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Perspective of Cikahuripan Villagers on Traditional Health Service Provisions in Government Regulation No

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Perspective of Cikahuripan Villagers on Traditional Health Service Provisions in Government Regulation No 159 AMJ. 2020;7(3):159–4 Perspective of Cikahuripan Villagers on Traditional Health Service Provisions in Government Regulation No. 103 Year 2014 Hashfi Khairuddin,1 Rizal Chaidir,2 Deni Kurniadi Sunjaya3 1Faculty of Medicine Universitas Padjadjaran, Indonesia, 2Department of Orthopedics and Traumatology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung, Indonesia, 3Department of Public Health Faculty of Medicine Universitas Padjadjaran, Indonesia Abstract Background: Traditional health service is one of the health services that is still currently used in Indonesia, especially in rural communities. The government has been regulating these services since traditional health service providers. This study aimed to explore the perspective of the Cikahuripan 2014. Despite its long existence, there is a recent increase of potential regulation violation among Methods: Villagershealth services on Government in Cikahuripan Regulation Village. on Sixteen traditional informants health consisting services. of 8 villagers who met the inclusion criteria andThis another was a 8qualitative informants study in the using triangulation in-depth interviews negative caseand directanalysis, observations member checking, on traditional peer . Result: There were two different perspectives in the community on traditional health service provisions debriefing, and observation was involved traditional health services more responsive and safer, which would improve service quality and health in the Government Regulation. Supporters of the regulation believed that the regulation would make were too late, would make the costs for licensing expensive, and too complicated. Conclusions:benefits as well There as imposing are two effective different sanctions. public perspectives In contrast, theon theopposition regulation believed of traditional that regulations health services, which are supporting and opposing the regulation. It is expected that the local government create a derivative of the regulation by making adjustment to the community’s situation. Keywords: Laws, perceptions, regulations, traditional health services Introduction health services, including responsibilities, central and local government authorities, types Traditional health services have long been of traditional health services, traditional health rooted in individuals in the household, service procedures, resources, research and especially starting in the 2nd century to the development, publication and advertising, 19th community empowerment, funding, guidance, Baubau city, traditional health services have and supervision as well as an administrative 5 been century.started sinceIn the 1986. Batupuaro In the Dayaksub-district, tribe, penalty. traditional medicine itself stands in line with The obligation to obtain permission and the Dayak tribe’s existence. Whereas the Muna intervention regulation can potentially disrupt tribe, Wakontu Village, Wadaga Subdistrict, the course of traditional health services that have been trusted by the community long medicine had existed before medical before the application of the regulation. This Westpractices. Muna1–4 Regency, said that traditional is supported by a previous study showing that The Indonesian government has issued a the Indonesian Traditional Herbal Medicine concerning the Traditional Health Services, which 6 Governmentregulates the Regulation implementation Number of103 traditional in 2014 Association (ASPETRI)Interestingly, is not ready there inare the no implementation of Government Regulation Number 103/2014. Correspondence: Hashfi Khairuddin, Faculty of Medicine Universitas Padjadjaran, Jalan Raya Bandung-Sumedang Km. 21, Jatinangor, Sumedang, Indonesia, Email: [email protected]. Althea Medical Journal. 2020;7(3) https://doi.org/10.15850/amj.v7n3.1912 160 AMJ September 2020 data on the total number of traditional health conducted to increase trustworthiness in this study, by interviewing the Cikahuripan have permission and opinion on this matter. villagers who had never used traditional health servicesThe community’s in West Bandung demands or West for traditionalJava, who triangulation respondents were interviewed population. Thus, the implementation of servicesthoroughly as triangulationin this study respondents. until achieving Eight medicineregulation iscould about bring 20% up of different Indonesia’s opinions total saturation. in society. On one side, the government has created rules for safety and comfort in utilizing traditional health services. On the other therefore,The method the informant in this couldstudy tellwas the in-depth widest hand, this regulation is enough to restrict interviewspossible extent using about open-ended his/her experiencesquestions, the community’s traditional health services, and perspectives. First, they were interviewed therefore, the differences in perception can occur in the community.7 determine whether they had used traditional Previous studies have not yet analyzed the by asking their health-seeking behavior to perception of the community as a user when a short explanation about the regulations healthgoverning services. traditional Respondents health serviceswere given PP is started. The purpose of this study was to Governmentexplore the Regulationcommunity’s Number perspectives 103/2014 in regarding these regulations were explored. Cikahuripan Village, Lembang, West Bandung, No.The researcher103/2014, also and checked their the perspectives informants who were interviewed. Source triangulation with negative case analysis, observation, and regardinghealth services. Government Regulation Number member checking was done to increase trust 103/2014, regulations that govern traditional worthiness. Methods The researcher also had made observations to strengthen the theory that would be This research was conducted in Cikahuripan formed. The observation was carried out by going directly to one of the traditional health qualitative research design with grounded services available in Cikahuripan Village, then Villagetheory fromto explore August theto Octoberprocesses, 2019 activities, using a and events experienced by respondents. The health care methods were carried out. sampling method used in this study was a askingIn brief,and seeing the firsthandresults of how each the traditionalinterview theoretical sampling, that was not referring to were transcribed into text form. Then, data the number of samples, but the amount of data reduction and analysis were conducted to obtained from the respondents until the data select and focus on the gross data that appeared saturation had been reached and therefore aimed to create a theory.8 data encoding, i.e., breaking the data and The inclusion criteria in this study were inrearranging the field. the Furthermore, data in the form we ofconducted words or phrases as representatives of the data fractions. in Cikahuripan village, had used traditional Categorization, the results of data coding, were residentshealth services, of West and Bandung agreed toRegency become who research lived grouped into homogeneous categories for the subjects. The exclusion criteria in this study process of interpretation, then the preparation were people who had limited senses such as of themes, namely by grouping categories in a blind, impaired hearing, impaired speech, and collection of categories that were considered the mentally disabled. homogeneous. Furthermore, content analysis, In determining the respondents, a purposive the process of data interpretation, in the form sampling technique was conducted by visiting of material categorization based on related topics were conducted. Thick description, the traditional health services in Cikahuripan interpretation of the data in the form of andVillage conducting and asking in-depth respondents interviews withwho one had of strong and deep descriptions and narratives used traditional health services in the village. expressed were performed and then analyzing the content analysis, analyzing the results performed to get other respondents until the from the perspective of the community.9 Next,saturation the snowballof the data sampling was reached. technique Saturation was was achieved when eight respondents who entered as inclusion criteria were interviewed quotedSeveral and referredperspectives with codesfrom assignedthe first to thoroughly. responder (R1) to the sixteenth (R16) were Furthermore, a negative case analysis was who had used traditional health services, while them from R1 to R16. R1–R8 was respondents Althea Medical Journal. 2020;7(3) Hashfi Khairuddin et al.: Perspective of Cikahuripan Villagers on Traditional Health Service Provisions in Government 161 Regulation No. 103 Year 2014 Table Content Analysis of Public Perceptions of Traditional Health Services Regulation PRO CONS Accountability Security Increased Cost Late Enactment Quality Increase Increased Complexity Ignorance Sanctions on Violator Demand Mismatch Health Benefit Increase not be careless at least. Our leg is important to traditional health services, and designated support life and daily activities.” R9–R16as a triangulation. was respondents This whoresearch had neverhad beenused From some opinions, it was seen that the community was very concerned about the Universitas Padjadjaran, with the registration safety of traditional health services and that approved by the Research Ethics Committee security for consumers was also guaranteed. The community also had the opinion that numberResults of 902/UN6.KEP/EC/2019 if
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