Claim Missing Document
Check
Articles

TRANSFORMING HEALTHCARE GOVERNANCE THROUGH LOCAL WISDOM: JENGAH NGAYAH-BASED TRADITIONAL HEALTH TOURISM MODEL AT TAMAN USADA BALI Nandaka, I Ketut Tirka; Semara, I Made Trisna; Yadnya, Ida Bagus Putra; Saputra, I Putu David Adi
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 10 No. 3 (2026): Volume 10, Nomor 3, June 2026
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v10i3.57090

Abstract

The commodification of Balinese culture in tourism and the systemic dysfunction of modern, mechanistic healthcare governance highlight a critical need for holistic healing alternatives. Although traditional health tourism (Usada) in Desa Baru, Tabanan Regency, offers significant potential as an antithesis to this issue, its management remains sub-optimal. This study aims to analyze the existing governance dynamics and design a health tourism governance model rooted in local wisdom. Employing a qualitative approach with a multi-site case study design, data were collected through participatory observation and in-depth interviews with key informants, followed by thematic analysis. The findings reveal that addressing the failure of modern medical institutions to provide equitable and empathetic care requires a fundamental paradigm shift. Consequently, this study formulates the "Integrated Governance Model Based on Jengah Ngayah," which adapts the autonomous structure of the Desa Adat (customary village) and synthesizes it with the philosophies of Tri Hita Karana, Taru Pramana, and Bayu Pramana. The novelty of this research lies in redefining the service paradigm from transactional medical interventions to yadnya (spiritual devotion), creating a unique hybrid of community-based governance and traditional healing. In conclusion, this model effectively fosters a non-discriminatory, comprehensive healing environment. The practical implications suggest that integrating indigenous spiritual values into tourism governance not only secures a competitive destination advantage but also preserves local cultural authenticity through sustainable holistic healing experiences.
Co-Authors 3Aron Meko Mbete Ade Sintya Devi Agus Made Yoga Iswara Alfia Rifatus Saida Amrin Saragih Anak Agung Putu Putra Arif Bagus Prasetyo Arif Bagus Prasetyo, Arif Bagus Aron Meko Mbete Aron Meko Mbete Aron Meko Mbete Mbete Asril Marjohan Marjohan Christina Made Dwi Utami Dwi Kuniarsa, I Gusti Ngurah Eddy Setia Fardini Sabilah Frans I Made Brata Friska Setiawati, Ida Ayu Made Gaby Kumala Dewi Santoso Gusti Ngurah Indra Ariestyawan Hanny Hafiar Hugo Warami I Gede Putu Sudana I Gst Ngurah Kt Sulibra I Gst Ngurah Kt Sulibra, I Gst Ngurah I Gusti Agung Istri Aryani I Gusti Ayu Agung Dian Susanthi I Gusti Ayu Gede Sosiowati I Gusti Ayu Vina Widiadnya Putri I Gusti Bagus Wahyu Nugraha Putra I Gusti Made Sutjaja I Gusti Ngurah Parthama I Ketut Artawa I Ketut Darma Laksana I Ketut Paramarta I KETUT TIRKA NANDAKA I Made Budiarsa I Made Sena Darmasetiyawan I Nengah Sudipa I Nengah Suryawan I Nyoman Aryawibawa I Nyoman Sedeng I NYOMAN SUPARWA I Wayan Mulyawan I WAYAN PASTIKA I Wayan Simpen Ida Ayu Made Friska Setiawati Ida Ayu Made Puspani Jamhari Jamhari Jaynne Ilyanora Patricia Kadek Ari Sintya Dewi Kadek Ayu Ekasani Kanisius Rambut Ketut Sudrama Ketut Widya Purnawati Kletus Erom Koerniawaty, Francisca Titing Laksono Trisnantoro Luh Putu Laksminy Made Dody Aryawan Made Sri Satyawati Maryanti E. Mokoagouw Maryanti E. Mokoagouw Mirsa Umiyati N.L. Sutjiati Beratha, Ni Kadek Sindiasti Rahanita Prativi Ni Ketut Alit Ida Setianingsih Ni Luh Ketut Mas Indrawati Ni Luh Nyoman Seri Malini Ni Luh Putu Unix Sumartini Ni Luh Putu Unix Sumartini, Ni Luh Putu Unix Ni Luh Sutjiati Beratha Ni Made Ariani Ni Made Dhanawaty Ni Made Dhanawaty Ni Made Erfiani Ni Made Soraya Meranggi NI MADE WIASTI Ni Nyoman Ayu Widyari Ni Nyoman Padmadewi Ni Nyoman Sarmi Ni Putu Diah Darmayanti NI WAYAN SUASTINI Ni Wayan Suastini Ni Wayan Sukarini Paulus Subiyanto Putri, Putu Zalsa Swandari Putu Sutama Sang Ayu Isnu Maharani Sang Made Wahyu Rusmayana Santi Indriani, Ketut Saputra, I Gusti Ngurah Alit Dwi Saputra, I Putu David Adi Sarwadi Sarwadi sarwadi Semara, I Made Trisna Sulibra, I Ketut Ngurah Tatu Rija Veronika Genua Yayi Suryo Prabandari