Proceedings of the 2nd Borobudur International Symposium on Humanities and Social Sciences, BIS-HSS 2020, 18 November 2020, Magelang, Central Java, Indonesia

Research Article

The Affecting Factors of Implementation of Expanding Maternal and Neonatal Survival Program by the Ministry of Health of the Republic of Indonesia in Determining Midwifery in Kebumen, Central Java, Indonesia

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  • @INPROCEEDINGS{10.4108/eai.18-11-2020.2311621,
        author={Wulan  Rahmadhani},
        title={The Affecting Factors of Implementation of Expanding Maternal and Neonatal Survival Program by the Ministry of Health of the Republic of Indonesia in Determining Midwifery in Kebumen, Central Java, Indonesia},
        proceedings={Proceedings of the 2nd Borobudur International Symposium on Humanities and Social Sciences, BIS-HSS 2020, 18 November 2020, Magelang, Central Java, Indonesia},
        publisher={EAI},
        proceedings_a={BIS-HSS},
        year={2021},
        month={9},
        keywords={midwifery expanding maternal and neonatal survival program performance},
        doi={10.4108/eai.18-11-2020.2311621}
    }
    
  • Wulan Rahmadhani
    Year: 2021
    The Affecting Factors of Implementation of Expanding Maternal and Neonatal Survival Program by the Ministry of Health of the Republic of Indonesia in Determining Midwifery in Kebumen, Central Java, Indonesia
    BIS-HSS
    EAI
    DOI: 10.4108/eai.18-11-2020.2311621
Wulan Rahmadhani1,*
  • 1: Department of Midwifery, Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong, Indonesia
*Contact email: wulan@stikesmuhgombong.ac.id

Abstract

Maternal mortality rate has notably decreased after the implementation of the Expanding Maternal and Neonatal Survival (EMAS) program that manages to increase the effectiveness and accountability of midwives’ performance. The study aims to investigate factors affecting the implementation of the Expanding Maternal and Neonatal Survival (EMAS) program in midwives’ performance. This study applied a cross-sectional design. It involved 822 midwives. The data were collected from demographic information about midwives’ performance. Then, the obtained data were analyzed using bivariate analysis techniques to show the relationship between the dependent and independent variables. It used a non-parametric test of two independent samples with Chi-Square with a significance limit or p-values of <0.05 and Confidence Interval (CI) of 95%. 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), and motivation (p-value: 0.002, OR: 4.08, and 95% CI: 1.709-9.756). Midwives’ performance becomes an issue in the implementation of EMAS program. Midwives have to improve their attitudes and motivation in working for the implementation of this program.