Health Impact Following Flood in Bojonegoro District, East Java, Indonesia, December, 2007

1. Mondastri K Sudaryo 1 , Besral 1 , Meidy F Prameswari 1 , Debarati Guha-Sapir 2 [email_address] 1 HRCCD, FPH, University of Indonesia, Depok, Indonesia, 2 CRED, University Catholic of the Louvain, Brussels, Belgium,

2. Flood December 2007: 858 houses severely damage 1.850 houses mild to moderately damage 31 death 16 out of 27 sub-districts flooded till 3 meter height 229.000 people displaced Bojonegoro District, East Java Province : Area: 2.307,06 km2 Population (2006): 1.231.399 Background (1)

3. Post Dec 2007 Flood Situation in Kanor Subdistrict, Bojonegoro Background (2)

6. Flood Impact LONGEST FLOOD REMAINED Mean SD Min – Max The highest level of water in houses (meter) 1.1 0.9 0,01 – 8 The longest flood remained (days) 10.3 6.7 1 – 60

7. Results (1a) : General Morbidity The prevalence rates of main acute infectious diseases within 1 month after flood were higher than both the official Bojonegoro prevalence rates before flood and the corresponding current rates within 1 month before interview, i.e. 1 year after flood

8. Results (1b) : General Morbidity -GE and dermatitis might be a consequence of drinking water contamination (35% bad quality after flood, as compared to 8.5% before flood) and contact with flood water -ARI might be related to displacement (67% were displaced within range of 2-30 days and average of 8 days)

9. Results (2) : General Morbidity The prevalence rate of hypertension in the study population were lower than official Bojonegoro prevalence rate (i.e. 8.7%). Our rate might be underestimated, due to recall problems Estimated prevalence rate of main diagnosed chronic diseases In Bojonegoro, December 2007 History of chronic diseases Prevalence Yes 5,0% Five main chronic diseases 1. Hypertension & / Heart Disease 2,2% 2. Rheumatism 0,6% 3. Chronic pulmonary disease 0,5% 4. Renal disease 0,5% 5. Pulmonary TB 0,4%

10. Results (3) : General Morbidity Still about 33% of subjects did not immediately go to modern health facilities when they got illness within 1 month after flood

11. Results (4) : General Morbidity Although almost all (94%) admitted good quality of health service and about 70% could reach easily the health facilities by foot/ bicycle, still more than half did not go to health facilities when getting sick after flood because the illness was not serious.

12. Results (3) : Child Morbidity The prevalence rates of acute infection diseases among under-five (U-5) children within the past 1 year after flood were higher than the official Bojonegoro prevalence rates before flood

13. Results (4) : Child Nutrition The prevalence rates of wasting (20%), underweight (29%), stunting (41%) and among U-5 children within the past 1 year after flood were quite high and even higher than official Bojonegoro prevalence rates before flood

14. Results (5) : Child Nutrition The prevalence rates/ year of malnutrition among under-five children were higher in flooded households as compared to non-flooded households. Noted that the Bojonegoro population frequently suffered from repeating annual floods

20. A cknowledgement Funding for this study was made available by the European Commission under the 6 th Framework Programme – Contract n° GOCE-CT-2007- 036877 We also highly appreciate the very helpful support from Bojonegoro Health District Office

21. THANK YOU VERY MUCH