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The well-being of coastal communities is intimately tied to a healthy ocean, but coastal social-ecological systems are among the most vulnerable to global change. Improving the resilience of coastal communities requires an understanding of how local social-ecological systems respond to shocks to better inform decision-making and adapt local management interventions. However, assessments of social-ecological changes throughout a disturbance regime are scarce at the local level, although critical for efficient natural resource management and sustainable use of ocean ecosystem services. Here, we apply the Ocean Health Index (OHI) to assess the status of the marine social-ecological system of a tropical island (Moorea, French Polynesia), and track changes of the system before, during and after a disturbance regime. Our results show that while there are signs of social-ecological recovery, coastal protection was most affected along the disturbance, and that there is room for improvement toward biodiversity conservation. In addition, our study highlights some context-specific challenges associated with local OHI assessments, particularly those driven by limited fisheries data and appropriate reference point selection for coastal protection. Our results demonstrate the value of localized, regular OHI assessments through time to track changes in marine social-ecological systems, while uncovering important data gaps, to inform management at appropriate scales for decision-making.