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Yelipele, Irsan
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Religion Humanities Economics, Econometrics & Finance Education Social Sciences

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Assessing Multi-Dimensional Performance of Primary Health Care Services at Puskesmas Welesi in Highland Papua Province Yelipele, Irsan; Asso, Otopina
Unisia Vol. 43 No. 1 (2025)
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/unisia.vol43.iss1.art21

Abstract

Primary health care remains the cornerstone of equitable health systems, yet rural and remote regions face persistent challenges in delivering effective services. This study aimed to evaluate the performance of Puskesmas Welesi in Jayawijaya Regency, Highland Papua Province, by examining four key dimensions: access, quality, process, and system. A descriptive quantitative design was employed, using structured questionnaires administered to 25 community members, complemented by direct observation and literature review. Data were analyzed through descriptive statistics, producing mean scores for each dimension and an overall performance assessment. Results indicated that overall service delivery was rated as “fairly good” (mean score 58.6). Access to services emerged as the strongest dimension, with patients reporting relative ease of obtaining care and effective referral mechanisms. By contrast, technical quality was identified as the weakest area, reflecting concerns about diagnostic accuracy, shortages of essential medicines, and inconsistent health outcomes. Service processes and system management scored moderately, with respondents acknowledging provider attentiveness but noting difficulties in communication, complaint handling, and organizational efficiency. These findings align with national and international evidence showing that rural health facilities often succeed in maintaining accessibility but struggle with technical competence and systemic robustness. The study contributes to the limited empirical research on primary health care in Papua and underscores the importance of addressing disparities across dimensions rather than focusing on access alone. Strengthening workforce capacity, communication strategies, and management systems is essential for ensuring that accessible services translate into effective and equitable health outcomes.
Work Discipline of Civil Servants in Decentralized Governance: Evidence from Welesi District, Jayawijaya Regency Yelipele, Irsan; Asso, Sisilia
Unisia Vol. 43 No. 1 (2025)
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/unisia.vol43.iss1.art22

Abstract

Work discipline is widely recognized as a cornerstone of effective public administration, particularly in decentralized governance contexts where local capacity strongly determines service quality. This study aims to analyze the level of work discipline among civil servants in Welesi District, Jayawijaya Regency, focusing on five indicators: objectives and ability, leadership, compensation, sanctions, and supervision. Using a descriptive quantitative design with saturated sampling of all eight civil servants in the district, data were collected through structured questionnaires, observation, and literature review, and analyzed using descriptive statistics. The results show that overall discipline is at a “fairly good” level, supported primarily by effective supervision and the presence of sanctions, while leadership is moderately strong but inconsistent. Compensation emerged as the weakest dimension, reflecting inequities and the absence of performance-based incentives, whereas employees displayed motivation yet lacked adequate technical skills, especially in digital competence. These findings align with previous studies emphasizing the role of fairness, supervision, and leadership in sustaining discipline, but they also confirm that inadequate compensation and limited skills undermine long-term commitment and effectiveness. The study demonstrates that discipline in Welesi District is maintained more by external controls than by intrinsic motivation, a situation that risks fragility in the face of structural or resource challenges. The findings underscore the importance of integrating supervision with compensation reform, leadership development, and capacity building. By linking localized evidence with broader theoretical debates, this study contributes to the understanding of civil servant discipline and offers practical recommendations for strengthening governance in rural districts.
Evaluating Village Administration Across Five Governance Domains: Evidence from Apenas Village, Jayawijaya Regency, Indonesia Yelipele, Irsan
Unisia Vol. 43 No. 1 (2025)
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/unisia.vol43.iss1.art23

Abstract

Village administration plays a crucial role in strengthening transparency, accountability, and efficiency in local governance, particularly in rural Indonesia. This study aims to evaluate the implementation of village administration across five mandated governance domains—general, population, financial, development, and other administration—using evidence from the Apenas Village Office in Jayawijaya Regency. Employing a descriptive quantitative design with saturated sampling, data were collected from all village officials through structured questionnaires, direct observation, and document review, and analyzed using descriptive statistics to assess performance levels. The results reveal an overall “good” performance with a mean score of 47.76, though variation across domains was significant. General, population, and development administration performed very well due to standardized procedures and visible outcomes, while financial administration scored lower because of weaknesses in budgeting and financial literacy. The lowest performance was found in “other administration,” which involves documenting village deliberations, BPD activities, and adat institutions, reflecting challenges in inter-institutional coordination. These findings align with existing studies showing that routine, internal tasks are performed more effectively than functions requiring technical expertise or broader participation. Theoretically, the study reinforces institutional and participatory governance frameworks, while practically, it underscores the importance of capacity-building, financial training, and participatory documentation. Policy implications include the need for differentiated interventions that strengthen weaker domains while maintaining consistency in routine administration. By highlighting both strengths and weaknesses, this study contributes to the literature on village governance and offers valuable insights for improving local administration in Indonesia.
Co-Authors Asso, Otopina Asso, Sisilia