Dalam Jurnal : HEALTH PROBLEMS IN A DISASTER SITUATION: THE ROLE OF HEALTH PERSONNELS AND COMMUNITY PARTICIPATION
Peneliti Pusat Penelitian Kependudukan - Lembaga Ilmu Pengetahuan Indonesia (PPK-LIPI)

Most Indonesian population are living in prone areas of natural disasters, including earthquake. Earthquake disasters followed by the long temporary shelters potentially create health problems; however, health systems in a disaster situation tend to face obstacles, such as the damaged or inadeaquate health existing facilities. This paper aims to discuss health problems following a disaster and to assess the role of health personnel and community participation in this situation. Data and information in this paper are mainly based on a study "Assessment on Basic Needs Fulfillment following Cianjur earthquake in November, 21, 2022 a desk review on related documents and literatures. The study found that within the health sector, many guidances indicate the important role of the health personnel during disaster situation. The Cianjur earthquake in November, 21, 2022  was not only resulting in number of deaths, injured people and the damaged health facilities, but it  was also creating public health problems, for example the disaster related diseases, the broken water supply and sanitation facilities, traumatic issues among the victims and the limited access to the health reproductive services for women and couple. Health personnel together with community have essential role in dealing with disaster, from the initial stage following the earthquake (day 1-3}, the emergency period (day 3-10) until the rehabilitation and recontruction phase (> 1 month). Many factors contributed to the success story of the primary health care personnels in delivering public health roles following the Cianjur’s Earthquake, especially the actively community and volunteer participation in helping dealing with the disaster victims.

Salah satu dampak bencana terhadap menurunnya kualitas hidup penduduk dapat dilihat dari berbagai permasalahan kesehatan masyarakat yang terjadi. Bencana yang diikuti dengan pengungsian berpotensi menimbulkan masalah kesehatan yang sebenarnya diawali oleh masalah bidang/sektor lain. Bencana gempa bumi  dalam jangka pendek dapat berdampak pada korban cedera berat yang memerlukan perawatan intensif, peningkatan risiko
penyakit menular, kerusakan fasilitas kesehatan dan sistem penyediaan air (Pan American Health Organization, 2006). Timbulnya masalah kesehatan
antara lain berawal dari kurangnya air hersih yang berakihat pada buruknya kebersihan diri, buruknya sanitasi lingkungan yang merupakan awal dari
perkembangbiakan beberapa jenis penyakit menular. Persediaan pangan yang tidak mencukupi juga merupakan awal dari proses terjadinya penurunan
derajat kesehatan yang dalam jangka panjang akan mempengaruhi secara langsung tingkat pemenuhan kebutuhan gizi korban bencana. Pengungsian tempat tinggal (shelter) yang ada sering tidak memenuhi syarat kesehatan sehingga secara langsung maupun tidak langsung dapat menurunkan daya tahan tuhuh dan bila tidak segera ditanggulangi akan menimbulkan masalah di bidang kesehatan.