Texila International Journal of Public Health ISSN: 2520-3134 DOI: 10.21522/TIJPH.2013.13.01.Art091 Received: 31.12.2024 Accepted: 29.01.2025 Published on: 28.03.2025 *Corresponding Author: setyahaksama@fkm.unair.ac.id Health Disaster Capacity and Preparedness in the Case of Tsunami and Earthquake Disaster Setya Haksama 1* , Irwan Meilano 2 , Euis Sunarti 3 , Cecep Pratama 4 , Muhammad Farid Dimjati Lusno 1 , Sunarto 5 , Shyamkumar Sriram 6 , Syadza Zahrah Shedyta 7 , Diansanto Prayoga 8 , Syahprevi Rayyan Zeinsar 7 , Abdullah Al Mamun 9 , Rozan Asyrofi Rakyan Risang Aji 10 , Heru Santoso Wahito Nugroho 5 1 Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia 2 Faculty of Earth Science Technology, Institut Teknologi Bandung, Bandung, Indonesia 3 Faculty of Human Ecology, Institut Pertanian Bogor, Bogor, Indonesia 4 Faculty of Engineering, Universitas Gajah Mada, Yogyakarta, Indonesia 5 Health Department, Poltekkes Kemenkes Surabaya, Indonesia 6 College of Health and Public Services, University of North Texas, Denton, USA 7 Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia 8 Faculty of Health, Medicine and Natural Sciences, Universitas Airlangga, Banyuwangi, Indonesia 9 Knowledge Dynamics, Rangpur, Bangladesh 10 Faculty of Medicine, Universitas Surabaya, Indonesia Abstract The health system has a very important role in reducing hazards, exposure and vulnerability, especially in disaster conditions. In this case, the health system can be viewed from various sides, two of which are capacity and preparedness in health disasters. Therefore, research is needed that aims to describe the capacity and preparedness based on the case of the earthquake and tsunami disaster in Palu. This descriptive study was conducted based on the case of the earthquake and tsunami disaster in Palu, Central Sulawesi, Indonesia. Disaster management capacity and preparedness in facing disasters were measured by filling out an online questionnaire. Furthermore, descriptive data analysis was carried out. For disaster management capacity, the results of the assessment of each indicator were: provision of health services = low, human resources = low, financing = low, materials and governance = high, institutional structure and health information systems = low; 6) medicines and health supplies = high and community and environmental conditions = high. For disaster preparedness, the results of the assessment of each indicator were: fulfilment of basic health needs = high and reduction in disease severity through health services = low. In general, it is concluded that based on the case of the earthquake and tsunami disaster in Palu, the capacity and preparedness of disasters in the health sector are still relatively low. Keywords: Capacity, Disaster, Earthquake, Health, Mitigation, Tsunami. Introduction Indonesia is one of the countries with high disaster potential, with one of the vulnerable areas being Sulawesi Island, especially Palu City, Central Sulawesi Province, with a disaster that caused many victims. This incident occurred on September 28, 2018, at 18:02 Central Indonesian Time, with a strength of 7.4 on the Richter Scale, with the epicentre located around 26 kilometres north