Berita Kedokteran Masyarakat
Vol 34, No 7 (2018)

Compliance to traditional birth practices and poor perception of formal health facility: exploring actions to social determinants of health and barriers to care access in indigenous “Suku Anak Dalam“ community

Inriyani Takesan (Center Of Health Behavior And Promotion Faculty Of Medicine, Public Health And Nursing Universitas Gadjah Mada)
Musa Musa (Sarolangun District Health Office, Jambi)
Retna Siwi Padmawati (Department of Health Behavior and Social Environment, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada)
Mubasysyir Hasanbasri (Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada)
Mohammad Hakimi (Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada)



Article Info

Publish Date
25 Jul 2018

Abstract

People living in isolated communities are vulnerable to suffering from illness because of their lack of access to available known effective treatment in health facilities around them, including in maternal and child issues. The goal of this in-depth interview and one month-direct observation living in the community is to explore the belief and available structure of local health-seeking behavior among the Suku Anak Dalam community. Our findings suggest that the community has its own traditional belief that explains their birth practices. Interpretation of concepts such as anak peranakan, taputangan, pekarom, and delom system are unique and inseparable from the interpretation of their ideal life and their trust in God. In the other side, their poor perception about public health facilities is influenced by their experience dealing with formal health facilities. When a community gets what they perceived as poor services, they will not believe and do not come back to seek help from formal health facilities. Our study confirmed that the cultural explanation of birth and belief related to traditional birth delivery services remain existent and practiced, which limits access to a government health facility. If the community is free to choose alternative care outside their traditional system, people may obtain effective treatments from the surrounding health facilities. SAD women feel comfortable with their cultural practices. They have a negative perception and feel uncomfortable about formal health facilities showed inadequate government efforts to bring services to a specific social group. Health workers in isolated areas with traditional belief should be prepared and paid under a contract basis, different from the regular workers. They need to improve the communication skills that allow them to engage with people from different cultures. They need to work with officers from other sectors, both in formal and informal settings.

Copyrights © 2018






Journal Info

Abbrev

bkm

Publisher

Subject

Nursing Public Health

Description

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope ...