The disparities in health insurance ownership of hospital-based birth deliveries in eastern Indonesia

Laksono, Agung Dwi; Wulandari, Ratna Dwi; Zuardin, Zuardin; Nopianto, Nopianto

doi:10.1186/s12913-021-07246-x

Cited by 10 publications

(15 citation statements)

References 38 publications

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“…Health care facilities that refuse will be subject to legal sanctions from the government. 40 , 41 In addition to that, several studies state that health insurance will increase the coverage of health services and improve the community’s health status. 23 , 38 , 42 , 43 …”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Wulandari

Laksono

Prasetyo

et al. 2022

J Prim Care Community Health

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Background: The study aims to analyze the relationship between socioeconomic and hospital utilization among female workers in Indonesia. Methods: The study analyzed secondary data from the 2018 Indonesian Basic Health Survey. The study gathered 161 186 female workers through stratification and multistage random sampling. As control factors, the study looked at age, marital status, education, occupation, and health insurance, in addition to the categories of socioeconomic and hospital utilization. The study used binary logistic regression to evaluate the data in the final step. Results: The result shows female workers with poorer wealth status are 1.142 times more likely than the most impoverished female workers to utilize the hospital (AOR 1.142; 95% CI 1.135-1.148). Female workers with median wealth status are 1.509 times more likely than the poorest female workers to take advantage of the hospital (AOR 1.509; 95% CI 1.501-1.517). Female workers with wealthier wealth status are 1.808 times more likely than the poorest female workers to use the hospital (AOR 1.808; 95% CI 1.799-1.817). The wealthiest female workers are 2.399 times more likely than the poorest female workers to utilize the hospital (2.399; 95% CI 2.387-2.411). Conclusion: The study concluded a relationship between socioeconomic status and hospital utilization among female workers in Indonesia. The better the socioeconomic, the better the hospital utilization.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Wulandari

Laksono

Prasetyo

et al. 2022

J Prim Care Community Health

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“…For instance, a study found that the impact of PKH cash transfer program on child basic vaccination was more prominent in urban areas compared to rural areas [28]. Additionally, a study on the disparity of health insurance ownership in Indonesia showed that those in urban areas were 2.32 times more likely to own health insurance than those in rural areas [29].…”

Section: Discussionmentioning

confidence: 99%

Geographic and Socioeconomic Disparity in Child Undernutrition across 514 Districts in Indonesia

et al. 2022

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Background: Globally, in 2020, 45 million children were estimated to be wasted, and 149 million children under five years of age were estimated to be stunted. Undernutrition makes children in particular much more vulnerable to disease and death. Our study aims to examine geographic and socioeconomic disparities in child undernutrition across 514 districts in Indonesia. Methods: Employing both geospatial and quantitative analyses (descriptive statistics and Ordinary Least Squares regressions), we analyzed the disparities in the prevalence of underweight, severe underweight, wasting, severe wasting, stunting, and severe stunting among districts. Child undernutrition data were from Indonesia Basic Health Survey (Riskesdas) 2018, which included a sample of 93,620 children under five years. Socioeconomic data were from the World Bank. Results: We found a relatively large geographic and socioeconomic disparity in child undernutrition in Indonesia. By region, districts in the Papua region (including Maluku and Nusa Tenggara) had a significantly higher prevalence of underweight and wasting than those in the Java region (including Bali). Districts in Papua had 44%, 121%, 38%, and 57% higher prevalence of underweight, severe underweight, wasting, and severe wasting, respectively. Similarly, the poorest districts had a significantly higher prevalence of underweight, wasting, and stunting than the wealthiest districts. The poorest districts had 30%, 83%, 16%, 21%, and 74% higher prevalence of underweight, severe underweight, wasting, stunting, and severe stunting, respectively. These results were similar among rural districts. Conclusion: There is a significant disparity in child undernutrition across districts in Indonesia. The government needs to prioritize the reduction of child undernutrition, especially in rural areas, districts outside of Java and Bali, and the poorest and least educated areas.

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“…The equity principle is equality in obtaining services according to medical needs, which are not related to the number of contributions that have been paid. 20,21 The Indonesian government has chosen the universal health coverage (UHC) model as one of the social security instruments to increase public access to health services. The government provides UHC through the NHI system.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the government-run NHI has good portability; participants in an emergency can access health care facilities in any region in Indonesia. 21,22 The success of health insurance managed by the Indonesian government cannot be separated from the central government's policy on the NHI financing source plan. This success is also inseparable from the involvement of local governments (province/city/regency) and the role of the private sector.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the private sector, especially corporations, includes and bears the costs of their employees' participation. 21,22 The government not only regulates the Social Security Administering Agency as the operator of the NHI, but also controls the National Social Security Council, which is responsible for monitoring and evaluating the implementation of the NHI. Through the National Social Security Council, the government also promotes community involvement in the plan's design, management, and supervision.…”

Section: Discussionmentioning

confidence: 99%

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The Role of Government-run Insurance in Primary Health Care Utilization: A Cross-Sectional Study in Papua Region, Indonesia, in 2018

Laksono¹,

Nugraheni²,

Ipa³

et al. 2022

International Journal of Social Determinants of Health and Heal

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Health development in the Papua region often lags behind other areas of Indonesia. The study aims to analyze the role of government-run insurance in primary health care utilization in the Papua region, Indonesia. The study examined 17,879 Papuan. The study used primary health care utilization as an outcome variable and health insurance ownership as an exposure variable. The study also employed nine control variables: province, residence, age, gender, marital status, education, employment, wealth, and travel time to primary health care. The research employed data using binary logistic regression in the final analysis. The results show that Papuans with government-run insurance were three times more likely to utilize primary health care than uninsured Papuans (AOR 3.081; 95% CI 3.026–3.137). Meanwhile, Papuan with private-run insurance were 0.133 times less likely to utilize primary health care than uninsured Papuans (AOR 0.133; 95% CI 0.109–0.164). Moreover, Papuans who have two types of health insurances (government-run and private-run) were 1.5 times more likely to utilize the primary health care than uninsured Papuan (AOR 1.513; 95% CI 1.393–1.644). The study concluded that government-run insurance increases the chance of primary health care utilization in the Papua region, Indonesia. Government-run insurance has the most prominent role compared to other health insurance categories.

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The disparities in health insurance ownership of hospital-based birth deliveries in eastern Indonesia

Cited by 10 publications

References 38 publications

Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Geographic and Socioeconomic Disparity in Child Undernutrition across 514 Districts in Indonesia

The Role of Government-run Insurance in Primary Health Care Utilization: A Cross-Sectional Study in Papua Region, Indonesia, in 2018

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