Factors Associated With the Practice of Integrated Antenatal Services by Midwives in Manggarai, East Nusa Tenggara


Klementina M. Tagul, Jacob M. Ratu, Mareta B. Bakoil, Reflly, Paula Tibuludji

 

Faculty of Public Health, Universitas Nusa Cendana, Kupang

 

ABSTRACT

 

Background: The integrated antenatal services (IAS) is an innovative and evidencebased service that offers all women a comprehensive package of antenatal screening and care. Indicators used to describe pregnant women’s access to antenatal care include K1 and K4 coverage. Manggarai Regency has 22 remote, very remote, and urban community health centers (Puskesmas). On average the urban Puskesmas has not reached the national IAS target in the last three years (2015-2017). This study aimed to determine factors associated with the practice of integrated antenatal care services by midwives in Manggarai, East Nusa Tenggara.

Subjects and Methods: A cross-sectional study was conducted in Manggarai, East Nusa Tenggara. A total of 60 midwives was selected for this study. The dependent variable was practice of IAS. The independent variables were motivation, length of work, and training. The data were collected by questionnaire and observation. The data were analyzed using a logistic regression.

Results: Motivation (OR= 5.40; p= 0.002), length of work (OR= 3.84; p= 0.013), and training (OR= 11.67; p< 0.001) were associated with increased practice of IAS, and they were statistically significant.

Conclusion: Motivation, length of work, and training are associated with increased practice of integrated antenatal services in Manggarai, East Nusa Tenggara.

 

Keywords: motivation, length of work, training, integrated antenatal services, midwife

 

Correspondence: 

Klementina M. Tagul. Faculty of Public Health, Universitas Nusa Cendana, Kupang, Jl. Sanjuan II, Central Kupang, Manggarai, East Nusa Tenggara, Indonesia. Email: klementinatagul@gmail.com. Mobile: +6282147291534.

 

DOI: https://doi.org/10.26911/the6thicph.04.12

 

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