PERSEPSI SEHAT-SAKIT DAN POLA PENCARIAN PENGOBATAN MASYARAKAT DAERAH PELABUHAN (Kajian Kualitatif Di Daerah Pelabuhan Tanjung Perak)

The problems of urban health should be concerned because of the rapid development of cities, especially in highly populated areas as in ports and industry centers. The study aimed to identify people seeking behaviors in the port areas, the perception on health-sick in the port communities, and the responses to health center's services. This was a qualitative study. Respondents were selected by local Rukun Tetangga (Households Leaders) or Rukun Warga (administrative unit at the next-to-lowest level in city) based on the income in each areas which categorized as not enough. Selected respondents were divided in 2 (two) groups, men workers and fertile aged women. The location of the study were at Rukun Warga 9 and 6 of Kelurahan Perak Utara (North Perak Kelurahan) and at Rukun Warga 2 of Kelurahan Perak Utara (North Perak Kelurahan) in Pabean Cantikan Sub-district, Tanjung Perak port areas. Data were collected by focus group discussion (FGD) in 3 (three) sub-groups of men workers and fertile aged women, respectively. There were 8-10 respondents in each sub-groups. The data were analyzed by content analysis methods. Results showed the perception on health-sick in men workers was wider in comparison to fertile aged women because if they were having influenza but still could work then they considered not sick, meanwhile for the fertile aged women if they were feeling differences in their bodies then they consider as sick. But both groups had the same perception on health­ sick for their children, there were "healthy children if they were not fusser, not weak, moving, actively play. The groups were also had the same perception on dental sick that was a severe sick. Furthermore, the majority mentioned that if getting sick, they did self medication firstly then if not getting better they visit health workers. But for their children if getting sick, they were directly sent to health workers. The responses for health center services varied in both groups. The selection to health center was merely because of cheap although mostly said that they were not free enough to express their concerns, medication was not good and examiners were not doctors. It concludes there was a wider perception on health among man worker groups and the pattern of health seeking behavior was by self medication at first, then if not better to health workers. The community still used traditional treatments. The health center services were not a good choice because the people were not sure for the quality and the kind of medication, beside was the open time was limited. Key words: health-sick, perception, port area