Hostname: page-component-7bb8b95d7b-dtkg6 Total loading time: 0 Render date: 2024-10-05T19:54:13.050Z Has data issue: false hasContentIssue false
  • English
  • Français

Health System Disruption at the Primary Health Center Level Affected by Earthquake, Tsunami, and Liquefaction in 3 Districts of Central Sulawesi, Indonesia

Published online by Cambridge University Press:  28 March 2022

Mugi Wahidin Open the ORCID record for Mugi Wahidin [Opens in a new window] ,
Masdalina Pane ,
Tri Bayu Purnama ,
Siti Maemun  and
Shinichi Egawa Open the ORCID record for Shinichi Egawa [Opens in a new window]
Mugi Wahidin*
Affiliation:
National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia Universitas Esa Unggul, Jakarta, Indonesia Indonesia Epidemiological Association, Jakarta, Indonesia
Masdalina Pane
Affiliation:
National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia Indonesia Epidemiological Association, Jakarta, Indonesia Sari Mutiara University, Medan, Indonesia
Tri Bayu Purnama
Affiliation:
Indonesia Epidemiological Association, Jakarta, Indonesia Faculty of Public Health, Universitas Islam Negeri Sumatera Utara Medan, Indonesia Southeast Asian Ministers of Education Regional Centre for Food and Nutrition (SEAMEO RECFON)/Pusat Kajian Gizi Fakultas Kedokteran Universitas Indonesia, Jakarta, Indonesia
Siti Maemun
Affiliation:
Sulianti Saroso Center of Infectious Disease Hospital, Jakarta, Indonesia
Shinichi Egawa
Affiliation:
International Research Institute of Disaster Science Tohoku University, Japan
*
Corresponding author: Mugi Wahidin, Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

An earthquake followed by tsunami and liquefaction on September 28, 2018, in Central Sulawesi caused health system disruptions. This study aimed to know health system disruption at the primary health center (PHC) level due to the disaster in 3 districts (Palu, Sigi, Donggala) of Central Sulawesi.

Methods:

This was a qualitative study conducted in March 2019 involving 36 PHCs. Data were collected through interview of PHC officers using a structured questionnaire. Variables included disruption of management, budget, human resources, drug supply, Early Warning Alert and Response System (EWARS) of epidemic prone disease (EPD), human resource migration, health facility damage, and health facility access. Descriptive analysis was conducted to define disruption for a 1-y projection.

Results:

Health system disruptions in Palu affected management, budget, human resources, EWARS, health facility damage, and health access; occurred within 1-2 mo; and were projected to become better after 6 mo. Problems in Sigi were management, human resources, drug supply, EPD, and EWARS for 1 mo after disaster and were projected to be better after 2 mo. The problems in Donggala were health services access, management, human resources for 1 mo after the disaster and were projected to be normal after 2 mo.

Conclusions:

Health system disruptions occurred in Central Sulawesi Province at the PHC level within 1-2 mo and were projected to become better after 3 mo in most PHCs.

Keywords

health system disruptionearthquakestsunamiliquefactionprimary health center
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e95
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Pusdatina Prov Sulteng. Dampak Bencana Alam Gempa Bumi, Tsunami dan Likuifaksi di Wilayah Padagimo Provinsi Sulawesi Tengah [The impact of natural disasters of earthquake, tsunami, and liquefaction in Padagimo, Central Sulawesi Province]. 2019.Google Scholar
President of the Republic of Indonesia. Undang-Undang Nomor 36 tahun 2009 tentang Kesehatan [Law No 36/2009 about Health]. Jakarta; 2009.Google Scholar
President of the Republic of Indonesia. Undang-Undang Nomor 24 Tahun 2007 tentang Penanggulangan Bencana [Law No 24/2007 about Disaster Countermeasure]. Jakarta; 2007.Google Scholar
UNDRR. Sendai framework for disaster risk reduction. 2015. Accessed February 1, 2022. https://www.undrr.org/publication/sendai-framework-disaster-risk-reduction-2015-2030 Google Scholar
Rim, K. Public Health Information Services, Public Health Situation Analysis. 2018.Google Scholar
Muninjaya, AAG. Manajemen Kesehatan [Health Management]. 2nd ed. Jakarta: Penerbit Buku Kedokteran EGC; 2004.Google Scholar
President of the Republic of Indonesia. Perarutan Presiden Nomor 72 Tahun 2012. Sistem Kesehatan Nasional [Presidential Regulation No 72/2012 about National Health System]. Jakarta; 2012.Google Scholar
Jusuf, MI. Ekologi Daerah Bencana Tsunami Dengan Gangguan Kesehatan. Jurnal Sainstek. 2012;6(6). Accessed October 8, 2021. https://ejurnal.ung.ac.id/index.php/ST/article/view/1151/937 Google Scholar
Terry, G. Principle of Management. RD Irwin; 1960.Google Scholar
Fahlevi, H, Indriani, M, Oktari, RS. Is the Indonesian disaster response budget correlated with disaster risk? Jàmbá J Disaster Risk Stud. 2019;11(1):1-9.CrossRefGoogle ScholarPubMed
Paramesti, CA. Kesiapsiagaan Masyarakat Kawasan Teluk Pelabuhan Ratu terhadap Bencana Gempa Bumi dan Tsunami. J Perenc Wil dan Kota. 2011;22(2):113-128. https://doi.org/10.5614/jpwk.2011.22.2.3 Google Scholar
Widayatun, W, Fatoni, Z. Peran Petugas Kesehatan Dan Partisipasi Masyarakat. J Kependud Indones. 2013;8(1). Accessed March 22, 2022. https://ejurnal.kependudukan.lipi.go.id/index.php/jki/article/view/21 Google Scholar
Dunlap, E, Graves, J, Benoit, E. Stages of drug market change during disaster: Hurricane Katrina and reformulation of the New Orleans drug market. Int J Drug Policy. 2012;23(6):473-480.CrossRefGoogle ScholarPubMed
Ministry of Health, Republic of Indonesia. Pedoman Sistem Kewaspadaan Dini dan Respon [Early Warning and Response System Guidelines]. 2012.Google Scholar
Sever, MS, Lameire, N, Van Biesen, W, et al. Disaster nephrology: a new concept for an old problem. Clin Kidney J. 2015;8(April):300-309.CrossRefGoogle ScholarPubMed
Murakami, A, Sasaki, H, Pascapurnama, DN, et al. Noncommunicable diseases after the great East Japan earthquake: systematic reviews, 2011-2016. Disaster Med Public Health Prep. 2018;12(3):396-407.CrossRefGoogle ScholarPubMed
Suda, T, Murakami, A, Nakamura, Y, et al. Medical needs in minamisanriku town after the great east Japan earthquake. Tohoku J Exp Med. 2019;248(2):73-86.CrossRefGoogle ScholarPubMed
Meissner, A, Luckenbach, T, Risse, T, et al. Design challenges for an integrated disaster management communication and information system. 2002. Accessed February 3, 2022. https://www.researchgate.net/publication/2524432_Design_Challenges_for_an_Integrated_Disaster_Management_Communication_and_Information_System Google Scholar
Priyanto, MA. Promosi Kesehatan pada Situasi Emergensi [Health promotion in emergency situations]. 2014. Accessed March 22, 2022. https://bencana-kesehatan.net/images/regional/tt_5/bacaan/promkes_pd_situasi_emergensi.pdf.Google Scholar
Ministry of Health, Republic of Indonesia. Peraturan Menteri Kesehatan Nomor 64 Tahun 2013 tentang Penanggulangan Krisis Kesehatan [Ministry of Health Decree No 63/2013 about Health Crisis Management]. 2013.Google Scholar
Okumura, T, Suzuki, K, Fukuda, A, et al. The Tokyo Subway Sarin Attack: disaster management, part 2: hospital response. Acad Emerg Med. 1998;5(6):618-624.CrossRefGoogle ScholarPubMed
Egawa, S, Murakami, A, Sasaki, H. Healthy Community Resilient against Disaster. In: Santiago-Fandino, V, Sato, S, Iuchi, K, eds. The 2011 Japan Earthquake and Tsunami: Reconstruction and Restoration. Insights and Assessment after 5 Years. Springer; 2017:139-152.Google Scholar
Sinaga, SN. Peran petugas kesehatan dalam manajemen penanganan bencana alam. Jurnal Ilmiah Integritas. 2015;1(1). Accessed October 8, 2021. https://www.jurnalmudiraindure.com/wp-content/uploads/2016/03/PERAN-PETUGAS-KESEHATAN-DALAM-MANAJEMEN-PENANGANAN-BENCANA-ALAM.pdf Google Scholar
Iwata, O, Oki, T, Ishiki, A, et al. Lessons from the field Infection surveillance after a natural disaster: lessons learnt from the Great East Japan Earthquake of 2011. Bull World Health Organ. 2013;91:784-789.CrossRefGoogle Scholar
Kuroda, H. Health care response to the tsunami in Taro District, Miyako City, Iwate Prefecture. Western Pac Surveill Reponse J. 2011;2(4):17-24.Google Scholar
Supplementary material: File

Wahidin et al. supplementary material

Wahidin et al. supplementary material

Download Wahidin et al. supplementary material(File)
File 19.2 KB