scholarly journals The sustainability of premium payment of national health insurance’s self-enrolled members in Jakarta Greater Area

2021 ◽  
Author(s):  
Renny Nurhasana ◽  
Budi Hidayat ◽  
Pujiyanto Pujiyanto ◽  
Suci Puspita Ratih ◽  
Risky Kusuma Hartono ◽  
...  
Keyword(s):  
National Health ◽  
Compliance Rate ◽  
Household Head ◽  
Tobacco Consumption ◽  
Insurance Premium ◽  
Health Seeking ◽  
Premium Payment ◽  
Seeking Behavior ◽  
Improve Compliance ◽  
Access And Quality

Background: The sustainability of the National Health Insurance (NHI) program heavily relies on the premium of its member. The negligence of a large number of members to pay the premium lead to the failure of the Social Security Agency for Health (SSAH) to deliver its services. This study aims at analyzing important factors that influence the sustainability of premium payment of NHI’s self-enrolled members in the Jakarta Greater Area.Design and MethodS: This study performed an econometric analysis from the panel and the same respondent’s data in 2015 and 2017. The population of the study was NHI’s self-enrolled members who lived in the City of Jakarta, Bogor, Depok, Tangerang, Bekasi, (Jakarta Greater Area) and it represents the urban area of Indonesia. The ordinal logistic regression model was used to determine the type of sustainability NHI premium payment.Results: The survey shows that around 28.3% of self-enrolled members do not pay the NHI insurance premium regularly. Applying ordered logit this study statistically confirms that age of household head, income per month, never experience economic hardship, 1st/2nd class registration, and benefits of SSAH are positively correlated with compliance rate to pay NHI insurance premium. Whereas tobacco consumption, health-seeking behavior, and the 2016 increase of premium are negatively correlated with regular premium payment.Conclusion: This study calls for policy intervention to improve compliance of premium payment such as 1) massive promotion of insurance literacy and benefits of insurance through a health professional, internet, and government officer; 2) expanding auto-debit and installment premium payment; 3) incentive for paying premium regularly and not smoking; and 4) improving access and quality of health services.

scholarly journals Gambaran Perilaku Pencarian Pengobatan Penyakit Tuberkulosis (TB) pada Masyarakat di Wilayah Kerja Puskesmas Uitao Kecamatan Semau Kabupaten Kupang

2020 ◽  
Vol 2 (3) ◽  
pp. 8-16
Author(s):  
Mayang Bukan ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen
Keyword(s):  
National Health ◽  
National Health System ◽  
Health Facilities ◽  
Treatment Seeking ◽  
Access To Health Services ◽  
Health Seeking ◽  
Self Medication ◽  
Health Seeking Behavior ◽  
Tb Treatment ◽  
Seeking Behavior

Treatment-seeking behavior can be seen as a reflection of the implementation of the national health system and access to health services. In the context of treatment-seeking behavior in Indonesia, the use of national health facilities. Health seeking behavior or health seeking behavior, most Indonesians will try to treat themselves first by using medicines bought at kiosks without a doctor's prescription or using traditional ingredients in the surrounding environment and even asking a traditional healer for help. If they are not successful then they go to a medical health service place, this is because Indonesia has sources of treatment covering three interconnected sectors, namely self-medication (self-medication), medical treatment and traditional medicine. However, treatment is not only conventional in nature, there are alternative treatments that are popular with the community, especially in countries rich in culture and beliefs such as Indonesia. type of research used in this research is descriptive research with a quantitative approach. This study uses a descriptive approach with the aim of describing the object of research or research results. the sampling technique using total sampling. a sample size of 209 respondents. The results showed that treatment-seeking behavior at health facilities was 41.2%, while other treatments were 58.8%. poor knowledge about TB 54.4% compared to respondents with good knowledge about TB 45.6%. positive attitude towards TB treatment was 38.2% smaller than negative attitude 61.8%. Good belief in TB treatment-seeking behavior was 36.8% smaller than bad belief about TB treatment 63.2%.

scholarly journals Disease Pattern and Health Seeking Behavior in Rural Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 32-37 ◽  
Author(s):  
M Rahman ◽  
MM Islam ◽  
MR Islam ◽  
G Sadhya ◽  
MA Latif
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Household Head ◽  
Gastrointestinal Diseases ◽  
Day Labor ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Rural Bangladesh ◽  
Disease Pattern ◽  
Seeking Behavior

Knowledge about the existing disease pattern and health seeking behavior is essential to provide need based health care delivery to any population and to make the health care system more pro-poor. A community based cross sectional study was conducted among 493 systematically selected households in the Modhukhali Upazilla of Faridpur District to determine the prevailing disease pattern and health seeking behavior in rural Bangladesh. Data were collected through face-to-face interview of the selected respondents. More than half of the respondents gave history of illness of her or her family members during the preceding 15 days. Fever (33.2%), gastrointestinal diseases (24.9%) and respiratory diseases (17.8%) were the most reported complaints. Overall, there were no discernible differences in the likelihood of seeking traditional or any kind of care considering socio-demographic variables and prevailing disease types. Occupation of household head as day labor or in agriculture and suffering from gastrointestinal diseases positively predicted use of para-professionals. Use of un-qualified allopths was negatively predicted by the male gender or literacy of the household head and presence of gastrointestinal, respiratory and other types of diseases and positively predicted by occupation of the household head in agricultural field or as day labor. Use of qualified allopaths was positively predicted by respiratory, skin/eye/ENT and other types of diseases and also by standard of living and relationship of the respondents with household head and negatively predicted by agricultural or day labor work of the household head. Existence of several distinct therapeutic systems in a single cultural setting was found to be an important feature of health care system in the study area. This study concluded that it is important to develop a need based health care delivery system and actions should be taken to improve the overall scenario of health system of rural Bangladesh. Key words: Disease pattern; health seeking behavior; rural area; Bangladesh DOI: 10.3329/fmcj.v6i1.7408 Faridpur Med. Coll. J. 2011;6(1): 32-37

Non-compliance to Mass Drug Administration Associated with the Low Perception of the Community Members About their Susceptibility to Lymphatic Filariasis in Ankobra, Ghana

2020 ◽  
Vol 20 (2) ◽  
pp. 167-174
Author(s):  
Ilo Dicko ◽  
Yaya Ibrahim Coulibaly ◽  
Modibo Sangaré ◽  
Bismark Sarfo ◽  
Priscillia Awo Nortey
Keyword(s):  
Lymphatic Filariasis ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Health Workers ◽  
Compliance Rate ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Improve Compliance ◽  
Degree Of Association

Background: Lymphatic filariasis (LF) is a parasitic disease that has been targeted for elimination through the Mass Drug Administration (MDA.) Although the MDA started in the Ankobra community in Ghana in 2000, LF prevalence as reported in 2014 was relatively high (4.5%). Non-compliance to the MDA has been associated with the persistent LF prevalence in endemic regions. Objective: This study determined the factors associated with the non-compliance to the MDA among patients living in the Ankobra community, Ghana. Methods: A cross-sectional study using a one-stage cluster sampling method was used to collect data between June and July, 2017 in Ankobra. Questionnaires were used to collect data from health workers, the MDA drug distributors and study participants in Ankobra. Data analysis was performed using STATA 14. Logistic regression was used to measure the degree of association between the dependent (non-compliance) and independent variables. Non-compliance rate was defined as the percentage of individuals who self-reported that they did not actually swallow the drugs provided during the MDA. Results: The MDA coverage and non-compliance rates were 73.5% (147/200) and 33.33% (49/147) respectively. The main reason for non-compliance was fear of drug adverse events (75.51%, 37/49). Thought of “not being susceptible to LF” was significantly associated with the non-compliance (aOR= 2.83, [CI= 1.15, 6.98]). Conclusion: Health education about the susceptibility of residents getting LF disease in endemic community must be intensified to improve compliance to MDA medication ingestion and thus meet the Global Elimination of Lymphatic Filariasis by 2020.

Sign in / Sign up

Export Citation Format

Share Document