FAKTOR YANG MEMPENGARUHI KEPESERTAAN JAMINAN KESEHATAN NASIONAL DI KABUPATEN

DETERMINANTS OF NATIONAL HEALTH INSURANCE MEMBERSHIP IN DISTRICT

Abstract

Background: Health insurance membership is one of three aspects of WHO’s Universal Health Coverage (UHC). Indonesia is one
of the countries in Asia that has not yet reached the UHC target.
For example, DI Yogyakarta (DIY) has reached its JKN insurance membership target. However, one of the districts, namely Sleman,
has not yet reached the target of membership. Thus, analysis is needed to determine the factors that influence.
Objective: Knowing the characteristics of the community protected by JKN, getting an overview of membership trends and knowing the
factors that influence membership.
Methods: This study uses quantitative research with a longitudinal research design. The analysis conducted in this study was
univariate, chi-square test for bivariate and logistic regression for multivariate analysis. Respondents were selected by two-stage
stratified sampling. The research was conducted in Sleman Regency in January-March 2020.
Results: The trend of health insurance membership in the district tends to increase from each cycle. Factors affecting participation
in the first cycle are age, education, type of work, marital status, population status and location of residence. In the second cycle are
age, education, type of employment, marital status, population status, type of residence location and health status. In the third cycle
are age, type of work, marital status, population status and health status. While for the fourth cycle are age, occupation, marital status,
population status, religion, health status, and household income.
Conclusion: Based on the analysis that has been done, every stakeholder have to strengthen the team work across sectoral. The
JKN membership should be a pre requirements for the people that had a plan to stay in Sleman Regency for study or working. The religion organization should be involved to spread the information that how important health insurance is.