AKSES PELAYANAN KESEHATAN DAN KEJADIAN MALARIA DI PROVINSI BENGKULU MALARIA CASES AND THE ACCESSIBILITY TO HEALTH FACILITY IN BENGKULU PROVINCE

Until now, malaria is still a public health problem in Indonesia, and one of the endemic malaria is Bengkulu province. The disease is widespread in many regions, with varying degrees of infection. There are many factors that contribute to the malaria infection. This study aims to determine the association between malaria cases and the accessibility to health facility in Bengkulu province based on Riskesdas data 2007 obtained from National Institute of Health Research and Development. Data were analysed by univariate and bivariate methods. The results show the average distance to access health care center A (hospitals, public health center, dotor practice, midwife practice) of approximately 1766,98 meters, whereas is the health care center B (Posyandu, Poskesdes, Polindes) approximately 724,24 meters. The average travel time to a health care center A is 17,66 minutes and 11,95 minutes to health center B. There is association between the distance to health care center A and the incidence of malaria (p<0,05; OR=1,91), similarly the distance to the health center B (p<0,05; OR=1,09). There was association between travel time to the health service A and the incidence of malaria (p <0.05, OR = 1, 48), while there is no association between travel time to the health center B. Local government should prioritize to the provision of health care facility that easily accessible by the public to enhance sustainable rural development.