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All Journal PALASTREN Proceeding SENDI_U Jurnal Studi Komunikasi Mesin WAHANA Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health Jurnal Masyarakat dan Budaya Jurnal Komunikasi Indonesia
Pawito Pawito
Jurusan Ilmu Komunikasi FISIP Universitas Sebelas Maret Surakarta
Arts Humanities Computer Science & IT Education Environmental Science Languange, Linguistic, Communication & Media Mechanical Engineering Medicine & Pharmacology Public Health Social Sciences

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Journal : Journal of Health Policy and Management

 1 
The Association Between the Integrated Health Post Activity and the Performance of Community Health Workers in Child Growth and Development Care Service in Karanganyar, Central Java Kurniavie, Lidia Ekiq; Pawito, Pawito; Murti, Bhisma
Journal of Health Policy and Management Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Active integrated health post is an integrated health post that conducts routine activities every month and conducts additional activities. There are 61.32% active integrated health posts in Indonesia. Early detection of growth and development is one of the tasks of the cadres at the integrated health post. The role of the integrated health post cadre that is not optimal will have direct and indirect effects on children. This study aimed to analyze the effect of the integrated health post activity on cadre performance in children under five in Karanganyar Regency.Subjects and Method: This study used cross sectional design. This study was conducted in the integrated health post in Karanganyar from August-September 2019. There were 200 female college students involved as the sample of the study. They were selected by simple random sampling. The dependent variable was cadre performance of the integrated health post. The independent variables were cadre education, knowledge, attitude, employment status, years of service, training of children under five growth and development, facilities and infrastructure of the integrated health post, community support, and village government support. This study used questionnaires to collect the data. The data were analyzed by multiple logistic regression run on Stata 13.Results: Cadre performance in children under five growth and development in the integrated health post increased with high cadre education (OR=3.04; 95%CI=1.24 to 7.47; p=0.015), cadres who worked at home (OR=3.66; 95%CI=1.57 to 8.50; p=0.003), high knowledge (OR=4.11; 95%CI= 1.79 to 9.42; p=0.001), good attitude (OR=3.31; 95%CI= 1.31 to 8.38; p=0.011), parti­ci­pation in growth and development training by ≥2 times (OR=3.36; 95%CI=1.49 to 7.60; p=0.004), length of service of the cadres ≥10 years (OR=3.21; 95% CI=1.39 to 7.43; p=0.006), complete facilities and infrastructure of the integrated health post (OR=4.17 ; 95%CI=1.74 to 9.99; p=0.001), strong community support (OR=2.99; 95% CI=1.26 to 7.10; p=0.013), and high village government support (OR=2.76; 95% CI=1.17 up to 6.51; p=0.020).Conclusion: Cadre performance in children under five growth and development is affected by cadre education, cadre occupation, cadre knowledge, cadre attitude, training of growth and deve­lopment, length of service, facilities and infrastructure of the integrated health post, community support, and village government support.Keywords: cadre performance, integrated health post activity, growth and development, children under fiveCorrespondence:Lidia Ekiq Kurniavie. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ekiqlkv@gmail.com. Mobile: +62858525­40575.Journal of Health Policy and Management (2019), 5(1): 48-60https://doi.org/10.26911/thejhpm.2020.05.01.05
Effect of Leadership Style of the Head of the Community Health Center and Other Determinants on the Health Personnel Performance in Boyolali, Central Java Marwandi, David; Sulaeman, Endang Sutisna; Pawito, Pawito
Journal of Health Policy and Management Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Leadership in health services is needed to utilize resources efficiently, design management processes, and encourage health workers to work towards achieving common goals. The purpose of this study was to analyze the effect of leadership style of the head of community health center and other determinants on the performance of health personnel.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in Boyolali, Central Java, from June to July 2019. A sample of 206 health personnel from 22 community health centers was selected for this study. The dependent variable was the performance of health personnel. The independent variables were perceived transforma­tional leadership, perceived income, type of community health center, accre­ditation status, educa­tion level, tenure, training, community health center, and employee status. The data were collected by questionnaire and analyzed by a multilevel multiple linear regression run on Stata 13.Results: Health personnel performance increased with transformational leadership style (b= 2.23; 95% CI= 0.94 to 3.52; p <0.001), type of health workers (b= 1.80; 95% CI= 0.10 to 3.49; p = 0.037), and accreditation status (b= 3.01; 95% CI= 0.58 to 5.44; p= 0.015). Health personnel performance increased with education ≥Diploma III (b= 0.55; 95% CI= -1.46 to 2.56; p= 0.592), tenure ≥3 years (b= 0.05; 95% CI= -1.49 to 1.59; p = 0.947), adequate income (b= 1.16; 95% CI= -0.10 to 2.42; p= 0.072), and had attended training (b= 0.67; 95% CI= -0.68 to 2.03; p= 0.329), but they were statistically non-significant. Health personnel performance decreased with the status of civil servant (b= -1.32; 95% CI= -3.82 to 1.16; p= 0.298) and treatment status of community health center with hospitalization (b= -2.97; 95% CI = -5.03 to -0.91; p = 0.005).Conclusion: Health personnel performance increases with transformational leadership style, type of health workers, accreditation status, educa­tion ≥Diploma III, tenure ≥3 years, adequate income, and had attended training. Health personnel performance decreases with the status of civil servant and treatment status of community health center with hospitalization.Keywords: transformational leadership style, health personnel, performance.Correspondence:David Marwandi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: david.marwandi88@gmail.com. Mobile: +6281348789393Journal of Health Policy and Management (2020), 5(1): 74-84https://doi.org/10.26911/thejhpm.2020.05.01.07
Co-Authors Andre Novie Rahmanto Andrik Purwasito Anggraini, Wella Aprilia, Nita Arifin, Hamid Ayu Pangerti, Fitria Diyah Bhisma Murti Calorina, Livia Dwi Tiyanto, Dwi Eka Nada Shofa Alkhajar, Eka Nada Shofa Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Firdastin Ruthnia Yudiningrum, Firdastin Ruthnia Indriani, Frida Kurniavie, Lidia Ekiq Marwandi, David Naini, Albert Muhammad Isrun Nur-Anwari, Rizki Amalia Panduwinata, Annisa Widya Pitaloka, Ayu Dhiah Prasetya, Hanung Rahardjo, Setyo Sri Retno Wulan Retnowati, Very Sri Herwindya Baskara Wijaya, Sri Herwindya Baskara Sudarmo . Sulistyani, Retno Sunardiyah, Fina Sushmita, Chelin Indra Syahputri, Rezyana Budi Tantomo, Didik Tri Susanto Utari, Prahastiwi utomo, bambang setyo Yuliana, Nur Aida