Women’s Membership in Health Insurance and Correlation with Contraception Use in Indonesia

Abstract

BACKGROUND & PURPOSE: One important effort in reducing the Maternal Mortality Rate is integration of Family Planning services into Health Insurance policy. This is giving affordability in health service financing through providing contraceptive accordance with established policy. The purpose of this study is to examine women’s participation in health insurance and correlations to contraception use. MATERIAL & METHODS: The study used the 2012 Indonesian Demographic and Health Survey data-set. Samples were women aged 15 to 49 years, of married status or living together (n=33,465). The dependent variable was contraception used for three categories: Using Long Term Contraceptive, using non-Long Term Contraceptive, and not using any kind of contraception. Data analysis used Chi-square and multinomial logistic regression with complex sample. RESULTS: 10.6% of women were found to have used a Long Term Contraception method. Health insurance membership has correlations to contraceptive use (OR=1.241 and 0.964, p <0.05, CI 95%), with confounder variables of age ( p <0.05, OR=1.428 and 0.648), education ( p <0.05, OR=1.402 and 1.064), work status ( p <0.05, OR=1.151 and 0.966), parity ( p <0.05, OR=3.114 and 1.685), perception of ideal number of children ( p <0.05, OR=2.057 and 1.682), husband’s education ( p <0.05, OR=0.166 and 0.920), husband's work ( p <0.05, OR=1.247 and 2.469), and role of media ( p <0.05, OR=1.255 and 1.084). CONCLUSION & RECOMMENDATIONS: This study was empirical evidence in Indonesia that health insurance factors have a significant correlation to Long Term Contraceptive use in women. It is recommended for government to maintain and improve policies that integrate Family Planning services into National Health Insurance.