Determinants of Tuberculosis Health Service Utilization among Patients in Takalar Regency, Indonesia

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 ۲۰۱ registered tuberculosis patients selected through purposive sampling in Pattallassang District, Takalar Regency, in February ۲۰۲۶. Data were collected using a structured questionnaire and analyzed using the chi-square test and binary logistic regression. Findings: Knowledge (p=۰.۰۰۱), attitude (p=۰.۰۲۵), family support (p=۰.۰۴۹), and accessibility to health care facilities (p=۰.۰۰۱) were significantly associated with tuberculosis health care service utilization, whereas trust was not (p=۰.۱۲۳). In the multivariable analysis of ۲۰۱ respondents, those with adequate knowledge were ۸.۳۸ times more likely to utilize TB health care services than those with inadequate knowledge (adjusted odds ratio=۸.۳۸; ۹۵% confidence interval: ۲.۹۷-۲۳.۶۲; p<۰.۰۰۱). Respondents reporting poor accessibility to healthcare facilities had lower odds of utilization (adjusted odds ratio=۰.۱۹; ۹۵% CI: ۰.۰۹–۰.۴۰; p<۰.۰۰۱), while attitude (adjusted odds ratio=۱.۹۶; ۹۵% CI: ۰.۴۶–۸.۴۶; p=۰.۳۶۸) and family support (adjusted odds ratio=۱.۳۴; ۹۵% CI: ۰.۳۸-۴.۷۷; p=۰.۶۵۱) 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.

کلیدواژه ها:

Tuberculosis ، Health Services Accessibility ، Health Service ، Health Knowledge ، Attitudes ، Practice