Analysis Of Internal And External Factors Related To The K4-Coverage Of Village Midwives In The Working Area Of Banjar District Health Department

DOI

10.2991/smichs-17.2017.36How to use a DOI?

Keywords

facility, Internal factors knowledge, K4 coverage, leadership, motivation, skill, workload.

Abstract

Objective: to know the relationship of internal factors (knowledge, skills, motivation, and workload) and external factors (leadership, procedure, facility, and supervision) with K4 coverage of village midwives in the working area of Banjar District Health Department. Method: This research is an observational analytic study with cross sectional approach. Questionnaires and checklists were collected from 135 village midwives whose samples were taken by stratified random sampling technique in 15 sub-districts to determine factors related to achievement of K4 coverage in the Banjar District Health Department. Processing and data analysis using univariate analysis, chi square analysis and logistic regression analysis. Result: The result of univariable analysis are good for knowledge and motivation with 41,5% and 54,1%. Skilled and moderate workloads of 60% and 41.5%. Non-compliance with the procedure (SOP) of 51.1%. While the leadership and supervision performed by midwife coordinator from health center and health department is less than 56,3% and 53,3%, supported by complete facility 63% from low K4 coverage achievement is 60%. The result of Chi-Square analysis shows that there are correlation between internal factors (knowledge, skill, motivation, and workload), external factors (leadership, procedure, facility and supervision) with K4 coverage of p value <0,05. The result of logistic regression test of external factor is the most dominant variable is the procedure (p value = 0.001), the strength of the relationship can be seen from the value of Exp (B) that is the procedure with the achievement of K4 coverage (OR = 33,34). For internal factor is knowledge (p value = 0,020), strength of relation can be seen from value Exp (B) that is procedure with achievement of K4coverage (OR = 4,918). Conclusion: this research is internal and external factor in village midwife related to achievement of K4 coverage that obedience to SOP is a priority which must be overcome so that policy need to treat SOP and coaching / refreshing to increase knowledge in all Puskesmas Kabupaten Banjar.

Copyright

© 2017, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Winda Maolinda
AU  - Tita Husnitawati Madjid
AU  - Hadi Susiarno
AU  - Herry Herman
AU  - Ponpon S. Idjradinata
AU  - Dewi Marhaeni Diah Herawati
PY  - 2017/12
DA  - 2017/12
TI  - Analysis Of Internal And External Factors Related To The K4-Coverage Of Village Midwives In The Working Area Of Banjar District Health Department
BT  - Proceedings of the 2nd Sari Mulia International Conference on Health and Sciences 2017 (SMICHS 2017)
PB  - Atlantis Press
SP  - 298
EP  - 308
SN  - 2468-5739
UR  - https://doi.org/10.2991/smichs-17.2017.36
DO  - 10.2991/smichs-17.2017.36
ID  - Maolinda2017/12
ER  -