The Effect of Health Insurance on Institutional Delivery in Indonesia
Abstract: Institutional
delivery has an impact on the decline in maternal mortality rate. In Indonesia,
institutional delivery increases every year, but there are still 30%-37%
mothers who deliver at home. Unfortunately, the increase is not in line with
maternal mortality reduction, so that Indonesia does not achieve the fifth MDGs
goal. To achieve Universal Health Coverage, Indonesia implements National
Health Insurance (NHI). NHI integrates four types of health insurance, namely
Askes/ASABRI, Jamsostek, Jamkesmas and Jamkesda. One of its benefits is
maternal health services. Health insurance can address financial barriers on
delivery in health facility. By using secondary data of National Basic Health
Research 2013 and Village Potential 2011 data, this study aimed to analyze
effect of health insurance on institutional delivery in Indonesia. Samples were
39,942 women aged 15-49 years old who gave birth to their last child during
2010-2013. The study used econometric approach by applying probit and bivariate
probit as estimation model to estimate the effect with consideration to
endogeneity issue of health insurance. The results found that health insurance
was likely to increase institutional delivery by 39.52%. In conclusion, women
who have health insurance prefer to deliver birth at health facility compared
to those who do not have health insurance.
Keywords: Health insurance,
institutional delivery
Author: Mazda Novi Mukhlisa,
Pujiyanto
Journal Code: jpkesmasgg180001
