Perilaku Peangambilan Keputusan tentang Kesehatan Ibu dan Anak dalam Tradisi Perkawinan Nyentana: Studi Kasus di Desa Gadungan Tabanan Bali

Kadek Sri Ariyanti; Triyana Puspa Dewi; Ni Luh Astri Indraswari; Putu Arik Herliawati; Made Dewi Sariyani

doi:10.32382/medkes.v20i1.1427

Authors

Kadek Sri Ariyanti Program Studi DIV Promosi Kesehatan, Politeknik Kesehatan Kartini Bali
Triyana Puspa Dewi Program Pendidikan Profesi Ners, STIKES Kesdam IX/Udayana
Ni Luh Astri Indraswari Program Studi Sanitasi Lingkungan, Poltekkes Kemenkes Makassar
Putu Arik Herliawati Program Studi DIV Kebidanan, Politeknik Kesehatan Kartini Bali
Made Dewi Sariyani Program Studi Perekam dan Informasi Kesehatan, Universitas Dhyana Pura

DOI:

https://doi.org/10.32382/medkes.v20i1.1427

Keywords:

Decision-making, health, nyentana tradition

Abstract

The nyentana marriage tradition has implications for various aspects of family life, including decision-making regarding family health. Traditional customs and norms can influence how individuals make decisions related to health. This study aims to explore the factors that influence decision-making behavior regarding maternal and child health within the nyentana marriage tradition in Gadungan Village, Tabanan, Bali. This study uses a qualitative design with a case study approach. The participants in this study are families who have been practicing the Nyentana marriage tradition for at least one year, totaling 10 individuals, selected through purposive sampling. Data collection was conducted through interviews using a semi-structured guide, spanning a duration of one month. Data analysis was conducted thematically, with data validation through triangulation and member checking. Key informants in this study were village midwives and community leaders. The factors influencing decision-making regarding maternal and child health within the nyentana marriage tradition in Gadungan Village, Tabanan, Bali, are: 1) Cultural norms and traditions; 2) Knowledge and access to health information; 3) Family economy; Family support; and 5) Environment Decision-making regarding maternal and child health in the nyentana marriage tradition is greatly influenced by the active role of women. Factors related to decision-making regarding maternal and child health include cultural norms and traditions, knowledge and access to health information, family economy, family support, and social environment. The results of this study are expected to contribute to the development of maternal and child health programs that are responsive to local traditions and cultures.

Keywords: Decision-making; health; Nyentana tradition

References

Adnyani NKS. Bentuk perkawinan matriarki pada masyarakat Hindu Bali ditinjau dari perspektif hukum adat dan kesetaraan gender. J Ilmu Sos Dan Hum. 2016;5(1).

Budawati NN. Sejarah hukum kedudukan perempuan dalam perkawinan menurut hukum adat Bali (kaitannya dengan perkawinan nyentana beda wangsa). J Magister Huk Udayana. 2016;5(2):301–20.

Kristina LD, Sudiatmaka K, Hartono MS. Kedudukan Dan Hak Mewaris Anak Dalam Perkawinan Nyentana Menurut Hukum Adat Bali (Studi Kasus Di Desa Perean, Kecamatan Baturiti, Kabupaten Tabanan). J Komunitas Yust. 2021;4(2):334–43.

Marilyn R, Bowden VR, Jones E, Macejkovic E, Heaney A. Family nursing: Research, theory, and practice. 2003;

Wahjuni D. Pembagian kerja dalam keluarga. 2005, Online. 2005.

Puspitawati H, Siswati MK. Peran gender, pengambilan keputusan, dan kesejahteraan keluarga dual earner. J Ilmu Kel dan Konsum. 2017;10(3):169–80.

Kebijakan B, Kesehatan P, Ri KK. BUKU SAKU Hasil Survei Indonesia (SSGI) 2023. 2023.

Napitupulu IK, Carolina B, Rahmawati N. Faktor-faktor yang berhubungan dengan pengambilan keputusan keluarga dalam pemanfaatan puskesmas kelurahan pasir kaliki tahun 2017. J Kesehat prima. 2018;12(2):169–77.

Listiowati D. Gambaran Pengambilan Keputusan Keluarga Bersuku Jawa Dalam Menghadapi Tanda Bahaya Kehamilan. In: Unissula Nursing Conference Call for Paper & National Conference. 2018. p. 203–9.

Kemenkes RI. Laporan Riskesdas 2023 Kementrian Kesehatan Republik Indonesia. Lap Nas Riskesdas. 2023;53(9):154–65.

Masturoh M, Pamuji SEB, Siswati S. Path Analisis: Tiga Keterlambatan Penyebab Kematian Maternal Di Kabupaten Brebes. Pena Med J Kesehat. 2019;8(1):1–8.

Betrilia B, Azzahwa N, Sitepu S, Lestarika DP. Kesenjangan Gender dalam Pengambilan Keputusan Kesehatan Reproduksi: Dampak Terhadap Kesejahteraan Perempuan. J Kaji Huk Dan Kebijak Publik| E- ISSN 3031-8882. 2024;2(1):475–9.

Syam AZ, Suriah S, Abdullah MT. Perilaku pengambilan keputusan oleh ibu hamil dalam pencarian pelayanan kesehatan di wilayah pesisir Kota Palu. J Kesehat Masy Marit. 2019;2(2).

Damayanti NA, Wulandari RD, Ridlo IA, Azzahra L, Akrimah WD, Rahmah F, et al. Kesetaraan Gender dalam Pengambilan Keputusan Pemanfaatan Pelayanan Kesehatan di Daerah Urban dan Rural, Indonesia. J Manaj Kesehat Indones. 2023;11(2):132–42.

Shirley S, Sembiring R, Apriliyana I, Yefrizawati Y. Kedudukan Hukum Pria Yang Melakukan Perkawinan Nyentana Sebagai Ahli Waris Dalam Hukum Waris Adat Masyarakat Bali (Studi Putusan Mahkamah Agung Nomor 2991K/PDT/2015). Iuris Stud J Kaji Huk. 2022;3(1):9–26.

Diatmika IGNAN. Marriage System of Nyentana and Legal Consequences for Children born in it. In: Proceedings of International Conference of Social Science, ICOSS 2018. European Alliance for Innovation (EAI); 2018.

Putera SKVJ, Primadini I. Balines men’s perspective on Nyentana marriage. SOSIOHUMANIORA J Ilm

Ilmu Sos Dan Hum. 2023;9(2):251–65.

Adnyani NKS. Policy Based on Gender Marriage Nyentana (Matiarki Process) Based on Indigenous Perspective Bali Hindu. Int J Business, Econ Law. 2016;10(4):65–75.

Obeng-Odoom F. Reproductive Justice in the Hindu Balinese Compound: Community, Property and Development. J Dev Soc. 2024;40(1):27–51.

Suda IK, Indiani NM, Sukrawati NM. The position of women in the patrilineal kinship system (literature study on the position of women in social structure of Hindu society in Bali). 2022;

Oktafiani V, Asriani A, Ainayah A, Abrar VA. Kepercayaan dan norma sosial Suku Tolaki terhadap kesehatan ibu dan anak: Focus group discussion. Innov J Soc Sci Res. 2023;3(5):2450–8.

Budiarta IW. Kepemimpinan Perempuan dalam Sistem Kekerabatan Purusa: Legitimasi Sejarah atas Kepemimpinan Politik Perempuan. J Ilm Ilmu Sos. 2022;8(1):23–33.

Wijaya NA. Factor Analysis Of Attitudes, Beliefs And Diet On Blood Pressure In Patients With Hypertension Based On Lawrence W. Green Theory. J Ilm Perawat Manad. 2021;9(02):186–96.

Wardhani AK. Dukungan Modal Sosial Dan Modal Budaya Pada Kesehatan Ibu Dan Anak Di Desa Temoran Kabupaten Sampang Propinsi Jawa Timur. Etnoreflika J Sos dan Budaya. 2016;5(1):45–53.

Sariyani MD, Ariyanti KS, Utami LN. The relationship of parity and patriarchal culture with unmet need for family planning of eligible women in Gadungan Village, Selemadeg Timur District, Tabanan Bali in 2019. Enferm Clin. 2020;30:26–9.

Ariyanti KS, Kencana NLPP, Batiari NMP, Herliawati PA, Dewi TP. Perilaku Cuci Tangan Masyarakat Desa Adat Ditinjau Dari Tradisi Ngayah Banjar Di Tabanan Bali. J Yoga dan Kesehat. 2025;8(1):11–22.

Ariyanti KS, Sariyani MD. Perilaku pencegahan Covid-19 di lingkungan rumah tangga di desa Gadungan Tabanan Bali. J Ilmu Kesehat MAKIA. 2021;11(2):42–9.

Ariyanti KS, Sariyani MD, Pemayun CIM. Kepercayaan Masyarakat Terhadap Pengobatan Komplementer Akupuntur Di Praktik Perawat Mandiri Latu Usadha Abiansemal Badung. J Ilmu Kesehat MAKIA. 2020;10(2):107–16.

Rabbani A. E-Health Sebagai Informasi Pengetahuan Ibu Terhadap Kesehatan Anak Berdasarkan Standar WHO (World Health Organization). ULIL ALBAB J Ilm Multidisiplin. 2023;2(7):2956–65.

Adriana N, Wulandari LPL, Duarsa DP. Akses Pelayanan Kesehatan Berhubungan dengan Pemanfaatan Fasilitas Persalinan yang Memadai di Puskesmas Kawangu, Kabupaten Sumba Timur. Public Heal Prev Med Arch. 2014;2(2):135–9.

Smith RA, Oeffinger K. Update in Cancer Screening, An Issue of Medical Clinics of North America, E- Book: Update in Cancer Screening, An Issue of Medical Clinics of North America, E-Book. Vol. 104. Elsevier Health Sciences; 2020.