ABSTRAK Latar belakang: Penelitian ini bertujuan untuk mengetahui gambaran kinerja petugas Kusta Puskesmas di Provinsi Banten dan peran faktor organisasi dan psikologis terhadap kinerjanya masing-masing. Metode : Penelitian ini menggunakan desain studi kuantitatif cross sectional. Data kuantitatif dikumpulkan secara langsung melalui pengisian kuesioner selama 2 bulan sejak bulan Mei-Juni 2012 Hasil : Dari 75 responden tersebut, 54.7% mempunyai kinerja baik dan 45.3% mempunyai kinerja kurang. Faktor yang paling dominan berperan terhadap kinerja yaitu motivasi dan pelatihan. Kesimpulan : Untuk meningkatkan kualitas pelayanan terhadap penderita kusta dibutuhkan sumber daya manusia yang mempunyai kinerja baik. Dalam pelaksanaanya untuk evaluasi kinerja belum mempunyai sistem pengukuran kinerja berbasis skoring. Penilaian kinerja yang dilakukan agar dikembangkan dan karena faktor yang berperan terhadap kinerja tersebut adalah motivasi dan pelatihan, maka dibutuhkan usaha yang optimal untuk memperbanyak pelatihan yang bermutu dan meningkatkan motivasi petugas. Kata Kunci : Kinerja, Petugas Kusta Puskesmas, Faktor Organisasi, Faktor Psikologis.

 ABSTRACT Background: This study aims to determine the performance of Leprosy officers in Banten Province Health Center and the role of organizational and psychological factors on the performance of each. Methods: The study used a cross-sectional quantitative study designs. Quantitative data are collected directly by filling out the questionnaire during the two months since the May-June 2012 Results: Of the 75 respondents, 54.7% had good performance and 45.3% had less performance. The most dominant factor contributing to the performance of the Lepsory Officer are motivation and training. Conclusion: To improve the quality of service to the lepers needed human resources that have a good performance. In the implementation for performance evaluation does not have a scoring system based on performance measurement. Performance appraisals are conducted in order to be developed and because the factors that contribute to performance is the motivation and training, the optimal effort is required to reproduce the quality of training and improving staff motivation. Keywords: Performance, Leprosy Officer Health Center, Organizational Factors, Psychological Factors

Penelitian bertujuan untuk mengetahui pengaruh budaya organisasi dan status kesehatan terhadap kinerja dosen di Politeknik Kesehatan Kementerian Kesehatan Jakarta II. Penelitian dilakukan pada dosen tetap selama bulan Mei sampai Juni 2012. Berdasarkan evaluasi yang pernah dilakukan sebelumnya kinerja pada aspek pengajaran, penelitian, pengabdian masyarakat belum mencapai maksimal. Berkaitan hal tersebut maka perlu dilakukan penelitian untuk mengetahui ada/tidaknya peningkatan kinerja. Merupakan penelitian kuantitatif menggunakan metode cross sectional dan pengambilan sampel secara proportionate stratified random sampling. Kuesioner dengan 20 pertanyaan untuk mengukur indikator profesionalisme, kepedulian, kondisi mental dan aktivitas berolah raga. Pemeriksaan langsung berat badan dan tinggi badan untuk mengukur BMI. Analisis data menggunakan SEM-SmartPLS. Sampel berjumlah 67 dosen yang diambil dari 103 dosen. Analisis dilakukan antara variabel eksogen dengan endogen pada model yang diajukan. Budaya organisasi mempengaruhi kinerja 11,4% dan status kesehatan memberi pengaruh 25,2% terhadap kinerja. Prediksi model penelitian 8,7%. Variabel budaya organisasi dan status kesehatan signifikan berpengaruh terhadap kinerja.

The objective of this research was to evaluate the influence of organization culture and health status to lecturer performance at Health Polytechnic Jakarta II Ministry of Health. Samples of this research were permanent lecturers at Health Polytechnic Jakarta II Ministry of Health in May-June 2012. Based on previous evaluation on lecturer performance at the same place for education, research and community perpetuation, the result had not reached maximum. That is why there should be another research to evaluate this lecturer performance. This is a quantitative cross-sectional research. Samples were collected using proportionate stratified random sampling. Questioner consisted on 20 questions for assessing indicator for professionalism, care, mental condition, and exercise activity. Direct examination was carried out on weight, height assessing BMI. Data analyses were done using SEM-SmartPLS. Samples were 67 lecturers from 103 lecturers. Analyses were carried out between exogenous and endogenous variables on proposed models. Organization culture influenced 11.4% and health status influenced 25.2% on lecturer performance. Prediction model on this research was 8.7%. Organization Culture and health status variables influenced lecturer performance significantly.

Penyakit kusta merupakan penyakit menular yang masih banyak menimbulkan masalah kompleks. Masalah tersebut bukan hanya dari segi medis tetapi meluas sampai ke masalah sosial, ekonomi dan budaya (W1-L0,2000). Kabupaten Jeneponto merupakan salah satu kabupaten endemis kusta di provinsi Sulawesi Selatan yang memiliki Case Detection Rate tertinggi ( 50,9/100.000) di tahun 2006 dan prevalensi rate 4/10.000. Jumlah kasus baru yang ditemukan di tahun 2006 sebesar/69 kasus. Sebagian besar kecamatan yang ada di wilayah kabupaten Jeneponto dinyatakan endemis dan derajat endemisitasnya, cukup tinggi sehingga risiko tertularnya penduduk menjadi sangat besar. Masih tingginya case detection rate di kabupaten Jeneponto disertai kepadatan hunian yang cukup tinggi memungkinkan penularan kusta melaitri droplet maupun sentuhan langsung. Untuk itu perlu di ketahui hubungan kepadatan human terhadap risiko kejadian kusta. Tujuan penelitian ini tuttuk rnengetahui hubungan faktor hunian dengan kejadian kusta di Ka.bupaten Jeneponto setelah dikontrol oleh faktor konfounding yaitu umur, jenis kelamin, vaksinasi BCG, pengeluaran, riwayat kontak serurnah, pendidikan dart pekerjaan. Penelitian ini menggunakan disain study kasus kontrol yang dipadankan( pair wise matching). Sampel penelitian adalah seluruh penderita kusta baru yang ditemukan periode Juli 2006 sampai September 2007. Jumlah kasus sebanyak 115 orang dan jumlah kontrol sebanyak 115 orang. Analisis data diIakukan meialui tiga tahapan, yaitu Univariat (distribusi frekuensi), Bivariat (uji McNemar) dan rnultivariat (Conditional Multiple Logistic Regression). Hasil penelitian menunjukan bahwa kepadatan hunian berhubungan dengan kejadian kusta dengan nilai OR 10,65 (95% Cl: 4,11— 27,62) dart nilai p 0,000 setelah dikontrol variabel pengeluaran, pekerjaan dan riwayat kontak serurnah. Dari hasil penelitian ini disarankan perlu dilaksanakan pemeriksaan kontak serumah yang lebih intensif pada wilayah puskesmas yang tingkat kepadatan hunian tinggi, screening terhadap rumah yang ada penderita kusta terutarna pada rumah-rumah dengan tingkat kepadatan hunian tinggi.

Disease of Leprosy represent contagion which still many generating the problem of complex. The problem not merely from medical facet but extending to problem of social, cultural and economic ( WHO,2000). Sub-Province of Jeneponto represent one of the sub--province of endemic of leprosy in Province of South Sulawesi owning highest Case Detection Rate ( 50,9/100.000) in year 2006 and prevalence rate 4,1/10.000. Amount of new case found in year 2006 amount 169 cases. Mostly district of exist in region of sub-province of Jeneponto expressed by endemic and degree of high endemic enough so that its contagious risk resident become very big. Still height of case detection rate in sub-province of Jeneponto accompanied by density of dwelling which high to enough enable infection of leprosy through droplet and also direct touch. For that need in knowing relationship of density of dwelling to risk of leprosy occurrence. Target of this research to know relation of factor of dwelling with occurrence of leprosy in Sub-Province of Ieneponto after controlled by confounder that is age, gender, vaccination BCG, expenditure, history contact house, education and work. This research use to design case control study (pair wise matching). Sample of Research is all new leper was found by period of July 2006 until September 2007. Amount of case of counted 115 people and amount of control of counted 115 people. Data analyzing conducted to through three steps, that is Univariate ( frequency distribution), Bivariate (McNemar test) and multivariate (Conditional Multiple Logistic Regression). Result of research of show that density of dwelling relate to occurrence of leprosy with Odd Ratio 10,65 ( 95% CI: 4,11 - 27,62) and p value 0,000 after controlled by variable of expenditure, job and history contact house. From result of this research is suggested require to be executed by a inspection contact more intensive house at region of puskesmas (public health center) which mount density of high dwelling and screening to existing house of leper especially at house with level density of high dwelling.