Burden of Health-related Issues and Community Empowerment in Malaysia’s East Coast Flood

Abstract River flood exposes the population to multiple attacks from the physical, mental, health risks and its related negative effects. This study focused on the Pahang River and the three worst-hit district population (Pekan, Kuantan and Temerloh). Tools on areas of self-perceived health symptoms, QOL, depression, PTSD and community empowerment were assessed. Semi-guided questionnaires were distributed to a total of 602 victims. Questions on health symptoms were asked to respondents (R) and household members (HM). PTSD screening, i.e., the Trauma Screening Questionnaire, was used. Depression was assessed through the Beck Depression Inventory (BDI). WHOQOL-BREF assessed four domains of QOL, i.e., physical activity, psychological, social relationships and environment. Community empowerment using the Individual Community Related Empowerment tool to assess five domains, i.e., self-efficacy, participation, motivation, intention and critical awareness. Prevalent disease showed that majority suffered from hypertension (11.0%) and diabetes (7.3%). Two main symptoms experienced were cough (R = 47.2%, HM = 43.7%) and flu (R = 42.7%, HM = 40.4). Monthly health expenditure was higher post flood. Purchase of prescription medications rose from MYR24.40 to 31.02. A total of 33 people were suspected to suffer from PTSD. Through BDI assessment, it was estimated that as many as 104 (17.3%) suffered overt (high) depression. The prevalence of QOL domains are as such: low physical activity was highest at 59%, low psychological activity at 53.3%, low social relationships at 43% and low environment at 45.2%. On community empowerment, low empowerment was seen on four domains: self-efficacy at 52%, participation at 55%, motivation at 54.2% and critical awareness at 74.4%. The domain with good intention and willing to participate was at 54%. Results indicate that the community was not adaptable to flood events. This is evident from high amount of experienced symptoms, low QOL (physical and psychological aspects) and empowerment (except intention). Proportion of PTSD and overt (high) depression was however quite low.