Authors:
Habibi Zamuli
;
Retna Siwi Padmawati
and
Diah Ayu Puspandari
Affiliation:
Department of Public Health, Faculty of Medicine and Universitas Gadjah Mada, Indonesia
Keyword(s):
Informal sectors, National Health Insurance’s, Unpaid premiums, City of Baubau.
Abstract:
National Health Insurances (NHI) as informal sectors member are facing difficulties in paying the contributions are vulnerable NHI participants to unpaid premiums. This problem is more common in the informal sector workers and non-workers. The expanding aspect coverage of membership and contribution sustainability, especially participants PBPU and BP is a major challenge that must be faced by BPJS Kesehatan. Objective of this research is analysing the contributing factors for unpaid premiums of informal workers participants in Baubau City. This research used mixed method, concurrent embedded design. Unit analysis this study is that people who are in unpaid informal sector participants pay dues of NHI. The data was collected by in-depth interviews and questionnaires. Results showed that there are seven factors that causes PBPU participants unpaid premiums at Baubau City are socio-demographic categorization because types of jobs that are not earning salary with earnings below UMR, forg
ot, dissatisfied with health services provided, limited access to premium payment channels, healthy, class restrictions, health seeking behaviour and knowledge. Conclusion from this research is unpaid premiums by JKN PBPU participants in Baubau City are still high, therefore needed a breakthrough and right strategy to prevent and reduce to PBPU participants who are unpaid premiums.
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