‘Maintaining balance and harmony’: Javanese perceptions of health and cardiovascular disease

Dewi, Fatwa Sari Tetra; Weinehall, Lars; Öhman, Ann

doi:10.3402/gha.v3i0.4660

Cited by 24 publications

(85 citation statements)

References 30 publications

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“…On average around 40% of all studies included some sort of socioeconomic indicator mirroring educational attainment [15, 17, 21–24, 32, 34, 35, 37–40, 42–44, 47, 48, 50, 55, 56, 60, 63, 66, 68, 69, 71, 73, 75, 76, 79, 81, 83–85, 91, 92, 95, 99, 101, 102, 104–108, 111, 112, 114, 122, 123, 125–127, 129, 131, 133, 135–138, 140, 142, 155, 156], income or wealth [15, 17, 20–22, 25, 28, 37, 39, 43, 47, 52, 55, 56, 60, 63, 66, …”

Section: Resultsmentioning

confidence: 99%

How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis

et al. 2017

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BackgroundChronic noncommunicable diseases (NCDs) have emerged as a huge global health problem in low- and middle-income countries. The magnitude of the rise of NCDs is particularly visible in Southeast Asia where limited resources have been used to address this rising epidemic, as in the case of Indonesia. Robust evidence to measure growing NCD-related burdens at national and local levels and to aid national discussion on social determinants of health and intra-country inequalities is needed. The aim of this review is (i) to illustrate the burden of risk factors, morbidity, disability, and mortality related to NCDs; (ii) to identify existing policy and community interventions, including disease prevention and management strategies; and (iii) to investigate how and why an inequitable distribution of this burden can be explained in terms of the social determinants of health.MethodsOur review followed the PRISMA guidelines for identifying, screening, and checking the eligibility and quality of relevant literature. We systematically searched electronic databases and gray literature for English- and Indonesian-language studies published between Jan 1, 2000 and October 1, 2015. We synthesized included studies in the form of a narrative synthesis and where possible meta-analyzed their data.ResultsOn the basis of deductive qualitative content analysis, 130 included citations were grouped into seven topic areas: risk factors; morbidity; disability; mortality; disease management; interventions and prevention; and social determinants of health. A quantitative synthesis meta-analyzed a subset of studies related to the risk factors smoking, obesity, and hypertension.ConclusionsOur findings echo the urgent need to expand routine risk factor surveillance and outcome monitoring and to integrate these into one national health information system. There is a stringent necessity to reorient and enhance health system responses to offer effective, realistic, and affordable ways to prevent and control NCDs through cost-effective interventions and a more structured approach to the delivery of high-quality primary care and equitable prevention and treatment strategies. Research on social determinants of health and policy-relevant research need to be expanded and strengthened to the extent that a reduction of the total NCD burden and inequalities therein should be treated as related and mutually reinforcing priorities.

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Section: Resultsmentioning

confidence: 99%

How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis

et al. 2017

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“…Health is a physical status that cannot be achieved without individuals' spiritual wellbeing. Life in general should be balanced physically and spiritually, between individual and social life, so that a status of "harmony" can be reached [42,57]. The Indonesian government recognizes six official religions: Islam, Catholicism, Protestantism, Hinduism, Buddhism, and Confucianism [105].…”

Section: Lay Concepts Of Health and Illnessmentioning

confidence: 99%

“…Indonesian people's choice of health providers is determined by complex and interrelated factors: sociodemographic characteristics, influence of significant others, sociocultural beliefs, perception about diseases and their causality, and perception of medical services including accessibility and availability, particularly in rural and areas, and its related cost [23,[28][29][30]34,35,38,[40][41][42][45][46][47][48]52,[54][55][56][57]59,60,64,65,67,72].…”

Section: Determinants Of Health Provider Choicesmentioning

confidence: 99%

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Health-Seeking Behavior of People in Indonesia: A Narrative Review

Widayanti¹,

Green²,

Heydon³

et al. 2020

JEGH

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KeywordsConcept of health and illness health-seeking behavior Indonesia pathway of seeking care social determinants of health traditional medicines utilization of health care A B S T R A C TThis review aims to locate existing studies on health-seeking behavior of people in Indonesia, identify gaps, and highlight important findings. Articles were retrieved from Medline, Scopus, Web of Science, Academic Search Complete (via Ebsco), and ProQuest with a number of key words and various combinations. Articles from Indonesian journals were also searched for with Google Scholar. A total of 56 articles from peer-reviewed journal databases and 19 articles from Indonesian journals were reviewed. Quantitative designs were applied more frequently than qualitative, and mixed methods designs were used in some studies. The majority gathered retrospective information about people's behaviors. Communicable diseases and maternity care were the most frequently studied conditions, in contrast to noncommunicable diseases. In terms of geographical distribution, most research was conducted on Java island, with very few in outside Java. Important findings are a model of Indonesian careseeking pathways, an understanding of determinants of people's care choices, and the role of sociocultural beliefs. The findings from this narrative review provide insight to what and how Indonesians make decisions to manage their illness and why. This makes an important contribution to understanding the problem of underutilization of medical services despite the government's extensive efforts to improve accessibility.

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“…The paper reports results from a quantitative baseline survey, and integrates these finding with those from a qualitative study, published in the first paper (Maintaining balance and harmony: Javanese perceptions on health and CVD) (11). …”

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confidence: 99%

Mobilising a disadvantaged community for a cardiovascular intervention: designing PRORIVA in Yogyakarta, Indonesia

Dewi

Stenlund

Öhman

et al. 2010

Global Health Action

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IntroductionCardiovascular disease (CVD) is a burden for developing countries, yet few CVD intervention studies have been conducted in developing countries such as Indonesia. This paper outlines the process of designing a community intervention programme to reduce CVD risk factors, and discusses experiences with regard to design issues for a small-scale intervention.Design processThe design process for the present community intervention consisted of six stages: (1) a baseline risk factor survey, (2) design of a small-scale intervention by using both baseline survey and qualitative data, (3) implementation of the small-scale intervention, (4) evaluation of the small-scale intervention and design of a broader CVD intervention in the Yogyakarta municipality, (5) implementation of the broader intervention and (6) evaluation of the broader CVD intervention. According to the baseline survey, 60% of the men were smokers, more than 30% of the population had insufficient fruit and vegetable intake and more than 30% of the population were physically inactive, this is why a small-scale population intervention approach was chosen, guided both by the findings in the quantitative and the qualitative study.ExperiencesA quasi-experimental study was designed with a control group and pre- and post-testing. In the small-scale intervention, two sub-districts were selected and randomly assigned as intervention and control areas. Within them, six intervention settings (two sub-villages, two schools and two workplaces) and three control settings (a sub-village, a school and a workplace) were selected. Health promotion activities targeting the whole community were implemented in the intervention area. During the evaluation, more activities were performed in the low socioeconomic status sub-village and at the civil workplace.

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‘Maintaining balance and harmony’: Javanese perceptions of health and cardiovascular disease

Cited by 24 publications

References 30 publications

How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis

How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis

Health-Seeking Behavior of People in Indonesia: A Narrative Review

Mobilising a disadvantaged community for a cardiovascular intervention: designing PRORIVA in Yogyakarta, Indonesia

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