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Employees are one of the most important resources in achieving success and goals in an organization. One of the important factors in order to achieve optimal work results from an employee is the fulfillment of job satisfaction. Good human resources have qualities that can affect performance. However, no matter how good the plans and supervision are in an organization, if the human resources are less interested and unhappy in doing their work then an organization will not achieve the results it should be able to achieve. The purpose of this study was to determine the effect of job satisfaction and individual characteristics on employee performance at Puskesmas Selong. This type of research is descriptive using a cross-sectional study design approach with mixed methods, namely combining quantitative and qualitative methods. There is no effect of job satisfaction simultaneously on the performance of employees at Puskesmas Selong, it can be seen from the p value = 1,000> 0.05. Of the five indicators of job satisfaction variables, only two indicators have an effect on employee performance, namely satisfaction with rewards with a value of p = 0.018 <0.05, and satisfaction with superior supervision with a value of p = 0.029 <0.05. Individual characteristics of employees that affect performance are educational characteristics, it can be seen from the p value = 0,047<0,05. Thus the management of Puskesmas Selong needs to provide an understanding to employees regarding the determination of payment of compensation, approach and communicate more effectively in efforts to improve the supervision system, and provide feedback on the work of employees so that employees can find out their weaknesses or strengths. With more intense communication with employees through regular meetings between leaders and employees, good communication will be established so as to improve the quality of employee work
Adanya intervensi Global Fund di klinik IMS berupa pelatihan - pelatihan untuk menambah kualifikasi SDM, dana insentif petugas, dana untuk setting ruangan dan alat - alat kesehatan yang diharapkan dapat meningkatkan mutu pelayanan di klinik IMS. Pada kenyataannya ada klinik IMS Puskesmas yang mutu layanannya belum optimal. Tujuan penelitian ini untuk menganalisis inten/ensi Global Fund terhadap mutu layanan di klinik IMS Puskesmas Kecamatan Pasar Rebo dan Puskesmas Kecamatan Tamansari. Penelitian ini mengglmakan rancangan yang secara garis besar mempergunakan pendekatan kualitatif. Penekanan pada pendekatan kualitatif adalah pada upaya penggalian lebih dalam lagi apa yang dipikirkan dan dirasakan seseorang , terutarna penguna/cusoumer serta petugas kesehatan yang ada di klinik Infeksi Menular Seksual. Selain intervensi dari Global jimd (input), peran dukungan Kcpala Puskesmas, monitoring dan evaluasi, juga pada proses yaitu kepatuhan dan konsistensi petugas terhadap SOP sangat berperan untuk menghasilkan output dan dampak/impact yang dapat dilihat di outcome atau kepuasan pasien/customer. Penelitian ini berlangsung pada bulan Maret 2008, dan penelitian inj melibatkan 10 orang informan untuk Wawancara Mendalam/Indepth Interview clan 5 keiompok Focus Group Discussion/DKT (1 kelompok terdiri dari 6 orang) dari 2 (dua) Puskesmas. Informan Wawancara Mendalarn terdiri dari Kepala Puskesmas Kecamatan yang akan memberikan viinformasi strategis tentang kebijakan yang sudah dilaksanakan. Kriteria informan dokter, bidan, petugas laboratorium dan petugas administrasi adalah yang telah dilatih oleh Global Fund atau bertugas di klinik IMS. Sedangkan DKT dilaksanakan di 2 (dua) kelompok PSK yang pemah berobat di klinik IMS, 1 (satu) kelompok pelanggan PSK di wilayah Puskesmas Kecamatan Pasar Robo, serta 2 (dua) kelompok Waria di wilayah Puskesmas Kecamatan Tamansari dari kegiatan Penapisan (outreach). Hasil penelitian menunjukkan bahwa ouput klinik IMS Puskesmas Kecamatan Tamansari yaiiu, jumlah orang berkunjung, jumlah pasien/penderita IMS yang diobati, jumlah pasien/penderita yang diberi kondom dan jumlah pasien/penderita yang diberikan penyuluhan/KIE tahun 2007 prosentasenya menunm dibandingkan pada tahun 2006. Sedangkan Puskesmas Kecamatan Pasar Rebo prosentasenya mengalami kenaikkan yang signiiikan. Kepuasan pasien yang dilihat pada outcome di kedua Puskesmas baik, walaupun ada sedikit masukan untuk perbaikan pelayanan di klinik IMS dan di kegiatan penjangkauan/outreach. Pada outeome yang dioilai adalah akses(|angkauan pelayanan, kenyamanan, keamanan pelayanan, efisiensi, KIE, serta hubungan antar manusia./interpersonal. Klinik IMS am menjadi laaik jika dikelola Semi dengan pelayanan prima (Service Excellent) oleh petugas yang telah mendapatkan pelatihan. Salah satu tugas penting untuk tim kesehatan yang turun pada kegiatan penapisan yaitu mengintervensi kelompok pelanggan PSK dengan memberikan penyuluhan tentang kesehatan, penyakit IMS dan penggunaan kondom yang benar. Tim kesehatan yang melayani klinik IMS sebaiknya tersendiri, tidak mempunyai tugas pokok dan fungsi (Tupoksi) ditempat Iain. Sementara itu ada kegiatan yang harus tluun ke tempat/dacrah rawan HIV/AIDS. Sedangkan target omput dad Global Fund untuk klinik IMS Puskesmas tidak ada. Untuk mengetahui keberhasilan suatu kegiatan seharusnya sudah disusun Standard Pelayanan Minimal (SPM) dan target yang harus dicapai.
Global Fund's interventions in STI Clinic, which are aplicated through trainings for improving human resources qualiiication, funding in the form of officer incentive, funding for setting room and aid appliance, are expected to increase the clinical service quality at STI Clinic. Practically there is STI clinic in Primary Health Care which has not gain the noted service quality optimally. The purpose of this research is to analyze the intervention of Global Fund to the service quauiy of sri clinic in Primary Health care in PM Reba Subdistrict and Tamansari Subdistrict. Marginally, this research is utilized by qualitative approach. The qualitative approaches are given emphasizely. Those things are applicatcd by the deep interventioning to costumers mind and feeling, especially the care user and also the health officer at Sexual Transmitted Infection Clinic. The costumer satisfaction which is consider as the outcome of the research, is not merely detennined by the Global Fund Intervention but also by the role of Primary Health Care Head Officer, evalution and ixmonitoring activity, the consintency and compliance of the officers in doing the standar operational procedure during the process. This research is conducted in March 2008, included 10 persons as the object of lndepth interview and 5 Focus Group Discussion (1 groups is consist of 6 persons) from 2 Primary Health Care. The strategic information due to the conducted policy was derived from indepth interview with Chief of Primary Health Care Subdistrict. The criteria for the informan such as doctor , midwife, administration officer and laboratory officer are they who had been trained by Global Fund or work in clinic IMS . Focus Group Discussion (FGD) is conducted in 2 ( two) group of CSW which have ever medicinizocd in STI clinic , 1 ( one) group of CSW client who lived in the same region with Primary Health Care of Pasar Rebo Subdistrict, and also 2 (two) group of Trans sexual who lived in region Primary Health Car of Tamansari Subdistrict with the Censorship activity (outreach). The result from this research indicated that output of STI clinic Primary Health Care of Tarnansari Subdistrict that is, the amount of people visited the clinic, the amount of S'l`I patient have their medical attention, the amount of patient who had given for condom and the amount of patient who had given for education (CIE) of the year 2007 have decline on percentages compared to the year of 2006. While at Primary Health Care of Pasar Rebo Subdistrict the percentages has increase significantly. 1 The Patient Satisfaction that can be seen &om the outcome in both Primary Health Cares is good, despite of a few inputs for repair of services in STI clinics and in the outreach activity. For the outcome , the assesment are in the scope of the services, how comfort thc services, security of the services, efficiency, CIE, and also the relation between people (interpersonal).
ABSTRAK Pada era globalisasi atau era pasar bebas organisasi dinmtut umuk bisa berkompefisi dan mempunyai daya saing Puskesmas merupakan organisasi yang memberikan pelayanan kesehatan terdepan kepada masyarakat tidak terlepas dari timtutan tersebut. Pimpinan puskesmas sangat berperan dalam kemajuan organisasi, karena pelayanan kesehatan yang dibelikan oleh puskesmas mcrupakan hasil keljasama antara staf beserta pimpinan. Pimpinan puskesmas harus mampu memberikan kepuasan kepada setiap individu dalam organisasi dan dapat menggabungkan tujuan-tujuan individu menjadi bagian dari tujuan organisasi. Pegawai atau staf yang tidak puas tidak akan mau dan mampu untuk menghasilkan suatu pekeijaan yang bcrmutu, juga tidak akan pemah mendapatkan pelanggan yang terpuaskan, sehingga pimpinan puskesmas harus bisa memberilcan dukungan fungsi~fungsi utama manajemen kepada pelanggnn intemal atau staf dan pelanggn ekstemai atau konsumen. Salah satu fungsi manajemen dalam organisasi adalah gaya Icepemimpinan dari pimpinan puskesmas. Tujuan penelitian ini adalah untuk mempcroleh gambaran pengaruh gaya kepemimpinan terhadap kepuasan kcnja staf puskesmas di Kabupaten Majalengka. Penelitian ini mcnggunakan desain cross sectional dengan pendekatan lcuantitatif dengan jumlah sampel 127 staf puskesmas. Pengumpulan data dengan menggunakan kuesioner yang didistribusikan kepada 127 staf puskesmas. Hasil peneiitian memperlihatkan bahwa kepuasan keija (total) staf puskesmas dengan menggunakan cuz of point median dalam menilai kepuasan kemja tertinggi azhlah 50,4%. Kepuasan kelja tcrtinggi pada peniiaian kepedulian pimpinan (94,5%) dan terendah pada penilaian motivasi pimpinan (S0,4%). Dari basil uji bivariat diperoleh adanya hubungan yang bermakna antara gaya kepemimpinan tcrhadap kcpuasan kerja staf puskesmas (p= 0,00l). Dimensi gaya kepemimpinan yang mempimyai hubungan yang bermakna terhadap kepuasan kexja adaiah dimcnsi komunikasi (p= 0,00l), dimensi motivasi (p= 0,002) dan dimensi koordinasi (p= 0,002). Hanya faktor confolmding lama keija saja yang bermakna (p=0,005) terhadap gaya kepemimpinari Hasil uji statistik multivariat didapatkan faktor yang paling dominan berhubungan dcngan kepuasan kerja staf puskesmas adalah dimensi koordinasi dan pimpinan (p Wald = o,005) dan nnai OR (2,95). Persepsi gaya kepemimpinan mempunyai pengaruh terhadap kepuasan kerja staf, perbaikan fungsi koordinasi dad pimpinan puskesmas bisa diadopsi untuk memperbaiki gaya kepemimpinaxmya sekaligus memperbaiki organjsasi secam keseluruhan sehingga akhirnya diperoleh kepuasan kelja staf puskesmas.
ABSTRACT At globalization era or organizational free market era is claimed competition to be able to and has competitiveness. Puskesmas is organization giving health service of the iirst to public is not quit ofthe demand Head of puskesmas so central in organization progress, because health service given by puslcesmas is result of cooperation between staives along with learder. Head of puskesmas must be able to give satisfaction to every individual in organization and can merge purposeof individuals to become part of organization.Unsatis?ried officer or staff will not will and eble to yeild a certiiiable work, nor would have ever got cutomer client which left nothing to be desired. So leader puskesmas should be able to give main functions support from of management to internal cutomer client or staff and cutomer client of extemal or consumer. One of tixnction of management in organization is leadership style from leads' puskesmas. Purpose of this research is to obtain image of leadership style influence to job satisfaction of staff puskesmas in Majalengka district. this research applies design cross sectional with quantitative approach with number of sample 127 stafves puskesmas. Result of research shows that job satisfaction total staff puskesmas by using cut of median point in assessing highest job satisfaction is 50,4%. Highest job satisfaction at assessment of leader caring (94,5%) and low of motivation of leader (50,4%) From bivariatc test result is obtained existence of relationship having a meaning of between leadership styles toward job satisfaction of staff puskesmas (p=0,00l). Dimension leadership style having relationship having a meaning to job satisfaction is communications dimension (p=0,001), motivation dimension ( p=0,002) and coordination dimension ( p=0,002). Only factor counfonding having a meaning just duration of action ( p=0,005) to leadership style. Statistic test result multivariat yields factor that is most dominant related to job satisfaction Of staff puskesmas is coordination dimension from leader ( p Wald = 0,005) and value OR (2,95). Perception of leadership style has influence to job satisfaction of staff; repair function of coordination from leader puskesmas can be adopted to improve;repair its(the leadership style is at the same time improve;repair organization as whole so that finally is obtained job satisfaction of staipuskesmas.