Tembo, Tannia
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PERCEPTIONS AND THEIR CORRELATION WITH ENROLLMENT IN THE INDONESIAN NATIONAL HEALTH INSURANCE SCHEME Ainy, Asmaripa; Idris, Haerawati; Inaku, Hartati; Tembo, Tannia
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.218-227

Abstract

Background: Health insurance serves as a key mechanism in facilitating wider and more equitable availability of healthcare services, ensuring that every individual can access the services they need. Aims: This research aims to examine the correlation between community perceptions and enrollment in the National Health Insurance (JKN) in the Musi Rawas Utara District, Indonesia. Methods: This research applied a cross-sectional study by collecting data from 384 respondents. Logistic regression analysis was used to assess the correlation between perceptions and JKN enrollment. Results: The results showed that 68.49% of respondents were not enrolled in the JKN. Factors associated with JKN enrollment include perceptions regarding JKN, income, and the history of illness. People with favorable perceptions have a 1.90 times higher chance to join the JKN membership. People with income ≥ provincial minimum wage (UMR) have an opportunity of 0.50 times higher than people with income < UMR to join the JKN membership. The history of illness is likely to enhance JKN enrollment by 7.86 times. Conclusion: In the Musi Rawas Utara District, the rate of enrollment in the JKN program remains low. Strategic policy reforms, accompanied by targeted advocacy and health education promotion, have the potential to significantly increase JKN enrollment and contribute to the realization and sustainability of universal health coverage (UHC) goals. Keywords: Perception, Enrollment, National Health Insurance 
Job Satisfaction Among Health Workers at Primary Health Care in Palembang City, Indonesia Ainy, Asmaripa; Sarri, Merri Nurmala; Fujiyanti, Poppy; Inaku, Hartati; Tembo, Tannia
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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

Abstract

Health workers at primary health care are the frontline providers of community health services. This study aimed to investigate the level of job satisfaction of health workers at primary health care in Palembang City, South Sumatra Province, Indonesia, and its influencing factors. Using a questionnaire developed by the authors' team, the study involved 257 samples. A total of 66.15% of respondents indicated high satisfaction, 21.79% reported moderate satisfaction, and 12.06% expressed dissatisfaction. A statistically significant correlation was found between knowledge, skills, income, promotion opportunities, work supervision, and relationships with colleagues and job satisfaction (p-value <0.001). The correlations were strong, with Spearman's rho of 0.822, 0.869, 0.912, 0.895, and 0.821, respectively. Statistical analysis of the Wilcoxon rank-sum and Kruskal-Wallis tests showed no significant differences in median satisfaction scores between sociodemographic groups (p-value 0.072 to 0.552>0.05). These findings showed that job satisfaction depends on multiple factors. Both intrinsic and extrinsic factors play a key role in shaping job satisfaction. Health workforce management should prioritize organizational factors to sustain job satisfaction over sociodemographic factors. Key strategies include regular training, fair salaries, clear promotion paths, strong supervision, and fostering teamwork through leadership training and staff meetings.