Gambaran Akses Pelayanan Kesehatan pada Balita di Indonesia
Open Access
- 17 May 2019
- journal article
- research article
- Published by Badan Kebijakan Pembangunan Kesehatan in Buletin Penelitian Sistem Kesehatan
- Vol. 22 (1), 54-61
- https://doi.org/10.22435/hsr.v22i1.439
Abstract
ABSTRAK Anak balita merupakan periode masa yang disebut golden age. Akses pelayanan kesehatan untuk kelompok ini menjadi perhatian karena kesinambungan hidup pada kelompok tersebut menjadi salah satu tolok ukur pembangunan kesehatan. Penelitian ini merupakan analisis lanjut data Riskesdas 2013, yang disajikan secara deskriptif kuantitatif. Analisis dilakukan pada variabel-variabel cakupan kunjungan balita ke pelayanan kesehatan. Pelayanan kesehatan dimaksud adalah Rumah Sakit, Puskesmas/Pustu, Praktik Dokter/Klinik, dan Polindes/Praktik Bidan. Hasil penelitian menunjukkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya dan sangat kaya memiliki akses yang lebih baik di Rumah Sakit dan praktik dokter/klinik pada akses rawat jalan dan rawat inap. Sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik ke Puskesmas/Pustu dan Polindes/praktik bidan baik di rawat jalan maupun rawat inap. Berdasarkan hasil penelitian dapat disimpulkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya memiliki akses yang lebih baik pada pelayanan kesehatan rujukan, sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik di fasilitas pelayanan kesehatan dasar. Kata kunci: akses, pelayanan kesehatan, balita ABSTRACT Toddler is a period of time called golden age. Access to health services for this group is a concern because the continuity of life in the group is one of the benchmarks for health development. This research is an advance analysis of the Riskesdas 2013, which is presented in quantitative descriptive manner. Analysis was carried out on the variables of coverage of toddler visits to health services. The intended health services are hospitals, health center/Pustu, doctor/clinic, and Polindes/midwife, both on outpatient visits and inpatients. The results showed that toddlers who lived in urban areas and in the rich and very rich groups had better access in hospitals and doctor/clinic practices on access to outpatient and inpatient care. While those who live in rural areas and the poor have better access to health center/Pustu and Polindes/ midwives both in outpatient and inpatient care. Based on the results of the study it can be concluded that toddlers who live in urban areas and in rich groups have better access to referral health services, while those who live in rural areas and in poor groups have better access to basic health care facilities. Keyword: access, health services, toddlerKeywords
This publication has 22 references indexed in Scilit:
- Progressive rural–urban disparity in acute stroke careNeurology, 2017
- Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South KoreaSocial Science & Medicine (1982), 2015
- The effect of Self-Help Groups on access to maternal health services: evidence from rural IndiaInternational Journal for Equity in Health, 2013
- Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, MyanmarBMC Health Services Research, 2012
- Universal access: making health systems work for womenBMC Public Health, 2012
- Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of RwandaInternational Journal of Health Geographics, 2012
- An evaluation of access to health care services along the rural-urban continuum in CanadaBMC Health Services Research, 2011
- Possible relationship among socio-economic determinants, knowledge and practices on lymphatic filariasis and implication for disease elimination in IndiaInternational Journal of Public Health, 2010
- A geographic analysis of access to health services in rural GuatemalaInternational Health, 2010
- Universal coverage of health services: tailoring its implementationBulletin of the World Health Organization, 2008