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Journal : Science Midwifery

Determinants of community health center staff performance Usman, Noernahar Septisari; Rosyidah, Rosyidah; Solikhah, Solikhah
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2033

Abstract

Employee performance is a key indicator reflecting the quality of services in community health centers. At Marisa Health Center, Pohuwato District, various service-related issues such as delays, unfriendly staff behavior, and late program report submissions indicated suboptimal employee performance. This study aimed to determine factors associated with staff performance at Marisa Health Center. A quantitative cross-sectional design was used, involving 108 staff selected through total sampling. Data were collected using a validated and reliable questionnaire and analyzed through univariate, bivariate (Chi-square test), and multivariate (logistic regression with the Backward Likelihood Ratio method) analyses, with ethical approval number KEPK/UMP/162/IV/2025. The results showed no significant association between performance and education (p = 0.983), work motivation (p = 0.087), or physical work environment (p = 0.432). However, significant associations were found for work discipline (p = 0.015; PR = 1.642), organizational culture (p = 0.036; PR = 1.519), and job satisfaction (p = 0.008; PR = 1.700). Job satisfaction was the dominant factor influencing performance (Exp(B) = 2.818; p = 0.014), suggesting that dissatisfied employees were nearly three times more likely to perform poorly. These findings highlight the importance of improving satisfaction, discipline, and culture to enhance staff performance.
Comparative study of UHC implementation in Indonesia and Malaysia: Literature review Rahim, Mohammad Afiff Bin; Rosyidah, Rosyidah; Hidayat, Muhammad Syamsu
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2106

Abstract

Universal Health Coverage Universal Health Coverage (UHC) is a key principle of an equitable health system, ensuring access to healthcare services without financial burden. Indonesia, with its National Health Insurance (JKN), and Malaysia, with its tax-based public healthcare system, have different approaches to implementation. This study compares the implementation of UHC in Indonesia and Malaysia, including the financing system, resource distribution, service coverage, and service quality. The study used a literature review with the PRISMA approach. From the total number of articles found in various databases, titles, abstracts, and inclusion-exclusion criteria were screened, leaving 15 relevant articles for analysis. Indonesia, through JKN, has covered a large portion of the population, but faces disparities in access, unequal distribution of healthcare workers, and high out-of-pocket costs for specialist services. Malaysia has near-universal coverage with subsidized public services and financial protection for poor households, although there is inequality between the public and private sectors. Indonesia needs to improve infrastructure, equitable distribution of healthcare workers, public education regarding active participation, and strengthened program management. Malaysia is advised to strengthen the integration of the public and private sectors and maintain progressive financing to reduce financial risks for poor households.