Akses pelayanan kesehatan terhadap kejadian tuberkulosis resisten obat
DOI: https://doi.org/10.33024/hjk.v20i5.3120
Access Drug Resistance Health Services Tuberculosis (TB)
Abstract
Background: Drug-resistant tuberculosis (Drug-resistant TB) is a serious public health challenge in Indonesia. Limited access to healthcare services, delayed diagnosis, and barriers to treatment contribute to the development of drug resistance.
Purpose: This study aims to analyze the relationship between access to healthcare services and the incidence of DRT.
Method: This quantitative observational study with a cross-sectional design involved 1,298 respondents selected through purposive sampling. Data were obtained from the 2023 Indonesian Health Survey. The incidence of DRT was designated as the dependent variable, while access to healthcare services was the main independent variable, with confounding factors including residence, gender, age, education, employment status, and economic status. Data analysis was performed using univariate tests, chi-square tests, and logistic regression.
Results: A total of 39.06% of respondents were diagnosed with DRT, and 88.98% experienced difficulty accessing healthcare services. Multivariate analysis showed no significant association between access to healthcare services and DRT. Age ≥65 years was the only factor significantly associated with drug-resistant TB (DR-TB), and other variables did not show a significant effect.
Conclusion: Access to health services as measured in this study did not significantly influence DR-TB due to its limited scope, which only captured the physical dimension of access.
Suggestion: Future research should use multidimensional access indicators to understand the factors influencing DR-TB in Indonesia.
Keywords: Access; Drug Resistance; Health Services; Tuberculosis (TB).
Downloads
References
Admassu, F., Abera, E., Gizachew, A., Sedoro, T., & Gari, T. (2023). Risk factors of multidrug resistant tuberculosis among patients with tuberculosis at selected multidrug resistance treatment initiative centres in southern Ethiopia: a case-control study. BMJ open, 13(1), e061836.
Anastasio, M. K., Gupta, A., Akinyemiju, T. F., & Previs, R. A. (2023). Healthcare access dimensions and uterine cancer survival: a national cancer database study. Frontiers in Oncology, 13, 1263371.
Arianti, A. R., Syamsudin, S., Sumarny, R., & Syamsi, L. N. (2024). Risk Factor Analysis of Drug-Resistant Tuberculosis in Tuberculosis Patients at Level II Health Facilities in Depok City. Daengku: Journal of Humanities and Social Sciences Innovation, 4(1), 6-13.
Beauchamp, J., Mitnick, C. D., Gilbert, H., Leandre, F., Noel, Y. T. J., Desir, W., & Mukherjee, J. (2021). Ambulatory treatment for multidrug-resistant tuberculosis in rural Haiti: a mixed-methods study of social and economic factors affecting timely diagnosis and treatment success. Global Journal of Health Science, 13(7), 99.
Burhan, S. L., Wahiduddin, W., Maria, I. L., Bustan, M. N., Saleh, L. M., & Balqis, B. (2024). Multidrug resistant tuberculosis risk factors in Makassar, Indonesia. International Journal of Public Health Science (IJPHS), 13(4), 1656.
De Schacht, C., Mutaquiha, C., Faria, F., Castro, G., Manaca, N., Manhiça, I., & Cowan, J. (2019). Barriers to access and adherence to tuberculosis services, as perceived by patients: A qualitative study in Mozambique. PloS one, 14(7), e0219470.
Deniati, E. N., Riono, P., & Farid, M. N. (2022). District characteristics: Household economic status of families diagnosed with tuberculosis in Indonesia. Journal of public health in Africa, 13(Suppl 2), 2401.
Forman, K., Theresiana, Y., & Pansori, H. (2024). Determinants OF the Incidence OF Multidrug Resistant Tuberculosis (MDR-TB) in the Regional General Hospital Dr. M. Yunus Bengkulu Period 2024. International Journal of Health Systems and Medical Sciences, 3(3), 266-273.
Ghafouri, R. R., Khodaei, M. A., Abbasian, M., Sahebihagh, M. H., Mohammadpoorasl, A., Parsian, Z., & Zeinalhajlou, A. A. (2023). Challenges of emergency medical services utilization by older adults in Tabriz, Iran: data from Health Status of Aged People in Tabriz (HSA-T Study). International Journal of Aging, 1(1), e3-e3.
Ibrahim, N., Primo, M. K. J., & Christian, O. N. P. (2024). Access to healthcare: A theoretical analysis of its dimensions. International Journal of Innovative Research in Multidisciplinary Education, 03(03). Diakses dari: https://ijirme.com/v3i3/Doc/25.pdf
Kamolwat, P., Nateniyom, S., Chaiprasert, A., Disratthakit, A., Mahasirimongkol, S., Yamada, N., & Smithtikarn, S. (2021). Prevalence and associated risk factors of drug‐resistant tuberculosis in Thailand: results from the fifth national anti‐tuberculosis drug resistance survey. Tropical Medicine & International Health, 26(1), 45-53.
Lestari, B. W., Nijman, G., Larasmanah, A., Soeroto, A. Y., Santoso, P., Alisjahbana, B., & Hill, P. C. (2024). Management of drug-resistant tuberculosis in Indonesia: a four-year cascade of care analysis. The Lancet Regional Health-Southeast Asia, 22.
Li, M., Lu, L., Guo, M., Jiang, Q., Xia, L., Jiang, Y., & Gao, Q. (2023). Discrepancy in the transmissibility of multidrug-resistant mycobacterium tuberculosis in urban and rural areas in China. Emerging Microbes & Infections, 12(1), 2192301.
Loosli, K., Davis, A., Muwonge, A., & Lembo, T. (2021). Addressing antimicrobial resistance by improving access and quality of care—a review of the literature from East Africa. PLoS Neglected Tropical Diseases, 15(7), e0009529.
Maharani, R., Karima, U. Q., & Kamilia, K. (2022). Socio-demographic and behavioral factors relationship with pulmonary tuberculosis: A case-control study. Open Access Macedonian Journal of Medical Sciences, 10(E), 130-135.
Mbuh, T. P., Wandji, A., Keugni, L., Mboh, S., Anyangwe, I. A., Mbacham, W. F., & Meriki, H. D. (2021). Predictors of Drug‐Resistant Tuberculosis among High‐Risk Population Diagnosed under National Program Conditions in the Littoral Region, Cameroon. BioMed Research International, 2021(1), 8817442.
Mutembo, S., Mutanga, J. N., Musokotwane, K., Kanene, C., Dobbin, K., Yao, X., & Whalen, C. C. (2019). Urban-rural disparities in treatment outcomes among recurrent TB cases in Southern Province, Zambia. BMC infectious diseases, 19(1), 1087.
Nduwayezu, G., Ingabire, E., & Bizimana, J. P. (2023). Measuring disparities in access to district and referral hospitals in the city of Kigali, Rwanda. Rwanda Journal of Engineering, Science, Technology and Environment, 5(1).
Panggabean, A. B., Hasmi, H., Makaba, S., Irab, S. P., Boway, D. Y., & Ruru, Y. (2024). Revealing mdr risk factors at the jayapura district health office. Hearty, 12(3), 536-543.
Stosic, M., Vukovic, D., Babic, D., Antonijevic, G., Foley, K. L., Vujcic, I., & Grujicic, S. S. (2018). Risk factors for multidrug-resistant tuberculosis among tuberculosis patients in Serbia: a case-control study. BMC public health, 18(1), 1114.
Widoyo, R., Djafri, D., Putri, A. S. E., Yani, F. F., Kusumawati, R. L., Wongsirichot, T., & Chongsuvivatwong, V. (2023). Missing cases of bacteriologically confirmed TB/DR-TB from the national treatment registers in West and north Sumatra provinces, Indonesia. Tropical Medicine and Infectious Disease, 8(1), 31.
World Health Organization. (2024). Global tuberculosis report 2024 . Diakses dari: https://www.who.int/teams/global-programme-on-tuberculosis-and-lung-health/tb-reports/global-tuberculosis-report-2024
World Health Organization. (2025). Global tuberculosis report 2025. Diakses dari; https://www.who.int/publications/i/item/9789240116924
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Holistik Jurnal Kesehatan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
