The use of 'traditional' medicine, or a combination of biomedical treatment and 'traditional' medicine, is a common phenomenon all over Indonesia. In today’s Indonesian healthcare system 'traditional' and alternative medicine coexist with...
moreThe use of 'traditional' medicine, or a combination of biomedical treatment and 'traditional'
medicine, is a common phenomenon all over Indonesia. In today’s Indonesian healthcare system
'traditional' and alternative medicine coexist with globalized biomedicine. It has been found only
recently that Indonesian urban, educated households are more likely to use 'traditional' than
biomedical healthcare (Nurhayati & Widowati 2017). As early as 2003, Liebich described 80% of
the urban population of Jakarta as occasionally or frequently using 'traditional' medicine. Despite
the dominance of biomedical approaches in the Primary Health Care (PHC) system and the
accompanying skepticism towards other health etiologies, the 'traditional' and complementary
medicine (T&CM) market in Indonesia has experienced a veritable boom during the past 30 years.
Drawing on the transdiciplinary field of health psychology and medical anthropology, this thesis
discusses concepts and approaches that explain the use of T&CM in urban Yogyakarta (Java,
Indonesia). These discussions are based on a Reflexive Grounded Theory study, conducted with
semi-standardized interviews as the main source. The interview questions were designed to elicit
narrative elements addressing previous experiences and evaluations of illness and previous
treatment as well as possible combinations of medical practices. Additionally, expert interviews
with different health agents illustrate conflicting interests and controversies. Even though this study
focuses on illuminating issues of healthcare in urban Yogyakarta, it also finds a textual form to trace
the journey of a 'Western' researcher, who tries to understand the meaning of healthcare in urban
Yogyakarta. Thus, in addition to the substantive focus, this thesis has a methodological focus,
aiming to trace the formative influence of the author along different steps of meaning making about
healthcare in urban Indonesia.
The first part of the dissertation gives insights into the contextual, epistemological and
methodological background of the study (chapters 1 and 2). The second part analyzes interview
narratives. This is done, on the one hand, by highlighting narrations of binary conceptualizations of
'health', 'illness' and 'healing', presented in the model of natural versus kimia. On the other hand, the
analysis follows the ways in which my interviewees navigate healing, where they transcend conceptual
differences by referring to their 'traditional' Javanese rasa of cocok (chapter 3). The third part of the
thesis identifies the author as a situated outsider, highlighting the entanglement of a Western researcher
in conceptual constructions used during interviews with Javanese women (chapter 4). The last part
argues that binary thinking needs to be overcome in order to offer health seekers a truly people-
centered and context-sensitive navigation of healing (chapter 5).
This study highlights different voices of health seekers who emphasize that the current healthcare
system in Indonesia does not meet their needs: neither the needs of the female Javanese health seekers,
nor those of the medical experts and practitioners of both sectors, natural as well as kimia.
Consequently, research on healthcare needs to recognize and accomodate the plurality and complexity
of medical approaches, in order to bridge the rhetoric of healthcare systems and the experienced reality
of health seekers as well as the formal and the informal healthcare system. Similar to bricoleurs,
researchers need to consistently reflect upon and adjust their assumptions, introduce new
methodological tools and use different forms of representation and interpretation to unite various
disciplines, multiple methodologies, and various theoretical perspectives in their healthcare research.