Abstract

The achievement of the Minimum Service Standards (MSS) in Yahukimo District, Highland Papua Province, Indonesia, warrants examination. This study aimed to analyze factors associated with the achievement of health service targets among Public Health Centers (PHCs) in Yahukimo District. An ecological study design was employed. The participants were 400 health workers from 33 PHCs and were examined using Likert-scale questionnaires. Data were processed using Structural Equation Modeling-Partial Least Squares (SEM-PLS) to assess the association of each variable. The results showed that health target indicators were associated with the achievement of health service targets (T = 3.320; p-value = 0.012). Health workers' motivation was also associated with health services (T = 1.961; p-value = 0.050). Other variables, including health services, service targets toward the MSS, self-management, health behavioral skills, and family health services, showed positive but statistically no associations (p-value > 0.05). These results showed that improving the achievement of health targets and strengthening health workers' motivation could enhance the performance of PHCs in Yahukimo District, despite its geographical and structural limitations.

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