Indonesia has introduced a national health insurance scheme called Jaminan Kesehatan Nasional (JKN) in 2014. This study aims to assess the incidence of catastrophic health spending (CHS) and its determinants and trends between 2018 and 2019, a period during which JKN enrollment coverage surpassed 80 percent.
Results indicate a decline in the overall CHS incidence in Indonesia during this timeframe. Nonetheless, a greater prevalence of CHS was noted among households residing in rural areas, non-JKN members, households led by unemployed heads, and the poorest households. Additionally, the study offers policy suggestions to mitigate out-of-pocket expenses and catastrophic health spending among JKN members.
