Search Repository Universitas Fort De Kock

Kematian bayi pada masa neonatal di Indonesia masih menjadi tantangan.
Salah satu intervensi efektif untuk mengatasi masalah ini adalah Inisiasi Menyusui
Dini (IMD), yang mampu mencegah hingga 33% kematian neonatal jika
dilakukan segera setelah lahir. Namun, di wilayah Kecamatan Tambang,
penerapan IMD masih sangat rendah, dengan hanya 34 (1,8%) bayi baru lahir
yang mendapatkan IMD. Penelitian ini bertujuan untuk menganalisis faktor-faktor
penghambat keberhasilan IMD di wilayah kerja Puskesmas Tambang. Penelitian
ini menggunakan desain penelitian deskriptif korelasional dengan pendekatan
cross sectional. Populasi penelitian adalah bidan bekerja di wilayah kerja
Puskesmas Tambang. Sampel penelitian berjumlah 53 responden dengan
pengambilan sampel menggunakan teknik total sampling. Analisis data dilakukan
secara univariat dan bivariat. Hasil analisis univariat menunjukan mayoritas
responden (50,9%) memiliki sikap negatif, (71,7%) memiliki motivasi sedang,
(50,9%) standar operasional prosedur (SOP) IMD tidak memadai, (62,3%)
dukungan keluarga cukup, dan (71,7%) responden tidak melaksanakan IMD.

Berdasarkan analisis uji statistik dari chi-square diperoleh hasil sikap (p-
value=0,002), motivasi (p-value=0,002), SOP (p-value=0,002) dan dukungan

keluarga (p-value=0,018). Disimpulkan belum optimalnya pelaksanaan IMD,
dimana terdapat hubungan sikap, motivasi, SOP, dan dukungan keluarga terhadap
pelaksanaan pelaksanaan IMD di wilayah kerja puskesmas tambang. Diharapkan
petugas kesehatan meningkatkan dukungan terhadap implementasi IMD dengan
meningkatkan frekuensi untuk melakukan penyuluhan mengenai IMD kepada
masyarakat.

Neonatal death in Indonesia remains a challenge. One effective intervention
to address this issue is Early Initiation of Breastfeeding (IMD), which can prevent
up to 33% of neonatal deaths if performed immediately after birth. However, in
the Tambang sub-district, the implementation of IMD is still very low, with only
34 (1.8%) newborns receiving IMD. This study aims to analyze the factors
hindering the success of IMD in the working area of Tambang Health Center. The
research uses a descriptive correlational design with a cross-sectional approach.
The research population consists of midwives working in the Tambang Health
Center's jurisdiction. The sample size was 53 respondents, selected using total
sampling. Data analysis was conducted using univariate and bivariate methods.
Univariate analysis results showed that the majority of respondents (50.9%) had a
negative attitude, (71.7%) had moderate motivation, (50.9%) had inadequate IMD
Standard Operating Procedure (SOP), (62.3%) had adequate family support, and
(71.7%) did not implement IMD. Based on chi-square statistical analysis, the
results showed significant relationships between attitude (p-value = 0.002),
motivation (p-value = 0.002), SOP (p-value = 0.002), and family support (p-value
= 0.018) with the implementation of IMD. It can be concluded that the
implementation of IMD is not optimal, and there are significant relationships
between attitude, motivation, SOP, and family support with the implementation of
IMD in the working area of Tambang Health Center. It is expected that all parties
involved will increase their support for the implementation of IMD by increasing
the frequency of providing education regarding IMD to the community.