Family support, community cultural traditions, quality of health services on the utilization of health services at Puskesmas in Coastal Areas: A literature study

Background: Primary health services such as health centers play a strategic role in improving the health status of the community, especially in coastal areas that often experience limited access to health services. However, the utilization of health center services by people in coastal areas is still relatively low and uneven. This phenomenon is influenced by various factors, both in terms of individuals, families, and the socio-cultural environment of the community. This study aims to analyze the relationship between family support, community cultural traditions, and the quality of health services on the utilization of health services in coastal health centers. Methods: This study aims to analyze the relationship between family support, community cultural traditions, and health service quality on the utilization of health services in coastal health centers. Results: The results of this literature study show that the utilization of health services in coastal areas is influenced by three main factors, namely:Family support plays an important role in encouraging individuals, especially the elderly and vulnerable groups, to access health services.People's cultural traditions are still very strong in influencing health behavior. Belief in traditional medicine, myths, and hereditary values is an obstacle in the use of modern health services. The quality of health services such as reliability, empathy, and patient orientation has been proven to have a significant relationship with the level of satisfaction and reutilization of health center services. Conclusion: Based on the results of a literature review of ten scientific articles, it can be concluded that the use of health services in coastal areas is influenced by three main factors, namely family support, community cultural traditions, and the quality of health services.