The impact of national health insurance on the access of maternal care service for women in Indonesia
DOI:
https://doi.org/10.53638/phpma.2021.v9.i1.p10Keywords:
national health insurance, policy impact, health care and services, matching methodsAbstract
Background and purpose: The government of Indonesia has established national health insurance or Jaminan Kesehatan Nasional (JKN) since 2014 to meet the basic needs of appropriate public health, including women. However, maternal mortality rate in Indonesia is recorded to be higher than peers and decreases slowly. This paper aims to elaborate the impact of the national health insurance on the access to maternal care and services for women in Indonesia. Methods: This paper employs a secondary data analysis by using Indonesian National Socio-Economic Survey (SUSENAS) 2017 and applies propensity score matching methods. Within the sample, a treatment group is a group of women who are registered in the JKN, including the PBI and non-PBI participants, while the control group is a group of women who are not registered in the JKN, women who have other insurances and those who do not have any insurance. The total sample of the treatment group is 18,886 and the control group is 19,559 participants. There are two outcome variables in the analysis which reflect the access of health care and health services, which are child-birth service facility (CBSF) and Birth Attendant (BA), respectively. Results: The result shows that women who are the member of the JKN have greater probability in accessing formal health care and services during the maternity process. They tend to deliver babies in hospital and get helped by medical personnel. Moreover, by comparing the impact of the JKN in the rural and urban areas, the result shows that the probability of women in
rural area to access health care and services is higher than women in cities. Conclusion: Based on these results, we can conclude that the JKN has improved the access for health care as well as medical services for maternity, in both rural and urban areas. However, the JKN program improvements are still needed, particularly in ameliorating the quality of JKN program, as well as expanding the number of participants to achieve a higher impact.
References
Ministry of Health of Indonesia. Jaminan Kesehatan Nasional [National Health Insurance]. Available from URL: http://www.jkn.kemkes.go.id/detailfaq.php?id=1 [accessed 20 August 2020]
Ministry of Health of Indonesia. Buku Pegangan Sosialisasi 2013 [The 2013 handbook to educate the society]. Available from URL: <http://perpustakaan.bappenas.go.id/lontar/opac/themes/bappenas4/templateDetail.jsp?id=127813&lokasi=lokal.> [accessed 20 August 2020]
World Health Organisation. Bulletin of the World Health Organization 2007. Available from URL: https://www.who.int/bulletin/volumes/85/10/07-031007/en/ [accessed 20 August 2020]
UNICEF. Maternal Mortality. Available from URL: https://data.unicef.org/topic/maternal-health/maternal-mortality/
Social Security Administrator for Health. Panduan Praktis Pelayanan Kebidanan dan Neonatal [Practical Guide to Midwifery and Neonatal Services]. Available from URL: https://bpjs-kesehatan.go.id/bpjs/dmdocuments/c2145cecc7a821fe00e19d57e67bc950.pdf [accessed 23 November 2020]
Statistics Bureau of Indonesia. The 2017 Indonesia Social Economy Survey 2017. Available from URL: https://mikrodata.bps.go.id/mikrodata/index.php/catalog/814 [accessed 23 November 2020]
UNICEF. Maternal and newborn health disparities country profiles 2019. Available from URL: https://data.unicef.org/resources/maternal-newborn-health-disparities-country-profiles/ [accessed 20 August 2020]
Elliot M, Fairwether I, Olsen W, Pampaka M. A dictionary of social research method. Oxford University Press. 2013. Available from URL: <https://www.oxfordreference.com/view/10.1093/acref/9780191816826.001.0001/acref-9780191816826-e-0371>
Lewis, B. IDEC8026 Quantitative Policy Impact Evaluation, Lecture on 5 August 2019, slides 8-21, Crawford School of Public Policy, Australian National University.
Social Security Administrator for Health. Peran BPJS Kesehatan dalam Peningkatan Pelayanan Kesehatan 2017 [The Role of BPJS Health in Improving Health Services]. Available from URL: http://www.depkes.go.id/resources/download/bahan_rakerkesnas_2017/BPJS.pdf [accessed 20 August 2020]
Lianti SN, Hanik U. Analisis Kepuasan Pasien dari Aspek Prosedur Pelayanan BPJS Kesehatan Tingkat Lanjutan di Poli Penyakit Dalam Rumah Sakit Islam Surabaya Jemursari [Patient Satisfaction Analysis from BPJS Service Procedures in Islamic Hospital Surabaya Jemursari]. Medical Technology and Public Health Journal. 2018; 2(1):93-99.
Mensah J, Oppong JR, Schhimdt CM. Ghana’s National Health Insurance scheme in the context of the health MDGs: An empirical evaluation using propensity score matching. Health Economics. 2010;19:95-106.
Saksena P, Antunes AF, Xu K, Musango L, Carrin G. Mutual health insurance in Rwanda: Evidence on access to care and financial risk protection. Health Policy. 2011;99:203–209.
Brooks MI, Thabrani M, Fox PM, Wirtx JV, Feeley FG, Sabin LL. Health facility and skilled birth deliveries among poor women with Jamkesmas health insurance in Indonesia: a mixed methods study. BMC Health Services Research. 2017; 17:105.
Sparrow R, Suryahadi A, Widyanti W. Social health insurance for the poor: targeting and impact of Indonesia’s Askesin programme. Social Science and Medicine Journal. 2012;96:264-271.
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