Strengthening Legal Protection for Medical Personnel in Indonesia’s Conflict-Affected Areas

Main Article Content

Ontran Sumantri Riyanto
Mei Rianita Elfrida Sinaga
Dian Ratu Ayu Uswatun Khasanah

Abstract

Medical personnel serving in conflict-affected areas face risks of violence, security threats, and disruptions to healthcare delivery that may endanger their safety while simultaneously undermining the continued realization of the population’s right to health. Indonesia has established a legal basis for protection through national health law and International Humanitarian Law; however, a gap remains between normative guarantees and protection that can be effectively implemented in practice. This study aims to construct an integrated legal protection model for medical personnel in conflict-affected areas of Indonesia. It employs a qualitative approach with a socio-legal research design based on document analysis and online sources. Data were obtained from legislation and regulations, institutional documents, scholarly literature, reports issued by national and international organizations, and credible online news sources, and were subsequently analyzed using qualitative thematic content analysis and source triangulation. The findings indicate that the principal challenge in protecting medical personnel lies not merely in the absence of legal norms, but in the lack of integration among protection mechanisms before, during, and after deployment. This study develops a continuum of legal protection that connects risk assessment, security measures, deployment protocols, reporting and early-warning systems, legal assistance, victim recovery, investigation, and accountability across four dimensions: preventive, operational, remedial, and accountability protection. The model shifts the orientation of protection from a reactive and fragmented approach toward a preventive, continuous, and human-centered system. Strengthening its implementation requires operational regulations and inter-agency coordination to safeguard medical personnel while ensuring the continuity of healthcare services in conflict-affected areas.

Article Details

How to Cite
Strengthening Legal Protection for Medical Personnel in Indonesia’s Conflict-Affected Areas. (2026). Immortalis Journal of Interdisciplinary Studies, 2(3), 139-159. https://doi.org/10.67307/ijis.v2i3.146
Section
Articles

How to Cite

Strengthening Legal Protection for Medical Personnel in Indonesia’s Conflict-Affected Areas. (2026). Immortalis Journal of Interdisciplinary Studies, 2(3), 139-159. https://doi.org/10.67307/ijis.v2i3.146

References

Abdullah, M. (2021). The Protection of Medical Officers in the Armed Conficts; Case Study of Indonesia. Jambe Law Journal. https://doi.org/10.22437/jlj.3.2.141-164

Abreu, A. R., Gonçalves, F., Oliveira, S., & Ribeiro, I. (2026). Workplace violence against healthcare workers: a scoping review of reporting practices, barriers to reporting and institutional responses (2020–2025). BMC Health Services Research, 26. https://doi.org/10.1186/s12913-026-14244-4

Agbo, K. C., Haruna, U. A., Oladunni, A., & Lucero-Prisno, D. (2024). Addressing gaps in protection of health workers and infrastructures in fragile and conflict-affected states in Africa. Discover Health Systems, 3. https://doi.org/10.1007/s44250-024-00106-5

Al-Bitar, A., Nasra, A. B., Alsaoub, L., Dayoub, A., Hmidan, A., Barghouth, R., Kheder, M., Koja, H., Abubakir, M., Massoud, R., Latifeh, Y., & Alsaid, B. (2025). Workplace violence in a conflict zone: a study from Syria’s healthcare frontline. BMC Public Health, 26. https://doi.org/10.1186/s12889-025-26102-9

Andayani, A., & Kurniawan, A. (2023). JURIDICAL REVIEW OF LEGAL PROTECTION OF HEALTH PERSONNEL ACCORDING TO INTERNATIONAL AND NATIONAL LAW. POLICY, LAW, NOTARY AND REGULATORY ISSUES (POLRI). https://doi.org/10.55047/polri.v2i4.868

Arage, M. W., Kumsa, H., Asfaw, M. S., Kassaw, A. T., Dagnew, E. M., Tunta, A., Kassahun, W., Addisu, A., Yigzaw, M., Hailu, T., & Tenaw, L. A. (2023). Exploring the health consequences of armed conflict: the perspective of Northeast Ethiopia, 2022: a qualitative study. BMC Public Health, 23. https://doi.org/10.1186/s12889-023-16983-z

Bagshaw, S., & Scott, E. (2023). Talk Is Cheap: Security Council Resolution 2286 & the Protection of Health Care in Armed Conflict. Daedalus, 152, 142-156. https://doi.org/10.1162/daed_a_01997

Bartles-Smith, A. (2025). Military chaplains and equivalent religious personnel under international humanitarian law. International Review of the Red Cross, 107, 19 - 69. https://doi.org/10.1017/s1816383125000037

Bilgrami, I., Guy, C., Carnegie, V., & Lussier, S. (2025). Physician advocacy, international humanitarian law, and the protection of health care workers in conflict zones. Medical Journal of Australia, 222. https://doi.org/10.5694/mja2.52626

Bogale, B., Scambler, S., Khairuddin, A. N. M., & Gallagher, J. (2024). Health system strengthening in fragile and conflict-affected states: A review of systematic reviews. PLOS ONE, 19, e0305234 - e0305234. https://doi.org/10.1371/journal.pone.0305234

Brown, O., Power, N., & Conchie, S. M. (2021). Communication and coordination across event phases: A multi‐team system emergency response. Journal of Occupational and Organizational Psychology, 94, 591-615. https://doi.org/10.1111/joop.12349

Cervantes-Pérez, A. P. (2020). Violence against health workers. Cirugía y Cirujanos (English Edition). https://doi.org/10.24875/cirue.m18000072

Chauhan, V., Secor-Jones, S., Paladino, L., Sardesai, I., Ratnayake, A., Stawicki, S., Papadimos, T., O’Keefe, K., & Galwankar, S. (2022). Emergency Departments: Preparing for a New War. Journal of Emergencies, Trauma, and Shock, 15, 157 - 161. https://doi.org/10.4103/jets.jets_143_22

Dafallah, A., Elmahi, O., Ibrahim, M. E., Elsheikh, R. E., & Blanchet, K. (2023). Destruction, disruption and disaster: Sudan’s health system amidst armed conflict. Conflict and Health, 17. https://doi.org/10.1186/s13031-023-00542-9

Deta, H. C., Antari, P. E. D., Arsawati, N. N. J., & Sukadana, D. A. P. (2025). Krisis perlindungan hukum tenaga medis (volunteer corps) dalam konflik bersenjata menurut hukum humaniter internasional. Jurnal Yustitia, 19(2). https://doi.org/10.62279/yustitia.v21i2.1644

Droege, C. (2025). International humanitarian law and peace: A brief overview. International Review of the Red Cross. https://doi.org/10.1017/s1816383125000062

Elnakib, S., Elaraby, S., Othman, F., Basaleem, H., AlShawafi, N. A. A., Al-Gawfi, I. A. S., Shafique, F., Al-Kubati, E., Rafique, N., & Tappis, H. (2021). Providing care under extreme adversity: The impact of the Yemen conflict on the personal and professional lives of health workers. Social Science & Medicine (1982), 272. https://doi.org/10.1016/j.socscimed.2021.113751

Elsharkawy, N., Alruwaili, A., Ramadan, O. M. E., Alruwaili, M., Alhaiti, A., & Abdelaziz, E. M. (2025). Barriers to reporting workplace violence: a qualitative study of nurses’ perceptions in tertiary care settings. BMC Nursing, 24. https://doi.org/10.1186/s12912-025-03039-3

Fadhillah, M. (2025). A Normative Study on Human Rights Protection in Armed Conflicts in Papua During the Prabowo Era. Journal of Social Research. https://doi.org/10.55324/josr.v5i1.2932

Fricke, J., Siddique, S., Douma, C., Ladak, A., Burchill, C., Greysen, R., & Mull, N. (2022). Workplace Violence in Healthcare Settings: A Scoping Review of Guidelines and Systematic Reviews. Trauma, Violence, & Abuse, 24, 3363 - 3383. https://doi.org/10.1177/15248380221126476

Ginting, M. L. B. (2023). Human rights-based legal protection for health workers in conflict zones. Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia), 11(2), 333–343. https://doi.org/10.20473/jaki.v11i2.2023.333-343

González, R. S., Cherkesly, M., Crainic, T., & Rancourt, M. (2024). Analysis of mobile clinic deployments in conflict zones. Journal of Humanitarian Logistics and Supply Chain Management. https://doi.org/10.1108/jhlscm-07-2022-0080

González-Villa, J., Cuesta, A., Spagnolo, M., Zanotti, M., Summers, L., Elms, A., Dhaya, A., Jedlička, K., Martolos, J., & Cetinkaya, D. (2023). Decision-support system for safety and security assessment and management in smart cities. Multimedia Tools and Applications, 83, 61971 - 61994. https://doi.org/10.1007/s11042-023-16020-6

Gul, S., Saman, A., & Ahmad, F. (2025). The Convergence of Human Rights and Humanitarian Law: Recalibrating Legal Boundaries in Contemporary Conflict. The Critical Review of Social Sciences Studies. https://doi.org/10.59075/gs59yx51

Haar, R. J., Crawford, K., Fast, L., Win, T., Rubenstein, L., Blanchet, K., Lillywhite, L., Tint-Zaw, N., & Mon, M. (2024). “I will take part in the revolution with our people”: a qualitative study of healthcare workers’ experiences of violence and resistance after the 2021 Myanmar coup d’etat. Conflict and Health, 18. https://doi.org/10.1186/s13031-024-00611-7

Haar, R., Read, R., Fast, L., Blanchet, K., Rinaldi, S., Taithe, B., Wille, C., & Rubenstein, L. (2021). Violence against healthcare in conflict: a systematic review of the literature and agenda for future research. Conflict and Health, 15. https://doi.org/10.1186/s13031-021-00372-7

Haar, R., Read, R., Fast, L., Blanchet, K., Rinaldi, S., Taithe, B., Wille, C., & Rubenstein, L. (2021). Violence against healthcare in conflict: a systematic review of the literature and agenda for future research. Conflict and Health, 15. https://doi.org/10.1186/s13031-021-00372-7

Habrelian, H. (2020). Legal Protection Of Medical Personnel During Armed Conflicts. 139-145. https://doi.org/10.32518/2617-4162-2020-1-139-145

Jaime, C. (2025). Early warning and early action in conflict-affected settings. https://doi.org/10.3990/1.9789036567381

Kagai, F., Branch, P., But, J., Allen, R., & Rice, M. (2024). Rapidly Deployable Satellite-Based Emergency Communications Infrastructure. IEEE Access, 12, 139368-139410. https://doi.org/10.1109/access.2024.3465512

Kahfianto, K., & Setiyono, J. (2023). Legal protection of health professionals for the KKB-OPM attack in international humanitarian law perspective. International Journal of Law, 9(4), 25–28. https://www.lawjournals.org/archives/2023/vol9/issue4/9105

Kaim, A. (2025). Navigating challenges, solutions and requirements in the provision of trauma care in conflict settings by humanitarian actors: a scoping literature review. Conflict and Health, 19. https://doi.org/10.1186/s13031-025-00643-7

Kostandova, N., OKeeffe, J., Ali, B. B., Somsé, P., Mahieu, A., Bingou, O. G., Dackpa, S., Mbonimpa, G., & Rubenstein, L. (2024). “It's normal to be afraid”: attacks on healthcare in Ouaka, Haute-Kotto, and Vakaga prefectures of the Central African Republic, 2016–2020. Conflict and Health, 18. https://doi.org/10.1186/s13031-024-00610-8

Kotorok, M. F. (2023). Perlindungan hukum terhadap dokter yang melakukan komunikasi dengan rekan sejawat melalui media sosial untuk kepentingan rencana tindak lanjut diagnosa penanganan pasien di Rumah Sakit Mitra Masyarakat Timika Papua. Jurnal Sosial dan Teknologi Terapan AMATA, 2(1), 28–38. https://doi.org/10.55334/sostek.v2i1.64

Lee, J., Havaei, F., Hirani, S., & Adhami, N. (2024). Nurses' Workplace Violence Reporting Behaviours and Reasons for Not Formally Reporting: A Cross‐Sectional Secondary Analysis. Journal of Clinical Nursing, 34, 4235 - 4245. https://doi.org/10.1111/jocn.17639

Levi, H., Givaty, G., Ovadia, Y. S., Alon, Y., & Saban, M. (2024). Evaluating emergency response at a hospital near the Gaza border within 24 h of increased conflict. BMC Emergency Medicine, 24. https://doi.org/10.1186/s12873-024-00964-5

Makali, S., Lembebu, J., Boroto, R., Zalinga, C. C., Bugugu, D., Lurhangire, E., Rosine, B., Chimanuka, C., Mwene-Batu, P., Molima, C., Ramirez Mendoza, J., Ferrari, G., Merten, S., & Bisimwa, G. (2023). Violence against health care workers in a crisis context: a mixed cross-sectional study in Eastern Democratic Republic of Congo. Conflict and Health, 17. https://doi.org/10.1186/s13031-023-00541-w

Malhouni, Y., & Mabrouki, C. (2023). Mitigating risks and overcoming logistics challenges in humanitarian deployment to conflict zones: evidence from the DRC and CAR. Journal of Humanitarian Logistics and Supply Chain Management. https://doi.org/10.1108/jhlscm-04-2023-0031

Mamun, M. A. (2024). How can the protection of medical personnel and facilities under international humanitarian law be strengthened?. Medicine, Conflict and Survival, 40, 276 - 284. https://doi.org/10.1080/13623699.2024.2382833

Marou, V., Vardavas, C. I., Aslanoglou, K., Nikitara, K., Plyta, Z., Leonardi-Bee, J., Atkins, K., Condell, O., Lamb, F., & Suk, J. E. (2024). The impact of conflict on infectious disease: a systematic literature review. Conflict and Health, 18. https://doi.org/10.1186/s13031-023-00568-z

Mashdurohatun, A., Jayantara, M. D. I., Iskandar, R., S., & Rabie, A. (2025). Delayed Justice in Protecting Emergency Medical Workers. Journal of Sustainable Development and Regulatory Issues (JSDERI). https://doi.org/10.53955/jsderi.v3i2.116

Meier, B., Rice, H., & Bandara, S. (2021). Monitoring Attacks on Health Care as a Basis to Facilitate Accountability for Human Rights Violations. Health and Human Rights, 23, 55 - 70.

Mubarok, M. I., & Sutrisno. (2022). Perlindungan hukum tenaga kesehatan dari penyerangan kelompok kriminal bersenjata. Risalah Hukum, 18(2), 71–82. https://doi.org/10.30872/risalah.v18i2.917

Mushasha, R., Paez Jimenez, A., Dolmazon, V., Baumann, J., Jansen, A., Storozhenko, O., & El-Bcheraoui, C. (2024). Existing operational standards for field deployments of rapid response mobile laboratories: a scoping review. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1455738

Niba, J., Ngasa, S., Chang, N., Sanji, E., Awa, A.-M., Dingana, T., Sama, C.-B., Tchouda, L., & Julius, M. E. (2022). Conflict, healthcare and professional perseverance: A qualitative study in a remote hospital in an Anglophone Region of Cameroon. PLOS Global Public Health, 2. https://doi.org/10.1371/journal.pgph.0001145

O'Brien, C. T., Van Zundert, A., & Barach, P. R. (2024). The growing burden of workplace violence against healthcare workers: trends in prevalence, risk factors, consequences, and prevention – a narrative review. eClinicalMedicine, 72. https://doi.org/10.1016/j.eclinm.2024.102641

Putri, A. N., & Ruslie, A. S. (2024). Perlindungan hukum tenaga medis yang bertugas di wilayah konflik bersenjata berdasarkan hukum humaniter internasional. Court Review: Jurnal Penelitian Hukum, 4(05), 51–61. https://doi.org/10.69957/cr.v4i05.1598

Rachmawati, D. R., Zunnuraeni, & Amalia, A. R. (2025). Perlindungan hukum humaniter internasional bagi tenaga medis dan fasilitas kesehatan dalam konflik bersenjata internasional (studi kasus konflik di Gaza 7 Oktober 2023 – 19 Januari 2025). Mataram Journal of International Law, 3(2), 188–196. https://doi.org/10.29303/m2g9c473

Riyanto, O. S., Panggabean, H. W., Kurniawan, E. A. P. B., & Hitauruk, M. (2022). Kedudukan Hukum Perawat Bedah Pasca Pembedahan dalam Sengketa Medis di Rumah Sakit. AL-MANHAJ: Jurnal Hukum Dan Pranata Sosial Islam, 4(2), 199–206. https://doi.org/10.37680/almanhaj.v4i2.1784

Riyanto, O. S., and Fuad. (2023). Perlindungan Hukum Praktik Kedokteran Di Rumah Sakit: Implementasi Kenyamanan Dokter Dalam Memberikan Pelayanan Kesehatan. Juris Humanity: Jurnal Riset Dan Kajian Hukum Hak Asasi Manusia 2, no. 1 : 1–14. https://doi.org/https://doi.org/10.2211/jrkhm.v2i1.14.

Riyanto, O. S. (2025). Legal Politics and Protection of Health Workers in Handling Outbreaks: An Analysis of Incentive Policies and Occupational Safety Guarantees in Indonesia . Journal Evidence Of Law, 4(2), 714–721. https://doi.org/10.59066/jel.v4i2.1517

Rød, E., Gåsste, T., & Hegre, H. (2023). A review and comparison of conflict early warning systems. International Journal of Forecasting. https://doi.org/10.1016/j.ijforecast.2023.01.001

Roring, J. A. H., Massie, C. D., & Bawole, H. Y. A. (2023). Perlindungan hukum terhadap tenaga medis dalam konflik bersenjata menurut hukum humaniter internasional. Lex Privatum, 12(1), 1–11. https://ejournal.unsrat.ac.id/v3/index.php/lexprivatum/article/view/49302

Rosnida, R., Akbar, M., Am, M. A. A., Irabiah, I., Haerani, Y., & Sari, P. (2025). Legal Protection of Health Workers in Emergency Medical Procedures: An Analysis of Legal Certainty in Indonesia and Thailand. Jurnal Ius Constituendum. https://doi.org/10.26623/jic.v11i1.12818

Rubab, M., Bibi, A., Faiz, N., Bashir, F., Awaiz, A. D., & Aslam, T. (2025). Administrative Strategies to Prevent Workplace Violence and its Effective Implementation in Health Care Settings. Social Science Review Archives. https://doi.org/10.70670/sra.v3i1.576

Rubenstein, L., & Haar, R. (2022). What Does Ethics Demand of Health Care Practice in Conflict Zones?. AMA journal of ethics, 24 6, E535-541. https://doi.org/10.1001/amajethics.2022.535

Shimizu, K., Raja, M. A., Osman, M. M., Mahmoud, E. M., Alzain, M., Ayub, R., Woung, M., Ahmed, S., Evers, E., Elnossery, S., Ibragem, D. F. O., Mustafa, S. K. A., Aelbrecht, L., Khan, M. F., Ssentamu, S. K., Khudari, H., Haidar, H., Sahbani, S., Awadallah, H., & Pavlin, B. (2025). Piloting a mobile early warning alert and response system for East and Central Darfur, Sudan. International Health, 18, 140 - 144. https://doi.org/10.1093/inthealth/ihaf122

Siahaan, O. P. S., Fakih, M., & Tisnanta, H. (2026). Perlindungan Hukum terhadap Tenaga Medis di Faskes Pertama dalam Pelayanan Kesehatan di Wilayah Puskesmas Sinar Rejeki Lampung Selatan. AKADEMIK: Jurnal Mahasiswa Humanis. https://doi.org/10.37481/jmh.v6i1.1724

Sing, P., & Lau, A. C. H. (2025). A scoping review of workplace violence against healthcare workers in Singapore. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1624191

Song, C., Wang, G., & Wu, H. (2020). Frequency and barriers of reporting workplace violence in nurses: An online survey in China. International Journal of Nursing Sciences, 8, 65 - 70. https://doi.org/10.1016/j.ijnss.2020.11.006

Spencer, C., Sitarz, J., Fouse, J., & Desanto, K. (2023). Nurses’ rationale for underreporting of patient and visitor perpetrated workplace violence: a systematic review. BMC Nursing, 22. https://doi.org/10.1186/s12912-023-01226-8

Sylvana, Y., & Utomo, S. L. (2021). Medical Safety Legal Protection Based on Hospital Law in The Covid 19 Era. Jurnal Indonesia Sosial Sains. https://doi.org/10.36418/jiss.v2i8.390

Tafkurullah, R. (2024). Perlindungan hukum bagi tenaga kesehatan dalam menjalankan misi perdamaian di wilayah konflik (Tesis Magister, Universitas Pembangunan Panca Budi). https://repository.pancabudi.ac.id/website/detail/28930/penelitian/perlindungan-hukum-bagi-tenaga-kesehatan-dalam-menjalankan-misi-perdamaian-di-wilayah-konflik

Tamon, O., Setiawan, E., & Sapsudin, A. (2025). Legal Protection for Doctors Under Law Number 17 of 2023 Concerning Health. Research Horizon. https://doi.org/10.54518/rh.5.4.2025.720

Tanaem, N. Z. B. (2023). Perlindungan hukum terhadap tenaga kesehatan yang dirugikan di wilayah konflik Papua Distrik Kiwirok (Skripsi Sarjana, Universitas Wijaya Kusuma Surabaya). http://erepository.uwks.ac.id/id/eprint/14606

Vuorio, A., & Bor, R. (2022). Safety of Health Care Workers in a War Zone—A European Issue. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.886394

Vuorio, A., & Bor, R. (2022). Safety of Health Care Workers in a War Zone—A European Issue. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.886394

Wijaya, A., & Hartono, C. (2025). Perlindungan hukum terhadap petugas medis dalam konflik bersenjata dalam perspektif hukum humaniter internasional. Jurnal Ilmu Hukum, Humaniora dan Politik, 6(2), 1111–1121. https://doi.org/10.38035/jihhp.v6i2.6773

Yusoff, H., Ahmad, H., Ismail, H., Reffin, N., Chan, D., Kusnin, F., Bahari, N., Baharudin, H., Aris, A., Shen, H. Z., & Rahman, M. (2023). Contemporary evidence of workplace violence against the prima