24Jan 2018

THE IMPACT OF SOCIO-RELIGIOUS BELIEFS AND RURAL POVERTY ON HEALTH CARE BEHAVIOR: CASE STUDIES IN THE POOR HOUSING COMMUNITY IN KEDAH, MALAYSIA.

  • Associate Professor, Usul al-Din and Comparative Religion, International Islamic University Malaysia.
  • Post-Doctoral Fellow, Department of Sociology and Anthropology, International Islamic University Malaysia.
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Numerous studies have found that health-seeking behavior depends on the individual\'s socio-cultural differences, demographic profiles, level of economic conditions, religiousness and religious affiliations, and the availability of health care providers. Existing literature indicates that health status and health behavior among poor and low-income groups was found to be very low and vulnerable under conditions. This study examines health status and health care seeking behaviors in households of a resettlement housing unit Kampung (village) Sadek founded by the Kedah Regional Development Authority (KEDA), in Kedah (North East state in Peninsular Malaysia), Malaysia. Total 21 households sampled were interviewed face to face using the random sampling procedure. The open-ended questionnaire was administered to cover the various issues, including the demographic and economic profile, health behavior and religiosity, to investigate the nature and extent of health care behavior by beneficiaries of resettlement in hospitals and alternative treatment (traditional and spiritual). The results showed that health resettlement recipients seeking behavior are shown to public hospitals / clinics and traditional healers. The results indicate that the respondents experienced the acute condition of poor health, suffered several types of diseases. Due to the numerous barriers to accessing modern health services, households were linked to traditional health providers (indigenous to nature consist primarily of two traditional providers such as bomoh and religious authority Imam). This article proposes few recommendations including hospitals/clinics should be incorporated near the resettlement area of housing because their majority of the means of transportation is on foot to visit public health service and KEDA authority must take an initiative, such as the mobile clinic services during the weekend so that in addition to poor people go the hospital / clinic rather the service comes to the poor.

  1. Abayawardana, S., & Hussain, I. (2002). Water, health and poverty linkages: A case study from Sri Lanka. Water Management, 1?17.
  2. Ahmed, S. M., Tomson, G., Petzold, M., & Kabir, Z. N. (2005). Socioeconomic status overrides age and gender in determining health-seeking behaviour in rural Bangladesh. Bulletin of the World Health Organization, 83, 109?117. doi:/S0042-96862005000200011
  3. Aukst-Margetić, B., & Margetić, B. (2005). Religiosity and health outcomes: review of literature. Collegium Antropologicum, 29, 365?371.
  4. Bastawrous, A., & Armstrong, M. J. (2013). Mobile health use in low- and high-income countries: an overview of the peer-reviewed literature. Journal of the Royal Society of Medicine, 106, 130?42. doi:10.1177/0141076812472620
  5. Buhrich, N. (1980). Psychiatry in penninsular Malaysia. Australian and New Zealand Journal of Psychiatry, 14, 299?304.
  6. Chen, P. C. (1979). Main puteri: an indigenous Kelantanese form of psychotherapy. The International Journal of Social Psychiatry, 25, 167?175. doi:10.1177/002076407902500302
  7. Chowdhury, A. M. R., Bhuiya, A., Chowdhury, M. E., Rasheed, S., Hussain, Z., & Chen, L. C. (2013). The Bangladesh paradox: Exceptional health achievement despite economic poverty. The Lancet, 382, 1734?1745. doi:10.1016/S0140-6736(13)62148-0
  8. Dao, H. T., Waters, H., & Le, Q. V. (2008). User fees and health service utilization in Vietnam: How to protect the poor? Public Health, 122, 1068?1078. doi:10.1016/j.puhe.2008.01.002
  9. Felland, L. E., Ginsburg, P. B., & Kishbauch, G. M. (2011). Improving health care access for low-income people: Lessons from ascension health?s community collaboratives. Health Affairs, 30, 1290?1298. doi:10.1377/hlthaff.2010.1115
  10. Furnham, A., & Wong, L. (2007). A cross-cultural comparison of British and Chinese beliefs about the causes, behaviour manifestations and treatment of schizophrenia. Psychiatry Research, 151, 123?138. doi:10.1016/j.psychres.2006.03.023
  11. Gill, C. S., Bario Minton, C. A., & Myers, J. E. (2010). Spirituality and religiosity: Factors affecting wellness among low-income, rural women. Journal of Counseling & Development, 88, 293?302. doi:10.1002/j.1556-6678.2010.tb00025.x
  12. Gupta, R., & Kumar, P. (2007). Social evils, poverty & health. Indian Journal of Medical Research.
  13. Ismail, R. (2001). Economic and Social Impact of Amanah Ikhtiar Malaysia (AIM) Scheme: A Case Study in Kedah and Terengganu. Humanomics. doi:10.1108/eb018866
  14. Kadir, N. B. yah A., & Bifulco, A. (2010). Malaysian Moslem mothers? experience of depression and service use. Culture, Medicine and Psychiatry, 34, 443?467. doi:10.1007/s11013-010-9183-x
  15. Karim, W. J. (1984). Malay midwives and witches. Social Science & Medicine, 18, 159?166. doi:10.1016/0277-9536(84)90036-4
  16. Khan, M. M., Hotchkiss, D. R., Berruti, A. A., & Hutchinson, P. L. (2006). Geographic aspects of poverty and health in Tanzania: Does living in a poor area matter? Health Policy and Planning, 21, 110?122. doi:10.1093/heapol/czj008
  17. Hassan, M Aslam, AA G. (2003). Development planning and regional imbalances in Malaysia. DAKedah?- University of Malaya, FEA ?, 2003 - cmsad.um.edu.my, (Source: http://cmsad.um.edu.my/images/fep/doc/2003percent20Pdf/FEA-WP-2003-005.pdf) (source: http://www1.american.edu/ted/kedah.htm: TED Case Studies: The Impact of Japanese Aid on Kedah State, Malaysia; Draft Author: Nao Matsui, August 12, 1999)
  18. Hassan Asan Ali G. (2004). Growth, Structural Change, and Regional Inequality in Malaysia. Ashgate: USA.
  19. Macintyre, S., Ellaway, A., & Cummins, S. (2002). Place effects on health: How can we conceptualise, operationalise and measure them? In Social Science and Medicine (Vol. 55, pp. 125?139). doi:10.1016/S0277-9536(01)00214-3
  20. McIntyre, D., Thiede, M., Dahlgren, G., & Whitehead, M. (2006). What are the economic consequences for holds of illness and of paying for health care in low- and middle-income country contexts? Social Science and Medicine. doi:10.1016/j.socscimed.2005.07.001
  21. Meessen, B., Van Damme, W., Tashobya, C. K., & Tibouti, A. (2006). Poverty and user fees for public health care in low-income countries: lessons from Uganda and Cambodia. Lancet, 368, 2253?2257. doi:10.1016/S0140-6736(06)69899-1
  22. Muhamad, M., Merriam, S., & Suhami, N. (2012). Why breast cancer patients seek traditional healers. International Journal of Breast Cancer, 689168. doi:10.1155/2012/689168
  23. Nguyen, K. T., Hai Khuat, O. T., Ma, S., Pham, D. C., Hong Khuat, G. T., & Ruger, J. P. (2012). Coping with health care expenses among poor holds: Evidence from a rural commune in Vietnam. Social Science and Medicine, 74, 724?733. doi:10.1016/j.socscimed.2011.10.027
  24. Okulicz-Kozaryn, A. (2010). Religiosity and life satisfaction across nations. Mental Health, Religion & Culture. doi:10.1080/13674670903273801
  25. Patrick, D. L., Stein, J., Porta, M., Porter, C. Q., & Ricketts, T. C. (1988). Poverty, health services, and health status in rural America. The Milbank Quarterly, 66, 105?136.
  26. Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R., & Hafizur Rahman, M. (2008). Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences. doi:10.1196/annals.1425.011
  27. Putra, Irfan S.(2012)?Poverty, Population Growth, and Human Capital Development in Kedah Darulaman.?Masters thesis, Universiti Utara Malaysia. (source: http://etd.uum.edu.my/3563/)
  28. Rashid, S., Copello, A., & Birchwood, M. (2012). Muslim faith healers? views on substance misuse and psychosis. Mental Health, Religion & Culture. doi:10.1080/13674676.2011.613072
  29. Razali, S. M. (1999). Conversion disorder: A case report of treatment with the Main Puteri, a Malay shamanastic healing ceremony. European Psychiatry, 14, 470?472. doi:10.1016/S0924-9338(99)00218-7
  30. Razali, S. M. (2009). Integrating malay traditional healers into primary health care services in malaysia: Is it feasible? International Medical Journal.
  31. Razali, S. M., & Mohd Yasin, M. A. (2008). The pathway followed by psychotic patients to a tertiary health center in a developing country: a comparison with patients with epilepsy. Epilepsy Behav, 13, 343?349. doi:10.1016/j.yebeh.2008.04.009.
  32. Razali, S. M., & Najib, M. A. (2000). Help-seeking pathways among Malay psychiatric patients. The International Journal of Social Psychiatry, 46, 281?289. doi:10.1177/002076400004600405
  33. Razali, S. M., & Yassin, A. M. (2008). Complementary treatment of psychotic and epileptic patients in Malaysia. Transcultural Psychiatry, 45, 455?469. doi:10.1177/1363461508094676
  34. Salleh, M. R. (1989). The consultation of traditional healers by Malay patients. Medical Journal of Malaysia, 44, 3?13.
  35. Schiller, P. L., & Levin, J. S. (1988). Is there a religious factor in health care utilization?: A review. Social Science & Medicine,?Volume 27, Issue 12,?1988,?Pages 1369-1379.
  36. Senadjki Abdelhak, Jamalludin Sulaiman & Saidatulakmal Mohd. (2012). The Impact of Psychological Factors and Religious Adherence on hold?s Dealing with Poverty-Driven Vulnerability Situation: A Critical Discourse on Kelantan and Terengganu. Asian Social Science; Vol. 8, No. 12; 2012. Published by Canadian Center of Science and Education
  37. Stewart, M., Reutter, L., Makwarimba, E., Rootman, I., Williamson, D., Raine, K., ? Rutakumwa, W. (2005). Determinants of health-service use by low-income people. Canadian Journal of Nursing Research, 37, 104?131.
  38. Williamson, D. L., Stewart, M. J., Hayward, K., Letourneau, N., Makwarimba, E., Masuda, J., ? Wilson, D. (2006). Low-income Canadians? experiences with health-related services: Implications for health care reform. Health Policy, 76, 106?121. doi:10.1016/j.healthpol.2005.05.005
  39. Zulu, E. M., Beguy, D., Ezeh, A. C., Bocquier, P., Madise, N. J., Cleland, J., & Falkingham, J. (2011). Overview of migration, poverty and health dynamics in Nairobi City?s slum settlements. Journal of Urban Health. doi:10.1007/s11524-011-9595-0

[Saodah Abd. Rahman and Md Sayed Uddin. (2018); THE IMPACT OF SOCIO-RELIGIOUS BELIEFS AND RURAL POVERTY ON HEALTH CARE BEHAVIOR: CASE STUDIES IN THE POOR HOUSING COMMUNITY IN KEDAH, MALAYSIA. Int. J. of Adv. Res. 6 (Jan). 1351-1363] (ISSN 2320-5407). www.journalijar.com

Saodah Abd. Rahman
International Islamic University Malaysia (IIUM)

DOI:

Article DOI: 10.21474/IJAR01/6358      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6358

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