Journal of Community Empowerment for Health
Vol 6, No 1 (2023): Vol 6, No 1 (2023)

Protecting the Community: Improving Knowledge, Attitude, and Behaviour towards Health Insurance

Firdaus Hafidz ((1) Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (2) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health an)
Bagas Suryo Bintoro ((1) Department of Health Behaviour, Environment, and Social Medicine
Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (2) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medi)

Putri Tiara Rosha ((1) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (2) Program Study of Public Health, Faculty of Sport Science, Universitas Negeri Semar)
Erny Octaviany (Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Farah Rizqi (Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Annisa Ryan Susilaningrum (Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)



Article Info

Publish Date
01 Apr 2023

Abstract

Indonesia has implemented the National Health Insurance (Jaminan Kesehatan Nasional/JKN) program administered by the BPJS Kesehatan (Health Care and Social Security Agency) to improve the quality of community health and well-being. In eight years, JKN implementation has had many challenges; complicated registration, premium, unsatisfactory service, and the lack of community participation. Policies regarding JKN should be known and understood. This study aimed to know the knowledge, attitudes, and behaviour towards health insurance that will be useful for stakeholders to develop public policies. This study was conducted in Umbulsari B sub-village in Sumberharjo, Prambanan, Yogyakarta, the lowest area of JKN participation based on Sleman HDSS data. We used a cross-sectional design study among 91 respondents who filled out a paper sheet questionnaire that consisted of five sections; demographic characteristics and insurance participation, knowledge, attitudes, actions, and satisfaction with the JKN program. Then, the community service activities; coordination with local stakeholders; JKN participation identification using CHIKA; educational media production and publication. Local stakeholders said that awareness about JKN is low. CHIKA data identification from 529 ID shows that 78.1% had become JKN participants, and 73.3% were "active". The respondents answered most of each knowledge point correctly (score >90%). But there are several things that respondents disagree with: "every participant will get the same health services (19.78%) in attitude point, and health workers in health facilities do not discriminate (21.21%) in satisfaction point. Then 21.21% of respondents rarely use health services routinely for medical check-ups. We developed educational media about the importance of JKN, as well as using CHIKA and Pandawa tutorials. Education about health insurance needs to be carried out continuously according to the local cultural context and innovations so that the community remains protected from the financial burden of accessing health services.

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Journal Info

Abbrev

jcoemph

Publisher

Subject

Education Health Professions Medicine & Pharmacology Nursing Public Health

Description

Journal of Community Empowerment for Health (ISSN 2655-0164 (online); ISSN 2654-8283 (print)) is a national, open access, multidisciplinary, and peer-reviewed journal. We aim to publish research articles and reviews on educative, promotive, preventive and community empowerment activities in the ...