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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is published twice yearly. It aims to improve the design and implementation of health policies, health systems, and healthcare management, primarily in low- and middle-income countries. JHPM analyzes policy initiatives and healthcare systems and provides evidence-based research to guide policymaking and management decision-making.
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Articles 253 Documents
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Motivation, Supervision, and Adherence to Medical Waste Policy in South Labuhanbatu, North Sumatera Syahrul An; Irnawati Marsaulina; Destanul Aulia
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Medical waste is unwanted bio­lo­gical products that are highly infectious in na­ture. It is broadly classified as infectious waste and bio­hazardous waste, and can easily spread any disease virally and can even pose a danger to life. Me­dical waste is found in hospitals, labo­ratories, re­search centres, tattoo parlours, and others. It has to be disposed properly otherwise it poses a health and environmental danger. This study aimed to examine the effects of motivation and supervision on adherence to medical waste policy in South Labuhanbatu, North Sumatera.Subjects and Method: This was a cross-sec­ti­onal study carried out in South Labuhanbatu, Nor­th Sumatera. A sample of 34 health care wor­kers were selected for this study, consisting of health center doctors, private doctors, and health clinic owner. The dependent variable was adhe­ren­ce to medical waste policy. The independent vari­ables were motivation and supervision. The data were collected by questionnaire and analyz­ed by multiple logistic regression.Results: Adherence to medical waste policy was affect­ed by strong motivation (OR= 6.31; 95%CI= 2.74 to 9.33; p= 0.048) and regular supervision (OR= 5.56; 95%CI= 3.42 to 8.09; p= 0.039).Conclusion: Adherence to medical waste policy is affected by motivation and supervision.Keywords: waste policy, adherence, motivation, supervision.Correspondence: Syahrul An. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: 44nregar@gmail.com. Mobile: 082366502449.Journal of Health Policy and Management (2020), 05(02): 146-151ttps://doi.org/10.26911/thejhpm.2020.05.02.07
Path Analysis on the Equity of Hemodialysis Utilization in the National Health Insurance Program in Jember, East Java Siti Nafi'atus Salamah; Didik Gunawan Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Since 2014, Indonesia has implemented a National Health Insurance to cover pu­blic health costs. The existence of health insurance managed by the government is expected to help all levels of society to obtain health services. This is very helpful for the community, especially for pa­tients with chronic diseases who need continuous treatment. This study aims to analyze the fair­ness and determinants of the use of hemodialysis patients with chronic kidney failure in National He­alth Insurance participants in Jember Regency.Subject and Method: This was observational analytic study with cross sectional approach, conducted at Dr. Soebandi Hospital and Kaliwates General Hospital, Jember, East Java. A total Study subjects of 200 patients with chronic kidney failure undergoing hemodialysis with JKN membership we­re selected for this study by purposive sampling. The dependent variable was the use of hemo­dia­lysis. The independent variables were JKN membership status, length of time since diagnosis, di­sease severity, age, education, family income, access to health facilities and residence. Data col­lec­tion used questionnaires and medical record documents and then analyzed using path analysis.Results: The possibility of using hemodialysis was increased by the Non PBI status (b= 0.81;  95% CI= 0.16 to 1.47; p= 0.015), high disease severity (b=2.48;  95% CI=0.36 to 4.59; p= 0.022), age ≥ 50 years old (b=0.65;  95% CI = 0.33 to 1.26; p= 0.039), family income ≥ MW (b= 0.59;  95% CI= -0.07 to 1.24; p= 0.080)  and good access to health facility (b= 0.92;  95% CI= -0.19 to 1.66; p= 0.013). The possibility of using hemodialysis was indirectly affected by the length of time since diag­nosis, education and residence.Conclusions: The possibility of using hemodialysis was increased by Non PBI status, disease se­ve­rity, age, family income, and access to health facilities. The possibility of using hemodialysis was in­directly affected by the length of time since diagnosis, education, and residence.Keywords: National Health Insurance, justice, hemodialysis, path analysisCorrespondence: Siti Nafi’atus Salamah. Public Health Sciences Study Program, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta 57126, Central Java. Email: sitinafiatus27@gmail.com. Mobile: 081289434401Journal of Health Policy and Management (2020), 5(2): 108-120https://doi.org/10.26911/thejhpm.2020.05.02.03
Variables at the Community Health Center Have the Ecological Effect on the Performance of Health Workers: A Multilevel Evidence from Klaten, Central Java Nia Handayani; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background:Performance is a work achieve­ment that can be achieved from a job. Em­ployee performance in an organization leads to the ability of employees to complete all tasks that have become their responsibility. Various pro­blems in the workplace can often cause work stress, if it lasts long can cause various disturb­ances. Success in achieving goals is supported by the role of a leader with the lead­ership style used. This study aimed to examine the effects of work stress and leadership style on the performance of public health workers.Subjects and Method:This was a cross sec­tional study conducted at the Klaten District Health Center, Central Java, from November to December, 2019. A sample of 200 health work­ers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, leader­ship style, education, tenure, and type of work. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: Performance of health workers decre­ased with heavy work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Perform­ance of health workers increased with demo­cratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p = 0.004), high education level (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), and type of work without any additions (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Community health center had ecological effect on performance of health workers with ICC= 12.74%.Conclusion: Performance of health workers decreases with heavy work stress. Performance of health workers increases with democratic leader­ship style, high education level, tenure ≥6 years, and type of work without any addi­tions. Commu­nity health center has ecological effect on per­formance of health workers.Keywords:work performance, work stress, leadership style, community health centerCorrespondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: nia­handayani19­@gmail.­com. Mobile: +628213­3055176.Journal of Health Policy and Management (2020), 5(2): 152-161https://doi.org/10.26911/thejhpm.2020.05.02.08
The Relations of Structuration in the BPJS Health Program and the Changing of Health Behavior RB Soemanto; TA Gutama
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The BPJS Health Program supports the improvement of public health.This study aimed to understand the relations of structuration of the BPJS Health Program and changing of health behavior in Surakarta IndonesiaSubjects and Method: A qualitative study was carried out byphenomenological ap­p­roach.The BPJS participants'program wereprimary informants. The key informants were doctors, nurses, midwives, and other services officers of the community health center (Puskesmas), hospital, andHealth BPJSoffice. The supported informants consisting of the Health Office ser­vices, the Population, and Civil Registration Offices, the Communication and Infor­mation Services, the Social Services of the Local Government of Surakarta Municipality.Depth interviews and the focus group discussion (FGD) technique were applied to gather data. Data analysis technique using interpretative phenomenology, and theory of struc­tu­ra­tion from Anthony Giddens for explaining the data.Results: Interactionalpractices in the health service processes produce attitudes, awareness of health services provided.It improves the healthy behavior of the BPJS participants. Rules and regulations of the health center and referenced hospitals accepted and followed by the participant. Doctors and other health care providers work professionally to accommodate patients’ needs. The participants reproduce duality structure and roles in the health services delivery processes. The participants as agentsdevelop structuration; whereagents respond to agency of structure of the health services, and vice versa. Patients and health services providershave mutually reinforced roles and benefits. In the course of space and time, the actions of the participants are recurring.Conclusion: Collaboration was developed between the BPJS Office with Puskesmas and hospi­tals. It brings closer to social relations between pa­tients and health care providers. It was cons­truc­ted due to understanding and obe­di­ence of the participants to the rules, in the forms of procedural rules and doc­tors’ medicalization.Keywords: Relations, Structuration, BPJS Health Program, Health Behavior, ChangeCorrespondence: RB. Soemanto. Department of Sociology, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Soemanto_rb@yahoo.com, rbsoemanto@gmail.com.Journal of Health Policy and Management (2020), 5(2): 121-126https://doi.org/10.26911/thejhpm.2020.05.02.04
Path Analysis on Factors Affecting the Decision to Choose School of Acupuncture Imrok Atus Sholihah; Hanung Prasetya; Vitri Widyaningsih
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Many universities offer various in­­teresting educational programs. This makes prospective students faced with the situation to choose the programs appropriately according to their interests and talents. Prospective students have different considerations and reasons in choosing and deciding on acupuncture education as a place to continue their education. The pur­pose of this study was to analyze the factors that influence student decision making in choosing acupuncture education in Indonesia.Subjects and Method: This was a case control study conducted at Health Polytechnic Ministry of Health Surakarta, Health Polytechnic Soe­pra­oen Malang, and Acupuncture Academy Sura­baya, in November 2019. A sample of 300 college students was selected by stratified random sam­pling. The dependent variable was decision to choose school of acupuncture. The independent variables were aspiration, attitude, career gui­dan­ce, academic program, tuition fees, college repu­tation, pro­motion, facilities, financial assistance, location, and parental support. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: College students who chose school of acupuncture was directly increased by good school reputation (b= 2.37; 95% CI= 0.77 to 3.97; p= 0.004), good career guidance (b= 2.96; 95% CI= 1.35 to 4.58; p<0.001), good education pro­grams (b= 2.46; 95% CI= 0.94 to 3.97; p= 0.001), strong parental support (b= 3.29; 95% CI= 1.75 to 4.83; p<0.001), good financial assistance (b= 3.12; 95% CI= 1.49 to 4.75; p<0.001), good promotion (b= 1.80; 95% CI= 0.34 to 3.26; p= 0.016), low tuition fees (b= 2.48; CI 95%= 0.99 to 3.97; p= 0.001), and supportive location (b= 2.26; 95% CI= 0.85 to 3.66; p= 0.002). College stu­dents who chose school of acupuncture was indirectly affected by aspiration, attitude, and facilities.Conclusion: College students who chose school of acupuncture is directly increased by good school reputation, good career guidance, good education programs, strong parental support, good financial assistance, good promotion, low tuition fees, and supportive location. College students who chose school of acupuncture is indirectly affected by aspiration, attitude, and facilities.Keywords: decision making, acupuncture edu­cation, path analysisCorrespondence: Imrok Atus Sholihah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: imrokatussholihah6@gmail.com. Mobile: +6281225210252.Journal of Health Policy and Management (2020), 5(2): 127-138https://doi.org/10.26911/thejhpm.2020.05.02.05
Factors Affecting the Quality of Outpatient Registration Service and Patient Satisfaction at the Community Health Center in Surakarta and Karanganyar, Central Java Isnaini Qoriatul Fadhilah; Bhisma Murti; Hanung Prasetya
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Patient Registration Place is the first service gate at a health service facility. Community health center as primary service providers and as a place for public services must provide satisfaction to customers. This study aims to determine the factors that influence the quality of services where out-patient registration and patient satisfaction in health centers. The purpose of this study is to measure and analyze the factors that influence the quality of outpatient registration services and satisfaction.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in Surakarta and Karanganyar health centers, Central Java, from September to October 2019. A sample of 200 patients was selected by stratified random sampling. The dependent variable was patient satisfaction. The independent variables were the qualifications of the officer, tenure, employment status, patient education, patient income, type of payment, patient age, and patient quality. The data were collected by questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13.Results: The quality of outpatient registration services improved with civil servant status (OR= 4.03; 95% CI= 1.83 to 8.86; p= 0.001), patient education ≥Senior high school (OR= 0.27; 95% CI= 0.14 to 0.54; p<0.001), and BPJS insurance (OR= 0.52; 95% CI= 0.26 to 1.02; p= 0.058). Patient satisfaction improved with education level of the officer (Diploma III) (OR= 3.99; 95% CI= 1.48 to 10.68; p= 0.006), tenure ≥12 years (OR= 4.52; 95% CI= 1.74 to 11.75; p= 0.004), patient age ≥37 years (OR= 2.96; 95% CI= 1.27 to 6.84; p= 0.011), and good service quality (OR= 3.42; 95% CI= 1.40 to 8.35; p= 0.007). Patient satis-faction decreased with patient education ≥Senior high school (OR= 0.35; 95% CI= 0.14 to 0.84; p= 0.021), income ≥Rp 1,800,000 (OR= 0.39; 95% CI = 0.17 to 0.92; p = 0.031), and BPJS insurance (OR = 0.13; 95% CI = 0.05 to 0.32; p<0.001).Conclusion: The quality of outpatient registration services improves with civil servant status, patient education ≥Senior high school, and BPJS insurance. Patient satisfaction improves with education level of the officer, tenure ≥12 years, patient age ≥37 years, and good service quality. Patient satisfaction decreases with patient education, income, and BPJS insurance.Keywords: quality of patient registration services, patient satisfaction, medical recordsCorrespondence: Isnaini Qoriatul Fadhilah, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: isnainiqoriatul@gmail.com. Mobile: 089681918022Journal of Health Policy and Management (2020), 5(2): 92-102https://doi.org/10.26911/thejhpm.2020.05.02.01
A Comprehensive School-Based Nutrition Intervention to Improve the Implementation of Healthy School Canteen Policy: A Systematic Review Sarah At Tauhidah; Cicilya Candi; Adang Bachtiar
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: School-based nutrition intervent­ion is recommended as one of the public health strategies in supporting the development of healthy diet behaviour for school-age children. It is in line with Global Action Plan 2013-2020 of World Health Organization (WHO) in preventing and controlling double burden of disease as a consequence of non-communicable disease in the future. This study aims to identify the kind of comprehensive school-based nutrition inter­vention and analyze effectiveness of every study in improving policy implementation of healthy school canteen.Subjects and Method: This systematic review study was conducted from two electronic data­bases, namely Scopus and ProQuest with keywords of "school nutritional policy", "compre­hensive intervention", and "healthy canteen" to search relevant publication in English and have open access published from 2015 to 2020.Results: From total 1.367 of publications, 9 arti­cles meet inclusion criteria. Based on evaluation of those studies with comprehensive or multi-component intervention to healthy school canteen policy, the common elements show that regular monitoring and feedback with executive and community support can show improvement of school adherence to policy implementation.Conclusion: This study found that a compre­hensive school-based nutrition intervention was effective in improving the implementation of healthy school canteen policy.Keywords: nutrition intervention, healthy canteen, policy implementationCorrespondence: Sarah At Tauhidah. Health Policy and Adminis­tration Department, Faculty of Public Health, Universitas Indonesia. F Building 1st Floor, Kampus Baru UI Depok 16424, Indonesia. Email: Sarah.at@ui.ac.id.Journal of Health Policy and Management (2021), 06(01): 57-66https://doi.org/10.26911/thejhpm.2021.06.01.06 
Multilevel Analysis on the Association of Job Satisfaction and Organization Commitment with Performance of Family Planning Counsellor in Yogyakarta Ikhtiarisca Olifia Mufidatun; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Performance is an important thing in an organization's efforts to achieve the goals. To evaluate employees objectively, a su­per­­­vi­sor must be able to measure their per­for­man­ce le­vel. There are many job characteristics that emp­loyees consider, but a group of job cha­rac­te­ris­tics tends to be collectively eva­luat­ed in the same way. This study aimed to analy­ze the effect of job satisfaction and organiza­tional com­mit­ment on the employee per­for­man­ce of the Family Plan­ning Counselors in ­YogyakartaSubjects and Method: This study used a cross-sec­tional study. This study was conducted in the office of Family Planning Field Of­fi­cer (PKB), Yogyakarta, Central Java, from January to Feb­ru­a­ry, 2020. There were 200 employees as the samp­le of this study. The sample was collected using simple ran­dom sampling. The dependent vari­able was the performance of PKB emp­loye­es. The inde­pen­dent variables were job satis­fac­tion and organi­za­tio­nal com­mitment. The data we­re collected us­ing questionnaires. The data were analyzed using mul­tilevel analysis with Stata 13.Results: The performance of PKB employess in­­creas­ed with poor good job satisfaction (b=­2.36; 95%CI=1.49 to 3.22; p<0.001) and good or­gani­za­tional commitment (b=1.68; 95%­CI=0.89 to 2.47; p<0.001). PKB office had a con­textual effect on employee performance with ICC=10.75%.Conclusion: Job performance is affected by job satisfaction and orga­ni­za­tional com­mitment. PKB Office has a strong con­textual ef­fect on job performance.Keywords: employee performance, job satis­fac­­tion, organizational commitmentCorrespondence: Ikhtiarisca Olifia Mufidatun. Masters Program in Pub­lic Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, 57126, Surakarta, Central Java. Email: riscaolifia@gmail.com. Mobi­le: +6282­220030006Journal of Health Policy and Management (2020), 05(03): 197-203https://doi.org/10.26911/thejhpm.2020.05.03.05 
Path Analysis on Factors Affecting the Use of Hemodialysis in Patients Chronic Renal Disease at Dr. Soehadi Prijonegoro Hospital Sragen, Central Java Anisa Andriani; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Patient adherence can be influ­enced by several factors that can affect com­pli­ance with hemodialysis treatment. Adherence is highly treated while undergoing hemodialysis in order to achieve success in hemodialysis (HD) treatment. Adherence is one of the beha­viors of a person in achieving successful HD treatment. The success of a treatment can be influenced by several fac­tors, one of which is the use of HD. This study aimed to determine the effect of compliance with hemodialysis.Subjects and Method: The was an obser­vational analytic study with a cross-sectional design. The study was conducted in January 2020. The sample used was 120 chronic kid­ney failure patients undergoing hemodialysis at Dr. Soehadi Prijonegoro Sragen Hospital. The de­pendent variable was compliance with hemo­dialysis. The independent variables are: know­ledge, length of care, family income. Data were collected by means of a question­naire. Data analysis was performed using path analysis with Stata 13.Results: The use of HD in patients with chro­nic renal failure had a positive associa­tion with high HD knowledge (b= 1.22; 95% CI= 2.21 to -3.98; p= 0.027), length of stay (b= 2.09; 95% CI= 4.29 to 3.05; p<0.001), and has no positive relationship with family income (b = 0.40; 95% CI = 0.80 to 1.41; p = 0.426). The use of HD in patients with chro­nic renal failure is influenced indirectly by family income and length of treatment.Conclusion: The use of HD in chronic renal failure patients has a direct relationship with knowledge of HD and length of treatment, and has no direct relationship with family income. The use of HD in patients with chro­nic renal failure is influenced indirectly by family income and length of treatment.Keywords: hemodialysis, chronic renal failureCorrespondence: Anisa Andriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: andrianianisa390@gmail,com. Mo­bile: +6282220826660.Journal of Health Policy and Management (2021), 06(01): 13-20https://doi.org/10.26911/thejhpm.2021.06.01.02 
Contextual Effect of Community Health Center and Sosio-Demography Determinants on the Performance of Community Health Personnel in Karanganyar, Central Java Mujiran Mujiran; Setyo Sri Rahardjo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Community Health Center is a first-level health service facility that organizes public health efforts and individual health efforts. Good health service is supported by work performance of the health personnel. This study aimed to analyze the contextual effect of community health center and socio determi­nants on the work performance of health personnel.Subjects and Method: This was a cross sectional study conducted at Karanganyar com­munity health centers, in Karanganyar, Central Java, from October to November 2019. A sam­ple of 210 health workers was selected random­ly. The dependent variable was work perform­ance. The independent variables were age, edu­cation, tenure, distribution of services, work motivation, job skills, job satisfaction, health center accreditation status, and work environ­ment. Data were collected by question­naire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Good work performance increased with age ≥38 years (b= 1.09; 95% CI= 0.19 to 1.99; p= 0.018), adequate service (b= 0.96; 95% CI= -0.28 to 2.19; p= 0.128), high motivation (b= 0.93; 95% CI= 0.09 to 1.77; p= 0.030), good job skills (b= 0.97; 95% CI= 0.06 to 1.88; p= 0.037), good job satisfaction (b= 0.92; 95% CI= 0.05 to 1.78; p= 0.037), and good working environment (b= 0.95; 95% CI= 0.11 to 1.80; p= 0.026). Good work performance decreased with education ≥Diploma III (b= -0.40; 95% CI= -1.67 to 0.87; p= 0.535) and tenure ≥3 years (b= -0.71; 95% CI= -1.79 to 0.37; p= 0.199). Community health center had strong contextual effect on work performance with ICC= 18.00%.Conclusion: Good work performance incre­ases with age ≥38 years, adequate service, high motivation, good job skills, good job satisfac­tion, and good working environment. Good work performance decreases with education ≥Diploma III and tenure ≥3 years. Community health center has strong contextual effect on work performanceKeywords: work performance, health work­ers, contextual effect, multilevel analysisJournal of Health Policy and Management (2020), 05(03): 162-173https://doi.org/10.26911/thejhpm.2020.05.03.01 

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