Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia)

DETERMINANTS OF WORK MOTIVATION AMONG DOCTORS AT COMMUNITY HEALTH CENTERS IN INDONESIA

2025-02-04T21:15:56+07:00

Introduction: Effective work motivation among healthcare professionals significantly enhances health service performance and plays a pivotal role in improving service quality.

Aims: This study aims to analyze the determinants influencing work motivation among doctors at community health centers in Indonesia.

Methods: This study employed a quantitative approach with a cross-sectional design, utilizing secondary data from the 2017 Indonesian Workforce Research in the Health Sector. The study sample comprised 9,988 respondents. Logistic regression was employed for data analysis.

Results: In 2017, 55.1% of doctors at community health centers in Indonesia reported high work motivation. Significant correlations were identified between work motivation and various factors: individual characteristics (age, education, marital status, position), intrinsic factors (training and continuing education), extrinsic factors (salary/wages, work area), financial incentives (performance allowances, capitation fund incentives), and non-financial incentives (official vehicles) (p < 0.05). Among these, the type of position was identified as the most dominant factor influencing work motivation (p < 0.05; prevalence ratio (PR) = 1.805 CI 95% [1.608-2.028]).

Conclusion: Work motivation among doctors at community health centers in Indonesia is significantly influenced by individual characteristics, intrinsic and extrinsic factors, as well as financial and non-financial incentives, with the type of position being the most dominant factor. To enhance motivation and improve healthcare services, policymakers should strengthen career development, expand training opportunities, improve financial and non-financial incentives, and implement targeted retention strategies, especially in underserved areas.

Keywords: Community health center, doctor, Indonesia, work motivation

CAN EDUCATION INCREASE NHI MEMBERSHIP? A CASE STUDY AMONG MADURESE IN INDONESIA

2025-02-13T14:34:44+07:00

Background: Madura Island is often left behind in health development in East Java Province, including in the health sector. Poverty and poor education dominate this region.

Aims: The research examined the role of education in National Health Insurance (NHI) membership among Indonesian Madurese.

Methods: The study employed 791 respondents. We used NHI membership as an outcome variable, education level as an exposure variable, and seven control variables: regency, residence, gender, employment, age, wealth, and marital status. In the last stage, we employed a binary logistic test.

Results: The results showed that 58.2% of Madurese people in Indonesia are members of the NHI. Regarding education level, Madurese with primary education was 1.672 times more likely than those without formal education to be an NHI member (95% CI 1.662-1.683). Meanwhile, Madurese with secondary education was 2.329 times higher than those uneducated to be an NHI member (95% CI 2.306-2.352). Moreover, Madurese with higher education was 4.593 times more likely to be an NHI member than uneducated Madurese (95% CI 4.517-4.669).

Conclusions: Education level was associated with NHI membership among Madurese in Indonesia. The higher the education level, the higher the possibility of being an NHI member.

Keywords: health insurance, National Health Insurance, Madurese, big data, public health

IMPROVING PATIENT SAFETY CULTURE (PSC) IN PRIMARY HEALTH CENTERS IN JAMBI PROVINCE

2025-04-30T16:16:38+07:00

Background: Patient safety incidents continue to occur in primary health care services despite being 24% to 85% preventable. Promoting and assessing patient safety culture is the primary step to minimize and prevent adverse incidents.

Aims: This research examined the level of patient safety culture implementation in Primary Health Centers.

Methods: A quantitative descriptive research design was conducted involving 319 employees randomly selected from 11 Primary Health Centers in Jambi province. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire and analyzed descriptively, with an average cut-off point of 75%.

Results: The implementation level of patient safety culture in the Primary Health Centers in Jambi Province was 71.5%. Furthermore, seven dimensions of patient safety culture were weakly implemented: staffing, communication openness, organizational learning for continuous improvement, supervisor/manager expectations and actions promoting patients, non-punitive response to error, general perception of patient safety, and frequency of error reporting.

Conclusion: Continuous examination should be conducted to ensure better changes in improving patient safety culture.

Keywords: Jambi Province, Patient safety culture, Primary health center

ASSESSING POSYANDU CADRES’ READINESS IN IMPLEMENTING INTEGRATED PRIMARY HEALTH SERVICES IN YOGYAKARTA, INDONESIA

2025-02-19T21:59:15+07:00

Background: The readiness of Posyandu (a community-based health service) cadres’ to implement the Integrated Primary Health Services (Integrasi Layanan Primer/ILP) is vital to advancing preventive and promotive care.

Aims: This study aims to evaluate the cadres’ readiness, identify challenges, and propose effective strategies for sustainable implementation.

Methods: A mixed-method design from April to June 2024. 113 cadres from Kulon Progo, Sleman, and Yogyakarta City participated in a cross-sectional study. Cadres' readiness was evaluated based on the posyandu cadres’ basic skills training curriculum. Ten informants were interviewed to explore the opportunities, needs, and limitations of the ILP implementation. Descriptive statistics were used for data analysis.

Results: Most cadres (63.7%) were aged 41–50 years, 60.2% had completed senior high school, and 72.6% were housewives. The cadres demonstrated high readiness for ILP implementation, with the main needs in the form of improving logistics, funding, training, and community participation. In addition, there was a need to improve the literacy and skills of cadres in providing health services across the life stages, such as immunization, growth and development monitoring, and infant and child feeding.

Conclusion: Posyandu cadres are ready to implement the ILP; however, strengthening cadres’ capacity and fostering community collaboration are key strategies for ensuring the sustainability of the program and achieving health transformation.

Keywords: cadres, health transformation, integrated primary service, posyandu