This research delves into the unique cultural approach of the Tenggerese people, an Indigenous community in East Java, Indonesia, regarding elderly care. It focuses on their traditional practices... Show moreThis research delves into the unique cultural approach of the Tenggerese people, an Indigenous community in East Java, Indonesia, regarding elderly care. It focuses on their traditional practices of bakti (‘filial piety’) and sayan (‘mutual aid’), deeply ingrained in the community's lifestyle and values. These indigenous institutions have been pivotal in shaping and maintaining the care of the elderly within the community for generations.The study explores Tenggerese people's perspective on combining traditional, transitional, and modern elderly care systems. It seeks to understand the role traditional institutions play in the sustainable development and integration of elderly care. This involves examining how these various systems can coexist and complement each other to provide comprehensive, efficient, and satisfactory care tailored to the elderly's specific needs and preferences.Furthermore, the research emphasises the importance of managing integrated care at the service delivery level, including case management, to ensure that the elderly receive the support and care they need. This involves a holistic approach that integrates family care with community-based care and modern elderly care, aiming for a seamless and effective care system that enhances access, quality, user satisfaction, and efficiency. The study provides insight into the complexities and potential of integrating traditional practices with transitional and modern care systems for elderly, contributing to sustainable development goals in the community. This research focuses on indigenous knowledge systems with the ethno-economics and ethno-management approach Show less
The research provides insight into disease behavior in both rural and semi-urban areas in Serengeti in Tanzania. It focuses on the motives and behaviors that patients exhibit when relying on local... Show moreThe research provides insight into disease behavior in both rural and semi-urban areas in Serengeti in Tanzania. It focuses on the motives and behaviors that patients exhibit when relying on local healthcare systems, classified as traditional, transitional or modern. It describes the availability, accessibility and patterns of use of these healthcare systems, in particular how they are embedded in the local cultural heritage. It shows that behavioral patterns are dominated by psycho-social and cultural factors. In addition, background characteristics, intervening factors and situation-dependent factors that influence usage patterns are described, analyzed and explained. The analytical model based on the school of "Ethnoscience" shows where the use of these medical systems is related to the historical, cultural and economic factors that determine the daily lives of the inhabitants. The analysis of the research data provides recommendations for education and training of local middle management staff in support of integrated transcultural public health policy, as initiated by the local government of Serengeti in collaboration with the local training institutions. The findings are used as input for the intended master course in Transcultural Public Health Management in the area, and elsewhere in similar circumstances. Special attention is paid to the local medical knowledge, beliefs and practices of the target population to improve public health. Show less
