Factors Related Participation of Informal Sector Community to Join the National Health Insurance Programs

Abstract

Community participation to join the national health insurance in Kuantan Singingi until December 2014 was 30% from all population, and 4% from them were the participant from the informal sectors. The Participant from informal sectors was still little, but the government effort to cover all population before 2019. Many factors related to community participation from informal sectors to join the national health insurance, such as knowledge, attitude, health status, income, cost, and education. This research purposed to determine factors related to community participation from informal sectors to join the national health insurance. This research was quantitative analytical with cross-sectional study design. The population of the research was the informal sector workforce and the sample size was 211 households. Data analysis with univariate, bivariate with Chi-Square test, and multivariate with Multiple Logistic Regression tests. The results showed the informal participants of NHI that did not join the national health insurance about 67.3%. The factors related with community participation from informal sectors to join the national health insurance consist of Knowledge (POR=14.887), Attitude (POR=4.626), Health Status (POR=172.823), Cost (POR=21.594), and Education (7.495). The most dominant factor related to the community participation from informal sectors to join the national health insurance is Health Status after being controlled by knowledge, attitude, cost, and education. Be recommended to the Department of Health in District order to improve knowledge about the importance of NHI programs, assure people to participate in the Membership of NHI informal sectors programs with involving cross sectors; health center, head of village, BPJS Health, and community leaders, the Health Center to cooperate with authorized institutions in conducting the data collection of the poor to be included as participants NHI assisted by the Regional Government.



Keywords: Participation of the informal sector; the national health insurance; health status; knowledge; attitude; cost; education

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