Ernawaty and Putri, Nuzulul Kusuma and Masyfufah, Lilis (2018) The Consequences Financing Prompt Treatment Until Terminal of HIV AIDS in Universal Health Coverage. In: 2nd International Symposium of Public Health (ISOPH 2017) - Achieving SDGs in South East Asia: Challenging and Tackling of Tropical Health Problems, Faculty of Law Universitas Airlangga.

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Abstract

Even though almost entire chronic diseases are covered in Universal Health Coverage, the mechanisms for financing aggregate HIV AIDS treatment costs are different between countries. This study aims to forecast the financing consequences of providing financial protection for HIV AIDS patients through National Health Insurance in Indonesia. It analyzed hospital financial report of patients along early NHI implementation. Data are retrieved from biggest referral hospital in eastern Indonesia. The cost is compared based on cost drivers of treatment. This financial map then forecast according to developing rate of HIV AIDS in Indonesia. This study shows that HIV AIDS treatment mostly paid by health insurance. At least people spent IDR 4,298,250 for each inpatient treatment. The biggest cost is derived by laboratory examination which spent more than 10% of total treatment cost. Most of HIV AIDS patients seek for treatment in emergency situation which mean that already in chronic phase. It will bear huge amount of HIV AIDS treatment cost considering that it is chronic diseases with many number of cases. Dominant cost drivers of country, donor spending on HIV treatment and medical prevention become important to consider when calculating financial ability providing in financing the HIV AIDS patients.

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