Factors Related to the Performance of Village Midwives in the Implementation of the Immunization Program in Pesawaran Regency

Authors

  • Eka Reni Sugianto Universitas Mitra Indonesia
  • Sugeng Eko Irianto Universitas Mitra Indonesia
  • Aila Karyus Universitas Mitra Indonesia
  • Noviansyah Noviansyah Universitas Mitra Indonesia
  • Atikah Adyas Universitas Mitra Indonesia

DOI:

https://doi.org/10.36568/jone.v4i3.728

Keywords:

village midwife performance, organizational culture, compensation, motivation, leadership, immunization

Abstract

Immunization programs are among the most effective public health interventions for preventing childhood infectious diseases. National immunization coverage in Indonesia reached only 86% in 2023, below the 93% national target. Pesawaran Regency similarly faces disparities in coverage across public health center working areas. This study aims to analyze factors associated with village midwives' performance in immunization program implementation in Pesawaran Regency, and to measure the strength of associations to inform evidence-based health policy. A quantitative cross-sectional study was conducted from February–March 2026 in Pesawaran Regency. Of 147 village midwives, 108 were selected via proportional random sampling (Slovin formula, 5% margin of error). Data were collected using validated Likert-scale questionnaires (Cronbach's alpha: 0.839–0.901). Bivariate analysis used the Chi-square test with cell frequency checks, effect sizes (Cramér's V), and 95% confidence intervals. Multivariate analysis employed binary logistic regression with multicollinearity checks (VIF) and Hosmer-Lemeshow goodness-of-fit. Significant associations were found between all four independent variables and midwives' performance: organizational culture (p=0.005, OR=5.12), compensation (p<0.001, OR=8.46), motivation (p<0.001, OR=9.67), and leadership (p<0.001, OR=6.67). Multivariate analysis identified compensation as the dominant factor (OR=7.660, 95% CI: 2.401–24.434), followed by motivation (OR=7.016, 95% CI: 2.252–21.851) and leadership (OR=4.246, 95% CI: 1.379–13.075). Organizational culture, compensation, motivation, and leadership significantly influence midwives' immunization program performance. Health authorities should prioritize equitable compensation structures and strengthen leadership capacity. Study limitations include potential social desirability bias from self-report data and cross-sectional design that limits causal inference.

References

Robbins, Stephen P. TAJ. Perilaku Organisasi Edisi 16. Jakarta : Salemba Empat. 2016.

Kemenkes. Profil Kesehatan Indonesia 2024. 2025.

SKI. Survey kesehatan indonesia (SKI). 2024; Available from: https://drive.google.com/file/d/1rjNDG_f8xG6-Y9wmhJUnXhJ-vUFevVJC/view

Hasibuan MSP. Manajelmeln Sumbelr Daya Manusia. ELdisi Relvisi. Jakarta: Bumi Aksara; 2019;

Mangkunegara. Manajemen sumber daya manusia perusahaan. Bandung: PT Remaja Rosdakarya. 2022.

Badan Pusat Statistik Kabupateln Pelsawaran. Jumlah balita yang pelrnah melndapatkan imunisasi di Kabupateln Pelsawaran. Pelsawaran: BPS; 2023;

Kemenkes RI. Buku Ajar Imunisasi. Kementeri Kesehat RI. 2019;1(1):1.

Ramadhani RF, Indra. Pengaruh Budaya Organisasi Terhadap Kinerja Pegawai. J Adm Pendidik Islam. 2023;05(2):175–82.

Idris, H., & Rahayu S. Studi Kepustakaan: Analisis Motivasi, Kepemimpinan dan Budaya Organisasi Terhadap Kinerja Perawat. J Adm Rumah Sakit Indones. 2024;23(4):307.

Notoatmodjo. Metodologi Penelitian Kesehatan. Ed. Rev. Jakarta: Rineka Cipta; 2020.

Hastono. Analisa Data Pada Bidang Kesehatan. Raja Grafi. Raja Grafindo Persada; 2021.

Mardiana P, Harokan A, Wahyudi A. Analisis Kinerja Petugas Pengelola Data Aplikasi Sehat Indonesiaku (Asik) Dalam Memenuhi Capaian Imunisasi Dasar Lengkap Bayi Pada Dinas Kesehatan Kota Pagar Alam. J Ners [Internet]. 2025;9(28):676–83. Available from: http://journal.universitaspahlawan.ac.id/index.php/ners

Ayu Anggraeni Dyah Purbasari. Pengaruh Kepemimpinan Transformasional dan Budaya Organisasi terhadap Kinerja Perawat di Rumah Sakit dalam Meningkatkan Kualitas Layanan Kesehatan. Quantum Wellness J Ilmu Kesehat. 2025;2(1):228–41.

Bawa RK. Healthcare Organisational Culture: Systematic Literature Review. J Health Manag. 2025;27(1):47–59.

Norawati S, Zulher Z, Yunita A, Ilyas I. Analisis Kompensasi dan Beban Kerja Serta Dampaknya Pada Kinerja Pegawai Medis Pada RSUD Bangkinang. J Apl Bisnis dan Manaj. 2022;8(2):553–64.

Uno HB. Teori motivasi dan pengukurannya: Analisis di bidang pendidikan. Bumi Aksara; 2023.

Mutmainah M, Vanchapo AR, Wawo BAM. Work Motivation Affects the Performance of Health Workers. J World Futur Med Heal Nurs. 2023;1(1):23–33.

Taqwin M Z, Nasution S, Helmi. Hubungan Faktor-Faktor Motivasi Dengan Kinerja Tenaga Kesehatan DiPuskesmas Siulak Gedang Kecamatan Siulak Kabupaten Kerinci Tahun2023. J Kesmas Jambi. 2023;7(2):114.

Komariah M, Hatthakit U, Boonyoung N, Ibrahim K, Susilaningsih FS, Mediani HS, et al. Islamic Mindfulness-Based Caring as an Intervention to Manage Fatigue. J Holist Nurs. 2024;42(2_suppl):S87–98.

WHO. WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas. Geneva. World Heal Organ. 2021

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Published

2026-08-12

How to Cite

Sugianto, E. R., Irianto, S. E., Karyus, A., Noviansyah, N., & Adyas, A. (2026). Factors Related to the Performance of Village Midwives in the Implementation of the Immunization Program in Pesawaran Regency. Journal of Nutrition Explorations, 4(3), 444–450. https://doi.org/10.36568/jone.v4i3.728

Issue

Vol. 4 No. 3 (2026): August

Section

Articles

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Copyright (c) 2026 Eka Reni Sugianto, Sugeng Eko Irianto, Aila Karyus, Noviansyah Noviansyah, Atikah Adyas

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