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遗传认知与营养因素:剖析印尼原始部落巴都伊社区对发育迟缓这一健康问题的理解

Genetic Perception Versus Nutritional Factors: Analyzing the Indigenous Baduy Community's Understanding of Stunting as a Health Issue.

作者信息

Putri Liza Diniarizky, Agustin Herlina, Bakti Iriana, Suminar Jenny Ratna

机构信息

Faculty of Communication Sciences, Universitas Padjadjaran, Bandung 45363, Indonesia.

出版信息

Int J Environ Res Public Health. 2025 Jan 22;22(2):145. doi: 10.3390/ijerph22020145.

Abstract

This study investigates the challenges and opportunities in addressing public health issues in the context of stunting in the Baduy community. Baduy is a remote indigenous group in Indonesia. The Indonesian government and NGOs such as SRI and Dompet Dhuafa have attempted to abolish stunting. However, factors such as cultural aspects, communication gaps, and logistic problems prevent the optimization of health interventions. Midwives and other health workers have yet to win the community's trust and provide quality services, but the lack of sustainable solutions further worsens their problem. This studyhighlights the urgency of culturally appropriate, long-term strategies that stay within the unique Baduy lifestyle and belief system, including integrating the tribal leaders into health campaigns. This study also seeks to explain the role of modern healthcare in the Baduy community, particularly the functional acceptance of modern medicine due to its effectiveness in treating severe health problems. However, controversies regarding access to healthcare for Indigenous peoples, especially regarding government resources for care in urban centers, reveal broader issues of healthcare equity in Indonesia. The study finds the need to advocate improved and culturally sensitive interventions, particularly in health communication and government support, to ensure sustainable improvements in public health for Indigenous peoples such as the Baduy.

摘要

本研究调查了在巴都伊社区发育迟缓背景下解决公共卫生问题所面临的挑战和机遇。巴都伊是印度尼西亚一个偏远的原住民群体。印度尼西亚政府以及诸如SRI和杜法基金会等非政府组织已试图消除发育迟缓现象。然而,文化因素、沟通差距和后勤问题等阻碍了卫生干预措施的优化。助产士和其他卫生工作者尚未赢得社区的信任并提供优质服务,而缺乏可持续的解决方案进一步加剧了他们的问题。本研究强调了制定符合文化特点的长期战略的紧迫性,这些战略要符合独特的巴都伊生活方式和信仰体系,包括让部落首领参与健康宣传活动。本研究还试图解释现代医疗保健在巴都伊社区中的作用,特别是由于现代医学在治疗严重健康问题方面的有效性而被实际接受的情况。然而,关于原住民获得医疗保健的争议,尤其是关于政府在城市中心提供医疗资源的争议,揭示了印度尼西亚更广泛的医疗保健公平问题。该研究发现有必要倡导改进并具有文化敏感性的干预措施,特别是在卫生宣传和政府支持方面,以确保像巴都伊这样的原住民的公共卫生状况能持续改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa8/11855289/ddfa0353350e/ijerph-22-00145-g001.jpg

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