Factors Associated with Health Personnel Performance in Tuberculosis Control Using “ACHIEVE” Model
Date
2018-12-01Author
PANGESTUTI, Reni Dwi
HERNAWATI, Sri
NINGTYIAS, Farida Wahyu
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Show full item recordAbstract
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 examinethe determinants of health personnel performance in TB
control using “ACHIEVE” model.
Subjects and Method: This was an analytic observational study with a cross-sectional 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.
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- LSP-Jurnal Ilmiah Dosen [7292]