University of Melbourne Reports Findings in Health and Medicine (Associations between Indonesia’s national health insurance, effective coverage in maternal health and neonatal mortality: a multilevel interrupted time-series analysis 2000-2017): Health and Medicine

2022 NOV 04 (NewsRx) -- By a News Reporter-Staff News Editor at Technology Business Daily -- New research on Health and Medicine is the subject of a report. According to news reporting out of Victoria, Australia, by NewsRx editors, research stated, “We assessed the effect of Indonesia’s national health insurance programme ( ()) on effective coverage for maternal and child health across geographical regions and population groups. We used four waves of the Indonesia Demographic and Health Survey from 2000 to 2017, which included 38 880 women aged 15-49 years and 144 000 birth records.”

Financial support for this research came from CM is supported by the National Institute for Health Research Global Health Research Unit programme using UK aid from the UK Government to support global health research.

Our news journalists obtained a quote from the research from the University of Melbourne, “Key outcomes included antenatal and delivery care, caesarean section and neonatal and infant mortality. We used multilevel interrupted time-series regression to examine changes in outcomes after the introduction of the JKN in January 2014. JKN introduction was associated with significant level increases in (1) antenatal care (ANC) crude coverage (adjusted OR (aOR) 1.81, 95% CI 1.44 to 2.27); (2) ANC quality-adjusted coverage (aOR 1.66, 95% CI 1.38 to 1.98); (3) ANC user-adherence-adjusted coverage (aOR 1.80, 95% CI 1.45 to 2.25); (4) safe delivery service contact (aOR 1.83, 95% CI 1.42 to 2.36); and (5) safe delivery crude coverage (aOR 1.45, 95% CI 1.20 to 1.75). We did not find any significant level increase in ANC service contact or caesarean section. Interestingly, increases in ANC service contact and crude coverage, and safe delivery crude coverage were larger among the poorest compared with the most affluent. No statistically significant associations were found between JKN introduction and neonatal and infant mortality (p >0.05) in the first 3 years following implementation. Expansion of social health insurance led to substantial improvements in quality of care for maternal health services but not in child mortality.”

According to the news editors, the research concluded: “Concerted efforts are required to equitably improve service quality and child mortality across the population in Indonesia.”

This research has been peer-reviewed.

For more information on this research see: Associations between Indonesia’s national health insurance, effective coverage in maternal health and neonatal mortality: a multilevel interrupted time-series analysis 2000-2017. Journal of Epidemiology and Community Health, 2022. Journal of Epidemiology and Community Health can be contacted at: Bmj Publishing Group, British Med Assoc House, Tavistock Square, London WC1H 9JR, England. (BMJ Publishing Group - http://group.bmj.com/; Journal of Epidemiology and Community Health - http://jech.bmj.com/)

Our news journalists report that additional information may be obtained by contacting Tiara Marthias, Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Additional authors for this research include Barbara McPake, Natalie Carvalho, Christopher Millett, Kanya Anindya, Nurmala Selly Saputri, Laksono Trisnantoro and John Tayu Lee.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1136/jech-2021-217213. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the Journal of Epidemiology and Community Health is: Bmj Publishing Group, British Med Assoc House, Tavistock Square, London WC1H 9JR, England.

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