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Article | Civil and Sustainable Urban Engineering | Volume 5 - Issue 2 - 2025 | 88-101 | https://doi.org/10.53623/csue.v5i2.845
© 2025 by the author(s), and is licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) License Creative Commons Attribution 4.0 International (CC BY 4.0) License

Strengthening Urban Health Resilience through the Implementation of the Indonesian Emergency Medical Team (TCK-EMT Indonesia)

Author(s): Muhammad Hakiim Marzun , Johan Danu Prasetya , Eko Teguh Paripurno , Jaka Purwanta , Arif Rianto Budi Nugroho
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Master’s Program in Disaster Management, Department of Environmental Engineering, Faculty of Mineral and Energy Technology, Universitas Pembangunan Nasional “Veteran” Yogyakarta, Jalan Babarsari No.2, Tambakbayan, Catur Tunggal, Depok, Sleman Daerah Istimewa Yogyakarta, Indonesia

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Civil and Sustainable Urban Engineering

Volume 5 - Issue 2 - 2025

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Urban health resilience was increasingly recognized as a critical pillar of sustainable development, particularly in densely populated and disaster-prone cities. As part of the broader framework of urban resilience engineering, strengthening health systems was essential to prevent service disruptions and ensure continuity during crises. Emergency Medical Teams (EMTs) played a central role in this process by providing rapid, standardized, and sustainable responses. However, the Indonesian Emergency Medical Team (TCK-EMT Indonesia) had not yet achieved WHO verification, indicating persistent challenges in governance, operational readiness, and integration with urban health systems. This study applied the Edwards III policy implementation framework, which covered communication, resources, disposition, and bureaucratic structure, through a narrative literature review of national regulations, WHO standards, and After Action Reports from missions in Türkiye (2023) and Myanmar (2025). Findings revealed that although TCK-EMT Indonesia personnel demonstrated strong motivation and adaptive capacity, weaknesses persisted in communication delays, limited logistical self-sufficiency, and fragmented bureaucratic structures. These gaps undermined the ability of urban health systems to sustain essential services during disasters. Comparative insights from Türkiye and Myanmar highlighted how external facilitation, linguistic and cultural barriers, and governance fragilities critically influenced resilience outcomes in urban crisis contexts. The study concluded that strengthening TCK-EMT Indonesia was not only a step toward WHO verification but also a strategic measure for developing adaptive, integrated, and sustainable urban health systems. From the perspective of urban resilience engineering, enhancing EMT capacity constituted a pivotal effort to safeguard disaster-prone cities against increasingly complex health crises.

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Rangkuman Bencana Tahun 2024. (accessed on 28 July 2025) Available online: https://gis.bnpb.go.id/arcgis/apps/sites/#/public/pages/bencana-besar-tahun-2024.

Husein, R.; Kurniawan, B.D.; Kurniawati, N. (2024). Humanitarian Diplomacy in Action: Examining Muhammadiyah as a Model for Faith-Based Organizational Engagement. Jurnal Hubungan Internasional, 13(1), 1–16. https://doi.org/10.18196/jhi.v13i1.19673.

Pusat Krisis Kesehatan Kementerian Kesehatan (2023). Strategi Pelaksanaan Tenaga Cadangan Kesehatan pada Kondisi Krisis Kesehatan. Presentation, Jakarta. (internal document).

Peraturan Pemerintah (PP) Nomor 28 Tahun 2024 tentang Peraturan Pelaksanaan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan, no. 226975, p. 656. (accessed on 9 May 2025) Available online: https://peraturan.bpk.go.id/Details/294077/pp-no-28-tahun-2024.

Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 Tentang Kesehatan, no. 187315, 1–300. (accessed on 9 May 2025)

Available online: https://peraturan.bpk.go.id/details/258028/uu-no-17-tahun-2023

Petunjuk Teknis Tenaga Cadangan Kesehatan Tahun 2022. Kementerian Kesehatan RI, Jakarta. (accessed on 9 May 2025) Available online: https://pusatkrisis.kemkes.go.id/download/etgpe/files86188PETUNJUK_TEKNIS_TENAGA_CADANGAN_KESEHATAN.pdf

Classification and Minimum Standards for Emergency Medical Teams. (accessed on 4 September 2025) Available online: http://apps.who.int/bookorders.

EMT Global Classified Teams. (accessed on 5 September 2025) Available online: https://www.who.int/emergencies/partners/emergency-medical-teams/emt-global-classified-teams.

Baumeister, R.F.; Leary, M.R. (1997). Writing Narrative Literature Reviews. Review of General Psychology, 1(3), 311–320. https://doi.org/10.1037/1089-2680.1.3.311.

Green, B.N.; Johnson, C.D.; Adams, A. (2006). Squibs and Discussion: Antilocality and Antiagreement. Journal of Chiropractic Medicine, 5(3), 101–117. https://doi.org/10.1162/ling_a_00246.

Levy, Y.; Ellis, T.J. (2006). A Systems Approach to Conduct an Effective Literature Review in Support of Information Systems Research. Informing Science Journal, 9, 181–212. https://doi.org/10.1109/IEEM.2012.6837801.

Kasmad, R. (2018). Studi Implementasi Kebijakan Publik. Kedai Aksara: Makassar, Indonesia.

Medistianto, E.; Pandita, A.H.; Harimurti, F. (2023). Misi Kemanusiaan Emergency Medical Team (EMT) Indonesia–Turki. Kementerian Kesehatan RI, Jakarta. (accessed on 31 July 2025) Available online:

https://pusatkrisis.kemkes.go.id/download/fndsc/files766462Final_Buku_Misi_Kemanusiaan_INA-EMT_Gempa_Turkiye_copy.pdf

Medistianto, E.; Budiman; Manggala, A.R. (2025). Misi Kemanusiaan: Tenaga Cadangan Kesehatan Emergency Medical Team (TCK-EMT) Indonesia–Myanmar. Kementerian Kesehatan RI, Jakarta. (accessed on 31 J) Available online: https://heyzine.com/flip-book/2e5b771faa.html

von Harbou, K.; et al. (2020). Strengthening Emergency Preparedness through the WHO Emergency Medical Team Mentorship and Verification Process: Experience from Thailand. WHO South-East Asia Journal of Public Health, 9, 32–36.

von Harbou, K.; et al. (2020). Strengthening Emergency Preparedness through the WHO Emergency Medical Team Mentorship and Verification Process: Experience from Thailand. WHO South-East Asia Journal of Public Health, 9(1), 32–36. https://doi.org/10.4103/2224-3151.282993.

Casey, S.T.; Noste, E.E.; Cook, A.T.; Muscatello, D.; Heslop, D.J. (2025). Emergency Medical Teams in WHO’s Western Pacific Region. Western Pacific Surveillance and Response Journal (WPSAR), 14(6), 1–17. https://doi.org/10.5365/wpsar.2023.14.6.1184.

Baş, K.; Sur, H. (2022). Management of the COVID-19 Health Crisis in the World: An Evaluation on Centralization and Decentralization Practices. Journal of International Health Sciences and Management, 8(16), 107–113.

Rimadeni, Y.; Sofyan, H.; Rahman, S.; Pramana, S.; Ikhwan, M. (2024). Improving Medical Logistics Resilience in Earthquake Disasters: A Qualitative Case Study from Indonesia. Journal of Logistics, Informatics and Service Science, 11(10), 173–198. https://doi.org/10.33168/JLISS.2024.1010.

Su, Z.; Zhang, H.; McDonnell, D.; Ahmad, J.; Cheshmehzangi, A.; Yuan, C. (2022). Crisis Communication Strategies for Health Officials. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.796572.

Kusumastuti, A.; Khoiron, A.M. (2019). Metode Penelitian Kualitatif. Lembaga Pendidikan Sukarno Pressindo (LPSP): Semarang, Indonesia.

Tuna, M.J.K.; Hayirli, C.; Stark, N.; Hardy, J.; Peabody, C.R. (2023). Centralization and Democratization: Managing Crisis Communication in Health Care Delivery. Health Care Management Review, 48(4), 292–300. https://doi.org/10.1097/HMR.0000000000000377.

Vrahara, S.W.; Jamil, A. (2021). Cross-Cultural Communication among Nurses in Patient Care: A Rapid Review. European Modern Studies Journal, 5(1), 42–56. http://journal-ems.com/index.php/emsj/article/view/37/32.

Wulandari, R.A.; Asmaningrum, N.; Ardiana, A. (2022). Transcultural Communication Strategies in Nursing with Multicultural Clients in Hospital Settings: A Systematic Literature Review. Jurnal Pendidikan Keperawatan Indonesia, 8(2), 91–106. https://doi.org/10.17509/jpki.v8i2.47326.

Kwon, S.; Kim, E. (2022). Sustainable Health Financing for COVID-19 Preparedness and Response in Asia and the Pacific. Asian Economic Policy Review, 17(1), 140–156. https://doi.org/10.1111/aepr.12360.

Hesti Marlina, I.B.A.H.; Ruslanjari, D. (2024). Disaster Risk Financing and Insurance for Earthquake-Prone State Buildings in Indonesia. Jàmbá: Journal of Disaster Risk Studies, 16(1).

Lestari, F.; et al. (2022). Analysis of Hospital’s Emergency and Disaster Preparedness Using Hospital Safety Index in Indonesia. Sustainability, 14(10). https://doi.org/10.3390/su14105879.

Khorram-Manesh, A. (2025). Emergency Medical Teams or Community Empowerment: Why Do Integration and Collaboration Matter? Natural Hazards, 121(13), 15091–15108. https://doi.org/10.1007/s11069-025-07406-w.

Mediani, H.S.; Hendrawati, S.; Pahria, T.; Mediawati, A.S.; Suryani, M. (2022). Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia. Journal of Multidisciplinary Healthcare, 15, 1069–1082. https://doi.org/10.2147/JMDH.S356736.

Chen, Z.; et al. (2021). Effect of Healthcare System Reforms on Job Satisfaction Among Village Clinic Doctors in China. Human Resources for Health, 19(1), 1–9. https://doi.org/10.1186/s12960-021-00650-8.

Foo, C.Y.S.; Tay, A.K.; Yang, Y.; Verdeli, H. (2023). Psychosocial model of burnout among humanitarian aid workers in Bangladesh: Role of workplace stressors and emotion coping. Conflict and Health, 17(1), 1–12. https://doi.org/10.1186/s13031-023-00512-1.

Stevens, G.J.; Sharma, A.; Skeoch, K. (2022). Help-seeking attitudes and behaviours among humanitarian aid workers. Journal of International Humanitarian Action, 7(1). https://doi.org/10.1186/s41018-022-00126-x.

Gu, H.; Lee, J.; Hwang, Y.; Kim, J.; Lee, S.; Kim, S.J. (2023). Job burnout among workers with different shift regularity: Interactive factors between sleep, depression, and work environment. Frontiers in Public Health, 11(1). https://doi.org/10.3389/fpubh.2023.1131048.

Grimm, P.Y.; Merten, S.; Wyss, K. (2021). Evidence of health system resilience in Myanmar during Cyclone Nargis: A qualitative analysis. BMJ Open, 11(9), 1–10. https://doi.org/10.1136/bmjopen-2021-050700.

Heinkel, S.B.; et al. (2022). Disaster preparedness and resilience at household level in Yangon, Myanmar. Natural Hazards, 112(2), 1273–1294. https://doi.org/10.1007/s11069-022-05226-w.

Marulanda Fraume, M.C.; Cardona A, O.D.; Marulanda Fraume, P.; Carreño T, M.L.; Barbat, A.H. (2020). Evaluating risk from a holistic perspective to improve resilience: The United Nations evaluation at global level. Safety Science, 127(March), 104739. https://doi.org/10.1016/j.ssci.2020.104739.

Comfort, L.K.; Kapucu, N.; Ko, K.; Menoni, S.; Siciliano, M. (2020). Crisis decision-making on a global scale: Transition from cognition to collective action under threat of COVID-19. Public Administration Review, 80(4), 616–622. https://doi.org/10.1111/puar.13252.

Kondo, H.; et al. (2009). Establishing disaster medical assistance teams in Japan. Prehospital and Disaster Medicine, 24(6), 556–564. https://doi.org/10.1017/S1049023X00007512.

Santiago, J.S.S.; Manuela, W.S.; Tan, M.L.L.; Sañez, S.K.; Tong, A.Z.U. (2016). Of timelines and timeliness: Lessons from Typhoon Haiyan in early disaster response. Disasters, 40(4), 644–667. https://doi.org/10.1111/disa.12178.

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SUBMITTED: 28 September 2025
ACCEPTED: 20 October 2025
PUBLISHED: 24 October 2025
SUBMITTED to ACCEPTED: 23 days
DOI: https://doi.org/10.53623/csue.v5i2.845

Cite this article
Marzun, M. H., Prasetya, J. D. ., Paripurno, E. T. ., Purwanta, J. ., & Nugroho , A. R. B. . (2025). Strengthening Urban Health Resilience through the Implementation of the Indonesian Emergency Medical Team (TCK-EMT Indonesia) . Civil and Sustainable Urban Engineering, 5(2), 88–101. https://doi.org/10.53623/csue.v5i2.845
Keywords
TCK-EMT Indonesia Emergency Medical Team Health Crisis Management Yrban Health Resilience WHO standards
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