Pangestuti, Reni Dwi
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Factors Associated with Health Personnel Performance in Tuberculosis Control Using ACHIEVE Model Pangestuti, Reni Dwi; Hernawati, Sri; Ningtyias, Farida Wahyu
Journal of Health Policy and Management Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculosis (TB) remains a major public health problem in the world that causes morbidity and mortality. The role of health personnel is important in the implementation of lung TB control program. Health personnel performance that is not optimal can cause the TB case to remain high. Little is known about the factors affecting the performance of health personnel in Indonesia. This study aimed to examinethe determinants of health personnel performance in TB control using ACHIEVE model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in community health center in Jember, East Java. A sample of 45 health personnel of TB program implementation was selected for this study by simple random sampling. The dependent variable was health personnel performance, which included TB case finding, observation, and monitoring of TB patients. The independent variables were ability, clarity, help, incentive, evaluation, validity, and environment (ACHIEVE). The data were collected by questionnaire and analyzed by logistic regression in SPSS 16.Results: Of all health personnel under study, 43 (93.4%) had good ability, 75.6% received positive organizational support, and 84.5% received appropriate evaluation. Health personnel performance was determined by ability (OR= 2.98; p= 0.002), clarity (OR= 1.18; p= 0.013), help (OR= 2.98; p= 0.002), incentive (OR= 0.98; p= 0.054), evaluation (OR= 1.18; p= 0.013), and environment (OR= 0.80; p= 0.047).Conclusion: Health personnel performanceis determined by ACHIEVE model, except validity which was not examine in this study.Keywords: tuberculosis program, health personnel, performance, ACHIEVE modelCorrespondence:Reni Dwi Pangestuti. Masters Program in Public Health, Universitas Jember, Jl. Kalimantan I No.93, Krajan Timur, Sumbersari, Jember 68121, East Java. Email: renidwi730@gmail.com.Journal of Health Policy and Management (2018), 3(2): 71-75https://doi.org/10.26911/thejhpm.2018.03.02.02