228
H. Dwinantoaji et al.
Since Posyandu is more practice-oriented, education is mainly given through Dasa
Wisma.
12.8 Conclusion
The important barrier for a system shift toward a more inclusive approach to DRR
and climate change adaptation comprising PHC adaptation measures is the lack
of rewards system and certification, and inadequate the mechanism of protection
and incentive for health cadres. Whereas PHC implemented by health cadres plays
an important role in preparing for extreme events, monitoring, and responding to
infectious disease outbreaks due to changing patterns of vector- and waterborne
diseases by providing extra support for communities. In the long-term, therefore,
policy-makers need to consider the health cadres and the other healthcare providers at
the community who involved in DRR issues so we are well prepared for the predicted
health impacts of climate change and begin to implement long-term adaptive health
policies. Insights into the integration of PHC adaptation strategies and strengthening
the role of health cadres in flood risk management can help to meet the goal of
the SFDRR 2015–2030 that calls for the participation of people disproportionately
affected by disasters and highlights the need to strengthen the link between health
security and human resources management and DRR.
Acknowledgments I would like to acknowledge Prof. Sakiko Kanbara, Professor at Faculty of
Nursing University of Kochi, Principal Supervisor and Advisor from Japan for guiding my dissertation research, and Dr. Mila Karmilah and Dr. Hasti Widyasamratri, Faculty Member at Department
of Urban and Regional Planning, Faculty of Engineering Sultan Agung Islamic University from
Semarang in Indonesia, for their warm guidance and support and opportunity given to coordinate
this research project. In addition, I sincerely thank all health cadres in Kemijen, Puskesmas Karangdoro, and local institutional actors in the East Semarang subdistrict for their efforts in providing
PHC and monitoring health of people in flood events.
References
Aitsi-Selmi A, Murray V (2015) The Sendai framework: disaster risk reduction through a health
lens
Aitsi-Selmi A, Egawa S, Sasaki H, Wannous C, Murray V (2015) The Sendai framework for disaster
risk reduction: Renewing the global commitment to people’s resilience, health, and well-being.
Int J Disaster Risk Sci 6(2):164–176
Bell E, Towle N. Climate change and primary health care: towards better regional health impact
and risk assessments. In National Rural Health Conference. 2011:1–13.
Bray D (2010) The scientific consensus of climate change revisited. Environ Sci Policy 13(5):340–
350
Comola M, De Mello L (2011) How does decentralized minimum wage setting affect employment
and informality? The case of Indonesia. Rev Income Wealth 57:S79-99
H. Dwinantoaji et al.
Since Posyandu is more practice-oriented, education is mainly given through Dasa
Wisma.
12.8 Conclusion
The important barrier for a system shift toward a more inclusive approach to DRR
and climate change adaptation comprising PHC adaptation measures is the lack
of rewards system and certification, and inadequate the mechanism of protection
and incentive for health cadres. Whereas PHC implemented by health cadres plays
an important role in preparing for extreme events, monitoring, and responding to
infectious disease outbreaks due to changing patterns of vector- and waterborne
diseases by providing extra support for communities. In the long-term, therefore,
policy-makers need to consider the health cadres and the other healthcare providers at
the community who involved in DRR issues so we are well prepared for the predicted
health impacts of climate change and begin to implement long-term adaptive health
policies. Insights into the integration of PHC adaptation strategies and strengthening
the role of health cadres in flood risk management can help to meet the goal of
the SFDRR 2015–2030 that calls for the participation of people disproportionately
affected by disasters and highlights the need to strengthen the link between health
security and human resources management and DRR.
Acknowledgments I would like to acknowledge Prof. Sakiko Kanbara, Professor at Faculty of
Nursing University of Kochi, Principal Supervisor and Advisor from Japan for guiding my dissertation research, and Dr. Mila Karmilah and Dr. Hasti Widyasamratri, Faculty Member at Department
of Urban and Regional Planning, Faculty of Engineering Sultan Agung Islamic University from
Semarang in Indonesia, for their warm guidance and support and opportunity given to coordinate
this research project. In addition, I sincerely thank all health cadres in Kemijen, Puskesmas Karangdoro, and local institutional actors in the East Semarang subdistrict for their efforts in providing
PHC and monitoring health of people in flood events.
References
Aitsi-Selmi A, Murray V (2015) The Sendai framework: disaster risk reduction through a health
lens
Aitsi-Selmi A, Egawa S, Sasaki H, Wannous C, Murray V (2015) The Sendai framework for disaster
risk reduction: Renewing the global commitment to people’s resilience, health, and well-being.
Int J Disaster Risk Sci 6(2):164–176
Bell E, Towle N. Climate change and primary health care: towards better regional health impact
and risk assessments. In National Rural Health Conference. 2011:1–13.
Bray D (2010) The scientific consensus of climate change revisited. Environ Sci Policy 13(5):340–
350
Comola M, De Mello L (2011) How does decentralized minimum wage setting affect employment
and informality? The case of Indonesia. Rev Income Wealth 57:S79-99