Skip to main content Skip to main navigation menu Skip to site footer

Perceptions of patients and providers on the use of acupressure services at Public Health Centres, Tabanan District, Bali


Background and purpose: Acupressure services are available at some public health centres (PHCs) in Bali, but the service utilisation remains low. The purpose of this study is to explore the perception of patients and service providers on the use of acupressure services at PHC in Tabanan.

Methods: This study used a qualitative design based on observation and in-depth interviews with 13 informants consisting of patients, health service practitioners, head of PHC and program  manager at Tabanan Health Office. The informants were chosen purposively and the data were analysed thematically.

Results: There were different perceptions regarding the benefits of acupressure services between patients utilising the services and those who had not. Patients who had undergone acupressure demonstrated positive perception of the service. Acupressure services are considered to be effective in dealing with patient complaints, have no side effects, and patients reported being satisfied with the services provided by the PHC. Patients who did not utilise acupressure services, view acupressure as an ineffective therapy with potential side effects that may endanger their health. These patients experienced trauma from similar massage techniques. Service providers lamented the absence of government support in the form of local regulations that would enable them to access funding, increase human resources and facilitate promotion of the services.

Conclusions: Patient perceptions of acupressure services still vary, with some contraints in the implementation that consist of local regulation, operational fund and human resources. Acupressure services still require synergy between central and local government policies to support its implementation.


  1. Ministry of Health of Indonesia. Peraturan pemerintah Nomor 103 [The Ministry of Health of Indonesia Regulation No. 103]. Jakarta: Ministry of Health of Indonesia; 2014.
  2. Yuniari S, Suastika, Sri A. Pencarian pelayanan kesehatan pada pengobat tradisional herbal di Kota Denpasar [Health care seeking from the traditional herbal healers in Denpasar City]. Preventive Health Medecine Archive. 2013; 1: 113–119.
  3. Bali Provincial Health Office. Profil kesehatan Provinsi Bali 2015 [The 2015 Bali Province Health Profile] Denpasar: Bali Provincial Health Office; 2016.
  4. Bali Provincial Health Office. Data pelayanan kesehatan tradisional integrasi tahun 2016 [Data on traditional health services integration in 2016]. Denpasar: Bali Provincial Health Office; 2016.
  5. Tabanan District Health Office. Profil UPTD Puskesmas Tabanan III [Tabanan III Public Health Center profile]. Tabanan: Tabanan District Health Office; 2016.
  6. Baturuti I Public Health Center. Rekapan jumlah pasien yang dilayani akupresur [The number of patients served acupressure]. Tabanan: Baturuti I Public Health Center; 2016.
  7. Wang HM. Cancer patients’ experience of combined treatment with conventional and traditional Chinese medicine. Cancer Nursing. 2011; 34: 495–502.
  8. Chan K, Siu JY, Fung TKF. Perception of acupuncture among users and nonusers : A qualitative study. Health Market Quarterly. 2016; 33: 78–93.
  9. Mollart L, Adams J, Foureur M. Pregnant women ’s views on acupressure and other complementary & alternative medicines (CAM) and being involved in a RCT. Journal of Community Health. 2016; 26: 6.
  10. Silva FCB da, Brito RS de, Carvalho JBL de, et al. Using acupressure to minimize discomports during pregnancy. Revista Gaúcha de Enfermagem. 2016; 37: 1–7.
  11. Chen H, Chang F, Hsu C. Effect of acupressure on nausea,vomiting,anxiety and pain among post-caesarean section women in Taiwan. The Kaohsiung Journal Medecine Sciences. 2005; 21: 341–350.
  12. Dibble SL, Luce J, Cooper BA, et al. Acupressure for chemotherapy-induced nausea and vomiting : a randomized clinical trial. Oncology Nursing Forum. 2007; 34: 813–821.
  13. Gharloghi S, Torkzahrani S, Akbarzadeh A. The effects of acupressure on severity of primary dysmenorrhea. Patient preference and Adherence. 2012; 6: 137–142.
  14. Lee EJ, Frazier SK. The efficacy of acupressure for symptom management: a systematic review. Journal of Pain and Symptom Management. 2011; 42: 589–603.
  15. Hui V, Ip Y. The use of acupuncture for pain relief in a Chinese hospital clinic. Acupuncture in Medecine. 1999; 17: 101–110.
  16. Ministry of Health of Indonesia. Buku pedoman pengobatan tradisional akupresur bagi petugas kesehatan [Traditional acupressure treatment manual for health care workers]. Jakarta: Ministry of Health of Indonesia; 2011.
  17. Eaves ER, Sherman KJ, Ritenbaugh C, et al. A qualitative study of changes in expectations over time among patients with chronic low back pain seeking four CAM therapies. BMC Complementary and Alternative Medecine. 2015; 15: 1–10.
  18. Suhami N, Muhamad MB, Krauss SE. Why cancer patients seek islamic healing. Journal of Religion and Health. 2016; 55: 1507–1518.
  19. Bishop FL. Why consumers maintain complementary and alternative medicine use : a Qualitative study. The Journal of Alternative and Complementary Medicine. 2010; 16: 175–182.
  20. Stöckigt B, Teut M, Witt CM. CAM use and suggestions for medical care of senior citizens : a qualitative study using the world café method. Evidance-Based Complementary and Alternative Medecine. 2013; 1–8.
  21. Kristiana L, Agustiya RI, Handayani S, et al. Studi kualitatif kesesuaian pendapatan pasien tentang iklan dengan pelayanan yang diterima dari sarana pengobatan tradisional [Qualitative study of correspondence between patient perception of service advertisement and service provided from traditional health facilities]. Buletin Penelitan Sistem Kesehatan. 2014; 17: 115–123.
  22. Agarwal A, Pathak A, Gaur A. Acupressure wristbands do not prevent postoperative nausea and vomiting after urological endoscopic surgery. Canadian Journal of Anaesthesia. 2000; 47: 319–24.
  23. Yeh M, Tsou M, Lee B, et al. Effects of auricular acupressure on pain reduction in patient-controlled analgesia after lumbar spine surgery. Acta Anaesthesiologica. 2010; 48: 80–86.
  24. Rumengan DSS, Umboh JML, Kandou GD. Faktor-Faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan pada peserta BPJS kesehatan di Puskesmas Paniki Bawah Kecamatan Mapanget Kota Manado [Factors associated with health care utilization health on BPJS participants in PHC Paniki Mapanget Down District of Manado]. JIKMU, Suplemen. 2015; 5: 88–100.
  25. Adriana N, Wulandari LPL, Duarsa DP, et al. Akses pelayanan kesehatan berhubungan dengan pemanfaatan fasilitas persalinan yang memadai di Puskesmas Kawangu Sumba Timur [Access to Health service related to use of antenatal care facilities at the Kawangu Health Centre – East Sumba]. Preventive Health Medecine Archive. 2014; 2: 175–180.
  26. Sumanti V, Widarsa T, Duarsa P. Faktor yang berhubungan dengan partisipasi orang tua dalam perawatan kesehatan gigi anak di Puskesmas Tegallalang I [Factors related to parent’s participation in child dental health care in Tegallalang I community health centre]. Public Heath and Preventive Medecine Archive. 2013; 1: 7.
  27. Noviana N, Setyati S. Pelaksanaan program jaminan kesehatan masyarakat di Kalimantan Selatan [Public health insurance program implementation in South Kalimantan]. Buletin Penelitan Sistem Kesehatan. 2015; 18: 19–28.
  28. Manuho, Warouw H. Hubungan beban kerja dengan kinerja perawat dalam pemberian asuhan keperawatan di Instalasi Rawat Inap C1 RSUP Prof.DR.R.D.Kandou Manado [Association of workload with the performance of nurses in the delivery of nursing care in Hospital Inpatient C1 Prof. Dr. R. D. Kandou Manado]. Ejournal keperawatan (e-kep). 2015; 3 (2): 1–8.
  29. Vresa Budi Setiawan RDW. Beban kerja subyektif dan obyektif tenaga farmasi rawat jalan di rumah sakit [Subjective and objective workload pharmaceutical worker outpatient in the hospital]. Jurnal Administrasi Kesehatan. 2016; 4: 28–36.
  30. Mohamed NS. The impact of human resources management on healthcare quality. International Journal of Management. 2015; 6502: 603–612.
  31. Laksmiarti T, Nugraheni P. Analisis kebijakan pembiayaan kesehatan di Kepulauan Aru [Policy Analysis: Health Financing in Aru Island]. Buletin Penelitian Sistem Kesehatan. 2013; 16: 321–329.
  32. Geswar RK, Nurhayani B. Kesiapan stakeholder dalam pelaksanaan program jaminan kesehatan nasional di Kabupaten Gowa [The readiness of stakeholders in the implementation of national health insurance program in Gowa Regency]. Jurnal Administrasi dan Kebijakan Kesehatan. 2014; 3: 1–12.
  33. Department of Health of Indonesia. Undang-Undang Kesehatan no 36 tahun 2009 [Law no 23 of 2009 on Health]. Jakarta: Department of Health of Indonesia; 2009.

How to Cite

Sukawinaca, I. M., Sari, K. A. K., & Wirawan, I. M. A. (2017). Perceptions of patients and providers on the use of acupressure services at Public Health Centres, Tabanan District, Bali. Public Health and Preventive Medicine Archive, 5(2), 124–128.


108 210


Search Panel

I Made Sukawinaca
Google Scholar
Phpma Journal

Komang Ayu Kartika Sari
Google Scholar
Phpma Journal

I Made Ady Wirawan
Google Scholar
Phpma Journal