Pengaruh Karakteristik Individu dan Organisasi terhadap Kinerja Bidan di Desa Dalam Program Kesehatan Ibu dan Anak (KIA) di Kabupaten Aceh Tenggara Tahun 2008

Abstract

Motber and child health program (KIA) in Aceh Tenggara Distict is directed to support the attempt of minimizing matemal mortality rate (AKI) and infant mortality mte (AKB). Th€ success of this program must be supported by the performanee of rural midwives in achieving the main and administrative activities of the program that the target of KLA program can be implemented as planne d.fuZAA7, the rqPorted KIA services in Aceh Tenggara Dishicrshowed that the reported first visit of pregnant mother (Kl) reached 50.5o/o, the reported fourth visit of pregnant mother (K4) reached 54.1o/o, the reported delivery assistance reached StlOrZ", tfre reported high-risk service reached 17.6yo, and the reported neo-natal serrriee reached 48.2% and these reported services are still far from the reported national percentage. This survey study with explanatory research method is intended io anayze tfre influencr of individual characteristics (age, marital statr$, working e*fri"n", domicilg aod knowledge), organizatiea (leadership, superrrision" ."**O and psychology (motivation) on the e of rural midwives in the mother and child heatlh program (KIA)- The poputation for this study rrras 283 nral midwives end74 of them were selected to be the samples for this study through the Allocation Proportional Sampling technique. The data obtained were analyzcd through univariate and multivariate analysis. The result of this study shows that, based on their main activity, adnrinistmtive aaivity and the mrmber of their produaive horrrs, the per.formancr of the nnal midwives is good Q4.3vO, fair (36.5010) and poor (39.7/oi. The result of gultiple linear regression test shbws that the variable of marital status p : 0.000, domicile p : 0.004, 81d working experience p : 0.000 have an influence sn the performance of nual midwives. Of tle two variables (marital $atus and working experience), working experience is the most dominant variable influencing thi performanee of rual midwives in the mother and ctrild healrh progmm (KI$. The Hed of Puskesmas (Community Heatth Centeri and the midvrdfe coordiaator rlho leads the rural midrrives are suggested to pay attention to the existence of n:ral midwives at their work place, to dircct and supjwise the new npal midwives in order to obey the rules of organization and work as planned, and to make a rewd systqn based onthe'r:rrcrk achievement ofthe nral midwives that they will be motivated in achiwing the targets of their main activity, their adminisrative activity and the nrmrber of their productive hours in achieving the goal of

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