Faktor-faktor yang Berhubungan dengan Pemanfaatan Rawat Jalan dan Rawat Inap Pelayanan Kesehatan di Jawa, Sumatera, dan Kalimantan

Background: Utilization of health service facility constitutes the important indicator in assessing successful of healthservice. Level of utilization indicates whether health service is affordable and distributed equally. There are many factors which affecting utilization of health service facility such as socio-economic status and geographical access. So far, Kalimantan's health development is remained near to the ground compared with Java and Sumatra. Meanwhile, decentralization era insist the local specific data in health program planning. Objective: To find factors of utilization of health service facility in terms of socio-economic status, location of residence, distance to health facilities, and its utilization in Java, Sumatra,and Kalimantan islands. Methods: This study was observational with cross sectional study design. It was parallelized with Baseline Health Research (RISKESDAS) which is focused only in Java, Sumatra, and Kalimantan. The unit analysis was household of RISKESDAS 2007 and National Socio-Economic Survey (SUSENAS) 2007. The instruments were individual and household structure questionnaires. Data analyses were used univariate, bivariate, and multivariate techniques. Results: Generally, utilization of health service facilities were below than national rate (2.5%) particularly in-patient services.Those facilities were made the most of high economic class rather than the poor. There was a difference in using of health facilities of the people in those islands. The government hospital was mainly chosen by the people to have medication in Kalimantan, while in Java and Sumatra, the people preferred to utilize private hospitals especially in-patient services. In terms of ability to pay to health care and health insurance coverage, they were affordable by 3% and 20% of people respectively. The utilization of health service was influenced by economic level, health accessibility, gender, urban and rural areas, and island. Those factors have p value < 0.001. Conclusions: The study implied that the health service not yet equally given. There was disparity of health service distribution between urban and rural areas. Likewise, inequality of the utilization of health service among socio-economic levels. Social health insurance should be improved for the equity of utilization of health care