UNIVERSITAS AIRLANGGA



Detail Article

Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 5 / No. 1 / Published : 2007-01

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Original Article :

Effectiveness analysis of the active and passive case finding effort of the new leprosy patients using cost effectiveness analysis method(a case study at dungkek public health center in sumenep regency)

Author :

  1. Rifmi Utami*1
  2. Nyoman Anita Damayanti*2
  3. Noorlailie Soewarno*3
  1. Puskesmas Ganding, Sumenep
  2. Fakultas Kesehatan Masyarakat, Universitas Airlangga, Surabaya
  3. Fakultas Ekonomi, Universitas Airlangga, Surabaya

Abstract :

The background of this research was the low percentage of new leprosy patients from suspect patients of active case finding (averaging 4.42%) compared to the passive case finding (averaging 17.22%) in 2002 until 2005 causing leprosy high prevalence in Sumenep Regency. The purpose of this research was to determine which effort was more cost effective between the active and passive case finding of new leprosy patients using CEA (Cost Effectiveness Analysis) method. This was a case study at Dungkek Public Health Center (PHC). The time limit of the analysis was the year 2005. The assumptions in the calculation of CER (Cost Effectiveness Ratio) were: 1) the total cost was comprised of direct and indirect costs; 2) the objectives were obtained from 3 simulations which were the number of new found leprosy patients, DALY using YLD (Years Life of Disability) from NBD (National Burden of Disease) parameter and DALY using the modified YLD parameter adjusted to the real data of this researchThe results showed that individual leprous patient characteristics were: 43.8% went to PHC, majority were in productive years (15 – 44 years), equal number of male and female patients, majority were farmers, from middle to lower social class, 85.4% were MB type disease classification. The medical characteristics of first time check up were: one time visit to the PHC, transportation was walking, 52.1% patients were not accompanied, 25% patients had disability since their first check up and 58.3% had decreasing productivity. The total cost analysis was concluded as follows: 1) the direct cost of active case finding was higher than the indirect cost; 2) the direct cost of passive case finding was less than the indirect cost; 3) the total cost of active case finding was higher than passive case finding. The objective analysis from 3 simulations: 1) from the first simulation: the number of patients of passive case finding were higher than active case finding, 2) the number of DALY of the passive case finding patients were longer than active case finding; 3) the number of DALY of the active case finding patients were longer than passive case finding patients. The cost effective case finding was determined by the calculation of CER; if it was calculated with the 1st and 2nd formulas, the conclusion would be that the passive was more cost effective than the active case finding. However, the researcher recommended to use the calculation with formula 3, due to its quality evaluation (DALY), YLD parameter took notice of the patients’ actual condition and more logical and realistic than formula 1 and 2 for a district level. From the last calculation (formula 3) it was found that the active case finding was more cost effective.

Keyword :

CEA, leprosy, case finding, DALY, CER ,


References :

American College of Physicians,(2000) Primer on Cost Effectiveness Analysis. Effective Clinical Practice. September-October 2000 :

A Azwar,(1996) Pengantar Administrasi Kesehatan. Jakarta : Penerbit Bina Rupa Aksara

Biro Perencanaan Depkes RI, PT Indoconsult, FKM UI,(1997) Analisis Biaya dan Penetapan Tarif Rumah Sakit. Latihan Perencanaan dan Penganggaran Kesehatan Terpadu Modul 7 Jakarta : Bhakti Husada

Biro Pusat Statistik,(2004) Kecamatan Dungkek Dalam Angka. Sumenep : Kerjasama BPS Sumenep dengan Badan Perencanaan Pembangunan Masyarakat Desa (BPPMD)

Depkes RI,(2002) . . Buku Pedoman Pemberantasan Penyakit Kusta. : Jakarta : Penerbit Bakti Husada

A Maidin,(2003) Kerugian Ekonomi Masyarakat Toraja Akibat Sakit dan Kematian Dini di Sulawesi Selatan, Indonesia. Jurnal Administrasi dan Kebijakan Kesehatan Vol 3 No.3. Surabaya : Yayasan SUDAMA SEHAT.

PJ Neumann,(2005) Medicare and Cost Effectiveness Análysis. The New England Journal of Medici



Archive Article

Cover Media Content

Volume : 5 / No. : 1 / Pub. : 2007-01
  1. The Role For Leaders Of Health Care Organizations In Patient Safety
  2. The Comparison Of Mps Method With Eoq Lot-size Along With Chosen Forecasting Result And Maximum-minimum Stock Level (simulation On Stock Planning And Controlling At Siti Khodijah Hospital)
  3. The Correlation Of Organization Culture Forming Source With The Community Health Center Organization Culture (an Analysis In Kendari Regency And City)
  4. Patient Safety Focusincrease Patient Safety By Creating A Quieter Hospital Environment
  5. Effectiveness Analysis Of The Active And Passive Case Finding Effort Of The New Leprosy Patients Using Cost Effectiveness Analysis Method(a Case Study At Dungkek Public Health Center In Sumenep Regency)
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  8. Efforts To Accomplish The Target Of Finding Positive Acid Fast Bacilli Among Tb Suspects In The Regency Of South Center Timor, East Nusa Tenggara Province (performance Determinant Analysis Of The Phc Laboratorypersonnel

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