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Background:Performance is a work achieve­ment that can be achieved from a job. Em­ployee performance in an organization leads to the ability of employees to complete all tasks that have become their responsibility. Various pro­blems in the workplace can often cause work stress, if it lasts long can cause various disturb­ances. Success in achieving goals is supported by the role of a leader with the lead­ership style used. This study aimed to examine the effects of work stress and leadership style on the performance of public health workers.Subjects and Method:This was a cross sec­tional study conducted at the Klaten District Health Center, Central Java, from November to December, 2019. A sample of 200 health work­ers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, leader­ship style, education, tenure, and type of work. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: Performance of health workers decre­ased with heavy work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Perform­ance of health workers increased with demo­cratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p = 0.004), high education level (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), and type of work without any additions (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Community health center had ecological effect on performance of health workers with ICC= 12.74%.Conclusion: Performance of health workers decreases with heavy work stress. Performance of health workers increases with democratic leader­ship style, high education level, tenure ≥6 years, and type of work without any addi­tions. Commu­nity health center has ecological effect on per­formance of health workers.Keywords:work performance, work stress, leadership style, community health centerCorrespondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: nia­handayani19­@gmail.­com. Mobile: +628213­3055176.Journal of Health Policy and Management (2020), 5(2): 152-161https://doi.org/10.26911/thejhpm.2020.05.02.08

Background: Since 2014, Indonesia has implemented a National Health Insurance to cover pu­blic health costs. The existence of health insurance managed by the government is expected to help all levels of society to obtain health services. This is very helpful for the community, especially for pa­tients with chronic diseases who need continuous treatment. This study aims to analyze the fair­ness and determinants of the use of hemodialysis patients with chronic kidney failure in National He­alth Insurance participants in Jember Regency.Subject and Method: This was observational analytic study with cross sectional approach, conducted at Dr. Soebandi Hospital and Kaliwates General Hospital, Jember, East Java. A total Study subjects of 200 patients with chronic kidney failure undergoing hemodialysis with JKN membership we­re selected for this study by purposive sampling. The dependent variable was the use of hemo­dia­lysis. The independent variables were JKN membership status, length of time since diagnosis, di­sease severity, age, education, family income, access to health facilities and residence. Data col­lec­tion used questionnaires and medical record documents and then analyzed using path analysis.Results: The possibility of using hemodialysis was increased by the Non PBI status (b= 0.81; 95% CI= 0.16 to 1.47; p= 0.015), high disease severity (b=2.48; 95% CI=0.36 to 4.59; p= 0.022), age ≥ 50 years old (b=0.65; 95% CI = 0.33 to 1.26; p= 0.039), family income ≥ MW (b= 0.59; 95% CI= -0.07 to 1.24; p= 0.080) and good access to health facility (b= 0.92; 95% CI= -0.19 to 1.66; p= 0.013). The possibility of using hemodialysis was indirectly affected by the length of time since diag­nosis, education and residence.Conclusions: The possibility of using hemodialysis was increased by Non PBI status, disease se­ve­rity, age, family income, and access to health facilities. The possibility of using hemodialysis was in­directly affected by the length of time since diagnosis, education, and residence.Keywords: National Health Insurance, justice, hemodialysis, path analysisCorrespondence: Siti Nafi'atus Salamah. Public Health Sciences Study Program, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta 57126, Central Java. Email: sitinafiatus27@gmail.com. Mobile: 081289434401Journal of Health Policy and Management (2020), 5(2): 108-120https://doi.org/10.26911/thejhpm.2020.05.02.03

This study was a qualitative study that conducted in Bali, Indonesia. Bali has been an endemic of rabies since 2008. Many factors have been related to rabies. One of them is human behavior. This research was focused on human behavior in keeping dogs and its relationship to rabies. The study was conducted in 3 villages at Buleleng regency where positive rabies dogs have been found in 2017. There was a high population of dogs in the villages, and most of them lived wildly. Data were collected through document review, interview, and direct observation. After being collected, they were analyzed using content analysis. Results of this research show that most of the villagers had been aware of rabies, but has got poor knowledge about it. They did not know how to prevent it, especially on how to threat wound caused by rabies dogs' bite. Furthermore, the villagers did not give any vaccine to their dogs. They only waited for the vaccine officer from the government to come to their house. The main problems in preventing rabies, related to human behavior, based on this research are: 1) lack of village's leaders involvement, especially in controlling and administering prevention program, 2) lack of people respond in controlling dogs population and dogs mobility, 3) lack of active participation of dogs owners to vaccinate their dogs and 4) lack of people knowledge about PEP procedures.

This study was a qualitative study that conducted in Bali, Indonesia. Bali has been an endemic of rabies since 2008. Many factors have been related to rabies. One of them is human behavior. This research was focused on human behavior in keeping dogs and its relationship to rabies. The study was conducted in 3 villages at Buleleng regency where positive rabies dogs have been found in 2017. There was a high population of dogs in the villages, and most of them lived wildly. Data were collected through document review, interview, and direct observation. After being collected, they were analyzed using content analysis. Results of this research show that most of the villagers had been aware of rabies, but has got poor knowledge about it. They did not know how to prevent it, especially on how to threat wound caused by rabies dogs' bite. Furthermore, the villagers did not give any vaccine to their dogs. They only waited for the vaccine officer from the government to come to their house. The main problems in preventing rabies, related to human behavior, based on this research are: 1) lack of village's leaders involvement, especially in controlling and administering prevention program, 2) lack of people respond in controlling dogs population and dogs mobility, 3) lack of active participation of dogs owners to vaccinate their dogs and 4) lack of people knowledge about PEP procedures.

This study was a qualitative study that conducted in Bali, Indonesia. Bali has been an endemic of rabies since 2008. Many factors have been related to rabies. One of them is human behavior. This research was focused on human behavior in keeping dogs and its relationship to rabies. The study was conducted in 3 villages at Buleleng regency where positive rabies dogs have been found in 2017. There was a high population of dogs in the villages, and most of them lived wildly. Data were collected through document review, interview, and direct observation. After being collected, they were analyzed using content analysis. Results of this research show that most of the villagers had been aware of rabies, but has got poor knowledge about it. They did not know how to prevent it, especially on how to threat wound caused by rabies dogs' bite. Furthermore, the villagers did not give any vaccine to their dogs. They only waited for the vaccine officer from the government to come to their house. The main problems in preventing rabies, related to human behavior, based on this research are: 1) lack of village's leaders involvement, especially in controlling and administering prevention program, 2) lack of people respond in controlling dogs population and dogs mobility, 3) lack of active participation of dogs owners to vaccinate their dogs and 4) lack of people knowledge about PEP procedures.