A Case Study in Indonesia: Self-medication and Limited Access

  • Satoru Kimura
  • Yasuhide Nakamura
Part of the Trust book series (TRUST, volume 5)


The first regional case study discussed in this report is self-medication in Indonesia. Obtaining prescription-only medicines without a physicians’ prescription to take them based upon self-judgment is frequently noted throughout the world. Inappropriate self-medication is practiced not only in Indonesia but also in various countries across the world and is more frequently found among impoverished economies. Many people living in poverty are not protected by public health insurance schemes. Direct access to medicines is a self-defense behavior as well as the most cost-effective practice for the poor. This means that no decent healthcare services market has been formed for people living in poverty. According to the Jakarta Post (2008), counterfeit and substandard medicines account for 40% of lawfully distributed products. This daily English language newspaper in Indonesia reports that Indonesia remains a lucrative market for fake drugs (2013). In this chapter, the authors describe the field survey conducted in Indonesia regarding self-care with antibiotics and on the basis of the survey results, discuss the actual status of self-medication and the ideal situation of a healthcare services market.


Access to medicines Antibiotics Healthcare market Indonesia Self-medication 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Satoru Kimura
    • 1
  • Yasuhide Nakamura
    • 2
  1. 1.Department of Reference StandardsPharmaceutical and Device Regulatory Science Society of JapanOsakaJapan
  2. 2.School of Nursing and RehabilitationKonan Women’s UniversityKobeJapan

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