DONOR ASI DAN BANK ASI TUGAS MATA KULIAH GIZI DALAM KESEHATAN REPRODUKSI Dr. S.A Nugraeni, M.Kes DOSEN PENGAMPU : dr. Dr.
ENY MAYASARI DEWI PRAMUKTI DIAN W MKIA NON REG SEMESTER II
MAGISTER KESEHATAN MASYARAKAT MINAT MANAJEMEN KESEHAT KES EHATAN AN IBU DAN ANAK UNIVERSITAS DIPONEGORO 2013
KATA PENG PENGANTAR ANTAR
Dengan mengua!"an Pu#$ %an S&u"u' Ke(a%$'a) A**a( SWT+ a)a, -e'"a)+ 'a(ma)+ %an ($%a&a(.N&a ma"a !en&u,un %a!a) men&e*e,a$"an )uga, /u)*$ne )e,$, &ang -e'#u%u* DONOR ASI DAN BANK ASI Pen&u,unan )uga, $n$ me'u!a"an ,a*a( ,a*a( ,a)u ,a)u )uga, )uga, %a*am %a*am ma)a ma)a "u*$a "u*$a( ( G$$ G$$ %a*am %a*am Ke,e( Ke,e(a)a a)an n Re!'/ Re!'/%u" %u",$ ,$ ,e-aga ,e-aga$$ 4/*un)ee' ma)e'$ )am-a(an &ang %$ am!u /*e( %' D' SA Nug'aen$+ MKe, Pen&u,unan Pen&u,unan )uga, $n$ )$%a" )e'*e!a, )e'*e!a, %a'$ -an)uan -an)uan -e'-aga$ -e'-aga$ !$(a" %an %a*am "e,em!a)an $n$ !u*a !en&u,un $ng$n mengua!"an )e'$ma "a,$( "(u,u,n&a "e!a%a %/,en !engam!u &ang a)a, -$m-$ngann&a "am$ %a!a) men&e*e,a$"an )uga, $n$ ,e')a !a%a -e'-aga$ !$(a" &ang )$%a" %a!a) "am$ ,e-u)"an ,a)u !e',a)u Pen&u,un men&a%a'$ -a(5a ma,$( -an&a" "e"u'angan %a*am !en&u,unan )uga, $n$ O*e( "a'ena $)u+ "am$ mengua!"an maa6 &ang ,e-e,a'n&a a!a-$*a )e'%a!a) (a*.(a* &ang "u'ang -e'"enan A"($' "a)a+ !enu*$, meng(a'a!"an aga' )uga, $n$ %a!a) -e'man6aa) -ag$ !em-aa %an %a!a) menam-a( mena m-a( 5a5a,an !enge)a(uan $*mu $* mu
Sema'ang+ Me$ 2013
Penu*$,
Donor ASI dan Bank ASI
2
DATAR ISI
Table of Contents KATA PENGANTAR ................................................................................................... 2 DA7TAR ISI............................................................................................................. 3 BAB I...................................................................................................................... 5 PENDAHU8UAN....................................................................................................... 5 A.
LATAR BELAKANG ........................................................................................ 5
B.
TU!UAN........................................................................................................ 6
BAB II..................................................................................................................... 7 TINJAUAN PUSTAKA................................................................................................ 7 A DONOR ASI...................................................................................................... 7 1 Penge')$an....................................................................................................... 7
HA8AMAN JUDU8 $ KATA PENGANTAR $$ DA7TAR ISI $$$
BAB I PENDAHULUAN 9
A 8a)a' Be*a"ang 9 D Tu#uan :
BAB II ISI ;
ADONOR ASI ; 1 Penge')$an ;
2 In%$"a,$ ; 3 S&a'a) ; < P'/,e%u' = 9 Ka#$an Hu"um In%/ne,$a 12 : Ka#$an %a*am Pe',!e")$6 I,*am 19 ; P'a")e" D/n/' ASI %$ In%/ne,$a 1>
B BANK ASI 1= 1 Penge')$an 1= 2 Ka#$an Hu"um %$ In%/ne,$a 20 3 Ka#$an %a*am Pe',!e")$6 I,*am 20
BAB III PENUTUP 22
AKe,$m!u*an 22 B Sa'an 22
DA7TAR PUSTAKA
BAB I
PENDAHULUAN
A. LATAR BELAKANG
Ang"a Kema)$an Ba&$ ? AKB @ me'u!a"an ,a*a( ,a)u $n%$"a)/' "e,e(a)an ,ua)u nega'a Se-aga$ nega'a &ang )e*a( $"u) me'a)$6$"a,$ M$**en$um De4e*/!men) G/a*,+ In%/ne,$a )e*a( -e'"/m$)men un)u" menu'un"an AKB %a'$ 32 !e' 100 "e*a($'an ($%u! !a%a )a(un 2012 men#a%$ 23 !e' 1000 "e*a($'an ($%u! !a%a )a(un 2019Sa*a( ,a)u a'a un)u" menu'un"an AKB a%a*a( %engan !enggunaan ASI E",*u,$6 Be'-aga$ !ene*$)$an )e*a( mem-u")$"an -a(5a ASI E",*u,$6 %a!a) menu'un"an !en&e-a- "ema)$an -a&$+ namun $'/n$,n&a a"u!an ASI e",*u,$6 ,en%$'$ ma,$( 'en%a( ASI me'u!a"an ma"anan )e'-a$" un)u" -a&$ &ang mengan%ung ,ega*a nu)'$,$ !en)$ng %engan !/',$ ,e$m-ang &ang )$%a" )e'gan)$"an %engan ma"anan a!a!un Namun )$%a" ,emua I-u %a!a) men&u,u$ -a&$n&a "a'ena -e'-aga$ "ea%aan Da*am "/n%$,$ ,e!e')$ $n$+ ma"a ma"anan !enggan)$ ASI $-u "an%ung -/*e( %$-e'$"an %engan ($e'a'"$ ,-- •
ASICK/*/,)'um !e'a( ,ega' %a'$ $-u
•
ASI !e'a( $-u %$%$ng$n"an
•
ASI !e'a( $-u !e'na( %$-e"u"an %an ,u%a( %$a$'"an
•
ASI !e'a( $-u ,en%$'$ &ang %$6/')$6$"a,$ ?-$*a !e'*u@ un)u" -a&$ !'ema)u'
•
ASI %/n/' %a'$ Ban" ASI %an %$!a,)eu'$,a,$
•
7/'mu*a -a&$ ($!/a*e'gen$"
•
7/'mu*a -a&$ e*emen)a*
•
7/'mu*a -e'-a,$, ,u,u ,a!$
•
7/'mu*a -e'-a,$, ,/&a
•
A$' a)au a$' gu*a
Da'$ )a-e* %$ a)a, ,e')a )u#uan a"($' ,u!*emen)a,$ -$,a "$)a *$(a) u)aman&a a%a*a( mema",$ma*"an !'/%u",$ ASI $-u -a$" %a*am men&u,u *ang,ung+ ASI !e'a( ,ega' a)au!un ,u%a( %$-e"u"an D$ ,$n$ !e'anan ,e/'ang "/n,e*/' *a")a,$ ,anga) !en)$ng un)u" mem-an)u $-u mem!e')a(an"an a)au -a("an men$ng"a)"an !'/%u",$ ASIn&a J$"a %$'a,a -e*um u"u!+ -a'u*a( %$a'$"an )am-a(an &ang -$,a -e'u!a ASI %/n/' &ang ,u%a( %$!a,)eu'$,a,$ a)au!un 6/'mu*a -a&$+ &ang %$-e'$"an ,e%em$"$an 'u!a ,e($ngga )e)a! men#aga %an mem!e')a(an"an "e-e'*ang,ungan !'/,e, men&u,u$ $-u %an -a&$
Da*am ($e'a'"$ ,u!*emen)a,$+ ASI %/n/' %a'$ -an" ASI %an ,u%a( %$!a,)eu'$,a,$ men#a%$ u'u)an -e'$"u)n&a ,e)e*a( ASI %a'$ $-u ,$ -a&$ Han&a ,a#a+ %$ In%/ne,$a )$%a" a%a Ban" ASI &ang me*a"u"an ,"'$n$ng )e'(a%a! !en%/n/' ASI ,e')a "u*)u' %an !a,)eu'$,a,$ )e'(a%a! ASI %/n/' Se*a$n $)u+ ,e-aga$ nega'a %engan ma&/'$)a, !en%u%u" -e'agama I,*am+ ma,a*a( D/n/' ASI $n$ men#a%$ ma,a*a( &ang "'$)$, "a'ena )e'"a$) %engan (u"um (u-ungan ,au%a'a ,e!e',u,uan %an "ema('aman
B. TU!UAN 1 Tu#uan Umum
Mem!e'/*e( gam-a'an )en)ang %/n/' ASI %an BANK ASI 2 Tu#uan K(u,u, a Mem!e'/*e( gam-a'an )en)ang !enge')$an %/n/' ASI %an BANK ASI - Mem!e'/*e( gam-a'an )en)ang $n%$"a,$ %an ,&a'a) %/n/' ASI Mem!e'/*e( gam-a'an )en)ang )e"n$" %/n/' ASI % Mem!e'/*e( gam-a'an )en)ang *an%a,an (u"um %/n/' ASI %an BANK ASI %$ In%/ne,$a e Mem!e'/*e( gam-a'an )en)ang (u"um %/n/' ASI %an BANK ASI menu'u) !e',!e")$6 IS8AM 6 Mem!e'/*e( gam-a'an )en)ang !'a")e" %/n/' ASI %$ In%/ne,$a
BAB II
TIN!AUAN PUSTAKA
A. DONOR ASI ". Penger#ian D/n/' ASI a%a*a(
Pen%/n/' ASI
a%a*a( $-u &ang men&um-ang"an ASI "e!a%a Ba&$ &ang -u"an
ana"n&a
2 In%$"a,$ Yang %$ma",u% %engan $n%$"a,$ me%$, %a*am PP n/ 33 )a(un 2012 )en)ang ASI E",*u,$6 a%a*a( "/n%$,$ me%$, Ba&$ %anCa)au "/n%$,$ me%$, $-u &ang )$%a" memung"$n"an %$*a"u"ann&a !em-e'$an ASI E","*u,$6 a K/n%$,$ me%$, Ba&$ &ang )$%a" memung"$n"an !em-e'$an ASI E",*u,$6 an)a'a *a$n 1@ Ba&$ &ang (an&a %a!a) mene'$ma ,u,u %engan 6/'mu*a "(u,u,+ &a$)u Ba&$ %engan "'$)e'$a a@ Ba&$ %engan galaktosemia "*a,$"+ %$!e'*u"an 6/'mu*a "(u,u, -e-a, galaktosa -@ Ba&$ %engan !en&a"$) "em$( -e'a'/ma ,$'u! ma!*e ?maple syrup urine disease@+ %$!e'*u"an 6/'mu*a "(u,u, -e-a, leusin+ isoleusin+ %an valin %anCa)au @ Ba&$ %engan fenilketonuria+ %$-u)u("an 6/'mu*a "(u,u, -e-a, fenilalanin+ %an %$mung"$n"an -e-e'a!a "a*$ men&u,u$+ %$ -a5a( !enga5a,an 2@ Ba&$ &ang mem-u)u("an ma"anan *a$n ,e*a$n ASI ,e*ama #ang"a 5a")u )e'-a)a,+ &a$)u
a@ Ba&$ *a($' %engan -e'a) -a%an "u'ang %a'$ 1900 ?,e'$-u *$ma 'a)u,@ g'am ?-e'a) *a($' ,anga) 'en%a(@
-@
Ba&$ *a($' "u'ang %a'$ 32 ?)$ga !u*u( %ua@ m$nggu %a'$ u,$a "e(am$*an &ang ,anga) !'ema)u' %anCa)au
@ Ba&$ -a'u *a($' &ang -e'$,$"/ hipoglikemia -e'%a,a'"an gangguan a%a!)a,$ me)a-/*$,me a)au !en$ng"a)an "e-u)u(an glukosa ,e!e')$ !a%a Ba&$ !'ema)u'+ "e$* un)u" umu' "e(am$*an a)au &ang menga*am$ stress iskemik Cintrapartum hipoksia &ang ,$gn$6$"an+ Ba&$ &ang ,a"$) %an Ba&$ &ang mem$*$"$ $-u !eng$%a! %$a-e)e,+ #$"a gu*a %a'a(n&a gaga* me'e,!/n !em-e'$an ASI -a$" ,ea'a *ang,ung mau!un )$%a" *ang,ung - K/n%$,$ me%$, $-u &ang )$%a" %a!a) mem-e'$"an ASI E","*u,$6 "a'ena (a'u, men%a!a) !eng/-a)an ,e,ua$ %engan ,)an%a' K/n%$,$ $-u )e',e-u) an)a'a *a$n 1@ $-u &ang %a!a) %$-ena'"an a*a,an )$%a" men&u,u$ ,ea'a !e'manen "a'ena )e'$n6e",$ Human Immunodeficiency Virus Da*am "/n%$,$ )e',e-u)+ !enggan)$ !em-e'$an ASI (a'u, memenu($ "'$)e'$a+ &a$)u %a!a) %$)e'$ma+ *a&a"+ )e'#ang"au+ -e'"e*an#u)an+ %an aman ?acceptable, feasible, affordable, sustainable, and safe) K/n%$,$ )e',e-u) -$,a -e'u-a( #$"a ,ea'a )e"n/*/g$ ASI E","*u,$6 %a'$ $-u )e'$n6e",$ Human Immunodeficiency Virus %$n&a)a"an aman -ag$ Ba&$ %an %em$ un)u" "e!en)$ngan )e'-a$" Ba&$ K/n%$,$ )e',e-u) #uga %a!a) %$-e'*a"u"an -ag$ !en&a"$) menu*a' *a$nn&a 2@ $-u &ang %a!a) %$-ena'"an a*a,an meng(en)$"an men&u,u$ ,emen)a'a 5a")u "a'ena a@ !en&a"$) !a'a( &ang meng(a*ang$ ,e/'ang $-u me'a5a) Ba&$+
m$,a*n&a sepsis ?$n6e",$ %emam )$ngg$ ($ngga )$%a" ,a%a'"an %$'$@; -@
In6e",$ Virus Herpes Simplex tipe 1 ?HSV.1@ %$ !a&u%a'a "/n)a" *ang,ung an)a'a *u"a !a%a !a&u%a'a $-u %an mu*u) Ba&$ ,e-a$"n&a %$($n%a'$ ,am!a$ ,emua *e,$ a")$6 )e*a( %$)e'a!$ ($ngga )un)a,
@ !eng/-a)an $-u •
/-a)/-a)an !,$"/)e'a!$ #en$, !enenang+ /-a) an)$ epilepsi %an opioid %an "/m-$na,$n&a %a!a) men&e-a-"an e6e" ,am!$ng
,e!e')$ mengan)u" %an %e!'e,$ !e'na!a,an %an *e-$( -a$" %$($n%a'$ #$"a a*)e'na)$6 &ang *e-$( aman )e',e%$a •
radioaktif iodine1!1 *e-$( -a$" %$($n%a'$ meng$nga) -a(5a a*)e'na)$6 &ang *e-$( aman )e',e%$a+ ,e/'ang $-u %a!a) me*an#u)"an men&u,u$ ,e"$)a' 2 ?%ua@ -u*an ,e)e*a( mene'$ma a) $n$
•
!enggunaan &/%$um a)au yodofor topikal m$,a*n&a povidone iodine ,ea'a -e'*e-$(an+ )e'u)ama !a%a *u"a )e'-u"a a)au mem-'an mu"/,a+ %a!a) men&e-a-"an !ene"anan (/'m/n )$'/$% a)au "e*a$nan e*e")'/*$) !a%a Ba&$ &ang men%a!a) ASI %an (a'u, %$($n%a'$ %an
•
sitotoksik kemoterapi &ang men,&a'a)"an ,e/'ang $-u (a'u, -e'(en)$ men&u,u$ ,e*ama )e'a!$
K/n%$,$ &ang )$%a" memung"$n"an Ba&$ men%a!a)"an ASI E","*u,$6 "a'ena $-u )$%a" a%a a)au )e'!$,a( %a'$ Ba&$ %a!a) %$"a'ena"an $-u men$ngga* %un$a+ $-u )$%a" %$"e)a(u$ "e-e'a%aaan&a+ $-u )e'!$,a( %a'$ Ba&$ "a'ena a%an&a -enana a)au "/n%$,$ *a$nn&a %$mana $-u )e'!$,a( %engan Ba&$n&a ,e($ngga $-u )$%a" %a!a) memenu($ "e5a#$-ann&a a)au ana" )$%a" mem!e'/*e( (a"n&a 3 Pe',&a'a)an a Be'$"u) a%a*a(
-e-e'a!a
/n)/(
!e',&a'a)an
un)u" $-u
&ang $ng$n
men%/n/'"an ASI 1@ Se)$a! $-u &ang $ng$n men#a%$ $-u %/n/' %$-e'$"an !en#e*a,an )en)ang -aga$mana men#a%$ $-u %/n/' ASI &ang -ena' 2@ Se)$a! $-u &ang $ng$n men#a%$ $-u %/n/' (a'u, meng$,$ 7ORMU8IR KESEDIAAN MENJADI DONOR ASI+ &ang -e'$,$ a@ I%en)$)a, $-u %/n/' &ang )e'%$'$ %a'$ Nama $-u %/n/'+ A*ama) %/m$,$*$ $-u %/n/'+ Te*e!/n $-u %/n/' &ang %a!a) %$(u-ung$+ Tem!a) %an )angga* *a($' $-u %/n/'+ Pe"e'#aan $-u %/n/'+ Agama $-u %/n/'
-@ I%en)$)a, -a&$ $-u %/n/' &ang )e'%$'$ %a'$ Nama -a&$+ Jen$, Ke*am$n+ Tem!a) %an )angga* *a($' -a&$ @ Pe'n&a)aan "e,e%$aan un)u" %$!e'$",a "e,e(a)ann&a %@
Pe'n&a)aan -a(5a )e*a( %$-e'$"an !en#e*a,an )en)ang %/n/' ASI &ang -ena'
e@ Pe'n&a)aan un)u" men#a%$ $-u %/n/' -ag$ ,e#um*a( -a&$ &ang %$!$*$( 6@ Pe'n&a)aan "e,e%$aan men#a%$ $-u %/n/' ,e*ama 'en)ang 5a")u )e')en)u g@ 7/)/ $-u %/n/' %an -a&$n&a 3@ Se)$a! $-u &ang $ng$n men#a%$ $-u %/n/' (a'u, meng$,$ 7ORMU8IR STATUS KESEHATAN DONOR ASI &ang %$)an%a.)angan$ %/")e' !eme'$",a <@ S&a'a) "e,e(a)an $-u %/n/' a%a*a( a@ T$%a" ,e%ang (am$* -@ ASI %a*am #um*a( me*e-$($ "e-u)u(an -a&$ $-u %/n/' @ Pu))$ng $-u %/n/' )$%a" *u"a %@ T$%a" me'/"/"+ )$%a" m$num a*/(/*+ )$%a" meng"/n,um,$ na'"/-a+ )$%a" meng"/n,um,$ "a6e$n+ )$%a" m$num #amu a)au (e'-a*+ )$%a" meng"/n,um,$ /-a)./-a)an a)au "/n,um,$ /-a) %a*am !an)auan %/")e' AES e@ T$%a" me*a"u"an )'an,6u,$ %a'a( %a*am 5a")u 12 -u*an )e'a"($' 6@ T$%a" -e!e'g$an "e *ua' nege'$ %a*am : -u*an )e'a"($' g@ Bu"an 4ege)a'$an
(@ T$%a" men%e'$)a HIVCAIDS $@ T$%a" men%e'$)a $n6e",$ MV #@ T$%a" men%e'$)a $n6e",$ HT8V.1 "@ T$%a" men%e'$)a $n6e",$ He!a)$)$, *@ T$%a" men%e'$)a TB m@ I-u %/n/' -e',e%$a un)u" %$!e'$",a *a-/'a)/'$um un)u" ,"'$n$ng !en&a"$) &ang %$!e'*u"an
- Se%ang"an -e-e'a!a !'/,e%u' !en&$m!anan+ !e'm$n)aan+ %an 'e,$!$en ASI %/n/' a%a*a( ,e-aga$ -e'$"u) 1@ T$a! -/)/* ASI %/n/' %$-e'$ )u*$,an Nama $-u %/n/'+ Tangga* %an #am !e'a( ASI 2@ I-u %/n/' (an&a -/*e( mengguna"an -/)/* ASI %a'$ AES ?ASI EF*u,$4e Se'4$e@ &ang )e'-ua) %a'$ "aa a)au !*a,)$" !/*$!'/!$*en -e',$6a) BPA.6'ee ?B($,!(en/*.6'ee@ %an )e*a( %$,)e'$*$,a,$ 3@
Pen&$m!anan %$*a"u"an !a%a %ee! 6'eee' &ang ,u(un&a )e'#aga m$n$ma* .20 %e'a#a) e*$u,+ ,e($ngga -$,a men#aga "ua*$)a, ASI ,e*ama ($ngga enam -u*an
<@ T$a! -/)/* ASI %/n/' %$!a,)eu'$,a,$ ?!emana,an ,u(u 'en%a(+ :2+9.:3 %e'a#a) e*$u, ,e*ama 30 men$)@ un)u" meng(anu'"an HIV ?Human Immun/%e6$$en& V$'u,@+ HT8V.1 ?Human T.8&m!(/&)e V$'u,.1@+ MV ?$)/mega*/4$'u,@+ -a")e'$ ?E /*$+ S au'eu, %an S -e)a (em/*$)$"u,@
9@ T$a! -/)/* ASI %/n/' &ang )e*a( %$!a,)eu'$,a,$ %$-e'$ n/m/' -a)( &ang -e'$,$ "/%e Nama $-u %/n/'+ Tangga* !e'a( a,$+ Tangga* !a,)eu'$,a,$+ %an Tangga* "a%a*ua',a
Pe'm$n)aan ASI %/n/' 1@
Se)$a! !e*anggan &ang a"an mengguna"an #a,a ASI %/n/' (a'u,*a( ,e/'ang $-u a)au 5a*$ %a'$ -a&$ &ang a"an %$-e'$"an ASI %/n/'
2@ Se)$a! !e*anggan &ang a"an mengguna"an #a,a ASI %/n/' (a'u, meng$,$ 7ORMU8IR PERMINTAAN ASI DONOR+ &ang -e'$,$ a@ I%en)$)a, !e*anggan &ang )e'%$'$ %a'$ nama+ a*ama)+ )e*e!/n+ )em!a) )angga* *a($'+ !e"e'#aan %an agama -@ I%en)$)a, -a&$ &ang )e'%$'$ %a'$ nama+ #en$, "e*am$n+ )em!a) )angga* *a($' @ A*a,an !e'm$n)aan ASI %/n/' &ang )e'%$'$ %a'$ !$*$(an $-u )$%a" %a!a) menge*ua'"an ASIn&a a)au #um*a(n&a )$%a" menu"u!$+ $-u )$%a" %a!a) mem-e'$"an ASIn&a "a'ena a*a,an me%$,+ $-u men$ngga*"an -a&$ un)u" -e"e'#a %an a*a,an *a$n.*a$n %@ Ke,e%$aan mene'$ma ASI %a'$ ,e#um*a( %/n/' &ang %$!$*$( 1 /'ang+ 2 /'ang a)au 2 /'ang e@ Da)a )em!a) !eng$'$man ASI %/n/' &ang )e'%$'$ %a'$ /n)a) !e',/n+ n/ )e*e!/n %an a*ama) 6@ 7/)/ $-uC5a*$ %an 6/)/ -a&$
% Re,$!$en 1@ Re,$!$en a%a*a( -a&$ &ang mem-u)u("an ASI %/n/'
2@ Re,$!$en (a'u, ,u%a( mene'$ma $mun$,a,$ (e!a)$)$, B 3@ Re,$!$en -e'#en$,."e*am$n ,ama %engan ana" %a'$ $-u %/n/' ASI e Su'a) Ke)e'angan D/n/' ASI 1@ Se)e*a( ,e*e,a$ ma,a !em-e'$an %/n/' ASI+ $-u %/n/' mau!un $-u 'e,$!$en a"an mene'$ma SURAT KETERANGAN DONOR ASI
Ren)e)an "e)a)n&a !'/,e%u' %$ a)a, a%a*a( un)u" men#am$n "ua*$)a, ASI &ang %$-e'$"an !$(a" me%$a)/' ,e!e')$ (a*n&a ASI E","*u,$6+
"e!a%a -a&$ &ang
mem-u)u("an Ka'ena+ men%a!a)"an ASI e",*u,$6 a%a*a( (a" ,emua -a&$
< P'/,e%u' Un)u" men%a!a)"an %/n/' ASI &ang $%ea*+ %$!e'*u"an -e'-aga$ !'/,e%u' aga' mema,)$"an ASI %a'$ %/n/' -ena'.-ena' ,)e'$* %an *a&a" %$"/n,um,$ -a&$
a S"'$n$ng D/n/' AS$ P'/,e, ,"'$n$ng ,e(a'u,n&a %$*a"u"an %a*am 2 )a(a! Ta(a! !e')ama a%a*a( !eme'$",aan *$,an -e'u!a !e')an&aan ,e!u)a' '$5a&a) "e,e(a)an !en%/n/' Ta(a! "e%ua -e'u!a !eme'$",aan me%$, un)u" men%e)e",$ a%an&a 4$'u, &ang -e'-a(a&a S"'$n$ng %$*a"u"an un)u" men#am$n aga' -a&$ &ang men%a!a) ASI %/n/' )$%a" )e'!a!a' !en&a"$) &ang mung"$n %$%e'$)a /*e( $-u %/n/' I%ea*n&a+ $-u &ang a"an mene'$ma %/n/' ASI un)u" %$-e'$"an "e!a%a -a&$ (a'u, me*a"u"an ,"'$n$ng -a$" ,ea'a *$,an+ )u*$,an+ %an me*a*u$ *a-/'a)/'$um S"'$n$ng *$,an un)u" menge)a(u$ '$5a&a) "e,e(a)an ,ea'a %e)a$* 1@
S"'$n$ng %a'$ Pen%/n/' T$%a" D$,a'an"an Men%/n/'"an ASI a@ Mene'$ma %/n/' %a'a( a)au !'/%u" %a'a( *a$nn&a %a*am 12 -u*an )e'a"($' -@ Mene'$ma )'an,!*an)a,$ /'ganC#a'$ngan %a*am 12 -u*an )e'a"($' @ M$num a*"/(/* ,ea'a 'u)$n ,e-an&a" 2 /une, a)au *e-$( %a*am !e'$/%e 2< #am
%@ Pengguna 'u)$n /-a)./-a)an O4e' )(e /un)e' ?a,!$'$n+ ae)am$n/!(en+ %**@+ !eng/-a)an ,$,)em$" *a$nn&a ?!engguna "/n)'a,e!,$ a)au (/'m/n e@ 6@ g@ (@ $@ #@
!enggan)$ )e')en)u ma,$( %$mung"$n"an@ Pengguna 4$)am$n mega%/,$, a)au /-a)./-a)an (e'-a* Pengguna !'/%u" )em-a"au Mema"a$ $m!*an ,$*$"/n !a%a !a&u%a'a Vege)a'$an )/)a* &ang )$%a" mema"a$ ,u!*emen)a,$ 4$)am$n B12 Pen&a*a( guna /-a)./-a)an )e'*a'ang R$5a&a) He!a)$)$,+ gangguan ,$,)em$" *a$nn&a a)au $n6e",$ "'/n$,
?/n)/(n&a HIV+ HT8V+ ,$6$*$,+ MV !a%a -a&$ !'ema)u'@ "@ Be'e,$"/ HIV ?!a,angan HIV !/,$)$6+ mem!un&a$ )a)/Cbody piercing @ D$,a'an"an meme'$",a"an %$'$n&a %an )e'-u")$ nega)$6 ,ea'a ,e'/*/g$, )e'(a%a! HIV.1 %an HIV.2+ HT8V.I %an HT8V.II+ He!a)$)$, B+ He!a)$)$, + %an ,$6$*$, Peme'$",aan $n$ #uga -e'guna #$"a %$*a"u"an ,e)$a! $-u &ang (am$* un)u" menega( !enu*a'an !en&a"$) %a'$ $-u "e -a&$ Peme'$",aan %an "'$)e'$a %/n/' %$ a)a, #uga !e'*u %$u*ang$ ,e)$a! "e(am$*an a)au !e',a*$nan -a'u
B$a,an&a $-u &ang %$!e'-/*e("an men%/n/' m$n$ma* meng(a,$*"an ASI 2 . 3 *$)e' !e' (a'$+ #a%$ )$%a" ,emua $-u -/*e( %/n/' S"'$n$ng )e'(a%a! %/n/' #uga %$*a"u"an 3 -u*an ,e"a*$ Se)e*a( : -u*an+ !en%/n/' )$%a" %$'e"/men%a,$"an *ag$ "a'ena ASI &ang %$(a,$*"an mu*a$ ,e%$"$)
2@ S"'een$ng /*e( /'ang )ua &ang memu)u,"an mene'$ma ASI %/n/' ?)an!a me*a*u$ Ban" ASI@ a%a -a$"n&a mem!e')$m-ang"an (a*.(a* %$ -a5a( $n$ a@ Baga$mana "/n%$,$ "e,e(a)an $-uC!en%/n/' !/*a ma"an )e'"a$) -@ @ %@ e@
'e*$g$C"e&a"$nan A!a"a( u#$ ,e'/*/g$, $-u )e'(a%a! HIV+ He!a)$)$, B+ HT8V nega)$6 A!a"a( ASI )$%a" )e'ema' /-a)+ n$"/)$n+ a*"/(/*+ %,- A!a"a( ASI )$%a" )e'am!u' a$'+ -a(anCa)Cnu)'$,$ *a$n A!a"a( ASI %$!e'a( %an %$,$m!an ,ea'a ($g$en$, %an
)$%a"
)e'"/n)am$na,$ 6@ A!a"a( #ang"a 5a")u !en&$m!anan %an )em!a) !en&$m!anann&a ,e,ua$ g@ Baga$mana "/n%$,$ -a&$ $-uC!en%/n/' u,$a -a&$ !en%/n/' 1 )( + !e'na( men%e'$)a #aun%$e ,aa) -a'u *a($'
Se)e*a( men#a*an$ ,"'$n$ng+ -a'u*a( !en%/n/' %$!e'"enan"an men%/n/'"an ASI
Se)e*a( %$%/n/'"an+ ASI ma,$( (a'u, men#a*an$ !'/,e, !a,)eu'$,a,$ un)u" mema)$"an -a")e'$ ,e')a 4$'u, -e'-a(a&a Ta" (an&a $)u+ !en&$m!anann&a !un #uga mem-u)u("an 5a%a( %an ,u(u "(u,u, aga' ASI )e)a! a5e)
- a'a D/n/' ASI 8ang"a(.*ang"a( &ang (a'u, %$*a"u"an %a*am D/n/' ASI 1@ Meng$u%ungi &usa# 'a(anan 'a)#asi. Un)u" men#a*an"an !'/,e%u' ,e-aga$ %/n/' ASI+ I-u %a!a) *ang,ung meng(u-ung$ !u,a) *a&anan *a")a,$+ aga' I-u %a!a) *ang,ung men#a*$n "e%e"a)an !e',/na* an)a'a I-u ,e-aga$ %/n/' ASI %an !ene'$ma %/n/' ASI 2@ *a+anara. Ha* $n$ %$*a"u"an aga' !ene'$ma %/n/' menge)a(u$ '$5a&a) "e,e(a)an+ a,a* u,u* %an #a)$ %$'$ I-u ,e-aga$ %/n/' ASI I-u %a!a) -e')emu *ang,ung %engan a*/n !ene'$ma %/n/' ASI D/n/' ASI (a'u, %$!a,)$"an -e',$( %an ,e(a)+ #au( %a'$ !en&a"$) &ang )e'%e)e",$ a)au!un -e*um )e'%e)e",$ Sa&angn&a+ In%/ne,$a -e*um mem$*$"$ 6a,$*$)a, !a,)eu'$,a,$ &ang ,e-ena'n&a -$,a mem-an)u mem$n$ma*$,a,$ "/n)am$na,$ !en&a"$) 3@ Mengisi -r/u'ir dnr ASI. Un)u" meng$,$ 6/'mu*$'+ I-u %a!a) *ang,ung meng(u-ung$ !u,a) *a&anan *a")a,$ a)au!un me*a*u$ e.ma$* Ke,e!a"a)an %/n/' %an 6a,$*$)a)/' $n$ memu%a("an !'/,e, !ena)a)an %a)a %/n/' %an "e!a%a ,$a!a ASI a"an %$-e'$"an <@ Knsu'#asi &en(i/&anan ASI. Pen)$ng -ag$ %/n/' ASI un)u" menge)a(u$ "a$%a( !en&$m!anan ASI ,ea'a )e!a)+ "a'ena %/n/' a"an men&$m!an ASI ,ea'a !'$-a%$ K/n,e! a5a* %/n/' ASI a%a*a( 6$',) $n 6$',) /u)+ &a$)u )angga* &ang *e-$( *ama (a'u, %$guna"an *e-$( %u*uC%$"e*ua'"an Se)e*a( ASI %$!/m!a /*e( !en%/n/'+ ASI %$,$m!an %a*am -/)/* %an !*a,)$" "(u,u, !en&$m!anan ASI+ #angan *u!a un)u" mem-e'$"an *a-e* )angga* %an 5a")u (a,$* !'/%u",$ ASI aga' "ua*$)a, ASI %a!a) )e'#aga ($ngga ,aa) %$-u)u("an /*e( ,$ "e$*
. Men&$a!"an ASI D/n/'
J$"a !a%a a"($'n&a %$!u)u,"an mengguna"an ASI %/n/' &ang -e*um %$!a,)eu'$,a,$+ a%a 3 )e"n$" !e'*a"uan )e'(a%a! ASI &ang -$,a %$*a"u"an &ang -$a,a mengu'ang$ !enu*a'an !en&a"$) ?)e'u)ama HIV@ me*a*u$ ASI
1@ Pa,)eu'$,a,$ H/*%e' ASI %$!ana,"an %a*am 5a%a( "aa )e')u)u! %$ ,u(u :2+9 ,e*ama 30 men$) B$a,an&a %$*a"u"an %$ Ban" ASI "a'ena mem-u)u("an !engu"u' ,u(u %an !engu"u' 5a")u 2@ Te"n$" 7*a,( Hea)$ng ASI ,e-an&a" 90 m* %$)a'u( %a*am -/)/* "aaC-/)/* ,e*a$ u"u'an ,")' <90 m* )e'-u"a %$ %a*am !an$ a*umun$um -e'u"u'an 1 8 -e'$,$ <90 m* a$' Kemu%$an !an$ %$!ana,"an %$ a)a, "/m!/' ,am!a$ a$' men%$%$(+ ma)$"an+ "emu%$an -/)/* "aa -e'$,$ ASI %$ang"a) %an %$%$am"an ,am!a$ ,u(un&a ,$a! un)u" %$m$num -a&$
3@ Pa,)eu'$,a,$ P'e)/'$a Pana,"an a$' ,e-an&a" <90 m* %$ !an$ a*umun$um -e'u"u'an 1 8 ,am!a$ men%$%$( Ma)$"an "/m!/' 8e)a""an -/)/* "aa )e'-u"a &ang -e'$,$ ASI ,e-an&a" 90m* %$ %a*am !an$ ,e*ama 20 men$) Kemu%$an ang"a) %an %$am"an ,am!a$ ,u(u ASI ,$a! %$m$num -a&$
Ka*au "$)a *$(a) %a'$ 3 )e"n$" )a%$+ &ang !a*$ng mung"$n %$*a"u"an a%a*a( )e"n$" n/m/' 2 %an 3 Mana!un+ !$*$( &ang !a*$ng n&aman -ag$ $-u %an "e*ua'ga J$"a %/n/' ASI %$*a"u"an "a'ena -a&$ ,a"$) %$ Ruma( Sa"$)+ $nga)"an !e'a5a) un)u" me*a"u"an !emana,an $n$ ,e-e*um mem-e'$"an ASI %/n/' "e!a%a -a&$ an%a
9 Ka#$an Hu"um In%/ne,$a Pe'*$n%ungan (u"um )en)ang D/n/' A,$ %$ In%/ne,$a D$a)u' %a*am PP n/ 33 )a(un 2012 ,e-aga$ -e'$"u) Pa,a* 11 ?1@ Da*am (a* $-u "an%ung )$%a" %a!a) mem-e'$"an ASI E","*u,$6 -ag$ -a&$n&a ,e-aga$mana %$ma",u% %a*am Pa,a* :+ !em-e'$an ASI E","*u,$6 %a!a) %$*a"u"an /*e( !en%/n/' ASI ?2@ Pem-e'$an ASI E","*u,$6 /*e( !en%/n/' ASI ,e-aga$mana %$ma",u% !a%a a&a) ?1@ %$*a"u"an %engan !e',&a'a)an a !e'm$n)aan $-u "an%ung a)au Ke*ua'ga Ba&$ &ang -e',ang"u)an
- $%en)$)a,+ agama+ %an a*ama) !en%/n/' ASI %$"e)a(u$ %engan #e*a, /*e( $-u a)au Ke*ua'ga %a'$ Ba&$ !ene'$ma ASI !e',e)u#uan !en%/n/' ASI ,e)e*a( menge)a(u$ $%en)$)a, Ba&$ &ang %$-e'$ ASI % !en%/n/' ASI %a*am "/n%$,$ "e,e(a)an -a$" %an )$%a" mem!un&a$ $n%$"a,$ me%$, ,e-aga$mana %$ma",u% %a*am Pa,a* ; %an e ASI )$%a" %$!e'#ua*-e*$"an ?3@ Pem-e'$an ASI ,e-aga$mana %$ma",u% !a%a a&a) ?1@ %an a&a) ?2@ 5a#$%$*a",ana"an -e'%a,a'"an n/'ma agama %an mem!e')$m-ang"an a,!e" ,/,$a* -u%a&a+ mu)u+ %an "eamanan ASI ?<@ Ke)en)uan *e-$( *an#u) mengena$ !em-e'$an ASI E","*u,$6 %a'$ !en%/n/' ASI ,e-aga$mana %$ma",u% !a%a a&a) ?1@+ a&a) ?2@+ %an a&a) ?3@ %$a)u' %engan Pe'a)u'an Men)e'$
9 Ka#$an %a*am !e',!e")$6 I,*am Da*am $,*am+ )$%a" )e'%a!a) !e'-e%aan )en)ang a -/*e(n&a mem-e'$"an %/n/' ASI "a'ena man6aa) &ang *ua' -$a,a %a'$ %/n/' ASI - %/n/' a,$ %a!a) men$m-u*"an (u-ungan "ema('aman+ men#a%$ ,au%a'a ,e!e',u,uan Namun %em$"$an+ !a'a u*ama -e'-e%a !en%a!a) mengena$ a De6$n$,$ - Ba)a,an Umu' Jum*a( Su,uan %an % a'a men&u,u$
a De6$n$,$ Pa'a u*ama -e'-e%a !en%a!a) %a*am men%e6$n$,$"an ar "radha# a)au ,u,uan 1@ Menu'u) Hana6$&a( ,e/'ang -a&$ &ang meng($,a! !u)$ng !a&u%a'a ,e/'ang !e'em!uan !a%a 5a")u )e')en)u 2@ Menu'u) Ma*$"$&a( ma,u"n&a ,u,u manu,$a "e %a*am )u-u( &ang -e'6ung,$ ,e-aga$ g$$ 3@ Menu'u) A,.S&a6$L$&a( ,am!a$n&a ,u,u ,e/'ang !e'em!uan "e %a*am !e'u) ,e/'ang -a&$ <@ Menu'u) A*.Hana-$*a( ,e/'ang -a&$ %$ -a5a( %ua )a(un &ang meng($,a! !u)$ng !a&u%a'a !e'em!uan &ang munu* a"$-a) "e(am$*an+ a)au mem$num ,u,u )e',e-u) a)au ,e#en$,n&a
9@ Menu'u) Yu,u6 (a'%a5$ mema,u""an !a&u%a'a "e mu*u) -a&$ ,e($ngga meng($,a!n&a+ -u"an ,e"a%a' mem-e'$ m$num ,u,u %engan a'a a!a !un - Ba)a,an Umu' Pa'a u*ama -e'-e%a !en%a!a) %$ %a*am menen)u"an -a)a,an umu' "e)$"a /'ang men&u,u$ &ang -$,a men&e-a-"an "ema('aman 1@ Ma&/'$)a, u*ama menga)a"an -a(5a -a)a,ann&a a%a*a( #$"a ,e/'ang -a&$ -e'umu' %ua )a(un "e -a5a( 2@ Se-ag$an u*ama a%a &ang -e'!en%a!a) -a(5a /'ang &ang -e'umu' 2 )a(un !un %a!a) )e'#a%$ (u-ungan "ema('aman Jum*a( Su,uan Ma%(a- S&a6$L$ %an Han-a*$ menga)a"an -a(5a ,u,uan &ang meng(a'am"an a%a*a( #$"a )e*a( me*e5a)$ 9 "a*$ ,u,uan ,ea'a )e'!$,a( Ka!an ,e/'ang -a&$ men&u,u$ %an %$angga! ,e-aga$ ,a)u ,u,uan Ya$)u #$"a %$a men&u,u$+ ,e)e*a( "en&ang %$a me*e!a, ,u,uan )e',e-u) menu'u) "emauann&a J$"a %$a men&u,u *ag$ ,e)e*a( ,a)u a)au %ua #am+ ma"a )e'($)ung %ua "a*$ ,u,uan %an ,e)e'u,n&a ,am!a$ *$ma "a*$ men&u,u Ka*au ,$ -a&$ -e'(en)$ un)u" -e'na6a,+ a)au men/*e( "emu%$an men&u,u *ag$+ ma"a (a* $)u %$($)ung ,a)u "a*$ ,u,uan ,a#a % a'a Men&u,u$ %an "emu'n$an ASI Pa'a u*ama -e'-e%a !en%a!a) )en)ang )a)a a'a men&u,u &ang -$,a men$m-u*"an (u-ungan "ema('/man 1@ Ma&/'$)a, u*ama menga)a"an -a(5a &ang !en)$ng a%a*a( ,am!a$n&a a$' ,u,u )e',e-u) "e %a*am !e'u) -a&$+ ,e($ngga mem-en)u" %ag$ng %an )u*ang+ -a$" %engan a'a meng($,a! !u)$ng !a&u%a'a %a'$ !e'em!uan *ang,ung+ a)au!un %engan a'a as"su#uth ?mema,u""an ,u,u "e *u-ang ($%ungn&a@+ a)au %engan a'a al"$u%ur ?menuang"ann&a *ang,ung "e )engg/'a"ann&a@+ a)au %engan a'a &ang *a$n 2@ Yu,u6 a'%(a5$ menga)a"an &ang %$ma",u%"an men&u,u$ a%a*a( %engan a'a mene)e" *ang,ung 3@ A-u (an$6a( -e'!en%a!a) -a(5a ASI ma,$( -e'u!a a$'an+ -$*a %$"e'$ng"an a)au %$"e'a,"an ,e!e')$ "e#u+ -u-u" a)au ,emaamn&a )$%a" -$,a %$"a)a"an men&u,u$ <@ A-u Han$6a(+ "e*/m!/" Hana6$&a( %an I-nu a,$m -e'!en%a!a) -a(5a !'/,e, !en&u,uan %$,&a'a)"an a%an&a ASI &ang men$m-u*"an "ema('aman (a'u, ASI mu)*a"+ )$%a" -/*e( -e'am!u' %engan a$'an *a$nn&a
e Hu"um Jua* -e*$ 1@ )$%a" -/*e( men#ua*n&a In$ me'u!a"an !en%a!a) u*ama ma%(a- Hana6$ "eua*$ A-u Yu,u6+ ,a*a( ,a)u !en%a!a) &ang *ema( !a%a ma%(a- S&a6$L$ %an me'u!a"an !en%a!a) ,e-ag$an u*ama Han-a*$ 2@ !en%a!a) &ang menga)a"an %$-/*e("an #ua* -e*$ ASI manu,$a In$ me'u!a"an !en%a!a) A-u Yu,u6 ?!a%a ,u,u ,e/'ang -u%a"@+ Ma*$"$ %an S&a6$L$+ K($'$ %a'$ ma%(a- Han-a*$+ I-nu Ham$%+ %$"ua)"an #uga /*e( I-nu u%ama( %an #uga ma%(a- I-nu Ham : P'a")e" D/n/' ASI %$ In%/ne,$a D$ In%/ne,$a+ a")$6$)a, ,e'u!a &ang a%a ,aa) $n$ a%a*a( %/n/' ASI Be'-e%a %engan -an" ASI+ %/n/' ASI )$%a" menam!u' ASI %a'$ !a'a %/n/'+ me*a$n"an %$"e*/m!/""an ,e,ua$ nama %/n/' Se#au( $n$ "eg$a)an %/n/' ASI %$ In%/ne,$a -e*um -an&a" %$"ena* ,e')a ma,$( ,e-a)a, person to person %a*am a')$an !en%/n/' %an !ene'$ma %/n/' -e')emu *ang,ung %an ,a*$ng mengena* D$ -e*a(an %un$a *a$n %$ Ame'$"a+ "(u,u,n&a %$ Den4e' )e*a( -e'%$'$ Ban" ASI &ang me'u!a"an *a&anan ,$,)ema)$, un)u" mem6a,$*$)a,$ "e-u)u(an ASI %/n/' Ha* ,e!e')$ $n$ -e*um %a!a) %$5u#u%"an %$ In%/ne,$a )e'-en)u' /*e( "u*)u' In%/ne,$a &ang ,e-ag$an -e,a' -e'!en%u%u" mu,*$m %$mana -a&$ &ang men%a!a) ASI %/n/' a%a*a( ,au%a'a ,e!e',u,uan %a'$ -a&$ %a'$ $-u !en%/n/' %an %$-e'*a"u"an (u"um agama S$,$ -a$"n&a )a*$ ,$*a()u'a(m$ )e)a! )e'#aga an)a'a !en%/n/' %an )e'%/n/' &ang ,a*$ng mengena* J$"a !eme'$n)a( "/n,$,)en %engan -e'*a"un&a UU Ke,e(a)an N/ 3: Ta(un 200= &ang ,a*a( ,a)u $,$n&a men#am$n %an me*$n%ung$ -e'*ang,ungn&a !'/,e, men&u,u$ )en)u "e)e',e%$aan ASI -ag$ -a&$ In%/ne,$a #uga a"an %$#am$n Man$6e,)a,$ &ang %a!a) %$5u#u%"an m$,a*n&a a%a*a( -e'%$'$n&a Ban" ASI 5a*au!un -en)u" %an ,)'u")u'n&a -e'-e%a %engan Ban" ASI &ang a%a %$ nega'a *a$n &ang %$*eng"a!$ me)/%e !a,)eu'$,a,$ un)u" mengan)$,$!a,$ "/n)am$na,$ m$"'/-a+ ,"'$n$ng %/n/'+ %an $n6/'me% (/$e Me,"$ -u"an *a&anan ,$,)ema)$, ,e!e')$ (a*n&a Ban" Da'a( &ang %$ In%/ne,$a men#a%$ 'ana( )uga, PMI+ ,e)$%a"n&a %/n/' ASI %$ In%/ne,$a men#a%$ en)e' &ang meng"//'%$na,$ %an men#em-a)an$ (u-ungan !en%/n/' ASI %an "e*ua'ga -a&$ )e'%/n/' Pe'*u %$,&u"u'$+ me,"$ -e*um %$"ena* *ua,+ a%a "/mun$)a,."/mun$)a, &ang %a!a) mem-e'$"an $n6/'ma,$.$n6/'ma,$ ,e!u)a' %/n/' ASI ,e!e')$ Human M$*" 6/' Human Ba-$e, a)au!un Ea), /n 7ee%, Ke*ema(ann&a me%$a ,e!e')$ $n$ (an&a
%$"e)a(u$ /*e( /'ang./'ang &ang me*e" $n)e'ne) ,e%ang"an !en%u%u" In%/ne,$a -e*um ,emuan&a mem$*$"$ a",e, mu%a( "e %un$a ma&a Pe'a)u'an Men)e'$ Ke,e(a)an ?Pe'men"e,@ )en)ang %/n/' A$' Su,u I-u ?ASI@ )e'u, %$g/%/" Kemen)e'$an Ke,e(a)an me*a*u$ D$'#en B$na G$$ %an Ke,e(a)an I-u %an Ana" Pe'a)u'an mengena$ %/n/' ASI )e',e-u) a"an )e'ang"um %a*am PP N/33 )a(un 2012+ &ang menga)u' )en)ang !em-e'$an ASI e","*u,$6+ !en%/n/' ASI+ !enga)u'an !enggunaan ,u,u 6/'mu*a -a&$ %an !'/%u" -a&$ *a$nn&a+ !enga)u'an -an)uan !'/%u,en a)au %$,)'$-u)/' ,u,u 6/'mu*a -a&$+ ,a",$ )e'"a$)+ ,e')a !enga)u'an )em!a) "e'#a %an ,a'ana umum %a*am men%u"ung !'/g'am ASI E","*u,$6
B BANK ASI 1 Penge')$an Ban" ASI me'u!a"an )em!a) !en&$m!anan %an !en&a*u' ASI %a'$ %/n/' ASI &ang "emu%$an a"an %$-e'$"an "e!a%a $-u.$-u &ang )$%a" -$,a mem-e'$"an ASI ,en%$'$ "e -a&$n&a I-u &ang ,e(a) %an mem$*$"$ "e*e-$(an !'/%u",$ ASI -$,a men#a%$ !en%/n/' ASI ASI -$a,an&a %$,$m!an %$ %a*am !*a,)$" a)au 5a%a(+ &ang %$%$ng$n"an %a*am *ema'$ e, aga' )$%a" )e'ema' /*e( -a")e'$ Ke,u*$)an !a'a $-u mem-e'$"an ASI un)u" ana"n&a men#a%$ ,a*a( ,a)u !e')$m-angan menga!a -an" ASI !e'*u %$%$'$"an+ )e'u)ama %$ ,aa) "'$,$, ,e!e')$ !a%a ,aa) -enana &ang ,e'$ng mem-ua) $-u.$-u men&u,u$ ,)'e, %an )$%a" -$,a mem-e'$"an ASI !a%a ana"n&a 2 Ka#$an Hu"um %$ In%/ne,$a Be*um a%a (u"um &agg ,!e,$6$" menga)u' )en)ang Ban" ASI %$ In%/ne,$a+ #a%$ ma,$( me'u#u" !a%a (u"um %/n/' ASI+ %$!e'-/*e("an me*a"u"an %/n/' ASI+ )e)a!$ ASI )$%a" -/*e( %$!e'#ua* -e*$"an 3 Ka#$an %a*am Pe',!e")$6 I,*am a Me*a'ang -e'%$'$n&a BANK ASI Ke!u)u,an Ma#ma 7$( I,*am+ &a"n$ ma#e*$, !ene*$)$an %$ -a5a( "//'%$na,$ O'gan$,a,$ K/n6e'en,$ I,*am ?OKI@+ %a*am mu")ama' &ang %$a%a"an )angga* 22 2> De,em-e' 1=>9+ )e*a( men&$m!u*"an Setelah dipaparkan pen%elasan secara fi&ih dan ilmu kedokteran tentang bank 'SI, maka terbukti bah$a bank 'SI yang
telah diu%icoba di masyarakat (arat menimbulkan beberapa hal negatif, baik dari sisi teknis maupun ilmiah, sehingga mengalami penyusutan dan kurang mendapatkan
perhatian
Sedangkan
dalam
masyarakat
Islam,
masih
memungkinkan untuk mempersusukan bayi kepada $anita lain secara alami *eadaan ini menun%ukkan tidak perlunya (ank 'SI +*I memutuskan untuk menentang keberadaan bank 'SI di seluruh egara Islam, serta mengharamkan pengambilan susu dari bank tersebut Dam!a" nega)$6 &ang %$)$m-u*"an %a'$ !en%$'$an -an" ASI+ menu'u) Ma#ma 7$( I,*am a%a*a( 1@ )e'#a%$n&a !enam!u'an na,a- #$"a %$,)'$-u,$ ASI )$%a" %$a)u' ,ea'a "e)a) 2@ !en%$'$an -an" ASI meme'*u"an -$a&a &ang ,anga) -e,a' %an )e'*a*u -e'a) un)u" %$)anggung /*e( Nega'a -e'"em-ang ?,e!e')$ In%/ne,$a@ 3@ ASI &ang %$,$m!an %a*am -an" -e'!/)en,$ )e'"ena 4$'u, %an -a")e'$ &ang -e'-a(a&a+ -a("an "ua*$)a, ASI -$,a menu'un %'a,)$, %$-an%$ng"an %engan ASI &ang *ang,ung %$($,a! -a&$ %a'$ $-un&a <@ %$"(a5a)$'"an $-u %a'$ "e*ua'ga m$,"$n a"an -e'*/m-a.*/m-a un)u" men#ua* ASI.n&a "e!a%a -an" %engan (a'ga )$ngg$+ ,e%ang"an ana" me'e"a %$-e'$ ,u,u 6/'mu*a 9@ !a'a 5an$)a "a'$' &ang ,$-u" %an !un&a uang a"an ,ema"$n ma*a, un)u" men&u,u$ -a&$ me'e"a ,en%$'$ Mem-/*e("an -e'%$'$n&a Ban" ASI Memang a%a u*ama &ang mem-/*e("an !en%$'$an
Ban"
ASI+ %engan
!e')$m-angan un)u" mem-an)u $-u &ang "e,u*$)an memenu($ "eu"u!an g$$ -a&$n&a ma*a*u$ ASI ?"a'ena 6a")/' !en&a"$)+ e" /n/m$+ %**@ Namun+ !en%a!a) $n$ mem-e'$"an ,&a'a).,&a'a) &ang ,anga) "e)a) 1@ ASI )e',e-u) %$!e'/*e( %a'$ !en%/n/' &ang mem$*$"$ ,)/" ASI -e'*$m!a( 2@ ASI &ang %$"um!u*"an %$ -an" ASI (a'u, %$,$m!an %$ )em!a) "(u,u, %engan menu*$, nama !em$*$"n&a %an %$!$,a("an %a'$ ASI.ASI *a$n 3@ (a'u, a%a u!a&a ,)e'$*$,a,$ a)au #am$nan -a(5a ASI )e',e-u) )$%a" mengan%ung 4$'u, %an -a")e'$ &ang -e'-a(a&a <@ ,e)$a! -a&$ &ang mem$num ASI )e',e-u) (a'u, %$a)a) $%en)$)a,n&a ,ea'a *eng"a! %an 6'e"uen,$ meng"/n,um,$ ASI %a'$ !en%/n/' &ang ,ama J$"a -a&$ ,u%a( 9 "a*$ mem$num ASI &ang ,ama+ ma"a "e%ua "e*ua'ga (a'u, %$!e')emu"an %an %$-e'$ ,e')$6$"a) (u-ungan ,e!e',u,uan 9@ -a&$ &ang -e'(a" meng"/n,um,$ ASI %a'$ Ban" ASI (an&a*a( -a&$ &ang $-un&a )$%a" %a!a) menge*ua'"an a$' ,u,u+ ,a"$)+ a)au men$ngga* %un$a
BAB III PENUTUP
A KESIMPU8AN 1 D/n/' A,$ me'u!a"an "eg$a)an &ang ,anga) mu*$a %an (a'u, %$%u"ung un)u" memenu($ )e'u"u!$n&a "e-u)u(an ASI %a'$ -a&$ %engan "ea%aan "(u,u, 2 D/n/' ASI %$ In%/ne,$a ,ea'a (u"um %$!e'-/*e("an+ namun -e*um a%a !e'a)u'an &ang men#e*a,"an '$n$an $m!*emen)a,$ %/n/' ASI 3 D/n/' ASI %$ In%/ne,$a )$%a" -/*e( %$!e'#ua*-e*$"an < Pa'a U*ama $,*am ,e!a"a) -a(5a %/n/' ASI %$!e'-/*e("an %an %a!a) men$m-u*"an (u-ungan "ema('aman+ namun !a'a u*ama ma,$( -e'-e%a !en%a!a) %a*am (a* %e6$n$,$ men&u,u$+ umu'+ #um*a( ,u,uan+ a'a men&u,u$+"emu'n$an %an (u"um #ua* -e*$ 9 Ban" ASI ,u%a( %$*a",ana"an %$ nega'a -a'a)+ namun "e!u)u,an O'gan$,a,$ K/n6e'en,$ I,*am me*a'ang -e'%$'$n&a Ban" ASI %$ nega'a I,*am+ "a*au!un a%a+ (a'u, memenu($ -e'-aga$ !e',&a'a)an
A SARAN 1 Bag$ O'gan$,a,$ Pen%u"ung ASI D$,a'an"an "e!a%a /'gan$,a,$ !en%u"ung ASI &ang ,e*ama $n$ )e*a( meng"/'%$na,$ !e*a",anaan
%/n/'
ASI
un)u"
mene'u,"an
!e'#uangann&a
%engan
)e)a!
mem!e'(a)$"an "e)en)uan &ang a%a ,ea'a "e)a) 2 Bag$ Peme'$n)a( D$,a'an"an "e!a%a Peme'$n)a( K(u,u,n&a Kemen)'$an Ke,e(a)an un)u" ,ege'a men&e*e,a$"an !e'a)u'an men)'$ )e'"a$) D/n/' ASI "a'ena !a%a "en&a)aann&a ,u%a( -an&a" %$!'a")e""an /*e( ma,&a'a"a)
3 Bag$ I-u Men&u,u$ D$,a'an"an un)u" )e'u, men&u,u$ Ba&$ ,ea'a E",*u,$6 ,am!a$ : -u*an %an mengguna"an Ma"anan Pen%am!$ng ASI (/mema%e ,am!a$ 2 )a(un + %an a!a-$*a )e'*$-a) %engan D/n/' ASI (a'a! mem!e'(a)$"an "a$%a( %an e)$"a &ang a%a -a$" ,e-aga$ !en%/n/' mau!un ,e-aga$ !ene'$ma ASI
DATAR PUSTAKA
())!CCa$m$.a,$/'gC%/n/'.a,$."a!an.%an.-aga$manaC ())!CCa$m$.a,$/'gC%/n/'.a,$.aman.ngga.&aC ())!CC5556em$na/$%C$,u5an$)aC)/!$"(anga)Cmengena*%/n/'a,$*e-$(%e"a)C009C00;C>= ?())!CC555!a'en)$ng/$%Ca')$*eC-a&$C&u"#a%$%/n/'a,$C001C002C1:>@ ())!CC&u*$anu'n$a5an)$-*/g,!/)/mC2012C12C%/n/'.a,$()m* ())!CCa,$e","*u,$65/'%!'e,,/mCa-/u)C,)an%a'%.mu)u.%/n/'.a,$C ())!CC)(e%/)/'un%e'/4e'5/'%!'e,,/mC2012C10C03C!e"an.%/n/'.a,$.,e%un$a.,$a!a.&ang. )a(uC ())!CCa(ma%'a#a6$5/'%!'e,,/mC2011C01C31C-an".a$'.,u,u.$-u.a,$C Yu,u6 a*.a'a%(a5$+ 7a)5a.7a)5a K/n)em!/'e'+ ?Ja"a')a Gema In,an$ P'e,,+ 1==9@+ J$*$% 2+ ( ;>3 Pe'a)u'an Peme'$n)a( n/ 33 Ta(un 2012 )en)ang Pem-e'$an ASI E",*u,$6 ())!CCu(%$%(-*/g,!/)/mC2011C12C(u"um.-an".a,$()m* ())!CC-'ea,)6ee%$ng$n%/ne,$a5/'%!'e,,/mC2012C10C31Cmana"a(.)e'-a$".-an".a,$.a)au. %/n/'.a,$C Re"/men%a,$ )en)ang PEMBERIAN MAKAN BAYI PADA SITUASI DARURAT+ PERNYATAAN BERSAMA UNIE7 WHO IDAI Ja"a')a In%/ne,$a ; Janua'$ 2009 ())!CC!'egnan&an%*a)a)$/na'e5/'%!'e,,/mC2012C10C09Ca,$.%/n/'.,/*u,$.un)u". mem-an)u.$-u.memenu($."e-u)u(an.a,$.e","*u,$6C ())!CC($*%'eng'/5u!5/'%!'e,,/mC2012C0>C2;C%/n/'.a,$.man6aa).a'a.%an.!'/,e%u'n&aC ())!CC555'e!u-*$"a/$%C-e'$)aC%un$a.$,*amC6a)5aC12C12C1