TY - JOUR
T1 - Primary Health Centre disaster preparedness after the earthquake in Padang Pariaman, West Sumatra, Indonesia
AU - Fuady, Ahmad
AU - Pakasi, Trevino Aristarkus
AU - Mansyur, Muchtaruddin
N1 - Funding Information:
We thank Erlaini, Nuri Purwito Adi, Ferial Idris, Hervita Diatri, Bernie, and Suryo Dharmono for their contribution to the data gathering. We would also like to thank to all of the head of PHCs in Padang Pariaman district for their cooperation, Lazuardi from Padang Pariaman District Health Office for his assistance during the study, Ratna Sitompul as the dean of Faculty of Medicine, Universitas Indonesia, and Ari Fahrial Syam as the coordinator of disaster of FMUI. We also thank to Dr. Sue Casson and Marzuki who had made correction for the English. This research was funded and supported by the Faculty of Medicine, Universitas Indonesia.
PY - 2011
Y1 - 2011
N2 - Background: The West Sumatra earthquake that occurred on September 30, 2009, caused severe damage in some districts, including Padang Pariaman. As Padang Pariaman is an earthquake-prone area, disaster and emergency management is necessary. Due to the limited health facilities, the health services completely rely on Puskesmas (Primary Health Centres, PHCs). This study is aimed at assessing the preparedness of PHCs to response to potential disasters in their surrounding area. Findings. Padang Pariaman district was used in a case study setting to assess the readiness and preparedness of the PHCs there to face disasters. Self-administered questionnaire, key informant interview, and direct observation were used to obtain the data on human resources, facilities preparedness, and the procedures. The investigation focused on measuring four aspects, i.e. human resources, facilities preparedness, standard operating procedure (SOP), and policy. Due to the limited co-operation of the head of the PHCs, three PHCs were directly observed as a subsample. The evaluation was performed six months after the impact phase of the earthquake and three months after the PHCs' health staff training on improving the primary health care services. The number and quality of health staff in Padang Pariaman was far below ideal. Fewer than half of the PHCs had emergency facilities and only one considered the need for triage and fire management, whereas the transportation mode was still limited. An SOP and policy for facing disasters were not available in any of the PHCs. Therefore, promoting disaster preparedness, technical provision, including health staff training, is necessary. Conclusions: Padang Pariaman district has not yet prepared its PHCs to face disaster, so it is apparent that PHCs' disaster preparedness in Padang Pariaman and also other earthquake-prone areas in Indonesia should be promoted. This should include increasing the number of doctors, providing training for health staff, and developing a comprehensive approach as well as coordination among government, hospitals, PHCs, and NGO's for disaster preparedness.
AB - Background: The West Sumatra earthquake that occurred on September 30, 2009, caused severe damage in some districts, including Padang Pariaman. As Padang Pariaman is an earthquake-prone area, disaster and emergency management is necessary. Due to the limited health facilities, the health services completely rely on Puskesmas (Primary Health Centres, PHCs). This study is aimed at assessing the preparedness of PHCs to response to potential disasters in their surrounding area. Findings. Padang Pariaman district was used in a case study setting to assess the readiness and preparedness of the PHCs there to face disasters. Self-administered questionnaire, key informant interview, and direct observation were used to obtain the data on human resources, facilities preparedness, and the procedures. The investigation focused on measuring four aspects, i.e. human resources, facilities preparedness, standard operating procedure (SOP), and policy. Due to the limited co-operation of the head of the PHCs, three PHCs were directly observed as a subsample. The evaluation was performed six months after the impact phase of the earthquake and three months after the PHCs' health staff training on improving the primary health care services. The number and quality of health staff in Padang Pariaman was far below ideal. Fewer than half of the PHCs had emergency facilities and only one considered the need for triage and fire management, whereas the transportation mode was still limited. An SOP and policy for facing disasters were not available in any of the PHCs. Therefore, promoting disaster preparedness, technical provision, including health staff training, is necessary. Conclusions: Padang Pariaman district has not yet prepared its PHCs to face disaster, so it is apparent that PHCs' disaster preparedness in Padang Pariaman and also other earthquake-prone areas in Indonesia should be promoted. This should include increasing the number of doctors, providing training for health staff, and developing a comprehensive approach as well as coordination among government, hospitals, PHCs, and NGO's for disaster preparedness.
UR - http://www.scopus.com/inward/record.url?scp=79953106574&partnerID=8YFLogxK
U2 - 10.1186/1756-0500-4-81
DO - 10.1186/1756-0500-4-81
M3 - Article
C2 - 21435271
AN - SCOPUS:79953106574
SN - 1756-0500
VL - 4
JO - BMC Research Notes
JF - BMC Research Notes
M1 - 81
ER -