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1 Pramurukti 合地幸子 pramurukti 3 1 pramu rukti menemani ngancani 101

2 44, BPS 2012; The World Bank BPS 2012, 74.0 Depkes 2011: BPJS 2014 NGO ; 2014 Martianti 2005 Schröder-Butterfil and Fithry 2014: 380 Kreager 2004 intimate care 102

3 Schröder-Butterfil and Fithry 2014: 376 the lay realm of the family or household van Eeuwijk 2005: 78, 80 I 1 医療 福祉領域の周縁に位置するプラムルクティ pembantu perawat perawatan Dikrat Kreasi Praktis 2012: Ferzacca 2001 Unit Pe- 103

4 44, 2015 layanan/peningkatan Kesehatan Masyarakat: UPKM UPKM UU RI Nomor 11 Tahun 2009.Bab I, pasal i pekerja sosial professional ii tenaga kesejahteraan social iii relawan social UU RI Nomor 11 Tahun 2009, Peraturan Mensos RI Nomor 3 Tahun 高齢者対策への関心 Pembinaan 104

5 Kesejahtraan Keluarga: PKK Pos Pelayanan Kesehatan Terpadu: Posyandu PKK kader: 1998 PKK UU RI Nomor 13 Tahun Bab III, Pasal ジョグジャカルタにおけるプラムルクティ研修の成立 A K A A UPKM A Majelis Gereja Kristen Jawa 2012 A 1973 NGO LSM Lembaga Sosial Masyarakat A UPKM K K UPKM K 105

6 44, K Tabungan Sehat K A K II 1 プラムルクティ研修 9 C 10 A K A K

7 1 A , , , ,000 8, , , , ,000 8,000 1,000,000 1,100,000 1,200,000 1,300,000 20,000 1,100,000 1,300,000 1,400,000 1,500,000 50,000 A プラムルクティ K S 高齢者側のニーズ

8 44, P 82 1 N 70 N P N A 腎結石 2 糖尿病 2 精神障害 4 心疾患 4 骨折 4 悪性新生物 7 手術後の管理 9 老年病 22 脳血管障害 , 90 1, 4 21, 10, 4, 3, 2, 2, 2,

9 4 就労状況 2 K K % % % K

10 44, 2015 ibu rumah tangga F tidak berat F J

11 profesi 70 T 43 5 a marginal profession or a quasi-profession 1960 Denzin and Mettlin III 111

12 44, 2015 Sciortino % 24.6% Kemenkes % 24.8% 15.6% 15.1% , ,078 4 BPS 2006/2007, , , ,570 14,768 1,555 16, , , , ,732 3, ,849 / / 208, , ,415 52,698 8,641 61,339 39,947 17,281 57, , , ,382 1,033, ,586 1,867,708 BPS 2013: 91 Tabel/Table:

13 % 29.2% 20.7% BPS Jan Newberry 2006 Newberry 2006: 141 Suryakusuma Sukesi 2008: 23; care givers BNP2TKI Menakertrans

14 44, asisten perawat, perawat orang tua/jompo, perawat manula(manusia lanjut usia), pendamping orang sakit/ 114

15 jompo, pengurus orang sakit/jompo, suster jompo Depkes 2011: 26 3 Jordaan 1985; fisioterapis radiografer teknisi gigi 26 Peraturan Pemerintah RI Nomor 32 Tahun 1996 tentang Tenaga Kesehatan. Bab II Pasal LMS Koentjaraningrat 2009 NGO , ,262 BNP2TKI 2008 Hugo Lembaga Pelatihan Kerja: LPK 10 Kepmendikbud RI Dinas Nakertrans DIY , , , , Depkes BPS 2014: 3 15 care givers care givers , , , ,751 BNP2TKI

16 東南アジア 歴史と文化 44, 2015 参考文献 1 文献 秋山智久 2007 社会福祉専門職の研究 ミネルヴァ書房 Denzin, N. K., and C. J. Mettlin Incomplete Professionalization: The Case of Pharmacy. Social Forces 46(3): Ferzacca, S Healing the Modern in a Central Javanese City. Durham, N.C.: Carolina Academic Press. 合地幸子 2014 高齢者ポスヤンドゥ プログラムから見る都市部における高齢者ヘル ス ケアについて: インドネシア共和国ジョグジャカルタ特別州の事例 言語 地域文化 20: 研究 広井良典 2005 ケア学 越境するケアへ 医学書院 Hugo, G Effects of International Migration on the Family in Indonesia. Asian Pacific Migration Journal 11(1): : 伊藤眞 2014 インドネシアにおける高齢化とその対応 予備的報告 人文学報 Jordaan, R. E Folk Medicine in Madura (Indonesia). Leiden: KITLV Press. Koentjaraningrat Pengantar Ilmu Antropologi. Jakarta: Rineka Cipta. 倉沢愛子 女性にとっての開発 インドネシアの家族福祉運動の場合 川田順造ほか 岩波書店 編 開発と文化 6 開発と政治 Kreager, Phillip Where are the Children. In Ageing without Children, edited by Phillip Kreager and E. Schröder-Butterfil, New York and Oxford: Berghahn Books. Martianti, Ruly In the Absence of Family Support: Case of Childless Widows in Urban Neighbourhoods of East Java. In Ageing without Children, edited by Phillip Kreager and E. Schröder-Butterfil, New York and Oxford: Berghahn Books. Newberry, Jan Back Door Java: State Formation and the Domestic in Working Class Java. Peterborough: University of Toronto Press. 奥島美夏 2009 日本のインドネシア人社会 国際移動と共生の課題 明石書店 Schröder-Butterfil, E. and T.S. Fithry Care Dependence in Old Age: Preferences, Practices and Implications in Two Indonesian Communities. Ageing and Society 34: Sciortino, R Care-takers of Cure: An Anthropological Study of Health Center Nurses in Rural Central Java. Yogyakarta: Gadjah Mada University Press The Multifariousness of Nursing in the Netherlands Indies. In Health Care in Java - Past and Present, edited by P. Boomgaard and I. Smyth, Leiden: KITLV Press trans. R. Tjiong, In Menuju kesehatan Madani, Yogyakarta: Gadjah Mada University Press. Sukesi, K Pekerjaan Rumah Tangga: Masalah dan Solusi Pemberdayaan. Jurnal Pusat Studi Wanita 12: Suryakusuma, Julia Ibuism Negara. West Java: Komunitas Bambu. van Eeuwijk, P When Social Security Reaches Its Limits: Long-term Care of Elderly People in Urban Indonesia. In Exploring Social (In-)Securities in Asia, edited by R. Buchel, A. Derks, A. Loosli and S. Thüler, Bern: Universität Bern. 116

17 (3): BNP2TKI Data Penempatan dan Tenaga Kerja Indonesia ke Luar Negeri Tahun Data Penempatan Tenaga Kerja Indonesia (TKI) Data Penempatan Tenaga Kerja Indonesia (TKI). BPS. 2006/2007. DIY Dalam Angka 2006/2007: 89 Tabel DIY Dalam Angka DIY Dalam Angka Keadaan Ketenagakerjaan di D.I.Yogyakarta. Depkes RI Profil Kesehatan Provinsi D.I.Yogyakarta Profil Kesehatan Provinsi D.I.Yogyakarta Dikrat Kreasi Praktis untuk siswa pramurukti Modul Pendidikan & Pelatihan Pramurukti Dinas Nakertrans DIY UMK Tahun 2011 di Daerah Istimewa Yogyakarta. Kepmendikbud RI Nomor 0151/U/1977 tentang Pokok-pokok Pelaksanaan Pembinaan Program Pendidikan Luar Sekolah Kemenkes Buletin Jendela Data & Informasi Kesehatan, Volume 2, Semester 2. Majelis Gereja Kristen Jawa Peraturan Mensos RI Nomor 3 Tahun 2013 tentang Kesejahteraan Sosial Kecamatan. Peraturan Pemerintah RI Nomor 32 Tahun 1996 tentang Tenaga Kesehatan. The World Bank World Development Indicators: Reproductive health. UU RI Nomor 11 Tahun 2009 tenteng Kesejahteraan Sosial. UU RI Nomor 13 Tahun 1998 tenteng Kesejahteraan Lanjut Usia. 3 BPJS. Accessed on July 11, Menakertrans RI roadmap2017 Diaspora Indonesia: Muhaimin Paparkan Roadmap 2017 Menuju Zero Penempatan TKI Domestic Worker 20 August Accessed on Desember 20,

18 44, 2015 Beginning and Possibilities of Occupational Caregivers: A Case Study of Pramurukti Training in Urban Yogyakarta, Indonesia GOCHI Sachiko KEYWORDS welfare service for elderly people, community-based, care work, nonformal education, specialty ABSTRACT This study aims to discuss the possibility of pramurukti as one form of support for elderly people through the process of training pramurukti, who are occupational caregivers, in urban Yogyakarta, Indonesia. The pramurukti are the people who care mainly for elderly people. By Indonesian standards, no designation has been formed for the occupational group that provides elderly care. In this paper, I consider the positioning of pramurukti in Yogyakarta and the possibility for future Indonesia. In 1980, a private Yogyakarta hospital started pramurukti training. The elderly people who suffered from illness sought care service by pramurukti at the time when care needs increased. However, the pramurukti have not been able to support the needs of the elderly and their families. As a factor, there is an inconsistency between the elderly and pramurukti related to the operation of duties and contents of the work. Households which had elderly people in acute phases of illness or at end- of- life used services only when it was necessary, and pramurukti worked according to their desire. In contrast, households that had elderly in long-term care regarded pramurukti who learned the knowledge of nursing care as the people who helped with the IADL (instrumental activities of daily living) of elderly people. The pramurukti plays a role to bridge the gap for elderly people who are managed under medical care and nursing in the medical domain by providing knowledge to families in traditional elderly care through care work. I argue that pramurukti have a possibility to become collaborators with the family in the realm of household as one of the forms of support for the aging society. However, the pramurukti have a marginal presence in medicine and welfare. The occupational caregivers called pramurukti might be firmly established through a training system. However, the social recognition is still insufficient. 118

19 For future Indonesia, those who accompany the elderly, such as pramurukti, have a major role to consider the realm of household for which there is lack of policy. It would be important to note individual conditions to affect the labor form of the caregiver. It is necessary to pay attention to the role of the caregiver in social changes of Indonesia. gochi.sachiko.j 119

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