The Effects of Accessibility, Individual Assessment, and Disease Severity on the Utilization of Pulmonary TB Services in the Peripheral Areas of Deli Serdang Regency

Abstract

Tuberculosis (TB) remains a major public health challenge in Indonesia, including in Deli Serdang Regency. The number of pulmonary TB cases in the peripheral areas of Deli Serdang continues to rise each year, accompanied by a low cure rate. This study aims to analyze the effects of accessibility, individual perception of the disease, and disease severity on the utilization of pulmonary TB services in the peripheral areas of Deli Serdang Regency.   A quantitative research design with a cross-sectional approach was employed. The study population consisted of pulmonary TB patients in two peripheral sub-districts, with a total of 130 respondents selected using a purposive sampling technique. Data were collected through interviews using structured questionnaires and analyzed using the Chi-Square test and logistic regression. The results showed a significant effect of accessibility (p = 0.006, R = 0.139), disease severity (p = 0.023, R = 0.139), and individual perception of the disease (p = 0.038, R = 0.139) on the utilization of pulmonary TB services in the peripheral areas of Deli Serdang Regency. It can be concluded that the utilization of pulmonary TB services in these areas remains low and is influenced by various multidimensional factors. The implications of this study highlight the need for integrated interventions to improve access to TB services. The findings are expected to serve as recommendations for local governments and policymakers in developing sustainable strategies for TB elimination.