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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: wahids.wgn@gmail.com
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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.

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