The evaluation of Acehnese people's health insurance from the welfare perspectives

Introduction: Indonesia has tried to implement the UHC system by implementing the National Health Insurance (JKN) program since 2014. To extend the coverage of JKN, the government of Aceh, one of the poorest provinces in Indonesia carries out Acehnese People's Health Insurance (JKA), which aims to improve the health and welfare of the people of Aceh. However, there has never been an evaluation of the usefulness of JKA related to the welfare of the Acehnese people. Therefore, this study aims to evaluate the impact of JKA on the level of welfare of the people of Aceh. Methods: This was an ecological study with a cross-sectional approach to evaluate the correlation between welfare indicators (education, health, and housing) and Community Coverage Levels and Capitation Costs on Acehnese People's Health Insurance. All study data were taken from the Acehnese public health insurance accountability report and the people's welfare statistics report from the Central Statistics Agency. All data collected were analyzed using SPSS ver. 25. Results: JKA has an average community coverage of about 2 million people with an average capitation payment of around 139 billion rupiahs from 2015 to 2021. Immunization coverage was significantly correlated with community coverage, noncapitation fee, and drug cost. In addition, drug costs are also significantly related to formal school coverage. Meanwhile, medical equipment cost was correlated with sanitation and internet coverage. However, other welfare indicators did not find a correlation between community coverage and capitation costs. Conclusion: Some indicators of JKA were significantly correlated with several indicators of welfare in Aceh.