A Multilevel Analysis : Model Of Tuberculosis Suspect In Access to Health Services In Indonesia  

Oleh:

Retnaningsih, Ekowati ; Thabrany, Hasbullah ; Bachtiar, Adang ; Kamso, Soedijanto

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi: Buletin Penelitian Kesehatan: Bulletin of Health Studies vol. 35 no. 04 (2007), page 156.
Topik: Tuberculosis; access; determinants model; multilevel analyses

Ketersediaan

Perpustakaan FK Nomor Panggil: B18.K.2003-2008.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

At present, three countries, namely India, China, Indonesia, contribute the largest tuberculosis (TB) cases in the world. The WHO has set a target of minimun 70 % cases detection rates (CDR). however, until 2004, the CDR in Indonesia was only 51.8%. Although TB drugs are provides fir free and trained personnel are ready in appointed health facilities to provides DOTS, CDR has been low due to low access to the facilities. The spesific objectives of this study were developed equation modeling of individual, household, and district level variables affecting the access. This research used cross sectional data of BES II evaluation and BPS data. Multilevel statistical analysis of GLLAMM logistic regression intercept were carried out to attain the study objectives. the study found that variables associated with access to TB centers at individual level are knowledge of free TB programs (OR = 2.2; 95% CI 1.97-2.81), health insurance (OR = 2.9; 95% CI 1.15-7.75), advice (OR = 3.5; 95% CI 1.69-7.14), perceived moderate costs of health centers (OR = 1.54; 95% CI 1.11-4.79), perceived cheap transporation cost ( OR = 7.8;95% CI 2.57-23.43), and perceived nearness to health facilities and household income per capita, and at the district level, these factors are the proportion of individual below poverty (OR of second quarter = 0.49;95% CI 0.22-0.83) and te ratio of population ti health facilities (OR of second quarter = 0.43; 95% CI 0.12-0.66)

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