Intention of midwives to use basic ANC practice guidelines in the Palembang District of Indonesia

Abstract

A cross-sectional study was conducted to identify the intention
of midwives to use basic ANC practice guidelines in the Palembang
district of Indonesia and to examine factors related to the intention.
Using stratified sampling, 144 midwives were sampled from randomly
selected community health centers and two public hospitals. Data were
collected by a self-administered questionnaire during January and February,
2011. Chi-square tests and multiple logistic regression (MLR) were used
to identify factors related to the intention of midwives.
Fifty-two percent of the midwives were between 40 and 59 years old
and 70% had worked in maternity divisions for less than 17 years. As
for in-service training experience, 58% had not had any antenatal care
training. Most of the midwives (58.3%) had high intentions to use the
basic ANC practice guidelines. By MLR, years of work and attitudes
towards the use of the basic ANC practice guidelines each had a statistically
significant association with the midwives’ intention regarding use
of the basic ANC practice guidelines. Midwives having positive attitudes
were three times more likely to have high intentions than those having
negative attitudes (Adj OR= 2.88, 95% CI=1.09 – 7.65) when adjusting
for other factors in the model.
New staff members should be frequently trained to promote positive
attitudes towards the use of the basic ANC practice guidelines which
enable midwives to detect early complications in pregnancy.