Implementation of Aceh Health Insurance (Jaminan Kesehatan Aceh) 2013–2021: Has health equity been achieved for all Acehnese after armed conflict?

Aceh Health Insurance (Jaminan Kesehatan Aceh—JKA) has been implemented since 2010 to increase the health equity by covering expenses and guaranteeing that all Acehnese are covered regardless of their economic, educational, social statuses. However, its implementation, there no study on impact quality, particularly regarding utilization main referral hospital (Dr Zainoel Abidin Hospital located in Banda Aceh) effects geographic accessibility number specialist doctors each regency/city utilization. This retrospective assessed factors during implementation integration National Nasional—JKN) from 2013 2021 using data travel time (time spent for travelling origin referred patients center) healthcare resources (number doctors). The were analyzed Student’s t-tests, Kolmogorov-Smirnov or Mann-Whitney U test when appropriate. Williamson Index was calculated determine disparities between regencies. Our indicated noticeably facilities implantation Insurance. use facility residents - dominated who lived closer more populated regencies/cities. In conclusion, financial hardship barriers accessing care need be addressed government achieve Acehnese.