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  <front>
      <journal-meta>
            <journal-id journal-id-type="issn">2808-0718</journal-id>
            <journal-title-group>
                <journal-title>Indonesian Journal of Business Analytics (IJBA)</journal-title>
                <abbrev-journal-title>Indonesian Journal of Business Analytics (IJBA)</abbrev-journal-title>
            </journal-title-group>
            <issn pub-type="epub">2808-0718</issn>
            <issn pub-type="ppub">2808-0718</issn>
            <publisher>
                <publisher-name>Formosa Publisher</publisher-name>
                <publisher-loc>Jl. Sutomo Ujung No.28 D, Durian, Kecamatan Medan Timur, Kota Medan, Sumatera Utara 20235, Indonesia.</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.55927/ijba.v5i4.15414</article-id>
            <article-categories/>
            <title-group>
                <article-title>The Influence of Work Motivation and Organizational Commitment on Employee  Performance  with  Job  Satisfaction  as  a  Mediating  Variable  at  the Indonesian Health Service Association (Adinkes)</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <given-names>Shimponie Tania Wijaya</given-names>
                        <surname>Sipayung</surname>
                    </name>
                    <address>
                        <email>Simphoniewijayasipayung@gmail.com</email>
                    </address>
                    <xref ref-type="corresp" rid="cor-0"/>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <given-names>Tine</given-names>
                        <surname>Yuliantini</surname>
                    </name>
                </contrib>
            </contrib-group>
            <author-notes>
                <corresp id="cor-0">
                    <bold>Corresponding author: Shimponie Tania Wijaya Sipayung</bold>
                    Email:<email>Simphoniewijayasipayung@gmail.com</email>
                </corresp>
            </author-notes>
            <pub-date-not-available/>
            <volume>5</volume>
            <issue>4</issue>
            <issue-title>The Influence of Work Motivation and Organizational Commitment on Employee  Performance  with  Job  Satisfaction  as  a  Mediating  Variable  at  the Indonesian Health Service Association (Adinkes)</issue-title>
            <fpage>3387</fpage>
            <lpage>3406</lpage>
            <history>
                <date date-type="received" iso-8601-date="2025-6-21">
                    <day>21</day>
                    <month>6</month>
                    <year>2025</year>
                </date>
                <date date-type="rev-recd" iso-8601-date="2025-7-23">
                    <day>23</day>
                    <month>7</month>
                    <year>2025</year>
                </date>
                <date date-type="accepted" iso-8601-date="2025-8-22">
                    <day>22</day>
                    <month>8</month>
                    <year>2025</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright© 2025 Formosa Publisher</copyright-statement>
                <copyright-holder>Formosa Publisher</copyright-holder>
                <license>
                    <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
                    <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri xlink:href="https://journal.formosapublisher.org/index.php/ijba" xlink:title="The Influence of Work Motivation and Organizational Commitment on Employee  Performance  with  Job  Satisfaction  as  a  Mediating  Variable  at  the Indonesian Health Service Association (Adinkes)">The Influence of Work Motivation and Organizational Commitment on Employee  Performance  with  Job  Satisfaction  as  a  Mediating  Variable  at  the Indonesian Health Service Association (Adinkes)</self-uri>
            <abstract>
                <p>This  study  aims  to  analyze  the  effects  of  work 
                motivation and organizational commitment on 
                employee  performance,  with  job  satisfaction  as  a 
                mediating variable, within ADINKES in Indonesia. 
                The  population  comprised  100  employees,  and  a 
                sample  of  80  respondents  was  determined  using 
                Slovin’s formula (e=0.05) through simple random 
                sampling.  Primary  data  were  collected  via  five-
                point Likert scale questionnaires and analyzed 
                using  Structural  Equation  Modeling–Partial  Least 
                Squares (SmartPLS 4). The findings show that work 
                motivation  and  organizational  commitment  have 
                positive  and  significant  effects  on  job  satisfaction, 
                while  job  satisfaction  positively  and  significantly 
                influences employee performance. In addition, 
                motivation and commitment also exert direct 
                effects on performance, with organizational 
                commitment  being  the  most  dominant  predictor. 
                The R² for employee performance is 0.849, 
                indicating  that  84.9%  of  performance  variance  is 
                explained by the model, while the R² for job 
                satisfaction is 0.462. Predictive relevance (Q²) 
                indicates  good  model  quality,  with  the  strongest 
                contribution  on  the  commitment→performance 
                path.  These  results  underscore  the  importance  of 
                HR strategies—meaningful job design, fair reward 
                systems,  workload  management,  and  supportive 
                leadership—to sustainably enhance job satisfaction 
                and employee performance at ADINKES.</p>
            </abstract>
            <kwd-group>
                <kwd>Work Motivation</kwd>
                <kwd>Organizational Commitment</kwd>
                <kwd>Job Satisfaction</kwd>
                <kwd>Employee Performance</kwd>
                <kwd>SEM</kwd>
            </kwd-group>
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                    <meta-value>2025</meta-value>
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      </article-meta>
  </front>
  <body>
    <sec id="introduction">
      <title>INTRODUCTION</title>
      <p>The Indonesian Health Office Association (ADINKES) plays a
  strategic role as a coordinating body for improving service quality
  through policies, human resource development, and cross-agency
  collaboration. The success of this mandate is heavily supported by
  human resource performance; disparities in achievements across program
  indicators for AIDS, tuberculosis, and malaria (ATM) suggest
  challenges in cross-sector coordination and workload distribution.
  Although process monitoring through Workplan Tracking Measures shows
  progress at the planning stage, implementation barriers indicate
  operational constraints rooted in motivation, commitment, and job
  satisfaction, as well as in decent work prerequisites (fair
  compensation, adequate training, and a conducive environment), which
  also align performance with SDG 3, SDG 8, and SDG 16 (Ponto,
  2023).</p>
      <p>A preliminary survey underscores the urgency of improvement: only
  30% of respondents intend to stay long-term, 80% believe
  organizational values have yet to guide decision-making, and only 27%
  are satisfied with compensation and quality of life after work.
  Previous empirical evidence has been inconsistent— commitment to
  performance has been found to be both significant and insignificant
  (Suparudin, 2023; Aslami, 2021), as has satisfaction with performance
  (Nurrohmat &amp; Lestari, 2021; Tarjo, 2020). Meanwhile, the mediating
  role of satisfaction has been observed in some contexts but not
  others, including findings that OCB does not mediate the relationship
  between satisfaction or commitment and performance (Kesuma, 2022;
  Rachman &amp; Nawangsari, 2021). Work environment, motivation, and
  discipline, however, positively influence satisfaction (Yuliantini
  &amp; Santoso, 2020). Based on these phenomena, the preliminary survey
  findings, and the research gap, this study analyzes “The Effect of
  Work Motivation and Organizational Commitment on Employee Performance
  with Job Satisfaction as a Mediating Variable in ADINKES.”</p>
    </sec>
    <sec id="literature-review-and-research-framework">
      <title>LITERATURE REVIEW AND RESEARCH FRAMEWORK</title>
      <sec id="human-resource-management">
        <title>Human Resource Management</title>
        <p>According to Hasibuan (2017), human resources is the science and
    art that aims to regulate relationships and the role of the
    workforce so that they can function effectively and efficiently in
    achieving the goals of the company, employees, and society. This
    view aligns with Badriyah (2019), who explains that human resource
    management is a branch of management science specifically focused on
    managing the role of the workforce in carrying out organizational
    activities.</p>
      </sec>
      <sec id="sustainability-concept-and-sdgs">
        <title>Sustainability Concept and SDGs</title>
        <p>The concept of sustainable development, historically defined as
    efforts to meet present needs without compromising the ability of
    future generations to meet their own needs, has continued to evolve
    with deeper meaning. Contemporary analysis emphasizes that this
    concept is not merely about achieving a static balance, but rather a
    dynamic and continuous process of transformation in resource
    management, technological development, and institutional change to
    support intergenerational justice (Santoso, 2022). This</p>
        <p>process demands fundamental changes in perspective, where
    resource exploitation must be directed toward wise and
    long-term-oriented management (Santoso, 2022).</p>
      </sec>
      <sec id="work-motivation">
        <title>Work Motivation</title>
        <p>Work motivation is defined as a series of psychological processes
    that arouse, direct, and sustain goal-oriented voluntary actions in
    the work context. This process involves three key elements:
    intensity (how much effort is exerted), direction (where the effort
    is directed), and persistence (how long the effort can be
    sustained), which collectively determine an employee’s contribution
    to organizational goals (A. Nugroho, 2023). In today’s work
    landscape, understanding these driving forces is crucial, as
    motivation is no longer seen merely as a response to basic needs,
    but rather as a complex interaction between individual values and
    the dynamic organizational context.</p>
      </sec>
      <sec id="organizational-commitment">
        <title>Organizational Commitment</title>
        <p>Organizational commitment is one of the main predictors of work
    behavior and serves as the foundation for a productive employment
    relationship between employees and the company. Colquitt et al.
    (2021) define organizational commitment as the employee’s perceived
    desire to remain a member of an organization. This desire often
    determines whether an employee will continue as a member or choose
    to leave for another job.</p>
      </sec>
      <sec id="employee-performance">
        <title>Employee Performance</title>
        <p>Conceptually, employee performance is not only viewed as an
    outcome (results) but also as behaviors or actions relevant to
    organizational goals. Aguinis (2019) defines performance as the
    behaviors or actions carried out by employees, not the consequences
    or results of those actions. This definition emphasizes that
    performance concerns what employees do at work, which can be
    directly observed and evaluated for development.</p>
      </sec>
      <sec id="job-satisfaction">
        <title>Job Satisfaction</title>
        <p>Job satisfaction is defined as a pleasant emotional state
    resulting from an individual’s evaluation of their job or work
    experience. According to Noe et al. (2023a), job satisfaction is
    essentially about how much someone likes their job. It is an
    important attitude rooted in employees’ emotions and rational
    thoughts regarding various aspects of their work.</p>
      </sec>
      <sec id="hypothesis-development">
        <title>Hypothesis Development</title>
          <p>
            <bold>The Effect of Work Motivation on Job
      Satisfaction</bold>
          </p>
        <p>Work motivation plays an important role in determining employee
    job satisfaction. A work environment that encourages motivation can
    create a conducive atmosphere for employees to feel more satisfied
    and engaged. Work motivation can arise from various factors,
    including fair compensation, organizational support, and recognition
    of achievements. In the study of Shodiqin et al. (2024), work
    motivation was found to have a significant effect on employee job
    satisfaction at PT Agro Mina Lestari Wotgalar, Banjarnegara, showing
    that motivated employees tend to feel more satisfied with their
    jobs. <bold>H1:</bold> Work Motivation has a significant effect on
    Job Satisfaction.</p>
      </sec>
      <sec id="the-effect-of-work-motivation-on-employee-performance">
        <title>The Effect of Work Motivation on Employee Performance</title>
        <p>Work motivation is one of the key elements in improving employee
    performance across various types of organizations. Motivation
    provides both intrinsic and extrinsic encouragement that enables
    employees to work better, achieve targets, and contribute
    optimally.</p>
        <p>
          <bold>H2:</bold> Work Motivation has a significant effect on
    Employee Performance.</p>
      </sec>
      <sec id="the-effect-of-organizational-commitment-on-job-satisfaction">
        <title>The Effect of Organizational Commitment on Job
    Satisfaction</title>
        <p>Based on previous research findings, it can be concluded that
    organizational commitment significantly affects job satisfaction, as
    reinforced by the third hypothesis: Organizational Commitment has a
    significant effect on Job Satisfaction. Organizations that seek to
    improve employee commitment through a positive work culture, support
    for work–life balance, and the creation of job satisfaction can
    foster a productive and sustainable work environment.
          <bold>H3:</bold> Organizational Commitment has a significant effect
    on Job Satisfaction.</p>
      </sec>
      <sec id="the-effect-of-organizational-commitment-on-employee-performance">
        <title>The Effect of Organizational Commitment on Employee
    Performance</title>
        <p>Research findings also suggest that organizational commitment
    significantly affects employee performance, as confirmed by the
    fourth hypothesis: Organizational Commitment has a significant
    effect on Employee Performance. In the context of ADINKES,
    organizational commitment is a critical element in enhancing
    employee performance through approaches that include inspirational
    leadership, a supportive work culture, and balancing organizational
    and employee needs. By building strong commitment, organizations can
    create a productive, innovative, and sustainable work
    environment.</p>
        <p>
          <bold>H4:</bold> Organizational Commitment has a significant
    effect on Employee Performance.</p>
      </sec>
      <sec id="the-effect-of-job-satisfaction-on-employee-performance">
        <title>The Effect of Job Satisfaction on Employee
    Performance</title>
        <p>Based on previous research findings, it can be concluded that job
    satisfaction significantly affects employee performance, as stated
    in the fifth hypothesis: Job Satisfaction has a significant effect
    on Employee Performance. In the context of ADINKES, job satisfaction
    is a key factor in improving employee performance in the health
    sector. By creating a supportive work environment, recognizing
    contributions, and ensuring work–life balance, organizations can
    enhance job satisfaction, which in turn supports better performance
    and improved public service.</p>
        <p>H5: Job Satisfaction has a significant effect on Employee
    Performance.</p>
      </sec>
      <sec id="research-method">
        <title>Research Method</title>
        <p>This study employs a quantitative approach. Quantitative research
    methods can be defined as methods that emphasize the analysis of
    numerical data processed using statistical techniques. This approach
    was chosen because the study aims to test hypotheses and measure the
    influence between predetermined variables, thereby producing
    measurable, objective, and reliable conclusions (Sugiyono,
    2020).</p>
      </sec>
      <sec id="results-and-discussion-sem-pls-analysis-results">
        <title>Results and Discussion SEM-PLS Analysis Results</title>
          <p>
            <bold>Measurement Model (Outer Model) Testing</bold>
          </p>
        <p>In Structural Equation Modeling–Partial Least Squares (SEM-PLS),
    measurement model testing is conducted to assess the extent to which
    the indicators developed in the questionnaire instrument can validly
    and reliably represent the latent constructs. This testing is an
    essential stage before proceeding to the examination of
    relationships between variables, ensuring that the quality of the
    instrument meets appropriate standards.</p>
        <p>The measurement model in this study includes four constructs:
    Work Motivation (X1), Organizational Commitment (X2), Job
    Satisfaction (Z), and Employee Performance (Y). Each construct
    consists of a number of indicators developed based on theories
    discussed in the literature review and conceptual framework. The
    evaluation of the measurement model was carried out through several
    stages as follows:</p>
      </sec>
      <sec id="convergent-validity">
        <title>Convergent Validity</title>
        <p>To assess convergent validity, each indicator forming a construct
    is evaluated. Referring to the standard set by Chin (2015), an
    indicator is considered highly valid if it has a factor loading
    value greater than 0.70. However, indicators with values ranging
    from 0.50 to 0.60 are still acceptable, as they are considered
    sufficiently adequate. Therefore, indicators with values below 0.50
    must be excluded or removed from the research model.</p>
        <fig id="figure-hyumg5">
            <label>Figure 4.1. Loading Factor Values from SmartPLS 4.0 Algorithm</label>
            <graphic xlink:href="East_Asian_Journal_of_Multidisciplinary_Research_EAJMR-4-8-3651-g1.png" mimetype="image"
                mime-subtype="png">
                <alt-text>Image</alt-text>
            </graphic>
        </fig>
        <p>Figure 4.1. Loading Factor Values from SmartPLS 4.0 Algorithm</p>
        <p>
          <italic>
            <bold>Source: SmartPLS 4.0 Output Processing, 2025</bold>
          </italic>
        </p>
      </sec>
      <sec>
        <p>Based on the results shown in the figure above, the findings
    indicate that each indicator of the research variables exceeded the
    recommended threshold value. This provides evidence that all
    indicators in this study are proven to be reliable. Therefore, it
    can be concluded that all questions in the questionnaire met the
    requirements to proceed to the next stage of analysis.</p>
        <p>After confirming that the indicators met expectations, the next
    step was to analyze the extent to which each indicator could explain
    the construct being studied, while considering potential measurement
    errors. This test is stricter than commonly used consistency checks.
    Generally, for satisfactory results, the value should reach at least
    0.50. The calculation results obtained using SmartPLS 4.0 software
    are presented in Table 4.2:</p>
      </sec>
      <sec id="table-4.2.-ave-test-results">
        <p>Table 4.2. AVE Test Results</p>
        <table-wrap>
          <label>Table 4.2. AVE Test Results</label>
          <table>
            <colgroup>
              <col width="86%" />
              <col width="14%" />
            </colgroup>
            <thead>
              <tr>
                <th>
                  <bold>Variable</bold>
                </th>
                <th>
                  <bold>AVE</bold>
                </th>
              </tr>
            </thead>
            <tbody>
              <tr>
                <td>Work Motivation (X1)</td>
                <td>0.706</td>
              </tr>
              <tr>
                <td>Organizational Commitment (X2)</td>
                <td>0.807</td>
              </tr>
              <tr>
                <td>Employee Performance (Y)</td>
                <td>0.771</td>
              </tr>
              <tr>
                <td>Job Satisfaction (Z)</td>
                <td>0.770</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p>Source: SmartPLS 4.0 Output Processing, 2025</p>
        <p>Referring to Table 4.2, the results show that the Average
    Variance Extracted (AVE) values for all constructs exceeded the
    minimum threshold of 0.50. This achievement indicates that all indicators met the
    necessary criteria, confirming that the research model is
    sufficiently reliable to proceed to the next stage of analysis.</p>
      </sec>
      <sec id="discriminant-validity">
        <title>Discriminant Validity</title>
        <p>The next step was to evaluate discriminant validity. This was
    done by comparing the AVE values of each variable with the
    correlations between that variable and others. A measurement model
    can be considered to have good discriminant validity if the AVE
    value of each variable is higher than the correlations with other
    variables. All AVE values used in this test were obtained from the
    SmartPLS 4.0 analysis.</p>
        <p>The results show that all indicators met the criteria. The
    indicators of Work Motivation (X1.1–X1.10) loaded onto their
    construct within the range of 0.794– 0.886; Organizational
    Commitment (X2.1–X2.11) within 0.851–0.927; Employee Performance
    (Y.1–Y.19) within 0.814–0.932; and Job Satisfaction (Z.1–Z.12)
    within 0.842–0.940. All cross-loadings on other constructs were
    consistently lower than the loadings on their intended construct,
    confirming that each construct successfully distinguished its
    indicators from those of other constructs. Thus, discriminant
    validity was achieved, and the measurement model was deemed
    appropriate to proceed to structural analysis.</p>
        <p>In line with the cross-loading findings, the Fornell–Larcker
    criterion in the SmartPLS 4.0 output further reinforced this
    conclusion. The square root of the AVE values were as follows: Work
    Motivation = 0.840; Organizational Commitment = 0.898; Employee
    Performance = 0.878; Job Satisfaction = 0.878— all exceeding the
    highest correlations with related constructs (e.g., Performance–
    Satisfaction = 0.813; Commitment–Performance = 0.792;
    Motivation–Performance = 0.728; Motivation–Commitment = 0.535;
    Motivation–Satisfaction = 0.580; Commitment–Satisfaction = 0.609). Therefore, for each
    construct, √AVE was greater than the inter-construct correlations,
    confirming discriminant validity and the robustness of the
    measurement model.</p>
        <p>Additionally, discriminant validity was evaluated using the
    Heterotrait- Monotrait Ratio (HTMT). Following Hair et al. (2017),
    the acceptable threshold is HTMT &lt; 0.90. The results of this
    study show that all HTMT values were below this threshold, thereby
    meeting the requirements of discriminant validity.</p>
      </sec>
      <sec id="table-4.5.-htmt-results">
        <p>Table 4.5. HTMT Results</p>
        <table-wrap>
          <label>Table 4.5. HTMT Results</label>
          <table>
            <colgroup>
              <col width="23%" />
              <col width="17%" />
              <col width="24%" />
              <col width="20%" />
              <col width="17%" />
            </colgroup>
            <thead>
              <tr>
                <th>
                  <bold>Construct</bold>
                </th>
                <th>
                  <bold>Work Motivation (X1)</bold>
                </th>
                <th>
                  <bold>Organizational Commitment (X2)</bold>
                </th>
                <th>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>
                        <bold>Employee Performance (Y)</bold>
                      </p>
                    </disp-quote>
                  </p>
                </th>
                <th>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>
                        <bold>Job Satisfaction (Z)</bold>
                      </p>
                    </disp-quote>
                  </p>
                </th>
              </tr>
            </thead>
            <tbody>
              <tr>
                <td>Work Motivation (X1)</td>
                <td>–</td>
                <td></td>
                <td></td>
                <td></td>
              </tr>
              <tr>
                <td>Organizational Commitment (X2)</td>
                <td>0.542</td>
                <td>–</td>
                <td></td>
                <td></td>
              </tr>
              <tr>
                <td>Employee Performance (Y)</td>
                <td>0.741</td>
                <td>0.805</td>
                <td>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>–</p>
                    </disp-quote>
                  </p>
                </td>
                <td></td>
              </tr>
              <tr>
                <td>Job Satisfaction (Z)</td>
                <td>0.593</td>
                <td>0.617</td>
                <td>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>0.827</p>
                    </disp-quote>
                  </p>
                </td>
                <td>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>–</p>
                    </disp-quote>
                  </p>
                </td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
          <p>
            <bold>Source: SmartPLS 4.0 Output Processing, 2025 Reliability Test Results</bold>
          </p>
        <p>As the final step in evaluating the outer model, reliability
    testing was conducted to ensure no measurement issues were present.
    This test was carried out using two main indicators: Composite
    Reliability and Cronbach’s Alpha.</p>
        <p>The purpose of these tests is to verify the reliability and
    consistency of the research instrument. Based on established
    standards, a construct is considered reliable if both Composite
    Reliability and Cronbach’s Alpha values reach or exceed 0.70.</p>
        <p>Based on SmartPLS 4.0 output (2025), internal reliability was
    evaluated using Cronbach’s Alpha and Composite Reliability (CR),
    with a minimum threshold of 0.70. All constructs proved to be
    reliable: Work Motivation (α = 0.954; CR = 0.957), Organizational
    Commitment (α = 0.976; CR = 0.978), Employee Performance (α = 0.983;
    CR = 0.984), and Job Satisfaction (α = 0.973; CR = 0.974). All
    values exceeded 0.90, indicating excellent internal consistency;
    thus, the questionnaire instrument was deemed reliable and suitable
    for subsequent stages of analysis.</p>
      </sec>
      <sec id="structural-model-inner-model-testing-results">
        <title>Structural Model (Inner Model) Testing Results</title>
        <p>After meeting all the outer model evaluation criteria, the
    analysis proceeded to the next stage, namely testing the structural
    model (inner model). This phase tests the validity of the model
    developed based on the established concepts and theories. The main
    focus is to analyze in depth how exogenous variables influence
    endogenous variables, in line with the hypotheses formulated in the
    research framework. This evaluation involved several systematic
    steps, outlined as follows:</p>
      </sec>
      <sec id="multicollinearity-test-vif-variance-inflation-factor">
        <title>Multicollinearity Test (VIF <italic>–</italic> Variance
    Inflation Factor)</title>
        <p>Multicollinearity testing in the structural model was conducted
    to detect high correlations among independent constructs that may
    affect the accuracy and stability of coefficient estimations.
    Referring to Hair et al. (2019), a model is considered free from
    multicollinearity if the Variance Inflation Factor (VIF) values are
    below 5.0.</p>
        <p>The SmartPLS output indicated that all paths met this criterion:
    Work Motivation → Employee Performance (VIF = 1.637), Work
    Motivation → Job Satisfaction (1.401), Organizational Commitment →
    Employee Performance (1.726), Organizational Commitment → Job
    Satisfaction (1.401), and Job Satisfaction → Employee Performance
    (1.858). All VIF values &lt; 5.0, indicating no signs of
    multicollinearity; therefore, coefficient estimates in the model
    were considered stable, and interpretations of relationships among
    constructs were reliable.</p>
      </sec>
      <sec id="r-square-rU00B2-test-results">
        <title>R-Square (R²) Test Results</title>
        <p>One of the key steps in this test was evaluating the coefficient
    of determination (R-Square or R²). This essentially measures the
    Goodness of Fit, showing how well the research model explains the
    variance in dependent variables. In other words, the R² value
    assesses the predictive power of the overall structural model under
    analysis.</p>
        <p>Table 4.8. R-Square Test Results</p>
        <table-wrap>
          <label>Table 4.8. R-Square Test Results</label>
          <table>
            <colgroup>
              <col width="44%" />
              <col width="19%" />
              <col width="37%" />
            </colgroup>
            <thead>
              <tr>
                <th>
                  <bold>Variable</bold>
                </th>
                <th>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>
                        <bold>R-Square</bold>
                      </p>
                    </disp-quote>
                  </p>
                </th>
                <th>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>
                        <bold>R-Square Adjusted</bold>
                      </p>
                    </disp-quote>
                  </p>
                </th>
              </tr>
            </thead>
            <tbody>
              <tr>
                <td>Employee Performance</td>
                <td>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>0.849</p>
                    </disp-quote>
                  </p>
                </td>
                <td>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>0.843</p>
                    </disp-quote>
                  </p>
                </td>
              </tr>
              <tr>
                <td>Job Satisfaction</td>
                <td>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>0.462</p>
                    </disp-quote>
                  </p>
                </td>
                <td>
                  <p specific-use="wrapper">
                    <disp-quote>
                      <p>0.448</p>
                    </disp-quote>
                  </p>
                </td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p>Source: SmartPLS 4.0 Output Processing, 2025</p>
      </sec>
      <sec id="employee-performance-1">
        <title>Employee Performance</title>
        <p>For the Employee Performance variable, the calculation results
    showed an R² value of 0.849. This indicates that variations in
    Employee Performance can be explained by the predictor variables in
    this model by 84.9%. This figure shows that most of the factors
    influencing employee performance fluctuations were successfully
    represented by the research model. Based on interpretation
    standards, this value is categorized as very high, demonstrating
    strong explanatory power of the model. The remaining 15.1% is
    assumed to originate from other variables not included in the
    conceptual framework of this study.</p>
      </sec>
      <sec id="job-satisfaction-1">
        <title>Job Satisfaction</title>
        <p>For the Job Satisfaction variable, the analysis yielded an R²
    value of 0.462. This means that the predictor variables in this
    model collectively explained 46.2% of the variation in Job
    Satisfaction. In other words, the ability of the independent
    variables to explain fluctuations in Job Satisfaction was at that
    level.</p>
        <p>Based on general criteria, this value categorizes the research
    model as having moderate explanatory power. Meanwhile, the remaining
    53.8% suggests the presence of other factors outside the scope of
    the tested model in this study.</p>
      </sec>
      <sec id="square-fU00B2-test-results">
        <title>Square (f²) Test Results</title>
        <p>To determine the magnitude of the partial effect of each
    predictor variable on the endogenous variables individually, the
    f-Square (f²) value was tested. The interpretation of these values
    refers to the criteria established by Ghozali (2014), which serves
    as the guideline in this analysis. According to this standard, a
    predictor variable is considered to have a strong effect if its f²
    value is equal to or greater than 0.35. An effect is categorized as
    medium when the f² value ranges between 0.15 and 0.35, while an
    effect is considered weak if the f² value falls between 0.02 and
    below 0.15.</p>
        <p>Based on the calculation results of f² values to assess the
    impact of each exogenous variable on the endogenous variables in
    this research model, the findings are as follows:</p>
        <list list-type="order">
          <list-item>
            <p>Work Motivation → Employee Performance</p>
          </list-item>
        </list>
          <p>f² = 0.313. This value falls within the range of 0.15 to 0.35,
      indicating that the effect of Work Motivation on Employee
      Performance can be interpreted as medium.</p>
        <list list-type="order">
          <list-item>
            <label>2.</label>
            <p>Work Motivation → Job Satisfaction</p>
          </list-item>
        </list>
          <p>f² = 0.169. This value is within the range of 0.15 to 0.35,
      suggesting that the effect of Work Motivation on Job Satisfaction
      is also medium.</p>
        <list list-type="order">
          <list-item>
            <label>3.</label>
            <p>Organizational Commitment → Employee Performance</p>
          </list-item>
        </list>
          <p>f² = 0.584. Since this value is well above 0.35, the effect of
      Organizational Commitment on Employee Performance is classified as
      strong.</p>
        <list list-type="order">
          <list-item>
            <label>4.</label>
            <p>Organizational Commitment → Job Satisfaction</p>
          </list-item>
        </list>
          <p>f² = 0.232. This value lies between 0.15 and 0.35, meaning the
      effect of Organizational Commitment on Job Satisfaction is
      considered medium.</p>
        <list list-type="order">
          <list-item>
            <label>5.</label>
            <p>Job Satisfaction → Employee Performance</p>
          </list-item>
        </list>
          <p>f² = 0.609. As this value exceeds 0.35, the effect of Job
      Satisfaction on Employee Performance is categorized as strong.</p>
      </sec>
      <sec id="q-square-qU00B2-test-results">
        <title>Q-Square (Q²) Test Results</title>
        <p>The evaluation of Goodness of Fit for the structural model (inner
    model) was also conducted using predictive relevance, represented by
    the symbol Q². This test essentially aims to determine whether the
    research model has the capability to predict the observed data of
    its endogenous variables. The evaluation criterion is
    straightforward: a model is considered to have adequate predictive
    relevance if the Q² value is greater than 0.</p>
        <p>The Q-Square results are as follows:</p>
        <list list-type="order">
          <list-item>
            <p>Employee Performance: The Q² value for Employee Performance
        is 0.644. This value is far above 0, indicating that the model
        has very strong predictive relevance for Employee
        Performance.</p>
          </list-item>
          <list-item>
            <p>Job Satisfaction: The Q² value for Job Satisfaction is 0.339.
        Since this value is greater than 0, the model is shown to have
        good predictive relevance for Job Satisfaction.</p>
          </list-item>
        </list>
      </sec>
      <sec id="hypothesis-testing-results">
        <title>Hypothesis Testing Results</title>
        <p>A crucial step in structural model analysis is ensuring that each
    estimated path coefficient is statistically significant and
    reliable. To obtain significance levels, the bootstrapping procedure
    was employed, which essentially generates thousands of sub-samples
    to test the stability of the path coefficients.</p>
        <p>The determination of hypothesis significance was based on two key
    values from the bootstrapping report: the path coefficient and, more
    importantly, the t- statistic value. Decision-making was carried out
    by comparing the t-statistic (commonly referred to as t-value)
    obtained from the analysis with the critical t- table value.</p>
        <p>At a significance level of α = 0.05 (5%), the critical t-value is
    1.96. Therefore, a hypothesis is declared statistically significant
    if its t-statistic exceeds 1.96.</p>
      </sec>
      <sec id="hypothesis-testing-results-1">
        <title>Hypothesis Testing Results</title>
        <list list-type="order">
          <list-item>
            <p>Effect of Work Motivation on Employee Performance</p>
          </list-item>
        </list>
          <p>The final test results indicate that work motivation has a
      positive and significant effect on employee performance. The path
      coefficient value of 0.279 reflects a positive relationship, with significance
      supported by a T- statistic of 3.531 (greater than 1.96) and a
      P-value of 0.000. In other words, an increase in work motivation
      among ADINKES employees directly leads to a significant
      improvement in employee performance.</p>
        <list list-type="order">
          <list-item>
            <label>2.</label>
            <p>Effect of Work Motivation on Job Satisfaction</p>
          </list-item>
        </list>
          <p>Work motivation was found to have a positive and significant
      effect on job satisfaction. This is shown by a positive path
      coefficient of 0.357. The effect is statistically significant, as
      the T-statistic (3.497) exceeds 1.96 and is supported by a P-value
      of 0.000. This result implies that the higher the work motivation
      of employees, the higher their level of job satisfaction.</p>
        <list list-type="order">
          <list-item>
            <label>3.</label>
            <p>Effect of Organizational Commitment on Employee Performance
        This study demonstrates that organizational commitment has a
        positive and significant effect on employee performance. The
        positive path coefficient of 0.391 indicates a direct
        relationship. The high T-statistic value of 4.282 (above 1.96)
        and a P-value of 0.000 confirm that this hypothesis is accepted.
        This means that the stronger an employee’s commitment to the
        organization, the greater their performance tends to be.</p>
          </list-item>
          <list-item>
            <label>4.</label>
            <p>Effect of Organizational Commitment on Job Satisfaction</p>
          </list-item>
        </list>
          <p>The analysis reveals that organizational commitment has a
      positive and significant effect on job satisfaction. A positive
      path coefficient of 0.418 indicates the direction of this
      relationship. The significance is confirmed by a T-statistic of
      4.354, which exceeds 1.96, and a P-value of 0.000. Thus, it can be
      concluded that increased organizational commitment significantly
      improves employee job satisfaction.</p>
        <list list-type="order">
          <list-item>
            <label>5.</label>
            <p>Effect of Job Satisfaction on Employee Performance</p>
          </list-item>
        </list>
          <p>The test results show that job satisfaction has a positive and
      significant effect on employee performance. This is evidenced by a
      positive path coefficient (Original Sample) of 0.414. The
      T-statistic value of 3.911 is far greater than the critical
      t-value of 1.96, while the P-value of 0.000 is smaller than 0.05. This indicates that the higher the job satisfaction
      experienced by employees at ADINKES, the higher their performance
      will be.</p>
        <list list-type="order">
          <list-item>
            <label>6.</label>
            <p>Effect of Work Motivation on Employee Performance through Job
        Satisfaction</p>
          </list-item>
        </list>
          <p>The results also confirm that Job Satisfaction significantly
      mediates the effect of Work Motivation on Employee Performance.
      Statistical evidence shows a T-statistic of 2.296 (greater than
      1.96) and a P-value of 0.022 (less than 0.05). This means that the
      positive effect of Work Motivation on Employee Performance is
      partially mediated by Job Satisfaction. In other words, higher
      motivation enhances satisfaction, which in turn drives performance
      improvement. The indirect effect coefficient is 0.148.</p>
        <list list-type="order">
          <list-item>
            <label>7.</label>
            <p>Effect of Organizational Commitment on Employee Performance
        through Job Satisfaction</p>
          </list-item>
        </list>
          <p>The analysis shows that Job Satisfaction significantly mediates
      the effect of Organizational Commitment on Employee Performance.
      This is evidenced by a T-statistic of 2.541 (greater than 1.96)
      and a P-value of 0.011 (less than 0.05). This implies that
      Organizational Commitment not only directly affects Employee
      Performance but also indirectly influences it by first increasing
      Job Satisfaction, which subsequently enhances performance. The
      indirect effect coefficient is 0.173.</p>
      </sec>
    </sec>
    <sec id="discussion">
      <title>DISCUSSION</title>
      <sec id="the-influence-of-work-motivation-on-employee-performance">
        <title>The Influence of Work Motivation on Employee
    Performance</title>
        <p>This study shows that work motivation has a positive and
    significant effect on employee performance, underscoring the
    importance of managing motivation as part of human resource
    development. Theoretically, motivation is an internal and external
    driver that shapes enthusiasm and achievement-oriented behavior in
    achieving organizational goals; high motivation enhances
    responsibility, enthusiasm, and employee productivity (Al-Ghifari,
    Jamaludin Al Azhar, &amp; Wahjono, 2025; Firdaus, Trisnawati, &amp;
    Sumartik, 2025). From a managerial perspective, strengthening
    motivation can be fostered through recognition, continuous training,
    and clear communication of objectives, which in turn improve
    productivity and commitment to the organization (Robbins &amp;
    Judge, 2021).</p>
        <p>The consistency of these findings is supported by cross-context
    empirical evidence: motivational leadership styles have been shown
    to increase work responsibility and quality outcomes (Naskhud &amp;
    Anggraini, 2025); motivation significantly affects productivity and
    work efficiency (Wahyuni &amp; Masruroh, 2025); and has even been
    reported to account for more than 50% of the variance in employee
    performance (Waruwu &amp; Ariyanti, 2025). In the insurance sector,
    satisfaction and motivation together improve work effectiveness and
    productivity (Liani &amp; Azis, 2025). Thus, both theoretical
    foundations and empirical findings imply that enhancing motivation
    is a strategic lever to drive performance, which in practice can be
    realized through recognition of achievements, access to career
    development, and alignment of work goals.</p>
      </sec>
      <sec id="the-influence-of-work-motivation-on-job-satisfaction">
        <title>The Influence of Work Motivation on Job Satisfaction</title>
        <p>This study finds that work motivation has a positive and
    significant effect on employee job satisfaction. Conceptually, this
    result aligns with Maslow’s hierarchy of needs and Herzberg’s
    motivation–hygiene theory: when key needs are met, motivated
    individuals tend to experience higher levels of satisfaction.
    Empirical evidence supports this pattern—high motivation sparks
    enthusiasm and positive feelings in carrying out tasks (Amarolloh,
    Romdoni, &amp; Ajiji, 2025) and strengthens positive perceptions of
    work that lead to increased satisfaction (Saifuloh &amp; Triyana,
    2025). The implication is that strengthening motivation is a key
    managerial lever to improve a productive and harmonious work
    climate.</p>
        <p>Furthermore, managerial practices determine the extent to which
    motivation transforms into satisfaction. Positive feedback and
    opportunities for innovation have been shown to increase
    satisfaction at the organizational level (Judge &amp; Bono, 2020);
    the combination of strong motivation with effective compensation
    systems and work discipline further enhances satisfaction (Hasan
    &amp; Yuliani, 2025). Motivation, alongside career development, has
    a simultaneous effect on satisfaction and fosters a positive
    emotional bond with work (Wiratama &amp; Firdzaus, 2025).
    Cross-context evidence is also consistent: inclusive and motivating
    school environments increase teachers’ psychological well-being and
    satisfaction (Yudiani &amp; Meyrinda, 2025), while in the food and
    beverage sector, motivation is positively and significantly
    correlated with job satisfaction (Putri, Eka, &amp; Anggraini,
    2025). Therefore, strengthening motivation—through recognition of
    achievements, growth opportunities, fair rewards, and supportive
    work norms—is an effective strategy to increase job
    satisfaction.</p>
      </sec>
      <sec id="the-influence-of-organizational-commitment-on-employee-performance">
        <title>The Influence of Organizational Commitment on Employee
    Performance</title>
        <p>This study shows that organizational commitment has a positive
    and significant effect on employee performance, thereby emphasizing
    the managerial importance of building and maintaining employees’
    sense of belonging and responsibility toward the organization.
    Theoretically, commitment reflects individuals’ psychological
    investment that drives motivation and productivity; within Meyer and
    Allen’s framework, affective, continuance, and normative commitment
    form the foundation that—when managed through a fair and supportive
    work environment—enhances loyalty, reduces turnover, and improves
    performance (Meyer &amp; Allen, 2021). Accordingly, commitment has
    been identified as a key variable in sustaining competence and
    performance across sectors (Putra, Kharimatul, &amp; Jannah, 2025)
    and contributes to forming motivation and positive work attitudes
    that affect work quality (Qurrota’ayun, 2025).</p>
        <p>Consistent empirical evidence reinforces these findings:
    organizational commitment mediates the relationship between work
    engagement and employee performance (Sapta, Ningsih, &amp; Novarini,
    2025) and strengthens the impact of rewards and sanctions on work
    outcomes (Wuryaningrat et al., 2025). In the tourism sector,
    commitment instilled through emotional and spiritual intelligence
    has been shown to improve performance (Suryawati &amp; Nugraha,
    2025), while high commitment reduces resistance and fosters
    productive employee contributions (Palandi &amp; Wuryaningrat,
    2025). Overall, both theoretical and empirical evidence conclude that strengthening
    commitment is a critical foundation in modern HR management to
    enhance performance— practically through creating a fair work
    climate, providing developmental support, consistent reward and
    discipline mechanisms, and strengthening organizational
    engagement.</p>
      </sec>
      <sec id="the-influence-of-organizational-commitment-on-job-satisfaction">
        <title>The Influence of Organizational Commitment on Job
    Satisfaction</title>
        <p>This study shows that organizational commitment has a positive
    and significant effect on employee job satisfaction, requiring
    systematic managerial efforts to build and maintain employees’ sense
    of belonging and responsibility toward the organization.
    Theoretically, commitment represents employees’ attachment to
    organizational values, goals, and identity, which directly impacts
    satisfaction; employees with high commitment tend to feel valued and
    engaged (Cahyaningsih &amp; Suyoto, 2025), while commitment also
    mediates the influence of organizational culture on job satisfaction
    (Ekowati, 2025). Within the three- dimensional framework—affective,
    continuance, and normative—commitment managed through a fair and
    supportive work climate enhances loyalty, reduces turnover, and
    improves both performance and satisfaction (Meyer &amp; Allen,
    2021). The implication is that organizations need to foster a
    culture that supports commitment as a prerequisite for productivity
    and retention.</p>
        <p>The strength of this finding is reinforced by cross-context
    empirical evidence: healthy work environments and supportive
    leadership increase commitment and, in turn, strengthen satisfaction
    (Riono &amp; Sucipto, 2025); internal control systems and effective
    communication foster commitment and create satisfying working
    conditions (Yaya, 2025). The positive and significant relationship
    between organizational commitment and job satisfaction has also been
    confirmed in a study at PT BISI International Kediri (Nathaniel,
    2025). Furthermore, commitment functions as a mediating variable
    that strengthens the relationship between teamwork and job
    satisfaction (Islamy, 2025). Overall, theoretical and empirical
    evidence confirms organizational commitment as an important
    determinant of stable job satisfaction; practical levers include
    strengthening supportive leadership, procedural fairness,
    recognition of achievements, as well as consistent communication and
    internal control.</p>
      </sec>
      <sec id="the-influence-of-job-satisfaction-on-employee-performance">
        <title>The Influence of Job Satisfaction on Employee
    Performance</title>
        <p>This study demonstrates that job satisfaction has a positive and
    significant effect on employee performance within ADINKES.
    Theoretically, this relationship aligns with Herzberg’s two-factor
    theory: motivator factors such as recognition and achievement
    directly drive performance improvements. Empirical evidence further
    supports this—satisfaction with salary, interpersonal relationships,
    and job challenges are key drivers of productivity in SMEs
    (Praditya, R. A., Prayuda, R. Z., &amp; Purwanto, A., 2025), while
    commitment and organizational citizenship behavior (OCB) act as
    important linkages that strengthen the influence of job satisfaction
    on performance (Rahman, A. N., &amp; Yuniawan, A., 2025).</p>
        <p>From a managerial perspective, creating working conditions that
    support satisfaction—through appropriate rewards, a positive
    environment, and effective communication—will enhance engagement, reduce absenteeism and
    turnover, and encourage optimal performance (Judge &amp; Bono,
    2020). Cross-context evidence is consistent: job satisfaction
    contributes to a supportive work culture and stimulates achievement
    motivation (Liani, N., &amp; Azis, A., 2025); comfortable work
    environments and harmonious internal communication foster
    satisfaction that drives maximum performance (Kholidiyah, N. H.,
    Hasanah, W., &amp; Irfansah, C., 2025); job satisfaction
    significantly contributes to engagement and productivity in the
    private sector (Ludbiyanto, O. X., 2025); and at PT Telkom, both
    intrinsic and extrinsic satisfaction have been shown to directly
    affect work performance (Pramuswari, A., et al., 2025). Overall, job
    satisfaction is a key determinant of optimal performance in ADINKES
    and similar organizations.</p>
      </sec>
      <sec id="the-influence-of-work-motivation-on-employee-performance-through-job-satisfaction">
        <title>The Influence of Work Motivation on Employee Performance
    through Job Satisfaction</title>
        <p>This study confirms that job satisfaction plays a significant
    mediating role in the effect of work motivation on employee
    performance. Conceptually, this aligns with Herzberg’s two-factor
    theory—intrinsic motivators such as achievement, recognition, and
    responsibility foster satisfaction that then drives performance—as
    well as the self-determination framework, which emphasizes that
    intrinsic motivation, when facilitated through recognition of
    achievements and opportunities for growth, enhances satisfaction and
    subsequently performance (Deci &amp; Ryan, 2021). Empirical evidence
    supports this mechanism: job satisfaction has been shown to mediate
    the relationship between motivation and performance in the food and
    beverage industry (Mahira, 2025), and performance improves
    significantly when satisfaction strengthens the effects of
    motivation and discipline (Ramdhani &amp; Martowinangun, 2025). The
    managerial implication is clear: beyond increasing motivation,
    organizations need to intentionally create working conditions that
    foster satisfaction so that the impact of motivation on performance
    is maximized.</p>
        <p>The consistency of this finding is evident across studies and
    sectors. Motivation and workload directly affect performance, but
    their effects are stronger when satisfaction serves as a mediating
    variable (Firdausi, 2025); in service companies that demand high
    emotional involvement, motivation contributes significantly to
    performance through satisfaction (Wajdi &amp; Astuti, 2025).
    Furthermore, both intrinsic and extrinsic motivation positively
    impact performance with satisfaction as an intervening variable
    (Fitriansyah, 2025), and leadership effectiveness and operational
    efficiency enhance motivation, which then influences performance
    through satisfaction (Sangapan, Carlos, &amp; Ali, 2025). Thus, job
    satisfaction is a crucial pathway that transforms motivation into
    performance; practically, strengthening recognition of achievements,
    career development opportunities, fair rewards, task autonomy, and
    quality feedback are relevant policy levers.</p>
      </sec>
      <sec id="the-influence-of-organizational-commitment-on-employee-performance-through-job-satisfaction">
        <title>The Influence of Organizational Commitment on Employee
    Performance through Job Satisfaction</title>
        <p>This study shows that job satisfaction significantly mediates the
    effect of organizational commitment on employee performance.
    Conceptually, this mechanism aligns with work attitude
    theory—commitment enhances positive perceptions of the work
    environment, strengthens satisfaction, and then drives
    productivity—as well as the three-component framework (affective,
    continuance, normative) that emphasizes the importance of emotional
    attachment to the organization (Allen &amp; Meyer, 2021). Empirical
    evidence further supports this: satisfaction functions as a mediator
    between commitment and performance because satisfied employees are
    more loyal and motivated to deliver their best performance (Ekowati
    &amp; Azizah, 2025). The managerial implication is that
    strengthening commitment must be accompanied by creating conditions
    that foster satisfaction—such as fair rewards, growth opportunities,
    and supportive leadership—so that the impact of commitment on
    performance is maximized.</p>
        <p>The consistency of this mediation function is evident across
    contexts. In educational institutions, commitment influences
    performance both directly and indirectly through satisfaction
    (Prabowo, 2025); organizational support affects performance when
    satisfaction is positioned as an intervening variable (Anwar &amp;
    Ratnawati, 2024). Other findings suggest that without job
    satisfaction, the effect of commitment on performance weakens
    (Safitrih, 2025), while the relationship between leadership style
    and performance is strengthened by organizational commitment and
    satisfaction as mediators (Ekawaty, 2024). Overall, these results
    confirm that job satisfaction is a crucial pathway that transforms
    commitment into performance; therefore, organizational strategies
    that simultaneously strengthen commitment and increase satisfaction
    will be more effective in driving productivity and sustainable
    performance.</p>
      </sec>
    </sec>
    <sec id="conclusion">
      <title>CONCLUSION</title>
      <p>Based on the data analysis and discussion of the research findings
  on the influence of work motivation, organizational commitment, and
  job satisfaction on employee performance within the Indonesian
  Association of District Health Offices (ADINKES), several conclusions
  can be drawn as follows:</p>
      <list list-type="order">
        <list-item>
          <p>Work motivation has a positive and significant effect on
      employee performance. An increase in work motivation directly
      drives a significant improvement in employee performance.</p>
        </list-item>
        <list-item>
          <p>Work motivation has a positive and significant effect on job
      satisfaction. A high level of work motivation among employees
      significantly contributes to increased job satisfaction.</p>
        </list-item>
        <list-item>
          <p>Organizational commitment has a positive and significant effect
      on employee performance. Employees with strong commitment to the
      organization tend to demonstrate better performance.</p>
        </list-item>
        <list-item>
          <p>Organizational commitment has a positive and significant effect
      on job satisfaction. Increased employee commitment to the
      organization effectively enhances their job satisfaction.</p>
        </list-item>
        <list-item>
          <p>Job satisfaction has a positive and significant effect on
      employee performance. The higher the level of job satisfaction
      experienced by employees, the higher the performance they
      demonstrate.</p>
        </list-item>
        <list-item>
          <p>Job satisfaction is proven to mediate the effect of work
      motivation on employee performance. The positive influence of work
      motivation on employee performance is also channeled through job
      satisfaction, where high motivation increases satisfaction, which
      in turn drives better performance.</p>
        </list-item>
        <list-item>
          <p>Job satisfaction is proven to mediate the effect of
      organizational commitment on employee performance. Organizational
      commitment not only has a direct impact but also indirectly
      improves performance by first increasing job satisfaction.</p>
        </list-item>
      </list>
    </sec>
    <sec id="recommendations">
      <title>RECOMMENDATIONS</title>
      <p>Based on hypothesis testing and bootstrapping results, the pathway
  from organizational commitment to performance is the strongest (direct
  effect), while the pathway from organizational commitment to
  performance through job satisfaction is also significant (mediated
  effect). Referring to these findings, the following managerial
  recommendations are proposed for ADINKES as SR Global Fund at the
  Ministry of Health:</p>
      <list list-type="order">
        <list-item>
          <p>ADINKES Management</p>
        </list-item>
      </list>
      <p>Align daily work with the QRM and PUDR cycles: cascade Performance
  Framework targets to unit/individual levels, clarify objectives and
  roles (RACI) across programs, M&amp;E, finance, and procurement, and
  enforce discipline in pre- QRM/PUDR coordination through action logs,
  document quality checks, and timely closure of PR/LFA findings. Clear
  direction and consistent accountability strengthen employee commitment
  and maintain focused performance.</p>
      <list list-type="order">
        <list-item>
          <label>2.</label>
          <p>Employee Commitment to ADINKES</p>
        </list-item>
      </list>
      <p>Build commitment through clarity of expectations and fairness:
  ensure everyone understands their contribution to program indicators,
  implement a transparent reward system and career path, and conduct
  coaching/one-on-one sessions for regular feedback. When goals and
  roles are clear, and rewards and career paths are perceived as fair,
  commitment grows, and daily performance becomes more reliable.</p>
      <list list-type="order">
        <list-item>
          <label>3.</label>
          <p>Job Satisfaction</p>
        </list-item>
      </list>
      <p>Streamline the employee experience at the most visible touchpoints:
  provide a one-stop administrative channel with clear SLAs (for travel,
  reimbursement, minor procurement), balance workloads especially during
  QRM/PUDR peaks, and ensure that facilities and standard templates
  (TOR, source data evidence, financial reports) are easily accessible
  with concise and responsive internal communication. When daily
  friction decreases and satisfaction increases, the impact of
  commitment on performance becomes stronger and more stable.</p>
      <list list-type="order">
        <list-item>
          <label>4.</label>
          <p>For Future Researchers</p>
        </list-item>
      </list>
      <p>This study is limited by the number of variables used, namely only
  work motivation and organizational commitment as independent
  variables, job satisfaction as the mediating variable, and employee
  performance as the dependent variable. In practice, however, there are
  other factors that may influence satisfaction and performance, such as
  work discipline, job stress, and workload (as well as contextual
  variables such as leadership style or organizational support). In
  addition, the sample size of only 80 respondents and the research
  object focusing solely on ADINKES employees restrict the
  generalizability of the findings. The R² value of approximately 0.84
  indicates that the model is strong, but about 16% of the variance
  remains unexplained. Therefore, for future studies, it is recommended
  to include additional relevant variables, test the role of
  moderators/mediators (e.g., workload or work discipline), increase the
  sample size using probability sampling techniques, and broaden the
  research scope (across units/positions/regions or across organizations
  in the health sector) and/or conduct comparative studies to achieve
  higher generalizability and provide a more representative picture of
  the phenomenon.</p>
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