POLA PEMAKAIAN KONTRASEPSI DAN PEMANFAATAN KARTU BADAN PENYELENGARA JAMINAN SOSIAL (BPJS) KESEHATAN DALAM PELAYANAN KELUARGA BERENCANA DI INDONESIA

Abstract

Background: By 2019, the government requires all Indonesian citizens to become Jaminan Kesehatan Nasional (JKN) participants through Badan Penyelenggara Jaminan Sosial kesehatan (BPJS - health) and is entitled to health insurance benefits including family planning services. Objective: In order to describe the family planning services, contraceptive usage pattern, and BPJS health card utilization for family planning services in JKN era. Methods : This study used secondary data analysis from the results of the Intercensal Population Survey (SUPAS) in 2015. The sample is 189,652 ever married women, aged 10-54 years in all provinces in Indonesia, and have received family planning services both before and during JKN. The analysis used chi-square test. Result: One year after the introduction of the JKN program, the proportion of contraceptive use including the Long-term Contraceptive Method (LTCM) fell significantly compared to before JKN, whereas injections and pills remained high. Family planning services at Puskesmas increased sharply, while hospital and government service both went down and services by doctors and private practice midwives remained high. Utilization of BPJS health card for family planning services is still low. The use of BPJS Health card for family planning services has a significant relationship to the use of LTCM. Conclusion: Non contraceptive use of LTCM is still high. Utilization of BPJS health card for family planning services is still low, whereas the use of BPJS health card has almost four chance to encourage the use of KB MKJP.