Abstract

The incidence of Low Birth Weight Baby (LBWB) and the neonatal mortality rate
caused by LBW in Purbalingga District at 2010-2012 was high, although almost all
of LBWBs classificated as Healthy. Healthy LBWB management was one of efforts
to improve Healthy LBWB service quality in order to reduce infant mortality rate due
to LBWB. The study obective was to analyse factors affecting the implementation of
healthy LBWB by village midwives in Purbalingg District. This was an observational
analytic study with a cross sectional approach. The population were all of village
midwives who attained LBWB management training. Subjects were 36 village
midwives who were randomly selected from all Primary Health Centre in
Purbalingga. The collecting data was held by interview with a structured
questionnare and observations. The dependent variables was the implementation of
healthy LBWB management; independent variables were communication, resources
(staff and funding), disposition and bureaucracy structure. Chi Square, Fisher’s
Exact tests were used in data analysis. Results of the study showed that the average
age of midwives were 33.1±.,5 years and the average working period of midwives
were 11.2±5.5 years. All of the midwives has graduated from midwifery academics
(DIII). The Implementation of LBWB healthy management is mostly good (72,2%),
communication is mostly good (55,6%), Communication (p=0.002) associated to the
implementation of Healthy Low Birth Weight Baby Management.
Keywords : Communication, Implementation, management of healthy low birth
weight baby, village midwives.