The Effects of Leadership Style and Other Factors on Work Performance of the Health Workers at the Community Health Center in Boyolali, Central Java

David Marwandi1,2), Endang Sutisna Sulaeman2), Pawito3)


1)Kapuas Hulu District Health Office, Kalimantan Barat

2)Masters Program in Public Health, Universitas Sebelas Maret

3)Faculty of Social and Political Science, Universitas Sebelas Maret



Background: Leadership in health service is needed to capitalize on the diversity within the health service organization as a whole, efficiently utilize resources, design management processes, and encourage health personnel to work towards common goals. This study aimed to the effects of leadership style and other factors on work performance of the health workers at the community health center in Boyolali, Central Java.

Subjects and Method: This was a cross sectional study conducted at 22 community health centers (puskesmas) in Boyolali, Central Java, from June to July 2019. A total sample of 206 health workers was selected by simple random sampling. The dependent variable was work performance. The independent variables were transformational leadership, education, income, employee status, type of health worker, status, tenure, training, type of community health center, and accreditation. The data were collected by questionnaire and analyzed by a multiple linear regression.

Results: Health worker performance was positively affected by transformational leadership style (b = 2.72; 95% CI= 1.29 to 4.14; p<0.001), income (b= 1.40; 95% CI= 0.09 to 2.72; p= 0.035), type of human source (b= 2.10; 95% CI= 0.19 to 4.01; p= 0.013), accreditation status ≥madya (b= 0.23; 95% CI= 1.40 to 4.52; p<0.001), education ≥diploma III (b= 0.35; 95% CI= – 1.91 to 2.62; p= 0.757), tenure ≥3 years (b= 0.31; 95% CI= -1.40 to 2.02; p= 0.720), training (b= 1.15; 95% CI= -0.28 to 2.58; p= 0.115), and civil servant (b= 2.18; 95% CI= -4.89 to 0.52; p= 0.114). It was negatively affected by inpatient health care (b= -2.82; 95% CI= -4.13 to -1.50; p<0.001).

Conclusion: Health worker performance is positively affected by transformational leadership style, education ≥diploma III, income, type of human source, civil servant, tenure ≥3 years, training, and accreditation status ≥madya. It is negatively affected by inpatient health care.

Keywords: transformational, leadership style, accreditation, health worker

Correspondence:  David Marwandi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: Mobile: +6281348789393.


Share this :

View PDF