UNIVERSITAS AIRLANGGA



Detail Article

Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 6 / No. 1 / Published : 2008-01

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Original Article :

Utilizing burden of diseases for setting priorities of health resource allocation

Author :

  1. Siswanto*1
  1. Puslitbang Sistem dan Kebijakan Kesehatan Badan Litbang Kesehatan, Depkes RI

Abstract :

Valuing population health status into one single measurement has been through a long history of effort. This article aims at elaborating the use of burden of disease measurement: Disability Adjusted Life Years (DALY lost) as a tool for setting priorities of health resources allocation for health service interventions policies. Epidemiologic measurements currently available e.g. mortality, morbidity and disability rates -which can only demonstrate the intensity of event- cannot present a comprehensive description of community health status. Summary Measure of Population Health (SMPH) i.e. DALY and Disability Adjusted Life Expectancy (DALE) which combines mortality, morbidity and disability into one measurement, can be used for describing population health status and also for health policy setting priorities. DALY itself is able to show population burden of diseases based on specific category, thus, SMPH is appropriate to set problem priorities. However, the Cost Effectiveness Analysis (CEA) which calculates the cost averted can helpfully provide valid information in setting intervention priorities. In real practice of priority setting, it should be acknowledged that the process of priority setting is actually a political process requiring consensus amongst stakeholders.

Keyword :

burden of diseases, DALY, DALE, setting priority ,


References :

JL Bobadilla,(1994) Design, Content and Financing of An Essential National Package of Health Services Geneva : World Health Organization

P Cowley,(1994) Design, Content and Financing of An Essential National Package of Health Services Geneva : World Health Organization

P Musqrove,(1994) Design, Content and Financing of An Essential National Package of Health Services Geneva : World Health Organization

H Saxenin,(1994) Design, Content and Financing of An Essential National Package of Health Services Geneva : World Health Organization

SB Clauser,(2004) Use of Cancer Performance Measures in Population Health: A Macro-level Perspective :





Archive Article

Cover Media Content

Volume : 6 / No. : 1 / Pub. : 2008-01
  1. Utilizing Burden Of Diseases For Setting Priorities Of Health Resource Allocation
  2. The Influence Of Organizational Culture On Bed Occupancy Rate
  3. Constructing Financial Compensation System Based On Employee’s Assessment, Expectation And Hospital Capability
  4. Public Health Center Tariff Rationalization Based On Unit Cost Analysis
  5. Cost Effectiveness Analysis Of Iud, Injection And Pills Contraception Methods Through Quality Of Life Approach
  6. The Decrease Of Under Graduate Student Enrollee Selection Registrars At The Surabaya Yarsis Nursing Academy Based On The Preferences And The Choices Theories
  7. Diagnosis Related Group’s Of Five Majority Diseases With The Present Value Computation
  8. Reason Behind The Utilization Of Maternal Health Services
  9. Insurance Contract Using Multi-party Contract Model
  10. Efforts To Increase Maternal Delivery Services By Health Personnel Based On Need And Demand Analysis

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