Pengeluaran out of pocket rumah tangga untuk upaya pencegahan kesehatan anak: analisis berbasis two part model dan Tobit

https://doi.org/10.22146/bkm.42519

Marlinda Marlinda(1*), Vetty Yulianty Permanasari(2)

(1) Magister Ilmu Kesehatan Masyarakat Universitas Indonesia
(2) Departemen Administrasi Kebijakan Kesehatan Universitas Indonesia
(*) Corresponding Author

Abstract


Out-of-pocket household expenditure for child health prevention services: two-part and tobit model

Purpose

To find out socio-economic determinants and the amount of out-of-pocket (OOP) for household expenditure in health prevention for children.

Methods

This study compared two approaches from several alternative assumptions including the two-part model and Tobit, which can be used when variable analysis has a problem selection. The dependent variable was household expenditure for children health prevention services in Indonesia, where the probability of dependent variable was affected by latent variables.

Results

The two-part model and Tobit estimate that rural areas in NTT province can reduce out-of-pocket preventive health expenditures for children three times lower than the rural provinces of Papua. The higher the education of the head of the household, the greater of the possibility of preventive out-of-pocket child health is. Distribution of poverty rates based on quintiles provides a regressive picture of the poorest households based on expenditure per capita. 

Conclusion

This study is expected to be a comprehensive policy recommendation to suppress out-of-pocket preventive health expenditures for children. Thus, the distribution of health services is a priority for vulnerable groups (children) and the poor.

Keywords


health econometrics; household expenditure; health prevention for children; two-part model; Tobit

Full Text:

PDF


References

  1. WHO. Social Determinants of Health. In: Health in Asia and the Pacific Chapter 2. 2008. p. 7–33.
  2. Kementerian Pemberdayaan Perempuan dan Perlindungan Anak dengan Badan Pusat Statistik. Profil anak indonesia 2015. In: Badan Pusat Statistik, editor. Kementerian Pemberdayaan Perempuan dan Perlindungan Anak; 2015. Available from: https://www.kemenpppa.go.id/index.php/page/read/25/1018/profil-anak-indonesia-tahun-2015
  3. Badan Pusat Statistik. Statistik Indonesia 2018. In: Statistik SP dan K, editor. Statistical Yearbook of Indonesia 2018 [Internet]. 2018. p. xl + 719 halaman /pages. Available from: https://www.bps.go.id/publication/2018/07/03/5a963c1ea9b0fed6497d0845/statistik-indonesia-2018.html
  4. Kementrian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2017 [Internet]. Kurniawan R, Yudianto, Hardhana B, Siswanti T, editors. Kementerian Kesehatan Republik Indonesia. Jakarta; 2018. 107-108 p. Available from: website: http://www.kemkes.go.id
  5. Willis E. Preventive Pediatrics Issues for Child Health Care Providers. Pediatr Clin North Am [Internet]. 2015;62(5):xvii–xviii. Available from: http://dx.doi.org/10.1016/j.pcl.2015.07.002
  6. Presiden RI. Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 Tentang Kesehatan. 2009.
  7. Balitbangkes RI. Riskesdas 2013 [Internet]. Riset Kesehatan Dasar. 2013. 103 p. Available from: http://www.academia.edu/download/36235491/Laporan_riskesdas_2010.pdf
  8. Prevention TC for DC and. 2018 Preventive Health Care Guidelines. 2018. 1-32 p.
  9. Presiden RI. UU RI Nomor 35 Tahun 2014 Tentang Perubahan Atas UU Nomor 23 Tahun 2002 Tentang Perlindungan Anak. 2014.
  10. Hardiani, Junaidi MSH. Determinan Sosial Ekonomi Pengeluaran Rumah Tangga Untuk Kebutuhan Preventif Kesehatan Di Provinsi Jambi. J Kependud Dan Pengemb Sumber Daya Mns. 2017;Vol. XIII(Desember 2017):61–8.
  11. Onah MN, Govender V. Out-of-Pocket Payments, Health Care Access and Utilisation in South-Eastern Nigeria: A Gender Perspective. PLoS One. 2014;9(4).
  12. Onwujekwe O, Etiaba E, Uguru N, Uzochukwu B, Adjagba A. Towards making efficient use of household resources for appropriate prevention of malaria: investigating households’ ownership, use and expenditures on ITNs and other preventive tools in Southeast Nigeria [Internet]. Vol. 14. 2014 [cited 2018 Dec 2]. Available from: http://www.biomedcentral.com/1471-2458/14/315
  13. Byamugisha R, Tumwine J., Semiyaga N, Tylleskär T. Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey. Reprod Health [Internet]. 2010;7(PG-12):12. Available from: NS  -
  14. Broberg G, Wang J, Östberg AL, Adolfsson A, Nemes S, Sparén P, et al. Socio-economic and demographic determinants affecting participation in the Swedish cervical screening program: A population-based case-control study. PLoS One. 2018;13(1):1–14.
  15. Malik AM, Syed SIA. Socio-economic determinants of household out-of-pocket payments on healthcare in Pakistan [Internet]. 2012 [cited 2018 Nov 6]. Available from: http://www.equityhealthj.com/content/11/1/51
  16. Donnell OO, Wagstaff A, Lindelow M. Analyzing Health Equity Using Household Survey Data. Washington, DC: The World Bank; 2008.
  17. Mihaylova B, Briggs A, O’hagan A, Thompson D SG. Review Of STatistical Methode For Analysing Healthcare Resources And Cost. Health Econ [Internet]. 2010 [cited 2018 Dec 20];20:897–916. Available from: www.herc.ox.ac.uk/downloads/support_pub
  18. Deb P, Norton EC. Modeling Health Care Expenditures and Use. Annu Rev Public Health [Internet]. 2018 [cited 2018 Dec 20]; 39:489–505. Available from: https://doi.org/10.1146/annurev-publhealth-
  19. Tobin J. Liquidity Preference as Behavior Towards Risk. Rev Econ Stud [Internet]. 1958;25(2):65–86. Available from: http://www.jstor.org/stable/2296205.
  20. Cameron CA, Trivedi PK. Microeconometrics Using Stata. Unites States of America: Stata Press; 2009.
  21. Gujarati DN. Basic Econometrics. Fourth Edi. 2004.
  22. Komputasi L, Ekonomi DI. MODUL STATA: LPM, LOGIT, dan PROBIT MODEL. 2011;(021).
  23. Hoang VM, Oh J. Patterns of Health Expenditures and Financial Protections in Vietnam 1992-2012. 2015;(November).
  24. WHO. Health Financing Strategy for The Asia Pacific Region (2010-2015) [Internet]. 2009. Available from: http://www.wpro.who.int/publications/docs/Healthfinancingstrategy_6188.pdf
  25. Kogure A. Predicting Health Care Costs by Two-part Model with Sparse Regularization [Internet]. 2015 [cited 2018 Dec 18]. Available from: http://www.wriec.net/wp-content/uploads/2015/07/7D2_Kogure.pdf
  26. Matsaganis M, Mitrakos T, Tsakloglou P. Modelling Household Expenditure On Health Care In Greece. Eur J Heal Econ [Internet]. 2009;10:329–36. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19037671



DOI: https://doi.org/10.22146/bkm.42519

Article Metrics

Abstract views : 1511 | views : 1365

Refbacks

  • There are currently no refbacks.




Copyright (c) 2019 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:


Web
Analytics Visitor Counter