Evaluasi Pelaksanaan Kebijakan Santunan Kematian berdasarkan PERWAKO Padang Nomor 12 Tahun 2015

This study aimed to evaluate the implementation of the life insurance policy in Padang City. This study is based on a number of problems, namely that there were still many poor people in Padang City did not know the implementation of the Life Insurance Policy. There were still many poor people in Padang City did not have a Community Health Insurance Card or Regional Health Insurance as one of the conditions for obtaining the life insurance funds. This study was a descriptive with qualitative approach. The informants in this study were determined through purposive technique. Data were collected through observation, interview and documention studies. The results of this study indicated that the implementation of the life insurance policy has not been effective, based onpolicy evaluation indicators used by William Dunn, that is the maximization in goal achievement, efficiency in implementation effort, community satisfaction for government policy, equal distribution. The life insurancefunds has been distributed evenly, the community supported the life insurance policy, and the life insurance policy is right to be implemented among community in Padang City.

Enrollment and Retention in Community Health Insurance: Experiences from ICOCARE scheme in South Western Uganda

Background: Globally, developing countries have inadequate capacity to raise tax to finance well-functioning health systems. In sub Saharan Africa, over 40% of the total health expenditure comes from households and mostly out of pocket payments. Over 20% of the population spend more than 10% of their total household consumption expenditure on health care. Prepayment schemes are crucial for promoting resource pooling and risk sharing to prevent catastrophic health expenditure, yet in Uganda only 1% of women and less than 2% of men are covered by health insurance schemes. Private insurance companies cover approximately 12% of Ugandans who are formally employed. We analyzed factors associated with enrollment and retention in ICOCARE health insurance scheme and examined ways to increase enrollment and reduce dropouts. Methods: This was a cross sectional study which employed both quantitative and qualitative methods of data collection. We interviewed 194 respondents who included both active and non-scheme members of the ICOCARE community health insurance scheme. We conducted three focus group discussions and two key informant interviews with key stakeholders. Quantitative data was analyzed using Statistical Package for Social Scientists software version 20 and STATA 13 while qualitative data was analyzed using the six steps of thematic analysis developed by Braun and Clarke. Results: We found that enrollment and retention into ICOCARE health insurance scheme was influenced by quality of care, extra charges to members, service exclusions, and knowledge of Community Health Insurance principles, previous illness experiences, distance from home to service provider and means of transport used to reach the health facilities. Members living in less than 5km to the service provider were 8 times more likely to enroll and retain membership into ICOCARE health insurance scheme [p-value <0.05 and CI (3.288-22.302)]. Conclusions: Knowledge on Community Health Insurance principles, benefits and coverage of non communicable diseases which is excluded in most CHI benefit packages influenced enrollment and retention. Transport costs to service providers deterred potential members from renewal of membership. CHI schemes need to intensify community education on CHI principles and identify service providers in areas where members can easily access care to minimize extra costs.

Sistem Pendukung Keputusan Menentukan Peserta Jamkesmas Dengan Metode Simple Additive Weighting

The government based on Article 28 of the 1945 Constitution provides health services to ensure access of the poor by issuing Jamkesmas. However, the Jamkesmas program currently has problems in determining the Jamkesmas recipient residents. Because in decision making there are still subjectivities and the selection process runs less quickly. As an auxiliary media in determining eligible participants to get Jamkesmas (Community Health Insurance) as well as testing the SAW method (Simple Additive Weighting) to provide recommendations for participants who deserve the Jamkesmas program. The selection process uses the SAW method for several criteria from BPS (Central Bureau of Statistics). Furthermore, the criteria are processed using an application built using php and mysql programming languages ​​to test these criteria. The processing stages are poverty criteria based on the condition of the residents in the form of Floor Area per Capita, Type of Floor, Availability of Clean Water, Latrine Type, Asset Ownership, Income, Expenditures, and Consumption of Side Dishes. The results of the decision stating that there was 1 participant, namely the total number of women with a total value of 0.475, was declared eligible because the mother was the number 1 out of 10 candidates selected using the SAW method. This system proved to be helpful in determining participants who were entitled and deserving of JAMKESMAS. And also this system is only a tool for decision makers, the final decision remains in the hands of decision makers.

Penerapan Weighted Sum Model (WSM) Dalam Penentuan Peserta Jaminan Kesehatan Masyarakat

Community Health Insurance is one of the government programs for the people of Indonesia in obtaining treatment services at Puskesmas. The program is very helpful for people who are low income and live below the poverty line. Indicators for the government in providing this service consists of 10 (ten) criteria that are House Ownership Status, Floor Area per Household Member, Type of Floor of House, Type of Wall House, Lighting House Used, Fuel Used, Frequency Of Eating In A Day, Ability Buy meat/chicken/milk in a week, Employment of head of household, Education of head of household. In the application, of course, has constraints in deciding who the participants who get the Jamkesmas service. With the application of one of Multi-Criteria Decision Making (MCDM) able to overcome obstacles faced by government. Some methods of MCDM such as Simple Additive Weighting(SAW), Weighted Product(WP), Weighted Sum Model(WSM) can solve this problem. By applying the WSM is relatively easy and fast, is believed to be able to get the best results.

Knowledge, Practice and Willingness to Participate in Community Health Insurance Scheme among Households in Nigerian Capital City

<p><strong>Background:</strong> Health insurance is a social security system that guarantees the provision of needed health services to persons on the payment of token contributions at regular intervals. The objective of the survey was to determine knowledge, practice and willingness of households in Nigerian Capital City to pay and participate in Community Health Insurance Scheme.</p><p><strong>Materials and Methods:</strong> This descriptive and analytical cross-sectional study was carried out using the multistage cluster sampling technique to obtain data from 300 selected household heads or main financial decision makers. The data was analyzed using EPI-INFO software package. Statistical significance of p &lt; 0.05 and confidence limit of 95% was used.</p><p><strong>Results:</strong> The major findings showed that the level of awareness (13%) concerning Community Health Insurance (CHI) was found to be very low among the respondents. The general principles of CHI were also poorly understood by the respondents. Attitude to the programme was positive as many showed interest in participating and enrolling themselves (97.0%), some family members (96.3%) and entire family members (90.3%). Borrowing money to settle medical bills in this study has occurred in 30% of instances. Majority of respondents were willing to pay premiums ranging from N450 (96.6%) to N1200 (72.5%) for simple packages that do not include surgery and hospitalization.</p><p><strong>Conclusions:</strong> The community members were willing to participate and enrol if the programme is brought to them. There is a need to adequately subsidize the premiums that respondents were willing to pay in order to meet up with the cost of treatment.</p><strong>Key Words:</strong> Willingness, Participate, Community Health Insurance.