Social Determinants of Participation in the National Health Insurance in Sragen, Central Java

Sri Sugiarsi, Antik Pujihastuti, Nunik Maya Hastuti

School of Health Sciences, Mitra Husada, Karanganyar

ABSTRACT

Background: The Indonesian health system has implemented the social security assurance for health, namely National Health Insurance (JKN). JKN principles focus on mutual support, not-for-profit, good governance, and portability. However, level of participation in the JKN is still below the intended target. This study aimed to analyze the social determinants of participation in the JKN in Sragen, Central Java.

Subjects and Method: A cross sectional study was conducted in Mondokan, Sragen, Central Java. A total sample of 112 household heads was selected for this study using simple random sampling. The dependent variable were JKN participation status. The independent variables were social determinants (including gender, age, education, employment, income, social support, transportation). The data were collected by questionnaire. The data were analyzed by logistic regression.

Results: JKN participation was associated with strong social support (OR= 7.35; 95% CI= 5.35 to 8.22; p= 0.003) and higher household head education (OR= 4.10; 95% CI= 8.54 to 15.32; p= 0.048).

Conclusion: JKN participation is associated with strong social support and higher household head education.

Keywords: national health insurance, social support, education

Correspondence: Sri Sugiarsi. School of Health Sciences Mitra Husada, Papahan, Tasikmadu, Karanganyar, Central Java. Mobile: sri_sugiarsi@yahoo.com. Mobile: 081804501090.

DOI: https://doi.org/10.26911/theicph.2019.04.14

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