Abstract
Social determinants inequality causes different risk factors of tuberculosis (TB), including health access. Bandar Lampung is a city in Lampung province with highest prevalence of TB. Moreover, TB patients in the city have low social determinants. This research aimed to identify health access of TB patients in Bandar Lampung. This research was cross-sectional study that involved four community health centers that have conducted Directly Observed Treatment Shortcourse (DOTS) strategy. Population of this research was smear-positive TB patients in 2016 which recorded in the study site. Sample of this research was 255. Variable of this research was distance of samples’ residences to health services which represented by straight-line of samples’ residence geographical coordinate to health services. Data was collected through Geographical Positioning System and then analyzed using buffering analysis and visualizing by Geographical Information System. The results showed that more than 50% of samples have a short distance (< 1 kilometer) to health services. Based on the results, although most TB patients in Bandar Lampung have low social determinants, they have good access to health services. Moreover, health access of TB patients can be used to support TB control program, including decreasing incidence of TB.
Highlights
Reviews and researches stated that social determinants directly or through tuberculosis (TB) risk factor influence TB infection, TB transmission as well as the outcome of TB treatment [1,2,3,4]
Studies related to the TB has been concluded that people with low social determinants tend to have poor housing condition, poor food security and poor health access, which increases the risk to TB [1]
The main objective of this research is to study linkage between health access of TB patients in Bandar Lampung, which represented by distance from community health centers (CHC) and TB cases
Summary
Reviews and researches stated that social determinants directly or through tuberculosis (TB) risk factor influence TB infection, TB transmission as well as the outcome of TB treatment [1,2,3,4]. TB risk factors are more related to housing condition, food security, and health access, of the TB patients [1]. Studies related to the TB has been concluded that people with low social determinants tend to have poor housing condition, poor food security and poor health access, which increases the risk to TB [1]. Research on poor health access shows that there is inequity of health in population [6]. Research showed that geographic factors play an important role in reaching and utilization health services [6]. Poor health access contributes to delays of decisions to look for health treatment and increases in household health’s expenditure and loss of opportunity costs of incomegenerating activities [8,9]
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