Management of Health Crisis in Indonesia, 2016

Health crisis is an event/series of events that threaten the health of individuals or communities caused by disasters and/or potentially disasters. Researches on health crisis as scientific source in disaster policy making in Indonesia is still very limited. The description of health crises events of including victims, displacement and damage to health facilities and support for health crisis response in the form of emergency response along with the initial recovery by the Ministry of Health in 2016 were the aims of this study. This study was a qualitative study, using literature review method, reference/electronic information tracking such as through Health Crisis Management Information System, National Disaster Management Agency (BNPB) website, Regional Disaster Management Agency (BPBD), Social Service, Regional Government Police and other related agencies. Secondary data from related units/agencies and the main Ministry of Health units were obtained through focus group discussions (FGDs). The frequency of health crisis events due to the disaster in 2016 were 661 incidents dominated by natural disasters as many as 400 events (60%), while the frequency of non-natural disasters was 237 events (36%) and social disasters 24 events (4%). Most of the health crisis incidents due to the 2016 disaster (97%) were the remaining hydrometeorological disasters, 3% of the most non-natural disasters were outbreaks of food poisoning, transportation accidents, fire, technology failure, industrial accidents and outbreaks of disease. The ratio of refugees due to natural disaster was 693 per event, while social disasters were 225 per incident. The ratio of deaths from nonnatural disasters was 1.5 times higher than natural disaster. Poisoning had the highest victim ratio of 20 per incident of poisoning. Health facility damage caused by disaster was 174 units. The greatest health impacts arising from the health crisis in 2016 was dominated by natural disasters in the forms of floods, landslides and earthquake disasters. Effective emergency response efforts must involve as many sub-clusters as possible that have special expertise to overcome the impact on disasters.