The relationship of health insurance ownership with the utilization of health services in coastal rural and urban communities (Case Study: Kapoiala Health Centre, Soropia and Nambo Health Centre) Southeast Sulawesi Province, Indonesia, 2023

Background: Health is a human right and every citizen has the right to receive health services. Therefore, the Indonesian government must guarantee that every resident gets quality health services through the implementation of national health insurance as a global commitment for every country to implement universal health coverage. In Indonesia, the number of Social Security Administrator participants reached 248.77 million people or the equivalent of 90.73% of the entire population of Indonesia which was recorded at 274.20 million people, while in Southeast Sulawesi the number of Social Security Administrator participants was 8,071,716 people. Method: The type of research used is descriptive quantitative with a cross-sectional study approach, namely looking for the relationship between ownership of health insurance and utilization of rural and urban coastal community health services (case studies: Kapoiala Health Center, Soropia Health Center and Nambo Health Center) The number of samples in this research was 1,040 people consisting of 535 urban coastal respondents and 505 rural coastal respondents. The sampling techniques are purposive sampling and accidental sampling. The analysis used in this research is chi-square analysis. Results: The results of the study show that there is a significant relationship between ownership of health insurance and utilization of health services with a ρvalue (0.037) < 0.05 in the working areas of the Kapoiala Health Center, Soropia Health Center and Nambo Health Center, Southeast Sulawesi Province, Indonesia. Conclusion: There is a significant relationship between ownership of health insurance and utilization of rural and urban coastal community health services in the working areas of Kapoiala Health Center, Soropia Health Center and Nambo Health Center, Southeast Sulawesi Province. Therefore, it is necessary to increase the acceleration of social security administrator membership to reach 100% UHC through regional government and central government schemes. social security administrator needs to increase socialization with various media that are more effective in increasing community participation in becoming social security administrator participants.