ANALISIS COSTEFFECTIVENESS PENGENDALIAN HAYATI MENGGUNAKAN Bacillusthuringiensis H-14 GALUR LOKAL

Retno Ambar Yuniarti, Nani Sukasediati, Blondine Ch. P., Ristiyanto Ristiyanto, Akhid Darwin

ANALISIS COSTEFFECTIVENESS PENGENDALIAN HAYATI MENGGUNAKAN Bacillusthuringiensis H-14 GALUR LOKAL

Abstract


Economic analysis in health is a studyofthe application ofthe concept ofeconomics in an
objective approach to policy making health programs. Oneofthe success ofa policy is a health
program benefits greater than costs incurred. Cost effectiveness analysis (CEA) is one tool to help
makedecisions. The analysis used tocompare the level ofefficiency programs. Thegeneral
objectiveofthis research is to obtain cost effectiveness model for biological control ofmalaria
vectorsusingaB. thuringiensisH-14 local strain. Thespecificobjectiveofresearchis to compare
the costeffectiveness use ofBacillusthuringiensis H-14local strain ofB.thuringiensis H-14
strain beyond the control of malaria vector mosquito larvae Anopheles sp.
The study was conducted in March through December 2006 at the Central Research and
DevelopmentofDisease Vectors and Reservoir (B2P2VRP), Salatiga. The study design was
observationalstudies (observational research). Data were collected retrospectively, for 1-year
study. Data were analyzed statistically using Excel program to calculate the cost effectiveness
ratio (CER) with adiscountrate of10%. Inanalyzingthe cost-effectiveness(CEA) by calculating
the cost-effectivenessratio(CER).Ifthe valueofCERsfrom avectorcontrolagentusedishigher
than the comparable then the agent is said to be more efficient than a comparable agency or vice
versa.
Theresults showedthat the modelofmalariavectorcontrolAn.sundaicususingB. thuringiensis
H-14local strainis morecosteffectivethan usingB. thuringiensisH-14outsidelines, withthe
cost effectiveness ratio (CER) in B. thuringiensisH-14 local strainof6.49 x 10-7 andat B.
thuringiensisH-14 strains outof3.23 x 10-7.
Keywords: Costeffectivenessanalysis,B.thuringiensis,An.sundaicus Analisisekonomidi bidangkesehatanmerupakan suatu kajianpenerapankonsep ilmu
ekonomi pada pendekatan obyektifpengambilan kebijakan program kesehatan. Salah satu
keberhasilansuatu kebijakanprogramkesehatanadalah manfaatyangdiperolehlebih besardari
biaya yang dikeluarkan.Costeffectiveness analysis(CEA) merupakan salah satu alat untuk
membantumengambil keputusan. Analisis tersebutdipergunakanuntukmembandingkantingkat
efisiensi beberapaprogram. Tujuan umum penelitian adalah mendapatkan cost effectiveness
model pengendalian vektor malaria secara hayati menggunakanB.thuringiensisH-14galurlokal.
Tujuan khusus penelitian adalah Membandingkancost effectiveness penggunaan Bacillus
thuringiensis H-14 galur lokal denganB.thuringiensis H-14 galur luar dalam mengendalikan
jentiknyamuk vektor malariaAnophelessp.
Penelitian dilakukan pada Bulan Maret sampai Desember 2006 di Balai Besar Penelitian
dan PengembanganVektor dan Reservoir Penyakit (B2P2VRP), Salatiga. Desainpenelitian

adalahpenelitianobservasional(observational research).Data dikumpulkan secararetrospektif,
selama 1tahun penelitian. Datadianalisis secara statistik menggunakanprogramExceluntuk
menghitungCost effectiveness ratio(CER) dengan discount rate 10%. Dalammenganalisis
efektivitasbiaya(CEA) dengancaramenghitungrasio efektivitasbiaya(CER). ApabilanilaiCER
dariagenpengendalianvektoryangdigunakanlebih tinggi daripadayangdiperbandingkanmaka
dikatakanagentersebutlebih efisien daripadaagen yangdiperbandingkanatausebaliknya.
Hasilpenelitianmenunjukkanbahwamodelpengendalianvektormalaria An. sundaicus
menggunakanB. thuringiensisH-14galurlokal lebih cost effective daripadamenggunakanB.
thuringiensisH-14galurluar, dengan Cost effectiveness ratio(CER) padaB. thuringiensisH-14
galurlokal sebesar6,49x10"7danpadafi.thuringiensisH-14galurluar sebesar3,23x10"7.
Katakunci: Costeffectivenessanalysis,B.thuringiensis,An.sundaicus


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