Jaminan Kesehatan Nasional dan Kebutuhan Layanan Kesehatan Reproduksi

National Health Insurance and the Need for Reproductive Health Services

Abstract

Women’s reproductive health remains an important issue in Indonesia, including in Lampung Province. The National Health Insurance (JKN) program is expected to expand access to reproductive health services; however, user satisfaction has not yet reached an optimal level. This study aimed to analyze the relationship between the use of the JKN program and the need for women’s reproductive health services in Lampung Province. This quantitative research employed a cross-sectional design involving 150 respondents from six districts/cities: Bandar Lampung, Metro, West Lampung, East Lampung, South Lampung, and Pesawaran. Data were collected through questionnaires and analyzed using univariate and bivariate methods with the chi-square test. The results showed that 53.3% of respondents had good knowledge, 55.3% had negative attitudes, and 55.3% demonstrated positive behaviors toward reproductive health services. A total of 93% utilized JKN, and 64.7% expressed satisfaction with the services received. The highest satisfaction dimension was the availability of physical facilities (82%), while the lowest was staff responsiveness (65%). The bivariate analysis revealed significant relationships between knowledge (p=0.033), attitude (p=0.001), and behavior (p=0.002) with satisfaction, but there was no significant association between JKN utilization and satisfaction (p=0.166). These findings indicate that improving service quality should be accompanied by educational efforts and behavioral changes among users to enhance satisfaction with reproductive health services more evenly.