An Analysis of Factors Related to the Preparedness of Health Workers at the Harian Community Health Center, Samosir Regency
DOI:
https://doi.org/10.35451/2e95d808Keywords:
disaster preparedness, health workers, primary health care, rapid response team, disaster managementAbstract
Health workers at primary health care facilities, such as community health centers (puskesmas), play a crucial role in all phases of disaster management. However, their preparedness often remains suboptimal due to limited training, experience, and coordination capacity. This study aimed to analyze factors associated with disaster preparedness among health workers at Harian Community Health Center, Samosir Regency. A quantitative research with a cross-sectional design was applied. The total population of 51 health workers was included using a total sampling technique. Data were collected using a structured questionnaire validated for reliability and accuracy, and analyzed using chi-square and multiple logistic regression tests. The results showed significant relationships between disaster management training (p=0.043), involvement in disaster response (p=0.008), participation in the Rapid Response Team (TGC) (p=0.012), knowledge (p=0.035), and attitude (p=0.049) with disaster preparedness. In contrast, age (p=0.471), gender (p=1.000), education level (p=0.323), and work experience (p=0.750) were not significantly related. Multivariate analysis identified participation in the TGC as the most dominant factor influencing preparedness, with Exp(B) = 21.635. These findings highlight the need to strengthen disaster preparedness at the primary care level through regular training, simulation exercises, and empowerment of TGC teams as key components of the health emergency response system
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[1] Dataloka. Statistik Kebencanaan Indonesia Tahun 2024. Jakarta: BNPB; 2025.
[2] Kompas.com. BNPB Catat 2.107 Bencana Sepanjang 2024 [Internet]. 2025 [cited 2025 Oct 20]. Available from: https://www.kompas.com
[3] GoodStats. Tren Kejadian Bencana di Indonesia Semester I 2025. Jakarta: GoodStats; 2025.
[4] Ayuningtyas D, Misnaniarti, Sutopo. Disaster Preparedness and Mitigation in Indonesia. J Disaster Risk Stud. 2021;13(1):e8643537.
[5] Khatri RB, et al. Preparedness, impacts, and responses of public health emergencies in countries with weak health systems. Arch Public Health. 2023;81(34):1–12.
[6] Sari N, et al. Developing hospital resilience domains in facing disruption era in Indonesia. BMC Health Serv Res. 2023;23(10416):1–10.
[7] Wahidin D, Maemun S, Purnama Y, Egawa S. Health system disruption during Palu earthquake and tsunami. J Disaster Res. 2022;17(4):455–63.
[8] Lestari F, et al. The Application of Hospital Safety Index for Analyzing Primary Health Care Disaster Preparedness in Indonesia. Sustainability. 2022;14(3):1488.
[9] Mawardi F, et al. Strengthening Primary Health Care: Emergency and Disaster Preparedness in Community with Multidisciplinary Approach. Disaster Med Public Health Prep. 2021;15(4):373–9.
[10] Sofyana H, Ibrahim K, Afriandi I, Herawati E. The Implementation of Disaster Preparedness Training Integration Model in Indonesia. BMC Nurs. 2024;23(17):55.
[11] Suparji S. Disaster Preparedness Culture in Japan and Indonesia. Pan Afr Med J One Health. 2024;15(2):1–8.
[12] Hargono A, et al. Relationship between Disaster Awareness and Preparedness among Communities in Indonesia. BMC Public Health. 2023;23(10621481):1–9.
[13] Dewi N, et al. Factors Influencing Disaster Preparedness of Health Workers. J Kesmas Nasional. 2021;16(2):77–85.
[14] Prasetyo A. Critical Communication of Disaster Preparedness Areas for Reducing Risks in Indonesia. Int J Disaster Risk Reduct. 2024;93(2590061724000589):1–9.
[15] Pemerintah Kabupaten Samosir. Rencana Pembangunan Jangka Menengah Daerah (RPJMD) Kabupaten Samosir 2017–2022. Samosir: Bappeda; 2017.
[16] Creswell JW. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 4th ed. Thousand Oaks: SAGE Publications; 2014.
[17] Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of Sample Size in Health Studies. Geneva: World Health Organization; 1990.
[18] Kementerian Kesehatan RI. Pedoman Pengumpulan Data Lapangan untuk Penelitian Kesehatan Masyarakat. Jakarta: Pusat Data dan Informasi; 2022.
[19] Dahlan MS. Statistik untuk Kedokteran dan Kesehatan: Deskriptif, Bivariat, dan Multivariat. 7th ed. Jakarta: Epidemiologi Indonesia; 2020.
[20] World Health Organization. Ethics in Health Research: Principles, Processes, and Practical Applications. Geneva: WHO; 2021.
[21] Emaliyawati E, Ibrahim K, Trisyani Y, Mirwanti R, Ilhami FM, Arifin H. Determinants of nurse preparedness in disaster management: A cross-sectional study among community health nurses in coastal areas. Open Access Emerg Med. 2021;13:373–9.
[22] Shalahuddin I, Nugraha BA, Darmawulan N, Amalia SR, Agustina F, Sybromillys A, et al. Disaster preparedness education program for nursing staff: A narrative review. J Aisyah J Ilmu Kesehatan. 2021;6(3):591–9.
[23] Setyawati, A.D., Lu, Y.Y., Liu, C.Y., Liang, S.Y., Disaster knowledge, skills, and preparedness among nurses in Bengkulu, Indonesia: A descriptive correlational survey study. Emerg Nurs Assoc J. 2020;12(2):156–63.
[24] Wahyuni D, Syamsunasir, Subiyanto A, Rachmatika AN, Winugroho T. Natural disasters and COVID-19: Health worker preparedness and response. E3S Web Conf. 2021;331:01007.
[25] Yildirim N, Altintas KH, Kocoglu H. Disaster response self-efficacy and preparedness among Turkish nurses: A cross-sectional study. BMC Emerg Med. 2025;25(12):1–9.
[26] Zhang Y, Li J, Wang Q. Assessment of disaster preparedness and related impact factors among emergency nurses in tertiary hospitals: A cross-sectional study. Front Public Health. 2023;11:1093959.
[27] Adisah A, Silitonga EM, Manurung J, Hidayat W, Wandra T. Kesiapsiagaan petugas kesehatan Puskesmas dalam manajemen bencana di Kabupaten Aceh Tengah. PREPOTIF J Kesehatan Masyarakat. 2021;6(1):1–8.
[28] Kementerian Kesehatan RI. Pedoman Teknis Penanggulangan Krisis Kesehatan Akibat Bencana. Jakarta: Depkes RI; 2006.
[29] Hidayati T, Rachmawati E, Wahyuni D. Factors influencing nurses’ preparedness in disaster management. Jurnal Keperawatan Indonesia. 2021;24(1):45–52.
[30] Purnama E, Setyowati, Makhfudli. Nurses’ attitude and disaster preparedness: A correlation study. Indones J Nurs Pract. 2020;6(2):115–22.
[31] Winarti W, Barbara L, Simatupang RB, Hasena SL, Dielfanie VK. Individual and organizational factors associated with disaster preparedness among Indonesian hospital nurses. J Ners. 2024;19(2):102–9.
[32] Al Thobaity A, Alshammari F. Nurses’ perception of disaster management preparedness. Chin J Traumatol. 2018;21(2):102–6.
[33] Tifani A, Abdullah II, Syahnaz KF. Hubungan lama bekerja dan pengetahuan dengan kesiapsiagaan petugas kesehatan menghadapi banjir. J Kolaboratif Sains. 2023;7(5):321–30.
[34] Indonesian Emergency Nurses’ Preparedness to Respond to Disaster. Asian Nurs Res. 2019;13(4):273–80.
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