Linking Global Context of Sustainable Recovery with a Local Context Post-tsunami Recovery at Banda Aceh city, Indonesia

The present study examines the recovery progress that has been achieved so far a decade after the tsunami disaster occurred in Banda Aceh city of Indonesia. Assessment of the recovery progress for several activities at the local context associated with the long-term disaster recovery phase include the hazard source control and area protection, land-use practices, mental health recovery, and economic development were conducted to identify windows of opportunities in different sectors to build back better. The findings subsequently situated within the framework of global context, by setting up a global framework linking the common targets between the Sendai Framework for Disaster Risk Reduction (SFDRR) and the Sustainable Development Goal (SDG). Among investigated sectors, the hazard source control, area protection and land-use practices seemed to miss the opportunity of changing the coastal areas to become more resilient to tsunami disaster, due to unsynchronized city masterplan with housing development towards the coastline. While this practice rather discouraging for promoting the idea of ‘build back better’, the other sectors such as community economic revitalization and mental health programs were rather successful in seizing the opportunities at different levels. It requires high commitment from different actors during the recovery to identify and grab the opportunities at the earliest phase of the recovery and to be able to coordinate and formulate the appropriate recovery programs that linked to the targets for sustainable development in the global context

Discharging Mental Health Patients in Aceh: A Preliminary Study

A high prevalence of mental health patients in Aceh has caused the number of referrals in mental health institutions to rise. An appropriate discharge planning could ensure that patients will be able to continue to treat themselves after they leave the mental health institutions. The objective of this study was to describe the existing discharge planning process of mental health patients in Aceh. Research data was obtained by interviews, observations, and focus group discussions with schizophrenic patients' family members, important figures in the society and in their faith communities, and various officials at Puskesmas (community health centers), RSUD (local hospitals), and RSJ (mental health institutions). Research results show that the process of discharge did not proceed systematically and optimally. Moreover, there is no optimal coordination between mental health institutions and the surrounding communities, resulting in gaps of health services in Aceh. A better and more systematic discharge system are discussed to get the best results. Tingginya jumlah pasien gangguan jiwa menyebabkan rujukan pasien ke RSJ di Aceh meningkat. Suatu perencanaan pelepasan pasien (discharge planning) yang baik dapat menjamin pasien mampu melakukan tindakan perawatan diri sendiri/lanjutan setelah meninggalkan rumah sakit jiwa. Studi ini bertujuan untuk mendapatkan gambaran pelaksanaan pelepasan pasien gangguan jiwa di Aceh selama ini. Data diperoleh dengan metode wawancara, observasi dan FGD pada keluarga pasien skizofrenia, tokoh agama dan masyarakat, petugas kesehatan di Puskesmas, RSUD, dan RSJ. Hasil menunjukkan bahwa pelaksanaan pelepasan pasien tidak berjalan secara sistematis dan optimal. Selain itu koordinasi antara pelayanan kesehatan di RS dan komunitas juga tidak optimal, sehingga menimbulkan kesenjangan pelayanan kesehatan di Aceh. Didiskusikan perlunya pelaksanaan sistem pelepasan pasien yang sistematis dan optimal demi tercapainya hasil yang terbaik

Discharging Mental Health Patients in Aceh: A Preliminary Study

A high prevalence of mental health patients in Aceh has caused the number of referrals in mental health institutions to rise. An appropriate discharge planning could ensure that patients will be able to continue to treat themselves after they leave the mental health institutions. The objective of this study was to describe the existing discharge planning process of mental health patients in Aceh. Research data was obtained by interviews, observations, and focus group discussions with schizophrenic patients' family members, important figures in the society and in their faith communities, and various officials at Puskesmas (community health centers), RSUD (local hospitals), and RSJ (mental health institutions). Research results show that the process of discharge did not proceed systematically and optimally. Moreover, there is no optimal coordination between mental health institutions and the surrounding communities, resulting in gaps of health services in Aceh. A better and more systematic discharge system are discussed to get the best results. Tingginya jumlah pasien gangguan jiwa menyebabkan rujukan pasien ke RSJ di Aceh meningkat. Suatu perencanaan pelepasan pasien (discharge planning) yang baik dapat menjamin pasien mampu melakukan tindakan perawatan diri sendiri/lanjutan setelah meninggalkan rumah sakit jiwa. Studi ini bertujuan untuk mendapatkan gambaran pelaksanaan pelepasan pasien gangguan jiwa di Aceh selama ini. Data diperoleh dengan metode wawancara, observasi dan FGD pada keluarga pasien skizofrenia, tokoh agama dan masyarakat, petugas kesehatan di Puskesmas, RSUD, dan RSJ. Hasil menunjukkan bahwa pelaksanaan pelepasan pasien tidak berjalan secara sistematis dan optimal. Selain itu koordinasi antara pelayanan kesehatan di RS dan komunitas juga tidak optimal, sehingga menimbulkan kesenjangan pelayanan kesehatan di Aceh. Didiskusikan perlunya pelaksanaan sistem pelepasan pasien yang sistematis dan optimal demi tercapainya hasil yang terbaik

Adolescent girls’ representations of the role of schools and teachers post-disaster: “second parents, second homes”

Disasters can result in poor psychosocial outcomes for adolescents. One pathway to mitigate these risks and foster resilience is via schools, where teachers can offer students support. However, existing research lacks consideration of the role schools and teachers play from the perspective of students, particularly those from marginalized populations. Therefore, this study examines adolescents’ representations of the role of schools and teachers after a major disaster in Indonesia using a free association interview technique. Thematic analysis of adolescents’ interviews (N = 46) yielded two salient themes: ‘the school as a place of recovery’ and ‘the school as a place of risk’. While the school and teachers were conceptualized positively in that they promoted students’ recovery, students also identified aspects of the post-disaster school environment that produced uncertainty, loss and discomfort thereby heightening their sense of risk. The paper concludes with recommendations for resilience-building, such as ensuring teachers receive relevant training

Community Resilience after Disasters: Exploring Teacher, Caregiver and Student Conceptualisations in Indonesia

Despite the potentially catastrophic nature of disasters, survivors can be highly resilient. Resilience, the capacity to successfully adapt to adversity, is both individual and collective. Policymakers and academics have recently emphasised the importance of community resilience, but with little consideration of local survivors’ perspectives, particularly young survivors within low- and middle-income countries. Therefore, this exploratory study aims to give voice to disaster-affected caregivers, teachers and female adolescent students by examining their conceptualisations of community coping and priorities for resilient recovery following the 2018 Central Sulawesi earthquake and tsunami. A total of 127 survivors of the devastating disaster, including 47 adolescents, answered open-ended survey questions related to post-disaster resilience. A content analysis identified key constituents of community resilience. The results indicate that survivors highly value community cohesion and participation, drawing on the community’s intra-personal strengths to overcome post-disaster stressors. Student conceptualisations of and recommendations for a resilient recovery often differ from the views of important adults in their lives, for example, regarding the role played by the built environment, “trauma healing” and religiosity in the recovery process. These findings have implications for the design of disaster resilience interventions

Instrumen Evaluasi Elemen Kemampuan Respon Pada Sistem Peringatan Dini Tsunami

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