Cultural Resistance to Premarital Health Screening among Prospective Brides and Grooms in Kintamani Bangli, Bali
DOI:
https://doi.org/10.24843/JKB.2025.v15.i03.p08Keywords:
stunting, premarital health screening, pingit tradition, cultural resistance, Kintamani BangliAbstract
In 2021, the Indonesian government launched a national stunting strategy outlined in Presidential Regulation No.72. As part of this initiative, a program promoting premarital health screening for prospective brides and grooms was introduced through ELSIMIL (Elektronik Siap Nikah dan Hamil), Marriage and Pregnancy Readiness App. Despite being linked to marriage registration and targeting all couples, participation remains low in certain regions, such as Kintamani-Bali, due to cultural resistance. This study explores the underlying causes of the phenomenon using qualitative approaches (observation, in-depth interviews, and document analysis) guided by Foucault's power-knowledge theory and Bourdieu's generative structuralism. Findings reveal that cultural resistance stems from the local bridal seclusion “pingit” tradition, which prohibits brides from publicly announcing wedding plans, and from beliefs that view illness/health conditions within a couple as a private matter, not a shared social concern. The study highlights the need for culturally sensitive strategies to improve the program's acceptance and effectiveness at the community level.
References
Adnyani, N. K. S. (2016). Bentuk Perkawinan Matriarki pada Masyarakat Hindu Bali Ditinjau dari Perspektif Hukum Adat dan Kesetaraan Gender. Jurnal Ilmu Sosial Dan Humaniora, 5(1), 754–769. https://doi.org/http://dx.doi.org/10.23887/jish-undiksha.v5i1.8284
Alswaidi, F. M., & O’Brien, S. J. (2009). Premarital screening programmes for haemoglobinopathies, HIV and hepatitis viruses: Review and factors affecting their success. In Journal of Medical Screening, Vol. 16, Issue 1, pp. 22–28. https://doi.org/10.1258/jms.2008.008029
Barker, C. (2005). Cultural Studies: Teori dan Praktik. Kreasi Wacana.
Bourdieu, P. (2016). Arena Produksi Kultural: Sebuah Kajian Sosiologi Budaya. Kreasi Wacana.
Bunu, H. Y. (2018). Resistensi Daerah Terhadap Program Keluarga Berencana: Vol. XIV (1st ed.). Piramida.
Dian Tri Utami, N. N., Wisnu Parta, I. B. M., Santiawan, I. N., Yoga Pramana, I. B. K., & Sudiani, N. N. (2023). Penerapan Nilai-Nilai Pendidikan Agama Hindu Dalam Kitab Nitisastra Untuk Membentuk Perilaku Anak Suputra. Metta : Jurnal Ilmu Multidisiplin, 3(1), 24–36. https://doi.org/10.37329/metta.v3i1.1805
Eriyanto. (2001). Analisis Wacana: Pengantar Analisis Teks Media. LKIS.
Fashri, F. (2017). Pierre Bourdieu. Menyingkap Kuasa Simbol. Jalasutra.
Fitriani, R. K. (2020). Analisis Kebijakan dan Implementasi Program Premarital Check Up di Indonesia. Universitas Airlangga.
Foucault, M. (1980). Power/knowledge : selected interviews and other writings, 1972-1977. Brighton, Sussex : Harvester Press.
Hanna, N., Sidabutar, T., Hadi, E. N., & Sidabutar, T. (2024). Premarital Screening: A Catalyst for Achieving Good Health and Well-Being. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 12, 146–154. https://doi.org/10.20473/jpk.V12.I1SP.2024.146-154
Harker, R. , M. C. , & W. C. (2009). Habitus x Modal) + Ranah = Praktik: Pengantar Paling Komprehensif kepada Pemikiran Pierre Bourdieu. Jalasutra.
Haryatmoko. (2016). Membongkar Rezim Kepastian: Pemikiran Kritis Post-strukturalis. PT Kanisius.
Kumbara, A. A. N. A. (2023a). Paradigma dan Teori-Teori Studi Budaya. BRIN.
Kumbara, A. A. N.A. (2023b). Teori Sosial Budaya Kontemporer; Cultural Studies, Teori Kritis, Pascastrukturalisme, Pascamodenisme, Feminisme dan Pascakolonial. Sari Kahyangan Indonesia.
Laili, U., & Andriani, R. A. D. (2019). Pemberdayaan Masyarakat Dalam Pencegahan Stunting. In Jurnal Pengabdian Masyarakat Ipteks (Vol. 5, Issue 1). https://doi.org/https://doi.org/https://doi.org/10.32528/pengabdian_iptek.v5i1.2154
Kerta Adhi, I. M., Ardana, I.K, & Maduriana, I.M. (2016). Faktor-faktor Penyebab Kemiskinan Kultural dan Model Pengentasan Berbasis Kearifan Lokal: Studi pada Masyarakat Miskin di Pegunungan Kintamani, Bali. Jurnal Kajian Bali, 6(2), 229–246. https://ojs.unud.ac.id/index.php/kajianbali/article/view/24362
More, P. (2021). A Review of the Importance of Premarital Checkup and Counselling among Young Adults. Psychology and Education Journal, 58(2), 6369–6373. https://doi.org/http://dx.doi.org/10.17762/pae.v58i2.3162
Ningsih, L. S., & Suwendra, I. W. (2020). Upacara Pawiwahan Dalam Agama Hindu. Jurnal Widya Sastra Pendidikan Agama Hindu, 3 No. 2. https://doi.org/https://doi.org/http://dx.doi.org/10.36663/wspah.v3i2.74
Nugraheni, A., Tri Purnami, C., Mawarni, A., Kartini, A., Pawelas Arso, S., & Fairuz Asna, A. (2020). Pre-Marriage Course Regarding Health Reproductive: Knowledge and Attitude of Bride and Groom Candidate in Preparing Health Status before Pregnant in Grobogan Regency. In 1150 Indian Journal of Public Health Research & Development (Vol. 11, Issue 03). https://doi.org/https://doi.org/https://doi.org/10.37506/ijphrd.v11i3.1564
Nurfauziyah, A. (2017). Bimbingan Pranikah bagi Calon Pengantin dalam Mewujudkan Keluarga Sakinah. Irsyad: Jurnal Bimbingan, Penyuluhan, Konseling, Dan Psikoterapi Islam, 5(4), 449–468. https://doi.org/https://jurnal.fdk.uinsgd.ac.id/index.php/irsyad
Nurmimah, Khairulyadi, Nusuary. F. M. (2022). Resistensi Pasangan Usia Subur Terhadap Kebijakan Keluarga Berencana (Studi pada Kecamatan Ingin Jaya, Kabupaten Aceh Besar). Jurnal Ilmiah Mahasiswa FISIP Unsyiah, 7(1), 1–8.
Parchiano, N. (2010). Sejarah Pengetahuan Michel Foucault. Listiyono Santoso, & Abd. Qodir Shaleh (Eds). Ar-Ruzz Media.
Pemerintah Indonesia. (2021). Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 tentang Percepatan Penurunan Stunting. Sekretariat Negara Republik Indonesia. Sekretariat Negara Republik Indonesia.
Prayogi, A., & Jauhari, M. (2021). Bimbingan Perkawinan Calon Pengantin: Upaya Mewujudkan Ketahanan Keluarga Nasional. Islamic Counseling: Jurnal Bimbingan Konseling Islam, 5(2), 223–234. https://doi.org/http://dx.doi.org/10.29240/jbk.v5i2.3267
Saffi, M., & Howard, N. (2015). Exploring the Effectiveness of Mandatory Premarital Screening and Genetic Counselling Programmes for β-Thalassaemia in the Middle East: A Scoping Review. In Public Health Genomics (Vol. 18, Issue 4, pp. 193–203). S. Karger AG. https://doi.org/10.1159/000430837
Sangging, N. U. (2019). Kependudukan, Keluarga Berencana dan Pembangunan Keluarga dalam Perspektif Hindu Penduduk & Problematikanya (Population, Family Planning and Family Development in the Hindu Perspective Population & Its Problems) (S. Rahardjo, S. Zakaria, S. N. Saragih, & D. Pitaloka (Eds.). In BKKBN. BKKBN.
Segara, I. N.Y. & Kuckreja, R. (2024). Sistem Stratifikasi Sosial Sedang Terbentuk Identitas Bali. Jurnal Kajian Bali, 14(1), 1–18. doi:10.24843/JKB.2024.v14.i01.p01
Sukeni, N. N. (2010). Hegemoni Negara dan Resistensi Perempuan dalam Pelaksanaan Program Keluarga Berencana di Bali. Udayana University Press.
Suyoga, I. P. G. (2022). Membongkar Diskursus Ideologi Arsitektur Palinggih Mobil di Pura Paluang, Nusa Penida Bali. Universitas Udayana.
Widiantari, I. G. A. S., Suastika, M., & Suarka, N. (2019). Resistensi Pangeran Sutasoma Terhadap Hegemoni Raja Purusadha Dalam Cerita Kekawin Sutasoma. E-Journal of Cultural Studies, 12(4). doi:10.24843/cs.2019.v12.i04.p01 https://doi.org/https://doi.org/http://dx.doi.org/10.24843/cs.2019.v12.i04.p01
Wijaya, N. (2023). Pendekatan Sejarah Politik Gramscian: Konsep, Teori, Metodelogi, dan Objek Kajian. I Wayan Tagek Eddy & Slamat Trisila (Eds). Meramu Sejarah Dalam Konteks Pemikiran dan Penerapan Teori Kritis: Persembahan Purnatugas Dr. Drs. I Nyoman Sukiada, M.Hum. Pustaka Larasan.
