TY - JOUR
T1 - Maternal and reproductive health (MRH) services during the 2013 eruption of Mount Sinabung
T2 - A qualitative case study from Indonesia
AU - Sajow, Hely Stenly
AU - Water, Tineke
AU - Hidayat, Melania
AU - Holroyd, Eleanor
N1 - Publisher Copyright:
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Maternal and reproductive health (MRH) needs are particularly heightened during disasters, affecting the long-term maternal morbidity and mortality. This single case study, drawing on the 2013 eruption of Mount Sinabung, Indonesia, aimed to investigate the experiences of pregnant women and the perspectives of community leaders on the accessibility and the provision of MRH services during the emergency response phase. The study was conducted between August 2017 and April 2018 in the newly relocated villages in Siosar Kabanjahe, Karo district. Data were collected from two stakeholder groups over two phases. Phase 1 with 10 women who were pregnant at the time of the eruption. Phase 2 with 16 community leaders. Data were thematically analysed and utilised NVivo software. While there were considerable efforts to provide MRH services following the eruption, these were described as inadequate. The activation of local disaster management authorities and provision of free-of-charge MRH services were seen as imperative to improving the disaster responses. To improve responses in future disasters, health authorities are recommended to upscale health information systems in emergencies, educate health professionals on Disaster Risk Management (DRM), improve guidelines related to temporary shelter and improve multi-sectoral coordination to ensure MRH provision is aligned with DRM policies.
AB - Maternal and reproductive health (MRH) needs are particularly heightened during disasters, affecting the long-term maternal morbidity and mortality. This single case study, drawing on the 2013 eruption of Mount Sinabung, Indonesia, aimed to investigate the experiences of pregnant women and the perspectives of community leaders on the accessibility and the provision of MRH services during the emergency response phase. The study was conducted between August 2017 and April 2018 in the newly relocated villages in Siosar Kabanjahe, Karo district. Data were collected from two stakeholder groups over two phases. Phase 1 with 10 women who were pregnant at the time of the eruption. Phase 2 with 16 community leaders. Data were thematically analysed and utilised NVivo software. While there were considerable efforts to provide MRH services following the eruption, these were described as inadequate. The activation of local disaster management authorities and provision of free-of-charge MRH services were seen as imperative to improving the disaster responses. To improve responses in future disasters, health authorities are recommended to upscale health information systems in emergencies, educate health professionals on Disaster Risk Management (DRM), improve guidelines related to temporary shelter and improve multi-sectoral coordination to ensure MRH provision is aligned with DRM policies.
KW - Indonesia
KW - Maternal and reproductive health
KW - disaster risk management
KW - pregnant women
KW - volcanic eruption
UR - http://www.scopus.com/inward/record.url?scp=85073917720&partnerID=8YFLogxK
U2 - 10.1080/17441692.2019.1657925
DO - 10.1080/17441692.2019.1657925
M3 - Article
C2 - 31543003
AN - SCOPUS:85073917720
SN - 1744-1692
VL - 15
SP - 247
EP - 261
JO - Global Public Health
JF - Global Public Health
IS - 2
ER -