The Industrialization of Medicinal Plants in Indonesia
The Industrialization of Medicinal Plants in Indonesia
The Industrialization of Medicinal Plants in Indonesia
22410
https://doi.org/10.18697/ajfand.120.22410 23285
ABSTRACT
This article reviews the use of medicinal plants in Indonesia, the development of
the medicinal plant industry, and its role in the process of industrializing medicinal
plants. The review was carried out using the Preferred Reporting Items for
Systematic Review and Meta-Analysis Protocols (PRISMA-P) method by including
the criteria for original articles and reports. Searches were done on Google
Scholar, Proquest, Pubmed, Science Direct, and Springer websites. The key words
employed for the search included economic development, industrialization, leading
sectors, medicinal plants, and modernization. The inclusion and exclusion criteria
was based on duplication, redundancy, method and quality of the article. In the
search results of the selected article database, 71 out of 300 articles and reports
were included in the criteria. According to the findings of this systematic review, the
industrialization of medicinal plants represents an opportunity to alter regional and
national economic structures. Industrialization of medicinal plants is a process of
modernizing medicinal plant commodities which aims to increase the added value
of all economic sectors with the manufacturing sector which are interrelated. The
industrialization of medicinal plants is marked by the development and
improvement of superior medicinal plant commodities as the leading sector of the
regional and national economy. Industrialization of superior medicinal plant
commodities can change the economic structure by increasing the contribution of
the industrial sector to consumer demand, increasing Gross Domestic Product
(GDP), increasing export value and availability of employment opportunities as well
as increasing long-term economic development and increasing income per capita,
to ensure equal distribution of welfare for farmers and the community.
Industrialization of medicinal plants can increase the added value of medicinal
plant commodities, increase consumer demand, increase the value of GDP,
increase the value of exports and employment, increase the potential for domestic
and foreign demand, encourage the development of the domestic and foreign
industrial sectors, expand employment opportunities, reduce dependence on
imports, and increase the country’s foreign exchange. Economic development
oriented toward the medicinal plant industry is the right industrialization strategy for
Indonesia.
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INTRODUCTION
Indonesia is a country that utilizes medicinal plants as ingredients and its use has
increased in recent years. An increase in the use of traditional household health
services was reported from 2013–2018, from 30.1%-44.2% [6]. This increase in
demand for traditional medicines is in line with the growth of industries that provide
added value to the value of medicinal plant commodities in Indonesia. These
include the Pharmaceutical Industry (PI), the Traditional Medicine Industry (TMI),
and the Traditional Medicine Small Business (TMSB). These industries have
started to spread in all provinces in Indonesia. In the development of the industrial
revolution, the production sector and the manufacturing industry (pharmaceutical
manufacturing industry, technology development manufacturing industry,
innovation, production specialization, and trade between countries) played a very
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important role in increasing production output and improving the national economy
[7]. Based on the report of the Indonesian Central Statistics Agency (CSA) [8], the
increase in the national economy from the traditional medicine industry sector and
the growth of the manufacturing industry (pharmaceuticals, pharmacology, and
traditional medicine) were able to increase the growth in the value of the national
gross domestic product (GDP) and economic growth by 7.85% and 3%,
respectively. The traditional medicine industry also experienced an increase in
growth going from 4.46% in 2018 to 9.03% in 2019 and again increasing to 9.39%
(YoY) in 2020. The growth of this industrial group is the highest among industries
[9].
Although the agricultural industry has been able to increase the value of GDP and
economic growth, this has not been in line with efforts to distribute public welfare.
The Ministry of National Development Planning of Indonesia reports that the level
of welfare of farmers in the horticulture sub-sector is not evenly distributed [8]. This
can be seen from the regional farmers' exchange rates (FER) in some areas,
which are still below one hundred (<100). In addition, the development of the
medicinal plant industry in Indonesia also tends to be slower than in other countries
[6]. Indonesia is reportedly still having problems in supplying quality raw materials
to be able to compete in the international domestic market. Also, Indonesia was
reported to be facing challenges in overcoming weaknesses in infrastructure,
operations, and manufacturing regulations [8]. Industrialization must be able to
bring higher output potential, increase manufacturing safety, improve quality value,
use technological innovation, provide additional flexibility, and create economic
value for the country [9]. However, with the growth and development of medicinal
plants and the pharmaceutical industry, it is expected to be able to support efforts
to distribute welfare by increasing the value of regional FER. This article was
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aimed at examining the use of medicinal plants in Indonesia, including industrial
development and its role in the process of industrializing medicinal plants.
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Identification of studies via databases and registers
Medicinal plants
According to the World Health Organization (WHO), medicinal plants are any plant
that, in one or more of its organs, contains substances that can be used for
therapeutic purposes or are precursors for the synthesis of useful drugs [11].
Medicinal plants are plants that include: (a) plants or plant parts used as medicine
in galenic preparations (including decoction and infusion), (b) plants used for the
extraction of pure substances either for direct medicinal use or for the semi-
synthesis of compound drugs, (c) food plants, spices, and fragrances used as
medicine, (d) microscopic plants used for the isolation of drugs, especially
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antibiotics, and (e) plant fibers used for the preparation of surgical materials [12].
According to the Ministry of Health of Indonesia No. 149 of 1978, medicinal plants
are (a) plants or parts of plants used as ingredients for traditional medicine or
herbal medicine, (b) plants or plant parts used as starting ingredients for medicinal
raw materials and (c) plants or plant parts extracted and the plant extracts used as
medicine [13].
The National Medicine Plants Board predicts that the opportunity for world
demand/ consumption of medicinal plants will continue to increase [19]. The
investment growth factor and the world's medicinal plant user industry, as
evidenced by the increased distribution of pharmaceutical, cosmetic, processed
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food and beverage products, and bio-pesticides, will drive up global demand for
medicinal plants. According to Siregar et al. [20], traditional medicine is becoming
more and more expensive and unaffordable. The trend of healthy lifestyles is
increasingly popular, causing people in developing countries to be more inclined to
switch to herbal medicine.
In addition to being used as the main medicinal ingredient, medicinal plants are
also widely consumed in the form of supplements [33]. The supplement industry on
the global market is expected to continue to grow significantly. According to
Nutraceuticals World, transactions in the supplements and remedies market
reached USD 107 billion in 2017, with Europe having the highest demand [21].
Several factors contribute to the increase in demand for supplements, including the
need for supplements as functional foods, public trust in consuming herbal
medicines as a preventive measure, and the release of current good manufacturing
practices (CGMP) standards for supplement products. Apart from being used as
medicinal ingredients and supplements, medicinal plants are also used in the food
industry. These include complementary ingredients in cooking and as the main
flavour in several food products, such as bread, cakes, biscuits, and alcoholic
beverages [22].
According to reports, medicinal plants have been utilized all over the world,
specifically in developed and developing nations. Up to this point, about 80% of the
population in developing countries has used medicines made from medicinal plants
for their health needs [23]. Ullah et al. [24] reported that Saudi Arabia utilizes 96
species of medicinal plants from 47 families for pharmacological needs. China and
India trade 7,000 species and 700,000 tonnes of medicinal plants annually, and
Morocco is reported to export 58.7 tonnes of medicinal plants annually. In addition,
Sofowory et al. [12] claimed that the annual global commerce in herbal medicines
exceeds USD100 billion, with trade in medicinal plants accounting for around
USD2-5 billion in India and China. Over USD1 billion was estimated in Germany. It
was also reported that in the last 5 years, sales of medicinal plants have doubled in
China, tripled in India, and grown by 25% in continental Europe [25]. Brazil,
through its regulations, is also reported to have developed phytotherapy through
two important policies, namely the National Policy on Medicinal Plants and Herbal
Medicines and the National Policy on Integrative and Complementary Practices
[26].
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world. The WHO estimates that the demand for medicinal plants will increase to
USD 5 trillion by 2050 [27]. Indonesia, as a developing country that has the largest
diversity of medicinal plant species in the world, must be able to improve the
quality of medicinal plant commodities and products to be able to meet both local
and foreign demands [15]. Improving the quality of medicinal plants can be done by
increasing the added value of medicinal plant commodities. The increase in added
value in medicinal plant commodities has the potential to support increased
welfare, especially for medicinal plant farmers [28].
Astutik et al. [29] reported that there are several obstacles in the production system
of medicinal plants in Indonesia. These obstacles are reported to have occurred
due to several dynamics, including a shift in the way of providing commodities, and
the potential of medicinal plants as ingredients for traditional and modern medicine.
Furthermore, support for livelihoods, multi-scale institutional knowledge (formal and
informal) that is still fragmented, and a lack of studies on strategies to
commercialize medicinal plants, boom-bust cycles, and law enforcement have also
been cited. In addition, Salim and Munadi [8] opined that Indonesia has low seed
availability and quality. Sources of natural medicinal ingredients in Indonesia are
mostly the result of the direct exploitation of wild plants, forests, and yards that
have not been cultivated in a planned and integrated manner. Due to farmers' and
collectors' inability and lack of knowledge in properly processing and managing
medicinal plants, the quality of Indonesian medicinal plants is also considered low.
To balance the potential for regional and international needs, it is necessary to
increase the added value of medicinal plant commodities. Changes in the
economic system and structure of medicinal plant commodities are required to
transition from an agricultural to an industrial basis [29].
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In the agro-industrial sector, especially the medicinal plant industry, farmers'
prosperity, and commodity development can be realized through industrial
development, both in the primary sector (providers of raw materials) and the
secondary sector (manufacturing industry) [7]. The Central Bureau of Statistics of
the Republic of Indonesia reported that in the last five years, the manufacturing
and agricultural sectors were the sectors that had the largest share of GDP with a
fluctuating value (Table 1) [31]. The relationship between the agricultural and
industrial sectors is indicated by the number of industries operating in the agro-
industrial sub-sector. Based on CSA data [31], it is known that in 2020, the non-oil
and gas industry had the largest contribution to GDP, which was 52.94%. From this
value, the primary and secondary sectors were able to absorb up to 29.76% of
workers (Table 2).
Based on the contribution of the non-oil and gas industry, 7.28% was reported to
be contributed by the chemical, pharmaceutical and traditional medicine industries.
The three industries are industries that rely on the agricultural sector, especially
medicinal plants, as their raw materials. It was also reported that, from the
contributions of the agricultural and manufacturing sectors, 0.10% of the labour
absorption was by the medicinal plant industry. These data indicate that the
agricultural sector and the industrial sector, especially medicinal plants, have a
major role in Indonesia's economic development [31].
The medicinal plant industry is a sector that has the potential to generate added
value, especially with the shift in the structure of the economy from agriculture-
based to industrial-based [8]. The role of the medicinal plant industry and
agriculture-based development can encourage economic growth and improve the
welfare of the community (especially horticultural farmers) in the form of equitable
distribution of community income and encourage development welfare [7]. The
added value of a commodity is obtained from the variety of medicinal plant
products produced, the availability and use of modern technology, and capital to
generate maximum profit. The progress of the medicinal plant industry sector is
one of the triggers for economic stability to spur regional economic growth, create
jobs, and support the people's economy [32].
The development of the medicinal plant industry can be seen in the use and
provision of commodities with added value. In Indonesia, the use of medicinal
plants is not only carried out by individuals but also by the PI, the TMI, and the
STMB [7]. Although the existence of the medicinal plant industry in Indonesia is
reported to be uneven, it can be seen that the island of Java is the island with the
largest number of medicinal plant industries in Indonesia (Table 1).
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Based on the types of products that can be produced, the medicinal plant industry
consists of 5 types, namely TMI, Natural Ingredients Extract Industry (NIEI), STMB,
Traditional Medicine Micro Business (TMMB), and Herbal Medicine Business [8].
The traditional medicine industry is capable of producing all types of traditional
medicine dosage forms. There are 227 PIs, 135 TMIs, and 1,710 STMBs and
TMMBs that have been established and are operating in Indonesia. All of them are
managed by the private sector [7]. The Food and Drug Supervisory Agency [FDSA]
of Indonesia stipulated that all products of the traditional medicine industry
circulating in Indonesia are reported to have had a distribution permit/registration
with the FDSA [33]. More than 10,000 medicinal plant products (herbs) are
registered with the FDSA, including 32 standard herbal medicinal products and 5
phytopharmaceutical products.
To support the development of the medicinal plant industry, the government has
issued Policy No. 31/MENKES/SK/III/2007 concerning the use of medicinal plants
as traditional medicines. The policy is contained in the National Traditional
Medicine Policy (KOSTRANAS) [34]. However, this policy has not been
implemented in a way that promotes the growth of medicinal plants. Traditional
medicine policies have not been implemented by conceptualized programs and
clear budget allocations, both for the health sector and other sectors, according to
Siahaan and Aryastami [35]. They also claimed that there has been a lack of clear
and integrated coordination between related sectors regarding programs for the
development of medicinal plants.
Salim and Munadi [8], also reported that Indonesia does not yet have a maximum
primary sector. Additionally, the market has not been adequately absorbed,
technology utilization has not been maximized, and a lack of guidance and training
for farmers. There has been a lack of market absorption, a lack of scientific
research in product and market development efforts, and little funding for
agribusiness development [8]. The development of the medicinal plant industry
sector in economic development is reported to have not been able to accelerate
economic growth and people's incomes, especially farmers of medicinal plant
commodities [7]. The industrial sector is the leading sector in economic
development, so there is a need for industrialization in the use of medicinal plants.
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numerous industries in various sectors supports Indonesia's development efforts
[35]. According to Radianto [7], a nation can be said to have undergone
industrialization when it reaches the point where the industrial sector dominates the
economy. Industrialization is a structural transformation in a country. Therefore, the
industrialization process can be defined as a process of changing the economic
structure where there is an increase in the contribution of the industrial sector to
consumer demand, GDP, exports, and employment opportunities [36].
The agricultural sector is reported to have a close relationship with the industrial
sector. Agro-industry-oriented economic development is the right industrialization
strategy for Indonesia. Most of Indonesia's resources are in the agricultural sector,
and the majority of its people still rely heavily on it [32]. Radianto [7] stated that the
agricultural-based processing industry is a sector that will encourage high national
economic growth, especially small and medium-scale agro-industry. The
agroindustry is a leading sector for Indonesia's economic development. It is
reported that each country has a different process of industrialization. The
industrialization process is a logical stage in the process of changing the economic
structure, which is marked by an increase in the contribution of the manufacturing
industry sector, employment opportunities, as well as total production and exports
[7].
The ability to process raw materials into finished products is an impediment to the
development of Indonesia's agro-industry. It is reported that some medicinal plant
commodities exported by Indonesia are raw materials with a processing retention
index of 71-75% [36]. Exports of Indonesian medicinal plant materials are reported
to have not been able to penetrate the regulations on the quality of export
commodities in destination countries [8]. In Indonesia, processed agricultural
products account for 25-29% of total exports. This condition will reduce the added
value obtained from the export of these products, especially in the industrialization
of medicinal plants nationally and internationally. If the primary and secondary
sectors have helped to boost the GDP, create more jobs, and distribute income
fairly in a region, that area is said to be industrialized. By planning and developing
a suitable environment for production, processing, and marketing, the
industrialization of medicinal plants can develop in the long term [37].
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and capital are needed to increase scientific studies and knowledge of medicinal
plant pharmacology. The role of research institutions in assessing the bioactive
content of medicinal plants is needed to support information that can be used in
pharmacology [6]. Multidisciplinary studies on the potential and optimization of
existing resources are needed to improve regional/global networks, human
resources, infrastructure, exchange of expertise, capacity building, and
government policies [37].
CONCLUSION
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economies, particularly small and medium-scale agro-industry, by encouraging
economic growth and improving welfare, particularly for farmers and communities,
through income distribution and development welfare. Agro-industry-oriented
economic development is the right industrialization strategy for Indonesia.
AUTHORS’ CONTRIBUTIONS
All authors contributed to the sourcing of articles and the writing of the manuscript.
CONFLICT OF INTEREST
All authors declare that there is no conflict of interest in the publication of this
article.
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Table 1: Indonesia's Share of GDP from the Manufacturing and Agricultural
Sectors for Five Years
GDP Share Value (%)
Sectors Playing a
Second Quarter
Role in GDP pangsa 2017 2018 2019 2020
of 2021
Manufacturing sector 13.6 12.81 12.71 13.70 19.29
Agriculture Sector 20.16 19.86 19.71 19.88 14.27
(Pharmaceutical and
Medicinal Plants
Source: CSA [31]
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Table 3: The Number of Growing Medicinal Plant Industries in Indonesia
Years Island PI TMI TMSB
2016 Sumatera 6 1 45
Jawa 204 109 721
Kalimantan 0 1 20
Sulawesi 0 1 42
Papua 0 0 0
2017 Sumatera 6 2 316
Jawa 220 129 2645
Kalimantan 0 2 127
Sulawesi 0 2 97
Papua 0 0 0
2018 Sumatera 6 2 128
Jawa 221 129 1760
Kalimantan 0 2 16
Sulawesi 0 2 72
Papua 0 0 0
2019 Sumatera 6 2 147
Jawa 219 131 1724
Kalimantan 0 2 16
Sulawesi 0 2 68
Papua 0 0 0
2020 Sumatera 6 2 143
Jawa 224 138 1720
Kalimantan 0 2 16
Sulawesi 0 2 70
Papua 0 0 0
PI: Pharmaceutical Industry; TMI: Traditional Medicine Industry; TMSB: Traditional Medicine Small Business;
Source: Indonesia Health Profile [7]
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