Abstract
Indonesia is one of the countries with the highest disaster risk. Disaster could affect all aspects of human life including reproductive health. The study aims to evaluate reproductive health programs during disasters. The study was conducted with a qualitative study regarding the system approach. There were 19 informants from health centers, disaster management agencies, and social institutions in the South of West Sumatra Province. Data was collected through in-depth interviews, focus group discussions, and document reviews. Data analysis used content analysis. In the input component, there has been no policy for reproductive health, double responsibility on human resources, and the budget from disaster management for existing facilities. In the process component, a plan for the reproductive health programs does not exist yet and no specific team of health reproductive. The implementation of reproductive health services was data collection, assessment of needs, reproductive health care, and monitoring will be done after a disaster. In the output component, the coverage of indicators for women of childbearing age has been well-served, but not for young women. Management of reproductive health programs is not optimal yet. It is recommended to improve the management of reproductive health programs before, during, and after disasters.
Highlights
A disaster is an event or series of events that can threaten and disrupt people's lives caused by natural and nonnatural factors
Based on the Indonesian Disaster Information Data (DIBI), the number of disaster events that occurred in Indonesia has increased over the last three years, namely, there were 1,694 disasters in 2016, 2,306 disasters in 2017, and 2,397 disasters in 2018 throughout Indonesia [4]
We evaluated the input components which consisted of policies, Human Resources (HR), funds, and infrastructures or facilities
Summary
A disaster is an event or series of events that can threaten and disrupt people's lives caused by natural and nonnatural factors. Data from 128 developing countries in the world found that the average number of deaths from natural disasters and armed conflict in East Asia and the Pacific region was not significantly different from the rest of the developing world [2]. Indonesia is amongst the countries with the highest disaster risk in the world [3]. Demographic, geological, and geographical of Indonesian situation are the factors that contribute to the risk of disaster happened. Based on the Indonesian Disaster Information Data (DIBI), the number of disaster events that occurred in Indonesia has increased over the last three years, namely, there were 1,694 disasters in 2016, 2,306 disasters in 2017, and 2,397 disasters in 2018 throughout Indonesia [4]
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