Performance of health workers in implementing the healthy Indonesia application
DOI: https://doi.org/10.33024/minh.v9i3.3064
Health Information Systems Health Personnel Motivation Vaccination Performance
Abstract
Background: My Healthy Indonesia Application is a cornerstone of Indonesia's health system digital transformation, designed to streamline vaccination recording and reporting. However, its implementation at community health centers in Padang City faces challenges, marked by data discrepancies and suboptimal vaccination coverage.
Purpose: To identify healthcare worker performance in implementing the healthy Indonesia application.
Method: A mixed-methods study was conducted in five Community Health Center in Padang City. The quantitative phase employed a cross-sectional design with total sampling of 127 health workers. Data were collected using validated questionnaires and analyzed using chi-square and multivariate logistic regression. The qualitative phase involved in-depth interviews with 13 key informants, analyzed using thematic analysis. This study investigates factors associated with health workers' performance in using My Healthy Indonesia Application and explores underlying reasons behind these challenges.
Results: Quantitative analysis revealed that motivation (p=0.014), leadership (p=0.018), and workload (p=0.009) were significantly associated with performance, with motivation as the most dominant factor (OR 0.254; p=0.011). Knowledge (p=0.602) was not significantly associated. Qualitative findings generated seven themes: complex motivational dynamics dominated by professional responsibility; significant infrastructure limitations (reliance on personal devices/internet); persistent application bugs (data loss, duplication); increased administrative workload; a digital generation gap; adaptive strategies (time management, team collaboration); and a clear recommendation for a single, integrated application.
Conclusion: Health worker performance in using My Healthy Indonesia Application presents a paradox: good performance persists despite significant systemic barriers, primarily driven by strong intrinsic motivation. However, this reliance on individual resilience is unsustainable. Improving My Healthy Indonesia Application effectiveness requires holistic interventions addressing technical issues, reducing workload, bridging the digital divide, and nurturing the professional dedication of health workers.
Downloads
References
Abdel Wahed, W. Y. A., Hefzy, E. M., Ahmed, M. I., & Hamed, N. S. (2020). Assessment of knowledge, attitudes, and perception of health care workers regarding COVID-19, a cross-sectional study from Egypt. Journal of community health, 45(6), 1242-1251.
Abuaddous, H. Y., Al Sokkar, A. A., & Abualodous, B. I. (2018). The impact of knowledge management on organizational performance. International journal of advanced computer science and applications, 9(4).
Argaheni, N. B., Azizah, N., Sianturi, E., Hutomo, C. S., Sirait, S. H., Bangun, S. (2022). Organisasi dan manajemen pelayanan kesehaan dalam kebidanan. Medan; Yayasan kita menulis. 116 hlm.
Anaman-Torgbor, J. A., Divine, H. K., Gyapong, B., Tarkang, E., Adedia, D., & Konlan, K. D. (2025). Knowledge and practice discrepancies in the nursing process: insights from developing countries. Journal of Global Health Science, 7.
Arifin, Z., & Kesuma, R. A. (2024). Analisis Usia Dan Pendidikan Terhadap Produktivitas Karyawan Pada PT. Charoen Pokphan Indonesia-Silo Dryer, Bandar Lampung. Jurnal Rekayasa Industri (JRI), 6(2), 167-178.
Budiasa, I. K. (2021). Beban kerja dan kinerja sumber daya manusia. Jawa Tengah: CV. Pena Persada, 100.
Borges do Nascimento, I. J., Abdulazeem, H., Vasanthan, L. T., Martinez, E. Z., Zucoloto, M. L., Østengaard, L., Azzopardi-Muscat, N., Zapata, T., & Novillo-Ortiz, D. (2023). Barriers and facilitators to utilizing digital health technologies by healthcare professionals. NPJ digital medicine, 6(1), 161.
Coffetti, E., Paans, W., Roodbol, P. F., & Zuidersma, J. (2023). Individual and team factors influencing the adoption of information and communication technology by nurses: a systematic review. CIN: Computers, Informatics, Nursing, 41(4), 205-214.
Padang City Health Office. (2024). Laporan Hasil imunisasi rutin bayi di puskesmas manual dan ASIK. Accessed from: https://ppid.padang.go.id/public/document/informasi/uploads/audios/ppidpadang_2025_1746604474.pdf
Dhingra, D., & Dabas, A. (2020). Global Strategy on Digital Health. Indian pediatrics, 57(4), 356–358.
Emilia, K. (2024). Analysis of the Role of Midwives in Increasing Infant Immunization Coverage in Rural Areas. International Journal of Nursing and Midwifery Research. 2(3), 114-121.
Foster, B & Sidharta, I. (2019). Dasar-dasar Manajemen. yogyakarta: Diandra Kreatif.
Febianti, A., Shulthoni, M., Masrur, M., & Safi'i, M. A. (2023). Pengaruh tingkat pendidikan, umur, jenis kelamin, dan pengalaman kerja terhadap produktivitas kerja di Indonesia. Sahmiyya: Jurnal Ekonomi dan Bisnis, 198-204.
Gruessner, R. W. G. (2023). The need for transformational and transactional leadership in modern health care systems and hospitals. Annals of Public Health & Epidemiology, 2(2), 1-5.
Hardisman, M. P. (2020). Kupas tuntas dan lugas metodologi penelitian kualitatif. Depok: Rajawali Pers.
Honorata, R. D. P., Suparno, S., & Emiliana, S. P. (2024). Transformational healthcare leadership in improving tele-health system and safety performance sustainability in University Teaching Hospitals. Academic Journal of Interdisciplinary Studies, 13(3).
Jeilani, A., & Hussein, A. (2025). Impact of digital health technologies adoption on healthcare workers’ performance and workload: perspective with DOI and TOE models. BMC Health Services Research, 25(1), 271.
Jendly, M., Santschi, V., Tancredi, S., von Wyl, V., & Chiolero, A. (2025). Primary care physician digital health profile and burnout: an international cross-sectional study. European Journal of Public Health, 35(6), 1162-1169.
Kosklin, R., Lammintakanen, J., & Kivinen, T. (2023). Knowledge management effects and performance in health care: a systematic literature review. Knowledge Management Research & Practice, 21(4), 738-748.
Lee, Y. L., Dai, J. W., Li, X. W., Chiang, M. Y., Chen, P. T., Lin, Y. C., & Wang, C. H. (2024). Prevalence and the associated factors of burnout among the critical healthcare professionals during the post-pandemic era: a multi-institutional survey in Taiwan with a systematic review of the Asian literatures. BMC public health, 24(1), 3480.
Lemma, S., Janson, A., Persson, L. Å., Wickremasinghe, D., & Källestål, C. (2020). Improving quality and use of routine health information system data in low-and middle-income countries: a scoping review. PloS one, 15(10), e0239683.
Lubis, A, S. & Handayani, R. (2022). Generasi Z dan Entrepreneurship Studi Teoretis Minat Generasi Z dalam Berwirausaha. Bogor: Bypass; 118 hlm.
Mardiana, P., Harokan, A., & Wahyudi, A. (2025). Analisis kinerja petugas pengelola data aplikasi Sehat IndonesiaKu (ASIK) dalam memenuhi capaian imunisasi dasar lengkap bayi pada Dinas Kesehatan Kota Pagar Alam. Jurnal Ners, 9(1), 676–683.
Mekonnen, M., & Bayissa, Z. (2023). The effect of transformational and transactional leadership styles on organizational readiness for change among health professionals. SAGE open nursing, 9, 23779608231185923.
Ministry of Health of the Republic of Indonesia. (2021). Pedoman praktis manajemen program imunisasi di puskesmas. Jakarta; PERPUS.PKMNGAMPRAH.
Ministry of Health of the Republic of Indonesia. (2022). Surat edaran Pengguanaan Aplikasi sehat Indonesiaku (ASIK) untuk Imunisasi Rutin. 2022;1–2.
Ministry of Health of the Republic of Indonesia. (2024). ASIK (Aplikasi Sehat Indonesiaku) Pusat bantuan. pp 3-20. Indonesia: Kementrian Kesehatan RI; 2024. 3–20 p. Accessed from: https://asiksupportstg.dto.kemkes.go.id/asiksupport-stg
Ministry of Health of the Republic of Indonesia. (2025). Digital Health : Janji dan Jurang. Indonesia: Kementrian Kesehatan RI; 2025. p. 1–5. Accessed from: dari https://ayosehat.kemkes.go.id/digital-health
Ministry of Health of the Republic of Indonesia. (2025) ‘Digital Health : Janji dan Jurang’. Indonesia: Kementrian Kesehatan RI, pp. 1–5.
Moeins, I. H. A., Alhempi, R. R., & Lukas, A. (2024). Strategi penguatan kinerja generasi z dalam menghadapi indonesia emas 2045. Takaza Innovatix Labs.
Nasution, L., & Ichsan, R. N. (2021). Pengaruh penerapan kepemimpinan terhadap kinerja pegawai pada Kantor Dinas Pendidikan Kabupaten Karo. Jurnal Ilmiah METADATA, 3(1), 308-320.
Nirwana, A. C. (2025). Motivasi kerja tenagaa kesehatan terhadap kinerja pelayanan dirumah sakit : meta-Analisis. Sustainability (Switzerland). 4(9), 1–10.
Olu-Abiodun, O., Faturoti, A., Adepoju, A., Adeloye, D., Adebiyi, A., & Abiodun, O. (2025). Effectiveness and challenges of digital tools implementation for enhancing infectious disease surveillance data quality in low-and middle-income countries: A systematic review protocol. PLoS One, 20(8), e0330904.
Pakpahan, M., Siregar, D., Susilawaty, A., Tasnim, T., Ramdany, R., Manurung, E. I., Sianturi, E., Tompunu, M. R. G., Sitanggang, Y. F., & Maisyarah, M (2021). Promosi kesehatan dan perilaku kesehatan. yayasan kita menulis.
Prabowo, B., Samsudin, A., Ghoniyah, I., Elvarreta, C. D., Wally, L. F., & Carolina, A. (2024). Motivasi kerja berpengaruh pada dimensi kepuasan kerja. Jurnal Pendidikan Tambusai, 8(1), 15689-15700.
Rahayu, M. P., Rahatisya, P., & Audia, W. N. (2021). Pengaruh Beban Kerja Terhadap Kinerja Karyawan PT. Bandung Media Grafika. Jurnal Ilmu Komputer dan Bisnis, 12(2), 64-70.
Rahmadewi, P., Heryawan, L., & Lazuardi, L. (2023). Kesiapan penerapan register imunisasi elektronik nasional di provinsi banten dan maluku utara. Jurnal Kesehatan Masyarakat, 11(4), 406-417.
Sari, D. P., Thoibah, B., Ayenti, E., & Sofi, M. (2024). Studi literatur: Pengaruh motivasi kerja terhadap kinerja karyawan di perusahaan. Jurnal Kolaboratif Sains, 7(7), 2605-2609.
Selvi, S., Ubaidillah, U., Syukri, M., & Iskandar, F. (2024). Pengaruh Kepemimpinan terhadap Kinerja Karyawan pada PT. Perkebunan Nusantara VI Jambi. Jurnal Ilmu Manajemen Terapan (JIMT)., 5(3).
Sugesti, H., Triputranto, B., & Akbar, H. (2022). Pengaruh Beban Kerja Terhadap Kinerja Karyawan Pada Pos Internasional Bagian Ekspor Di Kantor Pos Indonesia Mpc Bandung. Pro Mark, 12(2).
Sulaiman, S., Efendy, I., & Utami, T. N. (2024). Faktor Yang Memengaruhi Kinerja Tenaga Kesehatan Di Puskesmas Tangan-Tangan Kabupaten Aceh Barat Daya. Jurnal Ventilator, 2(1), 86-101.
Susanto, D. B. (2022). Manajemen sumber daya manusia perusahaan. Azka Pustaka.
Sholeha Arafat, A., Sety, O. M. L, & Liaran, D. R. (2025). Faktor Yang Mempengaruhi Kinerja Tenaga Kesehatan Di Puskesmas Abeli Kota Kendari Tahun 2024. Jakk-Uho. 5(4):426–33.
Tarumingkeng, R. C. (2025). Teori Motivasi Herzberg (Teori Dua-Faktor). Bogor; RUDYCT e-Press.
Tarwaka, B. S., & Bakri, S. L. Ergonomi untuk Keselamatan, Kesehatan Kerja dan Produktivitas [Internet]. 2016. 383 p. Availablefrom: http://shadibakri. uniba. ac. id/wp-content/uploads/2016/03/Buku-Ergonomi. Pdf
United States Agency for International Development. (2021). Human Resources for Health in 2030 in Indonesia. Accessed from: https://hrh2030program.org/wp-content/uploads/2021/10/HRH2030-Indonesia-Final-Report_10.21.21.pdf
Yang, K. C., & Shih, P. H. (2020). Cognitive age in technology acceptance: At what age are people ready to adopt and continuously use fashionable products?. Telematics and Informatics, 51, 101400.
Yuliwati, Y., & Sulistyaningrum, H. (2025). The role of midwifery in reproductive health programs in indonesia. International Journal of Midwifery and Health Innovations, 1(1), 41-48.
World Health Organization. (2024). Digital transformation handbook for primary health care. Accessed from: https://www.who.int/publications/i/item/9789240093362
World Health Organization. (2022). Immunization in the digital age progress and challenges. geneva. https://www.who.int/health-topics/digital-health
Wu, Y., Wu, M., Wang, C., Lin, J., Liu, J., & Liu, S. (2024). Evaluating the prevalence of burnout among health care professionals related to electronic health record use: systematic review and meta-analysis. JMIR Medical Informatics, 12, e54811.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 mutiaramiftahul jannah
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
