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Health Services And It’s Utilization Related To Exclusive Breastfeeding and Early Breastfeeding Initiation Program in West Java Province
Despite the essential benefit of early initiation of breastfeeding and exclusive breast feeding during the first six months, the practice was still low. Health services and personnel play important role have not optimal yet in breast feeding.
The aim of this study was to review the provision of health services and it’s utilization related to early breastfeeding initiation and exclusive breastfeeding practices in West Java province. This study was an analysis of the Indonesian Health Facility Survey (Rifaskes) 2011 and the Basic Health Survey (Riskesdas) 2010. It analyzed 45 public hospitals and 997 primary health centers in West Java Province from HFS and 285 infants (0-6 months) in West Java province from Riskesdas. It supplemented with qualitative data that obtained from in-depth interviews with the representatives from central government, Provincial Health Office, District Health Office (DHO), public health centers and hospitals in Bandung city and Bogor district, West Java.
This study revealed that a number of gaps related to breastfeeding services in PHC and hospitals were still found. One of the influential factors that hindering the breastfeeding services in health services was the absence of local policy regarding early initiation of breastfeeding and exclusive breastfeeding practices in West Java Province. The limitation of human resources, facilities and specific budget were also become the obstacles in the implementation of the breastfeeding program. This study implied that most of community already utilized the maternal and child’s heath care.
This study indicated the importance of health services and support from health professionals for successful of breastfeeding. Thus the strong commitment of health personnels as well as the policy makers was really needed.
Keywords : early initiation of breastfeeding; exclusive breastfeeding; health facilities; utilization
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