Djafri Defriman, Chongsuvivatwong Virasakdi, Geater Alan
Department of Epidemiology and Biostatistics, Faculty of Public Health, Andalas University, Padang, West Sumatra 25128, Indonesia
Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Asia Pac J Public Health. 2015 Mar;27(2):NP1444-56. doi: 10.1177/1010539513496841. Epub 2013 Oct 4.
Indonesia has been making good progress in reproductive health (RH) outcome. This study aimed to examine the effect of the September 2009 Sumatra earthquake on availability and accessibility of RH services and its possible impact on local Millennium Development Goals (MDGs). Twenty-six health facilities in Padang City were reviewed and 667 clients directly interviewed. Water supply shortage was most widespread and slowest to recover, taking more than 1 year to normalize. Antenatal and emergency obstetric care was minimally disrupted, and family planning practice of the study couples was not changed by the earthquake. The previous rate of improvement in maternal and child mortality was slowed down, whereas stillbirths increased after the earthquake. Thus, there is a need to speed up the recovery to achieve the local MDGs.
印度尼西亚在生殖健康成果方面一直取得良好进展。本研究旨在调查2009年9月苏门答腊地震对生殖健康服务的可及性和可用性的影响及其对当地千年发展目标（MDGs）的可能影响。对巴东市的26家医疗机构进行了评估，并直接访谈了667名服务对象。供水短缺最为普遍且恢复最慢，需要一年多时间才能恢复正常。产前和紧急产科护理受到的干扰最小，且地震未改变研究对象夫妇的计划生育行为。母婴死亡率先前的改善速度放缓，而地震后死产率上升。因此，需要加快恢复速度以实现当地的千年发展目标。
