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Title : Bureaucratic and Manajerial Barriers in The Implementation of Exclusive Breastfeeding Policy at Binjai City, North Sumatera
Author :

Yayuk Hartriyanti, SKM., M.Kes. (1) Prof. dr. R. Detty Siti Nurdiati Z, MPH., Ph.D., Sp.OG(K). (2) Prof. Dr. dr. Mubasysyir Hasan Basri, MA. (3)

Date : 1 2018
Keyword : ASI EKSKLUSIF ASI EKSKLUSIF
Abstract : ABSTRACT Background: The coverage of exclusive breastfeeding in Indonesia is still not satisfactory. Based on data from Riskesdas in 2010, exclusive breastfeeding coverage 31,0% and 30,2% in 2013. As for the less than an hour process of breastfeed in 2010 amounted to 29.3% and 34.5% in 2013. Some policies those concerning about exclusive breastfeeding and early initiation of breastfeeding has been established. The established policies at the central level should be implemented and under surveillance in order to have an impact and achieve the goals set. There are many factors that influence the process of implementation including implementing perception, communication, budget, resources, facilities and infrastructure, bureaucratic structures, and unclear technical implementation guidelines. Objective: This research aimed to obtain a representation of the implementation of exclusive breastfeeding policy at Binjai city North Sumatera as well as surveillance and the factors that influence its implementation. Methods: This research use a qualitative method with case study approach. Data collected by indepth interviews, focus groups discussion, observation and document study. Results: Implementation of exclusive breastfeeding policy is still not implemented. This can be seen by inexistence of surveillance to the policy implementation and there are different interpretations in implementing the policy by the policy implementers. Moreover, there is no communication channel, basic quantity of budget, the training for midwives, facilities and supporting infrastructure, bureaucratic structure, as well as the guidelines of technical implementation in this implementation of policy. Conclusion: The implementation of exclusive breastfeeding policy should be initiated with the establishment of derivative policies at the local level so that there are clear regulations in the implementation.
Group of Knowledge : Lain-Lain
Level : Internasional
Status :
Published
Document
No Title Document Type Action