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All Journal Jurnal Kebidanan Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Kesehatan Vokasional Ensiklopedia of Journal Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Jurnal Pemberdayaan Masyarakat Universitas Al Azhar Indonesia INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Jurnal Kesehatan Masyarakat
Grhasta Dian Perestroika
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Arts Humanities Computer Science & IT Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Work-Related Musculoskeletal Disorders among Indonesian Midwives: Organizational and Individual Determinants Herawati, Dian; Perestroika, Grhasta Dian; Hidayah, Nurulia; Mahendratta, Aida Musumi; Putri, Parama Septi Kharisma
Jurnal Kesehatan Vokasional Vol 11, No 1 (2026): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.118402

Abstract

Background: Musculoskeletal disorders (MSDs) are a significant occupational health problem among Indonesian midwives, especially in low resource healthcare settings. Demographic and personal characteristics such as age, body mass index (BMI), and years of professional experience are also significant predictors of musculoskeletal symptoms. Organizational and psychosocial elements including work overload, insufficient rest breaks, shift work, and limited workplace autonomy further exacerbate physical strain contributing to the development of MSDs among midwives. Existing literature often neglects the intersection of individual, workplace, and domestic factors that may further influence MSDs risks in women dominated professions.Objective: To determine whether MSDs affect the work performance of midwives and identified contributing individual and organizational risk factors.Methods: A cross-sectional online survey of 90 midwives in Yogyakarta public health centres around March-June 2025. Participant recruitment was conducted through purposive sampling. The questionnaire was structured into three sections: (1) sociodemographic and professional characteristics; (2) organizational support and ergonomic resources; and (3) self-reported musculoskeletal symptoms and related work impacts that utilised items adapted from the Nordic Musculoskeletal Questionnaire (NMQ).Results: Over half  (57%) reported MSDs affecting work performance. Chi-square analysis showed significant associations between BMI (χ² = 6.42, p = 0.04) and shift work (χ² = 5.83, p = 0.02) with MSD prevalence. Mid career midwives aged 31–44 years and those in the Obesity I BMI category (25–29.9) were the most affected. Organizational support was limited 83.3% lacked ergonomic guidelines, 87.8% had no ergonomic training, and 66.7% received no household assistance indicating the combined effect of occupational and domestic burdens.Conclusion: These results highlight the need for integrated ergonomic and psychosocial interventions to reduce MSD risks, improve job satisfaction, and promote workforce sustainability, reinforcing the importance of policy and workplace reforms to support midwives’ health and well-being. Further research is needed to examine the most dominant factors causing musculoskelatal disorders.
Co-Authors Amin, Hadriyani Andieny, Pramudya Dwi Argaheni, Niken Bayu Argaheni, S.ST., M.Keb., Niken Bayu Arini, Ketut Novia Azka, Millati Azzahra, Nabila Khairunisa Cahyanto, Erindra Budi Dewi Andang Prastika Dian Herawati Diana Nurrohima Erindra Budi C Herniyatun, Herniyatun Hidayah, Nurulia Khoirunnisa, Sofiyana Kusmawati, Iffah Indri Kusumawardani, Emi Maharani, Alvina Dewi Mahendratta, Aida Musumi Maulina, Rufidah Milinia, Straerla Atby Mufidah, Amatullah Mustamir Kamaruddin Nawang Swastika Raras Novika, Revi Gama Hatta Nurinasari, Hafi Putra, Wahyu Pratama Putri, Noviyati Rahardjo Putri, Parama Septi Kharisma Raharjo, Yaqut Amjad Adillah Rahmah, Ulinuha Aufa Resmi Pangaribuan Riadini Wahyu Utami Rin Widya Agustin Rosiana Alfa Risqi Sinta Rosita Sari Siti Nurhidayati Syarifah Syarifah, Syarifah Tri Nugraha Susilawati Utami Utami Wahidah, Nurul Jannatul Wirda Wirda