The Indonesian Strategy to Achieve Universal Health Coverage through National Health Insurance System: Its Challenges in Human Resources

Adyas, Atikah

doi:10.21109/kesmas.v16i4.5440

Cited by 8 publications

(4 citation statements)

References 28 publications

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“…This persists despite significant investments from international donors and African governments, as the healthcare sector continues to struggle with issues such as limited access, corruption, infrastructural deficiencies, and medication and personnel shortages (135). On the contrary, beside the health workforce, the implementation of comprehensive NHI itself human resources, all of which contribute to the promotion of noble goals for everyone's well-being (136). The primary challenge caused by funding shortages in many African countries is that their health financing systems' strategies and mechanisms are problematic.…”

Section: Figurementioning

confidence: 99%

Willingness to pay for National Health Insurance Services and Associated Factors in Africa and Asia: a systematic review and meta-analysis

Bayked,

Assfaw,

Toleha

et al. 2024

Front. Public Health

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BackgroundUniversal health coverage (UHC) is crucial for public health, poverty eradication, and economic growth. However, 97% of low- and middle-income countries (LMICs), particularly Africa and Asia, lack it, relying on out-of-pocket (OOP) expenditure. National Health Insurance (NHI) guarantees equity and priorities aligned with medical needs, for which we aimed to determine the pooled willingness to pay (WTP) and its influencing factors from the available literature in Africa and Asia.MethodsDatabase searches were conducted on Scopus, HINARI, PubMed, Google Scholar, and Semantic Scholar from March 31 to April 4, 2023. The Joanna Briggs Institute’s (JBI’s) tools and the “preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 statement” were used to evaluate bias and frame the review, respectively. The data were analyzed using Stata 17. To assess heterogeneity, we conducted sensitivity and subgroup analyses, calculated the Luis Furuya-Kanamori (LFK) index, and used a random model to determine the effect estimates (proportions and odds ratios) with a p value less than 0.05 and a 95% CI.ResultsNineteen studies were included in the review. The pooled WTP on the continents was 66.0% (95% CI, 54.0–77.0%) before outlier studies were not excluded, but increased to 71.0% (95% CI, 68–75%) after excluding them. The factors influencing the WTP were categorized as socio-demographic factors, income and economic issues, information level and sources, illness and illness expenditure, health service factors, factors related to financing schemes, as well as social capital and solidarity. Age has been found to be consistently and negatively related to the WTP for NHI, while income level was an almost consistent positive predictor of it.ConclusionThe WTP for NHI was moderate, while it was slightly higher in Africa than Asia and was found to be affected by various factors, with age being reported to be consistently and negatively related to it, while an increase in income level was almost a positive determinant of it.

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Section: Figurementioning

confidence: 99%

Willingness to pay for National Health Insurance Services and Associated Factors in Africa and Asia: a systematic review and meta-analysis

Bayked,

Assfaw,

Toleha

et al. 2024

Front. Public Health

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“…Based on the regulations of the Indonesian Health Ministry, Puskesmas is a health service facility that organizes public and first-level individual health efforts by prioritizing promotive and preventive actions in their working areas [ 3 ]. To help all Indonesians access the health services needed at affordable costs and realize universal health coverage (UHC), we expect the NHI program to have a referral system [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target?

et al. 2023

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Background The disadvantaged areas are one of the government’s focuses in accelerating development in Indonesia, including the health sector. The study aims to determine the target for expanding hospital utilization in disadvantaged areas in Indonesia. Methods The study employed the 2018 Indonesian Basic Health Survey data. This cross-sectional study analyzed 42,644 respondents. The study used nine independent variables: residence, age, gender, marital, education, employment, wealth, insurance, and travel time, in addition to hospital utilization, as a dependent variable. The study employed binary logistic regression to evaluate the data. Results The results found that average hospital utilization in disadvantaged areas in Indonesia in 2018 was 3.7%. Urban areas are 1.045 times more likely than rural areas to utilize the hospital (95% CI 1.032–1.058). The study also found age has a relationship with hospital utilization. Females are 1.656 times more likely than males to use the hospital (95% CI 1.639–1.673). Moreover, the study found marital status has a relationship with hospital utilization. The higher the education level, the higher the hospital utilization. Employed individuals have a 0.748 possibility to use the hospital compared with those unemployed (95% CI 0.740–0.757). Wealthy individuals have more chances of using the hospital than poor individuals. Individuals with all insurance types are more likely to utilize the hospital than those uninsured. Individuals with travel times of ≤ 1 h are 2.510 more likely to use the hospital than those with > 1 h (95% CI 2.483–2.537). Conclusion The specific targets to accelerate the increase in hospital utilization in disadvantaged areas in Indonesia are living in a rural area, being male, never in a union, having no education, being employed, being the poorest, uninsured, and having a travel time of > 1 h. The government should make a policy addressing the problem based on the research findings.

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“…The implementation of the national health insurance system (JKN) aims to achieve universal health insurance so that all citizens get the benefit from health services and protection to meet primary health needs [4]. As one of the systems launched by the state with law number 40/2004, this system has been running since 2014.…”

Section: Introductionmentioning

confidence: 99%

Factors Related to Conservative Preterm Therapy on BPJS Claim Achievement in Waluyo Jati Hospital Probolinggo Regency

Rahmawati,

Prasetyo,

Wardani

2023

a-jhr

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Introduction: A high number of reports of preterm incidents in Probolinggo, which was the highest in East Java in 2018, has caused problems in the financing process claimed by the Indonesian National Social Health Insurance (Badan Penyelenggara Jaminan Sosial (BPJS)). Insufficient financing for maternity mothers, as the highest proportion of national delivery methods, can certainly be a direct or indirect obstacle to the maternal mortality rate, which is still very high in Indonesia. This research aims to analyze the influence of hospitalization period, gestational age, and delivery method in conservative preterm therapy on BPJS claim achievement at Waluyo Jati Hospital, Probolinggo Regency. Material and Methods: This study is a quantitative research with a cross-sectional approach. Sampling took place from May to September 2023 at Waluyo Jati Regional Hospital, Probolinggo Regency. Sampling used an accidental sampling technique. 33 respondents participated in this research. Results: The results of this study showed that the largest number of respondents with the criteria for a length of stay of 4-7 days was 23 respondents (69.6%), gestation age 31-33 weeks was 14 respondents (42.4%), and 23 respondents underwent cesarean section delivery (69.7%). The highest BPJS claim achievement value was in the range of 30-50%, with 18 respondents (54.5%). The results of the Multiple Linear Regression showed a p-value of 0.000. Conclusion: The conclusion from this research is that there is an influence of hospitalization period, gestational age, and delivery method simultaneously in conservative preterm therapy on the achievement of BPJS claims at Waluyo Jati Hospital, Probolinggo Regency.

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The Indonesian Strategy to Achieve Universal Health Coverage through National Health Insurance System: Its Challenges in Human Resources

Abstract: Not available.

Cited by 8 publications

References 28 publications

Willingness to pay for National Health Insurance Services and Associated Factors in Africa and Asia: a systematic review and meta-analysis

Willingness to pay for National Health Insurance Services and Associated Factors in Africa and Asia: a systematic review and meta-analysis

Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target?

Factors Related to Conservative Preterm Therapy on BPJS Claim Achievement in Waluyo Jati Hospital Probolinggo Regency

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