Health Service Seeking Behavior in Suburban Communities

Nasrun Pakaya(1), Hartono Hadjarati(2), Widy Susanti Abdulkadir(3), Edy Dharma Putra Duhe(4), Oktia Woro Kasmini Handayani(5), Irwan Budiono(6),


(1) Universitas Negeri Gorontalo
(2) Universitas Negeri Gorontalo
(3) Universitas Negeri Gorontalo
(4) Universitas Negeri Gorontalo
(5) Universitas Negeri Semarang
(6) Universitas Negeri Semarang

Abstract

Health problems in Indonesia today are the low health status of the community, among others, marked by high maternal mortality rates and infant mortality rates, on the other hand the use of health services is an important factor in determining health, which is influenced by geographical, economic and social aspects. The purpose of the study was to analyze the relationship between health service access factors and the determination of decisions on choosing family health services in suburban communities in Java and Outside Java. The method with a quantitative approach and support from qualitative data. The instrument consists of a questionnaire related to access to health services (geographic access, economic access, social access) related to the choice of health services. The population of families in the Sub-urban areas of Semarang and Gorontalo. Samples were taken using the accidental sampling technique, as many as 100 families. Data analysis with univariate, bivariate and multivariate analysis. The results of the study obtained significant differences in the decision to choose health services between the suburban communities of Semarang (Java) and Gorontalo (Outside Java), with a t-value of 4.284 and a sig value of 0.000. The difference lies in economic access. The choice of health services in suburban families in Java is more oriented towards choosing medical services such as hospitals and community health centers, while outside Java there are still quite a lot of families who choose traditional medicine as their health services.

Keywords

Access to health services, health costs, socio-culture, suburban communities, health services

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References

Adane Nigusie, Telake Azale, Mezgebu Yitayal and Lemma Derseh. (2022). Community perception of barriers and facilitators to institutional delivery care-seeking behavior in Northwest Ethiopia: a qualitative study. Reproductive Health, 19:193 https://doi.org/10.1186/s12978-022-01497-5

Alemayehu Hunduma Higi , Gurmesa Tura Debelew and Lelisa Sena Dadi. (2021). Perception and Experience of Health Extension Workers on Facilitators and Barriers to Maternal and Newborn Health Service Utilization in Ethiopia: A Qualitative Study. Int. J. Environ. Res. Public Health, 18, 10467. https://doi.org/10.3390/ijerph181910467

Alexandros Argyriadis, Evridiki Patelarou, Panagiotis Paoullis, Athina Patelarou, Ioannis Dimitrakopoulos, Vasiliki Zisi, Ruth Northway, Maritsa Gourni, Evanthia Asimakopoulou, Dimitra Katsarou and Agathi Argyriadi. (2022). Self-Assessment of Health Professionals’ Cultural Competence: Knowledge, Skills, and Mental Health Concepts for Optimal Health Care. Int. J. Environ. Res. Public Health, 19, 11282. https://doi.org/10.3390/ijerph191811282

Bandita Boro, Nandita Saikia. (2020). A qualitative study of the barriers to utilizing healthcare services among the tribal population in Assam. PLOS ONE, https://doi.org/10.1371/journal.pone.0240096

Bryony Dawkins, Charlotte Renwick, Tim Ensor, Bethany Shinkins, David Jayne, David Meads. (2021). What factors affect patients’ ability to access healthcare? An overview of systematic reviews. Trop Med Int Health, 26:1177–1188

Cory Andersona, Lindsey Pottsb. (2021). The Amish Health Culture and Culturally Sensitive Health Services: An Exhaustive Narrative Review. PMC, 2021

Dan Li, Jian Zhang , Jinjuan Yang , Yongjian Xu, Ruoxi Lyu , Lichen Zhong and Xiao Wang. (2022). Socio-economic inequalities in health service utilization among Chinese rural migrant workers with New Cooperative Medical Scheme: a multilevel regression approach. BMC Public Health, 22:1110 https://doi.org/10.1186/s12889-022-13486-1

Desire Habonimana and Neha Batura. (2021). Empirical analysis of socio-economic determinants of maternal health services utilisation in Burundi. BMC Pregnancy Childbirth, 21:684

Handayani, O. W. K., Yuniastuti, A., Abudu, K. O., & Nugroho, E. (2021). Gadget addiction and the effect of sleep habit, stress, physical activity to obesity. Malaysian Journal of Public Health Medicine, 21(1), 1-8.

Handayani, O.W.K, Nugroho, E., & Hermawati, B. (2020). Determinant of diabetes mellitus focusing on differences of Indonesian culture: Case studies in the Java and outer java region in Indonesia. The Open Public Health Journal, 13(1).

Handayani, O.W.K, Rr Sri Ratna Rahayu. (2019). Laporan Penelitian Pengembangan Perspektif Sosioantropologi Gizi Dalam Penekanan Kasus Diabetes Millitus di Daerah Urban dan Sub Urban. LP2M UNNES

Hathairat Kosiyaporn, Sataporn Julchoo , Mathudara Phaiyarom , Pigunkaew Sinam , Watinee Kunpeuk , Nareerut Pudpong , Pascale Allotey , Zhie X. Chan , Tharani Loganathan, Nicola Pocock and Rapeepong Suphanchaimat. (2020). Strengthening the migrant-friendliness of Thai health services through interpretation and cultural mediation: a system analysis. Global Health Research and Policy, 5:53

Health Policy and Planning. (2021). Geographic Barriers and Access to Healthcare Services in Indonesia. Oxford University Press.

Hermawan, D. Y., Widyaningrum, H., Lee, S. F., Indarjo, S., Nugroho, E., Raharjo, B. B., Nisa, A. A., Ediyarsari, P., Wahyono, B., Isniyati, H., Wasono, E., Prihatno, B. E., & Rozali, A. (2023). Integration of Minimum Initial Service Package for Reproductive Health in the Sister Village Program. Jurnal Kesehatan Masyarakat, 19(2), 287–294. https://doi.org/10.15294/kemas.v19i2.43465

Jean Paul Mukundiyukuri , Jean Jacques Irakiza , Naome Nyirahabimana , Loise Ng’ang’a, Paul H. Park, Gedeon Ngoga, Ziad El-Khatib, Louis Nditunze, Etienne Dusengeyezu, Christian Rusangwa, Tharcisse Mpunga, Joel Mubiligi and Bethany Hedt-Gauthier. (2020). Availability, Costs and Stock-Outs of Essential NCD Drugs in Three Rural Rwandan Districts. s. Journal of Global Health, 86(1)

John P. Quattrochi, Kenneth Hill, Joshua A. Salomon and Marcia C. Castro. (2020). The effects of changes in distance to nearest health facility on under-5 mortality and health care utilization in rural Malawi, 1980–1998. BMC Health Services Research, 20:899

Kementerian Kesehatan Republik Indonesia. (2021). Profil Kesehatan Indonesia 2021. Jakarta: Kemenkes RI.

Laksono, A.D., & Pranata, S. (2013). Akses Pelayanan Kesehatan Ibu dan Anak di Kepulauan (Studi Kasus di Kepulauan Aru, Wakatobi & Kepulauan Natuna). Determinan Sosial Kesehatan Ibu dan Anak (pp. 145–177): Jogjakarta.

Liknaw Bewket ZelekeI, Asmare Talie Wondie, Melaku Admas Tibebu , Addisu Alehegn Alemu , Mekuanint Taddele Tessema , Nigusie Gashaye Shita , Marjan Khajehei. (2021). Postnatal care service utilization and its determinants in East Gojjam Zone, Northwest Ethiopia: A mixed-method study. PLOS ONE, https://doi.org/10.1371/journal.pone.0256176

Mariam Tanou and Yusuke Kamiya. (2019). Assessing the impact of geographical access to health facilities on maternal healthcare utilization: evidence from the Burkina Faso demographic and health survey 2010. BMC Public Health, 19:838 https://doi.org/10.1186/s12889-019-7150-1

Melissa Walls, Dane Hautala, Ashley Cole, Lucas Kosobuski, Nicole Weiss , Kyle Hill and Stephanie Ozhaawashkodewe’iganiikwe Williams. (2022). Socio-cultural integration and holistic health among Indigenous young adults. BMC Public Health, 22:1002

Michael Shayne Gallaway,Teresa Aseret-Manygoats, Wayne Tormala. (2022). Disparities of Access, Use, and Barriers to Seeking Health Care Services in Arizona. Med Care, 60(2): 113–118

Mubasyiroh, R., Nurhotimah, E., & Laksono, A.D. (2016). Indeks Aksesibilitas Pelayanan Kesehatan di Indonesia. Aksesibilitas Pelayanan Kesehatan di Indonesia

Nelson C. Malone , Mollie M. Williams , Mary C. Smith Fawzi , Jennifer Bennet , Caterina Hill, Jeffrey N. Katz1 and Nancy E. Oriol. (2020). Mobile health clinics in the United States. International Journal for Equity in Health.

Nugroho, E., Wanti, P. A., Suci, C. W., Raharjo, B. B., & Najib, N. (2023). Social Determinants of Stunting in Indonesia. Jurnal Kesehatan Masyarakat, 18(4), 546-555.

Preety R. Rajbangshi, Aradhana Srivastava, Devaki Nambiar. (2022). Women’s Experiences with Maternity Care in Public Health Facilities of Assam, India. WHO South-East Asia J Public Health

Resham B. Khatri and Yibeltal Assefa. (2022). Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges. BMC Public Health, 22:880

Rieke Cahya , Wahyu Sulistiadi , Nora Fitria Tu , Patriot Haryo. (2023). Impact of Geographical Barriers and Strategies for Access to Health Services : Literature Review. MPPKI, 6 (5)

Sangwan Lee , Junhyuck Im & Kuk Cho. (2024). Understanding spatial inequalities and stratifcation in transportation accessibility to social infrastructures in South Korea: multi dimensional planning insights. Scientifc Reports, 14:18445 https://doi.org/10.1038/s41598-024-68536-y

Sangwan Lee. (2022). Spatial and Socioeconomic Inequalities in Accessibility to Healthcare Services in South Korea. Healthcare, 10, 2049. https://doi.org/10.3390/healthcare10102049

Sara Javanparast, Syed Kashif Abbas Naqvi, Lillian Mwanri. (2020). Health service access and utilisation amongst culturally and linguistically diverse populations in regional South Australia: a qualitative study. Rural and Remote Health, 20: 5694. https://doi.org/10.22605/RRH5694

Siqin Wang , Yan Liu , Jack Lam and Zhe Gao. (2021). Chronic Illness, Subjective Wellbeing, and Health Services Availability: A Study of Older Adults in Australia. Int. J. Environ. Res. Public Health, 18, 7718

Vernon Mochache, George Wanje , Lucy Nyagah , Amyn Lakhani , Hajara El-Busaidy , Marleen Temmerman and Peter Gichangi. (2020). Religious, socio-cultural norms and gender stereotypes influence uptake and utilization of maternal health services among the Digo community in Kwale, Kenya: a qualitative study. Reproductive Health, 17:71

Yan Li, Hao Li and Yi Jiang. (2023). Factors infuencing maternal healthcare utilization in Papua New Guinea: Andersen’s behaviour model. BMC Women’s Health, 23:544 https://doi.org/10.1186/s12905-023-02709-1

Yibeltal Kifie Alemayehu , Ermias Dessie, Girmay Medhin , Negalign Birhanu , David R. Hotchkiss , Alula M. (2023). Teklu and Mizan Kiros. The impact of community-based health insurance on health service utilization and fnancial risk protection in Ethiopia. BMC Health Services Research, 23:67 https://doi.org/10.1186/s12913-022-09019-6

Yilin Chen, Spencer J Cheng, Pharm, Tyler Thornhill, Paul Solari, Sean D Sullivan. (2023). Health care costs and resource use of managing hemophilia. A targeted literature review. JMCP.org, 29(6)

Zahtamal, Z., Restuastuti, T., & Chandra, F. (2011). Analisis Faktor Determinan Permasalahan Pelayanan Kesehatan Ibu dan Anak. Jurnal Kesehatan Masyarakat Nasional, 6 (1), 9–16.

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