TY - JOUR
T1 - National health insurance scheme
T2 - Internal and external barriers in the use of reproductive health services among women
AU - Martha, Evi
AU - Lestari, Herna
AU - Zulfa, Resvi Siti
AU - Sopamena, Yoslien
N1 - Funding Information:
The authors were grateful to all participants of NHI user and MAMPUAUSAID as regards funding. They are also grateful to Yayasan Kesehatan Perempuan, PIAR NTT in Kupang City, Swara Parangpuan Manado, LP2M in Padang District, and Jaringan Perempuan Peduli Kesehatan, for generously collaborating, in order to perform this study.
Publisher Copyright:
Copyright © 2021, Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), p-ISSN: 1907-7505, e-ISSN: 2460-0601, SINTA-S1 accredited, http://journal.fkm.ui.ac.id/kesmas, Licensed under Creative Commons Attribution-ShareAlike 4.0 International
PY - 2021/5
Y1 - 2021/5
N2 - Lack of familiarity among the community, medical workers, and administrative staff regarding reproductive health services covered by Badan Penyelenggara Jaminan Sosial (BPJS) or the National Health Insurance (NHI) in Indonesia remained a problem. Therefore, this resulted in sub-optimal use of the medical services, as shown by surveys from the Women's Health Foundation for three consecutive years (2015-2017). This qualitative study was conducted with a Rapid Assessment Procedure design in three cities within Indonesia: Padang Pariaman, Manado, and Kupang. Data were collected through IDIs (n = 47 informants) and 6 FGDs (7 persons/group). Participants also consisted of NHI RHS users (mothers and young women), administrative officers at health facilities, medical services providers, and officials related to the NHI assistance. Data were managed using NVivo version 2.0 software, accompanied by thematic analysis. The internal barriers in NHI use included inadequate knowledge of RHS covered by NHI, and a culture of shame in informants. External barriers included additional costs for medicines not covered by NHI, the dissatisfaction of health services provided by medical workers, busy work and household activities, and lack of women's role in decision-making within families, which related to reproductive wellness.
AB - Lack of familiarity among the community, medical workers, and administrative staff regarding reproductive health services covered by Badan Penyelenggara Jaminan Sosial (BPJS) or the National Health Insurance (NHI) in Indonesia remained a problem. Therefore, this resulted in sub-optimal use of the medical services, as shown by surveys from the Women's Health Foundation for three consecutive years (2015-2017). This qualitative study was conducted with a Rapid Assessment Procedure design in three cities within Indonesia: Padang Pariaman, Manado, and Kupang. Data were collected through IDIs (n = 47 informants) and 6 FGDs (7 persons/group). Participants also consisted of NHI RHS users (mothers and young women), administrative officers at health facilities, medical services providers, and officials related to the NHI assistance. Data were managed using NVivo version 2.0 software, accompanied by thematic analysis. The internal barriers in NHI use included inadequate knowledge of RHS covered by NHI, and a culture of shame in informants. External barriers included additional costs for medicines not covered by NHI, the dissatisfaction of health services provided by medical workers, busy work and household activities, and lack of women's role in decision-making within families, which related to reproductive wellness.
KW - National health insurance
KW - Reproductive health
KW - The social security administrative body for health
KW - Women
UR - http://www.scopus.com/inward/record.url?scp=85107063744&partnerID=8YFLogxK
U2 - 10.21109/KESMAS.V16I2.3712
DO - 10.21109/KESMAS.V16I2.3712
M3 - Article
AN - SCOPUS:85107063744
SN - 1907-7505
VL - 16
SP - 91
EP - 99
JO - Kesmas
JF - Kesmas
IS - 2
ER -
