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Dinda Atriana
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AJDHM
Published by Universitas Gadjah Mada
ISSN : 30897726     EISSN : 30893887     DOI : -
Core Subject : Health,
Nursing Public Health
1. Publicize case studies of actual DHM practices in the ASEAN region, DHM domains of original research; capacity development and policy recommendations; and collaboration between health sectors and other sectors in disasters. 2. Promote the WHO Health Emergency and Disaster Risk Management (EDRM) Framework in ASEAN. 3. Contain world-class and high-quality articles on DHM, including articles that review world-class and high-quality articles which have been previously published in international journals.
Arjuna Subject : Umum - Umum
Articles 22 Documents
 1   2   3 
A Novel Health Management Model for Search and Rescue (SAR) Teams During the Batang Kali Landslide, 2022: A Case Study of Public Health Response Suhaida BT Mohd Sidek; Siti Syawakir Shamsuddin; Khairunnisa Ariffin; Nurfahzilah Abdul Aziz; Rosnawati; Mohamad Robat; Faridah Kusnin; Hazlina Yahaya; Thilaka Chinayah; Mohd Hisyamuddin Che Wan Naman; Rawlin Dundang Nyelang; Nurfazilah  Abdul Wazir
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 1 (2025): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i1.14393

Abstract

Introduction: A catastrophic landslide in Batang Kali, Hulu Selangor, Malaysia on December 16, 2022, displaced 16 million cu ft of soil, resulting in 61 rescues and 31 fatalities. Search and Rescue (SAR) team members face significant health risks and traumatic experiences during such operations. Objectives: This case study examines four key aspects of SAR operations, that is the efficacy of global health management for SAR teams, the physical and mental health implications on personnel during extended operations, the assessment of environmental health hazards in the disaster area and their mitigation measures, and the documentation of key lessons learned for future operational improvements. Methods: This is a case study on piloting innovative composite questionnaire on global assessment of health risks of SAR team members. The environmental health assessments were conducted using an adapted form from MOH Malaysia Guidelines for the Diagnosis, Management, Prevention and Control of Leptospirosis, 2011. The mental health using Whooley and GAD-2 questionnaires and the rest of the assessments including physical health using adapted MOH Malaysia Flood Preparedness Guidelines, 2008. Data was analysed using descriptive statistics. A one-stop health base was established for surveillance, coordination, and support. Results: Of 509 SAR team members, 56 (11%) participated. Physical health screening (n=18) revealed physical injuries (37.5%), hypertension (25%), mental health issues (25%), and one cardiovascular accident (12.5%). Mental health screening (n=29) identified three (10.3%) positive cases requiring counselling. Nine members attended Psychological First Aid sessions (44% psychoeducation, 33% relaxation, 23% sleep hygiene). No infectious diseases were reported during or one-month post-operation. Discussion & Conclusion: This novel model demonstrates effective comprehensive health monitoring during disaster response. The study supports pre- and post-deployment health screenings and improved interagency coordination, serving as a framework for future emergency responses.
Assessment of Radiation Safety Management System in a Vocational Institution Indonesian Polytechnic of Nuclear Technology X Gusti Sultan Arifin; Yayi Suryo Prabandari; Marthinus Sutena
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 1 (2025): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i1.14394

Abstract

Introduction: Occupational safety and health (OSH) are activities to guarantee and protect the safety and health of all workers through efforts to prevent work accidents and work-related diseases. Indonesian regulation concerning the OSH management system state that every company must implement this system in the work area, particularly nuclear facilities, which have a high potential danger level. Objective: The study aims to assesss the efficacy of a radiation safety management system as an effort to protect academic citizens, society, and the environment from the effects of radiation. Methods: This case study used a qualitative descriptive method, including observation, interviews, and document analysis on implementation of radiation safety management requirements in accordance to the prescribed regulations. Result: The result shown that the institute implemented radiation safety management requirements in accordance to the regulations and international guidelines. Conclusions: The radiation safety management system at the institute complies with Indonesian regulations, Indonesia Nuclear Energy Regulatory Agency regulations, and the International Atomic Energy Agency guidelines which require comprehensive evaluation to ensure adequate radiation protection and safety management implementation. Ensuring the everyday radiation culture reduces the risks in disaster situations.
Introduction to 1st Issue of AJDHM ASEAN Journal of Disaster Health Management
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 1 (2025): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i1.19031

Abstract

The ASEAN Journal of Disaster Health Management (AJDHM) is proud to announce the successful release of its inaugural issue, now available online as of January 2, 2025. This milestone marks a significant step forward in our mission to advance research and collaboration in the field of Disaster Health Management.
Preface of AJDHM's First Issue ASEAN Journal of Disaster Health Management
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 1 (2025): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i1.19033

Abstract

The ASEAN Journal of Disaster Health Management aims to provide a dedicated platform for professionals, researchers, and policymakers to share insights and innovative approaches to managing health challenges arising from disasters. In this inaugural issue, we bring together a diverse collection of nine articles that reflect the shared commitment of our contributors to improving disaster preparedness, response, recovery, and resilience.
Report the Second ASEAN Academic Conference on Disaster Health Management 2023 ASEAN Journal of Disaster Health Management
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 1 (2025): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i1.19034

Abstract

This report outlines the key outcomes of the 2nd ASEAN Academic Conference (AAC), which gathered academics and professionals from across the region to exchange insights and foster collaboration. The conference featured keynote speeches, research presentations, and panel discussions addressing regional challenges. Contributions from ASEAN countries highlighted diverse perspectives and actionable recommendations, reinforcing academic partnerships and paving the way for the 3rd AAC.
Indirect Disaster-Related Death Associated With Cognitive Decline Among Older People Following Evacuation During A Radiation Disaster: A Case Report Chika Yamamoto; Toyoaki Sawano; Akihiko Ozaki; Kenta Fuji; Naomi Ito; Momoka Yamamura; Arinobu Hori; Tianchen Zhao; Masaharu Tsubokura
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 2 (2025): July
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i2.20147

Abstract

Introduction: During disasters, older adults are vulnerable to indirect health effects caused by evacuation-related environmental changes. Despite existing reports of depression and cognitive decline in this population, detailed case-based analyses during prolonged evacuations following radiation disasters remain limited. Objective: This case study aims to examine the impact of evacuation on cognitive function and subsequent health decline in an older adult. Methods: We analyzed medical records, evacuation documents, and semi-structured interviews with the bereaved family. These sources were integrated and chronologically organized to assess the health impact of prolonged displacement. Results: An 88-year-old man, evacuated following the Fukushima Daiichi Nuclear Power Plant accident, experienced initial delirium, a temporary recovery upon returning home, and a relapse upon re-evacuation. Continuous displacement and repeated environmental changes led to progressive cognitive and physical decline, ultimately resulting in a disaster-related death. Conclusions: This case illustrates that evacuation during disasters can have serious impacts on the cognitive function and overall health of older adults. In particular, older individuals who are at risk of cognitive decline should be promptly relocated to evacuation sites where they can receive immediate and continuous medical and social support. Such measures are essential for mitigating health risks among older populations in future disasters.
Kanjuruhan Football Stampede (2022): Gaps in Disaster Preparedness and Response Mass-Casualty Management at A Mass Gathering Event Gde Yulian Yogadhita; Widiana K Agustin; Dinda Atriana
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 2 (2025): July
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i2.24832

Abstract

Introduction: On October 1, 2022, a post-match crowd disturbance at Kanjuruhan Stadium in Malang gave rise to a mass-casualty incident, highlighting deficiencies in disaster preparedness and readiness of medical care teams who are responsive to potential disasters occurred soccer event. Objective: This paper analyses the Kanjuruhan tragedy within the framework of disaster preparedness and mass-casualty management using only data from the initial report and presentation slides. Methods: A qualitative case study based on the Joint Independent Fact-Finding Team report, media reports, and medical responders' testimonies in webinars, as well as an interview with a pre-hospital care coordinator. Data were thematically coded by 5 areas: risk assessment, medical readiness, events timeline, hospital response and coordination. Results: Spectator venues were fit for purpose from the athlete’s point of view but not so much from a spectators. No formal coordination system for command, evacuation, referral, communication between emergency medical service and hospital existed before the event. The use of tear gas caused problems with respiratory distress and crowd crush, while hospitals experienced a lack of patient coordination during influxes, poor triage and resource limitations. Conclusions: The event demonstrates major deficiencies in large-scale events and mass casualty management. Tougher regulations, unified command systems, compatible communications and risk-based planning can help prevent such catastrophes
Managing External Radiation Exposure and Area Zoning in Industrial Radiography Training: A Case Report Arifin, Gusti Sultan; Atriana, Dinda; Abadha, Aksin Maula; Pribadi, Ari Prayogo; Promkhum, Dangfun; Fauzi, Desta Zul
ASEAN Journal of Disaster Health Management (AJDHM) Vol 2 No 1 (2026): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v2i1.21109

Abstract

Industrial radiography poses significant risks of external radiation exposure, particularly in training and operational environments. Effective radiation protection requires comprehensive understanding and application of key safety principles, including time, distance, shielding, and radiation zone identification. This study aims to evaluate external radiation exposure control through a series of practical activities conducted at the Vocational of Nuclear Technology X. Twenty-one participants performed tasks using gamma radiation sources to identify potential hazards, determine control and supervision areas, evaluate dose rate variations with distance and time, and assess the effectiveness of shielding materials. Data were collected through direct measurement and theoretical calculations and analyzed thematically. Findings confirmed that increasing distance and reducing exposure time significantly lowered dose rates, while shielding materials such as lead and concrete effectively attenuated gamma radiation. Conclusions: The study concludes that practical, scenario-based training reinforces technical competencies and safety culture among trainees. The results offer a valuable reference for students, researchers, and radiation workers in understanding external radiation management within radiographic practices.
Stairwell-Based Meal Delivery During Hospital Elevator Outages in Disasters: A Simulation Feasibility Study Kamimura, Hiroki; Igarashi, Yutaka; Sakai, Yoshiko; Okada, Ichiro; Koido, Yuichi; Yokobori, Shoji
ASEAN Journal of Disaster Health Management (AJDHM) Vol 2 No 1 (2026): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v2i1.23635

Abstract

Introduction: Large-scale disasters can disable hospital elevators, disrupting vertical transport of supplies and meals. Ensuring continued meal provision for inpatients is critical for patient health and hospital continuity. Objective: We simulated a stairway-based “bucket brigade” meal delivery system to quantify the time and staffing required when elevators are out of service, informing hospital disaster business continuity planning. Methods: A relay of 41 staff was stationed from a basement kitchen (B2) to a ward on the 3rd floor. A load of 32 meal trays (one cart) was passed hand-to-hand up the stairs, and return descent times were measured. We extrapolated these results to higher floors (3rd–12th) for a full meal round (64 trays/ward). Results: Delivering 32 trays to 3F took 5 min 56 sec upward and 3 min 49 sec downward. No drops or injuries occurred. Extrapolation indicated 69 min upward and 44 min downward to supply 64 meals to all wards up to 12F, requiring approximately 130 personnel positions. Conclusions: Stairwell delivery is feasible but labor-intensive. Over one hour and a large multidisciplinary team would be needed to deliver meals hospital-wide during elevator outages. Hospitals should incorporate such scenarios into disaster plans to ensure continuity of care.
Operationalization of a District-Level Health Emergency Operation Center During the Mount Semeru Eruption: A Field Report Yogadhita, Gde Yulian; Atriana, Dinda; Sutono, Sutono; Pangaribuan, Happy R; Wibowo, Bayu; Setiawati, Hani; Lestari, Sri; Fitriana, Ririn; Ramadhanjaya, Rakhmad; Hermawan, Dody; Oktafianto, Sonny
ASEAN Journal of Disaster Health Management (AJDHM) Vol 2 No 1 (2026): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v2i1.25548

Abstract

Introduction: Indonesia is highly prone to natural disaster, including volcanic eruptions that often generate sudden public health emergencies requiring rapid coordination and effective management of health resources. The eruption of Mount Semeru in December 2021 caused mass displacement and increased demand for emergency health services in Lumajang District, East Java. Objective: This field report aims to describe the establishment and operationalization of a district-level Health Emergency Operations Center (HEOC) during the acute response to the Mount Semeru eruption. Methods: A descriptive field report design was applied using operational documents, real-time coordination records, and field observations collected during the first ten days of the emergency response. Data were analyzed descriptively to examine coordination mechanisms, information management, volunteer deployment, and logistics monitoring. Results: HEOC activation strengthened command and coordination through routine coordination meetings, centralized health information management, structured volunteer deployment, and integrated logistics monitoring. These mechanisms improved situational awareness, reduced duplication of efforts, and supported timely operational decision-making despite resource constraints. Conclusion: The operationalization of a district-level HEOC enhanced health sector coordination and operational efficiency during the acute response phase. This report provides practical insights into HEOC implementation and highlights its importance for strengthening district-level health emergency preparedness in disaster-prone settings.

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