World Health Organization, Data and statistics profile idn en

Indonesia

South-East Asia Region

I. Epidemiological profile
Population (UN)
High transmission (> 1 case per 1000 population)

2015

Parasites and vectors

30,300,000

%
12

Plasmodium species:

P. falciparum (55%), P.vivax (44%)


Low transmission (0-1 cases per 1000 population)

37,000,000

14

Major anopheles species:

An. sundaicus, An. balabacensis, An. maculatus, An. farauti, An. subpictus, An. subpictus

Malaria-free (0 cases)

190,000,000

74

Reported confirmed cases (health facility):

Total


257,560,000

217,025

Confirmed cases at community level:

Estimated cases:

1,300,000 [990,000 ; 1,600,000]

Estimated deaths:

1,900 [160 ; 3,600]

-

Reported deaths:

157


II. Intervention policies and strategies
Intervention

Policies/strategies

ITN

IRS

Yes/No

Adopted

ITNs/ LLINs distributed free of charge

Yes

First-line treatment of unconfirmed malaria

ITNs/ LLINs distributed to all age groups


Yes

2004
2004

IRS is recommended

Yes

1959

Treatment failure of P. falciparum

No

-

DDT is authorized for IRS
Use of larval control recommended


Yes

1990

IPT

IPT used to prevent malaria during pregnancy

N/A

-

Diagnosis

Patients of all ages should receive diagnostic test

Yes

2007


Malaria diagnosis is free of charge in the public sector

Yes

1959

ACT is free of charge for all ages in public sector

Yes

2004

Never allowed

2010

Single dose of primaquine is used as gametocidal medicine for
P. falciparum


Yes

2004

Primaquine is used for radical treatment of P. vivax

Yes

2004

G6PD test is a requirement before treatment with primaquine

No

-

Directly observed treatment with primaquine is undertaken

No


-

System for monitoring adverse reactions to antimalarials exists

Yes

2016

ACD for case investigation (reactive)

Yes

1965

ACD of febrile cases at community level (pro-active)

Yes

1965


Mass screening is undertaken

Yes

1965

Uncomplicated P. falciparum cases routinely admitted

Yes

1990

Uncomplicated P. vivax cases routinely admitted

Yes

1990

-


-

Yes

1984

The sale of oral artemisinin-based monotherapies (oAMTs)

Surveillance

Foci and case investigation undertaken
Case reporting from private sector is mandatory

First-line treatment of P. falciparum
Treatment of severe malaria

Larval control

Treatment


Antimalarial treatment policy

Treatment of P. vivax

Year adopted

-

-

DHA-PP+PQ

2008

QN+D+PQ

2004

AM; AS; QN

2004

DHA-PP+PQ(14d)

2008

Dosage of Primaquine for radical treatment of P. vivax

0.25 mg/Kg (14 days)

Type pf RDT used

P.f + all species (Combo)

Therapeutic efficacy tests (clinical and parasitological failure, %)
Year

Medicine

Min

Median

Max

Follow-up

No of studies

Species

Insecticide susceptibility bioassays (reported resistance to at least one insecticide for any vector at any locality)

Year

Pyrethroid DDT Carbamate Organophosphate Species/complex tested

2011–2014

Yes

No

Sources of financing

III. Financing

Medicine

Yes

No

An. subpictus s.l., An. sundaicus s.l., other

Government expenditure by intervention in 2015

Contribution ($USm)

50
Insecticides & spray materials
ITNs
Diagnostic testing
Antimalarial medicines
Monitoring and Evaluation
Human Resources & Technical Assistance
Management and other costs

40
30
20
10

Pie chart includes 32% of total expenditures

0
2005

2006

Gov. expend.

2007

2008

Global Fund

2010

World Bank

IV. Coverage

2011

USAID/PMI

2012

2013

WHO/UNICEF

2014

2015

Others

Coverage of ITN and IRS

Cases tested and treated in public sector

100

100

80

80

60

60

(%)

Population (%)

2009

40

40

20

20

0

0

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2005

2015

2006

2007

2008

2010

2011

2012

2013

2014

2015

Source: DHS 2007, DHS 2012, Other Nat.*

Source: DHS 2007

At high risk protected with ITNs
Households with at least one ITN (survey)

V. Impact

Suspected cases tested
%