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JawaPos.com – Indonesia has made great strides in the health sector since 1990. With a life expectancy of eight years more and a decrease in the burden of infectious diseases such as diarrhea and tuberculosis.
But now there are more and more noncommunicable diseases such as diabetes, stroke and heart. So, it becomes the heaviest burden for the health budget. Thus, the government faces a double burden in the face of ongoing health problems.
"Indonesia is currently facing the challenge of" dual burden disease. "We must remain diligent in our efforts to reduce infectious diseases such as tuberculosis, diarrhea and various maternal health problems. and at the same time, we also need to improve prevention efforts and overcome noncommunicable diseases, the treatment of which costs a lot, "said Nafsiah Mboi, Minister of Health for 2012-2014, during a recent joint discussion of IHME.
The problems are becoming more complex with the increase in life expectancy in Indonesia, but on the other hand, there is a challenge of combining various diseases in the elderly. This was revealed in a study on "A Systemic Analysis for the Global Burden of Disease Study 2016" published in The Lancet. The study covers the period from 1990 to 2016, which is part of the Global Study on Burden of Disease (GBD).
In this study, dr. Nafsiah and the team of researchers from the IHME and Indonesia, BAPPENAS, the Central Bureau of Statistics, the Eijkman Oxford Institute, the University of Indonesia and the University of BPJS Health, studied the causes of death and disability of 333 diseases. Not only in Indonesia but with seven countries of comparison.
This study is the largest systematic effort ever undertaken to understand the health trends in Indonesia and its causes. "The double burden borne by the government is 70% for noncommunicable diseases and 30% for infectious diseases," said Nafsiah.
That infectious diseases can not be taken lightly. Because infectious diseases still kill many people in Indonesia, especially in the eastern part where many people are still infected with diarrhea.
"Suppose we say okay, it's a contagious disease, but it will happen soon, so it still weighs 70-30," he explained.
He says treatment is more expensive than prevention. Therefore, preventive and preventive promotion is important.
This global burden of disease study provides policymakers and staff in Indonesia with a better understanding of the various diseases, injuries and risk factors that will impact health. See also how changes happen from time to time.
"The information allows us to make health decisions more effective," concludes
Director of the Institute of Health Metrics and Assessment (IHME) at the University Washington DC, Coordinating Institute for this Global Study, Christopher Murray.
From the study, we found 10 causes of double burden of disease in 2016.
1. Ischemic heart disease
2. Stroke
3. Diabetes
4. Tuberculosis (TBC)
5. Low back pain and neck pain
6. Complications due to premature birth
7 Problems Related to the Senses
8. Road Traffic Accidents and Accidents
9. Skin Disease
10. Diseases Related to Diarrhea
(ika / JPC)
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