[O2-17]
Health System Disruption at Primary Health Center Level Affected by Earthquake, Tsunami, and Liquifaction in Three Districts of Central Sulawesi, Indonesia

[O2-17-01] Health System Disruption at Primary Health Center Level Affected by Earthquake, Tsunami, and Liquifaction inThree Districts of Central Sulawesi, Indonesia

*Mugi Wahidin^1,2,3, Masdalina Pane^1,4,3, Tri Bayu Purnama⁵, Siti Maemun⁶ (1. NIHRD, Ministry of Health, Indonesia, 2. University of Esa Unggul, Jakarta, Indonesia, 3. Indonesia Epidemiological Association, 4. Sari Mutiara Indonesia University, Medan, Indonesia, 5. Islamic State University, North Sumatera, Indonesia , 6. Sulianti Saroso Center of Infectious Disease Hospital, Jakarta, Indonesia)

Keywords:health system disruption, earthquake, tsunami, liquifaction, primary health center

Indonesia is the country which has many natural disasters lately. One of the biggest disaters occured on 28 September 2018, an eartquake followed by tsunami and liquifaction. These disasters caused serious damage, inlcuding health system and facilities, especiallly primary health centers (PHC). This study aimed to know health disruption at primary health center level due to the disaster. This was a qualitative study conducted in March 2019 involving 36 PHCs of three district (Palu, Sigi, Donggala) in Central Sulawesi province. Data collected through interview to PHC officers using questionaire adopted from Public Health Situation Analysis, WHO. Variables to be analyzed were disruption on management, budget, human resources, drug supply, Early Warning Alert and Respons System (EWARS) of epidemic prone disease (EPD), human resource migration, health facility damage, and health facility access.These variable catagorised to red, orange, yellow, and green related to functionality and access to health care. Red means it was majority non functional and non accesable, orange means minor substantial non functional and non accessable, yellow means small non functional, and green means majority fungtional and accessable. The disruption was also projected for 1 upcoming year after disaster. Result of the study showed that the health system disruption occured in Palu District was management, budget, human resources, EPD EWARS, health facility damage, and health access. These occured within 1-2 month and projected become better after 6 months. Problems in Sigi District were management, human resources, drug supply, and EPD EWARS for 1 month after disaster and projected to be better after 2 months. Meanwhile, the problem in Donggala District were health services access, management, human resources for 1 month after disaster, and projected to be normal after 2 months.