Sikap Ayah dan Jumlah Anak Serta Praktik Air Susu Ibu Eksklusif

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

Commercial growing up milks: Usage frequency and associated child and demographic factors across four Asia Pacific countries

Background Commercial growing up milks (GUMs) targeted at children from 12 to 36 months of age are a rapidly growing industry, particularly across the Asia Pacific. Methods The present study assessed the frequency of use and socio‐demographic and child associations of commercial GUM feeding in children, aged between 12 and 36 months, in capital cities in four Asia Pacific countries. Mothers of children aged between 12 and 36 months were surveyed, assessing GUM feeding frequency in the past month. A market research company database was used to survey across Asia Pacific urban cities, including Bangkok Thailand, Jakarta Indonesia, Singapore and Australian Capital Cities (ACC). Results More than 1000 women (n = 1051) were surveyed (Bangkok, n = 263; Jakarta, n = 275; ACC, n = 252; Singapore, n = 261). The mean (SD) age of mothers was 32.4 (5.3) years and that of children was 23.6 (6.7) months. In total, 62.7% of the children were fed GUMs more than once per week with significant country variance. In comparison with ACC, Asian countries were significantly more likely to feed GUMs ≥once per week: Bangkok [odds ratio (OR) = 5.7, 95% confidence interval (CI) = 3.8–8.6]; Jakarta (OR = 3.5, 95% CI = 2.3–5.5); and Singapore (OR = 7.4, 95% CI = 4.9‐11.1). Associations of GUM feeding included: maternal tertiary education; mothers younger than 30 years; working full time; and feeding of commercial infant formula under 12 months. Conclusions This is the first published study to explore commercial GUM feeding in and between countries. The incidence of GUM feeding, in contrast to international recommendations, signals the need for further research into the drivers for GUM feeding and its contribution to the diet

Fathers and infant health and survival in Ende, a rural district of Eastern Indonesia

Studies have shown that child survival can be greater when fathers are more highly involved in infant care than when they are less involved. This paper investigates fathers’ and paternal grandmothers’ knowledge and experiences relating to infants’ survival in a rural district of Eastern Indonesia, a context for which such information is lacking. Twenty fathers or replacement relatives participated in in-depth interviews. Most had very limited knowledge of the danger signs of childhood illness. None of participants had received child health-related information from local health personnel. Male-dominated forms of decision-making in relation to infant health care are the norm. Inadequacies in the child health services, such as difficulties in accessing health facilities, health personnel unavailability and discomfort during delivery, remain as challenges. Fathers appear to rely largely on their wives for their infant health and survival knowledge and have little involvement with their infants. They see their roles in terms of providing economic support and basic care for their infants. Grandmothers are seen as a major source of health information by fathers, but have limited knowledge of infant survival. The findings demonstrate a need for child health promotion programs and campaigns, including the safe motherhood program, to include fathers as well as mothers, in order to increase their awareness of infant survival and involvement in infant raising, and to persuade them to allow mothers greater scope to make child health-seeking decisions, especially when children require emergency treatment