SOCIAL HEALTH INSURANCE LITERACY: LESSON LEARNED FROM SOCIAL INSURANCE FOR MATERNITY CARE BY NATIONAL HEALTH INSURANCE PROGRAMME

Background: Health insurance is a right for all Indonesian citizens. To provide this, the Indonesian government must provide health services that are equitable, fair, and affordable for all levels of society. Before National Health Insurance (JKN) was established, the government launched Social Insurance for Maternity Care or Jaminan Persalinan (Jampersal) as a special health facility for pre-pregnant to post-partum mothers. The JKN program will run well if it is accompanied with good health service literacy of the community.Aims: This study aims to analyze the relationship of social health insurance literacy with the utilization of Jampersal and predict the response towards JKN utilization based on Jampersal mothers. These responses can be used as an input for JKN improvement.Methods: This research is a descriptive study that focuses on the experience of the subjects. The study does so by analyzing Jampersal users’ response and utilizing it for the improvement of JKN. The respondents of this study are Jampersal and non-Jampersal mothers consisting of 75 pregnant and post-partum mothers.Results: The results show that the number of Jampersal users (47%) were less than non Jampersal (53%) with a ratio of 2:3. In addition, literacy about Jampersal of Jampersal mothers' was higher (28 out of 30 people - 93.33%) compared to non Jampersal mothers (29 out of 45 people - 64.44%).Conclusions: This study concludes that there is a lack of promotion of government programs, especially social health insurance. What needs to be done to improve participation and use of social health insurance is to encourage primary healthcare centers to promote the programs. Intervention policy, especially by educating the communities, is necessary for the improvement of JKN literacy.                                                                                                                                                          Keywords: Literacy, Participation, Social health insurance

HUBUNGAN STATUS MEROKOK DENGAN INDEKS MASSA TUBUH REMAJA PUTRA DI KABUPATEN DEMAK (STUDI DI SMK KI AGENG JAGO DEMAK)

Rokok mengandung nikotin yang mengaktivasi reseptor beta empat di hipotalamussehingga menimbulkan sensasi kenyang. Hal ini dapatmengakibatkan malnutrisi pada remaja yang masih tumbuh.Penelitian ini bertujuan untuk menganalisis hubungan status merokok dengan indeks massa tubuh pada remaja putra. Jenis penelitian ini observasional analitik dengan desain cross sectional. Populasi terjangkau adalah remaja putra di SMK Ki Ageng Jago Demak (198 siswa). Subjek penelitian sejumlah 69 siswa yang memenuhi kriteria inklusi (warga kabupaten Demak, bersedia menjadi subjek penelitian). Data tentang merokok diperoleh melalui angket menggunakan kuesioner terstruktur. Data tingkat kecukupan zat gizi diperoleh melalui recall konsumsi gizi 2x24 jam. Data aktivitas fisik diperoleh melalui recall aktivitas fisik.Penimbangan berat badan dan pengukuran tinggi badan dilakukan untuk memperoleh skor Z IMT/U. Data dianalisis dengan uji korelasi Rank Spearman dan Chi Square. Hasil penelitian menunjukkan bahwa sebagian besar remaja putra merokok (78,3%). Terdapat 43,5% subjek yang tergolong kurus (skor Z < -2 SD) berdasarkan IMT/U. Tingkat Kecukupan Energi (TKE) tergolong kurang 55,1%, Tingkat Kecukupan Protein (TKP) tergolong cukup 52,2% dan tingkat aktivitas fisik tergolong sangat ringan 75,4%. Ada hubungan antara status merokok denganTKE (p = 0,027) dan TKP (p = 0,006). Ada hubungan positif antara TKE (p = 0,024) dan TKP (p = 0,002) dengan skor Z IMT/U. Ada hubungan status merokok dengan skor Z IMT/U (p = 0,018). Ada hubungan status merokok dengan skor Z IMT/U setelah dikontrol dengan variabel aktivitas fisik (p=0,042).Penelitian ini merekomendasikan agar instansi terkait melakukan upaya pencegahan merokok dan konseling berhenti merokok bagi remaja Kata Kunci: Merokok, Indeks Massa Tubuh, Remaja Putr