ABSTRACT

Globally, 247 million positive Malaria cases were reported in 84 malaria-endemic countries. Indonesia is one of the malaria-endemic countries with 443,530 cases in 2023 [4]. Meanwhile, in Jambi Province in 2022, there were 12,682 cases, with the highest cases recorded in Merangin District (3,639 cases) and Sarolangun District (3,494 cases). This study aims to analyze and explore in-depth information about the beliefs and health-seeking behaviors related to Kuro fever among the Suku Anak Dalam tribe. This is a qualitative research with a case study approach. The study was conducted from February to October 2024 with 6 informants consisting of 2 tribal chiefs (temenggung) and 4 Suku Anak Dalam tribe members, using Thematic Analysis technique. The Suku Anak Dalam community still strongly holds traditions and beliefs in traditional treatments and herbal medicines prepared by shamans or self-prepared. Seeking treatment at health facilities is their secondary option if traditional treatments fail to cure the illness. It is crucial to enhance health education programs that are sensitive to the culture and local beliefs of the Suku Anak Dalam tribe. The government and related institutions need to facilitate improved access to health services, such as providing mobile health facilities in Suku Anak Dalam community areas.

Keywords: Suku Anak Dalam, Beliefs, Kuro Fever, Health Seeking Behavior

ABSTRAK

Secara Global, sebanyak 247 juta kasus positif Malaria di laporkan di 84 negara endemis malaria. Indonesia adalah salah satu negara endemis malaria dengan jumlah kasus 443.530  jiwa. Pada tahun 2023 [4] Sedangkan di Provinsi Jambi pada tahun 2022 adalah sebanyak 12.682 jiwa sedangkan untuk kabupaten/kota yang paling tinggi adalah kabupaten Merangin (3.639 kasus) dan Sarolangun (3.494 kasus). Tujuan penelitian ini adalah untuk menganalisis dan menggali informasi lebih dalam mengenai kepercayaan dan perilaku pencaria pegobatan demam kuro pada suku anak dalam. Jenis penelitian ini adalah Kualitatif dengan pendekatan studi kasus. dilakukan pada bulan Februari s/d Oktober 2024 dengan informan sebanyak 6 orang terdiri dari 2 temenggung dan 4 warga suku anak dalam, menggunakan teknik Thematic Analysis. Masyarakat suku anak dalam masih memegang erat tradisi dan kepercayaan pada pengobatan yang dilakukan secara tradisional dan menggunakan obat herbal yang diracik oleh dukun atau diracik sendiri. Pengobatan dipelayanan kesehatan adalah berikutnya jika penyakit tidak sembuh dengan pengobatan tradisional. Pentingnya meningkatkan program penyuluhan kesehatan yang sensitif terhadap budaya dan kepercayaan lokal Suku Anak Dalam. Pemerintah dan instansi terkait perlu memfasilitasi peningkatan akses terhadap layanan kesehatan, seperti menyediakan fasilitas kesehatan bergerak di area komunitas Suku Anak Dalam

Kata Kunci: Suku Anak Dalam, Kepercayaan, Demam Kuro, Health Seeking Behavior

Arisco, N. J., Rice, B. L., Tantely, L. M., Girod, R., Emile, G. N., Randriamady, H. J., Castro, M. C., & Golden, C. D. (2020). Variation in Anopheles distribution and predictors of malaria infection risk across regions of Madagascar. Malaria Journal, 19(1), 348. https://doi.org/10.1186/s12936-020-03423-1

Ferngren, G. B. (2016). Medicine and health care in early Christianity. JHU Press.

Kementerian Kesehatan RI. (2022). Wilayah-wilayah endemis malaria tinggi di Indonesia.

Kementerian Kesehatan RI. (2024). Kasus Malaria di Indonesia.

KKI-Warsi. (2018). Orang rimba, kubu dan suku anak dalam.

Lewincsa, M., Raharjo, M., & Nurjazuli. (2021). Faktor Risiko yang mempengaruhi kejadian malaria di indonesia: Riview Literatur 2016-2020. Jurnal Kesehatan Lingkungan, 1(11), 16–28.

Maharani, R., Rahman, A., Suharyanto, A. (2019). Traditional Beliefs and Health-Seeking Patterns Among Indigenous Communities: A Case Study of Suku Anak Dalam in Jambi. Indonesian Journal of Public Health, 2(14), 45–58.

Makuvara, Z., Magano, S. R., & Mugumbate, G. (2024). Malaria control and treatment: the role of indigenous practices in Zimbabwe. Cogent Public Health, 11(1). https://doi.org/10.1080/27707571.2024.2347654

Meireles, B. M., de Souza Sampaio, V., Monteiro, W. M., & Gonçalves, M. J. F. (2020). Factors associated with malaria in indigenous populations: A retrospective study from 2007 to 2016. PLOS ONE, 15(10), e0240741. https://doi.org/10.1371/journal.pone.0240741

Moukénet, A., Honoré, B., Smith, H., Moundiné, K., Djonkamla, W.-M., Richardson, S., Dormbaye, M., Ngarasta, N., & Seck, I. (2022). Knowledge and social beliefs of malaria and prevention strategies among itinerant Nomadic Arabs, Fulanis and Dagazada groups in Chad: a mixed method study. Malaria Journal, 21(1), 56. https://doi.org/10.1186/s12936-022-04074-0

Nengnong, C. B., Passah, M., Wilson, M. L., Bellotti, E., Kessler, A., Marak, B. R., Carlton, J. M., Sarkar, R., & Albert, S. (2023). Community and health worker perspectives on malaria in Meghalaya, India: Covering the last mile of elimination by 2030. In Research square. https://doi.org/10.21203/rs.3.rs-3431734/v1

Oliver, S. J. (2013). The role of traditional medicine practice in primary health care within Aboriginal Australia: a review of the literature. Journal of Ethnobiology and Ethnomedicine, 9(1), 46. https://doi.org/10.1186/1746-4269-9-46

Onyinyechi, O. M., Mohd Nazan, A. I. N., & Ismail, S. (2023). Effectiveness of health education interventions to improve malaria knowledge and insecticide-treated nets usage among populations of sub-Saharan Africa: systematic review and meta-analysis. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1217052

Pan, S.-Y., Litscher, G., Gao, S.-H., Zhou, S.-F., Yu, Z.-L., Chen, H.-Q., Zhang, S.-F., Tang, M.-K., Sun, J.-N., & Ko, K.-M. (2016). Historical Perspective of Traditional Indigenous Medical Practices: The Current Renaissance and Conservation of Herbal Resources. Evidence-Based Complementary and Alternative Medicine, 2014(1). https://doi.org/10.1155/2014/525340

Prasetijo, A. (2021). Kehidupan dan Adaptasi Suku Anak Dalam di Era Modern. Yayasan Pustaka Obor Indonesia.

Putri, N., Wijaya, S., Santoso, H. (2021). Cultural Approach in Malaria Control Program: Lessons Learned from Suku Anak Dalam Community. Indonesian Journal of Community Medicine, 2(37), 91–104.

Rahman, A., Suryana, L., A. (2020). Factors Affecting Health Seeking Behavior Among Indigenous Communities in Jambi Province. Southeast Asian Journal of Tropical Medicine and Public Health, 1(51), 78–89.

Sari, M., Putra, W., Nurbaiti, B. (2018). Pengobatan Tradisional pada Masyarakat Suku Anak Dalam di Provinsi Jambi. Jurnal Antropologi Indonesia, 1(39), 23–37.

WHO. (2023). World Malaria Report highlights the ongoing challenge of malaria as a public health issue.