Faculty of Communication Sciences, Universitas Padjadjaran, Bandung 45363, Indonesia.
Int J Environ Res Public Health. 2024 Aug 23;21(9):1114. doi: 10.3390/ijerph21091114.
This research aims to determine the factors, impacts, and solutions for health literacy in the Outer Baduy hamlets of Kanekes Village, Indonesia. The method used in this research is qualitative, which produces an in-depth explanation of the existing problems. Data were collected through interviews and documentation. Interviews were conducted with key figures, including two female Baduy residents with stunted children, one retainer, the head of the NGO SRI, a midwife who works in the Baduy village, and the head of the Lebak social service. Apart from that, secondary data in the form of recordings of community service talk shows conducted by the University of Indonesia to overcome stunting in Baduy were also analysed. The results show that the factors associated with the low health literacy of the Baduy community are literacy, writing and reading, taboos on eating certain foods, people spending too much time in the fields, people learning by imitating their parents, demanding access to villages, lack of consistency from external parties in providing health programs, and gender segregation in Baduy society. The impact of the low health literacy of the Baduy community is fatalism, high maternal and child mortality rates, and high health costs. The proposed strategies for increasing the health literacy of the Baduy community based on the findings of this research include developing health literacy by targeting community leaders, managing information-technology-based health-information groups, and always presenting at least one health worker among the residents who provides an example of healthy living, encouraging collective reflection. when health cases occur, and balancing gender communication.
本研究旨在确定印度尼西亚卡内克斯村外巴杜伊人村落健康素养的影响因素、影响及其解决方案。本研究采用定性方法,深入解释了现有问题。通过访谈和文件收集数据。访谈对象包括两名儿童发育迟缓的巴杜伊女性居民、一名监护人、SRI 非政府组织的负责人、在巴杜伊村工作的助产士和莱巴克社会服务部门的负责人。除此之外,还分析了印度尼西亚大学为克服巴杜伊人发育迟缓而进行的社区服务脱口秀的录音等二手资料。结果表明,巴杜伊人健康素养低下的相关因素包括读写能力、读写能力、某些食物的禁忌、人们在田间花费太多时间、人们通过模仿父母学习、要求进入村庄、外部各方提供健康计划的一致性缺乏以及巴杜伊社会中的性别隔离。巴杜伊人健康素养低下的影响是宿命论、高母婴死亡率和高医疗费用。基于本研究结果,提高巴杜伊人健康素养的建议策略包括针对社区领袖开展健康素养提升活动、管理基于信息技术的健康信息小组、并确保居民中至少有一名提供健康生活典范的卫生工作者、鼓励在出现健康问题时进行集体反思,并平衡性别沟通。