THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACT

Background: Leptospirosis is a public health issue caused by the Leptospira bacterium, leading to significant economic impacts. The cost of illness due to Leptospirosis encompasses hidden costs that significantly affect individuals and society Aims: This study aimed to assess the hidden economic b...

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Main Authors: Wahyu Pudji Nugraheni, Sinta Dewi Lestyoningrum, Indah Pawitaningtyas, Syarifah Nuraini, Linta Meyla Putri, Ristiyanto, Carine Milcent
Format: Article
Language:English
Published: Universitas Airlangga 2025-07-01
Series:Jurnal Administrasi Kesehatan Indonesia
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Online Access:https://e-journal.unair.ac.id/JAKI/article/view/71194
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author Wahyu Pudji Nugraheni
Sinta Dewi Lestyoningrum
Indah Pawitaningtyas
Syarifah Nuraini
Linta Meyla Putri
Ristiyanto
Carine Milcent
author_facet Wahyu Pudji Nugraheni
Sinta Dewi Lestyoningrum
Indah Pawitaningtyas
Syarifah Nuraini
Linta Meyla Putri
Ristiyanto
Carine Milcent
author_sort Wahyu Pudji Nugraheni
collection DOAJ
description Background: Leptospirosis is a public health issue caused by the Leptospira bacterium, leading to significant economic impacts. The cost of illness due to Leptospirosis encompasses hidden costs that significantly affect individuals and society Aims: This study aimed to assess the hidden economic burden (direct and indirect costs) experienced by patients and their families due to healthcare treatment of leptospirosis. Methods: This descriptive cross-sectional study was conducted in Banyumas Regency from February to June 2024. Data were collected from patients who completed leptospirosis treatment in 2023. The variables of cost were categorized into direct treatment cost, treatment cost, and indirect cost, which were analyzed descriptively.   Results: Most leptospirosis patients were male, aged 26 – 45 years old, and the majority worked as farmers. Our study reveals that uninsured patients incurred higher out-of-pocket expenses during leptospirosis’ treatment. The productivity loss was estimated at USD 44.75, with significant hidden costs being transportation (USD 31.90), caregiver support (USD 86.38), and hospital treatment (USD 231.40). Conclusion: The significant burden of Leptospirosis in Indonesia highlights the economic impact on individuals and the challenges within the healthcare system. This study calls for enhanced public health strategies focused on prevention, early diagnosis, and improved healthcare access to address the leptospirosis burden effectively. Keywords: Cost of illness, economic burden, financial impact, leptospirosis, productivity loss
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publishDate 2025-07-01
publisher Universitas Airlangga
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series Jurnal Administrasi Kesehatan Indonesia
spelling doaj-art-fd7aeb55c7a146ceaf9a6a6bfa8cc1222025-08-20T03:36:34ZengUniversitas AirlanggaJurnal Administrasi Kesehatan Indonesia2303-35922540-93012025-07-011319810910.20473/jaki.v13i1.2025.98-10969384THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACTWahyu Pudji Nugraheni0Sinta Dewi Lestyoningrum1https://orcid.org/0000-0001-7330-4396Indah Pawitaningtyas2Syarifah Nuraini3Linta Meyla Putri4Ristiyanto5Carine Milcent6Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency of Indonesia, Bogor, Indonesia.Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency of Indonesia, Bogor, Indonesia.Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency of Indonesia, Bogor, Indonesia.Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency of Indonesia, Bogor, Indonesia.STIKes Adi Husada Surabaya, Surabaya, Indonesia.Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency of Indonesia, Bogor, Indonesia.Paris School of Economics, Paris, France.Background: Leptospirosis is a public health issue caused by the Leptospira bacterium, leading to significant economic impacts. The cost of illness due to Leptospirosis encompasses hidden costs that significantly affect individuals and society Aims: This study aimed to assess the hidden economic burden (direct and indirect costs) experienced by patients and their families due to healthcare treatment of leptospirosis. Methods: This descriptive cross-sectional study was conducted in Banyumas Regency from February to June 2024. Data were collected from patients who completed leptospirosis treatment in 2023. The variables of cost were categorized into direct treatment cost, treatment cost, and indirect cost, which were analyzed descriptively.   Results: Most leptospirosis patients were male, aged 26 – 45 years old, and the majority worked as farmers. Our study reveals that uninsured patients incurred higher out-of-pocket expenses during leptospirosis’ treatment. The productivity loss was estimated at USD 44.75, with significant hidden costs being transportation (USD 31.90), caregiver support (USD 86.38), and hospital treatment (USD 231.40). Conclusion: The significant burden of Leptospirosis in Indonesia highlights the economic impact on individuals and the challenges within the healthcare system. This study calls for enhanced public health strategies focused on prevention, early diagnosis, and improved healthcare access to address the leptospirosis burden effectively. Keywords: Cost of illness, economic burden, financial impact, leptospirosis, productivity losshttps://e-journal.unair.ac.id/JAKI/article/view/71194cost of illnesseconomic burden financial impactleptospirosisproductivity loss
spellingShingle Wahyu Pudji Nugraheni
Sinta Dewi Lestyoningrum
Indah Pawitaningtyas
Syarifah Nuraini
Linta Meyla Putri
Ristiyanto
Carine Milcent
THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACT
Jurnal Administrasi Kesehatan Indonesia
cost of illness
economic burden
financial impact
leptospirosis
productivity loss
title THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACT
title_full THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACT
title_fullStr THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACT
title_full_unstemmed THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACT
title_short THE HIDDEN ECONOMIC BURDEN OF LEPTOSPIROSIS: HEALTHCARE COSTS AND PATIENT IMPACT
title_sort hidden economic burden of leptospirosis healthcare costs and patient impact
topic cost of illness
economic burden
financial impact
leptospirosis
productivity loss
url https://e-journal.unair.ac.id/JAKI/article/view/71194
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