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PENGURANGAN RISIKO BENCANA DI BIDANG KESEHATAN
PARADIGMA SHIFT
PARADIGMA SHIFT
Gangguan Fungsi
Hazard
Kejadian
Kerusakan
Kebutuhan
Bencana
Local Response Emergency/MCI
OutsideResponse
Gangguan Fungsi
Hazard
Kejadian
Kerusakan
Kebutuhan
Bencana
Local Response Emergency/MCI
OutsideResponse
Gangguan Fungsi
Hazard
Kejadian
Kerusakan
Kebutuhan
Bencana
Local Response Emergency/MCI
OutsideResponse
Gangguan Fungsi
Hazard
Kejadian
Kerusakan
Kebutuhan
Bencana
Local Response Emergency/MCI
OutsideResponse
• Perbedaan antara kebutuhan dan
sumberdaya yang tersedia
Gangguan Fungsi
Hazard
Kejadian
Kerusakan
Kebutuhan
Bencana
Local Response Emergency/MCI
OutsideResponse
• Gangguan serius atas FUNGSI
• yang menyebabkan kerugian manusia,
material maupun lingkungan,
• yang melebihi kemampuan Rumah Sakit tsb
untuk mengatasinya dengan
kemampuan/sumberdayanya sendiri
• A serious disruption of the functioning of a society, causing widespread
human, material, and/or environmental losses, which exceed the ability of
an affected society to cope using only its own resources. (WADEM, WHO)
Gangguan Fungsi
Hazard
Kejadian
Kerusakan
Kebutuhan
Bencana
Local Response Emergency/MCI
OutsideResponse
Hazard
Event
Damage
Change in Function
Needs
Disaster
Local Response Emergency/MCI
OutsideResponse
Risk Event
Absorbing Capacity
Buffering Capacity
Local Response Capacity
Res
ilien
ce
Risk Damage
Risk ∆ function
Risk Disaster
Hazard Modification R
isk
Red
uct
ion
Pre
pare
dnes
s
Risk Emergency
Risiko Kejadian
Risiko Kejadian
Risiko
Gangguan Fungsi
Risiko Bencana Risk Emergency
Gangguan Fungsi
Hazard
Kejadian
Kerusakan
Kebutuhan
Bencana
Local Response
Emergency/MCI
OutsideResponse
HOSDIP
• Konsekuensi dari Pengembangan HICS
• Fokus pada “PLAN” how to response
• Semakin berkembang
ke Paradigma Pencegahan
• Di Indonesia,
berkombinasi dengan K3
“Safe Hospital” Reduce Risk, Protect Health Facilities, Save Lives
• Algerian earthquake, 2003 – 50% destroyed health facilities
• Pakistan earthquake, 2005 - 49% destroyed health facilities
• Peru, Pasco earthquake, 2007 - within two minutes, the city lost 97% of its hospital beds to an 8.0 magnitude earthquake.
• China’s Wenchuan earthquake, 2008 – 11 000 health facilities (52%) were destroyed
• Viet Nam flood, 2008 – 61 hospitals were damaged provinces
• Fuji rains 2009 – flooded health facilities and devastate infrastructure
Fungsi Rumah Sakit Saat Bencana
Tetap berfungsi maksimal dalam situasi bencana
Structural Component
Non-structural Component
Functional Component
Safe Hospital
Bangunan Harus Tahan
Infrastruktur Harus Tahan
Semua Unit Tetap berfungsi
Kejadian
Hazard
Kerusakan
Gangguan
Fungsi
Kebutuhan
Bencana
Local
Response Emergency
Outside
Response
Risiko Kejadian
Absorbing
Capacity
Buffering
Capacity
Local
Response
Capacity
Risiko Kerusakan
Risiko G. Fungsi
Risiko
Bencana
Hazard
Modification
Risiko Emergency
Risiko
risiko
Proses
Bencana
Usaha Kita Langkah Pelaksana Hal
Penting
1. Struktur & Infrastruktur Aman
2. Kapasitas Cadangan
3. Kapabilitas Cadangan & HICS
4. Logistik Medik Cadangan
5. Finansial 6. Disaster Plan 7. Integrasi antar
stakeholder
Peringatan Dini & Forecasting
Rencana Kontinjensi dan Rencana Tanggap darurat Bencana
Respon Lanjutan (Prioritas II, III)
Respon Awal Penyelamatan & Pertolongan (Prioritas I)
Respons Awal (Pra Dampak)
Kajian Risiko, Kerentanan, Kapasitas
Kesiapsiagaan Tanggap Darurat Bencana
Early Recovery (Pemulihan Awal))
Continual Recovery (Pemulihan Lanjutan)
Rekonstruksi
Pengurangan Risiko, Kerentanan, Peninkatan Kapasitas
RUTINITAS
Masyarakat MANDIRI Tangguh Bencana
Safe
Community Safe Hospital
Safe School
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