J Res Health Sci. 2024;24(1): e00608.
doi: 10.34172/jrhs.2024.143
  Abstract View: 220
  PDF Download: 34

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Role of Socioeconomic Status in National Health Insurance Ownership in Indonesia’s Rural Areas

Agung Dwi Laksono 1 ORCID logo, Ratna Dwi Wulandari 2* ORCID logo, Diyan Ermawan Efendi 1, Tumaji Tumaji 1, Zainul Khaqiqi Nantabah 1

1 National Research and Innovation Agency Republic of Indonesia, Jakarta, Indonesia
2 Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
*Corresponding Author: Ratna Dwi Wulandari, Email: ratna-d-w@fkm.unair.ac.id


Background: National Health Insurance (NHI) is one of the Indonesian Government’s policies to increase public access to health services. The study analyzed the role of socioeconomic status in NHI ownership in rural Indonesia.

Study Design: A cross-sectional study.

Methods: The study population included residents of rural Indonesia. The study examined secondary data from the survey entitled “Abilities and Willingness to Pay, Fee, and Participant Satisfaction in Implementing National Health Insurance in Indonesia in 2019”, involving 33225 respondents representing Indonesia’s rural areas. The study was conducted from March to December 2019. The variables analyzed included NHI, socioeconomic level, age group, gender, education level, employment status, and marital status. In the final step, the study employed binary logistic regression to explain the relationship between socioeconomic status and NHI ownership.

Results: The results show that 63.8% of the population in rural Indonesia participated in the NHI. The poorer residents were 1.235 times more likely to have NHI than the most impoverished population (AOR 1.235; 95% CI 1.234-1.237). People with middle wealth status were 1.086 times more likely to have NHI than the poorest (AOR 1.086; 95% CI 1.085-1.087). The richer residents were 1.134 times more likely to have NHI than the poorest (AOR 1.134; 95% CI 1.133-1.136). The richest residents were 1.078 times more likely to have NHI than the poorest residents (AOR 1.078; 95% CI 1.077-1.079).

Conclusion: The study concluded that socioeconomic status is related to NHI ownership in rural Indonesia. The analysis indicated that all socioeconomic categories were more likely to become NHI participants than the poorest in Indonesia.

Please cite this article as follows: Laksono AD, Wulandari RD, Efendi DE, Tumaji T, Nantabah ZK. Role of socioeconomic status in national health insurance ownership in Indonesia’s rural areas. J Res Health Sci. 2024; 24(1):e00608. doi:10.34172/jrhs.2024.143
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Submitted: 06 Aug 2023
Revision: 16 Nov 2023
Accepted: 17 Dec 2023
ePublished: 18 Mar 2024
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