Evaluation of the Implementation of the National Health Insurance Program (JKN) Toward Universal Health Coverage (UHC) in East Tanjung Jabung Regency
DOI:
https://doi.org/10.36565/jab.v15i2.1085Keywords:
evaluation, health services, JKN, membership, UHCAbstract
The National Health Insurance Program (JKN) is a government strategy for achieving Universal Health Coverage (UHC), which aims to ensure equitable, high-quality, and affordable access to health services for the entire population. This study evaluated the implementation of the JKN Program in supporting UHC achievement in East Tanjung Jabung Regency. A qualitative descriptive design was used. Nine informants represented the Social Affairs Office, Population and Civil Registration Office, Regional Financial and Asset Management Agency, Regional Development Planning Agency, Health Office, BPJS Kesehatan, a Public Health Center, a hospital, and a JKN beneficiary. Data were collected through in-depth interviews, document review, and source triangulation. The input component was supported by regulations, financing, population data, and cross-sectoral roles, although budget limitations, data synchronization problems, limited human resources, and inadequate facilities remained. The implementation process included data verification, registration, interagency coordination, claims, referrals, and health services, but referral mechanisms and data integration were not yet optimal. JKN reduced the financial burden of health care; however, membership coverage was only 87.85% and active membership was 63%. Therefore, the UHC target had not yet been achieved
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