Tumartony Thaib Hiola, Bun Yamin M. Badjuka

Abstract views = 858 times | downloads = 714 times


Background: The most essential aspect to reduce the number of maternal and newborn mortality is midwife competence. Midwives have a great role to be able to handle variety of health services (antepartum, intrapartum, and postpartum) to avoid or decrease the maternal and infant mortality rate. Performance of health workers, particularly midwives, is the most crucial in affecting the quality and quantity of midwives’ services to  enhance the national health development.

Aim: This study analyzed factors affecting village midwife performance for reducing maternal and infant mortality in seek for achieving Bone Bolango cemerlang or bright Bone Balango as the vision of Bone Bolango District in 2021.

Methods: This study was an analytical survey with a cross-sectional approach. It was conducted from March to June 2019 in the working area of Bone Bolango District Health Office. There were 227 people from 19 primary healthcare centers as the population, and the sample size was 227 selected by using the total sampling technique. The data were collected by distributing questionnaires to the respondents and using secondary data. The data processing was done through chi-square test and multiple logistic regression with backward wald method.

Results: Midwife performance in Bone Bolango District was assessed based on several variables. Most of them were ≥ 25 years old (80.6%); worked for ≥ five years (58,6%); mostly had not participated in any normal childbirth care training (76.7%); had a good competence (96.5%); had good resources/equipment (79.7%); had a good reward (92.5%); had a good attitude (76.2%); had a good motivation (90.7%). There were 12 maternal mortalities from 2017 to 2019 handled by only 11 midwives (4.8%). On the other hand, infant mortality rate (IMR) reached 25 cases in the same years; of 227 midwives, these cases were handled by only 21 midwives (9.3%).

Conclusion: A midwife as a part of the health workers has an important role to increase the quality of maternal and child well-being program. Some variables that became indicators of midwife performance and had an effect on reducing the MMR and IMR included work period, reward, and motivation. This study recommends that all midwives have to be provided with a normal childbirth care training in the working area and increased rewards in the process of labor and delivery.


Keywords: midwives, performance, maternal mortality rate, infant mortality rate.

Full Text:



Afifah, A. (2017) Analisis Kinerja Bidan Desa dalam Pelayanan Asuhan Kebidanan di Wilayah Daratan Kabupaten Sumenep. Undergraduate Thesis. Universitas Airlangga. Available at:

Andriani, Y. (2012) Faktor-faktor yang Berhubungan dengan Kinerja Bidan di Desa dalam Pelaksanaan Program Jaminan Persalinan di Kabupaten Lampung Barat tahun 2012. Undergraduate Thesis. Universitas Indonesia. Available at: Andriani.pdf.

Araujo, N. de, Weraman, P. and Littik, S. K. A. (2019) ‘Factors Associated with Midwife Performance in Birth Delivery at Becora and Atauro Health Centers, Dili, Timor Leste’, in The 6th International Conference on Public Health. Solo, Indonesia: International Conference on Public Health, p. 232. doi:

Central Java Provincial Health Office (2018) Profil Kesehatan Provinsi Jawa Tengah Tahun 2017. Semarang. Available at:

Djunawan, A. and Haksama, S. (2015) ‘Hubungan Kerjasama, Motivasi, Sikap, dan Kinerja Bidan dalam Pelayanan Antenatal’, Jurnal Administrasi Kesehatan Indonesia, 3(1), pp. 11–20. doi:

Erawati, A. D., Rinayanti and Wahyuning, S. (2020) ‘Midwife roles to decline maternal mortality rate’, International Journal of Public Health Science (IJPHS), 9(1), pp. 29–33. doi: 10.11591/ijphs.v9i1.20393.

Fithananti, N. (2013) ‘Faktor-faktor yang Berhubungan dengan Kinerja Bidan Puskesmas dalam Pelaksanaan Program ASI Eksklusif di Kota Semarang’, Jurnal Kesehatan Masyarakat, 2(1), pp. 1–10. Available at:

Gibson, Ivancevich and Donnelly (2009) Organisasi Perilaku, Struktur, Proses Jilid I. Edisi Keli. Jakarta: Penerbit Erlangga.

Gusti, T. E., Tamtomo, D. and Murti, B. (2018) ‘Determinants of Midwife Performance on Antenatal Care in Surakarta and Karanganyar , Central Java’, Journal of Health Policy and Management, 3(1), pp. 11–19. doi:

Hanson, C. et al. (2015) ‘Maternal mortality and distance to facility-based obstetric care in rural southern Tanzania : a secondary analysis of cross-sectional census data in 226 000 households’, The Lancet Global Health, 3(7), pp. e387–e395. doi: 10.1016/S2214-109X(15)00048-0.

Ibrahim, T., Dalimunthe, R. F. and Yustina, I. (2020) ‘The Model of Midwife Performance of Antenatal Care in Banda Aceh’, Systematic Review Pharmacy, 11(5), pp. 21–28. doi: 10.31838/srp.2020.5.04.

Lamere, L. (2013) Analisis Kinerja Bidan pada Pelayanan Antenatal Care di Puskesmas Sekabupaten Gowa. Undergraduate Thesis. Hasanuddin University. Available at:

Longgupa, L. W. (2014) ‘Pengaruh Faktor Pengetahuan, Sikap dan Pelatihan Asuhan Persalinan Normal Pada Kinerja Bidan Dalam Pertolongan Persalinan Normal Suatu Studi Eksploratif di Kota Palu Propinsi Sulawesi Tengah’, Jurnal Ilmu Kesehatan, 1(16), pp. 781–785.

Mangkunegara, A. P. (2011) Manajemen Sumber Daya Manusia Perusahaan. Bandung: Remaja Rosdakarya.

Marfuah, S., Tamtomo, D. and Suryono, A. (2016) ‘Effect of Psychological Factors and Workload on Midwife Performance in the Integrated Antenatal Care In Pati , Central Java’, Journal of Maternal and Child Health, 1(3), pp. 138–145. doi:

Indonesian Ministry of Health (2018) Profil Kesehatan Indonesia Tahun 2017. Jakarta. Available at:

Nisa, K., Serudji, J. and Sulastri, D. (2019) ‘Analisis Faktor yang Berhubungan dengan Kinerja Bidan dalam Memberikan Pelayanan Antenatal Berkualitas Diwilayah Kerja Puskesmas Kota Bukittinggi Tahun 2018’, Jurnal Ilmiah Universitas Batanghari Jambi, 19(1), pp. 53–60. doi: 10.33087/jiubj.v19i1.545.

Pamundhi, T. E., Sriatmi, A. and Jati, S. P. (2018) ‘Faktor-faktor yang Berhubungan dengan Kinerja Bidan dalam Pelayanan Nifas di Kota Salatiga’, Jurnal Kesehatan Masyarakat, 6(1), pp. 93–102.

Reinke, E., Supriyatiningsih and Haier, J. (2017) ‘Maternal mortality as a Millennium Development Goal of the United Nations : a systematic assessment and analysis of available data in threshold countries using Indonesia as example’, Journal of Global Health, 7(1), pp. 1–9. doi: 10.7189/jogh.07.010406.

Sartorius, B. K. D. and Sartorius, K. (2014) ‘Global infant mortality trends and attributable determinants – an ecological study using data from 192 countries for the period 1990 – 2011’, Population Health Metrics - BioMed Central, 12(29), pp. 1–15. doi:

World Health Organization (2019) World Health Statistics 2019: Monitoring Health for the SDGs. Switzerland: L’IV Com Sàrl.

World Health Organization (2020) Infant mortality Situation and trends, Global Health Observatory (GHO) data. Available at: (Accessed: 8 August 2020).


  • There are currently no refbacks.


Views JAKI Stats


This journal is indexed by:



And many more...

We follow the ICMJE recommendations and Listed on 


Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.