Occupational Disease Claims and Payments in Indonesia: Insights From Administrative Data 2018-2022
Author(s)
Levina C. Khoe, MPH1, Muchtaruddin Mansyur, Professor2, Augustine Asante, Associate Professor3.
1Student, University of New South Wales, Sydney, Australia, 2Universitas Indonesia, Jakarta, Indonesia, 3University of New South Wales, Sydney, Australia.
1Student, University of New South Wales, Sydney, Australia, 2Universitas Indonesia, Jakarta, Indonesia, 3University of New South Wales, Sydney, Australia.
OBJECTIVES: Indonesia is experiencing significant labor force growth that also comes with a potential increase in occupational diseases (ODs). This study aims to investigate the OD claims in Indonesia from 2018 to 2022, including variations across different industries.
METHODS: Secondary data on workers’ compensation claims (JKK), from the database of the Social Security Agency for Workers (BPJS-TK), were used. Altogether 1,517 workers were analysed from 2018 to 2022. We estimated the annual claim rate of OD per 100,000 workers and calculated this across different industrial sectors. We also calculated the overall cost for accepted claims and details of the cost, including diagnostics, treatment, disability, transportation, income replacement, funeral, and death related claims.
RESULTS: About 2,507 claims were filed between 2018 and 2022. Of these, 32.8% (822) were attributable to respiratory disorder and pulmonary diseases. Nearly 70% (1,051) claims were filed by female workers. Claimants were aged between 20 and 65 years, with a mean of 34 years. Majority (54%) worked in consumer goods industry. The annual claim rate from 2018 to 2022 was 0.03; 0.25; 2.31; 3.59; 1.73 per 100,000 workers, consecutively. The highest claim was from the consumer goods industry over these five years. The median overall cost per claim was $59 ($14-$440), $45 ($24-$18,186), $139 ($18-$31,572), $96 ($16-$55,734), and $98 ($15-$8,677), respectively from 2018 to 2022. The mean payment was the highest for injury of peripheral nerves of neck ($784). The median sick leave days was highest in year 2020 (15 days).
CONCLUSIONS: This study provides an overview of the current state of OD claims in Indonesia. These data represent only cases reported to BPJS-TK. Even though there are possibility of underreporting, these data are still useful for policy makers to determine which industrial sector is at risk for OD and where preventive actions should be targeted.
METHODS: Secondary data on workers’ compensation claims (JKK), from the database of the Social Security Agency for Workers (BPJS-TK), were used. Altogether 1,517 workers were analysed from 2018 to 2022. We estimated the annual claim rate of OD per 100,000 workers and calculated this across different industrial sectors. We also calculated the overall cost for accepted claims and details of the cost, including diagnostics, treatment, disability, transportation, income replacement, funeral, and death related claims.
RESULTS: About 2,507 claims were filed between 2018 and 2022. Of these, 32.8% (822) were attributable to respiratory disorder and pulmonary diseases. Nearly 70% (1,051) claims were filed by female workers. Claimants were aged between 20 and 65 years, with a mean of 34 years. Majority (54%) worked in consumer goods industry. The annual claim rate from 2018 to 2022 was 0.03; 0.25; 2.31; 3.59; 1.73 per 100,000 workers, consecutively. The highest claim was from the consumer goods industry over these five years. The median overall cost per claim was $59 ($14-$440), $45 ($24-$18,186), $139 ($18-$31,572), $96 ($16-$55,734), and $98 ($15-$8,677), respectively from 2018 to 2022. The mean payment was the highest for injury of peripheral nerves of neck ($784). The median sick leave days was highest in year 2020 (15 days).
CONCLUSIONS: This study provides an overview of the current state of OD claims in Indonesia. These data represent only cases reported to BPJS-TK. Even though there are possibility of underreporting, these data are still useful for policy makers to determine which industrial sector is at risk for OD and where preventive actions should be targeted.
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
RWD129
Topic
Epidemiology & Public Health, Health Policy & Regulatory, Real World Data & Information Systems
Topic Subcategory
Health & Insurance Records Systems
Disease
Infectious Disease (non-vaccine), Musculoskeletal Disorders (Arthritis, Bone Disorders, Osteoporosis, Other Musculoskeletal), Neurological Disorders, No Additional Disease & Conditions/Specialized Treatment Areas, Respiratory-Related Disorders (Allergy, Asthma, Smoking, Other Respiratory)