AKSESIBILITAS TERHADAP UTILISASI FASILITAS LAYANAN KESEHATAN DASAR DI PROVINSI PAPUA (RISKESDAS 2013)

ACCESS TO PRIMARY HEALTH CARE CENTER FACILITY IN PROVINCE OF PAPUA (Riskesdas 2013)

Abstract

Background: Access to basic health services is a human right
in the health sector achieve social justice for all Indonesian
people. Access to health care facilities in Papua remains a real
challenge for the government, especially if it is associated with
the goal to improve the health status, reduce morbidity and
mortality. The difficulty of access to health facilities led to
disparities in health status between regions in Indonesia.
Objective: Analysis patterns utilization of health facilities and
the factors that access barriers to health centers in the province
of Papua.
Methods: Analysis of secondary data comes from a survey of
basic health research in 2013 with the kind of cross-sectional
studies.
Results: Of the 4562 respondents as many as 3152 (69,09%)
utilize health centers. Probability better utilization of health
centers on the rich than the poor (OR = 4,17, 95% CI = 3,23-
5,38). Participants private health insurance and social security
are more likely to utilize health centers (OR = 5,87, 95% CI =
2,82-12,23). Living in the urban area increasing the utilization of
health centers compared with rural area (OR = 1,24, 95% CI =
0,98-1,56). Probability health centers utilization in swampland
better than others (OR = 2,17, 95% CI = 1,36- 3,45). Time travel
less than 30 minutes are more likely to utilize health centers
compared with a travel time more than 30 minutes (OR = 1,28,
CI = 1,14-2,17). Motor vehicles are more likely to utilize health
centers (OR = 3,00, CI = 2,36 to 3,81). Transportation costs of
more than IDR100.000 is more likely to take advantage of health
center (OR = 2,59, 95% CI = 1,59-4,2).

Conclusion: The availability of health facilities, travel time,
transport costs and the availability of transportation still be
barriers of accessibility. Utilization patterns varied types of basic
health facilities, primary health centers are the types of facilities
that the most widely used. There is inequity between the poor
and rich in the utilization of basic health services.