Analisis beban ekonomi kejadian luar biasa campak di Daerah Istimewa Yogyakarta tahun 2015

https://doi.org/10.22146/bkm.11629

Akhmad Mukhibin(1*), Hari Kusnanto(2), Riris Andono Ahmad(3)

(1) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Economic burden analysis of measles outbreak in the Special Region of Yogyakarta 2015

Purpose

This study aimed to analyze the economic burden due to outbreaks of measles in the household sector in Yogyakarta.

Methods

This research was a descriptive study with survey design, with data collected of direct and indirect costs for patients exposed to measles, by conducting interviews of 177 respondents using a questionnaire. Secondary data was compared in the form of outbreaks of measles in 2014 and 2015, to research in February-March, 2016.

Results

The number of outbreaks of measles patients who visited health facilities reached 163 patients (92.09%). Total medical costs were IDR 17.982.000, non-medical costs IDR 7.804.900, so the total direct cost of IDR was 25.786.900 (average IDR 145. 700). Total indirect costs were IDR 11.720.000 (average IDR 156. 300). The economic burden of measles outbreak was IDR 37.506.900 (average IDR 211. 900). Generally, the cost that is paid out of pocket amounted to 6.32% of household income, not yet considered catastrophic. Regression analysis showed the duration of illness averaged more than 10 days (p = 0.002 with some status of hospitalization (p = 0.000).

Conclusions

The economic burden of outbreaks of measles in the province in 2015 was IDR 37.506.900, including direct and indirect costs. Medical costs are the dominant component of direct costs. The factors that were related to the economic burden are the duration of illness of more than 10 days and inpatient status. There needs to be an advocacy to the community about the use of health care and prevention of measles by way of measles immunization.


Keywords


cost; economic burden; measles outbreak



References

  1. WHO. Chapter 7: Measles. VPD Surveillance Manual 6th Edition 2013, 1–21. 2013.
  2. Kemenkes, P. D. dan I. Infodatin-imunisasi.pdf (April 2014., pp. 1–8). Jakarta: Kemenkes RI. 2013.
  3. Takahashi K, Ohkusa Y, Kim JY. The economic disease burden of measles in Japan and a benefit cost analysis of vaccination, a retrospective study. BMC health services research. 2011 Oct 7;11(1):254.
  4. Filia A, Brenna A, Panà A, Cavallaro GM, Massari M, degli Atti ML. Health burden and economic impact of measles-related hospitalizations in Italy in 2002–2003. BMC Public Health. 2007 Jul 24;7(1):169.
  5. Suijkerbuijk AW, Woudenberg T, Hahné SJ, Lochlainn LN, de Melker HE, Ruijs WL, Lugnér AK. Economic costs of measles outbreak in the Netherlands, 2013–2014. Emerging infectious diseases. 2015 Nov;21(11):2067.
  6. Wallace AS, Masresha BG, Grant G, Goodson JL, Birhane H, Abraham M, Endailalu TB, Letamo Y, Petu A, Vijayaraghavan M. Evaluation of economic costs of a measles outbreak and outbreak response activities in Keffa Zone, Ethiopia. Vaccine. 2014 Jul 31;32(35):4505-14.
  7. Notokususmo, A. Analisis Faktor-faktor yang mempengaruhi Biaya Pelayanan Kesehatan Rawat Jalan di Sarana Pelayanan Kesehtan yang dilanggan PT Perusahaan Listrik Nasional Batam Tahun 2009. Tesis FKM UI, 2009,1–106. 2009.
  8. Wulan, S. Beban Ekonomi Yang Ditanggung Pasien dan Anggota Rumah Tangga Akibat Penyakit Tuberculosis di Kota Bengkulu, Tesis, Susilo Wulan, FKM UI, 2014, 1–152. 2014.



DOI: https://doi.org/10.22146/bkm.11629

Article Metrics

Abstract views : 1273 | views : 2768

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2016 Berita Kedokteran Masyarakat



Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

 

Web Analytics Visitor Counter