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Affordability Assessment of Community Health Centre Services in Klaten Regency

Demography and Civil Registration Study Program, Universitas Sebelas Maret, Surakarta, Jawa Tengah, Indonesia

Received: 2 Jun 2025; Published: 31 Aug 2025.
Open Access Copyright (c) 2025 The authors. Published by Faculty of Public Health, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Introduction: The existence and affordability of community health centers play a crucial role in supporting the achievement of health development goals. Klaten Regency as one of the regions in Central Java Province has various geographical characteristics and population densities, which resulted in inequality in access to health. This study aimed to assess the affordability of community health center distribution in the Klaten Regency by 2025.

Methods: This study was conducted descriptively. Secondary data were obtained from the Klaten Regency Health Profile 2023 for distribution by sub-district and Google Earth for geographic coordinates. Spatial analysis was conducted using Nearest Neighbor Analysis (NNA) to determine distribution patterns, and buffer analysis to assess service coverage. 

Results: The NNA produced a T-ratio of 1.54, indicating a dispersed distribution of community health centers. Buffer analysis with a 3,000-meter service radius showed that many residential areas remain outside the reach of existing facilities.

Conclusion: The Klaten Regency Government should prioritize accessibility to health services through strategic mapping of health workers and facilities, providing incentives for staff in underserved areas, and optimizing health technology to improve service coverage.

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Keywords: affordability, buffering analysis, community health center, nearest-neighbor analysis.
Funding: -

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  1. Rahmah IM, Anggraeni FN, Adriani W, Andita N. Analisis Pola Sebaran dan Keterjangkauan Fasilitas Kesehatan Terhadap Pemukiman Dengan Analisis Buffering dan Near Neighbour Analysis di Kecamatan Pulo Gadung. J Sains Geogr [Internet]. 2022;1(1):1–12. Available from: https://journal.unj.ac.id/unj/index.php/jsg/article/view/38153/15581
  2. Amoah-Nuamah J, Agyemang-Duah W, Prosper Ninorb G, Gladstone Ekeme B. Analysis of Spatial Distribution of Health Care Facilities and its Effects on Access to Primary Healthcare in Rural Communities in Kpandai District, Ghana. Cogent Public Heal [Internet]. 2023;10(1). Available from: https://doi.org/10.1080/27707571.2023.2183566
  3. Pemerintah Republik Indonesia. Peraturan Pemerintah Nomor 47 Tahun 2016 tentang Fasilitas Pelayanan Kesehatan. 2016
  4. Hutagaol R, Khairunnisa SS. Analisis Persebaran Rumah Sakit Umum Daerah (RSUD) di Wilayah Jakarta Selatan dengan Metode Nearest Neighbor Analysis (NNA). J Sains Geogr. 2023;1(2):59–70
  5. Abdulloh AB, Ristriana A. Sistem Informasi Geografis Pada Pemetaan Persebaran Lokasi Bangunan Pusat Kesehatan Masyarakat, Puskesmas Pembantu, Dan Pondok Kesehatan Desa Di Empat Kecamatan Kabupaten Tulungagung. ViTeks. 2023;11(2):46–55
  6. Van Iseghem T, Jacobs I, Vanden Bossche D, Delobelle P, Willems S, Masquillier C, et al. The role of community health workers in primary healthcare in the WHO-EU region: a scoping review. Int J Equity Health. 2023;22(1):1–15
  7. Sari E, Maghrifah Jannati Ani, Inggi Puspita Sari. Pemberdayaan Puskesmas Sebagai Sarana Peningkatan Derajat Kesehatan Masyarakat Di Gampong Sungai Pauh Tanjung Kota Langsa. ABDIKAN J Pengabdi Masy Bid Sains dan Teknol. 2022;1(3):414–20
  8. Aprella QAP, Hardati P, Arifien M. Pengaruh Pola Sebaran Sarana dan Prasarana Kesehatan Terhadap Aksesibilitas Pelayanan Kesehatan Masyarakat di Kabupaten Tegal Tahun 2016. Geo Image [Internet]. 2018;7(1):31–8. Available from: http://journal.unnes.ac.id/sju/index.php/geoimage
  9. Astuti P, Muffidah I. Analisis Pola Spasial Persebaran Fasilitas Pelayanan Kesehatan Di Kota Pekanbaru. IPTEKIN J Kebijak Pembang dan Inov. 2024;7(1):16–25
  10. Indriyatmi RRR. Unraveling Health Challenges in the Interior: Public Perceptions of Health Service Accessibility and Its Implications. J Public Heal Indones. 2025;6(1):19–30
  11. Sedayu RA, Sidabutar YFD, Saherny S. Analysis of Availability and Spatial Distribution Patterns and Accessibility of Health Facilities in Regional Development. J La Medihealtico. 2025;6(3):688–702
  12. Berliana OS, Amin C. Analysis of the distribution pattern and coverage of health service facilities in Sleman District. IOP Conf Ser Earth Environ Sci. 2025;1462(1)
  13. Iamtrakul P, Chayphong S, Gao W. Assessing spatial disparities and urban facility accessibility in promoting health and well-being. Transp Res Interdiscip Perspect [Internet]. 2024;25(April):101126. Available from: https://doi.org/10.1016/j.trip.2024.101126
  14. Badan Pusat Statistik Kabupaten Klaten. Profil Kesehatan Kabupaten Klaten 2023. Klaten; 2024. 6 p
  15. Badan Pusat Statistik Kabupaten Klaten. Kabupaten Klaten Dalam Angka. Klaten; 2024
  16. Abulibdeh A, Al-Ali M, Al-Quraishi D, Al-Suwaidi W, Al-Yafei B, Al-Mazawdah S. Assessing the spatial distribution and accessibility of public and private schools in Qatar: A GIS-based analysis. Geomatica [Internet]. 2024;76(2):100015. Available from: https://doi.org/10.1016/j.geomat.2024.100015
  17. Debnath P, Mitra S. Spatial Distribution of Healthcare Services along the National Highways Network System ( NHNS ) of Tripura-An Assessment Using Nearest Neighbor Analysis Approach. In: New Horizons In Higher Education and Research: Multidisciplinary Interfaces. 2025
  18. Jiang L, Wang Y, Wu C, Wu H. Fruit Distribution Density Estimation in YOLO-Detected Strawberry Images: A Kernel Density and Nearest Neighbor Analysis Approach. Agriculture [Internet]. 2024; Available from: https://search.proquest.com/openview/9613e70b9ec318d6525faf615beb351f/1?pq-origsite=gscholar&cbl=2032441
  19. Liu Y, Gu H, Shi Y. Spatial Accessibility Analysis of Medical Facilities Based on Public Transportation Networks. Int J Environ Res Public Health. 2022;19(23)
  20. Yasinta F, Hidayah U. Analysis of Effectiveness of Health Facilities Services in Magelang Regency, Indonesia. Plan Malaysia. 2024;22(4):329–43
  21. Safura AH, Andi STV, Rohmah NL, Laudiansyah R, Ismayuni N, Fathurrizqi MI, et al. Accessibility and suitability analysis of health facilities in Penjaringan Subdistrict, North Jakarta in 2021. IOP Conf Ser Earth Environ Sci. 2022;1039(1)
  22. Rossbacher LA. Nearest-neighbour analysis: a technique for quantitative evaluation of polygonal ground patterns. Geogr Ann Ser A. 1986;68 A(1–2):101–5

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