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Assessing the Determinants of Compliance with Contribution Payments to the National Health Insurance Scheme among Informal Workers in Indonesia

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  • Trisnasari

    (ASEAN Institute for Health Development, Mahidol University, 999 Salaya, Phuttamonthon, Nakhon Pathom 73710, Thailand
    Social Security Administrator for Health (BPJS Kesehatan), Jakarta 10150, Indonesia)

  • Orapin Laosee

    (ASEAN Institute for Health Development, Mahidol University, 999 Salaya, Phuttamonthon, Nakhon Pathom 73710, Thailand)

  • Cheerawit Rattanapan

    (ASEAN Institute for Health Development, Mahidol University, 999 Salaya, Phuttamonthon, Nakhon Pathom 73710, Thailand)

  • Piyapong Janmaimool

    (ASEAN Institute for Health Development, Mahidol University, 999 Salaya, Phuttamonthon, Nakhon Pathom 73710, Thailand)

Abstract

This study aimed to investigate the determinants of compliance with contribution payments to the National Health Insurance (NHI) scheme among informal workers in Bogor Regency, West Java Province, Indonesia. Surveys of 418 informal workers in Bogor Regency from April to May 2023 were conducted. Multivariate logistic regression analyses were performed to assess the factors associated with informal workers’ compliance with NHI contribution payments. The results revealed that being female, having lower secondary education or below, perceiving good health of family members, having negative attitudes toward and poor knowledge of the NHI, experiencing financial difficulties, preferring to visit health facilities other than public ones, and utilizing fewer outpatient services were significantly associated with the noncompliance of informal workers with NHI contribution payments. It was concluded that economic factors alone cannot contribute to informal workers’ payment compliance and that motivational factors (knowledge, attitudes toward the insurance system, and self-related health status) also encourage them to comply with contribution payments. Improving people’s knowledge, especially on the risk-sharing concept of the NHI, should be done through extensive health insurance education using methods that are appropriate for the population’s characteristics.

Suggested Citation

  • Trisnasari & Orapin Laosee & Cheerawit Rattanapan & Piyapong Janmaimool, 2023. "Assessing the Determinants of Compliance with Contribution Payments to the National Health Insurance Scheme among Informal Workers in Indonesia," IJERPH, MDPI, vol. 20(23), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:23:p:7130-:d:1292088
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    References listed on IDEAS

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    1. Muttaqien Muttaqien & Hermawati Setiyaningsih & Vini Aristianti & Harry Laurence Selby Coleman & Muhammad Syamsu Hidayat & Erzan Dhanalvin & Dedy Revelino Siregar & Ali Ghufron Mukti & Maarten Olivier, 2021. "Why did informal sector workers stop paying for health insurance in Indonesia? Exploring enrollees’ ability and willingness to pay," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-19, June.
    2. Chukwuemeka A. Umeh, 2018. "Challenges toward achieving universal health coverage in Ghana, Kenya, Nigeria, and Tanzania," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 794-805, October.
    3. Michael Grossman, 1999. "The Human Capital Model of the Demand for Health," NBER Working Papers 7078, National Bureau of Economic Research, Inc.
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