Influencing Factors to the Performance of Bidan di Desa in Doing Neonates Visit in the Coverage Area of Puskesmas in Jepara District, 2009

Abstract

Infant mortality rate in the district of Jepara had increased from 2.3/1000 live-births in 2006 to 5.6/1000 live-births in 2007. Besides low birth weight, the cause of death was mostly hypothermia (22.03%) which could actually be prevented by good caring for the infants. In 2007 in the district of Jepara twenty eight percent of infants had not received neonates visit while, in fact, Bidan di Desa (midwife in the community) should had been proactively make neonates visit at least twice to all infants aged 0-28 days in her working area. Results of this study indicated that most respondents had good knowledge (66.2%), high motivation (53.8%), heavy work load (52.3%), complete facility for neonates visit (55.4%), good perception of compensation system (50.8%), good perception on supervision system (55.4%), good performance (64.6%). Factors associated with the performance of bidan di desa in making neonates visit in Jepara district were knowledge (p: 0.001), motivation (p:0.024), work load (p:0.032) and perception on supervision (p:0.016). Facility (p: 0.267) and perception to the compensation system (p:0.353) were not associated with performance of bidan di desa in making neonates visit in Jepara district. The most influencing factor was work load (p:0.009). Sumber Utama : www.mikm.undip.ac.id