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Programme

Expanded Programme Immunization

Country Situation

 

As part of the global immunization effort in 1977, the Expanded Program for Immunization (EPI) was introduced in Indonesia. In 1990, the program achieved Universal Child Immunization (UCI) status against the six “traditional” EPI target diseases (polio, measles, diphtheria, tetanus, pertussis and tuberculosis) with diseases such as polio, measles, diphtheria, tetanus and tuberculosis as under control.

 

 

Emergency Report

 

ESR 01 – 15 June 2011

Earthquake Tarutung North Sumatera

 

Situation Report – Cold Lava Flood, Central Java

 

 

 

 

 

Efforts by the Government of Indonesia in expanding the health infrastructure were instrumental in helping the EPI programs reach the UCI targets.  The health infrastructure features an extensive service delivery network down to the village.  At the sub-national level, the structure is jointly managed by Ministry of Health (MOH) and Ministry of Home Affairs (MOHA).

Primary health care in Indonesia extends from static and mobile health centers to community-based health services involving community workers at the village level called cadres.  The Integrated Village Posts (posyandu) were first established in 1984 to provide five basic preventive cares services including immunization.  Routine immunization services are provided by approximately 7,800 health centers, 22,000 sub-health centers and 6,600 mobile clinics in addition to public and private hospitals.  At the community level, over 50,000 village midwives supervised around 260,000 posyandu in providing routine immunization.

All routine EPI vaccines are manufactured locally by companies that have met WHO prequalification standards and financed by the Indonesian government.  An exception to this arrangement is GAVI supported new vaccine introduction.

Despite having a strong commitment to EPI programs, the government of Indonesia has met with some recent challenges.  The change of government during the late 1990’s, the South East Asian financial crisis, and global economic factors put considerable strain on the primary health care infrastructure.  Nevertheless, in keeping with both national & global disease reduction goals, the Government of Indonesia has emphasized its commitment to immunization programs as a priority public health intervention.

 

 

 

 

 

 

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