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Volume 14, Issue 2 (2026)
Health Educ Health Promot 2026, 14(2): 351-355 |
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Received: 2026/08/3 | Accepted: 2026/09/1 | Published: 2026/09/19
Received: 2026/08/3 | Accepted: 2026/09/1 | Published: 2026/09/19
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Nurlena N, Balqis B, Darmawansyah D, Palutturi S, Rahman M. Determinants of Tuberculosis Health Service Utilization among Patients in Takalar Regency, Indonesia. Health Educ Health Promot 2026; 14 (2) :351-355
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URL: http://hehp.daneshafarand.org/article-4-87221-en.html
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Determinants of Tuberculosis Health Service Utilization among Patients in Takalar Regency, Indonesia
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
2- Department of Health Promotion, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Abstract (525 Views)
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.
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.
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