Maternal Mortality Rate mostly occurred during postnatal period. Midwives played an important role and had responsibility in providing maternal services. Postnatal services in Blora District had not been optimally implemented. This condition was influenced by motivation of midwives in providing postnatal services. Five of seven midwives said that they were lazy to provide postnatal services particularly in visiting maternal. Motivation was influenced by intrinsic and extrinsic factors. Therefore, factors influencing motivation of midwives in providing maternal services needed to be investigated. This was a quantitative-analytic study using cross sectional approach. Data were collected using a questionnaire. Number of population was 359 midwives in Blora District. Number of samples were 76 respondents calculated using minimal sample size. A validity test used pearson product moment whereas alpha Cronbach test was used to analyse reliability. Data were analysed using methods of univariate (Kolmogorov-Smirnov test), bivariate (Chi-Square test), and multivariate (logistic regression test). The results of this research showed that factors of perception of administration and policy (p=0.043; C=0.227), perception of supervision (p=0.001; C=0.346), perception of work (p=0.000; C=0.503) and perception of environmental condition (p=0.001; C=0.350) statistically significantly related to motivation of midwives. Perception of work was the most influenced factor of motivation (p=0.000; Exp(B)=11.655). As suggestions, other researchers need to investigate the factor of perception of work. District Health Office needs to evaluate main and additional tasks and to consider increasing incentive for activities of maternal services. Indonesian Midwives Association of Blora needs to guide and to improve motivation of midwives in providing maternal services. Health Centres (Coordinator Midwives) need to involve midwives in improving perception of work (maternal services) by conducting training.
Research background : Primary Health Care one of the public health services has the main task of providing community health development and basic health services, through increasing public access to health services with a priority for promotive and preventive efforts combined in a balanced manner with curative and rehabilitative efforts. (MOH, 2003). One of the indicators of the success of individual health services at primary health care is patient satisfaction. Satisfaction according to Kotler (in Supranto, 2001) is defined as a post-consumption assessment, that a selected product can meet or exceed consumer expectations, thereby affecting the decision-making process for repurchasing the same product.Research purposes: To determine the level of patient satisfaction with basic health services in Primary Health Care throughout Blora Regency which is seen from the dimensions: responsiveness (responsiveness), reliability (reliability), assurance (assurance), empathy (empathy) and tangible (direct evidence).Research Methods: Design This study was a cross-sectional descriptive survey, conducted in 10 primary health care included in the Blora Regency area. The research subjects were inpatients and outpatients. Samples were taken as many as 300 respondents. The sampling technique in this study was cluster and random sampling in the selection of health centers and the selection of respondents using accidental sampling. Data were collected using a questionnaire consisting of 42 question items. To analyze data using a frequency distribution using a computerResearch Discusion : shows the tendency of patients to be satisfied and very satisfied with the services provided by the health center. Although few are dissatisfied. However, from one puskesmas to another varies in the level of satisfaction.Conclusion: Patients are more satisfied and very satisfied than those who are less satisfied with the services of health workers at the primary health care
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