Impact of government health insurance, and food assistance program on health complaint in Indonesia

The ranking of the Indonesian Human Development Index (HDI) 2017 has fallen compared to 1990. Health degree is one of the dimensions of the HDI. The health degree of the Indonesian from life expectancy at birth tends to increase, but not all years are in good health. Trend data in health complaints show that people who experience illness tend to increase in the last two decades. Government policies related to subsidized health insurance programs and food assistance programs are expected to affect individual health. The aim of this study is to examine the impact of government health insurance and food assistance program on health complaints and controlled by food insecurity, demographic and socio-economic characteristics (sex, age, area of residence, education, drinking water, and economic status), and health facilities per population density. Indonesia household socioeconomic survey conducted in March 2018 (1,131,195 individual samples), was analyzed using multinomial logit method. The findings indicate that subsidized government's health insurance owner has a lower risk of health complaints than the non-subsidized government's health insurance. Food assistance programs can reduce the probability of health complaints in moderate and severe food insecurity groups and at least junior high school graduated. Individuals who experience severe health complaints and outpatient treatments are higher at non-subsidized government's health insurance owner, the moderate-severe level food insecurity, living in rural areas, female, the elementary school graduated, under five age group, and the 20 percent richest. Health policy needs to be mapped according to food insecurity and affordability of health facilities.