Measuring spatial accessibility of healthcare services using ARIA method, case study at Bandar Lampung City

Abstract

Accessibility of health services in Indonesia is still a problem. Health equity focuses on easy access and equitable distribution of health services and obtaining services with a standard quality set. Three dimensions of in-depth equity health can be divided into equity in health status, equity in health service use, and equity in health financing. The entire population is a health insurance participant. Health services that benefit packages include comprehensive services (preventive, promotive, curative, and rehabilitative). Government-owned health facilities must be provided, such as community health centers, clinics, doctors, hospitals, and financing paid by the government; the people who can afford it pay a premium. In this study, the accessibility of health services at hospitals and health centers in the city of Bandar Lampung was analyzed in geographic references by determining the distance and ranking health facilities ranging from very high to less accessibility value categories using the ARIA accessibility index calculation method. For hospital accessibility, Panjang district had the lowest index. Meanwhile, this district had a very high index for community health center accessibility compared to others. In health clinic accessibility, Teluk Betung Barat District had the lowest index, and Tanjung Karang Barat District had the highest index.