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JURNAL MANAJEMEN PELAYANAN KESEHATAN VOLUME 12 No. D2 Juni e 2009 Halaman 59-67 oo KEPEMIMPINAN KEPALA PUSKESMAS DENGAN TEMPAT PERAWATAN DAN PENGARUHNYA TERHADAP KINERJA PEGAWAI PUSKESMAS DENGAN TEMPAT PERAWATAN DI KABUPATEN KUNINGAN JAWA BARAT THE LEADERSHIP AT THE HEADS OF PUSKESMAS DTPAND HIS INFLUENCE TO STAFF'S PERFORMANCE PUSKESMAS DTP IN DISTRICT OF KUNINGAN WEST JAVA Endang Sutisna Sulaeman Bagian llmu Kesehatan Masyarakat, Fakultas Kesehatan Universitas Sebelas Maret, ‘Surakarta, Jawa Tengah ABSTRACT Background: This research is grounded on the fact that the target of the health service performance of UPTD Puskesmas DTP has not been reached as shown on the result of the ‘evaluation in 2004, Based on the study at thearies, there are a couple at sub-problems which influence the effective leadership and the optimal staff's performance Methods: The objective of this research is to look for an alternative solution to promote the staff's performance through realizing the effective leadership. ‘This research use descriptive analytical method with cross- sectional survey design. The independent variables at the research are the leadership style and the leadership situation, vile the dependent variable is the staffs performance. The research measuring instrument use questioners disseminated to 42 respondents in 6 UPTD Puskesmas DTP throughout Kuningan Regency. The data analysis uses the method at path ‘analysis and multiple regressions Result and conclusion: The research findings that leadership ‘style applied by Heads UPTD Puskesmas DTP are mixed one's which consist of directive style, supportive slyle, delegative style, and participative style (multicratic leadership style) Leadership situation covering quality dimension ofleader-staff’s relationship, degree of task structure, amount of power postion, ality ofleader, and staff's maturity Isat good category ‘The staff's performance of UPTD Puskesmas DTP covering werk ability (knowledge and skils),Iilave, communication, ‘cooperation, planning and organizing, work productivity, work saisfaction, and rewards is good category. It's suggested that In the effort to promote the staff's ‘performance of UPTD Puskesmas DTP, leadership style shall to be applied by Heads of UPTO Puskesmas DTP use sivle leadership of mixture among directive leadership style, ‘supportive leadership style, delegative leadership style, and participative leadership style, and with interest using many participative leadership style and should be adjusted with the situation, the level at the staff's maturity, the gaining of Information for problem solving, the time available, and supported by the management resource and good ‘communication. Keywords: leadership style, leadership situation, personal characters of the leaders, staff's performance ABSTRAK Latar Belakang: Peneitian ini didasarkan pada munculaya ‘masalah belum tercapainya target kinerja pelayanan kesehatan UPTD Puskesmas DTP di Kabupaten Kuningan. Seperti

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