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Journal : health dynamics

Strengthening the Capacity of Village Communities in Handling Health Crises Due to Disasters Through Participatory Action Research: Results of Community Service in Ngelang Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Aries Prasetyo; Cantika Puteri Apriliana
Health Dynamics Vol 3, No 7 (2026): July 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30703

Abstract

Ngelang Village in Kartoharjo District, Magetan Regency, has been designated a Disaster Resilient Village (Destana). However, its capacity to handle health crises remains limited, marked by weak coordination, the absence of an emergency command structure, and minimal training and simulation. The community service activity employed a Participatory Action Research (PAR) approach and involved 34 participants. Needs identification resulted in four priorities: establishing a command structure, developing a contingency plan, updating health vulnerability data, and creating a risk and vulnerability map. Intensive training was conducted over four days, totaling 30 training hours (JPL). The average pre-test score of 77.07 increased to 86.4 in the post-test, but decreased to 81.03 after one month, indicating challenges in knowledge retention. Participation was high, with over 59% of responses in the excellent category. Weaknesses were still evident in discussion engagement and problem-identification skills. Reflection showed that material understanding and practical skills were in the moderate category, while engagement was relatively high. The PAR intervention was effective in increasing knowledge and participation; however, the sustainability of the results requires strengthening retention strategies. Active participant involvement is crucial, but improvements are needed in discussion and problem analysis. The village government is committed to allocating the village budget (APBDes) for evacuation facilities, outreach, and regular simulations. The Destana Forum has agreed to make the training a regular biennial program and establish collaborations with health and disaster management agencies.
Empowerment Disaster-Resilient Village Forums for Health Crisis Preparedness: A Participatory Action Research Approach Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Aries Prasetyo; Sulikah Sulikah; Teta Puji Rahayu
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11103

Abstract

This study aims to enhance the Disaster Resilient Village (Destana) forum's preparedness for disaster-related health crises. The key challenges identified are low community response to early warning systems and slow mobilization of health resources, both contributing to high victim numbers and exacerbating health crises. The study focuses on creating an accessible early warning system and accelerating health resource mobilization, prioritizing these elements based on an analysis of disaster preparedness parameters. Using Action Research with a Participatory Action Research (PAR) design, the research was conducted in Magetan Regency, East Java, involving 150 Destana forum administrators. The study explores the development of early warning procedures, health contingency plans, emergency response structures, and simulation plans. The findings reveal that the Destana forum successfully developed tailored health contingency plans for each village, including an inclusive early warning system Standard Operating Procedure (SOP) for vulnerable groups. Additionally, an integrated health command structure was formed, enhancing emergency response coordination. Emergency response simulations with 90 participants demonstrated improved readiness and community engagement in handling health crises. The study highlights the importance of a participatory, sustainable approach to building resilience, showing that active community involvement fosters collective responsibility for managing health crises during disasters.
From Symbol to Substance: Transforming Disaster-Resilient Villages/Sub-Districts Towards Sustainable Resilience Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Aries Prasetyo
Health Dynamics Vol 3, No 9 (2026): September 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30904

Abstract

While being designated a disaster-resilient village/sub-district is an important achievement in strengthening community capacity, administrative status alone does not necessarily indicate functional resilience when a disaster occurs. This opinion article argues that community resilience needs to be understood as a continuous process built through three interrelated pillars: knowledge, awareness, and concrete action in disaster risk reduction. These three pillars require the support of local government commitment, policies translated into programs and budgets, and inclusive access to basic services. Evidence compiled from the literature and experiences across various contexts suggests that disaster education, skills training, simulations, community participation, and cross-level governance can strengthen preparedness and response capacity. At the same time, investment in basic services such as water, sanitation, health, transportation, and communications determines a community's ability to maintain basic functions and recover quickly after a disaster. In the Indonesian context, the key challenge is not simply the existence of policies or the size of budgets, but the consistency of their translation into measurable actions and outcomes. This article encourages a policy shift from labeling and administrative outputs to measuring resilience outcomes, strengthening the cycle of risk assessment, mitigation, preparedness, emergency response, recovery preparedness, and learning, integrating disaster risk reduction into development, and investing in inclusive basic services. Therefore, resilient villages/sub-districts need to be assessed not only by their resilience documents, but also by the community's ability to act, utilize basic services appropriately and wisely, and learn from risks.