Multiple Intelligences Plus Strategy for Health Workforce Development in Central Sulawesi

https://doi.org/10.53770/medica.v8i8.1039

Authors

  • Amsal Amsal Master of Public Health Program, Faculty of Public Health, Universitas Muhammadiyah Palu, Palu, Central Sulawesi, Indonesia
  • Budiman Budiman Department of Public Health, Faculty of Public Health, Universitas Muhammadiyah Palu, Palu, Central Sulawesi, Indonesia
  • Hamidah Hamidah Department of Public Health, Faculty of Public Health, Universitas Muhammadiyah Palu, Palu, Central Sulawesi, Indonesia
  • Zhanaz Tasya Department of Public Health, Faculty of Public Health, Universitas Muhammadiyah Palu, Palu, Central Sulawesi, Indonesia
  • Ahmad Yani Department of Public Health, Faculty of Public Health, Universitas Muhammadiyah Palu, Palu, Central Sulawesi, Indonesia
  • Sudirman Sudirman Department of Public Health, Faculty of Public Health, Universitas Muhammadiyah Palu, Palu, Central Sulawesi, Indonesia
  • Munawir H. Usman Women's Empowerment and Child Protection Office of Central Sulawesi Province, Palu, Central Sulawesi, Indonesia
  • Rajindra Rajindra Management Study Program, Faculty of Economics, Universitas Muhammadiyah Palu, Palu, Central Sulawesi, Indonesia

Keywords

Health Human Resources Multiple Intelligences Plus Political Quotient Competency Development Health Transformation

Abstract

Health transformation requires health human resources (HHR) with multidimensional competencies that extend beyond technical expertise, encompassing emotional, social, ethical, digital, financial, and governance capabilities. However, regional health workforce development systems remain predominantly technical and program-oriented. This study aimed to analyze the current HHR development system, identify competency gaps, and formulate a Multiple Intelligences Plus (MI+) based strategy incorporating Political Quotient (PolQ) to support health transformation at the Central Sulawesi Provincial Health Office. A qualitative descriptive case study was conducted from February to July 2026. Three key informants representing the policy, training-management, and implementation levels were selected purposively. Data were collected through in-depth semi-structured interviews, non-participant observation, and document review, and analyzed using Miles, Huberman, and Saldaña's interactive model with source and method triangulation, member checking, and an audit trail. The results showed that HHR development remained program-driven, administrative, and dominated by technical competencies, while emotional, social, creative, digital, moral, physical, environmental, financial, and political competencies were not systematically integrated. Supporting factors included leadership commitment, regulatory support, and the presence of a health training center, whereas barriers included budget limitations, uneven digital infrastructure, high workload, and resistance to change. The study formulated an eleven-dimension MI+ strategy IQ, EQ, SQ, SoQ, CQ, DQ, MQ, PQ, EnQ, FQ, and PolQ integrated into an Input–Process–Output–Outcome–Impact framework, with Financial Quotient and Political Quotient as novel dimensions. The MI+ strategy provides a holistic conceptual model for transforming health professionals into adaptive, ethical, innovative, collaborative, and governance-oriented human resources.

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References

Ashraf, F., & Iqbal, M. Z. (2011). A research agenda on the leaders' political intelligence for effective change management. African Journal of Business Management, 5(14), 5798-5806. https://doi.org/10.5897/AJBM11.189

Boetto, H. (2026). Artificial intelligence in social work: An EPIC model for practice. Australian Social Work, 79(3), 292–305. https://doi.org/10.1080/0312407X.2025.2488345

Branco, G. V., Chagas, D. C. das, Lopes, L. R., Pisa, I. T., & Silva, A. B. (2025). Beyond digital literacy: Evaluation of the digital intelligence of students and healthcare workers. Revista Interfaces: Saúde, Humanas e Tecnologia, 13(3), 5767–5776. https://doi.org/10.16891/2317-434X.v13.e3.a2025.id2477

Campbell, J., Buchan, J., Cometto, G., David, B., Dussault, G., Fogstad, H., … Tangcharoensathien, V. (2013). Human resources for health and universal health coverage: Fostering equity and effective coverage. Bulletin of the World Health Organization, 91(11), 853–863. https://doi.org/10.2471/BLT.13.118729

Cheraghi, R., Parizad, N., Alinejad, V., Piran, M., & Almasi, L. (2025). The effect of emotional intelligence on nurses' job performance: The mediating role of moral intelligence and occupational stress. BMC Nursing, 24(1), 130. https://doi.org/10.1186/s12912-025-02744-3

Debie, A., Nigusie, A., Gedle, D., Khatri, R. B., & Assefa, Y. (2024). Building a resilient health system for universal health coverage and health security: A systematic review. Global Health Research and Policy, 9(1), 1-17. https://doi.org/10.1186/s41256-023-00340-z

Ebo, T. O., Clement David-Olawade, A., Ebo, D. M., Egbon, E., & Olawade, D. B. (2025). Transforming healthcare delivery: A comprehensive review of digital integration, challenges, and best practices in integrated care systems. Digital Engineering, 6, 100056. https://doi.org/10.1016/j.dte.2025.100056

Edwards, J., Armstrong, M., Begum, S., Dunphy, E., Lau, R., Naughton, M., … Ross, J. (2026). Implementation of digital health interventions in primary care in high-income countries: A systematic review. The Lancet Primary Care, 100175. https://doi.org/10.1016/j.lanprc.2026.100175

El-Tsana, A. V., Alvianty, R. A., Octaviani, P., Syahidah, R., & Wasir, R. (2025). Health system transformation in Indonesia: Implementation and challenges of six policy pillars. Indonesian Journal of Health Science, 5(3), 553–560. https://doi.org/10.54957/ijhs.v5i3.1548

Endalamaw, A., Khatri, R. B., Erku, D., Zewdie, A., Wolka, E., Nigatu, F., & Assefa, Y. (2024). Barriers and strategies for primary health care workforce development: Synthesis of evidence. BMC Primary Care, 25(1), 99. https://doi.org/10.1186/s12875-024-02336-1

Ghonchehpour, A., Parandeh Afshar, P., Tirgari, B., Maazallahi, M., & Azizzadeh Forouzi, M. (2025). Spiritual sensitivity in nursing and midwifery students and its relationship with spiritual intelligence and spiritual growth. BMC Medical Education, 25(1), 1442. https://doi.org/10.1186/s12909-025-08041-6

Gupta, P., Bhattacharyya, S., & Kumar, A. (2025). Measuring “environmental quotient (EvQ)” for individuals: Development of a multiple-item scale. Social Responsibility Journal, 21(7), 1484–1502. https://doi.org/10.1108/SRJ-02-2024-0091

Ikhwan, A., Rohmad, A., Tobroni, & Zukhrufin, F. K. (2025). Integrating emotional and spiritual quotient (ESQ) with prophetic values in human resource development. Jurnal Akidah & Pemikiran Islam, 27(1), 383–426. https://doi.org/10.22452/afkar.vol27no1.10

Indahsari, H. N., Ratnasari, D., & Mustamid, M. (2025). Correlation of IQ and multiple intelligence on educational psychology learning outcomes. Humanika: Kajian Ilmiah Mata Kuliah Umum, 25(2), 243-252. https://doi.org/10.21831/hum.v25i2.88931

Kumar Srivastava, M., Deepika, & Gupta, G. (2026). Developing environment intelligence quotient: A path to sustainability. Corporate Social Responsibility and Environmental Management, 33(4), 5453–5474. https://doi.org/10.1002/csr.70431

Maity, S., De Filippis, S. M., Aldanese, A., McCulloch, M. A., Sandor, A. P., Perez Cajigas, J. E., … Nauhria, S. (2025). Enhancing emotional intelligence in medical education: A systematic review of interventions. Frontiers in Medicine, 12, 1587090. https://doi.org/10.3389/fmed.2025.1587090

Muharram, F. R., Sulistya, H. A., Swannjo, J. B., Firmansyah, F. F., Rizal, M. M., Izza, A., … Romdhoni, A. C. (2024). Adequacy and distribution of the health workforce in Indonesia. WHO South-East Asia Journal of Public Health, 13(2), 45–55. https://doi.org/10.4103/WHO-SEAJPH.WHO-SEAJPH_28_24

Naggar, M. A. E., AL-Mutairi, S. M., Al Saidan, A. A., Al-Rashedi, O. S., AL-Mutairi, T. A., Al-Ruwaili, O. S., … Alrashedi, A. S. (2025). Emotional intelligence and burnout in healthcare professionals: A hospital-based study. Healthcare, 13(15), 1840. https://doi.org/10.3390/healthcare13151840

Raskind, I. G., Shelton, R. C., Comeau, D. L., Cooper, H. L. F., Griffith, D. M., & Kegler, M. C. (2019). A review of qualitative data analysis practices in health education and health behavior research. Health Education & Behavior, 46(1), 32–39. https://doi.org/10.1177/1090198118795019

Setiaasih, R., Sunjaya, D. K., Sofiatin, Y., Afriandi, I., Hilfi, L., & Herawati, D. M. D. (2025). Readiness of health posts for primary health care integration in Indonesia: A mixed-methods study. BMC Public Health, 25(1), 1447. https://doi.org/10.1186/s12889-025-22520-x

Suprapto, S., Yuriatson, Y., Menga, M. K., Arda, D., Syamsi, N. N., Mulat, T. C., Djaha, Y. T., & Angreani, T. A. (2026). Strategies to improve health service quality in Indonesia: A qualitative study. BMC Health Services Research, 26, 1203. https://doi.org/10.1186/s12913-026-14221-x

Sutton, C., Prowse, J., McVey, L., Elshehaly, M., Neagu, D., Montague, J., … Randell, R. (2023). Strategic workforce planning in health and social care an international perspective: A scoping review. Health Policy, 132, 104827. https://doi.org/10.1016/j.healthpol.2023.104827

Thacharodi, A., Singh, P., Meenatchi, R., Tawfeeq Ahmed, Z. H., Kumar, R. R. S., V, N., … Hassan, S. (2024). Revolutionizing healthcare and medicine: The impact of modern technologies for a healthier future A comprehensive review. Health Care Science, 3(5), 329–349. https://doi.org/10.1002/hcs2.115

Welter, C. R., Bekemeier, B., & McKeever, J. (2021). Results and recommendations from a national public health workforce development systems assessment conducted in the United States. Pedagogy in Health Promotion, 7(3), 272–279. https://doi.org/10.1177/2373379920907640

Zhang, M., & Kim, R. (2024). Scope of public health workforce: an exploratory analysis on World Health Organization policy and the literature. Global Health Journal, 8(4), 153–161. https://doi.org/10.1016/j.glohj.2024.11.004

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Published

2026-08-31

How to Cite

Amsal, A., Budiman, B., Hamidah, H., Tasya, Z., Yani, A., Sudirman, S., Usman, M. H. ., & Rajindra, R. (2026). Multiple Intelligences Plus Strategy for Health Workforce Development in Central Sulawesi. MEDICA (International Medical Scientific Journal), 8(8), 832–844. https://doi.org/10.53770/medica.v8i8.1039

Issue

Vol. 8 No. 8 (2026): MEDICA (International Medical Scientific Journal)

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Articles

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