‘ ISSN : 2506 6501
INTERNATIONAL SEMINAR,
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SIGNING MEMORANDUM OF UNDERSTANDING (MoU)
PROCEEDING
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Editor/Reviewer : Dr. Rita Zulbetti, S.Si., MM
Yudhi Yanuar, S.T., M.Kom.
Mira Veranita, Dra., M.Si.
Angga Saeful Rahmat, S.Kep. Ners., M.Kep.
Leni Herfiyanti, S.ST. RMIK., MM.
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SEKRETARIAT
Gedung SEAMOLEC,
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email : aic_indonesia@yahoo.co.id PREFACE
International Seminar, Scientific Journal Workshop and Signing Memorandum of *
Understanding is an event that organized by collaboration between SEAMEO
SEAMOLEC and Academic International Consortium of Indonesia (AIC Indonesia).
Theme of the international seminar is “Creating Quality of Human Resources Strategy
through Competence Test in Facing the Global Era in ASEAN Economic Community”.
This event taking place at Universitas Terbuka Convention Center (UTCC), South
‘Tangerang, Indonesia on February 17th-18th, 2016.
This event was attended by 6 Foreign Universities and 65 from Indonesia Universities
with the number of participants as many as 953 participants, consist of 535 Students,
237 Lecturers and Researchers, 181 practitioners and other officials. We are, AIC
Indonesia has committed to continue to make better cooperation in various fields both
nationally and internationally with the full support from SEAMEO SEMAOLEC as to
lead our Consortium to provide the best for our consortium AIC Indonesia, also our
nation and our state The Republic of Indonesia.
This International Seminar is a scientific meeting in issues and trends in the
International level, there are the researchers and practitioners who can presented the
results of their latest research as well as discuss current issues and trends. This
conference is also a gathering place ideas of thinkers both in pure and applied sciences.
The collection of full papers are packed in the form of proceeding and grouped
according to the study area includes Health Cluster, Business Cluster and Information
Technology Cluster. The paper published in SEAMOLEC-AIC Proceeding has through
the stages of evaluation by the reviewers, who are competent in their fields. The
Committee congratulates and thank all of the participants for their participation and
papers in International Seminar event. The Committee also likes to thank all of the
stakeholders who have supported and actively participated in the success of this
international seminar.
Suggestions and criticisms in order to perfection for the next event are expected. The
committee expects that this media can be used as a reference in the development and
improvement of knowledge and sciences andall ofits applications.
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iv HEALTH CLUSTER
SEAMOLEC
www.seamolec.org www.scientific-journals.net RELATIONSHIP BETWEEN MOTHER'S KNOWLEDGE ABOUT ASI AND
MOTHER'S MOTIVATION OF BREASTFEEDING IN BANTUL,
YOGYAKARTA
Reni Merta Kusuma, Ristiana Ariningtyas
ASI (Air Susu Ibu. Mother's Milk) is very important and necessary for children’s health and
growth. Basic Health Research in 2012 noted that the scope of exclusive breastfeeding in
Indonesia was just 42% This result did not achieved the World Health Organisation (WHO)'s
target. that 5026 of women who give birth 10 the living infants could have breastfed their
‘abies. The Indonesian Government, through the Ministry of Health, is ariempiing 10 make
mothers able 10 breastfeed their babies. Data in Yogyakarta from 2008 10 2012 showed that the
scope of exclusive breastfeeding has relatively increased from 39.99% 1 48%. The scope of
exclusive breastfeeding needs 10 be maintained ard! improved 1 be more than 3036. with the
‘implication that the babies receive their right, namely the healthy tmake in the form of ASI. The
success of @ mother's breastfeeding is influenced by several factors among which are the mother’s
knowledge about the content and usefulness of ASI for infanis and her motivation for giving AS! as
the best food for her baby. The results of the study which has been done in the area of Bantul show
‘that the analysis of the correlation beeen knowledge and motivation has resulted ina value of +
0.149 and p ~ 0.034. It means that there is a significant correlation between mother's
dnovledge about breastfeeding and mother's motivation to breastfeed. The conclusion of this study
48 that there 48 a significant relationship between mother's knowledge about breastfeeding and
‘mother's motivation tobreastfeed.
Keywords: Breastfeeding Knowledge, Motivation to Breastfced
1, INTRODUCTION
ASI (Air Susu Thu, Mother's Milk) is necessary for children’s health and growth
Breastfeeding or giving of ASI has many benefits for mother and her baby, ASI isthe best food @
baby needs WHO (World Health Organization) has recommended breastfeeding to infants
because the Golden Standard Feeding starts from Insiasi Menyusu Dini (IMD, Early Initiation of|
Breastfeeding), six months of exclusive ASI, the giving of Makanan Pendamping ASI (MP-ASI,
ASI Complementary Food) afer the baby comes to 6 month old age, while still breastfeeding the
baby until he’she would come 2 year age or older (WHO, 20 14). Those series of measures are the
bass for filling the needs of infants and toddlers "*
‘WHO targets the coverage of exclusive ASI by 50%, but the fact shows that Indonesia just
reached 42% (Basic Health Research, 2013) ** Exclusive ASI for a baby needs a strong motivation
from within the nursing mother herself and a support of the people around her, What should be
prepared by the breastfeeding or nusring mother in order to have a strong motivation to breastfeed
her baby until she/he would reach 2 year old age, is true knowledge related to breastfeeding, The
ability of a mother to breastfeed her child is influenced by the knowledge related to breastfeeding,
‘among which isthe knowledege about the importance of ASI. The mother should know that ASI is
very useful forthe baby, that the baby needs ASI, dan that the baby would receive antibodies by
receiving the ASI This is similar with the resul of Widiyanto’s research (2012), that there is
strong relationship between knowledge and attitude ofthe nursing mother in giving the exclusive
ASI?
The failure of exclusive ASI coverage to reach the target was caused by many factors,
Intrinsic and extrinsic, related to the nursing mother, The study carried out by Racin etal. (2011)
shows thatthe experience of breastfeeding either of the nursing mother herself or ofthe others
could influence the nursing mother’s motivation to give ASI,” Its also confirmed by the result of
Hiaku's research (2007), which shows that the giving of ASI is stopped when the baby came to |
‘month old age.*
Intrinsic motivation is a motivation that makes a person active or becomes functional without
‘any stimulation from outside because there s an urge to do something in his or her own self
Intrinsic motivation of a nursing mother is very important to grow, and once this motivation exists,
itis necessary to maintain it so thatthe baby would receive his or her right to nutrition intake, The
influential intrinsic factor isthe provision of information and knowledge of breastfeeding *”
287 258
Extrinsic motivation is a motivation that makes a person active or has a will to do something.
‘because ofa stimulation from outside. Extemal motivation may come from family and community
support, the monitoring midwives, and breastfeeding support community. A nursing mother may
pot have a will 1 give her baby exclusive ASI if she has no true understanding that exclusive AS]
's very useful for her and her baby, notably forthe baby’s growth and development"
‘The place of doing this research was Bantul, Yogvakarta Bantul was one of the regencies
Which had the highest ASI coverage in Yogvakana This achievement was supported by
the existence of Kelompok Pendukung ASI (KP-ASI. Breastfeeding Support Group). The
Support group came from Bantul Health Office The existence of KP-ASI was very helpful and
supportive for nursing mothers to continue their giving their babies exclusive ASI until they came
2 year old age
‘Based on those described above, this study examines the nursing mothers’ knowledge about
ASI content and their motivation o breastfeed their baby inBantul Regency, Yogyakarta
2, RESEARCH METHODS,
‘The design ofthis study is a retrospective research with cross-cectional approach and survey’
‘method to examine the relationship between mother's knowledge about ASI and her motivation 10
breastfeed their babies. Research was conducied in several villages in Bantul, The villages are
Guwosari, Bangunjiwo, and Pleret. The research was conducted from July to August 2015
Source of data came from respondents consisting the nursing mothers who had infaats of 6-12
‘month age and still gave ASI up to the time of data collection. This provision was used beceuse
there were found in society mothers who, instead of the fact that they were in a breasfeeding,
period, didnot give ASI to their baby and chose to give formula milk to their babies.
Tae proses of data collection was done by asking the respondents to fill questionnaires. The
collected data, then, were verified andanalysed.
Population inthis research were all nursing mothers in Bantul Regency, the number of which
were 2176, The sample were nursing mothers who had baby with the age of 6-12 months. Sample
used in this research were 202 nursing mothers who had babies with the age of 6-12 months, and
still pve ASI when the data were collected. The sample were taken randomly from each area in
Bantul, Yogyakarta. Technique of taking sample was carried on by cluster random sampling.
‘The analysis was in accordance with the purpose of this study, ie. 10 seek an intervariables
relationship (between mother’s knowledge of ASI and mother’s motivation to give ASI to her
baby) and a description of the respondents" characteristics. Test of analysis used was analysis of
{description and Pearson's analysis of correlation
3. RESULTS AND DISCUSSION
A, Research Result
Description Analysis ofthe characteristics of respondents in thistudy,
‘Table 1. Characteristics oftespondents
7 Criteria ‘Amount Percentage
‘Age 15-20 year 2 1%
21-30 yearold 123 @0.9%
3140 yearoldT4——*36.6%
ad year old 3 15%
“Education es
HS 3
SHS 13
College’University 11
Work Work eae
No Work 8 86%
Respondents of 21-30 year old were the biggest, the percentage was 60.9%
Most of respondents had Senior High School level, the percentage was 70.8% Most of
respondents were working women or women who had job outside their homes, the
percentage was 6.4%, ‘Table 2 Description Analysis ofthe Knowledge about Breastfeeding and the
Minimum
‘Knowledge about Breastfeeding
1. ASPs content(%) 2024667 100,
2 Immune Factor(%) 20240 100, 84
3. Food Support(%) 202601009801
Motivation of Breastfeeding
1. Time of 2233 a
202 Too 93a) 1798
202 106.
Description analysis on the variable of Nursing Mother's Knowledge about AS}
showed that the Mean’s highest value was on sub-subject of Support Food, the percentage
‘was 98 01 with Deviation Standard6.62.
Description Analysis on the variable of Motivation of Giving ASI showed a
Mean’s point which was not too different in those three sub-subjects, The Mean’ highest
value was on sub-subject Lactation Management, 93.81, with Deviation Standard 17 95
Table 3 Description of Sub Factors AggregateFactor
Deviation
N/_ Msimum Maximum Mean Senaerd
Mother's Knowledge Factor(%) 202-6667 100008975, 539
Mother's Motivation Factor(%) 202 «3556-10000 93.10 870
Sub factor of Knowledge had Mean’s point 89.75. It meant that mother's
knowledge about ASI belonged 10 a category which was very good. Sub factor
‘of Motivation had Mean’s value 93.10%. It meant that Motivation of Giving ASI
belonged to a category which was very good, too,
‘Table 4. Correlation Between Mother's Knowledge about Breastfeeding and Mother's
Motivation ofBreastfeeding
Motivation ofBreastfeeding
cj ake
Mote Keane uthaten aor
Mother's Pearson Correlation 7 a9
Kevlaiehiace Gea
KooninnFacor “Sy rac) ae
N 202 202
Mother's Pearson Correlation 149° 1
Motion For
() Sig @-tailed) oH
x 38 i
Analysis of the correlation between Knowledge and Motivation got of value
+¥=0,149 and p=0,034, It meant that there were significant relationship between Mother's
Krowledge about ASI and Mother's Motivation to Give ASL
259 260
B. Discussion
Respondents of 21-30 year old were prominent inthis study, 609% The range of 21-30 year
‘ld belonged to the category of producave period for woman. In this period woman was
Productive to work This was also a period in which it was righ for woman to. have
healthy reproduction. ffom pregnancy, giving bith, portutton, and became an acceptor of
certain KB (Keluarsa Berencana Family Plannng) (DIY Health Office, 2013)"
Respondents inthis study. could be viewed as belonged 10 good category because the
Aistribution of respondents of 15-20 year old (1%) and those of above 40 vear old ($8) had
precentages which were smaller than other groups of ages range. Ages which were too young or
too old were not fit o be included inthe reproduction period. This was. more related to physical
ability of a mother Physical ability’ in reproduction period was related tothe ability of woman's
Iuscles to pass through the pregnancy pesod which would be followed by giving bith and
Porturtion. Poruntion would be followed by breastfeeding period, which beyan atthe child birth
to next several months These could be categorized as a heavy period, because beside the mother
‘would experienced hormonal adaptation and physical and psychological changes inher own sl,
she also ought to care for, her baby's needs. It underlined thatthe range of 21-30 year old was an
‘ideal period for a woman *2
The most of respondents’ level of education was Senior High School, 90.8%. Level of
‘education was significant to be used as an indicator of ability to receive and manage information
and someone's way of thinking. Level of education was often related to someone's level of
‘nowiedge about somethings. In our contest is the nursing mother’s knowledge about ASI and her
sivingof ASI to her baby
‘Knowledge about the importance of ASI and the benefits of giving ASI to the baby could be
‘obtained from health education given by health workers, infomation fom mass media or electronic,
media. Knowledge obtained could become a reflection’s materials for a woman, nd could be seen
from woman's view or way of thinking, which covlé help raise her motivation and meka her
better It was true too, for a woman which had obtained information about ASL Reflecting on tht
Inowledge would produce motivation to give ASI to her baby. That motivation emerged because
there was a conviction that ASI had a composition which was right and needed by baby to grow
and develop”
Level of education could be related to the nursing mother’s way of thinking about the giving
of the best intake for her baby, ASL. Based on information needed to strengthen motivation 1 give
the best intake to her baby, tbe nursing mother would make an effort o enable her baby grow and
develop optimally
“Majority of respondents (36.4%) were working ouside their homes. Generally, a as a worker
‘woman had a ration of maternity leave for 3 months. That lave was too shot, eeause the rule of
siving exclusive ASI was full 6 months, in which the baby just fed on ASI without any additives. It
‘was highly probable that the process of breastfeeding and giving exclusive ASI could be
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