Overview of Participant and Utilization of National Health Insurance by Informal Workers in Sedayu
Keywords:
Health Insurance (JKN), Informal sector workers, Participation, Utilization.Abstract
The low participation of informal sector workers in the National Health Insurance (JKN) program remains a significant barrier to achieving universal health coverage in Indonesia. Despite government efforts to expand JKN participant, many informal workers remain uninsured or inactive due to various socio-economic and structural challenges. Limited awareness, financial constraints, administrative difficulties, and perceptions of health service quality contribute to low participation and service utilization. This issue is critical as informal workers make up a large proportion of Indonesia's workforce, and their exclusion from JKN coverage poses risks to individual and public health. Understanding the factors that influence JKN participation and utilization among informal workers is critical to developing targeted interventions to increase coverage and improve access to health services. This study aims to analyze the factors influencing JKN participation and service utilization among informal workers. Using a quantitative approach, data were collected from 30 respondents in Sedayu through structured questionnaires. The results indicate that only 33.3% of respondents were registered and active participants, while 53.4% were either unregistered or unaware of their enrollment status. The primary reasons for non-enrollment were the lack of JKN socialization (70%) and the perception that insurance was unnecessary due to good health (30%). Furthermore, only 40% of respondents had utilized JKN services, while 60% had never accessed them, primarily due to a lack of understanding of service procedures (45%), distant health facilities (30%), and perceived suboptimal service quality (25%). Socioeconomic factors, including income level, education, age, household size, and place of residence, significantly influenced JKN ownership, with higher-income, urban, and educated individuals being more likely to enroll. The study also highlights structural barriers such as registration complexity, service limitations, and premium affordability, which hinder participation and utilization. Addressing these issues requires enhanced socialization efforts, simplified administrative processes, improved access to healthcare facilities, and better service quality to increase JKN participation among informal workers
References
Amalia, E. N., Suradi, S., & Kuswanda, D. (2024). MINAT PEKERJA SEKTOR INFORMAL DALAM KEIKUTSERTAAN PROGRAM BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN MANDIRI DI DESA NGUNUT KECAMATAN NGUNUT KABUPATEN TULUNGAGUNG. Praktik Pekerjaan Sosial dengan Kelompok dan Komunitas, 2(1).
Claudia, V., & Syahril, S. (2024). Analisis Badan Penyelenggara Jaminan Sosial (BPJS) Ketenagakerjaan Cabang Meulaboh dalam Meningkatkan Kepesertaan Pekerja Sektor Informal (BPU) di Kota Meulaboh. Regress: Journal of Economics & Management, 3(3), 159-163.
Dahlan, M.Sopiyudin. 2017. Besar Sampel dan Cara Pengambilan Sampel. Jakarta: Salemba Medisa
Fauzi, A. F. H. R. A., Rangkuti, H., & Akbar, U. U. (2024). Pengaruh Sosial Ekonomi Terhadap Kepemilikan Jaminan Kesehatan Tenaga Kerja Informal di Sumatera Utara. Media Riset Ekonomi Pembangunan (MedREP), 1(4).
Fitria, A., & Puspandari, D. A. (2024). Analisis Faktor yang Mempengaruhi Pelunasan Tunggakan Iuran Peserta PBPU Mandiri yang Beralih Segmen Kepesertaan menjadi PBPU Pemerintah Daerah di Kota Bengkulu. Jurnal Kebijakan Kesehatan Indonesia, 13(2), 107-114.
Manita, R., & Afrita, I. (2024). Aksebilitas Pembiayaan Dalam Program Jaminan Kesehatan Nasional. Innovative: Journal Of Social Science Research, 4(1), 12874-12886.
Ningsih, R., Suryani, T., & Pratama, D. (2023). Tingkat Literasi Kesehatan dan Pemanfaatan Layanan JKN di Sektor Informal. Jurnal Kesehatan Masyarakat Indonesia, 18(2), 112-125.
Nugraha, B., Widodo, A., & Lestari, M. (2022). Persepsi Masyarakat terhadap Kualitas Layanan JKN di Fasilitas Kesehatan Tingkat Pertama. Jurnal Manajemen Pelayanan Kesehatan, 15(1), 45-60.
Prasetyo, H., Nugroho, S., & Kurniawati, D. (2023). Evaluasi Kualitas Layanan bagi Peserta JKN di Fasilitas Kesehatan. Jurnal Kesehatan Nasional, 20(4), 67-82.
Prasetyo, H., Ramadhan, A., & Setiawan, D. (2021). Faktor-faktor yang Mempengaruhi Kepesertaan JKN di Sektor Informal. Jurnal Administrasi Kesehatan, 10(3), 98-110.
Putra, Y. & Sari, M. (2022). Aksesibilitas Fasilitas Kesehatan bagi Peserta JKN di Wilayah Rural. Jurnal Kebijakan Kesehatan Masyarakat, 17(2), 88-99.
Putri, S. S., Suryati, C., & Nandini, N. (2022). Pelaksanaan Nasional Health Insurance Pada Aspek Kepesertaan Untuk Mencapai Universal Health Coverage: The Implementation of National Health Insurance on The Aspect of Participation to Achieve Universal Health Coverage. Jurnal Sains dan Kesehatan, 4(2), 222-230.
Sari, L. & Nugroho, R. (2022). Dampak Kebijakan Keringanan Iuran terhadap Kepatuhan Pembayaran Peserta Mandiri JKN. Jurnal Ekonomi Kesehatan, 9(1), 120-132.
Subekti, I. (2024). LITERATUR REVIEWHUBUNGAN PENGETAHUAN DAN STATUS EKONOMI TERHADAP KEPESERTAAN BPJS KESEHATAN. Jurnal Kesehatan Bidkemas, 15(1), 1-11.
Yunida, N. H., Utami, N. W., & Sunindya, B. R. (2024). Karakteristik Kepesertaan JKN Di Dusun Daris Desa Prasi Kecamatan Gading Kabupaten Probolinggo. Indonesian Journal of Health Insurance and Medical Records (IJHIMR), 1(2), 36-43.
