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CONFERENCE PROCEEDING
The resilience of reproductive health services in the context of climate-induced disasters in Indonesia: A mixed method study in Central Sulawesi
1
STIK Sint Carolus, Midwifery, Jakarta, Indonesia
2
IPAS Indonesia, Health System Strangthening, Jakarta, Indonesia
3
IPAS Indonesia, Communication, Jakarta, Indonesia
Eur J Midwifery 2026;10(Supplement 1):A31
ABSTRACT
BACKGROUND:
Central Sulawesi is one of the most severely affected areas in Indonesia in terms of reproductive health because of climate-induced disasters. The impact of climate change following the 2018 tsunami and earthquake has further exacerbated the challenges in accessing reproductive health services in the region.
OBJECTIVES:
To assess the vulnerability and resilience of reproductive health services in Central Sulawesi by applying the World Health Organization (WHO) Vulnerabilities in Healthcare Facilities in the Context of Climate Change framework, focusing on energy, water, human resources, and infrastructure.
METHODS:
A mixed-method approach with a convergent parallel design was applied. Quantitative data were collected through a cross-sectional survey and analysed using descriptive frequencies; ordinal data were converted to interval scale using the successive interval method. The qualitative component employed a phenomenological design, with data gathered through in-depth interviews with healthcare workers and analysed using a narrative approach. The study included 19 health facilities (four hospitals and 15 primary healthcare centres) across four ecological zones (urban, forest, coastal, and mountainous) in Central Sulawesi.
RESULTS:
The findings revealed moderate to high vulnerability levels across facilities, indicating low resilience. Eighteen of 19 facilities lacked backup electricity sources during disasters. Six facilities experienced water shortages and contamination, while three facilities suffered structural damage. Health workers reported prioritising personal safety over service provision during disasters, with trauma affecting their motivation. Palu, as the main referral centre, also demonstrated significant vulnerabilities in all four domains.
CONCLUSIONS:
Reproductive health services in Central Sulawesi show low resilience against climate-induced disasters. Strengthening infrastructure, ensuring reliable utilities, and building healthcare worker capacity are essential to improving service continuity.
KEY MESSAGE:
Climate resilience must be integrated into health system planning to safeguard reproductive health services during disasters. Cultural safety
Central Sulawesi is one of the most severely affected areas in Indonesia in terms of reproductive health because of climate-induced disasters. The impact of climate change following the 2018 tsunami and earthquake has further exacerbated the challenges in accessing reproductive health services in the region.
OBJECTIVES:
To assess the vulnerability and resilience of reproductive health services in Central Sulawesi by applying the World Health Organization (WHO) Vulnerabilities in Healthcare Facilities in the Context of Climate Change framework, focusing on energy, water, human resources, and infrastructure.
METHODS:
A mixed-method approach with a convergent parallel design was applied. Quantitative data were collected through a cross-sectional survey and analysed using descriptive frequencies; ordinal data were converted to interval scale using the successive interval method. The qualitative component employed a phenomenological design, with data gathered through in-depth interviews with healthcare workers and analysed using a narrative approach. The study included 19 health facilities (four hospitals and 15 primary healthcare centres) across four ecological zones (urban, forest, coastal, and mountainous) in Central Sulawesi.
RESULTS:
The findings revealed moderate to high vulnerability levels across facilities, indicating low resilience. Eighteen of 19 facilities lacked backup electricity sources during disasters. Six facilities experienced water shortages and contamination, while three facilities suffered structural damage. Health workers reported prioritising personal safety over service provision during disasters, with trauma affecting their motivation. Palu, as the main referral centre, also demonstrated significant vulnerabilities in all four domains.
CONCLUSIONS:
Reproductive health services in Central Sulawesi show low resilience against climate-induced disasters. Strengthening infrastructure, ensuring reliable utilities, and building healthcare worker capacity are essential to improving service continuity.
KEY MESSAGE:
Climate resilience must be integrated into health system planning to safeguard reproductive health services during disasters. Cultural safety
| eISSN: | 2585-2906 |
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