Strengthening Public Health through Prioritization of Village Resilience Components Using the Quadrant of Difficulty-Usefulness Approach
Abstract:
This study aims to
evaluate the resilience of Disaster Resilient Villages (Destana) in Magetan
Regency, East Java, Indonesia in facing public health crises due to disasters,
and to map the priority of village resilience components using the Quadrant of
Difficulty and Usefulness (QoDU) approach. This descriptive study took place
over eight months in 32 villages, involving 640 respondents consisting of 20
active administrators per village. The evaluation was conducted using the PKD
(Village Resilience Assessment) questionnaire which included 32 indicators and
128 questions, filled out through Focus Group Discussions (FGD), while
determining the priority of components that had high benefits but were
difficult to realize using the QoDU-VR (Quadrant of Difficulty-Usefulness
Village Resilience Questionnaire) questionnaire. The results showed that 3
villages (9.4%) were in the primary category, 12 villages (37.5%) were in the
middle category, and 17 villages (53.1%) were in the main category, with the
district's resilience level at the middle level (score 80.06). The recovery
preparedness component scored the lowest (69.94), followed by prevention and
mitigation (70.75). Using the QoDU approach, the prevention and mitigation
components were prioritized due to their high utility but difficulty in
implementation, followed by the post-disaster recovery component. The study
also found that disaster-resilient villages in the primary category were not
yet fully capable of implementing prevention and mitigation measures, and that the
majority of villages did not yet have a post-crisis recovery plan document. The
QoDU approach helps establish strategic priorities in building public health
resilience. These findings form the basis for strengthening public health
through participatory studies based on component and sub-component
prioritization strategies in further research.
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