Participatory Action Research to Realize Disaster Health Crisis Preparedness in the Community

Download Article

DOI: 10.21522/TIJPH.2013.12.04.Art087

Authors : Sunarto, Teta Puji Rahayu, Setya Haksama, Heru Santoso Wahito Nugroho, Suparji, Tinuk Esti Handayani

Abstract:

Many Disaster Resilient Villages in Indonesia still face obstacles in realizing preparedness for health crises due to disasters. This study aimed to facilitate the Disaster Resilient Village Forum in realizing an early warning system that is easily responded to by the community and mobilization of health resources in the disaster health crisis preparedness phase. This study was conducted using the Participatory Action Research approach involving 150 participants from 4 Disaster Resilient Villages. The research objects include: 1) preparation of a participatory health crisis contingency plan document; 2) facilitating the socialization of early warning systems to vulnerable groups; 3) facilitation of disaster health crisis emergency response simulation; and 4) measuring the level of village resilience. The approach was carried out in several cycles consisting of 4 steps, namely planning, acting, observing and reflecting. The results of the study showed that the forum and the community implemented the four research objectives well by the objectives in one cycle. It is further concluded that the Participatory Action Research approach can be used well to facilitate the Disaster Resilient Village Forum in realizing an early warning system that is easily responded to by the community and the mobilization of health resources in the disaster health crisis preparedness phase.

References:

[1].   Sunarto, S., Nugroho, H. S. W., Suparji, S, Santosa, B. J., 2024, Quadrant of difficulty and usefulness for prioritizing community-based disaster preparedness parameter elements. Rawal Medical Journal, 49(1), 172-175. doi: 10.5455/rmj.20230918043333.

[2].   Djalante, R., Garschagen, M., 2017, A review of disaster trend and disaster risk governance in Indonesia: 1900–2015, In: Djalante, R., Garschagen, M., Thomalla, F., Shaw, R. (eds) Disaster Risk Reduction in Indonesia. Disaster Risk Reduction. Springer, Cham. doi: 10.1007/978-3-319-54466-3_2.

[3].   Paripurno, E. T.Putra, W., Triadi, W. S., 2023, Disaster risk assessment Magetan Regency, East Java. AIP Conf. Proc., 2598(1), 070009. doi: 10.1063/5.0135163.

[4].   Ramadorai, A,  Ravi, P,  Narayanan,V., 2019, Rhinocerebral Mucormycosis: A prospective analysis of an effective treatment protocol, Ann. Maxillofac. Surg. 9 192–196. https://doi.org/10.4103/ams.ams_231_18.

[5].   Filip, R., Gheorghita, P. R., Anchidin-Norocel, L., Dimian, M., Savage, W. K., 2022, Global challenges to public health care systems during the COVID-19 pandemic: A review of pandemic measures and problems. J Pers Med,12(8),1295. doi:10.3390/jpm12081295.

[6].   Al-Worafi, Y. M., 2024, Healthcare facilities in developing countries: infrastructure. In: Al-Worafi, Y.M. (eds) handbook of medical and health sciences in developing countries. Springer, Cham.

[7].   Knifton, L., Inglis, G., 2020, Poverty and mental health: policy, practice and research implications. BJPsych Bull, 44(5),193-196. doi:10.1192/bjb.2020.78.

[8].   Grasser, L. R., 2022, Addressing mental health concerns in refugees and displaced populations: is enough being done. Risk Manag Healthc Policy, 6(15), 909-922.

[9].   Tyubee, B. T., 2020, Disaster preparedness: approaches and frameworks. In: Leal Filho, W., Azul, A., Brandli, L., Lange Salvia, A., Özuyar, P., Wall, T. (eds) No Poverty. Springer, Cham.

[10].  Fischer, R. J., Halibozek, E. P., Walters, D. C., 2019, Contingency planning emergency response and safety. Introduction to Security, 249–68.

[11].  Nugroho, H. S. W., Suparji, S., Sunarto, S., Handoyo, H., Yessimbekov, Z., Burhanuddin, N., Selasa, P., 2020, Quadrant of difficulty-usefulness (QoDU) as new method in preparing for improvement of e-learning in health college. Risk Manag Health Policy, 13, 1625-1632. doi: 10.2147/RMHP.S268814.

[12].  Brydon-Miller, M., Kral, M., Ortiz Aragón, A., 2020, Participatory action research: international perspectives and practices. International review of qualitative research, 13(2), 103-111.

[13].  Kemmis, S., Taggart, R.M., Nixon, R., 2014, The action research: doing critical participatory action research. Singapore: Springer Publishing Company.

[14].  White, G. W., Suchowierska, M., Campbell, M., 2004, Developing and systematically implementing participatory action research. Arch Phys Med Rehabil. 85(4 Suppl 2), S3-12. doi: 10.1016/j.apmr.2003.08.109.

[15].  Lassa, J. A., Boli, Y., Nakmofa, Y., Fanggidae, S., Ofong, A., Leonis, H., 2018, Twenty years of community-based disaster risk reduction experience from a dryland village in Indonesia. Jamba, 10(1), 502.

[16].  Arifin, S., Wicaksono, S. S., Sumarto, S., Martitah, M., Sulistianingsih, D., 2021, Disaster resilient village-based approach to disaster risk reduction policy in Indonesia: A regulatory analysis. Jamba, 13(1), 1021.

[17].  Khan, Y., O'Sullivan, T., Brown, A., Tracey, S., Gibson, J., Généreux, M., Henry, B., Schwartz, B., 2018, Public health emergency preparedness: a framework to promote resilience. BMC Public Health, 18(1), 1344.

[18].  Canlas, I. P., Karpudewan, M., 2020, Blending the principles of participatory action research approach and elements of grounded theory in a disaster risk reduction eucation case study. International Journal of Qualitative Methods, 19. doi:10.1177/1609406920958964.

[19].  Bullock, J. A., Haddow, G. D., Coppola, D. P., 2013, Mitigation, prevention, and preparedness. introduction to homeland security. Report, 435-494.

[20].  Choptiany, J. M. H., Graeub, B. E., Hatik, S., Conversa, D., & Ledermann, S. T., 2019, Participatory assessment and adaptation for resilience to climate change. Consilience, 21, 17–31.

[21].  Carmen, E., Fazey, I., Ross, H. et al., 2022, Building community resilience in a context of climate change: The role of social capital. Ambio, 1371–1387.

[22].  Sunarto, S., Nugroho, H. S. W., Surtinah, N., Diah, O. P. V., Hanifah, S. S., 2024, Collaboration with the disaster resilient village forum in disaster emergency response simulation in Ngelang Kartoharjo Village Magetan. Front Community Serv Empower, 3(2), 1–6.

[23].  Biermann, O., Eckhardt, M., Carlfjord, S., Falk, M., Forsberg, B. C., 2016, Collaboration between non-governmental organizations and public services in health–a qualitative case study from rural Ecuador. Global Health Action, 9(1).

[24].  Sajadi, H. S., Ghadirian, L., Rajabi, F., Sayarifard, A., Rostamigooran, N., Majdzadeh, R., 2022, Interventions to increase participation of NGOs in preventive care: A scoping review. Health Sci Rep, 5(5), e770.

[25].  Sufri, S., Dwirahmadi, F., Phung, D., 2020, Enhancing community engagement in disaster early warning system in Aceh, Indonesia: Opportunities and challenges. Nat Hazards, 2691–2709.

[26].  Chirenje, L. I., Giliba, R. A., Musamba, E. B., 2013, Local communities participation in decision-making processes through planning and budgeting in African countries. Chinese Journal of Population Resources and Environment, 11 (1), 10–16. doi:10.1080/10042857.2013.777198.

[27].  Siddique, R , Nivedhitha, M.S. ,  Jacob,B., 2019,  Quantitative analysis for detection of toxic elements in various irrigants, their combination (precipitate), and para-chloroaniline: An inductively coupled plasma mass spectrometry study, J. Conserv. Dent. 22 344–350. https://doi.org/10.4103/JCD.JCD_95_19.

[28].  Syamsidik, Oktari, R. S., Nugroho, A., Fahmi, M., Suppasri, A., Munadi, K., 2021, Fifteen years of the 2004 Indian Ocean tsunami in Aceh-Indonesia: Mitigation, preparedness and challenges for a long-term disaster recovery process. Int J Disaster Risk Reduct, 54, 102052.

[29].  Laverack, G., Manandhar, D., 2019, Participatory action research for health promotion: a review of the literature. Health Promotion International, 34(2), 124-133.

[30].  Van Niekerk, D., Nemakonde, L. D., Kruger, L., Forbes-Genade, K., 2018, Community-based disaster risk management. In: Rodríguez, H., Donner, W., Trainor, J. (eds) Handbook of disaster research. Handbooks of sociology and social research. Springer, Cham. doi:10.1007/978-3-319-63254-4_20.

[31].  Morrow, B., Smith, E., 2020, The impact of participatory approaches on health crisis preparedness in rural communities: findings from a case study. International Journal of Health Services, 50(3),310-325.

[32].  Duran, A., Rojas, C., 2021, The impact of community participation in disaster risk management: A case study. Disaster Management Journal, 35(2),123-135.

[33].  Kieny, M.P., Bekedam, H., Dolea, C., et al., 2020, Strengthening health systems for crisis response: Lessons learned from recent health emergencies. Global Health Action, 13(1),1807340.

[34].  Gupta, A., Luthra, S., 2022, Building community resilience through participatory approaches: evidence from disaster management practices. International Journal of Disaster Risk Reduction, 62,102379.

[35].  Lillie, T., Hsu, A., Edwards, D., 2019, The role of community engagement in emergency preparedness: a systematic review. Disaster Medicine and Public Health Preparedness, 13(4), 687-696.

[36].  Donnelly, L., Allen, T., Khalid, H., 2020, Understanding the barriers to effective disaster response: a qualitative study. International Journal of Emergency Management, 16(1), 58-70.

[37].  Paton, D., Jackson, D., Chan, C., 2021, Collaborative learning for community resilience in emergency management: evidence from participatory research. Journal of Risk Research, 24(3), 301-315.