Emergency Preparedness and Older People in Indonesia: Building Resilient Care Systems

For an older person who depends on daily medicines, mobility assistance or help from a daughter living nearby, a flood or earthquake creates more than an immediate emergency. The pharmacy may become inaccessible. Electricity may fail. The family member who normally provides meals may be unable to cross a damaged road. An evacuation center may be technically available but difficult to reach with a walking frame. A Puskesmas may remain operational while the people most dependent on it cannot get there. In these circumstances, continuity of support becomes part of disaster resilience itself.

That connection matters increasingly for Indonesia as its population ages. The wider Indonesia Aging, Long-Term Care & Community Support Knowledge Hub examines how families, communities, primary care, social protection and emerging long-term care infrastructure are adapting to demographic change. Emergency preparedness adds another requirement: the systems that support older people in ordinary life must remain sufficiently connected when ordinary arrangements are disrupted.

Indonesia already has a substantial disaster-management architecture. Law No. 24 of 2007 on Disaster Management provides the national legislative foundation, with Badan Nasional Penanggulangan Bencana (BNPB) operating nationally and Badan Penanggulangan Bencana Daerah (BPBD) performing important disaster-management functions at regional and local levels. Health emergency preparedness is also being strengthened through the Ministry of Health. The central aging question is not whether Indonesia has disaster institutions. It is whether disaster planning, health resilience and developing community-based long-term care can become sufficiently connected to protect older people whose survival and independence may depend on continuity rather than one-off emergency intervention.

Older People Experience Emergencies Through Their Existing Dependencies

Chronological age does not make every older person vulnerable. Many people in their sixties, seventies and beyond remain independent, mobile and capable of responding to warnings without additional assistance. Others live with combinations of frailty, disability, dementia, sensory impairment, chronic disease or dependence on family caregivers.

Emergency planning therefore needs to understand functional need rather than treating “older people” as one homogeneous category.

A person using insulin has a different continuity risk from somebody who needs assistance transferring from bed to chair. A person with dementia may be physically mobile but unable to interpret an evacuation instruction. Somebody receiving dialysis or oxygen therapy faces another set of dependencies. An older person living alone may need assistance despite relatively good health because their normal social network becomes unavailable.

This is where emergency planning connects with disability and functional need. Vulnerability emerges from the interaction between the person, their environment and the disruption caused by the emergency.

The operational implication is important. A list of people over a particular age may help identify a broad population, but it is not enough to determine who needs priority assistance. Local preparedness needs visibility of the people whose medicines, mobility, cognition, equipment, transport or caregiver arrangements make interruption particularly dangerous.

Indonesia’s Disaster Architecture Creates a Foundation, but Care Continuity Crosses Systems

Indonesia’s disaster-management framework operates across national and subnational government. BNPB has national disaster-management responsibilities, while BPBD structures provide important provincial and kabupaten/kota capacity. Health emergencies engage the Ministry of Health, provincial and district/city health authorities, hospitals, Puskesmas and other health resources. Social welfare services, village institutions, community organizations and families may simultaneously be supporting people affected by displacement or loss.

Older-person continuity therefore cannot sit within one institution.

The disaster-management system may coordinate evacuation and emergency response. Health services may restore treatment. Social welfare actors may address shelter and social support. Families may continue providing most personal assistance. Community cadres may know which residents have stopped attending services. None of these perspectives alone provides the complete picture.

This creates an operational requirement for communication, notification and coordination that continues across organizational boundaries.

The distinction between emergency response and long-term care continuity matters because the latter often extends beyond the dramatic phase of a disaster. A hospital may reopen while an older person’s home remains uninhabitable. Roads may reopen while a caregiver has lost their livelihood. An evacuation center may close while rehabilitation needs caused by prolonged immobility are only beginning to become visible.

Resilience therefore has a timeline: preparation before disruption, protection during the emergency, restoration of essential support and recovery that prevents temporary disruption becoming permanent dependency.

Primary Care Is Part of the Resilience Infrastructure

Indonesia’s ongoing Integrasi Layanan Primer (ILP), or Integrated Primary Health Care, reforms are particularly relevant. Puskesmas are moving toward life-course-oriented primary care, supported by networks that extend into communities through Pustu, Posyandu and cadres. By July 2026, the Ministry of Health reported that around 9,000 Puskesmas had implemented ILP.

For older people, this infrastructure can provide something disaster response teams cannot easily recreate after an event: prior knowledge of local populations.

A Puskesmas may know which people are receiving treatment for hypertension, diabetes or respiratory disease. Community health workers may know which older residents have recently become frail. Posyandu cadres may know who lives alone or has stopped attending community activities. Used appropriately and with attention to confidentiality, this local intelligence can improve preparedness.

Recent experience also demonstrates how exposed primary-care infrastructure can itself become. During the major hydrometeorological disasters affecting Aceh, North Sumatra and West Sumatra in late 2025, the Ministry of Health reported substantial disruption to hospitals and Puskesmas. Subsequent recovery work included temporary relocation, cleaning and reconstruction of heavily damaged primary-care facilities.

The lesson is not simply that facilities need stronger buildings. Continuity of operations planning asks a broader question: if the usual building, staff member, transport route, communication system or supplier becomes unavailable, which essential functions must continue and how?

Organizations examining similar resilience questions can use the Governance Maturity Assessment to structure consideration of responsibility, escalation and assurance. It is not an Indonesian disaster-management instrument, but the underlying governance discipline is useful: critical dependencies should have identifiable ownership before an emergency occurs.

Scenario: A flooded Puskesmas does not have to mean a lost care pathway

A 76-year-old woman in a flood-prone area of West Java lives with heart failure, diabetes and reduced mobility. Her daughter normally collects medicines and takes her to the Puskesmas when review is required. After severe flooding, the usual road becomes impassable and local health services operate temporarily from another site.

A weak continuity model waits for the woman or her daughter to re-establish contact. A stronger model uses existing local information to identify people whose treatment interruption creates material risk. The health team confirms which medicines remain available, determines whether clinical review can safely be delayed and coordinates local delivery or an alternative access route where necessary.

The daughter remains central, but the system does not assume she can solve every disruption. If she cannot reach the family home, local community contacts can establish whether the woman is safe and whether assistance is required.

After the flood, the Puskesmas does not merely record that services resumed. It reviews which high-risk patients experienced interrupted medicines or delayed treatment and whether alternative arrangements worked.

That turns a disaster response into organizational learning. The next preparedness plan is then based on actual continuity failures rather than a generic assumption that reopening the facility restores access.

Evacuation Planning Has to Begin With Real Mobility

An evacuation route that works for an independently mobile adult may not work for an 84-year-old who needs two people to transfer safely. Nor does issuing a warning guarantee that a person with hearing loss, visual impairment or dementia understands what action is required.

Age-inclusive emergency planning therefore needs to examine the complete journey from warning to safety.

That includes whether the person receives the warning, understands it, can prepare essential medicines or equipment, can physically leave the home, has suitable transport and can enter and use the destination environment.

Some older people may need early evacuation rather than faster evacuation. Waiting until water rises or ashfall intensifies can make a manageable transfer much more difficult.

BNPB’s 2026 emphasis on translating early warning into anticipatory action is highly relevant here. Warning systems have limited protective value if the people receiving the information cannot act upon it. For long-term care, preparedness means deciding in advance what an alert should trigger for people who require assistance.

A small number of practical questions become crucial:

  • Who may need physical assistance to evacuate?
  • Who depends on electricity-powered equipment or temperature-sensitive medicines?
  • Who may not understand or receive conventional warnings?
  • Which family or community contact normally provides support?
  • What happens if that person is unavailable?
  • Which destination can meet essential accessibility and health needs?

The aim is not to create intrusive registries of every older person. It is to identify foreseeable dependencies proportionately and establish who is responsible for acting when those dependencies become critical.

Medicines and Equipment Are Often the Hidden Continuity Problem

Many older people can tolerate short disruption to ordinary routines. They may not safely tolerate interruption to essential medicines, oxygen, wound care, continence supplies, nutritional support or mobility equipment.

This makes medication, equipment and supply-chain continuity central to aging resilience.

The problem extends beyond having emergency stock. A medicine may be available somewhere in the district but inaccessible because roads are damaged. A family may evacuate without an accurate medication list. Electricity failure may affect refrigeration or powered equipment. Replacement mobility aids may be unsuitable. A displaced older person may not know the exact name or dose of several medicines.

Preparedness therefore needs both supply resilience and information resilience.

Medication reconciliation becomes particularly important when people move between evacuation centers, hospitals and temporary accommodation. The more fragmented the response, the greater the risk that different clinicians work from incomplete information.

Digital health records can potentially improve access to essential information, but they should not create a single point of failure. Connectivity, electricity and authentication may all be disrupted during an emergency. Critical continuity arrangements therefore require proportionate fallback processes.

The broader principle is simple: a care dependency should not become invisible merely because the normal mechanism for meeting it has disappeared.

Family Caregiving Is a Strength, but It Is Also a Resilience Dependency

Indonesia’s families provide much of the practical support that enables older people to remain at home. During emergencies, that capacity can be extraordinarily valuable. Relatives know routines, communication preferences, medicines and the practical assistance a person requires.

But family care is not infinitely resilient.

The caregiver may be affected by the same flood, earthquake or volcanic event. They may need to protect children, secure property or maintain employment. They may become injured or displaced. A daughter who normally visits every day may suddenly be several kilometers away with no transport route.

This is why emergency planning should connect with family caregiver capacity and care burden.

A system that assumes “the family will manage” can overlook one of its largest operational dependencies. The stronger approach asks what happens when normal informal support is interrupted and which needs cannot safely wait.

This does not require replacing families with a large formal workforce. It requires contingency thinking. Community networks may provide temporary practical help. Health teams may prioritize people with high clinical dependency. Social welfare support may be needed when displacement becomes prolonged.

Preparedness should also include caregivers themselves. A family supporting a person with dementia, severe mobility impairment or complex chronic illness needs realistic information about what to take, when to evacuate and where to seek help if the usual care arrangement becomes impossible.

Scenario: Evacuating a person with dementia requires more than transport

An 82-year-old man with dementia lives with his wife near an area affected by volcanic activity in Central Java. He remains physically mobile but becomes distressed in unfamiliar environments and sometimes attempts to leave when confused.

An escalation in volcanic activity leads to evacuation. Transport is arranged successfully, but the crowded evacuation setting creates a different risk. The man does not understand why he cannot return home, sleeps poorly and repeatedly walks toward the exit. His wife, also in her seventies, becomes exhausted trying to supervise him continuously.

A purely logistical assessment would describe the evacuation as successful: both people reached safety.

A care-continuity assessment identifies additional needs. Staff establish a quieter area where practical, maintain familiar routines, ensure the wife has periods of support and record information about the man’s communication and behavior. Restriction is not used simply because wandering is inconvenient; risk is managed proportionately.

If displacement continues, the local health and social response considers the wife’s capacity as well as her husband’s needs.

The scenario illustrates why emergency preparedness for older people cannot stop at physical rescue. Safe evacuation also requires continuity of cognition-sensitive, person-centered support.

Evacuation Centers Need to Be Usable, Not Merely Available

Temporary shelters and evacuation centers are often designed under intense pressure. Their first purpose is protection from immediate danger. Yet seemingly minor environmental features can determine whether an older person remains independent.

Long distances to toilets, slippery surfaces, inadequate lighting, floor-level sleeping arrangements and crowded circulation spaces can increase falls and dependence. Limited privacy can be particularly difficult for people requiring personal care. Noise and unfamiliar surroundings can increase distress for people with dementia.

Older people may also reduce fluid intake because reaching the toilet is difficult, remain immobile because they fear falling or stop using mobility equipment that cannot be accommodated easily.

These are not comfort issues alone. They can create new health needs.

Emergency planning should therefore consider accessibility as part of community-based emergency preparedness. Where every facility cannot provide every adaptation immediately, teams can at least identify people requiring higher levels of assistance and prioritize practical modifications.

The objective is to prevent emergency protection from inadvertently accelerating functional decline.

Disasters Can Turn Stable Chronic Conditions Into Acute Problems

Older populations experience emergencies partly through the interruption of ordinary chronic-disease management.

Hypertension, diabetes, heart disease and respiratory conditions do not pause during a disaster. Stress, disrupted diet, dehydration, infection, missed medication and reduced access to clinical review can destabilize previously controlled conditions.

The Ministry of Health’s response to the 2025 Sumatra disasters illustrates this requirement. Rapid health assessment was used to identify needs; hospitals and Puskesmas were placed on alert; mobile services and health posts were strengthened; and vulnerable groups, including older people, were specifically monitored.

For long-term care, the lesson is that emergency health response and routine primary care and care coordination should not be viewed as separate worlds.

People already known to primary care may require proactive review. Someone previously managing independently may emerge from displacement with significant functional decline. Another person may experience delirium during infection and require follow-up after the acute episode resolves.

Recovery therefore needs a mechanism for transferring people back into ordinary care pathways rather than treating emergency treatment as the endpoint.

Recovery Should Measure Function as Well as Facility Reopening

Infrastructure restoration is highly visible. Governments can count reopened hospitals, reconstructed Puskesmas and restored health posts. Those are essential measures of recovery.

For an aging population, they are not sufficient.

An older person may return home after several weeks of displacement but no longer be able to climb the steps they previously managed. Another may have lost a walking aid. A caregiver may be exhausted. Somebody who spent weeks largely inactive may have developed substantial deconditioning.

Recovery planning therefore needs to consider functional consequences.

This creates a role for rehabilitation, home assessment, mobility support, nutrition, caregiver guidance and reassessment of long-term support needs. It also means distinguishing temporary assistance from a permanent increase in dependency.

If an older person becomes weaker after displacement, automatically increasing hands-on care without considering rehabilitation can lock in avoidable dependency. Conversely, expecting the family simply to restore the previous arrangement may be unrealistic.

Resilient recovery therefore connects emergency response to reablement and community support rather than treating the two phases as administratively separate.

Scenario: Disaster recovery reveals preventable functional decline

A 74-year-old man on a smaller Indonesian island is displaced after severe flooding. Before the event, he walked with a stick, attended local community activities and managed most personal care independently. He spends nearly three weeks in temporary accommodation where space is limited and he moves very little.

When he returns home, his family notices that he now needs assistance rising from a chair and is frightened of walking outside. They assume this is an unavoidable consequence of age.

A community health contact identifies the change and arranges further assessment through the local primary-care pathway. There is no new major neurological event. Instead, inactivity, reduced nutrition and loss of confidence have contributed to deconditioning.

The response focuses on gradual mobility recovery, practical family guidance and monitoring rather than immediately defining him as permanently dependent.

At district level, similar cases begin appearing after the flood. That pattern changes the recovery plan. Functional screening and rehabilitation advice are incorporated into follow-up for high-risk older people returning from displacement.

One person’s experience has become system intelligence because the pathway was capable of recognizing recurrence.

Workforce Resilience Means Planning for Staff Disruption Too

Emergency plans sometimes assume the workforce remains available while everything around it changes. In reality, health workers, social welfare staff, care workers and community cadres may themselves be displaced, unable to travel or responsible for affected relatives.

This creates a dual pressure: demand increases while workforce availability can fall.

Resilience planning therefore needs to identify which roles are essential, which tasks can be redistributed safely and what supervision remains necessary under emergency conditions.

Community cadres can extend local reach, but emergencies should not erase role boundaries. Volunteers may identify people needing assistance, distribute information and support basic navigation without being expected to make clinical decisions beyond their competence.

Similarly, emergency role flexibility should not become uncontrolled substitution. Temporary delegation requires clear boundaries and escalation.

The strongest workforce model combines local capability with access to wider expertise. Mobile teams, remote professional advice and redeployment may extend capacity, but each creates coordination requirements of its own.

Organizations examining such dependencies can use the Digital Twin Scenario Modeler to test hypothetical workforce and capacity disruptions. It does not predict Indonesian disasters, but scenario modeling can help leaders examine what happens when demand rises at the same time that staffing, transport or facilities become constrained.

Digital Resilience Requires Both Technology and Fallbacks

Technology can substantially improve emergency preparedness. Early-warning systems can provide more time to act. Digital records can improve continuity when people move between services. Geographic information can help identify isolated communities. Messaging systems can coordinate staff and families. Remote consultation can extend specialist advice when travel is difficult.

Indonesia’s scale makes these capabilities particularly valuable.

But digital systems are only resilient if they continue to support decisions under degraded conditions. Power outages, damaged telecommunications infrastructure, device loss and network congestion can all occur during disasters.

This means emergency digital design should combine innovation with redundancy.

A sophisticated platform that becomes inaccessible when connectivity fails may be less useful than a simpler process with a tested offline fallback. Similarly, storing information is not enough. Data need to be accurate, accessible to appropriate people and linked to an operational response.

Privacy also matters. Lists identifying people with dementia, disability or high medical dependency contain sensitive information. Emergency need can justify particular information-sharing arrangements under applicable law and policy, but it does not eliminate the requirement for proportionate access and responsible handling.

Organizations assessing these tensions can use the Digital Transformation, AI and Cybersecurity Readiness Assessment to examine digital dependencies, resilience and information risk. The framework is not a substitute for Indonesian data-protection or emergency requirements; it helps structure the operational question of whether technology remains safe and useful when normal conditions deteriorate.

Preparedness Needs Local Knowledge, Not Only National Plans

National standards and disaster institutions are indispensable, but the operational detail of protecting an older person is usually local.

BPBD, local health authorities, Puskesmas, village structures, social welfare actors and community organizations may each hold different pieces of the information required. Indonesia’s decentralization means capability and local arrangements will vary.

This makes preparedness a governance issue as much as a logistics issue.

A kabupaten/kota does not need to know every detail of every family’s care arrangement. It does need sufficient population intelligence to understand where high-dependency groups are concentrated, which facilities and routes are vulnerable and what alternatives exist when ordinary services become inaccessible.

Local planning also needs to recognize geography. An island community may require contingency stocks and transport arrangements that would be unnecessary in a densely connected urban area. A volcanic-risk zone may prioritize early evacuation. A flood-prone city may focus more heavily on accessible shelters, continuity of medicines and evacuation from multistory or inundated neighborhoods.

The stronger approach therefore combines national expectations with local hazard and population profiles.

That aligns emergency preparedness with resilience in rural and underserved communities, where distance and infrastructure constraints can turn relatively short interruptions into serious access problems.

Preparedness Exercises Should Test Care Dependencies

Emergency plans become more credible when they are exercised rather than merely approved.

Indonesia’s health system is actively strengthening emergency preparedness. In July 2026, the Ministry of Health conducted a table-top exercise around implementation of Public Health Emergency Operation Center procedures, emphasizing structured coordination and evidence-based decision-making. In September 2026, the Ministry also described further strengthening of national emergency medical governance through standardized Emergency Medical Teams and hospital emergency-department capability.

Long-term care dependencies should increasingly feature in this kind of preparedness thinking.

An exercise might test what happens when an evacuation area contains people requiring dialysis, insulin, oxygen, dementia support and mobility assistance while a Puskesmas is temporarily inaccessible. Another could test how a village identifies older residents living alone when telecommunications fail.

The value of the exercise lies in exposing assumptions.

A transport plan may discover that available vehicles cannot accommodate wheelchairs. A medicines plan may depend on one inaccessible pharmacy. A contact list may be outdated. An evacuation center may have no suitable arrangement for people needing assistance with personal care.

These findings should feed after-action review and system learning rather than remain within the exercise team.

The same discipline applies after real events. Leaders need to know not only whether the emergency response was activated but where continuity actually broke and whether corrective action changed subsequent preparedness.

Scenario: A district exercise discovers that its plan works on paper

A coastal kabupaten conducts an emergency exercise based on a severe weather event and localized flooding. The written plan includes warning, evacuation, health posts and temporary accommodation.

During the exercise, the team introduces an additional scenario: an evacuation area contains several older people with mobility limitations, one person receiving home oxygen and two people with dementia whose family caregivers are temporarily unavailable.

The exercise exposes several gaps. Transport capacity is theoretically sufficient but not suitable for all mobility needs. The health post can provide urgent treatment but has no process for identifying people whose regular medicines have been lost. The shelter team knows how many residents have arrived but not who requires assistance overnight.

Instead of treating these as exceptional complications, the kabupaten updates its operating arrangements. Functional-support questions are added to reception assessment, alternative transport is identified, medicine continuity is clarified with health services and responsibility for high-risk residents during overnight periods is defined.

A repeat exercise six months later tests the revised controls.

This is the difference between possessing an emergency plan and building emergency capability. The plan becomes stronger because realistic aging-related dependencies are allowed to challenge it.

Funding Resilience Means Protecting Essential Functions Before the Event

Emergency expenditure inevitably focuses on urgent response and reconstruction. Yet some of the most valuable resilience investments occur before an event: maintaining backup communications, training staff, mapping vulnerable populations, protecting medicine supply, improving accessibility and testing continuity arrangements.

These activities compete with immediate service pressures because their value is partly the disruption that never occurs.

Indonesia’s Ministry of Health Strategic Plan for 2025–2029 includes stronger disaster and crisis response within wider health-system strengthening. For aging policy, the next step is ensuring that continuity needs associated with chronic disease, disability and long-term support are visible within resilience planning.

Funding responsibility may be distributed across national budgets, APBD resources, health services, disaster-management structures, social welfare programs and organizational expenditure. Families will also continue to bear significant practical costs.

The governance requirement is therefore not one dedicated “older-person emergency budget.” It is ensuring that essential aging-related dependencies do not fall between funding responsibilities because they cross sectors.

A mobility aid, caregiver replacement, temporary accessible accommodation and emergency clinical review may all be necessary to maintain one person safely, even though they belong to different administrative categories.

Measuring Resilience Requires More Than Counting Emergency Activity

Emergency systems understandably measure response time, casualties, displaced populations, facility damage, supplies and service restoration. Long-term care adds another layer of outcomes.

Useful aging-related resilience measures could examine whether high-risk people were reached, essential medicines were interrupted, evacuation environments were accessible, care-dependent people experienced avoidable deterioration, family caregivers received support and follow-up occurred after displacement.

Not every indicator needs national reporting. Some are more useful locally for service improvement.

The Quality Dashboard Builder can help organizations structure a balanced view of continuity, risk and outcomes rather than relying solely on activity counts. Used appropriately, this type of approach helps distinguish the fact that a response occurred from evidence that critical care functions were actually maintained.

Repeated disruption should also become visible over time. If every flood produces the same medication-access problem or every evacuation generates preventable falls among older people, the issue is no longer an unpredictable emergency consequence. It is a known system vulnerability.

Climate and Demographic Change Increase the Importance of Resilient Community Care

Indonesia’s disaster risk is shaped by geography, geological exposure, climate-related hazards, urbanization and infrastructure. BNPB has emphasized in 2026 that climate change, rapid urbanization, infrastructure exposure, socioeconomic vulnerability and fiscal constraints increasingly interact.

Population aging adds another dimension.

As the proportion and number of older people increase, more households will include somebody living with chronic illness, frailty, disability or caregiving dependency. Emergency systems designed around a predominantly younger and more mobile population will need to adapt.

This does not mean creating a separate disaster-management system for older people. The stronger approach is to make mainstream resilience more capable of responding to functional diversity.

That principle is embedded in building resilient community care systems: everyday support infrastructure and emergency capability should reinforce rather than bypass one another.

A community that already knows its residents, has functioning primary care, maintains referral relationships and supports caregivers starts an emergency with more resilience than one attempting to construct those relationships after disruption begins.

International Learning: Resilience Begins With Everyday Care Architecture

Indonesia’s combination of disaster exposure, archipelagic geography, decentralization and rapid population aging is distinctive. Its institutional mechanisms cannot simply be transplanted to another country.

The wider lesson is nevertheless important.

Emergency preparedness for older populations works best when it is connected to the systems people already use. Primary care, community organizations, local government, families and long-term support networks hold information and relationships that emergency structures need.

Another transferable principle is that vulnerability should be understood functionally. Age thresholds are administratively simple but operationally imprecise. Knowing that somebody is 78 reveals less about emergency support requirements than knowing they live alone, cannot use stairs, depend on refrigerated medicine or become disoriented outside familiar surroundings.

Finally, recovery should be judged by more than restored infrastructure. Older people can survive an emergency yet emerge with avoidable loss of mobility, independence or caregiver support. Resilient systems identify those consequences and connect people back to rehabilitation, primary care and community support.

Other systems can adapt these principles without replicating Indonesia’s disaster-management institutions. The transferable lesson lies in connecting emergency planning to ordinary care rather than maintaining two parallel architectures.

Conclusion

Indonesia already possesses substantial national and local disaster-management capability, and its health system continues to strengthen emergency coordination, primary-care resilience and medical response. Population aging changes the next stage of that task. More people will enter emergencies with dependencies that cannot simply be suspended until normal services resume.

The strongest response is not to classify all older people as vulnerable or create a separate emergency system around age. It is to make existing preparedness more sensitive to function, chronic disease, medicines, mobility, cognition, equipment, caregiver availability and the continuity of community support. Puskesmas, Posyandu networks, local government, BPBD structures, social welfare actors and families each hold part of that capability; resilience depends on connecting them before disruption occurs.

Implementation matters as much as policy. A warning must lead to action. An evacuation destination must be usable. A medication plan must work when roads are blocked. A restored service must reach people whose function has deteriorated. Exercises and real emergencies must produce learning that changes the next response.

For Indonesia, the deeper opportunity is to build emergency preparedness into the long-term care architecture while that architecture is still developing. If community care can remain connected under pressure, protect essential dependencies and help people recover their independence after disruption, resilience becomes more than disaster response. It becomes a characteristic of the care system itself.