Disaster Nursing Management in Indonesia

Disaster Nursing
Management in
Indonesia

Herni Susanti
 1. Disaster in Indonesia
Outline 2. Disaster nursing ~caring and
sharing
3. Disaster management system (in
the community)
4. Recommendations (research
based)
 1
Disaster in
Indonesia
 What is disaster ?

A serious disruption of the functioning of

community or a society causing widespread
human, material, economic, or environmental
loses which exceed the ability of the affected
community or society to cope using its own
resource (WHO, 2007)
The largest
archipelago country
in the world, with our
5 major islands office

17.506 islands

More than 200

Ethnics/tribes
Around 583 local
languages
Religion: Moslem ,
Protestant ,Catholic
Hindu , Buddha
 “
A meeting of four tectonic
plates, namely: Euroasia,
Indonesia is the
supermarket of disasters

130 active volcanos

More than 5,000 large
and small rivers (30%
Australia, Pacific, and the pass through dense
Philippines plate populated areas)
DISASTER CYCLE
FEW MINUTES
IMPACT /HOURS/DAYS

ACUTE
PREPAREDNESS 2 WEEKS
RESPONSE

2-3 MONTH

Preventive
RECOVERY
MITIGATION
Rehabilitative

PREVENTION RECONSTRUCTION
Development
> 3 YEAR
3 MONTH-2 YEAR
 • deaths
• injuries
Disaster • refugees
causes
paralysis
• nutrition problems
on health • water supply issues
services • environmental sanitation issues
• infectious diseases
• mental health issues
• impaired reproductive health services
 2

How Indonesian nurses have contributed?

Its about caring and sharing….
 Lessons from the 2004 tsunami earthquake

 Form disaster management team of INNA

Indonesian  Divided into 3 phases: Emergency/rescue, rehabilitation,
National reconstruction
Nurses  Call the attention of MoH, governor, Public Health Officers about
Association INNA’s plan to support
and Nurses  Establish INNA’s post in the disaster site
 Call for support for all INNA’s representative in every province
Actions in
 Develop instrument for rapid assessment
reality  Identify contact person of INNA representative at the disaster site
 Conduct rapid assessment
 Develop 30 months Master plan of revitalizing infrastructure of
nursing service system
Nurses caring for nurses
to care for people in the
affected areas (A. Yani S
Hamid, 2004)
 Emergency/Rescue phase
Indonesian
 Identifying nurse survivors
National
Nurses  Providing basic needs to nurse survivors: financial, food, cloths &
Association uniform, underwear, nursing documentation forms
and Nurses
Actions in  Mobilizing more than 1000 nurses from other provinces
reality  Equipping nurses with competencies
 Provide psychosocial supports
 Provide direct nursing cares in camps/barracks
 Provide advocacy to nurses working in the hospital and community
 Rehabilitation/Reconstruction phase
Indonesian
National  Recruitment of full time nurses in collaboration with local
Nurses government
Association
and Nurses  Training of hospital and community health nurses in
Actions in collaboration with FON-UI, government bodies, WHO and
reality
other NGOs
 Develop Nursing Development Center
 Have a group of nurse leaders to run NDC
 3
Disaster nursing
management
(in the
community)
 Role of National Board for Disaster
Management (BNPB)
DISASTER MANAGEMENT

COORDI-
NATION
Command
COORDI-
NATION

• Prevention
•
• Mitigation
Emergency • Recovery
•
Response
Preparedness
PRE POST
DISASTER
DISASTER DISASTER
 COORDINATION SYSTEM (GOVERNMENT)
National Agency for Disaster Management (BNPB)

Minister of Health
National level National Agency for Disaster
Management (BNPB)
(PPK/Center for
Health Crisis)

Province level Province Agency for Disaster Province Health

Management (BPBD) : 33
Province BPBD Office

District level District Agency for Disaster Public Health Center

Management (BPBD) : 357 (Puskesmas)
District BPBD

Health Social Public work Security

task force task force task force task force
Government Coordination UN Cluster
Meeting Coordination Meeting

Heath Sector / Cluster

General Coordination

Operational Sub – Groups Coordination and

Mapping presentation
•Immunization
•Child, reproductive and maternal
Health
•Water and Sanitation
Emergency
•Surveillance and outbreak control
Information
•Mental Health
Operation
•Mobile Clinics
Center
•Field Hospitals
•Hospital care
•Supplies
 Disaster Management System in the
Community

 Provincial Government (Governor) as a Responsible

Person
 Disaster management in the community is
coordinated by Provincial Health Officer
 Coordination with Social Affair, Military, Police,
National Board for Disaster Management, Local
Government, Red Cross, Professional Association
and NGOs
 COMMUNITY HEALTH NURSES INVOLVED IN

1. Assessment of public health problems and needs, particularly

for infant, children, women and elderly and provision of health
services
2. Surveillance for water quality, env’t quality and outbreak
potential disease (diarrhea, ARI, Measles and Malaria)
3. Emergency health and rehabilitation services
4. Disease control and public health education
5. Environmental health measures
6. Coordination of health system through health posts
7. Vector control (fly, mosquitos, rat).
8. Immunization.
 Community Health Nurses

 Provide psycho social supports

 Provide direct nursing services in
Camps & temporary housing,
residences
 Provide advocacy to nurses
working in the hospital &
community
 Establishment of village alertness
for disaster by Social Affair and
Disaster Health Post by MoH
 4
Recommendatio
ns
 Recommendations
( A study findings)
• The provision of competent health/nursing care and integrated
mental health on physical care to the survivor
• Empowerment of the community leaders, health cadres, and other
potential persons, and act as a role model in responding to the
disaster situation
• Leading and managing the situation to minimize the possible chaos or
crises using good leadership and communication skills
• Integrating culture sensitivity in caring for survivors
• Facilitating family functioning through flexible family members role
shifting
• Integrating the family values in strengthening family resilience.
 A picture
is worth a
thousand
words

Everyone has the right to life with dignity

and respect for their human rights
Thanks!
Any questions?
You can find me at
herni-s@ui.ac.id
Credits Special thanks to all the people who
contribute for this presentation:

 Junaiti Sahar, PhD

 Prof Achir Yani S Hamid
 Sigit Mulyono, PhD