Presentation Files and Meeting Report of GHSA Action Package Coordination Meeting, 23-25 August 2016, Ritz Carlton Hotel | Global Health Security Agenda – Indonesia
GHSA - ACTION PACKAGE
PREVENT 4: IMMUNIZATION
INDONESIA
Directorate of Surveillance and health
Director of Surveillance and Health Quarantine
Ministry of Health - Indonesia
Action Package Commitments
Action Package
Leading Countries
Contributing Countries
Immunization
(Prevent-4)
Italy, Portugal
India, Pakistan, Republic of
Korea, Saudi Arabia, United
Arab Emirates, Yemen
GHSA Goal GHSA Objective
Prevent
Avoidable
Epidemics
GHSA 5-Year Target
A functioning national vaccine delivery
Reducing the
system – with nationwide reach,
number and
effective distributions, access for
magnitude of
marginalized populations,
infectious disease adequate cold chain, and ongoing
outbreaks.
quality control – that is able to respond
to new disease threats.
Indicator
P.7.1 Vaccine coverage (measles) as part of National Program
Score 4: Demonstrated capacity
Interoperable district- based
immunization information system
1. Less than 50%
2. 50 – 69%
3. 70 – 89%
4. 90%
5. 95%
Low vaccination rates in small sub
population s and at risk groups
Indicator
P.4.2. National Vaccines Access and Delivery
Score 5: Sustainable capacity
EVM in Indonesia - 2015
•
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
www.childmortality.org
198 countries
41.2%
61/1000 LB (DHS 1991)
Infant cause of death
(BHR 2007)
Campak; 1,2
TB; 1,2
Malnutrisi; 2,3
Lain-lain; 11.6
Tetanus; 2,9
Diare; 31,4
Sepsis; 4,1
Kelainan jantung
congenital dan
hidrosefalus ; 5,8
Kelainan saluran
pencernaan; 6,4
55,2% pneumonia, diarrhoea
12.2% congernital anomalies
9.3% meningo-encephalitis
Pnemonia; 23,8
Meningitis/
ensefalitis; 9.3
34/1000 (DHS th 2007)
MDG target 2015 23/1,000 LB
●
26/1,000 LB (DHS 2012)
2015
New Vaccine Priority
Plan
2015
2016
Switching
tOPV to bOPV
April
IPV
July
JE Surveillance
NRA
8 sentinels
Pilot project
Central Lombok
PCV13
Rotavirus
2019
Campaign Phase
II dan III
2 Districts in Yogyakarta
HPV
PCV
2018
Phase I
MR
JE
2017
JE Campaign
High Riks Area
Pneumo whole cell
Clinical Trial (BF)
Clinical Trial: Rota Virus 3 (RV3) (BF,
Melbourne Uni, UGM)
Yogyakarta and Klaten
Pilot project at 3 provinces
Pneumoccus whole cell (BF)
Pilot project
GHSA Roadmap on
Immunization - Indonesia
2019
•
•
Introduction MR into NIP
Providing 100% sufficient cold
chain equipment
2018
•
•
•
2017
•
•
•
2016
•
•
•
2015
•
•
•
Basic health survey for DPT HepB and
Measles coverage
MR campaign with 95% target coverage
At least 90% sufficient cold chain equipment
Conducting antibody survey for polio after IPV
introduction
MR campaign with 95% target coverage
At least 80% sufficient cold chain equipment
Addressing immunization gap for measles through Crash
Program
IPV introduction into routine immunization
Maintaining 100% vaccine, cold chain eq. and other logistic
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
thank you
9
PREVENT 4: IMMUNIZATION
INDONESIA
Directorate of Surveillance and health
Director of Surveillance and Health Quarantine
Ministry of Health - Indonesia
Action Package Commitments
Action Package
Leading Countries
Contributing Countries
Immunization
(Prevent-4)
Italy, Portugal
India, Pakistan, Republic of
Korea, Saudi Arabia, United
Arab Emirates, Yemen
GHSA Goal GHSA Objective
Prevent
Avoidable
Epidemics
GHSA 5-Year Target
A functioning national vaccine delivery
Reducing the
system – with nationwide reach,
number and
effective distributions, access for
magnitude of
marginalized populations,
infectious disease adequate cold chain, and ongoing
outbreaks.
quality control – that is able to respond
to new disease threats.
Indicator
P.7.1 Vaccine coverage (measles) as part of National Program
Score 4: Demonstrated capacity
Interoperable district- based
immunization information system
1. Less than 50%
2. 50 – 69%
3. 70 – 89%
4. 90%
5. 95%
Low vaccination rates in small sub
population s and at risk groups
Indicator
P.4.2. National Vaccines Access and Delivery
Score 5: Sustainable capacity
EVM in Indonesia - 2015
•
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
www.childmortality.org
198 countries
41.2%
61/1000 LB (DHS 1991)
Infant cause of death
(BHR 2007)
Campak; 1,2
TB; 1,2
Malnutrisi; 2,3
Lain-lain; 11.6
Tetanus; 2,9
Diare; 31,4
Sepsis; 4,1
Kelainan jantung
congenital dan
hidrosefalus ; 5,8
Kelainan saluran
pencernaan; 6,4
55,2% pneumonia, diarrhoea
12.2% congernital anomalies
9.3% meningo-encephalitis
Pnemonia; 23,8
Meningitis/
ensefalitis; 9.3
34/1000 (DHS th 2007)
MDG target 2015 23/1,000 LB
●
26/1,000 LB (DHS 2012)
2015
New Vaccine Priority
Plan
2015
2016
Switching
tOPV to bOPV
April
IPV
July
JE Surveillance
NRA
8 sentinels
Pilot project
Central Lombok
PCV13
Rotavirus
2019
Campaign Phase
II dan III
2 Districts in Yogyakarta
HPV
PCV
2018
Phase I
MR
JE
2017
JE Campaign
High Riks Area
Pneumo whole cell
Clinical Trial (BF)
Clinical Trial: Rota Virus 3 (RV3) (BF,
Melbourne Uni, UGM)
Yogyakarta and Klaten
Pilot project at 3 provinces
Pneumoccus whole cell (BF)
Pilot project
GHSA Roadmap on
Immunization - Indonesia
2019
•
•
Introduction MR into NIP
Providing 100% sufficient cold
chain equipment
2018
•
•
•
2017
•
•
•
2016
•
•
•
2015
•
•
•
Basic health survey for DPT HepB and
Measles coverage
MR campaign with 95% target coverage
At least 90% sufficient cold chain equipment
Conducting antibody survey for polio after IPV
introduction
MR campaign with 95% target coverage
At least 80% sufficient cold chain equipment
Addressing immunization gap for measles through Crash
Program
IPV introduction into routine immunization
Maintaining 100% vaccine, cold chain eq. and other logistic
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
thank you
9