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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Ayu Istiada
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Health Professions Public Health

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Health Education Model in Disaster Situations: Systematic Review Efa Nugroho; Ayu Istiada; Alfiana Ainun Nisa; Dwi Yunanto Hermawan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 1: JANUARY 2025 - Media Publikasi Promosi Kesehatan Indonesia
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i1.6427

Abstract

Background: Communities affected by disasters often lack the necessary knowledge and skills to handle emergency health issues. To address this, effective health education models are essential in enhancing community preparedness and response. To provide effective and efficient recommendations on health education models in disaster situations. Method: This study was a systematic review that gathered multiple studies using the PRISMA flow. Relevant keywords have been used, and articles were collected from various databases, including PubMed, Science Direct, and Scopus. The studies were collected from June to July 2024. Result: Out of 4,363 articles found, 19 were selected for further analysis. Health education in disaster situations can improve individual knowledge and skills to protect themselves, prevent disease, and support public health. This education was conducted in pre-disaster, during disaster, and post-disaster. Conclusion: In the pre-disaster phase, health education focuses on mitigation and preparedness through counseling reinforced by simulations, training, and role-playing. In the disaster phase, media such as digital devices, educational boards, and booklets disseminate information. In the post-disaster phase, health education focuses on restoring and maintaining emotional stability and community safety and addressing trauma-induced stress through health counseling and play. However, the results of this study do not cover the needs of marginalized or special needs groups, so further research is needed to understand how health education models can further adapt to different cultural contexts, especially in the emergency response phase of disasters.
Barriers to Contraceptive Access in Disaster Situations: A Systematic Review of Health System Preparedness and Socio-Cultural Challenges Alfiana Ainun Nisa; Efa Nugroho; Ayu Istiada; Annisa Novanda Maharani Utami; Dwi Yunanto Hermawan; Heny Widyaningrum
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 4: APRIL 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i4.6866

Abstract

Introduction: This study examines barriers to access to contraceptive services in disaster situations in the context of reproductive health system preparedness and socio-cultural challenges. According to the United Nations Population Fund (UNFPA) report in 2022, 51.3% of married women have not used contraceptives, and around 11.3% of family planning needs are unmet. In disaster situations, these problems are further complicated by limited infrastructure, unequal distribution of services, and weak health system preparedness. The inability to meet contraceptive needs can increase the risk of unplanned pregnancies and reproductive health complications, exacerbating the impact of disasters on women and other vulnerable groups. This study aims to fill this research gap by providing a comprehensive review of the factors that hinder access to contraceptive services during disasters and proposing policy-based strategies to improve health system preparedness in emergency response. Methods: This study is a systematic review that collects several studies according to PRISMA guidelines. Using relevant keywords, studies were obtained from PubMed, Science Direct, and Scopus databases. Studies were collected from June to July 2024. Results: Key findings suggest that socio-cultural, religious, and economic factors influence barriers to contraceptive access during disasters. Limited knowledge, social stigma, cultural and religious norms, and financial instability contribute to low utilization of contraceptive services. In addition, disruptions due to disasters and the COVID-19 pandemic limit community mobility, hinder access to health facilities and exacerbate service gaps for vulnerable groups, including refugees and migrants. Conclusion: This study highlights the importance of a human rights-based approach in ensuring the accessibility of contraceptive services in crisis situations. Policy implications include strengthening reproductive health systems in emergency response, reducing stigma through community education, and increasing stakeholder engagement in ensuring equitable distribution of services. The results of this study contribute to the global discourse on reproductive health rights in disaster contexts and provide a basis for innovative strategies to expand access to services in conflict-affected or remote areas.
Effectiveness of the PERMAJA Educational Program in Enhancing Adolescent Reproductive Health Knowledge During Disasters Ayu Istiada; Alfiana Ainun Nisa; Nugroho, Efa; Rachmawati, Latifah
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.95-100

Abstract

Background: Adolescents are among the most vulnerable groups during disasters, often facing an increased risk of sexual violence, poverty, and other reproductive health threats. These risks are exacerbated by the lack of private spaces for changing clothes, unsecured shelters, and shared toilet facilities for males and females in evacuation areas. Objective: This study aims to assess adolescents' knowledge of reproductive health in disaster situations and to develop empowerment activities through the PERMAJA (Peduli Kespro Masa Remaja) program. Methods: A quantitative descriptive study with a cross-sectional design was conducted involving 160 adolescents from three flood-prone areas in Central Java: Grobogan, Demak, and Semarang. The study was carried out from July to September 2024. Data were collected using a structured questionnaire and analyzed using univariate analysis to measure changes in knowledge before and after the educational intervention. Results: The findings showed an increase in adolescents' understanding of reproductive health during disasters following the educational sessions. The average score rose from 6.28 in the pre-test to 6.34 in the post-test. Although the increase in average scores was modest, the variation in responses indicated a broader comprehension of the topic among participants. Conclusion: The PERMAJA initiative contributed positively to enhancing adolescents' knowledge of reproductive health in disaster contexts. The program demonstrates the potential of targeted education in empowering vulnerable youth populations, particularly in high-risk disaster-prone areas.
Co-Authors Alfiana Ainun Nisa Annisa Novanda Maharani Utami Dwi Yunanto Hermawan Efa Nugroho Heny Widyaningrum Rachmawati, Latifah