Factors Associated to the Work Performance of Midwives in the Implementation of Village Allertness Program in the Boyolali District

Maternal mortality rate (AKI) and infant mortality rate (AKB) in Boyolali district were still high.Facts showed that AKI in 2010 was 114.80/10000 live-births, and in 2011 was 116.23/100.000 live-births; AKB in 2010 was 9.18/1000 live-births, and in 2011 was 12.27/1000 live-births. To acceleratethe decrease of AKI and AKB, health service intervention based on community need and capacity isrequired. Boyolali district health office had answered this challenged by developing alert villageprogram. However, the continuity of this alert village program was not maximal. One of reasons ofthis condition was inadequacy of midwives work performance in the development of village health polyclinic (PKD). Objective of this study was to analyze the inadequacy of midwives workperformance in the implementation of alert village such as skill, ability, motivation, leadership,and compensation.This was an analytical study with cross sectional approach. Study population was all 267 villagemidwives in the district of Boyolali. Samples were 75 village midwives selected using proportionalrandom sampling method. Frequency distribution for univariate analysis, Chi square test forbivariate analysis, and binary logistic regression for multivariate analysis were applied in the dataanalysis.Results of the study showed that there were significant associations between ability, skill and midwiveswork performance (p= 0.032); motivation and midwives work performance (p= 0.001); leadershipand midwives work performance (p= 0.002); compensation and midwives work performance (p=0.001). Variables, in common, affecting work performance of midwives were leadership andmotivation.Suggestions for the head of Boyolali district health office were to provide trainings on normaldelivery care (APN) and emergency to improve village midwives work performance, to improvePKD, to provide assistance for alert village program activities. Suggestion for chief of coordinatormidwives was to do program supervision and assistance