Volume 12, Issue 4 (2024)
Health Educ Health Promot 2024, 12(4): 1001-1027 |
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Ruwayda R, Hastono S P, Siregar K N, Martha E, Nurdini L. Determinants of Village Midwife Performance in Maternal and Child Health Services: a Cross-Sectional Study in Jambi Province, Indonesia. Health Educ Health Promot 2024; 12 (4) :1001-1027
URL: http://hehp.modares.ac.ir/article-5-77876-en.html
URL: http://hehp.modares.ac.ir/article-5-77876-en.html
1- Faculty of Public Health, University of Indonesia , ruwayda831@gmail.com
2- Department of Public Health, Faculty of Public Health, University of Indonesia
3- Faculty of Public Health, University of Indonesia
2- Department of Public Health, Faculty of Public Health, University of Indonesia
3- Faculty of Public Health, University of Indonesia
Abstract: (111 Views)
Aims: The study aimed to analyze the determinants of village midwife performance in maternal and child health services.
Materials and Methods: This quantitative study employed a cross-sectional design. The population consisted of all village midwives in Muaro Jambi Regency, Jambi Province, with a sample of 171 midwives providing maternal and child health services. This study was conducted over a period of three months, from January to March 2024, with the data collection phase occurring between February and March 2024. A total of 171 village midwives from Muaro Jambi District, Jambi Province, participated. The inclusion criteria required participants to have more than two years of experience as village midwives. The dependent variable was the performance of the midwives in improving maternal and child health, while the independent variables were supervision, training, and attitude.
Findings: Additionally, 101 midwives (59.8%) had never attended training, while 139 (81.3%) had received training, and 119 midwives (69.9%) exhibited a predominantly positive attitude. The significant variables associated with the performance of village midwives in the univariate analysis are age (p-value = 0.000), education level (p-value = 0.000), length of service (p-value = 0.000), incentives outside salary (p-value = 0.000), and supervision within the past year (p-value = 0.001). In the multivariate analysis, the significant variables are age (p-value = 0.035) and education level (p-value = 0.037).
Conclusion: Considering the age and education level of midwives in the implementation and socialization of the MCH program is crucial for enhancing the performance of village midwives.
Materials and Methods: This quantitative study employed a cross-sectional design. The population consisted of all village midwives in Muaro Jambi Regency, Jambi Province, with a sample of 171 midwives providing maternal and child health services. This study was conducted over a period of three months, from January to March 2024, with the data collection phase occurring between February and March 2024. A total of 171 village midwives from Muaro Jambi District, Jambi Province, participated. The inclusion criteria required participants to have more than two years of experience as village midwives. The dependent variable was the performance of the midwives in improving maternal and child health, while the independent variables were supervision, training, and attitude.
Findings: Additionally, 101 midwives (59.8%) had never attended training, while 139 (81.3%) had received training, and 119 midwives (69.9%) exhibited a predominantly positive attitude. The significant variables associated with the performance of village midwives in the univariate analysis are age (p-value = 0.000), education level (p-value = 0.000), length of service (p-value = 0.000), incentives outside salary (p-value = 0.000), and supervision within the past year (p-value = 0.001). In the multivariate analysis, the significant variables are age (p-value = 0.035) and education level (p-value = 0.037).
Conclusion: Considering the age and education level of midwives in the implementation and socialization of the MCH program is crucial for enhancing the performance of village midwives.
Keywords: Attitude, Community Health Workers, Midwifery, Training Support, Maternal Death, Child Health
Article Type: Original Research |
Subject:
Social Determinants of Health
Received: 2024/11/7 | Accepted: 2024/12/6 | Published: 2024/10/19
Received: 2024/11/7 | Accepted: 2024/12/6 | Published: 2024/10/19
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