Performance of Bidan Desa in Implementing Pos Kesehatan Desa (POSKESDES) Service Guide in Banyumas District, 2009

Abstract

Maternal and infant mortality in Banyumas district is still high. Moreover, not all targets of PWS-KIA are achieved, severe malnutrition still exist and service by bidan di desa (midwife in the community) has been unsatisfactory. Supervision by Puskesmas discovers lack of Poskesdes facilities, supervision on the bidan di desa is not optimal. The objective of this study is to learn factors which influence the performance of bidan di desa as an executor of poskesdes service guide in the district of Banyumas, in the year 2009. This study is an observational study using survey method and cross sectional approach. Structured questionnaire which had been tested for its validity and reliability was employed. Chi-square test for testing two variables and multivariate logistic regression were used for data analysis. Ninety nine midwifes were included in this study, covering all midwifes in 27 sub district, 39 Puskesmas, 331 villages within the district of Banyumas. Result of the study shows that good performance of bidan di desa are found in 49 midwifes (49.5%) and poor performance in 50 midwifes (50.5%). Forty-five percentage of respondent has D-1 midwifery level of education and 54.5% has D-III midwifery level of education. More than half of respondents (51.5%) have been working for > 10 years and 48.5% respondents for 0-10 years. The study also found there were 30.0% of respondents with good knowledge and 69.7% with less satisfactory level of knowledge, 39.4% respondents with good motivation and 60.6% with less satisfactory level of motivation, 49.5% of good supervision is found in the respondents and 50.5% of less satisafactory level of supervision. Respondents with good perception on compensation system consist of 45.5% and 60.6% has less satisfactory level of perception. Significant association is found between perception and motivation (p: 0.0001), supervision and compensation system (p < 0.05). Multivariate analysis indicates the influence of several variables together toward performance of bidan di desa as an executor Poskesdes service guide. Those variables are motivation (OR= 8,668, p: 0.0001), supervision (OR: 2.463, p:0.073), perception on the compensation system (OR=4.061, p:0.007). Sumber Utama : www.mikm.undip.ac.id