IDEAS home Printed from https://ideas.repec.org/a/ibn/gjhsjl/v13y2021i6p24.html
   My bibliography  Save this article

Predictors of the Use of Traditional Medicines in the Universal Health Coverage System in Indonesia

Author

Listed:
  • Yen Yen Sally Rahayu
  • Tetsuya Araki
  • Dian Rosleine

Abstract

Background- Indonesia has committed to achieving Universal Health Coverage (UHC) and introduced national health insurance (JKN) to meet that commitment. Despite the increasing availability of healthcare services under the JKN scheme, traditional medicine (TM) continues to be a significant part of healthcare for Indonesians. In the context of the UHC system, this study aims to examine the predictors of TM use among urban and rural communities in Indonesia. Methods- A cross-sectional survey was conducted using a semi-structured questionnaire targeting urban and rural communities. A total of 926 households were randomly selected to participate in the survey. Multivariate logistic regression analysis was used to identify the significant predictors of TM use. Results- Multivariate analysis revealed the following variables to be predictive of TM use, namely, rural residence, being more educated, experiencing some health problem, demonstrating ethnomedical knowledge, having a favourable opinion about the safety and efficacy of TM and holistic orientation to health. On the other hand, working in the formal sector was associated with lower odds of using TM compared to those who were employed in the informal sector. Conclusion- People’s experience, personal attributes, and attitude towards TM, rather than dissatisfaction with healthcare service, predicted the likelihood of using TM in the UHC system in Indonesia. This finding also implies the underutilisation of JKN services by the insured TM users living in rural areas. Considering the community’s strong preferences for TM, this paper argues that its inclusion in the JKN system may increase the utilisation of the JKN service.

Suggested Citation

  • Yen Yen Sally Rahayu & Tetsuya Araki & Dian Rosleine, 2021. "Predictors of the Use of Traditional Medicines in the Universal Health Coverage System in Indonesia," Global Journal of Health Science, Canadian Center of Science and Education, vol. 13(6), pages 1-24, June.
  • Handle: RePEc:ibn:gjhsjl:v:13:y:2021:i:6:p:24
    as

    Download full text from publisher

    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/download/0/0/45157/47854
    Download Restriction: no

    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/view/0/45157
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ina Vandebroek & Michael J Balick, 2012. "Globalization and Loss of Plant Knowledge: Challenging the Paradigm," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-6, May.
    2. Kelner, Merrijoy & Wellman, Beverly, 1997. "Health care and consumer choice: Medical and alternative therapies," Social Science & Medicine, Elsevier, vol. 45(2), pages 203-212, July.
    3. McGregor, Katherine J. & Peay, Edmund R., 1996. "The choice of alternative therapy for health care: Testing some propositions," Social Science & Medicine, Elsevier, vol. 43(9), pages 1317-1327, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yen Yen Sally Rahayu & Tetsuya Araki & Dian Rosleine & Raissa Manika Purwaningtyas, 2022. "General Practitioners’ Attitudes toward Traditional Indonesian Herbal Medicine and Integrative Care in the Universal Health Coverage System," Global Journal of Health Science, Canadian Center of Science and Education, vol. 14(4), pages 1-82, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Karolin Becker & Peter Zweifel, 2008. "Age and Choice in Health Insurance," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(1), pages 27-40, January.
    2. Pedersen, Inge Kryger & Baarts, Charlotte, 2010. "'Fantastic hands' - But no evidence: The construction of expertise by users of CAM," Social Science & Medicine, Elsevier, vol. 71(6), pages 1068-1075, September.
    3. Chiu, Stephen W.K. & Ko, Lisanne S.F. & Lee, Rance P.L., 2005. "Decolonization and the movement for institutionalization of Chinese medicine in Hong Kong: a political process perspective," Social Science & Medicine, Elsevier, vol. 61(5), pages 1045-1058, September.
    4. Dodds, Sarah & Bulmer, Sandy & Murphy, Andrew, 2014. "Consumer value in complementary and alternative medicine (CAM) health care services," Australasian marketing journal, Elsevier, vol. 22(3), pages 218-229.
    5. Michael S. Goldstein, 2002. "The Emerging Socioeconomic and Political Support for Alternative Medicine in the United States," The ANNALS of the American Academy of Political and Social Science, , vol. 583(1), pages 44-63, September.
    6. Éva Rásky & Willibald-Julius Stronegger & Wolfgang Freidl, 1999. "Nutzung unkonventioneller Heilverfahren bei Krebserkrankungen," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 44(1), pages 22-29, January.
    7. Jaswant Guzder & Meenakshi Krishna, 2005. "Mind the Gap," Psychology and Developing Societies, , vol. 17(2), pages 121-138, September.
    8. Eduardo Estrada-Castillón & José Ángel Villarreal-Quintanilla & Luis Gerardo Cuéllar-Rodríguez & Martí March-Salas & Juan Antonio Encina-Domínguez & Wibke Himmeslbach & María Magdalena Salinas-Rodrígu, 2022. "Ethnobotany in Iturbide, Nuevo León: The Traditional Knowledge on Plants Used in the Semiarid Mountains of Northeastern Mexico," Sustainability, MDPI, vol. 14(19), pages 1-43, October.
    9. Cartwright, Tina, 2007. "'Getting on with life': The experiences of older people using complementary health care," Social Science & Medicine, Elsevier, vol. 64(8), pages 1692-1703, April.
    10. Kelner, Merrijoy & Wellman, Beverly & Welsh, Sandy & Boon, Heather, 2006. "How far can complementary and alternative medicine go? The case of chiropractic and homeopathy," Social Science & Medicine, Elsevier, vol. 63(10), pages 2617-2627, November.
    11. Fishman, Jennifer R. & Flatt, Michael A. & Settersten, Richard A., 2015. "Bioidentical hormones, menopausal women, and the lure of the “natural” in U.S. anti-aging medicine," Social Science & Medicine, Elsevier, vol. 132(C), pages 79-87.
    12. Adams, Annmarie & Theodore, David & Goldenberg, Ellie & McLaren, Coralee & McKeever, Patricia, 2010. "Kids in the atrium: Comparing architectural intentions and children's experiences in a pediatric hospital lobby," Social Science & Medicine, Elsevier, vol. 70(5), pages 658-667, March.
    13. Lemire, Marc & Sicotte, Claude & Paré, Guy, 2008. "Internet use and the logics of personal empowerment in health," Health Policy, Elsevier, vol. 88(1), pages 130-140, October.
    14. Rebecca Mitchell & Jessica Gordon & Gopal Krushna Bhoi & Nicholas Nisbett, 2023. "Applying the ‘Candidacy’ Model to understand access to key nutrition, food & health services in LMIC contexts: a qualitative study in Odisha, India," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(3), pages 649-660, June.
    15. Singh, Jagdip & Cuttler, Leona & Silvers, J. B., 2004. "Toward understanding consumers' role in medical decisions for emerging treatments: Issues, framework and hypotheses," Journal of Business Research, Elsevier, vol. 57(9), pages 1054-1065, September.
    16. Matsushita, Kyohei & Hori, Masakazu & Yamane, Fumihiro & Asano, Kota, 2023. "Incorporating traditional ecological knowledge into holistic watershed management: Fishery forests in Japan," Ecological Economics, Elsevier, vol. 204(PA).
    17. Hök, Johanna & Wachtler, Caroline & Falkenberg, Torkel & Tishelman, Carol, 2007. "Using narrative analysis to understand the combined use of complementary therapies and bio-medically oriented health care," Social Science & Medicine, Elsevier, vol. 65(8), pages 1642-1653, October.

    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ibn:gjhsjl:v:13:y:2021:i:6:p:24. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Canadian Center of Science and Education (email available below). General contact details of provider: https://edirc.repec.org/data/cepflch.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.