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All Journal INDONESIAN JOURNAL OF MEDICAL ANTHROPOLOGY Paradigma: Jurnal Kajian Budaya
Oktavia, Luluk
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Arts Humanities Environmental Science Languange, Linguistic, Communication & Media Library & Information Science Public Health Social Sciences

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DOCUMENTING DEATH: MATERNAL MORTALITY AND THE ETHICS OF CARE IN TANZANIA (ADRIENNE E. STRONG 2020) Oktavia, Luluk; Sukarno, Megawati
Paradigma: Jurnal Kajian Budaya
Publisher : UI Scholars Hub

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Abstract

In recent decades, global efforts to reduce maternal mortality have become a primary focus in health development agendas. However, challenges in providing quality healthcare remain complex, especially in resource-limited countries. Adrienne E. Strong’s book, Documenting Death: Maternal Mortality and the Ethics of Care in Tanzania, offers an ethnographic perspective on the relationship between bureaucratic structures, resource constraints, and healthcare practices in Tanzania. This review examines Strong’s key concepts, such as good enough care, documented care, and fierce care, which highlight the ethical dilemmas faced by healthcare workers in delivering care under administrative pressures and limited facilities. The critique of the ethnographic approach in this book also addresses its limitations in offering broader systemic solutions and its relevance to other national contexts, such as Indonesia. This paper seeks to connect Strong’s analysis with global maternal health challenges, emphasizing the importance of understanding the interaction between global policies and local practices to improve maternal and infant healthcare quality.
“I’m A Role Model”: Healthy Lifestyle of People Living with HIV in Special Region of Yogyakarta Oktavia, Luluk; Triratnawati, Atik
Indonesian Journal of Medical Anthropology Vol. 7 No. 1 (2026): Indonesian Journal of Medical Anthropology
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijma.v7i1.22943

Abstract

Life expectancy of people living with HIV (PLHIV) has increased with advances in antiretroviral therapy, yet aging with HIV continues to bring medical, psychological, social, and cultural challenges. A healthy lifestyle is an important factor influencing quality of life. This study explores how PLHIV in Special Region of Yogyakarta perceive and practice a healthy lifestyle in their daily lives. Using a qualitative ethnographic approach, data were collected through in-depth interviews with five members of the Pita Merah Jogja (PMJ) community and documentation of their activities. Findings show that PLHIV in Special Region of Yogyakarta position themselves as role models who resist stigma and discrimination through healthy practices. These include physical activity, diet, sleep regulation, avoidance of smoking and alcohol, stress management, maintaining body weight, hydration, and supplement use. Each practice is shaped by life experiences, body condition, personal preferences, cultural values, and social support. Physical activity is performed flexibly; diet balances nutrition, culture, and enjoyment; sleep relates to immunity and emotional stability; and stress management is guided by Javanese values such as nrimo ing pandum. Hydration and supplement use reflect varying levels of medical discipline and daily habit. In conclusion, a healthy lifestyle among PLHIV in Yogyakarta is multidimensional, involving not only biomedical but also psychosocial and cultural aspects. These findings highlight the importance of health promotion strategies that integrate subjective experiences and local contexts to effectively improve the quality of life of PLHIV.
Co-Authors Atik Triratnawati Sukarno, Megawati