Path Analysis on the Factors Associated with Midwife Performance at Health Center in East Kalimantan, Indonesia


Latifah Nur Rahmadani1), Uki Retno Budihastuti2)Eti Poncorini Pamungkasari2)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta

3)Faculty of Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background: Ensuring a good performance of midwives is one of the key components for provision of quality maternal health service. Skilled midwifery is widely recognized as a critical factor in reducing maternal and infant mortality. This study aimed to examine factors associated with midwives performance at health center in East Kalimantan, Indonesia.

Subjects and Method: This was a cross-sectional study conducted at 25 community health centers (puskesmas) in Samarinda, East Kalimantan, Indonesia, from April to May 2019. A sample of 180 midwives was selected by total sampling. The dependent variable was work performance. The independent variables were knowledge, tenure, training, work burden, incentive, supervision, and motivation.

Results: Work performance of midwives was directly and positively affected by good knowledge (b= 1.42; 95% CI= 0.54 to 2.31; p= 0.001), tenure ≥13 years (b= 2.06; 95% CI= 1.01 to 3.11; p<0.001), supervision (b= 1.11; 95%CI= 0.27 to 1.95; p= 0.009), and strong motivation (b= 1.65; 95%CI= 0.76 to 2.53; p<0.001). It was directly and negatively affected by high work burden (b= -1.05; 95%CI= -1.92 to -0.18; p= 0.018). Midwife work performance was indirectly affected by training and incentive.

Conclusion: Work performance of midwives is directly and positively affected by good knowledge, tenure ≥13 years, supervision, and strong motivation. It is directly and negatively affected by high work burden (b= -1.05; 95%CI= -1.92 to -0.18; p= 0.018). Midwife work performance is indirectly affected by training and incentive

Keywords: midwife, work performance, motivation, work burden, path analysis

Correspondence: Latifah Nur Rahmadani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: latifahnr8@gmail.com. Mobile: 085250118907

DOI: https://doi.org/10.26911/the6thicph.04.20

Share this :

View PDF