ESTIMASI DAMPAK EKONOMI DARI PENCEMARAN UDARA TERHADAP KESEHATAN DI INDONESIA

Djoko Mursinto(1), Deni Kusumawardani(2),


(1) Departemen Ilmu Ekonomi Fakultas Ekonomi & Bisnis Universitas Airlangga Surabaya
(2) Departemen Ilmu Ekonomi Fakultas Ekonomi & Bisnis Universitas Airlangga Surabaya

Abstract

 

Abstrak

Gangguan kesehatan merupakan salah satu dampak dari pencemaran udara yang pa-ling dirasakan di negara-negara berkembang. Penelitian ini bertujuan untuk mengestimasi dampak ekonomi dari pencemaran udara terhadap kesehatan di Indonesia menggunakan data tahun 2011. Indikator pencemaran udara yang digunakan adalah benda partikulat atau particulate matter 10 (PM10). Dampak ekonomi diukur oleh besarnya biaya yang dikeluarkan akibat terjadinya gangguan kesehatan manusia, yang terdiri dari mortalitas dan morbiditas.Teknik estimasi melibatkan dua pendekatan, yaitu epidemiologi untuk menilai hubungan sebab akibat antara tingkat konsentrasi PM10 dengan risiko kesehatan, dan valuasi ekonomi untuk memberikan nilai dalam satuan moneter terhadap risiko kesehatan tersebut. Hasil estimasi menunjukkan besarnya biaya ekonomi yang ditimbulkan oleh konsentrasi PM10 terhadap kesehatan senilai Rp 373,1 triliun atau setara dengan 5,03% Produk Domestik Bruto (PDB).Dari biaya tersebut, 60,9% adalah biaya mortalitas berupa kematian dini dan 39,1% adalah biaya morbiditas dengan komponen terbesar (sekitar 50%) berupa perawatan rumah sakit akibat penyakit pernapasan. Masyarakat harus menanggung biaya pencemaran rata-rata sekitar Rp 1,53 juta atau 6,7% dari pendapatan per kapita.

Kata kunci: mortalitas, morbiditas, dose-response, value of statistical life, cost of illness

 

Abstract

This study aims to estimate the economic impact of air pollution on health in Indonesia. Air pollution indicator used is particulate matter matter 10 (PM10) which is considered as a good predictor of health with wider coverage compared to substances other air pollutants. The economic impact is measured by costs incurred due to the occurrence of human health problems, which consists of mortality and morbidity. Estimation technique involves two approaches, namely epidemiology to assess the causal relationship between the level of concentration of PM10 with health risks, and economic valuation to provide monetary value on these health risks. In this study, the epidemiological approach uses dose-response function, while the economic valuation using the value of statistical life (VSL) for mortality and cost of illness (COI) for morbidity. The result indicates the economic costs caused by the concentration of PM10 to the health are Rp 373.1 billion, equivalent to 5.03% of Gross Domestic Product (GDP). Of these costs, 60.9% is the cost of mortality in the form of premature death and 9.1% is morbidity which the largest component costs (approximately 50%) of hospital admission for respiratory causes. Society must bear the cost of pollution on average about Rp 1.53 million or 6.7% of per capita income

Keywords: mortality, morbidity, dose-response, value of statistical life, cost of illness

Keywords

mortalitas, morbiditas, dose-response, value of statistical life, cost of illness

Full Text:

Fulltext PDF

References

Anderson, H., dan Treich, N. 2008. The Value of Statistical Life. Swedish National Road and Transport Research Institute (VTI) Working Papers 2008:1.

Asian Development Bank. 1996. Economic Evaluation of Environmental Impacts: A Workbook. Philippines: Environment Division. Office of Environmental and Social Development.

Asian Development Bank. 2014. Key Indicators of Developing Asian and Pasific Countries. (Online). (http://www.adb.org/publications/key-indicators-developing-asian-and-pacific-countries-2014?ref=publications/series/key-indicators-for-asia-and-the-pacific. Diakses pada 1 September 2014).

Badan Pusat Statistik. 2013. Perkembangan Beberapa Indikator Utama Sosial-Ekonomi Indonesia 2013. Jakarta: Badan Pusat Statistik

Bratheen, N. A. 2008. Valuing Lives Saved from Environmental. Transport and Health Policies: A Meta Analysis of Stated Preferences Studies. Working Party on National Environmental Policies. Organization for Economic Cooperation and Development.

Dixon J.A.. 1988. Economic Analysis of the Environmental Impacts of Development Projects. London: British Library Cataloguing in Publication Data.

. 1996. The Economic Valuation of Health Impact. Working Paper. World Bank.

Environmental Protection Agency. 2010. Integrated Science Assessment for Particulate Matter. New York: National Center for Environmental Assessment-RTP Division Office of Research and Development U.S.

. 2011. The Benefits and Costs of the Clean Air Act from 1990 to 2020. New York: National Center for Environmental Assessment. Health and Environmental Impacts Division.

Field. B.C., dan Olewiler, N.D.. 2002. Environmental Economics. Canada: McGraw-Hill Ryerson Limited.

Gravitiani, E. 2003. Valuasi Ekonomi Dampak Gas Buang Kendaraan Bermotor terhadap Kesehatan Masyarakat di Kota Yogyakarta. Tesis tidak diterbitkan. Yogyakarta: Pascasarjana Universitas Gadjah Mada Yogyakarta.

Huang, D., dan Zhang, S. 2011. Valuation of the Health Effects of Particulate Matter Pollution in the Pearl River Delta. China. China: College of Environmental Sciences and Engineering.

Kementerian Lingkungan Hidup Republik Indonesia. 2012. Status Lingkungan Hidup Indonesia. Jakarta: Kementerian Lingkungan Hidup Indonesia

Kementerian Kesehatan Republik Indonesia. 2012. Profil Data Kesehatan Indonesia Tahun 2011. Jakarta: Kementerian Kesehatan Republik Indonesia

Koren. H. 1995. Association between Criteria Air Pollutants and Asthma. Environmetal Health Perspective Supplements. Vol. 103 (6).

Ostro, B.D. 1994. The Health Effect of Population: a Methodology with Application to Jakarta. Working Paper Series. Vol. 130. Washington D. C.: World Bank.

Pearce, D. W., dan Crowards, T. 1995. Assessing the health costs of particulate air pollution in the UK. UK: Centre for Social and Economic Research on the Global Environment, University College London and University of East Anglia.

Pope, C.A., 1996. Particulate Pollution And Health: a Review Of The Utah Valley Experience. Journal of Exposure Analysis & Environmental Epidemiology, 6(1), 23–34.

Quah, E., dan Boon, T.L. 2003. The Economic Costs of Particulate Air Pollution on Health in Singapore. Journal of Asian Economics. Vol. 14 (2003): 73-90.

Segel J.E. 2006. Cost of Illness – A Primer. unpublished. RTI International.

T. Gestrudis. 2010. Hubungan antara Kadar Partikulat (PM10) Udara Rumah Tinggal dengan Kejadian ISPA pada Balita di Sekitar Pabrik Semen PT Indocement Citeureup tahun 2010. Tesis tidak diterbitkan. Depok: Pascasarjana Universitas Indonesia.

World Bank .2014. World Development Indicators. (Online) (http://databank.worldbank.org/data/views/variableSelection/selectvariables.aspx?source=world-development-indicators. Diakses pada 4 Juli 2014.

World Health Organization. 2000. Air Quality Guidelines for Europe. Copenhagen: WHO Regional Office for Europe.

. 2002. Health Impact of Assessment of Air Pollution in the Eight Major Italian Cities. Rome: WHO Regional Office for Europe.

. 2006. Health Impact of PM10 and Ozone in 13 Italian Cities. Denmark: WHO Regional Office for Europe.

. 2008. Principles and Methods for the Risk Assesments of Chemicals in Food. Jerman: WHO.

. 2009. Country Profiles of Environmental Burden of Disease: Indonesia. Geneva: Public Health and Environment Division WHO.

.2011. Air Pollution (Online). (http://www.searo.who.int/india/topics/ air_pollution/en/. Diakses pada 1 September 2014

. 2014. Global Health Estimates. (Online). (http://www.who.int/ healthinfo/global_burden_disease/en/. Diakses 20 Juli 2014).

Yaduma, N. 2012. Estimating Mortality and Economic Costs of Particulate Air Pollution in Developing Countries: The Case of Nigeria. Economics Discussion Paper Series. EDP Vol. 1223.

Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.