Evaluation of reproductive health program during disaster in West Sumatra Province

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.

Identifying the Preparedness Components for Sexual Violence in Natural Disasters: A Systematic Review

“…Access to a variety of medical and legal services reduces by destructing infrastructure; therefore, before disasters, measures must be taken to increase access to sexual violence services, including mental health services, and integrate them into the disaster response structure( 25 , 28 , 30 - 36 ). To prevent and respond to victims of sexual violence in a timely and appropriate manner, it is necessary to establish super capacity structures for monitoring, response, and referral before occurring disasters ( 28 , 37 - 40 ). Understanding the obligations of responsible organizations and enhancing their preparedness have been acknowledged as essential to being ready for sexual violence ( 1 ).…”

“…Given the taboo nature of sexual violence in many societies, it is necessary to define a mechanism in advance by collecting and sharing information ( 37 , 38 , 48 , 49 ). Other measures of the planning stage that can deliver quality services and speed up the process include allocating resources and funds to victims of sexual assault and providing the appropriate tools ( 24 , 34 , 40 ). Studies have shown that the distribution of health equipment among people in disaster-affected areas can reduce the likelihood of sexual violence.…”