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Abstrak :
Drug users in Indonesia are threatened by many health and social challenges of which HIV, HBV and HCV are dominant and hence the utilization of health services is vital for them. This study was aimed to determine the individual factors that influence the health service utilization among drug users in west Java (Bandung), Indonesia. We used secondary data from the National Drug Survey Indonesia 2008, with a sample size of 130 drug users. The individual determinant of health service utilization were studied in three categories, predisposing, enabling and need factors we found that living with parents, drug overdose, respiratory and miscellaneous symptoms were significantly associated with health service utilization. Those living with parents were more likely to use health services than those living with others. Those who had Digestive and Miscellaneous symptoms and did not experience drug overdose were also more likely to use health service utilization. We did not find any association among the predisposing factors and health service utilization among drug users.

Abstrak :
Menurut UU Nomor 32 Tahun 2004 pasal 22 seluruh pelayanan kesehatan merupakan tanggung jawab pemerintah daerah, termasuk jaminan kesehatan. Tujuan penelitian ini mendapatkan hubungan determinan individu dengan utilisasi Jamkesda. Penelitian ini merupakan penelitian kuantitatif menggunakan rancangan studi potong lintang. Populasi penelitian adalah masyarakat wilayah kerja Puskesmas Tumbang Talaken. Responden terpilih 110 orang diambil secara acak. Faktor diamati adalah determinan individu model Andersen. Hasil penelitian menunjukan 55,5% responden memanfaatkan Jamkesda. Agar utilisasi Jamkesda lebih baik perlu peningkatan promosi kesehatan sehingga masyarakat memperoleh informasi yang benar tentang Jamkesda, mempermudah aksesibilitas dan mengembangkan program berdasarkan kebutuhan masyarakat. ......According RI Law No 32 year 2004 article 22 the entire of health services is responsibility of local government including health insurance. The purpose of this study is to get relationship between individual determinants against Jamkesda utilization. This study is a quantitative using cross-sectional design. The population were community in Tumbang Talaken community health center, Manuhing Sub District. 110 respondents were selected throught random sampling. The factors studied are individual determinants based on Andersen model. The results showed 55,5% respondents use Jamkesda. For better Jamkesda utilization needs increase health promotion efforts to get accurate information about Jamkesda, easier accessibility and develop programs based community needs.