he Implementation of Integrated Health Services for Post-Disaster Communities in Agam Regency, West Sumatra, Indonesia
Main Article Content
Abstract
Background of study: The natural disaster in Agam Regency, West Sumatra, have disrupted access to health services and increased the risk of acute illness, exacerbating chronic illnesses, and causing psychosocial problems. This situation demands a rapid, integrated, and adaptive health response to the limitations of post-disaster facilities. This community service activity aims to improve access and quality of health services for disaster-affected communities through an integrated approach to medical services and logistics distribution.
Methods: The program was implemented over three days at several locations and health posts in Agam Regency. Activities included cross-sector coordination, implementation of health services, daily evaluation, reporting, and planning for sustainability. Interventions included basic and advanced medical services, post-operative wound care, chronic disease management, home-visits, and medical assistance.
Result: Health services were provided for more than 200 patients, predominantly with cases of hypertension, upper respiratory tract infections, dermatitis, musculoskeletal disorders, and diabetes mellitus. The home visit approach successfully reached vulnerable groups with limited mobility.
Conclusion: The use of simple health technology and family involvement improved continuity of care and community empowerment. This program has supported physical health recovery in post-disaster communities and has the potential to be replicated in other disaster-affected areas.
Downloads
Article Details
Copyright (c) 2026 Shirly Gunawan, Noer Saelan Tadjudin, Alexander Halim Santoso, Yohanes Firmansyah, Daniel Goh, Belinda Angie, Anggita Tamaro, Irvan Baharits Al Basith, Djulia Djulia, RA Rengganis Ularan, Hetty Karunia Tanjungsari, Mei Ie, Alicia SariJuwita

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Acosta-España, J. D., Romero-Alvarez, D., Luna, C., & Rodriguez-Morales, A. J. (2024). Infectious disease outbreaks in the wake of natural flood disasters: global patterns and local implications. Le Infezioni in Medicina, 32(4), 451–462. https://doi.org/10.53854/liim-3204-4
Adristi, N. D. A., Maghfiroh, F., Rakasiwy, M. R. P., Andjanie, N. W. H., & Satwika, Y. W. (2025). The Effect of Mental Health and Psychosocial Support Interventions on Depression, Anxiety, and Stress in Children with Physical Disabilities. Journal of Educational, Health and Community Psychology, 1582–1595. https://doi.org/10.12928/jehcp.vi.31539
Antara News. BPBPD Agam: 3.919 warga masih mengungsi setelah rumah rusak dampak bencana [Internet]. Cited 2025 Dec 28. Available from: https://sumbar.antaranews.com/berita/735148/bpbd-agam-3919-warga-masih-mengungsi-setelah-rumah-rusak-dampak-bencana
Antara News. Dinkes Agam: ISPA penyakit menonjol diderita warga terdampak bencana [Internet]. Cited 2025 Dec 28. Available from: https://sumbar.antaranews.com/berita/735136/dinkes-agam-ispa-penyakit-menonjol-diderita-warga-terdampak-bencana
Ansbro, É., Issa, R., Willis, R., Blanchet, K., Perel, P., & Roberts, B. (2022). Chronic NCD care in crises: A qualitative study of global experts’ perspectives on models of care for hypertension and diabetes in humanitarian settings. Journal of Migration and Health, 5, 100094. https://doi.org/10.1016/j.jmh.2022.100094
Awad, S., Sheerazi, S., & von Schreeb, J. (2025). Use of mobile health units in conflict settings—a scoping review. BMC Health Services Research, 25(1), 409. https://doi.org/10.1186/s12913-025-12443-z
Badan Penanggulangan Bencana Daerah. Dashboard penanganan darurat banjir dan longsor provinsi Aceh, Sumatera Utara, dan Sumatera Barat tahun 2025 [Internet]. Cited 2025 Dec 28. Available from: https://gis.bnpb.go.id/BANSORSUMATERA2025/
Basaria, A. A. A., Ahsan, A., Nadeem, A., Tariq, R., & Raufi, N. (2023). Infectious diseases following hydrometeorological disasters: current scenario, prevention, and control measures. Annals of Medicine & Surgery, 85(8), 3778–3782. https://doi.org/10.1097/MS9.0000000000001056
Beadles, C. A., Voils, C. I., Crowley, M. J., Farley, J. F., & Maciejewski, M. L. (2014). Continuity of medication management and continuity of care: Conceptual and operational considerations. SAGE Open Medicine, 2. https://doi.org/10.1177/2050312114559261
Budosan, B., O’Hanlon, K. P., & Aziz, S. (2014). Improving access to community-based mental health care and psychosocial support within a disaster context. Disaster Health, 2(1), 25–34. https://doi.org/10.4161/dish.27805
Chan, K.-S., Wan, E. Y.-F., Chin, W.-Y., Cheng, W. H.-G., Ho, M. K., Yu, E. Y.-T., & Lam, C. L.-K. (2021). Effects of continuity of care on health outcomes among patients with diabetes mellitus and/or hypertension: a systematic review. BMC Family Practice, 22(1), 145. https://doi.org/10.1186/s12875-021-01493-x
Corbin, J. H., Oyene, U. E., Manoncourt, E., Onya, H., Kwamboka, M., Amuyunzu-Nyamongo, M., Sørensen, K., Mweemba, O., Barry, M. M., Munodawafa, D., Bayugo, Y. V, Huda, Q., Moran, T., Omoleke, S. A., Spencer-Walters, D., & Van den Broucke, S. (2021). A health promotion approach to emergency management: effective community engagement strategies from five cases. Health Promotion International, 36(Supplement_1), i24–i38. https://doi.org/10.1093/heapro/daab152
Demaio, A., Jamieson, J., Horn, R., de Courten, M., & Tellier, S. (2013). Non-Communicable Diseases in Emergencies: A Call to Action. PLoS Currents. https://doi.org/10.1371/currents.dis.53e08b951d59ff913ab8b9bb51c4d0de
Fasrini, U. U., Susanto, T., & Yunanda, R. (2023). Building a Culture of Disaster Preparedness in the Health Sector: Strengthening Community Capacity. Poltekita: Jurnal Pengabdian Masyarakat, 4(3), 794–802. https://doi.org/10.33860/pjpm.v4i3.2403
Garriott, A., Phan, X., Le Roch, K., Bintu, F. M., Darciba, S. P., Koleti, P., & Murray, S. M. (2023). Mental health and psychosocial support in response to onset of the COVID-19 pandemic: Emotional and Stress Management Intervention in Liberia, Sierra Leone, and Ivory Coast. Journal of Global Health, 13, 06010. https://doi.org/10.7189/jogh.13.06010
Guan, G., Lin, Z., Gong, Y., & Jiang, Z. (2020). Modeling and Simulation of Collaborative Dispatching of Disaster Relief Materials Based on Urgency. Mathematical Problems in Engineering, 2020, 1–13. https://doi.org/10.1155/2020/4274106
IFRC (International Federation of Red Cross and Red Crescent Societies). (2023). Psychosocial support in emergencies. Geneva: IFRC. https://mhpsshub.org/wp-content/uploads/2023/01/IFRC-PS-Centre-Strategic-Operational-Framework-2023.pdf
Khotimah, H., Rahmawati, W., Dewi, M., Puspitasari, D. A., & Samichah, S. (2023). Capacity building of health cadres in preventing stunting in disaster-prone areas (case in sidomulyo village, lumajang regency). Caring Jurnal Pengabdian Masyarakat, 3(1), 1–18. https://doi.org/10.21776/ub.caringjpm.2023.003.01.1
Killeen, J. P., Chan, T. C., Buono, C., Griswold, W. G., & Lenert, L. A. (2006). A wireless first responder handheld device for rapid triage, patient assessment and documentation during mass casualty incidents. AMIA ... Annual Symposium Proceedings. AMIA Symposium, 2006, 429–433. http://www.ncbi.nlm.nih.gov/pubmed/17238377
Lenert, L. A., Kirsh, D., Griswold, W. G., Buono, C., Lyon, J., Rao, R., & Chan, T. C. (2011). Design and evaluation of a wireless electronic health records system for field care in mass casualty settings. Journal of the American Medical Informatics Association, 18(6), 842–852. https://doi.org/10.1136/amiajnl-2011-000229
Liang, S. Y., & Messenger, N. (2018). Infectious Diseases After Hydrologic Disasters. Emergency Medicine Clinics of North America, 36(4), 835–851. https://doi.org/10.1016/j.emc.2018.07.002
Lotzin, A., Franc de Pommereau, A., & Laskowsky, I. (2023). Promoting Recovery from Disasters, Pandemics, and Trauma: A Systematic Review of Brief Psychological Interventions to Reduce Distress in Adults, Children, and Adolescents. International Journal of Environmental Research and Public Health, 20(7), 5339. https://doi.org/10.3390/ijerph20075339
McGowan, C. R., Baxter, L., Deola, C., Gayford, M., Marston, C., Cummings, R., & Checchi, F. (2020). Mobile clinics in humanitarian emergencies: a systematic review. Conflict and Health, 14(1), 4. https://doi.org/10.1186/s13031-020-0251-8
Mecozzi, D. M., Brock, T. K., Tran, N. K., Hale, K. N., & Kost, G. J. (2010). Evidence-Based Point-of-Care Device Design for Emergency and Disaster Care. Point of Care: The Journal of Near-Patient Testing & Technology, 9(2), 65–69. https://doi.org/10.1097/POC.0b013e3181d9d47a
Mokdad, A. H., Mensah, G. A., Posner, S. F., Reed, E., Simoes, E. J., Engelgau, M. M., & Chronic Diseases and Vulnerable Populations in Natural Disasters Working Group. (2005). When chronic conditions become acute: prevention and control of chronic diseases and adverse health outcomes during natural disasters. Preventing Chronic Disease, 2 Spec no(Spec No), A04. http://www.ncbi.nlm.nih.gov/pubmed/16263037
Pothiawala, S. (2015). Food and Shelter Standards in Humanitarian Action. Turkish Journal of Emergency Medicine, 15(Suppl 1), 34–39. https://doi.org/10.5505/1304.7361.2015.98360
Save the Children International. (2025, December 15). Floods in Indonesia leave children with health challenges. Save the Children. https://www.savethechildren.net/news/news-quote-floods-indonesia-leave-children-health-challenges
Sayuti, M., Daud, M., Hasibuan, A., Mariyudi, M., Verawaty Siregar, W., Puspasari, C., Irfansyah, D., Qurratu Aini, N., Kurniawan, D., Almunadiansyah, R., & Roid, F. (2025). Capacity building and disaster resilient village simulation (gamtana) in the environmental village of Universitas Malikussaleh [Peningkatan kapasitas dan simulasi gampong tangguh bencana (gamtana) di gampong lingkungan Universitas Malikussaleh]. Buletin Pengabdian Bulletin of Community Services, 5(1). https://doi.org/10.24815/bulpen.v5i1.44203
Schmollinger, M., Gerstner, J., Stricker, E., Muench, A., Breckwoldt, B., Sigle, M., Rosenberger, P., & Wunderlich, R. (2024). Evaluation of an App-Based Mobile Triage System for Mass Casualty Incidents: Within-Subjects Experimental Study. Journal of Medical Internet Research, 26, e65728. https://doi.org/10.2196/65728
Sheerazi, S., Awad, S. A., & von Schreeb, J. (2025). Use of mobile health units in natural disasters: a scoping review. BMC Health Services Research, 25(1), 368. https://doi.org/10.1186/s12913-024-12067-9
Sobelson, PhD, R. K., Wigington, MPH, C. J., & Harp, BA, V. (2015). A whole community approach to emergency management: Strategies and best practices of seven community programs. Journal of Emergency Management, 13(4), 349–357. https://doi.org/10.5055/jem.2015.0247
Taylor, M. M., Stokes, W. S., Bajuscak, R., Serdula, M., Siegel, K. L., Griffin, B., Keiser, J., Agate, L., Kite-Powell, A., Roach, D., Humbert, N., Brusuelas, K., & Shekar, S. S. (2007). Mobilizing Mobile Medical Units for Hurricane Relief. Journal of Public Health Management and Practice, 13(5), 447–452. https://doi.org/10.1097/01.PHH.0000285195.39179.7d
Varker, T., Fredrickson, J., Agathos, J., Howlett, P., Howard, A., & O’Donnell, M. L. (2025). A scoping review of psychosocial interventions delivered by non–mental health workers following disaster events. Journal of Traumatic Stress, 38(2), 208–221. https://doi.org/10.1002/jts.23127
Wang, S., Liu, F., Lian, L., Hong, Y., & Chen, H. (2018). Integrated post-disaster medical assistance team scheduling and relief supply distribution. The International Journal of Logistics Management, 29(4), 1279–1305. https://doi.org/10.1108/IJLM-06-2017-0152
World Health Organization. (2026, March 6). Building climate-ready healthcare facilities across Indonesia. WHO. https://www.who.int/indonesia/news/detail/06-03-2026-building-climate-ready-healthcare-facilities-across-indonesia
Wuthisuthimethawee, P., Lindquist, S. J., Sandler, N., Clavisi, O., Korin, S., Watters, D., & Gruen, R. L. (2015). Wound Management in Disaster Settings. World Journal of Surgery, 39(4), 842–853. https://doi.org/10.1007/s00268-014-2663-3
Yan, Y., Di, X., & Zhang, Y. (2023). Optimization-driven distribution of relief materials in emergency disasters. Complex & Intelligent Systems, 9(3), 2249–2256. https://doi.org/10.1007/s40747-021-00290-4
Shirly Gunawan