The Effect of NHI Contribution Assistance on Antenatal Care Service Utilization in Ogan Ilir District, South Sumatra, Indonesia
DOI:
https://doi.org/10.25311/keskom.Vol11.Iss1.1996Abstract
Data from the Ogan Ilir District Health Office shows that the coverage of antenatal care services is still not optimal. Only around 60-70% of pregnant women make complete ANC visits (at least four visits during pregnancy) according to the standards set by WHO. Most pregnant women in the Ogan Ilir District enrolled in NHI fall into the Contribution Assistance Recipient (PBI) category. This suggests that contribution assistance is critical in improving access to health services for low-income pregnant women. The purpose of this study was to analyze the effect of JKN contribution assistance on the utilization of Antenatal Care (ANC) services in Ogan Ilir District. The research design was a cross-sectional study using secondary data from the Field Learning Experience by the Faculty of Public Health, Sriwijaya University in 2023. The population was all mothers with children under five, with purposive sampling with 342 respondents in Pemulutan District and Tanjung Batu District, Ogan Ilir Regency, South Sumatra. Univariate analysis was used to describe each variable, and bivariate analysis using Chi-Square Test. The results showed no effect of the variables (NHI contribution assistance, age of father and mother, education of father and mother, number of family members, number of children under five, history of illness, and family income) on ANC service utilization. This indicates the need for additional interventions to increase ANC service utilization in the area.
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1. Chalid MT. Upaya Menurunkan Angka Kematian Ibu: Peran Petugas Kesehatan. PT Gakken. 2021;1(1):1–5. Available from: https://www.researchgate.net/profile/Maisuri-Chalid/publication/320730100_Upaya_Menurunkan_Angka_Kematian_Ibu_Peran_Petugas_Kesehatan/links/59f85824a6fdcc075ec7f634/Upaya-Menurunkan-Angka-Kematian-Ibu-Peran-Petugas-Kesehatan.pdf
2. World Health Organization. Monitoring Health for the SDGs. Japanese Journal of Oral and Maxillofacial Surgery. 2023. 1–130 p. Available from: https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/2023/world-health-statistics-2023_20230519_.pdf
3. Sudaryo MK, Sam AQ. Hubungan Kunjungan Antenatal Care (ANC) dengan Kejadian Komplikasi Obstetri di Indonesia : Analisis Data Sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) Tahun 2017. J Epidemiol Kesehatan Komunitas. 2022;7(2):587–95. Available from: https://ejournal2.undip.ac.id/index.php/jekk/article/view/11866
4. Puspitasari DA, Samosir OB. Faktor Kontekstual Pemanfaatan Pelayanan Antenatal Care di Indonesia. Jurnal Berkala Kesehatan. 2020;6(1):14. Available from: https://ppjp.ulm.ac.id/journal/index.php/berkala-kesehatan/article/view/8407/pdf
5. Treasa AD. Hubungan Penggunaan Jaminan Kesehatan Nasional Dengan Keteraturan Antenatal Care Di Puskesmas Kasihan 1 Bantul. IlmiahId. 2019; Available from: http://digilib.unisayogya.ac.id/4119/1/Naskah Publikasi Adisty.pdf
6. Kamila ARP El, Rochmah TN. Hubungan Tingkat Pendapatan dengan Kepatuhan Peserta Mandiri Jaminan Kesehatan Nasional dalam Membayar Iuran: Literature Review. J Ilm Permas J Ilm STIKES Kendal. 2023;13(4):1151–60. Available from: https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1148/824
7. Rustyani S, Sofiawati D, Rahmawati B. Efisiensi dan Produktivitas BPJS Kesehatan Tahun 2014 – 2021 (Metode Data Envelopment Analysis dan Malmquist Index). J Jaminan Kesehat Nas [Internet]. 2023;3(2):102–20. Available from: https://jurnal-jkn.bpjs-kesehatan.go.id/index.php/jjkn/article/view/145/100
8. Dadjo J, Ahinkorah BO, Yaya S. Health insurance coverage and antenatal care services utilization in West Africa. BMC Health Serv Res. 2022;22(1):1–9. Available from: https://doi.org/10.1186/s12913-022-07698-9
9. Indrastuti AN. Pemanfataan Pelayanan Antenatal Care di Puskesmas. Higeia J Public Heal Res Dev [Inter. 2019;3(3):369–81. Available from: http://journal.unnes.ac.id/sju/index.php/higeia
10. Yulianti E, B.M S, Indraswari R. Pengaruh Aksesibilitas Terhadap Praktik Antenatal Care Pada Ibu Hamil Di Wilayah Kerja Puskesmas Bulu Kabupaten Temanggung 2020. J Kesehat Masy. 2021;9:133–42. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/28529/24992
11. Hasibuan R, Afrillia NN. Riwayat Komplikasi Dan Pendampingan Suami Terhadap Pemanfaatan Antenatal Care Di Provinsi Aceh. J Borneo Holist Heal. 2023;6(1):98–108. Available from: http://jurnal.borneo.ac.id/index.php/borticalth/article/viewFile/3544/2282
12. Laksono AD, Rukmini R, Wulandari RD. Regional disparities in antenatal care utilization in Indonesia. PLoS One. 2020;15(2). Available from: https://www.researchgate.net/publication/342025886_Socioeconomic_Disparities_in_Antenatal_Care_Utilization_in_Urban_Indonesia
13. Islam MM, Masud MS. Determinants of frequency and contents of antenatal care visits in Bangladesh: Assessing the extent of compliance with the WHO recommendations. PLoS One. 2018;13(9):1–22. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6160162/pdf/pone.0204752.pdf
14. Igbinoba AO, Soola EO, Omojola O, Odukoya J, Adekeye O, Salau OP. Women’s mass media exposure and maternal health awareness in Ota, Nigeria. Cogent Soc Sci. 2020;6(1). Available from: https://www.tandfonline.com/doi/full/10.1080/23311886.2020.1766260#d1e320
15. Jesy Fatimah SRN. Konfirmasi Tiga Variabel Yang Berpengaruh Terhadap Motivasi Ibu Hamil Melakukan Kunjungan Antenatal Care. J Ilmu Keperawatan dan Kebidanan. 2019;10(2):389–97. Available from: https://jurnal2.umku.ac.id/index.php/jikk/article/download/
16. Futriani ES, Febriani MA. Antenatal Care di Klinik Salfa Medika Lebak Banten Tahun 2025. 2025;9:2284–9. Available from: https://journal.universitaspahlawan.ac.id/index.php/ners/article/view/42935/27082
17. Pervin J, Venkateswaran M, Nu UT, Rahman M, O’Donnell BF, Friberg IK, et al. Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh. PLoS One. 2021;16(9 September):1–16. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0257782
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