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This paper aims to investigate the local perspectives, based on culture and beliefs about peer stigma, consequences and strategies to reduce mental health stigma among adolescents in Indonesia.

This study included 30 participants, including students, teachers, health professionals and lecturers. Two sessions of focus group discussions and 14 sessions of in-depth interviews were performed to collect the data. A qualitative content analysis was carried out, and some related themes and sub-themes were explored.

This study found that peer stigma was prevalent and negatively impacted the psychological, social and intellectual development of adolescents with mental disorders (MD) in Indonesian society. Five strategies to tackle peer stigma were proposed, including increasing mental health literacy (MHL), reducing the harmful effects of stigma, fostering a supportive social environment, expanding access to and improving the quality of mental health care and advocating for public health policies.

More qualitative research on the experiences and perspectives of victims, perpetrators and society concerning mental health stigma in adolescents is required to fully understand why stigma arises, what causative factors and repercussions it has, as well as how to deal with it.

Peer stigma still exists among adolescents. It has negative impacts on their mental and psychological well-being. MHL, social environment, the harmful effects of stigma, as well as mental health access and policy were concerns of this study. A school is a place where adolescents spend most of their social time. Schools play a vital part in the stigma-reduction program.

Mental health stigma among adolescents with MD is an issue that has potentially hindered mental health recovery. Anti-stigma intervention based on local perspectives is valuable in increasing the effectiveness and acceptance of interventions.

The purpose of this study is to identify the preparedness of disaster mitigation agency officers in both urban and rural areas as high vulnerability zones in Aceh, Indonesia, in dealing with disasters.

This cross-sectional study adopted a conceptual framework from the Indonesian Institute of Sciences (LIPI) and United Nations of Educational, Scientific, and Cultural Organization (UNESCO)/International Strategy for Disaster Reduction (ISDR) (LIPI-UNESCO/ISDR, 2006), explaining the study of community preparedness in anticipating earthquake and tsunami disasters. The framework of the study consists of five disaster preparedness parameters, namely, knowledge and attitude to face disasters, policies and guidelines, emergency response plans, disaster early warning systems and mobilization of resources. This conceptual framework was developed after the 2004 tsunami through an analysis study in the three provinces in Indonesia (Aceh, Padang and Bengkulu) experiencing earthquakes and tsunamis. This conceptual framework serves as a guideline and is in line with the objective of the regional disaster management Agency to reduce disaster risk through increasing community preparedness, especially providers or officers in anticipating disasters.

There was a significant difference in disaster preparedness among officers from the urban and rural areas. The area size, location accessibility, the communication network and disaster detection and warning facilities could associate with the results.

The respondents were selected from only two districts in Aceh Province, Indonesia, which are vulnerable to disasters. The study only identifies the disaster preparedness among disaster management agency officers (DMAOs) adopted from LIPI-UNESCO/ISDR about community preparedness in anticipating disasters particularly tsunami and earthquake. Therefore, the results of this study may have limited generalizability to other areas in Indonesia and beyond.

The results of this study could possibly serve as recommendations for policymakers and disaster management agencies, particularly in rural areas to prepare contingency plans that involve both internal and external institutions to arrange the regulations related to community-based emergency response plans and disaster early warning systems. Such programs of education, training and disaster drill needed to be in place and conducted regularly for the officers in a rural area. Finally, the other sub-scales showed no difference in disaster preparedness, however, collaboration and support to each other in disaster risk reduction plan by improving the capacity building, policy enhancement and disaster management guidelines are required. Also, attempts to optimize logistics adequacy, budget allocations and disaster preparedness education and training for both DMAOs are strongly recommended through the lens of the study. The results of the study might useful for further research that could be developed based on this current study.

The emergency response plans and disaster early warning systems were significantly different between the rural and urban officers in disaster preparedness. Attending disaster management programs, experiences in responding to disasters and the availability of facilities and funds could be considered in ascertaining the preparedness of officers to deal with disasters.