Summary: Indonesia’s geographical position, situated among multiple tectonic plates, renders it exceptionally vulnerable to megathrust earthquakes. Given this risk, hospitals, as key health care facilities, must develop comprehensive Hospital Disaster Plans (HDPs) to respond to such emergencies effectively. Since 2008, the Center for Health Policy and Management (CHPM) at Universitas Gadjah Mada has conducted a series of HDP training programs. Post-COVID-19 Pandemic, these trainings have transitioned to in-person technical guidance sessions, although some online training activities continue. In 2024, the training program featured one HDP online seminar and one three-day in-person HDP technical guidance session. The online seminar provided basic and core HDP knowledge, while the in-person session focused on practicing risk analysis and the Hospital Safety Index (HSI) within a megathrust earthquake context. Participants developed detailed job action sheets and standard operating procedures for disaster response. A total of nine hospitals and 38 individuals engaged in the training activities. However, only three hospitals attended the technical HDP development guidance. Throughout the sessions, participants actively reviewed and discussed their existing HDP documentation. Despite these efforts, evaluating the revised HDP documents proved challenging due to the inability to conduct on-site observation of hospital environments. Participants also supplied limited evidence, particularly concerning data to support their HSI indicators. As an alternative, we recommended that participants utilize contingency plans or disaster risk assessments issued by the National Disaster Management Agency (BNPB) and local Regional Disaster Management Agencies (BPBD). HDP training is vital in addressing the evolving landscape of disaster risks. Accordingly, updates to HDPs should prioritize enhancing hospital preparedness for effective disaster response, rather than merely meeting institutional accreditation standards.
Seswandhana et al. (Sun,) studied this question.