1Sutio Rahardjo (CA) | 2Sri Wayanti | 3Moh. Choirin
1(CA),2,3 Politeknik Kesehatan Kementerian Kesehatan Surabaya Indonesia
Introduction: Based on the village-level midwife’s manual published by the Ministry of Health of the Republic of Indonesia in 2003, one of the objectives of empowering village midwives is to reduce the number of children under five with malnutrition and diarrhea, so that the role of village midwives in conducting screening for malnutrition is very important. This study aims to determine the factors that influence the performance of village midwives in screening for malnutrition in Bangkalan Regency. Methods: This study is an analytical study with a non-experimental survey approach (observational). The population in this study were 376 village midwives in 22 Community Health centers in Bangkalan Regency. The sampling procedure was carried out with a probability sample by means of a proportionate random sampling of 331 village midwives. The independent variables of this study were midwife performance factors (knowledge, motivation, workload, leadership, incentives) and the dependent variable of this study was the village midwife’s performance in screening malnutrition under five. Data collection used questionnaires and data analysis with Logistic Regression test. Results: Perceptions of the leadership of the head of the Community Health centers which are democratic have the most influence on the performance of village midwives in screening malnourished children under five. Then sequentially, the variable perceptions of incentives, motivation, knowledge, and workload affect the performance of village midwives in the selection of malnourished toddlers in Bangkalan Regency. Conclusion: In an effort to improve the performance of village midwives in screening children with malnutrition in the district. Bangkalan, good cooperation and coordination is needed between the Health Office, related professional organizations, the community, and parents or families of children under five. In particular, health workers improve in disseminating information about the health of children under five to the community, and parents or families. So that the incidence of malnutrition in children under five can be detected early for follow-up.
Keywords: Knowledge, Motivation, Workload, Leadership, Incentives, Performance of Midwives