KOORDINASI PELAYANAN KESEHATAN PENGUNGSI BENCANA GUNUNG MERAPI

Background: The eruption of Mount Merapi in Yogyakartahas caused dangerous impact to the people’s health. It is importantto provide a good health care services during emergencyresponse. Maguwoharjo is a shelter with the largestnumber of refugees, but health care staff are not well distributed.The coordination on health care service is important toovercome the health problems during emergency response.Aim: To describe effetiveness of coordination of care providedfor the refugees.Methods: This was a qualitative study using in-depth interviewsmethod to collect data. The informants were representativesfrom Yogyakarta provincial health office, Sleman districthealth office, primary health care center of Depok, NonGovernment Office/NGO, and former refugees. To ensure thevalidity of data, triangulation was carried out.Results: The coordination of health care service to refugeesis studied from its communication and organization. The communicationwas done by regular meetings in the morning andin the afternoon involving shelter’s coordinator, volunteer’scoordinator, and representative from both provincial and districthealth office. Not only by the regular meeting, but also byusing SMS gateway and skype (internet-based). There wasalso a hierarchial structure to organize all health care staffand their responsibilities during emergency response. Untilend of the evacuation, there was no outbreaks, incidence ofdisease was decreased, and infectious diseases were controlled.However, health care personels and adequate facilitieswere lacking, and standard operating procedure to providegood health services to refugees was not available.Conclusion: The coordination of health services for refugeesduring the emergency was effective but still needs toimprove information and use of SOP.Keywords: effectiveness, coordination, health care, refugee