Directorate of Surveillance and health

GHSA - ACTION PACKAGE PREVENT 4: IMMUNIZATION

INDONESIA

Director of Surveillance and Health Quarantine Ministry of Health - Indonesia

Action Package Commitments

Action Package Leading Countries Contributing Countries

Immunization (Prevent-4)

Italy, Portugal India, Pakistan, Republic of Korea, Saudi Arabia, United Arab Emirates, Yemen

GHSA Goal GHSA Objective GHSA 5-Year Target

Prevent

Avoidable

Epidemics

Reducing the

number and

magnitude of

infectious disease

outbreaks.

A functioning national vaccine delivery

system – with nationwide reach,

effective distributions, access for

marginalized populations,

adequate cold chain, and ongoing

quality control – that is able to respond

to new disease threats.

Indicator P.7.1 Vaccine coverage (measles) as part of National Program

1. Less than 50% 2. 50 – 69% 3. 70 – 89% 4. 90% 5. 95%

Score 4: Demonstrated capacity

Interoperable district- based

immunization information system

Low vaccination rates in small sub

population s and at risk groups

EVM in Indonesia - 2015

P.4.2. National Vaccines Access and Delivery

Indicator

• Adequate funding for procurement of temperature monitoring devices

• Adequate quality cold chain equipment and include in the CCE Inventory

• EVM Self-Assessments implemented in all Provinces and Districts

• On-the-job training in stock management provided

Score 5: Sustainable capacity

26/1,000 LB (DHS 2012)

www.childmortality.org 198 countries

MDG target 2015 23/1,000 LB

55,2% kematian bayidisebabkan oleh diare dan pneumonia

Diare; 31,4

Pnemonia; 23,8

Meningitis/ensefalitis; 9.3

Kelainan saluran pencernaan; 6,4

Kelainan jantung

congenital dan hidrosefalus ; 5,8

Sepsis; 4,1

Tetanus; 2,9

Malnutrisi; 2,3 TB; 1,2

Campak; 1,2

Lain-lain; 11.6 55,2% pneumonia, diarrhoea

12.2% congernital anomalies

9.3% meningo-encephalitis

Infant cause of death (BHR 2007)

2015

34/1000 (DHS th 2007)

61/1000 LB (DHS 1991)

●

41.2%

New Vaccine Priority

Plan 2015 2016 2017 2018 2019

Switching

tOPV to bOPV April

IPV July

MR Phase I Campaign Phase

II dan III

HPV 2 Districts in Yogyakarta

JE

JE Surveillance NRA JE Campaign

8 sentinels High Riks Area

PCV

Pilot project

Central Lombok

Pneumo whole cell Pilot project at 3 provinces

PCV13 Clinical Trial (BF) Pneumoccus whole cell (BF)

Rotavirus

Clinical Trial: Rota Virus 3 (RV3) (BF,

Melbourne Uni, UGM)

Pilot project

Yogyakarta and Klaten

GHSA Roadmap on

Immunization - Indonesia

2015

• Achieving 93% high quality of MCV 1

• Maintaining high OPV to be at least 95%

• Achieving at least 95% coverage of ORI and other VPDs

2016 • Addressing immunization gap for measles through Crash

Program

• IPV introduction into routine immunization

• Maintaining 100% vaccine, cold chain eq. and other logistic

2017 • Conducting antibody survey for polio after IPV

introduction

• MR campaign with 95% target coverage

• At least 80% sufficient cold chain equipment

2018 • Basic health survey for DPT HepB and

Measles coverage

• MR campaign with 95% target coverage

• At least 90% sufficient cold chain equipment

2019

• Introduction MR into NIP

• Providing 100% sufficient cold

chain equipment

9

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