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All Journal Journal of Language and Health Sahabat Sosial: Jurnal Pengabdian Masyarakat Media Ilmiah Kesehatan Indonesia Jurnal Medicare ABDIMAS KOSALA : Jurnal Pengabdian Kepada Masyarakat An Nafi’; Multidisciplinary Science NMI THE JOURNAL OF Nursing Management Issues Indonesian Journal of Global Health Research
Hendra Dwi Kurniawan
Sekolah Tinggi Ilmu Kesehatan Panti Kosala
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Social Determinant Model of Utilization of Free Health Check Program at Community Health Centers and Its Impact on the Quality of Life of the Community Rizki Aqsyari; Hendra Dwi Kurniawan; Safaruddin Safaruddin
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2655

Abstract

The Free Health Check (CKG) Program is a promotive and preventive effort to improve early detection of health problems through primary health care services. Although provided free of charge, CKG utilization is not optimal and is influenced by social factors, access, and service delivery. In Surakarta City, as of December 22, 2025, 232,152 of the 588,419 residents had utilized CKG. This condition indicates a gap between service availability and utilization. The utilization of CKG has the potential to improve quality of life through early detection, education, and health follow-up, but research integrating social determinants, CKG utilization, and quality of life is still limited. To analyze the social determinants of CKG utilization, the relationship between CKG utilization and quality of life, and the relationship model between the two in the Surakarta City community. An analytical observational study using a cross-sectional approach involving 500 CKG target respondents from 10 Community Health Centers selected using stratified random sampling. Data were collected through structured interviews using a questionnaire administered directly to respondents. Analysis included univariate, bivariate, and Structural Equation Modeling (SEM) using maximum likelihood with p<0.05. Access to transportation (B=0.271; 95% CI: 0.180–0.362; p<0.001), family support (B=0.345; 95% CI: 0.255–0.435; p<0.001), perceived benefits (B=0.404; 95% CI: 0.312–0.496; p<0.001), and availability of services (B=0.166; 95% CI: 0.048–0.284; p=0.006) were positively associated with CKG utilization, while health needs were negatively associated (B=-0.147; 95% CI: -0.253–-0.041; p=0.007). CKG utilization was positively associated with quality of life (B=1.309; 95% CI: 1.108–1.510; p<0.001). The model showed adequate fit (RMSEA=0.055; CFI=0.915; TLI=0.885; SRMR=0.049). CKG utilization is influenced by access, social factors, perceptions, services, and health needs and is positively associated with quality of life. Strengthening access, family support, education, and facility readiness are needed to increase CKG utilization.
Co-Authors Akbar, Prima Soultoni Atmojo, Joko Tri Azmi Wijayanti Ditya Yankusuma Setiani Dunggio, Abdul Rivai Saleh Fajriah, Asruria Sani Fara Khansa Azizah Fara Khansa Azizah Lilik Sriwiyati M. Khalid Fredy Saputra Rahmat Pannyiwi Rina Tri Handayani Rizki Aqsyari Rohmi Rohmi Safaruddin Safaruddin Safaruddin Santy Irene Putri Sara Surya Soelaiman Toesara Hendradiwirja Sri Aminingsih Tata Mahyuvi Valentine Kenya Wahyu Khuntari Widiyanto, Aris