Effect of Psychological Factors and Workload on Midwife Performance in the Integrated Antenatal Care in Pati, Central Java

Marfu’ah, Siti; Tamtomo, Didik Gunawan; Suryono, Arief

doi:10.26911/thejmch.2016.01.03.01

Cited by 4 publications

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“…The results of the study were in line with the results of Marfu'ah et al (2016) which states that the higher the workload of midwives, the lower the performance shown. A heavy workload will cause various effects such as physical and mental fatigue, and other emotional reactions.…”

Section: The Effect Of Workload On the Per-supporting

confidence: 87%

“…The results of the 2015 Population Survey (SUPAS) reported that MMR in Indonesia amounts to 305 maternal deaths per 100,000 live births. The high level of MMR in Indonesia has made the government make efforts to reduce it as a priority program in health development (Marfu'ah et al, 2016). The number of MMR in East Kalimantan Province in 2016 was 100 per 100,000 live births.…”

Section: Introductionmentioning

confidence: 99%

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Does Health Center Have Contextual Effect on Midwife Performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia

Rahmadani

Budihastuti²,

Poncorini

2019

J HEALTH POLICY MANAGE

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Background:The maternal mortality rate (MMR) which is still high has now become the priority in order to find its solution. Midwives play a very significant role in making efforts to reduce MMR through antenatal care (ANC) services. The performance of midwives directly influences the quality of service and health outcomes in the public health centers. The performance of midwives in ANC can be seen based on the coverage of K1 and K4. This study aimed to determine the contextual effect of public health centers and other factors that influence the performance of midwives in antenatal care services. Subjects and Method: This study was conducted using observational analytic with cross sectional approach. It was done in 25 health centers in Samarinda, East Kalimantan in April-May 2019. The number of samples was 180 midwives selected using the total sampling technique. The dependent variable is the performance of the midwife. The independent variables include age, knowledge, tenure, training, workload, incentive, supervision, and motivation. The data were collected by questionnaire and analyzed by multilevel multiple logistic regression. Results: Midwife performance was influenced by age >45 years (b = -2.48; 95% CI = -4.53 to -4.34; p = 0.018), good knowledge (b = 1.35; 95% CI = 0.38 to 2.31; p = 0.006), tenure ≥13 years (b = 1.89; 95% CI = -0.07 to 3.86; p = 0.059), training ≥2 (b = 1.30; 95% CI = 0.29 to 2.30; p = 0.011), heavy workload (b = -1.30; 95% CI = -2.27 to -0.34; p = 0.008), incentive (b = 1.74; 95% CI = 0.30 to 3.18; p = 0.018), supervision (b = 1.12; 95% CI = 0.19 to 2.05; p = 0.017), and high motivation (b = 1.42; 95% CI = 0.45 to 2.38; p = 0.004). There was no contextual influence of public health center on the performance of midwives in antenatal care services (ICC = <1%). Conclusion: Age, knowledge, tenure, training, workload, incentives, supervision, and motivation are associated with midwives performance. There is no contextual influence of public health centers on the performance of midwives.

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Section: The Effect Of Workload On the Per-supporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Does Health Center Have Contextual Effect on Midwife Performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia

Rahmadani

Budihastuti²,

Poncorini

2019

J HEALTH POLICY MANAGE

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“…On the other hand, motivation was found to affect the MMR (P-value=.001) and IMR (P-value=.016). Midwives who had motivation to work better for any given tasks and job responsibilities had better performance than those with low motivation (Marfuah, Tamtomo and Suryono, 2016). Djunawan and Haksama (2015) also found motivation variable significantly contributed to midwife performance in antenatal services.…”

Section: Resultsmentioning

confidence: 91%

The Analysis of Village Midwife Performance in Reducing Maternal and Infant Mortality Rate

Hiola

Badjuka

2020

JAKI

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Background: The most essential aspect to reduce the number of maternal and newborn mortality is midwife competence. Midwives have a great role to be able to handle variety of health services (antepartum, intrapartum, and postpartum) to avoid or decrease the maternal and infant mortality rate. Performance of health workers, particularly midwives, is the most crucial in affecting the quality and quantity of midwives’ services to enhance the national health development.Aim: This study analyzed factors affecting village midwife performance for reducing maternal and infant mortality in seek for achieving Bone Bolango cemerlang or bright Bone Balango as the vision of Bone Bolango District in 2021.Methods: This study was an analytical survey with a cross-sectional approach. It was conducted from March to June 2019 in the working area of Bone Bolango District Health Office. There were 227 people from 19 primary healthcare centers as the population, and the sample size was 227 selected by using the total sampling technique. The data were collected by distributing questionnaires to the respondents and using secondary data. The data processing was done through chi-square test and multiple logistic regression with backward wald method.Results: Midwife performance in Bone Bolango District was assessed based on several variables. Most of them were ≥ 25 years old (80.6%); worked for ≥ five years (58,6%); mostly had not participated in any normal childbirth care training (76.7%); had a good competence (96.5%); had good resources/equipment (79.7%); had a good reward (92.5%); had a good attitude (76.2%); had a good motivation (90.7%). There were 12 maternal mortalities from 2017 to 2019 handled by only 11 midwives (4.8%). On the other hand, infant mortality rate (IMR) reached 25 cases in the same years; of 227 midwives, these cases were handled by only 21 midwives (9.3%).Conclusion: A midwife as a part of the health workers has an important role to increase the quality of maternal and child well-being program. Some variables that became indicators of midwife performance and had an effect on reducing the MMR and IMR included work period, reward, and motivation. This study recommends that all midwives have to be provided with a normal childbirth care training in the working area and increased rewards in the process of labor and delivery. Keywords: midwives, performance, maternal mortality rate, infant mortality rate.

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“…They must compete with other midwives, touch the hearts of the community by providing sincere service, and behave innovatively to suit community needs. Midwives' performance is mostly measured based on their capacity as government employees in hospitals or health centers or as employees in private hospitals (Kool et al, 2023;Marfu'ah et al, 2016). Midwives who practice independently are rarely researched or often marginalized.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the performance of independently practicing midwives

Yuniyati,

Eko Soetjipto,

Sudarmiatin

et al. 2024

Problems and Perspectives in Management

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The performance of midwives needs to be measured to provide guaranteed health services to mothers and children. Therefore, the aim of this study is to measure the performance of midwives using several variables, including internal branding, meaningfulness of work, work engagement, and innovative behavior, both directly and indirectly. The analysis was conducted in 29 districts and nine cities in East Java, Indonesia, with a sample of 330 midwives. Primary data were obtained by distributing questionnaires and analyzed using PLS-SEM. The research results show that all the variables tested have a positive and significant influence on midwifes’ performance. Innovative behavior has the strongest direct influence (73%), and meaningfulness of work has the weakest direct influence on midwifes’ performance (6%). Meanwhile, indirect relationships through work engagement provide a positive and significant influence, but are not as strong as the direct influence. These results offer practical insight for midwives to maintain and improve their individual performance, considering that more and more new midwives are ready to compete in providing health services for mothers and children.

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Effect of Psychological Factors and Workload on Midwife Performance in the Integrated Antenatal Care in Pati, Central Java

Cited by 4 publications

References 0 publications

Does Health Center Have Contextual Effect on Midwife Performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia

Does Health Center Have Contextual Effect on Midwife Performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia

The Analysis of Village Midwife Performance in Reducing Maternal and Infant Mortality Rate

Factors affecting the performance of independently practicing midwives

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