AB087. Post-Super Typhoon Odette: exploring health system challenges and adaptation strategies on Halian Island, Surigao Del Norte, Philippines

Background: Geographically isolated islands in the Philippines face significant health system challenges, worsened by natural disasters such as Super Typhoon Odette. These challenges undermine health interventions and the resilience of the healthcare system. This study explores the health system challenges and adaptation strategies employed on Halian Island in response to Super Typhoon Odette, examining how the local health system adapted to maintain healthcare delivery amidst disaster disruptions.

Methods: A qualitative case study approach involved in-depth interviews with healthcare providers, local government officials, and community members. Data were analyzed thematically to identify challenges and adaptation strategies framed by General Systems Theory and the concept of Adaptation.

Results: Political dynamics impede healthcare delivery, with volunteer healthcare staff appointed based on affiliations rather than competency. The island’s healthcare staff is overburdened, using personal resources for medical expenses and coordinating remotely with the Rural Health Unit (RHU) for complex cases. The health center is underutilized due to insufficient volunteer healthcare staffing, leading residents to seek care at some of the healthcare staff’s residences. Strong Pacific waves delay medical transport, resulting in preventable deaths. Climate risks, such as land loss and worsening storm surges, heighten vulnerabilities. Disaster preparedness remains reactive, with no evacuation center and increasing reliance on external aid.

Conclusions: Halian Island’s health system needs more preparation for future climate crises. Strengthening governance, disaster preparedness, and climate adaptation strategies is essential for building resilience in vulnerable island communities and ensuring effective healthcare delivery amid climate challenges.

Keywords: Climate change; disaster preparedness; health system adaptation; island communities