- 東南アジア -歴史と文化- (ISSN:03869040)
- vol.2015, no.44, pp.101-119, 2015 (Released:2017-06-01)
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. 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.