Article Sidebar

Submitted
May 1, 2025
Accepted
May 26, 2025
Published
Jun 23, 2025
Download
pdf
Statistic
Read Counter : 18 Download : 15

Downloads

Download data is not yet available.

Main Article Content

Abstract

Background: Accessibility to healthcare services remains a significant challenge among low-income families in coastal regions such as Maginti Island, West Muna Regency. Several socioeconomic and environmental factors are believed to influence the utilization of available health services. This study aimed to identify the factors associated with the utilization of healthcare services among poor families in Maginti Island.


Methods: A quantitative, cross-sectional study was conducted from May to July 2024. A total of 57 respondents were selected using simple random sampling. Data were collected using structured questionnaires and analyzed using univariate and bivariate methods (Chi-square test).


Results: The study found significant associations between healthcare service utilization and three main factors: knowledge of health, availability of transportation, and household income level (p < 0.05). Families with better knowledge, easier access to transportation, and higher income levels were more likely to use healthcare services.


Conclusion: Socioeconomic status, transportation access, and knowledge play crucial roles in determining healthcare utilization among the poor in Maginti Island. Strengthening health education and infrastructure is essential to improving healthcare access in coastal communities.

Keywords

Healthcare Utilization Coastal Community Access Barriers Low-income families

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite
Saltar, L., Risaldi, A., Kadarman, A., & Heltty. (2025). DETERMINANTS OF HEALTH SERVICE UTILIZATION IN LOW-INCOME FAMILIES IN THE COASTAL REGION OF MAGINTI ISLAND, WEST MUNA REGENCY: A CROSS-SECTIONAL STUDY: HEALTH SERVICE UTILIZATION IN LOW-INCOME FAMILIES. INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 7(1), 71–83. https://doi.org/10.36566/ijhsrd/Vol7.Iss1/298

References

  1. 1. World Health Organization. Monitoring The Building Blocks of Health Systems: A Handbook of Indicators and Their Measurement Strategies. Geneva, Switzerland; 2010.
  2. 2. Mangoma J, Mangoma J, Sulistiadi W. Island Health Crisis: Bridging Gaps in Indonesia’s Healthcare Deserts. J Indones Heal Policy Adm. 2024;9(2).
  3. 3. Rizkianti A, Saptarini I, Rachmalina R. Perceived barriers in accessing health care and the risk of pregnancy complications in Indonesia. Int J Womens Health. 2021;13:761–72.
  4. 4. Siswanto, Hendarwan H, Kusumawardani N, Handayani L. Bunga rampai kinerja pembangunan kesehatan di Indonesia: Tantangan, masalah, dan solusi. Vol. 1. Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI; 2020. 1–324 p.
  5. 5. Badan Pusat Statistik Indonesia. Indonesia Poverty Profile in March 2023. BPS-Indonesia [Internet]. 2023; Available from: https://www.bps.go.id/en/pressrelease/2023/07/17/2016/indonesia-poverty-profile-in-march-2023.html
  6. 6. BPS Sultra. Persentase Penduduk Miskin September 2024 [Internet]. 2024. Available from: https://sultra.bps.go.id/id/pressrelease/2025/01/15/1186/persentase-penduduk-miskin-september-2024-turun-menjadi-10-63-persen-.html
  7. 7. BPS Sultra. Persentase Penduduk Miskin Menurut Kabupaten/Kota (Persen), 2022-2024 [Internet]. 2024. Available from: https://sultra.bps.go.id/id/statistics-table/2/MzAjMg==/persentase-penduduk-miskin-menurut-kabupaten-kota.html
  8. 8. Santoso A. Rumus Slovin : Panacea Masalah Ukuran Sampel ? Suksma : Jurnal Psikologi Universitas Sanata Dharma. Suksma J Psikol Univ Sanata Dharma. 2023;4(November).
  9. 9. Anggraini N. Healthcare Access and Utilization in Rural Communities of Indonesia. J Community Heal Provis. 2023;3(1):14–9.
  10. 10. Devi LD, A SM. Knowledge of Availability and Utilization of Health Care Services Knowledge of Avaliability and Utilization of Health Care Services. Asian J Nurs Educ Res. 2023;13(June).
  11. 11. Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The Health Belief Model as an Explanatory Framework in Communication Research: Exploring Parallel, Serial, and Moderated Mediation. Halth Community. 2016;30(6):566–76.
  12. 12. Coughlin SS, Vernon M, Hatzigeorgiou C, George V. Health Literacy, Social Determinants of Health, and Disease Prevention and Control. J Environ Heal Sci. 2021;6(1):2019–22.
  13. 13. Goto E, Ishikawa H, Okuhara T, Kiuchi T. Relationship of health literacy with utilization of health-care services in a general Japanese population. Prev Med Reports [Internet]. 2019;14(July 2018):100811. Available from: https://doi.org/10.1016/j.pmedr.2019.01.015
  14. 14. Permatasari P, Arbitera C, Wenny DM. Case study analysis: The utilization of health services by citizens at area of tangerang selatan, indonesia. Open Access Maced J Med Sci. 2021;9(E):1042–9.
  15. 15. Syed ST, Gerber BS, Sharp LK. Traveling Towards Disease. J Community Health. 2013;38(5):976–93.
  16. 16. Badenhorst A. Management practices to mitigate barriers in reverse logistics. J Contemp Manag DHET. 2017;14:595–623.
  17. 17. Travers JL, Hirschman KB, Naylor MD. Adapting Andersen’s expanded behavioral model of health services use to include older adults receiving long-term services and supports. BMC Geriatr. 2020;20(1):1–16.
  18. 18. Mattson J. Transportation, distance, and health care utilization for older adults in Rural and small Urban Areas. Transp Res Rec. 2011;(2265):192–9.
  19. 19. Zhang Y, Li W, Deng H, Li Y, Liu T. Evaluation of Public Transport-Based Accessibility to Health Facilities considering Spatial Heterogeneity. J Adv Transp. 2020;2020.
  20. 20. Chi Z, Lun H, Ma J, Zhou Y. Income inequality and healthcare utilization of the older adults-based on a study in three provinces and six cities in China. Front Public Heal. 2024;12.
  21. 21. Mulyanto J, Kringos D, Kunst A. The evolution of socioeconomic inequalities in healthcare utilisation in Indonesia: 1993 to 2014. Eur J Public Health. 2018;28(suppl_4):1–15.
  22. 22. Kung LH, Kung CM, Chen CC, Yan YH. Impact of NHI copayment adjustments on healthcare seeking behavior: the mediating role of health facility identification. BMC Health Serv Res. 2024;24(1):1148.
  23. 23. Scott A, Maynard A, Elliott R. Advances in Health Economics. USA: JOHN WILEY & SONS LTD; 2003.
  24. 24. Achoki T, Lesego A. The imperative for systems thinking to promote access to medicines , efficient delivery , and cost-effectiveness when implementing health financing reforms : a qualitative study. Int J Equity Health. 2017;16(53):1–13.