ACADSTAFF UGM
| Title | : | Social Health Insurance and Payment for Family Planning Services: Evidence from Indonesia: 128 |
| Author | : |
Prof. dr. Siswanto Agus Wilopo, SU, M.Sc, Sc.D (1) Anggriyani Wahyu Pinandari, SKM, M.P.H. (2) dr. Amirah Ellyza Wahdi, MSPH (3) Iswari Hariastuti (4) Hadriah Oesman (5) Robert Magnani (6) |
| Date | : | 1 2019 |
| Keyword | : | Sosial Health ,Insurance ,Payment ,Family planning service Sosial Health ,Insurance ,Payment ,Family planning service |
| Abstract | : | Background: Per United Nations 2030 Sustainable Development Goal aspirations, Indonesia has since 2014 been implementing a Universal Health Coverage (UHC) scheme that covers family planning (FP) services. No prior studies examine the impact of health insurance on contraceptive use in low- and middle-income countries. This study sought to assess progress in providing insured women with access to free FP services and the correlates there of. Method: We analyse the experiences of 3,707 married women who used modern contraception at the time of the Indonesian 2015 Performance Monitoring and Accountability 2020 survey and had received FP services in the 12 months prior to the survey. We assessed type of payment (insurance vs. out-of-pocket) for FP services in relation to health insurance coverage, contraceptive method, type of health facility, and respondent background characteristics. Logistic regression was used to assess net effects of the factors considered. Results: Although 51% of study subjects were covered by some form of health insurance, the member of BPJS and JAMKESMAS/DA were 19.2% and 21.4% of them received free FP services. While insured women were 2.5 times likely to have received free services than non-insured women, only about 20% of insured women avoided out-of-pocket payments. Receipt of free services was far more likely with public sector service providers and when long-acting contraceptive Methods were chosen. Other factors influencing receipt of free services included parity, level of informed choice, and residence (urban vs. rural; inner vs. outer islands). Conclusions: The findings are indicative of the issues that many countries will have to address in trying to reach SDG goals with regard to UHC and reproductive health, especially countries with sizeable private sector participation in providing family planning services and countries with decentralized systems of government. If service delivery is dominated by the private sector and financed largely by out-of-pocket payments, then moving to free services under UHC will be challenging for FP programme |
| Group of Knowledge | : | Kesehatan Masyarakat |
| Original Language | : | English |
| Level | : | Internasional |
| Status | : |
Published
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