Patterns of Medical Pluralism in Health-Seeking Behavior among Communities in Barru Regency, South Sulawesi, Indonesia
DOI:
https://doi.org/10.62238/jupsi.v3i3.337Keywords:
medical pluralism, health-seeking behavior, traditional medicine, community healthAbstract
This study examines how medical pluralism shapes health-seeking behavior among communities in Barru Regency, South Sulawesi, by analyzing the roles of cultural beliefs, clinical experience, and economic as well as accessibility factors in treatment decision-making. Employing a qualitative descriptive–exploratory design, data were collected through in-depth interviews, non-participant observation, and document review involving community members, traditional healers, and formal health practitioners. Thematic analysis identified three main findings: culturally grounded beliefs that legitimize traditional medicine as a holistic and spiritually meaningful initial reference; clinically based trust that positions biomedical services as the primary source of diagnostic certainty and the management of serious illness; and economic and accessibility considerations that influence the sequence and intensity of health service utilization. These findings indicate that health-seeking behavior in Barru Regency is characterized by a sequential and complementary pattern of medical pluralism rather than a dichotomous opposition between traditional and modern medicine. Theoretically, this study contributes to the literature on health-seeking behavior by conceptualizing medical pluralism as a contextual social strategy, while practically highlighting the importance of culturally sensitive and integrative health service approaches
References
Adnyana, I. M. D. M., Jenar, P. D., Suniartini, K., Dewi, N. L. M. N., Sugiarta, K. M., & Sridana, I. N. (2025). Ethnomedicine di Indonesia: Perspektif tradisional hingga lanskap modern. Widya Kesehatan, 7(1), 35–42. https://doi.org/10.32795/s1dc9743
Baer, H. A. (2022). Medical Pluralism: An Evolving and Contested Concept in Medical Anthropology. In M. Singer, P. I. Erickson, M. Singer, & P. I. Erickson (Eds.), A Companion to Medical Anthropology. Wiley-Blackwell.
Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589–597. https://doi.org/10.1080/2159676X.2019.1628806
Bussalleu, A., Pizango, P., King, N., King, N., Ford, J. D., Ford, J. D., Harper, S. L., & Harper, S. L. (2021). Kaniuwatewara (when we get sick): understanding health-seeking behaviours among the Shawi of the Peruvian Amazon. BMC Public Health, 21(1), 1552. https://doi.org/10.1186/S12889-021-11574-2
Cipta, D. A., Andoko, D., Theja, A., Utama, A. V. E., Hendrik, H., William, D., Reina, N., Handoko, M. T., & Lumbuun, N. (2024). Culturally sensitive patient-centered healthcare: a focus on health behavior modification in low and middle-income nations—insights from Indonesia. Frontiers in Medicine. https://doi.org/10.3389/fmed.2024.1353037
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches. SAGE Publications.
Elliott, L. M., Elliott, L. M., & Taylor, J. (2021). Medical pluralism, sorcery belief and health seeking in Vanuatu: a quantitative and descriptive study. Health Promotion International, 36(3), 722–730. https://doi.org/10.1093/HEAPRO/DAAA079
Febriyanti, R. M., Saefullah, K., Susanti, R. D., & Lestari, K. (2023). Knowledge, Attitude, and Utilization of Traditional Medicine within The Plural Medical System in West Java, Indonesia. https://doi.org/10.21203/rs.3.rs-3261430/v1
Gammelin, L. (2018). Health-Seeking Nomads and Faith-Healing in a Medically Pluralistic Context in Mbeya, Tanzania. Mission Studies, 35(2), 245–264. https://doi.org/10.1163/15733831-12341569
Guest, G., Namey, E. E., & Mitchell, M. L. (2013). Collecting Qualitative Data: A Field Manual for Applied Research. SAGE Publications, Ltd. https://doi.org/10.4135/9781506374680
Handayani, L., Siswanto, S., Ma’ruf, N. A., & Hapsari, D. (2003). Pola Pencarian Pengobatan di Indonesia: Analisis Data Susenas 2001. 31(1), 70116. https://doi.org/10.22435/BPK.V31I1
Kolling, M., Winkley, K., & Deden, M. von. (2010). “For someone who’s rich, it’s not a problem”. Insights from Tanzania on diabetes health-seeking and medical pluralism among Dar es Salaam’s urban poor. Globalization and Health, 6(1), 8. https://doi.org/10.1186/1744-8603-6-8
Krisna, P. S. G., & Nurcahyo, F. (2025). Navigating Pluralism in Medicine: Healthcare Practices Among Older Adults in West Manggarai, Indonesia. Digital Press Social Sciences and Humanities, 12, 4. https://doi.org/10.29037/digitalpress.412470
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. SAGE Publications. https://books.google.co.id/books?id=2oA9aWlNeooC
Moshabela, M., Pronyk, P., Pronyk, P., Williams, N., Schneider, H., & Lurie, M. N. (2011). Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa. Aids and Behavior, 15(4), 842–852. https://doi.org/10.1007/S10461-010-9747-3
Nurochmah, N., Suidat, S., Marsela, S., Suryamin, S., & Sarkhosyi, M. (2024). Integrasi Tradisi dan Modernisme dalam Sistem Kesehatan Masyarakat Kampung Naga: Studi Kasus Perilaku Pengobatan dan Hidup Bersih Sehat. Jurnal Sadewa, 2(4), 61–68. https://doi.org/10.61132/sadewa.v2i4.1223
Organization, W. H. (2022). WHO traditional medicine strategy: 2014–2023 (progress update to the Executive Board).
Pantelic, M., Cluver, L., Cluver, L., Cluver, L., Boyes, M., Boyes, M., Toska, E., Kuo, C., Kuo, C., & Moshabela, M. (2015). Medical pluralism predicts non-ART use among parents in need of ART: a community survey in KwaZulu-Natal, South Africa. Aids and Behavior, 19(1), 137–144. https://doi.org/10.1007/S10461-014-0852-6
Pengpid, S., & Peltzer, K. (2018). Utilization of traditional and complementary medicine in Indonesia: Results of a national survey in 2014-15. Complementary Therapies in Clinical Practice, 33, 156–163. https://doi.org/10.1016/j.ctcp.2018.10.006
Randall, T. (2013). Malaria-associated Health-seeking Behaviour among the Jola of the Gambia, West Africa. Anthropology In Action, 20(1), 4–17. https://doi.org/10.3167/AIA.2013.200102
Shih, C. C., Su, Y.-C., Liao, C.-C., & Lin, J. G. (2010). Patterns of Medical Pluralism among Adults: Results from the 2001 National Health Interview Survey in Taiwan. BMC Health Services Research, 10(1), 191. https://doi.org/10.1186/1472-6963-10-191
Shixian, W., Woods, O., & Gao, Q. (2025). The Transcendent Patterning of Medical Pluralism: Religion and Medical Practices Among Miao Migrants in China. Medical Anthropology, 1–16. https://doi.org/10.1080/01459740.2025.2545835
Singer, M. (2019). Introducing Medical Anthropology: A Discipline in Action (3, Ed.). Rowman & Littlefield.
Sundararajan, R., Mwanga-Amumpaire, J., King, R., & Ware, N. C. (2020). Conceptual model for pluralistic healthcare behaviour: results from a qualitative study in southwestern Uganda. BMJ Open, 10(4). https://doi.org/10.1136/BMJOPEN-2019-033410
Widayanti, A. W., Green, J. A., Heydon, S., & Norris, P. (2020). Health-Seeking Behavior of People in Indonesia: A Narrative Review. Journal of Epidemiology and Global Health, 10(1), 6–15. https://doi.org/10.2991/jegh.k.200102.001
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Nurul Auliah Nasrullah, Nurgah Tandirerung, Ivan Prayogi, Ibrahim Arifin (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Jurnal Pendidikan Sosial Indonesia