Sukabumi — Discipline development and work motivation have a positive and significant influence on the performance of village midwives at the Cireunghas Community Health Center. The finding comes from a study by Raika Koswara and Dian Lestari from the Master of Economic and Business program at Jenderal Achmad Yani University. The study involved 33 village midwives at the Cireunghas Community Health Center and found that consistent disciplinary development and stronger work motivation can improve midwives’ performance while supporting the quality of health services delivered to the community.
Village midwives play an important role in community-level health services. They work directly with residents and provide services related to maternal and child health, reproductive health, and promotive and preventive health programs within their service areas. Their performance therefore becomes an important factor in determining the effectiveness of health services provided at the community level.
However, the researchers identified several performance-related issues among village midwives at the Cireunghas Community Health Center. Some midwives were still arriving late, failing to complete administrative tasks on time, not consistently following workplace regulations, and showing limited initiative to complete tasks without supervision. These conditions suggest that healthcare workers’ performance is influenced not only by technical skills but also by how organizations build discipline and maintain work motivation.
In the study, disciplinary development is viewed as part of human resource management designed to shape employees’ behavior so that it follows organizational rules, procedures, and standards. It can be implemented through rule enforcement, supervision, consistent sanctions, and continuous guidance. Work motivation, meanwhile, refers to internal and external drivers that encourage individuals to perform their duties with enthusiasm, responsibility, and commitment.
Village midwife performance in the study is not limited to the amount of work completed. It also involves the extent to which midwives successfully perform their responsibilities and provide health services according to the operational standards and targets established by the Community Health Center. Improving performance therefore requires healthcare facilities to ensure that health workers remain disciplined while also maintaining the motivation to provide optimal services.
The researchers used a quantitative approach with descriptive and associative methods. All 33 village midwives in the population were included as respondents through a saturation sampling technique. Data were collected through questionnaires supported by interviews and documentation. The researchers then analyzed the data using SPSS through validity and reliability tests, classical assumption tests, multiple linear regression, t-tests, F-tests, and the coefficient of determination.
The instrument testing showed that the research questionnaire was suitable for data collection. All questionnaire items had calculated r values above the table r value of 0.2913 and were therefore considered valid. Reliability testing also produced strong results. The Cronbach’s Alpha value for disciplinary development was 0.869, while work motivation reached 0.806 and performance reached 0.863. All values were above 0.70, indicating that the instruments were reliable.
The classical assumption tests also indicated that the regression model met the requirements for analysis. The normality test produced a significance value of 0.822, above 0.05. The multicollinearity test resulted in a tolerance value of 0.357 and a Variance Inflation Factor of 2.798, indicating no multicollinearity problem. The heteroscedasticity test also showed no evidence of heteroscedasticity because the significance values for all variables were above 0.05.
The multiple linear regression analysis produced the equation Y = 1.230 + 0.367 X1 + 0.661 X2, where Y represents performance, X1 represents disciplinary development, and X2 represents work motivation. The positive coefficients indicate that improvements in disciplinary development and work motivation are associated with better village midwife performance. The coefficient for work motivation, 0.661, was higher than the coefficient for disciplinary development, 0.367, within the regression model.
The strength of the model is reflected in an R Square value of 0.960, or 96 percent. This means that disciplinary development and work motivation together explain 96 percent of the variation in village midwife performance within the research model. The remaining 4 percent is associated with other factors that were not examined. The R value of 0.980 also indicates a very strong relationship between the independent variables and performance.
The partial test further confirms the influence of disciplinary development. The calculated t-value reached 9.190, exceeding the t-table value of 1.695, with a significance level of 0.000. This demonstrates that disciplinary development has a positive and significant effect on village midwives’ performance. In practical terms, more consistent rule enforcement, supervision, and disciplinary guidance are associated with better performance among village midwives.
Work motivation also produced a significant result. The calculated t-value was 8.256, higher than the t-table value of 1.695, with a significance level of 0.000. The result indicates that village midwives with stronger work motivation tend to demonstrate better performance. Motivation can encourage enthusiasm, commitment, responsibility, and willingness to complete duties effectively.
When both factors were tested simultaneously, the results continued to show a very strong relationship. The F-test produced a calculated F-value of 383.728, substantially higher than the F-table value of 3.32, with a significance level of 0.000. The findings demonstrate that disciplinary development and work motivation simultaneously have a positive and significant effect on the performance of village midwives at the Cireunghas Community Health Center.
The findings indicate that improving the quality of health services requires more than professional healthcare skills. Health facilities also need organizational systems that strengthen discipline and motivation. Disciplinary development can help ensure that duties are performed according to regulations and service standards, while motivation can encourage midwives to carry out their responsibilities with greater enthusiasm and consistency.
For community health centers, the findings provide a basis for strengthening human resource management. The researchers recommend consistent enforcement of workplace rules, effective supervision, and fair application of rewards and sanctions. These measures should be accompanied by efforts to strengthen motivation through recognition of performance, training opportunities, and the creation of a supportive working environment.
This approach is particularly important because village midwives work directly within communities. Their performance can influence the delivery of maternal and child health services, reproductive health programs, and promotive and preventive activities. Maintaining strong discipline and motivation can help community health centers ensure that services are delivered consistently according to established standards and community needs.
The study also opens opportunities for further research. Koswara and Lestari recommend examining other factors that may influence village midwife performance, including leadership style, workload, work environment, job satisfaction, professional competence, organizational culture, and organizational support. Future studies involving larger numbers of respondents and multiple community health centers could provide broader and more representative findings.
Overall, the study by Raika Koswara and Dian Lestari demonstrates that disciplinary development and work motivation are two important factors in improving village midwives’ performance. Both factors were found to have positive and significant effects, individually and simultaneously. For the Cireunghas Community Health Center, strengthening these two aspects can become part of a broader healthcare workforce management strategy aimed at maintaining and improving the quality of services delivered to the community.
Authors
Raika Koswara — Jenderal Achmad Yani University.
Dian Lestari — Jenderal Achmad Yani University.
Research Source
Article Title: The Influence of Disciplinary Development and Work Motivation on the Performance of Village Midwives at Cireunghas Community Health
Journal: International Journal of Scientific Multidisciplinary Research (IJSMR), Vol. 4, No. 8, 2026, pp. 1931–1942.
DOI: https://doi.org/10.55927/ijsmr.v4i8.134
Journal Link: https://journalijsmr.my.id/index.php/ijsmr
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