Abstract
Currently, until September 2021, the number of participation in the National Health Insurance (NHI) has reached 226.3 million participants or about 83.5% of the total population of Indonesia of 257,912,349 people. Meanwhile in Southeast Sulawesi Province, the number of SSAI Health participants reached 2,253,942 people. The number of independent SSAI participants in Southeast Sulawesi reached 181,032 people. During the Covid-19 pandemic, the community's ability to pay NHI contributions will decrease because people's incomes have also decreased. The purpose of this study was to determine the effect of ability to pay on compliance with paying NHI contributions for independent NHI participants in the work area of the Langgikima Public Health Center, North Konawe Regency, Southeast Sulawesi Province in 2021. This type of research is a survey research type with a Cross Sectional Study approach. This research was conducted in the working area of the Langgikima Public Health Center, North Konawe Regency, Southeast Sulawesi Province. The sample of this study was all independent NHI participants, namely 51 participants. Data Collection Using Questionnaires and Observations. Data analysis was done by univariate and bivariate. Presentation of data in the form of a frequency distribution table accompanied by an explanation. The results showed that there was an effect of the ability to pay independent NHI contributions on compliance with paying NHI contributions for independent NHI participants at the Langgikima Health Center, with a p-value = 0.009. The conclusion of the research is that there is an effect of the ability to pay the independent NHI contributions on the compliance of paying the NHI contributions of the independent NHI participants. The suggestion for this research is the need for education by the SSAI to the community about the benefits of the NHI program for the community. The community should always provide NHI contributions and make payments on time.
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