Beban biaya penyakit demam berdarah dengue di rumah sakit dan puskesmas

Abstract

PurposeThis study aimed to determine the cost caused by dengue fever disease based on the perspectives of the patients/family in hospitals and primary health centers in Banjarnegara district in 2016.MethodsThis study used a descriptive design with prospective survey. Secondary data were obtained from hospitals and primary health centers, and primary data was collected by interviews. The data were processed by MS Excel software and analyzed by using STATA software version 12.ResultsSubjects in this study was 57 respondents. The direct cost was 207.290.500 IDR (mean: 3.636.676 IDR). Indirect cost was 68.0169.900 IDR (mean: 1.193.300 IDR). Cost of dengue fever disease was 275.307.500 IDR (mean: 4.829.955 IDR). Cost of dengue fever disease was higher in males, age group more than 15 years, worker group, with disease duration more than 7 days, no insurance ownership, no insurance use, health care facility use, private practice and hospital, more than 2 visits, and travel time more than 15 minutes. The analysis showed correlations with age (p= 0.0209), employment status (p= 0.0389), the ownership of health insurance (p= 0.0022), and the use of health insurance (p= 0.0003).ConclusionDengue fever disease cost was 275.307.500 IDR, where 75.29% was direct costs and 24.71% indirect costs. There was no increase in the active participation of each sector nor a clear division of roles for each sector so that control of dengue can be properly directed with more budget support for the prevention and control of dengue.