Determinants of Tuberculosis Health Service Utilization among Patients in Takalar Regency, Indonesia

Nurlena, N.; Balqis, B.; Darmawansyah, D.; Palutturi, S.; Rahman, M.A.

doi:10.58209/hehp.14.2.351

Determinants of Tuberculosis Health Service Utilization among Patients in Takalar Regency, Indonesia

Document Type : Descriptive & Survey

Authors

N. Nurlena ¹

B. Balqis ¹

D. Darmawansyah ¹

S. Palutturi ¹

M.A. Rahman ²

¹ Department of Health Policy Administration, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

² Department of Health Promotion, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

10.58209/hehp.14.2.351

Abstract

Aims: Despite the availability of free tuberculosis services in Indonesia, suboptimal utilization remains a major challenge to achieving the End TB Strategy. This study aimed to identify factors associated with tuberculosis health service utilization in Takalar Regency, Indonesia.
Instrument & Methods: This cross-sectional study was conducted among 201 registered tuberculosis patients selected through purposive sampling in Pattallassang District, Takalar Regency, in February 2026. Data were collected using a structured questionnaire and analyzed using the chi-square test and binary logistic regression.
Findings: Knowledge (p=0.001), attitude (p=0.025), family support (p=0.049), and accessibility to health care facilities (p=0.001) were significantly associated with tuberculosis health care service utilization, whereas trust was not (p=0.123). In the multivariable analysis of 201 respondents, those with adequate knowledge were 8.38 times more likely to utilize TB health care services than those with inadequate knowledge (adjusted odds ratio=8.38; 95% confidence interval: 2.97-23.62; p<0.001). Respondents reporting poor accessibility to healthcare facilities had lower odds of utilization (adjusted odds ratio=0.19; 95% CI: 0.09–0.40; p<0.001), while attitude (adjusted odds ratio=1.96; 95% CI: 0.46–8.46; p=0.368) and family support (adjusted odds ratio=1.34; 95% CI: 0.38-4.77; p=0.651) were not independently associated with utilization after adjustment.
Conclusion: Knowledge and accessibility to healthcare facilities are the two key determinants of tuberculosis healthcare service utilization in Takalar Regency.

Keywords

Tuberculosis

Health Services Accessibility

Health Service

Health Knowledge, Attitudes, Practice

Subjects

Health Education and Health Behavior

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