Abstract

Partisipasi ayah pada pola pemberian makan bayi harus dipersiapkan dengan baik sehingga mendukung ibu untuk menyusui. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap ayah terhadap praktik pemberian ASI eksklusif. Sampel dalam penelitian ini adalah 536 pasangan suami istri yang mempunyai bayi usia 0-6 bulan. Data dikumpulkan dengan menggunakan kuesioner terstruktur. Desain yang digunakan adalah potong lintang dan analisis data menggunakan kai kuadrat dan regresi logistik. Rata-rata pemberian ASI eksklusif pada saat wawancara adalah 29,1%. Sekitar 83,6% dan 59,1% ayah mempunyai pengetahuan rendah tentang manajemen laktasi prenatal dan postnatal, tetapi 89,6% dan 61,9% ayah menunjukkan sikap positif terhadap praktik menyusui ketika masa kehamilan dan menyusui. Dukungan ayah terhadap praktik menyusui justru rendah pada saat persalinan (37,3%). Sikap ayah selama masa menyusui (nilai p < 0,05; OR = 1,623; 95%CI = 1,086 _ 2,425) merupakan faktor yang paling dominan memengaruhi praktik pemberian ASI eksklusif setelah dikontrol faktor lainnya dalam analisis regresi logistik. Pengetahuan yang baik dan sikap yang positif diketahui sebagai faktor penting dalam keberhasilan praktik pemberian ASI eksklusif. Hal ini menunjukkan kebutuhan keterlibatan ayah dalam berbagai program promosi praktik menyusui. Fathers participation in the decision making of infant feeding method have to be well prepared so that they can support mothers to breastfeed. The objective of the paper is to analyze the relationship between knowledge and attitude of the fathers on exclusive breastfeeding practice. Couples whose baby aged 0-6 months were recruited in this study. Structured questionnaire was used to collect the data. The study design was cross sectional in which chi square and logistic regression analyses were used for the statistical tests. The prevalence of exclusive breastfeeding at time of interviewwas 29.1%. Around 83.6% and 59.1% of fathers had low level of knowledge on prenatal and postnatal lactation management but 89.6% and 61.9% had positive attitude toward breastfeeding. Only 37.3% fathers showed positive attitude about breastfeeding during labor. Attitude of fathers during nursing period was a dominant factor associated with exclusive breastfeeding (p value < 0.05; OR = 1.623; 95% CI = 1.086 _ 2.425) after controlling for other factors in the logistic regression analysis. Good knowledge and positive attitude were known as important factors for successful exclusive breastfeeding practice. This indicates a need of breastfeeding education for fathers.

References

1. Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN), and Kementerian Kesehatan (Kemenkes—MOH), and ICF International. Indonesia demographic and health survey 2012. Jakarta: BPS, BKKBN, Kemenkes, and ICF International; 2013. 2. Bar-Yam NB, Darby L. Fathers and breastfeeding: a review of the literature. Journal of Human Lactation. 1997; 13: 45-50. 3. Wolfberg AJ, Michels KB, Shields W, O’Campo P, Bronner Y, Bienstock J. Dads as breastfeeding advocates: results of a randomized controlled trial of an educational intervention. American Journal of Obstetrics and Gynecology. 2004; 191: 708-12. 4. Cohen R, Lange L, Slusser W. A description of a male-focused breastfeeding promotion corporate lactation program. Journal of Human Lactation. 2002; 18: 61-5. 5. Freed GL, Kennard FJ, Schanler RJ. Attitudes of expectant fathers regarding breast-feeding. Pediatrics. 1992; 90: 224-7. 6. Februhartanty J. Strategic roles of fathers in optimizing breastfeeding practices: A study in an urban setting of Jakarta [Dissertation]. Jakarta: Universitas Indonesia; 2008. 7. Pisacane A, Continisio GI, Aldinucci M, D’Amora S, Continisio P. A controlled trial of father’s role in breastfeeding promotion. Electronic article. Pediatrics. 2005; 116(4): e494-8. 8. Arora S, McJunkin C, Wehrer J, Kuhn P. Major factors influencing breastfeeding rates: mother’s perception of father’s attitude and milk supply. Pediatrics [serial on internet]. 2000 [cited 2013 Jul 11]; 106: e67. Available from: http://pediatrics.aappublications.org/content/ 106/5/e67.full.html. 9. Scott JA, Shaker I, Reid M. Parental attitudes towards breastfeeding: their association with feeding outcome at hospital discharge. Birth. 2004; 31: 125-31. 10. Falceto OG, Giugliani ERJ,Fernandes CLC. Couples relationships and breastfeeding: is there an association? Journal of Human Lactation. 2004; 20: 46-55. 11. Giugliani ERJ. Common problems during lactation and their management. Jornal de Pediatria (Rio J). 2004; 80 (5 Suppl): S147-54. 12. Februhartanty J, Bardosono S, Septiari AM. Problems during lactation are associated with exclusive breastfeeding in DKI Jakarta Province: Father’s potential roles in helping to manage these problems. Malaysian Journal of Nutrition. 2006; 12: 167-80. 13. Coleman WL, Garfield C, Committee on Psychosocial Aspects of Child and Family Health. Fathers and pediatricians: enhancing men’s roles in the care and development of their children. Pediatrics. 2004; 113: 1406- 11. 14. Schmidt MM, Sigman-Grant M. Perspectives of low-income fathers’ support of breastfeeding: an exploratory study. Journal of Nutrition Education. 1999; 31: 31-7.

Download

Share

COinS