Minggu, 13 Mei 2012
Modern public health care was begun by the Dutch to safeguard plantation workers. It expanded to hospitals and midwifery centers in towns and some rural health facilities. During the New Order public health and family planning became a priority for rural areas and about seven thousand community health centers and 20,500 sub-health centers were built by 1995. In Jakarta medical faculties exist in a number of provincial universities. Training is often hampered by poor facilities, and medical research is limited as teaching physicians also maintain private practices to serve urban needs and supplement meager salaries. Physicians and government health facilities are heavily concentrated in large cities, and private hospitals are also located there, some founded by Christian missions or Muslim foundations. Many village areas in Java, and especially those in the outer islands, have little primary care beyond inoculations, maternal and baby visits, and family planning, though these have had important impacts on health conditions.
Traditional medicine is alive throughout the archipelago. Javanese curers called dukun deal with a variety of illnesses of physical, emotional, and spiritual origin through combinations of herbal and magical means. In north Sumatra, some ethnic curers specialize; for example, Karo bonesetters have many clinics. Herbal medicines and tonics called jamu are both home blended and mass produced. Commercial brands of tonics and other medicines are sold throughout the archipelago, and tonic sellers' vehicles can be seen in remote places.
Various forms of spiritual healing are done by shamans, mediums, and other curers in urban and rural areas. Many people believe that ritual or social missteps may lead to misfortune, which includes illness. Traditional healers diagnose the source and deal with the problems, some using black arts. Bugis transvestite healers serve aristocratic and commoner households in dealing with misfortune, often becoming possessed in order to communicate with the source of misfortune. In Bali, doctors trained in modern medicine may also practice spirit-oriented healing. Accusations of sorcery and attacks on alleged sorcerers are not uncommon in many areas and are most liable to arise in times of social, economic, and political unrest.
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