Comparison of satisfaction with maternal health-care services using different health insurance schemes in aceh province, Indonesia.

ABSTRACT

Background: An insurance scheme called Jaminan Kesehatan Aceh (JKA) was established by the local government to achieve universal coverage for Aceh's population who were not registered under the national insurance scheme for the poor (Jamkesmas). Objective: This study was conducted to compare women's satisfaction before and after the implementation of JKA and across different insurance schemes. Methods: The study was conducted from July 2011 to July 2012 on satisfaction of maternal health services among 1197, 15-49 years aged old women living in eight districts of Aceh Province, Indonesia, and a cluster sampling technique was applied. Analysis of variance was used to assess the effects of different insurance schemes, period, and type of services on satisfaction with maternal health services. Results: Women were mostly satisfied with birth delivery services (mean score 2.69) followed by postnatal care (mean score 2.62) and antenatal care services (mean score 2.37). Conclusion: Over the changing period, the average level of satisfaction in the JKA group increased significantly.