Factors associated with the utilization of health service facilities at Abeli community health center, Kendari city, southeast Sulawesi province, Indonesia, 2023

Background: Abeli Community Health Center, Kendari City, has experienced fluctuating visits over the last few years. This research was conducted in the working area of the Abeli Health Center, Kendari City. The instability in the number of patient visits at the Abeli Health Center in Kendari City over the last few years is clearly illustrated. In 2019, the number of patients served by this Puskesmas reached 14,333 patients. However, there was a decrease in the number of patient visits in 2020, with 10,038 patients using the service. This condition continues in 2021, with only 9,388 patients utilizing puskesmas facilities. However, in 2022, there is expected to be a significant increase, with 12,356 patients accessing services at the Abeli Community Health Center. Objective: To determine the factors related to the utilization of health service facilities in the working area of the Abeli Coomunity Health Center, Kendari City in 2023. Method: This type of research is quantitative research with an observational analytical approach and a cross sectional research design. The sampling technique in this study used an accidental sampling technique with a total of 351 samples with the criteria of respondents who utilized the health service facilities at the Abeli Community Health Center, Kendari City in 2023. Results: The results of the study show that there is a relationship between confidence in health services (p value = 0.000), waiting time for health services (p value = 0.000), perception of health and illness (p value = 0.013) with the use of health service facilities, and there is no relationship between ownership of health insurance (p value = 0.139) and utilization of health service facilities in the working area of the Abeli Health Center, Kendari City. Conclusion: There is a relationship between confidence in health services, waiting time for health services, perception of health and illness and utilization of health service facilities and there is no relationship between ownership of health insurance and utilization of health service facilities in the Abeli Health Center Working Area, Kendari City in 2023, so the role of agencies health to increase intensive health promotion programs to provide information to the public about the importance of health care through the use of health service facilities.