Healthcare utilization is a critical determinant of population health, reflecting both accessibility and equity in healthcare systems. This study explores healthcare utilization patterns and socio-economic factors influencing knowledge, attitude, and behavioural access to healthcare in Sepahijala District, Tripura, a predominantly rural area. The district of Sepahijala is located in the southwest extreme in the state of Tripura, India. The study involved both primary and secondary data collection. A total of 300 respondents have been contacted by questionnaire survey method based on the stratified random sampling method in all 7 blocks of the district. The techniques used are nearest neighbor analysis to find out the spatial distribution of PHC. This polygon method shows the PHC service area for the spatial distance of the study area.The findings highlight significant healthcare access disparities based on age, gender, income, and education levels. While most respondents expressed satisfaction with services provided by primary health centres (PHCs), persistent challenges such as inadequate medication availability, long waiting times, and poor transportation infrastructure were reported. Health access and utilization factors, socioeconomic factors, patient perception, and the surrounding environment are the primary determinants for health care in the Sepahijal district, Tripura.
Saravanabavan et al. (Tue,) studied this question.