Kesiapsiagaan puskesmas dalam menghadapi perubahan iklim yang berdampak pada kesehatan: A systematic review
DOI: https://doi.org/10.33024/hjk.v18i11.509
Kesiapsiagaan Perubahan Iklim Puskesmas
Abstract
Background: Climate change has the potential to significantly impact public health. Primary health facilities must be prepared to provide effective health services to address the health impacts of climate change.
Purpose: To determine the preparedness of community health centers in facing climate change that has an impact on health.
Method: The approach used is Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA). The search format using Patient, Intervention, Comparison, Outcome (PICO) was formulated to facilitate the process of searching literature from databases. The databases used are ScienceDirect, Sage Journal and Scopus from 2020-2024. Researchers use the Mendeley application to detect duplication.
Results: The final search results obtained 10 articles, from these articles were obtained preparedness efforts that can be carried out by health centers through routine training, building knowledge, attitudes, and practices of health workers, and building positive perceptions about preparedness. Health centers can respond to the impacts of climate change more effectively with the support of a structured framework.
Conclusion: Increasingly extreme climate change has a significant impact on public health, thus requiring better preparedness from health facilities such as community health centers.
Keywords: Climate Change; Health Centers; Preparedness.
Pendahuluan: Perubahan iklim berpotensi m.emberi dampak besar bagi kesehatan masyarakat. Fasilitas kesehatan primer dituntut memiliki kesiapsiagaan untuk memberi pelayanan kesehatan yang efektif dalam merespon dampak kesehatan akibat perubahan iklim.
Tujuan: Untuk mengetahui kesiapsiagaan puskesmas dalam menghadapi perubahan iklim yang berdampak pada kesehatan.
Metode: Pendekatan yang digunakan adalah Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA). Format pencarian dengan menggunakan Patient, Intervention, Comparison, Outcome (PICO) dirumuskan untuk memudahkan dalam proses pencarian literatur dari database. Database yang digunakan adalah ScienceDirect, Sage Journal dan Scopus dari tahun 2020-2024. Peneliti menggunakan aplikasi Mendeley untuk mendeteksi Duplikasi.
Hasil: Hasil akhir pencarian didapatkan 10 artikel, dari artikel tersebut didapatkan upaya kesiapsiagaan yang dapat dilakukan oleh puskesmas melalui pelatihan rutin, membangun pengetahuan, sikap, dan praktik tenaga kesehatan, serta membangun persepsi positif tentang kesiapsiagaan. Puskesmas dapat merespons dampak perubahan iklim secara lebih efektif dengan dukungan kerangka kerja yang terstruktur.
Simpulan: Perubahan iklim yang semakin ekstrem menimbulkan dampak signifikan terhadap kesehatan masyarakat, sehingga menuntut kesiapsiagaan yang lebih baik dari fasilitas kesehatan seperti puskesmas.
Kata Kunci: Kesiapsiagaan; Perubahan Iklim; Puskesmas.
Downloads
References
Ammann, P., Dietler, D., & Winkler, M. S. (2021). Health impact assessment and climate change: A scoping review. The Journal of Climate Change and Health, 3, 100045.
Attar, A. A. (2022). The disaster preparedness among health care workers in holy mosques at Makkah and Madinah, Saudi Arabia. International Journal of Pharmaceutical Research and Allied Sciences, 11(4-2022), 41-51.
Basu, S. (2020). COVID-19 health facility preparedness for protecting healthcare workers: Designing a tool for rapid self-assessment. Indian Journal of Medical Sciences, 72(2), 83.
Besekar, S., Jogdand, S., & Naqvi, W. (2024). Navigating Sample Size Determination in Educational Research: A Rapid Review Unveiling Strategies, Challenges, and Recommendations.
Beyer, R. M., Manica, A., & Mora, C. (2021). Shifts in global bat diversity suggest a possible role of climate change in the emergence of SARS-CoV-1 and SARS-CoV-2. Science of the Total Environment, 767, 145413.
Bujang, M. A. (2023). An elaboration on sample size planning for performing a one-sample sensitivity and specificity analysis by basing on calculations on a specified 95% confidence interval width. Diagnostics, 13(8), 1390.
Bujang, M. A. B., Kamaluddin, M. R., Mat Basir, S., Munusamy, S., & Jhee Jiow, H. (2024). Impacts of Workplace Culture on Deviant Workplace Behavior: A Systematic Review. SAGE Open, 14(2), 21582440241247976.
Burke, E. J., Zhang, Y., & Krinner, G. (2020). Evaluating permafrost physics in the Coupled Model Intercomparison Project 6 (CMIP6) models and their sensitivity to climate change. The Cryosphere, 14(9), 3155-3174.
Choi, J., Wehde, W., & Maulik, R. (2024). Politics of problem definition: Comparing public support of climate change mitigation policies using machine learning. Review of Policy Research, 41(1), 104-134.
Dhar, R., Talukdar, J., Kumar, A., & Karmakar, S. (2022). The problem with APC and open access: Hurdles in publishing practice. Asian Journal of Medical Sciences, 13(3), 1-2.
Effendi, P., & Nasichim, M. (2024). Authority Of Nurses To Install Infusations During The Pandemic Outside Of Health Care Facilities. Iblam Law Review, 4(1), 576-584.
Ferreira, R., Cannon, C. E., Buttell, F., & Davidson, T. (2023). Explaining disaster and pandemic preparedness at the nexus of personal resilience and social vulnerability: an exploratory study. Disaster Medicine and Public Health Preparedness, 17, e416.
Gianfredi, V., Mazziotta, F., Clerici, G., Astorri, E., Oliani, F., Cappellina, M., & Benatti, B. (2024). Climate change perception and mental health. results from a systematic review of the literature. European journal of investigation in health, psychology and education, 14(1), 215-229.
Hamilton, W., Philippe, C., Hospedales, J., Dresser, C., Colebrooke, B., Hamacher, N., & Sorensen, C. (2023). Building capacity of healthcare professionals and community members to address climate and health threats in The Bahamas: Analysis of a green climate fund pilot workshop. Dialogues in Health, 3, 100141.
Hasan, M. K., Fahmi, A., Jisa, T. J., Rokib, R. H., Borna, J. Y., Fardusi, J., & Mahmud, M. S. (2024). Predictors of Bangladeshi registered nurses' disaster management knowledge, skills, and preparedness. Progress in Disaster Science, 22, 100324.
Hickman, C., Pihkala, P., Clayton, S., Lewandowski, E. R., Mayall, E. E., & van Susteren, L. (2021). Young people's voices on climate anxiety, government betrayal and moral injury: A global phenomenon. Government betrayal and moral injury: A global phenomenon.
Howard, M., Ahmed, S., Lachapelle, P., & Schure, M. B. (2020). Farmer and rancher perceptions of climate change and their relationships with mental health. Journal of Rural Mental Health, 44(2), 87.
Huang, L. J. T., & Guenther, E. (2020). From dichotomy to an integrated approach: cities’ benefits of integrating climate change adaptation and mitigation. Sustainability, 12(18), 7591.
Ibrahim, N., Yusuf, Z. K., & Monoarfa, R. A. (2023). Gambaran Pengetahuan, Sikap, dan Praktik Tenaga Kesehatan dalam Manajemen Pra Bencana. Indonesian Red Crescent Humanitarian Journal, 2(2), 68-73.
Iira, T., Ruth, M. L., Hannele, T., Jouni, J., & Lauri, K. (2021). Finnish nurses' perceptions of the health impacts of climate change and their preparation to address those impacts. In Nursing forum (Vol. 56, No. 2, pp. 365-371).
Ilhami, M. W., Vera N. W., Mahendra, A., Sirodj, R. A., & Afgani, W. (2024). Penerapan Metode Studi Kasus Dalam Penelitian Kualitatif. Jurnal Ilmiah Wahana Pendidikan, 10(9), 462–469. https://doi.org/10.5281/zenodo.11180129
Kako, M., & Hutton, A. (2023). Disaster preparedness of Hiroshima community health nurses: A mixed-method study. Progress in Disaster Science, 20, 100295.
Kalogirou, M. R., Dahlke, S., Davidson, S., & Yamamoto, S. (2020). Nurses’ perspectives on climate change, health and nursing practice. Journal of Clinical Nursing, 29(23-24), 4759-4768.
Katzman, J. G., Herring, D., Schramm, P., Tomedi, L., Maury, J. M., Kalishman, S., & Arora, S. (2021). Climate change and human health ECHO: global telementoring for health professionals. Journal of Medical Education and Curricular Development, 8, 23821205211061019.
Khan, F., Shah, S. A. A., Shah, S. U. A., & Khan, A. (2024). Climate Change and Human Health: Impacts and Vulnerability. Journal of Health and Rehabilitation Research, 4(1), 561-566.
Lemery, J., Balbus, J., Sorensen, C., Rublee, C., Dresser, C., Balsari, S., & Calvello Hynes, E. (2020). Training Clinical And Public Health Leaders In Climate And Health: Commentary explores training clinical and public health leaders in climate and health. Health Affairs, 39(12), 2189-2196.
Lokmic, T. Z., Block, L. J., Davies, S., Reid, L., Ronquillo, C. E., von Gerich, H., & Peltonen, L. M. (2023). Evaluating the representation of disaster hazards in SNOMED CT: gaps and opportunities. Journal of the American Medical Informatics Association, 30(11), 1762-1772.
Lopo, C., Razak, A., Maidin, A., Suarayasa, K., Nadjib, M., Masni, M., & Ngemba, H. R. (2022). The effect of knowledge and skills of hospital staff on the hospitals’ alertness and security in encountering earthquake in palu city, central sulawesi, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(E), 1077-1081.
Maibach, E., Frumkin, H., & Ahdoot, S. (2021). Health professionals and the climate crisis: trusted voices, essential roles. World Medical & Health Policy, 13(1), 137-145.
Morrow, A., Chan, P., Tiernan, G., Steinberg, J., Debono, D., Wolfenden, L., & Taylor, N. (2022). Building capacity from within: qualitative evaluation of a training program aimed at upskilling healthcare workers in delivering an evidence-based implementation approach. Translational Behavioral Medicine, 12(1), ibab094.
Mousavi, A., Ardalan, A., Takian, A., Ostadtaghizadeh, A., Naddafi, K., & Bavani, A. M. (2020). Health system plan for implementation of Paris agreement on climate change (COP 21): a qualitative study in Iran. BMC Public Health, 20, 1-13.
Mundie, C., & Donelle, L. (2022). The environment as a patient: A content analysis of Canadian nursing organizations and regulatory bodies policies on environmental health. Canadian Journal of Nursing Research, 54(4), 464-473.
Muro, A., Czajkowski, S., Hall, K. L., Neta, G., Weaver, S. J., & D’Angelo, H. (2024). Climate change harm perception among US adults in the NCI health information national trends survey, 2022. American Journal of Health Promotion, 38(5), 625-632.
Nicholas, P. K., Breakey, S., McKinnon, S., Eddy, E. Z., Fanuele, J., & Starodub, R. (2021). A CLIMATE: A tool for assessment of climate-change–related health consequences in the emergency department. Journal of Emergency Nursing, 47(4), 532-542.
Nwosu, L. I., Enwereji, P. C., Enebe, N. B., & Segotso, T. (2023). Determining the Roles of School Management Teams in Fostering Entrepreneurship among Learners. International Journal of Learning, Teaching and Educational Research, 22(9), 478-500.
Paglinawan, K. U. (2024). Preparedness and Awareness of School Disaster Risk Reduction Management (SDRRM) in Gingoog City Division. Preparedness and Awareness of School Disaster Risk Reduction Management (SDRRM) in Gingoog City Division, 144(1), 20-20.
Palinkas, L. A., O’Donnell, M. L., Lau, W., & Wong, M. (2020). Strategies for delivering mental health services in response to global climate change: A narrative review. International Journal of Environmental Research and Public Health, 17(22), 8562.
Park, M. K., Baek, S., Jeong, D. W., & Kim, G. S. (2024). Nurses' Perceptions and Behaviours Regarding Climate Change and Health: A Quantile Regression Analysis. Journal of Advanced Nursing.
Rawas, S., Al-Matared, S., Al-Hutailah, M., Al-Alhareth, A., Alyami, T., Alyami, A., & Al-Hutaylah, A. A. M. (2023). Enhancing the Retention of Healthcare Workers in Rural areas: a systematic review. Int J Sci Res, 2(11), 298-311.
Saeed, H., Hamid, S., Zoukar, I., Khiami, A., Al Hawat, L., Khoja, M., & Dashash, M. (2024). Post-quake call for action: developing core competencies matrix for Syrian health workers in emergency time. Conflict and health, 18(1), 5.
Sambath, V., Narayan, S., Kumar, P., Kumar, P., & Pradyumna, A. (2022). Knowledge, attitudes and practices related to climate change and its health aspects among the healthcare workforce in India–A cross-sectional study. The Journal of Climate Change and Health, 6, 100147.
Sorensen, C., Hamacher, N., Campbell, H., Henry, P., Peart, K., De Freitas, L., & Hospedales, J. (2023). Climate and health capacity building for health professionals in the Caribbean: A pilot course. Frontiers in Public Health, 11, 1077306.
Talukder, B., Schubert, J. E., Tofighi, M., Likongwe, P. J., Choi, E. Y., Mphepo, G. Y., & Orbinski, J. (2024). Complex adaptive systems-based framework for modeling the health impacts of climate change. The Journal of Climate Change and Health, 15, 100292.
Tang, S., Irby, B. J., Tong, F., & Lara-Alecio, R. (2021). The effects of cooperative, collaborative, and peer-tutoring strategies on English learners’ reading and speaking proficiencies in an English-medium context: A research synthesis. SAGE Open, 11(4), 21582440211060823.
Van de Vuurst, P., & Escobar, L. E. (2023). Climate change and infectious disease: a review of evidence and research trends. Infectious Diseases of Poverty, 12(1), 51.
Weierstall, P. R., Schnell, T., Heßmann, P., Feld, M., Höfer, M., Plate, A., & Müller, M. J. (2022). Stressors related to the Covid-19 pandemic, climate change, and the Ukraine crisis, and their impact on stress symptoms in Germany: analysis of cross-sectional survey data. BMC Public Health, 22(1), 2233.
World Health Organization. (2023). Climate change. Diakses dari: https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health
Yang, L., Liu, C., Bi, P., Vardoulakis, S., & Huang, C. (2020). Local actions to health risks of heatwaves and dengue fever under climate change: Strategies and barriers among primary healthcare professionals in southern China. Environmental Research, 187, 109688.
Yovi, E. Y., Nastiti, A., & Kuncahyo, B. (2023). Heat-related knowledge, risk perception, and precautionary behavior among Indonesian forestry workers and farmers: Implications for occupational health promotion in the face of climate change impacts. Forests, 14(7), 1455.
Zhao, L., Lin, X., & Zang, Y. (2021). Emergency preparedness for heat illness in China: A cross-sectional observational study. International emergency nursing, 54, 100957.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Holistik Jurnal Kesehatan

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.