Supratikto Supratikto, Sri Utami Ady, Nur Sayidah

Analysis of Quality of Work Life and Performance of Midwives in Lamongan in 2025

Introduction

Analysis of quality of work life and performance of midwives in lamongan in 2025. Analyze Quality of Work Life & performance of Lamongan village midwives. Study found no significant link between work life quality & midwife performance despite high MMR/IMR.

Abstract

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are critical indicators in assessing the quality of public health services. In 2024, both MMR and IMR in Lamongan Regency remained relatively high, indicating the need for strengthened health interventions. Health workers, especially midwives, play a vital role in improving maternal and child health. One of the government’s strategies to reduce maternal and infant mortality is expanding midwife service coverage at primary health facilities and ensuring the presence of village midwives as the frontline providers across the region. Village midwives are expected to meet established service standards to ensure the quality of maternal and child health care. Service effectiveness and efficiency are commonly measured through indicators such as first antenatal visit coverage (K1), fourth antenatal visit coverage (K4), postpartum visit coverage (KF3), and delivery assistance by health workers. However, in Lamongan Regency, the performance of village midwives has not been optimal, with several indicators falling short of set performance targets.This study aimed to analyze the relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. The research used a quantitative method with a cross-sectional study design. The study population comprised all village midwives in Lamongan Regency, with a sample of 80 respondents selected randomly. The independent variable in this study was the quality of work life, while the dependent variable was village midwife performance. Data were collected through questionnaires and analyzed using the chi-square statistical test. The results showed no significant relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. These findings suggest that other factors beyond work life quality may influence midwives’ performance.

Review

This study addresses a highly pertinent issue concerning the persistent challenges of high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Lamongan Regency, attributing suboptimal performance of village midwives as a contributing factor. The research aimed to quantitatively analyze the relationship between the quality of work life (QWL) and the performance of these frontline healthcare providers. Employing a cross-sectional design, data were collected from a sample of 80 randomly selected village midwives using questionnaires, with the relationship assessed via the chi-square statistical test. The central finding, that no significant relationship exists between QWL and midwife performance, is a notable conclusion that warrants further exploration. While the study's focus on a critical public health issue and a key group of healthcare workers is commendable, several aspects warrant consideration. The mention of the study being conducted "in 2025" with "results showed" creates a temporal ambiguity that needs clarification in a published work, as it implies either a prospective study description or a retrospective analysis of future data. The operationalization of "Quality of Work Life" and "Performance" through questionnaires, while standard, can be subjective; more detail on the specific indicators used for both variables, and their validity and reliability, would enhance the methodological rigor. Furthermore, although the chi-square test is appropriate for categorical data, if QWL and performance were measured on more continuous scales, a wider range of statistical analyses (e.g., correlation or regression) might have provided a more nuanced understanding of any potential underlying relationships. The finding of no significant relationship between quality of work life and midwife performance in Lamongan Regency is an important, albeit null, result. This suggests that interventions solely targeting perceived QWL might not directly impact the specific performance indicators (K1, K4, KF3, delivery assistance) identified as problematic. The study's conclusion, pointing to the influence of "other factors," provides a strong impetus for future research. Subsequent studies could explore a broader range of variables such as leadership, training, resource availability, workload management, incentives, or organizational culture using mixed-methods approaches to gain a more comprehensive understanding of the complex determinants of midwife performance and ultimately, improve maternal and infant health outcomes.

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