Purpose: The performance achievements of all Community Health Centers in Karimun Regency are in the poor category. Puskesmas with the lowest performance category had the lowest number of health workers with higher educational backgrounds. The opposite also applies; information was found about the minimum work motivation of employees to achieve the main performance targets. Almost all existing Community Health Centers do not have special rooms for rest and worship for health workers, so this often causes discomfort for visitors and health service workers

Research Methodology: This quantitative research aims to examine this problem

Results: It was concluded that there was a significant positive determination of the level of education and work environment on motivation and performance achievement. There was a significant positive correlation between work motivation and performance achievement. Thus, work motivation cannot influence the determination of the level of education and competency on the performance achievements of Karimun Regency Health Center health workers, but work motivation can influence the determination of the work environment on the performance achievements of Karimun Regency Health Center health workers. It is recommended to the Head of Community Health Centers in Karimun Regency to, among other things, optimize skills, take knowledge initiatives to learn, try new things, be able to find the root cause of problems, take corrective action and solutions, and be able to respond in a friendly and polite manner as part of the job health workers, as well as ensuring the provision of the basic needs of health workers related to their roles and functions as health workers.