<![CDATA[This study examines the relationships among work motivation, work tenure, work culture, work competence, and employee performance among tuberculosis (TB) program implementers across 35 community health centers (Puskesmas) under the Tangerang Selatan City Health Office. A quantitative explanatory design was used with 140 respondents selected through saturated sampling. Data were collected using a 39-item questionnaire with a four-point Likert scale and analyzed using partial least squares structural equation modeling (PLS-SEM) in SmartPLS 4. The measurement model demonstrated acceptable reliability and validity. Of the tested structural relationships, only work motivation was positively associated with work competence. Work tenure and work culture were not significantly associated with competence; none of the four predictors showed a significant direct relationship with employee performance, and work competence did not mediate the relationships between motivation, tenure, culture, and performance. The model explained 8.4% of the variance in competence and 3.7% in performance, indicating limited explanatory value for individual-level factors in this service context. The findings suggest that motivation may be used as an entry point for competence development, but performance improvement should also address organizational and service-system conditions, including workload, supervision, resources, coordination, and continuity of care. Because performance was self-reported and a separate full-collinearity assessment of common method bias was not available, these limitations should be considered when interpreting the results]]>
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