Latar Belakang: Tatalaksana manajemen laktasi dan Inisiasi Menyusu Dini (IMD) yang optimal dan maksimal sangat mendukung tercapainya Air Susu Ibu (ASI) eksklusif. Cakupan ASI Eksklusif yang ditargetkan dalam Program Pembangunan Nasional dan strategi Nasional adalah 80%. Sesuai dengan Program Millenium Development Goals (MDGs) membantu mengurangi kemiskinan, kelaparan, angka kematian bayi. Penting untuk menyampaikan informasi tentang manajeman laktasi dan IMD kepada ibu antenatal, intranatal, postnatal dan tenaga kesehatan agar dapat melaksanakan tugas sebagai promotor profesional dalam penggunaan ASI. Tujuan Penelitian: Penelitian untuk mengevaluasi bagaimana pencapaian tentang pelaksanaan kegiatan dan hambatan, tantangan dan kelemahan pelaksanaan manajemen laktasi dan IMD di RSUD. Dr. Pirngadi Medan. Metode Penelitian: Metode penelitian kualitatif. Data akan dianalisis dengan model interactive. Unit analisis Ruang V Tanjung, Neonati dan Poliklinik Ibu Hamil. Sumber data berasal dari wawancara mendalam dan observasi dokumen dan observasi partisipan dan terbuka. Hasil Penelitian: Evaluasi manajemen laktasi dilaksanakan sesuai dengan standar. Sedangkan pelaksanaan IMD belum mencapai hasil optimal, sehubungan dengan kurangnya pengetahuan yang mendalam tentang IMD dan pelaksanaannya belum sesuai dengan teori IMD yang dianjurkan. Promosi IMD belum terlaksana dengan baik terlihat tidak ada leaflet/brosur dan rawat gabung (rooming in) dan masih berperannya susu formula. Sehubungan kurang jelasnya koordinasi tugas bidan/perawat dalam melaksanakan IMD maka peningkatan kualitas tenaga kesehatan harus dilakukan melalui pelatihan dan penyediaan poster/leaflet yang mendukung tentang Manajemen laktasi dan IMD. Kesimpulan: Manajemen laktasi tetap ditingkatkan dan dipertahankan, IMD belum sesuai pelaksanaan dengan yang dianjurkan,

Background: Lactation Management and Early Initiation of Breastfeeding (EIB) strongly supports the optimum and maximum achievement of exclusive breastfeeding. Scope of exclusive breastfeeding targeted in the National Development Program and the National Strategy (PP-ASI) is 80%. In accordance with the Millennium Development Goals (MDGs) program to help reduce poverty, hunger, and infant mortality. It is important to convey information about lactation management and EIB to the antenatal, intranatal, and postnatal mothers and health workers in order to carry out professional duties as a promoter in the use of breast milk. Objective: To perform the evaluation of lactation management and EIB implementation and the supporting and inhibiting factors in room V Tanjung, Neonati, antenatal polyclinic, Dr. Pirngadi Hospital, Medan. Methods: The research method was qualitative but the research was presented descriptively. The data were analyzed with the Interactive Model. The sources of data derived from in-depth interviews and document and open participant observations. Results: The evaluation of lactation management was carried out in accordance with the standards. However, the implementation of the EIB had not reached the optimum results, with respect to the lack of deep knowledge about EIB and its implementation had not been in accordance with the recommended theory of EIB. EIB Promotion had not been performed due to the absence of leaflets / brochures and Rooming In and the presence of the role of infant formula. Related to the lack of task coordination clarity for midwives / nurses in implementing the EIB, the increase in quality of health workers should be done through training and provision of posters / leaflets in favor of lactation and EIB management. Conclusion: The management of lactation remained improved and maintained but EIB had not been in accordance with the recommended implementation.

Kata Kunci : Evaluasi, Manajemen laktasi dan IMD