The Effectiveness And Economic Analysis Of Pre-Travel Health Advice (Ptha) In Improving Travel Health-Related Knowledge, Risky Behaviour And Ilness Among Foreign Visitor To Bali Indonesia

The rapid development in tourism industry has been followed by the emerging of travel-related illness that potentially produces a substantial economic burden not only to individuals but also to the community. One mean to prevent international cross-border travel-related illness is through acquiring pre-travel health advice (PTHA) in health care provider. This study aims to analyse the effectiveness of PTHA in improving travel health-related knowledge, risky behaviour and illness among air-travel foreign visitor to Bali Indonesia. This study also aims to measure illness prevalence and the cost of travel-related self-reported illness among air-travel foreign visitor to Bali Indonesia. A cohort prospective study was conducted by selecting 736 respondents (after condiring 50% risk of lost to follow up). Base line data was collected through airport survey and follow up data was collected through online survey. Considering the Mount Agung Erupstion during the data collection periode, respondent was selected through incidental sampling at the Ngurah Rai airport. The self-reported illness prevalence including the cost of illness was collected through online survey. Direct medical and non-medical as well indirect medical cost was collected. From the result, most of the respondents are Australian (40%, female (63%), with mean of age 28 years old, in paid employment (70%) and single/never married (80%). All respondents reported holiday as reason visiting Bali with most of them came for less than 2 weeks (60%), with companies (60%), are Indonesian first time visitor (60%) and are Bali first time visitor (70%).  80% of the respondent have previous International travelling experience. Bivariate analysis shows that respondents who underwent PTHA (health care provider advice) have better travel health-related knowledge compare to those who did not underwent PTHA. However, the risky behaviour among respondents who underwent PTHA (health care provider advice) was not smaller compare to those who did not underwent PTHA.