Abstract

Community Health Centers (Puskesmas) play a crucial role in providing primary healthcare services within their designated areas. The Cirebon City Prosecutor's District oversees four health centers: Prosecutor's Health Center, Jalan Kembang Health Center, Fishermen's Health Center, and Pamitra Health Center. In the first half of 2023, one of these centers reported a Community Satisfaction Index (IKM) score of 75.00, falling short of the target (76.61), indicating room for service improvement. This study examines the impact of organizational culture and work environment on employee performance among 110 Puskesmas employees in the district, using a quantitative correlational design. Data were collected via questionnaires and analyzed through multiple linear regression. Findings indicate that both organizational culture (4.10) and work environment (4.02) are rated as "Good," with overall employee performance also classified as "Good" (4.05). However, organizational culture does not significantly influence performance (Sig. = 0.083), whereas the work environment has a positive and significant effect (Sig. = 0.002). Together, these factors significantly impact performance (Sig. = 0.000), contributing 16.8%, while 79.2% is influenced by other variables. In conclusion, while organizational culture alone does not directly enhance employee performance, a supportive work environment plays a critical role. The combination of both factors positively impacts overall employee effectiveness.