Socioeconomic Determinants Of Health Insurance Membership Of Women Of Reproductive Age In Indonesia

Abstract

Health insurance membership is important thing in maternal healthcare, which has been a public health concern in the global and national setting. Indonesia has gradually started the implementation of universal health coverage whose aim is to provide prepaid health care for all citizens. Therefore, the identifications of factors related to health insurance membership prior to this program is necessary for achieving the effective targets. This paper was aimed to assess socioeconomic determinants of healthcare membership in women of reproductive age. The data derived from Indonesian Demographic and Health Survey (DHS) in 2012 was analyzed. The amount of 15,112 women as the population was analyzed in which only 6,041 (40.0%) of women were covered by insurance with majority of the insurance was provided by social security program. The multivariate regression showed that the elderly women and women living in urban area were more likely to be facilitated by health insurance (AOR 1.03 and 1.22, respectively, p < 0.001). Women with college level education were more likely to have health insurances compared to women with primary school or below education background (AOR 2.34, p <0.001). The analysis also indicated a positive association among women and the spouses’ education background on women’s health insurance membership. Interestingly, the number of women living in Java and Bali who possessed health insurance membership was lower compared to women in other areas (AOR 0.75, p <0.001). The study demonstrated the importance of socioeconomic factors in determining health insurance membership for women of reproductive age. Consideration on socioeconomic determinants is important in order to advance the universal health coverage program to improve maternal and child health in Indonesia.