Dimensi Altruisme, dan Kepuasan Spiritual Dalam Kerja-kerja Perawatan Kader Kesehatan
DOI:
https://doi.org/10.32332/xriayah.v10i1.11200Keywords:
care work, community health worker, motivationAbstract
Community health workers play a vital role in advancing community-based health efforts. They educate the public, conduct early disease detection, promote healthy behaviors, and serve as a bridge between the community and healthcare services. This care work is often associated with women, who are perceived to have ample free time to contribute. However, only a small number of women, primarily those over the age of 40, continue to remain active in this roles. This raises the question of why some women choose to become health workers and persist in this role. This ethnographic research, conducted from February to April 2024 in western Yogyakarta, utilizes interviews and participant observation with an active community health worker. By employing a life history approach, this study highlights how the lived experiences and personal narratives of health workers shape and motivate their commitment to care work. The study provides insight into the challenges faced by these workers and emphasizes the intrinsic values and satisfaction they derive from their contributions to the community. These findings have important policy implications, particularly regarding incentives that could enhance the motivation of community health workers. Additionally, this research can inform the development of better policies aimed at increasing community participation.
Downloads
References
Ahmed, S., Chase, L. E., Wagnild, J., Akhter, N., Sturridge, S., Clarke, A., Chowdhary, P., Mukami, D., Kasim, A., & Hampshire, K. (2022). Community health workers and health equity in low- and middle-income countries: Systematic review and recommendations for policy and practice. International Journal for Equity in Health, 21(1), 49. https://doi.org/10.1186/s12939-021-01615-y
CISDI. (2023). Health Outlook 2023: Saatnya Berubah.
Fraser, N. (1990). Rethinking the Public Sphere: A Contribution to the Critique of Actually Existing Democracy. Social Text, 25(26), 56–80. http://www.jstor.org/stable/466240
Gadsden, T., Jan, S., Sujarwoto, S., Kusumo, B. E., & Palagyi, A. (2021). Assessing the feasibility and acceptability of a financial versus behavioural incentive-based intervention for community health workers in rural Indonesia. Pilot and Feasibility Studies, 7(1), 132. https://doi.org/10.1186/s40814-021-00871-7
Gadsden, T., Sujarwoto, S., Purwaningtyas, N., Maharani, A., Tampubolon, G., Oceandy, D., Praveen, D., Angell, B., Jan, S., & Palagyi, A. (2022). Understanding community health worker employment preferences in Malang district, Indonesia, using a discrete choice experiment. BMJ Global Health, 7(8), e008936. https://doi.org/10.1136/bmjgh-2022-008936
Kalofonos, I. (2014). ‘All they do is pray’: Community labour and the narrowing of ‘care’ during Mozambique’s HIV scale-up. Global Public Health, 9(1–2), 7–24. https://doi.org/10.1080/17441692.2014.881527
Lestari, R., Warseno, A., Trisetyaningsih, Y., Rukmi, D. K., & Suci, A. (2020). Pemberdayaan Kader Kesehatan Dalam Mencegah Penyakit Tidak Menular Melalui Posbindu Ptm. Adimas : Jurnal Pengabdian Kepada Masyarakat, 4(1), 48. https://doi.org/10.24269/adi.v4i1.2439
Logan, R. I., & Castañeda, H. (2020). Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud. International Journal of Environmental Research and Public Health, 17(24), 9223. https://doi.org/10.3390/ijerph17249223
Maes, K. (2012). Volunteerism or Labor Exploitation? Harnessing the Volunteer Spirit to Sustain AIDS Treatment Programs in Urban Ethiopia. Human Organization, 71(1), 54–64. https://doi.org/10.17730/humo.71.1.axm39467485m22w4
Maes, K. (2015). “Volunteers Are Not Paid Because They Are Priceless”: Community Health Worker Capacities and Values in an AIDS Treatment Intervention in Urban Ethiopia. Medical Anthropology Quarterly, 29(1), 97–115. https://doi.org/10.1111/maq.12136
Mallari, E., Lasco, G., Sayman, D. J., Amit, A. M. L., Balabanova, D., McKee, M., Mendoza, J., Palileo-Villanueva, L., Renedo, A., Seguin, M., & Palafox, B. (2020). Connecting communities to primary care: A qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines. BMC Health Services Research, 20(1), 860. https://doi.org/10.1186/s12913-020-05699-0
Nading, A. M. (2013). “Love Isn’t There in Your Stomach”: A Moral Economy of Medical Citizenship among Nicaraguan Community Health Workers. Medical Anthropology Quarterly, 27(1), 84–102. https://doi.org/10.1111/maq.12017
Olaniran, A., Smith, H., Unkels, R., Bar-Zeev, S., & van den Broek, N. (2017). Who is a community health worker? - A systematic review of definitions. Global Health Action, 10(1), 1272223. https://doi.org/10.1080/16549716.2017.1272223
Roosa, M. (2022, Maret 9). Eri Cahyadi Berikan Insentif Kepada Kader Surabaya Hebat. suarasurabaya.net. https://www.suarasurabaya.net/kelanakota/2022/eri-cahyadi-berikan-insentif-kepada-kader-surabaya-hebat/
Schleiff, M. J., Aitken, I., Alam, M. A., Damtew, Z. A., & Perry, H. B. (2021). Community health workers at the dawn of a new era: 6. Recruitment, training, and continuing education. Health Research Policy and Systems, 19(3), 113. https://doi.org/10.1186/s12961-021-00757-3
Sulaeman, E. S., & Setyowati, A. (2016). Modal Sosial Kader Kesehatan dan Kepemimpinan Tokoh Masyarakat Dalam Penemuan Penderita Tuberkulosis. Jurnal Kedokteran Yarsi, 24(1), 020–041.
WHO, W. H. O. (Ed.). (2018). WHO guideline on health policy and system support to optimize community health worker programmes.
Wibowo, H. R. (2024, Januari 8). Memotret Sistem Layanan Kesehatan Primer: Profil dan Tantangan Kader Kesehatan di Indonesia (Bagian 2). Tulodo. https://tulodo.com/2024/01/08/memotret-sistem-layanan-kesehatan-primer-profil-dan-tantangan-kader-kesehatan-di-indonesia-bagian-2/
Wicaksono, M. A. (2017). Ibuisme Masa Kini: Suatu Etnografi tentang Posyandu dan Ibu Rumah Tangga. Umbara, 1(2), Article 2. https://doi.org/10.24198/umbara.v1i2.9921