Management of Policy Implementation and Perceived Organizational Performance: The Mediating Effect of Implementer Disposition

Authors

  • Beatrix Antoneta Manggo Department of Public Administration Science, Faculty of Social and Political Sciences, Universitas Cenderawasih, Jayapura, Indonesia
  • Vince Tebay Department of Management, Faculty of Economics and Business, Universitas Musamus Merauke, Merauke, Indonesia
  • Jacobus Rico Kuntag Department of Public Administration Science, Faculty of Social and Political Science, Universitas Satya Wiyata Mandala, Nabire, Indonesia

DOI:

https://doi.org/10.54518/rh.6.3.2026.1423

Keywords:

Bureaucratic Structure, Communication, Implementer Disposition, Perceived Public Organizational Performance, Policy Implementation, Resources

Abstract

This study investigates the direct and indirect effects of organizational resources, bureaucratic structure, and implementation communication on perceived public organizational performance through implementer disposition at the Nabire Regency AIDS Commission. A cross-sectional survey involved 80 respondents from government agencies, health facilities, civil society organizations, working groups, and target-group networks. Structural equation modeling with maximum likelihood estimation was used, while model fit and indirect effects were examined through Bollen–Stine and bias-corrected bootstrapping with 5,000 resamples. Model fit was mixed: CMIN/DF = 1.427 and RMSEA = 0.073 were acceptable, and Bollen–Stine p = 0.359 did not reject model fit, although several incremental and absolute fit indices remained below their reference values. Resources, bureaucratic structure, and communication were positively related to implementer disposition under maximum likelihood estimation, but the paths from structure and communication were not robust in the bootstrap test at the 5% level. Resources, communication, and disposition were positively related to perceived performance, whereas the direct path from bureaucratic structure was not significant. The model explained 56.0% of disposition variance and 84.9% of perceived-performance variance. Disposition significantly mediated the relationships of resources and communication with performance, but not the relationship of bureaucratic structure with performance.

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References

Belay, Y. A., Yitayal, M., Atnafu, A., & Taye, F. A. (2022). Barriers and facilitators to the implementation and scale up of differentiated service delivery models for HIV treatment in Africa: A scoping review. BMC Health Services Research, 22(1), 1431-1446. https://doi.org/10.1186/s12913-022-08825-2.

Borman, R., Natsir, S., Hasanudin, B., & Muzakir. (2025). Strengthening human resources to enhance competitiveness using SWOT analysis. Research Horizon, 5(6), 2291–2304. https://doi.org/10.54518/rh.5.6.2025.835.

Caci, L., Nyantakyi, E., Blum, K., Sonpar, A., Schultes, M. T., Albers, B., & Clack, L. (2025). Organizational readiness for change: A systematic review of the healthcare literature. Implementation Research and Practice, 6(1), 1-12. https://doi.org/10.1177/26334895251334536.

Damschroder, L. J., Reardon, C. M., Widerquist, M. A. O., & Lowery, J. (2022a). Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): The CFIR Outcomes Addendum. Implementation Science, 17(1), 7-17. https://doi.org/10.1186/s13012-021-01181-5.

Damschroder, L. J., Reardon, C. M., Widerquist, M. A. O., & Lowery, J. (2022b). The updated consolidated framework for implementation research based on user feedback. Implementation Science, 17(1), 75-90. https://doi.org/10.1186/s13012-022-01245-0.

Dunn, W. N. (2018). Public policy analysis: An integrated approach (6th ed.). Oxfordshire: Routledge.

Edwards III, G. C. (1980). Implementing public policy. Washington: Congressional Quarterly Press.

Elakpa, D. N., Thomas, A., Lambert, S., & Fontaine, G. (2026). Defining and measuring implementation climate: A scoping review and concept analysis. Implementation Science Communications, 7(1), 21-34. https://doi.org/10.1186/s43058-026-00905-2.

Ferguson, L., Gruskin, S., Bolshakova, M., Rozelle, M., Yagyu, S., Kasoka, K., Oraro-Lawrence, T., Motala, A., Stackpool-Moore, L., & Hempel, S. (2023). Systematic review and quantitative and qualitative comparative analysis of interventions to address HIV-related stigma and discrimination. AIDS, 37(13), 1919–1939. https://doi.org/10.1097/QAD.0000000000003628.

Government of Nabire Regency. (2014). Regional Regulation of Nabire Regency Number 7 of 2014 concerning HIV and AIDS Prevention and Control.

Government of Papua Province. (2023). Papua AIDS Commission: HIV and AIDS education continues to protect future generations. Retrieved on January 30, 2026, from https://www.papua.go.id/view-detail-berita-8273/kpa-papua-edukasi-hiv-dan-aids-terus-berjalan-demi-selamatkan-generasi.html.

Grindle, M. S. (Ed.). (1980). Politics and policy implementation in the Third World. Princeton: Princeton University Press.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (8th ed.). Boston: Cengage Learning.

Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8.

Hermawan, A., Wardani, A. K., Susilowati, E., & Hanum, U. (2024). Strategies for optimizing teacher service quality through strengthening knowledge management, interpersonal communication, organizational support, and job satisfaction. Pedagogy Review, 3(1), 1-19. https://doi.org/10.61436/pedagogy/v3i1.pp01-19.

Hutahaean, B. S. H., Stutterheim, S. E., & Jonas, K. J. (2023). Barriers and facilitators to HIV treatment adherence in Indonesia: Perspectives of people living with HIV and HIV service providers. Tropical Medicine and Infectious Disease, 8(3), 138-148. https://doi.org/10.3390/tropicalmed8030138.

Iryawan, A. R., Stoicescu, C., Sjahrial, F., Nio, K., & Dominich, A. (2022). The impact of peer support on testing, linkage to and engagement in HIV care for people who inject drugs in Indonesia: Qualitative perspectives from a community-led study. Harm Reduction Journal, 19(1), 16-27. https://doi.org/10.1186/s12954-022-00595-8

Kuntag, J. R., Awotkay, A. S., & Richard, Y. F. (2026). Statistika manajerial. Yogyakarta: UNY Press.

Langi, G. G., Rahadi, A., Praptoraharjo, I., & Ahmad, R. A. (2022). HIV-related stigma and discrimination among health care workers during early program decentralization in rural district Gunungkidul, Indonesia: A cross-sectional study. BMC Health Services Research, 22(1), 356-376. https://doi.org/10.1186/s12913-022-07751-7.

Maulana, S., Ibrahim, K., Pramukti, I., Hartantri, Y., Nugraha, T. H. C., Chen, Y. C., & Ko, N. Y. (2025). A socio-ecological perspective on linkage to HIV care in Bandung, Indonesia: A qualitative study to explore barriers and facilitators. Journal of Multidisciplinary Healthcare, 18(8), 8305–8319. https://doi.org/10.2147/JMDH.S564141.

Mazmanian, D. A., & Sabatier, P. A. (1983). Implementation and public policy: With a new postscript. Lanham: University Press of America.

Ministry of Health of the Republic of Indonesia. (2022). Regulation of the Minister of Health of the Republic of Indonesia Number 23 of 2022 concerning the Control of Human Immunodeficiency Virus, Acquired Immunodeficiency Syndrome, and Sexually Transmitted Infections.

Ministry of Home Affairs of the Republic of Indonesia. (2007). Regulation of the Minister of Home Affairs of the Republic of Indonesia Number 20 of 2007 concerning General Guidelines for the Establishment of AIDS Commissions and Community Empowerment in the Framework of HIV and AIDS Prevention and Control at the Regional Level.

Ngcobo, S., Scheepers, S., Mbatha, N., Grobler, E., & Rossouw, T. (2022). Roles, barriers, and recommendations for community health workers providing community-based HIV care in Sub-Saharan Africa: A review. AIDS Patient Care and STDs, 36(4), 130–144. https://doi.org/10.1089/apc.2022.0020.

Ouedraogo, N., & Ouakouak, M. L. (2018). Impacts of personal trust, communication, and affective commitment on change success. Journal of Organizational Change Management, 31(3), 676-696. https://doi.org/10.1108/JOCM-09-2016-0175.

Pereira, V. C., Silva, S. N., Carvalho, V. K. S., Zanghelini, F., & Barreto, J. O. M. (2022). Strategies for the implementation of clinical practice guidelines in public health: An overview of systematic reviews. Health Research Policy and Systems, 20(1), 1-12. https://doi.org/10.1186/s12961-022-00815-4.

Rose, R. C., Abdullah, H., & Ismad, A. I. (2010). A review on the relationship between organizational resources, competitive advantage and performance. Journal of International Social Research, 3(11), 488-498.

Triana, V., Effendi, N., Hastuti, B. S. P., Ilmiawati, C., Devianto, D., Afrizal, A., Bachtiar, A., Semiarty, R., & Raveinal, R. (2024). HIV-related perceptions, knowledge, professional ethics, institutional support, and HIV/AIDS-related stigma in health services in West Sumatra, Indonesia: An empirical evaluation using PLS-SEM. Journal of Preventive Medicine and Public Health, 57(5), 435–442. https://doi.org/10.3961/jpmph.23.503.

Van Meter, D. S., & Van Horn, C. E. (1975). The policy implementation process: A conceptual framework. Administration & Society, 6(4), 445–488.

Williams, N. J., Ehrhart, M. G., Aarons, G. A., Esp, S., Sklar, M., Carandang, K., Vega, N. R., Brookman-Frazee, L., & Marcus, S. C. (2024). Improving measurement-based care implementation in youth mental health through organizational leadership and climate: A mechanistic analysis within a randomized trial. Implementation Science, 19(1), 29-45. https://doi.org/10.1186/s13012-024-01356-w.

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Published

2026-06-25

How to Cite

Manggo, B. A., Tebay, V., & Kuntag, J. R. (2026). Management of Policy Implementation and Perceived Organizational Performance: The Mediating Effect of Implementer Disposition . Research Horizon, 6(3), 1541–1556. https://doi.org/10.54518/rh.6.3.2026.1423

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