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Women’s and Health Officer’s Knowledge on Access to Reproductive and Sexual Health Services Covered by the National Health Insurance: Surveys in 15 Districts-Cities in Indonesia Lestari, Herna; Sigiro, Atnike Nova
Jurnal Perempuan Vol 24, No 3 (2019): Women and Health
Publisher : Yayasan Jurnal Perempuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34309/jp.v24i3.355

Abstract

The availability of reproductive and sexual health services provided by the National Health Insurance (Jaminan Kesehatan National/JKN) in Indonesia could expand women’s access to reproductive and sexual health services. However, the knowledge of community and service provider will determine to what extent women will access the reproductive and sexual health services provided by JKN. This article assesses and analyzes the knowledge of women and health officers about the availability of reproductive and sexual health services provided in JKN. The article elaborates for main findings from the research that was conducted by women organizations that are members of the Women’s Health Care Network (Jaringan Perempuan Peduli Kesehatan or JP2K). JP2K conducted longitudinal research with a series of surveys in 2015, 2016, and 2017 in 15 regions of districts/cities in Indonesia on knowledge and access to reproductive and sexual health services provided by JKN. The surveys show limited knowledge of the respondents, both women and health officers, about forms and scope of reproductive and sexual health services that are covered by JKN. The research concludes that one of the important agendas for encouraging women’s access to health services covered by JKN is through intensifying the socialization of the scope of sexual and reproductive health to women and health facility officers.
Women’s and Health Officer’s Knowledge on Access to Reproductive and Sexual Health Services Covered by the National Health Insurance: Surveys in 15 Districts-Cities in Indonesia Lestari, Herna; Sigiro, Atnike Nova
Jurnal Perempuan Vol 24, No 3 (2019): Women and Health
Publisher : Yayasan Jurnal Perempuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34309/jp.v24i3.355

Abstract

The availability of reproductive and sexual health services provided by the National Health Insurance (Jaminan Kesehatan National/JKN) in Indonesia could expand women’s access to reproductive and sexual health services. However, the knowledge of community and service provider will determine to what extent women will access the reproductive and sexual health services provided by JKN. This article assesses and analyzes the knowledge of women and health officers about the availability of reproductive and sexual health services provided in JKN. The article elaborates for main findings from the research that was conducted by women organizations that are members of the Women’s Health Care Network (Jaringan Perempuan Peduli Kesehatan or JP2K). JP2K conducted longitudinal research with a series of surveys in 2015, 2016, and 2017 in 15 regions of districts/cities in Indonesia on knowledge and access to reproductive and sexual health services provided by JKN. The surveys show limited knowledge of the respondents, both women and health officers, about forms and scope of reproductive and sexual health services that are covered by JKN. The research concludes that one of the important agendas for encouraging women’s access to health services covered by JKN is through intensifying the socialization of the scope of sexual and reproductive health to women and health facility officers.
National Health Insurance Scheme: Internal and External Barriers in the Use of Reproductive Health Services among Women Martha, Evi; Lestari, Herna; Zulfa, Resvi Siti; Sopamena, Yoslien
Kesmas Vol. 16, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Lack of familiarity among the community, medical workers, and administrative staff regarding reproductive health services covered by Badan Penyelenggara Jaminan Sosial (BPJS) or the National Health Insurance (NHI) in Indonesia remained a problem. Therefore, this resulted in sub-optimal use of the medical services, as shown by surveys from the Women's Health Foundation for three consecutive years (2015-2017). This qualitative study was conducted with a Rapid Assessment Procedure design in three cities within Indonesia: Padang Pariaman, Manado, and Kupang. Data were collected through IDIs (n = 47informants) and 6 FGDs (7 persons/group). Participants also consisted of NHI RHS users (mothers and young women), administrative officers at health facilities, medical services providers, and officials related to the NHI assistance. Data were managed using NVivo version 2.0 software, accompanied by thematic analysis. The internal barriers in NHI use included inadequate knowledge of RHS covered by NHI, and a culture of shame in informants. External barriers included additional costs for medicines not covered by NHI, the dissatisfaction of health services provided by medical workers, busy work and household activities, and lack of women's role in decision-making within families, which related to reproductive wellness.