5 Exclusive breastfeeding rates rose to 38.1 after 1 year of
Ki erja s assistance 2012, and rose again to 48.7 in 2013.
o All childbirths assisted by health workers are required to include immediate breastfeeding in
Community Health Centers in South Singkawang. o
Local policies have been reformed as a result of community and multi-stakeholder forum advocacy.
o The District health Office and partner Community Health Centers were supported to apply
aspects of good governance into their services, including public participation, transparency and accountability through innovation, incentives, and sanctions.
o Patient service flowcharts which illustrate how, where and from whom patients receive
healthcare are now displayed at community health centers in easily-understandable language. o
Service providershealth workers understand and are capable of carrying out tasks in accordance with national standards and technical SOPs.
o Multi-stakeholder forums function as forums for public participation in planning processes,
resource prioritization, and monitoring service quality. o
Complaint management systems now include multi-stakeholder forums and service users. o
National Minimum Service Standards are used as a goal on which healthcare performance indicators are based.
3. Fathers who Care about Breastfeeding, Makassar City, South Sulawesi
The development of groups called Bapak Peduli ASI or Fathers ho Care a out Breastfeedi g ega i
Makassar with a focus group discussion FGD. The FGD involved public figures, legislative members, and fathers, and discussed the importance of immediate and exclusive breastfeeding. The fathers agreed
that breastfeeding is not only the responsibility of mothers and health workers, but also the responsibility of fathers. They decided to band together and form a number of community based groups
u der the Fathers ho Care a out Breastfeedi g a e.
The groups are made up of civil servants, university lecturers, Islamic teachers, and many other local citizens. Together, they
undertook a series of advocacy meetings with legislative members and the district government in order to build
commitment on allocating budget funds and developing activities to support immediate and exclusive breastfeeding.
The groups also began working with Muslim and Christian religious figures and encouraged them to discuss exclusive breastfeeding in their sermons and lectures.
They also push companies to cease promoting and selling formula milk in their neighborhoods, and provide support and assistance to breastfeeding mothers.
We felt o pelled [to start our own group] since the formation of
other multi-stakeholder forums M“F , lai ed o e of the
members of Bapak Peduli ASI.
6 The results of advocacy and commitment of ASI Concerned Fathers are already visible in Makassar. From
an initial survey conducted at Cenderawasih Community Health Centers in 2012, only 43 of mothers were aware of the concept of exclusive breastfeeding. However, in 2014, 80 of post-partum mothers
had decided to exclusively breastfeed their babies. Mothers also now feel braver to oppose and reject formula milk, and often provide advice to other mothers on the benefits of immediate and exclusive
breastfeeding.
4. Exclusive Breastfeeding in Probolinggo, East Java
