The Effect of Health Insurance on Institutional Delivery in Indonesia
Journal Title: Kesmas: National Public Health Journal - Year 2018, Vol 12, Issue 3
Abstract
Institutional delivery has an impact on the decline in maternal mortality rate. In Indonesia, institutional delivery increases every year, but there are still 30%-37% mothers who deliver at home. Unfortunately, the increase is not in line with maternal mortality reduction, so that Indonesia does not achieve the fifth MDGs goal. To achieve Universal Health Coverage, Indonesia implements National Health Insurance (NHI). NHI integrates four types of health insurance, namely Askes/ASABRI, Jamsostek, Jamkesmas and Jamkesda. One of its benefits is maternal health services. Health insurance can address financial barriers on delivery in health facility. By using secondary data of National Basic Health Research 2013 and Village Potential 2011 data, this study aimed to analyze effect of health insurance on institutional delivery in Indonesia. Samples were 39,942 women aged 15-49 years old who gave birth to their last child during 2010-2013. The study used econometric approach by applying probit and bivariate probit as estimation model to estimate the effect with consideration to endogeneity issue of health insurance. The results found that health insurance was likely to increase institutional delivery by 39.52%. In conclusion, women who have health insurance prefer to deliver birth at health facility compared to those who do not have health insurance.
Authors and Affiliations
Mazda Novi Mukhlisa, Pujiyanto Pujiyanto
Keywords
Related Articles
- EP ID EP452634
- DOI 10.21109/kesmas.v12i3.1099
- Views 75
- Downloads 0
Sikap Remaja terhadap Keperawanan dan Perilaku Seksual dan Berpacaran
Abstrak Laporan Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 dan 2012 menunjukkan terjadinya penurunan jumlah remaja yang memiliki sikap positif terhadap pentingnya mempertahankan keperawanan bagi seorang p...
Pertumbuhan dan Perkembangan Anak Usia 3-24 Bulan di Daerah Konflik
The first five years are an important period in the development of the child. Children born and living in areas prone to disasters (natural disasters, war or armed conflict), risk of growth failure and developmental dela...
Residential Density, Parents’ Sexual Activity and Teenage Sexual Behavior in Yogyakarta
In dense and slum areas, parents often have to share bedroom with their children, so the children have been exposed to sexual activity since early. This study aimed to determine residential density, parents’ sexual activ...
Adolescent’s Knowledge and Skill to Refuse Drugs
Various efforts have been made to prevent adolescents from the drug use, despite their knowledge and skill to refuse drugs have never been evaluated. This study was aimed to describe the adolescents knowledge and skill t...
Effect of Nutrition Counseling Knowledge and Attitude Toward Mother breastfeeding and Baby Growth in Sub Lubuk Pakam
To implement exclusive breastfeeding program, breastfeeding mothers should have a good knowledge. One way to gain knowledge is by providing nutritional counseling. This study aimed to determine the effect of nutrition co...