Early Implementation of Universal Health Coverage Among Hypertension Subjects in Sleman District of Yogyakarta
ABSTRACT: to evaluate the
participant rate of the new universal health coverage (UHC) and its impact on
the hypertensive subjects from the rural area in the Sleman-District of
Yogyakarta during the early implementation. Methods: this epidemiological
survey of the new UHC implementation was included as an analytical
crosssectional study done with cluster random sampling. The subject criteria
were aged 30-85 year, not in pregnancy, and signed the informed-consent.
Subjects were grouped based on the health coverage disparity and analyzed with
chi-square statistics for the hypertension prevalence, awareness, therapy, and
control. The additional variables of BMI, education, occupation, income,
smoking, diet control, physical activity, and health facilities were grouped
into binomial data and analyzed based-on the health coverage disparity.
Results: of 926 total subjects, 602 (65.0%) subjects had the health coverage
including 9.2% of the new UHC. The groups of with and without health coverage
were not signifcantly different in hypertension prevalence, the profle of age,
blood pressure, and the proportion of the other variables (p>0.05) except
for smoking and physical activities. In the high blood pressure sub-group
(n=446), the subjects without health coverage had lower proportion of the
hypertension awareness p<0.02; OR: 0.60 (CI95%:0.39-0.91) and therapy
p<0.03; OR: 0.50 (CI95%:0.27-0.94), but not in the blood pressure control
(p>0.05). Conclusion: the participant rate of new UHC was relatively low at
9.2%. Among the subgroup with ≥140/90mmHg blood pressure, the subjects without
health coverage were more likely to have lower hypertension awareness and
suboptimal therapy than those with the health coverage program.
Author: Rita Suhadi, Yunita
Linawati, Dita M. Virginia, Christianus H. Setiawan
Journal Code: jpkedokterangg150235
