Pengelompokan Provinsi di Indonesia berdasarkan Ketimpangan Akses Layanan Kesehatan Tahun 2024 Menggunakan Pendekatan Cluster Hirarki
DOI:
https://doi.org/10.30872/40w3md62Keywords:
Healthcare Access Inequality, Hierarchical Cluster, Average Linkage, Self-Medication, Indonesia, SDGsAbstract
Health disparities remain a major challenge in Indonesia, particularly in terms of access to healthcare services across provinces. This study aims to classify 38 Indonesian provinces based on inequality in healthcare access in 2024 using a hierarchical clustering approach. Three key indicators were used: the number of hospitals, the number of medical personnel, and the percentage of people experiencing health complaints who opted for self-medication. The analysis identified the average linkage method as the most suitable model, supported by the highest cophenetic correlation coefficient (0,911). The results revealed two distinct clusters. The first cluster includes most provinces outside Java Island, characterized by limited healthcare infrastructure and personnel. The second cluster comprises four provinces on Java Island with advanced healthcare facilities but a high rate of self-medication. These findings suggest that healthcare access inequality is influenced not only by infrastructure but also by social and behavioral factors. Therefore, policy recommendations should be tailored accordingly: infrastructure improvement and equitable distribution of medical personnel for the first cluster, and health education interventions for the second. This study contributes to evidence-based policy design in line with the Sustainable Development Goals (SDGs), particularly the goal of ensuring equitable healthcare access for all.
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