Authors:
Destanul Aulia
1
;
Intan Permata Sari
1
and
Sri Fajar Ayu
2
Affiliations:
1
Departement of Administration and Health Policy, Faculty of Public Health, University of Sumatera Utara, Jl. Universitas No. 21 Kampus USU, Medan 20155, Indonesia
;
2
Departement of Agribusiness , Faculty of Agriculture, University of Sumatera Utara, Jl. A. Sofian No. 3 Kampus USU , Medan 20155, Indonesia
Keyword(s):
Economic burden, malaria, inpatien, productive age, non productives age
Abstract:
Mandailing Natal is one of the endemic areas of malaria in Sumatera Utara Province. Environmental conditions and community behaviour gave high contribution for the incidence of malaria affecting all ages. Besides having a high transmission risk, malaria disease also impacts on patient's economy, both in productive and non-productive age. This was a survey study for malaria inpatients from July to December 2017, using quantitative methods calculated based on direct and indirect costs during treatment, then comparing the economics of productive and unproductive age inpatient. Direct costs include inpatient fees, specialist doctor's visit, doctor's and room services, personal hygiene officer, laboratory, medicine, and administration. Indirect costs include transport, extra meals of patient and patient roommate, productivity loss of patient and patient roommate. The purpose of this study was to compare the economic burden in productive and unproductive age patients during treatment. The
results showed that the total economic loss of productive age patients was Rp1,907,116 and the total economic loss of unproductive age patients was Rp1,845,499. Total losses in malaria patients of productive and non-productive age are almost the same, with a difference Rp61,667 more in productive age. The high malaria sufferer becomes a high economic burden for the patient, because the productive age patient will lose productive time to work, and non productive age patient will be an additional burden for the family. Mandailing Natal Government needs to develop a comprehensive strategy and policy for the development and improvement of environmental sanitation and community behaviour, because Mandailing Natal Regency is a malaria endemic area with high transmission risk affecting family health and economy.
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