WHO logo for Indonesia

 

Expanded Programme Immunization

 

Strengthening Routine Immunization

 

Strategy and Target

 

Supplementary immunization in 2005, 2006 and 2007 has provided a window of opportunity to ensure Indonesian children are protected against childhood killers such as measles and polio. However, they have also put enormous strain on routine immunization staff and resources. As a cornerstone upon which Indonesia will be able to regain its polio free status and to provide protection against other vaccine preventable disease such as measles, continued long term support for routine immunization is needed to ensure those most vulnerable continue to be protected. An estimated 1.2 million children remains un- immunized in Indonesia.

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Polio eradication

 

 

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Measles Mortality Reduction

 

 

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Maternal and Neonatal Tetanus Elimination

 

 

 

 

 

 

Indonesia, in line with the Global Immunization Vision and Strategy (GIVS), has a target to reach >90% coverage nationally for all EPI antigens and >80% coverage in each district. Beside this Indonesia also has a target to ensure that >80% of its villages achieve Universal Childhood Immunization (UCI).

 

 

 

 

Activity

 

*          A National Coverage Survey was conducted between August 2007 and April 2008 in all 33 provinces of Indonesia. The coverage survey showed 91% coverage for BCG, 75% for DPT3, 83% for OPV3, 74% for HepB3 and 80% for measles with wide ranges in the province level. The result was included in the latest WHO/UNICEF global estimation.

*          A technical advisory group (TAG) on immunization was established in June 2007. The general objective of establishing a functioning technical advisory body at the country level is to guide policy makers and programme managers to enabled them to make evidence-based decision on the choices that a country will face in the future for new vaccines and technologies.

*          Technical Working Group (TWG) for Immunization was established following the end of measles SIAs. TWG is coordinated by WHO and is chaired by the National EPI Manage. TWG meets minimum once a month with key technical partners to discuss, monitor and advise the EPI manager on development, strengthening and implementation of routine immunization programme in Indonesia to achieve its national and global objectives and goals.

*          National Commission on Adverse Events Following Immunization established an AEFI task force. Beside at national level, this kind of task force is also formed at province level. Currently there are 32 provincial task forces on AEFI. A National AEFI meeting was conducted in December 2008 with assistance from WHO. Provincial training will take place in 2009.

 

 

A cold chain national inventory was done and analyzed. A cold chain investment meeting as conducted with stake holders and partners to cover the requirement in the coming years.

 

 

WHO supported Nation Wide Rapid Assessment of Injection Safety started in 2008 and will be completed phase wise in 2009.