Public Health Midwives play a major role to maintain a sustainable and successful health care service in the country. In detail analysis of their performances is a timely need. A descriptive cross-sectional study associated with a qualitative component was conducted among 264 Public Health Midwives in Nuwara Eliya district. By using a validated self- administered questionnaire task performance, contextual work performance and counterproductive work behaviour of Public Health Midwives were analyzed. a Focus Group Discussion was held with all the MOHs of the district and three Key Informant Interviews were conducted with the district supervising officers. Scoring mean for the individual task performance was 3.87 (SD=0.79) and for contextual performance it was 3.54 (SD=0.78). Mean value of the counter productive work behaviour was 2.67 (SD=0.76). Numerically a large number of participants have shown an excellent task performance (N=124:47.0%). Anyhow it does not represent the majority (<50%). Percentage of participants with an unsatisfactory task performance were 2.6% (N=7). Approximately one third of the study sample showed a good task performance. Numerically a larger number of study participants (N=118:44.9%) have shown a good contextual performance. Number of study participants who have shown a satisfactory contextual performance (N=65:24.7%) is nearly equal to the number of participants who have shown an excellent contextual performance (N=73:27.4%). Majority of the participants do not have the habit of talking to people outside the organization about the negative aspects of their work. Most of the participants were used not to focus on the negative aspects of situation at work instead of the positive aspects. Motivational strategies should be applied to achieve maximum performances with minimum resources. A comprehensive tool which can be used for PHM and other categories of health staff supervisions and assessments should be developed. It can be used for independent supervisions and work assessments. Individual work performances were observed to be raised with increased age and service duration. System strengthening and taking flexible administrative decisions should be considered for each PHM area..
2023-07-01.
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