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I. Introduction
Immunization is a cost-effective and life-saving intervention which prevents needless suffering through sickness, disability and death. In the past, many children were infected with diseases such as polio,
measles, pertussis and diphtheria which caused deaths and disabilities. This situation will be exacerbated when combined with malnutrition and finally could increase the Case Fatality Rate CFR.
The government of Indonesia GOI has a strong commitment to immunization as a priority public health intervention. The immunization program has been selected as one of the priority services in line with
the global commitments as well as the national commitment. Expanded Program on Immunization EPI in Indonesia started in 1977. Immunization services in Indonesia have had a good record of past
achievement. To increase coverage, primary health center provide the services closer to the community. Primary health center also extends the services from static and mobile health centers to
community-based health services that involved NGO and CSO at each administration level and community. The goal of EPI in Indonesia to reduce morbidity and mortality due to vaccine preventable
diseases through eradication, elimination or reduction. With over 220 million people, Indonesia annually has to immunize more than 4 million children surviving to the age of one year. Basic vaccines are
administered to these children as a national policy: BCG, DTP, Polio, Measles and Hepatitis B. Various efforts have been undertaken by the Government to demonstrate its commitment and improve
the achievements of Immunization program target. Polio eradication through a PIN Pekan imunisasi Nasional = National Immunization Week, crash program for measles reduction, Maternal and Neonatal
Tetanus Elimination MNTE through TT pregnant woman campaign, are part of activities to achieve the target of a global commitment. The GOI has been promoting some strategic campaign activities,
including MNTE, measles crash program, school base measles campaign, supplementary immunization actions SIAs and other activities to scale up the process of reducing the number of cases or even to
eliminate them. Immunization coverage has been increasing and the achievement for the year 2009 is:
• UCI villages 69.2
• Coverage of DTP-HB3 93
• Coverage of Measles 92
• TT2+ for pregnant women 79
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Despite the GOI has experienced a remarkable progress in implementing program, limited resources to support activities remain a problem, especially for local government with low fiscal capacity.
Decentralization and political reform in the late 1990s affected the sustainability of availability funding for immunization. District governments now take responsibility for their immunization programs
however the central level is responsible for supplementary immunization activities, procurement of vaccines and syringes, technical assistance, development of guidelines, monitoring and evaluation,
quality control and training. To achieve high coverage to be sustained, EPI should have strong commitment to provide well and closer services to community so that it is important to establish a
stronger and more representative civil society constituency for immunization. Strengthening the capacity of the health system to minimize the “bottleneck” barriers in each level is a critical issue too,
support from donors and CSOs will help the MOH overcome the problem. As a reference for the National Immunization Program Strategy, this five-year comprehensive Multi-Year
Plan or cMYP document is developed. The plan has been developed for 2010-2014 in line with Strategic Plan of MOH, its vision and mission. The first cMYP was developed for the year 2002 - 2006, secondly
was cMYP 2007 - 2011, and now continued by this cMYP 2010-2014. The cMYP is intended as a guide to develop an annual immunization program and as a reference for policy makers to attempt to participate
in the efforts of immunization activities.
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II. Situation Analysis
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