Factors Associated with the Utilization of Traditional Health Services among People with Non-Communicable Diseases in Indonesia: Findings from a Nationwide Survey
Traditional health services in Indonesia
,
Abstract
Globally, there is an increasing trend of morbidity and mortality from non-communicable diseases (NCDs). Traditional health service is one of the new approaches to support NCDs program. This study aimed to determine the prevalence and factors associated with the use of traditional health services among people with NCDs in Indonesia. We conducted a secondary analysis of integrated nationwide health and socio-economic survey data in 2018. Of the 127,198 people with NCDs included in the analysis, 38.7% of people with NCDs have ever used traditional health services, with the most common type being those that involve manual therapies. Compared to the reference group, likelihood of higher utilization of the traditional health service was among those aged 45-54 years (adjusted odds ratio (AOR) 1.19; p <0.001), from highest socioeconomic (AOR = 1.13, p <0.001), employed (AOR> 1, p <0.05), married/divorced (AOR> 1, p <0.001), has two type of NCDs (AOR 1.06, p 0.023), knows the existence of the nearest doctor/clinic (AOR 1.36, p <0.001) and hospital (AOR = 1.13, p 0.002) and has very easy access to health facility (AOR 1.34, p <0.001). Better socialization of traditional health services especially to the groups who have low utilization is important. The information should include the availability of traditional health services types, benefits, and advantages of using these services. It is also necessary to improve the quality and standardization of traditional health services to enhance public trust and increase the utilization of the services. Since a certain proportion of people with NCDs rely on traditional health services, improvement of the traditional health services quality is crucial, as well as engagement of these services to NCDs programs.
WHO. Noncommunicable Disease Country Profiles 2014. In 2014. Available from: http://apps.who.int/iris/bitstream/handle/10665/128038/9789241507509_eng.pdf?sequence=1
Bello B, Useh U. COVID-19: are non-communicable diseases risk factors for its severity? Am J Heal Promot 2021;35:720-729.
Kementerian Kesehatan RI. Pelayanan Kesehatan Tradisional Integrasi Di Indonesia : Tantangan dan Kemajuan Terkini. 2018; Available from: https://kesmas.ums.ac.id/wp-content/uploads/sites/49/2017/12/
Kementerian Kesehatan RI Badan Penelitian dan Pengembangan, Pengembangan. Riset Kesehatan Dasar 2013. 2013; Available from: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
Kementerian Kesehatan RI Badan Penelitian dan Pengembangan. Laporan Nasional Riskesdas 2018 [Internet]. 2018. Available from: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
Ernst E, Cohen MH, Stone J. Ethical problems arising in evidence based complementary and alternative medicine. J Med Ethics 2004;30:156-159.
Reid R, Steel A, Wardle J, Trubody A, Adams J. Complementary medicine use by the Australian population: A critical mixed studies systematic review of utilisation, perceptions and factors associated with use. BMC Complement Altern Med 2016;16:176.
Peltzer K, Pengpid S. Utilization and practice of traditional/complementary/alternative medicine (T/CAM) in southeast asian nations(ASEAN) member states. Stud Ethno-Med 2015;9:209-218.
Pengpid S, Peltzer K. Utilization of traditional and complementary medicine in Indonesia: Results of a national survey in 2014–15. Complement Ther Clin Pract 2018;33:156-163.
James PB, Wardle J, Steel A, Adams J. Traditional, complementary and alternative medicine use in Sub-Saharan Africa: A systematic review. BMJ Glob Health 2018;3:e000895.
Putro BD. Persepsi dan perilaku pengobatan tradisional sebagai alternatif upaya mereduksi penyakit tidak menular. J Anthropol 2018;2:102-109.
Effendi M. Pemanfaatan sistem pengobatan tradisional (Battra) di puskesmas (Studi deskriptif mengenai intensitas kunjungan dan efektifitas sistem pengobatan tradisional (Battra) di puskesmas gundih surabaya)Surabaya; 2013.
Sariani E. Penyebab masyarakat memilih pengobatan tradisional di nagari talaok kecamatan bayang kabupaten pesisir selatan. 2015;1-27.
Peltzer K, Pengpid S, Puckpinyo A, Yi S, Anh LV. The utilization of traditional, complementary and alternative medicine for non-communicable diseases and mental disorders in health care patients in Cambodia, Thailand and Vietnam. BMC Complement Altern Med 2016;16:92.
Xue CCL, Zhang AL, Lin V, Da Costa C, Story DF. Complementary and alternative medicine use in Australia: A national population-based survey. J Altern Complement Med 2007;13:643-650.
Bausell RB, Lee WL, Berman BM. Demographic and health-related correlates of visits to complementary and alternative medical providers. Med Care 2001;39:190-196.
Chung VC, Lau CH, Yeoh EK, Griffiths SM. Age, chronic non-communicable disease and choice of traditional Chinese and western medicine outpatient services in a Chinese population. BMC Health Serv Res 2009;9:207.
Kusumaningrum A, Hikayati H, Lengga VM. Faktor - faktor yang berpengaruh terhadap pemanfaatan pelayanan kesehatan tradisional/komplementer pada keluarga dengan penyakit tidak menular. Semin Nas Keperawatan 2017;1:254-263.
Kretchy IA, Owusu-Daaku F, Danquah S. Patterns and determinants of the use of complementary and alternative medicine: A cross-sectional study of hypertensive patients in Ghana. BMC Complement Altern Med 2014;14:44.
Supriyadi. Determinan perilaku pencarian pengobatan tradisional (traditional medication) masyarakat urban cengkareng jakarta barat tahun 2014; pp 1-170.
Widawati A. Health seeking behavior di Kalangan Masyarakat Urban di Kota Yogyakarta. J Farm Sains dan Komunitas 2015;19:53-54.
Stickley A, Koyanagi A, Richardson E, Roberts B, Balabanova D, et al. Prevalence and factors associated with the use of alternative (folk) medicine practitioners in 8 countries of the former Soviet Union. BMC Complement Altern Med 2013;13:83.
Duru CB, Uwakwe KA, Chinomnso NC, Mbachi II, Diwe KC. Socio-demographic determinants of herbal medicine use in pregnancy among nigerian women attending clinics in a tertiary hospital in imo state, south-east. Am J Med Stud 2016;4:1-10.
Choi B, Han D, Na S, Lim B. Factors related to the parallel use of complementary and alternative medicine with conventional medicine among patients with chronic conditions in South Korea. Integr Med Res 2017;6:223-239.
Dewi TF, Nisa U. Faktor-faktor yang berhubungan dengan pemanfaatan obat tradisional pada pasien hiperkolesterolemia di rumah riset jamu “Hortus Medicus.” Indones J Clin Pharm 2019;8.
Lee GBW, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Fam Pract 2004;21:654-660.
Mollaoǧlu M, Aciyurt A. Use of complementary and alternative medicine among patients with chronic diseases. Acta Clin Croat 2013;52:181-188.
Hughes GD, Aboyade OM, Beauclair R, Mbamalu ON, Puoane TR. Characterizing herbal medicine use for noncommunicable diseases in urban south africa. Evid Based Complement Alternat Med 2015;2015.
WHO. Legal Status of Traditional Medicine and Complementary/Alternative Medicine: A Worldwide Review. 2001; Available from: https://apps.who.int/iris/bitstream/handle/10665/42452/WHO_EDM_TRM_2001.2_eng.pdf
WHO. World Health Organization (WHO), Regional office for South-east Asia: The Republic of Indonesia Health System Review [Internet]. Vol. 7. 2017. p 1. Available from: https://apps.who.int/iris/handle/10665/254716
Kementerian Kesehatan RI. Laporan Akuntabilitas Kinerja Instansi Pemerintah Direktorat Pelayanan Kesehatan Tradisional 2021. 2021.
| Files | ||
| Issue | Vol 9, No 4, 2024 | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/tim.v9i4.17473 | |
| Keywords | ||
| Utilization Traditional health services Non-communicable diseases Indonesia Health survey | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
