Analysis of Quality of Work Life and Performance of Midwives in Lamongan in 2025
DOI:
https://doi.org/10.70062/globalmanagement.v2i3.337Keywords:
Infant Mortality, Maternal Health, Midwives, Performance, Quality of Work LifeAbstract
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.
References
Aifu, D. K., Sari, E., & Sarumi, R. (2024). The influence of quality of work life on midwife performance at the Muna Regency Regional General Hospital. Indonesian Journal of Science and Health Research, 1(1), 16–23. https://doi.org/10.69930/jrski.v1i1.10
Alridho, M. V., Adriani, Z., & Ratnawati, R. (2024). The influence of quality of work life on employee performance through employee satisfaction. Lokawati: Journal of Management Research and Research Innovation, 2(5), 350–364. https://doi.org/10.61132/lokawati.v2i5.1212
Anggraini, D., Nasution, I., & Prayogi, M. A. (2023). Optimizing employee performance: Job stress and quality of work life with job satisfaction mediation. Scientific Journal of Management and Business, 24(2), 170–198.
Anisya, D., Muttaqien, Z., & Dewi, A. S. (2022). Quality of work life and self-esteem on employee performance. Management Implementation & Entrepreneurship, 2(2), 161–175. https://doi.org/10.38156/imka.v2i2.132
Bariah, T. K., Sumijatun, & Herawani. (2025). Analysis of the influence of workload, competence and motivation on nurse performance in the inpatient ward of Karya Medika I Hospital, Cikarang in 2024. Indonesian Journal of Hospital Management and Administration (MARSI), 9(1), 95–105. https://doi.org/10.52643/marsi.v9i1.5909
Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE Publications, Inc.
Ekowati, S., & Ariani, T. (2022). Quality of work life, job engagement, and job satisfaction of employees of PT. WOM Bengkulu Branch. Jurnal Ekombis Review: Scientific Journal of Economics and Business, 10(S1), 229–236. https://doi.org/10.37676/ekombis.v10iS1.2027
Gunawan, Y. M., & Yulistiono, A. (2022). The influence of quality of work life and organizational culture on employee job satisfaction at PT. Nivada Interindo Pratama. Mirai Management Journal, 7(3), 555–561.
Hastuti, P., Mawarni, A., & Sriatmi, A. (2024). Analysis of village midwives' performance in neonatal services for low birth weight babies at the Pati District Community Health Center. Indonesian Journal of Health Management, 2(2), 161–167.
Hefni, A. (2022). The influence of quality of work life on employee performance with job satisfaction as a mediating variable at the Regional Personnel and Human Resource Development Agency of Jambi City. Journal of Applied Management and Finance (Mankeu), 11(2), 425–437.
Hermanto, A. B., & Widyaningrum, S. (2024). Analysis of motivation level and work environment on employee loyalty (Case study at PT Java Indosinergi Creative). Proceedings of SENAM 2024: Economics & Business, 4(5), 128–142.
Isarotun, Suparjo, & Rachmawati, F. (2022). The relationship between midwife performance and the level of satisfaction with antenatal care services at the 23 Ilir Community Health Center in Palembang in 2021. Scientific Journal of Midwifery and Health Sciences, Bakti Utama Pati Health Sciences College, 13(2), 2018–2023. https://doi.org/10.52299/jks.v13i2.115
Iswati, N. P., & Mulyana, O. P. (2021). The relationship between quality of work life and work engagement of employees at PT. X. Character: Journal of Psychological Research, 8(8), 1–10.
Johan, H. (2023). The performance analysis of midwifery services with cross sectional study in Samarinda City. Sebatik, 27(2), 781–786. https://doi.org/10.46984/sebatik.v27i2.2436
Kesti, R., Kanste, O., Konttila, J., & Oikarinen, A. (2023). Quality of working life of employees in public healthcare organizations in Finland: A cross-sectional study. Nursing Open, 10(1), 6455–6464. https://doi.org/10.1002/nop2.1896
Kurniawan, H., & Hasanah. (2018). The relationship between work-family conflict and job stress with midwife performance in the inpatient ward of Anutapura General Hospital, Palu. Tadulako Health Journal, 4(1), 36–40.
Legowo, A., & Soliha, E. (2022). Quality of work life, employee engagement, and resistance to change on organizational citizenship behavior. Journal of Economic and Business Dynamics, 19(2), 103–124. https://doi.org/10.34001/jdeb.v19i2.3216
Lestari, D., Sari, G. M., & Anis, W. (2022). Quality of integrated ANC by midwives at community health centers in Surabaya City. Indonesian Midwifery and Health Sciences Journal, 6(2), 172–180. https://doi.org/10.20473/imhsj.v6i2.2022.172-180
Mujtahidah, & Istiqamah, N. F. (2024). Local government support for achieving universal health coverage (UHC) in East Luwu Regency. Indonesian Journal of Science and Health Research, 1(4), 141–149. https://doi.org/10.69930/jrski.v1i4.205
Nadiroh, L. K. A., & Rijanti, T. (2022). Effect of quality of work life, work competency and knowledge sharing on employee performance. Management Studies and Entrepreneurship Journal, 3(R), 2190–2199.
Nauli, N. K., & Saryatmo, M. A. (2025). The influence of quality of work life on employees of PT X who work hybridly during the Covid-19 pandemic. Journal of Business Management and Entrepreneurship, 7(4), 120–130.
Noviyanti, N. M. D., & Sari, D. M. F. P. (2025). Examining quality of work life factors that drive employee performance private hospitals in Bali Province. Amkop Management Accounting Review (AMAR), 5(1), 310–324.
Nuraineu, Y., Herdayati, M., & Kuswandi, K. (2022). The relationship between village midwives' attitudes and motivations with the quality of antenatal care (ANC) services in Lebak Regency in 2017. Journal of Midwifery and Health Research, 1(1), 27–36. https://doi.org/10.36743/jmhr.v1i1.413
Pamungkas, Y. (2025). The influence of quality of work life on performance with satisfaction and work discipline as intervening variables (Study on employees of BPS of Yogyakarta Special Region). Tambusai Scientific Journal, 7(2), 221–250.
Prosen, M., & Ličen, S. (2025). Adapting to change: An analysis of midwives' job satisfaction in the post-pandemic workplace. BMC Health Services Research, 25(1), 1–10. https://doi.org/10.1186/s12913-025-12212-y
Rahmadiana, S., Annisa, K., & Rossita, T. (2025). The relationship between midwife communication and the level of satisfaction of pregnant women with antenatal care services at the Padang Ulak Tanding Community Health Center. Journal Student Scientific, 3(2), 111–118.
Respati, B. W., Ihwanudin, M., & Kurniawati, M. (2023). The influence of quality of work life and work-life balance on employee performance: The mediating role of job satisfaction. Managerial Journal, 10(2), 1–20.
Ruindungan, P., Hartoyo, M. G., & Tumuwe, W. (2022a). Analysis of central government policy in the context of developing the quality of midwives at the South Minahasa District Health Office. Journal of Public Health (J-KESMAS), 8(1), 91–107. https://doi.org/10.35329/jkesmas.v8i1.2842
Ruindungan, P., Hartoyo, M. G., & Tumuwe, W. (2022b). Analysis of central government policy in the context of developing the quality of midwives at the South Minahasa District Health Office. Journal of Public Health (J-KESMAS), 8(1), 91–107. https://doi.org/10.35329/jkesmas.v8i1.2842
Salsabila, H., & Alam, I. A. (2026). The influence of quality of work life and job stress on the transformation of human resource management strategy at Rumah Kerupuk Arumi 157. ECo-Fin: Economics and Financial, 7(1), 1–20. https://doi.org/10.32877/ef.v7i1.2026
Tuzauna, G. V., & Andriani, H. (2023). Analysis of the relationship between quality of work life and the performance of community health center midwives in Cirebon Regency. Tambusai Health Journal, 4(4), 5481–5489. https://doi.org/10.31004/jkt.v4i4.20241
Wulandari, R., & Sumanti, N. T. (2022). Analysis of the role of midwives, infrastructure and maternal knowledge in the implementation of integrated ANC in the Independent Midwife Practice (PBM) W in Bojong Gede in 2020. ‘Aisyiyah Journal of Midwifery and Nursing, 18(1), 1–215. https://doi.org/10.31101/jkk.1748

