Email this article 
Protecting the Community: Improving Knowledge, Attitude, and Behaviour towards Health Insurance
https://doi.org/10.22146/jcoemph.77439 Firdaus Hafidz(1*), Bagas Suryo Bintoro(2), Putri Tiara Rosha(3), Erny Octaviany(4), Farah Rizqi(5), Annisa Ryan Susilaningrum(6)
(1) (1) Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (2) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) (1) Department of Health Behaviour, Environment, and Social Medicine; Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (2) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) (1) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (2) Program Study of Public Health, Faculty of Sport Science, Universitas Negeri Semarang, Semarang, Indonesia
(4) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
Indonesia has implemented the National Health Insurance (Jaminan Kesehatan Nasional/JKN) program administered by the Health Care and Social Security Agency (BPJS Kesehatan) to improve the quality of community health and well-being. National Health Insurance implementation has had many challenges in eight years, such as complicated registration, premiums, unsatisfactory services, and lack of community participation. Policies regarding JKN should be better known and understood. This study aimed to know the knowledge, attitudes, and behavior towards health insurance that will be useful for stakeholders to develop public policies. This study was conducted in Umbulsari B sub-village in Sumberharjo, Prambanan, Yogyakarta, the lowest area of JKN participation based on Sleman HDSS data. We used a cross-sectional study design among 91 respondents who filled out a paper sheet questionnaire that consisted of five sections: demographic characteristics and insurance participation, knowledge, attitudes, actions, and satisfaction with the JKN program; the community service activities; coordination with local stakeholders; JKN participation identification using CHIKA; and educational media production and publication. Local stakeholders said that awareness about JKN is low. The Chat Assistant JKN (CHIKA) data identification from 529 IDs showed that 78.1% had become JKN participants, and 73.3% were “active”. The respondents correctly answered most of each knowledge point (score >90%). However, there were several aspects that respondents disagreed with: “every participant will get the same health services (19.78%) in attitude points, and health workers in health facilities do not discriminate (21.21%) in satisfaction points. Additionally, 21.21% of respondents rarely use health services routinely for medical check-ups. We developed educational media about the importance of JKN, as well as using CHIKA and Pandawa tutorials. Education about health insurance needs to be done continuously according to the local cultural context and innovations so that the community remains protected from the financial burden of accessing health services.
Keywords
Full Text:
PDFReferences
1. Utami, Mutiarin. Evaluasi Program Jaminan Kesehatan Nasional Pada Fasilitas Kesehatan Tingkat I Kabupaten Sleman Tahun 2016. Journal of Governance and Public Policy. Available from: http://journal.umy.ac.id/index.php/GPP/article/viewFile/2641/2604. https://doi.org/10.18196/jgpp.4171.
2. Jabbar LDAAA. Pertanggung Jawaban BPJS Kesehatan terhadap Pelayanan Asuransi Kesehatan Masyarakat. Jurist-Diction. 2020 Mar 11;3(2):387.https://doi.org/10.20473/jd.v3i2.18194.
3. BPJS-K. Badan Penyelengara Jaminan Sosial Kesehatan. 2022; (2022, March 31). Peserta Program JKN. Retrieved from BPJS-KESEHATAN: https://www.bpjskesehatan.go.id/bpjs/home
4. Dewi, F. S., Lazuardi, L., Lestari, S. K., Gilang, K., Susilaningrum, A. R., & Wardhani, R. K. HDSS SLEMAN: Profil Kecamatan 2019. Yogyakarta: Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK) UGM. 2019;
5. Tarigan BR. Gambaran Perilaku Kepuasan Peserta BPJS dalam Pemanfaatan Layanan Kesehatan di Puskesmas Singkil Utara Kecamatan Singkil Utara Kabupaten Aceh Singkil Tahun 2016. 2016;
6. Endartiwi SS, Setianingrum PD. The Kualitas Pelayanan Berhubungan Dengan Kepuasan Peserta Jkn Di Fasilitas Kesehatan Tingkat Pertama Provinsi Daerah Istimewa Yogyakarta. Buletin Penelitian Sistem Kesehatan. 2019 Nov 13;22(3):158–66.https://doi.org/10.22435/hsr.v22i3.897.
7. Sukartini T, Arifin H, Kurniawati Y, Pradipta RO, Nursalam N, Acob JRU. Factors associated with national health insurance coverage in Indonesia. F1000Res. 2021 Jul 14;10(563):563.10.12688/f1000research.53672.2.
8. Sari B, Idris H. Determinant of independent national health insurance ownership in Indonesia. Malaysian Journal of Public Health Medicine. 2019 Apr 1;19(2):109–15.https://doi.org/10.37268/mjphm/vol.19/no.2/art.177.
9. Sunjaya DK, Herawati DMD, Sihaloho ED, Hardiawan D, Relaksana R, Siregar AYM. Factors affecting payment compliance of the Indonesia National Health Insurance participants. Risk Manag Healthc Policy. 2022 Feb 22;15:277–88.10.2147/RMHP.S347823.
10. Fitriana EN, Probandari AN, Pamungkasari EP, Ardyanto TD, Puspitaningrum RA. The importance of socialization in achieving universal health coverage: case study of Jaminan Kesehatan Nasional (JKN) implementation in two different regions in Central Java Province. J Kedokt dan Kesehat Indones. 2019 Aug 30;10(2):110–20.https://doi.org/10.20885/JKKI.Vol10.Iss2.art3.
11. Putri KR, Wagiono C, Aji HW. Perbedaan Tingkat Pengetahuan Tentang Jaminan Kesehatan Nasional pada Peserta dan Non Peserta Badan Penyelenggara Jaminan Sosial. Prosiding Pendidikan Dokter. 2016 Aug 11;0(0):54–60.http://dx.doi.org/10.29313/kedokteran.v0i0.4145.
12. Wardani R. Faktor-Faktor Yang Mempengaruhi Pemanfaatan Layanan Rawat Inap Lanjutan Peserta BPJS Kesehatan. J Edunursing. 2018 Apr 1;2(1):8–14.
13. Siregar NR. Tingkat Kepuasan Peserta Badan Penyelenggara Jaminan Sosial (Bpjs) Terhadap Pelayanan Kesehatan Di Puskesmas Medan Area Selatan Tahun 2017 [Internet]. 2017 [cited 2022 Aug 28]. Available from: http://repository.umsu.ac.id/handle/123456789/725
14. Laksono AD, Nantabah ZK, Wulandari RD, Khoiri A, Tahangnacca M. Barriers to expanding the National Health Insurance membership in Indonesia: who should be the target? J Prim Care Community Health. 2022 Jan;13:21501319221111112.
15. Rahmadani S, Marhani, Abadi MY, Marzuki DS, Sudirman, Fajrin MA. Analysis of independent National Health Insurance ownership of informal workers: study of market traders in Gowa District, Indonesia. Enfermería Clínica. 2020 Oct 1;30:295–9.https://doi.org/10.1016/j.enfcli.2020.06.076.
DOI: https://doi.org/10.22146/jcoemph.77439
Article Metrics
Abstract views : 683
| 
views : 491
Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Journal of Community Empowerment for Health
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.