Get to Know More Closely the Determining Factors

Oct 13, 2025 by wbrum.org 60 views

Determinants of Community Defense in JKN Participation in the PBPU Segment (Non-Wage Recipient Workers) in West Siantar District in 2023

Understanding the Challenges Behind the Unconception of the PBPU Segment

The National Health Insurance Program (JKN) is a vital component of the Universal Health Coverage (UHC) program, aiming to ensure health access for all Indonesian people. With the implementation of this program, 98% of Indonesia's population can feel the benefits of health insurance. However, based on data in 2022, in Pematangsiantar City, there are still 15.62% or 41,876 residents who have not become JKN participants. Specifically in the West Siantar District, in 2023, noted 1,510 residents working in the informal sector had not been registered as JKN participants. This figure is relatively high considering JKN is a mandatory program.

Get to Know More Closely the Determining Factors

This study identifies several factors that are inhibiting the community to join JKN, including:

Low Income: A Major Obstacle to JKN Participation

As many as 53.2% of traders in West Siantar District who have not become JKN participants have low income. This condition is certainly an obstacle to pay for JKN contributions, especially for those who have large family dependents. The low income of these traders makes it difficult for them to afford the JKN contributions, which can be a significant burden on their already limited financial resources.

A Large Number of Family Dependents: An Additional Burden

The results showed that 54.3% of traders who were not registered as JKN participants had a lot of family dependents. This makes their living costs even higher, so that JKN contributions become additional burdens. The presence of many family dependents can increase the financial burden on these traders, making it even more challenging for them to afford JKN contributions.

Low Knowledge about JKN: A Barrier to Participation

64% of respondents have low to moderate knowledge about JKN. Lack of information and education about the benefits and mechanisms of JKN is the main cause of them not interested in becoming participants. The lack of knowledge about JKN can create misconceptions and fears about the program, leading to a reluctance to participate.

The Ability to Pay Low Fees: A Factor Closely Related to Low Income

As many as 59.6% of respondents have the ability to pay low contributions. This factor is closely related to their low income and a large number of dependents. The ability to pay low fees is an essential factor in determining JKN participation, and it is closely tied to the economic conditions of the community.

Low Perception of the Risk of Illness: A Misconception about JKN

89.4% of respondents have a low perception of the risk of illness. They feel healthy and have not felt the benefits of JKN directly, so that the JKN contribution is a waste. The low perception of the risk of illness can create a misconception about the need for health insurance, leading to a reluctance to participate in JKN.

Finding Solutions to Improve JKN Participation

The findings of this research revealed several obstacles faced by the community in accessing the JKN program. To increase the number of community participation, joint efforts are needed between the government and BPJS Health:

Effective and Directed Health Promotion Programs

Government and BPJS Health need to intensify more effective and directed health promotion programs, especially to the PBPU segment in West Siantar District. This program must be easily accessible and understood by the public, as well as presenting clear information about the benefits of JKN.

Increasing Access to Information and Education

Increasing access to information and education about JKN is important to increase public understanding of the mechanisms, benefits, and importance of becoming JKN participants. The government and BPJS Health need to build an interactive and easy to understand educational program.

A More Flexible Contribution Scheme

Considering the economic conditions of the community in West Siantar District, the JKN contribution scheme needs to be made more flexible. The mechanism of payment of contributions that are tailored to the economic ability of the community can encourage an increase in JKN participation rates.

The Development of a Socialization Program that Reaches the Community

Socialization of the JKN program needs to be done regularly and reach all levels of society. Approach that is right on target and creative will be more effective to attract the interest of people to become JKN participants.

Through collaboration and structured efforts, the government and BPJS Health can overcome the various obstacles faced by the community in West Siantar District and guarantee equitable health access for all residents.
Frequently Asked Questions (FAQs) About Determinants of Community Defense in JKN Participation in the PBPU Segment (Non-Wage Recipient Workers) in West Siantar District in 2023

Q: What is the National Health Insurance Program (JKN) and its significance in Indonesia?

A: The National Health Insurance Program (JKN) is a vital component of the Universal Health Coverage (UHC) program, aiming to ensure health access for all Indonesian people. With the implementation of this program, 98% of Indonesia's population can feel the benefits of health insurance.

Q: Why are there still many residents in West Siantar District who have not become JKN participants?

A: Based on data in 2022, in Pematangsiantar City, there are still 15.62% or 41,876 residents who have not become JKN participants. Specifically in the West Siantar District, in 2023, noted 1,510 residents working in the informal sector had not been registered as JKN participants. This figure is relatively high considering JKN is a mandatory program.

Q: What are the main factors that inhibit the community to join JKN?

A: This study identifies several factors that are inhibiting the community to join JKN, including:

Low income
A large number of family dependents
Low knowledge about JKN
The ability to pay low fees
Low perception of the risk of illness

Q: How can the government and BPJS Health overcome the various obstacles faced by the community in West Siantar District?

A: To increase the number of community participation, joint efforts are needed between the government and BPJS Health. Some solutions include:

Effective and directed health promotion programs
Increasing access to information and education about JKN
A more flexible contribution scheme
The development of a socialization program that reaches the community

Q: What is the importance of increasing access to information and education about JKN?

A: Increasing access to information and education about JKN is important to increase public understanding of the mechanisms, benefits, and importance of becoming JKN participants. The government and BPJS Health need to build an interactive and easy to understand educational program.

Q: How can the government and BPJS Health make the JKN contribution scheme more flexible?

A: Considering the economic conditions of the community in West Siantar District, the JKN contribution scheme needs to be made more flexible. The mechanism of payment of contributions that are tailored to the economic ability of the community can encourage an increase in JKN participation rates.

Q: What is the role of socialization in increasing JKN participation?

A: Socialization of the JKN program needs to be done regularly and reach all levels of society. Approach that is right on target and creative will be more effective to attract the interest of people to become JKN participants.

Q: How can the government and BPJS Health guarantee equitable health access for all residents in West Siantar District?

A: Through collaboration and structured efforts, the government and BPJS Health can overcome the various obstacles faced by the community in West Siantar District and guarantee equitable health access for all residents.

Q: What are the implications of this study for the government and BPJS Health?

A: This study highlights the need for the government and BPJS Health to take a more proactive approach in increasing JKN participation, particularly among the PBPU segment in West Siantar District. By addressing the various obstacles faced by the community, the government and BPJS Health can ensure that all residents have access to quality healthcare.