Penanggulangan Krisis Kesehatan Akibat Bencana - Mental Health Week 2023

Summary

This presentation discusses Indonesia's health crisis management and the transformation of its healthcare system in response to disasters. It highlights the importance of building resilience, improving healthcare capacity, and enhancing disaster preparedness through collaboration with local communities and various sectors. The speaker emphasizes the need for effective psychosocial support during and after disasters, focusing on mental health and community-based care. The transformation aims to ensure that healthcare systems can manage health crises efficiently, reduce mortality, and promote long-term recovery.

Takeaways

• 😀 The health system in Indonesia faces challenges due to its vulnerability to disasters, requiring transformation for resilience.
• 😀 The country's health system needs to be strengthened in the face of disasters and pandemics, such as COVID-19, to improve emergency response and resource mobilization.
• 😀 Six pillars of health system transformation are outlined, focusing on primary services, referral services, health resilience, workforce development, and organizational reforms within the Ministry of Health.
• 😀 Health disaster management involves improving self-reliance in the production of vaccines, medicines, and medical equipment, while strengthening emergency response capabilities.
• 😀 The Ministry of Health collaborates with multiple sectors, including academia, the media, and businesses, to enhance the health system's disaster preparedness.
• 😀 The crisis management system is organized into phases: pre-crisis, emergency response, and post-crisis, focusing on risk reduction and preparing for disaster-related health crises.
• 😀 Health disaster preparedness includes mitigating risks, improving community health, increasing resource capacity, and preparing for emergency response.
• 😀 Strengthening public health infrastructure and disaster response capabilities is essential for managing health crises during disasters.
• 😀 Psychological support and mental health care are crucial components of disaster health management, with community and family support being the most impactful.
• 😀 A system for identifying and mobilizing health professionals as part of emergency response teams is being developed, including training local health workers for sustainable mental health support during crises.

Q & A

What is the main reason Indonesia is focusing on transforming its health system?

Indonesia is highly prone to disasters, and past events such as COVID-19 revealed that the health system was not resilient enough to handle sudden surges, resource mobilization challenges, and emergency response demands.

What key weakness in the health system was exposed during the COVID-19 pandemic?

The pandemic showed difficulties in handling case surges, mobilizing healthcare workers, preparing facilities and laboratories, and securing adequate health financing.

How many pillars are included in the health system transformation, and what do they broadly cover?

There are six pillars covering primary care, referral services, health resilience, financing, human resources, and internal organizational transformation.

Which transformation pillar specifically addresses disaster and crisis health management?

The third pillar, health resilience transformation, focuses on strengthening pharmaceutical and medical equipment independence and improving emergency response capacity.

What is meant by a 'health crisis' in the context of disasters?

A health crisis occurs when disaster-related health impacts exceed a region’s normal capacity to respond and require external assistance to manage effectively.

What are the main goals during a health crisis response?

The primary goals are to reduce mortality, prevent disability, and ensure essential health services continue at minimum standards.

Why is pre-disaster preparation considered critical in crisis management?

Preparation reduces risks by lowering hazards, strengthening community health resilience, improving infrastructure, and ensuring systems and resources are ready before emergencies occur.

What role does the community play in health crisis management?

Communities are positioned as active participants rather than passive victims, helping identify risks, support preparedness, and contribute to response efforts.

How is disaster health management organized structurally?

It is organized through a cluster system where the Ministry of Health coordinates the health cluster and collaborates with agencies such as the national disaster authority and other sectors.

What happens to the health cluster system during a disaster emergency?

It shifts from a coordination role during preparedness to a command role within the Health Emergency Operations Center during emergencies.

Why is psychosocial support important after disasters?

Disasters commonly cause psychological and social stress, and support is needed to protect well-being, prevent mental disorders, and assist recovery.

Who provides the largest contribution to psychosocial recovery according to guidelines?

Community members and families provide the largest contribution, while only a smaller proportion of people require specialized mental health services.

What lesson was learned from the social conflict response mentioned in the script?

Many survivors experienced psychosocial issues, and effective support required door-to-door assistance and training local health workers so support could continue long term.

What is the purpose of the health reserve workforce program?

It creates a database of trained personnel who can be quickly mobilized from nearby areas during emergencies to strengthen response capacity.

Why is international certification of emergency medical teams important?

Certification allows teams to be more easily deployed internationally and ensures they meet global standards for emergency medical response.