Enrolment of informal sector workers in the National Health Insurance System in Indonesia: A qualitative study

Teguh Dartanto · Alvin Ulido Lumbanraja · Chairina Hanum Siregar · Hamdan Bintara · Nia Kurnia Sholihah · Usman Usman

45 citations0/0 files storedHeliyon

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Healthcare Systems and Reforms Healthcare Policy and Management Public Health and Social Inequalities

Abstract

One of the main challenges facing the expansion of universal health coverage (UHC) in developing countries like Indonesia is the high prevalence of those working in the informal sector who must voluntarily register in the National Health Insurance System (NHIS). This condition hinders some from being covered by the NHIS. Following Bourdieu's concepts of field, capital and habitus, this research aims to analyse some aspects that influence the decision of informal sector workers to join the NHIS in Indonesia. We conducted qualitative methods, including in-depth interviews of 29 informants and Focus Group Discussion (FGD) in the three selected regions of Deli Serdang (North Sumatera), Pandeglang (Banten) and Kupang (East Nusa Tenggara). Using thematic content analysis and several triangulation processes, this study found that three main factors influence the decisions of those working in the informal sector to join the NHIS: health conditions, family and peers, and existing knowledge and experience. The stories provided by the informants regarding their decision-making processes in joining NHIS also reveal the necessary and sufficient conditions that enable informal sector workers to join the NHIS, which are individual-specific and which may differ between people, depending on individual characteristics, regional socioeconomic and demographic characteristics and belief systems. These three factors are all necessary conditions to support the joining of informal sector workers into the NHIS. This study suggests that one possible route for expanding the UHC coverage of informal sector workers is through maximising the word-of-mouth effect by engaging local or influential leaders.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 45 citations exist upstream.

References

1994Research Design: Qualitative, Quantitative, and Mixed Methods Approaches 2018Distinction: A Social Critique of the Judgement of Taste*2003Research design: qualitative, quantitative, and mixed methods approaches 1987Handbook of Theory and Research for the Sociology of Education.2002The Forms of Capital 2012Collecting and Interpreting Qualitative Materials 1985Distinction. A Social Critique of the Judgement of Taste 1987Social Ties and Word-of-Mouth Referral Behavior

Cited by

2023Extending universal health coverage to informal workers: A systematic review of health financing schemes in low- and middle-income countries in Southeast Asia

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.