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Health inequality in resource poor environments and the pursuit of the MDGs: traditional versus modern healthcare in rural Indonesia

机译：资源贫乏环境中的卫生不平等和千年发展目标的追求：印度尼西亚农村地区的传统医疗与现代医疗

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The article examines health inequalities and the impact of changing healthcare provision in rural Indonesia. Traditional medicine is often the only source of medical care for a majority of the population in rural Indonesia. However, the pursuit of the Millennium Development Goals (MDGs) requires the provision and implementation of modern healthcare systems. Using case studies from four rural districts in Kaledupa, a remote island in southeast Sulawesi in Indonesia, the study shows that although modern healthcare facilities are present in the sampled island, they seem to be remote with limited access in comparison with the number of traditional practitioners. High costs, cultural beliefs, distrust and distance to modern healthcare facilities appear to be the most common reasons for people opting for traditional healthcare.. However, social reconstruction in the perception and provision of care has also led to a gradual disappearance of the traditional healthcare provision. The study calls for policy intervention approaches that are geographically and culturally sensitive as the most pragmatic means towards the attainment of MDG targets for the health sector of Indonesia.
机译：本文研究了健康不平等以及印度尼西亚农村地区医疗保健服务的变化带来的影响。传统医学通常是印度尼西亚农村人口大多数的唯一医疗来源。但是，要实现千年发展目标（MDG），就需要提供和实施现代医疗保健系统。使用来自印度尼西亚苏拉威西岛东南偏远岛屿卡莱杜帕的四个农村地区的案例研究，研究表明，尽管抽样岛中存在现代化的医疗设施，但与传统从业者相比，它们似乎偏僻，交通不便。高昂的成本，文化信仰，不信任感以及与现代医疗设施的距离似乎是人们选择传统医疗的最普遍原因。然而，人们对医疗的看法和提供方面的社会重建也导致了传统医疗的逐步消失。规定。该研究呼吁在地理和文化上敏感的政策干预方法，是实现印度尼西亚卫生部门千年发展目标的最实际方法。

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