Objective To synthesizes and analyses obstacles of implementation with the indicators for emergency preparedness and response of World Health Organization’s guideline on public health emergency and disaster management plan of the offices in the Ministry of Public Health.

Materials and methods A qualitative research by using content analysis, typology and taxonomy analysis from regular reports and public health emergency and disaster management plans of the offices in the Ministry of Public Health to 10 high emergencies and disaster risk provinces.

Results The study found that the main obstacles on public health emergency and disaster management of the provincial health offices are incident command system and structure, roles and responsibilities on public health emergency and disaster management in all hazards, lack of potential personnel on health situation awareness and surveillance system including efficiency mechanism and integrating guideline for incident action plan on cooperation with related key stakeholders.

Suggestions The development on public health emergency and disaster management should focus prior on disaster risk reduction with at least 4 missions such as;

1. Compiling and understanding public health emergency and disaster management.

2. Public health emergency and disaster risk management system.

3. Investing for public health emergency and disaster management system.

4. Public health emergency and disaster management plan.

5. For the National strategy for integrating system development on public health emergency and disaster management would be defined by 4 strategies such as;

Strategy 1: Risk reduction for health

Goals/Tactics:

1. Disaster risk management

2. Disaster risk reduction

3. Protocols and Standard Operation Procedures on emergency and disaster preparedness and prevention related with Public Health Emergency and Disaster Management

Strategy 2: Operational effectiveness

Goals/Tactics:

1. Medical and health emergency operation units/Teams

2. Emergency operation center

3. Emergency support functions

Strategy 3: Rehabilitation efficacy building

Goals/Tactics:

1. Strengthen medical and health rehabilitation for effected people

2. Build Back Better and Safer

Strategy 4: Integrating management

Goal/Tactic:

Development of the standard humanitarian assistance and coordination for public health emergency in the nation and the international level.