The Analysis Performance of Midwife in the Antenatal Care and Intranatal Care Service at the Independent Practice of Midwife (BPM) in Jember District

Abstract

Abstract: Maternal Mortality Rate (MMR) the district of Jember holds the top rank across East Java province Indonesia reaching 87,73/100.000 of living birth. The major cause of the death rate especially took place in 2015 was pre-eclampsia (37,50 %), and out of bleeding (18,75 %). Midwifery service including pregnancy check-up and delivery mostly conducted by midwives. The performance of midwife will likely impact midwifery service quality especially Antenatal Care (ANC) and Intranatal Care (INC) service. The research aimed to analyse factors which influence midwife’s performance in antenatal care cervice and intranatal care at the Independent Practice of Midwife (BPM) in Jember district. The research deployed observational survey with cross sectional approach. Three independent variables were involved such as individual variable, organizational variable and psycholgical variable. Where as two dependent variables were also involved such as midwifes’ performance at the antenatal care service and at the intranatan care service. Of 185 midwives in Jember district with independent practice was selected through cluster random sampling. The research instrument used questionnaire. Data was collected and analysed using statistical test of double linier regression. The research result indicated significant influence of individual, organizational and psychological factors over the performance of midwife at the antenatal care service. In addition, the influence of individual and organizational factors over the performance of intranatal care also showed up, but other wise it did not performance for psychological factor. Thus, head of health office and the chair person of professional organization such as Indonesian Midwife Association (IBI) of Jember district are suggested to provide midwives with a wide range of opportunities through seminars, symposium and periodic technical training for their better professional development. Keywords: Performance of Midwife, Antenatal care, Intranatal care I.