KOORDINASI PELAYANAN KESEHATAN PENGUNGSI BENCANA GUNUNG MERAPI

Abstract

Background: The eruption of Mount Merapi in Yogyakarta
has caused dangerous impact to the people’s health. It is important
to provide a good health care services during emergency
response. Maguwoharjo is a shelter with the largest
number of refugees, but health care staff are not well distributed.
The coordination on health care service is important to
overcome the health problems during emergency response.
Aim: To describe effetiveness of coordination of care provided
for the refugees.
Methods: This was a qualitative study using in-depth interviews
method to collect data. The informants were representatives
from Yogyakarta provincial health office, Sleman district
health office, primary health care center of Depok, Non
Government Office/NGO, and former refugees. To ensure the
validity of data, triangulation was carried out.
Results: The coordination of health care service to refugees
is studied from its communication and organization. The communication
was done by regular meetings in the morning and
in the afternoon involving shelter’s coordinator, volunteer’s
coordinator, and representative from both provincial and district
health office. Not only by the regular meeting, but also by
using SMS gateway and skype (internet-based). There was
also a hierarchial structure to organize all health care staff
and their responsibilities during emergency response. Until
end of the evacuation, there was no outbreaks, incidence of
disease was decreased, and infectious diseases were controlled.
However, health care personels and adequate facilities
were lacking, and standard operating procedure to provide
good health services to refugees was not available.
Conclusion: The coordination of health services for refugees
during the emergency was effective but still needs to
improve information and use of SOP.
Keywords: effectiveness, coordination, health care, refugees