PPAM Kesehatan Reproduksi

Summary

This video discusses Indonesia's vulnerability to natural disasters, including earthquakes, volcanic eruptions, and tsunamis, due to its location on the Pacific Ring of Fire. It highlights the importance of reproductive health services during crises, focusing on the needs of women, children, and vulnerable populations. The video emphasizes a program called the Minimum Initial Service Package (MISP) for reproductive health, which provides essential services before and during emergencies. It covers prevention and response to gender-based violence, HIV, maternal health, contraception, and services for vulnerable groups like children and the elderly, ensuring a comprehensive approach to disaster response.

Takeaways

• 😀 Indonesia is highly vulnerable to natural disasters like earthquakes, volcanic eruptions, and tsunamis due to its location on the Ring of Fire and the convergence of three tectonic plates.
• 😀 97% of Indonesia's population resides in disaster-prone areas, making them highly vulnerable to natural calamities.
• 😀 Social and human behavior factors, such as conflicts and irresponsible actions, exacerbate the effects of disasters.
• 😀 Disasters create a state of emergency where people rush to evacuation points, but safety is not guaranteed in shelters, where dangers still persist.
• 😀 Women, children, and adolescents are disproportionately affected during crises, with 75% of the impacted population consisting of these vulnerable groups.
• 😀 Pregnant women are particularly at risk, with 4% of the affected population being expectant mothers, 15-20% of whom face complications during childbirth.
• 😀 25% of the affected population are women of reproductive age, making them susceptible to gender-based violence, including sexual assault.
• 😀 Children and adolescents separated from their parents are at higher risk of human trafficking, sexual abuse, and exploitation.
• 😀 People who depend on medications, such as those living with HIV/AIDS, face additional challenges in accessing care during emergencies.
• 😀 A minimum package of reproductive health services (TMCL) is designed to address health crises during disasters, including preventing and managing sexual violence, ensuring access to contraception, and supporting maternal and neonatal health.

Q & A

Why is Indonesia particularly vulnerable to natural disasters?

Indonesia is located between the convergence of three tectonic plates and above the Ring of Fire, making it highly susceptible to earthquakes, volcanic eruptions, and tsunamis.

What percentage of Indonesia's population lives in disaster-prone areas?

Approximately 97% of Indonesia's population lives in areas vulnerable to natural disasters.

How do social factors exacerbate the impact of natural disasters in Indonesia?

Social factors such as conflicts and irresponsible human behavior can worsen the impact of disasters, leading to more harm and complications, especially during emergencies.

What are some of the vulnerable groups during a disaster in Indonesia?

Vulnerable groups include women, children, pregnant women, people living with HIV/AIDS, and individuals with disabilities.

What is the 'Minimum Initial Service Package for Reproductive Health' (MISP)?

MISP is a set of services and programs designed to address reproductive health needs during humanitarian emergencies, ensuring the health and safety of vulnerable populations.

What are the key components of MISP during a disaster?

The key components of MISP include coordination and supply chain management, prevention of and response to sexual violence, HIV and STI prevention, maternal and neonatal health care, contraception services, involvement of adolescents, services for children and the elderly, and the integration of health services post-crisis.

How does MISP address sexual violence during a disaster?

MISP ensures the prevention and proper response to sexual violence by providing secure facilities, proper lighting, and emergency services, with a focus on protecting women and children.

Why is preventing HIV and STI transmission particularly important during disasters?

Disasters often create conditions that facilitate the spread of HIV and STIs, so MISP works to reduce transmission by offering prophylaxis and ensuring continuity of ARV treatment.

What measures are taken to reduce maternal and neonatal deaths during a disaster?

MISP ensures that facilities for safe delivery and emergency care are available for pregnant women, aiming to prevent complications and maternal and neonatal deaths.

What role do contraception services play during a disaster under MISP?

Contraception services are crucial in preventing unwanted pregnancies during a disaster, ensuring that women have access to family planning options even in emergency situations.

How does MISP involve adolescents in reproductive health programs during a disaster?

MISP engages adolescents by providing them with reproductive health information, ensuring access to services, and involving them in disaster response efforts, thereby empowering them to make informed decisions.

What additional health services are provided for children and the elderly during a disaster under MISP?

For children, MISP focuses on preventing disease, ensuring psychological support, and monitoring their growth and development. For the elderly, MISP ensures access to both general and reproductive health services, along with essential psychological support.