Develop effective strategies to increase community participation

Oct 13, 2025 by wbrum.org 55 views

Introduction

The Universal Health Coverage (UHC) target is a crucial goal for many countries, including Indonesia. Achieving this target requires a significant increase in the number of people participating in health insurance programs, such as the National Health Insurance Program (JKN) or BPJS Mandiri. However, the number of BPJS Mandiri participants in Kisaran Timur District, Asahan Regency, is relatively low, with only 11,729 people registered. This study aims to explore the influence of family socioeconomic characteristics on community decisions to register as BPJS Mandiri participants.

Background

Kisaran Timur District in Asahan Regency faces challenges in achieving the UHC target in 2019. The low number of BPJS Mandiri participants is a significant concern, as it may limit access to health services for the community. Understanding the factors that influence community decisions to register as BPJS Mandiri participants is essential to develop effective strategies to increase participation and achieve the UHC target.

Methodology

This study uses a survey method with a cross-sectional study approach. The research subjects were all family heads who live in East Kisaran District, with a total of 16,843 family heads. The sample was taken using a proportioned non-random sampling and purposive sampling technique using the Slovin formula, producing 100 samples. Data was collected through interviews with questionnaires, and analyzed using the Chi-Square test and multiple logistics regression tests.

Results

The Chi-Square test results show that the work variables, health status assessments, income, and contribution prices are related to community demand to become BPJS Mandiri participants. Multiple Logistics Regression Analysis revealed that the work variable (p = 0.040), health status assessment (p = 0.029), income (p = 0.001), and BPJS fees (p = 0.035) have a significant influence on public demand to become BPJS Mandiri participants. From these results, the revenue variable has the most dominant influence with the highest Exp (B) value, which is 3.317 times, shows that the higher the income, the more likely the community to register as BPJS Mandiri participants in the East Kisaran District area.

Discussion

This analysis shows that income is a major factor that influences people's decisions to become BPJS Mandiri participants. This confirms the importance of individual economic capacity in accessing health services. When a person's income increases, they tend to be better able to pay BPJS contributions, which in turn contribute to the increase in the number of BPJS Mandiri participants.

The results of this study also highlight the importance of socialization regarding the National Health Insurance Program (JKN). Inviting people who have utilized the JKN program as a model can increase community understanding of the benefits and importance of becoming BPJS Mandiri participants. With this step, it is expected to expand the scope of BPJS Mandiri membership and support the achievement of UHC targets in Kisaran Timur District.

Conclusion

Overall, this research provides an important insight into the dynamics of socioeconomic factors that influence community decisions in participating in health programs. By paying attention to these factors, more effective strategies can be developed to increase community participation in the BPJS Mandiri program, which in turn will have a positive impact on public health in Asahan Regency.

Recommendations

Based on the findings of this study, the following recommendations are made:

Increase socialization regarding the National Health Insurance Program (JKN): Inviting people who have utilized the JKN program as a model can increase community understanding of the benefits and importance of becoming BPJS Mandiri participants.
Develop effective strategies to increase community participation: By paying attention to the socioeconomic factors that influence community decisions, more effective strategies can be developed to increase community participation in the BPJS Mandiri program.
Expand the scope of BPJS Mandiri membership: By increasing community participation in the BPJS Mandiri program, the scope of membership can be expanded, which in turn will support the achievement of UHC targets in Kisaran Timur District.

Limitations

This study has several limitations, including:

Sample size: The sample size of 100 may not be representative of the entire population of Kisaran Timur District.
Data collection method: The data was collected through interviews with questionnaires, which may not be the most effective method for collecting data on socioeconomic factors.
Analysis method: The analysis was conducted using the Chi-Square test and multiple logistics regression tests, which may not be the most effective methods for analyzing the data.

Future Research Directions

Future research directions include:

Conducting a larger-scale study: A larger-scale study can provide more representative data and increase the generalizability of the findings.
Using a more effective data collection method: A more effective data collection method, such as a survey or a focus group discussion, can provide more accurate and reliable data.
Analyzing the data using more advanced statistical methods: More advanced statistical methods, such as structural equation modeling or machine learning algorithms, can provide a more comprehensive understanding of the socioeconomic factors that influence community decisions.

References

[1] World Health Organization. (2019). Universal Health Coverage (UHC) 2030.
[2] Ministry of Health of the Republic of Indonesia. (2019). National Health Insurance Program (JKN).
[3] BPJS Mandiri. (2019). BPJS Mandiri Membership Statistics.
[4] Asahan Regency Government. (2019). Asahan Regency Health Profile.
Frequently Asked Questions (FAQs) about the Socio-Economic Effect on Community Demands Becomes Mandiri BPJS Participants in Kisaran Timur District, Asahan Regency ===========================================================

Q: What is the Universal Health Coverage (UHC) target?

A: The UHC target is a goal to provide access to quality health services for all people, regardless of their income or social status. It aims to ensure that everyone has access to essential health services, including preventive, curative, and rehabilitative services.

Q: Why is the number of BPJS Mandiri participants in Kisaran Timur District, Asahan Regency, relatively low?

A: The number of BPJS Mandiri participants in Kisaran Timur District, Asahan Regency, is relatively low due to various factors, including lack of awareness about the benefits of health insurance, limited access to health services, and high costs associated with health care.

Q: What are the socioeconomic factors that influence community decisions to register as BPJS Mandiri participants?

A: The socioeconomic factors that influence community decisions to register as BPJS Mandiri participants include income, work variables, health status assessments, and contribution prices.

Q: How does income affect community decisions to register as BPJS Mandiri participants?

A: Income is a major factor that influences people's decisions to become BPJS Mandiri participants. When a person's income increases, they tend to be better able to pay BPJS contributions, which in turn contribute to the increase in the number of BPJS Mandiri participants.

Q: What is the role of socialization in increasing community participation in the BPJS Mandiri program?

A: Socialization plays a crucial role in increasing community participation in the BPJS Mandiri program. By inviting people who have utilized the JKN program as a model, community understanding of the benefits and importance of becoming BPJS Mandiri participants can be increased.

Q: What are the recommendations for increasing community participation in the BPJS Mandiri program?

A: The recommendations for increasing community participation in the BPJS Mandiri program include:

Increase socialization regarding the National Health Insurance Program (JKN): Inviting people who have utilized the JKN program as a model can increase community understanding of the benefits and importance of becoming BPJS Mandiri participants.
Develop effective strategies to increase community participation: By paying attention to the socioeconomic factors that influence community decisions, more effective strategies can be developed to increase community participation in the BPJS Mandiri program.
Expand the scope of BPJS Mandiri membership: By increasing community participation in the BPJS Mandiri program, the scope of membership can be expanded, which in turn will support the achievement of UHC targets in Kisaran Timur District.

Q: What are the limitations of this study?

A: The limitations of this study include:

Sample size: The sample size of 100 may not be representative of the entire population of Kisaran Timur District.
Data collection method: The data was collected through interviews with questionnaires, which may not be the most effective method for collecting data on socioeconomic factors.
Analysis method: The analysis was conducted using the Chi-Square test and multiple logistics regression tests, which may not be the most effective methods for analyzing the data.

Q: What are the future research directions?

A: The future research directions include:

Conducting a larger-scale study: A larger-scale study can provide more representative data and increase the generalizability of the findings.
Using a more effective data collection method: A more effective data collection method, such as a survey or a focus group discussion, can provide more accurate and reliable data.
Analyzing the data using more advanced statistical methods: More advanced statistical methods, such as structural equation modeling or machine learning algorithms, can provide a more comprehensive understanding of the socioeconomic factors that influence community decisions.