Traditional Health Services Utilization in Disadvantage Areas in Indonesia

Agung Dwi Laksono (1), Ratna Dwi Wulandari (2), Tumaji Tumaji (3), Rukmini Rukmini (4), Mara Ipa (5), Suharmiati Suharmiati (6)
(1) National Research and Innovation Agency Republic of Indonesia, B.J. Habibie Building, Central Jakarta, 10340, Indonesia
(2) Universitas Airlangga, Surabaya, Indonesia
(3) National Research and Innovation Agency Republic of Indonesia, B.J. Habibie Building, Central Jakarta, 10340, Indonesia
(4) National Research and Innovation Agency Republic of Indonesia, B.J. Habibie Building, Central Jakarta, 10340, Indonesia
(5) National Research and Innovation Agency Republic of Indonesia, B.J. Habibie Building, Central Jakarta, 10340, Indonesia
(6) National Research and Innovation Agency Republic of Indonesia, B.J. Habibie Building, Central Jakarta, 10340, Indonesia
Fulltext View | Download
How to cite (IJASEIT) :
Laksono, Agung Dwi, et al. “Traditional Health Services Utilization in Disadvantage Areas in Indonesia ”. International Journal on Advanced Science, Engineering and Information Technology, vol. 14, no. 1, Feb. 2024, pp. 231-6, doi:10.18517/ijaseit.14.1.18581.
The low availability of health services in disadvantaged areas raises conventional medicine as an alternative. The study aims to analyze the factors related to traditional health services (THS) utilization in disadvantaged areas in Indonesia, based on Presidential Regulation Number 63 of 2020 concerning the Determination of Underdeveloped Regions for 2020–2024. The research employed data from the 2018 Indonesian Basic Health Survey. This cross-sectional survey analyzed 16,346 respondents. The study looked at THS use as a dependent variable and six independent variables (age group, gender, marital status, education level, occupation type, and wealth status). We employed binary logistic regression to analyze the data. The results showed that Indonesia's average THS utilization in a disadvantaged area in 2018 was 17.6%. Meanwhile, the study found that age group, marital status, occupation type, and wealth status were related to THS utilization in a disadvantaged area in Indonesia. The older a person is, the more likely he is to utilize THS. Those who are married were more likely to use THS than unmarried. The study also found that work type and wealth status were related to THS utilization. The study concluded four factors associated with THS utilization in a disadvantaged area in Indonesia: age, marital, occupation, and wealth. We need further qualitative studies about the reasons why people choose THS. This follow-up study is vital for policymakers to develop THS according to the needs of their consumers.

Suharmiati, Laksono, Nantabah, and Kristiana, “Traditional health services utilization in rural Indonesia: does socioeconomic status matter?,” Rural and Remote Health, Jul. 2023, doi: 10.22605/rrh7701.

Suharmiati S, Laksono AD, Nantabah ZK, Kristiana L. Urban-Rural Disparities in Traditional Health Service Use in Indonesia: A Cross-Sectional Study. J Southwest Jiaotong Univ. 2023;58(3):375–85, doi:10.35741/issn.0258-2724.58.3.32.

Rukmini, Kristiani L. Utilization of Traditional Health Services for Erderly in Indonesia (Based on 2018 Riskesdas Dat. Bul Penelit Sist Kesehat. 2021;24(1, Januari):68–72.

Aprilla GG. Description of Characteristics of Utilization of Traditional Health Services. J Ilm Kesehat. 2020;12(1):105–27.

Laksono AD, Wulandari RD, Nantabah ZK, Agustina ZA, Aimanah IU, Rukmini R, et al. The Concept of Illness among Ethnic Groups in Indonesia: A Meta-Ethnographic Study. Syst Rev Pharm. 2020;11(9):584–91.

J. Steinhorst et al., “‘The medicine is not for sale’: Practices of traditional healers in snakebite envenoming in Ghana,” PLOS Neglected Tropical Diseases, vol. 15, no. 4, p. e0009298, Apr. 2021, doi: 10.1371/journal.pntd.0009298.

I. K. Chaaithanya et al., “Perceptions, awareness on snakebite envenoming among the tribal community and health care providers of Dahanu block, Palghar District in Maharashtra, India,” PLOS ONE, vol. 16, no. 8, p. e0255657, Aug. 2021, doi:10.1371/journal.pone.0255657.

M. A. Eshete and E. L. Molla, “Cultural significance of medicinal plants in healing human ailments among Guji semi-pastoralist people, Suro Barguda District, Ethiopia,” Journal of Ethnobiology and Ethnomedicine, vol. 17, no. 1, Oct. 2021, doi: 10.1186/s13002-021-00487-4.

S. Nann, “How beliefs in traditional healers impact on the use of allopathic medicine: In the case of indigenous snakebite in Eswatini,” PLOS Neglected Tropical Diseases, vol. 15, no. 9, p. e0009731, Sep. 2021, doi: 10.1371/journal.pntd.0009731.

Laksono AD, Wulandari RD, “Predictors of Hospital Utilization Among Papuans in Indonesia,” Indian Journal of Forensic Medicine & Toxicology, Apr. 2020, doi: 10.37506/ijfmt.v14i2.3374.

Laksono AD, Dewi YS, Wulandari RD. Muyu tribes’ local wisdom: complimentary care for limited health access. Eurasian J Biosci. 2020;14(2):5871–8.

Rukmini R, Kristiani L. Description of the Utilization of Traditional Health Services for the Elderly Population in Indonesia (Gambaran Pemanfaatan Pelayanan Kesehatan Tradisional pada Penduduk Lanjut Usia di Indonesia). Bul Penelit Sist Kesehat. 2021;24(1):68–78.

M. Ipa, A. Laksono, and R. Wulandari, “The role of travel time on hospital utilization in the Islands Area: A cross-sectional study in the Maluku Region, Indonesia, in 2018,” Indian Journal of Community Medicine, vol. 48, no. 2, p. 269, 2023, doi: 10.4103/ijcm.ijcm_229_22.

N. Mboi et al., “The state of health in Indonesia’s provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019,” The Lancet Global Health, vol. 10, no. 11, pp. e1632–e1645, Nov. 2022, doi: 10.1016/s2214-109x(22)00371-0.

A. D. Laksono, H. Megatsari, F. P. Senewe, L. Latifah, and H. Ashar, “Policy to expand hospital utilization in disadvantaged areas in Indonesia: who should be the target?,” BMC Public Health, vol. 23, no. 1, Jan. 2023, doi: 10.1186/s12889-022-14656-x.

R. D. Wulandari, A. D. Laksono, Y. B. Prasetyo, and N. Nandini, “Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study,” Journal of Primary Care & Community Health, vol. 13, p. 215013192110726, Jan. 2022, doi: 10.1177/21501319211072679.

B. Jung, J. Kim, I.-H. Ha, and J. Lee, “Factors affecting utilisation of traditional Korean medical services by privately insured persons: a retrospective study using Korean Health Panel Survey (KHPS),” BMJ Open, vol. 10, no. 1, p. e033159, Jan. 2020, doi: 10.1136/bmjopen-2019-033159.

K. Sarada, R. Puthiyedath, A. Philip, G. C. Ravindran, and K. Pavithran, “Prevalence of the use of traditional complementary and alternative medicine amongst cancer patients in a tertiary care center in Kerala, India,” Journal of Ayurveda and Integrative Medicine, vol. 12, no. 2, pp. 359–364, Apr. 2021, doi: 10.1016/j.jaim.2021.04.011.

J. B. Asiimwe et al., “Prevalence of the Use of Herbal Medicines among Patients with Cancer: A Systematic Review and Meta-Analysis,” Evidence-Based Complementary and Alternative Medicine, vol. 2021, pp. 1–18, May 2021, doi: 10.1155/2021/9963038.

Rukmini Rukmini, Adianti Handajani, Astridya Paramita, Pramita Andarwati, and Agung Dwi Laksono, “Non-Communicable Diseases among the Elderly in Indonesia in 2018,” Indian Journal of Forensic Medicine & Toxicology, vol. 16, no. 1, pp. 1026–1036, Nov. 2021, doi: 10.37506/ijfmt.v16i1.17631.

Z. D. Kifle, “Prevalence and correlates of complementary and alternative medicine use among diabetic patients in a resource-limited setting,” Metabolism Open, vol. 10, p. 100095, Jun. 2021, doi: 10.1016/j.metop.2021.100095.

Megatsari H, Laksono AD, Herwanto YT, Sarweni KP, Geno RAP, Nugraheni E, et al. “Does Husband/Partner Matter in Reduce Women’s Risk of Worries?: Study of Psychosocial Burden of COVID-19 in Indonesia,” Indian Journal of Forensic Medicine & Toxicology, Jan. 2021, doi: 10.37506/ijfmt.v15i1.13564.

F. Adane, G. Seyoum, Y. M. Alamneh, W. Abie, M. Desta, and B. Sisay, “Herbal medicine use and predictors among pregnant women attending antenatal care in Ethiopia: a systematic review and meta-analysis,” BMC Pregnancy and Childbirth, vol. 20, no. 1, Mar. 2020, doi: 10.1186/s12884-020-2856-8.

E. L. Fjær, E. R. Landet, C. L. McNamara, and T. A. Eikemo, “The use of complementary and alternative medicine (CAM) in Europe,” BMC Complementary Medicine and Therapies, vol. 20, no. 1, Apr. 2020, doi: 10.1186/s12906-020-02903-w.

G. M. Afungchwi, M. Kruger, P. Hesseling, S. van Elsland, E. J. Ladas, and S. Marjerrison, “Survey of the use of traditional and complementary medicine among children with cancer at three hospitals in Cameroon,” Pediatric Blood & Cancer, vol. 69, no. 8, Apr. 2022, doi: 10.1002/pbc.29675.

A. D. Laksono, Z. K. Nantabah, R. D. Wulandari, A. Khoiri, and M. Tahangnacca, “Barriers to Expanding the National Health Insurance Membership in Indonesia: Who Should the Target?,” Journal of Primary Care & Community Health, vol. 13, p. 215013192211111, Jan. 2022, doi: 10.1177/21501319221111112.

S. Pengpid and K. Peltzer, “Utilization of complementary and traditional medicine practitioners among middle-aged and older adults in India: results of a national survey in 2017–2018,” BMC Complementary Medicine and Therapies, vol. 21, no. 1, Oct. 2021, doi: 10.1186/s12906-021-03432-w.

Lama T, Baskota S, Gurung M, Poudel L, Bhandari N, Lama SD. Health seeking behaviour among elderly in Nason Rural Municipality, Manang. J Gen Pract Emerg Med Nepal. 2020;7(9):1–5.

L. T. C. Mulder, M. Busch, A. E. Kristoffersen, J. Hök Nordberg, and E. T. van der Werf, “Prevalence and predictive factors of complementary medicine use during the first wave of the COVID-19 pandemic of 2020 in the Netherlands,” BMC Complementary Medicine and Therapies, vol. 22, no. 1, Feb. 2022, doi: 10.1186/s12906-022-03528-x.

M. Tan, Y. Otake, T. Tamming, V. Akuredusenge, B. Uwinama, and F. Hagenimana, “Local experience of using traditional medicine in northern Rwanda: a qualitative study,” BMC Complementary Medicine and Therapies, vol. 21, no. 1, Aug. 2021, doi: 10.1186/s12906-021-03380-5.

R. Grace, J. Vaz, and J. Da Costa, “Traditional medicine use in Timor-Leste,” BMC Complementary Medicine and Therapies, vol. 20, no. 1, Jun. 2020, doi:10.1186/s12906-020-02912-9.

Y. Sasaki et al., “Factors influencing use of conventional and traditional Korean medicine-based health services: a nationwide cross-sectional study,” BMC Complementary Medicine and Therapies, vol. 22, no. 1, Jun. 2022, doi: 10.1186/s12906-022-03641-x.

R. D. Wulandari, A. D. Laksono, Z. K. Nantabah, N. Rohmah, and Z. Zuardin, “Hospital utilization in Indonesia in 2018: do urban–rural disparities exist?,” BMC Health Services Research, vol. 22, no. 1, Apr. 2022, doi:10.1186/s12913-022-07896-5.

T. Mahmudiono and A. D. Laksono, “Disparity in the Hospitals Utilization among Regions in Indonesia,” Open Access Macedonian Journal of Medical Sciences, vol. 9, no. E, pp. 1461–1466, Nov. 2021, doi: 10.3889/oamjms.2021.7304.

Laksono AD, Wulandari RD, Efendi F. Determinants of hospital utilisation among urban poor societies in Indonesia. Int J Innov Creat Chang. 2020;12(9):375–87.

R. D. Wulandari, A. D. Laksono, and N. Rohmah, “Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia,” BMC Public Health, vol. 21, no. 1, Jun. 2021, doi: 10.1186/s12889-021-11318-2.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
    3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).