National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia.
Sekolah Tinggi Ilmu Kesehatan Indonesia Maju, Jakarta, Indonesia.
PLoS One. 2020 Jul 2;15(7):e0235176. doi: 10.1371/journal.pone.0235176. eCollection 2020.
The maternal mortality rate in Indonesia is still high, at 305 per 100,000 live births. Several studies indicated maternal financial burden as one of the dimensions of access that influence a pregnant woman's ability to receive adequate, high-quality medical care. This study aims to identify the association between the use of Indonesia's national health insurance (JKN) and out-of-pocket (OOP) expenditures in accessing delivery services, using data from the Indonesian Family Life Survey 5. In addition, this study also investigated the relationship of JKN and the potential reduction of catastrophic delivery expenditures (CDEs) for delivery services. The results show that JKN was associated with reduced OOP expenditures for delivery as well as reduced risk of incurring CDE. However, some OOP expenditure for cost of delivery services still exists among mothers who used JKN during delivery, potentially due to factors such as medicine stock availability and inpatient care shortages.
印度尼西亚的孕产妇死亡率仍然很高，为每 10 万活产 305 人。几项研究表明，孕产妇的经济负担是影响孕妇获得充足、高质量医疗服务能力的可及性维度之一。本研究旨在利用印度尼西亚家庭生活调查 5 的数据，确定印度尼西亚国家健康保险 (JKN) 的使用与获得分娩服务的自付费用 (OOP) 支出之间的关联。此外，本研究还调查了 JKN 与潜在降低分娩服务灾难性分娩支出 (CDE) 的关系。结果表明，JKN 与降低分娩的 OOP 支出以及降低 CDE 的风险有关。然而，在使用 JKN 进行分娩的母亲中，仍存在一些分娩服务费用的自付支出，这可能是由于药品库存可用性和住院护理短缺等因素造成的。
