Factors Affecting Performance Midwife in Antenatal Care Services in Puncak Jaya Regency

Abstract

Background: Antenatal services are health services provided to mothers during their pregnancy in accordance with minimum service standards. For the achievement of the MCH program in Puncak Jaya Regency based on the Minimum Service Standards (SPM) indicator, it shows that the coverage of pregnancy services is the percentage of K1 (75%) and K4 (60%) which indicates that the ANC service standard achievement target ? 80% has not been achieved. Research Objectives: To find out the factors that influence the performance of midwives in antenatal care services in Puncak Jaya regency. Research method: Observational analysis with cross-sectional study design. The population was all midwives in Puncak Jaya Regency who worked at Puskesmas Mulia, Ilu, Tingginambut, Yamo, Jigonikme, Fawi, Mewoluk, and Torere, with a total sample of 32 midwives or total sampling. Data obtained using a questionnaire and analyzed using chi-square and binary logistic regression. Results: Factors that influence the performance of midwives in ANC services in Puncak Jaya Regency, namely: age (p-value 0.046; RP = 2.200; CI 95% (0.990 - 4.888), employee status (p-value 0.018; RP = 2.556; CI95% (1.395 - 4.682), tenure (p-value 0.004; RP = 3.215; CI95% (1.463 - 7.006), attitude (p-value 0.001; RP = 4.333; CI95% (1.521 - 12.344), motivation (p-value 0.011; RP = 2,788; CI 95% (1,358 - 5,682), and facilities (p-value 0,008; RP = 2,829; CI 95% (1,483 - 5,395). The factor that does not affect the performance of midwives in ANC services in Puncak Jaya Regency is knowledge (p-value 0.479; RP = 1.457; CI95% (0.722-2942) and leadership of the Head of Puskesmas (p-value 1,000; RP = 0.824; CI95% (0.324 - 2.099). Dominant factors that influence the performance of midwives in ANC services in Puncak Regency Jaya is attitude, and facilities, and infrastructure.