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Complex emergencies in Indonesia.

D A Bradt1, C M Drummond, M Richman

  • 1Department of Emergency Medicine, Royal Melbourne Hospital, PO Box 2009, Parkville, Victoria 3050, Australia. dbradt@jhsph.edu

Prehospital and Disaster Medicine
|July 2, 2002
PubMed
Summary
This summary is machine-generated.

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Indonesia

Area of Science:

  • Public Health
  • Disaster Management
  • International Relations

Background:

  • Indonesia has faced six major civil armed conflicts with diverse causes including policy, economic, and political factors.
  • These conflicts have resulted in over 1.2 million internally displaced persons, particularly in the Malukus, Timor, and Kalimantan.
  • The complex emergencies are exacerbated by government instability, economic collapse, and a lack of political solutions.

Purpose of the Study:

  • To analyze the public health impact of civil armed conflicts in Indonesia.
  • To evaluate the effectiveness of domestic disaster management and international humanitarian health assistance.
  • To identify challenges and propose recommendations for humanitarian health workers.

Main Methods:

  • Review of public health impacts, including population displacement.

Related Experiment Videos

  • Assessment of domestic disaster management structures and international aid.
  • Analysis of challenges in clinical care and epidemiological surveillance.
  • Main Results:

    • Significant progress in domestic disaster management but persistent issues in international health assistance.
    • Clinical care is hampered by lack of protocols, drug misuse, and variable practices.
    • Epidemiological surveillance faces challenges with case definitions, management, and analytical capacity.

    Conclusions:

    • Indonesia's experience highlights recurrent problems in international humanitarian health assistance during complex emergencies.
    • Security concerns, exemplified by UN staff murders, necessitate revised rules of engagement for aid workers.
    • Addressing security, public health, and clinical threats is crucial for effective humanitarian response.