Multilevel Analysis of Factors Associated with Performance of Midwives in Integrated Antenatal Care Service in Pati, Central Java

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions Pub Date : 2020-11-19 DOI:10.26911/the7thicph-FP.01.10

S. Marfuah, Irfana Tri Wijayanti, Ana Rofika

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Abstract

ABSTRACT Background: In 2017, nearly 295,000 women died during and after pregnancy and childbirth. In low-resource situations, the vast majority of maternal death (94%) occurred, and most could have been avoided. This study aimed to analyze the factors associated with the performance of midwives in integrated antenatal care service in Pati, Central Java. Subjects and Method: This was a cross-sectional study carried out at 26 integrated health posts (posbindu) in Pati, Central Java. A sample of 130 midwives randomly was selected for this study. The dependent variable was work performance of midwives. The independent variables at level 1 were age, employment status, workload, working time, leadership perception, and healthcare facility. The independent variable at level 2 was posbindu. The data were collected using questionnaire. The data were analyzed by a multilevel linear regression. Results: Work performance of midwives increased with working time (OR= 0.19; 95% CI= 0.04 to 0.33; p= 0.012) and healthcare facility (OR= 0.26; 95% CI= -0.77 to 1.31; p = 0.610). Work performance of midwives decreased with age (b= -0.07; 95% CI= -0.05 to 0.13; p= 0.100), employment status (b= -0.87; 95% CI= -1.89 to 0.15; p= 0.096), workload (b= -0.22; 95% CI= -0.45 to 0.01; p= 0.058), leadership perception (b= -0.002; 95% CI= -0.08 to 0.07; p= 0.949). Posbindu had strong contextual effect on work performance of midwives with ICC= 8.60%. Conclusion: Work performance of midwives increases with working time and decreases with employment status and workload. The work performance associated with age, healthcare facility, and leadership perception, but it is statistically non-significant. Posbindu has strong contextual effect on integrated antenatal care (ANC) performance of midwives. Keywords: performance of midwives, contextual effect, antenatal care Correspondence: Siti Marfu’ah. School of Health Sciences Bakti Utama, Pati, Central Java. Email: marfuah@stikesbup.ac.id. Mobile: +6285729885380. DOI: https://doi.org/10.26911/the7thicph.01.30

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中爪哇省帕蒂市综合产前保健服务助产士绩效相关因素的多层次分析

背景:2017年，近29.5万名妇女在妊娠和分娩期间及之后死亡。在资源匮乏的情况下，绝大多数孕产妇死亡(94%)都是可以避免的。本研究旨在分析中爪哇省帕蒂市助产士在综合产前保健服务中的表现相关因素。对象和方法:这是一项横断面研究，在中爪哇帕蒂的26个综合卫生站(posbindu)进行。随机抽取130名助产士作为研究对象。因变量为助产士的工作表现。水平1的自变量为年龄、就业状况、工作量、工作时间、领导感知和医疗设施。水平2的自变量为可能度。采用问卷调查法收集数据。数据采用多水平线性回归分析。结果:助产士工作绩效随工作时间增加而增加(OR= 0.19;95% CI= 0.04 ~ 0.33;p= 0.012)和医疗设施(OR= 0.26;95% CI= -0.77 ~ 1.31;P = 0.610)。助产士的工作表现随年龄增长而下降(b= -0.07;95% CI= -0.05 ~ 0.13;P = 0.100)，就业状况(b= -0.87;95% CI= -1.89 ~ 0.15;P = 0.096)、工作量(b= -0.22;95% CI= -0.45 ~ 0.01;P = 0.058)，领导感知(b= -0.002;95% CI= -0.08 ~ 0.07;p = 0.949)。Posbindu对助产士工作绩效有较强的情境影响，ICC= 8.60%。结论:助产士的工作绩效随工作时间的增加而增加，随就业状况和工作量的增加而降低。工作绩效与年龄、医疗设施和领导感知相关，但统计上不显著。Posbindu对助产士的综合产前护理(ANC)表现有很强的背景影响。关键词:助产士绩效，情境效应，产前护理对应:Siti Marfu 'ah。Bakti Utama卫生科学学院，帕蒂，中爪哇。电子邮件:marfuah@stikesbup.ac.id。手机:+ 6285729885380。DOI: https://doi.org/10.26911/the7thicph.01.30

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Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions

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