Factors Associated with National Health Insurance Coverage in Indonesia

Abstract

Background:\xa0The National Health Insurance (NHI) program is the Indonesian government s national health program. However, health insurance coverage has not been maximized. This study aims to analyze the factors associated with health insurance coverage in Indonesia.\xa0\xa0 Methods:\xa0Cross-sectional data were obtained from the Indonesian Demographic and Health Survey 2017. A total of 39,580 respondents were selected using two-stage stratified cluster sampling. The data come from the DHS Questionnaire Phase 7. The variables include age, education level, wealth quintiles, residence, the number of children who are alive, marital\xa0status, current employment status, earnings,\xa0and health insurance status. The data were analyzed using chi-squared and binary logistic analyses.\xa0\xa0 Results:\xa0The prevalence of health insurance\xa0coverage\xa0in\xa0the\xa0Indonesian population\xa0is 62.3%. Respondent age [AOR=0.875; 95% CI=0.763-0.967], education level [AOR=0.437; 95% CI=0.410-0.466], wealth quintile [AOR=0.762; 95% CI=0.713-0.815], residence [AOR=0.762; 95% CI=0.713-0.815], marital status [AOR=0.718; 95% CI=0.625-0.825] and earnings [AOR=1.245; 95% CI=1.177-1.316] are related to health insurance coverage.\xa0However, the number of children who are alive and respondents\xa0who\xa0were\xa0currently working were not significantly related to health insurance coverage in Indonesia.\xa0 Conclusion:\xa0The government needs to pay attention to the characteristics and demographic conditions of the Indonesian population to be able to achieve maximum health insurance coverage. Maximum coverage through the provision of appropriate information should be promoted.