Sudirman
Faculty of Public Health, Universitas Muhammadiyah Palu, Sulawesi Tengah, Indonesia

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Factors Influencing Health Service Performance at the Bulili Health Center, Palu City Sudirman; Herlina Yusuf; Wijayanti
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 4: October-2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.9610

Abstract

Employee performance refers to the extent to which employees achieve work outcomes in accordance with predetermined job standards. Performance encompasses not only work results but also behaviors, attitudes, and mental readiness, reflecting a commitment to continuous improvement in work quality. This study aimed to analyze the determinants of health workers’ performance at the Bulili Community Health Center, Palu City, in 2024. This study employed a quantitative approach with an analytical survey design. The study population consisted of all employees at the Bulili Community Health Center, with a total sample of 80 respondents. Data were collected using a structured questionnaire measuring variables including length of service, attitude, motivation, rewards, leadership, and work performance. Data analysis was conducted using the chi-square statistical test with a significance level of ? ? 0.05, followed by multivariate analysis to identify the most influential determinant. The results indicated significant relationships between length of service and work performance (p = 0.001), attitude and work performance (p = 0.000), motivation and work performance (p = 0.000), rewards and work performance (p = 0.000), and leadership and work performance (p = 0.000). Among the five variables, leadership emerged as the most influential determinant of work performance (B = 1.795; Sig = 0.024). In conclusion, length of service, attitude, motivation, rewards, and leadership are significantly associated with the performance of health workers. Therefore, targeted efforts—particularly in strengthening leadership practices—are essential to enhance employee performance and ensure the delivery of high-quality health services.
Tuberculosis Control Program Management in the Donggala Community Health Center Work Area Sudirman; Indra Afrianto; Titin Setiyawati
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 3: July 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.9611

Abstract

Low public awareness in TB treatment, at least 6 months and many cases of drug discontinuation which causes resistance to anti-tuberculosis drugs also affect transmission, do not understand how to treat. The purpose of this study was to determine the analysis of tuberculosis patient management in the Donggala District Health Center area. This research method uses a qualitative method to explain and describe (in words) the implementation of TB case finding at the Donggala Health Center so that the research results can be conveyed in depth, with 7 informants. Based on the research results, the community in the Donggala Health Center area has a diverse understanding, some people are aware of the dangers of TB and the importance of regular treatment. Health workers have an important role in finding new cases of TB. They carry out active screening by going directly to the community, conducting close contact investigations, and working with health cadres and the village government. The conclusion is that health services in the Donggala Health Center area are quite available, with the presence of laboratories and medical personnel who can carry out TB examinations and diagnoses quickly. Research suggestions can expand the reach of education to the community about the importance of TB prevention, compliance with taking medication, and the risk of spreading the disease.