Do Community Health Centers Have Contextual Effect on the Risk of Recurrence in Patient with Tuberculosis? A Multilevel Evidence from Surakarta, Central Java

ABSTRACT Background: Stress is unavoidable on workplaces, employees who feel stress are more likely to be less motivated, less satisfied, show poor performance, and less productivity. The purpose of this study was to examine factors affecting the performance of health workers at the community health centers in Klaten, Central Java. Subjects and Method: A cross sectional study was conducted at community health centers in Klaten, 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, education, tenure, leadership style, and type of work. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Health workers performance increased with democratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p= 0.004), education (undergraduate and magister) (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), single job (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Health workers performance decreased with high work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Conclusion: Health workers performance increases with democratic leadership style, education, tenure ≥6 years, and single job. Health workers performance decreases with high work stress. Keywords: work performance, heath workers, stress, leadership style Correspondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6282133055176. DOI: https://doi.org/10.26911/the7thicph.04.40

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Does Community Health Centers Have Contextual Effect on Midwife Performance in the Implementation of Prevention Mother to Child Transmission Counseling and Testing?

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.96 ◽

2020 ◽

Author(s):

◽

Uki Retno Budihastuti ◽

Endang Sutisna Sulaeman ◽

◽

...

Keyword(s):

Community Health ◽

Community Health Centers ◽

Work Performance ◽

Health Centers ◽

Contextual Effect ◽

Good Work ◽

Mother To Child Transmission ◽

Child Transmission ◽

Counseling And Testing ◽

Mother To Child

ABSTRACT Background: Prevention mother to child transmission counseling and testing (PMTCT) service is primarily provided at health facility level. However, their full implementation requires strong linkages with communities. The purpose of this study was to examine contextual effect of community health centers on midwife performance in the implementation of PMTCT? Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 24 community health centers in Madiun, East Java, from August to September 2019. A sample of 184 midwives was selected by total sampling. The dependent variable was implementation of PMTCT. The independent variables were age, tenure, knowledge, training, work performance, and accreditation. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Implementation of PMTCT counseling and testing improved with tenure ≥8 years (b= 0.51; 95% CI= 0.15 to 0.87; p= 0.006), good knowledge (b= 0.61; 95% CI= 0.33 to 0.89; p<0.001), had trained (b= 0.41; 95% CI= 0.08 to 0.74; p= 0.014), good work performance (b= 0.56; 95% CI= 0.21 to 0.92; p= 0.002), and good accreditation (b= 0.49; 95% CI= 0.04 to 0.95; p= 0.031). Implementation of PMTCT counseling and testing reduced with midwives age ≥35 years (b= -0.51; 95% CI= -0.80 to -0.21; p= 0.001). Conclusion: Implementation of PMTCT counseling and testing improves with tenure ≥8 years, good knowledge, had trained, good work performance, and good accreditation. Implementation of PMTCT counseling and testing reduces with midwives age ≥35 years. Keywords: implementation, prevention mother to child transmission, work performance, accreditation Correspondence: Sringatin. Dolopo Regional Public Hospital, Madiun, East Java. Jl. Raya Dolopo 117, Dolopo, Madiun 63174, East Java, Indonesia. Email: [email protected]. Mobile: 081231683090. DOI: https://doi.org/10.26911/the7thicph.03.96

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