TY - JOUR AU - Handayani, Nia AU - Tamtomo, Didik Gunawan AU - Murti, Bhisma PY - 2020/05/16 Y2 - 2024/03/29 TI - Variables at the Community Health Center Have the Ecological Effect on the Performance of Health Workers: A Multilevel Evidence from Klaten, Central Java JF - Journal of Health Policy and Management JA - J Health Policy Manage VL - 5 IS - 2 SE - Articles DO - UR - https://thejhpm.com/index.php/thejhpm/article/view/177 SP - 152-161 AB - <div class="Section1"><p><strong>Background:</strong>Performance is a work achieve­ment that can be achieved from a job. Em­ployee performance in an organization leads to the ability of employees to complete all tasks that have become their responsibility. Various pro­blems in the workplace can often cause work stress, if it lasts long can cause various disturb­ances. Success in achieving goals is supported by the role of a leader with the lead­ership style used. This study aimed to examine the effects of work stress and leadership style on the performance of public health workers.<strong></strong></p><p><strong>Subjects and Method:</strong>This was a cross sec­tional study conducted at the Klaten District Health Center, Central Java, from November to December, 2019. A sample of 200 health work­ers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, leader­ship style, education, tenure, and type of work. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.<strong></strong></p><p><strong>Results:</strong> Performance of health workers decre­ased with heavy work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Perform­ance of health workers increased with demo­cratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p = 0.004), high education level (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), and type of work without any additions (b= 2.05; 95% CI= 1.07 to 3.03; p&lt;0.001). Community health center had ecological effect on performance of health workers with ICC= 12.74%.<strong></strong></p><p><strong>Conclusion:</strong> Performance of health workers decreases with heavy work stress. Performance of health workers increases with democratic leader­ship style, high education level, tenure ≥6 years, and type of work without any addi­tions. Commu­nity health center has ecological effect on per­formance of health workers.<strong></strong></p><p><strong>Keywords:</strong>work performance, work stress, leadership style, community health center</p><p><strong>Correspondence: </strong>Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: nia­handayani19­@gmail.­com. Mobile: +628213­3055176.</p><p>Journal of Health Policy and Management (2020), 5(2): 152-161<br /><a href="https://doi.org/10.26911/thejhpm.2020.05.02.08">https://doi.org/10.26911/thejhpm.2020.05.02.08</a></p></div> ER -