Abstract
Background:Sexual and Reproductive Health (SRH) issues often get less priority than other aspects of humanitarian health response in emergencies and disasters. We aimed to explore the men’s perceptions of Sexually Transmitted Infections (STIs), men’s involvement, and barriers to STIs prevention among men in the affected area by Merapi eruption 2010.Methods:The study used qualitative content analysis. Data were collected through face-to-face in-depth interviews with 2 participants living with STIs and focus on group discussions with 22 participants who witnessed Merapi eruption 2010 from December 2016 to March 2017 in Sleman District, the Special Region of Yogyakarta Province, Indonesia, including academicians, community leaders and community health workers.Results:Participants from the disaster site were mostly senior high school graduates aged between 33 and 46 years. Four themes developed from fourteen categories that represented the men’s perceptions of STIs, men’s involvement, and barriers to the STIs prevention among men in the affected area by Merapi eruption 2010, were revealed from the investigation.Conclusion:Low participation of men in STIs prevention has led to poor SRH outcomes among women. Nurses have a main role in Disaster Risk Reduction (DRR) to enhance the awareness and understanding of people in preparedness for future disasters. Thus, it is necessary for nurses and other health professionals involved in DRR to optimize coordination with community leaders, community health volunteers (health cadres), and other stakeholders to prevent the transmission of communicable diseases in the community.
Highlights
Indonesia has 129 active volcanoes and pyroclastic flows and lahars caused by the activity of these volcanoes have often led to severe damage in surrounding areas [1, 2]
Most of the participants told that men often assume that Sexual and Reproductive Health (SRH) issues in public health center are only for women: “We don’t think sexual and reproductive health for men
In the context of Indonesia, the findings indicated that SRH services were provided for only women in the affected area by the Merapi eruption 2010
Summary
Indonesia has 129 active volcanoes (approximately 20% of the world total) and pyroclastic flows (primary disaster) and lahars (secondary disasters) caused by the activity of these volcanoes have often led to severe damage in surrounding areas [1, 2]. Since the Merapi eruption 2010, there were 581 new cases of STIs and of them, 225 pregnant women were positive STIs [11]. They had suffered STIs with non-specific genital infections (29.5%), bacterial vaginosis (10.2%), vaginal candidiasis (9.1%), gonorrhea (3.4%), and trichomoniasis (1.1%) [11]. Women are more predisposed to communicable diseases and are more exposed to STIs. Sexual and Reproductive Health (SRH) issues often get less priority than other aspects of humanitarian health response in emergencies and disasters. We aimed to explore the men’s perceptions of Sexually Transmitted Infections (STIs), men’s involvement, and barriers to STIs prevention among men in the affected area by Merapi eruption 2010
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