ABSTRACT

Background: Disaster Reproductive health programs are important because of its adversely affected vulnerable groups, such as pregnant women, infants, toddlers, adolescents, and the elderly, some facts show that they were still neglected.

Aim: To evaluate the reproductive health management program when disasters occur in West Sumatera.

Methodology: The study was conducted by both quantitative and qualitative approaches. Quantitative data was collected through distributing questioner and qualitative data was obtained by in-depthinterviews, Focus Group Discussion, and document review. Data analysis with contents analysis study was held in March until August 2019 in five districts with a high number of disasters in 2018 those were Bukittinggi, Sijunjung, Solok, Solok Selatan, and Padang Pariaman District of West Sumatera. Informants were determined by purposive sampling.

Results: The result shows that 81,4% of women of childbearing age and 80% of young women were not able to access reproductive health services when the disaster occurs. In the input component, there was no policy for reproductive health, human resources have double responsibility and there was not any coordinator for health reproductive programs in primary health care, the fund came from disaster management funds, and used an existing facility and infrastructure only. In the process component, the plan for the reproductive health programs does not exist yet, no team was formed yet, the implementation of reproductive health services in a disaster such as; data collection, assessment of needs, reproductive health care, and monitoring will be done after a disaster. In the output component, the coverage of indicators for women of childbearing age has been well-served, but not for young women.

Conclusion: All of the data revealed that Management of health reproductive programs when disasters have not adequate in terms of inputs, processes, and outputs. Moreover, the recommendation should be given to the West Sumatera Health Office to improve the management of reproductive health programs and increase promotion for reproductive health services when disaster occure.

Keywords:HealthReproductive , Disaster, Management, Indonesia