The Compliance of Private Midwives in recording and Reproting Maternal and Child Health Services in Districts of Blitar in Province of East Java Year 2009

Abstract

The Health Office of East Java Province obliges private midwives to report maternal and child health services they’ve provide to the Public Healthcare Center every month. The report consists of the following indicators : the number of first and fourth visit of pregnant women, number of deliveries, postpartum mothers, live birth and stillbirth, new and previous visits of under-five children, immunization given, mothers and children who were referred, and family planning services. These reports would be used to evaluate the health status of an area. By completing and submitting the report timely, data on maternal and child health status status could be assessed for determining the priority of further actions. Thus, the problems could be early detected and controlled. The objective of this study was to investigate the compliance, knowledge, motivation, procedure, and the available facilities in supporting this program. This study was an observational research with survey method and cross-sectional approach. Structured questionnaires were used as an instrument for data collection. The subjects were seventy-five private midwives. Data were analyzed quantitatively using Logistisc Regression method. The results of this study showed that most of the respondents were young adults (64%), had worked for more than 5 years (90.7%), complied (56.6%), had a good knowledge in reporting (50.7%), good motivation (52%), good perception on reporting procedure (52%), good perception about supervision (54.7%), and poor perception about the provided facilities (66.7%). Based on bivariate analysis, variables of procedures (p = 0.030), motivation (p = 0.0001), and work length (p = 0.039) had a significant association with the compliance of the private midwives (p < 0.05). The results of multivariate analysis using Logistics Regression showed that motivation (p = 0.0001) and procedures (p = 0.004) together influenced the compliance of the private midwives (p < 0.05). Sumber Utama : www.mikm.undip.ac.id