摘要：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.
其他摘要：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.
