Determinants of Competency Development Participation among Primary Health Care Workers in Makassar City Indonesia

Abstract

Competency development of primary health care workers (HCWs) is a critical factor in maintaining the quality of health services; however, participation in competency development activities at primary health centers remains relatively low.This study aimed to analyze the association between motivation, technology-based learning environment, organizational social support, and organizational learning culture and competency development participation among primary HCWs in Makassar City.This study employed a quantitative design using an analytic cross-sectional survey conducted in 11 selected primary health centers through cluster random sampling, involving 331 primary HCWs as respondents.Data were collected using structured questionnaires and analyzed using chi-square tests and multivariable binary logistic regression.The results showed that motivation (p = 0.001) and technology-based learning environment (p = 0.007) were significantly associated with competency development participation, whereas organizational social support (p = 0.233) and organizational learning culture (p = 0.340) were not significantly associated.Multivariable binary logistic regression analysis identified motivation as the factor most strongly associated with competency development participation among primary HCWs (AOR = 5.94, p = 0.028).Efforts to enhance participation should therefore prioritize strengthening motivation among primary HCWs, supported by learning systems and organizational conditions that facilitate meaningful engagement, with implications for the design of policies and programs aimed at improving competency development participation.

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