The policy of early initiation of breastfeeding has been socialized in Indonesia since August 2007 (Roesli, 2008). The World Health Organization (WHO) has recommended that all babies get colostrum, namely breast milk on the first and second days to fight various infections and get exclusive breastfeeding for 6 months (Ministry of Health 2012). The IMD implementation policy is also expected to reduce infant mortality (IMD). In infant mortality, 40% occurs in the first month of life and early initiation of breastfeeding can reduce these risk factors for death, thereby reducing 22% for 28-day infant mortality. The research design was a cross sectional study using primary data (questionnaire). This sample uses accidental sampling method. The results showed that of the 87 respondents at Puskesmas Palmerah, the age of 20-35 years old mothers who had good knowledge about IMD were 30 respondents (34.5%), respondents with high education (SMA-PT) had good knowledge about IMD as many as 51 respondents ( 58.62%), respondents who work and have good knowledge about IMD are 24 respondents (27.59%), respondents who are experienced and have good knowledge about IMD are 42 respondents (48.28%), respondents who receive information and have Good knowledge about IMD was 69 (79.31%), while the related variables included age, education and experience with a P value of 0.384 greater than α, namely 0.05. Conclusion. Characteristics of age, education level, experience are closely related to the knowledge possessed by pregnant women, especially those related to knowledge of IMD. Meanwhile, the factor that is not related to the success of IMD is the source of information. Suggestion. There needs to be an effort to do outreach activities on Early Initiation of Breastfeeding (IMD) or supporting facilities to increase the knowledge of pregnant women, especially in the third timester.Keywords: Knowledge, IMD, Characteristics
Based on data from the SDKI, the Maternal Mortality Rate (MMR) in Indonesia is still quite high, namely 359 per 100,000 live births1, and the results of the Inter-Census Population Survey show a decrease to 305 per 100,0002, this result is still quite far considering the Sustainable Development Goals (SDGs) target, namely reduce maternal mortality to below 70 per 100,000 target by 20303. The diversity of causes of maternal mortality and differences in regional characteristics make it necessary to make policies and plans to reduce MMR. AKI is an indicator of maternal health status. McCharty and Maine suggest 3 factors that influence maternal mortality, namely the near determinant, the intermediate determinant and the distant determinant.This research uses analytical research method, using secondary data, this method was chosen because in the first stage research will be conducted on the determinants of maternal mortality, then in the second stage an analysis will be carried out (analytic) to determine the determinants that have the most influence on maternal mortality in Tangerang Regency.There is a relationship between parity and maternal mortality with a p value of 0.025; OR = 5.667, which means that parity has 5.6 times the maternal mortality. There is a relationship between Ante Natal Care (ANC) examination and maternal mortality with a p value of 0.004; OR = 8,889 which means that ANC examination has 8.8 times of maternal mortality. There is a relationship between complications and maternal death with a p value of 0.019; OR = 7.5, which means that complications have 7.5 times the death rate and husband's work with maternal mortality p value 0.035; OR = 0.117. Thus parity, ANC examination, complications and husband's occupation have an effect on the determinants of maternal mortality.
The government's efforts in dealing with the population growth rate in Indonesia is to hold it a national family planning program. The most effective method of birth control is a Long Term Contraception Method (LTM). LTM consumption in Indonesia is still less attractive to spouses of fertile age (EFA) and tends to decrease. This thesis aims to determine the factors associated with the use of Long-Term Contraception Method (LTM) at the District Health Center Mount Sindur Year 2017. The study design was cross-sectional with quantitative and qualitative approach using primary data with a total sample of 154 women of childbearing age. Data analysis by multivariate analyzes.The results obtained by the use of LTM in Gunung Sindur District Health Clinics in 2020 amounted to 31.2%. There is a relationship (p≤0,05) between education, occupation, number of children born alive, knowledge, attitudes, the role of health professionals, counseling, support a husband, a source of information. There is no relationship (p≥0,05) between age, number of children desired, a history of previous use of contraception, access to the location of health facilities, the role of neighbors / friends, the role of cadres. The most dominant factor in the use of LTM are resources with OR = 14.8, meaning that getting resources WUS has a 14.8 times greater chance of taking LTM compared WUS uninformed.Abstrak Upaya pemerintah dalam menangani laju pertumbuhan penduduk di Indonesia adalah dengan mengadakannya program KB nasional. Metode KB yang paling efektif adalah Metode Kontrasepsi Jangka Panjang (MKJP). Pemakaian MKJP di Indonesia masih kurang diminati oleh Pasangan Usia Subur (PUS) dan cenderung menurun. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemakaian Metode Kontrasepsi Jangka Panjang (MKJP) di Puskesmas Kecamatan Gunung Sindur Tahun 2020 .Desain penelitian adalah cross sectional dengan pendekatan mixed method menggunakan data primer dengan jumlah sampel sebanyak 154 wanita usia subur. Teknik analisa data dengan multivariat. Hasil penelitian diperoleh pemakaian MKJP di Puskesmas Kecamatan Gunung Sindur tahun 2017 sebesar 31,2%. Ada hubungan (p≤0,05) antara pendidikan, pekerjaan, jumlah anak lahir hidup, pengetahuan, sikap, peran tenaga kesehatan, konseling, dukungan suami, sumber informasi. Tidak ada hubungan (p≥0,05) antara umur, jumlah anak yang diinginkan, riwayat pemakaian kontrasepsi sebelumnya, akses lokasi fasilitas kesehatan, peran tetangga/ teman, peran kader. Faktor paling dominan dalam pemakaian MKJP adalah sumber informasi dengan nilai OR=14,8, artinya WUS yang mendapatkan sumber informasi mempunyai peluang 14,8 kali lebih besar memakai MKJP dibandingkan WUS yang tidak mendapatkan informasi.
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