakit Pneumonia Pada Balita Di Kecamatan Stabat Kabupaten Langkat.a.Tesis.Unversitas Sumatra Utara.

The U.S. Department of Health and Human Services’ Office on Women’s Health (OWH). (January 2011) Your Guide To Breastfeeding. U.S. Department of Health and Human Services, Office on Women’s Health.

Wawan, A & Dewi, M. (2010). Teori & Pengukuran Pengetahuan, Sikap, Dan Perilaku Manusia. Yogyakarta : Nuha Medika.

WBTi (The World Breastfeeding Trens Initiative). (2012) Are Our Babies Falling Through The Gaps?.India : BPNI/IBFAN. Hlm : 13