Factors Associated with Work Performance among Midwives at Community Health Centers in Central Java

Nurul Wahidah1), Endang Sutisna Sulaeman2),

Uki Retno Budihastuti3)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Public Health, Universitas Sebelas Maret

3)Department of Obstetrics and Gynecologi, Dr. Moewardi Hospital, Surakarta




Background: Performance of midwives in antepartum, intrapartum, and post­par­tum health care can influence maternal health as well as infant survival. Despite its importance, studies into factors associated with work performance among wid­­wives in Indonesia are scanty. This study aimed to investigate factors asso­cia­ted with work performance among midwives at Community Health Centers in Cen­­tral Java.

Subjects and Method: This was a cross-sectional study carried out at 28 Puske­mas (Community Health Centers) in Sukarta and Karanganyar, Central Java, In­donesia. A sample of 28 Puskesmas was selected for this study by stratified random sampling, comprising of 5 strata of Puskesmas. A total sample of 200 mid­wives was selected for this study by random sampling. Around 4 to 14 mid­wives were selected randomly from each selected Puskesmas, resulting in a total sam­ple of 200 midwives. The dependent variable was work performance. The inde­pendent variables included knowledge, experience, tenure, motivation, job burden, facility, skill, and reward. The data were collected by pre-tested questionnaire and analyzed by a multiple logistic regression.

Results: Work performance was positively associated with knowledge (OR= 6.96 95% CI= 2.88 to 16.82; p<0.001), experience (OR= 2.39; 95% CI= 1.12 to 5.13; p= 0.025), tenure (OR= 2.69; 95% CI= 1.20 to 6.04; p= 0.016), motivation (OR= 2.76; 95% CI= 1.22 to 5.59; p= 0.014), facility (OR= 2.91; 95% CI= 1.32 to 6.41; p= 0.008), skill (OR= 2.59; 95% CI= 1.11 to 6.11; p= 0.030), and reward (OR= 2.08; 95% CI= 0.97 to 4.46; p= 0.061), but was negatively associated with job bur­­den (OR= 0.36; 95% CI= 0.16 to 0.82; p= 0.015).

Conclusion: Work performance is positively associated with knowledge, experie­nce, tenure, motivation, facility, skill, and reward, but is negatively associated with job burden, among midwives working at Puskesmas.

Keywords: work performance, knowledge, experience, tenure, motivation, facili­ty, skill, reward, job burden, midwife.

Correspondence: Nurul Wahidah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: wahidahnurul246@gmail.com. Mobile: 085764839945.

DOI: https://doi.org/10.26911/theicph.2018.04.51

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