From Crisis to Care: The Role of Mental Health Support After A Disaster

“How are you feeling today?” Eva Tubianosa asks an elderly lady in her village. The residents of Barangay Magsaysay, a quiet town in Nabunturan, Davao del Oro suffered the brunt of the heavy rain that brought landslides which rushed down from the neighboring mountains to the valley ─ covering homes, devastating roads, and the surrounding agriculture.

Photo by Mae Tanagon for Action Against Hunger

Mindanao grappled with the aftermath of relentless floods and landslides during the first quarter of 2024, affecting nearly 590,000 people and displacing more than 95,000 people in the province of Davao de Oro alone. Within the next few days, Action Against Hunger teams were on the ground to provide immediate humanitarian aid through cash assistance, WASH support, and health services.

Eva is no stranger to helping her community. “I work as a Barangay Health Worker at our center, assisting the sick by releasing basic medicines to those in need,” says 47-year old Eva. She has been volunteering and supporting the health initiatives of Barangay Magsaysay for the past 14 years.

In photo: Barangay Health Workers Eva Tubianosa, 47, Maria Fe Bastasa, 48, provide basic health sevices to the residents of Barangay Magsaysay, Nabunturan. They were also one of the first emergency responders during the recent flooding and landslides that hit their village in February 2024. Photo by Shirin Bhandari for Action Against Hunger

Together with fellow volunteer Maria Fe Bastasa, 48, they were the first to respond in their area after the disaster. Heavy rains and floods forced the residents of Magsaysay to evacuate to higher ground until it was safe to return to their homes. Both Eva and Maria Fe knew that this created a toll on the mental and emotional well-being of the members of their community.

Hunger, conflict, and natural disasters can have a huge impact on someone’s well-being. The day-in and day-out distress, the fear of hunger, of death, of losing your family─ it all builds up and devastates those affected. If unaddressed, it can be overwhelming and can leave long-term emotional scars, that might affect productivity and the quality of life.

In the weeks following the flooding, Eva and Maria Fe participated in a Mental Health and Psychosocial Support (MHPSS) training session organized by Action Against Hunger in coordination with the Davao de Oro Provincial Social Welfare & Development Office and Provincial Health Office.

In photo: Participants of the MHPSS Training Session do an exercise lead by Aries Burgonio, Field Officer for Action Against Hunger’s SIDA-funded Mindanao Flooding Emergency Response.

First responders including health workers, barangay health workers and social workers attended the three-day training session that was held in Tagum City, Davao del Norte. “We received essential training in assessing our area, especially for those who were affected by the recent floods. We were taught how to check on the evacuees’ well-being, and how they can cope with their emotions each time there is a calamity,” Eva adds. The MHPSS training also included guidance on how to conduct basic psychosocial support sessions based on psychological first-aid principles to be rolled out in the communities.

In photo: Participants of the MHPSS Training Session do an exercise lead by Aries Burgonio, Field Officer for Action Against Hunger’s SIDA-funded Mindanao Flooding Emergency

As volunteers, Eva and Maria Fe are diligent as they continue to serve their community by going door-to-door and visiting the affected families to check on their well-being, and refer cases when needed They also expressed an appreciation for the knowledge they gained from the gender and protection orientation from Action Against Hunger.

In photo: An elderly resident of Barangay Magsaysay, Nabunturan replies to a series of questions made specifically to assess the mental state of each resident in the area who was directly affected by the recent floods in Davao, Mindanao. Photo by Shirin Bhandari for Action Against Hunger

With the information Eva collected from her home visits, the affected families were invited to join a PSS session conducted by Action Against Hunger where different gender and age-sensitive coping mechanisms were provided. The activities included proper breathing exercises, de-stressing, and grounding techniques. The trained health volunteers such as Eva and Maria Fe, were trained on using a known Mental Health and Well-being Individual Assessment tool widely used to measure an individual’s well-being and quality of life. From the assessment, they will then refer a person with a low well-being score to have focused mental health services at pre-identified referral points.

In photo: Eva and Maria Fe diligently provide mental health support to residents of Barangay Magsaysay who were affected by the recent floods by going through a questionnaire developed by Action Against Hunger. Photo by Mae Tanagon for Action Against Hunger

Depending on the need, these identified cases will be referred to health facilities that will provide them with further counseling or other necessary assistance. At the same time, Action Against Hunger provides cash support to cover their travel costs, payment for professional fees, and possible medication expenses.

Eva walks with fellow volunteer Maria Fe Bastasa, 48, in their community in Nabunturan to help assess households of low-income families who might be experiencing mental health issues or trauma brought about by the recent floods in their area. They were trained by Action Against Hunger in Mental Health and Psychosocial Support (MHPSS), which included a series of community-based Psychosocial Support Sessions, made possible by funding from the Swedish International Development Cooperation Agency (SIDA). Photo by Shirin Bhandari for Action Against Hunger

Photo by Mae Tanagon for Action Against Hunger

“I am happy to be of service to others, it is fulfilling to make a difference in other people’s lives, no matter how small it is,” Eva smiles.

With the support of the Swedish International Development Cooperation Agency (SIDA), we have been working to provide comprehensive mental health, and psychosocial support services for those affected by flooding and landslides in Davao de Oro, prioritizing women, children & their families, indigenous groups, and those in evacuation centers facing prolonged displacement.

Aside from the mental health support, Action Against Hunger’s SIDA-funded Mindanao Flooding Emergency Response is also providing support to pregnant women to avail specialized consultation and safe delivery services, cash assistance, and emergency WASH services such as WASH kits and rehabilitation of sanitation and hygiene facilities in the municipalities of Maco, Mawab, and New Bataan.