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Can a National Health Insurance Policy Increase Modern Contraceptive Use? A Cross-Sectional Study of the Indonesian Government Performance and Accountability Survey (GPAS) 2019

Author

Listed:
  • Sujarwoto Sujarwoto
  • Mario Ekoriano
  • Edy Purwoko
  • Anastasia Septya Titisari
  • Aditya Rahmadhony
  • Diah Puspita Sari

Abstract

Universal health insurance is widely believed to be a key strategy for improving health services. However, few studies have examined whether it increases the use of modern contraceptives. The purpose of the present research is to determine whether the policy of incorporating family planning services into the national health insurance policy in Indonesia ( Jaminan Kesehatan Nasional [JKN], implemented in 2016) has led to an increase in the use of modern contraceptives. The data were obtained from the 2019 Government Performance and Accountability Survey (GPAS; T otal  = 46,220 married women aged 15–49 years). The findings show that women who are covered by the health insurance scheme for non-poor families (JKN non-PBI) are 19.12 times more likely to use modern contraceptives than women who are uninsured. Women who are covered by health insurance scheme for poor families (JKN PBI) are 17.04 times more likely to use modern contraceptives than those who are uninsured. These results are robust against predisposing, enabling and need factors associated with modern contraceptive uptake (i.e., education, family economic status, religion, knowledge of modern contraception, age at time of first marriage, perception of the ideal number of children, number of children born alive, and area of residence). The findings suggest that the government should expand health insurance benefits in order to increase the uptake of modern contraceptives, particularly among disadvantaged group within communities.

Suggested Citation

  • Sujarwoto Sujarwoto & Mario Ekoriano & Edy Purwoko & Anastasia Septya Titisari & Aditya Rahmadhony & Diah Puspita Sari, 2023. "Can a National Health Insurance Policy Increase Modern Contraceptive Use? A Cross-Sectional Study of the Indonesian Government Performance and Accountability Survey (GPAS) 2019," SAGE Open, , vol. 13(1), pages 21582440231, March.
    • Handle: RePEc:sae:sagope:v:13:y:2023:i:1:p:21582440231160665
    DOI: 10.1177/21582440231160665
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    References listed on IDEAS

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    1. Gezahegn Tesfaye & Catherine Chojenta & Roger Smith & Deborah Loxton, 2018. "Application of the Andersen-Newman model of health care utilization to understand antenatal care use in Kersa District, Eastern Ethiopia," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-20, December.
    2. Saifuddin Ahmed & W. Mosley, 2002. "Simultaneity in the use of maternal-child health care and contraceptives: evidence from developing countries," Demography, Springer;Population Association of America (PAA), vol. 39(1), pages 75-93, February.
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