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All Journal Jurnal Pengabdian Masyarakat Edukasi Indonesia Journal of Health Policy Analysis
A Syamsinar Asmi
Department of Health Information Management, Politeknik Sandi Karsa, South Sulawesi, Indonesia
Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Influence of health system governance and leadership on service performance using an analytical cross sectional study design A Syamsinar Asmi
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): Volume 1 Number 2 April 2026
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.386

Abstract

Introduction: Variability in health service performance persists despite structural investments, suggesting that governance and leadership are critical determinants. This study aimed to analyze the influence of health system governance and leadership on service performance within healthcare facilities. Methods: An analytical cross-sectional study was conducted among 210 health personnel selected using stratified random sampling. Data were collected using validated structured questionnaires measuring governance (accountability, transparency, participation, regulatory compliance) and leadership (transformational and transactional behaviors). Reliability was confirmed (Cronbach’s α ≥ 0.70). Descriptive statistics, bivariate tests (Chi-square), and multivariate logistic regression were applied to estimate adjusted associations. Statistical significance was set at α = 0.05. Results: Strong governance was significantly associated with good service performance (OR = 2.87; 95% CI: 1.58–5.21; p = 0.001). Effective leadership showed a stronger effect (OR = 3.45; 95% CI: 1.89–6.31; p < 0.001). Work experience ≥5 years was not statistically significant after adjustment (OR = 1.76; 95% CI: 0.98–3.15; p = 0.058). Facilities characterized by both strong governance and effective leadership demonstrated the highest likelihood of achieving optimal performance outcomes. Conclusion: Governance and leadership jointly determine service performance, with leadership exerting the greatest influence. Strengthening leadership capacity alongside reinforcing governance mechanisms is essential for improving healthcare delivery. Policy interventions should prioritize integrated strategies that align institutional frameworks with managerial effectiveness to achieve sustainable performance gains.
Review of the curriculum of the OBE (Outcome Based Education) health study program A Syamsinar Asmi; Muh Ihsan Kamaruddin; Jessy Andre Mangaya Takke; Wahyudi Hardi
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 2 No. 2 (2025): Volume 2 Number 2 June 2025
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v2i2.117

Abstract

Implementing outcome-based Education (OBE) in higher education is a strategic approach to ensure that graduates possess competencies aligned with the workforce's needs and scientific development. In the context of Health Study Programs, adopting OBE is crucial to ensure that graduates can deliver safe, effective, and outcome-oriented health services. This community service activity aims to comprehensively review the Health Study Program curriculum using the OBE framework, particularly focusing on the alignment between Graduate Learning Outcomes (CPL), Course Learning Outcomes (CPMK), teaching methods, and assessment systems. The activity engages faculty members and study program managers through workshops and focused group discussions (FGDs) facilitated by experts. The review process centers on re-mapping the CPL to graduate profiles and stakeholder needs, constructing a curriculum matrix, and integrating performance-based assessment methods. The expected outcome of this initiative is a more systematic, measurable, and OBE-compliant curriculum document, thereby enhancing institutional readiness for national and international accreditation processes. By adopting an outcome-based curriculum, the educational process within the Health Study Program is expected to become more structured, responsive to the evolving demands of healthcare services, and capable of producing professionally competent and globally competitive graduates
Co-Authors Jessy Andre Mangaya Takke Muh Ihsan Kamaruddin Wahyudi Hardi