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All Journal Jurnal Edukasi Ilmiah Kesehatan Journal Interdisciplinary Health
Novi Angraeni, Wa Ode
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Workload, job satisfaction, and salary satisfaction with turnover intention of health workers Novi Angraeni, Wa Ode; Suprapto, Suprapto; Alshammari, Suliman
Jurnal Edukasi Ilmiah Kesehatan Vol. 3 No. 2 (2025): Jurnal Edukasi Ilmiah Kesehatan
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v3i2.113

Abstract

promotive and preventive efforts. The implementation of the Regional Public Service Agency Financial Management Pattern (PPK-BLUD) provides flexibility in resource management, including the recruitment of contract workers. However, high workloads, low job satisfaction, and dissatisfaction with salaries can trigger turnover intentions of health workers, which has an impact on service quality and organizational stability. Research Methodology: This study uses a cross-sectional design with a quantitative approach. The research population includes all health workers with BLUD contract status from 37 health centers, and it includes as many as 418 people. The sample was taken using a simple random sampling technique, resulting in 204 respondents who met the inclusion criteria, namely, having worked for more than 6 months. Multiple linear regression tests were carried out for data analysis. Results: The results of the analysis using multiple linear regression showed that there was a significant relationship between workload and turnover intention (p = 0.001), as well as a significant relationship between job satisfaction and turnover intention (p = 0.043) in BLUD contract health workers. Meanwhile, satisfaction with salary showed no significant relationship with turnover intention (p = 0.169). These findings indicate that high workloads and low job satisfaction contribute to the increased willingness of healthcare workers to leave their jobs. In contrast, salary satisfaction levels are not the dominant factor in determining these intentions. Conclusion: This study shows that workload and job satisfaction have a significant relationship with the turnover intention of health workers under BLUD contracts, while salary satisfaction has no significant effect. Therefore, good human resource planning, workload management, and increased job satisfaction are important strategies for suppressing exit intentions and maintaining the sustainability and quality of services at the Health Center
Digital Governance and Health Innovation for Strengthening Community Health Systems: A Cross-Sectional Study in Indonesia Novi Angraeni, Wa Ode; Jessy Andre Mangaya Takke; Muh Ihsan Kamaruddin
Journal Interdisciplinary Health Vol. 2 No. 2 (2026): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v2i2.258

Abstract

Introduction: Digital transformation has become an important strategy for strengthening community health systems and improving the effectiveness of primary healthcare services. Digital governance and health innovation can support better coordination, data management, and accessibility of health services. However, empirical evidence examining the role of digital governance and innovation in strengthening community health systems in developing countries remains limited. This study aimed to examine the relationship between digital governance, health innovation, and community health system strengthening in primary healthcare facilities in Indonesia. Research Methodology: This study employed a cross-sectional design conducted in primary healthcare facilities in Indonesia between January and April 2025. A total of 150 healthcare professionals and administrative staff participated in the study. Data were collected using a structured questionnaire assessing digital governance, health innovation, and community health system strengthening. Descriptive statistics were used to summarize respondent characteristics. Bivariate analysis and multivariate logistic regression were performed to examine associations between variables. Statistical significance was determined at p < 0.05 with 95% confidence intervals. Results: Among the 150 respondents, most participants reported experience using digital health systems (81.3%). Bivariate analysis showed that digital governance was significantly associated with community health system strengthening (p = 0.003). Health innovation also demonstrated a significant association with community health system strengthening (p = 0.005). Multivariate logistic regression analysis indicated that facilities with higher digital governance had greater odds of stronger community health system performance (AOR = 2.36; 95% CI: 1.29–4.31; p = 0.004). Similarly, higher levels of health innovation were associated with improved community health system indicators (AOR = 2.08; 95% CI: 1.14–3.77; p = 0.016). Conclusions: Digital governance and health innovation play significant roles in strengthening community health systems within primary healthcare settings. Strengthening digital governance frameworks, expanding digital health infrastructure, and enhancing digital competencies among healthcare workers may improve the effectiveness of community-based healthcare delivery. Future research should explore longitudinal approaches to better understand the long-term impact of digital transformation on health system performance.
Co-Authors Alshammari, Suliman Jessy Andre Mangaya Takke Muh Ihsan Kamaruddin Suprapto Suprapto