The relationship of health workers availability & accessibility with the utilization of health services in the working area of Nambo health center and Soropia health center (case study: Urban and rural coastal health center) southeast Sulawesi province, I

The level of public health is starting to improve, but it has not yet reached the entire population. This condition is caused by the capacity of health workers, the maternal referral system, and the management of maternal and child health services, as well as reproductive health services, which have not run optimally because the distribution of health workers, especially doctors, is not yet available in all Community Health Centers. Data from the Health Human Resources Information System, in 2022 there will still be 4.0% of Community Health Centers without doctors. Apart from that, the community's ability to reach health service facilities is the cause of low health service coverage. This research aims to determine the relationship between the availability of health workers and accessibility with the utilization of health services in the working areas of the Nambo Health Center and Soropia Health Center, Southeast Sulawesi Province in 2023.

Method: The type of research used is descriptive quantitative with a cross-sectional study approach, namely looking for the relationship between the availability of health workers and accessibility and the utilization of health services in the working areas of the Nambo Health Center and Soropia Health Center (case study: Urban Coastal and Rural Coastal Health Centers). The number of samples in this research was 1,040 people consisting of 535 urban coastal respondents and 505 rural coastal respondents. The sampling techniques are purposive sampling and accidental sampling.

Result: The research results show that there is a significant relationship between the availability of Health Personnel in Health Facilities and the utilization of Health services with a ρvalue (0.000) <0.05 and there is no significant relationship between accessibility and the utilization of Health services with a ρvalue (0.175>0.05).

Conclusion: There is a significant relationship between the availability of health workers and there is no significant relationship between accessibility and utilization of health services in the coastal areas of the Nambo Health Center and Soropia Health Center, Southeast Sulawesi Province. Therefore, the Health Service needs to consider policies regarding placement, workload analysis and even distribution of health workers so that the workload of officers is not too high and can provide maximum health services and increase public knowledge by carrying out health promotions or providing health education to the public regarding services. available at the Community Health Center.