Indonesia is experiencing a high and growing prevalence of mental health problems. However, information on common mental disorders prevalence and health service utilisation required to inform healthcare management and planning is lacking in Indonesia. This study aims to determine the prevalence of depression and anxiety and examine the patterns of mental health service utilisation and associated factors. We surveyed 19,236 individuals aged 18 years and older in 12 districts in three provinces in Indonesia. Depression was measured using the 10-item version of the Center for Epidemiologic Studies Short Depression Scale (CES-D-10). Anxiety was measured using the 7-item Generalised Anxiety Disorder (GAD-7) scale. We further asked whether they seek help from any healthcare provider if they ever had mental health problems or any of the psychosomatic symptoms. The association of sociodemographic factors with mental health disorders and healthcare-seeking behaviour was determined using logistic regression models. Among the respondents, 849 (4.42%) had depression, 2,339 (12.17%) had anxiety, and 602 (3.13%) had both depression and anxiety. Only 11.3% of them seek healthcare services. Having National Social Security Agency insurance or BPJS (OR=1.43; 95% CIs=1.29-1.59), local government (OR=0.85; 95% CIs=0.68-1.07), and other health insurance (OR=4.59; 95% CIs=3.91-5.41) were related to higher odds of help-seeking in mental healthcare services. Demographic and socioeconomic factors, health status, and lifestyle factors are important considerations for mental health promotion. Service utilisation for individuals with depression and anxiety in Indonesia was low and needs to be enhanced by increasing access to healthcare insurance and strengthening community primary care.

Authors:
Dwidjo Susilo, Universitas Gadjah Mada, Indonesia
Herni Susanti, Universitas Indonesia, Indonesia
Hasbullah Thabrany, Indonesian Health Economics Association, Indonesia
Ida Ayu Mas Amelia Kusumaningtyas, University of Indonesia, Indonesia
Budi Anna Keliat, Universitas Indonesia, Indonesia
Asri Maharani, University of Manchester, United Kingdom

About the Presenter(s)
Dr. Herni Susanti is a senior lecturer at the Faculty of Nursing, Universitas Indonesia. She specializes in mental health and nursing education. She did a lot of collaborative research, one of which was with the UK with full funding by the NIHR.
https://www.linkedin.com/in/herni-susanti-09600745/?originalSubdomain=id

Dwidjo Susilo is a doctoral student at the Department of Public Administration at Gajah Mada University. He is actively conducting research in the area of health and social economy.

Connect on Linkedin
https://www.linkedin.com/in/herni-susanti-09600745/?originalSubdomain=id

Connect on ResearchGate
https://www.researchgate.net/profile/Herni-Susanti

See this presentation on the full schedule – Wednesday Schedule

Bookmark