MSME owners' acceptability of one-door joint registration service between Health and Employment BPJS schemes

A mixed-method study in Yogyakarta

Abstract

JKN is part of National Social Security System (SJSN) held by BPJS Kesehatan which its membership is mandatory, this including MSMEs. Currently there are many MSMEs that have not enrolled in the program where MSMEs contributes 97% of total national employment. Potential expansion of participation to reach UHC can be extracted from this sector. Efforts to simplify the process of registration of JKN is through one-door service. In Yogyakarta has not yet applied joint registration between SME licensing, JKN, and other Social Security held by BPJS Ketenagakerjaan so it is important to do research about how acceptance of MSMEs in Yogyakarta to strategy of expansion of participation JKN through this one-door service. Purpose: To analyze MSME’s acceptability in Yogyakarta to joint registration program of Social Security Agency (BPJS) for health care and Employment Social Security Agency. Method: Mixed-method with explanatory sequential design. Population is all MSMEs recorded in the Department of Industry, Trade, Cooperative, and Agriculture of Yogyakarta City. Data were collected through questionnaires and in-depth interviews. Results and Conclusions: This study shows a significant relationship between knowledge level (OR 2.07), relative profit perception (OR 3.37), and program complexity perception (OR 0.18) on MSMEs acceptability towards one-door service registration program of BPJS. MSMEs accepts this program that will be implemented in Yogyakarta but they have negative perceptions of the benefits as well as on the social security provider.