Abstract

Economic analysis in health is a studyofthe application ofthe concept ofeconomics in anobjective approach to policy making health programs. Oneofthe success ofa policy is a healthprogram benefits greater than costs incurred. Cost effectiveness analysis (CEA) is one tool to helpmakedecisions. The analysis used tocompare the level ofefficiency programs. Thegeneralobjectiveofthis research is to obtain cost effectiveness model for biological control ofmalariavectorsusingaB. thuringiensisH-14 local strain. Thespecificobjectiveofresearchis to comparethe costeffectiveness use ofBacillusthuringiensis H-14local strain ofB.thuringiensis H-14strain beyond the control of malaria vector mosquito larvae Anopheles sp.The study was conducted in March through December 2006 at the Central Research andDevelopmentofDisease Vectors and Reservoir (B2P2VRP), Salatiga. The study design wasobservationalstudies (observational research). Data were collected retrospectively, for 1-yearstudy. Data were analyzed statistically using Excel program to calculate the cost effectivenessratio (CER) with adiscountrate of10%. Inanalyzingthe cost-effectiveness(CEA) by calculatingthe cost-effectivenessratio(CER).Ifthe valueofCERsfrom avectorcontrolagentusedishigherthan the comparable then the agent is said to be more efficient than a comparable agency or viceversa.Theresults showedthat the modelofmalariavectorcontrolAn.sundaicususingB. thuringiensisH-14local strainis morecosteffectivethan usingB. thuringiensisH-14outsidelines, withthecost 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 ilmuekonomi pada pendekatan obyektifpengambilan kebijakan program kesehatan. Salah satukeberhasilansuatu kebijakanprogramkesehatanadalah manfaatyangdiperolehlebih besardaribiaya yang dikeluarkan.Costeffectiveness analysis(CEA) merupakan salah satu alat untukmembantumengambil keputusan. Analisis tersebutdipergunakanuntukmembandingkantingkatefisiensi beberapaprogram. Tujuan umum penelitian adalah mendapatkan cost effectivenessmodel pengendalian vektor malaria secara hayati menggunakanB.thuringiensisH-14galurlokal.Tujuan khusus penelitian adalah Membandingkancost effectiveness penggunaan Bacillusthuringiensis H-14 galur lokal denganB.thuringiensis H-14 galur luar dalam mengendalikanjentiknyamuk vektor malariaAnophelessp.Penelitian dilakukan pada Bulan Maret sampai Desember 2006 di Balai Besar Penelitiandan PengembanganVektor dan Reservoir Penyakit (B2P2VRP), Salatiga. Desainpenelitianadalahpenelitianobservasional(observational research).Data dikumpulkan secararetrospektif,selama 1tahun penelitian. Datadianalisis secara statistik menggunakanprogramExceluntukmenghitungCost effectiveness ratio(CER) dengan discount rate 10%. Dalammenganalisisefektivitasbiaya(CEA) dengancaramenghitungrasio efektivitasbiaya(CER). ApabilanilaiCERdariagenpengendalianvektoryangdigunakanlebih tinggi daripadayangdiperbandingkanmakadikatakanagentersebutlebih efisien daripadaagen yangdiperbandingkanatausebaliknya.Hasilpenelitianmenunjukkanbahwamodelpengendalianvektormalaria An. sundaicusmenggunakanB. thuringiensisH-14galurlokal lebih cost effective daripadamenggunakanB.thuringiensisH-14galurluar, dengan Cost effectiveness ratio(CER) padaB. thuringiensisH-14galurlokal sebesar6,49x10"7danpadafi.thuringiensisH-14galurluar sebesar3,23x10"7.Katakunci: Costeffectivenessanalysis,B.thuringiensis,An.sundaicus