การจัดการเมื่อเจ็บป่วยของชาวมานิ อำเภอป่าบอน จังหวัดพัทลุง

Abstract

The purpose of this qualitative research was to describe the management of sickness among the Maniq living in Pa Bon District, Phatthalung Province. There were 30 key informants, consisting of 9 Maniq people and 21 people involved in assisting the Maniq, selected by a purposive sampling method. Data were collected by semi-structured in-depth interviews together with non-participatory observation and field notes. Data were analyzed by content analysis. The findings revealed 3 characteristics of the symptoms and the management of the Maniq’ sickness. 1. The sickness managed by traditional wisdom: These include minor sickness that occur often and can be managed by the Maniq themselves. H erbal medicines, various parts of animals, salt and ashes are used for treatment. Laying near the fire is also another treatment option used by the Maniq. They also buy medicine themselves. Spells are also used with herbs, or spells are used alone for treatment. In addition to the management of physical sickness, the Maniq have also managed their psychological symptoms through consultation, singing and playing the musical instruments made by themselves for relaxation. Assistance and support in accordance with the Maniq’s way of life should be provided. 2. The sickness managed primarily by the Maniq and the modern health system: The Maniq usually treat these sickness by the wisdom passed down from their ancestors, such as using herbal medicines, various parts of animals and magic spells for about 2-3 days. If the symptoms are not improved, the patients will be taken to Tambon Health Promoting Hospital or hospital. Assistance should be provided for the prevention and management of sickness. 3. The sickness managed entirely by the modern health system: The Maniq have no experiences and knowledge passed down from their ancestors for treating these sickness. They usually use herbal medicines for primary treatment for 3-7 days. If the patients are at risk of disabilities and death, the community leaders will take them to the hospital to receive treatment with modern medicine. The support meeting the Maniq’s needs when they are sick should be provided. Moreover, they should be supported with the things they lack according to their way of life. Also, their lifestyles must not be changed much, just to adapt to survive. This study is beneficial to the policymakers and the stakeholders in developing, promoting, supporting and assisting the Maniq’s sickness management systematically in line with their lifestyles and needs on the basis of human dignity and equality.