Abstract

BackgroundDevelopment in Eastern Indonesia tends to be left behind compared to other Indonesian regions, including development in the health sector. The study aimed at analyzing the health insurance ownership disparities in hospital delivery in Eastern Indonesia.MethodsThe study draws on secondary data from the 2017 Indonesia Demographic and Health Survey. The study population was women aged 15–49 years who had given birth in the last five years in Eastern Indonesia. The study analyzes a weighted sample size of 2299 respondents. The study employed hospital-based birth delivery as a dependent variable. Apart from health insurance ownership, other variables analyzed as independent variables are province, residence type, age group, marital status, education level, employment status, parity, and wealth status. The final stage analysis used binary logistic regression.ResultsThe results showed that insured women were 1.426 times more likely than uninsured women to undergo hospital delivery (AOR 1.426; 95% CI 1.426–1.427). This analysis indicates that having health insurance is a protective factor for women in Eastern Indonesia for hospital delivery. There is still a disparity between insured and uninsured women in hospital-based birth deliveries in eastern Indonesia. Insured women are nearly one and a half times more likely than uninsured women to give birth in a hospital.ConclusionThe study concludes that there are health insurance ownership disparities for hospital delivery in eastern Indonesia. Insured women have a better chance than uninsured women for hospital delivery.

Highlights

  • World Health Organization (WHO) notes that, in the case of births and delivery or within 42 days of pregnancy termination, mother mortality (MMR) is the annual number of female deaths due to all factors related to or caused by or for the period and site of the Referring to the Ministry of Health of the Republic of Indonesia’s annual report in 2019, maternal deaths were 4221 cases

  • The analysis found that having health insurance will be more likely to have birth delivery in the hospital in Eastern Indonesia to carry out hospital delivery

  • This analysis results in line with the objectives of Indonesia’s health financing policies that seek to realize National Health Insurance (NHI) with total coverage to minimize the barrier to health financing in Indonesia [15, 25]

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Summary

Introduction

World Health Organization (WHO) notes that, in the case of births and delivery or within 42 days of pregnancy termination, mother mortality (MMR) is the annual number of female deaths due to all factors related to or caused by or for the period and site of the Referring to the Ministry of Health of the Republic of Indonesia’s annual report in 2019, maternal deaths were 4221 cases. This number has decreased slightly compared to 2018, which amounted to 4226 cases. The study aimed at analyzing the health insurance ownership disparities in hospital delivery in Eastern Indonesia

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