<![CDATA[Introduction: Tidal flooding is a major coastal hazard in North Surabaya that can disrupt health services. Community Health Centers (Puskesmas) are crucial for maintaining essential care during disasters. However, little attention has been given to how prepared inpatient Community Health Centers are for tidal flooding. This study assessed the preparedness of Community Health Centers (CHCs) in northern Surabaya for tidal flooding using the Hospital Safety Index (HSI).Methods: This study employed a quantitative approach. Primary data were collected using the Hospital Safety Index (HSI) questionnaire, which assessed four main aspects: hazard, structural, non-structural, and functional, at each community health center included in the study.Results: The Hospital Safety Index assessment showed that Sememi Community Health Center received a score of 0.88 (Category A), indicating the center’s ability to remain operational during a disaster. The Krembangan Selatan Community Health Center (0.64) and Bulak Banteng Community Health Center (0.52) were classified as Category B, indicating the need to improve preparedness through short-term interventions, particularly in functional aspects.Conclusion: This study found that preparedness for tidal flooding among inpatients at Community Health Centers (Puskesmas) on the northern coast of Surabaya City varied across facilities. Sememi Puskesmas was classified as Category A, while Krembangan Selatan and Bulak Banteng Puskesmas were classified as Category B, indicating the need for short-term interventions. Functional preparedness was the weakest component and should therefore be prioritized. Strengthening functional preparedness can help Community Health Centers maintain essential health services during tidal flooding and other emergencies.]]>
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