Competency Analysis of Midwives in Providing Complementary Services at Bali Provincial Health Centers

Background: Complementary services in providing care to mothers and children by midwives are common. Standards related to complementary skills procedures still vary widely. Methods: The study design was in the form of pretest - posttest with control group design. The sample is midwives who are still actively providing midwifery services at the Health Center and the private midwife practice. A sample of 65 midwives from six health centers spread over three districts and cities in the province of Bali. Results: The research instrument used a questionnaire and skill observation sheet. The results showed that the characteristics of midwives were the average age of the midwives was 37.92 years, the highest education level was diploma III midwifery, and the average length of work was 15.43 years. There is a significant increase in the score between the pretest and posttest scores of knowledge, motivations and skills of midwives. The results of linear regression analysis on all variables showed that the difference in knowledge scores was 36% (R2=0.36), motivation scores were 22% (R2=0.22), and the difference in midwifery skill scores was 72% (R2=0.72). The midwife's response when receiving the training was very interested and enthusiastic. The training provided a significant difference in increasing the knowledge, motivation and skills scores of midwives. Conclusions: Midwives need to be provided with continuous training, competent media and instructors, there is a clear laws and regulations for midwives in providing complementary services.