Factors that Influence the Low Use of Jampersal at the Namorambe Health Center and the Public Perception of National Health Insurance

Oct 13, 2025 by wbrum.org 35 views

Factors that Influence the Low Use of Jampersal at the Namorambe Health Center and the Public Perception of National Health Insurance

Introduction

Understanding the Importance of Jampersal and National Health Insurance

Labor guarantees (Jampersal) is a government program designed to provide essential health services to pregnant women, including prenatal care, childbirth, postpartum care, and family planning. Despite its importance, the program has seen a low uptake in Deli Serdang Regency, with only 15.1% of eligible individuals utilizing the service. This low utilization rate raises concerns, particularly in light of the program's potential to reduce maternal mortality (MMR). In this context, the National Health Insurance Program (JKN) was launched in 2014, offering health insurance to those without coverage. While JKN is not a substitute for Jampersal, it does provide a range of health services, including Jampersal.

Background

The National Health Insurance Program (JKN) and Jampersal

The National Health Insurance Program (JKN) was introduced in 2014 to provide health insurance coverage to individuals without access to healthcare services. JKN is a comprehensive program that includes various health services, including Jampersal. Despite its benefits, the program has faced challenges in terms of public perception and utilization. This study aims to investigate the factors contributing to the low use of Jampersal at the Namorambe Health Center and to explore public perceptions of JKN.

Methodology

Analytical Survey with Cross-Sectional Approach

This study employed an analytical survey with a cross-sectional approach to investigate the factors influencing the low use of Jampersal at the Namorambe Health Center. The sample consisted of 210 pregnant women, maternity, and postpartum individuals. The study aimed to identify the factors affecting the utilization of Jampersal and to explore public perceptions of JKN.

Results

Factors Influencing the Low Use of Jampersal

The results of the study showed that only 26.7% of the sample utilized Jampersal, while 73.3% did not. Analysis revealed that factors such as work, income, knowledge, perception, culture, and social class significantly affected the low use of Jampersal. Interestingly, culture emerged as the most influential variable, with an Exp B value of 9,667. This suggests that social norms and people's habits in accessing health services play a crucial role in determining the decision to use Jampersal.

Public Perception of JKN

Positive Perception of JKN

The study also found that public perception of JKN tends to be positive, with 55.7% of respondents expressing a good perception of the program. This positive perception is a crucial factor in promoting the utilization of Jampersal and other health services.

Recommendations

Intensive Socialization and Coordination Efforts

Based on the findings of this study, it is recommended that the Deli Serdang District Health Office make more intensive socialization and coordination efforts with the Namorambe Health Center. Effective socialization of JKN and the benefits of Jampersal can help increase public awareness, leading to a higher uptake of the program and ultimately reducing maternal mortality.

Conclusion

The Importance of Jampersal and National Health Insurance

Jampersal is a critical program that provides essential health services to pregnant women. However, its low utilization rate in Deli Serdang Regency raises concerns. This study highlights the importance of understanding the factors influencing the low use of Jampersal and the public perception of JKN. By addressing these factors, it is possible to increase the utilization of Jampersal and other health services, ultimately reducing maternal mortality.

Limitations

Future Research Directions

This study has several limitations, including the small sample size and the cross-sectional design. Future research should aim to investigate the factors influencing the low use of Jampersal in a larger and more diverse sample. Additionally, longitudinal studies can provide valuable insights into the long-term effects of JKN and Jampersal on maternal health outcomes.

References

[List of references cited in the study]

Appendices

[Appendices containing additional information, such as survey instruments and data analysis results]

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Q&A: Factors that Influence the Low Use of Jampersal at the Namorambe Health Center and the Public Perception of National Health Insurance

Frequently Asked Questions

Q: What is Jampersal and why is it important?

A: Jampersal is a government program that provides essential health services to pregnant women, including prenatal care, childbirth, postpartum care, and family planning. It is a critical program that aims to reduce maternal mortality (MMR) and improve the health outcomes of pregnant women.

Q: Why is the utilization rate of Jampersal low in Deli Serdang Regency?

A: The study found that factors such as work, income, knowledge, perception, culture, and social class significantly affected the low use of Jampersal. Additionally, the study found that culture emerged as the most influential variable, with an Exp B value of 9,667. This suggests that social norms and people's habits in accessing health services play a crucial role in determining the decision to use Jampersal.

Q: What is the National Health Insurance Program (JKN) and how does it relate to Jampersal?

A: JKN is a comprehensive health insurance program that provides coverage to individuals without access to healthcare services. JKN includes various health services, including Jampersal. While JKN is not a substitute for Jampersal, it does provide a range of health services that can support the utilization of Jampersal.

Q: What is the public perception of JKN?

A: The study found that public perception of JKN tends to be positive, with 55.7% of respondents expressing a good perception of the program. This positive perception is a crucial factor in promoting the utilization of Jampersal and other health services.

Q: What are the recommendations for increasing the utilization of Jampersal?

A: Based on the findings of this study, it is recommended that the Deli Serdang District Health Office make more intensive socialization and coordination efforts with the Namorambe Health Center. Effective socialization of JKN and the benefits of Jampersal can help increase public awareness, leading to a higher uptake of the program and ultimately reducing maternal mortality.

Q: What are the limitations of this study?

A: This study has several limitations, including the small sample size and the cross-sectional design. Future research should aim to investigate the factors influencing the low use of Jampersal in a larger and more diverse sample. Additionally, longitudinal studies can provide valuable insights into the long-term effects of JKN and Jampersal on maternal health outcomes.

Q: What are the implications of this study for policy and practice?

A: The findings of this study have important implications for policy and practice. They highlight the need for more intensive socialization and coordination efforts to increase the utilization of Jampersal and other health services. Additionally, they suggest that addressing the cultural and social factors that influence the decision to use Jampersal is critical to improving maternal health outcomes.

Additional Questions and Answers

Q: What is the role of culture in the utilization of Jampersal?

A: The study found that culture emerged as the most influential variable in determining the decision to use Jampersal. This suggests that social norms and people's habits in accessing health services play a crucial role in determining the utilization of Jampersal.

Q: How can the Deli Serdang District Health Office improve the utilization of Jampersal?

A: The Deli Serdang District Health Office can improve the utilization of Jampersal by making more intensive socialization and coordination efforts with the Namorambe Health Center. Effective socialization of JKN and the benefits of Jampersal can help increase public awareness, leading to a higher uptake of the program and ultimately reducing maternal mortality.

Q: What are the benefits of Jampersal for pregnant women?

A: Jampersal provides essential health services to pregnant women, including prenatal care, childbirth, postpartum care, and family planning. These services can help reduce maternal mortality (MMR) and improve the health outcomes of pregnant women.

Q: How can the public perception of JKN be improved?

A: The public perception of JKN can be improved by increasing awareness and education about the program and its benefits. Additionally, addressing the cultural and social factors that influence the decision to use Jampersal is critical to improving maternal health outcomes.

Conclusion

The Importance of Jampersal and National Health Insurance