Latar belakang : World Health Organization (WHO mengembangkan suatu alat dalam mengukur aksesibilitas terhadap pelayanan kesehatan, yang dinamakan AccessMod. Perangkat ini memungkinkan untuk menghitung cakupan geografis pelayanan kesehatan menggunakan informasi dan distribusi populasi di suatu daerah. Penelitian mengenai aksesibilitas fasilitas pelayanan kesehatan di Kabupaten Lampung Tengah dilakukan untuk memperoleh gambaran aksesibilitas masyarakat terhadap pelayanan kesehatan dan sebagai salah satu alat decission support sistems (DSS) bagi para pengambil kebijakan berkaitan dengan pembangunan dan pengembangan fasilitas pelayanan kesehatan agar program pembangunan kesehatan berjalan efektif dan efisien. Tujuan : Penelitian ini bertujuan mengukur aksesibilitas pelayanan kesehatan di Kabupaten Lampung Tengah. Metode : Rancangan penelitian ini menggunakan metode ekpalanatif (deskriptif ekplanatori), yaitu menghubungkan pola-pola yang berbeda namun memiliki keterkaitan dan menghasilkan pola hubungan sebab akibat. Pengumpulan data primer diperoleh dari pengukuran terhadap titik koordinat lokasi fasilitas pelayanan kesehatan. Sedangkan data skunder diperoleh dari sumber informasi yang terkait dengan aksesibilitas pelayanan kesehatan. Hasil : Aksesibilitas pelayanan kesehatan di Lampung Tengah tidak hanya dipengaruhi oleh jarak serta waktu tempuh, tetapi juga dipengaruhi kemampuan membayar pelayanan kesehatan dan transportasi dalam menuju sarana. Terdapat 13 unit puskesmas (35%) masih kekurangan tenaga kesehatan, demikian pula secara kualitas belum menggambarkan kesesuaian antara jumlah tenaga dengan jenis tenaga yang dibutuhkan. Aksesibilitas menuju fasilitas pelayanan kesehatan sudah baik, dilihat dari area tangkapan pelayanan fasilitas kesehatan yang dapat mencakup seluruh populasi. Analisis ini menghasilkan 3 model, yaitu: 1) catchment fasilitas kesehatan berdasarkan kapasitas 2) catchment berdasarkan waktu tempuh dan 3) cathment berdasarkan buffering. Hasil akhir berupa lokasi fasilitas pelayanan kesehatan baru yang mungkin dibangun atau pengembangan yang sudah ada dengan meningkatkan akses menuju fasilitas pelayanan kesehatan. Kesimpulan: Aksesibilitas menuju fasilitas pelayanan kesehatan sudah baik, dilihat dari area tangkapan pelayanan fasilitas kesehatan yang dapat mencakup seluruh populasi penduduk, terdapat 13 unit puskesmas (35%) masih kekurangan tenaga kesehatan, dihasilkan 3 (tiga) model area tangkapan (catchment) pelayanan kesehatan yang diperhitungkan dengan menggunakan kapasitas, waktu tempuh dan buffer, serta memberi rekomendasi lokasi pembangunan dan pengembangan fasilitas pelayanan kesehatan baru di Kabupaten Lampung Tengah.

Background: World Health Organization (WHO) developed a tool to measure accessibility to health services, namely Access Mod. Tools is one extension of Arc View 3.0 Geographic Information Sistem, which allows to calculate the geographic coverage of health services using information and distribution of population in a areas. The research regarding the accessibility of health care facilities in Central Lampung district performed to obtain a public accessibility to health services and as a tool Decision Support Sistems ( DSS ) for policy makers concerned with the construction and development of health care facilities in order to run an effective program of health development and efficiently. Obyektif: This research aimed to measure the accessibility of health services in Central Lampung District. Methods: The research design used explanatory method, which connects different patterns but have relevance and generate patterns of causality. Collecting primary data obtained from measurements of location coordinates of health service facilities. While the secondary data obtained from the sources of information related to the accessibility of health services. Results: Accessibility of health services in Central Lampung is not only influenced by the distance and travel time, but also influenced the ability to pay health care and transportation to the facility. There are 13 units of community health centers (35%) are still shortages of health workers, as well as the quality has not described the correspondence between the number of workers with the kind of power needed. Accessibility to the health care facilities are good, judging from the catchment area of health care facilities that can cover the entire population. This analysis produces three models, namely: 1) catchment health facilities based on capacity, 2) catchment based on travel time, and 3) cathment based buffering. The final result is the location of the new health service facilities that may be constructed or existing development by improving access to health service facilities. Conclusion: Accessibility to the health care facilities are good, judging from the catchment area of health care facilities that can include the entire population, there are 13 units of community health centers (35%) still lack health personnel, produced three (3 ) models of catchment area (catchment ) health services are taken into account by using the capacity, travel time and buffer, as well as provide recommendations construction site and development of new health service facilities in Central Lampung District.

Kata Kunci : aksesibilitas, pelayanan kesehatan, access mod 3.0; accessibility, health services, access mod 3.0