| dc.description.abstract | Background: Tuberculosis (TB) remains a major public health problem in the
world that causes morbidity and mortality. The role of health personnel is
important in the implementation of lung TB control program. Health personnel
performance that is not optimal can cause the TB case to remain high. Little is
known about the factors affecting the performance of health personnel in
Indonesia. This study aimed to examine the determinants of health personnel
performance in TB control using “ACHIEVE” model.
Subjects and Method: This was an analytic observational study with a crosssectional
design.
The
study
was
conducted
in
community
health
center
in
Jember,
East
Java. A sample of 45 health personnel of TB program implementation was
selected for this study by simple random sampling. The dependent variable was
health personnel performance, which included TB case finding, observation, and
monitoring of TB patients. The independent variables were ability, clarity, help,
incentive, evaluation, validity, and environment (ACHIEVE). The data were
collected by questionnaire and analyzed by logistic regression in SPSS 16.
Results: Of all health personnel under study, 43 (93.4%) had good ability, 75.6%
received positive organizational support, and 84.5% received appropriate
evaluation. Health personnel performance was determined by ability (OR= 2.98;
p= 0.002), clarity (OR= 1.18; p= 0.013), help (OR= 2.98; p= 0.002), incentive
(OR= 0.98; p= 0.054), evaluation (OR= 1.18; p= 0.013), and environment (OR=
0.80; p= 0.047).
Conclusion: Health personnel performanceis determined by ACHIEVE model,
except validity which was not examine in this study. | en_US |
