Medical Pluralism in West Nusa Tenggara, Indoesia Essay

Summary and purpose

This research is focused on medical pluralism in West Nusa Tenggara, Indonesia.

The survey would be working with communities both Sasakesse people in Lombok Island and Sumbawa people in Sumbawa Island. Research method that used in this fieldwork is standard in qualitative research and ethnographic methods that are interview, participant observation and certifications such as exposure, movie and archival paperss.

The general purpose of this research is to supply a part to the cognition development and a comprehensive apprehension about the interaction of multiple medical systems that coexist. The intertwined medical systems could be in signifier of traditional medical specialty, biomedicine and alternate medical specialty. These medical systems suppliers are peculiarly represented asBelian( Sas. ) andSandro( Sbw. ) therapist of traditional medical specialty, professional wellness staff of biomedicine every bit good as healer of the alternate medical specialty. This survey examines how medical systems suppliers apply their intervention methods in their society and in what footings the medical systems cooperate and vie one another.

List of abbreviations:

Thulium: Traditional medical specialty

Cam: Complementary and alternate medical specialty

WNT: West Nusa Tenggara

Background

Medical Pluralism, which a subject in medical anthropology, is coexistence of multiple traditions of medical specialty or medical systems, which give multiple picks of therapeutics traditions to the person ( Kleinman 1980 ) . Then Kleinman ( 1980 ) divides three sectors of wellness attention that are popular sectors, folks sectors and professional sectors.In another term medical systems could be in signifier of biomedicine, traditional medical specialty and alternate medical specialty ( Broom, et Al. 2009 ; Kiesser, et Al. 2006 ) . Biomedicine refers to the dominant theory of medical specialty and pattern in Western society, a medical specialty loosely spread throughout the universe ( Hahn and Kleinman 1983 ) and a professional system worked by professionals with long formal preparation and legitimated by the authorities ( Kleinman 1978 ) . Traditional medical specialty refers to autochthonal medical systems that can be found in developing states ( Bhasin 2002 ) and it includes a spiritual orritual healing every bit good as many techniques of intervention such as utilizing medicative works and the intervention cognition is hereditarily transmitted ( Waldram 2000 ) . WHO ( 2013 ) notes that alternative/complementary medical specialty refers to a wide set of wellness attention patterns that are non portion of that state ‘s ain tradition and are non integrated into the dominant wellness attention system and in some states these footings are interchangeably used. These intertwined medical systems in the society have a concerted and competitory relationship with one another ( Baer 2004 ) .

The fact of medical traditions is besides applied in Indonesia. Indonesian society has medical traditions or traditional medical specialties ( TM ) that are based on local civilization. Another system is medical traditions that are non portion of Indonesian civilizations or what is called by WHO ( 2013 ) as complementary and alternate medical specialty ( CAM ) , nevertheless in the State Law of Indonesia on Health in 2009 is included in the term of traditional medical specialty ( Indonesia 2009 ) . For this research would be clearly separated between TM and CAM. The last system is modern medical specialty, which was introduced since Dutch Colonial epoch ( Boomgaard 1993 ) , takes an of import portion on wellness development in Indonesia. Biomedicine is besides legitimized by authorities and go a dominative medical system on other systems.

This research is focused on medical pluralism in West Nusa Tenggara, Indonesia.The specific focal points of this research are depicting Indonesia and WNT Province as field sites where this research would be conducted ; supplying information on province jurisprudence and authorities ordinance on wellness every bit good as modern-day wellness state of affairs in Indonesia and WNT peculiarly for wellness attention services ; depicting medical systems that coexist in the field sites ; depicting practitioner’s understanding on ill-health, intervention methods and their perceptual experience to others practitioner ; and depicting in footings where the medical systems cooperate and compete.

This research would be conducted in Indonesia particularly in West Nusa Tenggara Province. WNT has two large islands that are called Lombok Island and Sumbawa Island. The figure of population in WNT is about 4.5 million or 1.9 per centum of the sum of Indonesian population ( BPS 2013 ) . The populations of WNT settee and spread in 10 disposal units or regencies. Five regencies are in Lombok Islands and the remainder are in Sumbawa Island.

West Nusa Tenggara is a state with heterogenous society.WNT is inhabited by assorted ethnic-groups such as Sasakese, Sumbawa, Mbojo, Bajo, Buginese, Makassarese, Balinese and other little ethic-groups. However, the autochthonal ethnic-groups in these countries are Sasakese that is settled in Lombok Island and another ethnic-groups Sumbawa and Mbojo are inhabited in Sumbawa Island. All people of the autochthonal ethnic-groups are Moslems.

This survey would be carried out utilizing qualitative research method peculiarly for ethnographic method as a tradition in anthropological research. In obtaining informations and information related to my research, the informations would be collected by utilizing interview, participant observation and certifications such as exposure, movie and archival paperss. The interview is non merely to acquire ideological information, but besides to experience reaction and look of the interviewee. Informal interview and utilizing semi-structured interview would be held during observation in the field sites to supply more exploratory collateral information. Another scheme is participant observation. The chief point of this method is researcher could detect and take part in informant activities, interaction and ritual. All interviews and observations will be audio taped and pictured. The interview will be transcribed and translated from local linguistic communication into Indonesian linguistic communication and so into English.

This fieldwork is a healer-centered research. The cardinal sources are local therapists, professional wellness staffs ( medical physician, nurse and accoucheuse ) and alternate medical specialty healer. The sources are selected based on their expertness on intervention cognition and as representation of the traditional medical specialty, biomedicine and alternate medical specialty.

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