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(1)

Directorate of Surveillance and health

GHSA - ACTION PACKAGE

PREVENT 4: IMMUNIZATION

INDONESIA

(2)

Action Package Commitments

Action Package

Leading Countries

Contributing Countries

Immunization

(Prevent-4)

(3)

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

(4)

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

(5)

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

(6)

26/1,000 LB (DHS 2012)

www.childmortality.org

198 countries

MDG target 2015 23/1,000 LB

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)

(7)

New Vaccine Priority

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

(8)

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

(9)

9

(10)
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Referensi

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