The variation in disease distribution patterns across community health centers in Banjarnegara Regency necessitates a precise segmentation analysis to support effective allocation of healthcare resources. This study aims to compare the effectiveness of three clustering methods DBSCAN, OPTICS, and Agglomerative Clustering in grouping Puskesmas based on the type and number of diseases they manage. The evaluation methods used include the Silhouette Score and the Davies-Bouldin Index, which assess the quality of the clustering results. The analysis indicates that Agglomerative Clustering produces the most stable cluster structures, reflected in its highest Silhouette Score, compared to DBSCAN and OPTICS, which tend to yield more noise and less optimal clustering quality. These findings suggest that hierarchical clustering approaches are more effective in the context of healthcare service distribution data at the primary care level. The results of this study are expected to serve as a foundation for the formulation of data-driven and region-based health policies, particularly in designing more targeted interventions and optimizing the distribution of healthcare services.
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