Availability, accessibility, and acceptability of health services in remote indigenous community of the baduy dalam tribe

Background: Unequally in rights to health cause a disparity between indigenous communities and people in general, which should be avoidable. The Baduy Dalam tribe is one of the indigenous communities in Indonesia that refuses to follow modern developments. The Baduy Dalam tribe’s strong obedience to their tradition bothersome health workers in delivering modern health services. Availability, accessibility, and acceptability of health services as a base of health service concept and rights to health need to be further analyzed in the Baduy Dalam tribe. Method: This qualitative research uses a Basic Human Rights paradigm approach to obtain in-depth information regarding health services among the Baduy community. The method used was in-depth interviews, and informants were chosen using a purposive technique to achieve correct and adequate information for this research. Results were analyzed using a matrix and content analysis to identify the thematic information. To maintain validity, document review and literature review on the subject were conducted. Results: Utilization of available healthcare facility majorly affected by community acceptance. Mobile health services can’t be conducted without the community leader’s permit and acceptance. There’s an urgent need to do strategic approach to increase the community acceptance using sensitive cultural approach. Attention and effort from multi-sectoral governments are very low. Conclusions: Healthcare services to the Baduy Dalam community is not performed well as there are various obstacles in the availability, accessibility, and acceptability of modern healthcare services in The Baduy Dalam community.