Linear Regression Analysis on Factors Affecting Health Surveillance Personnel Performance in Early Detection of Preeclampsia in Semarang, Central Java


  • Zella Cahyandaru Masters Program in Public Health, Universitas Sebelas Maret
  • Didik Tamtomo Faculty of Medicine, Universitas Sebelas Maret
  • RB Soemanto Faculty of Social and Political Sciences, Universitas Sebelas Maret


Background: Preeclampsia is a major cause of maternal death both globally and regionally. It can be prevented either through continuous surveillance and early detection activities. City Health Office in Semarang recruited health surveillance officers as an effort to reduce maternal mortality especially due to preeclampsia. The purpose of this study was to analyze factors associated with health surveillance personnel performance in the early detection of preeclampsia.

Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 26 community health centers in Semarang, from October to December 2018. A sample 148 health surveillance personnels was selected by exhaustive sampling. The dependent variable was health surveillance personnels performance. The independent variables were age, work motivation, work stress, job satisfaction, leadership style, and supervision. The data were collected by questionnaire and analyzed by a multiple linear regression.

Results: Health surveillance personnel’s performance in early detection of preeclampsia was positively associated with strong work motivation (b= 0.12; 95% CI= 0.07 to 0.16; p<0.001), low work stress (b= 0.08; 95% CI= -0.01 to 0.15; p= 0.058), work satisfaction (b= 0.10; 95% CI= 0.05 to 0.15; p<0.001), leadership style (b= 0.23; 95% CI= 0.10 to 0.37; p= 0.001), and good supervision (b= 0.31; 95% CI= 0.18 to 0.45; p<0.001). Health surveillance personnel’s performance was negatively associated with older age (b= -0.08; 95% CI= -0.16 to 0.01; p= 0.050).

Conclusions: Health surveillance personnel performance in early detection of preeclampsia is positively associated with strong work motivation, low work stress, work satisfaction, leadership style, and good supervision. Performance is negatively associated with older age.

Keywords: early detection, preeclampsia, performance, health surveillance personnel

Correspondence: Zella Cahyandaru. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: Mobile: +6287832622469.

Journal of Health Policy and Management (2019), 4(1): 13-22


Adjei KA, Emmanuel O, Forster O M (2016). The Impact of Motivation on the Work Performance of Health Workers (Korle Bu Teaching Hospital): Evidence from Ghana. Hospital Practices and Research Journal, 1(2): 45. doi: 10.20286/hpr010245.

Ahmad EH, Maidin A, Abdullah T, Naiem F, Buraerah S, Handayanif R, Prihantono P (2018). Relationship of work stress to the performance of intensive care unit nurses in Makassar. American Journal of Public Health Research, 6(1): 18. doi: 10.12691/ajphr614.

Beratha O, Wirakusuma IB, Sudibya A (2013).Hubungan karakteristik, motivasi, dan dana BOK dengan kinerja petugas KIA Puskesmas di Kabupaten Gianyar. Public Health and Preventive Medicine Archive, 1(1): 4.

Bertolino M, Truxillo D, Fraccaroli F (2013). Age effects on perceived personality and job performance. Journal of Managerial Psychology, 28(7/8): 878. doi:10.1108/jmp0720130222.

Bokslag A, van Weissenbruch M, Mol BW, de Groot CJM (2016). Preeclampsia; short and longterm consequences for mother and neonate. Early Human Development, 102: 47–50. doi: 10.1016/j.earlhumdev.2016.09.007.

BoschCapblanch X, Liaqat S, Garner P (2011). Managerial supervision to improve primary health care in low and middleincome countries. Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.cd006413.pub2.

Bowling NA, Khazon S, Meyer RD, Burrus CJ (2013). Situational Strength as a Moderator of the Relationship between Job Satisfaction and Job Performance: A Meta-Analytic Examination. Journal of Business and Psychology, 30(1): 93. doi:10.1007/s10869-013-9340-7.

Breevaart K, Bakker AB, Demerouti E, Derks D (2015). Who takes the Lead? A multisource diary study on leadership, work engagement, and job performance. Journal of Organizational Behavior, 37(3): 317. doi: 10.1002/job.2041

Bro Schmidt G, Christensen M, Breth Knudsen U (2017). Preeclampsia and Later Cardiovascular Disease – What do National Guidelines Recommend?. Pregnancy Hypertension, 10: 5. doi: 10.1016/j.preghy.2017.07.139.

Chipukuma HM, Zulu JM, Jacobs C, Chongwe G, Chola M, Halwiindi H, Zgambo J, Michelo C (2018). Towards a framework for analyzing determinants of performance of community health workers in malaria prevention and control: A systematic review. Human Resources for Health, 16(1), p: 11. doi:10.1186/s129600180284x

Colquitt JA, Lepine JA, Wesson MJ (2011). Organizational behavior: improving performance and comitment in the workplace. New York: The McGrawHill Companies, Inc: 10505

Dinas Kesehatan Provinsi Jawa Tengah (2018). Buku Saku Kesehatan tahun 2017. – Diakses 10 Mei 2018.

Dinas Kesehatan Kota Semarang (2018). Profil Kesehatan Kota Semarang 2017. Semarang: Dinkes Kota Semarang

____ (2018). Petugas surveilans kesehatan ibu dan anak (Gasurkes KIA) tahun 2017. Semarang: Dinkes Kota Semarang

____ (2017). Profil kesehatan Kota Semarang 2016. Diakses 15 Februari 2018

Doloh N, Tamtomo D, Sulaeman ES (2018). Factors Affecting Work Performance among Nurses in Delivering Health Service for the National Health Insurance Patients at Dr. Moewardi Hospital, Surakarta. Journal of Health Policy and Management (2018), 3(1): 22-4. doi:

Domingo KB, Grossman DC, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, Epling JW, et al (2017). Screening for preeclampsia US preventive services task force recommendation statement. Journal of the American Medical Association. 317(16): 1661. doi: 10.1001/jama.2017.3439

Faragher EB, Cass M, Cooper CL (2013). The relationship between job satisfaction and health: A metaanalysis. from stress to wellbeing. 1: 269. doi: 10.1057/9781137310651_12.

Ioannou P, Katsikavali V, Galanis P, Velonakis E, Papadatou D, Sourtzi P (2015). Impact of job satisfaction on greek nurses’ healthrelated quality of life. Safety and Health at Work, 6(4): 327. doi: 10.1016/

Jeyabalan A (2013). Epidemiology of preeclampsia: impact of obesity. Nutrition Reviews, 71: S18–S25. doi: 10.1111/nure.12055.

Jim B, Karumanchi SA (2017). Preeclampsia: pathogenesis, prevention, and longterm complications. Seminars in Nephrology, 37(4): 388-394. doi: 10.1016/j.semnephrol.2017.05.011

Kok MC, Broerse JEW, Theobald S, Ormel H, Dieleman M, Taegtmeyer M (2017). Performance of community health workers: situating their intermediary position within complex adaptive health systems. Human Resources for Health, 15(1): 5. doi: 10.1186/s129600170234z.

Kok MC, Kane SS, Tulloch O, Ormel H, Theobald S, Dieleman M, Taegtmeyer M, et al. (2015). How does context influence performance of community health workers in low and middle-income countries? Evidence from the Literature. Health Research Policy and Systems, 13(1): 9. doi: 10.1186/s1296101500013.

Letvak S, Ruhm C, Gupta S (2013). Differences in health, productivity and quality of care in younger and older nurses. Journal of Nursing Management, 21(7): 9189. doi: 10.1111/jonm.12181.

Li L, Hu H, Zhou H, He C, Fan L, Liu X, Zhang Z, et al. (2014). Work stress, work motivation and their effects on job satisfaction in community health workers: a cross-sectional survey in China. BMJ Open. 4: 8 doi: 10.1136/bmjopen201-004897.

Lin PY, MacLennan S, Hunt N, Cox T (2015). The influences of nursing transformational leadership style on the quality of nurses’ working lives in Taiwan: A cross-sectional quantitative study. BMC Nursing, 14(1): 6. doi: 10.1186/s129120150082x.

Madede T, Sidat M, McAuliffe E, Patricio SR, Uduma O, Galligan M, Bradley S, et al. (2017). The impact of a supportive supervision intervention on health workers in Niassa, Mozambique: a ClusterControlled Trial. Human Resources for Health, 15(1): 10. doi:10.1186/s1296001702134.

Mol BWJ, Roberts CT, Thangaratinam S, Magee LA, de Groot CJM, Hofmeyr GJ (2016). Preeclampsia. The Lancet, 387(10022): 999-1007. doi: 10.1016/s01406736(15)000707.

Mosadeghrad AM (2014). Factors influencing healthcare service quality. International Journal of Health Policy and Management, 3(2): 81. doi: 10.15171/ijhpm.2014.65.

Mutale W, Ayles H, Bond V, Mwanamwenge MT, Balabanova D (2013). Measuring health workers’ motivation in rural health facilities: baseline results from three study districts in Zambia. Human Resources for Health, 11(1): 6. doi:10.1186/14784491118.

Nadinloyi KB, Sadeghi H, Hajloo N (2013). Relationship between job satisfaction and employees mental health. Procedia Social and Behavioral Sciences, 84: 296. doi: 10.1016/j.sbspro.2013.06.554.

OluAbiodun O, Abiodun O (2017). Perception of transformational leadership behaviour among general hospital nurses in Ogun State, Nigeria. International Journal of Africa Nursing Sciences, 6: 25. doi: 10.1016/j.ijans.2017.02.001.

Pasha O, McClure E, Saleem S, Tikmani S, Lokangaka A, Tshefu A, Bose CL, et al. (2018). A prospective cause of death classification system for maternal deaths in low and middle-income countries: Results from the Global Network Maternal Newborn Health Registry. BJOG: An International Journal of Obstetrics & Gynaecology, 125(9): 1442. doi: 10.1111/14710528.15011.

Pusat Data dan Informasi Kementerian Kesehatan RI (2014). Situasi Kesehatan Ibu. Diakses 14 Februari 2018.

Saleem S, McClure EM, Goudar SS, Patel A, Esamai F, Garces A, Chomba E, et al. (2014). A prospective study of maternal, fetal and neonatal deaths in low and middle-income countries. Bulletin of the World Health Organization, 92(8): 608. doi:10.2471/blt.13.127464

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, et al (2014). Global Causes of Maternal Death: a WHO Systematic Analysis. Lancet Global Health. 2: 328. doi:

Scheffler RM, Herbst CH, Lemiere C, Campbell J (2016). Health labor market analyses in low and middle-income countries. Washington DC: the World Bank: 163-5.

Schwarz G (2017). Transformational leadership and job performance: the role of organizational identification. The Palgrave Handbook of Leadership in Transforming Asia: 530. doi: 10.1057/9781137579409_28.

Snowdon DA, Leggat SG, Taylor NF (2017). Does clinical supervision of healthcare professionals improve effectiveess of care and patient experience? A systematic review. BMC Health Services Research, 17(1): 9. doi: 10.1186/s1291301727395.

Umesawa M, Kobashi G (2016). Epidemiology of hypertensive disorders in pregnancy: prevalence, risk factors, predictors and prognosis. Hypertension Research, 40(3): 214. doi: 10.1038/hr.2016.126

United States Agency for International Development (USAID) (2017). Be prepared for preeclampsia. Diakses 15 Februari 2018.

Von Dadelszen P, Magee LA (2016). Preventing deaths due to the hypertensive disorders of pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology, 36: 83–90. doi: 10.1016/j.bpobgyn.2016.05.005.

Wang G, Oh IS, Courtright SH & Colbert AE (2011). Transformational leadership and performance across criteria and levels: a meta-analytic review of 25 years of research. Group & Organization Management, 36(2): 255. doi: 10.1177/1059601111401017.

World Health Organization (2015). Health workforce 2030: towards a global strategy on human resources for health. Diakses 27 Februari 2018

____ (2014). A universal truth: no health without a workforce. Diakses 20 November 2018

Yousaf A, Yang H, Sanders K (2015). Effects of intrinsic and extrinsic motivation on task and contextual performance of pakistani professionals. Journal of Managerial Psychology, 30(2): 133. doi:10.1108/jmp0920120277.

Zafar Q, Ali A, Hameed T, Ilyas T, Younas HI (2015). The influence of job stress on employees performance in Pakistan. American Journal of Social Science Research 1(4): 224.




How to Cite

Cahyandaru, Z., Tamtomo, D., & Soemanto, R. (2019). Linear Regression Analysis on Factors Affecting Health Surveillance Personnel Performance in Early Detection of Preeclampsia in Semarang, Central Java. Journal of Health Policy and Management, 4(1), 13–22. Retrieved from