ANALYSIS OF HOSPITAL PREPAREDNESS IN DEALING WITH NATURAL DISASTERS BASED ON THE HOSPITAL SAFETY INDEX (HSI) (CASE STUDY AT CIDERES REGIONAL HOSPITAL)

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Background:Indonesia is in the most vulnerable position to disasters. According to the Indonesian Disaster Risk Index (IRBI) of 2022, the West Java Province has a moderate risk index. In emergencies and disasters, the hospital is expected to be ready to maintain a safe environment for patients and hospital staff, as well as to provide the medical needs of victims in the face of disaster. Therefore, hospitals must be guaranteed safe and have a plan of preparedness in response to emergencies and disasters. Methods:This is a qualitative descriptive study using the Hospital Safety Index (HSI) issued by WHO and PAHO, which is a tool for assessing hospital readiness. Research location at RSUD Cideres district of Majalengka which is a type B hospital in Majalangka district in western Java province. RSUD Cideres is a reference hospital in Majalengka district that receives referral patients from both inside and outside of Majalengka district. With the acceleration of the development of the Rebana area and the western Java area of the south, Majalengka district is one of the districts that must be prepared especially in the health sector. Results: Based on 3 (three) criteria of evaluation of the Hospital Safety Index, the study obtained a structural safety score of 0.40 including category B, a non-structural safety rating of 0.42 including category B and a safety score for emergency and disaster management of 0.38 including class B. This shows that short-term intervention measures are needed. Conclusion:The overall readiness of RSUD Cideres District of Majalengka is 0.40 including type B which means that hospitals need intervention in the short term, hospitals can still survive during disaster but remain at risk.

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