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The low membership of National Helath Insurance (NHS) with only 56.85% family owning JKN Card identified as the main problem based on urgency, seriousness, and growth in Payaman Village, Ngraho Sub-district, Bojonegoro District,. The purpose of this study is to identify the root cause of low JKN’s membership using Fishbone Analysis. This study was an Cross-sectional. Sample in this research that is 204 family selected using simple random sampling technique. Data collection techniques with interviews and direct observation. The root causes of the problems are the low level of public knowledge, lack of socialization, lack of health promotion media, The head of the family is less aware of the importance of jkn and Low level of education. Efforts that can be done by the village management that is in cooperation with Pondok Kesehatan Desa (Ponkesdes) Payaman Village and Badan Penyelenggara Jaminan Sosial(BPJS) Bojonegoro District to educate the public regarding the importance of JKN card ownership, Increasing the availability of socialization media to make easier in understanding JKN and formin JKN cadres in Payaman Village. Keywords : worker, informal, rural, national health insurance, fishbone
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