Utilization of JKN Mandiri Participants Health Services in Barru General Hospital since Achievement of Universal Health Coverage (UHC) Participation

  • Dewi Sartika Postgraduate Magister Program, Postgraduate School of Hasanuddin University, Makassar 90245, Indonesia
  • Amran Razak Department of Health Policy and Administration, Faculty of Public Health, Hasanuddin University, Makassar 90245, Indonesia
  • Rahmatia Yunus Department of Economics, Faculty of Economics, Hasanuddin University, Makassar 90245, Indonesia
Keywords: JKN Mandiri, UHC, Service Utilization.


The World Health Organization formulates three dimensions in achieving universal coverage, namely the first dimension is guaranteed population, the second dimension is guaranteed health services and the third dimension is the proportion of guaranteed health costs. Along with the introduction of JKN, the health service system is expected to gradually increase the reach of health services to the community towards Universal Health Coverage. Barru District has received an award from the Governor of South Sulawesi as a district that has achieved Universal Health Coverage (UHC) participation dimension in 2018. In membership of Health Social Security Organizing Agency, independent participants are non-permanent. Increased independent participation is not in line with its compliance in paying JKN contributions. In accordance with Presidential Regulation No. 82 of 2018, the guarantee status is not active when participants are late in paying contributions. Total contributions are in arrears and penalties must be paid off before service can be provided. This research was conducted to describe the utilization of JKN Mandiri Participants' health services at Barru General Hospital after achieving 100% Universal Health Coverage (UHC) participation in Barru District according to the three dimensions of UHC achievement, namely participation, health service aspects and financing aspects. This type of research is descriptive research through a qualitative approach.Qualitative data about information was obtained by Focus Group Discussion and in-depth interviews using interview guidelines, document studies, and direct observation. From the aspect of participation, there are still JKN Mandiri participants who do not adhere to paying contributions, from the aspect of health services, health services in Barru Hospital are good, from the aspect of financing, there are still out of pocket payments from JKN Mandiri participants.


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