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STUDI PERBANDINGAN MODEL PERILAKU PENCARIAN PERTOLONGAN KESEHATAN SUSPEK TUBERKULOSIS DI JAWA DAN LUAR JAWA

STUDI PERBANDINGAN MODEL PERILAKU
PENCARIAN PERTOLONGAN KESEHATAN SUSPEK TUBERKULOSIS
DI JAWA DAN LUAR JAWA
Ekowati Retnaningsih
Bagian Ilmu Kesehatan Masyarakat Fakultas Kedokteran UNSRI

ABSTRACT
Indonesia is one of the countries that gives the biggest contribution of TB in the world. Until 2004, the Case Detection Rate (CDR) in Indonesia was low (51,8%). Many of TB suspects do not come and use the health facilities, so the free health facilities program provided by the government become useless. Presently, the TB Care program has been done by the same program at all province in Indonesia, although the characteristic of the community is different. Thes objective research of this to determine the different model of health seeking behavior of TB suspects at Java and outside Java. The research design used was cross sectional. The samples were 806 TB suspects in seven research location province. The result of the research showed that:1) there is a significant differences of utilisation in health services for TB suspects in Java and outside Java, and 2) the model of health seeking behavior of TB suspects in Java was influenced by the age of TB suspect, income per capita, suggestions, the distance and transport cost perception to the health facilities, but in outside Java was influenced by the quantity of the member of the family, suggestions, health cost perception, distance and transport cost perception to health facilities. It can be concluded that: 1) TB suspects in Java come and use the health facilities more often than TB suspects in outside Java, and 2) there are determinant differences that influence the model of health seeking behavior of TB suspects in Java and outside Java. It means that the TB care program must be designed by considering the characteristic and the local social culture. We can not make a single national program of TB care. At least there are differences programs between Java and outside Java. Further research is needed to develop the model of community based TB care that local specific.

Keywords; Health Seeking Behaviour, tuberculosis, utilizations, Java

May 23, 2009 - Posted by | Uncategorized

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