Tuberculousis

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WHO publications in order World TB Day 2002 with the theme Stop TB Fight poverty mentions: [5]

- Some reasons for the failure of TB treatment, among others, the degree of poverty of patients, the difficulty in reaching health facilities, lack of health workers, the price of expensive drugs and procedures are complicated.

- The Commission on Macroeconomic and Health (CMH) states that the total cost to be incurred by the poor often "underrated." Often, indirect cost for treatment is much more expensive than the direct costs for treatment. In addition, labor pain would lead to a worsening economy, and workers and poor farmers will become poorer if they fall ill. 3.

- Recovery of health is one of the real effort to resolve poverty. Investment in health is essentially an investment in human resource development potential.

- TB is estimated to cost US $ 12 billion of poor people worldwide annually.

- Research shows that 3 or 4 months of work will be lost because someone is sick with TB. It could potentially cause a loss of 20-30% of household income in a year. When a person dies of TB, then the family will lose approximately 13-15 years of income due to the head of the family died of tuberculosis.

- TB and HIV will have immense economic impact for a country, can be up to 12 billion US $. If the prevalence of HIV (+) in the country of about 10-15%, then the impact of TB and HIV in the country can reduce the rate of growth of growth domestic product (GDP) to about 1% per year.

Analysis Health Economics Research Centre FKMUI stated that economic losses due to TB can also be viewed from four aspects, namely: [6]

- Health consumption effect, i.e. damages of reducing the consumption of goods / services due to ill health or death.

- Social interaction and leisure effects, i.e. losses due to impaired social interaction and lack of free time to relax.

- Short term production effects, either discharge for treatment costs and loss of productive working day and go down or the loss of the opportunity to take the family and household well.

- Long term effects production consumption in the form of demographic effects of consumption and labor supply.

Conclusion

Cover From the foregoing it is clear that TB is still an important health problem in the world and in Indonesia. It has now been there for tackling TB DOTS program, but did not cover all TB patients. These efforts need to be done so that DOTS can really be implemented well in all regions of the world, especially in Indonesia.

It is recognized that TB is a giant poverty producing mechanism. Let TB in the country is tantamount to letting rampant poverty in the country. Actually, if the government would leave sufficient funds then - although it feels great now out of foreign exchange in the future there will be savings as a result of TB control. WHO declared that tuberculosis treatment program in Indonesia has the benefit cost ratio of 55: 1 means that every US $ 1 spent by a country's TB treatment program will benefit 55 US $ to Indonesia in the next 20 years. Another data from Thailand said that the implementation of the DOTS program will be able to save on foreign exchange amounted to 2.3 billion US $ in the next 20 years. This was in line with the opinion of the World Bank stating that DOTS is one of the health strategy is very cost effective. To deal with TB disease and the impact of poverty, required a strong political commitment, supported by extensive public participation, of course, including health circles.

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