Immunization Healthy Environment Program Principle

Page 41 of 88 3.1. Contagious Disease Eradication and Immunization Program a. Contagious Disease Eradication This program is aimed at decreasing morbidity, mortality and disability from contagious diseases and preventing dissemination and decreasing social impacts of diseases so they would not become health problems. Targets to be reached through this program are: 1 decline in morbidity of DHF at endemic sub-districts to less than 20 per 100.000 persons and nationally to 5 per 100.000 persons, and its CFR at the hospital declines to less than 1; 2 decline in morbidity of malaria API in Java-Bali-Binkar-Lombok-Industrial tourism areas to less than 1 per 1000 persons and decline of its mortality by 75; 3 achievement of cure rate of more than 85 and coverage of lung TB case finding more than 70; 4 prevention of the increase of HIV infection to not more than 1, decline in prevalence of syphilis to less than 1, and decline in gonorrhea incidence to 10 among the high risk groups; 5 decline in mortality from pneumonia among under 5 years old from 5 per 1000 to 2 per 1000, and decline in morbidity by 50; 6 decline in mortality from diarrhea among the under 5 years old from 2,5 to 1 per 1000 of the under-5 years old; 7 more significant decline in morbidity and mortality from other contagious diseases as leprosy, helminthiasis, rabies, fillaria, schistosomiasis, anthrax, plaque; 8 prevention of outbreaks; and 9 increased knowledge and awareness of the society in regards of contagious diseases so that they would increase participation in their eradication. Activities of this program consist of: 1 case finding and treatment either actively or passively and case management in all units of health services; 2 prevention and management of risk factors and management of disability; 3 management of early warning system and settlement of focus and outbreaks; 4 increased skills of personnel in puskesmas and hospitals in case management; 5 instruction, survey and operation-research; and 6 increased information dissemination KIE about contagious diseases.

b. Immunization

This program is aimed at prevention against the occurrence of contagious diseases and decreasing the morbidity and mortality from diseases preventable by immunization PD3I so they would not become public health problems. Targets to be reached through this program is the decrease in morbidity and mortality rates from diseases preventable by immunization among all levels of society with priority on infants, school aged children, reproductive aged women including pregnant women and other high risk groups. Page 42 of 88 Activities of this program consist of: 1 standardization and implementation of immunization of polio, measles, diphtheriae, pertusis, tetanus, BCG, hepatitis B, and other diseases which already have vaccines; 2 observation and management of post immunization sequelae; 3 development of immunization operationally and development of immunization with new vaccines; and 4 monitoring and evaluation of program and result of immunization program.

3.2. Non-contagious Disease Prevention Program