Path Analysis on Factors Affecting Job Performance of Midwives at Community Health Centers in Mojokerto, East Java
Abstract
Background: Midwives play an important role in reducing maternal and neonatal morbidity and mortality. The performance of midwives is an important indicator to improve the quality of maternal and child health services. The purpose of this study was to analyze the factors that affect the performance of midwives.
Subjects and Method: This cross-sectional study was conducted at a community health center in Mojokerto, East Java, from February to April 2020. A sample of 200 midwives was selected by random sampling. The dependent variable was the performance of the midwife. The independent variables were age, income, workload, work motivation, perceived financial compensation, education, employment status, social support, and marital status. The performance of midwives was measured by the 6-DSNP. Other data were collected using a questionnaire. Data were analyzed by path analysis using the Stata 13 application.
Results:The performance of midwives increased with age ≥ 42 years (b= 3.19; 95% CI= 1.62 to 4.75; p <0.001), family income ≥ 7 million (b= 3.03; 95% CI= 1.50 to 4.56; p <0.001 ), light workload (b= 2.66; 95% CI= 1.19 to 4.13; p <0.001), strong work motivation (b = 3.32; 95% CI= 1.60 to 5.04; p <0.001), sufficient perceived financial compensation (b = 3.96; 95% CI= 1.68 to 4.99; p <0.001). The performance of midwives was indirectly affected by education, employment status, social support and marital status.
Conclusion: Age, family income, workload, work motivation, and perceived financial compensation affect the performance of midwives.
Keywords: performance, midwives, path analysis
Correspondence: Veterina Rizki Amalia. Masters Program in Public Health, Universitas Sebelas Maret.Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: veterinarizki1@gmail.com. Mobile: +6281359016501.
Journal of Health Policy and Management (2021), 06(01): 21-34
https://doi.org/10.26911/thejhpm.2021.06.01.03
References
Adam, Widarwaty (2015). Pengaruh pendapatan dan motivasi kerja terhadap kinerja bidan di UPF Kebidanan Rumah Sakit Umum Prof. Dr. H. Aloei Saboe. J Midwifery. 1(1):1-10 Retrieved from: http://r2kn.litbang.kemkes.go.id:8080/handle/123456789/33928?-show=full.
Agwu MO (2013). Impact of fair reward system on employees job performance in Nigerian Agip Oil Company Limited Port-Harcourt. Br J Educ Soc Behav Sci. 3(1): 47-64.doi.org/-10.9734/BJESBS/2013/2529.
Alkasseh A, Kweik D (2019). The effect of socio-demographic factors on quality of midwifery performance as perceived by midwives. Clinics in Mother and Child Health. 16(3): 325. https://www.longdom.org/open-access/the-effect-of-sociodemographic-factors-on-quality-of-midwifery-performance-as-perceived-by-midwives-43919.html.
Asamani JA, Amertil NP, Chebere M (2015). The influence of workload levels on performance in a rural hospital. British J Healthcare Manag. 21(12): 577–586. doi:10.12968/bjhc. 2015.21.12.577.
Bahadori M, Babaei M, Mehrabian F (2013). Prioritization of factors influencing job motivation in employees of a military center using analytical hierarchy process (AHP). Ir J Military Medicine. 14(4): 1-9 Retrieved from: http://militarymedj.ir/article-1-1028-en.pdf.
Baljoon RA, Banjar HE, Banakhar MA (2018). Nurses' work motivation and the factors affecting it: A scoping review. Int J Nurs Clin Pract. 5: 277. doi: https://doi.org/10.15344/2394-4978/2018/277
Beheshtifar M, Ali-Nezhad H, Nekoie-Moghadam M (2012). Investigation of perceived organizational support on employees’ positive attitudes toward work. Interdiscipl J Con-temp Res Bus. 2012(4): 432-442. http://dx.doi.org/10.3233/WOR-62327.
Bekru E, Cherie A, Anjulo A (2017). Job satisfaction and determinant factors among midwives working at health facilities in Addis Ababa city, Ethiopia. PLOS ONE. 2017(07): 1–16. doi: 10.1371/journal.pone.0172397.
Bertolino M, Truxillo DM, Fraccaroli F (2013). Age effects on perceived personality and job performance. J Manag Psychol. 28(7/8): 867-885. http://dx.doi.org/10.1108/JMP-07-2013-0222.
Bhakshi E, Kalantari R, Salimi N (2017). Assessment of job performance and its determinants in healthcare workers in Islamabad-e Gahrb City based on ACHIVE Model in 2016. Arak Med Univ J. 20(11): 1-9. Retrieved from: www.amuj.arakmu.ac.ir.
Bhatnagar A, Gupta S, Alonge O, George AS (2017). Primary health care workers' views of motivating factors at individual, community and organizational levels: a qualitative study from Nasarawa and Ondo states, Nigeria. Int J Health Plann Manage. 32(2): 217-233. https://doi.org/10.1002/hpm.2342.
Cahyandaru Z, Tamtomo D, Soemanto RB (2019). Linear regression analysis on factors affecting health surveillance personnel performance in early detection of preeclampsia in Semarang, Central Java. J Health Policy Manage. 4(1): 13-22. https://doi.org/10.26911-/thejhpm.
04.01.02.
D’Ambruoso L, Byass P, Qomariyah SN (2010). Maybe it was her fate and maybe she ran out of blood: Final caregivers’ perspectives on access to care in obstetric emergencies in rural. J Biosoc Sci. 42(02): 213–241. doi:10.1017/S0021932009990496.
Dinas Kesehatan ProvinsiJawa Timur (2017). Profil kesehatan Jawa Timur 2017. Dinkes Prov Jatim: Surabaya.
Ensor T, Quayyum Z, Nadjib M, Sucahya P (2008). Level and determinants of incentives for village midwives in Indonesia. Health Policy and Plan. 24(1): 26–35 doi:10.1093/heapol/czn040.
Fan J, Smith AP (2017). The impact of workload and fatigue on performance. Human Mental Workload: Models and Applications. 2017(726): 90–105. doi:10.1007/978-3-319-61061-0_6.
Fernet C, Trépanier SG, Austin S, Gagné M, Forest J, et al. (2015). Transformational leadership and optimal functioning at work: On the mediating role of employees' perceived job characteristics and motivation. Work & Stress. 29: 11-31 https://doi.org/-10.1080/
2014.1003998.
Filby Alex, McConville F, Portela A (2016). What prevents quality midwifery care? A systematic mapping of barriers in low and middle income countries from the provider perspective. PLoS ONE. 11(5): 1-20. doi:10.1371/journal.pone.0153391.
Galletta M, Portoghese I, Pili S, Piazza MF, Campagna M (2016). The effect of work motivation on a sample of nurses in an Italian healthcare setting. Work. 54(2): 451-460. doi: 10.3233/WOR-162327.
Garima M, Kiran (2014). Impact of marital status on mental health of working women. JMSCR. 2(10): 2594-2605. Retrieved from: https://www.researchgate.net/publication-/267506019_.
Gedif G, Sisay Y, Alebel A, Belay Y (2018). Level of job satisfaction and associated factors among health care professionals working at University of Gondar Referral Hospital, Northwest Ethiopia: A cross-sectional study. BMC Res Notes. 11(824): 1—7. doi: 10.1186/s13104-018-3918-0.
Eka GT, Tamtomo DG, Murti M (2018). Determinants of midwife performance on antenatal care in Surakarta and Karanganyar, Central Java. J Health Policy Manage. 3(1): 11-19 https://doi.org/10.26911/thejhpm.2018.03.01.02.
Hammami A, Moldovan R, Peltier E (2020). Salary perception and career prospects in audit firms. Manag. Auditing J. 35(6): 759-793. https://doi.org/10.1108/MAJ-11-2019-2475.
Hee OC, Kamaludin NHB, Lim Le Ping (2016). Motivation and Job Performance among Nurses in the Private Hospitals in Malaysia. Int J Caring Sci. 9(1): 342-347 Retrieved from: http://www.internationaljournalofcaringsciences.org/docs/33_Hee_special_9_1.pdf.
Heijden BVD, Kummerling A, Kovarova M, Behar ME, Schoot EVD, Hasselhorn H (2010). The impact of social support upon intention to leave among female Nurses in Europe: Secondary analysis of data from the NEXT survey. Int J Nurs Stud. 47(4):434-45. doi: 10.1016/j.ijnurstu.2009.10.004.
Jagsi R, Griffith K, Stewart A, Sambuco D, DeCastro R, et al. (2013). Gender differences in salary in a recent cohort of early-career physician-researchers. Acad Med. 88(11): 1-21. doi:10.1097/ACM.0b013e3182a71519.
Jayanti ND, Tamtomo DG, Sulaeman ES (2017). Path analysis on the effects of motivation and other factors on midwives performance of preeclampsia management in Malang, East Java. J Health Policy Manage. 2(2): 137-146 https://doi.org/10.26911/thejhpm.-2017.02.02.05.
Kalhor M, Samieerad F, Garshasbi M, Mafi M, Ranjkesh F (2018). Predictors of quality of work life and job performance in clinical staff in Qazvin, Iran. Int J Epidemiol Res. 5(3):86-91. doi: 10.15171/ijer.2018.19.
Khosravy S, Babaey F, Abedi P, Kalahroodi ZM, Hajimirzaie SS (2020). Strategies to improve the quality of midwifery care and developing midwife-centered care in Iran: Analyzing the attitudes of midwifery experts. J Health Econ. 9(08): 1-20 DOI: https://doi.org/10.-21203/rs.3.rs-68394/v1.
Kooji D, Guest D, Clinton M, Knight T, Jansen P, et al. (2013). How the impact of HR practices on employee wellbeing and performance changes with age. Hum Resour Manag J. 23(1): 18–35 doi: 10.1111/1748-8583.12000.
Negarandeh R, Dehgan-Nayri N, Ghasemi E (2015). Motivating factors among Iranian nurses. Iran J Nurs Midwifery Res. 20(4): 436-41. DOI: 10.4103/1735-9066. 161011.
Ogunleye AJ, Osekita DA (2016). Effect of job status, gender, and employees’ achievement motivation behavior on work performance: A case study of selected local government employees in Ekiti State, Nigeria. Eur Sci J. 12(26):235–248. doi: 10.19044/esj.-2016.v12n26p235.
Padmanabhan L, Magesh R (2016). Difference between employees marital status and performance level in it industry. IJIR. 2(6): 1173-1176. Retrieved from: -http://www.onlinejournal.in/IJIRV2I6/221.pdf.
Pour AY, Nekoei MH, Torki S (2016). The relationship between quality of work life and performance of railway headquarter employees in Hormozgan province. Glob J Sci Res. 4(4):63-68. Retrieved from: www.gjsr.blue-ap.org
Rahmadani LN, Budihastuti UR, Pamungkasari EP (2019). Does health center have contextual effect on midwife performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia. J Health Policy Manage. 4(3): 150-160. https://doi.org/10.26911/-thejhpm.2019.04.03.01.
Rouleau D, Fournier P, Philibert A, Mbengue B, Dumont A (2012). The effects of midwives’ job satisfaction on burnout, intention to quit and turnover: a longitudinal study in Senegal. Hum Resour Health. 10(9): 1-14. doi: 10.1186/1478-4491-10-9.
Sarwar A, Khalid S (2015). Perceived social support and work motivation of day and night shift nurses. Pak Armed Forces Med J. 65(2): 257-61 Retrieved from: https:-//www.pafmj.org/index.php/PAFMJ/article/view/844.
Shooshtarian Z, Ameli F, Lari MA (2013). The effect of labor's emotional intelligence on their job satisfaction, job performance and commitment. IJMS. 6(1): 27-43. Retrieved from: -https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=354937.
Stryzhak O (2020). The relationship between education, income, economic freedom and happiness. The International Conference on History, Theory and Methodology of Learning (ICHTML 2020). 75(03004): 1-6. https://doi.org/10.1051/shsconf/20207503-004.
SGDs. Tujuan ketiga. Retrieved from: https://www.sdg2030indonesia.org/.
Thorsen VC, Teten Tharp AL, Meguid T (2011). High rates of burnout among maternal health staff at a referral hospital in Malawi. BMC Nursing. 10(9): 1-7. doi: 10.1186/1472-6955-10-9.
Toode K, Routasalo P, Helminen M, Suominen T (2015). Hospital nurses' work motivation. Scand J Caring Sci. 29(2): 248-57. doi: 10.1111/scs.12155.
Vuong BN, Sid S (2020). The impact of human resource management practices on employee engagement and moderating role of gender and marital status: An evidence from the Vietnamese banking industry. Manag. Sci. Letters 10(7): 1633–1648. doi: 10.5267/j.msl.-2019.12.003.
Weyh C, Pilat C, Frech T, Kruger K, Reichel T, Mooren F (2020). Exercise training reduces workload, improves physical performance, and promotes overall health in welders. J Occup Health. 3(26): 1-11. https://doi.org/10.1002/1348-9585.12122.
Williams JC, Dempsey R (2014). What works for women at work. New York: New York University Press.
