Sistem Pelayanan Kesehatan Tanggap Darurat di Kabupaten Ciamis (Health Care Emergency Response System In Ciamis Regency)

Background: District of Ciamis is one of the disaster-prone areas in Indonesia with a high level of vulnerability to naturaldisasters, landslides, fl oods, hurricanes, and earthquakes. Disaster management requires the involvement of a wide rangeof institutions. This study aims to describe the health care system during disaster response with a case study in the districtof Ciamis, West Java province. Method: The study is a qualitative research, conducted in 2011. Collecting data by in- depth interviews, focus group discussions, and secondary data study. Informants as key person come from health care units(Primary Health Care, hospitals) and agencies at district of Ciamis such as BPBD, Polres, Kodim, Dinsos, PMI, Dinkes.Results: The result shows that the major weakness of the current health care system in the District of Ciamis emergencyresponse is in the budget, resources and logistics. There is a good coordination among health sector, but other sectorsare still lacking. Recommandations: It is recommended that health sector improve coordination with relevant institution indisaster management, advocacy to executives, improving human health and socialization skills and disaster preparedness training to the community in disaster-prone areas