Factors affecting the use of herbal medicines in the universal health coverage system in Indonesia
Factors affecting the use of herbal medicines in the universal health coverage system in Indonesia
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DOI：
10.1016/j.jep.2020.112974
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发表时间：
2020-10-05
影响因子：
5.4
通讯作者：
Rosleine, Dian
中科院分区：
文献类型：
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作者：
Rahayu, Yen Yen Sally;Araki, Tetsuya;Rosleine, Dian
民族药理学相关性：药用植物在印度尼西亚的初级保健实践中发挥着重要作用，特别是在农村地区。虽然药用植物在印度尼西亚被广泛使用，但该国通过提供全民健康覆盖 (UHC) 承诺提供基于现代医学的医疗保健服务。 研究目的：在印度尼西亚全民健康覆盖 (UHC) 系统的背景下，我们通过研究草药使用如何随社会经济和人口因素变化以及在现代医疗保健出现后草药使用是否仍然重要，探索西爪哇农村地区药用植物的利用。材料和方法：随机选择两个农村社区的 634 户家庭参与研究在调查中。对每个家庭中随机选择的成年人进行半结构化问卷调查。结果：草药使用率为 68% (431/634)。在 549 名自认为患病的受访者中，40% (219/549) 在过去六个月内自行服用草药。共报告了43科102种药用植物，每种植物都有当地名称、药用和使用部位。我们发现草药的使用与居住地区、年龄、教育水平和职业显着相关，与性别或健康保险拥有情况无关。结论：药用植物仍然是西爪哇地区农村社区医疗保健的一个重要方面。全民健康覆盖体系下医疗保健服务的存在并不是寻求治疗的关键决定因素，并且对农村地区普遍使用草药的影响可能较小。
Ethnopharmacological relevance: Medicinal plants play an essential role in primary healthcare practices in Indonesia, particularly in rural areas. While medicinal plants are broadly used in Indonesia, the country has made a commitment to healthcare services based on modern medicine through the provision of universal health coverage (UHC).Aim of the study: In the context of the UHC system in Indonesia, we explore the utilization of medicinal plants in rural West Java by examining how herbal medicine use varies with socio-economic and demographic factors and whether herbal medicine use remains important when modern healthcare becomes available.Materials and methods: A total of 634 households in the two rural communities were randomly selected to participate in the survey. A semi-structured questionnaire was administered to a randomly selected adult in each household.Results: Herbal medicine use prevalence was found to be 68% (431/634). Out of 549 total respondents with perceived illness, 40% (219/549) self-medicated with herbal medicines in the last six months. A total of 102 medicinal plant species belonging to 43 families were reported, each with their local names, medicinal use, and parts used. We found that herbal medicine use was significantly associated with the area of residence, age, education level and occupation, and was not correlated to gender or health insurance possession.Conclusion: Medicinal plant remains a significant aspect of healthcare for rural communities in the West Java area. The presence of healthcare services under the UHC system is not a critical determining factor for treatment-seeking and may have less impact on the pervasive practice of herbal medicine use in rural areas.