Implementation of Expanding Maternal and Neonatal Survival Program by the Ministry of Health Republic of Indonesia in Determining Midwifery in Kebumen, Central Java, Indonesia Wulan Rahmadhani
Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong
Abstract
Maternal mortality rate has notably decreased after implemented the Expanding Maternal and Neonatal Survival (EMAS) program that was increased the effectiveness and accountability of the midwives ^performance. The study aimed to investigate factors affecting the implementation of the Expanding Maternal and Neonatal Survival (EMAS) program with midwives^ performance. This study applied a cross-sectional design. It involved 822 midwives. Data collection used demographic information about midwives^ performance. The data were analyzed by bivariate analysis techniques to show the relationship between the dependent and independent variables. The applied statistical test was a non-parametric test of two independent samples with Chi-Square with a significance limit or p-values of <0.05 and 95% Confidence Interval (CI). There was a relationship between training, supervision, motivation and midwives^ performance. The study revealed the detail values for training (p-value: 0.047, OR: 4.48, 95% CI: 1.016-19.723), supervision (p-value: <0.001, OR values: 6.83, 95% CI: 2.625-17.747), motivation (p-value: 0.002, OR: 4.08, and 95% CI: 1.709-9.756). Midwives^ performance becomes an issue in the implementation program. Midwives have to improve their attitudes and motivation in working for the implementation of EMAS program.
Keywords: Midwifery, Expanding Maternal and Neonatal Survival program, Performance
