Analysis on Work Performance Difference Between Trained and Untrained Midwives in Neonatal Case Integrated Management in Kudus District

Background: Infant mortality rate (AKB) in 2010 was 24/1000 live-births, and neonates mortalityrate was 15/1000 live-births. Implementation of neonatal management was started by giving trainingon neonatal integrated management (MTBM) to village midwives. This MTBM was important toimprove work performance of midwives in the implementation of neonatal visit according to MTBM guideline. Infant mortality rates in Kudus district in 2009 was 5.88/1000 live-births, and 80.2% ofinfant deaths occurred in the neonatal period. Infant mortality rates in 2010 was 6.39/1000 live-births, and 87.6% of infant deaths occurred in the neonatal period. Infant mortality rates in 2011was 6.71/1000 live-births, and 78.43% of infant deaths occurred in the neonatal period. Objectiveof this study was to analyze the difference between trained and untrained village midwives onneonatal integrated management in the management of neonatal visit in Kudus district, 2011.Method: This was a study using survey method and cross sectional approach. Study subjects weretrained and untrained village midwives on MTBM. Each group of midwives consisted of 35 midwives.Data were collected through interview. Independent samples t-test was applied in the data analysis.Results: There was a work performance difference between trained and untrained midwives onMTBM in the management of neonatal visit in Kudus district in 2011 (p: 0.047) with a meandifference of 5.97. Quality aspect: there was a work performance difference between trained anduntrained village midwives on MTBM (p: 0.000) with a mean difference of 8.12. Quantity aspect(p: 0.892), timeliness (p: 0.728), cost effectiveness (p: 0.981), supervision (p: 0.324), andinterpersonal relationship (p: 0.680).Conclusion: There was a work performance difference between trained and untrained villagemidwives on MTBM in Kudus district in 2011. Modification for training pattern such as teachingmethod, evaluation, and field practice is needed. Therefore, the training will increase the points ofall evaluation criteria for work performance of village midwives in conducting neonatal visit