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Abstrak :
ABSTRAK Program Dana Sehat KUD di Kabupaten Flores Timur merupakan bagian dari program dana sehat Propinsi Nusa Tenggara Timur, yang dibentuk dan diresmikan oleh Menteri Kesehatan Republik Indonesia Dr. Adhyatma, MPH) sejak tanggal 5 Juli 1989. Pada awal program, kegiatan kontrak ulang kepesertaan yang selalu dilakukan setiap tahun, berjalan dengan baik. Namun setelah kurang lebih empat tahun, kesinambungan kontrak kepesertaan dana sehat dari 14 KUD semakin menurun. Pada awal 1995 tercatat 86,7% peserta tidak ikut lagi dalam kontrak kesinambungan kepesertaanya. Dengan desain studi observasional memakai pendekatan cross sectional, penelitian ini bertujuan untuk memperoleh informasi tentang faktor-faktor yang berhubungan dengan kesinambungan dana sehat tesebut. Penentuan besar sample dengan cara proportional stratified random sampling , yang mewakili peserta dari 14 KUD dengan kondisi kesinambungan baik dan buruk. Hipotesis yang dibangun adalah adanya hubungan antara faktor Demand (berikut sub faktor Manfaat, Kemungkian sakit, Besarnya Resiko, Besarnya Iuran, Pendapatan), faktor Kemudahan, faktor Pendorong, faktor Pemahaman terhadap hak dan kewajiban peserta dengan Kesinambungan kepesertaan dana sehat. Analisis data dilakukan secara univariat (disribusi frekuensi), bivariat dengan metode Chi-Square dan analisis multivariat dengan metode regresi logistik. Hasil Uji analisis bivariat menunjukkan adanya hubungan yang bermakna antara faktor Demand dengan kesinambungan kepesertaan Dana Sehat KUD. Hubungan tersebut didukung oleh adanya hubungan bermakna antara sub faktor manfaat, besarnya resiko, nilai iuran dan pendapatan dengan kesinambungan kepesertaan dana sehat dengan nilai p ABSTRACT The health fund program of Village Cooperative in East Flores District is part of the Health fund program of East Nusa Tenggara which was formed and opened officially by the ministry of Health (dr.Adhyatma,MPH) since July 5, 1989. At the beginning of the program, the recontract of participation which is done annualy run smoothly. However, after abaout four years, the sustainability of participation contract of health fund from 14 Village Cooperatives decreased. At the beginning of 1995 there was 86,7% participants quitted the participation contract. The Objective of this research is to obtain information regarding the factors related with the sustainability of health fund participation, by using the observational study design. The determination of the number of sample is by proportional stratified random sampling, which represents the participants from 14 Village Cooperatives with poor and good sustainability. The hypothesis is that there is a relationship between Demands Factor (the Utility, Probability of loss, Magnitude of Joss, Price and Income factors) Enabling factor, Reinforcing factor and Understanding of the right and obligation of the participants with the sustainability of the health fund participation. The data analysis was done by using univariate (frequency distribution), bivariate with Chi-Square and multivariate analysis with logistics regression methods. The result of bivariate test indicate that there is a significant relationship between Demand factor and the sustainability of the Health Fund Participation of the Village Cooperatives. The relationship is supported by a significant relationship between sub factors The Utility, The Magnitude of loss, Price and Income with the sustainability of the health fund participation with the value of p < a = 0.05, except the sub factor of the probability of loss which is not related with the sustainability of health fund participation with value of p > a = 0,59. The Enabling factor, the Reinforcing factor and Understanding of the right and obligation of participants turned out to have a significant relationship with the sustainability of the health fund participation with value of p = 0.63, p = 0.00 and p = 0.04 respectively. The multivariate analysis indicates that only the enabling factor which is not related, while based on OR value the most dominant factor is the reinforcing factor.