Factors Related to the Work Performance of Private Midwives in Using the “Poedji Rochjati” Scores for Early Detection of High Risk Pregnancy in Gresik Regency

Abstract

Abstrak

Skor “Poedji Rochjati” merupakan salah satu metode yang digunakan di provinsi Jawa Timur dalam mendeteksi resiko tinggi kehamilan. Bidan Praktek Swasta (BPS) ternyata tidak melakukan upaya deteksi resiko tinggi dengan skor “Poedji Rochjati” secara optimal dan hanya melakukannya bila ada indikasi tertentu saja. Tujuan penelitian mengetahui faktor yang mempengaruhi kinerja BPS dalam penggunaan skor “Poedji Rochjati” dalam deteksi resiko tinggi ibu hamil. Jenis penelitian observasional analitik dengan pendekatan belah lintang. Pengumpulan data dengan metode angket. Populasi adalah BPS di Kabupaten Gresik dengan subyek sejumlah 90 orang. Data dianalisis bivariat dengan chi-square dan multivariat dengan regresi logistik berganda.

Hasil penelitian menunjukkan sebesar 56,67% BPS mempunyai kinerja baik dalam penggunaan skor “Poedji Rochjati”. Variabel yang berhubungan dengan kinerja adalah pengetahuan (p=0,04), sikap (p= 0,001), motivasi (p=0,000), persepsi supervisi Dinas Kesehatan (p=0,000) dan persepsi supervisi IBI (0,003). Variabel beban kerja terbukti tidak berhubungan dengan kinerja (p=0,443). Sikap dan motivasi secara bersama-sama berhubungan dengan kinerja.

Dinas Kesehatan dan IBI perlu meningkatkan kualitas supervisi dan pembinaan bagi BPS dalam penggunaan skor “Poedji Rochjati” serta memberikan refreshing rutin sehingga meningkatkan pengetahuan, sikap dan motivasi BPS dalam deteksi resiko tinggi sebaik-baiknya.

Abstract

Poedji Rochjati score was a method used in East Java province to detect high risk pregnancy. Private practice midwives (BPS), surprisingly, did not optimally detect high risk pregnancy using ‘Poedji Rochjati’ score; they only used the score when there was a certain indication. Objective of this study was to identify factors affecting work performance of BPS in utilizing ‘Poedji Rochjati’ score to detect pregnancy risk. This was an observational analytical study with cross sectional approach. Data were collected using questionnaire. Study population was BPS in Gresik district, and 90 of them were selected as study subjects. Chi square was applied in the bivariate analysis, and multiple logistic regressions were applied in the multivariate analysis.

Results of the study showed that 56.67% of BPS had good work performance in utilizing ‘Poedji Rochjati’ score. Variables related to work performance were knowledge (p= 0.04), attitude (p= 0.001), motivation (p < 0.001), perception on IBI supervision (p= 0.003). Workload was not significantly associated with work performance (p= 0.443). Attitude and motivation together were associated with work performance.

District health office and IBI are suggested to improve the quality of supervision and guidance to BPS in utilizing ‘Poedji Rochjati’ score; to give routine refreshing to improve knowledge, attitude, and motivation of BPS in conducting proper detection of high risk pregnancy.