scholarly journals Kajian Evaluasi Pelayanan Penumpang Kapal Laut di Pelabuhan Tanjung Pinang

2019 ◽  
Vol 23 (2) ◽  
pp. 150
Author(s):  
Bambang Siswoyo
Keyword(s):  
Travel Speed ◽  
Assessment Method ◽  
Sea Transport ◽  
Middle Income ◽  
Performance Variables ◽  
Semantic Difference ◽  
Passenger Ships ◽  
Surrounding Areas ◽  
Questionnaire Method ◽  
The Cost

Ship is one of the marine transportation of interest many people. Advantages of ships as a means of sea transport are cheap, safe, economical land and capable of carrying passengers or goods in large quantities, making the ship as a means of transport required by the comm uni hj, especially the lower middle income communities. But in reality, the ministry of economy class passenger ships are not as good as any other commercial grade. The study was conducted to observe the operational performance of ships as a means of crossing, which is one of effective tools and efficient transportation in Tanjung Pinang and surrounding areas. Assessment method used is surve1J method with random manner, to distribute questionnaires to passengers ships used as a sample. Sampling is done in non-random sampling, where samples were taken only at the majority of passengers at random. Questionnaire method used is measurement of the attitude of respondents using semantic difference scale. On this scale respondents were asked to evaluate several variables, where each variable there are seven points with the left boundary and right boundary contains an adjective meaning the opposite. While data analysis using Multiattribute Attitude Model (MAM). Multiattribute Attitude In this model, the attitude of the respondents can be seen in the order of importance of each variable. From this study showed that in the operation of ships as a means of crossing with the performance variables of the availability of advanced types of transportation at the port, transport capacity, condition of existing facilities in the ship, less satisfacton;. Variable travel schedule as a means of crossing vessels was satisfactory. For the variables of travel speed, the cost of travel, smooth operation, service personnel, timeliness of departure/ arrival passengers satisfactory, while the variable passenger safehj is very satisfying journey. So generally service ships in the Port of Tanjung Pinang quite satisfying passengers.Keywords : Ships, multiattribute attitude models.

scholarly journals Cost-Effectiveness Analysis of BCG Vaccination against Tuberculosis in Indonesia: A Model-Based Study

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 707
Author(s):  
Afifah Machlaurin ◽  
Franklin Christiaan Karel Dolk ◽  
Didik Setiawan ◽  
Tjipke Sytse van der Werf ◽  
Maarten J. Postma
Keyword(s):  
Cost Effectiveness ◽  
Univariate Analysis ◽  
Cost Effective ◽  
Epidemiological Data ◽  
Control Programme ◽  
Detection Rates ◽  
Middle Income ◽  
Bcg Vaccination ◽  
Life Years ◽  
The Cost

Bacillus Calmette–Guerin (BCG), the only available vaccine for tuberculosis (TB), has been applied for decades. The Indonesian government recently introduced a national TB disease control programme that includes several action plans, notably enhanced vaccination coverage, which can be strengthened through underpinning its favourable cost-effectiveness. We designed a Markov model to assess the cost-effectiveness of Indonesia’s current BCG vaccination programme. Incremental cost-effectiveness ratios (ICERs) were evaluated from the perspectives of both society and healthcare. The robustness of the analysis was confirmed through univariate and probabilistic sensitivity analysis (PSA). Using epidemiological data compiled for Indonesia, BCG vaccination at a price US$14 was estimated to be a cost-effective strategy in controlling TB disease. From societal and healthcare perspectives, ICERs were US$104 and US$112 per quality-adjusted life years (QALYs), respectively. The results were robust for variations of most variables in the univariate analysis. Notably, the vaccine’s effectiveness regarding disease protection, vaccination costs, and case detection rates were key drivers for cost-effectiveness. The PSA results indicated that vaccination was cost-effective even at US$175 threshold in 95% of cases, approximating the monthly GDP per capita. Our findings suggest that this strategy was highly cost-effective and merits prioritization and extension within the national TB programme. Our results may be relevant for other high endemic low- and middle-income countries.

scholarly journals Cost per DALY averted in low, middle- and high-income countries: evidence from the global burden of disease study to estimate the cost-effectiveness thresholds

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Rajabali Daroudi ◽  
Ali Akbari Sari ◽  
Azin Nahvijou ◽  
Ahmad Faramarzi
Keyword(s):  
Cost Effectiveness ◽  
Inverse Correlation ◽  
Gdp Per Capita ◽  
Middle Income ◽  
Capita Health Expenditure ◽  
Per Capita ◽  
Healthcare Interventions ◽  
Disease Study ◽  
The Cost ◽  
Very High

Abstract Background Determining the cost-effectiveness thresholds for healthcare interventions has been a severe challenge for policymakers, especially in low- and middle-income countries. This study aimed to estimate the cost per disability-adjusted life-year (DALY) averted for countries with different levels of Human Development Index (HDI) and Gross Domestic Product (GDP). Methods The data about DALYs, per capita health expenditure (HE), HDI, and GDP per capita were extracted for 176 countries during the years 2000 to 2016. Then we examined the trends on these variables. Panel regression analysis was performed to explore the correlation between DALY and HE per capita. The results of the regression models were used to calculate the cost per DALY averted for each country. Results Age-standardized rate (ASR) DALY (DALY per 100,000 population) had a nonlinear inverse correlation with HE per capita and a linear inverse correlation with HDI. One percent increase in HE per capita was associated with an average of 0.28, 0.24, 0.18, and 0.27% decrease on the ASR DALY in low HDI, medium HDI, high HDI, and very high HDI countries, respectively. The estimated cost per DALY averted was $998, $6522, $23,782, and $69,499 in low HDI, medium HDI, high HDI, and very high HDI countries. On average, the cost per DALY averted was 0.34 times the GDP per capita in low HDI countries. While in medium HDI, high HDI, and very high HDI countries, it was 0.67, 1.22, and 1.46 times the GDP per capita, respectively. Conclusions This study suggests that the cost-effectiveness thresholds might be less than a GDP per capita in low and medium HDI countries and between one and two GDP per capita in high and very high HDI countries.

Adhering to a Mediterranean diet in a Mediterranean country: an excess cost for families?

2021 ◽  
pp. 1-24
Author(s):  
Ricardo Alves ◽  
Carla Lopes ◽  
Sara Rodrigues ◽  
Julian Perelman
Keyword(s):  
Mediterranean Diet ◽  
Food Group ◽  
Food Prices ◽  
Mediterranean Country ◽  
Linear Regression Models ◽  
Middle Income ◽  
Diet Cost ◽  
The Mediterranean ◽  
The Cost ◽  
Activity Survey

Abstract Background: Adherence to the Mediterranean diet has been decreasing in southern Europe, which could be linked to several cultural or educational factors. Our aim is to evaluate the extent to which economic aspects may also play a role, exploring the relationship between food prices in Portugal and adherence to the Mediterranean diet. Methods: We evaluated data from the Portuguese National Food, Nutrition, and Physical Activity Survey (IAN-AF 2015-2016) (n=3,591). Diet expenditures were estimated by attributing a retail price to each food group and the diet was transposed into the Mediterranean Diet Score used in the literature. Prices were gathered from five supermarket chains (65% of the Portuguese market share). Linear regression models were used to assess the association between different adherence levels to the MD levels and dietary costs. Results: Greater adherence to the MD was associated with a 21.2% (p< 0.05) rise in total dietary cost, which accounts for more 0.59€ in mean daily costs when compared with low adherence. High adherence individuals (vs. low adherence) had higher absolute mean daily costs with fish (0.62€/+285.8%; p< 0.05), fruits (0.26€/+115.8%; p< 0.05), and vegetables (0.10€/+100.9%; p< 0.05). The analysis stratified by education and income level showed significantly higher mean daily diet cost only amongst higher income groups. Conclusions: Our findings suggest that greater adherence to the MD was positively and significantly associated with higher total dietary cost. Policies to improve population’s diet should take into consideration the cost of healthy foods, especially for large low- and middle-income families.

scholarly journals Ways to Immune Your Finances from the Cost of Heart Disease and Cancer Treatment

2019 ◽  
Vol 8 (12S2) ◽  
pp. 43-46
Keyword(s):  
Public Health ◽  
Heart Disease ◽  
Critical Illness ◽  
Cancer Treatment ◽  
General Public ◽  
Health Concern ◽  
Insurance Policy ◽  
Public Health Concern ◽  
Questionnaire Method ◽  
The Cost

Threateningdiseases such as, cancer and heart disease are emerging as a major public health concern in India. This paper uses LANCET report to specify the background of heart disease and cancer in India. It also provides ways to transfer the out-of-pocket expenditure caused due to the diagnosis of such disease. Further it discusses about policies such as critical illness, heart and cancer insurance, heart insurance. This paper specifies different factors to be taken into consideration while purchasing a policy and assists in selecting the best insurance policy. To check the awareness among general public this paper uses a questionnaire, method to collect samples (of 417 members) and the results are interpreted accordingly. Finally, this paper also provides recommendations for Cancer Cover to make it more effective.

scholarly journals Bovine tuberculosis in cattle from 1986 to 2012 in and around badger-culled areas of the RBCT

2016 ◽  
Author(s):  
David Hendy
Keyword(s):  
Bovine Tuberculosis ◽  
Health Agency ◽  
Incidence Data ◽  
Badger Culling ◽  
Scientific Group ◽  
Surrounding Areas ◽  
The Uk ◽  
The Cost ◽  
The Impact ◽  
South West England

In 2007 the Independent Scientific Group (ISG) reported to the UK government the impact on bovine tuberculosis (TB) in cattle of a trial where badgers were culled between 1998 and 2005. This trial, known as the Randomised Badger Culling Trial (RBCT), was performed across 100 km2 (nominal) zones in the West of England. The results were based on a model of new herd incidence data. It was concluded that reactive culling generated overall detrimental effects, while proactive culling achieved very modest overall benefits at the cost of elevated incidence on neighbouring farms. This work looks at more extensive RBCT data to examine if these findings hold true. Instead of presenting the results of a model, this work directly illustrates data supplied in March 2016 by the Animal and Plant Health Agency. Such data covers a greater number of years (1986 to 2012) and includes the prevalence of herd restrictions as well as herd incidence. It appears that whilst cattle TB noticeably reduced in areas subjected to proactive culling, TB did not significantly increase in the surrounding areas. The more limited reactive culls were found to have no significant impact either positively or negatively. This applied to both the treated and surrounding areas. The more extensive data also showed that culling badgers only reduced confirmed TB with no significant impact on unconfirmed TB. This was also found by the ISG in 2007 when using their model. The delay before culling benefit became apparent was about 5 years after the first substantial cull. This has implications for the culls which started in South West England in 2013. If account is taken for the need to average the data, the number of years needed to see TB drop, and the reporting delay, it may not be until September 2023 before the impact of these culls become clear. Also, if culls stop after year four in each zone, this risks benefits falling short of those achieved in the RBCT.

The Cost of Procuring and Delivering COVID-19 Vaccines in Low- and Middle-Income Countries: A Model of Projected Resource Needs

2021 ◽  
Author(s):  
Mohamed Mustafa Diab ◽  
Armand Zimmerman ◽  
Siddharth Dixit ◽  
Wenhui Mao ◽  
Ipchita Bharali ◽  
...  
Keyword(s):  
Middle Income ◽  
Middle Income Countries ◽  
Resource Needs ◽  
The Cost ◽  
Low And Middle Income

scholarly journals The Impact of Housing Density on Site Development Costs

1977 ◽  
Vol 6 (2) ◽  
pp. 263-274
Author(s):  
Leslie E. Small ◽  
Donn A. Derr
Keyword(s):  
Price Index ◽  
Consumer Price Index ◽  
Housing Density ◽  
Middle Income ◽  
The Past ◽  
Site Development ◽  
Income Groups ◽  
Development Costs ◽  
The Cost ◽  
The Impact

During the past decade, the cost of constructing new homes has risen dramatically. While the overall consumer price index rose by 74 percent between 1967 and the end of 1976, the cost of constructing new housing rose by about 103 percent nationally. This trend in costs has priced a growing proportion of lower and middle income groups out of the market for new houses. The national average price for new housing is currently $52,000 per unit. This has led to expressions of public concern that efforts need to be undertaken to find ways by which these low and middle income groups can obtain access to new housing.

Logistics Cost Dynamics in International Business: A Causal Approach

2020 ◽  
Vol 55 (4) ◽  
pp. 478-495
Author(s):  
Ashutosh Kar ◽  
Pratyay Ranjan Datta
Keyword(s):  
International Business ◽  
Vital Role ◽  
Logistics Cost ◽  
Middle Income ◽  
Jel Codes ◽  
Middle Income Countries ◽  
The Usa ◽  
Causal Approach ◽  
The Cost ◽  
The Impact

The cost of logistics plays a vital role in the pricing of goods in international trade. Besides, the recent imposition of additional tariff by even upper-middle income countries such as the USA, China etc., has led to an increase in the total landed cost of goods. However, a seller has no option but to adapt to changing tariff requirements and can articulate only the logistics cost to a certain extent. This aspect requires an understanding of the logistics cost dynamics in international business. Since a higher volume of goods moves by marine transportation, this study focusses on the same. In this article, authors have attempted to establish a statistically significant relationship between prices and other factors like fuel, number of vessels, freight, and weight value ratio. The paper introduces a logistics-coefficient to indicate the extent of integration of logistics activities to keep the total-landed-cost (TLC) unchanged. Finally, the author proposes the system dynamics model to study the impact of changes in any one or some or all these factors on the price of the product. This model will enable the global firm to decide the entry and exit in the market. JEL Codes: F23

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