Kajian Teoritis Morbiditas dan Mortalitas dalam Perspektif Ekonomi Demografi dan Pembangunan

Authors

  • Nasrullah Hidayat Universitas Negeri Medan, Indonesia
  • Fadhil Irfansyah Universitas Negeri Medan, Indonesia
  • Ian Josephan S Universitas Negeri Medan, Indonesia
  • Mery Kristiani S S Universitas Negeri Medan, Indonesia
  • Rafael Benediktus Manalu Universitas Negeri Medan, Indonesia

DOI:

https://doi.org/10.57235/jleb.v4i2.9336

Keywords:

morbiditas, mortalitas, modal manusia, ketimpangan kesehatan, beban ganda penyakit

Abstract

Morbiditas dan mortalitas mencerminkan modal manusia dan kapasitas pembangunan ekonomi. Kajian ini mensintesis keduanya dalam perspektif ekonomi demografi dan menganalisis implikasinya di Indonesia melalui tinjauan pustaka naratif dengan analisis isi tematik terhadap data sekunder. Hasil menunjukkan indikator mortalitas membaik, tetapi usia lebih panjang belum berarti usia lebih sehat. Kesenjangan kasus terukur dan terdiagnosis (hipertensi 29,2% vs. 8%; diabetes 11,7% vs. 2,2%) menandakan morbiditas tersembunyi yang berpotensi menekan produktivitas dan keuangan negara, diperparah ketimpangan wilayah dan sosial-ekonomi. Kajian ini mengusulkan kerangka integratif empat lapis dengan saluran modal manusia antargenerasi, faktor konversi, dan umpan balik fiskal. Kebijakan kesehatan perlu integratif dan berkeadilan.

Downloads

Download data is not yet available.

References

Acemoglu, D., & Johnson, S. (2007). Disease and development: The effect of life expectancy on economic growth. Journal of Political Economy, 115(6), 925–985. https://doi.org/10.1086/529000

Acemoglu, D., & Johnson, S. (2014). Disease and development: A reply to Bloom, Canning, and Fink. Journal of Political Economy, 122(6), 1367–1375. https://doi.org/10.1086/677190

Badan Pusat Statistik. (2023). Mortalitas di Indonesia: Hasil Long Form Sensus Penduduk 2020 (Katalog 2203004). BPS. https://indonesia.unfpa.org/sites/default/files/pub-pdf/mortalitas-di-indonesia-hasil-long-form-sensus-penduduk-2020.pdf

Badan Pusat Statistik. (2025). Indeks Pembangunan Manusia 2025 [Berita Resmi Statistik, 5 November 2025]. BPS.

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617

Becker, G. S. (1993). Human capital: A theoretical and empirical analysis, with special reference to education (3rd ed.). University of Chicago Press.

Bloom, D. E., & Canning, D. (2000). The health and wealth of nations. Science, 287(5456), 1207–1209. https://doi.org/10.1126/science.287.5456.1207

Bloom, D. E., Canning, D., & Fink, G. (2014). Disease and development revisited. Journal of Political Economy, 122(6), 1355–1366. https://doi.org/10.1086/677189

Bloom, D. E., Canning, D., Kotschy, R., Prettner, K., & Schünemann, J. (2019). Health and economic growth: Reconciling the micro and macro evidence (NBER Working Paper No. 26003). National Bureau of Economic Research.

Bloom, D. E., Canning, D., & Sevilla, J. (2004). The effect of health on economic growth: A production function approach. World Development, 32(1), 1–13. https://doi.org/10.1016/j.worlddev.2003.07.002

BPJS Kesehatan. (2025). Laporan keuangan Dana Jaminan Sosial Kesehatan tahun 2024. BPJS Kesehatan.

Cahyadi, N., Hanna, R., Olken, B. A., Prima, R. A., Satriawan, E., & Syamsulhakim, E. (2020). Cumulative impacts of conditional cash transfer programs: Experimental evidence from Indonesia. American Economic Journal: Economic Policy, 12(4), 88–110. https://doi.org/10.1257/pol.20190245

Chiappero-Martinetti, E., & Venkatapuram, S. (2014). The capability approach: A framework for population studies. African Population Studies, 28(2). https://doi.org/10.11564/28-2-604

Fattah, R. A., et al. (2023). Incidence of catastrophic health spending in Indonesia: Insights from a household panel study 2018–2019. International Journal for Equity in Health, 22, 185. https://doi.org/10.1186/s12939-023-01980-w

Finkelstein, E. A., Chay, J., & Bajpai, S. (2014). The economic burden of self-reported and undiagnosed cardiovascular diseases and diabetes on Indonesian households. PLoS ONE, 9(6), e99572. https://doi.org/10.1371/journal.pone.0099572

Galasso, E., & Wagstaff, A. (2019). The aggregate income losses from childhood stunting and the returns to a nutrition intervention aimed at reducing stunting. Economics & Human Biology, 34, 225–238. https://doi.org/10.1016/j.ehb.2019.01.010

GBD 2019 Indonesia Subnational Collaborators. (2022). The state of health in Indonesia's provinces, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet Global Health, 10(11), e1632–e1645. https://doi.org/10.1016/S2214-109X(22)00371-0

Grossman, M. (1972). On the concept of health capital and the demand for health. Journal of Political Economy, 80(2), 223–255. https://doi.org/10.1086/259880

Hoddinott, J., Alderman, H., Behrman, J. R., Haddad, L., & Horton, S. (2013). The economic rationale for investing in stunting reduction. Maternal & Child Nutrition, 9(S2), 69–82. https://doi.org/10.1111/mcn.12080

Hoddinott, J., Maluccio, J. A., Behrman, J. R., Flores, R., & Martorell, R. (2008). Effect of a nutrition intervention during early childhood on economic productivity in Guatemalan adults. The Lancet, 371(9610), 411–416. https://doi.org/10.1016/S0140-6736(08)60205-6

Jerjes, W., & Harding, D. (2024). Telemedicine in the post-COVID era: Balancing accessibility, equity, and sustainability in primary healthcare. Frontiers in Digital Health, 6, 1432871. https://doi.org/10.3389/fdgth.2024.1432871

Kementerian Keuangan RI. (2025). APBN 2026: Belanja prioritas mewujudkan kedaulatan pangan, energi, dan ekonomi. https://anggaran.kemenkeu.go.id/in/post/apbn-2026:-belanja-prioritas-mewujudkan-kedaulatan-pangan,-energi,-dan-ekonomi

Kementerian Kesehatan RI. (2019). Laporan nasional Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan.

Kementerian Kesehatan RI. (2024). Hasil utama Survei Kesehatan Indonesia (SKI) 2023. Badan Kebijakan Pembangunan Kesehatan. https://www.badankebijakan.kemkes.go.id/daftar-frequently-asked-question-seputar-hasil-utama-ski-2023/hasil-utama-ski-2023/

Kementerian Kesehatan RI. (2025). Survei Status Gizi Indonesia (SSGI) 2024 dalam angka. Badan Kebijakan Pembangunan Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/5861/

Marthias, T., Anindya, K., Ng, N., McPake, B., Atun, R., Arfyanto, H., et al. (2021). Impact of non-communicable disease multimorbidity on health service use, catastrophic health expenditure and productivity loss in Indonesia: A population-based panel data analysis study. BMJ Open, 11(2), e041870. https://doi.org/10.1136/bmjopen-2020-041870

Mboi, N., Surbakti, I. M., Trihandini, I., Elyazar, I., Smith, K. H., Ali, P. B., et al. (2018). On the road to universal health care in Indonesia, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 392(10147), 581–591. https://doi.org/10.1016/S0140-6736(18)30595-6

McGovern, M. E., Krishna, A., Aguayo, V. M., & Subramanian, S. V. (2017). A review of the evidence linking child stunting to economic outcomes. International Journal of Epidemiology, 46(4), 1171–1191. https://doi.org/10.1093/ije/dyx017

Mitchell, P. M., Roberts, T. E., Barton, P. M., & Coast, J. (2017). Applications of the capability approach in the health field: A literature review. Social Indicators Research, 133(1), 345–371. https://doi.org/10.1007/s11205-016-1356-8

Omran, A. R. (1971). The epidemiologic transition: A theory of the epidemiology of population change. The Milbank Memorial Fund Quarterly, 49(4), 509–538. https://doi.org/10.2307/3349375

Preston, S. H., Heuveline, P., & Guillot, M. (2001). Demography: Measuring and modeling population processes. Blackwell.

Ruger, J. P. (2010). Health capability: Conceptualization and operationalization. American Journal of Public Health, 100(1), 41–49. https://doi.org/10.2105/AJPH.2008.143651

Saputra, R. (2024). Telemedicine: Solutions and challenges for health workers in rural Indonesia in the response to the COVID-19 pandemic. Disaster Medicine and Public Health Preparedness, 18, e203. https://doi.org/10.1017/dmp.2024.122

Sen, A. (2009). The idea of justice. Harvard University Press.

Setiawan, D., Andrijono, Hadinegoro, S. R., Meyta, H., Sitohang, R. V., Tandy, G., et al. (2020). Cervical cancer prevention in Indonesia: An updated clinical impact, cost-effectiveness and budget impact analysis. PLoS ONE, 15(3), e0230359. https://doi.org/10.1371/journal.pone.0230359

Suwantika, A. A., Zakiyah, N., Kusuma, A. S. W., Abdulah, R., & Postma, M. J. (2021). Cost-effectiveness and budget impact analyses of pneumococcal vaccination in Indonesia. Journal of Environmental and Public Health, 2021, 7494965. https://doi.org/10.1155/2021/7494965

ThinkWell. (2025). Telemedicine in Indonesia [Laporan teknis]. https://thinkwell.global/wp-content/uploads/2025/03/Telemedicine_in_Indonesia-FINAL-1.pdf

Weil, D. N. (2007). Accounting for the effect of health on economic growth. The Quarterly Journal of Economics, 122(3), 1265–1306. https://doi.org/10.1162/qjec.122.3.1265

Widyaningsih, V., Febrinasari, R. P., Pamungkasari, E. P., Mashuri, Y. A., Sumardiyono, S., Balgis, B., et al. (2022). Missed opportunities in hypertension risk factors screening in Indonesia: A mixed-methods evaluation of integrated health post (POSBINDU) implementation. BMJ Open, 12(2), e051315. https://doi.org/10.1136/bmjopen-2021-051315

World Bank. (2020). Human Capital Index 2020: Indonesia [Country brief]. https://databankfiles.worldbank.org/public/ddpext_download/hci/HCI_2pager_IDN.pdf

World Economic Forum. (2015). The economics of non-communicable diseases in Indonesia. https://www3.weforum.org/docs/WEF_The_Economics_of_non_Disease_Indonesia_2015.pdf

World Health Organization. (2018). Noncommunicable diseases country profiles 2018. WHO.

World Health Organization, UNICEF, UNFPA, World Bank Group, & UNDESA/Population Division. (2023). Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. WHO.

Downloads

Published

2026-10-17

How to Cite

Nasrullah Hidayat, Fadhil Irfansyah, Ian Josephan S, Mery Kristiani S S, & Rafael Benediktus Manalu. (2026). Kajian Teoritis Morbiditas dan Mortalitas dalam Perspektif Ekonomi Demografi dan Pembangunan. Journal of Law, Education and Business, 4(2), 1499–1519. https://doi.org/10.57235/jleb.v4i2.9336

Citation Check