Effect of Leadership Style of the Head of the Community Health Center and Other Determinants on the Health Personnel Performance in Boyolali, Central Java

Authors

  • David Marwandi Kapuas Hulu Health Office, West Kalimantan/ Masters Program in Public Health, Universitas Sebelas Maret
  • Endang Sutisna Sulaeman Masters Program in Public Health, Universitas Sebelas Maret
  • Pawito Pawito Faculty of Social and Political Science, Universitas Sebelas Maret

Abstract

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: +6281348789393

Journal of Health Policy and Management (2020), 5(1): 74-84
https://doi.org/10.26911/thejhpm.2020.05.01.07

References

Alhudhori M (2018). Pengaruh pelatihan terhadap kinerja pegawai pada Puskesmas Simpang Kawat Kota Jambi. J. Ilm. Univ. Batanghari Jambi, 18(3): 654. https://doi.org/10.33087/jiubj.v18i3.533.

Arnold KA (2017). Transformational leadership and employee psychological well-being: a review and directions for future research. J Occup Health Psychol, 2(30). https://doi.org/10.1037/ocp0000062

BPS(2017). Profil kesehatan Provinsi Jawa Tengah 2017. Semarang. Retrieved from https://jateng.bps.go.id

BPS (2018). Statistik Daerah Kabupaten Boyolali 2018. Retrieved from https://boyolalikab.bps.go.id

Ensha IS (2018). Pengaruh implementasi kebijakan akreditasi puskesmas terhadap manajemen pelayanan kesehatan masyarakat dalam mewujudkan produktivitas kerja. Jurnal Publik: Jurnal Ilmiah Bidang Ilmu Administrasi Negara, 12(01): 12–23. Retrieved from http://journal.uniga.ac.id/index.php/JPB/article/view/283

Ghareeb A, Said H, El Zoghbi M (2018). Examining the impact of accreditation on a primary healthcare organization in Qatar. BMC Med. Educ, 18(1): 1–8. https://doi.org/10.1186/s12909-018-1321-0

Gill A, Flaschner AB, Bhutani S (2010). The impact of transformational leadership and empowerment on employee job stress. J. Bus. Econ, 1(1). https://doi.org/10.4172/21516219.1000003

Gusnetti (2014). Faktor-faktor yang mempengaruhi kinerja karyawan pada PT. Garuda Indonesia Pekanbaru. Journal FISIP Universitas Riau, 1(2): 1–11. https://jom.unri.ac.id/index.php/JOMFSIP/index

Handayani L, Ma’ruf N (2012). Peran tenaga kesehatan sebagai pelaksana pelayanan kesehatan puskesmas.HSR, 13(1). https://doi.org/10.22435/bpsk.v13i1Jan.2752

Jayasuriya R, Jayasinghe UW, Wang Q (2014). Health worker performance in rural health organizations in low- and middle-income countries: Do organizational factors predict non-task performance? Soc Sci Med, 113, 1–4. https://doi.org/10.1016/j.socscimed.2014.04.042.

Kemenkes RI (2014). Rencana pengembangan tenaga kesehatan tahun 2011 – 2025. Kemenkes RI. Retrieved from www.who.int/workforcealliance/countries/inidonesia_hrhplan_2011_2025.pdf

Kemenkes RI. (2014). Permenkes RI No 75 tahun 2014 tentang Pusat Kesehatan Masyarakat. Jakarta. http://www.kemkes.go.id

Masuku S, Lengkong VPK, Dotulong LOH (2019). Pengaruh pelatihan, budaya kerja dan gaya kepemimpinan terhadap produktivitas kerja karyawan pada Pt. Askrindo Cabang Manado. EMBA, 7(1), 821–830. https://ejournal.unsrat.ac.id/index.php/emba/article/view/22909

Miao R, Cao Y (2019). High-performance work system, work well-being, and employee creativity: Cross-level moderating role of transformational leadership. Int. J. Environ. Res. Public Health, 16(9): 1–24. https://doi.org/10.3390/ijerph16091640

Nur MA (2017). Pengaruh kepemimpinan transformasional terhadap kekompakan, keterlibatan kerja dan kinerja pegawai (studi penyusunan dokumen perencanaan pembangunan satuan kerja perangkat daerah Kabupaten Kotabaru). Jurnal Bisnis Dan Pembangunan, 6(1). Retrieved from https://ppjp.ulm.ac.id.

Olatunji SO, Mokuolu BO (2014). The influence of sex, marital status, and tenure of service on job stress, and job satisfaction of health workers in a nigerian federal health institution.Afr. Res. Rev, 8(32), 126–133.

Onibala R, Kojo C, Uhing Y (2017). Pengaruh tingkat pendidikan dan kompensasi terhadap kinerja pegawai pada dinas kesehatan Provinsi Sulawesi Utara. EMBA, 5(2), 1929–1934. Retrieved from https://ejournal.unsrat.ac.id.

Posuma C (2013). Kompetensi, kompensasi dan kepemimpinan pengaruhnya terhadap kinerja karyawan pada Rumah Sakit Ratumbuysang Manado. EMBA, 1(4): 646–656. https://ejournal.unsrat.ac.id

Rahmadani LN, Budihastuti UR, Pamungkasari EP (2019). Does health center have contextual effect on midwife performance? Multilevel analysis evidence from East Kalimantan, Indonesia. J Health Policy Manage, 4, 150–160. https://doi.org/10.26911/thejhpm.2019.04.03.01

Rotty S (2016). Komparasi kinerja layanan kesehatan pada puskesmas rawat inap dengan rawat jalan di Kabupaten Minahasa Utara. EMBA, 4(2): 311–322. Retrieved fromhttps://ejournal.unsrat.ac.id

Rowe AK, De Savigny D, Lanata CF, Victora CG (2005). How can we achieve and maintain high-quality performance of health workers in low-resource settings? Lancet, 366(9490), 1026–1035. https://doi.org/10.1016/S01406736(05)67028-6

Saefulloh M (2013). Pengaruh status kepe-gawaian terhadap kinerja perawat di ruang rawat inap.jurnal kebidanan dan keperawatan, 9(1); 65–73. Retrieved from http://digilib.unisayogya.ac.id.

Sulaeman A (2014). Pengaruh upah dan pengalaman kerja terhadap produktivitas karyawan kerajinan ukiran Kabupaten Subang. Trikonomika, 13(1): 91–100.https://journal.unpas.ac.id

Sulistyo SA, Tamtomo D, Sulaeman ES (2018). Accreditation status and other factors affecting patient satisfaction in hospital. J Health Policy Manage, 139–149. https://doi.org/10.26911/thejhpm.2019.04.03.01

Gusti TE, Tamtomo D, Murti B (2018). Determinants of midwife performance on antenatal care in Surakarta and Karanganyar, Central Java. J Health Policy Manage, 3(1), 26–33. https://doi.org/10.26911/thejhpm.2018.03.01.04

WHO (2006). Working together for health. World Health Organisation. https://doi.org/10.1186/1471-24585-67

WHO (2016). Open mindset; participatory leadership for health. Geneva. https://www.who.int

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Published

03-02-2020

How to Cite

Marwandi, D., Sulaeman, E. S., & Pawito, P. (2020). Effect of Leadership Style of the Head of the Community Health Center and Other Determinants on the Health Personnel Performance in Boyolali, Central Java. Journal of Health Policy and Management, 5(1), 74–84. Retrieved from https://thejhpm.com/index.php/thejhpm/article/view/151

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