Determinants of Midwife Performance on Antenatal Care in Surakarta and Karanganyar, Central Java

Authors

  • Titis Eka Gusti Masters Program in Public Health, Universitas Sebelas Maret
  • Didik Tamtomo Faculty of Medicine, Universitas Sebelas Maret
  • Bhisma Murti Masters Program in Public Health, Universitas Sebelas Maret

Abstract

Background: A high maternal mortality rate is one of the major health problems in developing countries. Midwives have an important role to reduce maternal mortality rate by looking after a pregnant women and her baby throughout a phase of antenatal care, during labor and birth, and for up to 28 days after the baby has been born. The WHO Expert Committee on Midwifery stated that the competence of the midwife must extend beyond the provision of service at the time of delivery to total antenatal and postnatal care. This study aimed to examine the determinants of midwife performance on antenatal care in Surakarta and Karanganyar, Central Java.

Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 25 community health centers in Surakarta and Karanganyar, Central Java, from April to May 2018. A total sample of 200 midwives was selected by simple random sampling. The dependent variable was midwife performance. The independent variables at level 1 of multilevel modeling (MLM) were age, tenure, motivation, knowledge, training, facility, and leadership. Community health center (Puskesmas) was taken as level 2 in the MLM. The data were collected by questionnaire and analyzed by MLM.

Results: Longer tenure (b= 1.57; 95% CI= 0.11 to 3.02; p=0.035), provision of training (b=1.92; 95% CI= 0.45 to 3.40; p=0.011), high motivation (b=1.48; 95% CI =-0.13 to 3.09; p=0.072), better knowledge (b=1.61; 95% CI= 0.03 to 3.19; p=0.046), facility (b=1.44; 95% CI= 0.14 to 2.73; p=0.030), strong leadership (b=1.66; 95% CI= 0.18 to 3.13; p=0.028), and age ?27 years (b=2.08; 95% CI= 0.04 to 4.12; p=0.046) were positively associated with better performance of midwives. A large portion of variation in midwives performance was determined at Puskesmas level with ICC= 45.78%.

Conclusion: Longer tenure, provision of training, high motivation, better knowledge, facility, strong leadership, and age ?27 years are positively associated with better performance of midwives. Community health center has an important contextual effect on midwife performance.

Keywords: midwife, performance, age, tenure, motivation, training, leadership, community health center

Correspondence:

References

Ae J, Sook B (2016). Effect of Work Environment on Nursing Perform

Al-Ahmadi H (2009). Factors affecting performance of hospital nurses in Riyadh Region, Saudi Arabia. International Journal of Health Care Quality Assurance, 22(1): 40

Awases MH, Bezuidenhout MC, Roos JH (2013). Factors affecting the performance of professional nurses in Namibia. Curationis, 36(1): 1

Bappenas (2015). Kebijakan Perencanaan Pembangunan Kesehatan (RPJMN 2015-209)/Perpres No 2/2015. Bappenas, Jakarta, (1): 224

Barnes C (1992). Personnel review. Dis-ability and employment, 21(6): 55. doi: 10.1108/00483481011075611.

Bhatnagar A, George AS (2016). Motivating health workers up to a limit: partial effects of performancebased financing on working environments in Nigeria. Health policy and planning, 31(7): 868

Cahyani RN, et al. (2016). Kelengkapan Pengisian Dan Pemanfaatan Data Pada Buku Kia Oleh Bidan Desa Di Kabupaten Sragen Tahun 2016.

Dan M, et al. (2015). Pendahuluan Pembangunan Kesehatan sebagaimana yang disebutkan dalam Undang-undang Kesehatan No. 36 tahun 2009, bertujuan untuk meningkatkan kesadaran, kemauan dan kemampuan hidup sehat bagi setiap orang agar dapat terwujud derajat kesehatan masyarakat.

Dinas Kesehatan Kota Surakarta (2016). Profil Kesehatan Kota Surakarta tahun 2015. Surakarta: Bagian Kesehatan Masyarakat DKK Surakarta.

Dinas Kesehatan Provinsi Jawa Tengah (2016). Profil Kesehatan Provinsi Jawa Tengah tahun 2015. Semarang: Depkes Jateng.

Handayani T (2012). Faktor

Hanson C (2015). Maternal mortality and distance to facilitybased obstetric care in rural southern Tanzania: a secondary analysis of crosssectional census data in 226,000 households. The Lancet Global Health.

Harmiyati L, Kurdi FN, Sulastri S (2016). Pengaruh Karakteristik dan Kapabilitas Individu Serta Karakteristik Organisasi terhadap Persepsi Kinerja Pera-wat Perkesmas di Puskesmas Kota Palembang. Jurnal Kedokteran dan Kesehatan, 3(1): 391

Kementerian Kesehatan Republik Indonesia (2016). Peraturan Menteri Kesehatan No.43 Tahun 2016 tentang Standar Pelayanan Minimal Bidang Kesehatan

_____ (2014). Peraturan Menteri Kesehatan Republik Indonesia No.75 Tahun 2014: 12

Korner M, Lippenberger C, Becker S Reichler L, Muller C, Zimmermenn L (2016). Knowledge Performance Integration, Teamwork and Performance in Health Care. Journal of Health Organization Management, 30(2).

Kustiyati S, et al. (2017). Determinan Faktor Yang Berhubungan Dengan Kinerja Bidan Dalam Program Perencanaan Persalinan Dan Pencegahan Komplikasi (P4K). Gaster, XV(1). Available at: http://jurnal.stikesaisyiyah.ac.id/index.php/gaster/article/viewFile/131/123.

Lucy KKL (2016). Effect of Leadership on Organizational Performance in the Health Sector in Kenya

Marfu S, Tamtomo D, Suryono A (2016). Effect of Psychological Factors and Workload on Midwife Performance in the Integrated Antenatal Care in Pati , Central Java

Mizawati A, Hakimi M, Kusnanto H (2016). Kinerja Bidan Desa Dalam Deteksi Dini Kasus Malaria: 31

Sheard M (2009). Hardiness commitment, gender, and age differentiate university academic performance

Wulanari A, Wigati PA, Sriatmi A (2017). Analisis Pelayanan Antenatal dan Faktor

Yeoh L, Hornetz K, Dahlui M (2016). Antenatal care utilisation and content between lowrisk and highrisk pregnant women. PLoS ONE, 11(3): 1

Downloads

Published

23-07-2018

How to Cite

Gusti, T. E., Tamtomo, D., & Murti, B. (2018). Determinants of Midwife Performance on Antenatal Care in Surakarta and Karanganyar, Central Java. Journal of Health Policy and Management, 3(1), 11–19. Retrieved from https://thejhpm.com/index.php/thejhpm/article/view/49

Issue

Section

Articles