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Curriculum Vitae

Nama : dr Hendro Wartatmo SpB KBD
Purwokerto, Juli 1952
Recent Activities :

Lecturer of Departement of Public Health, Facuty of Medicine, UGM
Lecturer of Disaster Management Magister, Post Graduate School, UGM
Lecture of Departement of Surgery, Faculty of Medicine, UGM

Organisation:

WADEM ( World Association of Disaster and Emergency Medicine )
Hospital Preparednes Section, Indonesian Hospital Association
Pusbankes – 118 / PT Citra Paramedika
Divisi Menejemen Bencana, FK-KMK UGM ( https://bencana-kesehatan.net/ )
Konsultan Asean Institute for Disaster Health Management
Kolegium Bedah Digestif – PPDSp2 Bedah - Digestif

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Response to Natural Disaster in Indonesia

Famine, Lombok (1980),
Volcano eruption, Yogyakarta (1994)
Earthquake-Tsunami, Aceh (2004),
Earthquake, Nias (2005),
Earthquake, Yogyakarta – Central Java (2006)
Earthquake-Tsunami, Pangandaran (2006),
Landslide, Banjarnegara (2006)
Earthquake, Bengkulu (2008),
Earthquake, Padang (2009),
Volcano eruption, Yogyakarta (2010)
Flood, Jakarta (2013)
Earthquake, Aceh (2015),
Flood Bima (2015) rut
Famine, Measles-Diptheria outbreaks, Asmat (2017)
Earthquake, Lombok (2018)
Earthquake, Palu (2018)
Earthquake-Tsunami, Sunda Strait (2018)
Earthquake, Garut – West Java ( 2022 )

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Tsunami Aceh Data

Death : 130 736 (in Indonesia), 230 273 (estimated)

Wounded : no data available (in Indonesia), 125 000 (estimated)

Environment : Severe damage was inflicted on ecosystems such as mangroves, coral reefs, forests, coastal wetlands, vegetation, sand dunes and rock formations, animal and plant biodiversity and groundwater. Also, the spread of solid and liquid waste and industrial chemicals, water pollution and the destruction of sewage collectors and treatment plants threatened the environment even further. The environmental impact took a long time and significant resources to assess

Challenges: massive magnitude, location, political situation, safety and security (conflict area), Indonesian resiliency

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The Legend Team:

Voluntary Team
Own Funding
Minimum Experience but Networking
Succeed entered Meulaboh on the 6^th day as the first medical team
Starting Cut Nyak Dhien Hospital for re function
Meulaboh was still a Conflict Area

Mising in “Action”

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The Next Team

Team oh Public Health Departement
Arrived in Zainoel Abidin Hospital Banda Aceh �in early January 2005
Repair the Hospital Management System
Coordinate the works of many NGO’s
In collaboration with other University Team

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The Project Report

Recovery Program for Aceh after Tsunami 2024

Provide by Faculty of Medicine and Srajito Teaching Hospital
Multi sector, Multi years
Sponsored by World Vision Australis

https://bencana-kesehatan.net/index.php/2-uncategorised/681-tiga-tahun-kegiatan-rs-dr-sardjito-di-aceh

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Evaluation of �Disaster Recovery Program

dr. Hendro Wartatmo. SpB.KBD (presenter); Dr.dr. Bambang Hasta Yoga SpKJ; apt. Gde Yulian Yogadhita, M.Epid.

Center of Public Health Management Policy. Faculty of Medicine – Gadjah Mada University, Yogyakarta - INDONESIA

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20 th Pasca Tsunami�?

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Masalah Kesehatan Saat Tsunami

Sumber daya manusia :

Terbatas – batas terendah

Fasilitas Kesehatan :

Minimal

Sistim Kesehatan :

Rujukan – Networking, Pendanaan, Menejemen �Kurang maksimal, belum sesuai standard

Menejemen Bencana :

Menejemen daerah konflik

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20 th Pasca Tsunami

Sumber daya Manusia :

Kwantitatif : cukup
Kwalitatif : Standard

Fasilitas Kesehatan :

Mencukupi

Sistim Kesehatan :

Rujukan : Sisrute RS
Pendanaan : BPJS
Menejemen : Akreditasi

Menejemen Bencana :

UU 27, 2006 Kebencanaan, BNPB,
Pengetahuan : Magister Menejemen Bencana, dll

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Sekarang dan Kedepan

Sumber daya : Cukup
Hazard :

Gempa, Tsunami, Banjir
Minus konflik

Menejemen Bencana :

Pengembangan Menejemen Bencana

Megathrust adalah istilah untuk menggambarkan gempa bumi yang terjadi di zona subduksi, yaitu daerah pertemuan lempeng tektonik di mana satu lempeng bergerak ke bawah lempeng lainnya. Gempa megathrust biasanya memiliki magnitudo yang sangat besar dan dapat memicu tsunami.

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https://www.metrotvnews.com/read/Ky6CPdrO-wilayah-aceh-paling-rentan-ancaman-gempa-megathrust

https://aceh.tribunnews.com/2024/12/22/bupati-aceh-selatan-terpilih-dan-anggota-dpra-sampaikan-masalah-banjir-trumon-raya-ke-pj-gubernur

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Hazard

Functional Deficit

Structural Damage

Event

Emergency

Disaster

Hazard Mitigation

Absorbing Capacity

Buffering Capacity

Local Response Capacity : Ordinary

Outside Response Capacity

Local Response Capacity:

Extra-Ordinary

Response

Capacity Building

Risk Reduction

Resilience

The ability to prevent, withstand and recover from the harmful impacts of natural hazards on people, places and the natural environment.

Response

The answer to a defined need or a request.

Capacity Building

A concept currently widely used, in many different domains, especially in the United Nations and other international development organizations. In general, capacity building efforts aim to provide a defined target group or an organization with skills, resources, both human and financial, or technology needed to enable it to perform to its full potential.

Risk Reduction

A selective application of appropriate techniques and management principles to reduce either likelihood of an occurrence or its consequences, or both.

Disaster management

An aggregate of all measures taken to reduce the likelihood of damage that will occur related to a hazard(s) and to minimize the damage once an event is occurring or has occurred and to direct recovery from the damage; the body of policy and administrative decisions and operational activities that pertain to the various stages of a disaster at all levels.

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Fokus kedepan

Hazard : Megatrust, Banjir
Response :

Banyak pilihan

Pertimbangan untuk memilih Hospital Disaster Plan:

Fokus dg masalah Kesehatan
Sesuai ruang lingkup
Sudah berjalan
Sesuai program Nasional : akreditasi ( Akreditasi RS, ASPAK )

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Resilience

Disaster resilience is our ability to prevent, withstand and recover from the harmful impacts of natural hazards on people, places and the natural environment.

Absorptive capacity

The ability to take protective action and cope with known stress and shocks, such as those caused by disasters, extreme weather events, and conflict. It's a key factor in helping communities adapt to new and unprecedented disasters.

Buffering capacity

The ability of a community, or components of a community, to cope with the Structural Damage or Functional Damage sustained from an event without a decrease or loss of function of the System ( ie, continue to function in spite of the Structural Damage

Response Capacity

The combination of all the strengths, attributes and resources available within an organization, community or society to manage and reduce disaster risks and strengthen resilience.

Response capability of local government.

The ability to provide equipment and a suitable number of persons, using the resources available, to effectively manage or help another entity to manage an emergency situation or a disaster in the local government area.

Hazard — anything that may pose a danger; it is used in this discussion to mean a natural or human-made phenomenon or a mixture of both, that has the potential to adversely affect human health, property, activity, and/or the environment. Hazards are specific as to type, and as a general rule contain energy.

Mitigate — to lessen or decrease the seriousness of the process

Disaster mitigation : alterations that are achieved before an event occurs that decrease vulnerability.

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Hospital Disaster Plan sbg bagian dari Resilience

Resilience :

Absorbing Capacity
Buffering Capacity
Local Response

Hospital Disaster Plan :

Pengananan korban Manusia
Penyediaan fasilitas dan Logistik
Menyiapkan Respon saat terjadi Bencana

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Disaster Preparedess

Disaster preparedness consists of a set of measures undertaken in advance by governments, organisations, communities, or individuals to better respond and cope with the immediate aftermath of a disaster, whether it be human-induced or caused by natural hazards. The objective is to reduce the loss of life and livelihoods.
Simple initiatives can go a long way, for instance in training for search and rescue, establishing early warning systems, developing contingency plans, or stockpiling equipment and supplies.
Disaster preparedness plays an important role in building the resilience of communities.

European Civil Protection and Humanitarian Aids Operation

https://civil-protection-humanitarian-aid.ec.europa.eu/what/humanitarian-aid/disaster-preparedness_en

Preparedness — the aggregate of all measures and policies taken by humans before the event; to be prepared for the event.

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Hospital Disaster Plan

Rumah Sakit Siaga Bencana

Bencana Eksternal

Respon Internal

Bencana

Internal

Practicable

Akreditasi RS

Bencana Internal

Respon Eksternal

Tim Bantuan ( Medis )

Accreditation Consistence

Flexible, Concise / Clear command

Comprehensive, Compatible, Predictable

Adaptable, Simple, Antisipatory

Integrayed to the Regional Disaster Plan

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Tujuan:

Memberikan pelayanan medis secara cepat dan efektif, secara maksimal, untuk menekan morbiditas dan morbiditas akibat bencana / musibah masal.
Dengan cara:

Mensiagakan seluruh staf dan dan sumber daya RS supaya bisa bekerja secara efektif dalam segala situasi bencana, baik eksternal maupun internal

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1. Tujuan HDP

CHAOS

Worst Outcome

Inadequate

Responses

demand exceed capacities

shortage of suplies

damage of infra structure

Bencana

Hospital