Analysis of Early Breastfeeding Initiation for Newborns in Palu City
Keywords:
Early Breastfeeding Initiation, Maternal Knowledge, Maternal and Infant Health Conditions, Health Professional Support, Family Support
Abstract
Introduction: Early breastfeeding initiation is a critical intervention to reduce neonatal mortality and increase exclusive breastfeeding However, its implementation in RSIA Tinatapura Palu is still not optimal. This study aimed to assess the provision of early initiation of breastfeeding in newborns and identify the factors that inhibit it at Tinatapura Mother and Child Hospital,
Methods: This study uses a qualitative method with a descriptive approach, which aims to conduct in-depth interviews through data collection from various sources of information.
Results: This study found that implementation of early breastfeeding initiation at RSIA Tinatapura Palu was not optimal, with the majority of mothers reporting no IMD Key barriers included low maternal knowledge about IMD, postpartum maternal and infant health conditions, inconsistent hospital policies such as mother-infant separation after delivery (especially for sectio caesarean/premature cases) and flexibility in formula feeding without medical indication, and inadequate support from health workers, including lack of education and a tendency to recommend While hospitals claim to provide training and education, there is a gap between policy and practice on the
Conclusion: The implementation of early breastfeeding initiation in RSIA Tinatapura Palu is still not running. Structured interventions are needed in the form of clear IMD protocols, increased education for mothers and families, and ongoing training for health workers to ensure consistent and standardized IMD.
References
1. World Health Organization (WHO). Early initiation of breastfeeding to promote exclusive breastfeeding. Available from: https://www.who.int/tools/elena/interventions/early-breastfeeding
2. United Nations Children's Fund (UNICEF). Breastfeeding and the Sustainable Development Goals Factsheet. 2016. Available from: https://worldbreastfeedingweek.org/2016/pdf/BreastfeedingandSDGsMessaging%20WBW2016%20Shared.pdf
3. The International Federation of Gynecologi and Obstetrics (FIGO). Harnessing the golden hour: breastfeeding recommended within first hour of life. 2023. Available from: https://www.figo.org/sites/default/files/2023-07/FIGO%20Statement_breastfeeding%20recommended%20within%20first%20hour%20of%20life_2023.pdf
4. World Health Organization (WHO). Breastfeeding. Available from: www.who.int/health-topics/breastfeeding
5. World Health Organization Indonesia. Ibu Membutuhkan Lebih Banyak Dukungan Menyusui Selama Masa Kritis Bayi Baru Lahir. 2024. Available from: https://www.who.int/indonesia/id/news/detail/01-08-2024-mothers-need-more-breastfeeding-support-during-critical-newborn-period#
6. Kementerian Kesehatan Republik Indonesia. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tahun 2021. Jakarta Pusat: Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan Republik Indonesia; 2022. Available from: https://drive.google.com/file/d/1p5fAfI53U0sStfaLDCTmbUmF92RDRhmS/view
7. Kementerian Kesehatan Republik Indonesia. Buku Saku Hasil Survei Status Gizi Indonesia (SSGI). 2022. Jakarta Pusat: Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan Republik Indonesia; 2023. Available from: https://drive.google.com/file/d/1v6ceJlVFCVCBedrzbdDNCj6T4ZbadVBi/view
8. Kementerian Kesehatan Republik Indonesia. Survei Kesehatan Indonesia (SKI). 2023. Jakarta Pusat: Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan Republik Indonesia; 2023. Available from: https://drive.google.com/file/d/1rjNDG_f8xG6-Y9wmhJUnXhJ-vUFevVJC/view
9. Dinas Kesehatan Provinsi Sulawesi Tengah. Profil Dinas Kesehatan Provinsi Sulawesi Tengan Tahun 2022. Sulawesi Tengah. Dinas Kesehatan Provinsi Sulawesi Tengah; 2023. Available from: https://dinkes.sultengprov.go.id/wp-content/uploads/2023/06/Profil-KEsehatan-2022.pdf
10. Purwanto Hendra. Profil Rumah Sakit Ibu dan Anak Tinatapura Palu. 2023. Available from: https://rsiatinatapurapalu.wordpress.com/visi-dan-misi/
11. Dwi Riyanti, 2023, Hubungan Inisiasi Menyusui Dini (IMD) Dengan Kecukupan Asi Dan Kejadian Ikterus Pada Bayi Baru Lahir Di Rumah Sakit Umum Haji Surabaya. Skripsi thesis. Fakultas Keperawatan Universitas Airlangga Surabaya. Surabaya. Available from: https://repository.unair.ac.id/122983/1/Dwi%20Riyanti_131111180%20%28br%29%20UNGGAH%20FINAL%202.pdf
12. Tschiderer L, Seekircher L, Kunutsor SK, et al. Breastfeeding is associated with a reduced maternal cardiovascular risk: Systematic review and meta?analysis involving data from 8 studies and 1 192 700 parous women. 2022. Journal of the American Heart Association. 2022 Jan 18;11(2):e022746. Doi: 10.1161/JAHA.121.022746. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9238515/
13. Indrasari, N., dan Oktaviana, A. Hubungan Pengetahuan Ibu Terhadap Keberhasilan IMD Pada Ibu Bersalin. 2023 Jurnal Maternitas Aisyah (Jaman Aisyah), 4(2), 175-185. Doi: https://doi.org/10.30604/jaman.v4i2.1101. Available from: file:///Users/user/Downloads/1101-Article%20Text-2226-1-10-20230606.pdf
14. Kasmawati Kasmawati, & Asmaul Husnah. (2024). Hubungan Pemberian Inisiasi Menyusu Dini dan Asi dengan Daya Tahan Tubuh Bayi di Puskesmas Tolo Kabupaten Jeneponto. OBAT: Jurnal Riset Ilmu Farmasi Dan Kesehatan, 2(1), 203–212. Doi: https://doi.org/10.61132/obat.v2i1.262 . Available from: https://journal.arikesi.or.id/index.php/OBAT/article/view/262/265
15. Dyah S, H. Inisiasi Menyusu Dini (IMD) Terhadap Kelancaran ASI Pada Ibu Menyusui Bayi Usia 0-1 Bulan Di Wilayah Kerja Puskesmas Kutorejo Kabupaten Mojokerto. 2018. Medica Majapahit. Vol 10. No. 1, Maret 2018. Available from: file:///Users/user/Downloads/286-Article%20Text-558-1-10-20191016.pdf
16. Peraturan Pemerintah Nomor 28 Tahun 2024 tentang Peraturan Pelaksanaan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. Available from: https://peraturan.bpk.go.id/details/294077/pp-no-28-tahun-2024
17. Ekholuenetale M, Barrow A. What does early initiation and duration of breastfeeding have to do with childhood mortality? Analysis of pooled population-based data in 35 sub-Saharan African countries. International Breastfeeding Journal 2021;16:1–9.27. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-021-00440-x
18. Pretorius CE, Asare H, Genuneit J, Kruger HS, Ricci C. Impact of breastfeeding on mortality in sub-Saharan Africa: a systematic review, meta-analysis, and cost-evaluation. Eur J Pediatr 2020;179:1213–25. Available from: https://pubmed.ncbi.nlm.nih.gov/32592027/
19. World Health Organization (WHO). World Breastfeeding Week 2023. Available from: https://www.who.int/campaigns/world-breastfeeding-week/2023
20. Sukarti, N, N., Windiani T, A, G,I., Kurniati, Y, D. Hambatan Keberhasilan Pelaksanaan Inisiasi Menyusu Dini (IMD) pada Ibu Bersalin di Rumah Sakit Umum Pusat Sanglah Denpasar. 2020. Jurnal Ilmiah Kebidanan (The Journal Of Midwifery), Vol. 8 No.1Tahun 2020. Doi: https://doi.org/10.33992/jik.v8i1.1197. Available from: https://ejournal.poltekkes-denpasar.ac.id/index.php/JIK/article/view/1197/409
21. Sihota H, Oliffe J, Kelly MT, McCuaig F. Fathers’ experiences and perspectives of breastfeeding: a scoping review. Am J Mens Health. 2019;13(3):1557988319851616. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6537273/
22. Swanson V, Hannula L, Eriksson L, Wallin MH, Strutton J. ‘Both parents should care for babies’: a cross?sectional, cross?cultural comparison of adolescents’ breastfeeding intentions, and the influence of shared? parenting beliefs. BMC Pregnancy Childbirth. 2017;17:204. DOI 10.1186/s12884-017-1372-y. Available from: file:///Users/user/Downloads/s12884-017-1372-y.pdf
23. Hauck YL, Blixt I, Hildingsson I, Gallagher L, Rubertsson C, Thomson B, et al. Australian, Irish and Swedish women’s perceptions of what assisted them to breastfeed for six months: exploratory design using critical incident technique. BMC Public Health. 2016;16:1067. DOI 10.1186/s12889-016-3740-3. Available from: file:///Users/user/Downloads/s12889-016-3740-3.pdf
24. Yaya S, Bishwajit G, Shibre G, Buh A. Timely initiation of breastfeeding in Zimbabwe: evidence from the demographic and health surveys 1994–2015. International Breastfeeding Journal 2020;15(1):1–7. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-020-00255-2
25. Nursika, I., dan Putri, R. Hubungan Sumber Informasi, Dukungan Keluarga Dan Dukungan Tenaga Kesehatan Terhadap Pelaksanaan Inisiasi Menyusu Dini Di Puskesmas Karangpawitan Kabupaten Garut Tahun 2023. SENTRI: Jurnal Riset Ilmiah Vol.2, No.10 Oktober 2023. Doi: https://doi.org/10.55681/sentri.v2i10.1665 . Available from: https://ejournal.nusantaraglobal.ac.id/index.php/sentri/article/view/1665/1619
26. Suzana, B, N., Padmawati, S, R., dan Ratrikaningtyas. Peran Tenaga Kesehatan Dalam Pelaksanaan Inisiasi Menyusu Dini (IMD) (Studi Kualitatif Di RSUD Dr. Abdul Rivai Kabupaten Berau). 2024. Tesis. S2 Ilmu Kesehatan Masyarakat. Universitas Gadjah Mada. Available from: https://etd.repository.ugm.ac.id/penelitian/detail/244041
27. Fitria, R dan Antari, ., G. Dukungan Keluarga dan Inisiasi MenyusuDini (IMD) dalam Keberhasilan Pemberian ASI Eksklusif. 2024. OMJ (Optimal Midwife Journal), Volume 1, No. 2, Desember 2024, (Hal. 20-31). DOI https://doi.org/10.1234/k8sk5285. Available from: https://journal.optimalbynfc.com/index.php/omj/article/view/21
2. United Nations Children's Fund (UNICEF). Breastfeeding and the Sustainable Development Goals Factsheet. 2016. Available from: https://worldbreastfeedingweek.org/2016/pdf/BreastfeedingandSDGsMessaging%20WBW2016%20Shared.pdf
3. The International Federation of Gynecologi and Obstetrics (FIGO). Harnessing the golden hour: breastfeeding recommended within first hour of life. 2023. Available from: https://www.figo.org/sites/default/files/2023-07/FIGO%20Statement_breastfeeding%20recommended%20within%20first%20hour%20of%20life_2023.pdf
4. World Health Organization (WHO). Breastfeeding. Available from: www.who.int/health-topics/breastfeeding
5. World Health Organization Indonesia. Ibu Membutuhkan Lebih Banyak Dukungan Menyusui Selama Masa Kritis Bayi Baru Lahir. 2024. Available from: https://www.who.int/indonesia/id/news/detail/01-08-2024-mothers-need-more-breastfeeding-support-during-critical-newborn-period#
6. Kementerian Kesehatan Republik Indonesia. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tahun 2021. Jakarta Pusat: Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan Republik Indonesia; 2022. Available from: https://drive.google.com/file/d/1p5fAfI53U0sStfaLDCTmbUmF92RDRhmS/view
7. Kementerian Kesehatan Republik Indonesia. Buku Saku Hasil Survei Status Gizi Indonesia (SSGI). 2022. Jakarta Pusat: Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan Republik Indonesia; 2023. Available from: https://drive.google.com/file/d/1v6ceJlVFCVCBedrzbdDNCj6T4ZbadVBi/view
8. Kementerian Kesehatan Republik Indonesia. Survei Kesehatan Indonesia (SKI). 2023. Jakarta Pusat: Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan Republik Indonesia; 2023. Available from: https://drive.google.com/file/d/1rjNDG_f8xG6-Y9wmhJUnXhJ-vUFevVJC/view
9. Dinas Kesehatan Provinsi Sulawesi Tengah. Profil Dinas Kesehatan Provinsi Sulawesi Tengan Tahun 2022. Sulawesi Tengah. Dinas Kesehatan Provinsi Sulawesi Tengah; 2023. Available from: https://dinkes.sultengprov.go.id/wp-content/uploads/2023/06/Profil-KEsehatan-2022.pdf
10. Purwanto Hendra. Profil Rumah Sakit Ibu dan Anak Tinatapura Palu. 2023. Available from: https://rsiatinatapurapalu.wordpress.com/visi-dan-misi/
11. Dwi Riyanti, 2023, Hubungan Inisiasi Menyusui Dini (IMD) Dengan Kecukupan Asi Dan Kejadian Ikterus Pada Bayi Baru Lahir Di Rumah Sakit Umum Haji Surabaya. Skripsi thesis. Fakultas Keperawatan Universitas Airlangga Surabaya. Surabaya. Available from: https://repository.unair.ac.id/122983/1/Dwi%20Riyanti_131111180%20%28br%29%20UNGGAH%20FINAL%202.pdf
12. Tschiderer L, Seekircher L, Kunutsor SK, et al. Breastfeeding is associated with a reduced maternal cardiovascular risk: Systematic review and meta?analysis involving data from 8 studies and 1 192 700 parous women. 2022. Journal of the American Heart Association. 2022 Jan 18;11(2):e022746. Doi: 10.1161/JAHA.121.022746. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9238515/
13. Indrasari, N., dan Oktaviana, A. Hubungan Pengetahuan Ibu Terhadap Keberhasilan IMD Pada Ibu Bersalin. 2023 Jurnal Maternitas Aisyah (Jaman Aisyah), 4(2), 175-185. Doi: https://doi.org/10.30604/jaman.v4i2.1101. Available from: file:///Users/user/Downloads/1101-Article%20Text-2226-1-10-20230606.pdf
14. Kasmawati Kasmawati, & Asmaul Husnah. (2024). Hubungan Pemberian Inisiasi Menyusu Dini dan Asi dengan Daya Tahan Tubuh Bayi di Puskesmas Tolo Kabupaten Jeneponto. OBAT: Jurnal Riset Ilmu Farmasi Dan Kesehatan, 2(1), 203–212. Doi: https://doi.org/10.61132/obat.v2i1.262 . Available from: https://journal.arikesi.or.id/index.php/OBAT/article/view/262/265
15. Dyah S, H. Inisiasi Menyusu Dini (IMD) Terhadap Kelancaran ASI Pada Ibu Menyusui Bayi Usia 0-1 Bulan Di Wilayah Kerja Puskesmas Kutorejo Kabupaten Mojokerto. 2018. Medica Majapahit. Vol 10. No. 1, Maret 2018. Available from: file:///Users/user/Downloads/286-Article%20Text-558-1-10-20191016.pdf
16. Peraturan Pemerintah Nomor 28 Tahun 2024 tentang Peraturan Pelaksanaan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. Available from: https://peraturan.bpk.go.id/details/294077/pp-no-28-tahun-2024
17. Ekholuenetale M, Barrow A. What does early initiation and duration of breastfeeding have to do with childhood mortality? Analysis of pooled population-based data in 35 sub-Saharan African countries. International Breastfeeding Journal 2021;16:1–9.27. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-021-00440-x
18. Pretorius CE, Asare H, Genuneit J, Kruger HS, Ricci C. Impact of breastfeeding on mortality in sub-Saharan Africa: a systematic review, meta-analysis, and cost-evaluation. Eur J Pediatr 2020;179:1213–25. Available from: https://pubmed.ncbi.nlm.nih.gov/32592027/
19. World Health Organization (WHO). World Breastfeeding Week 2023. Available from: https://www.who.int/campaigns/world-breastfeeding-week/2023
20. Sukarti, N, N., Windiani T, A, G,I., Kurniati, Y, D. Hambatan Keberhasilan Pelaksanaan Inisiasi Menyusu Dini (IMD) pada Ibu Bersalin di Rumah Sakit Umum Pusat Sanglah Denpasar. 2020. Jurnal Ilmiah Kebidanan (The Journal Of Midwifery), Vol. 8 No.1Tahun 2020. Doi: https://doi.org/10.33992/jik.v8i1.1197. Available from: https://ejournal.poltekkes-denpasar.ac.id/index.php/JIK/article/view/1197/409
21. Sihota H, Oliffe J, Kelly MT, McCuaig F. Fathers’ experiences and perspectives of breastfeeding: a scoping review. Am J Mens Health. 2019;13(3):1557988319851616. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6537273/
22. Swanson V, Hannula L, Eriksson L, Wallin MH, Strutton J. ‘Both parents should care for babies’: a cross?sectional, cross?cultural comparison of adolescents’ breastfeeding intentions, and the influence of shared? parenting beliefs. BMC Pregnancy Childbirth. 2017;17:204. DOI 10.1186/s12884-017-1372-y. Available from: file:///Users/user/Downloads/s12884-017-1372-y.pdf
23. Hauck YL, Blixt I, Hildingsson I, Gallagher L, Rubertsson C, Thomson B, et al. Australian, Irish and Swedish women’s perceptions of what assisted them to breastfeed for six months: exploratory design using critical incident technique. BMC Public Health. 2016;16:1067. DOI 10.1186/s12889-016-3740-3. Available from: file:///Users/user/Downloads/s12889-016-3740-3.pdf
24. Yaya S, Bishwajit G, Shibre G, Buh A. Timely initiation of breastfeeding in Zimbabwe: evidence from the demographic and health surveys 1994–2015. International Breastfeeding Journal 2020;15(1):1–7. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-020-00255-2
25. Nursika, I., dan Putri, R. Hubungan Sumber Informasi, Dukungan Keluarga Dan Dukungan Tenaga Kesehatan Terhadap Pelaksanaan Inisiasi Menyusu Dini Di Puskesmas Karangpawitan Kabupaten Garut Tahun 2023. SENTRI: Jurnal Riset Ilmiah Vol.2, No.10 Oktober 2023. Doi: https://doi.org/10.55681/sentri.v2i10.1665 . Available from: https://ejournal.nusantaraglobal.ac.id/index.php/sentri/article/view/1665/1619
26. Suzana, B, N., Padmawati, S, R., dan Ratrikaningtyas. Peran Tenaga Kesehatan Dalam Pelaksanaan Inisiasi Menyusu Dini (IMD) (Studi Kualitatif Di RSUD Dr. Abdul Rivai Kabupaten Berau). 2024. Tesis. S2 Ilmu Kesehatan Masyarakat. Universitas Gadjah Mada. Available from: https://etd.repository.ugm.ac.id/penelitian/detail/244041
27. Fitria, R dan Antari, ., G. Dukungan Keluarga dan Inisiasi MenyusuDini (IMD) dalam Keberhasilan Pemberian ASI Eksklusif. 2024. OMJ (Optimal Midwife Journal), Volume 1, No. 2, Desember 2024, (Hal. 20-31). DOI https://doi.org/10.1234/k8sk5285. Available from: https://journal.optimalbynfc.com/index.php/omj/article/view/21
Published
2025-07-15
Section
Original Articles
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