Penerapan Pendekatan Public Health Emergency Response dalam Penanganan Pascabencana di Kabupaten Tapanuli Tengah
DOI:
https://doi.org/10.24002/jai.v6i5.14389Keywords:
disaster response, PHER, primary health care, psychosocial support, community serviceAbstract
Flash floods and landslides that occurred at the end of 2025 in Central Tapanuli Regency disrupted infrastructure, limited access to primary health care, interrupted medication supply, and increased psychosocial needs among affected communities. This community service program aimed to implement a Public Health Emergency Response (PHER) approach to expand access to post-disaster primary care, support the management of acute and chronic health problems, and provide early psychosocial support for vulnerable groups. A decentralized field intervention was conducted from 19 to 26 December 2025 in selected affected areas in Tukka, Pinangsori, and Sitahuis subdistricts. Activities included rapid needs assessment, establishment of temporary health posts, primary medical services, simple point-of-care examinations, daily case surveillance, medication distribution, and psychosocial support through individual and group-based approaches. The field findings showed that acute respiratory infections, skin diseases, dyspepsia, open wounds, and diarrhea were among the most common health problems, while continuity of treatment was also needed for chronic conditions such as hypertension, diabetes, hypercholesterolemia, gout, and heart disease. Psychosocial findings indicated anxiety, sleep disturbances, fear triggered by rain and loud sounds, emotional dysregulation in children, and reduced coping capacity among adults and older persons. The PHER approach enabled integration of clinical care, rapid surveillance, logistics, and psychosocial response in a single operational framework. However, implementation remained constrained by difficult geographic access, unstable electricity and internet connection, limited referral capacity, language barriers, and uneven partner readiness in using digital surveillance. This program demonstrates that a decentralized, partnership-based PHER model is feasible and relevant for strengthening community health response in disaster-affected settings.
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