Introduction: Disaster can increase the vulnerability of women and girls to Gender-Based Violence (GBV) and limit their access to reproductive health (RH) services. This implementation research explores the challenges of integrating GBV services within existing RH services in disaster-prone areas. Methods: This study employed a mixed-methods design to examine the challenges associated with integrating GBV services into RH services in two crisis-prone regions of Indonesia. Qualitative data were collected through focus group discussions (FGDs) and in-depth interviews with key stakeholders, including community members, healthcare service providers, and representatives from the Provincial Health Office (Dinas Kesehatan) and the Women’s Empowerment and Child Protection Agency (DP3A) at both district and provincial levels of the study area. These methods were utilized to explore stakeholder perspectives on the integration of GBV services within SRH programming. Quantitative data were gathered via a structured survey to assess community acceptance of the proposed integrated GBV-RH service model. Data analysis was guided by thematic analysis, with theoretical frameworks including the Social Ecological Model to examine multi-level influences on service integration and the WHO’s Six Building Blocks of Health Systems to assess structural and operational dimensions of integration. Results: The implementation of the GBV and SRH during disasters faces several key challenges, including: a) limited engagement and passive dependency of the local authorities on the issues, b) low participation and advocacy from grassroots organizations and community leaders, c) excessive workload constraints and inadequate communication capacity within the health sector, impeding effective service delivery and stakeholder coordination, c) limited community awareness and preparedness, d) Insufficient policy operationalization, e) Fiscal constraints, including inadequate budgetary allocations to support program scalability and sustainability. Conclusion: A disaster preparedness program funded by local authorities is necessary to develop to enhance the integration of RH and GBV services for women and children during disasters.
Lubis et al. (Sun,) studied this question.