Potential Barriers to Utilizing Health Services among Multi-Ethnic Communities in Samarinda City: A Qualitative Study

  • Ratno Adrianto1, Amran Razak2, M. Alimin Maidin2, Darmawansyah2, Muhammad Alwy Arifin2, Muhammad Syafar2, Muhammad Asdar7
Keywords: Potential barriers, utilization of health services, multi-ethnic, Samarinda city.

Abstract

Background: Users of multi-ethnic services are sometimes faced with barriers when using health services.
However, health care providers are sometimes not aware of these barriers, even though they may share a
little more responsibility for them. To enlighten service providers, such as potential pitfalls that may exist,
will be explored by various factors that trigger these barriers.
Objective: This study aims to explore and identify potential barriers to the utilization of health services
among multi-ethnic communities in Samarinda city.
Method: There were 28 informants from 4 ethnic groups (Javanese, Buginese, Banjar ethnic, and Dayak
ethnic) who were selected by purposive sampling according to the criteria set (n-28). Key informants from
the community leaders and traditional leaders of each ethnic group (n = 4). Data analysis used content
analysis to analyze the phenomena found in the study
Results: Potential barriers occur at three different levels: service user level, provider level, and system level.
Barriers at the service user level were related to the characteristics of service users: socioeconomic conditions,
heritage lifestyle, family support, income of the family head, entry to NHIS member, transportation and
travel time. Barriers at the provider level were related to provider characteristics: attitudes, communication
dan information style, ethnic matching program. System-level barriers were related to system characteristics:
referral system.
Conclusion: Several potential barriers have been found but are more related to the level of service providers
and the level of the health systems.

Author Biography

Ratno Adrianto1, Amran Razak2, M. Alimin Maidin2, Darmawansyah2, Muhammad Alwy Arifin2, Muhammad Syafar2, Muhammad Asdar7

1Faculty of Public Health, Mulawarman University, 2Faculty of Public Health, Hasanuddin University, 7Faculty of
Economic and Business, Hasanuddin University, 8Graduate School of Public Health, Hasanuddin University

Published
2020-05-22
How to Cite
Ratno Adrianto1, Amran Razak2, M. Alimin Maidin2, Darmawansyah2, Muhammad Alwy Arifin2, Muhammad Syafar2, Muhammad Asdar7. (2020). Potential Barriers to Utilizing Health Services among Multi-Ethnic Communities in Samarinda City: A Qualitative Study. Medico Legal Update, 20(2), 413-418. Retrieved from http://ijop.net/index.php/mlu/article/view/1140