Contributory factors the poor unable to access the National Health Protection: A case study in Waingapu, Sumba Timur District, Indonesia

Harnani, Baiq Dewi (2022) Contributory factors the poor unable to access the National Health Protection: A case study in Waingapu, Sumba Timur District, Indonesia. IJHPMA.

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Abstract

Background and Purpose: Regardless of the significant coverage of the poor by the National Health Protection of Indonesia (NHPS), hundreds of thousands still need access to membership and free health care. The study investigates the underlying factor making the poor cast away from the NHPI, especially in Waingapu, Sumba Timur, Indonesia. Methods: We use a qualitative approach to identify the contributing factors to why NHPI is inaccessible for some populations. A total of 30 residents of Waingapu who attend healthcare in two hospitals and five Community Health Centers were recruited using convenience technic. Twenty residents participated in the semi-structured interview, while ten engaged in casual conversations. We also interviewed three heads of community groups and three health cadres, for comparative information. Questions have been developed to guide the interviews and casual conversation. The interviews were audio-taped and transcribed while intensive note-taking occurred during the informal discussion or narrated the conversation immediately after the talks ended. The information was inductive, analyzed and coded to produce common information among the participants. Results: The data analysis reveals the factors that contributed to the failure of the resident to enrol in the NHPI, such as lack of information about the registration, poor socialization of the program, the ignorance of village officers, unaffordability, and confusion about the parties responsible for the registration. Conclusion: The study concludes that poor people are still vulnerable to access free coverage and healthcare from the NHPI. The stakeholders of the NHPI, especially the local management of NHPI and local government, need to educate the commoners about the mechanism, benefits, and contribution to the NHPI to ensure equity and equality in accessing quality healthcare.

Item Type:	Article
Additional Information:	03/JOURNAL202202
Uncontrolled Keywords:	Poor people, access, National Health Protection
Subjects:	R Medicine > RT Nursing
Divisions:	Poltekkes Kemenkes Surabaya > Jurusan Keperawatan > Program Studi DIII Keperawatan Sutopo Surabaya
Depositing User:	Danty Pramita
Date Deposited:	13 Apr 2023 03:18
Last Modified:	13 Apr 2023 03:18
URI:	http://repo.poltekkesdepkes-sby.ac.id/id/eprint/6720

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