Health Services Accessibility in the Era of National Health Insurance: Case Study on Satangnga Tanakeke Island of Takalar District, Indonesia

The health services disparities is still felt by the community, especially those living in the archipelago where the situation and condition of availability and quality of health human resources are low. This study aims to explore public health services in the era of national health insurance in Satangnga Tanakeke, Takalar District, Indonesia. This research was conducted in the Maccini Baji Village of Satangnga Island, Mappakasunggu Sub-District, Takalar District. This research was a qualitative research with case study approach. There were 19 informants which consist of village secretary, village office staff, head of community health centers, head of community health sub-centers, midwife, community leader, pregnant mother and people who are using or have used health services. The selection of informants was done by purposive sampling. The results showed that the accessibility of public health services in Satangnga Island was concentrated in community health sub-centers, this was due to geographical access, the time and cost of transportation to health services access, such as community health centers and hospitals to be the main obstacle. Facilities and infrastructure in the health facility on the Satangnga Island were still felt inadequate and need government attention. Cultural and community financial condition did not affect the health services utilization