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Health insurance is one of the factors that can influence individuals in utilizing health services. Aceh was the province with the highest health insurance coverage. Despite the high rate of health insurance ownership, the utilization of health services in Aceh has not been optimal. The purpose of this study was to determine the relationship between health insurance and utilization of formal outpatient facilities in the community in Aceh Province. This study was an observational study with a cross sectional design and uses a quantitative approach. The data source used was the 2020 National Socio-Economic Survey (Susenas) data for the Aceh Province region with a sample size of 4,204 respondents. The results showed that only 16.8% of Acehnese people utilized formal outpatient facilities. Respondents who utilized formal outpatient facilities the most were in the elderly (25.0%), female (19.1%), low education status (17.9%), married (19.0%), employed (18.6%), and rural (18.4%). There was a significant association between having health insurance (p value = 0.041, OR = 2.112) and utilization of formal outpatient facilities. The ownership of BPJS PBI health insurance has been very influential to increase utilization of formal outpatient facilities. Therefore, the results of this study suggested that BPJS Kesehatan & the Health Office to remain consistent in intensifying the Universal Health Coverage program, especially for people with low socioeconomic status, can increase promotion and socialization of the benefits of having health insurance, how to use health insurance, and the benefits received are equally fair. This study also suggested to improve equity of access, distribution of health services and health workers competencies in various regions to support quality of care especially at primarycare level as gatekeepers
Pemanfaatan pelayanan persalinan oleh ibu-ibu merupakan upaya untuk meningkatkan kesehatan ibu yang diharapkan dapat meningkatkan persalinan yang aman dan bersih, sehingga dapat membantu menurunkan penyebab dari kesakitan dan kematian ibu. Adapun tujuan penelitian ini adalah diperolehnya informasi tentang hubungan faktor predisposisi (umur, paritas, pendidikan, pengetahuan dan sikap), faktor pendukung (pendapatan keluarga, jarak, ketersediaan pelayanan dan sumber informasi) dan faktor kebutuhan (persepsi terhadap persalinan aman dan bersih) dengan pemanfaatan pelayanan persalinan di Kecamatan Cimalaka Kabupaten Sumedang.Metode penelitian yang digunakan adalah cross sectional dengan pendekatan kuantitatif. Pengumpulan data dilakukan dengan wawancara dan pengamatan, pengolahan data dengan program komputer dan analisis dilakukan univariat, bivariat dan multivariate. Populasi , yaitu ibu-ibu yang melahirkan anak terakhir pada tahun 2002 dan pada saat pens lmpulan data masih berdomisili di wilayah Kecamatan Cimalaka Kabupaten Sumedang. Jumlah sampel 104, yaitu yang melahirkan pada bulan April dan Mei tahun 2002 diambil secara acak.Hasil analisis didapatkan, bahwa1) komponen predisposisi ternyata umur, paritas, pendidikan ibu dan sikap tidak terbukti berhubungan dengan pemanfaatan pelayanan persalinan. Pengetahuan tentang persalinan dan penolong persalinan terbukti ada hubungan dengan pemanfaatan pelayanan persalinan.2) Pada komponen pendukung ternyata pendapatan keluarga dan jarak terbukti ada hubungan dengan pemanfaatan pelayanan persalinan, namun ketersediaan pelayanan dan sumber informasi kesehatan tidak terbukti ada hubungan dengan pemanfaatan pelayanan persalinan.3) Komponen kebutuhan tentang persalinan aman dan bersih tidak terbukti ada hubungan dengan pemanfaatan pelayanan persalinan.Dari variabel-variabel yang diteliti tersebut, variabel pengetahuan, pendapatan keluarga dan jarak dari tempat tinggal ibu ke penolong persalinan merupakan variabel determinan dari pemanfaatan pelayanan persalinan.Sehubungan dengan hal-hal tersebut di atas, disarankan kepada Puskesmas untuk meningkatkan pengetahuan ibu terhadap persalinan dan penolong persalinannya dengan konseling atau komunikasi yang efektif sehingga meningkatkan kualitas pelayanan persalinan oleh petugas kesehatan.Untuk Dinas Kesehatan Kabupaten Sumedang diperlukan pelatihan ketrampilan komunikasi bagi petugas Puskesmas dan penelitian lebih lanjut tentang kualitas pelayanan persalinan yang sudah diberikan petugas kesehatan dan yang diharapkan masyarakat sehingga dapat menyediakan pelayanan yang baik sesuai standar yang ada dan diharapkan dapat membantu meningkatkan pemanfaatan pelayanan persalinan.Daftar bacaan: 33 (1975 - 2001)
Determinants of the Delivery Service Usage by Health Staff in Cimalaka Sub District, District of Sumedang Delivery services by health staff is an effort to provide clean and safe delivery to improve maternal health and decreasing maternal morbidity and mortality rate. Objective of study is to acquire information about relation between predisposition factors (age, parity, education, knowledge, and attitude), supporting factors (family income, distance, service availability, and source of information) and needs factors (perception to clean and safe delivery) with delivery service usage in Cimalaka Sub-district, district of Sumedang.This Study using cross sectional design with quantitative approach. Data collected by interview and observation, processed by computer software, and using univariate, and multivariate analysis. The population is mothers who deliver their baby before 2002 and live at Cimalaka sub-district during data collection. Total sample is 104, who deliver their baby between April and May 2002 and taken randomly.Result from the analysis are :1) predisposition factor such as age, parity, mother's education and attitude not related with delivery service usage, except the knowledge factors.2) supporting factors like family income and distance have relation with delivery service usage, but not with service availability and source of information factors.3) needs related with delivery service usage.Based on those result, this study recommend the health center to improve mother?s knowledge about delivery and delivery aid by counseling and effective communication so that could improve quality of delivery service by health staff. To Health Office of District of Sumedang to carry out training the communication skill of health staff in health centre and advance research on quality of delivery service that have given by health staff.Bibliography: 33 (1975-2001)
