Watuseke Phebe. Utilization of community health center (Puskesmas) among the people in Langowan subdistrict of Minahasa district North Sulawesi province Indonesia. Master's Degree(Primary Health Care Management). Mahidol University. : Mahidol University, 2008.
Utilization of community health center (Puskesmas) among the people in Langowan subdistrict of Minahasa district North Sulawesi province Indonesia
Abstract:
A cross sectional study was conducted to determine the factors related to the
utilization of the Community Health Center (Puskesmas) in the Langowan subdistrict. The
sample population of 256 consists of ages ranging of 20 to 60 years old from the residents of
Langowan subdistrict. Data were collected from 7th to 21st of January, 2008 by using selfadministered
questionnaires from visitors of the health center during 2007. For data analysis,
descriptive statistical analysis techniques were used to describe the frequencies and
percentages of variables. The Chi-Square test was used for testing relationships between
independent and dependent variables.
The results revealed that the majority (28.52 percent) of the respondents were 20 –
29 years of age, and that most respondents (51.17 percent) were male. Most of them (51.17
percent) had a senior high school level of education. Most of the respondents (58.98
percent) were farmers or house wives. Most of the respondents (55.47 percent) lived within
a radius of 1.1 Km to 3 Km from the health center. The majority (68.75 percent) of the
respondents stated that doctors pay attention when they visit the health center. In total 43.75
percent of the respondents visited the health center to seek treatment for a fever, cough and
flu and majority (81.25 percent) had moderate types of illnesses.
There was a significant association between the utilization of the community health
center and each of the following variables: age, distance of the house to health center, types
of transportation, convenience of transportation, health insurance, purpose of visit, attention
of doctor, comfortable waiting room with seats, type of disease and severity of illness (p
value < 0.05).
The findings of this study demonstrate that there is a need for proper information to
be relayed to the community about the services available. Also, the services provided by the
community health center need to be improved. The community health center is required to
inform the government concerning the improvement of the communication network.