Malaria Control and Medical Services in Cilacap Under Dutch Colonial Rule In the Early 20th Century
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Abstract
This study examines health problems and healthcare services in Cilacap Regency in relation to malaria outbreaks during the Dutch colonial period in the early 20th century. Cilacap was known as the largest port in southern Java yet faced numerous complex health problems. This study employs the historical method, which is categorized into four stages: heuristics, source criticism, interpretation, and historiography. In analyzing the research problems, biopower theory is used, which positions the role of the Dutch colonial government in controlling biological aspects and public health. The findings of this study indicate that the health of Cilacap Regency’s population was under threat from diseases, particularly malaria. Inadequate environmental conditions were one of the main factors in the spread of malaria. Furthermore, efforts to eradicate malaria through healthcare services remained limited. The Dutch colonial government’s health interventions were solely aimed at serving their economic interests. This made Cilacap Regency one of the areas with the lowest quality of public health despite the implementation of the Dutch Ethical Policy and economic activities at Cilacap Port.
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References
Agustono, Budi, Kiki Maulana Affandi, Junaidi, Muhammad Rasyidin. 2025. Malaria eradication and colonial sanitation projects in Semarang in the early 20th century. Medicina Historica, 9 (1–2), 1–13. https://doi.org/10.69124/mh.v9i1-2.17297
Algemeen Handelsblad. 1931. “Idenburg-Varia.” Algemeen Handelsblad, July 23.
Algemeen handelsblad voor Nederlandsch-Indië. 1929. “Dertig Jaren Onderwijzer.” Algemeen Handelsblad Voor Nederlandsch-Indië, July 28.
Arsip Nasional Republik Indonesia. 1977. Memori Serah Jabatan 1921-1930 (Jawa Tengah). Arsip Nasional Republik Indonesia.
Boomgaard, Peter. 1993. The Development of Colonial Health Care in Java; An Exploratory Introduction. Bijdragen Tot de Taal-, Land- En Volkenkunde, 149(1), 77–93. http://www.jstor.org/stable/27864426
Foucault, Michel. 2003. Society Must Be Defended. Picador
De Amstelbode. 1929. “Cijferbeelden Uit Indië.” De Amstelbode, April 11.
De Avondpost. 1907. “Verwaarloosde Gezondheidszaak.” De Avondpost, January 13.
De Indische Courant. 1935. “De Malaria in Tjilatjap.” De Indische Courant, March 5.
De Locomotief. 1901. “De Djambi-Expeditie.” De Locomotief, November 10.
De Locomotief. 1907. “Noesa Kembangan.” De Locomotief, November 22.
De Locomotief. 1930. “Tijd van Stilte.” De Locomotief, June 7.
De Locomotief. 1938. “De Lijst van Midden-Java.” De Locomotief, August 30.
De Preanger-Bode. 1916. “Uit Ongezond Tjilatjap.” De Preanger-Bode, January 16.
De Preanger-Bode. 1919. “Overleden.” De Preanger-Bode, January 22.
Departement Van Economische Zaken. 1936. Volkstelling 1930: Deel VIII, Overzicht Voor Nederlandschindië. Landsdrukkerij.
Dinas Kearsipan dan Perpustakaan Provinsi Jawa Tengah. 1933. Koleksi Arsip Hoofd Provinciale Waterstaatdienst Midden Java III No. 158.
Dinas Kearsipan dan Perpustakaan Provinsi Jawa Tengah. 1932. Koleksi Arsip Hoofd Provinciale Waterstaatdienst Midden Java IV No. 350.
Dinas Kearsipan dan Perpustakaan Provinsi Jawa Tengah. 1933. Koleksi Arsip Hoofd Provinciale Waterstaatdienst Midden Java IV No. 409.
Gottschalk, Louis. 1950. Undersanding History: A Primer of Historical Method. Alfred A. Knopf.
Hartatik, Endah Sri, Wasino Wasino, Vivek Neelakantan, et al. 2025. Between Modernization and Marginalization: A Historical Analysis of Colonial Health Policies in Semarang and Their Postcolonial Legacy. 35 (2): 299–314. https://doi.org/10.15294/paramita.v35i2.14513
Hermawan, Iwan. 2016. “Keterkaitan Jalur Kereta Api Batavia–Cilacap Dengan Sistem Pertahanan Hindia Belanda Di Pulau Jawa.” Purbawidya: Jurnal Penelitian Dan Pengembangan Arkeologi 3 (2): 129–40. https://doi.org/10.24164/pw.v3i2.41
Het nieuws van den dag voor Nederlandsch-Indië. 1919. “Uit Tjilatjap.” Het Nieuws van Den Dag Voor Nederlandsch-Indië, September 13.
Het nieuws van den dag voor Nederlandsch-Indië. 1929. “Gemengd Indisch Nieuws.” Het Nieuws van Den Dag Voor Nederlandsch-Indië, September 28.
Het nieuws van den dag voor Nederlandsch-Indië. 1935. “Toestand in Kroja.” Het Nieuws van Den Dag Voor Nederlandsch-Indië, December 5.
Het Vaderland. 1907. “Een Kazerne Te Tjilatjap.” Het Vaderland, March 8.
Jaelani, A. G. 2017. “Islam Dan Persoalan Higiene Di Hindia Belanda.” Jurnal Sejarah 1 (1): 82–104. https://doi.org/10.26639/js.v1i1.49.
Kurniawan, Rendy, and Rahmawati Agustia. 2021. “Transformasi Lembaga Medis Di Hindia Belanda: Potret Sejarah Kesehatan Di Indonesia Dalam Perspektif Politik (1850-1942).” Historiography: Journal of Indonesian History and Education 1 (3): 246–58. http://dx.doi.org/10.17977/um081v1i32021p246-258.
Lapian, A. B. 2016. “Kata Pengantar Edisi Pertama.” In Cilacap (1830‒1942): Bangkit Dan Runtuhnya Suatu Pelabuhan Di Jawa, edited by Susanto Zuhdi. Ombak.
Leirissa, R. Z. 2002. “Cilacap Dalam Masa Kolonial: Siklus Konjungtural.” Wacana 4 (1): 100–116.
Luwis, Syefri. 2020. Epidemi Penyakit Pes Di Malang, 1911-1916. Kendi.
Pemandangan. 1935. “Malaria Di Tjilatjap.” Pemandangan, February 13.
Rahardjo, Bahagio, Ilham Nur Utomo, Fauzan Syahru Ramadhan, and Salsa Nabila Aisya Naya. 2025. “The Variety of Entertainment in Cilacap Regency During the Dutch Colonial Period.” Proceedings of the 3rd International Conference on Culture and Sustainable Development (ICOCAS 2025), 100–107. https://doi.org/10.2991/978-2-38476-503-4_13
Regeerings Alamanak Voor Nederlandsch-Indië 1933. 1933.
Soerabaijasch Handelsblad. 1907. “Het Recente Gelaster in Zake de Koortsepidemie Op Madoera.” Soerabaijasch Handelsblad, May 27.
Stutje, K. 2025. Nusakambangan Luar Dalam: Strategi Pengendalian Versus Taktik Bertahan Hidup Dalam Penjara Pada Zaman Belanda. Tanda Baca.
Sugesti, Aprilia, and Dwi Haryatmi. 2022. “Identifikasi Spesies Plasmodium Malaria Pada Masyarakat Di Kabupaten Cilacap Provinsi Jawa Tengah.” Pharmaqueous: Jurnal Ilmiah Kefarmasian 4 (2): 14–24. https://doi.org/10.36760/jp.v4i2.301.
Sulistiyono, Singgih Tri. 2003. The Java Sea network: patterns in the development of interregional shipping and trade in the process of national economic integration in Indonesia, 1870s-1970s. Universiteit Leiden.
Sumatra-Bode. 1919. “Van Hier En Daar.” Sumatra-Bode, January 22.
Utomo, Ilham Nur, and S. Putri. 2023. “The Hinterland and Spice Route: The Role of Banyumas in the Dynamics of the Spice Trade in the Early 20th Century.” Proceedings of the International Forum on Spice Route, 507–15.
Wasino, and Endah Sri Hartatik. 2018. Metode Penelitian Sejarah: Dari Riset Hingga Penulisan. Magnum Pustaka Utama.
Wasino, Wasino, Sri Margana, Agus Supriyono, et al. 2013. Sejarah Nasionalisasi Aset-Aset BUMN: Dari Perusahaan Kolonial Menuju Perusahaan Nasional. Biro Hukum Kementrian Badan Usaha Milik Negara Republik Indonesia.
Wasino, Wasino, Endah Sri Hartatik, Fitri Amalia Shintasiwi, Nugroho Bayu Wijanarko, & Linda Oktora Putri. (2025). A historical analysis of health services in Medan and the tobacco plantation areas of East Sumatra during the Dutch colonial period. Cogent Arts & Humanities, 12 (1). https://doi.org/10.1080/23311983.2025.2482399
Zondervan, S. 2016. “Patients of the Colonial State: The Rise of a Hospital System in the Netherlands Indies, 1890-1940.” PhD Dissertation, Universiteit Maastricht.
Zuhdi, Susanto. 2016. Cilacap (1830‒1942): Bangkit Dan Runtuhnya Suatu Pelabuhan Di Jawa. Ombak.