Published date: Mar 07 2019

Journal Title: KnE Life Sciences

Issue title: The 2nd International Meeting of Public Health 2016 (IMOPH) – Part II

Pages: 187–196

DOI: 10.18502/kls.v4i10.3786

E Suryaedisurya020@gmail.com

J Yunita

Community participation to join the national health insurance in Kuantan Singingi until December 2014 was 30% from all population, and 4% from them were the participant from the informal sectors. The Participant from informal sectors was still little, but the government effort to cover all population before 2019. Many factors related to community participation from informal sectors to join the national health insurance, such as knowledge, attitude, health status, income, cost, and education. This research purposed to determine factors related to community participation from informal sectors to join the national health insurance. This research was quantitative analytical with cross-sectional study design. The population of the research was the informal sector workforce and the sample size was 211 households. Data analysis with univariate, bivariate with Chi-Square test, and multivariate with Multiple Logistic Regression tests. The results showed the informal participants of NHI that did not join the national health insurance about 67.3%. The factors related with community participation from informal sectors to join the national health insurance consist of Knowledge (POR=14.887), Attitude (POR=4.626), Health Status (POR=172.823), Cost (POR=21.594), and Education (7.495). The most dominant factor related to the community participation from informal sectors to join the national health insurance is Health Status after being controlled by knowledge, attitude, cost, and education. Be recommended to the Department of Health in District order to improve knowledge about the importance of NHI programs, assure people to participate in the Membership of NHI informal sectors programs with involving cross sectors; health center, head of village, BPJS Health, and community leaders, the Health Center to cooperate with authorized institutions in conducting the data collection of the poor to be included as participants NHI assisted by the Regional Government.

Keywords: Participation of the informal sector; the national health insurance; health status; knowledge; attitude; cost; education

[1] BeritaSatu.com. 2015. Akhir Tahun, Peserta BPJS Kesehatan Jadi 168 Juta. Retrieved from www.beritasatu.com.


[2] Dartanto et al. 2014. Expanding Universal Health Coverage in The Presence of Informal in Indonesia: Challenges and Implications. Retrieved fromwww.lpem.org.


[3] Henni J. 2007. Asuransi Kesehatan dan Managed Care. 2007. Retrieved from www. pustaka.unpad.ac.id.


[4] Kemenkes RI. 2013. Buku Pegangan Sosialisasi Jaminan Kesehatan Nasional (NHI) dalam Sistem Jaminan Sosial Nasional. Jakarta: Kemenkes RI.


[5] Lapau B. 2011. Metode Penelitian Kesehatan. Jakarta: Yayasan Obor Indonesia.


[6] Lemeshow.S, Hosmer Jr D.W, Klar J, & Lwanga S.K.1990. Adequacy of Sample Size in Health Studies. New York, USA: WHO.


[7] Lukiono2010. Pengaruh Pengetahuan dan Sikap terhadap Pemanfaatan Jaminan Kesehatan Pada Ibu Hamil Miskin di Kota Blitar. Retrieved fromwww.eprints.uns.ac. id.


[8] Maharani. 2015. Analisis Faktor-Faktor yang Mempengaruhi Masyarakat di Kota Singaraja Memiliki Program Asuransi Unitlink. Retrieved fromwww.ejournal.undiksha. ac.id.


[9] Murti.2014. Peserta BPJS Kesehatan di Riau, Kebanyakan Masyarakat yang Sakit. Retrieved fromwww.bpjs.info.


[10] Notoadmodjo S. 2007. Promosi Kesehatan dan Ilmu Perilaku Manusia. Jakarta: EGC.


[11] Noviansyah et al. 2016. Persepsi masyarakat terhadap Program Jaminan Kesehatan Bagi Masyarakat Miskin. Retrieved fromhttp://download.portalgaruda.org.


[12] Pradipta. 2014. Tinjauan Umum Tentang Asuransi Jiwa dan Faktor Yang Mempengaruhi Seseorang Berasuransi. Retrieved fromhttp://eprints.walisongo.ac.id/.


[13] Purwandari S.I & Maharani C. 2015. “Analisis Sikap Pekerja Informal Non PBI yang Belum Terdaftar Program Jaminan Kesehatan Nasional (NHI) 2014 di Kabupaten Brebes”. Unair Journal of Public Health, Vol 4 No. 2 tahun 2015.


[14] Yandrizal, et al. 2015. Analisis kemampuan dan kemauan membayar iuaran terhadap pencapaian UHC NHI di Kota Bengkulu. Jurnal Kesehatan Masyarakat Andalas, oktober 2015 –maret 2016. vol 10, no. 1 hal 3-10.