Can a National Health Insurance Policy Increase Equity in theUtilization of Skilled Birth Attendants in Indonesia? A Secondary Analysis ofthe 2012 to 2016 National Socio-Economic Survey of Indonesia

摘要

The Indonesian government has been implementing the National Health Insurance( [JKN]) policy since 2014. Thisstudy aimed to evaluate JKN based on equity indicators, especially in skilledbirth attendants (SBAs) use. The data were obtained from National Socio-EconomicSurvey of Indonesia during 2012 to 2016. To analyze the data, χ andlogistic regression tests were applied. The respondents were married mothersfrom 15 to 49 years who had delivered a baby. Deliveries by SBAs increased atthe national level, but this achievement showed significant variation accordingto geographical location. The coverage of deliveries by SBAs in the easternareas of Indonesia was still much lower than those in the western areas. Allfactors determining SBAs utilization (health insurance ownership, education,household economic status, and geography factor) indicated the positivecorrelation ( .05). The inequity of SBA use indifferences in geographical location and socioeconomic status continues to occurafter the implementation of JKN.