The Economic Loss of Leprosy in Kolaka, South East Sulawesi


Risal, Paskalis Lukimon, Rukiyah

 

Masters Program in Public Health, School of Health Sciences Mandala Waluya, Kendari

 

ABSTRACT

Background: Leprosy, when left untreated, often leads to vision impairments of the hands, feet, eyes and face. These impairments, in combination with leprosy-related stigma, limit daily activities and people’s physical ability to perform work-related tasks. Therefore, many people affected with leprosy experience difficulty in finding employ­ment, reduction in earnings and fewer opportunities for education. Consequently, many people affected with leprosy live in po­verty. Socio-economic rehabilitation, voca­tional education, self-care groups and stigma re­duction could help to alleviate poverty among people affected with leprosy, thereby reducing le­prosy-related disability. This study aimed to describe the economic loss of leprosy in Kolaka, South East Sula­wesi.

Subjects and Method: This was a descriptive study conducted at Kolaka District, South East Sulawesi. A sample for this study was collected by total sampling. The depen­dent variable was total economic loss due to leprosy. The independent variables were government costs, house­hold health costs, economic value of productive time lost due to illness and economic value of productive time lost due to death. Analysis of gover­­nment and household costs was calculated based on the direct and indirect cost components used for the treatment of leprosy. Analysis of economic loss ​​due to illness (years life with disability) used the YLD formula = total of sick days x total of people of productive age x minimum wages per day. The economic loss of death from leprosy (years of life lost) was obtained from the YLL formula= total number of patients died (life expectancy – age at death) 365 days x minimum wage per day.

Results: Health care cost due to leprosy was Rp.82,402,008. Household health care cost was Rp.17,022,000. Economic loss due to leprosy was Rp.188,253,064. Economic loss of death due to leprosy was Rp.794,603,865. Total economic loss due to leprosy Rp. 1,082,280,937. Leprosy had a large economic impact on people affected by leprosy and their fami­lies.

Conclusion: The economic impact of leprosy is significant. People with leprosy and their families experience income loss and unemployment because of vision impair­ments, leprosy-related stigma, and high costs of leprosy.  

Keywords: leprosy, economic loss

Correspondence: Risal. Masters Program in Public Health, School of Health Sciences Mandala Waluya, Jl. A.H.Nasution No. G 37, Kendari, South East Sulawesi  Email: fahrisasahdin@yahoo.co.id. Mobile: 0811406657.

DOI: https://doi.org/10.26911/theicph.2019.04.30

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