Cultural Beliefs and Pregnancy Care among the Dayak Kenyah Community in East Kutai, Indonesia: An Ethnographic Study

Authors

  • Tuti Meihartati Midwifery Program, Institute of Health Technology and Science Wiyata Husada, Samarinda, East Kalimantan, Indonesia
  • Ringgit Ringgit Midwifery Program, Institute of Health Technology and Science Wiyata Husada, Samarinda, East Kalimantan, Indonesia
  • Sumiati Sumiati Midwifery Program, Institute of Health Technology and Science Wiyata Husada, Samarinda, East Kalimantan, Indonesia
  • Aries Abiyoga Midwifery Program, Institute of Health Technology and Science Wiyata Husada, Samarinda, East Kalimantan, Indonesia

DOI:

https://doi.org/10.55018/janh.v8i1.482

Keywords:

Cultural Beliefs, Pregnancy Care, Ethnography, Indigenous Community, Maternal Health, Indonesia

Abstract

Background: Maternal health during pregnancy, childbirth, and the postpartum period serves as one of the key indicators of community well-being. Various studies have emphasized that cultural practices exert a significant influence on maternal care across different communities. This study aims to explore and analyze cultural beliefs and pregnancy care among the Dayak Kenyah community in East Kutai, Indonesia.

Methods: This qualitative ethnographic study used purposive sampling with maximum variation. Data were gathered from 10 informants (6 pregnant women, 2 traditional leaders, 2 healthcare providers) through in-depth interviews and field notes. Analysis followed Braun and Clarke’s thematic approach. The study adheres to SRQR reporting guidelines to ensure rigor.

Results: Five interpretive themes emerged: (1) Cultural Practices and Beliefs, involving dietary and behavioral taboos to protect against supernatural risks; (2) Traditional and Social Support, where traditional birth attendants (TBAs) provide physical and diagnostic assurance; (3) Integration with Formal Healthcare, highlighting midwives as cultural mediators; (4) Healthcare Quality Improvement, focusing on cultural competency to reduce stigma; and (5) Service Expectations, emphasizing a need for home-based care.

Conclusion: Maternal care among the Dayak Kenyah is a hybrid process where ancestral rituals and clinical services coexist. Success in improving outcomes depends on integrating traditional practices with formal systems through culturally sensitive approaches.

Downloads

Download data is not yet available.

References

Agustina, Z. A., & Fitrianti, Y. (2020). Utilization of jamu in puerperal mothers in sumatera and Java Island (literature review of health ethnographic research. The Indonesian Journal of Public Health, 15(1), 93–102. http://localhost:8080/xmlui/handle/123456789/4035

Aidoo, E. M. (2025). Community-Based Healthcare Interventions and Their Role in Reducing Maternal and Infant Mortality Among Minorities. International Journal of Research Publication and Reviews, 6(3), 4620–4636. https://doi.org/10.55248/gengpi.6.0325.1177

Anggreni, D., & Km, S. (2022). Buku Ajar-Metodologi Penelitian Kesehatan. E-Book Penerbit STIKes Majapahit.

Asefa, A., McPake, B., Langer, A., Bohren, M. A., & Morgan, A. (2020). Imagining maternity care as a complex adaptive system: Understanding health system constraints to the promotion of respectful maternity care. Sexual and Reproductive Health Matters, 28(1), e1854153. https://doi.org/10.1080/26410397.2020.1854153

Astianti, R., Ningsih, S., & Asriany, A. (2023). Budaya Pamali Dalam Kehamilan Pada Suku Adat Ammatoa Kajang Kab. Bulukumba. Journal of Midwifery and Nursing Studies, 5(2). https://doi.org/10.57170/jmns.v5i2.115

Aviva, A. N., Norhapifah, H., Astutik, W., & Risnawati, R. (2025). Gambaran Intensitas Nyeri Persalinan dan Kecemasan Pada Ibu Bersalin Kala I di Puskesmas Tepian Buah. Innovative: Journal Of Social Science Research, 5(2), 3459–3472. https://doi.org/10.31004/innovative.v5i2.18722

Aynalem, B. Y., Melesse, M. F., & Bitewa, Y. B. (2023). Cultural beliefs and traditional practices during pregnancy, child birth, and the postpartum period in East Gojjam Zone, Northwest Ethiopia: A qualitative study. Women’s Health Reports, 4(1), 415–422. https://doi.org/10.1089/whr.2023.002

Barbi, L., Cham, M., Ame-Bruce, E., & Lazzerini, M. (2021a). Socio-cultural factors influencing the decision of women to seek care during pregnancy and delivery: A qualitative study in South Tongu District, Ghana. Global Public Health, 16(4), 532–

Bernard, H. R. (2017). Research methods in anthropology: Qualitative and quantitative approaches. Bloomsbury Publishing PLC.

Bohren, M. A., Tunçalp, Ö., & Miller, S. (2020). Transforming intrapartum care: Respectful maternity care. Best Practice & Research Clinical Obstetrics & Gynaecology, 67, 113–126. https://doi.org/10.1016/j.bpobgyn.2020.02.005

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

Braun, V., & Clarke, V. (2024). Supporting best practice in reflexive thematic analysis reporting in Palliative Medicine: A review of published research and introduction to the Reflexive Thematic Analysis Reporting Guidelines (RTARG). Palliative Medicine, 38(6), 608–616. https://doi.org/10.1177/02692163241234800

Busang District in Figures 2025—AllStats Search. (n.d.). Retrieved January 3, 2026, from https://searchengine.web.bps.go.id/search?q=Busang+District+in+Figures+2025&mfd=6404&content=all&page=1&title=0&from=all&to=all&sort=terbaru

Christianah Omolola Diyaolu. (2025). Advancing maternal, child, and mental health equity: A community-driven model for reducing health disparities and strengthening public health resilience in underserved U.S. communities. World Journal of Advanced Research and Reviews, 26(3), 494–515. https://doi.org/10.30574/wjarr.2025.26.3.2264

Coffie, A. E. (2025). Bridging the Gap between Health Communication and Interculturality: A Case Study of Maternal Healthcare for Indigenous Canadian Women in Ottawa. https://doi.org/10.20381/ruor-31169

Dadze-Arthur, A. (2017). An Analysis of Clifford Geertz’s The Interpretation of Cultures: Selected Essays. Macat Library.

Das, V. (2015). Affliction: Health, disease, poverty. Fordham Univ Press.

Davis-Floyd, R. E., & Sargent, C. F. (2023). Childbirth and authoritative knowledge: Cross-cultural perspectives. Univ of California Press.

Dawkins, B., Renwick, C., Ensor, T., Shinkins, B., Jayne, D., & Meads, D. (2021). What factors affect patients’ ability to access healthcare? An overview of systematic reviews. Tropical Medicine & International Health, 26(10), 1177–1188. https://doi.org/10.1111/tmi.13651

Diana, R., Rachmayanti, R. D., Anwar, F., Khomsan, A., Christianti, D. F., & Kusuma, R. (2018). Food taboos and suggestions among Madurese pregnant women: A qualitative study. Journal of Ethnic Foods, 5(4), 246–253. https://doi.org/10.1016/j.jef.2018.10.006

Dinas Kesehatan provinsi Kalimantan Timur. (2023). LKJ-IP (Laporan Kinerja Instansi Pemerintah) Tahun 2023. Samarida: Dinas Kesehatan provinsi Kalimantan Timur. dinkes.kaltimprov.go.id/storage/dokumen_ppid

Dwiyana, F. M., Majid, R., & Yunawati, I. (2024). Studi etnografi pola perawatan ibu hamil di desa bone tondo kecamatan bone kabupaten muna tahun 2023. Jurnal Wins (Jurnal Wawasan Promosi Kesehatan), 5(1), 1–14. https://ojs.uho.ac.id/index.php/winsjournal

Elingsetyo Sanubari, T. P., Rayanti, R. E., & Arindita, P. S. (2022). Women, Bodies, and Medicine: The Tradition of Drinking Jamu (Herbal Medicine) among Indonesian Transmigrant Women. Journal of International Women’s Studies, 24(8), 13. https://vc.bridgew.edu/jiws/vol24/iss8/13

Ellyzabeth Sukmawati & Titi Alfiani. (2025). Holistic Approaches During Pregnancy and Their Implications for Midwifery Practice. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 5(1), 149–161. https://doi.org/10.55606/jikki.v5i1.6244

Ernawati, E. (2024). The Impact of Midwifery-Led Care on Birth Outcomes in Low-Risk Pregnancies. Advances in Healthcare Research, 2(2), 66–76. https://doi.org/10.60079/ahr.v2i2.334

Felisian, S., Mushy, S. E., Tarimo, E. A., & Kibusi, S. M. (2023). Sociocultural practices and beliefs during pregnancy, childbirth, and postpartum among indigenous pastoralist women of reproductive age in Manyara, Tanzania: A descriptive qualitative study. BMC Women’s Health, 23(1), 123. https://doi.org/10.1186/s12905-023-02277-4

Furilta, A. E., Rosjidi, C. H., & Icha, F. (2020). Praktik Perawatan Kehamilan di Desa Pohijo, Kecamatan Sampung Ponorogo: Analisis Transkultural. Gaster, 18(1), 21–36. https://doi.org/10.30787/gaster.v18i1.413

Geertz, C. (2017). The interpretation of cultures. Éditions des archives contemporaines.

Gordon, R. D., Kishi, A., Brown, J. A., Voisin, C., Thomas, N., Riley, S. R., Fareed, N., Bunger, A., Gillespie, S. L., Venkatesh, K. K., Juckett, L., & Brill, S. B. (2025). Rural maternal health interventions: A scoping review and implications for best practices. The Journal of Rural Health, 41(1), e70007. https://doi.org/10.1111/jrh.70007

Gurr, B. (2014). Reproductive justice: The politics of health care for Native American women. Rutgers University Press.

Harsanto, F. H. T., & Sampurno, S. R. L. A. (2019). Suku Kenyah di Desa Budaya Pampang, Kalimantan: Studi kasus perubahan sosial budaya masyarakat Kenyah tahun 1972-2015. Bandar Maulana: Jurnal Sejarah Kebudayaan, 24(1). https://doi.org/10.24071/jbm.v24i1.5846

Jetten, J., Haslam, C., & Alexander, S. H. (2012). The social cure: Identity, health and well-being. Psychology press.

Juariah, J. (2018). Kepercayaan dan praktik budaya pada masa kehamilan masyarakat desa karangsari, kabupaten garut. Sosiohumaniora, 20(2), 162–167. https://doi.org/10.24198/sosiohumaniora.v20i2.10668

Kartini, M., & Kusumadewi, B. N. (2022). Aspek budaya selama kehamilan pada masyarakat suku jawa. Jurnal Kesehatan, 11(2), 115–122. https://doi.org/10.46815/jk.v11i2.109

Kim, J. K., Kim, K. H., Shin, Y. C., Jang, B.-H., & Ko, S.-G. (2020). Utilization of traditional medicine in primary health care in low- and middle-income countries: A systematic review. Health Policy and Planning, 35(8), 1070–1083. https://doi.org/10.1093/heapol/czaa022

Maryuni, M., Anggraeni, L., Handayani, L., & Gustina, I. (2024a). Kepercayaan tradisional, praktik budaya, pola pengambilan keputusan pada ibu hamil di pedesaan dan perkotaan indonesia. Jurnal Kesehatan Reproduksi, 15(1), 16–29. https://doi.org/10.58185/jkr.v15i1.189

McElroy, A. (2018). Medical anthropology in ecological perspective. Routledge.

Muhsanatia, K., & Sulastri, S. (2024). The effectiveness of oxytocin massage on breast milk production: A literature review. Malahayati International Journal of Nursing and Health Science, 7(2), 214–223. https://doi.org/10.33024/minh.v7i2.245

Musie, M. R., Mulaudzi, F. M., Anokwuru, R., & Sepeng, N. V. (2024). An Inclusive Framework for Collaboration between Midwives and Traditional Birth Attendants and Optimising Maternal and Child Healthcare in Restricted Rural Communities in South Africa: Policy Considerations. Healthcare, 12(3), 363. https://doi.org/10.3390/healthcare12030363

Patil, A. D., Singh, S., Verma, D., & Goupale, C. (2024). Exploring medical pluralism as a multifaceted approach to healthcare. Indian Journal of Integrative Medicine, 4(2), 49–59. https://www.mansapublishers.com/ijim/article/view/4322

Pertiwi, C. E., Armini, N. K. A., & Has, E. (2021). Relationship of family support and self-efficacy with postpartum depression among postpartum mothers. Nursing Journal, 7(1). https://doi.org/10.20473/pmnj.v7i1.21793

Roy, J. (2024). Mother as Village: A Hermeneutic Investigation of the Normalization of Maternal Burnout. Pacifica Graduate Institute.

Spradley, J. P. (2016). The ethnographic interview. Waveland Press.

Ssegujja, J., Samwel Msanjila, S., & Shao, D. (2025). Maternal Healthcare Access and Maternal Electronic Service Delivery in Resource-Constrained Environments: A Systematic Literature Review on Frameworks, Approaches, and Insights. Journal of Health Informatics in Africa, 12(1), 20–38. https://doi.org/10.12856/JHIA-2025-v12-i1-523

Statistik, B. P. (2002). Profil kesehatan ibu dan anak. Badan tsb.

Busang. K. (2024). Kecamatan Busang Dalam Angka 2024. Retrieved January 3, 2026, from https://kutimkab.bps.go.id/id/publication/2024/09/26/cb41ae7397ab29af2b9c03e5/kecamatan-busang-dalam-angka-2024.html

Trisnawati, I., Mamat, M., & Antini, A. (2025). Sociodemographic factors influencing beliefs and behaviors in herbal medicine use among postpartum mothers in Indonesia. Healthcare in Low Resource Settings, 13.

Tuti Meihartati, Zatul Akmar Ahmad, & Leny Suzana Suddin. (2022). A Study Protocol to Explore the Effectiveness of Point 6 Acupressure Therapy in Nausea and Vomiting in Early Pregnancy in Samarinda, Indonesia. International Journal of Health Sciences, 6(S8), 5241–5249.

Wollie, A. M., Usher, K., Rice, K., & Islam, M. S. (2025). Challenges and opportunities for integrating traditional healing approaches with biomedical care for mental illness: A scoping review from healers’ perspectives. PLOS One, 20(6), e0325353. https://doi.org/10.1371/journal.pone.0325353

Downloads

Published

2026-03-21

How to Cite

Meihartati, T., Ringgit, R., Sumiati, S., & Abiyoga, A. (2026). Cultural Beliefs and Pregnancy Care among the Dayak Kenyah Community in East Kutai, Indonesia: An Ethnographic Study. Journal of Applied Nursing and Health, 8(1), 116–135. https://doi.org/10.55018/janh.v8i1.482

Most read articles by the same author(s)