Beruflich Dokumente
Kultur Dokumente
Competency model for the work force of head of the District Health Office
(DHO) in north Sumatra province-Indonesia
Authors: ABSTRACT:
Journal of Research in Ecology
Rahmat Alyakin Dakhi1, The greatest challenge constrains the achievement of the objectives of the
Heru Santosa2, Sustainable Development Goals (SDGs), particularly with regard to health to the
Juanita3 and human resource competency gaps. Uneven Head of District Health Office (DHO)
Zulfendri3 competencies caused a disparity success between districts. The purpose of this
research is to identify the competence of heads of DHO that can be used as a
Institution: minimum reference to recruit someone in that position. This research is cross-
1. Doctor candidate in Public
sectional, qualitative and quantitative research methods. Data were collected using
Health Science Faculty,
University of North Sumatra, interview guides and questionnaires distributed to 150 respondents at 50% of districts
Medan, Indonesia. in the North Sumatra province consisting of heads of the district or head of the
district office, DHO, chief of division at DHO, and head of Primary Health Centre (PHC).
2. Professor in Public Health In addition the respondents of this study also the head of district personnel agency,
Science Faculty, University head of district supervision, and head of district development planning board have
of North Sumatra, Medan, participated in the survey. Data analysis was done by using Confirmatory Factor
Indonesia.
Analysis (CFA) approach. The results indicated that the competence of the head of
3. Doctor in Public Health DHO consists of achievements and actions (achievement orientation, concern to
Science Faculty, Lecturer in order, initiative, information seeking, planning, budgeting, organizing, quality oriented
Health Policy Analysis, and initiative), helping and human services (interpersonal understanding, customer
University of North Sumatra, service orientation, and responsiveness), leadership (impact and influence,
Medan, Indonesia. organizational awareness, and relationship building), managerial (developing others,
directiveness, team work, and team leadership), cognitive (analytical thinking,
Corresponding author: conceptual thinking, and expertise), personal effectiveness (integrity, self-control, self
Rahmat Alyakin Dakhi -confidence, flexibility, and organizational commitment), local specific leadership
(understanding of main value of the local cultural understanding values and local
customs understanding).
Keywords:
Competence indicator, Head of district health office.
Article Citation:
Rahmat Alyakin Dakhi, Heru Santosa, Juanita and Zulfendri
Competency model for the work force of head of the District Health Office (DHO) in
north Sumatra province-Indonesia
Journal of Research in Ecology (2018) 6(1): 1677-1690
Dates:
Received: 17 March 2018 Accepted: 09 May 2018 Published: 05 June 2018
Figure 5. Managerial Competence latent variables. So it can be concluded that the varia-
bles interpersonal understanding, customer service ori-
ble 3. Figure 2 showed that all observed variables have entation, and responsiveness are a valid and reliable
an absolute value of Standardized Loading Factor (SLF) variable for helping and human service competence.
>.5, meaning that all observed variables is valid varia- Result of hypothesis test for leadership are given
bles for latent variables. Table 3 shows that all variables in Figure 4 and Table 5. Figure 4 showed that all ob-
have met the predetermined criteria of goodness of fit, served variables have an absolute value of SLF>0.5,
meaning that the fit model is estimated with the ob- meaning that all observed variables are valid for latent
served values already qualified. The calculations per- variables. Table 5 shows that all variables have met the
formed on Construct Reliability (CR) and Variance Ex- predetermined criteria of goodness of fit, meaning that
tracted (VE) are CR = 0.91 (>0.7) and VE = 0.96 (>0.5). the fit model is estimated with the observed values al-
These CR and VE values shows that all observed varia- ready qualified. The calculations performed on CR and
bles are within the threshold values, meaning that all VE are CR = 0.81 (>0.7) and VE = 0.91 (>0.5). These
observed variables are reliable variables for latent varia- Table 6. Result of fit model construct variable of the
bles. So it can be concluded that the achievement orien- managerial
Threshold
tation, concern for order, initiative, information seeking, S. No Parameter Result Category
value
planning, budgeting, organizing, quality oriented and 1 GFI 1.000 ≥ .90 Good
innovation are a valid and reliable variable for achieve- 2 RMSEA 0.000 ≤ .05 Good
3 CFI 1.000 > .90 Good
ment and action competence.
4 AGFI 1.000 ≥ .90 Good
5 NFI 0.960 ≥ .95 Good
the fit model is estimated with the observed values al- Threshold
S. No Parameter Result Category
value
ready qualified. The calculations performed on CR and 1 GFI 1.000 ≥ .90 Good
VE are CR = 0.90 (>0.7) and VE = 0.95 (>0.5). These 2 RMSEA 0.000 ≤ .05 Good
3 CFI 0.000 > .90 Good
CR and VE values showed that all observed variables
4 AGFI 0.000 ≥ .90 Good
were within the threshold values, meaning all observed 5 NFI 0.000 ≥ .95 Good
1684 Journal of Research in Ecology (2018) 6(1): 1677-1690
Dakhi et al., 2018
Table 9. Result of fit model construct variable of the
local specific leadership
Threshold
S. No Parameter Result Category
value
1 GFI 0.921 ≥ .90 Good
2 RMSEA 0.000 ≤ .05 Good
3 CFI 0.931 > .90 Good
4 AGFI 0.925 ≥ .90 Good
5 NFI 0.954 ≥ .95 Good
Figure 8. Local Specific Leadership’s Competence ing that the fit model is estimated with the observed
values already qualified. The calculations performed on
CR and VE are CR = 0.92 (>0.7) and VE = 0.96 (>0.5).
These CR and VE values showed that all observed vari-
ables are within the threshold values, meaning all ob-
served variables are reliable variables for latent varia-
bles. So it can be concluded that the variables integrity,
self control, self confidence, flexibility and organiza-
tional commitment are a valid and reliable variable for
personal effectiveness competence.
Result of hypothesis test for local specific leader-
ship as in Figure 8 and Table 9. Figure 8 showed that all
observed variables have an absolute value of SLF >0.5,
meaning that all observed variables are valid variables
for latent variables. Table 9 shows that all variables
have met the predetermined criteria of goodness of fit,
meaning that the fit model is estimated with the ob-
served values already qualified. The calculations per-
formed on CR and VE are CR = 0.71 (>0.7) and VE =
0.82 (>0.5). These CR and VE values showed that all
observed variables were within the threshold values,
meaning all observed variables are reliable variables for
latent variables. So it can be concluded that the varia-
bles main values of local culture understanding, local
customs understanding and local language understand-
Table 10. Result of fit model construct variable of the
competence of the head of DHO
Threshold
S. No Parameter Result Category
value
1 GFI 0.918 ≥ .90 Good
2 RMSEA 0.000 ≤ .05 Good
3 CFI 1.000 > .90 Good
4 AGFI 0.904 ≥ .90 Good
Figure 9. Path diagram of initial estimate of model 5 NFI 0.969 ≥ .95 Good
ing are a valid and reliable variable for local specific are valid variables to measure the competence of the
leadership competence. head of DHO.
Model analysis In addition, the confirmatory factor analysis test
The estimate of the study model as the path dia- results are shown in Table 10. Table 10 shows that the
gram as in Figure 9. Figure 9 shows that the all varia- variable of the model meets the established goodness
bles of the Standardized Loading Factor (SLF) value is of fit criteria. Other model feasibility measures fall into
1.00 (>0.5). Therefore it can be concluded that achieve- either category. Therefore, the suitability of the model
ment and action competence, helping and human service that is predicted with observation values on all variables
competence, leadership competence, managerial compe- is eligible. The significance test of extracted indicators
tence, cognitive competence, personal effectiveness in forming latent variables can be obtained from the
competence, and local specific leadership competence standardized loading factor of each indicator, as in Ta-
ble 11. The results of confirmatory factor analysis on
value of VE>0.5. This can be concluded that the relia- tive competence, personal effectiveness competence,
bility of the research model (the competence of head of and local specific leadership competence, is the for-
DHO) is good. mation of head of DHO competence.
Based on the description, achievement and action
competence, helping and human service competence, CONCLUSION
leadership competence, managerial competence, cogni- The competency indicator of the head of DHO
submit@ecologyresearch.info
www.ecologyresearch.info/Submit.php.