Health resilience of Indonesian Army using traditional medicine in high risk areas with limited services

Authors

  • Faonaso Harefa Universitas Pertahanan, Indonesia
  • Caecilia F. Harsono Universitas Pertahanan Jakarta, Indonesia

DOI:

https://doi.org/10.35335/lebah.v19i3.482

Keywords:

Health Defense, Health resilience, Indigenous knowledge, TNI-AD health, Papua region, Traditional medicine

Abstract

Latar Belakang: Penelitian ini berangkat dari kondisi prajurit TNI-AD yang bertugas di wilayah rawan, pedalaman, dan daerah terluar yang menghadapi keterbatasan serius dalam akses layanan kesehatan sehingga mendorong penggunaan pengobatan tradisional sebagai strategi alternatif pengobatan. Tujuan: Penelitian ini bertujuan menganalisis bagaimana pengobatan tradisional digunakan prajurit sebagai bentuk ketahanan kesehatan di tengah minimnya fasilitas medis, tenaga kesehatan, dan suplai obat maupun vitamin. Metode: Penelitian menggunakan pendekatan kualitatif melalui wawancara mendalam, kemudian dianalisis menggunakan NVivo 12 untuk mengidentifikasi tema dan pola temuan. Hasil: Penelitian menunjukkan bahwa akses kesehatan terbatas, kuatnya pengetahuan lokal, endemis malaria, serta minimnya dukungan medis formal membuat prajurit bergantung pada ramuan tradisional  dan praktik budaya setempat. Faktor sosial-budaya, persepsi risiko, dan konstruksi lokal tentang sehat-sakit menjadi determinan utama dalam perilaku pencarian pengobatan. Kesimpulan: Penelitian ini menyimpulkan bahwa ketergantungan prajurit TNI-AD pada pengobatan tradisional di wilayah rawan terutama disebabkan oleh keterbatasan fasilitas kesehatan modern, kurangnya tenaga medis, tidak memadai¬nya suplai obat dan vitamin, serta dominannya pengaruh budaya lokal dalam memaknai sehat dan sakit. Praktik pengobatan tradisional menjadi strategi adaptif yang muncul secara alami untuk mengisi kekosongan layanan medis, sehingga penguatan dukungan kesehatan pertahanan dan peningkatan akses layanan kesehatan modern menjadi kebutuhan mendesak bagi prajurit dalam melaksanakan tugas operasi militer selain Perang

References

Akyildiz, I. F., Ghovanloo, M., Guler, U., Ozkaya-Ahmadov, T., Sarioglu, A. F., & Unluturk, B. D. (2020). PANACEA: An Internet of Bio-NanoThings Application for Early Detection and Mitigation of Infectious Diseases. IEEE Access, 8, 140512–140523. https://doi.org/10.1109/ACCESS.2020.3012139

Al-Eisawi, D. (2022). A Design Framework for Novice Using Grounded Theory Methodology and Coding in Qualitative Research: Organisational Absorptive Capacity and Knowledge Management. International Journal of Qualitative Methods, 21, 1–13. https://doi.org/10.1177/16094069221113551

Ausseil, R., Gedik, R., Bednar, A., & Cowan, M. (2020). Identifying sufficient deception in military logistics. Expert Systems with Applications, 141, 112974. https://doi.org/10.1016/j.eswa.2019.112974

Balog-Way, D., McComas, K., & Besley, J. (2020). The Evolving Field of Risk Communication. Risk Analysis, 40, 2240–2262. https://doi.org/10.1111/risa.13615

Bricknell, M., Cain, P., Bricknell, M., & Cain, P. (2020). Understanding the Whole of Military Health Systems The Defence Healthcare Cycle. 1847. https://doi.org/10.1080/03071847.2020.1784039

Castañer, X., & Oliveira, N. (2020). Collaboration, Coordination, and Cooperation Among Organizations: Establishing the Distinctive Meanings of These Terms Through a Systematic Literature Review. Journal of Management, 46(6), 965–1001. https://doi.org/10.1177/0149206320901565

Chaudhary, M. T., & Piracha, A. (2021). Natural Disasters—Origins, Impacts, Management. Encyclopedia, 1(4), 1101–1131. https://doi.org/10.3390/encyclopedia1040084

das Dores de Jesus Da Silva, L., Kubisch, S., Aguayo, M., Castro, F., Rojas, O., Lagos, O., & Figueroa, R. (2024). Chilean Disaster Response and Alternative Measures for Improvement. Social Sciences, 13(2). https://doi.org/10.3390/socsci13020088

Dupont, B. (2019). The cyber-resilience of financial institutions: Significance and applicability. Journal of Cybersecurity, 5(1), 1–17. https://doi.org/10.1093/cybsec/tyz013

Erawati, M., & Andriany, M. (2020). The prevalence and demographic risk factors for latent tuberculosis infection (LTBI) among healthcare workers in Semarang, Indonesia. Journal of Multidisciplinary Healthcare, 13, 197–206. https://doi.org/10.2147/JMDH.S241972

Kudłacik-Kramarczyk, S., Kieres, W., Przybyłowicz, A., Ziejewska, C., Marczyk, J., & Krzan, M. (2025). Recent Advances in Micro- and Nano-Enhanced Intravascular Biosensors for Real-Time Monitoring, Early Disease Diagnosis, and Drug Therapy Monitoring. Sensors, 25(15), 1–25. https://doi.org/10.3390/s25154855

Laksmana, E. A. (2022). Remodelling Indonesia’s Maritime Law Enforcement Architecture: Theoretical and Policy Considerations. Contemporary Southeast Asia, 44(1), 122–149. https://doi.org/10.1355/cs44-1e

Lim, K., & Nam, G. (2023). A Study on How to Improve the Accountability of National Defense Financial Information for Government Sustainability. Sustainability (Switzerland), 15(11). https://doi.org/10.3390/su15118749

Meng, Q. (2022). Strengthening public health systems in China. The Lancet Public Health, 7(12), e987–e988. https://doi.org/10.1016/S2468-2667(22)00206-7

Nazari, S., Sharififar, S., Ahmadi Marzaleh, M., Zargar, S., Azarmi, S., & Akbari Shahrestanaki, Y. (2023). Structural Elements and Requirements in Forming Prehospital Health Response Teams in Response to Chemical, Biological, Radiation, and Nuclear Incidents (CBRN), a Comparative Review Study. Disaster Medicine and Public Health Preparedness, 17(9). https://doi.org/10.1017/dmp.2022.259

Noviyani, A., Nopsopon, T., & Pongpirul, K. (2021). Variation of tuberculosis prevalence across diagnostic approaches and geographical areas of Indonesia. PLoS ONE, 16(10 October), 1–12. https://doi.org/10.1371/journal.pone.0258809

Patriota, É. S. O., Abrantes, L. C. S., Figueiredo, A. C. M. G., Pizato, N., Buccini, G., & Gonçalves, V. S. S. (2024). Association between household food insecurity and stunting in children aged 0−59 months: Systematic review and meta-analysis of cohort studies. Maternal and Child Nutrition, 20(2), 1–15. https://doi.org/10.1111/mcn.13609

Renn, O., & Lucas, K. (2022). Systemic Risk: The Threat to Societal Diversity and Coherence. Risk Analysis, 42(9), 1921–1934. https://doi.org/10.1111/risa.13654

Samuel, O., Zewotir, T., & North, D. (2021). Decomposing the urban – rural inequalities in the utilisation of maternal health care services : evidence from 27 selected countries in Sub ‑ Saharan Africa. Reproductive Health, 1–12. https://doi.org/10.1186/s12978-021-01268-8

Subandi, I., Syauqillah, M., Priyanto, S., Sukabdi, Z. A., & Rum, M. (2024). The Role of TNI (Indonesian National Army) in Countering Trans-national Crimes. Eduvest - Journal of Universal Studies, 4(8), 7207–7214. https://doi.org/10.59188/eduvest.v4i8.1340

Sumarsam, I., Taufik, M., & Ismail Fajri, A. (2022). An Analysis of Archipelago Religion and Culture Indonesia and Islamization. Issue, 8(3), 2022.

VanderKaay, S., Moll, S. E., Gewurtz, R. E., Jindal, P., Loyola-Sanchez, A., Packham, T. L., & Lim, C. Y. (2018). Qualitative research in rehabilitation science: opportunities, challenges, and future directions. Disability and Rehabilitation, 40(6), 705–713. https://doi.org/10.1080/09638288.2016.1261414

Xu, C., Lei, C., Hosseinpour, S., Ivanovski, S., Walsh, L. J., & Khademhosseini, A. (2022). Nanotechnology for the management of COVID-19 during the pandemic and in the post-pandemic era. National Science Review, 9(10). https://doi.org/10.1093/nsr/nwac124

Zhao, L., He, F., & Zhao, C. (2020). A framework of resilience development for poor villages after the wenchuan earthquake based on the principle of “build back better.” Sustainability (Switzerland), 12(12). https://doi.org/10.3390/su12124979

Downloads

Published

2026-01-30

Most read articles by the same author(s)

1 2 > >>