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The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia

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  • Wahyu Pudji Nugraheni
  • Rofingatul Mubasyiroh
  • Risky Kusuma Hartono

Abstract

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.

Suggested Citation

  • Wahyu Pudji Nugraheni & Rofingatul Mubasyiroh & Risky Kusuma Hartono, 2020. "The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-16, July.
    • Handle: RePEc:plo:pone00:0235176
    DOI: 10.1371/journal.pone.0235176
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    2. Anup Karan & Sakthivel Selvaraj & Ajay Mahal, 2014. "Moving to Universal Coverage? Trends in the Burden of Out-Of-Pocket Payments for Health Care across Social Groups in India, 1999–2000 to 2011–12," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-13, August.
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    4. Igna Bonfrer & Lyn Breebaart & Ellen Van de Poel, 2016. "The Effects of Ghana’s National Health Insurance Scheme on Maternal and Infant Health Care Utilization," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-13, November.
    5. Srinivas Goli & Anu Rammohan & Moradhvaj, 2018. "Out-of-pocket expenditure on maternity care for hospital births in Uttar Pradesh, India," Health Economics Review, Springer, vol. 8(1), pages 1-16, December.
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    1. Sambodo, Novat Pugo & Bonfrer, Igna & Sparrow, Robert & Pradhan, Menno & van Doorslaer, Eddy, 2023. "Effects of performance-based capitation payment on the use of public primary health care services in Indonesia," Social Science & Medicine, Elsevier, vol. 327(C).

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