Accessibility of Primary Health Center (PHC) Building in Bandung for People with Disabilities

Abstract

People with disabilities are those who have physical, mental, intellectual, or sensory limitations for a long time thus can hinder their full participation and effectiveness in society. In an effort to obtain adequate health services, people with disabilities need to get special services to accomodate their disabilities. Until now, there is no data which describes the accessibility of primary health center building in Indonesia, especially in Bandung. The purpose of this study was to evaluate the accessibility of Primary Health Center (PHC), or Pusat Kesehatan Masyarakat (Puskesmas), in Bandung for people with disabilities. Method: This study was a descriptive study with the subjects of PHC in Bandung which had been selected through cluster sampling. The data was obtained through direct observation in the period of August to September 2018. The accessibility of the building was assessed using the form adapted from the Ministry of Public Works Regulation no.30/PRT/2006 and Ministry of Health Regulation no.75 of 2014. Results: A total of 15 PHC samples were assessed for accessibility. The average accessibility score of all PHC was 53.7%, with the lowest value being 30% (poor) to the highest 78.1% (good). As many as 87% of the PHC samples have poor accessibility. Conclusion: The accessibility of primary health center buildings for people with disabilities in Bandung in average still does not meet the standard. This is maybe due to the inadequate detail of accessibility criteria in national regulation of PHC and the fact that there are some PHC which have not been accredited yet.