You are on page 1of 352

351.

770212
Ind
I

INDONESIA HEALTH PROFILE


2010

MINISTRY OF HEALTH REPUBLIC OF INDONESIA


2011

Catalog in Publishing Ministry of Health RI


351.770.212
Ind
Indonesia. Ministry of Health. Center for Data and Information
I
Indonesia Health Profile 2010, -- Jakarta :
Ministry of Health RI. 2011
ISBN 978-602-8937-89-4
1. Title
I. HEALTH STATISTICS

This book is published by


Ministry of Health Republic of Indonesia
Jalan HR. Rasuna Said Blok X-5 Kav 4-9, Jakarta 12950
Phone no: 62-21-5229590, 5221432, 5277169
Fax no: 62-21-5203874
E-mail: statkes@depkes .go.id
Web site: http://www.depkes.go.id
________________________________________________________________________

EDITOR OF BOARD

Advisor
dr. Ratna Rosita, MPHM
General Secretary Ministry of Health RI
Chief
dr. Jane Soepardi
Center for Data and Information
Editor
Dra. Rahmaniar Brahim, Apt, MKes
drg. Vensya Sitohang, M.Epid
Iskandar Zulkarnaen, SKM, M.Kes
Members
Sunaryadi, SKM,MKes; Nuning Kurniasih, S.Si, Apt, MSi;
Marlina Indah Susanti, SKM; Supriyono Pangribowo, SKM; Istiqomah, SS;
Athi Susilowati Rois, SKM; Budi Prihantoro, S.Si ; Margiyono, SKom;
Doni Hadhi Kurnianto, SKom; B.B. Sigit;
Muslichatul Hidayah, Hanna Endang Wahyuni; Endang Kustanti;
Sondang Tambunan; Hellena Maslinda; Sinin
Contributors
Biro Perencanaan dan Anggaran; Biro Keuangan dan Perlengkapan;
Pusat Penanggulangan Krisis; Pusat Pembiayaan dan Jaminan Kesehatan;
Biro Kepegawaian; Set. Ditjen Bina Gizi dan KIA; Dit. Bina Gizi; Dit Bina Kesehatan Ibu;
Dit Bina Kesehatan Anak; Set. Ditjen Bina Upaya Kesehatan; Set. Ditjen Pengendalian
Penyakit dan Penyehatan Lingkungan; Dit. Pengendalian Penyakit Menular Langsung;
Dit. Pengendalian Penyakit Bersumber Binatang; Dit. Surveilans Imunisasi dan Karantina;
Set. Ditjen Bina Kefarmasian dan Alat Kesehatan; Set. Badan Penelitian dan Pengembangan
Kesehatan; Set. Badan PPSDM Kesehatan.

Indonesia Health Profile is one tool that can be used to report the results of
monitoring and evaluation of health achievement of development results, including
theperformanceoftheimplementationofminimumservicestandardsinthehealth
andachievementoftheMillenniumDevelopmentGoalsindicatorsinhealth,aswellas
the various efforts related to health development held across sectors such as BPS
StatisticsIndonesiaandNationalPopulationandFamilyPlanning.
Health profile, both District/Municipality Health Profile, Province Health
ProfileandIndonesiaHealthProfilepresenthealthdata/informationwhichrelatively
complete, including health status, health efforts, health resources, and general data
andhealthrelatedenvironmentdata.Therefore,thepreparationofthehealthprofile
should be observed and where possible use a good quality data. The data used to
compile Indonesia Health Profile is sourced from the Provincial Health Profile, a
reportfromtheunitmanagerofhealthdevelopmentprograms,interrelatedsectors,
such as Riskesdas survey results, and other data sources. Data presented at the
Indonesia Health Profile can be used to compare the state of health development
betweenoneprovincetoanotherprovince,thenacomparisonofhealthdevelopment
inIndonesiawithseveralcountriesinSoutheastAsiaandothermembercountriesof
SEARO. With the publication of Indonesia Health Profile, it is expected that
comparisonofhealthdevelopment,bothbetweenprovincesandIndonesiawithother
SoutheastAsiancountriescanbeclearlydefined.
Thebookisconceivedandstrivedrisingfasterthaninpreviousyears.Thereis
an increasing awareness of the Provincial Health Profiles managers and program
managers in the Ministry of Health, so that the preparation of Indonesia Health
Profile can be completed in a relatively fast. Although the Technical Guidelines for
preparation of District/Municipality Health Profiles on responsive gender has been
circulatedsincetheendof2010,buttheavailabilityofdatafromthedatasourcehave
not be compiled properly, so not all data are presented in the form of annexes
according to responsive genderbased data from technical guidelines of responsive
gender.Withtheavailabilityofhealthdataprofileswhicharegenderresponsive,that
isexpectedtoidentifythepresenceorabsenceandamountofgapontheconditions,
needs and problems faced by men and women in terms of access, participation,
control,andhealthbenefitsinthehealthdevelopmentfield.

This Indonesia Health Profile is presented in printed and soft copy (CD) and
alsocanbedownloadedatthewebsitewww.depkes.go.id,makingiteasierforusers
of Indonesia Health Profile to get it. Hopefully this publication can be useful to all
parties,includinggovernment,professionorganizations,privateandpublic.
Wethankyouallthosewhohavecontributedinthepreparation ofIndonesia
HealthProfile2010.

Jakarta,June2011
CenterforDataandInformation

dr.JaneSoepardi
NIP.195809231983112001

ii

Iwarmlywelcomeforthepublicationof"IndonesiaHealthProfile2010"faster
whencomparedtopreviousyears.Althoughtherefoundmanyobstaclesandbarriers
andalotofchallengesintheprocessofdatacollectionandhealthinformation,finally
CenterforDataandInformationmanagedtocollectdatayear2010andcompilethem
intheformof"IndonesiaHealthProfile2010".
There have been many efforts doing by Center for Data and Information so
thatdatacanbecollectedquicklyandhavehighdataquality.Whiletheseeffortshave
notachievedmaximumresults,butstillattemptedtopresentitbetterandfasterthan
in previous years. Challenges and constraints in the provision of data and timely
information is quite a lot, so that data and information from every province and
program managers in the Ministry of Health and related crosssector still can not
completelyfilled.Withthepublicationof"IndonesiaHealthProfile2010",Ihopewill
be useful for various parties, both government institutions, private institutions,
professionalorganizations,studentsandothercommunitygroupsingettingthedata
and health information. Health profile is also expected to be used as material for
evaluationofhealthdevelopmentprograms,bothatcentralandregionallevels.
On this occasion I express gratitude and highest appreciation to all parties,
especially to Center for Data and Information which has been a coordinator in the
preparationofIndonesiaHealthProfile.Abigthankyoualsogoestothecontributors
of data in the central, local government and interrelated sectors in compiling
Indonesia Health Profile. My hope that Indonesia Health Profile for years upcoming
mayrisefasterandhigherquality.

Jakarta,June2011
GeneralSecretary
MinistryofHealth

dr.RatnaRosita,MPHM
NIP.195212051980032001

iii

FOREWORD
i

ACKNOWLEDGEMENTOFGENERALSECRETARY
iii

LISTOFCONTENT
v

LISTOFANNEXES
vii

CHAPTERI INTRODUCTION
1

CHAPTERII GENERALDESCRIPTIONANDPEOPLEBEHAVIOR
7

A.DemographicSituation
9

B.EconomySituation
16

C.EnvironmentalHealthSituation
23

D.PeopleBehaviorSituation
27

CHAPTERIIIHEALTHSTATUSSITUATION
33

A.Mortality
35

B.Morbidity
40

CHAPTERIV HEALTHEFFORTSITUATION
69

A.PrimaryHealthCare
71

B.ReferralHealthCare
96

C.DiseaseControlandPrevention
100

D.CommunityNutritionImprovement
115

E.HealthCareinDisasterSituation
125

CHAPTERV HEALTHRESOURCESITUATION
127

A.HealthFacility
129

B.HealthPersonnel
145

C.HealthBudgetting
152

CHAPTERVI COMPARISONBETWEENINDONESIAWITHASEANANDSEARO

COUNTRIES
155

A.Demographic
157

B.HealthStatus
164
C.HealthEffort
173

BIBLIOGRAPHY

ANNEXES

179

***

vi

Annex2.1
Annex2.2
Annex2.3
Annex2.4
Annex2.5
Annex2.6
Annex2.7
Annex2.8
Annex2.9
Annex2.10
Annex2.11
Annex2.12
Annex2.13
Annex2.14
Annex2.15
Annex2.16
Annex2.17
Annex2.18
Annex2.19
Annex2.20
Annex2.21

DistributionofGovernmentAdministrationbyProvince,2010
TotalPopulationbySexandSexRatiobyProvince, 2010
TotalPopulationbySexandAgeGroups,2010
PopulationGrowthRatebyProvince,19712010
Mainland Area, Total Population and Population Density by
Province,2010
Number of Population by Sex, Age Group and Dependency Ratio
byProvince,2010
NumberandPercentageofUnderdevelopedDistrictsbyProvince,
20062010
38DistrictsasPriorityandVeryPriorityAreainBorderandOuter
IslandsRegioninIndonesia,2010
PovertyLineofPoorPeoplebyProvinceandArea,March,2010
Number and Percentage of Poor People by Province and Area,
20082010
PercentageofHouseholdswithPhysicalQualityofDrinkingWater
byProvinceinIndonesia,Riskesdas2010
PercentageofHouseholdsbySourceofCleanWaterFacilitiesfor
DomesticPurposebyProvinceinIndonesia,Riskesdas2010
Percentageof Households by Source of Drinking WaterFacilities
forDomesticPurposebyProvinceinIndonesia,Riskesdas2010
PercentageofHouseholdsforAccesstoQualityDrinkingWaterby
ProvinceinIndonesia,Riskesdas2010
Percentage of Households by Access to Drinking Water by
ProvinceinIndonesia,Riskesdas2010
Percentage of Households by Number of Water Usage
(Person/Day) byProvinceinIndonesia,Riskesdas2010
Percentage of Households with Toilet Facility by Province in
Indonesia,Riskesdas2010
PercentageofHouseholdsbyTypeofClosetFacility byProvincein
Indonesia,Riskesdas2010
Percentage of Households by the End of Feces Disposal by
ProvinceinIndonesia,Riskesdas2010
PercentageofHouseholdsbyAccesstoProperofWasteDisposal
inAccordanceMDGs byProvinceinIndonesia,Riskesdas2010
Percentage of Households by Way of Defecation in Accordance
withJMPWHOUNICEF2008 byProvinceinIndonesia,Riskesdas
2010
vii

Annex2.22
Annex2.23
Annex2.24
Annex2.25
Annex2.26
Annex2.27
Annex3.1
Annex3.2
Annex3.3
Annex3.4
Annex3.5
Annex3.6
Annex3.7
Annex3.8
Annex3.9
Annex3.10
Annex3.11
Annex3.12
Annex3.13
Annex3.14
Annex3.15
Annex3.16

viii

PercentageofHouseholdsbyHealthyHousesCriteria byProvince
inIndonesia,Riskesdas2010
PrevalenceofPopulation15YearsofAgeandOver,Smokingand
NotSmoking byProvinceinIndonesia,Riskesdas2010
PrevalenceofSmokers15YearsofAgeandOverbyFirstSmoking
orChewingTobacco byProvince,Riskesdas2010
PercentageofHouseholdsbyWasteHandlingCriteria byProvince
inIndonesia,Riskesdas2010
PercentageofWomenAged1059YearsbyAgeinFirstMarriage
byProvinceinIndonesia,Riskesdas2010
PercentageofMarriageWomenAged1059YearsbyNumberof
ChildrenBirthandProvinceinIndonesia,Riskesdas2010
Estimation of Infant Mortality Rate, Underfive Mortality Rate
(UMR)in2007 andLifeExpectancyRatebyProvince,2009
Human Development Index and Component by Province, 2008
2009
10MainDiseasesofHospitalInpatients,2010
10MainDiseasesofHospitalOutpatients,2010
Prevalence of Underfive Nutritional Status Based on Weight per
AgebyProvince,2010
Prevalence of Underfive Nutritional Status Based on Height per
AgebyProvince,2010
Prevalence of Underfive Nutritional Status Based on Weight per
HeightbyProvince,2010
Prevalence of Underfive Nutritional Status Based on Height per
AgeandWeightperHeightbyProvince,2010
Prevalence of Adult Nutritional Status (>18 Years of Age) Based
onBodyMassIndex(BMI)byProvince,2010
NumberofCasesandMorbidityofMalariabyProvince,2010
AnnualParasiteInsidence(API)ofMalariabyProvinceon2007
2010
PeriodPrevalenceofMalariainOneLastMonthbyDiagnosisand
Province,2010
CaseDetectionCoverageofPulmonaryTB byProvince,2010
TB Acid Flaccid Bacil (AFB) Positive New Cases by Sex and
Province,2010
TBAFBPositiveNewCases byAgeGroup,Sex,andProvince,2010
TB AFB Positive, Cured, and Complete Treatment and Success
Rate(SR)byProvince,2009

Annex3.17
Annex3.18

Annex3.19
Annex3.20
Annex3.21
Annex3.22
Annex3.23
Annex3.24
Annex3.25
Annex3.26
Annex3.27
Annex3.28
Annex3.29
Annex3.30
Annex3.31
Annex3.32

Annex3.33
Annex3.34
Annex3.35
Annex3.36
Annex3.37
Annex3.38
Annex3.39
Annex3.40
Annex4.1

TB Period Prevalence (D) and Suspect TB Period Prevalence (G)


on>15YearsofAgePopulationbyProvince,Riskesdas2010
AIDS New Cases, AIDS Cumulative Cases, Death Cases, and Case
Rate AIDS per 100,000 Population by Province up to December,
2010
AIDSCumulativeCasesperQuarter byProvince,2010
NumberofCasesandPercentageofAIDSonInjectingDrugUsers
(IDU) byProvinceuptoDecember2010
NumberofUnderfivePneumonieCases byProvince,2010
Leprosy New Cases, Case Detection Rate (CDR), Proportion of
Deformity,CasesonChildren,andWomenbyProvince,2010
Number of Tetanus Neonatorum Cases and Risk Factors by
Province,2010
NumberofMeaslesCases byMonthandProvince,2010
NumberofMeaslesCases byAgeGroupandProvince,2010
Number of Cases, Deaths, and Incidence Rate of Measles by
Province,2010
Outbreak Frequency and Number of Cases on Measles Outbreak
byProvince,2010
MeaslesOutbreakBasedonLaboratoryConfirmation byProvince,
2010
NumberofDiphteriaCasesbyAgeGroup andProvince,2010
NumberofDiptheriaCasesperMonth byProvince,2010
NumberofAFPCasesandNonPolioAFPRate byProvince,2010
NumberofDengueHaemorrhagicFever(DHF)Cases,Deaths,Case
Fatality Rate (%), and Incidence Rate per by Province, 2006
2010
NumberofDistricts/MunicipalitiesInfectedbyDHF andProvince,
20062010
DiarrheaOutbreaks byProvince,20062010
NumberofChikungunyaCases byProvince,2010
RabiesCasesinIndonesia,20082010
NumberofFilariasisCases byProvince,20062010
PestSituationbyProvince,2010
Number of Leptospyrosis Cases, Deaths, and Case Fatality Rate
(CFR) byProvince,20042010
NumberofAntraxCasesOnHuman byProvince,20062010
Number of Avian Influenza Cases, Deaths, and Case Fatality Rate
(%)byProvince,20052010

ix

Annex4.2

Annex4.3
Annex4.4
Annex4.5
Annex4.6
Annex4.7
Annex4.8
Annex4.9
Annex4.10
Annex4.11
Annex4.12
Annex4.13
Annex4.14
Annex4.15
Annex4.16
Annex4.17
Annex4.18
Annex4.19
Annex4.20
Annex4.21
Annex4.22

PercentageofWomenAged1059YearsbyPregnantWomenCare
Coverage (K1andK4)byLastPregnancyperProvince,Riskesdas
2010
Percentage of Women Age 1059 Years for Last Child Pregnancy
byPersonnelHealthandProvince,Riskesdas2010
Percentage of Women Age 1059 Years Had Cesarian Section for
LastChild inLastFiveYearsPeriodbyProvince,Riskesdas2010
Coverage of New Family Planning and Active Family Planning
Acceptors byProvince,2010
Percentage of New Family Planning Acceptors by Contraception
MethodandProvince,2010
Proportion of New Family Planning Acceptors by Practice Place,
2010
PercentageofActiveFamilyPlanningAcceptors byContraception
MethodandProvince,2010
PercentageofWomenThatMarriedinAge1049Years byFamily
PlanningUsingStatus,Riskesdas2010
CoverageofNeonatesCarewithComplicationandObstetricCare
withComplication byProvince,2010
CoverageofNeonatesVisitsbyProvince,2010
Percentage of Neonates Visit in Underfive Age by Province,
Riskesdas,2010
Percentage of Complete Neonates Visit (KN1, KN2, KN3) in
UnderfiveAge byProvince,Riskesdas2010
CoverageofInfantandUnderfiveHealthCare byProvince,2010
Coverage of Primary School Performing for Embracing 1st Class
Students byProvince,2010
CoverageofUnderfiveWeighted byProvince,2010
Percentage of Weighing Frequency of Children Age 659 Months
DuringLastSixMonths byProvince,Riskesdas2010
Coverage of Exclusive Breast Feeding for Infant Age 05 Months
byProvince,2009
Percentage of Children Age 023 Months Who Have/Had Been
Breastfeeding byProvince,Riskesdas2010
Coverage of Vitamin A Capsule Distribution for Underfive and
PostpartumMothers byProvince,2010
Coverage of 90 Iron Tablet Distribution (Fe3) for Pregnant
Women byProvince,2010
Percentage of Children Age 659 Months Having Vitamin A
Capsule DuringLastSixMonthsbyProvince,Riskesdas2010

Annex4.23
Annex4.24
Annex4.25
Annex4.26
Annex4.27
Annex4.28
Annex4.29
Annex4.30
Annex4.31
Annex4.32
Annex4.33

Annex4.34
Annex4.35
Annex4.36
Annex4.37
Annex4.38
Annex4.39
Annex4.40
Annex4.41
Annex4.42
Annex4.43
Annex4.44

Percentage of Population by Energy Sufficiency and Protein


Consumption, Riskesdas2010
Coverage of Universal Child Immunization (UCI) Village by
Province, 20082010
CoverageofInfantsBasicImmunization byProvince,2010
Percentage of Children Age 1223 Months Getting Basic
ImmunizationbyProvince, Riskesdas2010
PercentageofChildrenAge1223MonthsGettingCompleteBasic
Immunization byProvince,Riskesdas2010
Drop Out Rate of Immunization Coverage DPTHB1 Measles in
InfantsbyProvince,20072010
CoverageofStudentsImmunization byProvince,2010
CoverageofTetanusToxoidImmunizationinPregnantWomen by
Province,2010
Percentage of Mother Getting Tetanus Toxoid Injection During
LastChildrenPregnancy byProvince,Riskesdas2010
Coverage of Tetanus Toxoid Immunization in Productive Age
Women byProvince,2010
Coverage of Pulmonary TB AFB Positive, Healed, Complete
Medication and Succes Rate (After TB Medication Year 2009) by
Province,2010
PercentageofTuberculosisPatientHadFinishedTreatmentswith
AntiTuberculosisDrugbyProvince, Riskesdas2010
NumberofUnderfivesPneumoniaCases byProvince,2010
NumberofInpatientVisitinHospital byProvince,2010
IndicatorofGeneralHospitalCareofMOHandLocalGovernment
byProvince,20082010
Examination of Dental and Oral Health In Local Governmentand
MinistryofHealthPublicHospitalServices byProvince,2010
Jamkesmas (Community Health Insurance) Participant Visits in
HealthCenter,2010
Number of Advance Level Outpatient (RJTL) Visit of Jamkesmas
Participants,2010
Number of Advance Level Inpatient (RITL) Case of Jamkesmas
Participants,2010
RecapitulationofDisasterbyTypeandNumberofVictims,2010
Percentage of Drug and Vaccine Availability in Indonesia, June
2011
Percentage of Drug and Vaccine Availability in Indonesia, June
2011
xi

Annex5.1
Annex5.2
Annex5.3
Annex5.4
Annex5.5
Annex5.6
Annex5.7
Annex5.8
Annex5.9
Annex5.10
Annex5.11
Annex5.12
Annex5.13
Annex5.14
Annex5.15
Annex5.16
Annex5.17
Annex5.18
Annex5.19
Annex5.20

xii

NumberofHealthCenterandItsRatiotoPopulation byProvince,
20062010
NumberofHealthCenterwithBedandHealthCenterwithoutBed
byProvince,20062010
Number of Hospital in Indonesia by Management and Province,
2010
NumberofHospitalandBedbyManagement,20062010
Number of General Hospital and Bed of MOH/Government
OwnershipbyHospitalClassandProvince,2010
NumberofSpecificHospitalandBedbyTypeofHospital,2006
2010
Number of Bed in General Hospital and Specific Hospital by Bed
ClassandProvince,2009
Number of Production Facility in Pharmaceutical and Medical
DevicebyProvince,20082010
Number of Distribution Facility in Pharmaceuticals and Medical
DevicebyProvince,20082010
Number of Health Effort Community Based (UKBM) by Province
InIndonesia,2009
NumberofHealthPolytechnicInstitution(Poltekkes) byProgram
andProvince,2010
NumberofNonHealthPolytechnicInstitution(NonPoltekkes) by
StudyProgramandProvince,2010
Number of Academic Field/Study Program of Health Polytechnic
(Poltekkes) byAccreditationandStrata,2010
Number of Non Polytechnic Institution (NonPoltekkes) by
AccreditationandStrata,2010
NumberofHealthPersonnelInstitutionofNonHealthPolytechnic
byOwnership,2010
Recapitulation of Poltekkes Student by Type of Health
PersonnelacademicYear2010/2011
Recapitulation of Non Poltekkes Student by Type of Health
PersonnelAcademicYear2010/2011
Recapitulation of Student of Diploma IV Program by Type of
EducationInstitution,20072009
Graduation of Diknakes Poltekkes and Non Poltekkes by Type of
HealthPersonnel,2010
Number of Poltekkes Graduated by Academic Field/Study
ProgramfromHealthPersonnelInstitutioninIndonesiaAcademic
Year2010/2011

Annex5.21
Annex5.22
Annex5.23
Annex5.24
Annex5.25
Annex5.26
Annex5.27
Annex5.28
Annex5.29
Annex5.30
Annex5.31
Annex5.32
Annex5.33
Annex5.34
Annex5.35
Annex5.36
Annex5.37

Annex5.38
Annex5.39
Annex5.40

Annex6.1

Recapitulation of Graduation from Non Poltekkes Institution in


IndonesiabyTypeandProvinceAcademicYear2010/2011
RecapitulationofHealthManpowerbyProvince,December2010
Number of Human Resource in Health Center by Type and
Province,2010
Ratio of Physician, Dentist, Nurse and Midwife to Number of
HealthCenterbyProvince,2010
Recapitulation of Human Resource of Government Hospital by
TypeandProvince,2010
Recapitulation of Physician as Active Non Permanent Employee,
2010
Recapitulation of Dentist As Active Non Permanent Employee,
2010
Recapitulation of Midwife As Active Non Permanent Employee,
2010
RecapitulationofPhysicianRecruitmentAsActiveNonPermanent
Employee,2010
Recapitulation of Dentist Recruitment As Active Non Permanent
Employee,2010
RecapitulationofMidwifeRecruitmentAsActiveNonPermanent
Employee,2010
ActivePhysician/DentistAsNonPermanentEmployeeinMinistry
ofHealthuntilDecember2010
Recapitulation of Physician Recruitment As Non Permanent
Employee,2010
Recapitulation of Dentist Recruitment As Non Permanent
Employee,2010
Distribution of Involved Level from Health Education Institution
inIndonesiainTrainingandEducationInstitution,2009
Distribution of Widyaiswara from Training and Education
InstitutioninIndonesiabyAgeGroup,2009
DistributionofTrainingFrequencyandNumberofParticipantsin
Health Training and Education In Indonesia by Type of Training
andEducationInstitution,2009
AllocationandRealizationMinistryofHealthbyEchelonI,2010
DataofHealthInsuranceParticipant,2010
Distribution of MOH Employee in Central Office, Technical
ImplementationUnitandDPK/DPBDetailsbyEducationStratain
December,2010
DemographyinASEANandSEAROMemberStates,2010
xiii

Annex6.2
Annex6.3
Annex6.4
Annex6.5
Annex6.6
Annex6.7
Annex6.8
Annex6.9

xiv

Birth Rate, Mortality Rate and Human Development Index in


ASEANandSEAROMemberStates
Population Using Clean Water Source and Hygienic Sanitation
FacilitiesinASEANandSEARO,2008
TuberculosisinASEANandSEAROStates,2008/2009
EstimationofHIV/AIDsinASEANandSEAROStates,2009
Number of VaccinePreventable Diseases in ASEAN and SEARO
States,2010
BasicImmunizationtoInfantsinASEANandSEARO,2009
HealthEffortsinASEANandSEAROMemberStates,20002010
HealthExpendituresinASEANandSEAROMemberStates,2008

***

MinistryofHealth'svisionis"HealthyCommunitiesIndependentandJustice",while
MinistryofHealth'smissionstoachievethatvisionareexplainedasfollows:
1. Improving the community health status, through community empowerment,
includingtheprivatesectorandcivilsociety.
2.Protectingpublichealthbyensuringtheavailabilityofhealtheffortswhichis
plenary,equitable,quality,andequitable.
3.Ensureavailabilityandequitabledistributionofhealthresources.
4.Creatingagoodgovernance.
The vision and missions should be guided by the values of Ministry of Health as
follows: 1) Pro People, 2) Inclusive, 3) Responsive, 4) Efficient, and 5) Clean. In the
implementation of the Vision and Mission of the Ministry of Health, there is much
neededdataandinformation.
AccordingtoWHO,SubsystemofInformationalwaysbeintheHealthSystem
tosupportothersubsystems.Othersubsystemsmaynotbeabletoworkwithoutthe
support of the Health Information System. In the other hand, Health Information
System may not work alone, but must be with the other subsystems. This is also
reflectedinNationalHealthSystem2009(Ind:SKN2009=SistemKesehatanNasional),
where there is a subsystem of Management and Health Information, which
overshadowthedevelopmentofHealthInformationSystems.
LawoftheRepublicofIndonesiaNumber36Year2009onHealth,article17
paragraph1statesthatthegovernmentisresponsiblefortheavailabilityofaccessto
information, education, and health care facilities to improve and maintain health is
highest. In addition, Article 168 states that to organize an effective and efficient
health efforts there is needed health information system, which is done through
informationsystemsandthroughcooperationacrosssectors,withfurtherprovisions
will be arranged by Government Regulation. While the government mentioned in
Article169providesconveniencetothepublictoobtainaccesstohealthinformation
inanefforttoimprovecommunityhealthstatus.

Oneoutputoftheimplementationofnationalhealthinformationsystemisthe
Indonesia Health Profile, which is relatively complete one packet presentation of
health data/information, contains data/information on health status, health effort,
health resources, and other relevant data/information, as well as published every
3

year.InlinewiththepreparationofIndonesiaHealthProfile,provincialhealthoffice
have also been prepare provincial health profile, and district/municipality health
officecomposedistrict/municipalhealthprofile.Inthefuture,utilizingtechnologies
ofinformationandcommunicationareevolvingrapidly,thepreparationofthehealth
profileisexpectedtobeheldinstages.Provincialhealthprofileisarrangedbasedon
district/municipal health profile and health development results that held by the
province,includingtheresultsofinterrelatedsectors;andIndonesiaHealthProfileis
organized by the provincial health profiles and the results of health development
organizedcenters,includingtheresultsofcrosscuttingactivitiesrelatedtonational
level.

Indonesia Health Profile, provincial health profile, district/municipalicity


healthprofileareexpectedtobeimportantmediatomonitorandevaluatetheresults
oftheimplementationofhealthdevelopmentinthecentraland locallevels.Forthe
preparation of qualified health profile, which can be published faster, present data
complete,accurate,consistent,andasneededintoourcollectiveexpectations.
Indonesia Health Profile 2010 is based on data/information obtained from
Indonesia regions of health office, programmanagers within the Ministry of Health,
interrelated sectors, as well as other source of data/information, including the
agencies/institutions/nationalandinternationalhealthorganizations.
IndonesiaHealthProfile2010consistsof6(six)chapters,namely:
Chapter I Introduction. This chapter presents the publication background of
IndonesiaHealthProfile2010anditssystematicpresentation.
Chapter II General Description and People Behavior. This chapter presents the
general overview, including: demography, economy, and the physical environment;
andpeoplebehaviorrelatedtohealth.
ChapterIIIHealthStatusSituation.Thischaptercontainsadescriptionofthevarious
indikator health status, which includes about mortality, life expectancy, morbidity
andnutritionalstatusofthecommunity.
Chapter IV Health Efforts Situation. This chapter contains a description of the
objectives of health development programs in health. The picture of health efforts
havebeenmadeincludetheachievementofbasichealthservices,referralhealthcare
achievement,achievementofthepreventionanderadicationofdisease,andeffortsto
improvenutrition.
Chapter V Health Resource Situation. This chapter describes the development of
health sector resources until the year 2010. Picture of the resources situation
includesonthestateofhealthfacilities,healthpersonnel,andhealthfinancing.
ChapterVIComparisonofIndonesiawithmembercountriesofASEANandSEARO.
This chapter presents a comparison of several indicators that includes data on
4

population, birth rate, mortality rate, Human Development Index, tuberculosis data,
the estimated number of HIV/AIDS, infectious disease cases are preventable by
immunization,immunizationcoverageininfantsandhealthefforts.

***


IndonesiaisacountrylocatedinSoutheastAsia,geographicallybetweentwo
continents, Asia and Australia as well as between the Indian and Pacific Ocean.
Astronomically Indonesia lies between North latitude line 6 o to 11o South latitude
lines,and95oto141oeastlongitudelinethat includesthecircuitofthe islandfrom
SabangtoMerauke.Thus,Indonesiaisatacrossposition,whichhavesignificancein
relationtotheeconomy.
Indonesia is the largest archipelagic country in Southeast Asia. According to
data sourced from National Coordination Board of Survey and Mapping (Ind:
Bakosurtanal),thenumberofislandsinIndonesiawere17,504islands.The number
ofislandsincludingthoseintheestuaryandtheriver,andriverdeltas.Thisstrategic
positionhasaveryextremelyinfluenceonthecultural,social,political,andeconomic.
ThisfactmakesIndonesiahasadiversityofculturesandcustomswithcharacteristics
thatdifferfromeachother.Diversityinthosevariousaspectsarealsoassociatedwith
behaviorinhealthaspect.
In2010,Indonesiaadministrativellyisdividedinto33provinces,497districts
(399 districts and 98 municipalities), 6,598 subdistricts and 75,638 villages.
DistributionofadministrativeareainIndonesiain2010canbeseeninAnnex2.1.

InthischaptergeneraldescriptionandbehaviorofIndonesiapeoplein2010
will be described which include: state of the population, economic situation,
environmentalconditions,andbehaviorsrelatedtohealth.

A. DEMOGRAPHICSITUATION
According to the Population Census Year 2010, number of Indonesia
populationwas237,641,326people,consistedof119,630,913malesand118,010,413
females (Annex 2.2). Comparing to Population Census Year 2000, number of
population was 205,132,458 people, so that number of Indonesia population has
increased about 32.5 million people with population growth rate per year 1.49%.
Basedonprovinciallevel,populationnumberhasincreasedwithvariouspopulation
growth rate. The lowest population growth rate 0.37% was in Central Java and the
highestpopulationgrowthrate5.46%wasinPapua.

Populationgrowthisthechangeinthenumberofpopulationinacertainarea
at a given time than ever before. The rate of population growth is very useful to
estimatethenumberofpopulationinthefuture.PopulationgrowthrateinIndonesia
hasincreasedoverthelast10years,althoughtheperiodof20yearsbeforetherate
wassmaller.TherateofpopulationgrowthinIndonesiasincethePopulationCensus
Year1971toPopulationCensusYear2010canbeseeninAnnex2.4.
GRAPH2.1
POPULATIONGROWTHRATEOFINDONESIA,19712010
(%perYear)

Source:BPS-Statistics Indonesia,2011

TrendinpopulationgrowthrateispresentedinGraph2.1.Populationgrowth
rateperyearduring19711980at2.31%anddecreasedsharplyoveraspanofyears
19902000. Decrease in the rate of population growth is possible because of the
successoffamilyplanningprogram,announcedbythegovernmentatthattime.
The results of population census in 2010 showed that the rate of population
growthperiodfrom2000to2010of1.49%peryear,increasedwhencomparedwith
thepopulationgrowthratein19902000.Thehigherpopulationgrowthrateledtoa
populationthatmoreandmoreinthefuture.
Based on the population growth rate as mentioned above, the population of
Indonesia has increased more and more as seen in Graph 2.2. The results of
population census in 2010 Indonesia's population reached 237,641,326 people,
greatly increased when compared with 1990 and 2000. The increasing number of
people in Indonesia who constantly if not controlled will bring unfavorable impact,
amongthemtheburdenofdevelopment,includingdevelopmentinhealth.

10

GRAPH2.2
TRENDOFTOTALPOPULATIONININDONESIA,19612010
(inmillion)

Source:BPS-Statistics Indonesia,2011

Sex Ratio is the ratio of the number of male population per 100 female
population. Data on sex ratio is useful for the development of genderoriented
developmentplanning,especiallyinconnectionwiththeconstructionofthebalance
ofmenandwomenfairly.
Nationally, the sex ratio of population of Indonesia in 2010 was 101, which
meansthemalepopulationofonepercentmorethanthepopulationofwomen.This
valuemeansthatevery100femalestherewere101males.Thehighestsexratioswas
intheprovinceofPapuathatwas113andthesmallestfoundinWestNusaTenggara
that was 94. Graph 2.3 presents the trend of the national sex ratio since the
PopulationCensus1961toPopulationCensus2010.

GRAPH2.3
SEXRATIOTRENDOFINDONESIAPOPULATION
19612010

Source:BPS-Statistics Indonesia,2011

11

Agestructureofpopulationbysexcanbedepictedgraphically intheformof
thepopulationpyramid.Thebasisofpopulationpyramidshowsthetotalpopulation.
Leftpartofthepopulationpyramidbodyshowsthenumberofmalepopulationand
rightpartofthepopulationpyramidbodyshowsthenumberoffemalepopulationby
agegroup.Pyramidisapictureofthestructureofthepopulationconsistingofyoung
population structure, adult, and elderly. This population structure is the basis for
populationpolicy,social,cultural,andeconomic.
GRAPH2.4
PYRAMIDOFINDONESIAPOPULATION,2010
(inmillion)

Source:BPS-Statistics Indonesia,2011

Graph 2.4 shows that the structure of the population in Indonesia includes a
youngpopulationstructure.Thiscanbeseenfromthelargenumberofyoungpeople
(014years),althoughthenumberofbirthshasdecreasedwhencomparedwithfive
yearsagoandlifeexpectancyisincreasingwhichismarkedbytheincreasingnumber
of elderly. Pyramid body sweld, it indicates the number of workingage population,
especiallyintheagegroup2529years,bothmenandwomen.
Based on population distribution by sex and age group we can obtain a
description of the population pyramid of Indonesia since the implementationof the
Population Census 1961 to the Population Census in 2010. Indonesia's population
pyramidispresentedinGraph2.5.

12

GRAPH2.5
PYRAMIDOFINDONESIAPOPULATION,19612010
(inmillion)

Source:BPS-Statistics Indonesia,2011

Pyramid Year 1961, 1971 and 1980 shows a conical pyramid. Base of the
pyramid shape is widened with a sharp peak. This indicated high fertility, high
mortalityandlifeexpectancywasstilllow.Numberofbabiesborntolivetooldage
wasstilllow.PyramidYear1990begantoshowdifferences,numberofbirthsbegan
to decline and number of elderly population began to increase. This shows the
increasinglifeexpectancyandtheproportionofpeoplewhowereborntolivetoold
ageisincreasing.
Pyramid Year 1990 and 2000 has very different shape than the shape of the
pyramid Year 1961 and 1971. Base of the pyramid narrows, which means that
numberofbirthsdecreased.Topofthepyramidwidens,whichmeansthatthelevelof
lifeexpectancyforpopulationandlifeexpectancyforbabiesbornuptoage75years
washigherorgreater.Agestructurewasstillatayoungage.Thismakesthechallenge
forthegovernmentfortheprovisionofeducationalservices,healthandemployment
increases.
Nationally, with the total area of Indonesia 1,910,931.32 km2 so the
populationdensity in2010was124peopleper km2. Level ofhigh density was still
dominated by provinces in Java island. Province has the highest population density
wasDKIJakarta,whichwere14,440peopleperkm2.WestJavaProvincewasaregion
whichhadthesecondhighestpopulationdensitywithadensity of1,216peopleper
13

km2. Provinces with the highest level of third density was DI Yogyakarta by 1,102
people per km2. The lowest population density in West Papua, which were only 8
peopleperkm2.Papuawasaprovincewiththesecondlowestpopulationdensitythat
wereequalto9peopleperkm2,thenfollowedbyCentralKalimantanwithadensity
of14peopleperkm2.Thepopulationandpopulationdensitybyprovincein2010can
beseeninAnnex2.5
GRAPH2.6
PERCENTAGEOFAREAANDDISTRIBUTIONOFINDONESIAPOPULATION
BYBIGISLANDSGROUPS,2010

Source:BPS-Statistics Indonesia,2011

Related problems faced by the population distribution in Indonesia is


geographicallythespreadortheunevendistributionofpopulationbetweenJavaand
outside Java. From the data on population distribution according to the island of
Graph 2.6 is known there are real disparities among the population distribution
among islands. The phenomenon of uneven distribution of the population is still a
featureofdemographicIndonesia.OntheIslandofJava,whichhasgeographicalarea
7%,ithad58%ofthetotalpopulation.SumatraIslandwhichcover25%oftotalarea,
thereis21%ofthetotalpopultion,BorneoIsland(Kalimantan)whichcovers28%of
total area contained only 6% of the total population, Sulawesi Island which covers
10%oftotalareacontained7%ofthetotalpopulation,otherislands(NusaTenggara,
Maluku and Papua) which covers 30% of total area contained 8% of the total
population.
Essential indicator related to population distribution by age which is often
used to determine the productivity of the population is Dependency Ratio.
Dependency Ratio is a number that states the comparison between the number of
people who are not productive (age below 15 years and over 65 years) with many
people including the productive age (aged 1564 years). In general, comparison of
14

proportion shows the dynamics of dependency ratio between nonproductive age to


productive age. The higher dependency ratio, the higher the number of
nonproductivepopulationwerecoveredbypopulationofproductiveage.
TABLE2.1
POPULATIONNUMBERANDDEPENDENCYRATIO
BYSEXANDPRODUCTIVEAGEGROUP(AGE1564)
ANDNONPRODUCTIVE(AGE014AND>65)
ININDONESIA,2010
No
1

Male

Female

Age 0 14

35,288,970

33,307,750

68,596,720

28.87

Age 15 64

78,935,732

78,046,486

156,982,218

66.05

3
4

Age > 65

5,361,028

6,619,670

11,980,698

5.04

Age

Unknown
Total

Male + Female

42,183

36,507

81,690

0.03

119,630,913

118,010,413

237,641,326

100.00

51.16

51.33

Dependency Ratio (%)


Source:BPS-Statistics Indonesia,2011

51.50

CompositionofIndonesia'spopulationbyagegroupisshownbyTable2.1that
isyoungpopulation(014years)of28.87%,productiveage(1564years)of66.05%,
old age and elderly ( 65 years) of 5.04%. Thus, number of dependency ratio of
Indonesia'spopulationin2010amountedto51.33%.Thismeansthat100peoplein
Indonesia who were still productive will bear 51 people who have not/no longer
productive.Whencomparedbetweensexes,thennumberofdependencyratioofmale
slightlylargerwhencomparedwithdependencyratiooffemales,ie51.50%formales
and51.16%forfemales.
Graph2.7showsdependencyratioin2010wasnationally51.33%.Provinces
with the highest dependency ratio were East Nusa Tenggara (73.23%), Maluku
(67.20%) and West Sulawesi (67%). Provinces with the lowest dependency ratio
wereDKIJakarta(36.95%),RiauIsland(45.72%)andDIYogyakarta(46%).

15


GRAPH2.7
DEPENDENCYRATIOBYPROVINCE
ININDONESIA,2010

Source:BPS-Statistics Indonesia,2011

Detailsofpopulationbyagegroup,dependencyratioandprovincein2010can
beseeninAnnex2.6.

B. ECONOMYSITUATION
Economicconditionisoneaspectthatismeasuredindeterminingthesuccess
of a country's development. Indonesia's economy grew during the years 20062010
foreachintheamountof5.5%(2006),6.3%(2007),6.0%(2008),4.5%(2009),and
6.1%(2010).
With the economic growth of 6.1% in 2010, the value of Gross Domestic
Product(GDP)in2010rosebyRp809.5trillion.FromRp5,613.4trillionin2009to
Rp 6,422.9 trillion in 2010. The highest growth occurred in transportation and
communicationssector,intheamountof13.5%.Thelowestgrowthoccurredinthe
agriculturalsectorby2.9%.WhilenonoilGDPgrew6.6%.
Economic growth is closely related to the work force and employment
opportunities in Indonesia. Any discussion of economic conditions need to be
accompaniedbyadiscussionofworkforceandemploymentopportunities.According
to the National Work Force Survey (Ind: Sakernas), Work Force is the operational
definition of working age population who work or have a job but temporarily not
working.andunemployed.WhileWorkingbySakernasdefinitioniseconomicactivity

16

undertakenbysomeonewiththeintentionofobtainingoraidingtoobtainrevenueor
profits,atleastonehour(uninterrupted)inthepastweek.Theactivityalsoincludes
activitiesthatunpaidworkerstohelpinabusinessoreconomicactivity.
Proportionofopenunemploymentofworkforceisusefultobebenchmarkfor
thegovernmentinopeningnewjobsinthefuture.Thisfigurealsoshowsthesuccess
rateofmanpowerdevelopmentprogramfromyeartoyear.Basedonthepublication
ofdataontheresultsofSakernasYears20082010byBPSStaticticsIndonesiathere
wasadeclineinunemployment.Thisisduetoincreasedemploymentinthesectorof
social services such as carpentry services, domestic service, transportation and
agriculture. Development of work force, employed population and unemployed
(number and percentage) in the period of February 2008 February 2010 are
presentedinTable2.2.
TABLE2.2
DESCRIPTIONOFWORKFORCESNUMBER,WORKINGPEOPLE
ANDOPENUNEMPLOYMENTININDONESIA,20082010
Feb2008
(million
people)
111.48

Feb2009
(million
people)
113.74

Feb2010
(million
people)
115.99

102.05

104.49

107.41

Open unemployment

9.43

9.26

8.59

Percentage of open unemployment (%)

8.46

8.14

7.40

Number of work forces


Number of working people

Source:BPS-Statistics Indonesia.2011,NationalWorkForceSurvey(Ind:SAKERNAS)20082010

Table2.2showstheincreasingnumberofworkforceandworkingpopulation.
Increasing in population has led to an increase in total work force. The increasing
numberofworkforces causeslimited employmentopportunitiesduetofewerjobs.
Growth of job demand is slower than work force growth. This has led to the
emergenceofopenunemploymentisquitehigh.Thegoodnewsisthedeclineinthe
number of open unemployment from year to year, although unemployment is still
high.
Interestingdiscussionaboutunemploymentisunemploymentbyeducational
level. In Graph 2.8 can be shown that highest unemployment was the people who
graduated at the high school level with percetange of 40.20%. The second highest
unemploymentexistedinthepopulationwithjuniorhigheducationlevelof19.97%.
Thethirdhighestunemploymentratewasthepopulationwithelementaryeducation
levelof16,86%.Whiletheunemploymentatuniversityeducationlevelwas8.54%.

17

GRAPH2.8
PERCENTAGEOFUNEMPLOYMENTLEVELBYEDUCATION
ININDONESIA,2010

Source:BPS-Statistics Indonesia,2011

Economicdevelopmentisexpectedtoencourageprogress,physically,socially,
mentally and spiritually in all over the country, especially in areas where are
classified as underdeveloped areas. An area is considered to be underdeveloped
region due to several factors, namely: geography, natural resources, human
resources, infrastructure and facilities, disasterprone areas and social conflict, and
developmentpolicies.Limitationsofinfrastructureonvarious areasincludingpublic
health makes people in underdeveloped areas find it difficult to run economic and
socialactivity.
ThesmallestunitusedinthedisadvantagedareasoftheNationalStrategyto
AccelerateDevelopmentofDisadvantagedRegions(NationalStrategyofPPDT)isthe
area of the district administration. By definition, disadvantaged areas are districts
that are relatively less developed than other areas in the national scale and a
populationofrelativelybackward.Determinationofcriteriadevelopedareasisdone
by using an approach based on the calculation of the six basic criteria, namely:
economy,society,humanresources,infrastructure,theability oflocalfinance(fiscal
gap), accessibility and regional characteristics, as well as by district located in the
hinterland,islands(smallislandsandislandgroups),thebordersbetweencountries,
disasterproneareasandareaspronetoconflictandlargepartsofcoastalareas.

18

GRAPH2.9
PROVINCESWITHPERCENTACEOFUNDERDEVELOPEDDISTRICTS
ININDONESIA,2010

Source:NationalStrategytoAccelerateDevelopmentofDisadvantagedRegions
(NationalStrategyofPPDT) Year 2004-2009

Under that approach, then set 183 districts were categorized with
underdeveloped districts. Currently Indonesia has 19 border districts, 33 small
islands and 183 outer populated islands areas (including remote). In 2010 the
percentage of disadvantaged areas was 36.8% (of 497 districts/municipalities)
locatedin27provinces.Provincewiththehighestpercentageofthehighestnumber
of underdeveloped districts was in West Sulawesi, amounting to 100%, followed by
EastNusaTenggaraPapua65.2%and93.1%.Thenumberandpercentageofdistricts
laggingbehindbyprovincecanbeseeninAnnex2.7.
Basedontheunderdevelopedareas,therehavebeendrawnupsomepriorities
in bordered districts and outer small islands in Indonesia by the Ministry of
Underdeveloped Area Development, Republic of Indonesia. There were 38 districts
includedintheprioritiesandtheveryprioritiesthatwerespreadacross9provinces
inIndonesia.

19

TABLE2.3
NUMBEROFUNDERDEVELOPEDDISTRICTSANDHEALTHCENTERS
INREMOTE,BORDER,ISLANDAREA(Ind:DTPK)
ININDONESIA.2010

Districts

Area

Numberof
Districts

Under
developed

HealthCenters
Health
Health
Center
Center
DTPK

1,946
862

Sumatera

151

46

30.5

Java,Bali

127

7.1

3,524

500

14.0

Kalimantan

55

16

29.1

764

275

36.0

Sulawesi

73

34

46.6

911

590

65.0

Papua,Maluku,NTT,NTB

91

78

85.7

870

787

90.0

497

183

36.8

8,015

3,014

37.6

Total

44.0

Source:DGofCommunityHealthCare,MoH,2010

Table 2.3 shows number of underdeveloped districts and type of health


centersinIndonesiain2010.Thehighestpercentageofareatotheunderdeveloped
district was Papua, Maluku, East Nusa Tenggara, West Nusa Tenggara with the
percentage reached 82.4%. The smallest number of underdeveloped districts were
locatedinJavaandBalibythepercentageof14.4%,islandofBorneoandSumatrahad
underdeveloped district percentage by 40% and 4%. National average of
underdeveloped districts in Indonesia was 43.5%. The amount was still quite large
andunevenspreadingindicateimbalanceinthedevelopmentprogram.Moredetails
arepresentedinAnnex2.8.
Povertyisalsoamajorobstacleinfulfillingtheneedsofahealthyfoodsothat
it can weaken the immune system that could affect susceptibility to developing
certain diseases. The phenomenon of poor nutrition and less often associated with
pooreconomicconditionsifitreferstothefactthatcompliancewiththelimitations
of food can lead to malnutrition, kwashiorkor, vitamin deficiency diseases such as
Xeropthalmia,Scorbut,andBeriberi.
Poverty is understood as an economic inability to meet basic needs of
population and nonfood meals are measured from the expenditure. Poverty
measurementisdonebysettingthevalueoftheminimumrequirementstandardfor
both food and non food that must be met for someone to live decent lives. The
standardvalueisusedasadividingline/minimumrequirementtoseparatebetween
poorandnonpoor.Thedividinglineisoftencalledthepovertyline.Povertylineper
provinceinIndonesiaispresentedinAnnex2.9.

20

GRAPH2.10
PERCENTAGEOFPOORPEOPLEININDONESIA,20062010

Source:BPS-Statistics Indonesia,AnalisisdanPenghitunganTingkatKemiskinanTahun2010

BeritaResmiStatistik,BPS2008,No.45/07/Th.XIII,1Juli2010

Poor category are those with levels of per capita expenditure of Rp 211.726
permonthoraboutUSD7.000perday.Thisnumberincreasedin2009comparedto
poorcategoryasofMarchwhichwasrecordedatRp200.262per capitapermonth.
Method of calculation was done with the concept of poverty ability to meet basic
needs. In March 2010, the number of poor dropped to 31.2 million (13.3%) from
32.53million(14.15%)ofpoorpeopleinMarch2009.Thissuggeststhatadeclinein
1.51 million poor people. The percentage of poor population from the year 2008
2010arepresentedinTable2.4.
TABLE2.4
DISTRIBUTIONANDPROPORTIONOFPOORPEOPLE
BYBIGISLANDSGROUPSININDONESIA,20082010

BigIslandsGroups
Sumatera
Java

March2008
Total
%
(million)
7.3
20.9

March2009
March2010
Total
Total
%
%
(million)
(million)
5.3
17.3
6.7
21.4

19.9

57.1

18.1

59.1

17.3

55.8

Kalimantan

2.4

6.8

2.2

7.3

2.2

7.1

BaliandNusaTenggara

1.2

3.5

1.0

3.3

1.0

3.3

Sulawesi

2.6

7.5

2.5

8.1

2.3

7.6

MalukuandPapua

1.5

4.2

1.5

4.9

1.5

4.8

34.9

100.0

32.5

100.0

31.0

100.0

Total

Source:BPS-Statistics Indonesia,AnalisisdanPenghitunganTingkatKemiskinanTahun2010
BeritaResmiStatistik,BPS2008,No.45/07/Th.XIII,1Juli2010

21

Based on data of number of poor people by province of BPSStatistics


Indonesia (Annex 2.10) there was significantly uneven distribution of poor people
betweeninterislandsinrealdifference.Thenumberandproportionofpoorpeople
according to the island can be seen in Table 2.4. More than half of poor people in
Indonesia were on the island of Java, namely 57.1% in 2008 and to 55.8% in 2010.
Therest21.4%werescatteredinSumatra,Sulawesi7.6%,Kalimantan3.3%,Baliand
NusaTenggaraIslands7.1%,MalukuandPapua4.8%(year2010).Thepercentageof
poorpopulationbyprovincein2010isdescribedintheGraph2.10below.

GRAPH2.11
PERCENTAGEOFPOORPEOPLEININDONESIA,2010

Source:BPS-Statistics Indonesia

In the roadmap of public health reform the Ministry of Health there are 7
prioritiestobedonetoachievethestrategicobjectivesofhealthdevelopment.Oneof
themisaddressingtheissueofhealthcareinProblematicAreaofHealth(Ind:DBK)
with specific approaches that can not be equated with other regions. Response of
Problematic Area of Health (Ind: PDBK) is a focused health efforts, integrated,
evidencebased, carried out gradually in the region which is be a priority with
relevantministries,inacertainperiodoftime,tobeabletoorganizeindependentlyof
governmentauthorityinthehealthfieldaswideaspossible.
By definition, the Problematic Area of Health (DBK) is a state/level of health
districts/municipalitieswhichisillustratedbytheresultsofRiskesdas/SUSENASwith
Community Health Development Index (Ind: IPKM), according to the Ministry of
Underdeveloped Area Development, Human Development Index (HDI) and the
PovertyIndex(SocioEconomicDataCollection/PSECPM).
ResultsofRiskesdas2007producedinstrumentsmeasurementofCommunity
Health Development Index (IPKM). With IPKM, it is known where the problematic
areascanbemappedbasedontherankingofdistricts/municipalities.Areasthathave

22

IPKM <0337 is Problematic Area of Health (DBK). Value of IPKM each


district/municipalityformulatedbasedon20healthindicators.
TABLE2.5
NUMBEROFDISTRICTS/MUNICIPALITIESOFPROBLEMATICAREAOFHEALTH
ININDONESIA,2010

Severe

Severe,
Border

Severe,
Underdeveloped

Districts

14

71

Severe,
Underdeveloped
and Outer
Islands
7

Municipalities

18

32

71

District/Municipality

Total

Severe,
Underdeveloped
and Border

Total

98

19

117

Total Population

37,741,501

Source: DG of Community Health Care, MoH, 2010

Basedonseveralcriteriasetoutabove,from440districts/municipalitiesthat
became the implementation of Riskesdas 2007, there were 117 DBK located in 22
provinces. Three provinces have a number of districts/municipalities DBK most of
Aceh(16districts/municipalities),Papua(15districts/municipalities)andEastNusa
Tenggara (12 districts/municipalities). Districts/municipalities covering 32 DBK, 2
DBK and border, 71 DBK, severe and underdeveloped, 7 DBK, severe, and
underdevelopedandborderand5DBKsevere,underdevelopedandborderasseenin
Table2.5.

C. ENVIRONMENTALHEALTHSITUATION
Environment is one of the variables that often receive special attention in
assessing the condition of public health. Along with behavioral factors, health care
andgenetics,theenvironmentdetermineswhetherthepoorlevelofpublichealth.
To illustrate the situation of the environment, it will be presented indicators
suchas:accesstocleanwaterandsafedrinkingwater,accesstobasicsanitation,and
healthyhouse.

1. CleanWaterFacilitiesandSafeDrinkingWaterAccess
Nationally,90%ofphysicalqualityofdrinkingwaterinIndonesiaincludedin
eithercategory(notturbid,colorless,tastelessandodorless).However,therewasstill
households with turbid drinking water quality (6.9%), color (4.0%), taste (3.4%),
foaming(1.2%),andsmell(2.7%).

23

GRAPH2.12
PERCENTAGEOFHOUSEHOLDBYPHYSICALQUALITYOFDRINKINGWATER
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

Graph2.11showsthepercentageofhouseholdswithbetterphysicalqualityof
drinkingwater.Provincewiththepercentageofhouseholdswiththehighestphysical
qualityofdrinkingwaterwasinBali(95.7%).WhilethelowestwasinPapua(69.0%).
IndetailbyprovinceispresentedinAnnex2.11.
ResultofBasicHealthResearch(RISKESDAS)in2010showsthepercentageof
families by type of water supply that used for domestic purposes and for drinking
waterpurposes.Nationally,thehighestpercentageofdifferenttypesofwaterusefor
domesticpurposeswasprotecteddugwellwater(27.9%),drillwell/pumps(22.2%),
and tap water/PAM (19.5%). While the highest percentage of kind of clean water
used for drinking water was protected dug wells (24.7%), tap water/PAM (14.2%),
and drill wells/pumps (14%). Details of the percentage of families by type of clean
waterusedforhouseholdanddrinkingwatercanbeseeninAnnex2.12andAnnex
2.13.
Description about percentage of households with good access to quality
drinking water by province can be seen in Graph 2.12. Nationally, 67.5% of
householdsalreadyhadgoodaccesstodrinkingwaterquality.

24

GRAPH2.13
PERCENTAGEOFHOUSEHOLDBYGOODACCESS
TOQUALIFIEDDRINKINGWATER
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

MosthouseholdsinIndonesiahaveeasyaccesstodrinkingwater.Percentage
ofhouseholdsclaimedtoeasytogetcleanwaterby81.70%,17.8%ofhouseholdswas
difficulttogetcleanwaterduringdryseason,andonly0.5%ofhouseholdsthatwere
difficult(allyear)togetcleanwater.Easeofhouseholdsinobtainingcleanwaterby
provincecanbeseenindetailinAnnex2.15.
2. FacilitiesandAccessofBasicSanitation
Cleanwaterandgoodsanitationareimportantelementsthatsupporthuman
health.Sanitationisrelatedwithenvironmentalhealththataffectcommunityhealth
status. Basic Health Research (Riskesdas) in 2010 produced percentage of families
datawithbasicsanitationfacilities.Nationally,thehighestpercentageoffamilieswith
accesstobasicsanitationfacilitieswastheownershipofdefecationfacility(69.7%),
percentageofhouseholdsbyaccesstoexcretadisposalinaccordanceMDGs(55.5%),
andthepercentageofhouseholdswhohandlewasteproperly(28.7%).
Graph 2.14 shows the percentage of households by using of selfowned
defecationfacilitybyprovince.

25

GRAPH2.14
PERCENTAGEOFHOUSEHOLDBYUSINGOFSELFOWNEDDEFECATIONFACILITY
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

Provinces with the highest percentage of households using of selfowned


defecation facility by province were Riau (84.3%), Lampung (80.4%), and Bangka
Belitung Island (79%). While the lowest was in Province of Gorontalo (32.1%),
CentralKalimantan(49.4%),andNorthMaluku(49.6%). Detailsbyprovincecanbe
seeninAnnex2.17.
According to the type of water closet that is used, most households in
Indonesia used the goose neck closet type, it was 77.58%, cemplung/cubluk of
14.32%,andplengsenganof6.37%.Muchas59.3%ofhouseholdsinIndonesiaused
septictanksasaplaceoffinaldisposaloffeces,16.4%inlandfillriver/pond,andby
11.7% in the hole of waste land. Details of the percentage of households with basic
and healthy sanitation facilities ownership by province can be seen in Annex 2.18,
Annex2.19,Annex2.20,andAnnex2.21.

3. HealthyHouse
Houseisbasicallyashelterthatisveryimportantforthelifeofeveryperson.
Thehousenotonlyservesasaplacetotakearestafterworkingallday,butitalsohas
animportantfunctionasaplacetobuildahealthyfamilylifeandprosperous.Criteria
forahealthyhousebasedonBasicHealthResearch(Riskesdas)2010isifitmeetsthe
seven criteria, namely roof ceiling, permanent walls, floors of nonsoil types,
windows, adequate ventilation, adequate natural lighting, and not densely occupied
(>=8m2/person).

26

GRAPH2.15
PERCENTAGEOFHOUSEHOLDBYHEALTHYHOUSECRITERIA
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

Results of Riskesdas in 2010 stated that the percentage of households


nationwide that had a healthy house was only 24.9%. Graph 2.15 graph shows the
provinces with highest percentage of healthy house were East Kalimantan (43.6%),
Riau Island (42.7%) and Riau (41.1%). Provinces with the lowest percentage of
healthy house were East Nusa Tenggara (7.5%), Lampung (14.1%) and Central
Sulawesi (16.1%). Percentage of healthy house by province is presented in Annex
2.22.

D.PEOPLEBEHAVIORSITUATION
Todescribethestateofpeoplebehaviorthataffecthealth,itwillbepresented
several indicators of smoking behavior, waste handling, the woman's age at first
marriageandnumberofchildreneverborn.

1. SmokingBehavior

Smoking is a problem that can not be resolved until today. Smoking has
already hit all walks of society in Indonesia, both children to the elderly, men and
women.Oneoftargetsofhealthybehaviorprogramsandcommunityempowerment
is the reduced prevalence of current smokers and tobaccofree healthy growing
environmentinschools,workplacesandpublicplaces.

27

GRAPH2.16
PERCENTAGEOFPEOPLEAGE15YEARSWHOHADSMOKINGBEHAVIOR
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

Graph2.16showstheresultsofRiskesdas2010onthesmokingbehaviorofthe
population.Nationally,thepercentageofthepopulationaged>15yearswhosmoked
was 34.7%, comprising 28.2% daily smokers and 6.5% occasional smokers. The
highest percentage of the population > 15 years of smoking (daily and occasional)
were located in Province of Central Kalimantan (43.2%), East Nusa Tenggara
(41.2%),andNorthMaluku(40.8%).WhilethelowestpercentagewereinSoutheast
Sulawesi (28.3%), South Kalimantan (05.30%), and Jakarta (30.8%). Percentage of
population>15yearsofsmokingbyprovinceispresentedinAnnex2.23.

Nationally, based on the results of Riskesdas 2010, the largest percentage by


agegroupwasthefirstsmokingatage1519years,inamountof43.3%,thentheage
group1014years(17.5%),andtheagegroup2024years(14.6%).Amongsmokers,
asmuchas1.7%thefirsttimesmokingatage59years.Thisconditionindicatesthat
theaveragepopulationofIndonesiahasbeensmokingcigarettes/chewingtobaccoat
a young age. This is also supported by the easy access of Indonesia to obtain
cigarettesortobacco.BreakdownbyprovinceisshowninAnnex2.24.

2.WasteHandling
Riskesdas2010alsocollecteddataonwastehandling.Wastehandlingisgood
ifgarbageinhouseholdistakenbydustman,composted,orburiedinsoil.Categoryif
the household is not good in managing waste burned, dumped into the river, or

28

carelessly.Percentageofhouseholdswiththecriteriaofgoodwastehandlingcanbe
seenatGraph2.17.

GRAPH2.17
PERCENTAGEOFHOUSEHOLDBYGOODWASTEHANDLING
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

Nationally,householdinwastehandlingwithgoodcriteriawasstilllowatonly
28.7%.ProvinceswiththehighestpercentagewereDKIJakarta,inamountof84.3%,
Riau Island 48.1%, and East Kalimantan 47.2%. The lowest percentages were in
Province of Gorontalo at 6.0%, West Kalimantan 10.5%, and East Nusa Tenggara
11.7%.

3.WomansAgeofFirstMarriage
Womans age at first marriage is the age when woman gets marriage legally
andbiologicallythefirsttime.Womanwhomarryataveryyoungagehaveagreater
risktothesafetyofmotherandchild.Thisisduetoimmaturityoftheyoungageof
thewoman'suterusforchildbirth.
Nationally, as shown in Graph 2.18, from women age 1059 years who had
been married, in amount of 41.9% of them were married at first time at age 1519
years,then33.6%ofthemweremarriedatage2024.Thisindicatesthelowageat
first marriage of women in Indonesia. The average age at first marriage of women
occurredatage20.ThehighestaverageageofwomanfirstmarriagewasinProvince
ofRiauIsland,namelyageof22.2yearsandthelowestaverageageatfirstmarriage
were in Province of Central Kalimantan and South Kalimantan, namely age of 19
years.

29

GRAPH2.18
PERCENTAGEOFWOMENAGE1059YEARSWHOHADBEENMARRIED
BYAGEOFFIRSTMARRIAGE
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

Percentage of women aged 1059 years who had married by age at first
marriagebyprovincecanbeseeninAnnex2.26.

4.NumberofChildrenBirth
One major factor in the growth of the population is birth. The greater the
numberofbirthsthepopulationgrowthwillbeevengreater.Graph2.19showsthe
resultsofRiskesdas2010regardingthepercentageofwomenwhohadbeenmarried
according to the number of children ever born. In amount of 56.1% by number of
childreneverbornfor12childrenand29.9%withthenumberofchildreneverborn
children 34 children. There was still obtained at 3.4% with children ever born
amountedto7childrenormore.Whilethatwomanhadnot/didnothavechildrenthe
percentagewasverylow,only2.2%.

30

GRAPH2.19
PERCENTAGEOFWOMENAGE1059YEARSWHOHADBEENMARRIED
BYNUMBEROFCHILDRENBIRTHS
ININDONESIA,2010

Source:Riskesdas,NationalBoardofHealthResearchandDevelopment,2010

ConditioninallprovincesthroughoutIndonesiashowsthatrelativelythesame
case.Mosthouseholdshad12childrenwiththehighestpercentageoccurredinEast
Java68.1%andYogyakarta67.7%.ThelowestpercentagewasinEastNusaTenggara
(35.6%).DetailsbyprovincecanbeseeninAnnex2.27.

***

31

There are several indicators used on evaluating public health status. Those
indicators are related to morbidity, mortality, and nutritional status. Chapter III
descirbes public health status through Infant Mortality Rate (IMR), Underfive
MortalityRate(UMR),MaternalMortalityRate(MMR),andmorbidityofdiseases.
Public health status can be determined by many factors. It is not only
influenced by health sector such as health care, furthermore economic, educational,
andsocialfactorsalsocontributetopublichealthstatus.

A.MORTALITY

Mortality may describe number of death cases and case fatality rate of disases
during certain period of time at certain place. Mortality situation can be represented as
mortality rate. Mortality rate described on this chapter are IMR, UMR, MMR, and Crude
Death Rate.

1.InfantMortalityRate(IMR)
IMRcanbedefinedasnumberofinfantsdiedbeforereach1yearofagestated
on1,000livebirthsonthesameyear.Healthprogramsareimplementedinorderto
decreaseIMR.
Based on Indonesia Demography Health Survey (IDHS), IMR has shown
declining trend since 1991. IMR on 1991 was 68 per 1,000 live births. The number
thendecreasedto34per1,000livebirthsin2007.EstimationofIMRcalculatedIMR
onprevious5yearsbeforesurvey.ItmeansthatIMRbasedonIDHS2007represents
IMRon20032007.

35

GRAPH3.1
ESTIMATIONOFINFANTMORTALITYRATEPER1,000LIVEBIRTHS
IN19912007

Source: Statistics Indonesia, Indonesia Demographic Health Survey, 2007

ManyfactorsmaycontributetoIMRdecreasesuchasimprovementonhealth
care. Economic improvement can also influence IMR. It is indicated through income
increase leading to improvement of nutritional status and immune system.

GRAPH3.2
ESTIMATIONOFINFANTMORTALITYRATEPER1,000LIVEBIRTHS
BYPROVINCEININDONESIA,2007

Source: Statistics Indonesia, Indonesia Demographic Health Survey, 2007

IDHS on 2007 indicated that province having lowest IMR was DI Yogyakarta
with19per1,000livebirths,followedbyAcehwith25per1,000livelivebirths,East
Kalimantan, and Central Java with 26 per 1,000 live births. Meanwhile the highest
IMR was West Sulawesi with 74 per 1,000 live births, followed by West Nusa
Tenggara with 72 per 1,000 live births and Central Sulawesi with 60 per 1,000 live
births.MoreinformationconcerningtoIMRcanbeseenonAnnex3.1.

36

2.UnderfiveMortalityRate(UMR)

Underfive Mortality Rate describes children who died before 5 years


representing probability of death on the period between birth and 5 years old.
Millenium Development Goals (MDGs) classifies UMR per 1,000 live births into 4
normative intervals i.e very high, high, medium, and low. UMR with more than 140
defined as very high, UMR on range 71140 defined as high, UMR on range 2070
defined as medium, and UMR under 20 defined as low. The IDHS, 2007 estimated
UMRinIndonesiaat44perper1,000livebirths.Itrepresentsconditionfrom2003to
2007.
GRAPH3.3
UNDERFIVEMORTALITYRATEPER1,000LIVEBIRTHS
ININDONESIAIN19912007

Source: Statistics Indonesia, 2008

Estimation of UMR at province level indicates that DI Yogyakarta has lowest


UMRof22per1,000livebirths,followedbyCentralJavaof32per1,000livebirths
andCentralKalimantanof34per1,000livebirths.Meanwhileprovincewithhighest
UMR was West Sulawesi of 96 per 1,000 live births, followed by Maluku of 93 per
1,000livebirthsandWestNusaTenggaraof92per1,000livebirths.Thefollowing
graphdescribesUMRbyprovincein2007.

37

GRAPH3.4
ESTIMATIONOFUNDERFIVEMORTALITYRATEPER1,000LIVEBIRTHS
BYPROVINCEININDONESIA,2007

Source : Statistics Indonesia, Indonesia Demographic Health Survey, 2007

3.MaternalMortalityRate(MMR)
MaternalMortalityRate(MMR)isoneofsignificantindicatorsondetermining
public health status. The indicator describes number of women who died due to
pregnancy, delivery, and post partum (42 days after delivery) without considering
durationofpregnancyper100,000livebirths.
MMR can be influenced by health status, education, ante natal care, and post
natal care. Sensitivity of MMR on measuring health care improvement making it as
oneofindicatorusingtoassesshealthdevelopment.

TheIDHSin2007indicatedthatIMRduring5yearsbeforesurveyis228per
100,000livebirths.ItislowerthanIMRbasedonIDHSin2003of307per100,000
livebirths.ThefollowingGraph3.5describesdecliningtrendofMMRin19942007.
GRAPH3.5
MATERNALMORTALITYRATE(PER100,000LIVEBIRTHS)
ININDONESIA,19942007

Source : Statistics Indonesia, 2008

38

4.CrudeDeathRate
Crude Death Rate describes number of deaths on certain place and time per
1,000populationonthemidyear.BasedonIntercensalSurvey,2005(SUPAS2005),
CrudeDeathRatein2007was6,9per1,000population.

5.LifeExpectancyatBirth(Eo)
Public health status can be measured through Life Expectancy at Birth (Eo).
Life Expectancy at Birth is also one of significant factors on formulating Human
DevelopmentIndex(HDI).LifeExpectancyatBirthinIndonesia showedrisingtrend
in20062008.
BasedonStatisticsIndonesia,Eoin2006was68.5year.Itroseto68.7yearin
2007and69yearin2008.Itcontinuedrisingto69.21in2009.Provincewithhighest
Eo in 2009 was DI Yogyakarta of 73.16 year, followed by DKI Jakarta of 73.05 year
and North Sulawesi of 72.12 year. Meanwhile province with lowest Eo in 2009 was
West Nusa Tenggara of 61.8 year, followed by South Kalimantan 63.45 year and
Bantenof64.75year.MoredetailsaboutEobyprovincein2009areonAnnex3.2.

GRAPH3.6
LIFEEXPECTANCYATBIRTH
BYPROVINCEININDONESIA,2009

Source : Statistics Indonesia, 2010

Life expectancy at birth is significant on formulating Human Development


Index, HDI by porovince in 2009 are described on the graph as follows based on
StatisticsIndonesiaStatisticsIndonesiaReport.

39

GRAPH3.7
HUMANDEVELOPMENTINDEXBYPROVINCE
ININDONESIA,2009

Source:StatisticsIndonesia,2010

According to above graph, DKI Jakarta was province with highest HDI,
followed by North Sulawesi, and Riau. Meanwhile province with lowest HDI was
Papua,followedbyWestNusaTenggara,andEastNusaTenggara.

B.MORBIDITY
Morbidity can be indicated through as incidence or prevalence of disease. Those
may describe event of disease on certain population and time period. The indicators are
significant to assess public health status.
1.10MainDisesasesinHospital

Ten main diseases on hospital inpatients based on Basic Tabulation List,


showed that Diarrhea and gastroenteritis by certain infection (colitic infection) had
highest cases of 71,889 cases. More description of 10 main diseases on hospital
inpatientsareonTable3.1asfollows.

40

No

1
2
3
4
5
6
7

TABEL3.1
10MAINDISEASESONHOSPITALINPATIENS
ININDONESIA,2010
Numbberof
Cases
BasicTabulationList
Released
Males
Females
Patient
Diarrhea&gastroenteritis
bycertaininfection
37,281
34,608
71,889
(infectioncolitic)
DengueHaemorrhagic
30,232
28,883
59,115
Fever(DHF)
Typhoidandparatyphoid
19,706
21,375
41,081
fever
Penyulitkehamilandan
0
40,636
40,636
persalinanlainnya
Dispeptia
CederaYDTlainnyaYTT
dandaerahbadanMultipel
EsseentialHypertension
(primary)

Deaths

CFR(%)

1,289

1.79

325

0.55

274

0.67

276

0.68

9,594

15,122

24,716

166

0.67

14,405

7,328

21,733

605

2.78

8,423

11,451

19,874

955

4.81

Intracranialinjury

12,010

7,371

19,381

1,025

5.29

Otheracuteupper
respiratoryinfection

9,737

8,181

17,918

589

3.29

10

Pneumonie

9,340

7,971

17,311

1,315

7.60

Source: DG of Health Efforts, Ministry of Health RI, 2011

Above tabel indicates that highest CFR among 10 main diseases in hospital
inpatients is pneumonie of 7.6%, followed by intracranial injury of 5.29% and
essentialhypertension(primary)of4.81%.
Meanwhile, 10 main diseases on hospital outpatients indicated that other
upper acute respiratory infections had highest number of 291,356 cases. The
followingtableprovidesdataof10maindiseasesonhospitalinpatientsin2010.

41

No
1
2
3
4
5
6
7
8
9
10

TABLE3.2
10MAINDISEASESONHOSPITALINPATIENTS
ININDONESIA,2010
Cases
BasicTabulationList
NewCases
Males
Females
Other upper acute repiratory
147,410
143,946
291,356
infections
CederaYDTlainnyaYTTdan
77,337
49,739
127,076
daerahbadanMultipel
Dermatitis and other
48,576
73,500
122,076
subcutaneos diseases
Refraction and accomodation
42,349
69,164
111,513
disorder
Diarrhea & gastroenteritis by
53,389
51,890
105,279
certain infection (colitis
infection)
Dispeptia
34,981
53,618
88,599
Disease of pulpa and
periapical
Essential Hypertension
(primary)
Conjungtivitis and other
conjungtiva disorders
Disease of ear and prosesus
mastoid

Visits
433,354
168,768
192,414
143,404
141,556
163,428

39,427

46,994

86,421

163,211

35,462

45,153

80,615

277,846

30,250

37,776

68,026

87,513

30,583

30,855

61,438

99,663

Source:DG of Health Efforts, Ministry of Health RI, 2011

2.NutritionalStatus

One of indicator evaluated on MDGs is underfive nutritional status. It is


measuredthroughage,weight,andheight.Weightandheightareprovidedonthree
indicators i.e weightper age, heightper age,and weight perheight. Weight per age
indicatesgeneralproblemofnutrition.Itdoesnotexplainchronicnoracutenutrition
problem because weight has positive correlation to age and height. On the other
words,lowweightmayappearasaresultofshort(chronic),diarrheaorotheracute
infection.
Meanwhile,heightperagemaydescribechronicnutritionproblemasaresult
of long term cause, i.e poverty, lack of health behaviour, and poor child feeding
behavioursincebirthleadingtoshort.WeightperheightandBodyMassIndex(BMI)
per age may describe acute nutrition problem as result of short term cause, i.e
disease,lessofnutritionintakeledtothin.
Indicator of weight per age based on Basic Health Survey (Riskesdas) 2010
indicatesthatprovincewithhighestprevalenceofseveremalnutritionwasGorontalo
of11.2%,followedbyWestNusaTenggaraof10.6%,andWestKalimantanof9.5%.
Meanwhile, province with lowest prevalence of mal nutrition was DI Yogyakarta of
1.4%,followedbyBaliof1.7%,andDKIJakartaof2.6%.
42

Chronic nutrition problem indicated by height per age antropometric


indicator. Based on Riskesdas 2010, province with highest prevalence of severe
stunted underfive was East Nusa Tenggara of 30.9%, followed by West Papua of
28.6%, and West Nusa Tenggara of 27.8%. Meanwhile province with lowest
prevalenceofseverestuntedunderfivewasDIYogyakartaof10.2%,followedbyRiau
Islandsof11.4%,andBangkaBelitungIslandsof12.5%.
Weight per height indicator describe acute nutritional problem. Riskesdas
2010indicatedthatprovincewithhighestprevalenceofseverewastedunderfivewas
Jambiat11.3%,followedbyBengkuluat9.7%,andRiauat9.2%.Meanwhileprovince
with lowest prevalence of severe wasted underfive was Bangka Belitung Islands at
1.7%,followedbyRiauIslandsat2%,andNorthSulawesiat2.6%.
Nutritional issue on above 18 years of age popoulation can be measured by
BMI.Riskesdas2010indicatedthatprovincewithhighestprevalenceofwastedadult
was East Nusa Tenggara at 19.7%, followed by South Kalimantan at 18.6%, and DI
Yogyakarta at 17.5%. Meanwhile province with lowest prevalence of wasted adult
wasNorthSulawesiat6%,followedbyEastKalimantanat8.4%,andNorthSumatera
at8.7%.
Following table provide underfive nutritional status based on antropometric
indicatori.eweightperage,heightperage,andweightperheightbysex,education
levelofheadoffamily,andhouseholdexpenses.
TABLE3.3
PREVALENCE(%)OFUNDERFIVENUTRITIONALSTATUS(WEIGHTPERAGE)
BYCHARACTERISTICOFRESPONDENT,RISKESDAS2010
SevereMal
Nutrition

Under
Weight

Normal

Over
Weight

Total

Males

5.2

13.9

75.0

5.9

100

Females

4.6

12.1

77,5

5.8

100

Total

4.9

13.0

76.2

5.8

100

5.2

100

CharacteristicofRespondent

Sex

Household
Expenses
perCapita

Quintil1

7.1

15.6

72.2

Quintil2

4.9

14.2

75.8

5.1

100

Quintil3

4.6

13.0

77.4

5.0

100

Quintil4

3.8

11.5

78.4

6.4

100

Quintil5

2.5

7.9

80.5

9.0

100

Total

4.9

13

76.2

5.8

100

Source:Riskesdas2010,NationalInstituteforHealthReaserchandDevelopment,MinistryofHealthRI

Above table describes that prevalence of severe mal nutrition and under
weightonmaleunderfivesarehigherthanthatonfemaleunderfives.Italsoindicates
thatdecliningofhouseholdexpensesfollowedbyincreaseofprevalenceofseveremal
nutrition and under weight. Meanwhile prevalence of underfive normal nutrition
increasecoherentlytohouseholdexpenses.

43

TABLE3.4
PREVALENCE(%)OFUNDERFIVENUTRITIONALSTATUS(HEIGHTPERAGE)
BYCHARACTERISTICOFRESPONDENT,RISKESDAS2010
Severe
Stunted

Stunted

Normal

Total

Neverschool
Undergraduateof
elementaryschool

24.6

17.3

58.0

100

21.2

19.9

58.8

100

elementaryschool

20.1

18.6

61.3

100

Juniorhighschool

18.8

18.1

63.1

100

Highschool

16.4

14.8

68.8

100

Academy/University

11.3

12.9

75.8

100

Total

18.5

17.2

64.4

100

Quintil1

22.6

20.5

56.9

100

Quintil2

20.8

18.1

61.1

100

Quintil3

16.9

17.0

66.0

100

Quintil4

15.3

15.4

69.3

100

Quintil5

12.8

11.3

75.9

100

Total

18.5

17.1

64.4

100

CharacteristicofRespondent

Education
Levelof
Headof
Family

Household
expenses
percapita

Source:Riskesdas2010,NationalInstituteforHealthReaserchandDevelopment,MinistryofHealthRI

Abovetableindicatesthatprevalenceofseverestuntedunderfiveandstunted
underfive rise coherently to decrease of education level of head of familiy and
decreaseofhouseholdexpensespercapita.Prevalenceofnormalunderfiveincrease
coherentlytoincreaseofeducationlevelofheadoffamiliyandincreaseofhousehold
expensespercapita.
Thefollowingtabledescribesprevalenceofunderfivenutritionalstatusbased
onweightperheightbycharacteristicofrespondent.Basedonthetableitdescribes
that education of parents increase coherently to decrease of prevalence of severe
stunted underfive. Level of household expenses increase coherently to increase of
prevalence of normal underfive and decrease of prevalence of severe wasted
underfive.

44

TABLE3.5
PREVALENCE(%)OFUNDERFIVENUTRITIONALSTATU(WEIGHTPERHEIGHT)
BYCHARACTERISTICOFRESPONDENT,RISKESDAS2010

Education
levelof
parents

Household
expenses
percapita

Total

Severe
Wasted

Wasted

Normal

Obese

Neverschool
Undergraduateof
Elementaryschool

6.7

6.9

69.6

16.8

100

6.5

7.5

73.6

12.4

100

Elementaryschool

6.5

7.5

72.5

13.5

100

Juniorhighschool

6.2

7.6

72.3

13.9

100

Highschool

5.4

6.8

74.0

13.9

100

Academy/University

4.5

7.0

71.4

17.1

100

Total

6.0

7.3

72.8

14.0

100

Quintil1

6.6

8.1

71.6

13.7

100

Quintil2

6.6

7.3

72.6

13.5

100

Quintil3

6.3

6.9

73.1

13.6

100

Quintil4

5.1

7.0

73.2

14.7

100

Quintil5

4.3

6.3

74.4

14.9

100

Total

6.0

7.3

72.8

14.0

100

CharacteristicofRespondent

Source:Riskesdas2010,NationalInstituteforHealthReaserchandDevelopment,MinistryofHealthRI

FurtherinformationaboutunderfiveandadultnutritionalstatusareonAnnex
3.5,3.6,3.7,3.8,and3.9.

3.CommunicableDiseases
a.Malaria

Malaria is one of communicable diseases addressed on Millenium


DevelopmentGoalsasglobalcommitment.MalariaiscausedbyPlasmodiuminfecting
through mosquito (Anopheles) bite. It can infect males, females, infants, underfives,
andadults.Thereare80%ofdistricts/municipalitiesconfirmedasmalariaendemic,
andmorethan45%ofpopulationofthoseliveonendemicvillage.

Malaria endemic villages are remote areas with poor environment and
sanitation,inaccessibletransportationandcommunication,lowaccessibilitytohealth
care,loweducationandsocialeconomiclevelandpoorhealthbehaviour.
DGofDiseasesControlandEnvironmentalHealthestablishesstratificationof
malariaendemicityinIndonesiainto4strata:
1.

High Endemic, with Annual Parasite Incidence (API) > 5 per 1,000
population.

2.

MediumEndemic,withAPI15per1,000population.

3.

LowEndemic,withAPI01per1,000population.
45

4.

NonEndemic,areawheremalariacasesarenotfound,API=0.

The following graph descibes


district/municipalitylevelin2010.

map

of

malaria

endemicity

at

GRAPH3.8
MAPOFMALARIAENDEMICITYATDISTRICT/MUNICIPALITYLEVEL
ININDONESIA,2010

Source: DG of Disease Control and Environmental Health, Ministry of Health RI, 2011

Malariacasesfrom2005to2010remaineddecrease,from4.10in2005to1.96
per1,000populationin2010.Thedecreaseisinfluencedbyimprovementinmalaria
controlincludingincreaseoflaboratoryconfirmation.Therewere982,828(47%)of
bloodspecimenstestedamong2,113,265ofclinicalcasesin2005.Meanwhile,there
were1,164,406(63%)ofbloodspecimenstestedin2010among1,848,999ofclinical
cases. The high coverage of test was result of malaria control program to eliminate
malariacaseswhicheveryclinicalcasemustbelaboratoryconfirmed.
GRAPH3.9
ANNUALPARASITEINCIDENCEOFMALARIAPER1,000POPULATION
BYPROVINCEININDONESIA,2010

Source: DG of Disease Control and Environmental Health, Ministry of Health RI, 2011

46

DG of Diasease Control and Environmental Health has established API as


indicator to 33 provinces in Indonesia since 2010. API in 2010 achieved target of 2
per1,000population.BasedonabovegraphthreeprovinceswithhighestAPIin2010
werePapua,WestPapuaandEastNusaTenggarawithAPI18.03;17.86and12.14per
1,000 population. Meanwhile province with lowest API was DKI Jakarta of 0. Per
1,000 population, DI Yogyakarta of 0.01 per 1,000 population, and Bali of 0.03 per
1,000population.
Riskesdas 2010 describes malaria with period prevalence indicator in one
latest month. Period prevalence on Riskesdas divided into two categories i.e
confirmed case by blood speciment test (D), and case with clinical symptoms or
withoutclinicalsymptomsbuttakingantimalariadrugs(G).
Riskesdas 2010 indicates that province with highest period prevalence (D)
was West Papua at 10.6%, followed by Papua at 10.1%, and East Nusa Tenggara at
4.4%. Meanwhile province with lowest period prevalence (D) was DI Yogyakarta at
0%, followed by DKI Jakarta, West Java, Central Java, East Java, Banten, and Bali at
0.1%.
TABEL3.6
PERIODPREVALENCEOFMALARIA(%)ONONELASTMONTH
BYDIAGNOSISANDCHARACTERISTICOFRESPONDENT,RISKESDAS2010
PeriodPrevalence(%)

CharactersiticofRespondent
D

DG

Urban

0.3

8.2

8.5

Rural

0.8

12.1

12.8

Neverschool
Undergraduateof
Elementaryschool

0.6

11.9

12.4

0.7

11.5

12.2

Levelof
Education

Elementaryschool

0.5

11.6

12.0

Juniorhighschool

0.5

9.3

9.7

Highschool

0.6

7.3

7.8

Academy/University

0.4

5.2

5.6

Underemployee

0.4

10.2

10.5

Student

0.5

8.9

9.3

Government
Officer/Armed
Forces/Police

0.6

6.0

6.6

Enterpreneur

0.4

8.4

8.8

Farmer/Fisherman/Labour

0.8

12.8

13.5

Others

0,7

10,3

10,9

Residences

TypeofWork

Note:D=diagnosiswithbloodtest;G=diagnosiswithclinicalsymptom
DG=CombinationofDandG
Source:Riskesdas2010,NationalInstituteforHealthReaserchandDevelopment,MoHRI

47

Abovetableshowsusthatprevalenceofmalariaofallcriteriononruralarea
are higher than that of prevalence on urban. Prevalence of malaria (DG) decrease
coherentlytoincreaseofeducationlevel.Prevalenceofmalariaofallcriterionreach
the highest on farmer/fisherman/labour group. Meanwhile lowest prevalence of
clinical symptoms or without clinical symptoms but taking antimalaria drugs (G)
criteria , and DG criteria are on government officer/Armed Forces/Police. Further
informationconcerningtomalariaareonAnnex3.10,3.11,and3.12.

b.PulmonaryTB

Tuberculosis is one of communicable diseases caused by infection of


Mycobacteriumtuberculosis.Dropletcontainingthebacilmayspreadthroughairand
causinginfection.ControlofthediseasesisaddressedbyMDGstarget.

WHO has recommended DOTS (Directly Observed Treatment Shortcourse) as


one of strategy to control TB since 1995. It is proved that DOTS has become cost
efectivestrategy.Itconsistsoffivecriticalcomponentsi.e
1. Politicalcommitment
2. Qualifiedsputumsmeartest
3. Standarized shortterm treatment to all TB cases with appropriate case
management,andtreatmentobservation
4. TBdrugsavailability
5. Recordingreporting system supporting evaluation to treatment and whole
programperformance.

DOTS program has been implemented in 33 provinces and 497


districts/municipalities.Ithasbeenconductedinhealthcenters(96%),andhospitals
(40%)consistsofgovernment,private,BUMN,ArmedForces/Police,B/BPKPM,and
RSTP.
Case Detection Rate is one of indicator using on TB control program. It
describesproportionofsmearpositivecasesfoundandtreatedtoallestimatednew
smear positive cases. Ministry of Health has established minimum target of CDR in
2010at73%.
Case Detection Rate in Indonesia on 2010 was 78,3%. It has fulfilled minimum
targetofCDR.Intermsofprovincelevel,NorthSulawesireachedhighestpercentageat
96.2%,followedbyDKIJakartaat79.9%andGorontaloat77.3%.Meanwhile,province
withlowestpercentagewasCentralKalimantanat29.8%followedbyEastKalimantanat
32.5%andWestNusaTenggaraat33.3%.Basedonthegraph,itisclearthattherearesix
provinces has fulfilled the minimum target of CDR i.e North Sulawesi, DKI Jakarta,
Gorontalo, Maluku, Banten, and North Sumatera. The following Graph 3.10 describes
CDRbyprovinceinIndonesia,2010.

48

GRAPH3.10
CASEDETECTIONRATE(CDR)OFTBININDONESIA,2010

Source: DG of Disease Control and Environmental Health, Ministry of Health RI, 2011

In order to evaluate effectivity of TB treatment, DG of Diseases Control and


Environmental Health has establised three indicators, i.e cure rate, complete
treatment, and success rate (SR). Cure rate represents proportion of cured cases to
smearpositivecases.Percentageofcompletetreatmentexplainsproportionofsmear
positive cases taking complete treatment to smear positive cases. Cured rate and
complete treatment in 2009 respactadly were 83.9% and 7,3%. Success Rate
indicatesnewsmearpositivecasestakingcompletetreatmentandcuredamongnew
smearpositivecases.SuccessRatefrom2004to2009aredescribedonthegraphas
follows.
GRAPH3.11
SUCCESSRATE(SR)OFTBININDONESIA,20042009

Source: DG of Disease Control and Environmental Health, Ministry of Health RI, 2011

AccordingtotheGraph3.11weknowthatSRfrom2004to2009hasfulfilledthe
Targetat85%.AlthoughSRhasmetthetarget,itdeclinedfrom91%in2005to87.6%in
2006.SRroseto91%in2007andcontinuedtoriseto91.2%in2009.

49

Riskesdas 2010 provides period prevalence of TB consists of two criterion i.e


diagnosed (D) and with clinical symptoms. Period prevalence of TB with diagnosed
criteria is generated through interview with respondents. Prevalence of diagnosed TB
were obtained through question whether they have ever diagnosed TB through smear
test and/or thorax image by health personnel. While to obtain prevalence of clinical
symptomsorTBsuspects,respondentswhoanswerednotothequestionofwhetherthey
haveeverdiagnosedTB,werethenaskedwhethertheyhaveexperiencedphlegmiccough
foraperiodoftwoweeksormorewithmorethanonesymptomof:phlegmwithblood,
losing weight, sweating at night without physiscal activity, and fever for a period more
thanonemonth.
Province with highest period prevalence of TB with diagnosed criteria (D) was
Papua of 1.441% followed by Banten of 1.282%, and North Sulawesi of 1.221%.
Meanwhilethelowestprevalence was Lampungof0.27%,followed byBali of0.306%,
andDIYogyakartaof0.311%.
PeriodprevalenceTBbycharacteristicofrespondentaredescribedonfollowing
table.FurtherdescriptionofTBareonAnnex3.13,3.14,3.15,3.16,dan3.17.
TABLE3.7
PERIODPREVALENCEOFTB(D)DANPERIODPREVALENCEOFTBSUSPECT(G)
ONPOPULATION>15YEARSOFAGEBYCHARACTERISTIC,RISKESDAS2010

CharacteristicofRespondent

PeriodPrevalence(%)
D

Urban

0.703

2.320

Rural

0.750

3.182

Neverschool
Undergraduateof
Elementaryschool

1.041

4.074

0.974

3.948

Levelof
Education

Elementaryschool

0.904

3.060

Juniorhighschool

0.566

2.305

Highschool

0.455

1.922

Academy/University

0.535

1.366

Quintil1

0.733

3.012

Quintil2

0.707

2.870

Quintil3

0.768

2.745

Quintil4

0.801

2.516

Quintil5

0.607

2.410

Typeof
Residences

Expensesper
Capita

Source:Riskesdas2010,NationalInstituteforHealthReaserchandDevelopment,MoHRI

Abovetableexplains thatperiodprevalenceoftwocriterion onruralarehigher


than that of urban. Prevalence of TB with diagnosed criteria decrease coherently with
increaseofeducationlevel.Meanwhile,prevalenceofTBwithclinicalsymptomsdecrease
coherentlywithincreaseofeducationlevelandincreaseofexpensespercapita.
50

c.HIV/AIDS

HIV/AIDS is one of communicable diseases caused by infection of Human


Immunodeficiency Virus infecting immune system. The virus weakens immnune
systemonprotectingbodyfromdiseases.PeoplewithHIV/AIDSareeasilyinfectedby
manydiseases.

HIV cases can be detected through Voluntary Counseling and Test (VCT), sero
survey,andIntegratedBiologicalandBehavioralSurvey(IBBS).Therewere20,028clients
confirmedasHIVpositiveamong192,076clientstestedonVCTin2010.Itindicatesthat
positiverateonVCTwere10.4%.NumberofHIVpositivecumulativecasesonVCTwere
55,848cases.
NumberofAIDScumulativecasesuptoDecember2010were24,131cases.Graph
3.12illustratesnewcasesandcumulativecasesofAIDSuptoDecember,2010.
GRAPH3.12
NUMBEROFNEWCASESANDCUMULATIVECASESOFAIDS
ONHEALTHCAREININDONESIA,20012010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

FromthegraphitisshownthatthereissignificantincreaseofAIDSnewcases
on2005and2008.NumberofAIDSnewcaseson2010were4,158,theywerehigher
than that of 2009 at 3,863 cases. Magnitude of issue can also be identified through
AIDS case rate which indicates proportion of AIDS cumulative cases to total
population. Province with highest AIDS case rate on 2010 was Papua of 173.69,
followed by Bali of 49.16, and DKI Jakarta of 44.74 per 100,000 population. The
following graph describes Case Rate per 100,000 population by province in
Indonesia.

51

GRAPH3.13
CASERATEPER100.000POPULATIONOFAIDSBYPROVINCEININDONESIA
UPTODECEMBER,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

HIV/AIDS can be transmitted through i.e sexual intercourse on heterosexual,


male sex to male, shared injecting drug use, blood transfussion, and perinatal. The
followingGraph3.14explainspercentageofcumulativecasesbytypeoftransmission.
GRAPH3.14
PERCENTAGEOFAIDSCUMULATVECASESBYTYPEOFTRANSMISSIONININDONESIA
UPTODECEMBER,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Theabovegraphindicatesthatthereweretwomaintypeoftransmissionwith
highpercentage,i.esexualintercourseonheterosexualat52.7%,andIDUat38.3%.In
terms of sex, percentage of AIDS cumulative cases on male was higher than female,
with73%to26.6%.PercentageofAIDScumulativecasesbysexisdescribedonthe
graphasfollows.

52

GRAPH3.15
PERCENTAGEOFAIDSCUMULATIVECASES
BYSEXININDONESIAUPTODECEMBER,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI.2011
Intermsofagegroup,mostofAIDScasesareonagegroupof2029yearsold,
3039 years old, and 4049 years old. Those age groups are sexually active and
potentialtouseIDU.
GRAPH3.16
PERCENTAGEOFAIDSCUMULATIVECASESBYAGEGROUP
ININDONESIAUPTODECEMBER,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

MoreinformationconcerningtoHIV/AIDScanbeseenonAnnex3.18,Annex
3.19,andAnnex3.20.

d.Pneumonia

Pneumonia is an acute infection on alveolous caused by bacteria, virus or


fungus. Chemical substance entering human body through inhalation can also lead to the
disease. Chlidren under 2 years of age, elderly, and people with malnutrition or immunity
disfunction are vulnerable group to Pneumonia.
53

Case detection of underfive pneumonia reached percentage of 23% with


499.259 cases were found in 2010. Below graph illustrates detection coverage of
underfivepneumoniabyprovince.
GRAPH3.17
COVERAGEOFUNDERFIVEPNEUMONIADETECTION
BYPROVINCEININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

ThegraphexplainsthatprovincewiththehighestpercentagewasWestNusa
Tenggara of 64.49%, followed by South Kalimantan of 49.6% and West Java of
48.65%. Meanwhile, province with the lowest percentage was Bengkulu of 1.68%,
followedbyRiauIslandsof1.91%,andAcehof3.53%.Furtherdataandinformation
ofPneomoniaareonAnnex3.21.

e.Leprosy

LeprosyiscommunicablediseasecausedbyinfectionofMycobacteriumleprae.
Leprosy can be progressive when case management is not conducted properly.
Increaseofleprosyprogressivenesscanbeindicatedthroughpermanentdisorderof
skin,nervoussystem,extremities,andeyes.Patient wasconfirmedasleprosywhen
diagnosisreferstothreeconditions:
1. Whitespotorrashonskinwithnumbness
2. Hardeningonperipheralnervesystemwithnervemalfunction,numbness,and
muscleweakness
3. Smearpositiveofskin
There were 13,734 new Multi Bacillary (MB) cases and 3,278 new Pauci
Bacillary cases with 7.22 per 100,000 population of Newly Case Detection Rate
(NCDR).TrendofthosethreeindicatorsaredescribedonfollowingGraph3.18.

54


GRAPH3.18
NUMBEROFPAUCIBACILLARY(PB)ANDMULTIBACILLARY(MB)LEPROSY
ANDNEWLYCASEDETECTIONRATE(NCDR)PER100.000POPULATION
ININDONESIA,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

NCDR from 2005 to 2010 remained declined from 8.99 per 100,000
populationin2005to7.22per100,000populationin2010.The MBcasesremained
decreasedaswellasNCDRfrom2005to2010.MeanwhilePBcasesrosefrom3,033
casesin2009to3,278casesin2010.
DG of Disease Control and Environmental Health has classified provinces in
Indonesia into two groups of leprosy burden. They are high endemic province and
low endemic province. Provinces with NCDR > 10 per 100.000 population or new
casesmorethan1,000areclassifiedashighendemic.Provincesareclassifiedaslow
endemic when NCDR < 10 per 100,000 population. Description of leprosy burden
situationin33provincesaregivenonthegraphasfollows.

GRAPH3.19
LEPROSYBURDENININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

There are two indicators used on leprosy control i.e proportion of second
gradedeformity,andproportionofchildrenamongnewcases.Proportionofsecond
gradedeformitymayindicateperformanceofnewcasedetection,andproportionof
55

children (014 years of age) among new cases can indicate transmission on
community. Proportion of second grade deformity in 2010 was 10.71%, and
proportionofchildren(014yearsofage)amongnewcaseswas11.19%.
GRAPH3.20
PROPORTIONOFSECONDGRADEDEFORMITY
ANDPROPORTIONOFCHILDREN(014YEARS)AMONGNEWCASES
ININDONESIA,20012010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

The Graph 3.20 illustrates that proportion of second grade deformity rose
from 2002 to 2010. There were rising rising trend of proportion of children from
2005 to 2009. It slighly declined from 11.44% in 2009 to 11.19 in 2010. Further
informationofleprosyareonAnnex3.22.

f.Yaws

Yaws may lead to disability when there are no proper case management
conducted.Itismostlyfoundonareaswithlowaccessibilityofhealthcare,andpoor
personalhygiene.Obstacleonaccessingsafewatermayhindereradicationofyaws.
Thediseasestillremainedashealthburdenalthoughitsprevalencewaslower
than1per100,000population.Yawsprevalencedecreaseddramaticallyfrom2.21in
1985toalmostzeroin1995.After1995,yawscontrolwerenolongeroneofpriority
programandthediseasecontrolwereinadequate.Thereforeyawsprevalenceslowly
decreasedafter1995.CasesandprevalenceofyawsaregivenonthefollowingGraph
3.21.

56

GRAPH3.21
PREVALENCEOFYAWSININDONESIA,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

The graph explains that cases and prevalence of yaws significantly increased
from2008to2010.Theincreasedoccuredduetointensificationofcasedetectionasa
partofyawseradicationprogram.
In order to achieve yaws eradication in 2005, Subdirectorate of Leprosy and
YawsconductedSerologySurveyin2010at10districtswithnocaseswerefoundon
latestthreeyears.Whenthesurveyreportednocasesarefoundonthedistricts,they
will receive sertificate of free yaws from WHO. Case detection intensification of
leprosyandyawsarealsoimplementedinareaswithhighcasesofyaws.

4.PreventableDiseasesThroughImmunization(PD3I)
a.TetanusNeonatorum

Tetanus Neonatorum (TN) is caused by Clostridium tetani infecting through


wound.Thediseaseinfectsnewbornduetoumbilicalcordcutwithunsteriledecives.
Itismostlyfoundonlowmiddleincomecountriesespeciallywithlowpercentageof
deliveryattendedbyhealthpersonnel.

Therewere147cases,84deathsand57.14%ofCFRin2010.Casesfoundin
2010werelowerthanTNcasesin2009of158casesand76deaths.Therewere19
provincesreportedTNcasesand14provincesreporteddeathsin2010.

In terms of immunization status, 54.4% of all cases were found on


unvaccinatedpopulation.Basedonriskfactorsofdeliveryattendant,TNcaseswere
mostly found on traditional attendant with 67.3% of allcases. Interms of umbilical
cord treatment, most of cases were found on traditional group with 36.1% of all
cases. More description by provinces of the disease and risk factors are on Annex
3.23.

57

b.Measles

Measles is caused by infection of measles virus. It mostly infects children


through secret containing virus from infected people. The following graph explains
IncidenceRate(IR)ofmeaslesbyprovinces.
GRAPH3.22
INCIDENCERATE(IR)OFMEASLESPER10,000POPULATION
BYPROVINCEININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

There were 17,139 cases found with Incidence Rate (IR) at 0.73 per 10,000
populationin2010.ProvincewiththehighestIRwasRiauIslandsof3.51per10,000
population,followedbyDIYogyakartaof2.35per10,000population,andBantenof
2.21 per 10,000 population. Meanwhile, Maluku had the lowest IR of 0 per 10,000
population,followedbySoutheastSulawesiof0.01per10,000population,andWest
Nusa Tenggara of 0.05 per 10,000 population. Number of cases during measles
outbreakwere2.570caseswith6deaths.
FurtherinformationconcerningtomeaslesbyprovincescanbeseenonAnnex
3.24,3.25,3.26,3.27,and3.28.

c.Diptheria

Diptheria is caused by Corynebacterium diphtheriae infecting respiratory


system.Itcanbeindicatedthroughi.e stiffon neck, lightfever,andpharingitis, and
greymembranecoveredtonsilandrespiratorytrack.

Number of diptheria cases in 2010 were 385 cases. In terms of age group,
caseson<1years,13years,49years,1014years,and>14yearswere9cases,138
cases,141cases,54cases,and43cases.

58

GRAPH3.23
NUMBEROFDIPTHERIACASESBYAGEGROUP(YEAR)
ININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Further information of diptheria by provinces can be seen Annex 3.29, and


Annex3.30.
d.PolioandAFP(AcuteFlaccidParalysis)

Polio is one of communicable disease that can be prevented through


immunization. It is caused by polio virus infecting nervous system and leading to
paralysis. Polio commonly infects children on 03 years of age. The disease can be
indicatedthroughsymptomsi.efever,headache,nausea,stiffonneck,andilness on
legandfeet.

Meanwhile AFP is an abnormal condition when there is a degradation of


musclestrengthduetouncertaincauses.Theabnormalitymaycontinuetoparalysis.
In order to measure performance of AFP surveillance, DG of Disease Control and
EnvironmentalHealthhasestablishedNonPolioAFPRate.Itmayindicatenonpolio
AFPcasesamongchildren<15yearsofage.DGofDiseaseControlandEnvironmental
Healthhasestablishedminimuntargetoftheindicatorat2per100,000children<15
yearsofage.NonpolioAFPratein2010was2.62per100,000children<15yearsof
age. The following graph describes non polio AFP rate per 100,000 children < 15
yearsofagein33provinces.

59

GRAPH3.24
NONPOLIOAFPRATEPER100,000CHILDREN<15YEARSOFAGE
ININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Province with highest non polio AFP rate was North Sulawesi at 6.2 per
100,000children<15yearsofage,followedbyGorontaloandDIYogyakartaat5.67
and4.83per100,000children<15yearsofage.Meanwhileprovincewiththelowest
non polio AFP rate was North Maluku at 1 per 100,000 children < 15 years of age,
followed by Central Kalimantan and West Sulawesi at 1.33 and 1.67 per 100,000
children<15yearsofage.FurtherdescriptonofAFPcanbeseenonAnnex3.31.

5.PotentialOutbreakDisease
There are several diseases causing outbreak in Indonesia i.e Dengue
HemorrhagicFever(DHF),Diarrhea,andChikungunya.Outbreakofthediseasesmay
affecttodeathsandeconomicloss.

a.DengueHaemorrhagicFever(DHF)

ThediseasecausedbyinfectionofDenguevirus.TransmissionofDHFoccured
when Aedes aegypty, vector caring the virus biting people. Although DHF mostly
occuredonchildrenunder15yearsofage,adultcanalsobeinfectedbythevirus.
There were 156,086 cases of DHF with 1,358 deaths in 2010. Indicators
indicates magnitude of the DHF burden are Incidence Rate (IR) per 100,000
population and Case Fatality Rate (CFR). IR of DHF in 2010 was 65.7 per 100.000
population.Thenumberislowerthan2009,with68.22per100,000population.CFR
ofDHFdecreasedaswellasIR,from0.89%in2009to0.87in2010.

60

GRAPH3.25
INCIDENCERATEOFDHFPER100.000POPULATION
ANDCASEFATALITYRATEDHFININDONESIA,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Fromtheabovegraph,therewasdecliningtrendofCFRfrom2005to2009.It
slightly increased from 2008 to 2009. Meanwhile IR per 100,000 population
increasedfrom2005to2007.
Province with the highest IR was Bali of 337.04 per 100,000 population,
followed by DKI Jakarta of 227.44 per 100,000 population and East Kalimantan of
167.31per100,000population.MeanwhileprovincewiththelowestIRwasMaluku
of 0.42. per 100,000 population, followed by Jambi of 5.99 per 100,000 population,
and West Kalimantan of 13.86 per 100,000 population. IR of DHF by provinces are
describedonthegraphasfollows.
GRAPH3.26
INCIDENCERATEOFDHFPER100.000POPULATION
ININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Province with the highest CFR was Maluku of 16.67%, followed by Bangka
BelitungIslandsof4.39%andNorthMalukuof3.46%.Meanwhileprovincewiththe
lowestCFRwasWestPapuaandWestSulawesi,whentherewerenocasesreported,
61

and DKI Jakarta of 0.17%. The following Graph 3.27 explains CFR of DHF on 33
provincesinIndonesia.
GRAPH3.27
CASEFATALITYRATEOFDHF(%)ININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Percentage of districts/municipalities infected DHF in 2010 was 80.48%. The


percentage was higher than 2009 of 77.26%. Percentage of infected
districts/municipalitiesaredescribedonthemapasfollows.
GRAPH3.28
PERCENTAGEOFDISTRICTS/MUNICIPALITIESINFECTEDBYDHF
ININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

DetailsofDHFbyprovincescanbeseenonAnnex3.32andAnnex3.33.

b.Diarrhea

Diagnosisofdiarrheaisconfirmedwhenthereisachangeoffecesconsistency,
and frequency of defecation. Feces of people with diarrhea are usually more liquid
than normal condition. The defecation of people with diarrhea are three times or
morefrequentthannormalcondition.
Therewere11provincesreporteddiarrheaoutbreakin2010with4,204cases
and73deaths.CaseFatalityRatein2010was1.74%.CFRofdiarrheafrom2006to
2010areexplainedonthegraphasfollows.
62

GRAPH3.29
CASEFATALITYRATE(CFR)ONDIARRHEAOUTBREAK
ININDONESIA,20062010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

TheabovegraphdescribessignificantincreaseofCFRfrom1.79%in2007to
2.94% in 2008. It declined to 1.74% in 2009 and 2010. The decrease of CFR may
occureduetoimprovementofcasemanagement.
Outbreakin33provincescanbeseenonthefollowingmap.
GRAPH3.30
DIARRHEAININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

MoredetailsofdiarrheabyprovincesareonAnnex3.34.
c.Chikungunya

Chikungunyaisanacuteinfectionwithmainsymptomsi.efever,rashonskin
and arthritis. It is caused by chick virus transmitted through bites of Aedes aegypti
and Aedes albopictus. Chikungunya mostly found on tropical or subtropical region.
Epidemic of chikungunya may occur when there is poor herd immunity and high
densityofvectors.Duringrainyseason,mountedofbreedingplacesledtodramatic
increaseofvectors.
The disease affected on 20 provinces in 2010 with 53,899 cases and none
deathswerereported.
63

GRAPH3.31
NUMBEROFCHIKUNGUNYACASESININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Increase of cases also occured due to high population mobilization in many


areas.FurtherdescriptionofchikungunyacanbeseenonAnnex3.35.

d.Rabies

Rabiesiscausedbyinfectionofrabiesvirustransmittedthroughanimalbites
i.e i.e dog, cat, bat, monkey, raccoon and wolf. It has spread to 24 provinces in
Indonesia. Up to 2010, there were only nine provinces reported no rabies cases i.e
Bangka Belitung Islands, DKI Jakarta, DI Yogyakarta, Central Java, East Java, West
NusaTenggara,WestKalimantan,WestPapua,andPapua.
There are three indicators used on rabies control programs i.e animal bites
(GHPR),vaccinatedcases(VAR),andLyssa.Thefollowinggraphdescribesthosefrom
2004to2010.
GRAPH3.32
ANIMALBITESINFECTEDRABIES(GHPR),VACCINATEDCASES(VAR),ANDLYSSA
ININDONESIA,20042010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

64


AbovegraphshowsrisingtrendofGHPRandVARfrom2004to2010.There
were78,203GHPRcases,63,334VARcases,and206LYSSAcasesin2010.Province
with highest cases of GHPR, VAR, and LYSSA in 2010 was Bali. It reported 60,434
casesofGHPR,52,775casesofVAR,and82casesofLYSSA.Meanwhilefourprovinces
reported cases of LYSSA in 2009 and scaled down the cases to none in 2010 were
Aceh, Banten, East Kalimantan, and South Sulawesi. The following map illustrates
infectedareasofRabies.
GRAPH3.33
RABIESINFECTEDAREASININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

DetailsofrabiesbyprovincesinIndonesiaareonAnnex3.36.

e.Filariasis

There are three parasitic worms caused filariasis i.e Wuchereria bancrofti,
Brugiamalayi,andBrugiatimori.Theyinfectlymphtissuethroughmosquitobite.On
humanbody,wormsbecomematureandliveonlymphtissue.Thoseparasitescause
bigodemaonleg,arm,breast,andgenitalpart.
GRAPH3.34
NUMBEROFFILARIASISCASESININDONESIA,20032010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

65

Cumulatiivecasesoffilariasesupto2010were11,969cases.Therewere356
endemic districts/municipalities until 2010. It means that 72% of all
districts/municipalitiesinIndonesiaareinfectedbyfilariasis.
GRAPH3.35
FILARIASISENDEMICDISTICTS/MUNICIPALITIES
ININDONESIA,2010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Endemicity status of district/municipality is determined through survey of


blood finger. Further information concerning to filariasis cases by provinces are on
Annex3.37.

f.Pest

Pest or bubonic plaque is caused by infection of Pasteurella pestis through


rodentsbite.Therewere5districtson4provincesdeterminedaspestfocusareai.e:
1. Pasuruan,EastJava
2. Sleman,DIYogyakarta
3. Boyolali,CentralJava
4. BandungandCirebon,WestJava
Activeandpasiverodentsurveillancearestillconductedonthosefocusareas
in order to prevent outbreak. Latest outbreak occured on Sulorowo, Kayukebek
village, Tutur Nongkojajar sub district, Pasuruan, East Java in 2007. There was one
specimenofhumantestedonPasuruanandconfirmedasnegative.Meanwhile,there
were407specimensofrodentstestedonSleman.WithinthosespecimensonSleman,
34specimensconfirmedaspositive.Furtherdataandinformationaboutpestcanbe
seenonAnnex3.38.

66

g.Leptospirosis

Leptospirosis is transmitted through rodent urine containing leptospirosis


bacteria.Expossuretowaterorsoilcontaminatedbytheurinemayoccureinfection.
Symptoms of the disease ranges from influenza to serious illnes leading to death.
Casesarefrequentlyfoundonfloodaffectedareas.
Cases reported in 2010 were higher than that of cases in 2009. There were
409caseswerefoundin2010while335caseswerefoundin2009.Mostofcasesin
2009 and 2010 were reported from Central Java and DI Yogyakarta. The following
graphillustratescasesandCFRofleptospirosisfrom2005to2010.
GRAPH3.36
NUMBEROFCASES,DEATHS,ANDCFROFLEPTOSPIROSIS
ININDONESIA,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Fromthegraph,itshowsthatleptospirosiscasesreachedthepeakin2007of
664 cases and 55 deaths. Flood affected at many areas on the year, especially DKI
Jakarta. CFR declined dramatically from 12.17% in 2005 to 5.16% in 2008. It
increased afterwards to 10.51% in 2010. Detail information of leptospirosis by
provincescanbeseenonAnnex3.39.

h.Antrax

Antrax is caused by infection of Bacillus anthracis. The bacil is zoonotic,


thereforeitmayinfectruminantiaandcarnivore.Thoseinfectedanimalscantransmit
the disease to human and leading to death. There were 31 cases and 1 death
(CFR=3.2%)reportedin2010.Onedeathcasewasdigestivetype.Cases,deaths,and
CFRofantraxfrom2005to2010aredescribedonthegraphasfollows.

67

GRAPH3.37
NUMBEROFCASES,DEATHS,ANDCFROFANTRAX
ININDONESIA,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Withinthose31cases,24caseswerereportedfromKlaten,CentralJava,and7
cases were reported from Maros, South Sulawesi. From the above graph, CFR
decreasedfrom12%in2009to3.2%in2010.Furtherinformationbyprovincesof
antraxareonAnnex3.40.

i.AvianInfluenza

Avian Influenza is acused by infection of H5N1 virus frequently infecting


poultry and rarely infecting pig. The disease can transmit to human and causing
death.FirstcasesinIndonesiawasreportedonJune,2005.Cases,deaths,andCFRof
AvianInfluenzafrom2005to2010areonthefollowingGraph3.38.
GRAPH3.38
NUMBEROFCASES,DEATHS,ANDCFROFAVIANINFLUENZA
ININDONESIA,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

Basedonthegraph,casesanddeathsreachedthepeakin2006with55cases
and45deaths.Theydeclinedafterwardsto9casesand7deathsin2010.Meanwhile,
CFRreachedthepeakin2009of90.48%.Itdeclinedto77.78%in2010.
68

Therewerethreeprovinceswithhighestcumulativecasessince2005to2010
i.eDKIJakarta,WestJava,andBanten.
GRAPH3.39
NUMBEROFCASESANDDEATHSOFAVIANINFLUENZA
IN13PROVINCES,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

The following map classifies provinces in Indonesia into two categories i.e
withcasesandnocases,from2005to2010.
GRAPH3.40
INFECTEDAREASOFAVIANINFLUENZA
ININDONESIA,20052010

Source:DGofDiseaseControlandEnvironmentalHealth,MinistryofHealthRI,2011

From the map, it shows that Avian Influenza has spread to 13 provinces in
Indonesia.FurtherinformationconcerningtoAvianInfluenzacanbeseenonAnnex
3.41.

***

69

Generally,healtheffortsconsistoftwomainfactors,communityandindividu
health efforts. Community health effort is all activities conducted by government
and/or community and private in order to maintain and improve health as well as
prevent and control health problems in community. The community health efforts
cover health promotion, health sustainability, communicable disease control,
noncommunicablediseasecontrol,basicsanitationsupplyandenvironmentalhealth,
community nutrition development, mental health, medical devices and
pharmaceuticalequipmentcontrol,usagecontrolsofaddictivesubstanceinfoodand
beverage, narcotics, psychotropic and dangerous substances control, disaster
responseandhumanitysupport.
Meanwhile, individu health effort is all activities conducted by government
and/orcommunityandprivateinordertomaintainandimprovehealthconditionas
wellaspreventandcurethediseaseandhealtheindividualhealth.Itcovershealth
education, diseases control, outpatient care, inpatient care, and paralysis cure and
control,headedtotheindividual.
The following is description of health efforts for the last years, especially
during2010.
A.PRIMARYHEALTHCARE
Primaryhealthcareisa crucial wayinprovidinghealthservice to public.By
rapidandappropriateprimaryhealthservice,mostpublichealthproblemscouldbe
managed.Theprimaryhealthcareisprovidedbyhealthpersonnelasfollows:

1.ChildandMaternalHealthService
Maternal and neonatal health policies specifically related to newborn,
delivery, postpartum and antenatal cares provided in all types of healthcare
facilities,fromposyandutogovernmenthospitalsandprivatehealthcarefacilities.
Childhealthincludesinfants,underfivesandteenagers.
Maternal Mortality Rate (MMR), Neonatal Mortality Rate (NMR), Infant
Mortality Rate (IMR) and Underfive Mortality rate (U5MR) are indicators of
community health status. Today, MMR and IMR in Indonesia are still high
comparing to other ASEAN member states. Indonesia Health and Demographic
71

Survey(SDKI)2007recordedMMR228per100,000livebirths,IMR34per1,000
livebirths,NMR19per1,000livebirthsandU5MR44per1,000livebirths.
InachievingMilleniumDvelopmentGoals(MDGs)andhealthdevelopment
goals, one priority is to improve maternal health service by reducing Maternal
MortalityRateinto102per100,000livebirthsin2015from425per100,000live
births in 1992 (Household Health Survey/SKRT). Reducing maternal mortality
requireseffortsrelatedtopregnancy,deliveryandthepostpartumperiod.
Efforts to accelerate the decline of MMR have been initiated since end of
1980sthroughSafeMotherhoodInitiative,whichreceivedsignificantattentionand
supportfromvariouspartiesbothnationalandinternational.Attheendof1990s,
more efforts have conceptually been intriduced to sharpen the strategies and
interventions in reducing maternal mortality rate through the Making Pregnancy
Safer(MPS)whichwasannouncedbythegovernmentin2000.
a.AntenatalCare(1stand4thvisit)
Antenatal care is a health service by skilled health personnel to a woman
during her pregnancy, based on standard antenatal care stated in midwifery
standard services (SPK). Skilled health personnel providing antenatal care are
obstetricians,doctor,midwifeandnurse.
Standardantenatalcareinvolvesbodyweighing,heightmeasurement,blod
pressure, nutrition status (upper arm circumference), measuring height of uteri
fundus, determining fetal presentation and fetal heart rate (DJJ), screening of
tetanusimmunizationstatusand givingToxoidTetanusimmunization(TT)when
needed, supplementation of at least 90 iron tablets during pregnancy, laboratory
test (routine and specific), case management, counseling, delivery planning and
complicationprevention(P4K)andfamilyplanningafterdelivery.
The antenatal care is complete when the service is provided by skilled
healthpersonnelandmeetsthestandard.Thefrequencedistributionofantenatal
care has been set into at least 4 times during pregnancy, with suggested time of
service as follows: the minimum of 1 time at first trimester, 1 time at second
trimester and twice at third trimester. This suggested standard of antenatal care
periodaimstogiveprotectiontopregnantwomanintheformofriskfactorearly
detectionandpregnancycomplicationprotectionandmanagement.
Theachievementofantenatalhealthserviceisevaluatedbyusingcoverage
of1stand4thvisitofpregnantwoman(K1andK4).TheK1iscalculatedbydividing
totalpregnantwomangetting1stantenatalcarefromhealthpersonnelbytargetof
pregnant women in the working area during 1 year. The K4 is calculated by
dividingtotalpregnantwomangettingminimum4timesstandard antenatalcare
from health personnel in certain area at a certain time by target of pregnant
womenintheworkingareaduring1year.

72

Graph 4.1 presents coverage of K1 and K4 of pregnant woman during the


last six years. The coverage of K1 during 2004 to 2010 continued to grow from
88.09%in2004to95.26%in2010,whilethecoverageofK4induring20042010
waslikelytoincreasefrom77%in2004to85.56%in2010.
GRAPH4.1
COVERAGEOFANTENATALCARE(1STAND4THVISITOFPREGNANTWOMEN)
ININDONESIA,20042010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Inthepictureabove,itcanbeseenthecoveragegapbetweenK1andK4.In
2004, the difference between K1 and K4 was 11%. It decreased to 10% in 2006
and to 6.6% in 2008.In 2009, the difference of K1 and K4 coverage increased to
9%.ThedifferencesindicateK1K4dropout;inotherword,thefewerdifferenceof
K1 and K4 kecil means almost all pregnant women getting 1st antenatal care
continued until the 4th care at the 3rd trimester, so that the pregnancy could be
monitoredbyhealthpersonnel.
GRAPH4.2
COVERAGEOFANTENATALCARE(1STVISIT)
2010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

73


Graph4.2presentsachievementofK1coveragein2010,whichshowsthat
the indicator has met K1 target of 95.26%. DKI Jakarta and Banten were two
provinces with K1 coverage of 100%, while Papua was province with the lowest
coverageof53.55%.

Oftotal33provinces,27provinces(81.8%)hadcoveragemore than90%.
Other 3 provinces had coverage between 8090%, while Papua, Riau Islands and
West Papua had coverage of 53.55%, 73.53% and 79.52%. Therefore, efforts are
needed to accelerate maternal health service, especially in those last three
provinces.
During 2010, achievement of K4 service coverage nationally in Indonesia
was 85.56%, which means Indonesia had met target of MoH strategic plans
(renstra) for K4 coverage in 2010 of 84%. Other 20 provinces had also met K4
target. Provinces on three highest K4 coverages were DKI Jakarta (94.01%), Bali
(92.23%)andBangkaBelitungIslands(91.61%).Meanwhile,threeprovinceswith
lowest K4 coverage were Papua (20.90%), West Papua (48.03%) and East Nusa
Tenggara(56.39%).FurtherdescriptioncanbeseeninGraph4.3below.
GRAPH4.3
COVERAGEOFANTENATALCARE(4THVISIT)
2010

RENSTRATARGET
2010 : 84%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

K4 coverage by province according to Riskesdas 2010 can be seen on


Graph 4.4 below. There were only 2 provinces with coverage more than 84% of
pregnant women aged 1059 years old did K4 (4th visit) on the last pregnancy.
Those 2 provinces were DI Yogyakarta and DKI Jakarta. Meanwhile, 4 provinces
hadcoverage68%84%,11provinceshad52%68%and16provinceshadless
than52%.ProvincesintheeasternIndonesiaincludedinthelastgroup.
74

GRAPH4.4
PERCENTAGEOFPREGNANTWOMENAGED1059YEARSGOTK4HEALTHSERVICE
ONTHEIRLASTPREGNANCY,2010

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Riskesdas2010showsthat92.7%womenaged1059yearsdidpregnancy
examination at least once during the last pregnancy, tahun yang melakukan
pemeriksaan kehamilan minimal 1 kali pada kehamilan anak terakhir, without
consideringthetimeofexamination.Meanwhile,72.3%examinedtheirpregnancy
(1st visit or K1) in the 1st trimester, and 61.4% did K4 or 4th visit of pregnancy
examination. It means almost 11% pregnant women did K1 pregnancy
examinationduring1sttrimesterbutdidnotdoexaminationuntil4thvisit(K4).On
theotherhand,mostpregnantwomenwhodidK1pregnancyexaminationinthe
1sttrimesterwoulddoexaminationuntilatleast4timesinthe3rdtrimester.
Accordingtothesameresearch,therewaspercentagegapofK4pregnancy
examination in ruban and rural areas. In urban, coverage of K4 preganancy
examinationwas76.2%,whileinruralwas55.7%.
SomefactorsareconsideredinfluencingK4pregnancyexamination.Those
factors are education level, mothers occupation and socioeconomic level. In the
group of women did not attend school, only 31.6% pregnant women did the K4
examination, while in the group of women who were primary school graduates,
junior high school graduates, senior high school graduates and higher education
graduates,thecoverageofK4examinationwere50.2%,63.7%,74.8%and84.5%.
Accordingtotypeofoccupation,45.6%womenwhoworkasfarmer/fisher/labor
did K4 examination. On the contrary, about 81% women who work as civil
servants/armed forces/employee did K4 pregnancy examination. According to
socioeconomiclevel,itisdescribedbyexpenditurepercapita(quintile).Quintile1
is 20% the lowest expenditure per capita, and quintile 5 is 20% the highest
expenditure per capita. The higher quintile of expenditure per capita, the higher
pregnantwomendidK4pregnancyexamination.Onthequintile1,therewasonly
47.5% K4 examination, while on the quintile 3, there was 63.6%, and on the
quintile5,therewas79.7%.

75

b.DeliveryAttendancebyMidwiferySkilledHealthPersonnel(Pn)
DeliveryisamaternalperiodhavingbigcontributiontoMaternalMortality
Rate (MMR) in Indonesia. Mortality during delivery and within one week after
deliveryisestimated60%ofallmaternalmortality(MaternalMortality:who,when,
where and why; Lancet 2006). In MDGs target, one effort to improve maternal
health is by reducing maternal mortality rate to 102 per 100,000 live births in
2015from425per100,000livebirthsin1992(SKRT)andbyincreasingcoverage
ofdeliveryattendancebyskilledhealthpersonnelto90%in2015from40.7%in
1992 (BPS). Delivery attendance by skilled health personnel is a safe delivery
servicebyhealthpersonnelwithmidwiferycompetency.
Gambar 4.5 shows coverage of delivery attendace by skilled health
personnel since 2004 to 2010 tending to increase. In 2010, the coverage in
Indonesiawas84.78%.
GRAPH4.5
COVERAGEOFDELIVERYATTENDANCEBYHEALTHPERSONNEL
ININDONESIA,20042010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Achievementof84.78%deliveryattendancebyskilledhealthpersonnelin
2010 describes that Indonesia had successfully met target of MoH strategic
planning 2010 of 84%. From Graph 4.6, three provinces with highest coverage
were Bali with 98.8%, East Java with 95.04% and Central Java with 91.9%.
Meanwhile three provinces with the lowest coverage of Pn were Papua with
25.2%,RiauIslandswith64.61%andWestPapuawith65.97%.
During 2010, 15 provinces in Indonesia met target of delivery attendance
by skilled health personnel (84%). There are some efforts to improve delivery
coverage through maternal health priority program, such as partnership of
midwifeandtraditionalbirthattendant(KemitraanBidanDukun),improvementof
delivery in health facilities through delivery program insurance, model rumah
tunggu (a place near health facilities where pregnant woman can stay until the
time to delivery) in districts and Puskesmas (health center) in remote areas to
prevent delivery complications, revitalization of coordinator midwife (Bidan
76

Koordinator) through facilitated supervision to improve quality of assistant and


qualitysurveillanceofmaternalhealththroughMonitoringLocalAreaofChildand
Maternal Health (Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak PWS
KIA).
GRAPH4.6
COVERAGEOFDELIVERYATTENDANCEBYHEALTHPERSONNEL
BYPROVINCE,2010

RENSTRA TARGET
2010 : 84%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Riskesdas2010shows82.2%deliveryassistedbyskilledhealthpersonnel.
The skilled health personnels include specialist, physician and midwife. There is
percentagegapofdeliveryassistedbyhealthpersonnelinurbanandruralareas.
In urban, delivery assisted by helath personnel reached 91.4%, while in rural it
was only 72.5%. Expenditure per capita could be affecting the indicator
achievement. The higher expenditure per capita is the higher percentage of
deliveryassistedbyhealthpersonnel.Onthequintile1ofexpenditurepercapita,
delivery assisted by health personnel was 69.3%, while on the quintile 3 of
expenditurepercapita,itwas86.8%,andonthequintile5,itwas94.1%.
Delivery in health facility can reduce risk of maternal death because in
healthfacilitydeliveryisassistedbyhealthpersonnelandthereareadequatetools
to manage the possible complication that can harm mother and baby. Riskesdas
2010 describes percentage of delivery in health facility was 55.4%, while other
43.2%deliverywasinhouseorotherplaces.Thedeliveryinhouse,about40.2%
was assisted by non skilled health personnel, especially tradiosional birth
attendant.
Graph 4.7 indicates the low usage of health facility for delivery in rural
areas,whichwasonly35.2%.Onthecontrary,coverageofdeliveryinhouse/other
places was very high with 62.7%. It could be happened because of the limited
77

accessofdeliverymothertohealthfacility,suchasgeographical,economicaland
knowledge. Therefore, strategical efforts are very important to solve the limited
accessthatalldeliveriescanbeassistedbyhealthpersonnelinhealthfacilities.
GRAPH4.7
PERCENTAGEOFDELIVERYOFUNDERFIVEBYBIRTHHELPER
BYTYPEOFAREA,RISKESDAS2010

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Some deliveries carried out by abdominal surgery are because of medical


andpsychologicalreasons.Riskesdas2010notesthat15.3%deliverywascarried
outthroughsurgery.Threehighestprovinceswithdeliverybyabdominalsurgery
wereDKIJakarta(27.2%),RiauIslands(24.7%)andWestSumatera(23.1%).
Age, education, occupation and expenditure per capita of delivery women
are factors affecting choice of delivery by abdominal surgery. Pregnant women
aged>35yearshadrelativelyhighercoverageofdeliverywithabdominalsurgery
(17.1%)comparingtopreganantwomenaged<35years.Womenaged<20years
having abdominal surgery was 11.6%, while women aged 2034 years having
abdominal surgery was 15.2%. Of pregnant women that were primary school
graduates,11.2%hadabdominalsurgeryfortheirlastunderfive,whileofpregnant
women that were junior high school graduates, less than 15% had abdominal
surgery for their last underfive, and of pregnant women that were higher
education graduates, 29.4% had abdominal surgery. Graph 4.8 shows
characteristicsofdeliverybyabdominalsurgery.
Delivery by abdominal surgery was carried out by mothers occupying as
civil servants/armed forces/police/employee (27.1%) and as students (24.8%).
According to expenditure quintile per capita, the higher level of expenditure per
capitaisthehigherpossibilityofabdominalsurgeryfordelivery,withasignificant
differenceofproportion.

78

GRAPH4.8
CHARACTERISTICOFDELIVERYBYABDOMINALSURGERY
OFTHELASTUNDERFIVE,RISKESDAS2010

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

c.PostpartumHealthCare(KF3)
Postpartum health care is standard health service whithin 6 hours to 42
days after delivery by health personnel. For early detection of postpartum
complication, it is important to monitor the examination of postpartum mother
through postpartum visit at least3 times with distribution as follows: 1) 1st visit
(KF1) within 6 hours 3 days after delivery; 2) 2nd visit (KF2) in 2nd week after
delivery; and 3) 3rd visit (KF3) in 6th week after delivery. Postpartum visit is
defined as a contact of postpartum mother to health personnel either inside or
outside of health facility building (includes midwife in village/village maternal
clinic(Polindes)/villagehealthclinic(Poskesdes)danhomevisits.
Thepostpartumcareincludes:1)takingbloodpressure,pulse, respiration
and body temperature; 2) examination of lochia and other vaginam expense; 3)
examining breast condition and suggesting 6month exclusive breastfeeding; 4)
twice (in 2 days) vitamin A 200,000 IU supplement; and 5) Family Planning
service.
Coverageofpostpartumcarein2010was73.48%,whiletargetofcoverage
ofpostpartumvisitbyminimumstandardserviceonhealthin2015is90%.
BaliwastheprovincewiththehighestcoverageofKF3(96.68%).EastJava
(95.82%) and DI Yogyakarta (89.05%) were two provinces on the 2 nd and 3rd
higherposition.From33reportingprovinces,BaliandEastJavahadmettargetof
minimum standard service (SPM) on health in 2015 for postpartum care. Three
provinces with the lowest coverage were Papua (14.21%), Central Sulawesi
(19.52%)andWestPapua(35.78%).
Graph 4.9 below presents percentage of postpartum care by province in
Indonesia.

79

GRAPH4.9
COVERAGEOFPOSTPARTUMCARE(KF3)
BYPROVINCE,2010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

One of postpartum care is Vitamin A. The following Graph 4.10 shows


percentageofpostpartummothergotVitaminAonthelastunderfivedeliveryby
provincein2010.
GRAPH4.10
PERCENTAGEOFPOSTPARTUMMOTHERGOTVITAMINA
ONTHELASTUNDERFIVEDELIVERYBYPROVINCE,2010

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

80

Nationally,postparummothergettingvitaminAwas52.2%,relativelylow
comparingtocoverageofpostpartumcare.Coverageofpostpartummothergetting
vitamin A in Indonesia was less than 70%, it even was less than 50% in 19
provinces.
d.ObstetricandNeonatalComplicationTreatment
High risk or complication is an abnormal condition which directly causes
mother and infant fatalities and mortalities. Obstetric complication includes
premature rupture of membranes, bleeding per vaginam, high blood pressure
(sistole > 140 mmHg, diastole > 90 mmHg) with or without pre tibial oedema,
prematuredelivery,seriousinfection,dystocia(abnormalordifficultdelivery)and
infectionduringpostpartum.
Graph 4.11 presents coverage of obstretic complication treatment by
province in 2010. Average coverage in 2010 was 58.8%. Target of Minimum
Service Standard on health for obstretic complication treatment in 2015 is 80%.
From 33 provinsi, there were only 3 provinces having coverage more than 80%,
those were West Sumatera (84.4%), West Nusa Tenggara (83.2%) and DI
Yogyakarta(82.7%).
GRAPH4.11
COVERAGEOFOBSTRETICCOMPLICATIONTREATMENT
BYPROVINCE,2010

TARGET OF SPM
2015: 80%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Neonatal high risk/complication includes asphyxia, tetanus neonatorum,


sepsis, birth trauma, low birth weight < 2,500 gram, respiratory syndrome and
neonatal abnormalities. Handled neonatal complication is neonatal complication
gettingtreatmentfromskilledhealthpersonnels,thosearedoctorandmidwifein
81

Polindes (village maternal clinic), Puskesmas (health center), maternal clinic and
hospital.
In 2010, coverage of neonatal complication treatment was reported
25.23%, with wide range coverage among provinces from 1.10% to 82.29%.
Meanwhile, target of Minimum Service Standard on health in 2010 is 80%. It
means the coverage in 2010 had not met the target. Description of neonatal
complicationtreatmentbyprovinceispresentedinGraph4.12below.
GRAPH4.12
COVERAGEOFNEONATALCOMPLICATIONTREATMENT
BYPROVINCE,2010

TARGET SPM 2010


80%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

ProvincewiththehighestcoveragewasDIYogyakartawith82.29%andthe
lowestwasSouthSulawesiwith1.10%.Oftotal33provinces,28hadcoverageless
than 50%. This low coverage of neonatal complication treatment requires extra
attentionforitisastrategicsteptodecreaseinfantmortalityrate.
e.NeonatalVisit
Neonatesor028daynewborninfantisanagegrouphavinghighestriskof
healthproblem.Healtheffortstominimizetheriskareprovidingdeliveryassisted
byskilledhealthpersonnelinhealthfacilityandhealthcare duringneonatalvisit
subjecttothestandard.
Riskesdas tahun 2007 notes that most neonate death (78.5%) happened
withinthe1thweekoflife(06day).Consideringthehighriskofdeathwithinthe
1st week of life, every newborn should get more frequent standardized
examination in their 1st week of life to detect whether there is a disease or
abnormalityinordertointervenceassoonaspossibletopreventneonataldeath.
82

Relating to it, in 2008 there is a policy change on neonatal visit from twice (one
within1stweekandonewithin828days)to3times(twicewithin1 stweekoflife).
Therefore,scheduleofneonatalvisitsarewithinageof648hours,37daysand8
28days.
Theneonatalcareinaccordancetostandardonintegratedmanagementof
youngunderfive(ManajemenTerpaduBalitaMudaMTBM)includesexamination
ofvitalsigns,counselingofnewborncareandexclusivebreastfeed,supplementof
Vitamin K1, immunization (if not given at birth), case management and referral,
and promotion of neonatal care at home using Maternal and Child Health Book
(KIA).
Neonatalhealthserviceisdescribedbycoverageofneonatalvisit.Coverage
of1st neonatalvisit(KN1)duetoroutinereportin2010was80%.It hadnotmet
theexpectedtargetof82%.Graph4.13showscoverageof1stneonatalvisit(KN1)
byprovincein2010.
GRAPH4.13
COVERAGEOFNEONATALVISIT(KN1)
BYPROVINCE,2010

TARGET RENSTRA
2010 : 82%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

There were 25 provinces (76%) had met the target of 1st neonatal visit
2010,whichis82%.ThreeprovinceswithhighestcoverageofKN1wereBaliwith
99.23%, Central Java with 98% and East Java with 97%. Three provinces with
lowest coverages were Papua 32.53%, West Papua 42.60% and North Maluku
45.30%.
Trendofcompleteneonatalvisitcoverage(KNcomplete)during20032010
can be seen in Graph 4.14 below. Since 2006 to 2010, coverage of KN complete
tendedtofluctuate.Averagecoveragein2010was71.5%.

83

GRAPH4.14
COVERAGEOFCOMPLETENEONATALVISIT
ININDONESIA,20042010

CompleteNeonatal
Visit:
KN1,KN2

Complete
NeonatalVisit:
KN1,KN2,KN3

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Since2008,therehavebeenchangesonpolicyofvisittime,frompreviously
minimum2visitsinto3visits(socializedin2008).
Provinceshadmet2010targetof80%canbeseeninGraph4.15below.
GRAPH4.15
COVERAGEOFCOMPLETENEONATALVISIT
BYPROVINCEIN2010

RENSTRA TARGET
2010 : 80%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

There were only 13 provinces met KN complete target of 80%. Three


provinces with the highest coverage were Bali with 98.11%, Bangka Belitung
Islands with 95.30% and East Java with 95%, while three provinces with the
lowest coverage were South Sulawesi with 25.10%, West Papua with 31% ans
Papuawith38.20%.
84

f.InfantHealthCare
Infant Health Care is standardized health service to infant provided by
healthpersonnel(physician,midwifeandnurse)forminimum4timesinayear
once within aged 29 days3 months, once within aged 36 months, once within
aged69monthsandoncewithinaged911months.
Thehealthcaretoinfantsincludesbasicimmunization(BCG,DPT/HB13,
Polio 14, and Measles), early stimulation, detection and intervension of infants
growth (SDIDTK) and infant health care promotion. This indicator measures
capabilityofimprovementtoinfantaccesstobasichealthcare,earlydetectionto
abnormality or diseases, health sustainability, disease prevention and infant
qualitylifeimprovement.
In 2010, coverage of infant health care was 84%, while target of strategic
plan(Renstra) 2010 is 84%. Itmeanscoverageofinfanthealth carein 2010had
metthetarget.Therewere26provinces(79%)hadalsometthetarget,anditcan
beseeninGraph4.16.
GRAPH4.16
COVERAGEOFINFANTHEALTHCARE
BYPROVINCE,2010

RENSTRA TARGET
2010 : 84%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

ThreeprovinceswiththehighestcoveragewereBali97%,WestSumatera
96.8% and Central Java 96.7%, while three provinces with the lowest coverage
werePapua32.4%,WestPapua42%andNorthMaluku55.9%.Theachievement
of infant health care is strongly influenced by Posyandu activity in every month,
cadre roles, family participation to carry infant to Posyandu and personnel in
PuskesmastomanagePosyandu.
85

g.UnderfiveHealthCare
Underfive health care is standardized health service to child aged 12 59
months including growth monitoring at least 8 times in a year, development
monitoring at least twice in a year and vitamin A twice in a year (February and
August).
Growthmonitoringisperformedbyweighingthebodyandmeasuringthe
heightinPosyandu,Puskesmas,hospital,midwifeprivatepracticeandotherhealth
facilities.DevelopmentmonitoringisperformedbySDIDTK(stimulation,detection
andearlyinterventionofgrowthanddevelopment)byhealthpersonnel.VitaminA
isgivenbyhealthpersonnelinhealthfacility.
In2010,coverageofunderfive(14yearold)byprovincecanbeseeninthe
followingGraph4.17:
GRAPH4.17
COVERAGEOFUNDERFIVEHEALTHCARE
BYPROVINCEIN2010

RENSTRA TARGET
2010 : 78%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Thoughaveragelycoverageofunderfivehealthcarehadmetthe target,there
were14provinces(42%)havinghadnotmettheRenstratargetof78%in2010yet.
Three highest coverages were by DI Yogyakarta with 97.69%, North Sumatera with
91.81%andDKI Jakarta with89.77%.Onthecontrary,threeprovinceswithlowest
coveragewerePapua,EastNusaTenggaraandWestKalimantan.
Another indicator that is sensitive enough to capture health efforts to
underfive is D/S coverage, which is coverage of weighed to total underfive. The
weighed underfives are assumed having got standardized health services. The
followingiscoverageofweighingunderfive(D/S)byprovince.
86

GRAPH4.18
COVERAGEOFWEIGHINGUNDERFIVE(D/S)
BYPROVINCE,2010

RENSTRA TARGET
2010 : 65%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Target of Renstra on weighing underfive in 2010 is 65%. The average


coverage of weighing underfive in 2010 was 67.87%, which means that target in
2010hadbeenfulfilled.Therewere13provinces(39%)hadmettargetofRenstra
2010. The province with the highest coverage was Aceh (78.3%) and the lowest
wasPapua(30.8%).
h.PrimarySchoolStudentHealthCare
Many sources figure that health problems on school aged children are
getting more complex. At primary school aged children, the health issues usually
relate to healthy and clean life behavior (PHBS), such as brushingteethproperly
and washing hands with soap. Some health problems usually are dental caries,
worminfastation,abnormalrefraction/acuityofvisionandnutritionalproblems.
Therefore,healthdetectiontoprimarystudentsisneeded,andtheindicator
isnumberofprimaryschooldoinghealthdetectiontothe1stgrade.Itissupposed
toimprovehealthqualityofsdcoolagedchildren.
Graph4.19showscoverageofprimaryschooldoinghealthdetectionto1st
gradestudents.Theaveragecoveragewas61.08%.ComparingtotargetofRenstra
in2010(80%),itisstillfarfromthetarget.

87

GRAPH4.19
COVERAGEOFPRIMARYSCHOOLDOINGHEALTHDETECTIONTO1STGRADESTUDENTS
BYPROVINCEIN2010

RENSTRA TARGET
2010 : 80%

Source: DG of Nutrition and Child and Maternal Health, MoH RI

There were only 9provinces(29%)metthetargetof80%.Provincesonthe


three highest positions were East Java (100%), DI Yogyakarta (100%) and Bali
(97.36%),whileprovincesonthethreelowestpositionswereLampung(10.16%),
Papua(12.20%)andCentralSulawesi(12.83%).
2.FamilyPlanningService
According to studies,woman reproductive age is usually between 15 49
years. Therefore, to manage number of births and spacing births, using
contraceptivebecomesthebestpriority.
Achievement status of family planning service is indicated by coverage of
family planning participants who are using/ever used contraceptives, new
participant of family planning, family planning service facility and type of
contraceptivesusedbyacceptors.
The average of family planning active acceptor in 2010 was 75.4%. Three
provinces with the highest coverage were Bengkulu (89.9%), Gorontalo (85.6%)
and Bali (85.3%), and provinces with the lowest coverage were Papua (48.4%),
NorthMaluku(58.2%)andRiauIslands(64%).
Target of minimum service standard (SPM) on health for active family
planningacceptorin2010is70%.Therefore,nationallyithadbeenmetthetarget,
whilebyprovince,therewere7provinceshadnotmetthetarget.
Proportion of married women aged 1549 years who are using/ever used
contraceptivescanbeseeninGraph 4.20below.
88

GRAPH4.20
PERCENTAGEOFMARRIEDWOMENAGED1549YEARWHOAREUSINGCONTRACEPTIVE
BYPROVINCEIN2010

TARGET OF SPM
2010 : 70%

Source: National Family Planning Coordinating Board

Proportion of active family planning acceptor by type of contraceptive in


2010canbeseeninGraph4.21.
GRAPH4.21
PERCENTAGEOFACTIVEFAMILYPLANNINGACCEPTORBYTYPEOFCONTRACEPTIVE
2010

Source: National Family Planning Coordinating Board

In2010,ofactivefamilyplanningacceptor,76.5%mostlyused shortterm
contraceptive, especially injection (47.19%) and pill (26.81%). On the contrary,
23.5% used longterm contraceptive, especially vasectomy (MOP) with 0.68% as
thelowestproportionofcontraceptive.

89

By sex, method of contraceptive used by male are vasectomy ana condom


(assumingthatcondomsaremostlyusedbymale),whilemethodofcontraceptive
usedbyfemaleareinjection,pills,IUD,implantandtubectomy.
Most active family planning acceptor is female with 96,82% and the
remainsismalewith3.18%.Thereisawidegapbetweenfemaleandmaleonthe
participation of using contraceptives. Therefore, efforts to improve male
participationonusingcontraceptiveareneeded.
According to method of contraceptive by province, IUD is mostly used in
Bali,DIYogyakartaandDKIJakarta.Thosethreeprovinceshadcoveragefarabove
thenationalaverageof11.03%.Balihad47.34%,DIYogyakarta had24.57%and
DKIJakartahad21.33%.Meanwhile,provincewithactivefamily planningmostly
used tubectomy was North Sumatera with 7.71%. Percentage of family planning
newacceptorandactiveacceptorbymethodeofcontraceptiveandprovincecanbe
seenonAnnex4.6andAnnex4.8.
Percentage of FP new acceptor service facility during 20072010 is
presentedonGraph4.22below.
GRAPH4.22
PERCENTAGEOFNEWFAMILYPLANNINGACCEPTORBYSERVICEFACILITY
ININDONESIA,20062010

Source: National Family Planning Coordinating Board

BKKBN Datafiguresthatservice facilitiesof newfamilyplanning acceptor


in2010didnothavemanydifferenceswithyearsbefore.Mostnewacceptorsused
government family planing clinic as their service facility (62.16%). In addition,
30.28%newacceptorsusedmidwifeprivatepractice.
Therewere3provincesusinggovernmentfamilyplanningclinicasservice
facility more than 90%. Those provinces were East Nusa Tenggara with 97.92%,
West Sulawesi with 92.46% and West Nusa Tenggara with 90.66%. On the
contrary,inDKIJakarta,BaliandDIYogyakarta,governmentfamilyplanningclinic
was only used by 40%, but private family planning facilities (private family
planning clinic, midwife private practice and physician private practice). Detail
90

new family planning proportion by service facility and province is presented in


Annex4.7.
3.ImmunizationService
Infant and children have higher risk of fatal infectious diseases, such as:
diphteria, tetanus, hepatitis B, typhus, meningitis, pneumonia, etc. Therefore, the
bestandvitalpreventionforthesehighriskgroupsisthroughimmunization.
Thefirsttimebacteria(antigen)entersthebody,asareactionthebodywill
make substances called antibodies. In general, the first reaction of body to make
antibody is not too strong because body has not had experience. At the next
reaction,2nd,3rd,etc,thebodyalreadyhasmemorytorecognizetheantigenthat
the formation of antobody occurs faster and in greater number. It is the reason
why to several diseases considered harmful, immunization or vaccination is
importanttodo.Thisisapreventiontoprotectbodyinfectedbythediseases,orif
gettinginfected,itdoesnotcausefataleffect.
a.BasicImmunization
Infant basic immunization program (5 complete basic immunization)
consists of 1 dosage of BCG, 3 dosages of DPT, 4 dosages of Polio, 4 dosages of
HepatitisBand1dosageofmeasles.
Among kinds of disease that can be prevented by vaccine, measles is the
main cause of underfive death. Therefore, measles prevention is an important
factor to reduce underfive mortality rate. One of some points in International
MeetingonChildissustainingmeaslesvaccinationcoverageof90%.Thistargetis
along with target of strategic planning of Ministry of Health RI, which is 90% in
2014. In ASEAN and SEARO, measles vaccination is given to 911 months infant
andthelastimmunizationseriestoinfant.
In 2010, Indonesia had covered measles immunization 93.61%. It means
Indonesia had met WHO target. Graph 4.23 shows distribution of measles
immunizationcoveragebyprovincein2010.
GRAPH4.23
PERCENTAGEOFMEASLESIMMUNIZATIONACHIEVEMENT
BYPROVINCE,2010

Source: DG of Disease Control and Environmental Health, MoH RI

91

Of33provincesinIndonesia,20provinceshadmetmeaslesimmunization
target90%,10provincescovered80%90%andother4provincescoveredless
than80%.Therewasevenprovincewithcoverage68.34%.Thehighestcoverage
was by Bangka Belitung Islands, Jambi, West Nusa Tenggara and DI Yogyakarta
with each 100%. Meanwhile, three provinces with lowest coverage were West
Papua (68.34%), Papua (71.71%) and West Sumatera (78.31%). Data of basic
immunizationoninfantsbyprovincein2010canbeseeninAnnex4.25.
Riskesdas 2010 notes that infants aged 1223 months getting measles
immunization was 74.4%. Three provinces with highest coverage were DI
Yogyakarta(96.4%),RiauIslands(92.1%)andNorthSulawesi(90%).
Education and expenditure per capita relate to percentage of infants aged
1223monthsgettingcompletebasicimmunization,includingmeasles.Thehigher
education level of head of family is the higher coverage of infants getting
immunization. It is the same situation to expenditure per capita. The higher
expenditurepercapitaisthehigherinfantsgettingbasicimmunization.Therewas
difference of coverage between urban and rural. Percentage of all type basic
immunization in urban was higher than in rural. Table 4.1 will describe this
relation.
TABLE4.1
PERCENTAGEOFCHILDRENAGED1223MONTHSGETTINGBASICIMMUNIZATION
BYRESPONDENTCHARACTERISTIC,2010
Characteristic
Type of Area
Urban
Rural
Education of Head of Family
Not Schooling
Not complete Primary School
Primary School Graduate
Junior High Graduate
Senior High Graduate
Higher Education Graduate
Expenditure per Capita
1st Quintile
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile

BCG

Type of Immunization
Polio4
DPT-HB3

Measles

85.3
70.2

73.4
60.0

67.9
55.9

78.6
70.2

63.9
66.5
73.9
78.9
84.9
91.5

50.9
54.2
62.0
70.2
73.7
80.5

43.7
51.5
56.8
65.2
69.3
74.1

56.3
65.0
69.7
77.5
81.3
85.5

67.9
76.0
81.2
82.3
90.9

54.7
64.5
72.4
73.3
78.8

51.7
59.1
66.9
68.2
72.5

65.0
71.4
77.8
80.8
86.3

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

AchievementofUniversalChildImmunization(UCI)isbasically aproxyto
coverageofcompletebasicimmunizationtoinfants(011months).UCIvillageisa
descriptionofvillage(desa/kelurahan)with80%infantshadgotcompletebasic
immunization in a year. In strategic plan (Renstra) of Ministry of Health 2010
92

2014,UCItargetin2010is80%,whileminimumservicestandard(SPM)setsUCI
targetof100%foreverydistrict/municipalityin2010.
Graph 4.24 presents percentage of UCI village that had not shown
significantimprovementduringthelastsixyears.Thehighestachievementwasin
2005 with 76.23%. Average coverage of UCI village in 2010 was 75.31%. Three
provinces with the highest coverage in 2010 were DI Yogyakarta (100%), Bali
(99.72%) and DKI Jakarta (99.25%), while three provinces with the lowest
coveragewereWestPapua(40.05%),NorthMaluku(50.63%)andAceh(52.67%).
UCIvillageachievementbyprovince20082010isinAnnex4.24.
GRAPH4.24
COVERAGEOFUCIVILLAGE
ININDONESIA,20042010

Source: DG of Disease Control and Environmental Health, MoH RI

Of33provinces,13hadmetRenstratargetin2010thatthecoverageofUCI
village is 80%. There were 6 provinces with coverage <60%, those were Aceh,
Riau,CentralSulawesi,NorthMaluku,WestPapuaandPapua.
Ideally,infantsgetbasicimmunizationbasedontheiragesoitcanoptimize
theimmuneofthebodytofightimmunizationpreventablediseases.Inreality,not
allinfantsgetcompletebasicimmunization.Wecallitasimmunizationdropout.
DPT1Hbisthefirsttypeofvaccinationinjectedtoinfant,whileMeaslesvaccineis
the last vaccination injected to infant. Infants who get Measles vaccination are
assumed having got complete basic immunization. Therefore, immunization drop
out rate can be calculated from percentage of declining measles immunization
coveragetoDPT1Hbcoverage.
Duringthepastfiveyears,nationaldropoutcontinuedtodeacrease,from
9.3%in2005to4.8%in2010.ProvinceswithlowestdropoutratewereJambi,DI
YogyakartaandBengkulu,whileprovinceswithhighestdropoutratewereWest
Papua,SoutheastSulawesiandWestSumatera.

93

DropoutrateofDPTHb1measlesimmunization20062010canbeseenin
Graph 4.25 below, and detail drop out rateof DPTHb1measles immunization in
2010byprovinsiisinAnnex4.28.
GRAPH4.25
DROPOUTOFDPTHb1MEASLESIMMUNIZATIONONINFANTS
ININDONESIA,20062010

Source: DG of Disease Control and Environmental Health, MoH RI

b.ImmunizationtoPregnantWomen
Tetanus is caused by toxin which is produced by Clostridium Tetani
bacteria.Itcaninfectnewborn(TetanusNeonatorum)duringdeliveryorumbilical
cordtreatment.TetanusisonecauseofinfantmortalityinIndonesia.
Many pregnant women live in remote areas with not sterile condition for
delivery.ThisconditiondevelopsriskofTetanustomotherandinfants.
Maternal and Neonatal Tetanus Elimination (MNTE) is a Tetanus
eliminationprogramtoneonatesandeligiblewomen,includingpregnantwomen.
StrategiestoeliminatematernalandNeonatorumTetanusare1)safeandhygienic
delivery assistance; 2) equally distributed and high coverage of regular TT
immunization;and3)surveillance.
Some problems of TT vaccination to eligible women are: not optimum
screening process, recording process started from cohort of reproductive age
women(bothpregnantandnotpregnantproductiveagewomen)hasnotthesame
yet,andcoverageofTT2immunizationtopregnantwomenislowerthancoverage
of4thvisit(K4).
In 2010, three provinces with highest coverage of pregnant women got
TT2+ immunization were Bali (103.44%), West Java (90.08%) and Banten
(89.19%),whileprovincewiththelowestcoveragewasEastJava(27.64%).
Graph4.26showsthatcoverageofTT2immunization20032007tendedto
decrease. Since the last 4 years, coverage of TT2 immunization increased from
26% in2007to70%in2010.Itbecomes thehighest coveragesince thelast five
years.

94

GRAPH4.26
COVERAGEOFTT2+IMMUNIZATIONTOPREGNANTWOMENININDONESIA
20032010

Source: DG of Disease Control and Environmental Health, MoH RI

Riskesdas 2010 notes that nationally 47.2% pregnant women got TT


immunizationforatleasttwiceduringpregnancy.Itrangesfrom22.8%to71.4%.
Fromtotal33provinces, 3provinceshadcoverage morethan70%, North
Sulawesi, Central Kalimantan and Maluku, 12 provinces had 50%70% and the
remains had <50%. By type of area, coverage of TT2+ immunization to pregnant
motherinruralwasslightlyhigher(49.8%)thaninurban(44.9%).Percentageof
womengotTTduringpregnancyoftheirlastchildbyprovincebasedonRiskesdas
2010canbeseeninAnnex4.31.
Some important efforts are socialization to all officer referring to quality
Antenatal Care (ANC), such as TT immunization, and T1T5 recordings in TT
immunizationtomarriedwomenaged1549yearsandpregnantwomen.
4.DrugAvailability
Program to increase the availability of drugs and vaccines is implemented
asamandatesetforthinPresidentialInstruction(Inpres)No.3/2010concerning
JusticeDevelopmentProgram(ProgramPembangunanyangBerkeadilan).Drugor
medicineisonebasicneedindevelopingcommunityhealthstatusandpublicgood
that its availability needs to be guaranteed to meet health service. In order to
support the program, buffer stock of drug should be held to ensure drug
availability,equityofservice,thequalityofdrugandmedicalsuppliestopublic.
In planning and preparing needs of drugs for buffer stock, data of needs
fromdistrict/municipalityisrequired.Forthecalculation,drugshouldbeavailable
foratleast18months,assuming12monthsfordrugneedsinonefiscalyearand6
monthsforwaitingsessionuntilrpocurementinthenextfiscalyear.Listofdrugs
attached to calculation includes 135 types of drugs and 9 types of vaccine
recapitulatedperdistrict/municipalityin33provinces.
95

Annex 4.43 and Annex 4.44 show drugs need by 144 types of drug and
availability level. From those 144 types of drug and vaccine, there were only 8
types of drug had availability of 50% and more. Other 134 had less than 50%.
Highest percentage of drug availability was on Polivalen injection Antisnack
venom Serum 50ml (ABU II) with 77%, while other drugs and vaccines had the
availability<60%.TargetofMoHstrategicplanning(renstra)fordrugavailability
in 2010 is 80%. Eight types of drug met the availability of 50% are Polivalen
injection Antisnack venom Serum 50ml (ABU II), antiparkinson DOEN tablet
combination: Karbidopa 25 mg + Levodopa 250 mg, Fenobarbital tablet 30 mg,
Ketamine Injection 10 mg/ml, Chlorpromazine Injection i.m 5 mg/ml2ml (HCL),
MagnesiumSulfateinj(IV)20%25ml,Primaquinetablet15mg,Reserpinetablet
0.10mgandTrihexyphenidyltablet2mg.

B.REFERRALHEALTHCARE
Some main activities of individual health efforts are improvements of
referralsevices,healthserviceforpoorpeopleof3 rdclassinhospital,coverageof
emergencycare,etc.
1. HealthServiceIndicatorinHospital
Successofhospitalservicesisindicatedthroughfacilitiesutilization,service
quality and efficiency. Some standardized indicators related to health service in
monitoredhospitalincludehospitalbedutilizationorBedOccupancyRate(BOR),
averagelength ofdaycareorLength ofStay(LOS),averagebeduseorBedTurn
Over(BTO),averageintervalofbedusageorTurnOverInterval(TOI),percentage
of dead patient discharge or Gross Death Rate (GDR) and percentage of patient
dischargethatdiedafter48hoursofcareorNetDeathRate(NDR).
According to DG of Health Efforts, BOR in general hospital (managed by
MinistryofHealthandlocalgovernment)until2009tendedtoincrease,although
during20032006Indonesiahadnotmettheidealpercentage(6085%).In2007
and 2008, national BOR met the ideal target, but then in 2009 it significantly
decreased from 79.8% in 2008 to 58.7% in 2009. From 33 provinces, only 17
provinces met the ideal BOR, and no province had BOR more than 85%. Data on
thebedutilizationinhospitalsmanagedbyprivate,Indonesianarmedforcesand
stateownedenterprisearenotavailable.
BTOorBedTurnOverisfrequenceofbedutilizationinoneperiod(usually
one year),how many times beds are used within one cetain time unit. Ideally, in
oneyear,onebedisaveragelyused4050times.In2009,BTOinhospitalhadnot
met ideal target, with only 25 times. For the last 2 years, BTO in Indonesia was
usually between 4050 times. In 2009, from 31 reporting provinces, only 2
provinceshadidealBTO,thosewereBali(45.7times)andJambi(43.4times).
96

Bed utilization in hospital since 20032009 can be seen in Graph 4.27


below.
GRAPH4.27
ACIEVEMENTOFBORANDBTOINGOVERNMENTHOSPITALS
ININDONESIA,20032009

Source: DG of Medical Care, MoH RI

Remarks:
BOR = Bed Occupation Rate
BTO = Bed Turn Over

LOS or Length of Stayis average of patient stay in hospital. This indicator


describes not only efficiency level but also service quality. When it is applied on
certain diagnosis, it can be something that need to be observed. In general, the
ideal LOS is 69 days. Graph 4.28 shows national average LOS during 20032009
ranging from 45.3 days (had not met the ideal target). By province, West
KalimantanhadthehighestLOSwith5.6days,andBangkaBelitungIslandshadthe
lowestLOSwith3.1days.
GRAPH4.28
ACHIEVEMENTOFLOSANDTOIINHOSPITALSININDONESIA
20032009

Source: DG of Medical Care, MoH RI

Remarks
LOS = Length of Stay
TOI = Turn over Interval

97

OtherindicatorofhospitalserviceisTOI.TurnoverIntervalisaverageday
whenhospitalbedisunoccupied,countedfromthelastusagetoreused(average
length of unoccupied bed from one patient to the next one). Ideally, the bed is
unoccupiedonlyfor13days.During20032009,TOIinhospitalrangedfrom2.9
6.3days.Onlyin2007and2008ithadtheidealof13days.In2009,TOIofbedsin
Indonesiahadintervalof6.3daysunocupied.Byprovince,onlyBali(2days)and
Jambi(2.6days)hadtheidealTOI.
GDR or Gross Death Rate is adalah a general death rate for every 1000
dischargedpatientsfromahospital.Itdoesnotconsiderhowmanydaysapatient
stays in hospital from the first day to death. The ideal GDR is < 45 per 1,000
discharged patients. In 2010, GDR in Indonesia was 38.8 deaths per 1000
dischargedpatients.From31reportingprovinces,6provinceshadGDR>45per
1000discharged patients,thosewereWestSulawesi(62),West Sumatera(58.1),
SouthSulawesi(48.9),Maluku(48.2),DIYogyakarta(46)andRiau(45.1).
GRAPH4.29
ACHIEVEMENTOFGDRANDNDRPER1000DISCHARGEDPATIENTSINHOSPITAL
ININDONESIA,20052010

Source: DG of Medical Care, MoH RI

Remarks:
NDR = Net Death Rate (per 1000 discharged patients)
GDR = Gross Death Rate (per 1000 discharged patients)

NDRorNetDeathRateismortalityrateofpatientsaftertreated48hours
per1,000dischargedpatients.Thisindicatordescribesqualityserviceinhospitals.
It is assumed that if a patient dies after treated 48 hours, it might be hospital
service factor related to patients death. But if a patient dies less than 48 hours
treatment, it could be mainly caused by the delays of patient coming to hospital.
TheidealNDRis<25per1,000dischargedpatients.Since20052010,NDRranged
from1823.6per1000dischargedpatients.Therefore,NDRinIndonesiahadmet
theidealtarget<25per1000dischargedpatients.

98

2.CommunityHealthInsurance
The purpose of Jamkesmas (community health insurance) is to improve
accessandqualityofhealthservicetopoorandalmostpoorcommunityinorderto
achieve optimum community health status efficiently and effectively. This health
insurance is expected to reduce maternal mortality rate, infant and underfive
mortalityratesaswellasbirthsrateandprovidehealthproblemtreatmenttopoor
people generally. This program has been running for five years and providing
advantages to improvement of health service access to poor and almost poor
communityinhealthcenteranditsnetworkaswellasinhospital.
Jamkesmas2010isacontinuationoftheimplementationin2009torefine
and improve aspects of participation, health service, funding and organizational
management. It is manged in Jamkesmas Guideline (Pedoman Pelaksanaan
Jamkesmas)throughHealthMinisterialDecreeNo:686/Menkes/SK/VI/2010on2
Juei2010.
Jamkesmas 2010 membership covered 76,400,000 poor and almost poor
people, which 73,726,290 memberships included in Regent/Mayor Decree (SK)
and the remain 2,673,710 memberships, such as homeless, vagrant, beggar, waif
children,socialinstitution,prisoners,disastervictimsonpostdisasteremergency
response, member of Program Keluarga Harapan (PKH), etc included in non
Regent/MayorDecree(SK).
Since2005to2007,targetofJamkesmas(totalnumberofpoorandalmost
poorpeople)had been increasing, except in 20072010 the target is 76.4 million
people.ProvinceswiththebiggesttargetareCentralJava,WestJavaandEastJava.
Graph4.30showsrealizationofhealthinsuranceprogram20052010.
GRAPH4.30
REALIZATIONOFJPKMPROGRAM
20052010

Souce:CenterforManagedCare,MoHRI

99

In 2010, there were 36.23 million visits of Jamkesmas member to


outpatient health servis, including 31.49 million visits of 1 st level outpatient care
and4.74millionvisits ofadvancedoutpatientcare.Numberof outpatientvisitin
2010 was relatively higher than previous years. In 2010, inpatient care of
Jamkesmas member reached 2.1 million visits, including 1.19 milions of 1st level
inpatientcareand0.91millionsofadvancedinpatientcare.
By age group, the most Jamkesmas member is teens (age of 1115 years,
numbered 10.22%), then it propotionally decreased in older age group, and
increasedinagegroup76years (2.97%),asshowninGraph4.31.Itshowsthat
Jamkesmas covers protection to highrisk and susceptible age group on health.
TargetsofMDGsonhealth,suchaspregnantwomen,infants,underfiveandelderly
ofpoorandalmostpoorpeople,havebeenprotectedandensuredbygovernment
togethealthinsurancethroughJamkesmasProgram.
GRAPH4.31
NUMBEROFJAMKESMASMEMBERBYAGEGROUPANDSEX
IN2010

Souce:CenterforManagedCare,MoHRI

By sex, there is no significant difference of Jamkesmas members. The


greatest difference of proportion occurred on age group of 7174 years with 9%
differenceandonagegroupof75yearswith8%.

C.DISEASESCONTROLANDPREVENTION
1.PolioControl
The41stWHA(WorldHealthAssembly),1988attendedbyhealthministers
of WHO member states, declared global polio eradication initiative to eradicate
polio in 2000. This initiative is then supported by World Summit for Children in
1989, where Indonesia was also the signatory. The eradication is not only to
preventPoliobutalsomeanswider,whichistocuttransmissionofwildpoliovirus
intheworld.
100

PolioEradicationisaconditionwhereindigenouswildpoliovirusnotfound
for 3 years in a row on certain region, proved by AFP surveillance based on
sertificationstandard.BackgroundsofPolioEradicationare:
1.
2.
3.
4.

Humanistheonlyreservoirandnolongtermcarrieronhuman.
Polioviruscannotsurviveinenvironment.
Availabilityofvaccinewhichis>90%effectiveandeasilygiven.
Operationallyapplicability.

Duringthepast10years,thereisnoAFPcaseofwildpoliovirusfoundin
Indonesia. AFP surveillance has been conducted in Indonesia since the middle of
1995. By 2002, the achievement kept fluctuating, but it started to indicate
significantimprovementsincesurveillanceofficerisavailableinprovince.
Polio control and prevention have been implemented through polio
immunization. It is then followed by epidemiologic surveillance actively to Acute
Flaccid Paralysis (AFP) cases on age group <15 years in certain period to detect
possibility of wild polio virus in community throughfecal specimen of AFP cases
found. AFP surveillance to population aged < 15 years during 20032010
nationallygivesdescriptionasinGraph4.32below.
GRAPH4.32
PERCENTAGEOFADEQUATESPECIMENDISPATCH
ANDNONPOLIOAFPRATE,20032010

Source: DG of Disease Control and Environmental Health, MoH RI

EveryAFPcasefoundinsurveillanceintensificationwillbereferredtofecal
specimenexaminationtodetectwildpoliovirusincommunity.Graph4.32shows
that percentage of adequate specimen dispatched for polio virus detection was
increased.Therefore,thedetectionresultbecamemorerepresentativetothereal
condition.
TargetofnonPolioAFPratehasbeensetto2per100,000childrenaged
<15years,andtargetofadequatespecimenstandardis>80%,whichmeansthat
minimum80%fecalspecimenmustbetakeninaccordancewiththerequirements
of 14 days after paralysis, and when specimen arrive at laboratory, its
101

temperature must be between 08C. Therefore, since 2003 to 2010, adequate


specimenhasmetWHOtarget,exceptin2006with79.10%.
Provinces having met WHO target of non polio AFP rate 2 per 100,000
childrenaged<15yearsandadequatespecimenarepresentedinGraph4.33.
BY PROVINCE, 2010

GRAPH 4.33a

GRAPH 4.33b
PERCENTAGE OF ADEQUATE SPECIMENT DISPATCH
BY PROVINCE, 2010

Source: DG of Disease Control and Environmental


Health, MoH RI

Source: DG of Disease Control and Environmental Health,


MoH RI

NON POLIO AFP RATE / 100,000 CHILDREN AGED < 15 YEARS

2.PulmonaryTuberculosis
Four main purposes of Pulmonary TB control in Millenium Development
Goals (MDGs) are: 1) to reduce incidence rate of Pulmonary TB by 2015; 2) to
halveprevalenceanddeathrateby2015,comparingto1990;3)todetectandcure
at least 70% cases of Pulmonary TB AFB+ with DOTS (Directly Observed
TreatmentShortcourseChemotherapy);and4)atleast85%ofsuccesrate.
DOTSisashortcoursePulmonaryTBtherapywithdirectobservation.This
therapy should accelerate the healing process. It emphasizes on the important of
observingdirectlythepatienttotakemedicinesintherightcombinantionforthe
the correct duration until successfully healed. DOTS strategy contributes high
success rate, rising to 95%. This strategy is recommended globally by WHO to
controlPulmonaryTB.

a. ProportionofPulmonaryTuberculosisAFB+toExaminedSuspectCase

Government efforts to control pulmonary TB in every year significantly


showsprogress,and it isindicated bytheincreasingofcases detectedandcured
everyyear.
Subjecttothetarget,percentageofPulmonaryTBAFB+isestimated10%of
suspect cases in community with tolerating rate between 515%. When the
percentageislower(<5%),itmightbecausedbyloosesuspectdetection,suchas
many cases do not meet suspect criteria, or many mistakes occur in laboratory
examination (fake negative result). On the contrary, when the percentage is too
high(>15%),itcouldbebecauseoftoostrictdetectionprocessorerrorsduring
laboratory examination (fake negative result). Therefore, since 20052010
pecentageofAFB+tosuspectcaseswasstillwithinthetolerablelimit.Itmeansthe
criteria to detect suspect case has been good enough and the health personnels
coulddiagnoseAFB+casesbasedonstandard.
102

Graph 4.3 shows percentage of pulmonary TB AFB+ to pulmonary TB


suspect cases from 20052010. For the last six years, the highest percentage of
pulmonaryTBAFB+topulmonaryTBsuspectcaseswasin2005with13.01%and
thelowestwasin2008with10.5%.
GRAPH4.34
PERCENTAGEOFAFB+TOSUSPECTCASES
20052010

Source: DG of Disease Control and Environmental Health, MoH RI

ProportionofpulmonaryTBAFB+toexaminedsuspectcasesbyprovincein
2010ispresentedinGraph4.35.
GRAPH4.35
PERCENTAGEOFPULMONARYTBAFB+TOSPUTUMEXAMINEDSUSPECTCASES
BYPROVINCE,2010

Source: DG of Disease Control and Environmental Health, MoH RI

There were 30 provinces with percentage 515%, while 3 provinces had


percentage>15%,thosewereNorthMaluku,RiauIslandsandDKIJakarta.
b.CaseDetectionRate(CDR)andSuccessRate(SR)

Case detection rate indicates detection of pulmonary TB AFB+ to suspected


cases. Gambar 4.36 shows tendency of case detection rate. During 20002010, CDR
103

has increased significantly from 20% in 2000 to78.3%in2010,whichisthehighest


achievementforthelast11years.Meanwhile,standardofTBcasedetection(CDR)
is70%.Therefore,since2006to2010(except2007)Indonesiahadmetthetarget
andmaintainedtheposition.Targetofstrategicplans(Renstra)oncasedetection
indicator in 2010 is 73%. It means national achievement in 2010, which was
78.3%,hadmetthetarget.
GRAPH4.36
PERCENTAGEOFCASEDETECTIONRATEANDSUCCESSRATEOFPULMONARYTB
ININDONESIA,20002010

Source: DG of Disease Control and Environmental Health, MoH RI

ThesuccessofTBtherapyisindicatedbytheobedienceandregularityon
treatment, physical and laboratory check up. Success rate during 20002009 has
metWHOSRtargetofminimum85%,andevenin2009itreached91.2%.
Success Rate of TB therapy in 2010 (patient in 2009) by province is
presentedingraphbelow.
GRAPH4.37
PERCENTAGEOFSUCCESSRATEOFPULMONARYTB
BYPROVINCEIN2010(TREATMENTIN2009)

TARGET OF SUCCESS
RATE : 85%

Source: DG of Disease Control and Environmental Health, MoH RI

104

There were 27 of 33 provinces (82%) with treated patients of 2009 got


success rate 85% in 2010. Three provinces with the highest SR were Maluku
(96.9%), North Sulawesi (96.1%) and North Sumatera (96.1%). The remaining 6
provinces having not met the SR target of 85% were West Papua, Papua, Riau
Islands,Riau,DIYogyakartaandNorthMaluku.
3.AcuteRespiratoryInfection(ARI)Control
Acute Respiratory Infection (ARI) is the most death cause on infant and
underfive. This is the mortality survey of ARI subdirectorate in 2005 in 10
provincesmentioningthatwith22.30%(ofallinfantdeaths)pneumoniawasthe
mostcauseofdeathoninfantsinIndonesia.Pneumoniawasalsothemaincauseof
death on underfives with 23.60%. Mortality study in Riskesdas 2007 indicates
proportion of infant mortality (post neonatal) caused by pneumonia was 23.8%
andofunderfivesmortalitywas15.5%.
ARI control program (P2 ISPA) determines ARI into pneumonia and not
pneumonia. Pneumonia is cathegorized by serious level into severe pneumonia
and non severe pneumonia. Coughcold diseases such as rynitis, pharyngitis,
tonsillitis and other upper respiratory infections are cathegorized as not
pneumonia.Etiologyofthoseupperrespiratoryinfectionsmostlyarevirusanddo
notneedantibiotictherapy.PharyngitisbyStreptococcusisrarelyfoundinunder
fives,butwhenitisfound,itmustbetreatedwithpenicillin.Allacuteearrelated
inflammationsmustgetantibiotic.
ARI control program (P2 ISPA) determines all cases found should be
managed due to the standard. Therefore, ARI case detection also represents ARI
casemanagement.
Nationally,pneumoniadetectionrateonunderfiveshasnotmet thetarget
aspresentedinGraph4.38below.
GRAPH4.38
COVERAGEOFPNEUMONIACASEDETECTIONONUNDERFIVE
ININDONESIA,20052010

Source: DG of Disease Control and Environmental Health, MoH RI

105

Average coverage of pneumonia case detection on underfive in 2010 was


23%,whichmeansstillfarfromtargetof2010with60%.Threeprovinceswiththe
highestcoveragewereWestNusaTenggara(64.49%),SouthKalimantan(49.60%)
andWestJava(48.65%).
Since 2005 to 2010, coverage of pneumonia case detection had been low.
Someproblemsappearduringeffortsofrisingunderfivepneumoniadetectionin
HealthCenter,asfollow:
a. Most program management and ARI officer in polyclinic have not been
trainedbecauseoflimitedbudgetandhighmutationofofficers.
b. Datamanajemen:
Under reported because of the confusion between diagnosis and
classification of ARI (Pneumonia, Serious Pneumonia, cough non
Pneumonia/commonARI),thattherearemanypneumoniacasesclassified
ascommonARI.
Delayofstagedreporting
c. Control of underfive pneumonia is still health centerbase, and pneumonia
cases have not covered cases in hospitals (government and private), clinic,
privatepracticeandotherhealthfacilities.
d. Indistrictsandprovinces,calculationerrorsofcoveragetargetarestilloften
found.
4.HIV/AIDSandSTI(SexuallyTransmittedInfection)Control
Health services of HIV/AIDS control are for treating cases found and also
focusedonthepreventioneffortsthroughearlycasedetectionandcounseling.
Case detection is managed by HIV/AIDS sceening to blood donor and
monitoring highrisk of STI, such as sex workers, IDUs, prisoners, and even the
lowriskgroupashousewives,etc.TheHIV/AIDSsurveillancesduringpastseven
yearsarepresentedonTabel4.2below.
TABLE4.2
CASEDETECTIONOFHIV/AIDSININDONESIA
20032010
Year

2003
2004
2005
2006
2007
2008
2009
2010

HIV Positive
Per
year
168
649
875
986
836

Cummulative
2,720
3,369
4,244
5,230
6,066
6,015

AIDS Positive
Per
year
316
1,195
2,638
2,873
2,947
4,969
3,863
4,158

Cummulative
1,487
2,682
5,321
8,194
11,141
16,110
19,973
24,131

Source: DG of Disease Control and Environmental Health, MoH RI

106

Death (AIDS Positive)


Per
year
261
361
592
539
498
993
484
693

Cummulative
479
740
1,332
1,871
2,369
3,362
3,846
4,539

ThedevelopmentofdiseasesfrompositiveHIVtoAIDSisusuallyknownas
window period (periode jendela), which is 12 weeks after virus get inside the
bodyuntiltheformationofantibody.Misunderstandingoftenoccurswhenstating
ofnotinfectedbyHIVvirus(theexaminationnot/hasnotdetectantibody)while
actuallythiswindowperiodisverypotentialintransmittingvirus,andthisvirusis
spreadingveryfast.Forthisgroup,reexaminationissuggestedtoberepeatedon
thenext12week.
5.DengueHemorrhagicFever(DHF)Control
DengueHemorrhagicFever(DHF)isonediseasewhichspreadsfastandcan
cause death in short time. It is a communicable disease and often occurring as
outbreakinIndonesia.
MethodstopreventDHFconsistof:1)improvementofdiseaseandvector
surveillance;2)earlydiagnosisandtreatment;and3)improvementofDHFvector
elimination. These methods emphasize activation of public potency to involve in
mosquitonestelimination(PSN)andregularlarvamonitoring.ThesuccessofPSN
program is indicated with Free Larva Rate (ABJ) as a measurement of vector
elimination.
ThemostappropriatemethodtopreventDHFismosquitonestelimination
(PSN) through 3M plus movement (draining water reservoir, closing water
reservoir, burying unused things that can keep water) plus pouring larvasida,
placingfishinwaterreservoirandotheractivitiesthatcanpreventfrom/destroy
AedesAegyptibreed.
FreeLarvaRate(ABJ)isameasurementofvectoreliminationthroughPSN
3M which indicates people participation in preventing DHF. Thus, community
awarebasedDHFeliminationisonenewalternativeapproachtoeliminateDHF.
Vectorsurveillanceisappliedthroughlarvamonitorbyhealthpersonnelor
skilled larva monitoring worker (Jumantik/Kamantik). Gradual development of
vector surveillance system should be implemented, especially due to case
distribution and climate changes. Since 2004, only some provinces reported ABJ
databecausethegraduallarvamonitoring(PJB)programhasnotbeenapriorityin
mostareas.
Since 2004 a local sociocultural approachment is implemented, which is a
method of communication/message affecting behavior changes in the
implementationofPSN(CommunicationforBehavioralImpact/COMBImethod).In
2007,PSNwithCOMBImethodwasimplementedin4(four)cities:SouthJakarta,
East Jakarta, Padang and DI Yogyakarta. In 2008, it was implemented in 5 (five)
district/cities:SouthJakarta,BandungCity,TangerangDistrict,SemarangCityand
Surabaya City. In 2009, it was implemented in 5 cities: Bekasi, Depok, Bogor,
107

Batam and Mataram. In 2010, it was implemented in 5 cities: Samarinda,


Pontianak,MetroLampung,DenpasarandManado.
Free Larva Rate (ABJ) in 20052010 which is monitored in 5 cities is
presentedinGraph4.39below.
GRAPH4.39
FREELARVARATEININDONESIA
20052010

TARGET 2010 60%

Source: DG of Disease Control and Environmental Health, MoH RI

Graph4.39figuresfreelarvaratein2009decreased,butincreasedin2010
to81.4%.Itmeansthecoveragein2010hasmetthetargetof2010(60%).This
is a result of reports/survey only in some cities and not representing awhole
Indonesia. Therefore, optimalization/revitalization of Gradual Larva Detecting in
allhealthcentersinIndonesiashouldbeimplemented.
6.MalariaControl
TherisingofmalariacasesandoutbreakinIndonesiahascloserelationship
with thesefactors: 1)environemental change which extends malaria vector nest;
2)highpopulationmobility;3)climatechangewhichmakesrainyseasonislonger
than dry season; 4) prolonged economic crisis increasing number of
undernutrition community that they are more risky of malaria infection; 5)
ineffective therapy because of resistance of Plasmodium falciparum to klorokuin
and extended resistance area; and 6) less concern and awareness of people to
integratedmalariaeliminationprogram.
Malaria eradication is promoted by social movement known as Gebrak
Malaria or fight back malaria movement that was initiated in 2000. It is an
embryo of malaria control partnership to other sectors with slogan of Ayo
BerantasMalaria(letsfightmalaria).
Malaria control in Indonesia is included in Health Ministerial Decree No.
293/MENKES/SK/IV/2009 on 28 April 2009 about Malaria Elimination in
Indonesiawhichpusposestodevelophealthylivepeopleandgraduallyfreepeople
frommalariatransmissionby2030.Targetofmalariaeliminationisasfollow:
108

a. SeribuIslands(DKIJakartaProvince),BaliIslandandBatamIslandin2010;
b. JavaIsland,AcehProvinceandRiauIslandsProvincein2015;
c. Sumatera Islands (exclude Aceh and Riau Islands Provinces), West Nusa
TenggaraProvince,KalimantanIslandandSulawesiIslandin2020;and
d. Papua,WestPapua,Maluku,EastNusaTenggaraandNorthMalukuin2030.
e. PercentageofTreatedMalaria

Percentage of treated malaria is a percentage of malaria case getting


standardtreatmentinoneyearcomparedtosuspectand/orpositivemalariacare
whichcomestohealthfacility.
Percentageoftreatedmalariacasessince2003to2010was100%.Itmeans
all suspect and/or positive malaria cases which went to health facilities got
standardtreatment.
f.

AchievementofBloodSupplyExamination(LaboratoryConfirmation)

According to coverage of laboratory confirmation, not all blood supply of


malariaclinicalcaseswereexamined.During 2000-2010 percentage of blood supply
examination comparing to ckinical malaria cases tended to increase significantly. In
2005, it was 47%, increasing to 63% in 2010. Coverage of malaria
microcospic/laboratory confirmation during 20052010 is presented in Graph
4.40.
GRAPH4.40
COVERAGEOFMALARIAMICROCOSPIC/LABORATORYCONFIRMATION
20052010

Source: DG of Disease Control and Environmental Health, MoH RI

7.LeprosyControl
To evaluate personnel performance in leprosy case detection, it uses
propotion rate of physical defect case at second level (due to neurogical damage
andvisiblehandicapped).Thehighrateofsecondlevelphysicaldefectproportion
indicates the delay in detecting cases, in other words, the low performance of
personnelindetectingcasesandlackofpeoplesknowledge.
109

Secondlevel physical defect case during 20042007 was relatively stable


(8.6%8.7%), but in 20082010 it gradually increased to 10.79% (in 2010), as
shown in Table 4.3. Proporsion of secondlevel physical defect by 2010 had not
metthetargetof<5%.Itmeansthetransmissionstilloccurredincommunity,and
cases were lately detected since when they were found they had already had
secondlevelphysicaldefect.
TABLE4.3
POPULATIONEXAMINATION,NEWCASEDETECTIONRATE(NCDR)
AND2ndLEVELPHYSICALDEFECTININDONESIA,20042010
PositiveSuspect

NCDR

2ndLevel
PhysicalDefect
(%)

Year

PB

MB

(per100,000population)

2004

3,615

12,957

7.8

8.6

2005

4,056

15,639

8.9

8.7

2006

3,550

14,750

8.3

8.6

2007

3,643

14,083

7.8

8.6

2008

3,113

14,328

7.41

9.6

2009

2,958

14,277

7.1

10.27

2010

3,278

13,734

7.22

10.71

Source: DG of Disease Control and Environmental Health, MoH RI


Remarks : MB = Multi Basiller, PB = Pausi Basiller, NCDR = New Case Detection Rate

8.FilariasisControl

Filariasis (usually called as elephantiasis) spreads almost thoughout


provinces in Indonesia. Filariasis elimination program is established based on
WHO Global 2000 The Global Goal of Elimination of Lymphatic Filariasis as a
Public Health Problem the year 2020 as realization of WHA (World Health
Assembly)resolutionin1997.
Thiseliminationprogramisimplementedthrough2pillars:
1. Mass Drug Administration (MDA) to all people in filariasis endemic districts
usingDEC6mg/kgBBcombinedwithAlbendazole400mgonceayearfor5
yearsinordertocutthetransmission.
2. Case management of filariasis clinical cases to prevent and reduce physical
defect.
Since 2005, Implementation Unit (IU) used in Filariasis Elimination
Program is district/municipality. It means the smallest area in this program is
district/municipality, both for endemicity determination and mass drug
administration.Whenadistrict/municipalityhasbeenafilariasisendemic,target
ofmassdrugadministrationcoversallresidentsofthedistrict/municipality.They
have to take medicine, but it is temporarily delayed for children undertwo (2)
years, pregnant woman, people with serious illness, filariasis chronic patient in
acuteattackandmarasmus/kwashiorkorunderfive.
110

Managementoffilariasisclinicalcasesshouldbeimplementedinallcases.It
haspurposestopreventorreducephysicaldefectandmotivate thepatienttodo
selfcare.Everycasehastheirownmedicalrecordinhealthcenterandgetshealth
personnel visit at least 6 times a year. Percentage of filariasis clinical case
management20052010canbeseeninGraph4.41.
GRFAPH 4.41
PERCENTAGE OF FILARIASIS CLINICAL CASE MANAGEMENT
2005-2010

Source: DG of Disease Control and Environmental Health, MoH RI

Activities of filariasis clinical case management tended to increase from


year to year. In 2010 the management increased to 5,170 cases(43.2%). Forthe
nextyears,itistargetedtoincreaseinto90%.
Not all dastricts/municipalities could implement MDA with all population
as the target. It is caused by, for example, high operational cost and not all local
governmenthadthecommitment.
GRAPH4.42
NUMBEROFDISTRICTSWITHFILARIASISDRUGADMINISTRATION(MDA)
ININDONESIA,20052010

Source: DG of Disease Control and Environmental Health, MoH RI

Since2005,numberofdistricts/municipalitiesimplementingMDAfilariasis
tended to increase every year, but in 2010 it decreased to only 88
111

districts/municipalities (25%) of filariasis endemic districts/municipalities. The


decreasingwascausedbynotavailableoperationalcostofMDA filariasisinlocal
areaanddelayofmedicinearrivalindistricts/municipalities.
Distribution of districts/municipalities of filariasis endemic, implementing
MDAandsuccessfullyimplementedMDAcanbeseeninGraph4.43below.
GRAPH4.43
DISTRICTS/MUNICIPALITIESOFENDEMICFILARIASISIMPLEMENTINGMDA
ININDONESIA,2010

Source: DG of Disease Control and Environmental Health, MoH RI

CoverageofMDAfilariasisinIndonesia20052010isprinGraph4.44.
GRAPH4.44
COVERAGEOFMDAFILARIASIS
ININDONESIA,20052010

Source: DG of Disease Control and Environmental Health, MoH RI

In 2010, MDA target was 56 millions people, while the realization only
covered22,052,622(39.4%).Itdecreasedfrompreviousyears,asshowninGraph
4.41, because the delay of medicine procurement and distribution process.
Therefore, continuous advocacy to stakeholders in districts/municipalities is
neededinordertogetcommitmentandsustainablebudgetallocationtomeetthe
goaloffilariasiseliminationinIndonesiain2020.

112

9.VectorSurveillance
One thing that must be always concerned in vector control is monitoring
vector resistance to insecticide which could be used as a reference of health
officesandtechnicalunits(UPT)forvectorcontrolpolicyinthefield.
Vector control managed by private sector and domestic use of insecticide
are two separate problems that can not be ignored because the uses are not
monitoredandwouldbeabletoacceleratethevectorresistance.Today,thevector
controlisidenticaltoinsecticideuse,thoughothermethodsareimportantalsoto
beconsidered.Thisconditionneedsmonitoringandcontroltoinsecticideuseto
keeptheresulteffective.
Health Ministerial Decree No.: 374/Menkes/Per/III/2010 concerning
vector control covers integrated vector control guideline (PVT), vector
surveillanceandtools,andvectorcontrolandtools.Integratedvectorcontrolisan
approach combining some vector control methods based on considerasion of
security,rationalityandeffectivenessaswellassustainability.
SubDirectorateofVectorControlhadformedExpertCommission(KOMLI).
KOMLI of vector control is a group of experts on epidemiology, environment,
chemical, entomology, health human resources and vector control tools. It is an
independentorganizationthathasafunctiontogivecontribution,suggestionand
considerationsonvectorcontrol.
One indicator of strategic planning in 2010 is percentage of
district/municipalityimplementingvectormapping.Resultby2010covered120
districts/municipalities mapping the vector (26.09%). It is still below target of
30%.
A. MalariaVectorSurveillanceandMonitoring
SusceptibilityTesting
GRAPH4.45
MONITORINGOFMALARIAVECTORSUSCEPTIBILITY
20072010

Source: DG of Disease Control and Environmental Health, MoH RI

113

Monitoring of malaria vector susceptibility from 20072010 is shown in


Graph 4.45, describing areas tolerant to insecticide which is used in malaria
control. The tolerant areas were Aceh (An. subpictus tolerant to lambda
cyhalothrin 0.05%), Gorontalo (An. aconitus tolerant to bendiocarb 0.1%) and
East Nusa Tenggara (An. barbirostris tolerant to bendiocarb 0.1%). Those
tolerantareasshallimplementinsecticiderotationinmalariacontolprogram.
MalariaVector

By 2008, number of malaria vector recorded by Sub Directorate of Vector


Control and from some sources were 25 species, as shown in Graph 4.46. It
recently is found An. vagus positive of malaria parasit in East Nusa Tenggara
Province, Purworejo District and Sukabumi District. Some researches mention
that An. vagus prefers animal blood than human blood. Therefore, other
researchesareneededtoconfirmthepossibilityofbionomicchanges.
GRAPH4.46
DISTRIBUTIONOFMALARIAVECTORININDONESIA

Source: DG of Disease Control and Environmental Health, MoH RI


Remarks:
1.An.aconitus
2.An.balabacensis
3.An.bancrofti
4.An.barbirostris
5.An.farauti
6.An.flavirostris

7.An.koliensis

8.An.letifer

9.An.leucosphyrus
10.An.karwari

11.An.Ludlowi
12.An.maculates

13.An.minimus
14.An.nigerrimus
15.An.punctulatus
16.An.sinensis

17.An.subpictus
18An.sundaicus

19.An.vagus
20.An.umbrosus
21.An.tesellatus
22.An.parangensis
23.An.kochi
24.An.ludlowi
25.An.annullaris

B. FilariasisVector
FilariasisvectorsinIndonesiaareidentifiedas4typesofmosquitos:Culex,
Anopheles, MansoniaandAedes.Thelast mentioned(Aedes)isfilariasis vector in
Papua. Brugia timori is filasriasis that only occurs in Indonesia, especially East
NusaTenggaraprovince,while Brugiamalayiand Wuchereria bancrofti spreads
almosttoallprovincesinIndonesia.

114

GRAPH4.47
FILARIASISVECTORININDONESIA

Source: DG of Disease Control and Environmental Health, MoH RI

C. DHFVectorSurveillanceandMonitoring
Monitoring mapping of DHF vector insecticide resistance from 20042009
canbeseeninGraph4.48.ItshowsthatsomeareashadbeenresistanttoMalation
0.8%andCypermethrin0.05%.CentralKalimantan,SouthSulawesi,BaliandWest
Nusa Tenggara had been tolerant to Malation 0.8% and Cypermethrin 0.05%.
Therefore,insecticiderotationisimportantduringDHFcontrolprogram.
GRAPH4.48
MONITORINGOFDHFVECTORINSECTICIDERESISTNCE
20042009.

Source: DG of Disease Control and Environmental Health, MoH RI

D.COMMUNITYNUTRITIONIMPROVEMENT
Improvement of community nutrition is basically intended to solve
nutrition problem in community. Observations find some nutrition problems
commonlyincommunity,suchasironnutritionanemia,vitaminAdeficiencyand
iodinedeficiencydisorders.
115

1. Iron(Fe)TabletSupplementationtoPregnantWoman
Nutritionalanemiaisadeficiencyofhaemoglobin(Hb)inbloodcausedbya
deficiency of nutrients needed for the formation of this Hb. In Indonesia most
anemiacasesarecausedbyiron(Fe)deficiencythatitiscalledasironanemia.
Pregnant woman is one group susceptible to nutrition problem, especially
anemiacausedbylackofiron(Fe).SKRT(householdhealthsurvey)2001figures
anemia prevalence of pregnant woman was 40.1%, and in 2007 it decreased to
24.5% (Riskesdas, 2007). However, it indicates iron anemia still becomes one
public health problem. Today, iron anemia control is focused on iron (Fe)
supplementationtopregnantwomen.Theyget90irontabletsduringpregnancy.
Coverageofpregnantwomangettingiron(Fe)tabletforthelast5yearsis
presentedonthegraphbelow.
GRAPH4.49
PERCENTAGEOFPREGNANTWOMANGETTINGIRON(Fe)TABLET
20062010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Coverage of pregnant woman getting iron tablet (Fe) during 20062008


tendedtodecreaseineveryyear,butitincreasedin2009and2010.In2010,there
was71.2%pregnantwomangetting90Fetablets.
ProvincesonthetoppositionwithhighestcoveragewereBangkaBelitung
Islands (94.1%), Riau (91.9%) and Bali (90%), while three provinces with the
lowest coverages were Papua (22.6%), West Papua (27.9%) and North Maluku
(32.3%).
Distribution of iron tablet (Fe3) supplementation to pregnant woman by
provincecanbeseeninGraph4.50.

116

GRAPH4.50
PERCENTAGEOFPREGNANTWOMANGETTINGIRONTABLET(FE3)
BYPROVINCE,2010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

This coverage of iron tablet supplementation has close relation to antenatal care
(ANC).In2010,coverageof4thvisit(K4)ofpregnantwomenwas85.56%,while
coverage of pregnant women getting Fe3 was 71.2%. Actually, one criteria of 4th
visit of pregnant women is the pregnant women get 90 Fe tablets, indicated by
coverage of Fe3 supplementation. Therefore, coverage of Fe3 must have been
higheroratleastthesameascoverageof4thvisit(K4).Onthecontrary,coverage
of pregnant women getting Fe3 is lower than coverage of 4th visit. The factor
suspected as the cause is not optimum coordination of reporting and recording
systemamongrelatedprograms.
Anotherthingneededtoconsideristhewillingnessofpregnantwomanto
swallow Fe tablet. Though the reporting figures coverage of pregnant women
gettingFe3isquitegood,butifitisnotswallowedbythentheexpectedbenefitof
Fetabletisnotfulfilled.Generally,theexpectedhealthstatuscouldbeobstructed.
Number of women swallowing 90 or more Fe tablets during pregnancy of
their last underfivewasonly18%.Therewas 36.3%womanswallowing030Fe
tabletsand19.3%womandidnotswallowanyFetabletduringpregnancyoftheir
lastunderfive.
Riskesdas 2010 describes percentage of women swallowing Fe tablet
duringpregnancyoftheirlastunderfiveasshowninGraph4.51below.

117

GRAPH4.51
PERCENTAGEOFWOMENSWALLOWINGFeTABLET
DURINGPREGNANCYOFTHEIRLASTUNDERFIVE
BYNUMBEROFDAY,2010

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

2. VitaminACapsulSupplementation

VitaminAsupplementationtounderfivehasapurposetoreduceprevalence
of and prevent vitamin A deficiency on underfive. High doses of vitamin A have
proven effectively to overcome vitamin A deficiency (KVA) in community, when
the coverage is high. Other facts figure vitamin A role in decreasing infant
mortality rate significantly. Therefore, in addition to prevent blindness, the
important of vitamin A is associated to life survival, health and child growth.
Vitamin A is important for eyes health and prevent blindness as well as develop
bodyimmunity.WhenchildrenwithenoughvitaminAintakegetdiarrhea,measles
orotherinfections,theywillnotgetthediseasesworseningandendangeringtheir
lives.
Target of high doses vitamin A are infants (611 months) supplemented
withVitaminA100,000SI,underfives(14years)supplemented withVitaminA
200,000SIandpostpartummother,supplemntedwithVitaminA200,000SIthat
their newborn will get enough A through. To infants (611 months), high dose
vitaminAisgivenonceayearonFebruaryorAugust;andtounderfives,itisgiven
onceinsixmonthsatthesametimeonFebruaryandAugust;whiletopostpartum
mother, the supplementation should be integrated with postpartum health care,
butitcanbealsoprovindedoutsidetheantenatalcare,aslongasshehasnotgot
vitaminAsupplementation.
CoverageofvitaminAsupplementationtoinfantsandunderfiveforthelast
4yearsindicatedachievementsabove80%.Coveragein2010was thelowestfor
thelast4years,bothonvitaminA supplementationtoinfants andtounderfives.
Onthecontrary,achievementofvitaminAsupplementationtopostpartummother
wasstillunder80%,althoughtherewasatendencyofrisingcoverageforthelast
three years. Therefore, some efforts are still needed to scale up the coverage.
118

Those could be improvement of integrated postnatal care, sweeping areas with


lowcoverageandcampaigningvitaminAsupplementationprogram.
Percentage of vitamin A supplementation to underfive and postpartum
motherforthelast4yearscanbeseeninGraph4.52.
GRAPH4.52
PERCENTAGEOFUNDERFIVEANDPOSTPARTUMMOTHER
GETTINGVITAMINACAPSULE
20072010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

TheproblemofvitaminAonunderfivehasnotclinicallybeenacommunity
health problem (xeropthalmia prevalence < 0.5%). Micro nutrition study in 10
provincesin2006figuredxeropthalmiaprevalenceonunderfivewas0.13%,while
vitaminAsurveyin1992showedxeropthalmiaprevalence0.33%.
Subclinic vitamin A deficiency (KVA) is a level that has not indicated real
symptoms, and it still occurs in community, especially underfive group. This
subclinicvitaminAdeficiencycanbedetectedbycheckingvitaminAlevelinblood
inlaboratory.Inaddition,distributionofvitaminAsupplementationtounderfive
by province is still below 80% in some provinces. Therefore, vitamin A
supplementationtounderfiveandpostpatummothershouldbecontinued,sinceit
isnotonlyforeyeshealthandtopreventblindnessbutthemoreimportantalsoto
improvechildsurvival,healthandgrowth.
Provincial health office reported that coverage of vitamin A
supplementation to underfive in 2010 was 81.47%. Three provinces with the
highest coverage were Central Java (98.58%), Bali (95.13%) and DI Yogyakarta
(92.72%), while three provinces with lowest coverage were Papua (34.87%),
Maluku(40.20%)andWestPapua(41.90%).
The following graph presents percentage of underfive getting vitamin A
capsulebyprovince.

119

GRAPH4.53
PERCENTAGEOFUNDERFIVEGETTINGVITAMINACAPSULE
BYPROVINCEIN2010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Percentage of postpartum mother getting vitamin A by province is


presentedinGraph4.54.
GRAPH4.54
PERCENTAGEOFPOSTPARTUMMOTHERGETTINGVITAMINA
BYPROVINCE,2010

Source: DG of Nutrition and Maternal and Child Health, MoH RI

120

From 30 reporting provinces, coverage of vitamin A supplementation to


postpartum mother in 2010 was 72.46%. Three provinces with the highest
coveragewereBangkaBelitungIslands(91.74%),CentralJava(91.72%)andBali
(91.44%), while three provinces with the lowest coverage were North Sumatera
(5.58%), Papua (13.71%) and West Papua (39.79%). On the contrary, Lampung,
East Java and West Nusa Tenggara were not available. Coverages of vitamin A
supplementation to 05 month infants, undefives and postpartum mother by
provincearepresentedinAnnex4.20.
3. ExclusiveBreastfeed
Thebestandmostappropriatewaytofeedaninfantisbygivingbreastfeed
exclusivelysincenewlyborntoageof6monthsandcontinuedbreastfeedinguntil
age of 24 months. Since age of 6 months, a baby gets nutritious complementary
foodbasedontheneedsofbabygrowthanddevelopment.
Coverage of exclusive breastfeeding is affected by i.e. limited breastfeed
counselor, not available regulation concerning breastfeed and not optimum
education,socialozation,advocacyandcampaignconcerningbreastfeed(ASI)and
complementary feeding (MPASI), not optimum group of complementary
breastfeedandbreastfeedassistanceaswellaslackoffacilitiesforcommunication,
informationandeducation(KIE)ofbreastfed.Graph4.55presentscoverageof05
monthinfantsbreastfedexclusively.
GRAPH4.55
COVERAGEOFEXCLUSIVEBREASTFEEDTO05MONTHINFANTS
BYPROVINCE,2009

Source: BPS-Statistics Indonesia, Susenas 2009

Susenas 2009 noted 61.3% infants aged 05 months breastfed exclusively


had coverage ranging from 48.8% to 78.3%. Provinces with highest coverages
121

were West Nusa Tenggara, Bengkulu and East Nusa Tenggara, while provinces
with lowest coverages were East Java, Central Java and Aceh. Graph 4.55 shows
that provinces in eastern Indonesia has coverage of infants aged 05 months
breastfedexclusivelyhigherthanprovincesinJavaandBaliislands.
Percentageofbreastfeedinginfantsaged05monthspatternby agegroup
canbeseenintablebelow.
TABLE4.4
PATTERNOFBREASTFEEDINGINFANTSAGED05MONTHS
BYAGEGROUP,2010

0month

Exclusively
39.8

PatternofBreastfeeding
Predominant
5.1

1month

32.5

4.4

63.1

2month

30.7

4.1

65.2

3month

25.2

4.4

70.4

4month

26.3

3.0

70.7

5month

15.3

1.5

83.2

AgeGroup

Partially
55.1

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010
Remarks:
Exclusively
=feedinginfantsonlywithbreastmilk
Predominant
=breastfeedingbuthavingbeenfeedingbabywithwaterorwaterbase,e.g.tea,
asprelactealfood/drinkbeforebreastmilkcomesin
Partially
=breastfeedingandfeedingwithprocessedfood,e.g.formulamilk,porridge,
orotherfoodbeforebabyage6months,givenasprelactealorcontinuedfeed

The older infant is the fewer exclusive breastfeeding. There was 39.8%
newborn(0month)gotbreastfeedexclusively,whiletherewasonly15.3%infant
aged5monthsstillgotbreastfeedexclusively.Inpredominant pattern,thelower
percentageistheolderinfantage.Ontheotherhand,inpartialpattern,theolder
infant age is the higher percentage of partial breastfeeding. In the group of 0
monthinfant,55.1%hasbeenfedwithotherfoodthanbreastmilk.

Table 4.5 shows pattern characteristics of breastfeeding infant age 05


months. By sex, percentage of baby boy breastfed exclusively was 29%, higher
thanpercentageofbabygirlbreastfedexclusively25.4%.Percentageofinfantaged
05 month breastfed exclusively in rural (29.3%) was higher than in urban
(25.2%).
By education of family head, percentage of infant aged 05 months
breastfed exclusively with notschooling head family was 34.5%, higher than
percentageofinfantaged05monthbreastfedexclusivelywithnotprimaryschool
graduated family head was 31.4%. Meanwhile, percentage of infant aged 05
month breastfed exclusively with higher education graduated family head was
22.4%.Byhouseholdexpenditurepercapita,infantaged05monthfromquintile1
had the highest proportion of exclusive breastfed with 34.7%, on the contrary,
122

infant aged 05 month from the highest quintile (quintile 5) had the lowest
proportionofexclusivebreastfedwith17.5%.
TABLE4.5
PATTERNOFBREASTFEEDINGTOINFANTSAGED05MONTH
BYCHARACTERISTICS,2010
PatternofBreastfeeding

Characteristics

exclusively

predominant

partial

Sex
Male

29.0

10.5

60.6

Female

254

11.7

62.9

Urban

25.2

10.5

64.3

Rural

29.3

11.5

59.2

LivingPlace

EducationofFamilyHead
NotSchooling

34.5

5.5

60.0

NotPrimaryGraduate

31.4

10.0

58.6

PrimaryGraduate

26.5

12.0

61.5

JuniorHighGraduate

29.5

8.6

61.9

SeniorHighGraduate
HigherEducation
Graduate

24.6

13.7

61.6

22.4

9.7

67.9

HouseholdExpenditureperCapita
Quintile1
34.7

9.9

55.4

Quintile2

30.5

11.3

58.1

Quintile3

26.6

10.4

63.0

Quintile4

19.9

14.6

65.5

Quintile5

17.5

8.7

73.8

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

On the other hand, intensive promotion and marketing related to formula


milkseemsdifficulttocontrol.Manyhospitalshavenotbeensupportingexclusive
breastfeed, indicated by not availability of integrated treatment of mother and
infant,lowcoverageofearlyinitiationonbreastfeedinganddistributionofformula
milkinhospitals.
Efforts to improve exclusive breastfeeding are increasing personnel knowledge
on benefit of exclusive breastfeeding, providing breastfeeding facility in working area,
improving mother skill and knowledge, developing family and community supports and
how to control distribution of formula milk. In addition, another impotant thing is by
applying 10 ways to achieve breastfeeding success (LMKM) in hospital and other
health facilities that providing delivery care.
The 10 ways are: 1) making breastfeeding; 2) training staff in health
facilities;3)education,informationandcommunication(KIE)topregnantwoman
onbenefitsandmanagementofbreastfeeding;4)helpingmother toearlyinitiate
breastfeeding within first 60 minutes after delivery process; 5) assisting mother
howtobreastfeed andkeep it thoughmotherandbabyareplacedseparately;6)
only feeding breastmilk to newborn, except when there is medical indication; 7)
applying integrated motherbaby care for the whole day (24 hours); 8)
123

encouragingmothertobreastfeedbasedonbabydemand;9)notprovidinggrease
nippletobaby;and10)encouragingtheestablishmentofbreastfeedingsupporting
team and referring mother to join the team as soon as discharging from health
facility.
4. CoverageofUnderfiveWeighinginPosyandu(D/S)
CoverageofunderfiveweighinginPosyandu(D/S)isanindicatorrelatedto
coverage of nutrition care to underfive, coverage of primary health service,
especially immunization and prevalence of malnutrition. The higher coverage of
D/SisthehighercoverageofvitaminA,andthehighercoverageofimmunization
isthelowerprevalenceofmalnutrition.
According to report from provincial health offices, in 2010 coverage of
underfive weighing in Posyandu was 67.87%. Target of Strategic Planning
(Renstra) in 2010 was 65%. It means percentage of underfive weighing in
Posyandunationallyhadmetthetarget.From33provinces,16provinces(48.5%)
had met the target. Coverage of underfive weighing in Posyandu by province in
2010ispresentedinGraph4.56.
GRAPH4.56
PERCENTAGEOFUNDERFIVEVISITANDWEIGHEDINPOSYANDU(D/S)
BYPROVINCE,2010

TARGET RENSTRA 2010


D/S : 65%

Source: DG of Nutrition and Maternal and Child Health, MoH RI

Three provinces withhighest coverage of underfive weighing in Posyandu


were North Sulawesi (84.89%), Central Java (82.54%) and East Java (77.70%),
while three provinces with lowest coverage were Papua (31%), West Papua
(33.23%)andEastKalimantan(35.96%).
124

Riskesdas2010indicatesnationalcoverageofweighingunderfive(age659
months)onthelast6monthswas76.3%.Graph4.57showsthatmostprovinces
(21provinces)hadmettargetofD/Sin2010with63.6%.
GRAPH4.57
PERCENTAGEOFWEIGHINGUNDERFIVE(AGE659MONTHS)FORTHELAST6MONTHS(D/S)
BYPROVINCE,2010

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Byage,theolderageofinfantis the lowerpercentageofweighingforthe


last 6 months. In group of age 611 months, the percentage of weighing reached
90.3%,butingroupofage4859months,thepercentageofweighingwas66.2%.
By type of area, percentage of weighing underfive aged 659 months living in
urban(forthelast6months)was81%higherthanthoseinruralwith71.2%.
By education, the higher education level of family head is the higher
coverageofweighinginfantaged611months(forthelast6months).Inagegroup
of 611 months with not schooling family head, the coverage of weighing was
66.7%, while those with higher education graduates had coverage of 82.2%. By
household expenditure per capita, the higher level of expenditure is the higher
percentageofweighinginfantaged611monthsforthelast6months.
By place of weighing, nationally most underfive aged 659 months for the
last 6 months was weighed in Posyandu, which was 80.6%. In Gorontalo, North
Maluku,WestNusaTenggaraandDIYogyakarta,morethan90%underfiveaged6
59monthswasweighedinPosyandu.Threeprovinceswithhighestpercentageof
underfive aged 659 months weighed in Hospital for the last 6 months wereDKI
Jakarta(14.6%),CentralKalimantan(10.3%)andEastKalimantan(10%).
E.HEALTHSERVICEINPOSTDISASTERSITUATION
DisasterinIndonesiaisclassifiedinto2categories.Theyareenvironmental
and natural disasters. Environmental disaster occurs as results of environment
damage. It includes flood, landslide, drought, land and forest burning, industrial
accident,andoilspillingonsea.Ontheotherhand,naturaldisasteroccursasearth
crust activities or natural phenomenon, such as earthquake, tsunami, volcanic
eruption and storm that are unpredictable. Number of victims and displaced
125

peoplebytypeofdisasterandvictimconditionin2010canbeseeninGraph4.58
below.
GRAPH4.58
NUMBEROFVICTIMSBYVICTIMCONDITIONIN2010

Source: Center for Crisis Response, MoH RI

According to Center for Crisis Response, Ministry of Health, during 2010,


floodwasthemostdisasteroccurredin27provincesinIndonesia.Ithadkilled33
people, injured seriously 59 people that need inpatient care, injured slightly
26,565peoplethatneedoutpatientcareandcaused12peoplemissingand90,604
peopleinternallydisplaced.
Disasterthatcausedthemostvictimswasvolcanoeruption,occurringin4
provinces. Number of victims during 2010 was 382 died, 2,787 seriuosly injured
(need inpatient care), 63,286 slightly injured, 4 missing and 8,159 internally
displaced. However, disaster causing the most victims was earthquake and
tsunami,whichkilled509people.Disasterbytypeandnumberofvictimsin2010
canbeseeninAnnex4.42.
ThatisdescriptionofhealtheffortsinIndonesiauntil2010.

***

126

Health resource is one supporting factor for the provision of quality health
services, which are expected to improve community health status. In this chapter,
healthresourcesarereviewedbypresentingsituationdescriptionofhealthfacilities,
healthpersonnel,andhealthfinancing.

A.HEALTHFACILITIES

Health facilities which are presented in this chapter include: health centers,
hospitals (public hospitals and specialty hospitals), facilities of Health Effort
Community Based (Ind=UKBM), facilities of pharmaceutical production/distribution
andmedicaldevices,aswellaseducationalinstitutionsofhealthpersonnel.

1. HealthCenter
HealthCenterorPuskesmasisoneofthetechnicalimplementationunitsofthe
District/MunicipalityHealthOffice.HealthCenterasafirstlevelhealthcareunitsand
leading in the health care system, should make efforts mandatory health and some
selectedhealtheffortsaccordancetotheconditions,needs,demands,capabilitiesand
innovation as well as local government policy. Health center has functions as: 1)
development center with health oriented, 2) community empowerment center, 3)
communityprimaryhealthcarecenter,and4)individualprimaryhealthcarecenter.
NumberofhealthcentersinIndonesiarecordeduntiltheendof2010wereas
many as 9,005 units, with details of the number of inpatient health centers 2,920
unitsandoutpatienthealthcareasmuchas6,085units.Oneoftheindicatorsusedto
determine affordability to health center is the ratio of health center per 100,000
population. In the period 2006 to 2010, this ratio indicated an increase. Ratio of
healthcenterper100,000populationin2006was3.61,intheyear2010increasedto
3.79,asshowninGraph5.1below.

133

GRAPH5.1
RATIOOFHEALTHCENTERPER100.000POPULATION,20062010

Source:CenterforDataandInformation,MoHRI

Ratio of health center per 100,000 population by province shows that the
highestratioin2010wasinWestPapua,amountingto13.94,whilethelowestratio
inBanten,amountingto2.04.Descriptionofhealthcenterratiobyprovincein2010
canbeseeninGraph5.2.Whilethedetailsofthenumberandratioofhealthcenter
per100,000populationbyprovincein2010canbefoundinAnnex5.1.

GRAPH5.2
RATIOOFHEALTHCENTERPER100.000POPULATION,2010

Source:CenterforDataandInformation,MoHRI

134

In an effort to improve the quality of public health services in health centers,


someoutpatienthealthcentershaveimprovedthestatustobeinpatienthealthcenters.
The number of inpatient health centers in 2009 as many as 2,704 units increased to
2,920unitsin2010.Thedevelopmentofinpatientandoutpatienthealthcentersinthe
year20062010canbeseeninGraph5.3.Detailsregardingtheamountofinpatientand
outpatienthealthcentersbyprovincecanbeseeninAnnex5.2.
GRAPH5.3
NUMBEROFHEALTHCENTERSWITHBEDS(INPATIENT)ANDWITHOUTBED(OUTPATIENT)
20062010

Source:CenterforDataandInformation,MoHRI

To improve health care outreach of health centers in their working areas,


healthcentersaresupportedbyhealthcarefacilitiesintheformofsubhealthcenters
(Ind=PuskesmasPembantu=Pustu).NumberofPustuin2010wasreportedasmanyas
23,049unitswitharatioof2.6Pustutohealthcenter.DetailsfornumberofPustuby
provincein2010canbefoundinAnnex5.2.

2. Hospital
The scope of health development in addition to promotive and preventive
efforts,therearealsocurativeandrehabilitativehealthdevelopment.Thehospitalisa
health care to the community engaged in curative and rehabilitative activities. The
hospitalalsoservesasreferralhealthcarefacilities.
In 2010 the number of hospitals in Indonesia were as much as 1,632 units,
which consist of general hospitals (Ind=RSU) amounted to 1,299 units and specialty
hospitals(Ind=RSK)amountedto333units.ThehospitalsaremanagedbytheMinistry
of Health, provincial government, district/municipality governments, military/police,
otherministries/stateownedenterprisesandprivatesector.
From2006to2010therewereanincreasingnumberofhospitals,bothgeneral
hospitals and specialty hospitals. Over the last 5 years, the number of hospital
increasedby26.32%from1,292unitsin2006to1,632unitsin2010.
135

Table 5.1 below shows the development of the number of hospitals (general
andspecialtyhospitals)inIndonesiafrom2006until2010.Whilethetotalnumberof
hospitalsin2010accordingtoorganizer/ownershipandprovincecanbeseeninAnnex
5.3.
TABLE5.1
NUMBEROFHOSPITALS(GENERAL&SPECIALTY)
ININDONESIA,20062010
No
1

Organizer/Ownership
MinistryofHealthand

2006

2007

2008

2009

2010

464

477

509

552

585

112

112

112

125

131

78

78

78

78

78

638

652

673

768

838

1,292

1,319

1,372

1,523

1,632

Governmentof
Province/District/Municipality
2

Army/Police

StateOwnership/OtherMinistries

Private
Total

Source:DGofHealthEffort,MoHRI

Duringthelastperiodof5years(20062010)thenumberofgeneralhospitals
managedbybothgovernmentandprivatesectorinstitutionshad increased,in2006
therewere1,012unitsincreasedto1,299unitsin2010.Numberofpublichospitals
inIndonesiaaccordingtomanagercanbe seeninAnnex5.4.Developmentofgeneral
hospital(Ind=RSU)inIndonesiaduringthelast5yearscanbeseeninGraph5.4.
GRAPH5.4
NUMBEROFGENERALHOSPITALS
ININDONESIA,20062010

Source:DGofHealthEffort,MoHRI

136

General hospitals which managed by the Ministry of Health and local


governmentsshowsthatmostgeneralhospitalsbelongingtoclassChospitals.From
the total 506 general hospitals, there were250units (49.41%) of class C, 126units
(24.90%)ofClassD,120units(23.72%)ofclassB,and10units(1.98%)ofClassA.
Graph5.5asfollowspresentsthepercentageofgeneralhospital(Ind=RSU)byclassof
hospital.
GRAPH5.5
NUMBEROFGENERALHOSPITALS
OWNEDBYMINISTRYOFHEALTHANDLOCALGOVERNMENTSBYCLASS
2010

Source:DGofHealthEffort,MoHRI

There were 10 general hospitals for the Ministry of Health and local
governments,includingClassA,whichwerepresentin9citiesofMedan,Palembang,
Jakarta, Bandung, Semarang, Yogyakarta, Surabaya, Denpasar and Makassar. More
detailed information regarding the number of general hospitals managed by the
MinistryofHealthandlocalgovernmentsbyhospitalclassandprovincecanbeseen
inAnnex5.5.
Numberofspecialtyhospitals(Ind=RSK)bothpublicandprivatehospitals in
theperiod20062010showedanincrease.In2006therewere280unitsofspecialty
hospitals,increasedto333unitsin2010.ThenumberofRSKduringthelast5years
canbeseeninGraph5.6.

137

GRAPH5.6
NUMBEROFSPECIALTYHOSPITALS
ININDONESIA,20062010

Source:DGofHealthEffort,MoHRI

MostofthosespecialtyhospitalswereMaternal andChildren Hospitalswere


107units,MaternityHospitalsasmanyas65unitsandMentalHospitalsasmanyas
51units.DetailscanbeseeninGraph5.7.Numberofspecialtyhospitalsandinpatient
bedsyears20062010canbeseeninAnnex5.6.
GRAPH5.7
NUMBEROFSPECIALTYHOSPITALSININDONESIA,2010

Source:DGofHealthEffort,MoHRI

Number and ratio ofhospital beds topopulation can be usedto describethe


capacityofhospitalstoprovidehealthservicestocommunity,includingasareferral
health care facilities. Number of beds in general hospitals and specialty hospitals in
thelast5yearshaveshowedanincrease.Descriptionof those improvementcanbe
seeninGraph5.8below.
138


GRAPH5.8
NUMBEROFHOSPITALBEDS
INGENERALHOSPITALSANDSPECIALTYHOSPITALS
ININDONESIA,20062010

Source:DGofHealthEffort,MoHRI

The ratio of hospital beds to population from the year 20062010 was also
increased,theratioin2006of63.25risingto69.97per100,000populationin2010.
Graph5.9presentsthenumberofbedsandratioofbedsper100,000populationin
hospitalintheyear20062010.
GRAPH5.9
NUMBEROFHOSPITALBEDSAND
RATIOOFHOSPITALBEDSPER100,000POPULATION,20062009

Source:DGofHealthEffort,MoHRI

139

Proportion of beds in general hospitals and specialty hospitals according to


classtreatmentshowsthatmostofallwereClassIIIhospitals,amountingto39.5%,
followedby20.2%forClassIIand10.6%forClassI.Inadditiontothethreetypesof
classes such treatments, there was the VIP class of 7.5% and no grade of 22.1%.
Details about the number and percentage of beds in general hospitals and specialty
hospitalaccordingtothetypeoftreatmentclassandprovince canbeseeninAnnex
5.7.

3. ProductionandDistributionFacilitiesofPharmaceuticalandMedicalDevice
Supply
Drug is one of irreplaceable components in health care. Access to drugs, especially
essential drugs is one of human rights. Thus the provision of essential drugs is an
obligation for the government and health care institutions, both public and private
institusions. As special commodities, all drugs in circulation should be ensured its
safety,efficacyandqualityinordertoprovidehealthbenefits.Therefore,oneofthe
effortsmadetoensurethequalityofdrugsintothehandsofconsumersistoprovide
ameansofstorageofdrugsandmedicaldevicesthatcanmaintainthephysicalsafety
andcanmaintainthequalityofmedicinesinadditiontotrainedpersonnelmanager.
Pharmaceutical installation is a management unit of pharmaceutical supplies
and medical devices that exist at the province and district/municipality, as means of
procurement,registration,storage,distribution,control,administration,reportingand
evaluation activities necessary for pharmacy services. Until the year 2010 number of
pharmaceutical installations were 490 units, the details by province can be seen in
Graph5.10.
GRAPH5.10
NUMBEROFPHARMACYINSTALLATIONSBYPROVINCE,2010

Source:DGofPharmaceuticalandMedicalDevice,MoHRI

140

One of the policy implementation of the Program for Drugs and Medical
Supplies is drug and medical supplies control that is directed to ensure the safety,
efficacy and quality of pharmaceuticals and medical devices. It aims to protect the
publicfromharmcausedbymisuseofpharmaceuticalsandmedicaldevicesortheuse
of the wrong/incorrect and not meet safety and utilization of quality made since the
productionprocess,distributiontoitsuseinpublic.
Number of production and distribution facilities spread across 33 provinces
illustratethevariationoffacilitiesinthefieldsofpharmaceuticalsandmedicaldevices
having disparity that was still relatively high number between Indonesia's western
region,CentralandEast.Mostofproductionanddistributionfacilitieswerelocatedin
Indonesia'swesternareaswhichwereSumatraandJavaIslands.94.25%ofproduction
facilitiesand75.12%ofdistributionfacilitiesspreadontheislandofSumatraandJava.
Thisfactcanbeusedasareferenceinthepolicytodevelopthemeansofproduction
and distribution of pharmaceutical and medical devices, especially in eastern part of
Indonesia, causing the smooth distribution of facilities throughout Indonesia. In
addition,itaimstoopenupaccesstopublicaffordabilityofhealthfacilitiesinthefields
of pharmaceuticals and medical devices. Pharmaceutical production and medical
devices facilities include Pharmaceutical Industry, Traditional Medicine Industry
(Ind=IOT), Traditional Medicines Small Industry (Ind=IKOT), Medical Devices
Production,HealthandHouseholdSupplies(Ind=PKRT)andCosmeticIndustry.During
the last period of 5 years, from 2006 to 2010, there were an increasing number of
pharmaceutical production facilities and medical devices. This can be seen in Graph
5.11. Number of production facilities in Indonesia in 2010, specified according to
provincecanbeseeninAnnex5.8.
GRAPH5.11
NUMBEROFPRODUCTIONFACILITIESOFPHARMACEUTICALANDMEDICALDEVICES
20062010

Source:DGofPharmaceuticalandMedicalDevice,MoHRI

141

While distribution facilities of pharmaceutical and medical devices include


Whole Saler (Ind=Pedagang Besar Farmasi/PBF), Pharmacy/Dispensaries
(Ind=Apotek), Drug Stores, Health Supplies (Ind=Penyalur Alat Kesehatan/PAK) and
Sub/Branch of Health Supplies (Ind=Sub/Cabang Penyalur Alat Kesehatan/PAK).
Numberofpharmaceuticalandmedicaldevicesdistributionfacilitiesoverthelastfive
years (20062010) can be found in Graph 5.12. Number of distribution facilities in
Indonesiain2010,specifiedaccordingtotheprovincecanbeseeninAnnex5.9.
GRAPH5.12
NUMBEROFDISTRIBUTIONFACILITIESOFPHARMACEUTICALANDMEDICALDEVICES
20062010

Source:DGofPharmaceuticalandMedicalDevice,MoHRI

4. CommunityBasedHealthEffort
Effortstoimprovepublichealthstatusweredonebyapplyingsomevarieties
of approaches, including by involving community potential. This is in line with the
conceptofempowermentofcommunitydevelopment.Themovewasreflectedinthe
development of facilities of Health Effort Community Based (Ind=UKBM). UKBM
consistsofintegratedservicesposts(Ind=PosPelayananTerpadu/Posyandu),village
health post (Ind=Pos Kesehatan Desa/Poskesdes in Desa Siaga), family medicinal
plants (Ind=Tanaman Obat Keluarga/Toga), and Village Drugs Post (Ind=Post Obat
Desa/POD).
OnetypeofUKBMwhichhasbeendevelopedandentrenchedinthecommunity
is posyandu. In carrying out its functions, posyandu is expected to carry out five
priorities from programs of maternal and children health, family planning, nutrition,
immunization, and prevention of diarrhea. In order to assess the performance and
development, posyandu is classified into four levels, namely Posyandu Pratama
(basic/first level posyandu), Posyandu Madya (second/medium level posyandu),
Posyandu Purnama (third level posyandu) and Posyandu Mandiri (high
142

level/independent posyandu). In 2009 there were 266,827 posyandu, so the ratio of


posyandutovillageswas3.55posyandupervillage.Moreinformationonposyanduratio
byprovincein2009canbeseenintheGraph5.13below.

GRAPH5.13
RATIOOFPOSYANDUTOVILLAGEBYPROVINCEININDONESIA
2009

Source:DGofCommunityHealth,MoHRI

Poskesdesisaunitofhealtheffortcommunitybased(Ind=UKBM)inthevillage
inordertobringtheprovisionofbasichealthservicesforruralcommunities,inother
words as one manifestation of the efforts to facilitate community access to health
services. The main activities of poskesdes are early observation and vigilance
(surveillanceofriskbehaviors,environmentalandotherhealthproblems),handling
health emergencies and disaster preparedness and health services. The services
provide also includes delivery assistance and maternal and children care services.
The existence of poskesdes is one indicator of a rural village called desa siaga. Data
states that in 2009 there were 51,996 units of poskesdes/desa siaga. Ratio of
poskesdes/desasiagatovillageintheyear2009was0.69.Forinformation,numberof
desa siaga in DKI Jakarta are number of RWsiaga and number of villages in West
Sumatraarenumberofdesasiagaplusnagarisiaga.Graph5.14presentstheratioof
numberofposkesdestovillagebyprovincein2009(excludingDKIJakartaandWest
Sumatera). While details data on the number of UKBMs by province in 2009 can be
seeninAnnex5.10.

143

GRAPH5.14
RATIOOFPOSKESDESTOVILLAGEBYPROVINCEININDONESIA,2009

Source:DGofCommunityHealth,MoHRI

5. EducationInstitutionsofHealthPersonnel

a.Number,TypeandDistributionofEducationInstitutions
Sustainable health development requires adequate health personnel both in
terms of type, quantity and quality. To produce a quality health course required a
quality educational process as well. Ministry of Health is the institution of the
governmentsectorthatplaysaroleintheprovisionofqualityhealthcare.Education
ofhealthpersonnelintheadministrationofsecondaryeducationanddiplomathatis
undercontrolledbytheMinistryofHealthHealth,aregroupedbyHealthPolytechnic
(owned by Ministry of Health) and Non Health Polytechnic (private property,
Army/PoliceandLocalGovernmentproperties).
Education program diploma III of health personnel education institutions
(Ind=Pendidikan Tenaga Kesehatan=Diknakes) is currently growing rapidly, both in
types and amount in each province. Until December 2010, number of Diknakes
institutions were as much as 1,229 institutions, which consist of 243
departments/programs of study (spread in 33 health polytechnis) and 986 non
health polytechnic institutions. Number of courses of study (study programs) in
healthpolytechnicandnonhealthpolytechnicinstitutionscanbeseeninGraph5.15
below.

144

GRAPH5.15
NUMBEROFSTUDYPROGRAMSINHEALTHPOLYTECHNICINSTITUTIONS
ANDNONHEALTHPOLYTECHNICINSTITUTIONSININDONESIA,20052010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

InGraph5.15itcanbeseenanincreaseinnumberofmajors/studyprograms
in Poltekkes each year, this according to the needs of types of health personnel and
equitable production of health personnel. In 2010 there were some additions of 22
studyprograms,from221in2009to243studyprograms.Likewise,numberofnon
healthpolytechnicinstitutionsincreasedby67institutions,from919institutionsin
2009to986institutionsin2010.
Graph 5.16 shows number of study programs at the health polytechnic
institutionsDiknakes.MostofstudyprogramswereNursing(71),Midwifery(57)and
Nutrition(30).DetailsinformationbyprovincecanbeseeninAnnex5.11.
GRAPH5.16
NUMBEROFSTUDYPROGRAMSINHEALTHPOLYTECHNICINSTITUTIONS
ININDONESIA,2010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

145

Graph 5.17 shows number of majors/study programs at the nonhealth


polytechnic institutions Diknakes; then majors/study programs of nursing consists of
nursing, midwifery and dental health; majors/study programs of physical therapy
consistofphysiotherapy,occupationaltherapy,speechtherapyandacupuncture.
GRAPH5.17
NUMBEROFACADEMICFIELDS/STUDYPROGRAMS
INNONHEALTHPOLYTECHNICINSTITUTIONSININDONESIA,2010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

b.AccreditationofInstitution
With so many institutions of health personnel education that exist today, the
Ministry of Health seeks to continuously improve the quality of education.
Accreditation is one of the construction efforts done by the government toward the
existinginstitutionsofhealtheducation,alsotoseethequalityofeachinstitution.
Accreditation is carried out for new institutions that have been running for
classesupto5stsemesterandforexistinginstitutionsthathaveexpiredaccreditation.
Startingin2004CenterforHealthPersonnelEducation(Ind=PusatPendidikanTenaga
Kesehatan=Pusdiknakes) has performed accreditation of majors/study programs of
existinghealthpolytechnicstudies.Untiltheyear2010,192studyprogramsofhealth
polytechnic(79.01%)havebeenaccreditedand51studyprograms(20.99%)havenot
yet accredited. Of those number that have been accredited, there were 87 study
programs (45.31%) with strata A, 100 study programs (52.08%) with strata Band 5
studyprograms(2.60%)withstrataC.Graph5.18asfollowsshowsthepercentageof
theaccreditationprogramofstudyatthehealthpolytechnicinstitutions.
More information about number and percentage of health polytechnic
institutions that have been accredited by province can be seen in Annex 5.13.

146


GRAPH5.18
PERCENTAGEOFACCREDITATIONGRADES
FORSTUDYPROGRAMSOFHEALTHPOLYTECHNICININDONESIA,2010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

Accreditation is also carried out on Diknakes institutions of non health


polytechnics. Number of institutions that have been accredited as many as 608
institutions(61.66%)andthathavenotbeenaccreditedasmanyas378institutions
(38.34%). Of those amount that have been accredited, there were 86 institutions
(14.14%)withGradeA,471institutions(77.47%)with Grade B and52institutions
(8.55%) in Grade C. Graph 5.19 as follows shows the percentage of accreditation
grades from Diknakes institutions of non health polytechnic in 2010. While detailed
informationbyprovinceareinAnnex5.14.
GRAPH5.19
PERCENTAGEOFACCREDITATIONGRADES
FORSTUDYPROGRAMSOFNONHEALTHPOLYTECHNICININDONESIA,2010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

147

Number of Diknakes institutions of non health polytechnics according to the


ownership status shows mostly owned by private institutions, amounting to 86.29%,
whileothers10.45%ownedbylocalgovernmentsand3.26%owned byarmy/police.
Moredetailedinformation on numberandpercentageof Diknakes institutions ofnon
healthpolytechnicsbasedonownershipcanbeseeninAnnex5.15.

c.Students
Number of students from both health personnel education institutions and
non health polytechnic institutions in common pathway of the academic year
2010/2011 (326,801 students) than the academic year 2009/2010 (296,132
students) increased by 30,669 students or 10.36%. This is in accordance with the
increasingnumberofinstitutionsofhealthpersonnels.
Inordertoincreasehealthservicestothecommunity,itneedsmorequalified
health personnels. In this regard since 2004, besides holding a DIII, health
polytechnic institutions also provide DIV program and International Class. In 2009
theexistingIVDprogramsthroughoutIndonesiahad2,020students.
Program of Diploma IV has more types of educational institutions which are
more specialized in knowledge background on which to type of institution nursing,
midwiferyanddentalhealth.Typeofnursinginstitutionsconsistofmedicalsurgical
nursing,emergencynursing,clinicalnursingskills,cardiovascularnursing,anesthesia
nursing,mentalnursing,intensivenursingandreanimationanesthesianursing.Type
ofmidwiferyinstitutionsconsistofcommunitymidwivesandeducatorsofmidwives.
This type of dental health institutions consist of dental health, community dental
health,prothodansiadentalhealth,dentaloralsurgeryandeducatorsofdentalnurse.
Moredetailedinformationonnumberofstudentsbytypeofeducationinstitutioncan
beseeninAnnex5.16,Annex5.17andAnnex5.18.

d.Graduates
Numberofhealthpolytechnicgraduatesandnonhealthpolytechnicgraduates
in 2010 were 74,778 graduates, consisting of polytechnic graduates were 14,612
graduates (19.54%) and non health polytechnic graduates of nursing as many as
60,166 graduates (80.46%). The highest number of graduates from health
polytechnic/nonhealthpolytechnicwere32,938graduateswhichfrommajors/study
programsofnursingthenmidwiferygraduatesasmuchas14,611students.

148

TABLE5.2
NUMBEROFGRADUATESOFDIPLOMAIII
PROGRAMOFHEALTHPOLYTECHNICSANDNONHEALTHPOLYTECHNICS
20062010
HealthPersonnels
Nursery
Midwifery
DentalHealth

Averageof
Graduates
perYear

2006

2007

2008

2009

2010

Total
5Years

23,811

25,200

26,446

28,835

37,055

141,347

26,928

8,264

13,337

9,131

18,545

17,828

67,105

13,421

742

857

1166

1,085

1,468

5,318

1,064

Pharmacy

2,236

2,285

5,562

4,864

8,134

23,081

4,616

EnvironmentalHealth

1,557

1,396

1,870

1,685

2,177

8,685

1,737

Nutrition

1,415

1,693

2,039

1,812

2,063

9,022

1,804

858

965

998

781

1,653

5,255

1,051

3,473

3,644

5,131

4,764

7,160

24,172

4,834

PhysicalTherapy
MedicalTechnician

Year

Total
42,356 49,377 52,343 62,371 77,538 283,985
56,797
Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

Table 5.2 above shows that the average graduates over the last 5 years of
Diknakes graduates of Diploma III (Poltekkes and Non Poltekkes) were 56,797
graduates,withmostgraduateswerenursingstaff(anaverageof26,928graduates),
whichspreadalmostinallprovinces.Threeprovincesthatproducegraduatesmostof
healthworkers(polytechnicandnonpolytechnicinstitutions)in2010wereProvince
of Central Java (12,447 graduates), North Sumatra (9,631 graduates) and East Java
(8,416graduates).
Recapitulation of the number of graduates from Diknakes polytechnic/non
healthpolytechnicbytypeofhealthpersonnelcanbeseeninAnnex5.1.
The details by province can be seen in Annex 5.20 and Annex 5.21.

B.HEALTHPERSONNELS
Health human resources in local government consist of health human
resources in charge of health units (service and nonservices facilities) in the
provinceanddistrict/municipality,withtheemploymentstatusofcivilservants,civil
servant candidates (Ind=CPNS), non permanent employee (Ind=Pegawai Tidak
Tetap=PTT), Army/Police and private sector. Those health human resources are
workingattheprovincialhealthofficeandthetechnicalimplementationunit(UPT),
district/municipality and technical implementation unit (Ind=UPT), hospitals/
polyclinics and other health facilities owned by the central government, local
government,privateandArmy/Police.
Data of Health Human Resources (Health HR) collected from 33 provinces
couldnotfullydescribethehealthhumanresourcescompletely,dueto:
1. District/municipality did not have complete data of Health Human Resources,
particularlyhospitaldatabothforotherMinistry,Army/Policeandprivate.
2.Therewascurrentlynoreliablesystemthatregulatesdatacollectingmanagement
ofhumanresources.
149

Health human resources data had already described the health personnels at
district/municipality and province, but only in government health facilities (health
officesandtheirUPTandMinistryofHealthanditsUPT).

1.NumberandRatioofHealthPersonnels
Oneoftheelementsthatplayaroleinacceleratinghealthdevelopmentisthe
dutyofhealthpersonnelinhealthcarefacilitiesincommunity.Accordingtothedata
collection of National Board of Health Human Resources Development and
Empowerment(Ind=BadanPPSDMK),personnelswererecordedasmanyas501,052
people consist of 391,745 health personnels and 109,307 nonhealth personnels.
Health personnels consist of 42,467 medical staffs, 266,348 nursing staffs (169,797
nurses and dental nurses, 96,551 midwives), 18,022 pharmaceutical staffs, 34,869
public health staffs, 12,823 nutrition staffs, 2,587 physical therapists and 17,216
medicaltechnicians.
Number of physicians were as many as 25,333 personnels, with a ratio of
10.66 physicians per 100,000 population. Province with the highest ratio was DKI
Jakarta amounting to 34.37 physicians per 100,000 population, whereas the lowest
ratio was Banten at 5.05 physicians per 100,000 population. Ratio of physicians to
totalpopulationineachprovincein2010canbeseenattheGraph5.20below.
GRAPH5.20
RATIOOFPHYSICIANSTO100,000POPULATIONININDONESIA,2010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

Number of dentists in 2010 there were 8,731 dentists with a ratio of 3.67
dentists per 100,000 population. Province of DKI Jakarta had highest ratio of 12.35
dentists per 100,000 population, while the lowest was South Sumatra with ratio of
1.25 dentists per 100,000 population. Number of midwives by the year 2010 there
were 96,551 midwives, so that its ratio to the population was 40.63 midwives per
150

100,000 population. Province of Aceh with the highest ratio 144.98 midwives per
100,000populationwhilethelowestwasDKIJakartaasmuchas19.74midwivesper
100,000population.
Numberofnursesbytheyear2010were160,074personnels,sonursesratio
tothepopulationwas67.36nursesper100,000population.Provincewiththehighest
ratiowasDKIJakartaamountingto259.77nursesper100,000populationwhilethe
lowestinBantamasmuchas23.16nursesper100,000population.Numberofhealth
andnonhealthpersonnelsin2010byprovincecanbeseeninAnnex5.22.

a.HealthPersonnelinHealthCenter
HealthCenterwhichisspearheadingthepublichealthservice,itsperformance
is greatly influenced by the availability of human resources existing, especially the
availabilityofhealthpersonnel.In2010,therewere255,563peopleworkinginhealth
centerswithdetails225,040healthpersonnelsand30,523nonhealthpersonnel.Ofthe
totalnumberofhealthpersonnels,therewere14,934physicianswhoservedinhealth
center,witharatioof1.66physiciansperhealthcenter.Thehighestratioofphysicians
to health center was in Riau Islands (3.37), followed by Bali (2.99). Some provinces
have specialist doctors on duty in health center. Ratio of physicians in community
healthcenterstothenumberofhealthcentersin2010canbeseenintheGraph5.21
below.
GRAPH5.21
RATIOOFPHYSICIANSINHEALTHCENTERTONUMBEROFHEALTHCENTERS
ININDONESIA,2010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

Numberofdentistsintheyear2010were6,140dentists.Whenthosenumber
were compared with the total number of health centers, it means that not all health
centershavedentist.
151

In 2010 there were 120 specialist doctors on duty in health center, most of
these specialists were in DKI Jakartawith33 specialist doctors (27.5%). Number of
nurses in all health centers as many as 78,215 nurses, so that on average each unit
had89nurses.Amountofeachtypeofhealthpersonnelinhealthcenterscanbeseen
inGraph5.22below.Detailsofthenumberofhealthpersonnelinhealthcenterscan
beseeninAnnex5.23,whiletheratioofphysicians,dentists,nursesandmidwivesto
thenumberofhealthcenterscanbeseeninAnnex5.24.
GRAPH5.22
NUMBEROFHEALTHPERSONNELSINHEALTHCENTERS
ININDONESIA,2010

Source:NationalBoardofHealthHumanResourcesDevelopment&Empowerment,MoHRI

b.HealthPersonnelsinHospitals
Data of health personnels in hospitals recorded by National Board of Health
HumanResourcesDevelopmentandEmpowermentin2010camefrom473hospitals
of506existinggovernmenthospitals.In2010,therewere142,521peopleworkingin
government hospitals with details of 111,998 health personnels and 30,523 non
health personnels. Of the total number of health personnels, specialist doctors who
served in government hospitals as many as 7,593 specialists, with an average of 16
specialists per hospital; physicians who served in government hospitals as many as
6,685 physicians, with an average of 14 physicians per hospital and dentists who
served in government hospitals as many as 1,741 dentists, with an average of 4
dentists per hospital. Midwives who served in government hospitals as many as
10,510 midwives, with an average of 22 midwives per hospital and nurses who
served in government hospitals as many as 66,701 nurses, with an average of 128
nursesperhospital.Detailsofnumberofhealthpersonnelsin governmenthospitals
canbeseeninAnnex5.25.

2. HealthPersonnelswithNonPermanentEmployeeStatus(Ind:PTT)
Health personnel with PTT status (Ind=PTT=Pegawai Tidak Tetap) consist of
specialist doctors, physicians, dentists and midwives. Up to year 2010 there were
31,840 health personnels with PTT status still on active duty in local government
152

with the criteria Reguler, Remote, and Very Remote Area with composition of 50
specialistdoctors,2,614physicians,800dentists,and28,376midwives.
SpecialistdoctorswithPTTstatusmostlyspredinareaswithRemotecriteria,
there were 26 specialists, while for the region with Reguler criteria there were 14
specialists, then in Very Remote Area there were 10 specialists. Physicians and
dentists with PTT status mostly spred in very remote areas, that were 1,629
physiciansand564dentists,whilethePTTmidwivesmostlyinRegulerareacriteria
with16,789midwives.
ProvincewiththelargestpresenceofPTTspecialistwasNorthSumatrawith8
specialists. The largest number of PTT physicians was in East Nusa Tenggara with
348 physicians, followed by 202 physicians in Aceh and 158 physicians in North
Sumatra,whilethelargestnumberofPTTdentistsondutywasinEastNusaTenggara
with 98 dentists, followed by 58 dentists in Aceh and 52 dentists in East Java. The
largest number of PTT midwives on duty in North Sumatra with 4,640 midwives,
followedby4,547midwivesinCentralJavaand2,986midwivesinEastJava.
Graph5.23showstheconditionofPTTpersonnelsinIndonesiain2010.More
dataondistributionof PTThealthpersonnelsinallprovincescanbeseen inAnnex
5.25,5.26and5.27.
GRAPH5.23
NONPERMANENTEMPLOYEESOFPHYSICIANS,DENTISTSANDMIDWIVES
ININDONESIA,2010

Source:BureauofPersonnel,MoHRI

Intheyear2010,healthpersonnelshavebeenappointedtolocalgovernments
with the criteria of PTT Regular, Remote and Very Remote area as many as 17,037
personnels,consistingof35 PTTspecialists,3,461 PTTphysicians,975 PTTdentists
and 12,601 PTT midwives. The largest number of recruitment of PTT health
personnels was in East Nusa Tenggara consist of 411 PTT physicians and 132 PTT
dentists,withrecruitmentforVeryRemoteareatherewere388 physiciansand131
dentists.NextprovincewiththesecondnumberofrecruitmentwasMalukuwith340
153

physiciansand112dentists.Graph5.24showstherecruitmentofPTTphysiciansand
PTTdentistsin2010.
GRAPH5.24
RECRUITMENTOFNONPERMANENTEMPLOYEE(PTT)PHYSICIANSANDDENTISTS
ININDONESIA,2010

Source:BureauofPersonnel,MoHRI

The largest recruitment of PTT midwives was in North Sumatra, there were
1,608 midwives, among them 965 midwives were placed in remote area and 643
midwiveswereplacedinregulerarea.Nextprovincewithsecondlargestofmidwives
wasCentral Java with1,558midwives,amongthem1,548midwiveswereplaced in
reguler area and 10 midwives were placed in remote area. Graph 5.25 shows the
recruitmentofPTTmidwivesin2010.
GRAPH5.25
RECRUITMENTOFNONPERMANENTEMPLOYEE(PTT)MIDWIVESININDONESIA,2010

Source:BureauofPersonnel,MoHRI

154

More data regarding to the recruitment of non permanent employee (PTT)


healthpersonnelsthroughoutallprovincescanbeseeninAnnex5.28,5.29and5.30.

3. FacilitiesofHealthTrainingUnits
Facilitiesofhealthtrainingunitareveryimportantcomponentstosupportthe
trainingactivities.Availabilityoffacilitiesalsodeterminestheperformanceofhealth
training unit performance. The capacity of dormitories, classrooms, halls and space
for discussion of health training units of UPT Center, was still varies (not standard
yet), especially for health training units of BBPK (Ind=BBPK=Balai Besar Pelatihan
Kesehatan).
Thelargetscapacityofdormitoriesin BBPKCilotowere220beds,thelargest
capacityoftheclassBBPKJakartawere260seats,thelargestcapacityinBBPKCiloto
hallwere400seats,thelargestcapacityindiscussionroomsinBBPKCilotowere50
seats.ThereisnocleardistinctionofcapacitybetweenBBPKandBapelkesownedby
Central Technical Implementation Unit (Center UPT), and in fact Bapelkes Lemah
AbangandBapelkesSalamanhadlargercapacitythanBBPKMakassar.
NumberofhealthtrainingunitsofUPTlocalgovernmentwere24units.Some
variations had seen in the UPT health training units, as many as 21 units (87.5%)
have larger or same capacity dormitory with 100 beds and 3 units (12.5%) had
smallercapacitylessthan100beds.
HealthtrainingunitsofUPTlocalgovernmentwiththesmallestcapacitywas
BapelkesPalu.Atotalof21units(87.5%)havebeenaccreditedbyPusdiklatofHealth
Human Resources, and 3 units (12.5%) have not been accredited (Bapelkes Jantho
AcehProvince,BapelkesSouthKalimantan,andBapelkesMaluku).
Facilities of health training units in 2009 were mainly used for Ministry of
Healthactivities69.76%(2,298events),privatesectors20.86%(687events),andthe
rest is used by nongovernmental institutions (outside Ministry of Health) 9.38%
(309 events). From the utilization of these facilities, 68.11% was used for non
trainingactivitiesand31.89%usedfortrainingactivities.WhileSeatOccupancyRate
(SOR) for training activities was on average 34.40%, 5.86% was nontraining
activities,andBedOccupancyRate(BOR)28.60%.
Utilizationofhealthtrainingunit/trainingandeducationinstitutionsin2009
were1,052trainingactivities.Involvementleveloftrainingunitoneventwas39.8%,
usedasaplaceonly(levelinvolvedI),26.5%servedasaplace,coaches,organizers/
OCandSC(levelIVinvolved)andby19.5%aswellasadesigneroftraining(levelV
involved). Distribution of involvement level in education and training institutions
year2009canbeseeninAnnex5.35.
The whole number of lecturers (Ind=Widyaiswara) in health education and
traininginstitutionswere172lecturers.Distributionofhealthlecturerswerevaries
greatly according to the institution from 1 up to 14 lecturers. For health education
and training institutions/UPTcentral especially BBPK, number of lecturers were
155

rangingfrom6to14lecturers.Whileinhealtheducationandtraininginstitutionsof
UPTlocalgovernment,numberoflecturerswererangefrom1to11lecturerswithan
averageof5lecturers.
The largest number of lecturers by age group was at the age group of 5160
years (86 lecturers), followed by 4150 years age group (42 lecturers). Based on
education, the highest number of lecturers was at post graduate education (112
lecturers), while S3 and DIII were each 2 lecturers. Distribution of lecturers by
educationandtraininginstitutionsandagegroupsin2009canbeseeninAnnex5.36.
Number of health human resources trained in health education and training
institutionsin2009wereasmanyas46,136personnels.Thenumberofparticipants
who were trained during the year 2009 based on five categories of training,
respectively starting from technical training of health 50.64% (23,361 personnels),
management training 17.5% (7,867 personnels), 13.29% service training (6,133
personnels),functionaltraining6.98%(3,222personnels),andthetraininghierarchy
1.84% (851 personnels). Frequency distribution of training and number of
participantsbytypeoftrainingandtheprovincecanbeseeninAnnex5.37.

C.HEALTHBUDGETTING
Oneofthenecessaryresourcescomponentsincarryingouthealthdevelopment
is health financing. Health financing from government and funding sourced from the
community.HereisdescribedthehealthbudgetallocatedtotheMinistryofHealthand
budget provided for the financing of national community health insurance
(Ind=Jamkesmas).

1. BudgetofMinistryofHealth
Ministry of Health in 2010 had allocated a budget of Rp 25,274,803,995,000
with a realization of Rp 22,496,458,336,327 (89.01%). Distribution of MoH budget
accordingtotheworkofechelonIunitshowsthatthelargest allocationwasowned
by the Directorate General of Medical Services in the amount of Rp
13,205,337,162,000 (52.2%), while the lowest allocation was owned by General
InspectorateforRp76,977,600,000(0,3%).
The highest realization of budget was reached by Directorate General of
Pharmaceutical and Medical Devices with absorption percentage of 95.75%. The
lowest realization of budget was reached by Directorate General of Community
HealthCarewithabsorptionpercentageof82.76%.Withinthelast5yearstherewas
anincreasingallocationandrealizationofthebudgetfromMinistryofHealth.Inthe
year 2006 the Ministry of Health had a budget allocation of Rp 15.32 trillion with
realization Rp 12.26 trillion (80.05%), this amount increased in 2010 to a budget
allocation of Rp 25.27 trillion with realization Rp 22.50 trillion (89, 01%). This
increasing is explained in the Graph 5.22 below. More details information on

156

allocationandrealizationofthebudgetoftheMinistryofHealthin2010canbeseen
inAnnex5.38.
GRAPH5.26
ALLOCATIONANDREALIZATIONOFMINISTRYOFHEALTHBUDGETTING
20062010

Source : Bureau of Financial and Stateowned Property, MoH RI

2. FinancingPublicHealthInsurance
According to data from Center for Managed Care, Ministry of Health, until the
monthofJune2011,peoplewhohadhealthinsurancewere148,709,645(63%oftotal
population). Percentage of population who had health coverage by guarantee
program/insuranceispresentedinGraph5.27below.Dataonthepercentageofpeople
whohadhealthinsuranceaccordingtotheprovinceuntiltheyear2010canbeseenin
Annex5.39.
GRAPH5.27
PERCENTAGEOFPOPULATIONWHICHWERECOVEREDBY
COMMUNITYHEALTHINSURANCE/HEALTHINSURANCEININDONESIA
UNTILJUNE2011

Source : Center for Managed Care, MoH RI

157


Participants of National Community Health Insurance (Ind=Jamkesmas) get
comprehensive health services and gradual from primary health care in health
centersandreferralnetworkstoreferralhealthcareinhospitals.In2010therewere
8,967 units of health centers throughout Indonesia that serve participants of
Jamkesmas.Referralhealthserviceswereavailable1,020hospitals/clinicsconsistsof
564 governmentowned hospitals, 346 private hospitals, 41 hospitals and 69
hospitalsownedbyArmy/Police.AllparticipantsofJamkesmaswereservedby9,987
health providers. Graph 5.27 below shows the percentage of referral health care
providersin2010.
GRAPH5.28
PROVIDEROFREFERRALHEALTHCARE
FORNATIONALCOMMUNITYHEALTHINSURANCE
2010

Source : Center for Managed Care, MoH RI

In an effort to improve the affordability of the poor andnearpoor people to


health services, government through Ministry of Health and several local
governmentsbearthecostofhealthservicesinhealthcentersand3rdclasshospitals
forparticipantsofNationalCommunityHealthInsurance(Ind=Jamkesmas).Number
oftargetofthepoor(verypoor,poorandnearpoor)werecarriedonbyJamkesmas
programin2009asmanyas76.4millionpeople.

***

158

ASEAN(AssociationofSoutheastAsianNations)isageopoliticsandeconomics
organization in Southeast Asia, which aims to increase economic growth, social
progress and cultural development of member states, and promote peace on the
regional level. Until today, 10 countries are recorded as members of ASEAN. Those
tencountriesareBruneiDarussalam,Philippines,Indonesia,Cambodia,LaoPeople's
DemocraticRepublic,Malaysia,Myanmar,Singapore,ThailandandVietnam.
According to WHO classification, Indonesia and other 10 countries, namely
Bangladesh, Bhutan, DPR Korea (Democratic People's Republic of Korea), India,
Maldives, Myanmar, Nepal , Sri Lanka, Thailand and Timor Leste are included in SEARO
(South East Asia Region Organization).
Comparisons between Indonesia and other countries, both in ASEAN and
SEARO,areimportanttoidentifypositionofIndonesiaespeciallyintheneighboring
countries. This chapter studies comparison between Indonesia with ASEAN and
SEAROcountries,inaspectsofdemographic,healthdegreeandhealthefforts.
A.DEMOGRAPHIC
Demographic information is important for the development that it could be
properly distributed based on needs ofpopulation as the subject of development. A
largenumberofpeoplecouldbeeither aburden or aninvestment.Someindicators
used to identify the condition of population are number of population, population
density,populationgrowthrate,dependencyratioandbirthrate.
1. PopulationandDensity
WorldPopulationsDataSheet2010identifiesthatinmid2010Indonesiawas
an ASEAN country with the largest number of population 235.5 million (2010
PopulationCensusfiguresbyMay2010Indonesiahas237.6millionpopulation).As
the largest country, Indonesia has always been occupying the first position as the
countrywiththemostpopulationamongASEANmemberstates,BruneiDarussalam
hastheleastpopulationwith0.4million.

In ASEAN region, Indonesia was the country with the largest number of
population,whileinSEAROregionIndonesiawasthesecondcountryafterIndia(with
1,188.8million).Bangladeshwasthecountrywiththethirdbiggestpopulation.Apart
from Bangladesh which has population of 164.4 million, the other 8 countries had
populationlessthan100million,and2countriesevenhadlessthan1million(Bhutan
had 0.7 million and Maldives had 0.3 million). Number of population in ASEAN and
SEAROispresentedinGraph6.1.
161

GRAPH6.1
POPULATIONINASEAN&SEARO
2010

Source:PopulationReferenceBureau,WorldPopulationDataSheet2010

Accordingtopopulationdensity,Singaporewasthemostpopulouscountryin
ASEAN with 7,526 people per square km. It is far above other member states.
Meanwhile, the country with the lowest density was Lao PDR with 27 people per
squarekm.

InSEARO,Bangladeshwasthemostpopulouscountrywith1,142 peopleper
squarekm.Inspiteofhavingthesmallestpopulationandsmallarea,Maldiveswasa
country with the second highest population density in SEARO region, which was
1,070 people per square km. On the contrary, Bhutan had the lowest population
density,whichwas15peoplepersquarekm.
PopulationdensityofIndonesiawas124peoplepersquarekm.Itwasthe5th
highest number in ASEAN and the 8th in SEARO. Among total 11 member states of
SEARO,Indonesiawasthe4thlowestpopulouscountry.
PopulationdensityofASEANand SEAROmemberstatesin2010canbeseen
onGraph6.2below.
GRAPH6.2
POPULATIONDENSITYINASEAN&SEARO(persquarekm)
2010

Source:WorldPopulationDataSheet2010

162

2. PopulationGrowthRate
Indicator of population growth is very useful in predicting number of
populationofacountryinthefuture.Theestimatedpopulationnumbercouldreferto
the basic need of people on any field, including on health. The indicator is usually
called as population growth rate. Population growth rate is influenced by 3 factors,
namely birth, death and migration. Complete growth rate in ASEAN and SEARO are
presentedinGraph6.3.
GRAPH6.3
POPULATIONGROWTHRATEPERYEAR
INASEAN&SEARO,20002009

Source:TheStateofTheWorldsChildren2011

During20002009,amongASEANmemberstates,BruneiDarussalamwasthe
countrywiththehighestpopulationgrowthratewith2.3%,whileMyanmarwasthe
countrywiththelowestpopulationgrowthrate,0.8%.
Inthesameperiod,SEAROmemberstateshadpopulationgrowthrateranging
from0.5%to3.7%.ThehighestwasTimorLesteandthelowestwasKoreaDPR.

PopulationgrowthrateofIndonesiawas1.4%.InASEAN,itwasthe3rdlowest
position (together with Viet Nam), while in SEARO it was the 5 th lowest position.
Demographic data of ASEAN and SEARO member states in 2010 are presented in
Annex6.1.
3. PopulationbyAgeGroup
One indicator that can roughly indicate the economic situation of a country,
whether developed or developing countries, is a dependency ratio. The higher
percentage of dependency ratio indicates the higher burden to be borne by the
productivepeopletofinancelifeofnonproductivepeople(014yearand65year).
Percentageofnonproductivepeople(014yearand65year)in2010shows
thatamongASEANmemberstates,LaoPDRwasthecountrywiththehighestnumber
of non productive people, 43%. On the other hand, Singapore was the country with
thefewestnumberofnonproductivepeople,27%.
163

InSEAROregion,TimorLestehadthemostnonproductivepeoplewith52%,
while Thailand had the fewest non productive people, 29%. This information is
presentedonGraph6.4.
GRAPH6.4
COMPOSITIONOFPRODUCTIVEANDNONPRODUCTIVEAGE
INASEAN&SEARO
2010

Source:PopulationReferenceBureau,WorldPopulationDataSheet2010

The population distribution shows that Lao PDR had the most dependency
ratio(75%)amongASEANmemberstates,andSingaporehadthelowestdependency
ratio37%.
In SEARO, Timor Leste was the country with the highest dependency ratio
92%,whileThailandhadthelowestwith41%.
Indonesia had dependency ratio 52%. It means every 100 productive people
beartheburdentofinance52nonproductivepeople.
Population composition by age group and Dependency Ratio in ASEAN and
SEAROareinAnnex6.1.
4.HumanDevelopmentIndex
Human Development Index (HDI) is united three dimensions of human
development.Thosearehealthyandlonglife(measuredbyLifeExpectancyatBirth),
educated (measured by literate ratio and average length of school) and proper life
standard(measuredbyrealexpenditure/incomepercapita).
The international standard classifies Human Development Index (HDI) as:
veryhigh(>0.900);high(0.8000.899);middle(0.5000.799);andlow(<0.500).
In2010,therewasnoASEANmemberstatecategorizedasveryhigh.Onlytwo
countries, Brunei Darussalam and Singapore, were classified as high. Five countries
(includedIndonesia)wereclassifiedasmiddle,and3countrieswerelow.Comparing
to the ranks of ASEAN member states in the same year, Singapore occupied the
164

highest position. It was on the 27th of total 169 countries. Myanmar was on the
lowestpositionamongASEANcountries,whichwasonthe132 nd.Inthesameperiod,
Indonesia was on the 108th position with HDI 0.600. It increased from 0.593 in the
previousyear(2009).
GRAPH6.5
HUMANDEVELOPMENTINDEX
INASEAN&SEARO,2010

Source:UNDP,HumanDevelopmentReport2010

During2010,oftotal11ASEAROmemberstates(BhutanandKoreaDPRare
not available) no country was classified as high and very high. There were six
countries classified as middle and three countries were low (Bangladesh, Myanmar
and Nepal). Further information about HDI in ASEAN and SEARO 20092010 is
presentedinAnnex6.2.

5. TotalFertilityRate
Total Fertility Rate (TFR) is a description about average number of children
born by a woman aged 1549 years. Comparative figures of TFR between countries
can indicate the success of countries in implementing social and economic
development.ThehigherTFRistheaveragereflectionoftheyoungmarriageage,low
educationlevels,especiallywomen,lowsocioeconomiclevelorhighpovertyrate.In
addition, it also indicates the level of success of family planning program in the
country.
TotalFertilityRatecanbeusedforprogramdevelopmentplanningtoincrease
theaveragemarriageageandhealthserviceprogramsrelatedtomaternalandchild
care.
TFRisclassifiedinto3levelsi.e.low,moderateandhigh(ADB,KeyIndicators
2002).AcountrywithTFR2.1isclassifiedashavinglowfertility,withTFR2.23.9
isclassifiedashavingmoderatefertilityandwithTFR4isclassifiedashavinghigh
fertility.
165

By those key indicators, in 2010, there were 4 countries included in the


categoryoflowTFR,namelySingapore(1.2),BruneiDarussalam(1.7),Thailand(1.8),
andVietNam(2.1).IndonesiawascategorizedasmediumwithTFR2.4,whichmeans
thateverywomanaveragelyhad23childrenduringthefertileperiod.
Among 11 SEARO member states, only Thailand and Korea DPR were
countrieswithlowTFR.Eightcountries(Indonesia,Myanmar,Bangladesh,SriLanka,
Maldives, India, Nepal and Bhutan) were moderate, while Timor Leste was the only
countrywithhighcategorywasequalto5.7.ASEANandSEAROcanbeseeninGraph
6.6belowandAnnex6.2.
GRAPH6.6
TOTALFERTILITYRATEINASEAN&SEARO
2010

Source:PopulationReferenceBureau,WorldPopulationDataSheet2010

6. CrudeBirthRate
CrudeBirthRate(CBR)showshowmanybirthsinayearper1,000population
inthemidofthesameyear.
In 2010, Crude Birth Rate in ASEAN member states range from 10 to 28 per
1,000population.ThehighestCBRoccurredinLaoPDRwith28per1,000population,
andonthesecondpositionwasPhilippineswith26per1,000population.Singapore
had the lowest CBR with 10 births per 1,000 population. Meanwhile, Indonesia had
CBR20birthsforevery1,000population.
InSEARO,theCBRrangedfrom15to41per1,000population.Twocountries
withthehighestCBRwereTimorLeste(41)andNepal(28),whiletwocountrieswith
thelowestwereThailandandKoreaDPR(each15).
166

By CBR 20 births per 1,000 population, in ASEAN Indonesia was on the 5th
highestposition,whileinSEAROIndonesiawasonthe7thhighestposition.
Graph 6.7 shows the comparison of CBR in ASEAN and SEARO. Further
informationonCBRinASEANandSEAROin2010canbefoundinAnnex6.2.
GRAPH6.7
CRUDEBIRTHRATEINASEAN&SEARO
2010

Source:PopulationReferenceBureau,WorldPopulationDataSheet2010

7. SocioEconomic
National income is one indicator to measure a countrys economic growth.
GrossNationalIncomepercapitaconsistsofanumberofvaluesofgoodandservice
producedwithinacountry,includingtheincomereceivedfromothercountries.

ThehighestGrossNationalIncomepercapitain2010amongASEANmember
states was Brunei Darussalam (US$ 50,200 per capita), followed on the second
position by Singapore (US$ 47,940 per capita). Myanmar and Cambodia were
countrieswiththelowestGrossNationalIncomepercapita,eachUS$1,290andUS$
1,820.
All10countriesinSEARO(KoreaDPRwasnotavailable)hadGrossNational
Incomepercapitalessthan$6,000.ThecountrywiththehighestGNIpercapitawas
ThailandwithUS$5,990,andthelowestwasNepalwithUS$1,120.Comparingto17
countries in ASEAN and SEARO, Indonesiaranked 6th tertinggipendapatannasional
brutoperkapita.

Meanwhile,IndonesiahadGNIpercapitaUS$3,830.GrossNationalIncomein
ASEANandSEAROin2010canbeseeninGraph6.8.

167

GRAPH6.8
GROSSNATIONALINCOME(GNI)INASEAN&SEARO
2010

Source:PopulationReferenceBureau,WorldPopulationDataSheet2010

B.HEALTHSTATUS
MORTALITY
1. InfantMortalityRate
Infantmortalityrateisclassifiedinto4:low(20per1000livebirths);middle
(2049per1000livebirths);high(5099);andveryhigh(100per1000livebirths).
Graph 6.9 shows that in 2009, 5 ASEAN member states (Singapore, Brunei
Darussalam, Malaysia, Thailand and Viet Nam) were included in low category, 3
member states (Philippines, Indonesia and Lao PDR) were included in middle
category,andother2memberstates(CambodiaandMyanmar)wereincludedinhigh
category.Oftotal10ASEANmemberstates,therewasnomember statecategorized
asveryhigh(IMR100per1000livebirths).
Subjecttothe classification, 3SEAROmemberstates,Maldives,Thailandand
SriLanka,werecategorizedaslowwithinfantmortalityrate(IMR)11,12and13per
1000livebirths,5memberstateswerecategorizedasmiddle,and3memberstates
werecategorizedashigh(Myanmar,BhutanandIndia).
InfantMortalityRate(IMR)inASEANandSEAROin2009rangesfrom2and
68per1000livebirths.IMRinIndonesiawas30per1000live births,anditwason
the10positionoftotal18countries.IMRinASEANandSEAROin2009canbeseenin
Annex6.2.

168

GRAPH6.9
INFANTMORTAALITYRATEINASEAN&SEARO
2009

Source:WHO,WorldHealthStatistics2011

2. UnderfiveMortalityRate

Reduction of infant mortality rate is one thing considered important in


Millennium Development Goals. In high case situation, the most number of deaths
usuallyoccursonunderfiveagewhenchildrenaresusceptibletodiseases.Statistics
indicatesthatmorethan70%underfivemortalityiscausedbydiarrhea,pneumonia,
measles,malariaandmalnutrition.
GRAPH6.10
UNDERFIVEMORTALITYRATE(PER1000LIVEBIRTHS)
INASEAN&SEARO,2009

Source:WHO,WorldHealthStatistics2011

169

DatainWorldHealthStatistics2011showsawidegapofunderfivemortality
rate among ASEAN member states in 2009. The country with lowest rate was
Singapore with 3 per 1000 live births, and the highest was Cambodia with 88 per
1000 live births. ASEAN member states mostly have Underfive Mortality Rate less
than 50 per 1000 live births, and only Cambodia, Myanmar and Lao PDR had more
than50per1000livebirths.
Duetothesamedatasource,underfivemortalityrateinSEARO rangedfrom
13 to 79 per 1000 live births. Buthan was the country with the highest underfive
mortalityrate,whileThailandwasthecountrywiththelowest.IfASEANonlyhad3
countries (from total 10 countries) with underfive mortality rate more than 50 per
1000livebirths,SEAROhad5countrieswithunderfivemortalityratemorethan50.
Graph 6.10 shows that ASEAN member states relatively had underfive
mortality rate lower (except Cambodia) than SEARO member states. It has been
described previously that the majority of underfive mortality is caused by diarrhea,
pneumoniaandmalnutrition.ItmeansASEANmemberstatesmight havesanitation
andeconomybetterthanSEAROmemberstates.
In2009,Indonesiahad39underfivedeathsper1000livebirths(accordingto
SDKI 2007, Underfive Mortality Rate in Indonesia was 44). Among ASEAN member
states, Indonesia was ranked the 4th highest Underfive Mortality Rate, while among
SEAROmemberstates,Indonesiawasrankedthe5thlowest.UnderfiveMortalityRate
inASEANandSEAROin2009canbeseeninAnnex6.2.
3. MaternalMortalityRate
Based on WHO classification, Maternal Mortality Rate (MMR) is divided as
follows:<15per100,000lbs;15199per100,000lbs;200499per100,000lbs;500
999per100,000lbsand1,000per100,000lbs.
GRAPH6.11
MATERNALMORTALITYRATEINASEAN&SEARO
2008

Source:WHO,WorldHealthStatistics2011

170

In2008,amongASEANmemberstates,onlySingaporehadMaternalMortality
Rate <15, which was 9 per 100,000 live births, and only Lao PDR had MMR >500,
whichwas580per100,000livebirths.
Inthesameyear,therewasnoSEAROmemberstateshadMaternalMortality
Rate <15 live births and >500 live births. Three countries had MMR 15199 per
100,000livebirths,and8countrieshadMMR200499per100,000livebirths.
AmongASEANandSEAROmemberstates,Indonesiawasranked11th(oftotal
18memberstates)withMMR240per100,000livebirths.MaternalMortalityRatein
ASEANandSEAROin2008canbeseeninAnnex6.2.
Meanwhile,accordingtoSDKI2007,nationalMMRofIndonesiawas228per
100,000livebirths.

4. CrudeDeathRate
CrudeDeathRate(CDR)is a number that indicates how much deaths occurring in
a year for every 1,000 population. In general, older people have a higher risk of death
comparing to younger people. Since there is no other indicator of death, it can be used to
give an idea about the state of population welfare in a current year.
GRAPH6.12
CRUDEDEATHRATE(PER1000POPULATION)
INASEAN&SEARO,2010

Source:PopulationReferenceBureau,WorldPopulationDataSheet2010

Among ASEAN member states, in 2010 Myanmar was the country with the
highestCDR,whichwas11per1000population.SituationofCDRinSEAROwasnot
muchdifferentwithinASEAN.MyanmarwasthecountrywiththehighestCDR,while
MaldiveswasthecountrywiththelowestCDR,3per1000population.
In 2010, there were 6 deaths per 1000 population in Indonesia. In ASEAN,
Indonesia was the country with the 5th highest CDR, on the contrary, in SEARO
171

Indonesia was on the 2nd lowest position. Crude Death Rate 2010 in ASEAN and
SEAROcanbefoundinAnnex6.2.

5. LifeExpectancyatBirth(e0)
Life expectancy at birth (e0) is an indicator to evaluate the performance of
government in improving the population welfare generally and health care
particularly.
Graph 6.13 shows that in 2010, among 10 ASEAN member states, Singapore
was the country with the highest life expectancy at birth, which was 81 years.
Myanmarwasthecountrywiththelowestlifeexpectancyatbirth,58years.
GRAPH6.13
LIFEEXPECTANCYATBIRTH(e0)INASEAN&SEARO
2010

Source:PopulationReferenceBureau,WorldPopulationDataSheet2010

InSEARO,SriLankahadthehighestlifeexpectancyatbirthof74years.AsinASEAN,
inSEAROMyanmarwasthecountrywiththelowestlifeexpectancyatbirth,58years.
With life expectancy at birth 71 years, in ASEAN, Indonesia was on the 6th
highest position, and in SEARO Indonesia was on the 3rd highest position. Life
expectancyatbirthinASEANandSEAROin2010isinAnnex6.2.

MORBIDITY

1. PrevalenceofTuberculosis(TB)
World Health Statistics 2011 shows large difference in the prevalence of
tuberculosis per 100,000 population and mortality associated with tuberculosis per
100,000 population in ASEAN and SEARO. The prevalence of tuberculosis 2009
among ASEAN member states ranged from 43 to 693 per 100,000 population.
CambodiawasthecountrywiththehighestprevalenceoftuberculosisinASEAN,693
172

per 100,000 population, while Singapore had the lowest prevalence of tuberculosis,
whichwas43casesper100,000population.
Thehighestdeathrelatedtotuberculosisin2009wasinCambodiawith71per
100,000population.Meanwhile,thelowestdeathrelatedtotuberculosisoccurredin
Brunei Darussalam and Singapore with each 1.7 and 2.3 deaths per 100,000
population.

GRAPH6.14
PREVALENCEOFANDDEATHRELATEDTOTUBERCULOSISPER100,000POPULATION
INASEAN&SEARO,2009

Source:WHO,WorldHealthStatistics2011

ThesamesituationhappenedalsoinSEARO.Prevalenceoftuberculosis2009
among SEARO member states had a quite large gap, ranging from 47 to 744 per
100,000 population. The country with the highest TB prevalence was Timor Leste
(744per100,000population)andthecountrywiththelowestwasMaldives(47per
100,000population).
Deaths by tuberculosis in SEARO ranged from 2.6 to 66 per 100,000
population. The highest number of TB deaths also occurred in Timor Leste with 66
deaths per 100,000 population, and the lowest number occurred in Maladives with
2.6per100,000population.
Among total 18 countries of ASEAN and SEARO, Indonesia was on the 8th
highest position with TB prevalence 285 per 100,000 population. It can be seen in
Annex6.4.

2.AvianInfluenza
The emergence of new strains of influenza virus in humans (H5N1 strain) was first
detected in Hong Kong. As a result, 18 people got inpatient care, and 6 of them died. It was
the first fact that avian influenza viruses can be transmitted directly from birds to humans.
Before 1997, scientists believe the transmission of influenza virus from birds to humans
did not occur directly.
173

Avian Influenza firstly entered ASEAN region in 2003, and Viet Nam was the
firstcountryinfectedwith3peoplediagnosedbeinginfectedanddied.Bytheendof
2010,6countrieshadbeeninfectedbyAvianInfluenza,thoseareVietNam,Thailand,
Indonesia,LaoPDR,MyanmarandCambodia.
In SEARO, the infected countries were the same as infected countries in
ASEAN.ThoseareIndonesia,MyanmarandThailand.
GRAPH6.15
AVIANINFLUENZACASEANDFATALITY
INASEAN&SEARO,20032010

Source:http://www.who.int/csr/disease/avian_influenza/country/cases_table_2011_05_13/en/index.html,data
13May2011,accessedon20June2011

Graph6.15showsthenumberofcasesanddeathscausedbyAvianInfluenza
inASEANsince2003to2010.Thefirstcaseinfected3peopleinVietNam,andallof
themendedindeath.In2004,itincreasedto46caseswith32deaths.Inadditionto
VietNam,H5n!hadalsoinfectedThailand.Bytheendof2005, numberofcasesand
infected countries continued to grow, and about 90 people positively infected.
However, the number of death could be reduced. If previously almost 100% cases
endedindeath,in2005,of90infectedcases38endedindeath(42.22%).Sincethat
time, number of Avian Influenza cases continued to decline. On the contrary, case
fatalityrate(CFR)wasstillhigh.In2009,therewere3countriesinASEANinfected
with27casesand24death(CFR=88.89%).In2010,CFRdecreasedto58.82%(17
caseswith10deaths).
Tabel 6.1 shows that over the last 3 years,Avian Influenza virus spread to 3
countries in ASEAN, Cambodia, Viet Nam and Indonesia. The 3 countries that were
infectedpreviously(Laos,MyanmardanThailand)havenotshownthecasedetection
yet.

174

TABEL6.1
AVIANINFLUENZACASEANDFATALITY
BYCOUNTRY,20032010
COUNTRIES
Cambodia
LaoPDR
VietNam
Indonesia
Myanmar
Thailand
Bangladesh
ASEAN
SEARO

Source:

2004

2003
C

D
0
0
3
0
0
0
0
3
0

0
0
3
0
0
0
0
3
0

2005
D

0
0
29
0
0
17
0
46
17

C
0
0
20
0
0
12
0
32
12

2006
D

4
0
61
20
0
5
0
90
25

C
4
0
19
13
0
2
0
38
15

2007
D

2
0
0
55
0
3
0
60
58

C
2
0
0
45
0
3
0
50
48

2008
D

1
2
8
42
1
0
0
54
43

C
1
2
5
37
0
0
0
45
37

2009
D

1
0
6
24
0
0
1
31
25

C
0
0
5
20
0
0
0
25
20

2010
D

1
0
5
21
0
0
0
27
21

C
0
0
5
19
0
0
0
24
19

Total
D

1
0
7
9
0
0
0
17
9

C
1
0
2
7
0
0
0
10
7

10
2
119
171
1
25
1
328
198

http://www.who.int/csr/disease/avian_influenza/country/cases_table_2011_05_13/en/index.html,
updated13May2011,accessed20June2011

D
8
2
54
122
0
17
0
203
139

Remarks:C=CaseD=Death

Avian Influenza began to attack humans in SEARO in 2004, which was Thailand.
Since 2004, SEARO member states infected by Avian Influenza are also the countries of
ASEAN. These countries are Thailand and Indonesia.

3.POLIO
Some diseases can potentially cause outbreaks. Some diseases can be
preventedbyimmunization,orusuallycalledasPD3I(vaccinepreventablediseases).
These are Tuberculosis, Hepatitis B, Diphtheria, Pertussis, Tetanus, Tetanus
Neonatorum,MeaslesandPolio.
TABEL6.2
POLIOCASEPERCOUNTRY
20042008

COUNTRIES
Cambodia
LaoPDR
Indonesia
Myanmar
Bangladesh
India
Nepal
ASEAN
SEARO

2004
0
1
0
0
0
134
0
1
134

2005
1
0
349
0
0
66
4
350
419

2006
1
0
2
1
18
676
5
4
702

2007
0
0
0
15
0
873
5
15
893

2008
0
0
0
0
0
559
6
0
565

Source:WHOvaccinepreventablediseasemonitoringsystem,2009globalsummary

Since 2001, polio cases had not been found in ASEAN countries. However, in
2004itreturnedandattackedresidentsinASEANregion.Therewas1casefoundin
Laos. In 2005 the number of polio cases reached its peak. About 350 cases were
reported from 2 countries in ASEAN, Cambodia and Indonesia, and 349 occurred in
Indonesia.Transmissionofpoliocouldbecontrolledin2006. Only 4patientswere
foundinthisregion,2patientsoriginatedfromIndonesiaandonepatienteachfrom
CambodiaandMyanmar.In2007,amongASEANmemberstates,poliocaseswasonly
foundinMyanmarandkeptincreasingfrom1to15cases,comparedtopreviousyear.

175

Indonesia, which in 2005 got the outbreak of 349 polio cases, could control the
incidentthatsince2007poliocasehadnotbeenfoundinIndonesia.

Thoughin2008poliowasnotfoundinASEAN,therewere565poliocasesin
SEARO, specifically in India and Nepal. From previous year, India had decreasing
cases36%,whileNepalhadincreasing20%.
GRAPH6.16
POLIOCASESINASEAN&SEARO
20042008

Source:WHOvaccinepreventablediseasemonitoringsystem,2009globalsummary

Comparing to ASEAN member states, polio cases were high cumulatively in


SEAROsince2002andyearsbefore.During20042006,itslowly begantoincrease.
This increasing number was due to a big contribution from India, as one of 4 Polio
endemic countries. Although in 2008 India had successfully controlled number of
Poliocases,about99%casesinSEAROoccurredinIndia.

4.TetanusNeonatorum
Tetanus cases are mostly found in tropical countries and countries that still
have low environmental health conditions. WHO data figures that deaths related to
tetanus in developing countries is 135 times higher than developed countries.
Tetanusisoneofinfectiousandfataldiseases.
TetanusininfantsisalsoknownasTetanusNeonatorumbecauseitgenerally
occursinnewbornsorunderonemonthofage.ThecauseisClostridiumTetanispore
thatenterbodythroughinjuriesonumbilicalcordcausedbyunhygienictreatment.
During 2010, Tetanus Neonatorum occurred in 7 ASEAN countries, with the
highestnumbercasesinIndonesia,over100cases.SingaporeandBruneiDarussalam
didnotreportanyTetanusNeonatorumcases.
VaccinePreventable Disease Monitoring System 2011 records that during
2010therewere373tetanusneonatorumcasesinIndia(SEAROmemberstate)andit
was far above other ASEAN member states. Indonesia and Bangladesh were on the
176

2nd and 3rd position with 137 and 117 cases. Other 3 countries, Bhutan, Korea DPR
andMaldivesdidnotreportanytetanusneonatorumcases.
Number of infectious diseases that can be prevented by immunization in
ASEANandSEAROin2010canbeseencompletelyinAnnex6.6.

C.HEALTHEFFORTS
1. CoverageofImmunization

Immunizationisoneefforttopreventdeathininfantsbygivingvaccine.Some
immunizationsarerequiredtobegiventoinfants,i.e.polio,BCGandmeasles.BCGis
usually used as a reflection of the proportion of infants protected from severe
tuberculosis during the first year of their lives. It is also an indicator of access to
healthservice.

InadditiontoBCG,Polioisanothervaccinethatshouldbegiventoinfants.Itis
an immunization to prevent Polio disease. If BCG and Measles need 1 dosage of
vaccine, Polio needs 3 dosages. Therefore, Polio3, or a condition when infants have
beenimmunizedagainstPoliofor3times(3dosages),isusedtomeasurethesuccess
ofhealtheffort.
Fromsomevaccinepreventablediseasesininfant,measlesisthemaincause
ofdeath.Therefore,measlespreventionisanimportantfactorinreducingUnderfive
MortalityRate.Oneof22specificgoalsagreedinWorldSummitofChildrenDari22is
maintaining measles immunization coverage of 90%. In all ASEAN and SEARO
memberstates,measlesimmunizationisgiventoinfantsaged912months.Itisthe
last immunization series of other mandatory immunization (BCG, DPT, Polio,
HepatitisandMeasles).Thus,wheninfantsgetmeaslesvaccination,theyareassumed
having got complete immunization series. The coverage of measles vaccination
describesthecoverageofinfantsgettingcompleteimmunizationseries.
ComparingtootherimmunizationinGraph6.17,coverageofBCGvaccination
toinfantsisusuallyhigher.ItisbecausethescheduleofBCGvaccinationisrelatively
earlier that the other. Some countries even give BCG injection a moment after the
baby is born that the baby is still in monitoring of heath personnel. In 2009, the
highest BCG coverage among ASEAN member states was attained by Brunei
Darussalam,SingaporeandThailandwith99%,whilethelowestwasattainedbyLao
PDRwith67%.
InSEARO,8of11memberstatesachievedBCGvaccinationcoverageof90%.
Those 8 countries were Indonesia, Myanmar, Thailand, Bangladesh, Bhutan, Korea
DPR, Maldives and Sri Lanka. While, the lowest coverage was in Timor Leste with
71%.

177

GRAPH6.17
COVERAGEOFVACCINATION
INASEAN&SEARO,2009

Source:WHOImmunizationSummary2011:AStatisticalReferenceContainingDatathrough2009

DuringDuring2008,7of10ASEANmemberstateshadsuccessfullyachieved
target of Polio3 immunization of 90%. The highest coverage was by Brunei
Darussalam and Thailand with 99% and the lowest was Lao PDR with 60%.
Accordingtothesamesource,7of11SEAROmemberstatesgotcoverageofPolio3
immunization90%.ThehighestcoveragewasThailandwith99%andthelowestwas
Indiawith67%.
Inthesameyear,6ASEANcountrieshadmettargetofmeaslesimmunization
90%.ThosewereBruneiDarussalam,Cambodia,Malaysia,Singapore,VietNamand
Thailand.BruneiDarussalamwasthecountrywiththehighestcoverage99%.Onthe
other hand, Lao PDR got the lowest coverage of 59%. Meanwhile, coverage of
Indonesiain2009was82%.
InSEAROregion,5of11countriesachievedmeaslesimmunizationcoverage90%.
ThosewereThailand,Bhutan,KoreaDPR,MaldivesandSriLanka.Thecountrywith
thelowestcoveragewasTimorLestewith70%.
In almost all ASEAN and SEARO countries, Hepatitis is one of basic
immunization given to infants, except in India. In India, Hepatitis is not a basic
immunization.Therefore,inAnnex6.7,Indiaistheonlycountrywithlowpercentage
of infants getting hepatitis3, which was 21%. In other countries, the coverage of
Hepatitis3reachedmorethan60%,insomecountriesitevenexceeded90%.
Indonesia had covered 93% infants getting BCG immunization, 89% infants
getting polio3 immunization and 82% infants getting measles immunization.
Coverageof5basicimmunizationsinASEANandSEAROmemberstatesiscompletely
presentedinAnnex6.7.

178

2. LungTBControl
WHOhassettargetofTBcasedetectionthrough70%DOTSstrategyand85%
SuccessRate.Infact,TBcasedetectiongloballywas60%andsuccessratewas84%.It
means the achievement of those 2 indicators had not met the target, though the
successratehadalmostreachedit.
According to World Health Statistics 2011, in 2009, 3 ASEAN countries had
met WHO target of TB case detection, 70%. Those were Brunei Darussalam (89%),
Singapore(89%) and Malaysia (76%). Other 7 countries had notmet the target yet
becausethecoveragewereonlyrangingfrom54%69%.
GRAPH6.18
TBCASEDETECTIONINASEAN&SEARO,2009

GRAPH6.19
TBSUCCESSRATEINASEAN&SEARO,2008

Source:WHO,WorldHealthStatistic2011

Source:WHO,WorldHealthStatistic2011

Fromtotal11SEAROmemberstates,only6countrieshadmetWHOtargetof
TBcasedetection.Bhutanhadcoveredthehighestwith100%,whileBangladeshhad
thelowestwith44%.
Graph6.19showsthatin2008therewere8ASEANcountriesmetWHOtarget
of TB success rate (85%), while three countries, Malaysia, Singapura and Thailand
hadnotmettheWHOtargetyet.Indonesiawasoneofthecountries,whichhadmet
the target, with Success Rate 91%. The highest Success rate was attained by
Cambodiawith95%,andthelowestwasMalaysiawith78%.
Therewere9SEAROmemberstatesmetSuccessRatetarget.Thehighestwere
Indonesia, Bangladesh and Buthan with each 91%, while the lowest was Maldives
with45%.
Meanwhile,bothGraph6.18andGraph6.19indicatethesuccessofIndonesia
inmeetingWHOtargetofsuccessrateindicator,butIndonesia hadnotsuccessfully
met the target of case detection rate indicator. Among SEARO member states,
Indonesiahadevenattainedthehighestrate,inadditiontoBangladeshandBhutan.
179

3.ImprovedDrinkingWaterSourceandSanitation

During2008,from9ASEANmemberstates(BruneiDarussalamnotavailable),
therewere6countrieswithimproveddrinkingwatersourcemorethan80%,while
Cambodia, Lao PDR and Myanmar only had less than 80%. The highest percentage
wasbyMalaysiaandSingaporewith100%andthelowestwasLaoPDRwith57%.

Inthesameyear,amongSEAROmemberstates,almostallcountrieshavehad
more than 80% population using improved drinkingwater source, except Timor
Lestewithonly69%.Meanwhile,thehighestpercentagewasKoreaDPRwith100%
population.
Graph6.20showsthatamongallASEANandSEAROmemberstates,therewas
a large gap between the lowest and the highest percentage of population using
improved sanitation, ranging from 29% to 100%. The country with the lowest
coveragewasCambodiawith29%,andthehighestwasSingaporewith100%.
GRAPH6.20
PERCENTAGEOFPOPULATIONUSINGIMPROVEDDRINKINGWATERSOURCE
ANDSANITATIONINASEAN&SEARO,2008

Source:UNDP,StatesoftheWorldsChildren2011

Comparingtopopulationusingimproveddrinkingwatersource,percentageof
population using improved sanitation was relatively low. There were 10 countries
with less than 80% population using improved sanitation. Percentage ofpopulation
usingimproveddrinkingwatersourceandsanitationinASEANandSEAROin2008
canbeseeninAnnex6.3.
4.MaternalHealthCare

In period 20002010, from 6 reporting ASEAN member states (Brunei, Lao


PDR, Malaysia and Singapore not available), Indonesia was the country with the
highestmaternalcare(4thvisitorK4)82%,andCambodiawasrecordedasthelowest
with27%.InSEARO,twocountrieswiththehighestcoverageof maternalcare(K4)
were Korea DPR with 95% and Sri Lanka with 93%, while the lowest was in
Bangladeshwith21%.
180


Coverage of delivery assisted by skilled health assistant was various. Three
countrieswiththehighestcoveragewereSingapore,BruneiDarussalamandMalaysia
with 100%, while the country with the lowest coverage was Lao PDR with 20%.
Indonesiawith 73%was on the 6th position of 10 ASEAN member states. In SEARO
region, the highest was Thailand and Sri Lanka with 99%, and the lowest was
Bangladeshwith18%.

Among 8 ASEAN member states (Brunei Darussalam and Malaysia not


available), the highest percentage of active family planning participant of woman
aged 1549 years was attained by Thailand with 70%, and the lowest was by
Cambodiawith27%.Indonesiawithcoverageof57%wasonthe3 rdposition.berada
pada peringkat ke3 dari 10 negara ASEAN. Meanwhile, in SEARO, the highest
percentagewasachievedbyThailand(70%),andthelowestwasbyTimorLestewith
21%.
***

181

BPS Statistics Indonesia. 2006. Estimasi Parameter Demografi SUPAS 2005. BPS, Jakarta.
___________. 2006. Statistik Kesejahteraan Rakyat 2005. BPS, Jakarta.
___________. 2007. Statistik Kesejahteraan Rakyat 2006. BPS, Jakarta.
___________. 2008. Statistik Kesejahteraan Rakyat 2007. BPS, Jakarta.
___________. 2009. Statistik Kesejahteraan Rakyat 2008. BPS, Jakarta.
___________. 2005. Beberapa Indikator Penting Sosial-Ekonomi Indonesia 2005. BPS,
Jakarta.
___________. 2007. Beberapa Indikator Penting mengenai Indonesia. BPS, Jakarta.
___________. 2010. Perkembangan Beberapa Indikator Utama Sosial-Ekonomi Indonesia.
BPS, Jakarta.
___________. 2010. Analisis Dan Penghitungan Tingkat Kemiskinan 2010. BPS, Jakarta.
___________. 2004. Statistik Indonesia 2003. BPS, Jakarta.
___________. 2005. Statistik Indonesia 2004. BPS, Jakarta.
___________. 2006. Statistik Indonesia 2005/2006. BPS, Jakarta.
___________. 2007. Statistik Indonesia 2007. BPS, Jakarta.
___________. 2004. Statistik Kesehatan 2004. BPS, Jakarta.
___________. 2008.. Pedoman Millenium Development Goals. BPS, Jakarta.
___________. 2008.. Press Release BPS 2008: Jumlah Kemiskinan. www.bps.go.id, Jakarta.
___________. 2010.. Berita Resmi Statistik, BPS, No. 45/07/Th. XIII, 1 Juli 2010.
___________. 2010.. Data Strategis BPS, BPS, Jakarta.
___________. 2010.. Hasil Sensus Penduduk 2010, Data Agregat Per Provinsi, BPS, Jakarta.

BPS Statistics Indonesia and Macro International, 1998. Survei Demografi dan Kesehatan
Indonesia (SDKI) 1997. Calverton, Maryland, USA.
___________. 2003. Survei Demografi dan Kesehatan Indonesia (SDKI) 2002-2003.
Calverton, Maryland, USA.
___________. 2008. Survei Demografi dan Kesehatan Indonesia (SDKI) 2007. Macro.
Calverton, Maryland, USA.
BPS Statistics Indonesia, BAPPENAS, UNFPA. 2005. Proyeksi Penduduk Indonesia
(Indonesia Population Projection 2000 - 2025). BPS, Jakarta.
Ministry of Home Affairs. 2010. Kode dan Data Wilayah Administrasi Pemerintahan 2010.
Depdagri, Jakarta. www.depdagri.goid
Ministry of Health. 2009. Profil Kesehatan Indonesia 2008, Departemen Kesehatan RI,
Jakarta.
___________. 2010. Laporan Hasil Riset Kesehatan Dasar, RISKESDAS Indonesia Tahun
2010. Kemenkes, Jakarta.
___________. 2008. Laporan Hasil Riset Kesehatan Dasar, RISKESDAS Indonesia Tahun
2007. Depkes, Jakarta.
___________. 2008. Pedoman Pelaksanaan Jaminan Kesehatan Masyarakat (Jamkesmas)
2008. Depkes, Jakarta.
___________. 2008. Profil Pengendalian Penyakit Dan Penyehatan Lingkungan 2007.
Depkes, Jakarta.
___________.2008. Pemantauan Wilayah Setempat (PWS) KIA, Departemen Kesehatan RI,
Jakarta.
___________. 2006. Profil Pengembangan Dan Pemberdayaan Sumberdaya Manusia
Kesehatan 2005. Depkes, Jakarta.
___________. 2006. Statistik Rumah Sakit Di Indonesia Seri 1: Kegiatan Pelayanan.
Depkes, Jakarta.
___________. 2006. Statistik Rumah Sakit Di Indonesia Seri 2: Ketenagaan. Depkes, Jakarta.
___________. 2006.Statistik Rumah Sakit Di Indonesia Seri 3:Morbiditas/Mortalitas.
Depkes, Jakarta.
___________. 2006. Profil Pendidikan Tenaga Kesehatan Tahun 2006. Pusdiknakes, Depkes
RI, Jakarta.

___________. 2005. Publikasi Hasil Analisis Data Survei Kesehatan Nasional 2004. Badan
Litbangkes, Depkes RI, Jakarta.
___________.2005. Pencegahan dan Pemberantasan DBD di Indonesia, Dirjen PPPL
Departemen Kesehatan RI, Jakarta.
___________.2000. Indonesia Sehat 2010, Departemen Kesehatan RI, Jakarta.
___________.1996. Publikasi Hasil Survei Kesehatan Rumah Tangga 1995. Badan
Litbangkes, Jakarta.
Ministry of Underdeveloped Areas Development of RI, 2010. Strategi Nasional Percepatan
Pembangunan Daerah Tertinggal 2004-2009. Jakarta.
USAID, 2008. The World Population Data Sheet. Population Reference Bureau.
The United Nations Development Programme. 2008. Human Development Report
2007/2008. UNDP, New York.
UNAIDS. 2010. 2008 Report on The Global AIDS Epidemic. UNAIDS/WHO.
UNICEF. 2008. The State of the Worlds Children 2008. UNICEF/WHO, New York.
___________. 2009. The State of the Worlds Children 2009. UNICEF/WHO, New York.
___________. 2008. Incidence Series Immunization 2007. UNICEF/WHO, New York.
___________. 2008. Immunization Summary: The 2007 Edition. UNICEF/WHO, New York.
WHO. 2008. World Health Statistics 2007. WHO Press, Geneva.
___________. World Health Statistics 2008. WHO Press, Geneva.
___________. 2008. WHO Vaccine Preventable Diseases, Monitoring System. WHO, New
York.
___________. 2010. Cumulative Number of Confirmed Human Cases of Avian Influenza
A/(H5N1)
Repoerted
to
WHO
13
May
2011
(http://www.who.int/csr/disease/avian_influenza/country/cases_table_2011_05_13/e
n/index.htmlaccessedon20June2011)

***

Annex 2.1

DISTRIBUTION OF GOVERNMENT ADMINISTRATION BY PROVINCE, 2010


No

Provinces

(1)

(2)

Districts

Distibution of Government Administration


Municipalities
Districts+Municipalities
Subdistricts

(3)

(4)

(5)

(6)

Villages
(7)

Aceh

18

23

275

6,420

North Sumatera

25

33

410

5,656

West Sumatera

12

19

169

968

Riau

10

12

154

1,568

Jambi

11

128

South Sumatera

11

15

217

1,321
2,895

Bengkulu

10

116

1,444

Lampung

12

14

206

2,358

Bangka Belitung Islands

44

361

10

Riau Islands

59

342

11

DKI Jakarta

44

267

12

West Java

17

26

625

5,836

13

Central Java

29

35

573

8,576

14

DI Yogyakarta

78

438

15

East Java

29

38

662

8,499

16

Banten

154

1,535

17

Bali

57

699

18

West Nusa Tenggara

10

116

913

19

East Nusa Tenggara

20

21

288

2,823

20

West Kalimantan

12

14

175

1,778

21

Central Kalimantan

13

14

125

1,445

22

South Kalimantan

11

13

151

1,975

23

East Kalimantan

10

14

136

1,439

24

North Sulawesi

11

15

156

1,542

25

Central Sulawesi

10

11

148

1,732

26

South Sulawesi

21

24

302

2,874

27

Southeast Sulawesi

10

12

201

1,843

28

Gorontalo

65

595

29

West Sulawesi

69

569

30

Maluku

11

76

898

31

North Maluku

111

1,054

32

West Papua

10

11

160

1,354

33

Papua

28

29

348

3,621

399

98

497

6,598

Indonesia
Source : Ministry of Home Affairs Republic of Indonesia, 2010

75,638

Annex 2.2

TOTAL POPULATION BY SEX AND SEX RATIO


BY PROVINCE, 2010
No

Provinces

Males

Females

Males and Females

(1)

(2)

(3)

(4)

(5)

Sex Ratio
(6)

Aceh

2,248,952

2,245,458

4,494,410

100

North Sumatera

6,483,354

6,498,850

12,982,204

100

West Sumatera

2,404,377

2,442,532

4,846,909

98

Riau

2,853,168

2,685,199

5,538,367

106

Jambi

1,581,110

1,511,155

3,092,265

105

South Sumatera

3,792,647

3,657,747

7,450,394

104

Bengkulu

877,159

838,359

1,715,518

105

Lampung

3,916,622

3,691,783

7,608,405

106

Bangka Belitung Islands

635,094

588,202

1,223,296

108

10

Riau Islands

862,144

817,019

1,679,163

106

11

DKI Jakarta

4,870,938

4,736,849

9,607,787

103

12

West Java

21,907,040

21,146,692

43,053,732

104

13

Central Java

16,091,112

16,291,545

32,382,657

99

14

DI Yogyakarta

1,708,910

1,748,581

3,457,491

98

15

East Java

18,503,516

18,973,241

37,476,757

98

16

Banten

5,439,148

5,193,018

10,632,166

105

17

Bali

1,961,348

1,929,409

3,890,757

102

18

West Nusa Tenggara

2,183,646

2,316,566

4,500,212

94

19

East Nusa Tenggara

2,326,487

2,357,340

4,683,827

99

20

West Kalimantan

2,246,903

2,149,080

4,395,983

105

21

Central Kalimantan

1,153,743

1,058,346

2,212,089

109

22

South Kalimantan

1,836,210

1,790,406

3,626,616

103

23

East Kalimantan

1,871,690

1,681,453

3,553,143

111

24

North Sulawesi

1,159,903

1,110,693

2,270,596

104

25

Central Sulawesi

1,350,844

1,284,165

2,635,009

105

26

South Sulawesi

3,924,431

4,110,345

8,034,776

95

27

Southeast Sulawesi

1,121,826

1,110,760

2,232,586

101

28

Gorontalo

521,914

518,250

1,040,164

101

29

West Sulawesi

581,526

577,125

1,158,651

101

30

Maluku

775,477

758,029

1,533,506

102

31

North Maluku

531,393

506,694

1,038,087

105

32

West Papua

33

Papua

Indonesia
Source: BPS-Statistics Indonesia, Population Census 2010

402,398

358,024

760,422

112

1,505,883

1,327,498

2,833,381

113

119,630,913

118,010,413

237,641,326

101

Annex 2.3

TOTAL POPULATION BY SEX AND AGE GROUPS, 2010


No

Age Groups

Males

Females

Males and Females

(1)

(2)

(3)

(4)

(5)

0-4

11,658,856

11,013,204

22,672,060

5-9

11,970,804

11,276,366

23,247,170

10 - 14

11,659,310

11,018,180

22,677,490

15 - 19

10,610,119

10,260,967

20,871,086

20 - 24

9,881,969

9,996,448

19,878,417

25 - 29

10,626,458

10,673,629

21,300,087

30 - 34

9,945,211

9,876,989

19,822,200

35 - 39

9,333,720

9,163,782

18,497,502

40 - 44

8,319,453

8,199,015

16,518,468

10

45 - 49

7,030,168

7,005,784

14,035,952

11

50 - 54

5,863,756

5,693,103

11,556,859

12

55 - 59

4,398,805

4,046,531

8,445,336

13

60 - 64

2,926,073

3,130,238

6,056,311

14

65 - 69

2,224,273

2,467,877

4,692,150

15

70 - 74

1,530,938

1,924,247

3,455,185

16

75+

1,605,817

2,227,546

3,833,363

17

Not Answered

45,183

36,507

81,690

119,630,913

118,010,413

237,641,326

Total
Source: BPS-Statistics Indonesia, Population Census 2010

Annex 2.4

POPULATION GROWTH RATE


BY PROVINCE 1971 - 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

1971-1980

Population Growth Rate (% per Year)


1980-1990
1990-2000
(4)

(5)

(6)

2.93
2.60
2.21
3.11
4.07
3.32
4.39
5.77
NA
NA
3.93
2.66
1.64
1.10
1.49
NA
1.69
2.36
1.95
2.31
3.43
2.16
5.73
2.31
3.86
1.74
3.09
NA
NA
2.88
NA
NA
2.67

2.72
2.06
1.62
4.30
3.40
3.15
4.38
2.67
NA
NA
2.42
2.57
1.18
0.57
1.08
NA
1.18
2.15
1.79
2.65
3.88
2.32
4.42
1.60
2.87
1.42
3.66
NA
NA
2.79
NA
NA
3.46

1.46
1.32
0.62
4.27
1.83
1.24
2.20
1.17
NA
NA
0.13
2.24
0.94
0.72
0.70
NA
1.31
1.81
1.63
2.28
2.98
1.45
2.80
1.40
2.57
1.48
3.14
NA
NA
0.67
NA
NA
3.10

1.35
1.11
1.34
3.59
2.55
1.85
1.66
1.23
3.14
4.99
1.39
1.89
0.37
1.02
0.76
2.79
2.15
1.17
2.06
0.91
1.74
1.98
3.80
1.26
1.94
1.17
2.07
2.24
2.67
2.78
2.44
3.72
5.46

2.31

1.98

1.40

1.49

Source : BPS-Statistics Indonesia, Population Census 1971, 1980, 1990, 2000, Population Inter Census (SUPAS) 1995 and Population Census 2010, "Laporan Bulanan Data Sosial Ekonomi Edisi 10 March 2011 "
NA: Province Expansion Since 1999

2000-2010

(3)

Annex 2.5

MAINLAND AREA, TOTAL POPULATION AND POPULATION DENSITY


BY PROVINCE 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Mainland
Area
(Km) (a)

Population
Density
Per Km

Males

Females

Males + Females

(4)

(5)

(6)

57,956
72,981
42,013
87,024
50,058
91,592
19,919
34,624
16,424
8,202
664
35,378
32,801
3,133
47,800
9,663
5,780
18,572
48,718
147,307
153,565
38,744
204,534
13,852
61,841
46,717
38,068
11,257
16,787
46,914
31,983
97,024
319,036

2,248,952
6,483,354
2,404,377
2,853,168
1,581,110
3,792,647
877,159
3,916,622
635,094
862,144
4,870,938
21,907,040
16,091,112
1,708,910
18,503,516
5,439,148
1,961,348
2,183,646
2,326,487
2,246,903
1,153,743
1,836,210
1,871,690
1,159,903
1,350,844
3,924,431
1,121,826
521,914
581,526
775,477
531,393
402,398
1,505,883

2,245,458
6,498,850
2,442,532
2,685,199
1,511,155
3,657,747
838,359
3,691,783
588,202
817,019
4,736,849
21,146,692
16,291,545
1,748,581
18,973,241
5,193,018
1,929,409
2,316,566
2,357,340
2,149,080
1,058,346
1,790,406
1,681,453
1,110,693
1,284,165
4,110,345
1,110,760
518,250
577,125
758,029
506,694
358,024
1,327,498

4,494,410
12,982,204
4,846,909
5,538,367
3,092,265
7,450,394
1,715,518
7,608,405
1,223,296
1,679,163
9,607,787
43,053,732
32,382,657
3,457,491
37,476,757
10,632,166
3,890,757
4,500,212
4,683,827
4,395,983
2,212,089
3,626,616
3,553,143
2,270,596
2,635,009
8,034,776
2,232,586
1,040,164
1,158,651
1,533,506
1,038,087
760,422
2,833,381

78
178
115
64
62
81
86
220
74
205
14,469
1,217
987
1,104
784
1,100
673
242
96
30
14
94
17
164
43
172
59
92
69
33
32
8
9

1,910,931.32

119,630,913

118,010,413

237,641,326

124

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

Total Population (people) [b]

Source: (a) Directorate General PUM of Ministry of Home Affairs, 2010


(b) BPS-Statistics Indonesia, Population Census 2010

(7)

Annex 2.6

NUMBER OF POPULATION BY SEX, AGE GROUP AND DEPENDENCY RATIO


BY PROVINCE 2010
Males
No

Provinces

Males + Females

Females

Age Group (Years Old)

Age Group (Years Old)

Not

Age Group (Years Old)

Not

Total

(1)

(2)

Aceh

North Sumatera

3
4
5

0-14

15-64

65+

Answered

(3)

(4)

(5)

(6)

738,658

1436703

(7)

Not

Total
0-14
(8)

15-64

65+

Answered

(9)

(10)

(11)

(12)

Total
0-14

15-64

65+

Answered

(13)

(14)

(15)

(16)

(17)

Dependency
Ratio

(18)

73,588

2,248,952

699,372

1,448,615

97,468

2,245,458

1,438,030

2,885,318

171,056

4,494,410

55.77

2,219,026

4,053,861

210,119

348

6,483,354

2,096,415

4,108,097

294,014

324

6,498,850

4,315,441

8,161,958

504,133

672

12,982,204

59.05

West Sumatera

797,096

1,495,487

110,395

1,399

2,404,377

749,428

1,527,492

164,183

1,429

2,442,532

1,546,524

3,022,979

274,578

2,828

4,846,909

60.24

Riau

944,893

1,840,012

68,042

221

2,853,168

890,865

1,721,924

72,192

218

2,685,199

1,835,758

3,561,936

140,234

439

5,538,367

55.48

Jambi

485,019

1,043,069

52,643

379

1,581,110

459,430

994,973

56,501

251

1,511,155

944,449

2,038,042

109,144

630

3,092,265

51.70

South Sumatera

1,158,639

2,493,548

139,506

954

3,792,647

1,095,422

2,398,153

163,521

651

3,657,747

2,254,061

4,891,701

303,027

1,605

7,450,394

52.27

Bengkulu

269,637

575,562

31,001

959

877,159

254,588

548,343

34,839

589

838,359

524,225

1,123,905

65,840

1,548

1,715,518

52.50

Lampung

1,152,258

2,578,331

183,914

2,119

3,916,622

1,086,878

2,417,964

185,659

1,282

3,691,783

2,239,136

4,996,295

369,573

3,401

7,608,405

52.21

Bangka Belitung Islands

184,862

429,702

20,412

118

635,094

175,674

388,249

24,216

63

588,202

360,536

817,951

44,628

181

1,223,296

49.53

10

Riau Islands

254,021

590,833

16,910

380

862,144

238,612

561,038

17,116

253

817,019

492,633

1,151,871

34,026

633

1,679,163

45.72

11

DKI Jakarta

1,179,776

3,550,850

138,441

1,871

4,870,938

1,117,856

3,462,458

155,246

1,289

4,736,849

2,297,632

7,013,308

293,687

3,160

9,607,787

36.95

12

West Java

6,470,027

14,503,547

918,749

14,717

21,907,040

6,124,621

13,950,656

1,059,644

11,771

21,146,692

12,594,648

28,454,203

1,978,393

26,488

43,053,732

51.22

13

Central Java

4,376,532

10,682,795

1,031,768

17

16,091,112

4,139,235

10,860,520

1,291,773

17

16,291,545

8,515,767

21,543,315

2,323,541

34

32,382,657

50.31

14

DI Yogyakarta

390,675

1,171,571

143,748

2,916

1,708,910

368,647

1,193,515

184,784

1,635

1,748,581

759,322

2,365,086

328,532

4,551

3,457,491

46.00

15

East Java

4,724,653

12,642,240

1,122,271

14,352

18,503,516

4,486,631

12,946,813

1,526,344

13,453

18,973,241

9,211,284

25,589,053

2,648,615

27,805

37,476,757

46.35

16

Banten

1,640,944

3,662,065

135,893

246

5,439,148

1,541,255

3,488,636

162,846

281

5,193,018

3,182,199

7,150,701

298,739

527

10,632,166

48.68

17

Bali

520,899

1,321,726

118,720

1,961,348

486324

1,304,905

138,180

1,929,409

1,007,223

2,626,631

256,900

3,890,757

48.13

18

West Nusa Tenggara

719,018

1,369,324

95,287

17

2,183,646

682,767

1,523,817

109,968

14

2,316,566

1,401,785

2,893,141

205,255

31

4,500,212

55.55

19

East Nusa Tenggara

898,567

1,316,603

111,125

192

2,326,487

849,112

1,387,063

121,031

134

2,357,340

1,747,679

2,703,666

232,156

326

4,683,827

73.23

20

West Kalimantan

717,996

1,450,825

77,726

356

2,246,903

682,208

1,387,061

79,510

301

2,149,080

1,400,204

2,837,886

157,236

657

4,395,983

54.88

21

Central Kalimantan

352,275

769,516

31,951

1,153,743

332,198

693,908

32,239

1,058,346

684,473

1,463,424

64,190

2,212,089

51.16

22

South Kalimantan

544,555

1,236,416

55,232

1,836,210

511,351

1,203,573

75,477

1,790,406

1,055,906

2,439,989

130,709

12

3,626,616

48.63

23

East Kalimantan

561,000

1,266,864

42,529

1,297

1,871,690

525,732

1,113,837

41,038

846

1,681,453

1,086,732

2,380,701

83,567

2,143

3,553,143

49.16

24

North Sulawesi

327,254

776,894

55,706

49

1,159,903

305,156

734,341

71,169

27

1,110,693

632,410

1,511,235

126,875

76

2,270,596

50.24
58.30

25

Central Sulawesi

26

South Sulawesi

450,644

853,448

46,405

347

1,350,844

424,749

810,799

48,376

241

1,284,165

875,393

1,664,247

94,781

588

2,635,009

1,276,892

2,461,105

186,051

383

3,924,431

1,205,617

2,649,089

255,327

312

4,110,345

2,482,509

5,110,194

441,378

695

8,034,776

27

57.22

Southeast Sulawesi

403,131

679,618

38,210

867

1,121,826

379,095

684,977

46,011

677

1,110,760

782,226

1,364,595

84,221

1,544

2,232,586

63.49

28

Gorontalo

170,664

334,693

16,551

521,914

162,501

334,990

20,750

518,250

333,165

669,683

37,301

15

1,040,164

55.32

29

West Sulawesi

214,904

344,712

21,700

210

581,526

202,737

348,882

25,342

164

577,125

417,641

693,594

47,042

374

1,158,651

67.00

30

Maluku

286,647

459,419

29,411

NA

775,477

267,854

457,766

32,409

NA

758,029

554,501

917,185

61,820

NA

1,533,506

67.20

31

North Maluku

190,293

326,613

14,440

47

531,393

179,157

312,135

15,375

27

506,694

369,450

638,748

29,815

74

1,038,087

62.51

32

West Papua

134,483

260,711

6,922

282

402,398

125,119

227,217

5,594

94

358,024

259,602

487,928

12,516

376

760,422

55.77

33

Papua

533,032

957,069

15,662

120

1,505,883

461,144

854,680

11,528

146

1,327,498

994,176

1,811,749

27,190

266

2,833,381

56.37

35,288,970

78,935,732

5,361,028

45,183

119,630,913

33,307,750

78,046,486

6,619,670

36,507

118,010,413

68,596,720

156,982,218

11,980,698

81,690

237,641,326

51.33

Indonesia

Source: BPS-Statistics Indonesia, People Estimation of Health Program Target, from"Data Penduduk Sasaran Program Pembangunan Kesehatan 2007 - 2011", Ministry of Health Republic of Indonesia, 2009.

NA: Not Aplicable

Annex 2.7

NUMBER AND PERCENTAGE OF UNDERDEVELOPED DISTRICTS


BY PROVINCE 2006 - 2010
2006

2007

No

Provinces

Number of
Districts

Underdeveloped
Districts

(1)

(2)

(3)

(4)

2008

(%)

Number of
Districts

Underdeveloped
Districts

(5)

(6)

(7)

2009

(%)

Number of
Districts

Underdeveloped
Districts

(8)

(9)

(10)

2010

(%)

Number of
Districts

Underdeveloped
Districts

(%)

(11)

(12)

(13)

(14)

Number of Underdeveloped
Districts
Districts
(15)

(16)

(%)
(17)

Aceh

21

16

76.19

23

16

69.57

23

16

69.57

23

16

69.57

23

12

52.17

North Sumatera

25

24.00

28

21.43

33

18.18

33

18.18

33

18.18

West Sumatera

19

47.37

19

47.37

19

47.37

19

47.37

19

42.11

Riau

11

18.18

11

18.18

11

18.18

12

16.67

12

0.00

Jambi

10

20.00

10

20.00

11

18.18

11

18.18

11

0.00

South Sumatera

14

42.86

15

40.00

15

40.00

15

40.00

15

46.67

Bengkulu

88.89

88.89

10

80.00

10

80.00

10

60.00

Lampung

10

50.00

11

45.45

14

35.71

14

35.71

14

28.57

Bangka Belitung Islands

42.86

42.86

42.86

42.86

14.29

10

Riau Islands

16.67

16.67

14.29

14.29

28.57

11

DKI Jakarta

0.00

0.00

0.00

0.00

12

West Java

25

8.00

26

7.692

26

7.69

26

7.69

26

7.69

13

Central Java

35

8.57

35

8.571

35

8.57

35

8.57

35

0.00

14

DI Yogyakarta

40.00

40.00

40.00

40.00

0.00

15

East Java

38

21.05

38

21.05

38

21.05

38

21.05

38

13.16

16

Banten

33.33

28.57

25.00

25.00

25.00

17

Bali

11.11

11.11

11.11

11.11

0.00

18

West Nusa Tenggara

77.78

66.67

10

60.00

10

70.00

10

80.00

19

East Nusa Tenggara

16

15

93.75

20

15

75.00

21

15

71.43

21

15

71.43

21

20

95.24

20

West Kalimantan

12

75.00

14

10

71.43

14

10

71.43

14

64.29

14

10

71.43

21

Central Kalimantan

14

50.00

14

50.00

14

50.00

14

50.00

14

7.14

22

South Kalimantan

13

0.00

13

15.38

13

15.38

13

15.38

13

15.38

23

East Kalimantan

13

38.46

14

21.43

14

21.43

14

21.43

14

21.43

24

North Sulawesi

22.22

13

15.38

15

13.33

15

13.33

15

20.00

25

Central Sulawesi

10

90.00

10

90.00

11

81.82

11

81.82

11

10

90.91

26

South Sulawesi

23

13

56.52

23

13

56.52

24

13

54.17

24

13

54.17

24

16.67

27

Southeast Sulawesi

10

80.00

12

66.67

12

66.67

12

66.67

12

75.00

28

Gorontalo

80.00

66.67

66.67

66.67

50.00

29

West Sulawesi

5 100.00

5 100.00

5 100.00

5 100.00

100.00

30

Maluku

87.50

31

North Maluku

75.00

32

West Papua

77.78

33

Papua

20

19

95.00

21

19

440

199

45.2

465

199

Indonesia

Source: Ministry of Underdeveloped Area Development Republic of Indonesia , 2010

77.78

11

63.64

11

63.64

11

72.73

75.00

66.67

66.67

77.78

77.78

10

70.00

11

63.64

11

72.73

90.48

29

19

65.52

29

19

65.52

29

27

42.80

495

199 40.20

497

199

40.04

497

183

93.10

36.82

Annex 2.8

38 DISTRICTS AS PRIORITY AND VERY PRIORITY AREA


IN BORDER AND OUTER ISLANDS REGION IN INDONESIA 2010
No

Provinces

Districts

(1)

(2)

(3)

Category
(4)

Aceh

Sabang

North Sumatera

Serdang Bedagai

Priority

Riau

Dumai

Priority

Bengkalis

Priority

Rotan Hilir

Priority

Indragiri Hilir

Priority

Meranti Islands

Priority

Karimun

Priority

Batam

Very Priority

Natuna

Very Priority

Bintan

Priority

Anambas Islands

Priority

Kupang

Very Priority

Timor Tengah Utara

Very Priority

Belu

Very Priority

Alor

Priority

Rote Ndao

Priority

Sambas

Very Priority

Bengkayang

Very Priority

Sanggau

Very Priority

Sintang

Very Priority

Hulu

Very Priority

Nunukan

Very Priority

Malinau

Very Priority

Kutai Barat

Very Priority

Talaud Islands

Very Priority
Very Priority

Riau Islands

East Nusa Tenggara

West Kalimantan

East Kalimantan

Very Priority

North Sulawesi

1
2

Sangihe Islands

Maluku

Maluku Barat Daya

Priority

Maluku Tenggara Barat

Priority

Aru Islands

Priority

Morotai

Priority

10

North Maluku

11

West Papua

Raja Ampat

Priority

12

Papua

Keerom

Priority

Merauke

Very Priority

Boven Digoel

Very Priority

Bintang Mountains

Jayapura

Supiori

Indonesia
Source: Ministry of Underdeveloped Area Development Republic of Indonesia, 2010
Note:
Very Priority : if it meets the three indicators of underdevelop area
Priority : if it meets the two indicators of underdevelop area

Priority
Very Priority
Priority

38

Annex 2.9

POVERTY LINE OF POOR PEOPLE BY PROVINCE AND AREA (MARCH, 2010)


No

Provinces

(1)

(2)

Poverty Line of Poor People (Rupiahs/Capita/Month)


Urban

Rural

Urban + Rural

(3)

(4)

(5)

Aceh

308,306

266,285

278,389

North Sumatera

247,547

201,810

222,898

West Sumatera

262,173

214,458

230,823

Riau

276,627

235,267

256,112

Jambi

262,826

193,834

216,187

South Sumatera

258,304

198,572

221,687

Bengkulu

255,762

209,616

225,857

Lampung

236,098

189,954

202,414

Bangka Belitung Islands

289,644

283,302

286,334

10

Riau Islands

321,668

265,258

295,095

11

DKI Jakarta

331,169

331,169

12

West Java

212,210

185,335

201,138

13

Central Java

205,606

179,982

192,435

14

DI Yogyakarta

240,282

195,406

224,258

15

East Java

213,383

185,879

199,327

16

Banten

220,771

188,741

208,023

17

Bali

222,868

188,071

208,152

18

West Nusa Tenggara

223,784

176,283

196,185

19

East Nusa Tenggara

241,807

160,743

175,308

20

West Kalimantan

207,884

182,293

189,407

21

Central Kalimantan

220,658

212,790

215,466

22

South Kalimantan

230,712

196,753

210,850

23

East Kalimantan

307,479

248,583

285,218

24

North Sulawesi

202,469

188,096

194,334

25

Central Sulawesi

231,225

195,795

203,237

26

South Sulawesi

186,693

151,879

163,089

27

Southeast Sulawesi

177,787

161,451

165,208

28

Gorontalo

180,606

167,162

171,371

29

West Sulawesi

182,206

165,914

171,356

30

Maluku

249,895

217,599

226,030

31

North Maluku

238,533

202,185

212,982

32

West Papua

319,170

287,512

294,727

33

Papua

298,285

247,563

259,128

232,988

192,354

211,726

Indonesia
Source: BPS-Statistics Indonesia, 2011

Annex 2.10

NUMBER AND PERCENTAGE OF POOR PEOPLE BY PROVINCE AND AREA 2008 - 2010
March 2008
No

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Urban

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

Rural

March 2009
Urban + Rural

Urban

Rural

March 2010
Urban + Rural

Urban

Rural

Urban + Rural

Number
(thousand)

Number
(thousand)

Number
(thousand)

Number
(thousand)

Number
(thousand)

Number
(thousand)

Number
(thousand)

Number
(thousand)

Number
(thousand)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

195.8
761.7
127.3
245.1
120.1
514.7
131.8
365.6
36.5
69.2
379.6
2617.4
2556.5
324.2
2310.6
371.0
115.1
560.4
119.3
127.5
45.3
81.1
110.4
72.7
60.9
150.8
27.2
27.5
48.3
44.7
9.0
9.5
31.6

16.67
12.85
8.30
9.12
13.28
18.87
21.95
17.85
7.57
8.81
4.29
10.88
16.34
14.99
13.15
6.15
5.70
29.47
15.50
9.98
5.81
5.79
5.89
7.56
11.47
6.05
5.29
9.87
14.14
12.97
3.27
5.93
7.02

12768.5

11.65

763.9
852.1
349.9
321.6
140.2
734.9
220.2
1226.0
50.2
67.1
2705.0
3633.1
292.1
4340.6
445.7
100.7
520.2
979.1
381.3
154.6
137.8
176.1
150.9
463.8
880.9
408.7
194.1
122.8
346.7
96.0
237.0
701.5

26.30
12.29
11.91
12.16
7.43
17.01
19.93
22.14
9.52
9.60
16.05
21.96
24.32
23.64
11.18
6.81
19.73
27.88
11.49
10.20
6.97
15.47
12.04
23.22
16.79
23.78
31.72
18.03
35.56
14.67
43.74
45.96

959.7
1,613.8
477.2
566.7
260.3
1,249.6
352.0
1,591.6
86.7
136.4
379.6
5,322.4
6,189.6
616.3
6,651.3
816.7
215.7
1,080.6
1,098.3
508.8
200.0
218.9
286.4
223.5
524.7
1,031.7
435.9
221.6
171.1
391.3
105.1
246.5
733.1

22194.8 18.93

34963.3

Source: BPS-Statistics Indonesia, "Berita Resmi Statistik No. 45/07/Th.XIII" 1 July 2010

23.53
12.55
10.67
10.63
9.32
17.73
20.64
20.98
8.58
9.18
4.29
13.01
19.23
18.32
18.51
8.15
6.17
23.81
25.65
11.07
8.71
6.48
9.51
10.10
20.75
13.34
19.53
24.88
16.73
29.66
11.28
35.12
37.08
15.42

182.1
688.0
115.8
225.6
117.3
470.0
117.6
349.3
28.8
62.6
323.2
2531.4
2420.9
311.5
2148.5
348.7
92.1
557.5
109.4
94.0
35.8
68.8
77.1
79.3
54.7
124.5
26.2
22.2
43.5
38.8
8.7
8.6
28.2

15.44
11.45
7.50
8.04
12.71
16.93
19.16
16.78
5.86
7.63
3.62
10.33
15.41
14.25
12.17
5.62
4.50
28.84
14.01
7.23
4.45
4.82
4.00
8.14
10.09
4.94
4.96
7.89
12.59
11.03
3.10
5.22
6.10

710.7
811.6
313.5
301.9
132.4
697.9
206.5
1209.0
47.9
65.6
2452.2
3304.8
274.3
3874.1
439.3
89.7
493.4
903.7
340.8
130.1
107.2
162.2
140.3
435.2
839.1
408.2
202.4
114.7
341.2
89.3
248.3
732.2

24.37
11.56
10.00
10.93
6.88
15.87
18.28
21.49
8.93
8.98
14.28
19.89
22.60
21.00
10.70
5.98
18.40
25.35
10.09
8.34
5.33
13.86
11.05
21.35
15.81
23.11
32.82
16.65
34.30
13.42
44.71
46.81

892.8
1499.7
429.3
527.5
249.7
1167.9
324.1
1558.0
76.6
128.2
323.0
4983.6
5725.7
585.8
6022.6
788.1
181.7
1051.0
1013.2
434.8
165.9
176.0
239.2
219.6
489.8
963.6
434.3
224.6
158.2
380.0
98.0
256.8
760.4

21.80
11.51
9.54
9.48
8.77
16.28
18.59
20.22
7.46
8.27
3.62
11.96
17.72
17.23
16.68
7.64
5.13
22.78
23.31
9.30
7.02
5.12
7.73
9.79
18.98
12.31
18.93
25.01
15.29
28.23
10.36
35.71
37.53

173.4
689.0
106.2
208.9
110.8
471.2
117.2
301.7
21.9
67.1
312.2
2350.5
2258.9
308.4
1873.6
318.3
83.6
552.6
107.4
83.4
33.2
65.8
79.2
76.4
54.2
119.2
22.2
17.8
33.7
36.4
7.6
9.6
26.2

11910.5

10.72

20619.4

17.35

32530.0

14.15

11097.8

14.65
11.34
6.84
7.17
11.80
16.73
18.75
14.30
4.39
7.87
3.48
9.43
14.33
13.98
10.58
4.99
4.04
28.16
13.57
6.31
4.03
4.54
4.02
7.75
9.82
4.70
4.10
6.29
9.70
10.20
2.66
5.73
5.55
9.87

688.5
801.9
323.8
291.3
130.8
654.5
207.7
1178.2
45.9
62.6
2423.2
3110.2
268.9
3655.8
439.9
91.3
456.7
906.7
345.3
131.0
116.2
163.8
130.4
420.8
794.3
378.5
192.1
107.6
342.3
83.4
246.7
735.4

23.54
11.29
10.88
10.15
6.67
14.67
18.05
20.65
8.45
8.24
13.88
18.66
21.95
19.74
10.44
6.02
16.78
25.10
10.06
8.19
5.69
13.66
10.14
20.26
14.88
20.92
30.89
15.52
33.94
12.28
43.48
46.02

861.9
1490.9
430.0
500.3
241.6
1125.7
324.9
1479.9
67.8
129.7
312.2
4773.7
5369.2
577.3
5529.3
758.2
174.9
1009.4
1014.1
428.8
164.2
182.0
243.0
206.7
475.0
913.4
400.7
209.9
141.3
378.6
91.1
256.3
761.6

19925.6

16.56

31023.4

20.98
11.31
9.50
8.65
8.34
15.47
18.30
18.94
6.51
8.05
3.48
11.27
16.56
16.83
15.26
7.16
4.88
21.55
23.03
9.02
6.77
5.21
7.66
9.10
18.07
11.60
17.05
23.19
13.58
27.74
9.42
34.88
36.80
13.33

Annex 2.11

PERCENTAGE OF HOUSEHOLDS WITH PHYSICAL QUALITY OF DRINKING WATER


BY PROVINCE IN INDONESIA, RISKESDAS 2010
No

Province

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Turbid

Color

(3)

(4)

12.3
11.4
6.4
5.6
11.9
14.7
10.3
10.4
2.2
3.8
4.0
4.6
4.5
4.6
4.5
5.8
1.9
6.8
5.7
14.6
19.3
18.2
11.1
7.7
11.1
7.6
11.8
9.1
9.8
16.8
1.4
5.1
24.2
6.9

Physical Quality of Drinking Water


Tasted
Foam
(5)

6.2
7.0
5.7
4.9
6.6
7.4
6.0
5.1
1.0
3.0
1.9
2.8
2.3
2.0
2.4
3.5
2.2
3.8
5.4
12.0
12.1
10.5
7.4
4.5
7.5
3.3
4.7
5.6
3.4
5.5
1.2
9.3
15.4
4.0

(6)

2.1
5.6
2.8
3.9
2.5
6.3
7.8
3.3
6.2
2.3
3.0
2.5
1.4
0.8
2.2
4.7
1.6
5.7
3.0
8.9
4.0
6.2
3.5
2.0
9.0
5.5
10.0
10.3
3.1
6.3
5.4
1.4
15.6
3.4

Note: *) Good = no turbidity, no color, no taste, no foaming and no smell


Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Smell

Good*)

(7)

1.1
1.5
1.3
2.3
1.2
2.2
1.3
2.3
0.7
0.9
0.5
0.8
0.7
0.2
0.7
1.6
0.4
1.0
0.8
6.5
1.3
1.1
1.6
0.4
1.9
1.7
0.8
2.9
1.3
2.4
0.3
0.9
3.0
1.2

(8)

2.2
4.2
3.4
3.9
3.8
4.5
3.4
3.2
0.7
1.5
3.6
2.2
1.9
0.9
1.8
3.0
1.2
2.0
1.0
5.9
4.9
4.1
3.2
1.3
4.8
4.1
1.7
4.7
2.7
3.6
1.2
3.6
10.4
2.7

84.5
84.5
91.3
90.5
84.2
81.4
84.1
87.1
92.0
94.9
92.4
92.6
94.1
94.3
93.8
90.5
95.7
89.0
88.2
75.6
76.8
76.3
87.2
91.5
79.2
87.9
79.4
84.5
87.6
80.3
92.3
88.8
69.0
90.0

Annex 2.12

PERCENTAGE OF HOUSEHOLDS BY SOURCE OF CLEAN WATER FACILITIES FOR DOMESTIC PURPOSE


BY PROVINCE IN INDONESIA, RISKESDAS 2010

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

(4)

(3)

(5)

(6)

(7)

(8)

(9)

(10)

Others

River/lake/irrigation

Rain water tank

Unprotected Spring

Protected Spring

Unprotected well

Protected well

Retail pipe drinking


water/buying water

Provinces

Pipe/drinking water

No

Artesian Well/pump

Source of Clean Water Facilities

(11)

(12)

23.0
25.4
26.7
2.8
19.7
12.9
16.1
5.3
0.4
31.1
42.5
13.5
19.7
13.2
17.6
12.6
52.2
15.6
30.7
13.7
22.6
27.5
48.8
25.2
22.3
22.3
39.0
17.9
8.4
18.2
23.4
24.6
15.9

0.4
1.4
0.7
0.4
1.7
0.4
0.8
0.5
0.9
3.1
2.2
1.2
0.6
0.3
1.3
1.4
2.1
2.0
12.0
0.7
0.1
1.0
2.0
0.4
1.9
1.1
0.9
0.9
0.8
2.4
0.8
0.8
0.8

9.3
18.9
5.8
19.4
10.4
6.8
6.5
6.6
15.1
1.6
50.6
30.6
14.9
5.7
32.4
48.2
7.9
15.8
2.8
6.0
16.6
14.9
5.6
12.8
17.3
17.9
9.9
10.7
10.9
8.0
2.7
10.0
9.7

38.7
22.2
23.0
35.5
24.7
33.7
41.1
48.7
36.2
44.3
3.4
30.5
36.7
63.2
25.5
20.3
23.1
37.3
11.6
14.1
7.8
17.7
7.1
19.0
10.7
19.7
22.8
47.8
25.9
25.4
40.6
26.7
16.3

13.4
6.7
13.4
22.0
22.4
18.1
22.1
27.6
25.4
16.6
1.1
7.8
8.2
5.4
8.1
7.6
4.8
15.4
7.6
13.9
4.1
10.1
6.2
18.0
8.1
18.1
5.6
9.1
7.4
23.9
22.9
9.1
14.8

5.0
8.8
10.3
2.9
0.9
3.7
2.6
3.7
3.9
1.6
0.1
9.3
13.6
2.3
9.4
3.3
3.0
10.5
20.3
4.1
4.4
1.1
1.2
19.0
21.5
11.8
12.4
4.9
23.7
7.6
1.8
2.6
5.3

5.1
3.5
9.7
2.6
1.5
1.2
5.4
5.3
3.9
0.6
0.0.
4.3
3.9
3.0
3.3
3.8
1.6
1.6
6.8
1.1
1.3
0.5
2.5
5.0
7.2
4.0
2.1
2.0
6.6
11.5
2.4
0.4
17.3

1.0
3.4
1.0
6.8
3.2
3.2
0.2
1.2
1.6
0.2
0.0
0.1
0.5
6.8
0.7
0.4
3.5
0.0
1.0
8.3
4.0
0.1
11.1
0.1
0.1
2.1
3.4
0.0
2.8
1.9
0.5
13.1
11.2

2.7
9.5
9.3
7.4
10.7
19.9
4.6
1.0
12.4
0.9
0.0
2.3
1.6
0.1
1.6
1.8
1.7
1.6
3.8
36.7
38.9
27.1
15.3
0.2
9.1
3.0
3.7
6.5
13.2
1.1
5.0
12.5
7.9

1.4
0.3
0.0
0.1
4.8
0.1
0.6
0.1
0.2
0.0
0.0
0.3
0.2
0.0
0.1
0.7
0.1
0.1
3.2
1.3
0.1
0.1
0.2
0.3
1.8
0.0
0.1
0.1
0.2
0.0
0.0
0.2
0.9

19.5

1.3

22.2

27.9

10.2

8.4

3.7

1.6

4.9

0.4

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Annex 2.13

PERCENTAGE OF HOUSEHOLDS BY SOURCE OF DRINKING WATER FACILITIES FOR DOMESTIC PURPOSE


BY PROVINCE IN INDONESIA, RISKESDAS 2010

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Others

River/lake/irrigation

Rain water tank

Unprotected Spring

Protected Spring

Unprotected well

Protected well

Artesian Well/Pump

Retail pipe drinking


water/buying water

Pipe/drinking water

Provinces

Packaged Water

No

Retail Drinking Water

Source of Drinking Water Facilities

(13)

(14)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

2.7
3.3
1.8
4.5
2.7
2.0
1.0
4.2
12.1
9.7
36.2
8.8
4.2
11.6
8.8
15.0
19.5
5.3
1.0
4.1
3.2
2.4
6.8
8.7
1.8
2.3
5.4
1.5
0.8
0.6
2.5
2.4
4.0

30.4
11.2
17.2
25.5
17.8
14.4
7.9
4.3
27.9
45.5
29.3
17.3
5.0
8.0
8.5
25.8
13.3
13.2
3.9
7.2
14.4
12.6
29.6
25.1
9.9
16.7
8.9
3.8
9.3
4.7
3.8
25.5
17.2

9.6
22.5
20.8
1.0
12.8
10.1
13.2
4.5
0.7
6.1
15.8
9.4
19.2
8.4
13.3
5.5
33.9
12.6
30.1
7.5
14.3
27.3
26.3
18.7
18.8
16.5
32.3
17.7
6.8
14.1
21.0
17.0
12.9

0.9
2.3
0.2
1.0
1.8
1.8
0.6
1.5
0.2
2.0
2.5
1.8
2.6
0.6
2.1
1.9
1.2
2.7
10.3
0.2
0.6
2.4
0.9
0.3
1.5
1.1
1.7
1.5
1.5
3.4
0.6
0.4
0.8

3.9
15.5
3.9
9.3
5.9
4.5
7.2
4.5
7.0
0.3
14.8
17.8
11.7
4.1
24.8
23.7
3.1
12.2
3.8
2.5
10.3
13.7
3.2
6.3
12.7
13.8
4.2
10.5
5.6
7.4
4.2
1.1
2.2

28.9
19.2
22.1
23.4
19.7
33.3
39.6
49.7
25.1
27.3
1.0
27.1
35.2
51.0
24.0
15.4
13.4
33.4
12.1
5.6
10.9
14.5
3.8
11.3
11.5
15.5
26.1
50.5
29.6
22.1
40.3
18.1
8.0

10.1
4.5
10.0
11.7
22.8
16.3
22.1
23.7
17.5
8.5
0.1
6.0
6.3
5.4
6.3
4.3
3.1
11.2
6.6
3.6
3.4
7.3
3.5
8.8
7.3
13.9
8.1
8.0
5.8
24.5
18.6
6.1
9.7

3.5
8.4
9.8
0.2
0.9
2.0
0.5
1.5
3.8
0.2
0.2
7.6
11.7
1.2
8.0
2.4
4.8
8.7
19.8
4.6
1.0
0.1
1.9
15.4
20.8
11.1
8.3
3.8
26.3
10.3
0.5
2.2
6.3

6.0
3.9
9.1
0.5
0.4
1.0
2.9
4.9
0.5
0.2
0.0
3.6
2.9
3.0
3.3
3.8
3.7
0.5
6.1
1.9
8.6
0.2
2.0
5.3
6.0
3.5
1.5
1.0
7.5
8.4
0.0
0.4
15.5

1.9
3.5
1.4
21.2
13.7
4.9
0.4
0.8
3.1
0.1
0.1
0.2
0.4
6.7
0.5
1.3
3.9
0.1
1.1
45.0
8.2
2.5
14.0
0.0
0.0
3.3
0.3
0.2
1.4
3.5
3.6
15.1
18.3

0.9
5.4
3.6
1.6
1.7
9.7
4.1
0.4
2.0
0.0
0.0
0.4
0.8
0.0
0.3
0.6
0.1
0.1
2.8
17.3
25.1
17.0
7.5
0.0
7.6
2.4
3.3
1.4
5.0
0.9
5.0
11.7
4.4

1.3
0.2
0.0
0.1
0.0
0.0
0.5
0.1
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.3
0.0
0.0
2.5
0.4
0.1
0.0
0.4
0.0
2.0
0.0
0.0
0.1
0.4
0.0
0.0
0.0
0.7

Indonesia

7.8

13.8

14.2

2.0

14.0

24.7

7.7

7.1

3.3

2.9

2.3

0.2

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Annex 2.14
PERCENTAGE OF HOUSEHOLDS FOR ACCESS TO QUALITY DRINKING WATER
BY PROVINCE IN INDONESIA, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Access to Quality Drinking Water


Poor
Good*)
(3)

(4)

37.1
35.6
33.7
41.8
49.3
51.3
49.0
53.9
36.5
26.2
13.0
29.6
26.0
23.2
24.9
25.8
20.3
34.1
46.2
64.1
55.8
50.5
36.6
28.1
38.8
43.2
39.2
30.3
37.0
59.4
43.4
35.5
58.7
32.5

62.9
64.5
66.4
58.2
50.7
48.7
51.1
46.1
63.5
73.9
87.0
70.4
74.0
76.8
75.1
74.2
79.7
65.9
53.8
35.9
44.2
49.5
63.4
71.9
61.2
56.8
60.8
69.7
63.0
40.6
56.6
64.5
41.3
67.5

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Annex 2.15

PERCENTAGE OF HOUSEHOLDS BY ACCESS TO DRINKING WATER


BY PROVINCE IN INDONESIA, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Yes (easy)
(3)

Access to Drinking Water


Difficult in
dry season

Hard
throughout the year

(4)

(5)

89.0
82.0
88.6
70.7
74.9
71.5
83.2
69.7
74.7
85.0
93.3
81.1
85.3
85.8
84.9
84.7
86.6
80.1
71.5
57.8
78.6
72.9
76.8
87.8
90.6
79.5
81.9
89.5
87.3
80.6
76.9
82.0
58.4
81.7

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

10.9
17.5
11.1
29.3
25.0
28.2
16.6
29.8
25.3
14.3
6.5
18.6
14.5
14.2
14.6
15.0
13.1
18.1
26.6
41.8
21.3
26.7
21.1
11.8
9.3
20.3
17.9
10.1
12.7
14.5
21.6
17.6
37.7
17.8

0.2
0.5
0.2
0.1
0.1
0.3
0.2
0.5
0.0
0.7
0.2
0.3
0.2
0.0
0.5
0.3
0.3
1.8
1.9
0.4
0.1
0.3
2.0
0.3
0.1
0.2
0.1
0.3
0.0
4.9
1.5
0.4
3.9
0.5

Annex 2.16
PERCENTAGE OF HOUSEHOLDS BY NUMBER OF WATER USAGE (PERSON/DAY)
BY PROVINCE IN INDONESIA, RISKESDAS 2010

No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

<5

5-19,9

Number of Water Usage (Liter)


20-49,9

(3)

(4)

(5)

0.7
3.2
1.4
2.3
1.0
4.0
1.9
0.4
3.5
0.9
4.6
2.2
1.4
0.6
3.4
2.7
0.2
1.4
5.5
3.6
4.3
2.3
0.3
1.5
1.3
1.8
0.2
3.5
1.0
1.0
0.3
0.7
9.1
2.4

10.3
18.6
9.7
6.8
5.6
10.8
8.6
7.4
8.9
3.3
15.8
8.4
10.0
3.1
14.1
11.8
10.3
10.3
36.5
15.5
7.8
7.6
1.6
11.7
11.1
15.2
16.7
16.5
18.2
10.0
14.3
14.3
23.9
11.6

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

18.8
24.7
18.1
19.8
21.1
28.0
24.1
21.7
26.6
12.8
24.0
18.5
20.5
13.2
22.9
24.1
30.1
20.9
29.5
27.7
11.9
18.8
14.5
22.3
26.6
36.4
32.6
12.8
21.2
27.5
44.2
32.4
18.8
22.1

50-99,9
(6)

100
(7)

24.9
18.7
29.3
28.9
41.2
34.2
34.6
32.6
33.7
40.7
21.3
26.1
29.5
31.6
23.3
23.9
34.4
36.2
20.5
26.9
36.1
40.9
43.7
33.8
29.2
25.0
28.5
30.3
25.3
38.6
22.5
29.7
23.1
27.3

45.3
34.8
41.5
42.1
31.0
22.9
30.7
37.9
27.3
42.2
34.4
44.8
38.6
51.5
36.4
37.4
25.0
31.3
7.9
26.3
39.9
30.4
39.9
30.7
31.7
21.7
22.0
36.9
34.2
22.8
18.7
22.9
25.1
36.6

Annex 2.17

PERCENTAGE OF HOUSEHOLDS WITH TOILET FACILITY


BY PROVINCE IN INDONESIA, RISKESDAS 2010
No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Toilet Facilities
Shared
Public Facilities

Private
(3)

(4)

63.6
72.0
57.5
84.3
71.1
64.3
74.3
79.0
66.3
80.4
77.0
73.5
72.4
75.5
69.0
67.0
73.0
50.5
67.0
60.1
49.4
64.2
74.6
73.3
49.7
67.7
61.7
32.1
49.6
52.9
49.6
51.2
60.2
69.7

(5)

5.5
4.0
8.2
6.1
8.6
7.4
5.0
8.2
1.8
7.6
15.8
7.8
7.1
17.9
8.3
6.8
12.6
10.7
8.6
4.8
12.8
13.5
5.8
10.3
5.9
7.9
8.5
9.2
4.1
8.1
7.8
16.4
17.1
8.3

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

No Facilities
(6)

9.9
5.8
9.0
2.4
2.2
4.5
1.5
1.8
3.3
8.0
6.9
11.1
5.0
2.1
3.8
4.3
1.5
5.7
2.8
1.8
16.8
10.9
4.1
3.9
5.9
5.3
6.4
19.6
7.2
9.9
24.3
20.4
6.3
6.2

21.0
18.2
25.3
7.3
18.1
23.8
19.3
11.0
28.7
4.0
0.3
7.7
15.6
4.5
18.8
21.9
13.0
33.1
21.6
33.3
21.0
11.4
15.5
12.5
38.6
19.1
23.4
39.2
39.1
29.1
18.4
12.0
16.4
15.8

Annex 2.18

PERCENTAGE OF HOUSEHOLDS BY TYPE OF CLOSET FACILITY


BY PROVINCE IN INDONESIA, RISKESDAS 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Swan Trine
(3)

Type of Closet Facility


Plengsengan'
Pit Privy
(4)

80.2
77.1
72.2
64.4
71.1
66.1
79.5
65.0
83.3
84.4
94.1
77.4
80.5
88.0
74.9
85.3
94.6
76.4
45.9
74.6
55.7
66.8
85.6
87.3
87.7
85.8
78.4
92.6
88.6
85.5
89.8
80.0
55.5
77.58

No Facility

(5)

7.6
7.4
5.8
10.8
6.5
4.8
2.2
3.3
15.2
2.8
3.7
7.7
5.4
2.3
6.4
4.6
2.4
8.6
27.0
6.1
5.5
3.3
8.2
4.4
2.2
5.5
5.2
1.5
2.0
5.0
2.2
5.5
8.2
6.37

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

(6)

10.7
13.3
17.1
24.4
19.7
25.9
16.1
30.9
1.0
12.4
2.1
12.9
12.3
8.9
17.3
8.6
2.3
12.5
27.1
18.2
30.1
23.6
5.2
7.0
9.8
7.8
14.9
1.7
8.9
8.6
6.0
13.9
34.5
14.32

1.5
2.1
4.9
0.3
2.7
3.3
2.2
0.8
0.5
0.4
0.0
2.0
1.9
0.8
1.3
1.5
0.7
2.6
0.0
1.1
8.7
6.3
1.0
1.2
0.4
1.0
1.6
4.2
0.6
1.0
2.0
0.6
1.9
1.73

Annex 2.19

PERCENTAGE OF HOUSEHOLDS BY THE END OF FECES DISPOSAL


BY PROVINCE IN INDONESIA, RISKESDAS 2010

The End of Feces Disposal


No

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

Septic tank

Waste Water
Disposal

Pond/Rice Field

River/Lake

(3)

(4)

(5)

(6)

Hole
(7)

62.1
61.4
42.4
59.9
54.4
49.6
61.2
47.7
66.7
74.1
90.6
56.7
62.4
76.1
58.0
67.0
73.1
51.7
34.4
43.2
37.7
50.1
71.7
68.6
51.1
64.6
48.5
49.6
33.3
61.5
73.2
66.1
43.1

3.2
3.1
2.4
2.1
1.5
1.7
1.1
2.5
2.2
0.9
2.5
3.8
2.6
6.8
2.7
2.4
1.9
3.0
1.6
1.2
1.2
4.1
2.1
5.3
1.1
2.9
5.1
2.1
10.9
0.3
1.0
2.0
2.1

1.3
1.7
14.9
1.9
1.2
2.4
0.9
4.9
0.2
0.3
0.5
12.6
4.3
0.8
1.3
5.5
0.3
0.9
0.2
0.9
1.0
0.8
0.2
0.5
0.1
2.5
2.4
0.6
0.8
0.4
0.2
1.1
1.8

14.0
14.8
28.7
9.9
26.6
26.4
12.7
9.4
7.1
13.9
4.0
19.2
16.5
5.5
18.4
9.1
6.0
23.4
0.7
27.8
47.0
31.8
15.5
11.3
24.1
7.5
7.9
22.2
22.7
9.3
10.7
14.8
10.5

59.3

2.9

4.3

16.4

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

11.7
10.1
8.7
22.8
13.6
16.6
13.8
33.3
2.0
2.3
0.7
5.0
10.9
9.9
16.2
3.2
9.8
8.4
42.5
16.0
10.0
12.2
6.9
10.2
8.2
12.8
22.8
6.0
19.1
5.7
2.7
3.1
34.0

11.7

Beach/Garden

Others

(8)

(9)

4.4
7.0
1.0
2.4
1.5
2.2
8.5
1.0
17.1
5.0
0.4
1.3
1.7
0.4
2.6
11.7
8.8
10.3
17.3
9.7
2.5
0.9
3.0
2.4
11.8
7.4
12.2
17.2
11.0
20.7
11.5
11.0
7.9

3.3
1.9
1.9
1.0
1.3
1.1
1.8
1.2
4.8
3.6
1.4
1.5
1.6
0.6
0.9
1.1
0.1
2.5
3.3
1.2
0.7
0.3
0.7
1.6
3.6
2.3
1.1
2.4
2.2
2.2
0.6
2.0
0.7

4.0

1.5

Annex 2.20

PERCENTAGE OF HOUSEHOLDS BY ACCESS TO PROPER OF WASTE DISPOSAL IN ACCORDANCE MDGs


BY PROVINCE IN INDONESIA, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

No Access

(2)

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

Access
(4)

46.2
42.7
58.5
45.7
48.7
52.9
42.5
53.3
45.1
31.1
17.3
45.7
41.1
20.8
45.7
38.8
28.2
57.2
74.8
57.3
64.1
49.1
34.3
31.9
54.2
39.2
54.4
64.7
64.4
49.0
49.4
52.0
60.9

53.8
57.3
41.5
54.3
51.3
47.1
57.5
46.7
54.9
68.9
82.7
54.3
58.9
79.2
54.3
61.2
71.8
42.8
25.2
42.7
35.9
50.9
65.7
68.1
45.8
60.8
45.6
35.3
35.6
51.0
50.6
48.0
39.1

44.5

55.5

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Annex 2.21

PERCENTAGE OF HOUSEHOLDS BY WAY OF DEFECATION IN ACCORDANCE WITH JMP WHO-UNICEF 2008


BY PROVINCE IN INDONESIA, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Improved*)

(2)

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

Shared**)
(4)

Unimproved***)

Open Defecation****)

(5)

(6)

49.9
55.1
39.8
51.5
48.7
43.9
54.2
42.1
53.8
64.9
69.8
51.5
54.6
63.5
50.4
57.0
62.1
36.0
22.4
41.5
30.0
46.8
61.3
60.2
40.8
54.5
40.6
27.6
32.9
45.5
43.5
38.4
35.6

10.7
4.5
3.1
3.3
3.2
3.8
4.1
5.6
4.1
7.2
18.4
4.4
6.3
17.3
5.6
6.0
10.9
10.1
3.4
1.4
7.1
6.1
6.8
10.3
10.3
10.3
10.5
23.1
8.3
12.5
29.8
26.6
5.2

17.2
20.5
28.2
37.6
27.8
25.9
20.6
40.6
13.0
23.5
11.5
34.6
21.9
14.0
24.1
14.0
13.4
19.0
52.7
23.1
35.0
30.0
15.6
15.9
10.1
15.4
24.4
7.6
19.4
12.2
6.7
22.4
41.4

22.2
19.9
28.9
7.6
20.3
26.3
21.0
11.7
29.0
4.4
0.3
9.5
17.2
5.2
19.9
23.1
13.5
34.8
21.6
34.0
27.8
17.0
16.3
13.6
38.8
19.9
24.6
41.7
39.5
29.8
20.0
12.6
17.9

51.1

6.7

25.0

17.2

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Annex 2.22

PERCENTAGE OF HOUSEHOLDS BY HEALTHY HOUSES CRITERIA


BY PROVINCE IN INDONESIA, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia

Healthy Houses Criteria


Number of Examinated Houses

Number of Healthy Houses

(3)

(4)

70.3
62.7
74.0
58.9
77.8
71.4
68.3
85.9
65.5
57.3
66.8
75.6
81.3
73.0
75.4
77.6
67.4
82.9
92.5
71.9
76.5
71.9
56.4
64.0
83.8
82.5
80.8
74.2
82.1
83.3
78.3
66.2
76.0

29.8
37.4
26.0
41.1
22.2
28.6
31.7
14.1
34.5
42.7
33.2
24.4
18.8
27.0
24.6
22.4
32.6
17.1
7.5
28.1
23.5
28.1
43.6
36.0
16.2
17.6
19.2
25.8
17.9
16.7
21.7
33.8
24.0

75.1

24.9

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Annex 2.23

PREVALENCE OF POPULATION 15 YEARS OF AGE AND OVER, SMOKING AND NOT SMOKING
BY PROVINCE IN INDONESIA, RISKESDAS 2010

No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Smoking

No Smoking

Every Day

Sometimes

Ex Smokers

(3)

(4)

(5)

Non Smokers
(6)

31.9
30.0
33.1
30.3
32.7
29.9
33.0
31.4
31.2
33.4
23.9
30.9
25.3
25.3
25.1
29.6
25.1
30.5
33.0
29.3
36.0
25.3
28.4
29.1
30.7
26.1
22.0
32.7
27.6
26.2
31.8
28.9
28.4

5.2
6.0
5.3
6.0
5.4
6.6
4.8
6.6
4.1
5.5
6.9
6.8
7.3
6.3
6.3
6.7
5.9
5.0
8.2
5.0
7.1
5.2
6.4
7.1
7.5
5.5
6.3
6.0
8.0
10.5
8.9
9.6
8.7

3.5
3.4
7.0
4.1
5.5
3.3
3.6
4.0
6.0
8.2
8.2
5.9
5.2
10.4
4.4
7.1
4.8
3.2
3.0
5.0
5.7
6.9
7.8
10.3
5.8
7.0
3.3
5.4
5.3
3.9
5.6
3.5
5.5

59.4
60.9
54.6
59.6
56.4
60.2
58.7
57.9
58.8
52.8
61.0
56.4
62.2
58.1
64.2
56.7
64.2
61.3
55.8
60.7
51.1
62.5
57.0
53.5
56.0
61.4
68.4
55.9
59.1
59.4
53.6
58.0
57.3

28.2

6.5

5.4

59.9

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

Annex 2.24

PREVALENCE OF SMOKERS 15 YEARS OF AGE AND OVER BY FIRST SMOKING OR CHEWING TOBACCO
BY PROVINCE , RISKESDAS 2010
First Smoking or Chewing Tobacco (Years)
No

Provinces

(1)

(2)

5-9

10-14

15-19

20-24

25-29

(3)

(4)

(5)

(6)

(7)

30
(8)

1
2
3
4
5
6
7
8
9
10
11

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta

1.3
0.8
3.8
0.8
0.9
1.9
1.3
1.7
5.1
2.0
2.2

20.6
15.5
27.7
14.2
18.8
18.1
22.4
20.4
22.3
19.8
21.4

43.8
43.1
42.1
49.5
41.6
47.7
40.5
43.8
47.1
47.2
46.7

13.0
11.0
11.9
13.4
14.8
13.8
13.0
9.8
14.5
17.5
15.3

3.5
2.8
3.1
3.7
4.7
2.9
2.5
3.7
3.3
4.1
4.8

3.5
4.4
4.0
2.6
2.5
2.0
2.2
2.4
2.8
3.9
3.1

12
13
14
15
16

West Java
Central Java
DI Yogyakarta
East Java
Banten

1.2
1.8
4.4
2.2
1.6

15.3
16.8
19.5
17.4
19.2

44.6
41.9
38.7
41.8
46.7

16.2
15.1
15.3
16.1
12.6

4.6
5.2
5.6
5.3
3.1

4.9
4.2
6.2
3.7
2.3

17

Bali

0.5

10.3

40.8

16.8

4.7

8.3

18
19
20
21
22

West Nusa Tenggara


East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan

1.8
0.9
1.3
1.8
2.7

19.4
12.6
15.2
17.5
20.6

48.2
35.5
44.6
42.0
43.6

12.5
15.8
12.5
16.2
15.3

3.1
5.3
3.8
4.6
4.4

3.0
4.7
3.2
5.5
4.6

23
24

East Kalimantan
North Sulawesi

2.1
1.1

22.7
16.6

42.5
44.7

16.6
15.0

4.4
3.1

3.4
3.2

25
26
27
28

Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo

1.6
2.1
1.3
2.4

17.4
21.7
12.0
19.4

41.5
41.1
36.7
43.2

12.6
13.4
10.7
11.8

3.5
3.9
2.9
3.6

2.7
3.4
2.5
4.6

29
30
31
32
33

West Sulawesi
Maluku
North Maluku
West Papua
Papua

1.3
1.3
1.1
1.5
1.4

13.0
13.7
16.0
15.8
18.0

32.9
45.0
51.9
40.2
31.3

10.9
12.3
16.0
13.6
11.0

2.8
5.2
5.0
4.4
3.3

3.9
3.6
4.8
3.6
3.6

1.7

17.5

43.3

14.6

4.3

Indonesia

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

3.9

Annex 2.25

PERCENTAGE OF HOUSEHOLDS BY WASTE HANDLING CRITERIA


BY PROVINCE IN INDONESIA, RISKESDAS 2010

Waste Handling Criteria


No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Poor

Good

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia
Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

(4)

82.4
78.7
83.1
79.8
80.0
80.3
76.3
86.8
87.8
51.9
15.7
67.3
74.4
55.7
71.7
66.5
59.4
81.0
88.3
89.5
82.3
76.3
52.8
73.1
87.1
75.4
79.5
94.0
84.8
73.6
86.3
76.3
84.9

17.6
21.3
16.9
20.2
20.0
19.7
23.7
13.2
12.2
48.1
84.3
32.7
25.6
44.3
28.3
33.5
40.6
19.0
11.7
10.5
17.7
23.7
47.2
26.9
12.9
24.6
20.5
6.0
15.2
26.4
13.7
23.7
15.1

71.3

28.7

Annex 2.26

PERCENTAGE OF WOMEN AGED 10-59 YEARS BY AGE IN FIRST MARRIAGE


BY PROVINCE IN INDONESIA, RISKESDAS 2010
Women's Age in First Marriage (%)
No

Provinces

(1)

(2)

Age 10-14

Age 15-19

Age 20-24

Age 25-29

Age 30-34

Age 35 +

Not Answered/
Forget

Average
(Years Old)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

Aceh

2.3

36.9

35.6

15.1

2.5

1.2

6.4

20.7

North Sumatera

1.4

28.5

44.2

17.0

2.7

0.9

5.3

21.5

West Sumatera

2.1

34.1

43.0

16.3

3.0

0.6

0.9

21.0

Riau

2.9

36.4

40.3

13.8

1.6

0.7

4.4

20.5

Jambi

6.3

44.6

31.1

10.7

1.1

0.8

5.5

19.4

South Sumatera

4.8

43.7

33.9

9.5

1.9

0.9

5.2

19.8

Bengkulu

6.3

45.9

33.0

9.7

1.3

0.4

3.3

19.3

Lampung

3.2

44.3

36.1

10.6

0.9

0.3

4.6

19.6

Bangka Belitung Islands

2.8

47.9

35.3

9.4

0.9

1.3

2.4

20.0

10

Riau Islands

2.6

29.9

40.1

20.1

3.2

0.9

3.2

22.2

11

DKI Jakarta

3.2

29.3

39.5

21.8

3.9

0.9

1.3

21.7

12

West Java

7.5

50.2

29.1

8.3

1.1

0.3

3.6

19.2

13

Central Java

4.4

43.6

34.5

10.5

2.0

0.7

4.4

20.0

14

DI Yogyakarta

1.6

29.6

42.8

18.4

4.0

1.3

2.3

21.9

15

East Java

6.1

44.5

31.9

9.2

1.6

0.4

6.2

19.6

16

Banten

6.5

45.7

29.9

8.8

1.2

0.2

7.7

19.6

17

Bali

0.6

30.6

39.6

17.0

2.6

0.4

9.0

21.5

18

West Nusa Tenggara

2.3

41.6

35.2

10.2

2.1

1.0

7.7

20.1

19

East Nusa Tenggara

0.9

23.6

35.3

20.0

5.0

1.2

14.1

22.3

20

West Kalimantan

3.6

44.2

34.0

7.4

1.1

1.0

8.8

19.6

21

Central Kalimantan

7.0

52.1

27.3

9.6

1.0

0.6

2.3

19.0

22

South Kalimantan

9.0

48.4

28.4

7.9

1.5

0.9

4.0

19.0

23

East Kalimantan

7.1

42.4

31.9

11.9

1.6

0.4

4.7

19.8

24

North Sulawesi

0.9

33.8

42.2

15.6

3.9

0.7

2.8

21.4

25

Central Sulawesi

4.1

46.3

27.0

11.4

1.6

0.4

9.2

19.6

26

South Sulawesi

4.3

38.0

30.3

13.3

3.1

1.7

9.3

20.5

27

Southeast Sulawesi

3.4

43.5

25.3

9.9

1.2

0.5

16.1

19.6

28

Gorontalo

2.6

39.7

36.1

12.8

1.5

1.7

5.6

20.3

29

West Sulawesi

4.3

36.0

23.6

11.3

1.9

0.2

22.8

19.8

30

Maluku

2.4

28.3

39.3

18.4

2.8

1.6

7.2

21.6

31

North Maluku

3.1

43.0

31.9

13.2

2.3

0.4

6.1

20.0

32

West Papua

2.5

26.5

36.1

12.3

2.1

0.4

20.0

20.9

33

Papua

4.6

35.0

25.3

12.0

1.5

0.7

21.0

19.9

4.8

41.9

33.6

11.5

1.9

0.6

Indonesia

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

5.7

20.0

Annex 2.27

PERCENTAGE OF MARRIAGE WOMEN AGE 10 - 59 YEARS


BY NUMBER OF CHILDREN BIRTH AND PROVINCE IN INDONESIA, RISKESDAS 2010
No

Provinces

Not yet/
Do Not Have Children

1-2 Children

3-4 Children

5-6 Children

(1)

(2)

(3)

(4)

(5)

(6)

7 + Children
(7)

Aceh

2.6

46.4

32.6

13.0

5.5

North Sumatera

2.7

39.9

36.1

14.7

6.6

West Sumatera

2.5

41.5

35.5

14.9

5.6

Riau

1.4

50.4

34.1

9.9

4.2

Jambi

2.1

52.2

31.8

10.0

3.8

South Sumatera

2.2

52.3

32.9

8.8

3.8

Bengkulu

2.5

51.4

31.3

11.9

2.8

Lampung

2.2

54.4

31.5

8.6

3.2

Bangka Belitung Islands

2.1

57.8

26.9

8.9

4.3

10

Riau Islands

2.5

61.0

28.8

6.1

1.7

11

DKI Jakarta

2.3

59.9

29.0

6.2

2.6

12

West Java

2.2

56.4

29.9

8.1

3.3

13

Central Java

2.2

59.1

29.7

6.7

2.3

14

DI Yogyakarta

2.6

67.7

25.9

3.3

0.5

15

East Java

1.5

68.1

25.1

4.2

1.1

16

Banten

2.5

52.1

28.3

10.4

6.7

17

Bali

1.6

62.5

30.0

4.8

1.0

18

West Nusa Tenggara

2.5

53.6

28.9

10.8

4.3

19

East Nusa Tenggara

2.2

35.6

34.9

20.4

6.9

20

West Kalimantan

2.0

55.3

31.1

8.6

3.0

21

Central Kalimantan

2.0

55.8

28.5

10.2

3.4

22

South Kalimantan

3.7

55.6

26.5

9.3

4.9

23

East Kalimantan

2.5

56.9

30.3

7.7

2.6

24

North Sulawesi

2.6

65.8

26.4

4.3

0.9

25

Central Sulawesi

3.3

45.7

34.4

12.2

4.4

26

South Sulawesi

3.2

42.8

33.9

13.8

6.2

27

Southeast Sulawesi

1.8

44.8

36.2

12.5

4.7

28

Gorontalo

3.7

50.7

32.4

9.5

3.6

29

West Sulawesi

1.5

45.8

32.4

15.8

4.4

30

Maluku

2.3

44.0

32.1

14.3

7.3

31

North Maluku

2.8

41.4

35.4

13.8

6.7

32

West Papua

2.8

47.7

29.0

13.1

7.5

33

Papua

2.7

50.0

29.2

12.4

5.6

2.2

56.1

29.9

Indonesia

Source: National Board of Health Research and Development, Ministry of Health Republic of Indonesia, Riskesdas 2010

8.4

3.4

Annex 3.1

ESTIMATION OF INFANT MORTALITY RATE, UNDERFIVE MORTALITY RATE (UMR) IN 2007


AND LIFE EXPECTANCY RATE IN 2009 BY PROVINCE

Provinces

*Infant Mortality Rate


(IMR)

Estimation
*Underfive Mortality Rate
(UMR)

Life Expectancy Rate


2009

(1)

(2)

(3)

(4)

(5)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

No

Source:

Indonesia Demography Health Survey 2007, Statistics Indonesia,


* : Five years period before survey
Life Expectancy Rate :Statistics Indonesia-Statistic Indonesia, Human Development Index 2009

25
46
47
37
39
42
46
43
39
43
28
39
26
19
35
46
34
72
57
46
30
58
26
35
60
41
41
52
74
59
51
41
36
34

45
67
62
47
47
52
65
55
46
58
36
49
32
22
45
58
38
92
80
59
34
75
38
43
69
53
62
69
96
93
74
62
64
44

68.60
69.35
69.25
71.25
68.95
69.40
69.65
69.25
68.75
69.75
73.05
68.00
71.25
73.16
69.35
64.75
70.67
61.80
67.25
66.45
71.10
63.45
71.00
72.12
66.35
69.80
67.60
66.50
67.60
67.20
65.70
68.20
68.35
69.21

Annex 3.2

HUMAN DEVELOPMENT INDEX AND COMPONENT BY PROVINCE, 2008- 2009


2008
No.

Provinces

Life Expectancy
Rate

(2)

(3)

(1)

2009

Average of
Real Expenditure
School Duration Literacy Rate (%) / Capita (Rp.000)
(Year)
(4)

(5)

(6)

HDI

Rank

Life Expectancy
Rate

(7)

(8)

(9)

Average of
Real Expenditure
School Duration Literacy Rate (%) / Capita (Rp.000)
(Year)
(10)

(11)

(12)

HDI

Rank

Reduction
of Short
Fall

(13)

(14)

(15)

Aceh

68.50

8,50

96,20

605,56

70,76

17

68.60

8.63

96.39

610.27

71.31

17

1.90

North Sumatera

69.20

8,60

97,08

629,97

73,29

69.35

8.65

97.15

634.73

73.80

1.89

West Sumatera

69.00

8,26

96,66

631,52

72,96

69.25

8.45

96.81

633.72

73.44

1.78

Riau

71.10

8,51

97,81

638,31

75,09

71.25

8.56

98.11

642.55

75.60

2.06

Jambi

68.80

7,63

96,05

628,25

71,99

13

68.95

7.68

96.06

632.60

72.45

13

1.64

South Sumatera

69.20

7,60

97,05

623,49

72,05

12

69.40

7.66

97.21

628.30

72.61

10

2.01

Bengkulu

69.40

8,00

94,87

625,66

72,14

11

69.65

8.23

94.90

626.82

72.55

12

1.46

Lampung

69.00

7,30

93,63

615,03

70,30

20

69.25

7.49

94.37

617.42

70.93

21

2.12

Bangka Belitung Islands

68.60

7,37

95,57

636,07

72,19

10

68.75

7.41

95.63

639.10

72.55

11

1.30

10

Riau Islands

69.70

8,94

96,00

637,67

74,18

69.75

8.96

96.08

641.63

74.54

1.42

11

DKI Jakarta

72.90

10,80

98,76

625,70

77,03

73.05

10.90

98.94

627.46

77.36

1.45

12

West Java

67.80

7,50

95,53

626,81

71,12

15

68.00

7.72

95.98

628.71

71.64

15

1.80

13

Central Java

71.10

6,86

89,24

633,59

71,60

14

71.25

7.07

89.46

636.39

72.10

14

1.77

14

DI Yogyakarta

73.11

8,71

89,46

643,25

74,88

73.16

8.78

90.18

644.67

75.23

1.39

15

East Java

69.10

6,95

87,43

636,61

70,38

18

69.35

7.20

87.80

640.12

71.06

18

2.29

16

Banten

64.60

8,10

95,60

625,52

69,70

23

64.75

8.15

95.95

627.63

70.06

23

1.19

17

Bali

70.61

7,81

86,94

626,63

70,98

16

70.67

7.83

87.22

632.15

71.52

16

1.84

18

West Nusa Tenggara

61.50

6,70

80,13

633,58

64,12

32

61.80

6.73

80.18

637.98

64.66

32

1.50

19

East Nusa Tenggara

67.00

6,55

87,66

599,93

66,15

31

67.25

6.60

87.96

602.60

66.60

31

1.32

20

West Kalimantan

66.30

6,70

89,40

624,74

68,17

29

66.45

6.75

89.70

630.34

68.79

28

1.94

21

Central Kalimantan

71.00

8,00

97,67

628,64

73,88

71.10

8.02

97.69

633.91

74.36

1.84

22

South Kalimantan

63.10

7,44

95,30

630,83

68,72

26

63.45

7.54

95.41

634.59

69.30

26

1.86

23

East Kalimantan

70.80

8,80

96,36

634,52

74,52

71.00

8.85

96.89

638.73

75.11

2.32

24

North Sulawesi

72.01

8,80

99,31

625,58

75,16

72.12

8.82

99.41

631.00

75.68

2.07

25

Central Sulawesi

66.10

7,81

95,68

622,35

70,09

22

66.35

7.89

95.78

627.40

70.70

22

2.04

26

South Sulawesi

69.60

7,23

86,53

630,81

70,22

21

69.80

7.41

87.02

635.48

70.94

20

2.39

27

Southeast Sulawesi

67.40

7,74

91,42

611,72

69,00

25

67.60

7.90

91.51

615.29

69.52

25

1.69

28

Gorontalo

66.20

6,91

95,75

619,70

69,29

24

66.50

7.18

95.77

621.31

69.79

24

1.62

29

West Sulawesi

67.40

6,99

87,31

625,04

68,55

27

67.60

7.05

87.59

630.32

69.18

27

1.99

30

Maluku

67.00

8,60

98,12

605,02

70,38

18

67.20

8.63

98.13

610.73

70.96

19

1.94

31

North Maluku

65.40

8,60

95,44

595,69

68,18

28

65.70

8.61

95.74

598.45

68.63

29

1.43

32

West Papua

67.90

7,67

92,15

593,13

67,95

30

68.20

8.01

92.34

595.28

68.58

30

1.95

33

Papua

68.10

6,52

75,41

599,65

64,00

33

68.35

6.57

75.58

603.88

64.53

33

69.00

7,52

92,19

628,33

71,17

69.21

7.72

92.58

631.46

71.76

Indonesia

Source : Human Development Index 2008-2009, BPS-Statistics Indonesia


Note

: Reduction of Short Fall is an escalation of human development to achieve proper HDI

1.49
2.06

Annex 3.3

10 MAIN DISEASES OF HOSPITAL INPATIENTS IN 2010


Cases
No

Cases Proportion

Cause of Diseases Based on Basic


Tabulation List

CFR (%)

Females

Males (%)

Females (%)

Released
Patient

Deaths

Males

(2)

(1)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Diarrhea & gastroenteritis caused by certain


infection (colitic infection)

37,281

34,608

51.86

48.14

71,889

1,289

1.79

Dengue Haemorrhagic Fever

30,232

28,883

51.14

48.86

59,115

325

0.55

Typhoid Fever and Paratyphoid

19,706

21,375

47.97

52.03

41,081

274

0.67

Obstacle of pregnancy and delivery

40,636

0.00

100.00

40,636

276

0.68

Dispeptia

9,594

15,122

38.82

61.18

24,716

166

0.67

Other injuries and multiple area

14,405

7,328

66.28

33.72

21,733

605

2.78

Essential Hypertention (primary)

8,423

11,451

42.38

57.62

19,874

955

4.81

Intracranial Injury

12,010

7,371

61.97

38.03

19,381

1,025

5.29

Other upper acute respiratory infections

9,737

8,181

54.34

45.66

17,918

589

3.29

10

Pneumonie

9,340

7,971

53.95

46.05

17,311

1,315

7.60

Source: DG of Health Effort , MoH RI, 2011

Annex 3.4

10 MAIN DISEASES OF HOSPITAL OUTPATIENTS IN 2010


Cases
No

Cause of Diseases Based on Basic


Tabulation List

Males

Females

(1)

(2)

(3)

New Cases

Visits

(4)

(5)

(6)

Other upper acute respiratory infections

147,410

143,946

291,356

433,354

Other injuries and multiple area

77,337

49,739

127,076

168,768

Disease of skin and other subcutaneous

48,576

73,500

122,076

192,414

Refraction and acomodation disorder

42,349

69,164

111,513

143,404

Diarrhea & gastroenteritis caused by certain


infection (colitic infection)

53,389

51,890

105,279

141,556

Dispeptia

34,981

53,618

88,599

163,428

Disease of pulp and periapical

39,427

46,994

86,421

163,211

Essential hypertention (primary)

35,462

45,153

80,615

277,846

Conjungtivitis and other conjungtiva disorders

30,250

37,776

68,026

87,513

10

Disease of ear and prosesus mastoid

30,583

30,855

61,438

99,663

Source: DG of Health Effort , MoH RI, 2011

Annex 3.5

PREVALENCE OF UNDERFIVE NUTRITIONAL STATUS BASED ON WEIGHT PER AGE


BY PROVINCE IN 2010
Nutritional Status by Weight per Age
No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Severe Mal
Nutrition (%)

Under Weight (%)

Normal (%)

Over Weight (%)

Total (%)

(3)

(4)

(5)

(6)

(7)

7.1
7.8
2.8
4.8
5.4
5.5
4.3
3.5
3.2
4.3
2.6
3.1
3.3
1.4
4.8
4.8
1.7
10.6
9.0
9.5
5.3
6.0
4.4
3.8
7.9
6.4
6.5
11.2
7.6
8.4
5.7
9.1
6.3
4.9

Source: Riskesdas 2010, National Institute for Health Research and Development, MoH RI

16.6
13.5
14.4
11.4
14.3
14.4
11.0
10.0
11.7
9.8
8.7
9.9
12.4
9.9
12.3
13.7
9.2
19.9
20.4
19.7
22.3
16.8
12.7
6.8
18.6
18.6
16.3
15.3
12.9
17.8
17.9
17.4
10.0
13.0

72.1
71.1
81.3
75.2
76.3
74.5
73.7
79.8
80.6
81.3
77.7
81.6
78.1
81.5
75.3
77.5
81.0
66.9
67.5
67.0
69.4
73.1
75.9
84.3
69.1
72.2
66.9
69.4
74.9
70.5
73.2
67.3
78.4
76.2

4.2
7.5
1.6
8.6
4.1
5.6
10.9
6.8
4.5
4.6
11.1
5.4
6.2
7.3
7.6
4.0
8.0
2.6
3.1
3.9
2.9
4.0
7.0
5.1
4.4
2.8
10.2
4.1
4.7
3.4
3.2
6.2
5.3
5.8

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

Annex 3.6

PREVALENCE OF UNDERFIVE NUTRITIONAL STATUS BASED ON HEIGHT PER AGE


BY PROVINCE IN 2010
Nutritional Status by Height per Age
No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Severe Stunted
(%)

Stunted (%)

Normal (%)

Total (%)

(2)

(3)

(4)

(5)

(6)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

24.2
23.4
14.3
19.6
15.4
23.1
18.3
20.6
12.5
11.4
14.3
16.6
16.9
10.2
20.9
16.5
14.0
27.8
30.9
20.7
18.0
15.9
14.4
12.7
16.0
15.8
20.8
21.6
21.6
16.5
14.4
28.6
13.3
18.5

Source: Riskesdas 2010, National Institute for Health Research and Development, MoH RI

14.8
18.9
18.4
12.5
14.8
17.3
13.3
15.6
16.6
15.5
12.3
17.1
17.0
12.3
14.9
17.0
15.3
20.5
27.5
19.0
21.6
19.4
14.7
15.1
20.1
23.1
17.0
18.7
20.0
21.0
15.0
20.6
15.0
17.1

61.1
57.7
67.2
67.8
69.8
59.6
68.4
63.7
71.0
73.1
73.4
66.4
66.1
77.5
64.1
66.5
70.7
51.8
41.6
60.3
60.4
64.7
70.9
72.2
63.8
61.1
62.2
59.7
58.4
62.5
70.6
50.8
71.7
64.4

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

Annex 3.7

PREVALENCE OF UNDERFIVE NUTRITIONAL STATUS BASED ON WEIGHT PER HEIGHT


BY PROVINCE IN 2010
Nutritional Status by Weight per Height
No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Severe Wasted
(%)

Wasted (%)

Normal (%)

Obese (%)

Total (%)

(3)

(4)

(5)

(6)

(7)

6.3
5.6
4.0
9.2
11.3
7.3
9.7
5.4
1.7
2.0
4.4
4.6
6.4
2.6
7.3
6.2
5.2
5.9
6.8
7.6
6.0
8.4
5.8
2.6
8.4
4.8
6.2
4.1
6.1
6.3
6.4
6.0
8.2
6.0

Source: Riskesdas 2010, National Institute for Health Research and Development, MoH RI

7.9
8.4
4.2
8.0
8.7
7.3
8.1
8.5
5.8
6.0
6.9
6.4
7.8
6.5
6.8
7.9
7.9
8.0
6.4
9.1
9.6
7.2
7.1
6.7
6.4
7.2
9.6
7.7
10.6
6.9
11.3
5.5
5.7
7.3

69.6
67.6
83.5
66.8
70.4
68.7
66.7
69.6
82.8
81.4
69.1
74.4
71.8
77.3
68.8
74.2
69.4
73.5
74.8
72.5
75.4
74.6
77.6
82.3
75.1
81.1
66.1
80.4
71.5
78.5
77.2
73.8
75.5
72.8

16.2
18.3
8.3
16.0
9.6
16.8
15.5
16.4
9.6
10.6
19.6
14.6
14.0
13.6
17.1
11.7
17.5
12.5
11.9
10.8
9.0
9.8
9.6
8.5
10.2
6.9
18.1
7.8
11.8
8.2
5.0
14.8
10.7
14.0

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

Annex 3.8

PREVALENCE OF UNDERFIVE NUTRITIONAL STATUS BASED ON HEIGHT PER AGE AND WEIGHT PER HEIGHT
BY PROVINCE IN 2010

No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Stunted-Wasted
(%)

(2)

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Nutritional Status by Height per Age and Weight per Height


Normal-Obese
Stunted-Normal Stunted-Obese Normal-Wasted Normal-Normal
(%)
(%)
(%)
(%)
(%)
(4)

3.1
3.1
1.2
1.7
3.1
2.0
1.2
1.6
2.3
2.1
0.4
1.4
1.3
0.4
1.6
2.3
0.9
5.3
4.9
5.3
3.9
2.5
2.1
2.2
4.3
2.6
3.7
4.5
4.2
4.0
1.9
2.6
2.3
2.1

Source: Riskesdas 2010, National Institute for Health Research and Development, MoH RI

(5)

26.1
28.3
25.6
20.7
22.2
27.2
20.8
24.2
22.7
17.9
15.8
23.4
23.9
16.3
24.2
24.9
18.7
36.4
44.3
28.9
31.1
26.6
22.7
21.2
25.8
32.8
25.6
31.5
29.8
28.4
25.3
37.1
22.1
25.3

(6)

9.2
10.2
5.7
7.7
4.3
10.3
7.7
8.7
4.2
4.9
8.4
8.4
7.8
5.2
9.7
6.5
8.6
6.8
9.7
4.6
4.6
4.9
3.2
3.9
5.0
3.9
7.2
4.7
6.3
5.4
2.3
9.2
4.6
7.6

(7)

11.2
11.2
6.9
15.6
16.8
12.8
16.2
12.4
5.1
6.0
10.8
9.4
12.5
8.8
12.4
11.9
12.6
9.0
8.3
11.9
11.7
12.5
10.8
6.8
10.4
9.3
13.4
7.0
13.1
9.4
15.8
8.6
11.4
11.1

(8)

47.2
41.4
59.2
46.9
49.6
43.9
48.1
47.4
61.0
64.3
54.5
52.7
49.4
61.3
46.4
50.6
51.9
40.1
31.9
44.4
45.1
49.3
55.4
62.5
51.9
49.2
44.0
49.6
42.9
50.8
52.3
38.5
54.5
49.1

Total (%)
(9)

3.2
5.9
1.4
7.3
4.1
3.8
6.0
5.7
4.9
4.8
10.1
4.8
5.1
8.0
5.7
3.8
7.3
2.5
1.0
5.0
3.6
4.2
5.7
3.5
2.7
2.1
6.1
2.9
3.6
2.0
2.4
4.1
5.1
4.8

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

Annex 3.9

PREVALENCE OF ADULT NUTRITIONAL STATUS (>18 YEARS OF AGE)


BASED ON BODY MASS INDEX (BMI) BY PROVINCE IN 2010

No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Wasted (%)
(3)

Kategori IMT
Over Nutrition
Normal (%)
(%)
(4)

11.1
8.7
14.1
9.2
11.6
14.9
12.7
12.0
10.2
9.1
9.7
12.5
13.7
17.5
12.3
15.3
11.0
16.1
19.7
14.7
12.1
18.6
8.4
6.0
10.2
14.6
10.9
11.6
9.9
10.6
10.4
10.4
9.2
12.6

Source: Riskesdas 2010, National Institute for Health Research and Development, MoH RI

(5)

64.5
65.9
64.1
69.4
65.9
65.9
68.0
70.7
63.4
60.0
61.8
64.8
67.4
60.8
67.1
63.0
68.2
67.1
67.3
67.2
68.4
60.1
62.1
56.8
65.7
64.7
72.8
60.9
69.3
64.8
62.4
62.1
66.0
65.8

Obese (%)
(6)

10.9
11.9
9.4
11.1
11.3
9.2
9.3
8.5
9.9
13.2
12.3
10.0
9.3
9.7
9.5
9.5
10.5
8.0
6.5
8.6
9.2
10.5
12.1
15.2
10.8
9.7
8.9
11.3
9.8
9.5
12.8
12.1
11.0
10.0

13.4
13.5
12.5
10.3
11.2
10.0
10.0
8.8
16.5
17.6
16.2
12.8
9.5
12.1
11.1
12.2
10.4
8.8
6.5
9.5
10.3
10.8
17.3
21.9
13.3
11.0
7.4
16.1
11.0
15.1
14.4
15.4
13.8
11.7

Annex 3.10

NUMBER OF CASES AND MORBIDITY OF MALARIA


BY PROVINCE IN 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Population at Risk

Clinical Cases

Blood Specimens
Tested

Positive

Annual Parasite
Incidence (API)

(2)

(3)

(4)

(5)

(6)

(7)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

4,363,475
8,872,054
2,359,946
4,190,975
1,408,470
5,350,075
1,858,466
6,295,088
1,106,657
1,244,515
200,000
1,092,677
21,430,044
3,565,783
6,814,535
3,473,302
1,402,202
4,380,548
4,617,521
4,130,874
2,218,235
3,394,359
2,848,793
2,452,635
2,531,777
3,671,933
2,299,988
1,037,751
1,176,149
1,576,914
1,005,735
2,127,982
2,851,999
117,351,457

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

29,559
108,895
998
8,156
37,882
49,444
51,090
25,922
58,382
16,078
0
18,452
74,619
23,260
955
10,806
72,125
436,717
120,298
26,038
8,718
18,208
31,901
74,191
22,206
24,232
5,899
25,743
42,762
32,495
133,334
259,634
1,848,999

30,689
88,561
699
7,735
21,901
25,212
41,582
22,960
6,216
4,787
0
18,452
74,619
20,672
10,806
75,695
65,075
59,398
17,468
7,704
8,940
19,835
36,070
17,353
7,443
3,668
7,911
30,921
27,972
93,334
310,728
1,164,406

2,354
5,377
260
1,005
2,309
2,396
7,926
2,025
5,596
1,073
0
466
2,098
36
657
113
40
7,919
56,075
1,839
7,730
2,672
1,352
3,990
5,271
1,297
1,057
1,772
642
8,559
6,486
38,009
51,418
229,819

0.54
0.61
0.11
0.24
1.64
0.45
4.26
0.32
5.06
0.86
0.00
0.43
0.10
0.01
0.10
0.03
0.03
1.81
12.14
0.45
3.48
0.79
0.47
1.63
2.08
0.35
0.46
1.71
0.55
5.43
6.45
17.86
18.03
1.96

Annex 3.11

ANNUAL PARASITE INSIDENCE (API) OF MALARIA


BY PROVINCE IN 2007-2010
API
No.

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

2007

2008

(3)

2009

(4)

0.94
NA
0.03
NA
1.21
0.08
1.52
0.33
15.89
1.06
0.37
0.12
0.05
0.18
0.05
0.42
3.47
30.09
0.49
2.90
1.99
2.01
0.08
0.52
0.43
0.48
0.85
11.25
53.57
41.66
2.89

2010

(5)

0.25
0.28
0.57
0.23
2.12
0.54
4.70
0.33
8.09
1.34
0.58
0.07
0.00
0.71
0.03
0.17
4.88
20.35
0.65
2.53
1.04
2.04
3.37
2.56
0.31
0.28
4.13
0.57
8.94
8.91
46.10
18.35
2.47

(6)

0.48
0.25
0.41
0.47
1.89
0.45
4.36
0.78
7.87
1.12
0.36
0.08
0.30
0.47
0.14
0.02
1.93
15.62
0.54
1.38
1.06
0.93
4.57
1.35
0.47
0.22
0.54
0.85
7.37
8.91
27.66
9.94
1.85

0.54
0.61
0.11
0.24
1.64
0.45
4.26
0.32
5.06
0.86
0.43
0.10
0.01
0.10
0.03
0.03
1.81
12.14
0.45
3.48
0.79
0.47
1.63
2.08
0.35
0.46
1.71
0.55
5.43
6.45
17.86
18.03
1.96

Annex 3.12

PERIOD PREVALENCE OF MALARIA IN ONE LAST MONTH


BY DIAGNOSIS AND PROVINCE IN 2010
Period Prevalence
No.

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Jawa-Bali
Luar Jawa-Bali
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011


Note

: D= Diagnosis by blood specimen test; G= diagnosis by clinical symptom


DG= Diagnosis by blood specimen test and clinical symptom

D (%)

G (%)

DG (%)

(3)

(4)

(5)

0.7
0.4
0.3
0.5
1.2
0.9
1.6
0.5
1.5
1.4
0.1
0.1
0.1
0.0
0.1
0.1
0.1
1.4
4.4
0.9
1.4
0.7
0.9
1.9
0.9
0.6
0.4
0.8
1.5
1.4
3.6
10.6
10.1
0.1
1.3
0.6

11.5
9.6
11.9
6.0
9.5
8.4
11.6
9.1
17.9
8.2
8.3
10.6
7.6
4.6
7.2
10.5
4.5
13.0
22.2
11.2
15.0
14.0
8.6
20.1
18.2
15.1
6.8
28.0
12.5
11.5
18.1
27.3
19.2
8.5
12.3
10.0

12.1
10.0
12.2
6.5
10.6
9.2
12.9
9.6
19.0
9.5
8.4
10.7
7.7
4.6
7.3
10.6
4.6
14.2
25.3
12.0
16.2
14.5
9.3
21.6
18.9
15.6
7.1
28.6
13.8
12.6
20.8
33.8
25.9
8.6
13.4
10.6

Annex 3.13
CASE DETECTION COVERAGE OF PULMONARY TB
BY PROVINCE IN 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Case Estimation

(2)

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

All Cases

Detection Coverage
AFB
Case Detection Rate
(CDR) %
Positive

(4)

(5)

(6)

7,092
21,524
7,828
8,677
4,608
11,716
2,707
12,147
1,846
2,527
9,946
45,027
35,411
2,262
40,093
10,662
2,294
9,457
9,880
9,216
4,439
7,445
6,794
4,724
5,296
16,822
4,539
2,091
2,233
2,852
2,080
1,591
4,491

4,592
19,673
6,068
4,553
3,459
8,046
2,083
7,241
1,500
1,621
24,895
61,010
37,986
2,450
37,511
13,877
2,942
5,122
5,507
5,797
2,094
4,710
3,848
4,997
2,719
9,633
3,445
1,822
1,361
3,199
1,176
1,487
6,437

3,670
16,078
4,156
2,996
3,149
5,705
1,784
5,139
1,130
917
7,944
32,649
19,190
1,193
23,350
8,018
1,449
3,151
3,755
4,634
1,323
3,253
2,210
4,546
2,307
7,820
3,185
1,617
1,149
2,175
792
635
2,297

51.7%
74.7%
53.1%
34.5%
68.3%
48.7%
65.9%
42.3%
61.2%
36.3%
79.9%
72.5%
54.2%
52.7%
58.2%
75.2%
63.2%
33.3%
38.0%
50.3%
29.8%
43.7%
32.5%
96.2%
43.6%
46.5%
70.2%
77.3%
51.5%
76.3%
38.1%
39.9%
51.1%

234,181

302,861

183,366

78.3%

Annex 3.14

TB ACID FAST BACIL (AFB) POSITIVE NEW CASES


BY SEX AND PROVINCE IN 2010
Sex
No

Males

Provinces

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Females
Males+Females

Cases
(3)

2,352
10,496
2,693
1,912
1,966
3,508
1,096
3,115
727
576
4,884
18,854
10,789
719
13,060
4,780
836
1,888
2,074
2,961
811
1,979
1,355
2,821
1,401
4,559
1,919
916
681
1,245
495
368
1,330
109,166

Cases

(4)

(5)

64.1%
65.3%
64.8%
63.8%
62.4%
61.5%
61.4%
60.6%
64.3%
62.8%
61.5%
57.7%
56.2%
60.3%
55.9%
59.6%
57.7%
59.9%
55.2%
63.9%
61.3%
60.8%
61.3%
62.1%
60.7%
58.3%
60.3%
56.6%
59.3%
57.2%
62.5%
58.0%
57.9%
59.5%

%
(6)

1,318
5,582
1,463
1,084
1,183
2,197
688
2,024
403
341
3,060
13,795
8,401
474
10,290
3,238
613
1,263
1,681
1,673
512
1,274
855
1,725
906
3,261
1,266
701
468
930
297
267
967
74,200

35.9%
34.7%
35.2%
36.2%
37.6%
38.5%
38.6%
39.4%
35.7%
37.2%
38.5%
42.3%
43.8%
39.7%
44.1%
40.4%
42.3%
40.1%
44.8%
36.1%
38.7%
39.2%
38.7%
37.9%
39.3%
41.7%
39.7%
43.4%
40.7%
42.8%
37.5%
42.0%
42.1%
40.5%

(7)

3,670
16,078
4,156
2,996
3,149
5,705
1,784
5,139
1,130
917
7,944
32,649
19,190
1,193
23,350
8,018
1,449
3,151
3,755
4,634
1,323
3,253
2,210
4,546
2,307
7,820
3,185
1,617
1,149
2,175
792
635
2,297
183,366

Annex 3.15

TB AFB POSITIVE NEW CASES


BY AGE GROUP, SEX, AND PROVINCE IN 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

0 - 14

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

15 - 24

25 - 34

35 - 44

Age Group (Year)


45 - 54
P
L

Total
P

(13)

(14)

(15)

(16)

(17)

(18)

(19)

55 - 64

> 65

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

24
77
13
9
12
23
6
26
1
6
27
129
60
70
32
5
10
17
18
11
9
11
27
11
9
10
6
3
20
3
2
27

14
67
14
18
14
23
17
17
4
5
30
140
86
4
101
24
4
8
34
27
10
9
10
15
9
25
13
8
2
21
7
4
32

265
1,360
379
262
238
441
111
332
94
84
1,001
3,714
1,608
107
1,566
973
123
252
287
317
84
221
214
377
186
557
288
145
107
195
99
93
421

207
1,036
287
200
200
345
116
321
75
97
743
3,300
1,780
114
1,690
807
123
200
293
280
90
198
173
315
154
514
220
125
85
181
68
91
372

474
2,169
591
437
390
759
248
667
158
176
1,525
4,815
2,395
141
2,530
1,257
196
413
458
570
177
402
310
516
294
908
380
210
136
267
139
113
424

280
1,302
337
274
258
516
145
493
101
106
852
3,624
2,016
116
2,303
866
159
303
364
364
124
285
187
322
218
666
297
164
122
219
92
78
285

434
2,293
460
377
411
711
228
628
143
126
939
3,580
1,937
127
2,459
959
157
339
352
575
186
394
254
519
296
907
400
186
141
212
83
66
211

269
1,169
264
224
239
463
141
388
59
52
633
2,674
1,541
82
2,132
664
113
249
297
335
112
275
173
363
200
665
241
140
85
151
48
38
150

479
2,375
538
405
413
723
213
601
147
91
794
3,018
2,067
132
2,783
827
141
408
352
628
193
415
257
608
291
925
359
171
128
227
80
47
141

236
1,098
236
191
247
386
128
362
81
41
497
2,212
1,409
83
2,059
522
92
259
277
305
100
257
165
302
184
683
208
134
83
162
38
31
74

478
1,673
461
290
336
577
202
572
123
63
461
2,522
1,745
114
2,514
545
138
342
363
577
112
405
212
484
226
838
325
131
120
203
55
34
88

220
677
223
139
152
334
103
320
59
31
229
1,380
1,138
51
1,518
279
86
196
278
268
54
193
108
246
108
522
222
95
79
119
34
20
43

198
549
251
132
166
274
88
289
61
30
137
1,076
977
98
1,138
187
76
124
245
276
48
133
97
290
97
415
157
67
46
121
36
13
18

92
233
102
38
73
130
38
123
24
9
76
465
431
24
487
76
36
48
138
94
22
57
39
162
33
186
65
35
12
77
10
5
11

2,352
10,496
2,693
1,912
1,966
3,508
1,096
3,115
727
576
4,884
18,854
10,789
719
13,060
4,780
836
1,888
2,074
2,961
811
1,979
1,355
2,821
1,401
4,559
1,919
916
681
1,245
495
368
1,330

1,318
5,582
1,463
1,084
1,183
2,197
688
2,024
403
341
3,060
13,795
8,401
474
10,290
3,238
613
1,263
1,681
1,673
512
1,274
855
1,725
906
3,261
1,266
701
468
930
297
267
967

3,670
16,078
4,156
2,996
3,149
5,705
1,784
5,139
1,130
917
7,944
32,649
19,190
1,193
23,350
8,018
1,449
3,151
3,755
4,634
1,323
3,253
2,210
4,546
2,307
7,820
3,185
1,617
1,149
2,175
792
635
2,297

714

816

16,501

14,800

24,645

17,838

21,090

14,629

20,977

13,142

17,329

9,524

7,910

3,451

109,166

74,200

183,366

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

(11)

(12)

Annex 3.16

TB AFB POSITIVE, CURED, AND COMPLETE TREATMENT


AND SUCCESS RATE (SR) BY PROVINCE IN 2009

All Cases

AFB Positive

Cases

Cases

Cured and
Complete
Treatment

Cases

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

3,966
16,815
5,482
4,325
3,291
7,779
1,941
7,266
1,229
1,695
25,074
61,964
34,671
2,345
38,010
15,629
3,227
5,346
5,302
5,499
2,090
4,609
3,694
4,989
2,397
8,223
2,663
1,620
1,179
2,702
1,096
1,559
7,054
294,731

3,065
13,897
3,732
2,880
2,745
5,181
1,588
4,943
951
784
7,989
31,433
16,906
1,155
22,598
8,134
1,517
3,089
3,369
4,156
1,339
2,891
2,065
3,988
1,918
6,428
2,296
1,370
942
2,014
708
638
2,504
169,213

2,681
12,984
2,950
1,840
2,458
4,641
1,371
4,284
837
471
5,749
27,153
14,365
893
19,165
7,031
1,154
2,436
2,634
3,733
1,116
2,587
1,407
3,596
1,689
5,615
1,920
1,117
809
1,530
392
224
1,146
141,978

87.5
93.4
79.0
63.9
89.5
89.6
86.3
86.7
88.0
60.1
72.0
86.4
85.0
77.3
84.8
86.4
76.1
78.9
78.2
89.8
83.3
89.5
68.1
90.2
88.1
87.4
83.6
81.5
85.9
76.0
55.4
35.1
45.8
83.9

172
367
351
572
127
284
135
323
20
172
1,108
1,813
926
79
1,293
560
186
472
467
128
153
127
355
237
111
163
246
191
61
421
207
84
405
12,316

5.6
2.6
9.4
19.9
4.6
5.5
8.5
6.5
2.1
21.9
13.9
5.8
5.5
6.8
5.7
6.9
12.3
15.3
13.9
3.1
11.4
4.4
17.2
5.9
5.8
2.5
10.7
13.9
6.5
20.9
29.2
13.2
16.2
7.3

2,853
13,351
3,301
2,412
2,585
4,925
1,506
4,607
857
643
6,857
28,966
15,291
972
20,458
7,591
1,340
2,908
3,101
3,861
1,269
2,714
1,762
3,833
1,800
5,778
2,166
1,308
870
1,951
599
308
1,551
154,294

93.1
96.1
88.5
83.8
94.2
95.1
94.8
93.2
90.1
82.0
85.8
92.2
90.4
84.2
90.5
93.3
88.3
94.1
92.0
92.9
94.8
93.9
85.3
96.1
93.8
89.9
94.3
95.5
92.4
96.9
84.6
48.3
61.9
91.2

71
154
124
55
73
67
43
101
27
5
121
414
301
54
509
118
56
64
125
57
13
74
64
78
40
204
68
30
31
13
29
20
79
3,282

2.3
1.1
3.3
1.9
2.7
1.3
2.7
2.0
2.8
0.6
1.5
1.3
1.8
4.7
2.3
1.5
3.7
2.1
3.7
1.4
1.0
2.6
3.1
2.0
2.1
3.2
3.0
2.2
3.3
0.6
4.1
3.1
3.2
1.9

Cured

TB AFB Positive
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Complete Treatment

Death
Success Rate

Annex 3.17

TB PERIOD PREVALENCE (D) AND SUSPECT TB PERIOD PREVALENCE (G)


ON > 15 YEARS OF AGE POPULATION BY PROVINCE, RISKESDAS 2010
Period Prevalence
No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

D (%)

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

G (%)

(3)

(4)

0,644
0,539
0,674
0,433
0,630
0,351
0,827
0,270
0,640
0,427
1.032
0,937
0,687
0,311
0,628
1.282
0,306
0,927
0,577
0,903
0,426
0,810
0,789
1.221
0,542
0,577
0,418
1.200
0,668
0,887
0,546
0,637
1.441
0,725

2.652
3.009
4.757
1.988
5.337
1.765
3.886
1.746
3.585
3.220
2.240
2.746
2.163
2.065
1.843
3.127
1.339
2.877
6.511
2.802
4.305
4.201
2.758
3.382
5.367
4.844
2.147
6.992
2.126
4.022
3.016
6.722
3.813
2.728

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.18

AIDS NEW CASES , AIDS CUMULATIVE CASES, DEATH CASES, AND CASE RATE AIDS PER 100,000 POPULATION
BY PROVINCE UP TO DECEMBER 2010
Case Rate
No

Provinces

New Cases

Cumulative Cases

Death Cases

(1)

(2)

(3)

(4)

(5)

(6)

10
22
80
2
103
40
3
41
1167
130
227
215
545
82
132
23
104
331
36
1
7
857

53
507
410
477
268
219
131
144
120
374
3,995
3,728
944
505
3,771
401
1,747
142
242
1,125
57
27
11
173
12
591
22
3
192
17
58
3,665

12
94
99
132
62
38
29
42
18
143
576
665
289
108
779
67
311
69
36
138
4
5
10
62
6
62
5
1
70
8
19
580

1.29
3.88
9.10
8.39
9.37
3.04
7.49
1.86
11.65
24.96
44.74
8.91
2.92
14.82
10.44
3.86
49.16
3.07
5.55
23.96
2.40
0.78
0.35
7.69
0.46
6.65
0.95
0.33
14.21
1.77
8.93
173.69

4,158

24,131

4,539

10.46

per 100,000 Population


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.19

AIDS CUMULATIVE CASES PER QUARTER


BY PROVINCE IN 2010
AIDS Cumulative Cases
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

1st Quarter

2nd Quarter

3rd Quarter

4th Quarter

(3)

(4)

(5)

(6)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

44
485
382
476
165
219
91
144
117
334
2,828
3,599
752
290
3,540
318
1,725
133
139
794
30
27
11
173
12
591
21
3
192
13
58
2,858
20,564

48
485
410
477
166
219
113
144
120
341
3,740
3,710
819
290
3,540
323
1,747
139
142
794
40
27
11
173
12
591
22
3
192
16
58
2,858
21,770

52
485
410
477
166
219
119
144
120
365
3,870
3,714
872
458
3,617
326
1,747
142
182
1,125
49
27
11
173
12
591
22
3
192
16
58
2,962
22,726

53
507
410
477
268
219
131
144
120
374
3,995
3,728
944
505
3,771
401
1,747
142
242
1,125
57
27
11
173
12
591
22
3
192
17
58
3,665
24,131

Annex 3.20

NUMBER OF CASES AND PERCENTAGE OF AIDS ON INJECTING DRUG USERS (IDU)


BY PROVINCE UP TO DECEMBER 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

AIDS New Cases

AIDS New Cases on IDU

Percentage of AIDS New


AIDS Cumulative Cases on
AIDS Cumulative Cases
Cases on IDU
IDU

Percentage of AIDS
Cumulative Cases on IDU

(3)

(4)

(5)

(6)

(7)

(8)

10
22
80
2
103
40
3
41
1167
130
227
215
545
82
132
23
104
331
36
1
7
857

1
13
44
0
59
19
1
1
729
77
26
46
35
43
8
4
3
51
7
0
3
0

10.0
59.1
55.0
0.0
57.3
47.5
33.3
2.4
62.5
59.2
11.5
21.4
6.4
52.4
6.1
17.4
2.9
15.4
19.4
0.0
42.9
0.0

53
507
410
477
268
219
131
144
120
374
3,995
3,728
944
505
3,771
401
1,747
142
242
1,125
57
27
11
173
12
591
22
3
192
17
58
3,665

17
222
268
135
155
104
66
112
41
31
2,801
2,706
178
140
1,046
247
269
50
15
197
14
9
4
40
6
265
1
2
79
5
5
3

32.1
43.8
65.4
28.3
57.8
47.5
50.4
77.8
34.2
8.3
70.1
72.6
18.9
27.7
27.7
61.6
15.4
35.2
6.2
17.5
24.6
33.3
36.4
23.1
50.0
44.8
4.5
66.7
41.1
29.4
8.6
0.1

4,158

1,170

28.1

24,131

9,233

38.3

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.21

NUMBER OF UNDERFIVE PNEUMONIE CASES


BY PROVINCE IN 2010

No.

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Underfive Population
Target (10%)
(3)

Underfive Pneumonia Case Detection


Age < 1

Age 1 - 4

Total

(4)

(5)

(6)

(7)

47,090
144,630
50,130
61,190
28,590
72,790
16,810
72,760
11,060
18,750
79,440
398,720
275,810
34,792
263,230
99,200
25,980
50,830
56,230
47,290
21,160
33,560
31,560
17,710
25,700
81,020
25,600
9,500
10,490
15,270
11,010
8,560
23,960

484
19,236
2,649
2,363
1,186
8,448
88
4,396
1,096
135
4,800
67,346
8,097
476
17,282
4,063
1,367
13,263
1,349
995
309
5,006
1,059
2,803
2,412
2,212
288
304
1,341
924
382
-

1,178
18,483
7,895
7,321
2,994
12,377
194
6,725
3,336
223
10,454
126,634
22,143
1,234
35,492
7,344
2,372
19,515
1,765
2,260
769
11,640
2,530
1,470
5,294
4,896
821
574
2,879
1,490
798
-

1,662
37,719
10,544
9,684
4,180
20,825
282
11,121
4,432
358
15,254
193,980
30,240
1,710
52,774
11,407
3,739
32,778
3,114
3,255
1,078
16,646
3,589
4,273
7,706
7,108
1,109
878
4,220
2,414
1,180
-

3.53
26.08
21.03
15.83
14.62
28.61
1.68
15.28
40.07
1.91
19.20
48.65
10.96
4.91
20.05
11.50
14.39
64.49
5.54
6.88
5.09
49.60
11.37
24.13
29.98
8.77
4.33
9.24
40.23
15.81
10.72
-

2,170,423

176,159

323,100

499,259

23.00

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.22

LEPROSY NEW CASES, CASE DETECTION RATE (CDR),


PROPORTION OF DEFORMITY, CASES ON CHILDREN, AND WOMEN BY PROVINCE IN 2010

No.

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Paucibacillary
(PB)
(4)

Multibacillary
(MB)
(5)

133
28
19
36
22
24
52
9
4
125
209
325
34
719
91
18
69
24
7
8
15
30
52
93
202
33
15
50
82
179
117
454
3,278

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Total

(6)

331
172
63
149
87
201
10
309
22
1
622
1540
1415
93
3934
320
75
188
121
108
67
163
185
354
264
890
221
136
119
348
334
174
718
13,734

464
200
82
185
109
225
10
361
31
5
747
1,749
1,740
127
4,653
411
93
257
145
115
75
178
215
406
357
1,092
254
151
169
430
513
291
1,172
17,012

Case Detection
Rate per 100,000
Population
(7)

10.25
1.51
1.68
3.41
3.78
3.02
0.59
4.75
2.63
0.32
8.04
4.06
5.33
3.59
12.42
4.12
2.59
5.80
3.17
2.62
3.71
5.02
6.84
18.05
13.56
13.63
11.36
14.89
14.53
26.37
49.01
38.90
41.09
7.22

2nd Grade Deformity

0 - 14 Years

Cases

Cases

(8)

(9)

(10)

(11)

60
38
4
31
7
63
2
57
1
1
22
234
240
34
598
42
2
22
12
6
7
42
13
35
40
119
7
17
5
19
17
6
19
1,822

12.93
19.00
4.88
16.76
6.42
28.00
20.00
15.79
3.23
20.00
2.95
13.38
13.79
26.77
12.85
10.22
2.15
8.56
8.28
5.22
9.33
23.60
6.05
8.62
11.20
10.90
2.76
11.26
2.96
4.42
3.31
2.06
1.62
10.71

38
23
2
27
21
9
0
43
5
26
168
164
7
515
106
10
45
18
17
2
17
14
45
23
62
15
18
11
27
94
55
277
1,904

8.19
11.50
2.44
14.59
19.27
4.00
11.91
16.13
3.48
9.61
9.43
5.51
11.07
25.79
10.75
17.51
12.41
14.78
2.67
9.55
6.51
11.08
6.44
5.68
5.91
11.92
6.51
6.28
18.32
18.90
23.63
11.19

Registered
Cases

Relapsed
Cases

(12)

(13)

434
213
112
298
116
212
11
405
37
15
621
2,027
2,169
158
5,496
997
118
251
311
217
72
215
212
424
334
1,013
286
156
193
514
520
410
1,174
19,741

11
1
2
7
4
11
31
21
5
16
1
6
2
2
10
1
4
4
9
10
158

RFT Rate (%)


PB

MB

(14)

(15)

86.60
94.50
64.70
95.20
88.50
83.30
100.00
78.00
100.00
100.00
81.50
97.60
95.00
100.00
92.70
100.00
96.60
98.00
26.20
90.00
100.00
90.00
88.40
91.00
93.20
91.00
96.60
89.50
100.00
93.00
97.00
76.40
71.00
89.50

79.90
92.80
40.00
91.70
85.10
74.50
91.70
65.00
80.00
45.50
81.80
87.20
84.00
100.00
90.30
87.50
90.00
95.00
73.80
88.00
95.00
85.00
65.40
89.00
86.30
82.40
81.00
93.20
94.00
86.30
92.00
45.20
63.00
84.90

Annex 3.23

NUMBER OF TETANUS NEONATORUM CASES AND RISK FACTORS


BY PROVINCE IN 2010
Risk Factors

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

4
0
0
3
0
5
0
8
0
0
3
6
3
0
18
19
0
0
2
9
0
2
0
0
0
1
0
0
1
0
0
0
0
84

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

(18)

(19)

(20)

(21)

0
1
0
0
0
4
0
1
0
0
0
1
0
0
3
1
0
0
1
0
0
0
0
0
1
2
0
0
0
0
0
0
0
15

0
0
0
0
0
2
0
2
0
0
0
0
1
0
11
8
1
0
0
3
0
1
0
0
0
1
0
0
1
0
0
0
0
31

0
0
0
4
0
6
0
6
0
0
0
2
2
0
10
14
0
0
0
5
0
1
0
0
1
2
0
0
0
0
0
0
0
53

0
0
0
0
1
0
0
1
0
0
0
9
1
0
11
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
38

(22)

6
2
0
0
0
3
0
2
0
0
3
0
0
0
1
3
0
0
2
1
0
0
0
0
1
0
1
0
0
0
0
0
0
25

(23) (24)

4 1 0
1 1 0
0 0 0
4 0 0
1 0 0
3 3 2
0 0 0
5 2 1
0 0 0
0 0 0
0 0 0
9 0 2
4 0 0
0 0 0
20 9 3
32 4 4
1 0 0
0 0 0
0 0 1
4 3 1
0 0 0
1 1 0
0 0 0
0 0 0
0 0 0
2 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
92 24 14

(25)

(26) (27)

1
6
0
2
0
0
0
3
0
1
3
8
0
0
3
7
0
0
0
0
3
3
0 10
0
3
0
0
1 30
0 38
0
1
0
0
1
0
1
7
0
0
0
2
0
0
0
0
2
1
1
3
1
0
0
0
0
1
0
0
0
0
0
0
0
0
17 126

0
0
0
1
0
2
0
2
0
0
0
1
1
0
1
2
0
0
1
2
0
0
0
0
0
0
1
0
0
0
0
0
0
14

Unknown

(17)

3
1
0
4
0
6
0
7
0
0
0
8
2
0
23
33
0
0
1
6
0
2
0
0
1
1
1
0
0
0
0
0
0
99

No

Unknown

(16)

3
0
0
0
1
1
0
3
0
0
3
2
2
0
6
6
1
0
0
3
0
0
0
0
0
0
0
0
1
0
0
0
0
32

Hospitalized Status

Yes

Others

(15)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1

Unknown

Traditional

(14)

2
1
0
0
0
4
0
2
0
0
0
0
0
0
3
3
0
0
1
1
0
0
0
0
1
1
0
0
0
0
0
0
0
19

Others

Alcohol/Iodine

(13)

2
1
0
4
0
4
0
5
0
0
3
9
1
0
18
24
0
0
1
4
0
1
0
0
1
1
1
0
0
0
0
0
0
80

Bamboo

Unknown

(12)

Umbilical Cord Cutting

Scissors

Traditional

(10) (11)

0 2 0
0 0 0
0 0 0
0 0 0
0 1 0
4 0 3
0 0 0
1 1 3
0 0 0
0 0 0
0 0 0
1 1 1
0 0 3
0 0 0
2 5 7
2 5 8
0 0 1
0 0 0
1 0 0
0 0 4
0 0 0
0 0 1
0 0 0
0 0 0
1 0 0
2 0 1
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
14 16 32

Midwife/Nurse

(9)

0
0
0
4
0
1
0
3
0
0
0
6
0
0
3
17
0
0
0
2
0
1
0
0
1
0
0
0
0
0
0
0
0
38

Physician

(8)

2
1
0
0
0
0
0
2
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
11

Umbilical Cord Treatment

Unknown

(7)

Delivery Attendant

No Immunization

(6)

1 3
0 1
0 0
0 0
1 0
0 6
0 0
1 4
0 0
0 0
0 3
1 3
0 4
0 0
0 28
1 16
0 1
0 0
0 1
0 7
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
5 79

TT1

Unknown

(5)

TT2+

Without ANC

(4)

6
2
0
4
1
11
0
11
0
0
3
11
4
0
33
40
1
0
2
9
0
2
0
0
2
3
1
0
1
0
0
0
0
147

Traditional

(3)

Midwife/Nurse

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Imunization Status

Physician
(1)

Provinces

Death

No.

Total

Antenatal Care (ANC)

(28)

0
0
0
0
0
1
0
2
0
0
0
0
0
0
2
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
7

Annex 3.24

NUMBER OF MEASLES CASES


BY MONTH AND PROVINCE IN 2010
Cases per Month
No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Jan

Feb

Mar

Apr

May

Jun

Jul

Ags

Sep

Oct

Nov

Dec

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

70
27
62
45
67
79
32
114
3
56
80
424
429
195
194
145
0
2
7
52
0
34
0
63
10
105
0
7
0
0
8
0
12
2,322

48
57
67
35
38
71
42
95
8
60
104
434
566
138
224
167
40
1
30
39
19
13
0
98
9
117
0
2
0
0
11
31
67
2,631

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

74
29
52
53
41
49
19
77
9
69
112
462
420
85
153
196
77
2
16
24
21
13
17
87
10
124
0
6
0
0
0
8
18
2,323

63
28
35
18
57
34
22
61
4
74
0
499
310
64
205
282
11
2
16
34
17
10
39
23
16
97
0
4
0
0
2
5
22
2,054

69
0
37
64
37
47
21
58
0
23
78
456
243
38
176
225
6
2
12
18
20
6
0
24
14
54
0
10
0
0
7
1
20
1,766

76
24
44
0
26
47
8
40
2
25
66
137
167
41
131
138
0
5
18
4
19
18
13
16
5
43
0
10
1
0
7
0
6
1,137

35
31
32
30
21
33
2
21
1
17
88
133
183
40
72
183
0
1
1
10
21
8
5
5
9
28
1
5
1
0
2
2
2
1,023

10
1
8
37
22
34
6
24
1
18
172
3
125
33
52
192
7
9
0
12
5
13
10
38
18
3
0
8
0
0
5
3
1
870

1
7
9
48
8
30
1
30
0
31
165
0
120
43
32
122
0
0
7
6
2
15
0
19
3
0
0
5
1
0
4
5
6
720

19
19
24
50
16
35
1
24
4
48
58
0
106
64
17
225
0
0
0
9
20
13
8
17
19
0
2
20
0
0
6
27
13
864

37
2
16
23
16
10
3
16
0
58
204
0
82
42
15
221
0
0
5
6
20
3
0
10
9
0
0
15
5
0
7
3
1
829

23
0
24
14
21
39
4
13
27
75
74
0
63
46
0
105
0
0
0
5
18
3
0
10
9
0
0
17
0
0
0
7
3
600

525
225
410
417
370
508
161
573
59
554
1,201
2,548
2,814
829
1,271
2,201
141
24
112
219
182
149
92
410
131
571
3
109
8
0
59
92
171
17,139

Annex 3.25

NUMBER OF MEASLES CASES


BY AGE GROUP AND PROVINCE IN 2010
Cases by Age Group (Year)
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

1-4

<1

5-9

10-14

> 14

Vaccinated

Cases

Vaccinated

Cases

Vaccinated

Cases

Vaccinated

Cases

Vaccinated

Cases

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Total
Vaccinated

Total Cases

Proportion of
Vaccinated
to All Cases

(13)

(14)

(15)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

4
17
19
19
15
22
8
22
1
39
0
0
69
3
55
30
1
0
2
3
9
7
8
8
1
30
0
4
2
0
5
2
6

63
35
38
38
57
77
21
64
7
77
183
310
231
50
122
364
1
3
2
11
22
27
20
44
26
65
0
6
3
0
13
9
24

9
30
61
78
45
68
20
65
3
96
0
0
294
7
235
134
5
0
16
30
18
26
21
26
9
105
0
16
2
0
6
14
32

113
72
110
149
72
134
33
106
10
189
504
823
546
115
363
890
10
2
34
52
35
34
27
132
33
132
1
26
2
0
22
58
72

18
19
85
69
78
66
38
103
2
81
0
0
472
7
238
83
18
4
12
30
20
14
26
18
12
84
0
9
1
0
7
5
33

149
56
136
147
98
135
40
173
24
170
220
761
850
148
401
565
36
14
45
42
43
38
30
132
33
115
0
35
1
0
15
20
54

9
0
32
15
54
21
18
66
1
31
0
0
264
4
125
28
12
2
2
27
13
2
9
5
1
58
0
3
1
0
2
1
8

81
45
58
45
71
53
41
106
8
49
114
355
574
148
194
149
41
2
13
36
25
14
10
47
19
87
2
21
1
0
6
5
14

8
2
22
15
12
12
8
42
1
20
0
0
141
4
97
22
9
0
10
10
31
5
5
7
1
111
0
0
1
0
1
0
0

119
17
68
38
72
109
26
124
10
69
180
299
613
368
191
233
53
3
18
78
57
36
5
55
20
172
0
21
1
0
3
0
7

48
68
219
196
204
189
92
298
8
267
0
0
1240
25
750
297
45
6
42
100
91
54
69
64
24
388
0
32
7
0
21
22
79

525
225
410
417
370
508
161
573
59
554
1,201
2,548
2,814
829
1,271
2,201
141
24
112
219
182
149
92
410
131
571
3
109
8
0
59
92
171

9.14
30.22
53.41
47.00
55.14
37.20
57.14
52.01
13.56
48.19
0.00
0.00
44.07
3.02
59.01
13.49
31.91
25.00
37.50
45.66
50.00
36.24
75.00
15.61
18.32
67.95
0.00
29.36
87.50
0.00
35.59
23.91
46.20

Indonesia

411

2,013

1,471

4,901

1,652

4,726

814

2,434

597

3,065

4,945

17,139

28.85

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.26

NUMBER OF CASES, DEATHS, AND INCIDENCE RATE OF MEASLES


BY PROVINCE IN 2010
Routine Report
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Cases

Deaths

(3)

(4)

(5)

525
225
410
417
370
508
161
573
59
554
1,201
2,548
2,814
829
1,271
2,201
141
24
112
219
182
149
92
410
131
571
3
109
8
0
59
92
171
17,139

0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
7

1.18
0.17
0.84
0.77
1.28
0.69
0.95
0.75
0.51
3.51
1.29
0.61
0.85
2.35
0.34
2.21
0.39
0.05
0.24
0.50
0.86
0.42
0.28
1.82
0.52
0.71
0.01
1.09
0.08
0.00
0.60
1.19
0.80
0.73

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

IR (per 10,000 Population)

Annex 3.27

OUTBREAK FREQUENCY AND NUMBER OF CASES ON MEASLES OUTBREAK


BY PROVINCE IN 2010
Outbreak Report
No.

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Total Outbreak

Frequency of Outbreak
With Specimens > 5

Frequency of Outbreak
With Full Investigation

Frequency of Outbreak
With Report to MOH

Total
Cases

Deaths

(3)

(4)

(5)

(6)

(7)

(8)

3
1
1
4
6
7
2
11
0
0
1
20
19
3
9
33
7
1
2
0
0
0
2
5
1
1
4
2
0
0
0
1
5
151

0
1
0
2
6
7
2
10
0
0
0
17
17
3
0
31
7
0
0
0
0
0
0
4
0
0
4
0
0
0
0
1
0
112

0
1
0
2
6
7
2
11
0
0
0
20
19
3
0
33
7
0
0
0
0
0
0
6
0
0
4
0
0
0
0
1
0
122

16
15
9
81
88
63
25
135
0
0
6
283
336
23
65
463
134
5
10
0
4
0
11
318
8
5
75
13
0
0
0
6
373
2,570

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
6

3
1
2
4
6
7
2
12
0
0
1
29
21
3
13
33
7
1
2
0
1
0
2
7
2
1
4
3
0
0
0
1
6
174

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.28

MEASLES OUTBREAK BASED ON LABORATORY CONFIRMATION


BY PROVINCE IN 2010
Laboratory Confirmation
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Measles

Sample

Rubella

Measles and Rubella

Negative

Without Specimens

Pending Lab.

Blood

Frequency

Cases

Frequency

Cases

Frequency

Cases

Frequency

Cases

Frequency

Cases

Frequency

Cases

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

16
5
9
24
33
36
14
65
0
0
6
140
98
23
64
173
35
5
10
0
4
0
11
35
8
5
25
13
0
0
0
5
30

0
1
1
4
0
3
0
1
0
0
1
13
9
1
8
28
4
1
2
0
1
0
0
6
0
0
3
2
0
0
0
1
6

0
15
4
81
0
32
0
40
0
0
6
154
121
6
44
420
100
5
10
0
4
0
0
313
0
0
66
7
0
0
0
6
373

3
0
0
0
4
3
2
7
0
0
0
6
8
2
2
2
3
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0

16
0
0
0
69
26
25
66
0
0
0
65
178
17
10
20
34
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0

0
0
0
0
2
0
0
0
0
0
0
2
1
0
2
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0

0
0
0
0
19
0
0
0
0
0
0
11
5
0
9
0
0
0
0
0
0
0
0
5
0
0
9
0
0
0
0
0
0

0
0
1
0
0
1
0
4
0
0
0
8
3
0
1
3
0
0
0
0
0
0
0
0
2
1
0
1
0
0
0
0
0

0
0
5
0
0
5
0
29
0
0
0
53
32
0
2
23
0
0
0
0
0
0
0
0
8
5
0
6
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Indonesia

892

96

1,807

44

537

58

25

168

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.29

NUMBER OF DIPHTERIA CASES BY AGE GROUP


AND PROVINCE IN 2010
Cases by Age Group (Month)
No.

<1

Provinces

(1)

(2)

1-3

4-9

10-14

> 14

Vaccinated

Cases

Vaccinated

Cases

Vaccinated

Cases

Vaccinated

Cases

Vaccinated

Cases

Deaths

Total
Vaccinated

Total
Cases

Proportion of
Vaccinated to
Cases

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

Aceh

0.00

North Sumatera

0.00

West Sumatera

71.43

Riau

0.00

Jambi

0.00

South Sumatera

14.29

Bengkulu

100.00

Lampung

0.00

Bangka Belitung Islands

0.00

10

Riau Islands

0.00

11

DKI Jakarta

0.00

12

West Java

0.00

13

Central Java

57.14

14

DI Yogyakarta

100.00

15

East Java

65

96

67

107

25

44

35

16

167

286

58.39

16

Banten

33.33

17

Bali

100.00

18

West Nusa Tenggara

0.00

19

East Nusa Tenggara

0.00

20

West Kalimantan

13

38.46

21

Central Kalimantan

0.00

22

South Kalimantan

0.00

23

East Kalimantan

12

18

13

16

29

46

63.04

24

North Sulawesi

0.00

25

Central Sulawesi

0.00

26

South Sulawesi

0.00

27

Southeast Sulawesi

0.00

28

Gorontalo

0.00

29

West Sulawesi

0.00

30

Maluku

0.00

31

North Maluku

0.00

32

West Papua

0.00

33

Papua

0.00

85

138

90

141

30

54

43

24

219

385

56.88

Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.30

NUMBER OF DIPTHERIA CASES PER MONTH


BY PROVINCE IN 2010
Cases per Month
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Jan

Feb

Mar

Apr

May

Jun

Jul

Ags

Sep

Oct

Nov

Dec

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

0
0
0
0
0
0
0
0
1
0
0
0
1
0
17
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23

0
0
0
0
0
0
0
0
1
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23

0
0
1
0
0
2
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
22

0
0
0
0
0
0
0
0
0
0
0
0
0
0
25
1
0
0
0
2
0
0
16
0
0
0
0
0
0
0
0
0
0
44

0
0
2
0
0
1
0
0
0
0
0
0
0
0
21
0
0
0
0
1
0
0
8
0
0
0
0
0
0
0
0
0
0
33

0
0
2
0
0
1
0
0
0
0
0
0
1
1
18
2
1
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
36

0
0
2
0
0
2
0
0
0
0
0
0
2
1
13
2
0
0
0
2
0
0
6
0
0
0
0
0
0
0
0
0
0
30

0
0
0
0
0
0
0
0
0
0
0
0
1
0
31
0
1
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
35

0
0
0
0
0
0
0
0
0
2
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19

0
0
0
0
0
1
0
0
0
0
0
0
1
0
39
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
46

0
0
0
0
0
0
1
1
0
0
0
0
1
0
42
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
46

0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
28

0
0
7
0
0
7
1
1
2
2
0
0
7
2
286
9
2
0
0
13
0
0
46
0
0
0
0
0
0
0
0
0
0
385

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.31

NUMBER OF AFP CASES AND NON POLIO AFP RATE


BY PROVINCE IN 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Minimum Cases per Year

(2)

(3)

(4)

(5)

26
84
30
34
16
44
10
42
6
10
44
232
164
12
158
60
16
28
30
26
12
20
18
10
14
46
14
6
6
8
6
4
12

48
88
29
56
19
59
12
44
10
11
59
256
177
29
263
81
23
45
62
27
8
22
24
31
20
58
18
17
6
8
3
6
22

3.69
2.10
1.93
3.29
2.38
2.68
2.40
2.10
3.30
2.20
2.68
2.21
2.16
4.83
3.33
2.70
2.88
3.07
3.93
2.08
1.33
2.20
2.67
6.20
2.71
2.48
2.57
5.67
1.67
2.00
1.00
3.00
3.67

1,248

1,641

2.62

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

AFP Cases

Non Polio AFP Rate / 100,000 population

Annex 3.32

NUMBER OF DENGUE HAEMORRHAGIC FEVER (DHF) CASES, DEATHS, CASE FATALITY RATE (%), AND INCIDENCE RATE PER 100,000 POPULATION
BY PROVINCE IN 2006 - 2010
2006
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

2007

2009

2010

CFR

IR

CFR

IR

CFR

IR

CFR

IR

CFR

IR

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(22)

26
87
5
26
1
5
13
28
9
14
33
171
251
34
233
119
34
12
15
16
7
33
42
40
29
33
13
8
0
1
12
0
8

0.92
0.98
0.28
2.62
0.56
0.43
2.13
1.63
4.39
0.93
0.17
0.66
1.26
0.68
0.90
2.15
0.29
0.57
1.03
2.72
0.50
2.91
0.75
1.91
1.38
0.81
1.32
1.71
0.00
16.67
3.46
0.00
2.96

63.71
67.25
38.13
18.27
5.99
16.07
35.36
25.59
18.52
88.37
227.44
59.54
60.46
144.92
68.92
55.27
337.04
51.02
30.60
13.86
62.82
29.86
167.31
87.70
81.80
49.02
45.28
46.14
14.19
0.42
33.61
52.83
15.05

1,358

0.87

65.70

758
2,125
1,067
948
365
2,272
129
1,402
58
969
24,932
25,851
10,924
2,184
20,374
2,306
5,629
623
251
2,659
513
455
2,714
1,290
492
2,612
95
302
31
0
138
128
60

15
34
13
18
11
2
1
14
0
28
39
275
220
23
247
35
30
4
3
35
4
7
76
19
11
22
3
2
1
0
4
0
0

114,656

1,196

1.98 19.43
1.60 16.86
1.22 23.87
1.90 21.04
3.01 13.83
0.09 32.48
0.78
7.61
1.00 20.08
0.00
5.80
2.89 74.79
0.16 316.17
1.06 66.08
2.01 33.72
1.05 66.22
1.21 56.19
1.52 26.92
0.53 170.57
0.64 15.59
1.20
6.36
1.32 65.94
0.78 27.42
1.54 12.40
2.80 103.64
1.47 59.62
2.24 20.01
0.84 35.03
3.16
4.73
0.66 32.90
3.23
3.06
0.00
0.00
2.90 16.09
0.00 22.69
0.00
3.55
1.04

Source: D: DG of PP & PL, Kemenkes RI, 2011


Note

2008

: C = Cases, D = Deaths, CFR = Case Fatality Rate, IR = Incidence Rate

1,569
3,990
2,189
795
309
3,480
274
4,470
145
950
31,836
30,536
20,391
2,462
25,950
5,587
6,375
720
518
508
696
1,321
5,341
1,865
1,338
2,732
944
236
2
0
275
208
103

52.48 158,115

13
34
24
15
5
13
7
23
2
11
86
288
327
26
372
98
14
2
11
7
8
16
102
24
17
30
7
4
0
0
7
2
4

0.83
0.85
1.10
1.89
1.62
0.37
2.55
0.51
1.38
1.16
0.27
0.94
1.60
1.06
1.43
1.75
0.22
0.28
2.12
1.38
1.15
1.21
1.91
1.29
1.27
1.10
0.74
1.69
0.00
0.00
2.55
0.96
3.88

1,599

1.01

38.92
31.66
48.05
18.46
11.20
48.17
15.62
64.01
13.67
73.33
392.64
78.05
61.96
74.65
69.95
65.22
193.18
16.90
13.13
12.98
35.54
35.59
193.15
86.15
54.02
36.79
48.20
25.71
0.20
0.00
29.22
28.76
6.09

2,436
4,454
1,907
828
245
2,360
339
4,807
34
1,724
28,361
23,248
19,235
2,119
17,310
3,954
6,254
777
695
947
531
576
5,762
1,430
1,389
3,538
1,006
172
43
0
250
510
228

71.78 137,469

32
49
11
10
9
3
1
40
0
22
26
231
228
21
168
53
19
4
22
32
7
11
105
16
17
27
9
4
0
0
7
2
1

1.31
1.10
0.58
1.21
3.67
0.13
0.29
0.83
0.00
1.28
0.09
0.99
1.19
0.99
0.97
1.34
0.30
0.51
3.17
3.38
1.32
1.91
1.82
1.12
1.22
0.76
0.89
2.33
0.00
0.00
2.80
0.39
0.44

1,187

0.86

54.76
34.49
40.59
15.96
8.64
33.62
19.33
68.83
3.07
122.08
317.09
54.23
58.45
61.72
46.31
46.16
181.31
18.10
14.58
22.29
27.11
15.52
202.83
63.58
55.25
46.37
46.21
18.20
4.24
0.00
25.25
90.41
13.47

1,573
4,697
2,813
1,563
254
1,854
260
1,862
349
1,828
28,032
37,861
17,881
2,203
18,631
5,250
5,810
615
399
9,792
1,309
1,113
5,244
1,640
952
3,411
692
91
149
0
384
204
196

59.02 158,912

20
58
18
27
5
6
8
20
16
14
32
307
248
15
185
70
9
4
7
171
16
20
68
20
7
23
12
2
0
0
7
2
3

1.27
1.23
0.64
1.73
1.97
0.32
3.08
1.07
4.58
0.77
0.11
0.81
1.39
0.68
0.99
1.33
0.15
0.65
1.75
1.75
1.22
1.80
1.30
1.22
0.74
0.67
1.73
2.20
0.00
0.00
1.82
0.98
1.53

1,420

0.89

35.36
35.70
59.75
29.29
8.55
25.67
15.44
24.85
31.54
115.60
313.41
89.41
54.81
63.89
50.03
56.39
167.41
13.72
8.44
228.30
65.25
29.30
173.84
68.79
36.50
44.71
31.86
9.19
13.74
0.00
38.89
28.21
10.93

2,834
8,889
1,795
991
178
1,161
609
1,716
205
1,507
19,273
25,727
19,871
4,997
26,020
5,544
11,697
2,096
1,459
589
1,394
1,134
5,610
2,091
2,098
4,083
986
467
144
6
347
298
270

68.22 156,086

Annex 3.33

NUMBER OF DISTRICTS/MUNICIPALITIES INFECTED BY DHF


BY PROVINCE IN 2006 - 2010
Districts/
No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Districts/

Districts/

Districts/

Year

Districts/
2006

Municipalities
Municipalities
Municipalities
MunicipalitiesMunicipalities

2007

2008

2010

2009

2006

2007

2008

2009

2010

Infected

Infected

Infected

Infected

Infected

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

21
25
19
11
10
14
9
10
7
6
6
25
35
5
38
6
9
9
16
12
14
13
13
9
10
23
10
5
5
8
8
9
20
440

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

23
28
19
11
10
15
9
11
7
6
6
26
35
5
38
7
9
9
20
14
14
13
14
13
10
23
12
6
5
9
8
9
21
465

23
33
19
11
11
15
10
14
7
7
6
26
35
5
38
8
9
10
21
14
14
13
14
15
11
24
12
6
5
11
9
10
29
495

23
33
19
12
11
15
10
14
7
7
6
26
35
5
38
8
9
10
21
14
14
13
14
15
11
24
12
6
5
11
9
11
29
497

23
33
19
12
11
15
10
14
7
7
6
26
35
5
38
8
9
10
21
14
14
13
14
15
11
24
12
6
5
11
9
11
29
497

15
19
12
11
10
9
7
10
5
3
5
25
35
5
38
6
9
8
1
10
6
12
13
9
7
20
5
5
2
0
3
2
3
330

71.43
76.00
63.16
100.00
100.00
64.29
77.78
100.00
71.43
50.00
83.33
100.00
100.00
100.00
100.00
100.00
100.00
88.89
6.25
83.33
42.86
92.31
100.00
100.00
70.00
86.96
50.00
100.00
40.00
0.00
37.50
22.22
15.00
75.00

15
20
15
11
8
12
9
10
7
4
6
25
35
5
38
6
9
8
5
10
12
13
13
9
9
21
7
5
1
0
6
3
4
361

65.22
71.43
78.95
100.00
80.00
80.00
100.00
90.91
100.00
66.67
100.00
96.15
100.00
100.00
100.00
85.71
100.00
88.89
25.00
71.43
85.71
100.00
92.86
69.23
90.00
91.30
58.33
83.33
20.00
0.00
75.00
33.33
19.05
77.63

17
22
17
10
9
9
9
10
6
4
6
26
35
5
38
6
9
8
5
10
9
13
13
9
9
21
3
6
1
0
4
0
6
355

73.91
66.67
89.47
90.91
81.82
60.00
90.00
71.43
85.71
57.14
100.00
100.00
100.00
100.00
100.00
75.00
100.00
80.00
23.81
71.43
64.29
100.00
92.86
60.00
81.82
87.50
25.00
100.00
20.00
0.00
44.44
0.00
20.69
71.72

17
22
16
11
7
12
10
11
7
5
6
26
35
5
38
8
9
7
6
14
13
13
13
11
9
22
6
5
4
0
4
5
7
384

73.91
66.67
84.21
91.67
63.64
80.00
100.00
78.57
100.00
71.43
100.00
100.00
100.00
100.00
100.00
100.00
100.00
70.00
28.57
100.00
92.86
100.00
92.86
73.33
81.82
91.67
50.00
83.33
80.00
0.00
44.44
45.45
24.14
77.26

21
22
16
12
7
13
10
11
7
6
6
26
35
5
38
8
9
9
9
11
14
13
14
12
11
21
8
6
4
1
6
2
7
400

91.30
66.67
84.21
100.00
63.64
86.67
100.00
78.57
100.00
85.71
100.00
100.00
100.00
100.00
100.00
100.00
100.00
90.00
42.86
78.57
100.00
100.00
100.00
80.00
100.00
87.50
66.67
100.00
80.00
9.09
66.67
18.18
24.14
80.48

Annex 3.34

DIARRHEA OUTBREAKS
BY PROVINCE IN 2006 - 2010

No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

2006

Provinces
(2)

2007

2010

2009

CFR

CFR

CFR

CFR

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

642
1,264
40
46
218
1,722
263
102
1,223
184
488

Indonesia

13,451

7
13
0
0
6
18
3
1
45
7
7

50
-

1
-

46
269
177
40
133
6,544
-

0
7
12
0
6
158
291

Source: DG of Disease Control and Environmental Health, MoH RI, 2011


Ket .

2008

: C = Cases, D = Deaths, CFR = Case Fatality Rate

1.09
1.03
0.00
0.00
2.75
1.05
1.14
0.98
3.68
3.80
1.43
2.00
0.00
2.60
6.78
0
4.51
2.41
-

1,078
174
604
1,057
104
120
163
373
66
293
-

2.16

4,032

23
2
13
3
3
3
6
3
11
5
72

2.13
1.15
2.15
0.28
2.88
2.50
3.68
0.80
16.67
1.71
-

178
636

1,047
814
217
106
41
229
2,023
130
169
1,585
-

1.79

8,133

0
12
-

380
216
-

2
1
-

362

9
4
1
3
2
1
5
23
18
14
144
239

0.00
1.89
0.53
0.46
2.49

45
-

3
7
3

6.67
0.00
18.18
0.98
6.32
2.85
0.26
4.09
4.81
2.70
2.36
1.46
1.48
0.50

1,068
35
1,181
385
817
169
37
224

100

1.74

4,204

86

0.38
0.12
1.38
1.89
2.44
2.18
1.14
13.85
8.28
9.09
-

11
1,425
95
351
1,147
416
437
37
423
205
473
605

2.94

5,756

0
2
14
6
10
3
17
21
1
10
-

121
-

CFR
(17)

8
6

2.48
0.00
0.86
0.47
2.86
1.02
0.78
3.67
2.37
21.62
2.68

73

1.74

51
116

0
1
5
1
12
3
30
4
-

Annex 3.35

NUMBER OF CHIKUNGUNYA CASES


BY PROVINCE IN 2010

No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Cases

Provinces
(2)

Infected Areas

Cases

Deaths

Districts/Municipalities

Period

(3)

(4)

(5)

(6)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

376
77
1,506
27,087
225
528
4,441
345
568
4,763
192
246
2,200
492
9,133
378
157
851
41
293
-

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-

8
2
1
13
1
4
9
2
6
1
2
4
1
12
3
1
1
3
-

January-December
January-June
January-April
Januar-June
January-May
January-May
January-October
January-December
January
January-May
January
March-August
January-September
January-May
January-October
January-May
June
September-December
May
May-November
-

Indonesia

53,899

74

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.36

RABIES CASES IN INDONESIA IN 2008-2010

No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

2008

2010

GHPR

VAR

LYSSA

GHPR

VAR

LYSSA

GHPR

VAR

LYSSA

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

269
2,660
2,374
791
480
883
353
886
0
0
0
651
13
12
0
110
355
0
3,414
0
385
165
197
1,917
391
1,015
2,554
238
101
844
187
0
0

248
2,073
1,688
560
382
769
265
466
0
0
0
489
0
9
0
50
325
0
3,061
0
256
125
131
534
246
913
1,070
107
85
650
181
0
0

0
7
7
1
0
2
4
10
0
0
0
3
0
0
0
0
4
0
25
0
3
4
0
14

329
2,386
2,818
653
502
2,123
575
1,274
0
9
0
288
0
0
0
264
21,806
0
3,882
0
629
110
240
1,859
605
947
1,994
284
325
1,288
276
0
0
45,466

294
1,718
2,061
636
303
1,518
422
1,095
0
0
0
83
0
0
0
105
18,825
0
3,237
0
346
104
173
689
512
827
805
139
215
933
276
0
0
35,316

5
18
14
5
0
9
0
7
0
1
0
0
0
0
0
2
28
0
33
0
1
0
1
12
4
3
4
5
0
35
8
0
0
195

524
3,714
858
1,293
704
144
261
1,018
0
1
0
294
0
0
0
119
60,434
0
3,547
0
566
65
42
1,412
591
99
1,267
325
97
778
50
0
0
78,203

471
2,848
514
1,082
475
75
181
76
0
0
0
183
0
0
0
106
52,775
0
2,154
0
390
53
2
439
371
85
478
127
50
359
40
0
0
63,334

0
35
5
2
3
2
0
3
0
1
0
1
0
0
0
0
82
0
25
0
1
0
0
10
3
0
4
2
5
21
1
0
0
206

21,245

Persentase (%)
Source: DG of Disease Control and Environmental Health, MoH RI, 2011
Ket

2009

: GHPR = Animal bites infected Rabies, VAR = Vaccinated cases

14,683
69.1%

5
5
16
1
1
3
7
0
0
122

77.68%

80.99%

Annex 3.37

NUMBER OF FILARIASIS CASES


BY PROVINCE IN 2006 - 2010

No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Cases
2006

2007

2008

2009

(3)

(4)

(5)

(6)

2010
(7)

2,359
104
231
532
255
191
94
74
151
31
53
252
224
5
207
67
18
62
1,682
232
202
385
409
30
451
60
181
224
92
70
12
355
1,132

2,359
104
274
532
255
191
94
74
207
31
53
265
395
37
238
67
18
69
1,682
244
226
385
409
30
451
60
208
224
92
70
12
985
1,132

2,359
141
274
532
257
210
94
74
207
31
53
404
395
37
219
91
18
71
1,682
253
225
385
409
30
451
60
208
224
96
70
27
985
1,127

2,359
141
274
532
257
210
94
74
207
31
53
474
412
37
219
76
18
71
1,730
253
225
385
409
30
451
128
201
224
96
70
27
988
1,158

2,359
141
274
532
221
210
94
74
207
31
53
474
412
37
219
76
18
71
1,730
253
225
385
409
30
451
128
107
224
96
70
27
988
1,343

10,427

11,473

11,699

11,914

11,969

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Annex 3.38

PEST SITUATION BY PROVINCE IN 2010

No.

Provinces

istricts/Municipalitie

(1)

(2)

(3)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

0
0
0
0
0
0
0
0
0
0
0
0
0
Sleman
Pasuruan
0
0
0
0
0
0
0
0
0
0
-

Indonesia
Source: DG of Disease Control and Environmental Health, MoH RI, 2011

Tested Specimens

Positive Specimens

Pool Specimens

Human

Rodent

Human

Rodent

Tested

Positive

(4)

(5)

(6)

(7)

(8)

(9)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
-

0
0
0
0
0
0
0
0
0
0
0
0
0
407
0
0
0
0
0
0
0
0
0
0
0
-

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-

0
0
0
0
0
0
0
0
0
0
0
0
0
34
0
0
0
0
0
0
0
0
0
0
0
-

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-

407

34

Annex 3.39

NUMBER OF LEPTOSPYROSIS CASES, DEATHS, AND CASE FATALITY RATE (CFR)


BY PROVINCE IN 2004 - 2010
2005
No.

Provinces

(1)

(2)

2006

2007

2008

2009

2010

CFR

CFR

CFR

CFR

CFR

CFR

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

Aceh

0.0

49

0.0

0.0

0.0

0.0

0.0

North Sumatera

0.0

0.0

0.0

0.0

0.0

0.0

West Sumatera

0.0

0.0

0.0

0.0

0.0

0.0

Riau

0.0

0.0

0.0

0.0

0.0

0.0

Jambi

0.0

0.0

0.0

0.0

0.0

0.0

South Sumatera

0.0

0.0

0.0

0.0

0.0

0.0

Bengkulu

0.0

0.0

0.0

0.0

0.0

0.0

Lampung

0.0

0.0

0.0

0.0

0.0

0.0

Bangka Belitung Islands

0.0

0.0

0.0

0.0

0.0

0.0

10

Riau Islands

0.0

0.0

0.0

0.0

0.0

0.0

11

DKI Jakarta

56

0.0

51

0.0

470

34

7.2

141

1.4

25.0

15

0.0

12

West Java

0.0

0.0

11.1

0.0

0.0

0.0

13

Central Java

35

10

28.6

35

25.7

67

9.0

231

15

6.5

232

14

6.0

133

14

10.5

14

DI Yogyakarta

16

12.5

33.3

100.0

23

8.7

95

7.4

230

23

10.0

15

East Java

0.0

0.0

48

8.3

31

9.7

0.0

19

31.6

16

Banten

0.0

0.0

53

7.5

0.0

0.0

0.0

17

Bali

0.0

0.0

0.0

0.0

0.0

0.0

18

West Nusa Tenggara

0.0

0.0

0.0

0.0

0.0

0.0

19

East Nusa Tenggara

0.0

0.0

0.0

0.0

0.0

0.0

20

West Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

21

Central Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

22

South Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

23

East Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

24

North Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

25

Central Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

26

South Sulawesi

25.0

100.0

16

31.3

0.0

0.0

11

0.0

27

Southeast Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

28

Gorontalo

0.0

0.0

0.0

0.0

0.0

0.0

29

West Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

30

Maluku

0.0

0.0

0.0

0.0

0.0

0.0

31

North Maluku

0.0

0.0

0.0

0.0

0.0

0.0

32

West Papua

0.0

0.0

0.0

0.0

0.0

0.0

33

Papua

0.0

0.0

0.0

0.0

0.0

0.0

115

14

12.17

146

14

9.59

664

55

8.28

426

22

5.16

335

23

6.87

409

43

10.51

Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011


Note

: C= Cases, D= Deaths

Annex 3.40

NUMBER OF ANTRAX CASES ON HUMAN


BY PROVINCE IN 2006 - 2010
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Islands
Riau Islands
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Cases

2006
Treated

Deaths

Cases

2007
Treated

Deaths

Cases

2008
Treated

Deaths

Cases

2009
Treated

Deaths

Cases

2010
Treated

Deaths

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
56
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
51
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
2
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
2
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

15

14

Source: DG of Disease Control and Environmental Health, MoH RI, 2011

74

69

20

20

17

15

31

28

Annex 3.41

NUMBER OF AVIAN INFLUENZA CASES, DEATHS, AND CASE FATALITY RATE (%)
BY PROVINCE IN 2005 - 2010
2006

2005
No.

2007

2008

2009

2010

Total Cumulative (2005-2010)

Provinces

(1)

(2)

CFR

CFR

CFR

CFR

CFR

CFR

CFR

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(22)

(23)

Aceh

0.0

0.0

0.0

0.0

0.0

0.0

0.0

North Sumatera

0.0

85.7

100.0

0.0

87.5

West Sumatera

0.0

0.0

100.0

0.0

25.0

Riau

0.0

0.0

83.3

0.0

100.0

100.0

77.8

Jambi

0.0

0.0

0.0

0.0

0.0

0.0

0.0

South Sumatera

0.0

0.0

100.0

0.0

100.0

Bengkulu

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Lampung

0.0

0.0

0.0

0.0

0.0

Bangka Belitung Islands

0.0

0.0

0.0

0.0

0.0

0.0

0.0

10

Riau Islands

0.0

0.0

0.0

0.0

0.0

0.0

0.0

11

DKI Jakarta

87.5

11

10

90.9

87.5

71.4

10

80.0

100.0

47

40

85.1

12

West Java

66.7

22

18

81.8

80.0

100.0

100.0

50.0

42

35

83.3

13

Central Java

0.0

100.0

100.0

100.0

100.0

100.0

13

12

92.3

14

DI Yogyakarta

0.0

0.0

0.0

0.0

100.0

100.0

15

East Java

0.0

60.0

100.0

0.0

100.0

0.0

66.7

16

Banten

80.0

100.0

11

81.8

100.0

100.0

100.0

31

28

90.3

17

Bali

0.0

0.0

100.0

0.0

100.0

18

West Nusa Tenggara

0.0

0.0

0.0

0.0

0.0

0.0

0.0

19

East Nusa Tenggara

0.0

0.0

0.0

0.0

0.0

0.0

0.0

20

West Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

0.0

21

Central Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

0.0

22

South Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

0.0

23

East Kalimantan

0.0

0.0

0.0

0.0

0.0

0.0

0.0

24

North Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

0.0

25

Central Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

0.0

26

South Sulawesi

0.0

100.0

0.0

0.0

100.0

27

Southeast Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

0.0

28

Gorontalo

0.0

0.0

0.0

0.0

0.0

0.0

0.0

29

West Sulawesi

0.0

0.0

0.0

0.0

0.0

0.0

0.0

30

Maluku

0.0

0.0

0.0

0.0

0.0

0.0

0.0

31

North Maluku

0.0

0.0

0.0

0.0

0.0

0.0

0.0

32

West Papua

0.0

0.0

0.0

0.0

0.0

0.0

0.0

33

Papua

0.0

0.0

0.0

0.0

0.0

0.0

0.0

20

13

65.0

55

45

81.8

42

37

88.1

24

20

83.3

21

19

90.5

77.8

171

141

82.5

Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI, 2011


Note

: C= Cases, D= Deaths

Lampiran 4.1

COVERAGE OF 1st AND 4th VISITS OF PREGNANT WOMEN AND DELIVERY ATTENDED BY SKILLED HEALTH PERSONNEL
BY PROVINCE, 2010
Pregnant Women
No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Total
(3)

113,584
323,082
114,090
137,524
76,957
191,287
48,051
188,374
28,191
42,935
159,281
1,039,072
632,226
47,928
654,382
231,382
68,193
116,343
128,179
108,650
52,186
78,372
85,215
42,874
54,169
179,374
47,529
29,265
27,502
39,662
25,469
18,703
61,083
5,191,116

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

1st Visit

%1st Visit

4th Visit

%4th Visit

(4)

(5)

(6)

(7)

91.75
94.51
94.42
99.18
95.59
93.71
91.85
91.19
98.73
73.53
101.01
96.48
96.38
99.21
98.22
100.38
99.53
99.41
80.43
93.54
92.04
97.49
96.66
91.09
96.25
98.90
95.68
95.19
98.61
88.32
83.71
79.52
53.55

94,347
285,328
103,005
125,373
67,802
167,217
40,944
159,060
25,825
29,758
149,735
906,651
568,850
39,663
576,297
195,349
62,895
102,883
72,285
91,717
42,216
68,341
70,125
35,218
47,389
157,146
40,746
24,452
20,490
29,115
19,652
8,983
12,766

104,208
305,330
107,729
136,399
73,560
179,252
44,136
171,785
27,832
31,572
160,888
1,002,470
609,315
47,548
642,717
232,271
67,873
115,661
103,096
101,629
48,033
76,407
82,366
39,052
52,139
177,395
45,475
27,856
27,119
35,029
21,320
14,872
32,712
4,945,046

95.26

Postpartum Mothers

Delivering Mothers

4,441,623

83.06
88.31
90.28
91.16
88.10
87.42
85.21
84.44
91.61
69.31
94.01
87.26
89.98
82.76
88.07
84.43
92.23
88.43
56.39
84.42
80.90
87.20
82.29
82.14
87.48
87.61
85.73
83.55
74.50
73.41
77.16
48.03
20.90
85.56

Total
(8)

100,499
307,891
108,902
119,687
73,132
190,243
45,839
179,811
26,931
41,277
152,041
991,842
590,303
42,640
600,949
220,944
65,066
112,399
122,330
103,654
49,492
74,251
82,103
41,077
51,709
171,221
42,813
26,296
26,251
37,891
24,409
17,853
57,260
4,899,006

Attended by health % Attended by


personnel
health personnel
(9)

83,318
259,853
97,445
109,410
63,464
156,237
36,509
143,048
24,532
26,670
139,289
824,386
542,478
36,911
571,133
171,992
64,286
94,427
84,316
79,825
39,571
65,928
64,257
33,593
43,874
149,353
36,878
21,903
19,033
26,529
16,821
11,778
14,428
4,153,475

(10)

82.90
84.40
89.48
91.41
86.78
82.12
79.65
79.55
91.09
64.61
91.61
83.12
91.90
86.56
95.04
77.84
98.80
84.01
68.93
77.01
79.95
88.79
78.26
81.78
84.85
87.23
86.14
83.29
72.50
70.01
68.91
65.97
25.20
84.78

Postpartum
visit (3x)

% postpartum
visits (3x)

(9)

(10)

77,511
160,217
55,464
87,400
55,713
146,829
32,144
142,488
23,018
21,317
110,533
789,834
422,464
37,971
575,828
124,451
62,909
96,949
67,443
70,632
30,257
65,016
53,946
29,189
10,093
118,065
36,022
19,972
18,927
26,573
16,193
6,388
8,139
3,599,895

77.13
52.04
50.93
73.02
76.18
77.18
70.12
79.24
85.47
51.64
72.70
79.63
71.57
89.05
95.82
56.33
96.68
86.25
55.13
68.14
61.14
87.56
65.71
71.06
19.52
68.95
84.14
75.95
72.10
70.13
66.34
35.78
14.21
73.48

Annex 4.2

PERCENTAGE OF WOMEN AGE 10-59 YEARS BY PREGNANT WOMEN CARE COVERAGE


(K1 AND K4 ) BY LAST PREGNANCY PER PROVINCE, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Province
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Access/K1

Pregnant Women Attendance


1st Visit (K1 )
st
1 quarter period

4th Visit (K4 )


Quarter period (1,1,2)

(3)

(4)

(5)

94.1
88.0
94.1
88.4
78.6
90.1
92.1
94.2
94.6
98.4
97.9
95.5
98.1
100.0
96.7
89.8
96.4
93.0
85.9
78.3
77.2
95.0
91.9
91.1
79.9
93.1
82.1
78.1
87.9
85.3
81.4
71.3
76.8
92.7

78.4
71.1
64.1
68.3
50.2
64.9
68.0
76.0
76.9
85.8
89.2
75.5
83.1
91.5
81.5
64.5
85.9
66.2
55.4
63.4
47.3
62.2
71.1
62.0
48.8
62.7
36.5
25.9
40.7
52.7
41.5
45.5
54.1
72.3

62.1
51.5
54.7
52.2
40.5
49.4
55.8
59.7
67.4
77.1
84.3
67.2
74.4
89.0
74.6
54.5
77.8
53.4
44.4
46.7
35.5
48.4
58.4
53.0
30.1
44.5
21.3
19.7
24.6
35.1
32.5
34.7
40.1
61.4

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Annex 4.3

PERCENTAGE OF WOMEN AGE 10-59 YEARS FOR LAST CHILD PREGNANCY


BY PERSONNEL HEALTH AND PROVINCE, RISKESDAS 2010
Pre Natal Examination by Health Personnel
No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Obstetrician

Physician

Midwife

Nurse/
mantri

Pre natal
examination by
health personnel

Others

Healer

Never Check

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

31.7
12.5
23.1
21.6
15.5
13.9
7.1
7.7
20.3
49.5
37.4
18.9
20.7
34.7
21.7
17.4
38.8
8.8
9.8
12.1
9.3
16.2
32.4
32.6
7.6
18.2
9.4
14.1
9.5
16.6
13.3
22.8
20.1
19.7

1.1
1.6
3.6
1.2
1.1
2.7
0.9
1.2
1.2
1.4
1.7
1.3
1.0
2.1
1.1
1.4
1.9
2.9
3.7
0.8
1.9
2.8
3.6
4.8
4.1
2.0
2.3
2.9
3.7
2.4
1.4
3.5
2.4
1.7

61.4
74.0
67.5
65.6
61.9
73.5
84.1
85.3
73.1
47.6
58.7
75.3
76.4
63.2
73.8
71.0
55.8
81.2
72.5
65.3
65.9
75.9
55.8
53.7
68.2
73.0
70.4
61.1
74.7
66.3
66.8
45.0
54.3
71.4

0.5
0.7
0.4
1.5
3.4
1.0
0.0
0.5
0.0
0.7
0.1
0.3
0.2
0.0
0.5
0.0
0.5
1.5
0.7
3.5
4.0
0.2
1.4
4.7
5.7
1.7
1.1
1.3
0.6
0.5
0.6
3.9
1.4
0.8

94.7
88.8
94.6
89.9
81.9
91.1
92.1
94.7
94.6
99.2
97.9
95.8
98.3
100.0
97.1
89.8
97.0
94.4
86.7
81.7
81.1
95.1
93.2
95.8
85.6
94.9
83.2
79.4
88.5
85.8
82.1
75.2
78.2
93.6

0.2
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.4
0.0
0.7
0.3
0.2
0.0
0.3
0.2
1.0
0.0
0.3
0.3
0.0
0.3
0.0
0.4
1.0
0.2
0.0
0.7
0.6
0.0
0.6
0.0
0.9
0.2

3.1
4.9
2.3
5.6
13.2
4.1
2.8
3.5
3.5
0.4
0.4
2.4
0.4
0.0
1.2
6.9
0.6
2.3
7.5
8.4
12.3
2.9
3.2
0.8
5.8
1.3
11.8
9.0
6.0
8.8
8.4
7.6
6.3
3.2

2.1
6.4
3.2
4.5
4.9
4.8
5.1
1.9
1.5
0.5
0.9
1.6
1.1
0.0
1.4
3.1
1.5
3.2
5.5
9.5
6.5
1.6
3.5
2.9
7.5
3.7
5.0
11.0
5.0
5.5
9.0
17.3
14.7
3.0

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Annex 4.4

PERCENTAGE OF WOMEN AGE 10-59 YEARS HAD CESARIAN SECTION FOR LAST CHILD
IN LAST FIVE YEARS PERIOD BY PROVINCE, RISKESDAS 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Cesarian Section
Yes

No

(3)

(4)

13.8
13.5
23.1
13.6
11.7
10.3
11.9
11.3
18.3
24.7
27.2
15.1
16.6
20.8
17.0
16.8
18.3
10.2
12.6
9.3
8.4
13.4
17.0
18.2
8.0
14.8
5.5
8.3
7.6
15.6
12.2
10.0
9.5
15.3

86.2
86.5
76.9
86.4
88.3
89.7
88.1
88.7
81.7
75.3
72.8
84.9
83.4
79.2
83.0
83.2
81.7
89.8
87.4
90.7
91.6
86.6
83.0
81.8
92.0
85.2
94.5
91.7
92.4
84.4
87.8
90.0
90.5
84.7

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Annex 4.5

COVERAGE OF NEW FAMILY PLANNING AND ACTIVE FAMILY PLANNING ACCEPTORS


BY PROVINCE, 2010

No

Provinces

Couples of
childbearing age

Total

Total

(1)

(2)

(3)

(4)

(5)

(6)

(7)

776,140
2,117,695
803,493
700,926
615,826
1,567,427
376,420
1,533,422
222,837
320,147
1,225,738
8,908,312
6,511,254
544,057
7,846,174
1,927,397
659,546
951,998
651,940
852,929
422,894
738,697
606,704
472,167
489,295
1,324,031
404,076
205,877
176,491
266,194
189,414
55,051
273,809

197,755
405,961
146,703
177,053
133,206
459,294
106,515
501,819
51,971
61,761
439,797
1,612,950
997,425
53,376
1,171,619
374,253
71,075
182,691
107,497
163,184
79,577
152,608
99,580
102,380
98,211
342,745
75,191
50,545
48,022
66,870
38,345
26,565
50,480

25.48
19.17
18.26
25.26
21.63
29.30
28.30
32.73
23.32
19.29
35.88
18.11
15.32
9.81
14.93
19.42
10.78
19.19
16.49
19.13
18.82
20.66
16.41
21.68
20.07
25.89
18.61
24.55
27.21
25.12
20.24
48.26
18.44

593,025
1,429,414
593,887
465,378
493,416
1,226,532
338,370
1,083,224
178,546
204,804
1,009,579
6,758,379
5,155,761
430,231
5,975,675
1,343,713
562,484
686,176
471,059
587,963
330,831
566,773
430,646
393,892
380,481
932,461
290,980
176,261
139,241
197,589
110,235
43,700
132,409

76.41
67.50
73.91
66.39
80.12
78.25
89.89
70.64
80.12
63.97
82.36
75.87
79.18
79.08
76.16
69.72
85.28
72.08
72.25
68.93
78.23
76.73
70.98
83.42
77.76
70.43
72.01
85.61
78.89
74.23
58.20
79.38
48.36

44,738,378

8,647,024

19.33

33,713,115

75.36

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: National Family Planning Coordinating Board

New Family Planning Acceptors

Active Family Planning Acceptors

Annex 4.6

PERCENTAGE OF NEW FAMILY PLANNING ACCEPTORS


BY CONTRACEPTION METHOD AND PROVINCE, 2010

No

Provinces

(1)

(2)

Aceh

2
3

IUD

MOW

MOP

Total

Total

Total

(3)

(4)

(5)

(6)

(7)

(8)

Contraception Method
Condom
Implant
Total
%
Total
%
(9)

(10)

(11)

2,438

1.23

644

0.33

22

0.01

33,691

17.04

3,496

North Sumatera

23,674

5.83

8,612

2.12

2,088

0.51

80,042

19.72

West Sumatera

7,391

5.04

1,004

0.68

217

0.15

24,226

16.51

Riau

4,205

2.37

1,278

0.72

182

0.10

9,655

Jambi

4,497

3.38

364

0.27

132

0.10

South Sumatera

8,164

1.78

1,797

0.39

805

Bengkulu

3,529

3.31

698

0.66

Lampung

25,581

5.10

1,252

Bangka Belitung Island

1,301

2.50

182

10 Riau Island

1,675

2.71

11 DKI Jakarta

47,504

12 West Java

(12)

Injection
Total
%
(13)

(14)

Pill
Total

(15)

(16)

Total
(17)

1.77

83,222

42.08

74,242

37.54

197,755

30,279

7.46

124,377

30.64

136,889

33.72

405,961

15,532

10.59

65,355

44.55

32,978

22.48

146,703

5.45

10,503

5.93

91,615

51.74

59,615

33.67

177,053

4,364

3.28

10,738

8.06

63,894

47.97

49,217

36.95

133,206

0.18

41,560

9.05

39,733

8.65

206,860

45.04

160,375

34.92

459,294

148

0.14

8,768

8.23

9,902

9.30

50,336

47.26

33,134

31.11

106,515

0.25

1,663

0.33

57,654

11.49

24,913

4.96

200,615

39.98

190,141

37.89

501,819

0.35

49

0.09

6,167

11.87

2,705

5.20

24,941

47.99

16,626

31.99

51,971

258

0.42

79

0.13

14,364

23.26

2,472

4.00

23,533

38.10

19,380

31.38

61,761

10.80

3,112

0.71

785

0.18

28,493

6.48

14,306

3.25

221,235

50.30

124,362

28.28

439,797

120,051

7.44

17,553

1.09

3,645

0.23

54,951

3.41

86,925

5.39

844,636

52.37

485,189

30.08

1,612,950

59,702

5.99

18,290

1.83

3,925

0.39

52,228

5.24

89,436

8.97

579,761

58.13

194,083

19.46

997,425

9,261

17.35

1,342

2.51

487

0.91

5,472

10.25

4,525

8.48

27,001

50.59

5,288

9.91

53,376

15 East Java

99,981

8.53

16,136

1.38

4,131

0.35

45,112

3.85

63,378

5.41

662,092

56.51

280,789

23.97

1,171,619

16 Banten

17,110

4.57

2,137

0.57

696

0.19

21,076

5.63

23,562

6.30

190,647

50.94

119,025

31.80

374,253

17 Bali

17,664

24.85

2,150

3.02

274

0.39

5,999

8.44

2,621

3.69

34,595

48.67

7,772

10.93

71,075

18 West Nusa Tenggara

15,368

8.41

1,336

0.73

320

0.18

11,003

6.02

16,955

9.28

99,658

54.55

38,051

20.83

182,691

19 East Nusa Tenggara

6,990

6.50

3,190

2.97

414

0.39

6,669

6.20

15,525

14.44

59,582

55.43

15,127

14.07

107,497

20 West Kalimantan

5,533

3.39

1,068

0.65

121

0.07

24,016

14.72

8,145

4.99

71,143

43.60

53,158

32.58

163,184

21 Central Kalimantan

1,248

1.57

389

0.49

114

0.14

5,243

6.59

5,866

7.37

34,899

43.86

31,818

39.98

79,577

22 South Kalimantan

2,041

1.34

806

0.53

223

0.15

7,470

4.89

8,110

5.31

63,054

41.32

70,904

46.46

152,608

23 East Kalimantan

3,803

3.82

1,130

1.13

178

0.18

12,777

12.83

3,508

3.52

49,904

50.11

28,280

28.40

99,580

24 North Sulawesi

5,404

5.28

711

0.69

556

0.54

11,895

11.62

11,019

10.76

47,584

46.48

25,211

24.62

102,380

25 Central Sulawesi

3,898

3.97

702

0.71

271

0.28

9,860

10.04

6,626

6.75

39,597

40.32

37,257

37.94

98,211

26 South Sulawesi

8,012

2.34

2,163

0.63

432

0.13

49,469

14.43

19,426

5.67

144,488

42.16

118,755

34.65

342,745

13 Central Java
14 DI Yogyakarta

27 Southeast Sulawesi

1,254

1.67

432

0.57

282

0.38

9,305

12.38

6,952

9.25

29,229

38.87

27,737

36.89

75,191

28 Gorontalo

4,180

8.27

394

0.78

224

0.44

4,170

8.25

6,690

13.24

17,459

34.54

17,428

34.48

50,545

29 West Sulawesi

1,134

2.36

189

0.39

129

0.27

11,307

23.55

2,292

4.77

12,788

26.63

20,183

42.03

48,022

30 Maluku

1,727

2.58

475

0.71

155

0.23

11,378

17.02

4,649

6.95

26,534

39.68

21,952

32.83

66,870

31 North Maluku

844

2.20

253

0.66

126

0.33

3,473

9.06

6,693

17.45

16,651

43.42

10,305

26.87

38,345

32 West Papua

144

0.54

144

0.54

75

0.28

6,732

25.34

2,003

7.54

10,165

38.26

7,302

27.49

26,565

33 Papua

971

1.92

849

1.68

47

0.09

11,576

22.93

2,856

5.66

22,729

45.03

11,452

22.69

50,480

516,279

5.97

91,040

1.05

22,995

0.27

690,165

7.98

562,341

6.50

4,240,179

49.04

2,524,025

29.19

8,647,024

Indonesia

Source: National Family Planning Coordinating Board


Notes:
MOW: Women Operation Method
MOP: Men Operation Method

Annex 4.7

PROPORTION OF NEW FAMILY PLANNING ACCEPTORS BY PRACTICE PLACE


2010

No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Family Planning Clinic


Government
Private
Participants
%
Participants
(3)

(4)

(5)

Private Practice by
Physician
Participants
%

%
(6)

(7)

(8)

Private Practice by Midwife

Total

Participants

Participants

(9)

(10)

(11)

(12)

123,020
296,175
99,831
102,339
89,426
311,433
70,624
332,449
34,471
33,670
163,015
925,127
506,270
20,769
680,181
224,679
27,206
165,625
105,266
100,372
61,053
98,881
51,437
72,153
86,751
285,298
67,089
35,490
44,401
57,459
34,249
23,759
44,744

62.21
72.96
68.05
57.80
67.13
67.81
66.30
66.25
66.33
54.52
37.07
57.36
50.76
38.91
58.05
60.03
38.28
90.66
97.92
61.51
76.72
64.79
51.65
70.48
88.33
83.24
89.22
70.21
92.46
85.93
89.32
89.44
88.64

4,814
35,814
851
3,824
1,035
26,870
540
11,443
249
10,572
15,951
105,599
42,590
9,984
32,752
26,924
2,600
2,707
250
15,007
3,934
2,390
6,096
11,571
3,767
7,017
325
1,525
161
2,906
2,063
2,033
2,968

2.43
8.82
0.58
2.16
0.78
5.85
0.51
2.28
0.48
17.12
3.63
6.55
4.27
18.71
2.80
7.19
3.66
1.48
0.23
9.20
4.94
1.57
6.12
11.30
3.84
2.05
0.43
3.02
0.34
4.35
5.38
7.65
5.88

4,088
13,076
1,808
9,146
3,669
9,685
2,836
8,554
751
1,709
53,138
40,896
34,286
827
28,870
10,040
3,021
1,249
448
6,164
1,075
3,923
2,540
4,661
1,215
4,846
1,378
477
96
849
329
3
1,579

2.07
3.22
1.23
5.17
2.75
2.11
2.66
1.70
1.45
2.77
12.08
2.54
3.44
1.55
2.46
2.68
4.25
0.68
0.42
3.78
1.35
2.57
2.55
4.55
1.24
1.41
1.83
0.94
0.20
1.27
0.86
0.01
3.13

65,833
60,896
44,213
61,744
39,076
111,306
32,515
149,373
16,500
15,810
207,693
541,328
414,279
21,796
429,816
112,610
38,248
13,110
1,533
41,641
13,515
47,414
39,507
13,995
6,478
45,584
6,399
13,053
3,364
5,656
1,704
770
1,189

33.29
15.00
30.14
34.87
29.34
24.23
30.53
29.77
31.75
25.60
47.22
33.56
41.53
40.83
36.69
30.09
53.81
7.18
1.43
25.52
16.98
31.07
39.67
13.67
6.60
13.30
8.51
25.82
7.01
8.46
4.44
2.90
2.36

197,755
405,961
146,703
177,053
133,206
459,294
106,515
501,819
51,971
61,761
439,797
1,612,950
997,425
53,376
1,171,619
374,253
71,075
182,691
107,497
163,184
79,577
152,608
99,580
102,380
98,211
342,745
75,191
50,545
48,022
66,870
38,345
26,565
50,480

100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.00

5,374,712

62.16

397,132

4.59

257,232

2.97

2,617,948

30.28

8,647,024

100.00

Source: National Family Planning Coordinating Board

Annex 4.8

PERCENTAGE OF ACTIVE FAMILY PLANNING ACCEPTORS


BY CONTRACEPTION METHOD AND PROVINCE, 2010

No

Provinces

Couples of
childbearing
age

(1)

(2)

(3)

Aceh

North Sumatera

Active Family
Planning Acceptors
%
Total
(4)

(5)

IUD
Total

(6)

(7)

MOW
Total
(8)

MOP
%

Total

(9)

(10)

Contraception Method
Implant
Condom
%
Total
%
Total
%
(11)

(12)

(13)

(14)

Injection
Total
%

(15)

(16)

(17)

Pill
Total

(18)

(19)

776,140

593,025

76.41

11,993

2.02

4,479

0.76

187

0.03

11,746

1.98

51,698

8.72

267,195

45.06

245,727

41.44

2,117,695

1,429,414

67.50

146,107

10.22

110,156

7.71

4,746

0.33

127,308

8.91

87,125

6.10

478,007

33.44

475,965

33.30

West Sumatera

803,493

593,887

73.91

57,195

9.63

16,657

2.80

575

0.10

77,207

13.00

22,960

3.87

305,672

51.47

113,621

19.13

Riau

700,926

465,378

66.39

31,619

6.79

5,364

1.15

1,715

0.37

42,945

9.23

19,152

4.12

208,985

44.91

155,598

33.43

Jambi

South Sumatera

615,826

493,416

80.12

30,720

6.23

4,000

0.81

1,064

0.22

64,344

13.04

8,235

1.67

203,111

41.16

181,942

36.87

1,567,427

1,226,532

78.25

48,334

3.94

40,930

3.34

4,772

0.39

209,583

17.09

62,590

5.10

505,758

41.23

354,565

28.91

Bengkulu

376,420

338,370

89.89

21,344

6.31

6,834

2.02

1,156

0.34

49,052

14.50

10,508

3.11

148,658

43.93

100,818

29.80

Lampung

1,533,422

1,083,224

70.64

127,761

11.79

14,535

1.34

13,233

1.22

146,563

13.53

20,729

1.91

394,415

36.41

365,988

33.79

Bangka Belitung Island

222,837

178,546

80.12

6,343

3.55

5,027

2.82

144

0.08

15,220

8.52

5,660

3.17

80,858

45.29

65,294

36.57

10 Riau Island

320,147

204,804

63.97

12,325

6.02

2,171

1.06

295

0.14

9,997

4.88

10,338

5.05

96,758

47.24

72,920

35.60

11 DKI Jakarta

1,225,738

1,009,579

82.36

215,333

21.33

36,179

3.58

11,598

1.15

73,590

7.29

29,784

2.95

381,360

37.77

261,735

25.93

12 West Java

8,908,312

6,758,379

75.87

785,631

11.62

160,779

2.38

65,463

0.97

290,891

4.30

76,843

1.14

3,459,360

51.19

1,919,412

28.40

13 Central Java

6,511,254

5,155,761

79.18

427,226

8.29

287,570

5.58

60,062

1.16

487,002

9.45

95,704

1.86

2,935,640

56.94

862,557

16.73

544,057

430,231

79.08

105,690

24.57

21,545

5.01

2,846

0.66

24,666

5.73

25,172

5.85

195,750

45.50

54,562

12.68

15 East Java

7,846,174

5,975,675

76.16

857,569

14.35

304,206

5.09

24,510

0.41

464,560

7.77

75,909

1.27

2,913,591

48.76

1,335,330

22.35

16 Banten

25.64

14 DI Yogyakarta

1,927,397

1,343,713

69.72

191,604

14.26

33,492

2.49

15,475

1.15

117,650

8.76

19,300

1.44

621,726

46.27

344,466

17 Bali

659,546

562,484

85.28

266,299

47.34

21,151

3.76

2,791

0.50

8,392

1.49

15,486

2.75

201,116

35.75

47,249

8.40

18 West Nusa Tenggara

951,998

686,176

72.08

80,004

11.66

15,478

2.26

2,577

0.38

88,653

12.92

12,481

1.82

336,566

49.05

150,417

21.92

19 East Nusa Tenggara

651,940

471,059

72.25

49,589

10.53

19,021

4.04

4,050

0.86

48,676

10.33

10,426

2.21

262,951

55.82

76,346

16.21

20 West Kalimantan

852,929

587,963

68.93

35,997

6.12

8,985

1.53

4,106

0.70

33,493

5.70

19,130

3.25

238,784

40.61

247,468

42.09

21 Central Kalimantan

422,894

330,831

78.23

6,129

1.85

3,280

0.99

456

0.14

30,822

9.32

7,274

2.20

148,937

45.02

133,933

40.48

22 South Kalimantan

738,697

566,773

76.73

10,092

1.78

6,852

1.21

701

0.12

51,795

9.14

12,264

2.16

199,002

35.11

286,067

50.47
41.21

23 East Kalimantan

606,704

430,646

70.98

44,090

10.24

9,687

2.25

1,121

0.26

20,677

4.80

9,965

2.31

167,644

38.93

177,462

24 North Sulawesi

472,167

393,892

83.42

39,295

9.98

8,111

2.06

931

0.24

52,226

13.26

7,354

1.87

141,933

36.03

144,042

36.57

25 Central Sulawesi

489,295

380,481

77.76

20,868

5.48

8,033

2.11

605

0.16

34,425

9.05

9,697

2.55

153,269

40.28

153,584

40.37

1,324,031

932,461

70.43

41,450

4.45

15,040

1.61

872

0.09

85,631

9.18

56,002

6.01

410,834

44.06

322,632

34.60

404,076

290,980

72.01

7,266

2.50

5,661

1.95

997

0.34

38,670

13.29

13,237

4.55

114,052

39.20

111,097

38.18

26 South Sulawesi
27 Southeast Sulawesi
28 Gorontalo

205,877

176,261

85.61

20,853

11.83

2,508

1.42

553

0.31

23,794

13.50

2,920

1.66

65,354

37.08

60,279

34.20

29 West Sulawesi

176,491

139,241

78.89

4,208

3.02

1,154

0.83

198

0.14

8,942

6.42

9,964

7.16

48,850

35.08

65,925

47.35

30 Maluku

266,194

197,589

74.23

6,736

3.41

4,122

2.09

1,030

0.52

19,988

10.12

12,345

6.25

88,660

44.87

64,708

32.75

31 North Maluku

189,414

110,235

58.20

1,755

1.59

2,086

1.89

519

0.47

15,085

13.68

5,988

5.43

43,901

39.82

40,901

37.10

32 West Papua
33 Papua
Indonesia

55,051

43,700

79.38

2,120

4.85

1,410

3.23

85

0.19

1,494

3.42

3,934

9.00

21,799

49.88

12,858

29.42

273,809

132,409

48.36

3,519

2.66

4,608

3.48

313

0.24

9,562

7.22

12,722

9.61

67,869

51.26

33,816

25.54

44,738,378

33,713,115

Source: National Family Planning Coordinating Board

75.36

3,717,064

11.03

1,191,111

3.53

229,746

0.68

2,784,649

8.26

842,896

2.50

15,908,365

47.19

9,039,284

26.81

Annex 4.9
PERCENTAGE OF WOMEN THAT MARRIED IN AGE 10-49 YEARS
BY FAMILY PLANNING USING STATUS, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Using

Have/had been

Never

(3)

(4)

(5)

43.8
37.9
50.4
48.0
63.4
60.9
60.5
62.1
65.3
53.6
51.2
59.8
59.4
55.3
59.4
56.8
65.4
53.6
38.1
59.9
65.7
62.6
56.3
62.4
51.4
45.6
40.5
63.1
39.9
36.4
43.3
32.1
32.8
55.8

26.5
24.6
28.0
27.9
20.4
22.3
26.3
22.0
23.0
25.8
28.5
28.4
25.2
27.1
22.9
28.8
18.0
31.1
22.9
23.8
23.6
26.6
28.2
28.1
26.9
28.1
30.6
21.6
20.3
22.2
30.8
26.4
25.6
25.7

29.8
37.4
21.6
24.1
16.1
16.8
13.3
15.9
11.7
20.7
20.3
11.8
15.4
17.6
17.7
14.5
16.6
15.3
39.0
16.3
10.7
10.8
15.5
9.5
21.6
26.3
28.9
15.3
39.8
41.4
25.9
41.5
41.6
18.4

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Lampiran 4.10

COVERAGE OF NEONATES CARE WITH COMPLICATION AND OBSTETRIC CARE WITH COMPLICATION
BY PROVINCE, 2010

No

Provinces

Complication
Neonates

(1)

(2)

(3)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Coverage of Complication Neonates


Care
Total
%
(4)

(5)

Complication
Obstetric
(6)

Coverage of Complication Obstetric Care


Total

(7)

(8)

14,570
43,954
15,886
19,578
10,400
26,254
6,611
25,057
3,867
6,049
25,557
141,692
86,924
6,468
89,321
31,734
9,301
16,218
17,577
15,216
6,832
10,644
11,748
10,188
7,387
26,647
6,850
4,010
3,329
5,183
3,498
2,510
6,457

4,109
892
1,662
3,524
2,569
3,623
721
3,443
247
2,008
7,233
27,389
48,782
5,323
58,523
7,312
4,915
5,157
1,874
2,535
204
2,909
8,889
2,917
2,279
293
1,961
407
1,227
882
364
203
452

28.20
2.03
10.46
18.00
24.70
13.80
10.90
13.74
6.40
33.20
28.30
19.33
56.12
82.29
65.52
23.04
52.85
31.80
10.66
16.66
2.98
27.33
75.67
28.63
30.85
1.10
28.63
10.16
36.85
17.01
10.40
8.10
7.00

22,717
64,616
22,818
27,505
15,391
38,257
9,610
37,675
5,638
8,587
31,856
207,814
126,445
9,586
130,876
46,276
13,639
23,269
25,636
21,730
10,437
15,674
17,043
8,575
10,834
35,875
9,506
5,853
5,500
7,932
5,094
3,741
12,217

14,124
33,093
19,260
10,739
9,051
21,989
7,221
15,292
3,230
4,909
22,148
122,558
71,762
7,923
93,943
18,893
10,032
19,352
14,676
10,920
3,856
10,532
8,704
4,672
7,102
21,500
4,093
3,945
3,405
2,866
2,323
1,541
5,030

62.17
51.21
84.41
39.04
58.81
57.48
75.14
40.59
57.29
57.17
69.52
58.97
56.75
82.66
71.78
40.83
73.56
83.17
57.25
50.25
36.94
67.19
51.07
54.49
65.55
59.93
43.06
67.40
61.90
36.13
45.60
41.20
41.17

717,516

214,827

25.23

1,038,223

610,684

58.82

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

Lampiran 4.11

COVERAGE OF NEONATES VISITS BY PROVINCE


2010
Neonates Visits
No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Number of Infants

(2)

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

97,132
293,028
105,906
130,519
69,335
175,026
44,076
167,047
25,779
40,324
170,378
944,611
579,494
43,121
595,476
211,561
62,005
108,118
117,178
101,438
45,546
70,958
78,318
67,922
49,245
177,645
45,668
26,734
22,195
34,550
23,322
16,734
43,048
4,783,437

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

1st Neonates Visits

% 1st Neonates Visits

Complete Neonates
Visits (KN)

% Complete
Neonates Visits

(3)

(4)

(5)

(6)

89,264
256,400
95,580
117,728
62,367
153,498
39,188
147,502
23,730
38,913
160,155
870,931
567,904
39,671
577,612
191,886
61,528
97,955
89,758
86,324
37,894
62,159
67,902
63,473
39,908
152,242
39,366
21,548
17,379
24,358
10,565
7,129
14,004
4,325,819

91.90
87.50
90.25
90.20
89.95
87.70
88.91
88.30
92.05
96.50
94.00
92.20
98.00
92.00
97.00
90.70
99.23
90.60
76.60
85.10
83.20
87.60
86.70
93.45
81.04
85.70
86.20
80.60
78.30
70.50
45.30
42.60
32.53
84.01

84,893
161,752
89,363
95,279
56,785
144,747
31,250
107,444
24,567
21,533
148,910
732,074
527,340
35,713
565,702
146,527
60,833
80,224
64,706
63,865
20,906
53,382
72,421
52,402
39,583
44,589
35,233
21,558
12,391
24,185
15,941
5,188
16,444
3,657,729

87.40
55.20
84.38
73.00
81.90
82.70
70.90
64.32
95.30
53.40
87.40
77.50
91.00
82.82
95.00
69.26
98.11
74.20
55.22
62.96
45.90
75.23
92.47
77.15
80.38
25.10
77.15
80.64
55.83
70.00
68.35
31.00
38.20
71.50

Annex 4.12

PERCENTAGE OF NEONATES VISIT IN UNDERFIVE AGE BY PROVINCE, RISKESDAS 2010


No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

6-48 Hours

Neonates Visits
3-7 Days

(3)

(4)

(5)

73.2
76.1
75.4
70.1
77.9
70.3
74.7
72.4
76.4
78.8
84.7
67.6
82.6
96.2
77.7
61.8
86.7
74.3
43.3
53.7
55.6
77.3
74.3
80.7
57.0
70.1
54.2
47.4
61.3
44.4
37.5
41.2
52.9
71.4

69.6
68.1
54.6
50.5
60.0
50.7
56.2
58.6
50.3
61.5
72.8
65.6
71.0
83.7
74.3
55.7
66.7
50.4
30.9
44.2
49.4
65.7
58.4
65.9
37.3
48.9
44.6
28.4
45.1
40.4
25.9
27.0
40.2
61.3

28.8
23.9
35.8
14.7
22.3
26.6
26.3
35.4
29.9
31.6
59.2
45.6
48.0
77.1
49.0
37.1
58.2
41.6
22.5
19.3
13.4
20.2
42.3
40.2
17.2
26.0
23.0
21.1
9.2
20.3
15.4
21.2
28.4
38.0

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

8-28 Days

Annex 4.13
PERCENTAGE OF COMPLETE NEONATES VISIT (KN1, KN2, KN3 ) IN UNDERFIVE AGE
BY PROVINCE, RISKESDAS 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Complete Neonates Visit

Category of Neonates Visit


Incomplete Neonates Visit

No Neonates Visit

(3)

(4)

(5)

25.8
22.3
27.4
11.8
19.0
24.5
23.0
31.8
25.7
23.3
52.8
37.8
40.2
71.2
41.6
30.4
48.8
31.5
12.5
14.1
8.4
18.1
35.5
34.7
13.3
20.5
20.5
11.6
6.8
17.1
10.4
15.2
23.7
31.8

56.3
56.2
53.3
65.0
63.5
48.7
58.6
45.7
56.1
66.5
35.6
41.5
49.7
27.5
47.7
41.8
41.3
48.3
43.2
47.0
56.3
64.0
44.7
50.9
45.8
54.5
38.0
47.4
58.5
37.3
37.8
30.3
32.8
47.4

17.9
21.5
19.3
23.2
17.5
26.8
18.4
22.4
18.2
10.2
11.6
20.7
10.1
1.3
10.7
27.8
9.9
20.2
44.3
38.9
35.3
17.8
19.8
14.5
40.9
25.0
41.5
41.1
34.7
45.6
51.9
54.5
43.5
20.8

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Annex 4.14

COVERAGE OF INFANT AND UNDERFIVE HEALTH CARE


BY PROVINCE, 2010

No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Coverage of Underfive Age Health Care

Coverage of Infant Health Care


Total

Total

(3)

(4)

(5)

(6)

86,739
252,004
102,549
116,175
64,204
150,873
39,316
151,645
23,021
34,719
155,385
850,622
560,487
39,973
569,871
194,192
60,145
101,177
88,118
85,208
37,439
62,188
66,962
62,556
39,135
149,915
38,694
23,793
18,866
24,140
13,037
7,028
13,948

89.30
86.00
96.83
89.01
92.60
86.20
89.20
90.78
89.30
86.10
91.20
90.05
96.72
92.70
95.70
91.79
97.00
93.58
75.20
84.00
82.20
87.64
85.50
92.10
79.47
84.39
84.73
89.00
85.00
69.87
55.90
42.00
32.40

4,284,121

84.04

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

428,679
1,045,442
339,970
425,468
202,097
402,010
121,778
690,523
99,739
140,396
699,316
2,985,831
1,982,945
199,662
2,101,364
729,127
300,549
398,640
16,459
291,130
168,234
279,403
336,024
106,430
141,883
516,555
167,000
100,071
37,598
54,431
68,318
53,080
119,432
15,749,585

81.04
91.81
86.43
71.90
83.72
71.20
72.00
77.30
88.80
76.90
89.77
83.30
89.33
97.69
86.40
79.20
85.10
83.30
57.70
62.80
71.90
79.10
89.03
82.30
68.20
80.61
72.70
82.05
87.64
66.10
64.60
64.00
53.62
78.11

Annex 4.15

COVERAGE OF PRIMARY SCHOOL PERFORMING FOR EMBRACING 1ST CLASS STUDENTS


BY PROVINCE, 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Number of Primary School

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Coverage of Primary School Performing for


Embracing 1st Class Students
Total
%

(3)

(4)

(5)

3,821
4,027
4,444
2,679
2,790
4,537
1,310
6,095
813
697
2,987
18,747
22,687
1,786
24,468
4,177
2,460
3,544
3,693
2,959
2,493
3,472
3,589
43,195
1,836
5,839
2,244
956
1,379
1,799
692
472
2,140
188,827

1,253
3,016
3,894
2,276
1,638
2,494
1,034
619
762
380
2,489
16,831
15,954
1,786
24,468
3,450
2,395
2,768
2,393
1,565
1,129
1,959
1,054
27,174
236
4,504
487
729
303
491
250
261
130,043

32.79
74.89
87.63
84.96
58.71
54.97
78.93
10.16
93.73
54.56
83.33
89.78
70.32
100.00
100.00
82.60
97.36
78.10
64.80
52.90
45.30
56.42
29.37
62.91
12.83
77.13
21.70
76.30
22.00
27.28
36.06
12.20
58.49

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

Annex 4.16

COVERAGE OF UNDERFIVE WEIGHTED


BY PROVINCE, 2010

No

Provinces

Number of Underfive

(1)

(2)

(3)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

402,420
1,088,274
501,470
734,400
310,367
750,935
169,710
906,837
145,512
220,935
779,009
3,584,431
2,546,259
236,104
3,041,160
1,180,053
256,148
507,694
520,415
420,263
227,600
376,569
498,296
158,462
316,431
755,893
278,962
126,533
123,752
197,366
122,403
82,865
237,480

Indonesia

21,805,008

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

Number of Underfive Weighted (D/S)


Total

(4)

(5)

298,348
780,890
343,203
457,451
222,238
474,756
89,095
594,730
66,683
115,174
332,890
2,668,055
2,101,759
175,146
2,363,111
596,304
194,490
374,995
401,942
218,561
113,970
240,648
179,186
134,518
136,375
514,034
186,013
83,085
68,353
114,154
57,401
27,538
73,607
14,798,703

74.14
71.75
68.44
62.29
71.60
63.22
52.50
65.58
45.83
52.13
42.73
74.43
82.54
74.18
77.70
50.53
75.93
73.86
77.23
52.01
50.07
63.91
35.96
84.89
43.10
68.00
66.68
65.66
55.23
57.84
46.90
33.23
31.00
67.87

Annex 4.17

PERCENTAGE OF WEIGHING FREQUENCY OF CHILDREN AGE 6-59 MONTHS DURING LAST SIX MONTHS
BY PROVINCE, RISKESDAS 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

4 times

Weighing Frequency
13 times

(3)

(4)

(5)

32.7
23.3
49.1
34.9
21.2
25.3
32.8
37.0
42.1
40.4
53.7
61.4
66.3
86.8
61.8
45.9
58.3
52.5
62.1
30.9
26.7
38.9
38.0
43.8
23.6
35.8
22.0
43.8
23.3
30.4
36.0
46.9
31.3
49.4

39.5
32.6
30.4
31.0
41.6
26.5
20.7
30.8
28.6
38.2
32.2
25.4
20.9
10.8
23.8
33.3
23.8
28.8
17.3
17.3
27.6
31.1
30.5
32.2
27.4
29.4
22.0
26.0
32.2
29.7
26.3
24.7
28.0
26.9

27.8
44.1
20.4
34.1
37.2
48.1
46.6
32.2
29.4
21.3
14.1
13.1
12.8
2.5
14.4
20.9
17.9
18.8
20.6
51.9
45.7
30.1
31.5
24.0
48.9
34.8
56.1
30.1
44.4
39.9
37.7
28.4
40.7
23.8

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Never

Annex 4.18

COVERAGE OF EXCLUSIVE BREAST FEEDING FOR INFANT AGE 0-5 MONTHS


BY PROVINCE, 2009

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Coverage of Exclusive Breast Feeding for


Infant 0-5 Months

(2)

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

52.2
55.1
71.2
57.3
63.5
64.4
75.8
55.1
62.0
56.8
58.7
64.1
52.2
63.4
48.8
58.6
54.3
78.3
75.2
52.7
63.2
65.1
66.3
54.8
62.5
70.2
62.5
57.5
73.4
68.4
61.7
59.8
67.2
Indonesia
61.3
Sumber : BPS-Statistics Indonesia, National Survey of Social and Economic 2009

Annex 4.19

PERCENTAGE OF CHILDREN AGE 0-23 MONTHS WHO HAVE/HAD BEEN BREASTFEEDING


BY PROVINCE, RISKESDAS 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Children Age 0-23 Months


Had been breastfed
Still breastfed

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

(3)

(4)

87,8
88,9
95,4
85,5
93,3
90,5
90,0
95,7
89,1
86,4
85,4
91,1
93,9
94,0
88,8
89,0
92,0
91,4
86,9
89,3
91,6
88,3
90,3
89,4
91,9
90,0
92,7
87,8
89,4
94,7
83,0
89,4
84,8
90,3

82,1
74,9
84,0
76,6
78,4
75,3
81,5
80,6
65,3
64,3
70,3
84,5
85,0
72,6
79,8
80,4
76,0
82,8
82,0
80,7
79,2
78,8
72,7
71,2
78,8
81,8
84,2
83,8
78,6
64,8
84,1
73,8
75,8
80,1

Annex 4.20

COVERAGE OF VITAMIN A CAPSULE DISTRIBUTION FOR UNDERFIVE AND POSTPARTUM MOTHERS


BY PROVINCE, 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Target
Underfives
6-11 months
12 - 59 months
(3)

135,671
727,918
129,740
213,570
73,532
217,528
63,364
213,127
26,890
41,851
331,239
962,858
641,850
57,271
901,992
229,186
67,848
116,950
128,134
172,107
69,556
81,916
104,680
73,539
74,358
205,182
62,206
21,494
36,479
70,408
34,788
14,424
92,430
6,394,086

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

(4)

409,244
1,620,800
393,346
601,743
234,518
626,707
131,093
732,026
102,052
171,663
608,631
3,117,605
2,031,953
190,167
2,404,679
839,593
207,635
397,814
413,647
401,488
198,220
295,620
351,927
265,419
211,436
604,395
200,463
89,690
103,581
180,861
110,867
53,660
212,515
18,515,058

Postpartum
Mothers
(5)

100,486
307,891
103,720
119,660
73,132
191,863
45,815
26,931
41,091
144,802
991,842
591,438
44,323
221,436
65,066
122,330
103,651
49,492
74,251
82,045
40,440
51,709
171,221
42,786
26,296
26,251
37,891
24,409
17,853
57,260
3,997,381

Vitamin A Coverage
Underfives 12-59 months
Total
%

Infants 6-11 months


Total
%
(6)

74,167
532,046
107,880
145,411
66,488
180,656
42,274
150,167
24,986
36,883
136,951
875,327
636,538
52,200
869,637
213,402
60,227
101,430
102,707
107,923
48,193
72,902
76,618
61,998
63,612
191,596
38,574
16,658
33,365
32,689
20,608
10,319
41,004
5,225,436

(7)

(8)

54.67
73.09
83.15
68.09
90.42
83.05
66.72
70.46
92.92
88.13
41.35
90.91
99.17
91.15
96.41
93.11
88.77
86.73
80.16
62.71
69.29
89.00
73.19
84.31
85.55
93.38
62.01
77.50
91.46
46.43
59.24
71.54
44.36
81.72

291,239
1,230,983
346,431
441,888
201,774
527,967
103,765
466,109
86,476
107,855
367,004
2,742,248
1,999,216
177,218
2,011,505
714,581
201,852
356,198
332,610
295,268
140,441
256,972
238,141
231,041
180,230
522,209
130,994
71,111
85,482
68,330
58,104
18,207
65,330
15,068,779

(9)

Postpartum Mothers
Total
%
(10)

71.17
75.95
88.07
73.43
86.04
84.24
79.15
63.67
84.74
62.83
60.30
87.96
98.39
93.19
83.65
85.11
97.21
89.54
80.41
73.54
70.85
86.93
67.67
87.05
85.24
86.40
65.35
79.29
82.53
37.78
52.41
33.93
30.74
81.39

68,735
17,193
76,919
102,703
62,924
154,854
34,816
24,707
20,296
130,380
776,766
542,461
38,474
138,665
59,497
74,857
79,314
40,091
58,671
57,443
31,436
26,145
147,995
34,673
21,964
18,981
26,134
14,599
7,104
7,848
2,896,645

(11)

68.40
5.58
74.16
85.83
86.04
80.71
75.99
91.74
49.39
90.04
78.32
91.72
86.80
62.62
91.44
61.19
76.52
81.01
79.02
70.01
77.73
50.56
86.44
81.04
83.53
72.31
68.97
59.81
39.79
13.71
72.46

Annex 4.21

COVERAGE OF 90 IRON TABLET DISTRIBUTION (Fe 3) FOR PREGNANT WOMEN


BY PROVINCE, 2010
Pregnant Women got Fe3

No

Provinces

Number of Pregnant
Women

Total

(1)

(2)

(3)

(4)

(5)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

109,510
684,701
113,882
140,049
82,100
188,839
48,834
166,002
27,571
44,803
159,281
1,054,741
536,228
45,751
665,150
231,382
68,193
117,285
126,510
103,782
53,752
77,336
84,273
42,730
58,513
184,312
58,736
27,099
27,342
39,587
25,704
18,265
60,176
5,472,419

Source : DG of Nutrition and Maternal and Chilren Health Care, MoH RI

92,198
486,146
88,557
128,713
59,421
119,603
37,694
129,713
25,944
30,084
128,151
865,560
421,632
39,096
325,848
183,658
61,375
98,393
83,458
82,025
23,050
66,842
58,631
35,445
39,586
64,509
40,469
14,683
17,152
19,687
8,312
5,096
13,583
3,894,314

84.19
71.00
77.76
91.91
72.38
63.34
77.19
78.14
94.10
67.15
80.46
82.06
78.63
85.45
48.99
79.37
90.00
83.89
65.97
79.04
42.88
86.43
69.57
82.95
67.65
35.00
68.90
54.18
62.73
49.73
32.34
27.90
22.57
71.16

Annex 4.22
PERCENTAGE OF CHILDREN AGE 6-59 MONTHS HAVING VITAMIN A CAPSULE
DURING LAST SIX MONTHS BY PROVINCE, RISKESDAS 2010
No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Had Vitamin A Capsule


(3)

66.2
53.7
71.6
58.9
63.7
55.7
65.4
65.5
81.4
67.3
72.9
75.7
78.6
91.1
78.7
69.3
58.5
70.7
62.3
50.9
59.7
70.1
72.7
74.3
53.5
69.9
61.3
68.9
53.5
50.4
49.6
49.3
55
69.8

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Annex 4.23
PERCENTAGE OF POPULATION BY ENERGY SUFFICIENCY AND PROTEIN CONSUMPTION
RISKESDAS 2010

No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Average

Energy Sufficiency
SD

< 70%

(3)

(4)

(5)

(6)

(7)

(8)

83.4
83.2
90.6
83.9
90.0
80.2
82.5
82.6
84.8
88.8
84.9
80.7
81.3
81.7
87.5
88.2
91.2
80.7
87.1
83.1
87.4
85.1
84.0
90.9
86.5
83.3
84.8
86.6
82.3
84.7
85.4
82.9
83.6
84.2

28.3
30.1
31.8
28.8
32.6
26.7
29.0
28.9
28.0
31.7
30.2
26.9
28.1
26.9
31.7
30.6
31.2
27.9
32.7
30.3
32.5
30.5
30.0
34.4
32.7
29.9
32.9
32.8
30.1
29.2
32.1
29.5
28.9
29.7

39.6
43.4
31.0
39.3
33.9
45.4
42.3
43.3
37.1
32.2
39.9
44.3
44.3
40.9
36.8
34.2
30.9
46.7
38.4
43.7
39.0
39.3
41.3
35.7
40.6
43.4
45.5
40.4
46.7
38.4
41.9
42.8
39.7
40.7

120.2
129.6
114.5
116.5
121.6
97.6
101.1
96.3
131.2
121.7
112.8
98.5
95.6
95.2
104.9
111.7
121.9
103.6
89.1
102.7
108.1
116.4
114.9
115.8
104.1
121.9
114.2
113.6
110.4
91.8
91.4
110.2
96.3
105.8

62.6
74.0
56.0
64.1
65.2
48.2
46.9
49.6
62.2
59.0
68.3
48.7
47.8
45.6
57.5
58.2
70.7
52.4
57.7
56.3
53.2
60.8
57.1
58.6
61.6
66.4
70.8
59.5
57.1
46.0
52.4
72.4
52.8
57.4

25.6
21.4
28.5
30.8
25.8
42.4
36.5
44.7
18.0
23.5
30.7
41.9
44.5
43.7
37.5
31.6
27.4
36.6
56.0
41.2
33.7
28.0
30.2
30.7
42.3
27.2
31.9
27.7
32.5
47.8
49.0
36.3
46.1
37.0

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Energy consumption under minimal need (< 70% based on Nutrition Sufficiency 2004 for Indonesia people)
Protein consumption under minimal need (< 80% based on Nutrition Sufficiency 2004 for Indonesia people)
SD = Standard Deviation

Protein Consumption
Average
SD

< 80%

Annex 4.24

COVERAGE OF UNIVERSAL CHILD IMMUNIZATION (UCI) VILLAGE BY PROVINCE


2008 - 2010
2008
No

Provinces

(1)

(2)

2009

Number of
Village

UCI Village

(3)

(4)

(5)

2010

Number of
Village

UCI Village

(6)

(7)

(8)

Number of
Village

UCI Village

(9)

(10)

(11)

Aceh

6,483

1,841

28.40

6,436

2,444

37.97

6,471

3,408

52.67

North Sumatera

5,772

4,079

70.67

5,978

4,150

69.42

5,771

3,997

69.26
97.03

West Sumatera

3,380

2,297

67.96

3,437

3,284

95.55

3,437

3,335

Riau

1,559

1,171

75.11

1,642

935

56.94

1,642

925

56.33

Jambi

1,271

1,095

86.15

1,329

1,116

83.97

1,363

1,215

89.14

South Sumatera

251

235

93.63

3,103

2,559

82.47

3,108

2,637

84.85

Bengkulu

1,325

1,054

79.55

1,461

1,114

76.25

1,463

1,143

78.13

2,310

1,511

65.41

2,247

1,008

44.86

2,401

2,048

85.30

36

31

82.98

346

311

89.88

359

329

91.64

317

222

65.55

333

222

66.67

351

223

63.53

Lampung

Bangka Belitung Island

10

Riau Island

11

DKI Jakarta

282

234

86.83

267

267

100.00

267

265

99.25

12

West Java

6,000

3,933

94.52

5,877

4,754

80.89

5,880

4,858

82.62

13

Central Java

8,560

7,433

75.05

8,559

7,886

92.14

8,287

7,791

94.01

14

DI Yogyakarta

438

414

69.54

438

432

98.63

438

438

100.00

15

East Java

1,407

1,056

71.77

8,505

6,842

80.45

8,507

6,453

75.86

16

Banten

1,504

875

72.21

1,454

986

67.81

1,510

1,238

81.99

17

Bali

707

705

76.95

715

712

99.58

716

714

99.72

18

West Nusa Tenggara

885

793

76.38

897

823

91.75

911

844

92.65

19

East Nusa Tenggara

2,813

1,968

74.72

2,813

2,194

78.00

2,817

1,916

68.02

20

West Kalimantan

1,520

1,057

81.78

1,858

1,161

62.49

1,873

1,134

60.54

21

Central Kalimantan

1,456

1,045

65.86

1,479

1,012

68.42

1,492

1,160

77.75

22

South Kalimantan

1,965

1,419

99.72

1,958

1,377

70.33

1,983

1,382

69.69

23

East Kalimantan

1,410

1,085

89.60

1,417

828

58.43

1,417

895

63.16

24

North Sulawesi

1,435

1,096

69.96

1,546

1,097

70.96

1,395

898

64.37

25

Central Sulawesi

1,634

1,221

53.51

1,710

1,189

69.53

1,778

1,063

59.79

26

South Sulawesi

2,898

2,370

21.30

2,941

2,459

83.61

2,947

2,420

82.12

27

Southeast Sulawesi

1,939

1,277

58.18

1,989

768

38.61

2,028

1,422

70.12

28

Gorontalo

601

371

49.22

606

399

65.84

622

382

61.41

29

West Sulawesi

543

196

61.73

558

235

42.11

604

396

65.56

30

Maluku

1,069

572

86.11

893

579

64.84

953

696

73.03

31

North Maluku

967

476

14.35

967

499

51.60

1,033

523

50.63

32

West Papua

40.05

33

Papua
Indonesia

683

98

70.03

1,253

265

21.15

1,106

443

2,361

503

36.10

3,380

782

23.14

1,060

635

65,781

43,733

66.48

78,392

54,689

69.76

Source: DG of Disease Control and Environmental Health, MoH RI

75,990

57,226

59.91
75.31

Annex 4.25

COVERAGE OF INFANTS BASIC IMMUNIZATION


BY PROVINCE, 2010

No

Provinces

(1)

(2)

Target

BCG

HB0

Total

Total

(4)

(5)

(6)

(7)

(3)

Immunization in Infants
DPT/HB(1)
DPT/HB(3)
Total
%
Total
%
(8)

(9)

(10)

(11)

POLIO4

Measles

Total

Total

(12)

(13)

(14)

(15)

Aceh

105,179

93,664

89.05

59,632

56.70

92,694

88.13

86,627

82.36

89,359

84.96

85,442

81.23

North Sumatera

318,459

303,553

95.32

203,697

63.96

307,235

96.48

292,467

91.84

296,251

93.03

297,046

93.28

West Sumatera

105,391

90,753

86.11

63,821

60.56

91,809

87.11

85,987

81.59

84,243

79.93

82,529

78.31

Riau

133,569

124,549

93.25

79,821

59.76

126,276

94.54

123,246

92.27

121,645

91.07

121,565

91.01

Jambi

South Sumatera

7
8

72,531

74,217

102.32

58,543

80.71

75,286

103.80

73,748

101.68

73,893

101.88

75,281

103.79

175,904

173,409

98.58

117,888

67.02

177,104

100.68

173,739

98.77

172,289

97.94

171,987

97.77

Bengkulu

41,010

40,154

97.91

27,341

66.67

40,788

99.46

39,014

95.13

38,437

93.73

40,437

98.60

Lampung

167,091

156,940

93.92

112,440

67.29

159,590

95.51

158,485

94.85

152,308

91.15

156,548

93.69
109.51

Bangka Belitung Island

22,520

24,857

110.38

22,657

100.61

25,027

111.13

24,094

106.99

23,893

106.10

24,662

10

Riau Island

39,936

37,320

93.45

29,560

74.02

39,631

99.24

38,934

97.49

37,511

93.93

38,479

96.35

11

DKI Jakarta

166,834

177,467

106.37

123,448

73.99

179,255

107.45

175,952

105.47

177,050

106.12

165,314

99.09

12

West Java

939,420

946,038

100.70

783,953

83.45

941,049

100.17

917,853

97.70

883,117

94.01

892,652

95.02

13

Central Java

579,053

581,099

100.35

546,932

94.45

579,205

100.03

568,389

98.16

550,622

95.09

557,971

96.36

14

DI Yogyakarta

43,625

44,801

102.70

41,785

95.78

43,859

100.54

43,059

98.70

42,779

98.06

43,662

100.08

15

East Java

595,104

608,000

102.17

537,270

90.28

609,766

102.46

595,019

99.99

590,937

99.30

580,727

97.58

16

Banten

209,167

203,130

97.11

164,852

78.81

208,732

99.79

199,881

95.56

201,122

96.15

201,338

96.26

17

Bali

62,006

62,120

100.18

59,338

95.70

63,632

102.62

61,407

99.03

61,458

99.12

61,787

99.65

18

West Nusa Tenggara

105,250

109,449

103.99

101,844

96.76

113,920

108.24

111,832

106.25

111,754

106.18

109,061

103.62

19

East Nusa Tenggara

128,907

103,083

79.97

59,188

45.92

105,257

81.65

100,131

77.68

100,165

77.70

102,613

79.60

20

West Kalimantan

101,397

91,280

90.02

51,390

50.68

92,410

91.14

87,810

86.60

85,818

84.64

86,394

85.20

21

Central Kalimantan

46,459

46,419

99.91

20,640

44.43

46,050

99.12

44,182

95.10

43,390

93.39

44,254

95.25

22

South Kalimantan

70,725

65,503

92.62

40,414

57.14

64,999

91.90

61,241

86.59

60,886

86.09

60,013

84.85

23

East Kalimantan

76,422

71,411

93.44

49,306

64.52

72,981

95.50

69,814

91.35

67,880

88.82

68,743

89.95

24

North Sulawesi

46,587

43,094

92.50

24,633

52.88

41,914

89.97

39,381

84.53

41,013

88.04

39,554

84.90

25

Central Sulawesi

53,890

50,175

93.11

28,223

52.37

49,667

92.16

46,741

86.73

47,236

87.65

45,972

85.31

26

South Sulawesi

166,454

161,026

96.74

132,135

79.38

163,040

97.95

157,507

94.62

157,844

94.83

155,115

93.19

27

Southeast Sulawesi

52,338

51,100

97.63

18,047

34.48

49,186

93.98

43,866

83.81

43,546

83.20

43,711

83.52

28

Gorontalo

26,465

25,310

95.64

19,073

72.07

24,996

94.45

24,764

93.57

24,977

94.38

23,822

90.01

29

West Sulawesi

24,766

22,845

92.24

12,283

49.60

23,160

93.52

21,754

87.84

22,412

90.50

22,694

91.63

30

Maluku

38,106

32,679

85.76

14,944

39.22

34,097

89.48

31,403

82.41

31,286

82.10

31,996

83.97

31

North Maluku

23,581

20,667

87.64

9,239

39.18

21,848

92.65

20,445

86.70

20,432

86.65

19,959

84.64

32

West Papua

18,943

13,862

73.18

6,121

32.31

14,646

77.32

12,760

67.36

12,189

64.35

12,945

68.34

33

Papua

50,454

37,260

73.85

16,775

33.25

39,926

79.13

32,723

64.86

31,245

61.93

36,183

71.71

4,807,543

4,687,234

97.50

3,637,233

75.66

4,719,035

98.16

4,564,255

94.94

4,498,987

93.58

4,500,456

93.61

Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI

Annex 4.26
PERCENTAGE OF CHILDREN AGE 12-23 MONTHS GETTING BASIC IMMUNIZATION BY PROVINCE,
RISKESDAS 2010
Basic Immunization

No

Provinces
BCG

Polio 4

DPT-HB3

(1)

(2)

(3)

(4)

(5)

(6)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

57.3
56.9
71.8
63.3
78.6
72.1
74.2
80.6
87.1
89.7
89.3
80.9
90.1
100.0
83.0
76.3
83.6
90.1
75.2
63.9
81.0
76.3
83.3
86.7
60.0
77.6
65.3
72.7
60.7
76.7
64.3
65.2
53.6
77.9

52.4
49.6
63.5
53.9
72.9
57.4
62.1
77.4
77.4
84.6
68.6
67.2
80.2
96.4
77.3
64.5
78.6
70.3
45.3
58.3
64.3
67.1
73.1
73.3
49.2
65.2
50.0
56.5
46.4
58.6
55.2
50.0
40.5
66.7

40.2
43.5
51.0
50.0
65.7
53.9
51.6
72.9
72.4
79.5
62.5
61.4
77.5
96.4
74.2
57.7
72.7
69.2
41.9
57.7
62.8
60.0
70.5
70.0
44.6
57.8
44.9
52.2
35.7
56.7
57.1
45.5
36.5
61.9

62.2
58.1
66.3
61.7
72.5
73.6
73.3
83.5
76.7
92.1
76.7
72.8
86.2
96.4
81.6
69.3
83.6
87.0
76.1
60.4
83.3
70.0
80.8
90.0
62.1
77.0
66.7
68.2
57.1
63.3
65.5
73.9
47.1
74.4

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Measles

Annex 4.27
PERCENTAGE OF CHILDREN AGE 12-23 MONTHS GETTING COMPLETE BASIC IMMUNIZATION
BY PROVINCE, RISKESDAS 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Completeness of Basic Immunization


Complete

Incomplete

(3)

(4)

37.0
33.3
48.1
37.5
60.9
44.7
46.7
65.4
60.0
74.4
53.2
52.3
69.0
91.1
66.0
48.8
66.1
62.6
33.3
52.1
54.8
52.5
64.1
65.5
35.4
50.9
37.5
54.5
32.1
46.7
44.8
39.1
28.2
53.8

No Immunization
(5)

42.0
43.1
32.7
37.5
20.3
39.7
36.7
25.6
26.7
20.5
41.1
37.2
27.3
8.9
25.8
38.6
28.6
34.1
53.0
19.8
33.3
27.5
25.6
31.0
38.5
38.5
41.7
22.7
39.3
36.7
27.6
43.5
36.5
33.5

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

21.0
23.6
19.2
25.0
18.8
15.6
16.7
9.0
13.3
5.1
5.7
10.4
3.8
0.0
8.2
12.6
5.4
3.3
13.7
28.1
11.9
20.0
10.3
3.4
26.2
10.6
20.8
22.7
28.6
16.7
27.6
17.4
35.3
12.7

Annex 4.28

DROP OUT RATE OF IMMUNIZATION COVERAGE DPT-HB1 - MEASLES IN INFANTS BY PROVINCE


2007 - 2010
Year
No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

2007

2008

(3)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Disease Control and Environmental Health, MoH RI

2009

(4)

21.6
1.3
15.0
7.2
7.8
6.9
17.8
(1.1)
4.0
10.7
0.6
5.7
4.3
(0.8)
5.9
1.4
4.5
4.0
22.7
13.1
3.3
7.0
4.3
10.6
11.0
4.2
5.8
6.8
(1.5)
3.4
7.2
19.8
21.6
6.1

DPT-HB1-Measles

(5)

13.2
4.4
7.8
6.8
5.5
4.7
4.9
2.7
7.3
9.6
8.2
4.7
3.2
(0.8)
4.3
5.4
10.8
3.1
11.6
5.1
5.4
6.1
7.8
4.5
8.2
5.4
6.4
7.1
9.8
8.6
13.9
19.9
13.8
5.4

(6)

2010
DPT-HB1 - DPT-HB3
(7)

6.7
5.3
8.9
7.8
3.6
5.8
3.0
9.1
3.9
5.5
6.9
4.3
4.2
(1.0)
4.3
6.2
2.1
4.0
1.2
8.3
5.5
5.7
7.3
4.3
7.0
4.1
9.5
2.8
12.2
15.8
3.3
6.3
3.8

7.8
3.3
10.1
3.7
0.0
2.9
0.9
1.9
1.5
2.9
7.8
5.1
3.7
0.4
4.8
3.5
2.9
4.3
2.5
6.5
3.9
7.7
5.8
5.6
7.4
4.9
11.1
4.7
2.0
6.2
8.6
11.6
9.4

6.5
4.8
6.3
2.4
2.0
1.9
4.3
0.7
3.7
1.8
1.8
2.5
1.9
1.8
2.4
4.2
3.5
1.8
4.9
5.0
4.1
5.8
4.3
6.0
5.9
3.4
10.8
0.9
6.1
7.9
6.4
12.9
18.0

5.2

4.6

3.3

Annex 4.29

COVERAGE OF STUDENTS IMMUNIZATION


BY PROVINCE, 2010
Measless (1st Class)

Target
No

Districts/Municipalities

(1)

(2)

1st Class

2nd Class

3rd Class

(3)

(4)

(5)

nd

rd

DT (1st Class)

TT (2nd Class)

TT (3rd Class)

TT (2nd + 3rd Class)

+3
Class

Total

Total

Total

Total

Total

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

Aceh

105,472

104,126

105,230

209,356

79,515

75.4

91,427

86.7

92,291

88.6

96,062

91.3

188,353

90.0

North Sumatera

330,560

310,253

301,857

612,110

258,895

78.3

321,870

97.4

302,964

97.7

295,826

98.0

598,790

97.8

West Sumatera

121,345

120,994

114,132

235,126

107,656

88.7

111,825

93.0

120,121

99.3

104,292

91.4

224,413

95.4

Riau

151,637

142,224

137,546

417,147

127,561

84.1

132,204

87.2

129,052

90.7

122,314

88.9

242,144

58.0

Jambi

South Sumatera

Bengkulu

44,066

40,132

38,882

79,014

37,306

84.7

37,003

84.5

34,717

86.5

33,191

85.4

67,908

85.9

Lampung

177,332

172,917

171,076

343,993

170,193

96.0

165,573

93.4

161,593

93.5

160,160

93.6

321,753

93.5

78,754

74,144

70,967

145,111

75,430

95.8

75,441

95.8

71,487

96.4

69,263

97.6

140,750

97.0

190,466

175,603

167,207

342,810

183,965

96.6

178,769

93.9

171,308

97.6

163,046

97.5

74,563

21.8

Bangka Belitung Island

29,243

25,536

25,375

50,911

28,152

96.3

25,776

88.1

24,499

95.9

24,150

95.2

48,649

95.6

10

Riau Island

37,895

34,395

33,281

67,676

33,424

88.2

34,676

91.5

31,185

90.7

30,045

90.3

61,230

90.5

11

DKI Jakarta

166,546

152,050

91.3

12

West Java

865,838

1,592,769

802,171

92.6

790,536

13

Central Java

599,206

14

DI Yogyakarta

15

East Java

676,896

16

Banten

238,340

17

Bali

73,671

74,552

73,993

148,545

73,258

18

West Nusa Tenggara

112,601

104,961

104,497

209,458

107,940

19

East Nusa Tenggara

247,956

460,491

178,535

72.0

204,496

82.5

276,366

60.0

20

West Kalimantan

133,614

118,127

111,717

229,844

123,282

92.3

115,560

86.5

111,618

94.5

105,063

94.0

216,681

94.3

21

Central Kalimantan

25,226

23,710

22,586

46,296

18,438

73.1

24,070

93.7

22,537

95.1

21,374

94.6

43,911

94.8

22

South Kalimantan

89,771

85,679

95.4

23

East Kalimantan

81,700

74,019

90.6

24

North Sulawesi

28,901

27,930

28,248

56,178

26,894

93.1

26,571

91.9

26,013

93.1

26,111

92.4

52,124

92.8

25

Central Sulawesi

53,821

48,572

47,622

96,194

44,982

83.6

49,979

92.9

39,033

80.4

43,266

90.9

82,299

85.6

26

South Sulawesi

185,490

186,342

179,417

365,759

161,088

86.8

171,245

92.3

172,178

92.4

165,829

92.4

324,997

88.9

27

Southeast Sulawesi

67,487

44,738

42,496

87,234

67,608

100.2

67,715

100.3

44,672

99.9

43,500

102.4

88,172

101.1

28

Gorontalo

16,963

17,539

19,173

36,712

7,854

46.3

14,595

86.0

15,628

89.1

17,707

92.4

33,335

90.8

29

West Sulawesi

35,474

33,513

68,987

29,211

79.6

28,349

79.9

26,621

79.4

54,970

79.7

30

Maluku

27,199

16,468

16,734

33,202

16,412

60.3

25,028

92.0

15,444

93.8

15,657

93.6

31,101

93.7

31

North Maluku

22,458

18,781

18,138

36,919

18,989

84.6

18,468

82.2

16,195

86.2

15,553

85.7

31,748

86.0

32

West Papua

33

Papua
Indonesia

51,293

810,923
-

781,846

92.8

625,771

77.2

597,550

98.5

603,500

98.4

51,103

99.6

662,714

658,368

1,321,082

626,598

92.6

627,924

92.8

618,040

93.3

608,268

210,970

206,348

417,318

221,417

92.9

222,335

93.3

191,987

91.0

214,143

99.4

74,548

101.2

73,974

99.2

73,347

99.1

147,321

99.2

95.9

108,652

96.5

101,225

96.4

100,705

96.4

201,930

96.4

75,175

73,460

148,635

3,729,206

3,637,167

9,195,150

4,549,671

Source: DG of Disease Control and Environmental Health, MoH RI

75,828

90.4 3,995,588

92.8

70,581

2,910,451

83.7

93.9

68,367

78.0 2,844,043

76.8

97.3

52,461

76.4 1,223,322

49,912

590,448

52,873

101.9

105,364

1,230,909

53,458

51,906

5,031,747

98.1

1,233,092

100.2

105,334

100.0

92.4 1,226,308
103.8

93.1

406,130

138,948

78.2 6,981,930

92.8
97.3

93.5

75.9

Annex 4.30

COVERAGE OF TETANUS TOXOID IMMUNIZATION IN PREGNANT WOMEN


BY PROVINCE, 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Number of
Pregnant
Women

Total

Total

(3)

(4)

(5)

(6)

(7)

113,107
349,352
113,857
149,188
79,735
190,512
41,316
180,530
28,109
49,096
95,858
1,033,362
721,796
47,909
653,446
230,637
68,119
115,775
136,088
106,277
51,178
78,362
84,059
49,584
59,764
184,137
58,691
28,762
26,688
40,269
24,173
20,395
55,081
5,265,212

TT1

48,074
101,542
37,277
37,210
55,492
161,730
33,966
54,863
8,740
18,894
39,239
828,546
208,188
12,465
25,089
142,342
2,375
104,091
59,717
40,014
40,599
47,086
24,897
20,000
38,291
120,133
19,864
20,810
19,718
18,512
14,560
4,577
18,506
2,427,406

Source: DG of Disease Control and Environmental Health, MoH RI

TT2

42.50
29.07
32.74
24.94
69.60
84.89
82.21
30.39
31.09
38.48
40.93
80.18
28.84
26.02
3.84
61.72
3.49
89.91
43.88
37.65
79.33
60.09
29.62
40.34
64.07
65.24
33.84
72.35
73.88
45.97
60.23
22.44
33.60
46.10

45,264
100,267
35,661
38,417
47,783
153,454
32,140
54,620
8,521
15,771
35,370
757,088
208,540
12,087
25,697
128,151
2,030
99,175
43,715
37,907
36,840
42,796
21,843
17,327
35,571
105,818
22,311
17,570
15,749
15,976
12,878
3,540
16,617
2,246,494

40.02
28.70
31.32
25.75
59.93
80.55
77.79
30.26
30.31
32.12
36.90
73.26
28.89
25.23
3.93
55.56
2.98
85.66
32.12
35.67
71.98
54.61
25.99
34.94
59.52
57.47
38.02
61.09
59.01
39.67
53.27
17.36
30.17
42.67

Immunization in Pregnant Women


TT3
TT4
Total
%
Total
%
(8)

19,079
47,379
16,920
28,703
10,292
0
470
22,954
4,734
5,100
732
82,853
127,151
9,242
33,954
35,561
4,015
0
31,947
12,022
2,171
4,965
11,179
1,186
403
24,524
8,704
3,308
2,013
3,677
2,682
2,101
4,832
564,853

(9)

16.87
13.56
14.86
19.24
12.91
0.00
1.14
12.71
16.84
10.39
0.76
8.02
17.62
19.29
5.20
15.42
5.89
0.00
23.48
11.31
4.24
6.34
13.30
2.39
0.67
13.32
14.83
11.50
7.54
9.13
11.10
10.30
8.77
10.73

(10)

12,908
33,792
14,841
26,897
2,283
0
341
19,858
3,265
3,688
0
50,115
105,279
6,192
54,773
23,525
20,912
0
21,950
8,463
720
3,845
7,394
450
183
14,005
7,033
2,216
1,052
2,051
1,693
1,230
5,212
456,166

(11)

11.41
9.67
13.03
18.03
2.86
0.00
0.83
11.00
11.62
7.51
0.00
4.85
14.59
12.92
8.38
10.20
30.70
0.00
16.13
7.96
1.41
4.91
8.80
0.91
0.31
7.61
11.98
7.70
3.94
5.09
7.00
6.03
9.46
8.66

TT5

TT2+

Total

Total

(12)

(13)

(14)

(15)

11,986
27,350
10,587
24,705
1,007
0
426
16,487
2,319
3,458
0
40,769
87,001
4,359
66,189
19,650
43,503
0
17,921
7,878
356
2,790
6,277
74
112
8,858
6,287
1,500
941
1,928
1,697
1,016
1,765
419,196

10.60
7.83
9.30
16.56
1.26
0.00
1.03
9.13
8.25
7.04
0.00
3.95
12.05
9.10
10.13
8.52
63.86
0.00
13.17
7.41
0.70
3.56
7.47
0.15
0.19
4.81
10.71
5.22
3.53
4.79
7.02
4.98
3.20
7.96

89,237
208,788
78,009
118,722
61,365
153,454
33,377
113,919
18,839
28,017
36,102
930,825
527,971
31,880
180,614
206,887
70,460
99,175
115,533
66,270
40,087
54,396
46,693
19,037
36,269
153,205
44,335
24,594
19,755
23,632
18,950
7,886
28,426
3,686,709

78.90
59.76
68.51
79.58
76.96
80.55
80.78
63.10
67.02
57.07
37.66
90.08
73.15
66.54
27.64
89.70
103.44
85.66
84.90
62.36
78.33
69.42
55.55
38.39
60.69
83.20
75.54
85.51
74.02
58.69
78.39
38.67
51.61
70.02

Annex 4.31

PERCENTAGE OF MOTHER GETTING TETANUS TOXOID INJECTION DURING LAST CHILDREN PREGNANCY
BY PROVINCE, RISKESDAS 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Injection of Tetanus Toxoid (TT) during pregnancy


1 time

2 times/more

No immunization

(3)

(4)

(5)

(6)

18.3
13.5
22.7
21.4
21.5
15.5
13.3
20.4
19.3
28.0
26.2
20.0
30.4
38.7
38.6
23.9
30.1
16.3
26.4
22.1
13.9
23.6
30.8
15.3
22.2
21.6
17.7
23.1
15.4
14.3
15.9
12.5
25.2
24.7

45.8
32.2
45.3
42.0
54.9
47.2
62.3
56.6
54.9
29.5
38.3
55.9
47.4
46.6
22.8
47.5
60.9
68.8
53.3
45.0
70.4
54.1
46.7
71.4
55.2
60.8
64.0
54.1
59.6
70.4
60.5
62.1
55.6
47.2

31.8
43.6
27.2
31.6
20.0
32.4
19.2
15.3
24.0
38.6
29.7
19.9
17.8
13.0
33.9
24.8
7.8
13.9
16.4
28.4
14.9
16.6
20.3
9.5
18.3
15.3
14.0
14.7
21.2
14.2
22.0
20.8
13.4
23.6

4.1
10.7
4.7
5.0
3.6
4.9
5.3
7.7
1.8
3.8
5.9
4.3
4.4
1.7
4.7
3.8
1.2
1.0
3.9
4.5
0.9
5.6
2.1
3.8
4.3
2.3
4.2
8.1
3.8
1.1
1.5
4.6
5.8
4.6

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Unknown

Annex 4.32

COVERAGE OF TETANUS TOXOID IMMUNIZATION IN PRODUCTIVE AGE WOMEN


BY PROVINCE, 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Number of
Fertile Age
Women

Total

Total

(3)

(4)

(5)

(6)

TT1

Productive Age Women which were Immunized


TT2
TT3
TT4
%
Total
%
Total
%
(7)

(8)

(9)

(10)

(11)

TT5
Total

(12)

(13)

1,029,686
2,548,620
879,158
1,155,427
659,278
343,528
1,753,547
249,081
371,356
144,343
5,190,053
7,961,408
1,981,063
625,466
855,215
425,665
657,888
691,492
443,497
538,665
1,534,561
218,952
214,771
321,544
217,520
124,700
583,594

63,874
55,419
12,055
9,411
18,364
1,172
9,564
1,423
8,818
16,130
200,970
8,649
42,173
23,564
123
20,467
5,973
37,187
11,579
1,529
3,778
12,385
5,641
356
8,549
7,883
1,269
2,786

6.20
2.17
1.37
0.81
2.79
0.34
0.55
0.57
2.37
11.17
3.87
0.53
1.19
0.02
2.39
1.40
5.65
1.67
0.34
0.70
0.81
2.58
0.17
2.66
3.62
1.02
0.48

56,760
53,094
7,961
8,165
12,966
470
10,185
1,195
5,748
5,132
172,078
3,062
51,003
23,637
244
20,760
3,634
25,315
10,372
545
3,441
6,122
4,154
584
7,094
3,776
1,111
1,510

5.51
2.08
0.91
0.71
1.97
0.14
0.58
0.48
1.55
3.56
3.32
0.64
1.19
0.04
2.43
0.85
3.85
1.50
0.12
0.64
0.40
1.90
0.27
2.21
1.74
0.89
0.26

43,343
38,886
9,788
7,892
695
417
8,341
1,053
2,206
9,828
273,552
1,410
114,701
28,189
1,584
20,520
1,053
2,179
10,068
143
4,293
5,418
3,354
224
4,912
4,794
1,065
912

4.21
1.53
1.11
0.68
0.11
0.12
0.48
0.42
0.59
6.81
5.27
1.44
1.42
0.25
2.40
0.25
0.33
1.46
0.03
0.80
0.35
1.53
0.10
1.53
2.20
0.85
0.16

32,461
38,870
6,227
4,601
395
881
7,757
508
2,009
35,851
325,600
701
163,438
25,587
6,208
21,527
944
1,625
7,700
41
4,977
3,749
2,116
141
3,540
3,643
1,572
554

3.15
1.53
0.71
0.40
0.06
0.26
0.44
0.20
0.54
24.84
6.27
2.05
1.29
0.99
2.52
0.22
0.25
1.11
0.01
0.92
0.24
0.97
0.07
1.10
1.67
1.26
0.09

27,280
52,060
9,278
3,749
386
1,173
6,896
317
1,778
42,478
574,762
122
265,119
30,015
10,162
25,206
1,070
1,084
7,275
16
9,119
2,484
1,789
90
3,318
2,567
676
435

2.65
2.04
1.06
0.32
0.06
0.34
0.39
0.13
0.48
29.43
11.07
3.33
1.52
1.62
2.95
0.25
0.16
1.05
0.00
1.69
0.16
0.82
0.04
1.03
1.18
0.54
0.07

31,720,078

591,091

1.84

500,118

1.57

600,820

1.89

703,224

2.21

1,080,704

3.41

Source: DG of Disease Control and Environmental Health, MoH RI

Annex 4.33

COVERAGE OF PULMONARY TB AFB POSITIVE, HEALED, COMPLETE MEDICATION


AND SUCCES RATE (AFTER TB MEDICATION YEAR 2009) BY PROVINCE, 2010

All Cases

AFB+

Total

Total

Recovered
& Complete
Treatments

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Coverage of TB 2010
No.

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

3,966
16,815
5,482
4,325
3,291
7,779
1,941
7,266
1,229
1,695
25,074
61,964
34,671
2,345
38,010
15,629
3,227
5,346
5,302
5,499
2,090
4,609
3,694
4,989
2,397
8,223
2,663
1,620
1,179
2,702
1,096
1,559
7,054
294,731

Source: DG of Disease Control and Environmental Health, MoH RI


Notes:
AFB =

Acid Flacid Baccile

3,065
13,897
3,732
2,880
2,745
5,181
1,588
4,943
951
784
7,989
31,433
16,906
1,155
22,598
8,134
1,517
3,089
3,369
4,156
1,339
2,891
2,065
3,988
1,918
6,428
2,296
1,370
942
2,014
708
638
2,504
169,213

Recovered

2,681
12,984
2,950
1,840
2,458
4,641
1,371
4,284
837
471
5,749
27,153
14,365
893
19,165
7,031
1,154
2,436
2,634
3,733
1,116
2,587
1,407
3,596
1,689
5,615
1,920
1,117
809
1,530
392
224
1,146
141,978

Complete Treatments

87.47
93.43
79.05
63.89
89.54
89.58
86.34
86.67
88.01
60.08
71.96
86.38
84.97
77.32
84.81
86.44
76.07
78.86
78.18
89.82
83.35
89.48
68.14
90.17
88.06
87.35
83.62
81.53
85.88
75.97
55.37
35.11
45.77
83.90

172
367
351
572
127
284
135
323
20
172
1,108
1,813
926
79
1,293
560
186
472
467
128
153
127
355
237
111
163
246
191
61
421
207
84
405
12,316

5.61
2.64
9.41
19.86
4.63
5.48
8.50
6.53
2.10
21.94
13.87
5.77
5.48
6.84
5.72
6.88
12.26
15.28
13.86
3.08
11.43
4.39
17.19
5.94
5.79
2.54
10.71
13.94
6.48
20.90
29.24
13.17
16.17
7.28

2,853
13,351
3,301
2,412
2,585
4,925
1,506
4,607
857
643
6,857
28,966
15,291
972
20,458
7,591
1,340
2,908
3,101
3,861
1,269
2,714
1,762
3,833
1,800
5,778
2,166
1,308
870
1,951
599
308
1,551
154,294

Success
Rate (%)
(10)

93.08
96.07
88.45
83.75
94.17
95.06
94.84
93.20
90.12
82.02
85.83
92.15
90.45
84.16
90.53
93.32
88.33
94.14
92.05
92.90
94.77
93.88
85.33
96.11
93.85
89.89
94.34
95.47
92.36
96.87
84.60
48.28
61.94
91.18

Annex 4.34

PERCENTAGEOFTUBERCULOSISPATIENTHADFINISHEDTREATMENTSWITHANTITUBERCULOSISDRUGBYPROVINCE,
RISKESDAS2010

No.
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Finished > 6 months

Taking medication
Not finished < 5
In treatment
months

(3)

(4)

(5)

(6)

52.8
61.7
63.1
67.4
24.9
50.6
62.5
66.7
88.3
73.8
62.9
57.1
52.5
100
62.2
54.9
69.9
63.5
80.9
46.9
48.3
89.9
57.4
68.0
66.7
47.5
84.6
51.2
75.0
46.7
82.8
51.3
61.3
59.0

23.0
31.3
14.1
25.9
37.1
27.5
15.0
12.8
0.0
17.8
19.8
19.0
16.5
0.0
16.5
21.2
18.9
9.3
6.4
14.9
23.8
4.7
42.6
17.8
11.5
28.6
15.4
29.4
12.5
14.8
0.0
14.0
31.1
19.1

18.2
7.1
17.8
6.6
32.8
21.9
22.6
20.5
11.7
0.0
17.3
23.3
26.2
0.0
17.1
19.3
11.2
24.1
0.0
35.2
13.9
5.4
0.0
14.2
21.9
20.9
0.0
19.4
0.0
38.5
17.2
34.6
7.6
19.3

5.9
0.0
5.0
0.0
5.2
0.0
0.0
0.0
0.0
8.5
0.0
0.6
4.8
0.0
4.3
4.5
0.0
3.1
12.7
3.0
13.9
0.0
0.0
0.0
0.0
3.0
0.0
0.0
12.5
0.0
0.0
0.0
0.0
2.6

Source: National Board of Health Research and Development, MoH RI, Riskesdas 2010

Notes: * Anti Tuberculosis Drug

Not took treatments

Annex 4.35

NUMBER OF UNDERFIVES PNEUMONIA CASES


BY PROVINCE, 2010

No.

Provinces

Underfive Population
in Health Center Area
Program

Target of Pneumonia
Underfives Detection
(10%)

< 1 Year

1 - 4 Years

Total

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Realization of Underfive Patients of Pneumonia

470,901
1,446,302
501,300
611,901
285,900
727,901
168,101
727,600
110,600
187,501
794,400
3,987,200
2,758,101
347,920
2,632,300
992,002
259,800
508,299
562,300
472,899
211,599
335,599
315,598
177,101
256,999
810,201
256,002
95,001
104,901
152,699
110,101
85,599
239,601

47,090
144,630
50,130
61,190
28,590
72,790
16,810
72,760
11,060
18,750
79,440
398,720
275,810
34,792
263,230
99,200
25,980
50,830
56,230
47,290
21,160
33,560
31,560
17,710
25,700
81,020
25,600
9,500
10,490
15,270
11,010
8,560
23,960

484
19,236
2,649
2,363
1,186
8,448
88
4,396
1,096
135
4,800
67,346
8,097
476
17,282
4,063
1,367
13,263
1,349
995
309
5,006
1,059
2,803
2,412
2,212
288
304
1,341
924
382
0
0

1,178
18,483
7,895
7,321
2,994
12,377
194
6,725
3,336
223
10,454
126,634
22,143
1,234
35,492
7,344
2,372
19,515
1,765
2,260
769
11,640
2,530
1,470
5,294
4,896
821
574
2,879
1,490
798
0
0

1,662
37,719
10,544
9,684
4,180
20,825
282
11,121
4,432
358
15,254
193,980
30,240
1,710
52,774
11,407
3,739
32,778
3,114
3,255
1,078
16,646
3,589
4,273
7,706
7,108
1,109
878
4,220
2,414
1,180
0
0

3.53
26.08
21.03
15.83
14.62
28.61
1.68
15.28
40.07
1.91
19.20
48.65
10.96
4.91
20.05
11.50
14.39
64.49
5.54
6.88
5.09
49.60
11.37
24.13
29.98
8.77
4.33
9.24
40.23
15.81
10.72
0.00
0.00

21,704,229

2,170,423

176,159

323,100

499,259

23.00

Source: DG of Disease Control and Environmental Health, MoH RI

Annex 4.36

NUMBER OF INPATIENT VISIT IN HOSPITAL


BY PROVINCE 2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Health Effort, MoH RI

Recovered
patients
(3)

Dead discharge patients


<48 hours

Length of Stays

Inpatient Days Care

(6)

(7)

48 hours

(4)

(5)

55,703
42,909
55,715
14,766
35,532
80,474
15,809
64,948
18,625
11,690
101,672
111,848
254,497
45,703
315,946
9,342
73,573
18,241
59,642
46,050
21,512
28,040
39,894
18,238
5,147
91,956
18,366
2,648
11,603
16,455
7,709
5,681

1,031
845
1,554
378
733
1,826
352
1,509
325
186
1,176
1,437
5,057
685
7,738
57
989
317
917
1,044
510
755
466
231
117
2,021
540
107
247
180
77
92

1,096
761
1,884
319
385
1,306
254
1,285
210
168
2,094
1,812
4,676
1,519
7,006
69
2,188
386
1,071
948
353
479
636
167
92
2,709
313
68
340
298
155
100

265,760
187,219
289,587
48,694
134,516
349,683
58,832
225,027
66,481
23,798
432,644
435,951
1,170,488
255,958
1,694,974
46,657
351,871
53,304
243,130
177,501
79,385
100,179
175,585
65,885
21,405
486,954
71,900
12,328
54,774
58,451
26,443
33,015

266,225
214,553
345,708
52,829
117,658
320,705
61,145
251,361
64,215
39,506
471,412
441,994
1,089,396
250,722
1,444,382
43,180
361,155
69,224
248,337
183,445
85,642
95,642
216,675
70,824
19,984
496,484
87,066
15,465
62,287
54,247
31,155
32,389

1,699,934

33,499

35,147

7,698,379

7,605,012

Annex 4.37

INDICATOR OF GENERAL HOSPITAL CARE OF MoH AND LOCAL GOVERNMENT


BY PROVINCE, 2008 - 2010

No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: DG of Health Effort, MoH RI

Bed Occupancy Rate


(BOR)
2008
2009

Length of Stay (LOS) Bed Turn Over (BTO)

Turn Over Interval


(TOI)
2008
2009

Gross Death Rate (GDR)

2008

2009

2008

2009

2008

2009

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

92.8
64.5
57.1
68.7
77.4
55.3
45.0
74.7
91.0
69.7
85.7
69.5
79.6
96.0
97.3
80.1
50.3
59.7
73.2
47.0
76.8
99.5
83.0
83.3
92.2
71.5
36.0
74.0
51.0

69.0
47.9
48.0
59.9
67.9
63.9
58.8
62.9
82.6
53.3
53.7
63.9
62.2
49.6
67.9
61.0
58.6
66.3
57.8
70.1
52.1
69.3
75.9
52.4
42.7
63.8
61.6
60.6
34.5
67.9
59.1

4
6
4
3
3
4
3
4
3
5
4
4
5
5
4
5
4
4
4
4
4
4
6
4
4
5
4
6
5

4,7
4,8
4,5
3,8
3,4
4,7
3,9
3,8
3,1
3,3
4,4
4,2
4,4
5,1
4,9
4,1
3,6
3,6
3,9
5,6
3,5
3,7
4,2
3,6
3,6
4,2
3,9
3,9
4,7
3,4
4,1

66
26
30
40
58
44
50
34
26
34
41
39
45
44
47
50
32
31
51
20
38
51
37
45
43
39
22
27
16

29.4
11.9
21.4
18.9
43.4
32.6
26.9
35.8
17.1
31.8
28.1
28.8
29.9
19.2
20.7
16.6
45.7
32.4
28.1
28.3
14.8
21.7
25.8
21.8
14.8
34.7
22.4
92.0
11.0
11.0
66.0

2
5
3
4
2
1
2
5
1
3
2
2
2
1
1
2
1
2
5
4
2
2
5
2
1
8
8
1
6

4.4
18.0
8.0
10.0
2.6
3.7
5.6
3.6
12.6
5.0
4.9
5.0
4.7
9.0
8.6
11.8
2.0
4.6
5.7
3.1
14.8
8.3
5.0
7.7
14.7
3.5
7.2
24.8
19.8
21.0
36.9

36
54
36
38
35
48
3
46
42
44
39
45
42
58
46
45
40
31
51
26
44
26
30
31
30
32
40
17
48

39.5
52.0
48.5
31.4
25.3
42.9
37.2
41.7
35.9
27.5
29.5
29.2
37.8
39.1
49.8
27.1
35.9
43.0
30.9
35.0
28.0
41.5
21.3
30.6
32.0
31.0
40.6
48.2
33.2
19.7
36.2

79.8

58.7

4,3

42

25.0

6.3

42

36.5

2010

Net Death Rate (NDR)


2008

2009

(13)

(14)

2010
(14)

36.8
36.1
58.1
45.1
30.5
37.5
36.9
41.2
27.9
29.4
31.2
28.2
36.8
46.0
44.6
13.3
41.4
37.1
32.3
41.5
38.6
42.2
26.9
21.4
39.0
48.9
44.4
62.0
48.2
28.2
29.2
32.7

18
30
16
18
11
15
20
15
26
18
22
21
28
22
24
19
14
15
11
18
13
13
11
12
16
29
9
35

19.6
28.5
24.5
11.2
8.6
18.4
12.7
18.9
13.6
13.6
18.0
15.8
18.6
23.4
24.5
13.9
19.8
18.8
14.9
16.4
12.4
15.7
9.6
12.6
13.6
14.1
18.7
12.4
12.9
10.4
18.8

19.0
17.1
31.8
20.6
10.5
15.6
15.5
19.0
11.0
13.9
20.0
15.7
17.7
31.7
21.2
7.3
28.5
20.4
17.4
19.7
15.8
16.4
15.5
9.0
17.2
28.0
16.3
24.1
27.9
17.6
19.5
17.0

38.8

19

18.3

19.9

Annex 4.38

EXAMINATION OF DENTAL AND ORAL HEALTH IN LOCAL GOVERNMENT AND MINISTRY OF HEALTH PUBLIC HOSPITAL SERVICES
BY PROVINCE, 2010

No

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

Indonesia
Source: DG of Health Effort, MoH RI

Permanent Third Molar


Tooth
Tooth
Filling
Filling
(3)

(4)

Pulpa
Treatment/
Not
permanent
Filling

Permanent
Tooth
Extracting

Third Molar
Tooth
Extracting

Periodontal
Treatment

Abscess
Treatment

Carries
Cleansing
(Scalling)

Complete
Denture

Removable
Denture

Fixed
Denture

Orthodontic

Oral
Surgery

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

3,249
472
3,438
1,175
1,451
1,853
1,310
1,736
388
1,683
11,835
17,282
12,984
1,616
35,169
1,382
3,207
262
685
3,794
832
1,802
1,266
214
141
7,196
2,171
50
498
991
302
29

920
115
748
58
1,064
425
215
119
53
200
2,172
2,453
1,174
504
2,712
164
332
54
43
133
133
117
257
1
20
216
273
0
9
74
70
4

7,323
349
4,103
1,833
1,227
2,140
257
1,614
362
2,037
11,290
23,303
11,852
4,440
52,688
792
4,194
335
2,125
2,393
1,942
2,984
1,883
309
126
4,216
5,411
40
642
683
308
155

5,648
710
2,581
730
1,441
2,617
967
2,553
579
920
4,567
8,219
8,723
3,007
19,943
241
2,968
247
1,324
3,847
915
1,719
1,223
621
220
3,412
1,743
70
776
660
240
4

2,205
419
771
226
626
1,473
209
730
324
497
2,619
4,391
3,300
923
13,989
181
1,525
144
382
767
547
1,013
852
166
70
1,639
862
20
176
126
92
4

2,812
458
2,317
375
1,427
1,395
65
1,261
235
1,199
4,295
3,453
5,205
2,116
35,326
109
1,083
214
2,094
735
971
867
411
248
43
1,276
1,088
67
258
608
136
76

1,413
353
890
126
549
879
233
615
213
488
2,091
4,381
2,847
529
10,600
75
778
525
604
918
336
384
321
83
66
1,269
464
2
76
48
131
50

3,729
243
2,068
448
1,908
673
80
580
221
706
4,350
6,180
3,903
1,358
14,102
304
1,045
84
406
731
461
223
477
77
11
1,427
307
45
7
32
30

10
1
81
1
10
1
17
37
14
134
389
246
81
534
15
13
15
2
1
35
33
3
-

79
506
492
221
425
2,940
9
142
9
122
40
11
6
4
121
48
-

36
541
884
55
208
671
62
24
16
1
-

103
3,492
904
1,536
689

158
103
4
551
212
23
119
954
1,204
51
303
240
95
711
358
1,183
331
1,186
2,010
3,069
2,709
3,363

120,463

14,832

153,356

83,435

41,268

72,223

32,337

46,216

1,673

5,567

2,584

9,446

19,102

37
30

6
3
26
68
14
275
-

44
4
1

8
-

11

1
59
3
1
52
191
10

430
492
601
63
27
85
70
499
137
-

18
95
4

Annex 4.39

JAMKESMAS (COMMUNITY HEALTH INSURANCE) PARTICIPANT VISITS IN HEALTH CENTER


2010

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

RJTP

RITP

(2)

(3)

(4)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Referrals

4th Pregnant Women


Visits (K4 )

2nd Neonates Visits


(KN2 )

Delivering by
Health Personnel

(5)

(6)

(7)

(8)

2,532,687
393,151
226,185
524,666
97,822
100,825
185,674
995,398
13,982
143,486

41,269
1,592
321
4,335
1,199
1,541
8,403
40,738
505
2,673

155,463
12,314
20,286
16,218
3,451
4,356
3,806
56,880
1,178
13,055

52,584
8,706
3,560
15,697
3,078
4,466
7,648
23,242
138
2,808

43,252
6,683
2,230
10,641
2,098
3,657
4,882
16,253
44
1,296

40,920
6,039
1,412
8,946
1,837
2,916
4,604
13,981
49
1,147

7,005,403
6,082,862
561,896
5,037,208
1,432,517
424,555
953,850
1,883,324
416,790
209,375
524,467
506,636
86,164
46,874
327,897
17,666
337,584
254,910
56,172
85,859
24,660
343

63,777
180,914
7,908
128,939
202,725
1,676
51,977
13,554
4,356
29,527
15,558
23,859
5,199
297
3,273
3
3,057
25,882
5,936
24,813
14,159
1

367,661
448,110
40,788
297,363
68,614
18,175
20,750
20,703
22,018
5,217
28,739
28,065
5,410
592
13,454
752
16,263
4,017
76
1,725
110
1

118,929
84,221
6,923
78,946
20,207
3,797
49,952
22,261
11,560
5,445
10,879
8,034
1,417
1,491
9,829
509
7,240
2,499
4,819
1,186
278
1

90,478
62,983
4,332
65,712
20,873
2,832
39,774
23,798
6,352
3,791
7,425
4,713
299
1,435
6,262
315
5,814
3,543
1,635
1,265
268
2

72,089
57,320
4,587
53,529
18,407
2,740
33,723
21,342
4,938
3,322
5,895
3,512
309
949
5,830
317
5,569
3,287
1,277
961
352
2

31,490,888

909,966

1,695,610

572,350

444,937

382,108

Source: Center of Managed Care MoH RI


Notes: RJTP = First Level Inpatient
RITP = First Level Inpatient

DKI Jakarta use Provincial Budget for Community Health Insurance

Annex 4.43

PERCENTAGE OF DRUG AND VACCINE AVAILABILITY IN INDONESIA


JUNE 2011
No

Name of Drug

Packing

Requirement
2011

Availability
on May 1, 2011

% Availability

No

Name of Drug

Packing

Requirement
2011

Availability
on May 1, 2011

32

37

Allopurinol tablet 100 mg

100 tabletss/strip/blister, box

8,551,907

1,584,976

Ethacridine solution 0,1%

2
3

Aminophylin tablet 200 mg

100 tablets / bottle

6,785,351

1,837,410

27

38

Aminophylin injection 24 mg/ml

30 ampoules / box

270,250

61,535

25

39

Amitriptilin coated tablet 25 mg (HCL)

100 tablets/strip/blister, box

1,160,835

261,903

27

Amoxicillin capsule 250 mg

120 capsule/strip/blister, box

28,591,389

6,000,475

20

40

Phenobarbital tablet 30 mg

41

Phenoxymethylpenicillin (penicillin V) tablet 250 mg

Amoxicillin caplet 500 mg

100 caplet/strip, box

134,802,623

24,282,556

19

42

Phenoxymethylpenicillin (penicillin V) tablet 500 mg

100 tablets / box

Amoxicillin dry syrup 125 mg/ 5 mg

Bottle 60 ml

53,920,312

6,864,679

16

43

Phenol Glycerol ear drops 10%

24 btl @ 5 ml / box

Metampyron tablet 500 mg

1,000 tablets / bottle

47,147,417

10,246,867

19

44

Phytomenadion (Vit. K1) injection 10 mg/ml

30 ampoules / box

846,200

9
10

Metampyron injection 250 mg


Antacids DOEN I chewable tablet,

11
12
13

Antifungi DOEN Combination : Benzoic Acid 6% +

% Availability
6

Bottle 300 ml

2,216,258

Phenytoin Sodium Injection 50 mg/ml

ampoules @ 2 ml

1,257,334

353,723

39

Phenobarbital Injection I.m/I.v 50 mg/ml

30 ampoules / box

890,196

195,113

48

1000 tablets / bottle

6,766,624

2,458,623

52

623,494

104,341

28

606,940

170,134

19

653,147

129,452

36

163,014

34

100 tablets / box

308,483

18

30 ampoules / box

2,734,559

616,561

20

45

Phytomenadion (Vit. K1)sugar coated tablet 10 mg

100 tablets / bottle

3,281,298

938,140

24

btl 1,000 tablets

55,806,774

16,961,945

23

46

Furosemid tablet 40 mg

box 20 x 10 tablets

3,145,964

1,011,150

29

Anti Bacterial DOEN ointment combination:

25 tube @ 5 g / box

2,055,339

476,868

19

47

14

885,077

124,402

22

48

Bottle 30 ml
100 kantong/kotak tahan

147,018

10 supp / box

Gameksan lotion 1 %
Rehydration Salts I powder combination : Sodium

891,672

Antihemoroid DOEN combination : Bismuth

8,739,343

2,118,613

21

24 pot @ 30 g / box

2,744,440

276,475

28

49

Gentian Violet Larutan 1 %

Bottle 10 ml

4,344,808

665,011

33

14

Antimigrain : Ergotamin tartrat 1 mg + Coffein 50

100 tablets / bottle

1,289,585

278,391

21

50

Glibenclamide tablet 5 mg

15

Antiparkinson DOEN tablet combination : Carbidopa

box 10 x 10 tablets

538,462

127,795

51

51

Glyseryl Guaiakolat tablet 100 mg

16

Aqua Pro Injection Sterile, pyrogen free

10 vial @20 ml / box

1,138,976

243,416

24

52

Glyserin

btl 100 ml

17

Ascorbic Acid (vitamin C) tablet 50 mg

1,000 tablets / bottle

40,693,688

12,448,100

28

53

Glucose infusion solutions 5%

btl 500 ml

18

Acetilsalicylac Acid tablet 100 mg (Acetosal)

box 10 x 10 tablets

505,007

127,374

19

54

Glucose infusion solutions 10%

btl 500 ml

1,505,774

361,058

28

19

Acetilsalicylac Acid tablet 500 mg (Acetosal)

box 10 x 10 tablets

1,984,709

464,770

20

55

Glucose infusion solutions 40% steril (produk lokal)

267,963

62,828

53

20

Athropin sulfat tablet 0,5 mg

500 tablets / bottle

1,649,999

404,876

30

56

Griseofulvin tablet 125 mg, micronized

box 10 x 10 tablets

9,273,467

1,090,355

15

21

24 btl @ 5 ml / box

271,608

71,612

27

57

Haloperidol tablet 0,5 mg

box 10 x 10 tablets

411,875

95,498

46

22

Atropine eye drops 0,5%


Atropine injection l.m/lv/s.k. 0,25 mg/mL - 1 mL

30 ampoules / box

3,135,847

770,372

39

58

Haloperidol tablet 1,5 mg

box 10 x 10 tablets

881,990

221,068

35

23

Betamethasone cream 0,1 %

25 tube @ 5 g / box

1,467,643

293,502

25

59

Haloperidol tablet 5 mg

box 10 x 10 tablets

331,976

118,975

42

100 tablets / box

8,336,364

1,729,727

27

1,000 tablets / bottle

56,616,996

17,576,071

24

162,582

37,503

30

7,187,881

1,638,316

23

10 amp @ 25 ml, box

24

Dexamethasone injection I.v. 5 mg/ml

100 ampoules / box

1,657,432

389,870

34

60

Hydrochlorothiazide tablet 25 mg

1,000 tablets / bottle

10,906,392

2,520,724

38

25

Dexamethasone tablet 0,5 mg

1,000 tablets / bottle

92,741,669

19,829,814

26

61

Hydrocortison cream 2,5%

24 tube @ 5 g / box

3,666,430

650,910

19

26

Dextran 70-sterile infusion solution 6%

Bottle 500 ml

385,421

85,480

41

62

Ibuprofen tablet 200 mg

100 tablets / bottle

11,899,307

1,936,670

24

27

Dextrometorphan syrup 10 mg/5 ml (HBr)

Bottle 60 ml

23,717,274

3,463,916

19

63

Ibuprofen tablet 400 mg

box 10 x 10 tablets

24,954,922

1,970,784

29

28

Dextrometorphan tablet 15 mg (HBr)

1,000 tablets / bottle

36,455,819

10,461,632

35

64

Isosorbid Dinitrat sublingual tablet 5 mg

box 10 x 10 tablets

2,774,797

524,656

26

29

Diazepam Injection 5mg/ml

301,653

54,730

41

65

Calcium Lactate (Kalk) tablet 500 mg

1000 tablets / bottle

48,978,656

10,744,929

21

30

Diazepam tablet 2 mg

1,000 tablets / bottle

25,271,795

3,748,851

29

66

Captopril tablet 12,5 mg

box 10 x 10 tablets

8,360,181

1,819,635

25

31

Diazepam tablet 5 mg

250 tablets / bottle

1,544,883

277,725

36

67

Captopril tablet 25 mg

box 10 x 10 tablets

24,777,046

3,699,382

22

32

Diphenhydramine injection I.M. 10 mg/ml (HCL)

30 ampoules / box

2,374,355

490,618

22

68

Carbamazepim tablet 200 mg

box 10 x 10 tablets

1,081,286

222,467

21

33

Digoxin tablet 0,25 mg

100 tablets / box

2,493,712

531,456

23

69

Ketamin Injection 10 mg/ml

10 vial @ 20 ml, box

202,461

44,414

53

34

Ephedrin tablet 25 mg (HCL)

1,000 tablets / bottle

14,113,236

3,495,316

32

70

Klofazimin capsule 100 mg microzine

100 capsule / bottle

1,461,402

202,700

25

35

Atropa belladona extract tablet 10 mg

1,000 tablets / bottle

7,298,904

1,343,455

17

71

Chloramphenicol capsule 250 mg

250 capsule / bottle

27,637,611

3,728,042

25

36

Epinephrine (Adrenaline) injection 0,1% (as HCL)

661,976

141,995

31

72

Chloramphenicol ear drops 3 %

24 bottle @ 5 ml / box

2,597,998

244,210

17

30 ampoules / box

30 ampoules /box

Source: DG of Phamaceutical and Medical Device, MoH RI

Annex 4.40

NUMBER OF ADVANCE LEVEL OUTPATIENT (RJTL) VISIT


OF JAMKESMAS PARTICIPANTS, 2010
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Total

Source: Center of Managed Care MoH RI

Males

Advance Level Outpatient Care


Females

(3)

(4)

142,230
124,538
71,095
19,334
13,451
66,849
12,912
42,554
3,766
9,353
38,135
306,987
411,547
64,325
278,660
54,557
47,663
43,395
45,662
41,365
10,162
21,187
41,569
15,644
13,079
96,816
21,376
7,195
5,777
8,379
3,153
19,820
41,587
2,144,122

Males + Females
(5)

191,923
135,565
89,686
26,151
16,043
78,665
14,519
47,536
4,560
11,018
46,326
391,337
525,926
81,400
365,694
59,939
35,123
44,288
50,518
45,155
10,994
21,281
30,230
19,079
15,869
111,018
26,669
10,577
7,676
9,120
3,231
23,975
48,378
2,599,469

334,153
260,103
160,781
45,485
29,494
145,514
27,431
90,090
8,326
20,371
84,461
698,324
937,473
145,725
644,354
114,496
82,786
87,683
96,180
86,520
21,156
42,468
71,799
34,723
28,948
207,834
48,045
17,772
13,453
17,499
6,384
43,795
89,965
4,743,591

Annex 4.41

NUMBER OF ADVANCE LEVEL INPATIENT (RITL) CASE


OF JAMKESMAS PARTICIPANTS, 2010

No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Total

Source: Center of Managed Care MoH RI

Males

Advance Inpatient Care


Females

Males + Females

(3)

(4)

(5)

26,857
30,493
12,626
4,544
4,201
8,944
5,334
16,540
814
1,361
2,450
54,279
108,057
12,001
61,585
13,116
9,866
14,023
22,392
16,704
3,533
5,595
10,824
4,304
5,497
23,478
6,201
4,210
1,487
3,554
1,498
3,709
4,056

37,061
38,715
18,703
6,932
5,777
12,538
5,897
20,495
1,080
2,334
3,133
81,464
144,305
16,362
93,538
14,468
10,541
20,148
34,192
16,687
3,744
6,893
9,029
5,555
7,832
28,600
10,137
6,061
2,305
5,048
1,732
6,567
7,879

504,133

685,752

63,918
69,208
31,329
11,476
9,978
21,482
11,231
37,035
1,894
3,695
5,583
135,743
252,362
28,363
155,123
27,584
20,407
34,171
56,584
33,391
7,277
12,488
19,853
9,859
13,329
52,078
16,338
10,271
3,792
8,602
3,230
10,276
11,935
1,189,885

Annex 4.42

RECAPITULATION OF DISASTER BY TYPE AND NUMBER OF VICTIMS


2010

No

Type of Disaster

Number of
Provinces

Deaths

(1)

(2)

Number of Victims
Serious Injured/
Light Injured/
Inpatients
Outpatients

Missings

Internally
Displaced

(3)

(4)

(5)

(6)

(7)

(8)

1 Flood

27

33

59

26,565

12

90,604

2 Flash Flood

13

215

181

5,567

151

16,214

3 Flood and Landslide

19

12

594

10,096

4 Landslide

16

131

69

131

39

6,316

5 Tidal Wave

6 Tropical cyclon (high wind and whirlwind

14

10

38

187

104

7 Earthquake

49

269

12

5,096

8 Mountain explosion

382

2,787

63,286

428,159

9 Industrial accident

13

10 Technology Failure
(including gas stove explosion
11 Explosion (bomb, gas cylinder, etc

25

12 Conflict

16

33

331

184

44,344

13 Fire

29

27

215

2,850

14 Poisoned/Botulism

317

319

15 Earthquake & Tsunam

509

175

910

21

15,097

1,385

4,085

98,235

247

618,880

Total
Source: Center for Crisis Response, MoH RI, 2010

Annex 4.44

PERCENTAGE OF DRUG AND VACCINE AVAILABILITY IN INDONESIA


JUNE 2011
No

Name of Drug

Packing

Requirement
2011

Availability
on May 1, 2011

% Availability

No

Name of Drug

Packing

Requirement
2011

Availability
on May 1, 2011

73
74
75
76
77
78
79
80
81

Chlorpheniramine maleat (CTM) tablet 4 mg


Chlorpromazine injection i.m 5 mg/ml-2ml (HCL)
Chlorpromazine injection i.m 25 mg/ml (HCL)
Chlorpromazine coated tablet 25 mg (HCL)
Chlorpromazine HCl coated tablet 100 mg (HCL)
Anti Malaria DOEN combination Pirimetamin 25 mg +
Sulfadoxin 500 mg
Cotrimoxazol Suspension combination:
Sulfametoxazol 200 mg + Trimetoprim 40 mg/ 5 ml
Cotrimoxazol DOEN I (adult) combination :
Sulfametoxazol 400 mg, Trimetoprim 80 mg
Cotrimoxazol DOEN II (pediatric) combination :
Sulfametoxazol 100 mg, Trimetoprim 20 mg

82

Quinin tablet 200 mg

83

Quinin Dihydrochlorida injection 25%-2 ml


Lidocain injection 2% (HCL) + Epinephrin 1 : 80.000-2
ml

84

1,000 tablets / bottle


30 ampoules / box
30 ampoules / box
1,000 tablets / bottle
1,000 tablets / bottle

118,244,020
405,042
163,702
702,320
1,855,256

32,593,219
86,694
47,775
189,932
401,878

27
65
43
33
28

109
110
111
112
113

100 tablets / box

1,736,825

324,088

23

bottle 60 ml

38,762,772

4,309,447

box 10 x 10 tablets

37,124,662

box 10 x 10 tablets

Povidone Iodine solution 10 %


Povidone Iodine solution 10 %
Prednisone tablet 5 mg
Primaquine tablet 15 mg
Propiltiouracil tablet 100 mg

3,109,389
1,935,411
63,117,211
1,897,705
1,311,239

391,127
282,816
10,029,513
595,454
309,369

17
20
25
51
31

114 Propanol tablet 40 mg (HCL)

100 tablets / bottle

2,745,337

738,014

23

18

115 Reserpine tablet 0,10 mg

250 tablets / bottle

2,764,159

648,583

57

7,546,260

17

116 Reserpine tablet 0,25 mg

1,000 tablets /bottle

5,446,174

1,665,516

44

4,466,612

1,764,582

28

117 Ringer Lactate solution

btl 500 ml

18,579,917

4,214,549

21

box 60 tablets

976,507

280,228

27

118

22

30 ampoules / box

193,037

39,731

40

119

30 vial / box

2,734,233

391,139

24

120

Salep 2-4, combination: Salicylic acid 2% +


Sulphur precipitate 4%
Salicyl powder 2%
Serum Anti Bisa Ular Polivalen injection 5 ml (ABU
I)
Serum Anti Bisa Ular Polivalen injection 50 ml
(ABU II)
Anti Diphteri Serum injection 20.000 IU/vial
(A.D.S.)
Anti Tetanus Serum injection 1.500 IU/ampul
(A.T.S.)
Anti Tetanus Serum injection 20.000 IU/vial
(A.T.S.)
Cyanocobalamin (Vitamin B12) injection 500 mcg

Magnesium Sulfat injection (IV) 20%-25 ml

10 vial / box

123,241

42,793

57

121

86

Magnesium Sulfat injection (IV) 40%-25 ml

10 vial / box

94,076

31,952

40

122

87

Magnesium Sulfat powder 30 gram

10 sachets @ 30 gr / box

113,839

25,512

24

123

88

Mebendazol syrup 100 mg / 5 ml

Bottle 30 ml

384,662

60,356

25

124

89

Mebendazol tablet 100 mg


Metilergometrin Maleat (Metilergometrin) coated tablet
0,125 mg

664,460

132,413

45

125

6,276,528

642,144

17

126 Sodium Sulfacetamide eye drops 15 %

91

Metilergometrin Maleat injeksi 0,200 mg -1 ml

92
93
94
95

Metronidazol tablet 250 mg


Sodium Bicarbonat tablet 500 mg
Sodium Fluorescein eye drops 2 %
Sodium Chlorida infusion 0,9 %

96
97
98

Sodium Thiosulfat injection I.v. 25 %


Nistatin coated tablet 500.000 IU/g
Nistatin Vaginal coated tablet 100.000 IU/g

Bottle 30 ml
Bottle 300 ml
1,000 tablets / bottle
1,000 tablets / bottle
100 tablets / bottle

85

90

% Availability

box 5 x 6 tablets
box 10 x 10 tablets
30 ampoules / box
100 tablets / box
1,000 tablets / bottle
24 bottle @ 5 ml / box
Bottle / plastic 500 ml
box 10 amp @ 10 ml
box 10 x 10 coated tablets
box 10 x 10 vaginal tablets

915,477

133,153

21

127 Tetracaine HCL eye drops 0,5%

14,637,739
11,830,517
955,865
3,180,697

1,757,800
3,092,641
217,853
397,650

22
25
38
17

128
129
130
131

812,652
521,661
886,078

205,658
128,033
195,732

30
31
29

24 pot @ 30 g / box

2,026,650

427,644

50 gram / box

12,416,968

1,863,237

18

10 vial / box

750,723

168,102

24

1 vial / box

26,989,177

9,751,206

77

10 vial / box

2,542,110

541,783

15

768,798

123,754

16

1,175,676

326,911

23

10 ampoules / box
10 vial / box
100 ampoules / box

3,048,868

372,771

22

box 24 btl @ 5 ml

1,421,062

162,232

20

box 24 btl @ 5 ml

1,326,662

382,021

22

1,000 capsule / bottle


box 10 x 10 capsule
box 30 amp @ 1 ml
1,000 tablets / bottle

23,069,009
4,586,525
1,591,633
64,201,517

3,998,051
1,116,482
349,963
13,762,907

26
16
26
27

132 Tiopental Sodium powder injection 1,000 mg/amp


133 Trihexyphenidil tablet 2 mg
134 Vaccine Rabies Vero

ampoules @ 10 ml
box 10 x 10 tablets
1 kuur / set

65,554
1,491,918
372,106

21,934
321,118
102,322

38
50
16

135 Vitamin B Complex tablet


VACCINE

1,000 tablets / bottle

85,292,284

20,717,522

25

Tetracycline capsule 250 mg


Tetracycline capsule 500 mg
Thiamine (vitamin B1) injection 100 mg/ml
Thiamine (vitamin B1) tablet 50 mg (HCL/Nitrat)

99 Obat Batuk Hitam ( O.B.H.)


100 Oxytetracycline HCL eye ointment 1 %
101 Oxytetracycline injection I.m. 50 mg/ml-10 ml

Bottle 100 ml
25 tube @ 3,5 g / box
10 vial / box

28,227,179
2,346,931
491,460

4,208,101
498,100
69,872

18
19
18

136 BCG

2,099,247

680,411

19

102
103
104
105
106
107
108

30 ampoules / box
Bottle 60 ml
100 tablets / bottle
1,000 tablets / bottle
bottle @ 5 ml
box 30 x 2 score
1,000 tablets / bottle

2,591,294
47,219,120
3,467,807
122,881,960
914,892
3,743,392
60,545,338

482,981
6,475,166
1,469,499
32,705,240
262,425
867,727
12,126,863

19
17
35
27
22
30
24

137
138
139
140
141
142
143

4,524,864
1,044,349
2,453,182
4,122,780
4,136,106
4,545,648
548,251

758,556
125,989
704,796
1,008,969
866,415
1,192,320
16,135

17
20
22
18
17
19
10

321,972

8,152

16

Oxytocin injection 10 UI/ml-1 ml


Paracetamol syrup 120 mg / 5 ml
Paracetamol tablet 100 mg
Paracetamol tablet 500 mg
Pilokarpin eye drops 2 % (HCL/Nitrat)
Pyrantel tablet Score (base) 125 mg
Pyridoxine (Vitamin B6) tablet 10 mg (HCL)

TT
DT
CAMPAK 10 Doses
POLIO 10 Doses
DTP-HB
HEPATITIS B 0,5 ml ADS
POLIO 20 Doses

144 CAMPAK 20 Doses


Source: DG of Phamaceutical and Medical Device, MoH RI

Annex 5.1

NUMBER OF HEALTH CENTER AND ITS RATIO TO POPULATION


BY PROVINCE, 2006 - 2010
Ratio of Health Center
Number of Health Center
No

Provinces

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: Center for Data and Information, MoHRI

per 100,000 Population


2006

2007

2008

2009

2010

2006

2007

2008

2009

2010

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

274
445
224
154
140
249
126
235
47
45
342
999
858
117
930
177
110
130
251
205
154
201
186
130
144
362
159
55
62
125
62
81
236

311
463
228
156
148
259
140
248
51
51
341
1,002
871
117
929
180
112
134
253
211
163
204
192
142
145
374
153
55
66
142
64
83
246

301
495
227
183
158
278
142
253
50
59
351
999
842
120
940
194
114
142
278
224
169
214
205
144
144
395
208
73
70
153
91
96
236

309
500
242
176
163
284
167
264
55
61
339
1,008
849
119
944
196
114
145
288
229
169
213
207
159
165
395
223
75
77
135
96
105
266

315
506
246
193
169
293
170
265
58
66
341
1,028
867
121
946
217
114
150
309
231
174
214
217
170
160
416
233
76
81
156
100
106
297

6.73
3.52
4.84
2.52
5.22
3.61
8.04
3.26
4.37
3.36
3.82
2.52
2.67
3.45
2.54
1.92
3.21
3.05
5.76
4.98
7.95
6.01
6.34
6.02
6.13
4.20
7.94
5.84
6.25
9.83
6.75
11.77
8.87

7.36
3.61
4.85
3.08
5.40
3.69
8.66
3.40
4.61
3.66
3.76
2.48
2.69
3.41
2.52
1.91
3.22
3.12
5.69
5.05
8.04
6.01
6.35
6.49
6.05
4.86
7.53
5.73
6.49
10.91
6.78
11.59
2.05

7.01
3.80
4.77
3.53
5.67
3.90
8.65
3.42
4.45
4.06
3.84
2.44
2.58
3.46
2.53
2.02
3.24
3.25
6.13
5.27
8.21
6.21
6.62
6.52
5.91
5.06
10.02
7.51
6.78
11.58
9.48
13.15
11.48

8,015

8,234

8,548

8,737

9,005

3.50

3.61

3.65

7.08
3.77
5.01
3.32
5.75
3.93
10.02
3.52
4.83
4.03
3.68
2.43
2.58
3.40
2.53
2.00
3.21
3.27
6.23
5.30
8.10
6.09
6.54
7.13
6.65
4.99
10.53
7.62
7.35
10.08
9.85
14.12
12.68
3.74

7.01
3.90
5.08
3.48
5.47
3.93
9.91
3.48
4.74
3.93
3.55
2.39
2.68
3.50
2.52
2.04
2.93
3.33
6.60
5.25
7.87
5.90
6.11
7.49
6.07
5.18
10.44
7.31
6.99
10.17
9.63
13.94
10.48
3.79

Annex 5.2

NUMBER OF HEALTH CENTER WITH BED AND HEALTH CENTER WITHOUT BED
BY PROVINCE, 2006 - 2010
Number of Health Center with Bed
No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

2006

2007

2008

2009

2010

Health Center
PONED 2010

(3)

(4)

(5)

(6)

(7)

(8)

Provinces
(2)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source: Center for Data and Information, MoHRI


DG Health Effort, MoH (column 8 and 14)

85
145
81
46
41
76
34
39
17
16
50
142
241
38
336
34
22
44
124
71
52
36
87
59
64
179
52
17
22
54
31
41
121
2,497

125
122
84
49
59
86
35
80
19
17
50
150
269
38
365
34
23
58
111
71
54
40
82
65
64
189
48
18
24
59
30
33
132
2,683

66
144
68
45
51
77
35
37
14
24
54
140
232
41
392
42
24
86
69
82
47
42
96
66
67
168
63
17
22
29
27
26
45
2,438

115
129
81
51
56
80
37
51
20
24
51
171
234
41
365
46
27
80
93
94
55
46
100
72
63
205
69
22
31
48
27
36
84
2,704

116
140
85
53
59
82
39
58
18
26
52
237
252
42
396
50
28
81
110
93
69
48
93
84
68
208
70
23
35
56
27
36
86
2,920

51
62
73
32
43
49
23
56
10
18
17
143
145
27
217
44
29
39
65
18
26
54
43
45
54
64
30
19
33
26
18
0
6
1,579

Number of Health Center without Bed


Sub Health Center
2006

2007

2008

2009

2010

(9)

(10)

(11)

(12)

(13)

189
300
143
108
99
173
92
196
30
29
292
857
617
79
594
143
88
86
127
134
102
165
99
71
80
183
107
38
40
71
31
40
115
5,518

186
341
144
107
89
173
105
168
32
34
291
852
602
79
564
146
89
76
142
140
109
164
110
77
81
185
105
37
42
83
34
50
114
5,551

235
351
159
138
107
201
107
216
36
35
297
859
610
79
548
152
90
56
209
142
122
172
109
78
77
227
145
56
48
124
64
70
191
6,110

194
371
161
125
107
204
130
213
35
37
288
837
615
78
579
150
87
65
195
135
114
167
107
87
102
190
154
53
46
87
69
69
182
6,033

199
366
161
140
110
211
131
207
40
40
289
791
615
79
550
167
86
69
199
138
105
166
124
86
92
208
163
53
46
100
73
70
211
6,085

(14)

881
1,801
857
723
547
983
466
766
155
204
2
1,600
1,759
321
2,252
267
523
494
893
806
834
593
633
457
650
1,300
462
250
209
311
226
271
553
23,049

Annex 5.3

NUMBER OF HOSPITAL IN INDONESIA


BY MANAGEMENT AND PROVINCE, 2010
MoH/Government
No

Provinces
General Specific
Hospital Hospital

(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Other Ministry/State-Owned
Enterprises

Army/Police

(2)

(3)

(4)

Total
(5)

General Specific
Hospital Hospital
(6)

(7)

Total
(8)

General Specific
Hospital Hospital
(9)

(10)

Total
(11)

Total Hospital

Private
General Specific
Hospital Hospital
(12)

(13)

Total
(14)

General Specific
Hospital Hospital
(15)

(16)

Total
(17)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua

21
31
18
14
12
18
11
11
7
8
9
34
47
6
50
6
10
8
17
13
14
14
16
12
12
26
12
6
4
11
10
5
13

3
5
2
1
1
4
1
1
1
0
7
8
8
1
8
1
2
3
0
3
0
1
3
1
1
8
1
1
0
1
0
0
2

24
36
20
15
13
22
12
12
8
8
16
42
55
7
58
7
12
11
17
16
14
15
19
13
13
34
13
7
4
12
10
5
15

4
8
3
4
2
2
2
2
0
2
8
13
11
2
20
2
2
2
2
4
1
4
4
3
2
6
2
0
0
4
2
2
4

0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

4
8
3
4
2
2
2
2
0
2
9
13
11
2
21
2
2
2
2
4
1
4
4
3
2
6
2
0
0
4
2
2
4

3
17
1
4
2
5
0
0
0
2
5
6
3
0
14
1
0
0
0
1
0
2
2
0
0
1
1
0
0
0
0
1
0

0
1
0
0
0
0
0
0
0
0
1
1
0
1
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0

3
18
1
4
2
5
0
0
0
2
6
7
3
1
16
1
0
0
0
1
0
2
2
0
0
2
1
0
0
0
0
1
0

10
78
9
13
4
7
1
16
2
7
57
89
92
22
65
16
20
4
10
7
0
4
9
15
4
12
4
1
1
6
1
2
5

2
8
10
4
1
2
0
3
0
2
42
40
48
17
24
11
7
0
1
3
0
4
1
0
4
9
1
0
0
1
0
0
0

12
86
19
17
5
9
1
19
2
9
99
129
140
39
89
27
27
4
11
10
0
8
10
15
8
21
5
1
1
7
1
2
5

38
134
31
35
20
32
14
29
9
19
79
142
153
30
149
25
32
14
29
25
15
24
31
30
18
45
19
7
5
21
13
10
22

5
14
12
5
2
6
1
4
1
2
51
49
56
19
35
12
9
3
1
6
0
5
4
1
5
18
2
1
0
2
0
0
2

43
148
43
40
22
38
15
33
10
21
130
191
209
49
184
37
41
17
30
31
15
29
35
31
23
63
21
8
5
23
13
10
24

Indonesia

506

79

585

129

131

71

78

593

245

838

1,299

333

1,632

Source: DG Health Effort, MoH

Annex 5.4

NUMBER OF HOSPITAL AND BED


BY MANAGEMENT 2006 - 2010
2007

2006
No

2008

2009

2010

Management

(1)

(2)

Total

Number of Bed

Total

Number of Bed

Total

Number of Bed

Total

Number of Bed

Total

Number of Bed

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Ministry of Health

13

8,784

13

8,777

13

9,044

13

9,131

13

8,873

Provincial Government

43

12,834

43

13,182

43

13,605

44

14,029

48

13,955

District/Municipalities
Government

334

35,375

345

37,575

375

41,285

416

47,811

445

49,436

Army/Police

110

10,842

110

10,836

110

10,907

123

11,821

129

11,771

Other Ministries/State-Owned

71

6,880

71

6,851

71

6,643

71

6,747

71

6,925

Private

441

43,789

451

45,074

467

47,266

535

52,064

593

52,468

1,012

118,504

1,033

122,295

1,079

128,750

1,202

141,603

1,299

143,428

Total
Source: DG Health Effort, MoH

Annex 5.5

NUMBER OF GENERAL HOSPITAL AND BED OF MOH/GOVERNMENT OWNERSHIP


BY HOSPITAL CLASS AND PROVINCE, 2010
Class A
No

Class B

Class C

Class D

Total

Provinces

(1)

(2)

Total

Bed

Total

Bed

Total

Bed

Total

Bed

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Bed
(12)

Aceh

763

12

1,164

265

21

2,192

North Sumatera

482

1,769

19

1,392

133

31

3,776

West Sumatera

1,056

14

1,313

117

18

2,486

Riau

415

10

974

353

14

1,742

Jambi

321

788

104

12

1,213

South Sumatera

860

73

1,058

423

18

2,414

Bengkulu

298

228

268

11

794

Lampung

812

698

147

11

1,657

Bangka Belitung Island

347

250

597

10

Riau Island

514

50

564

11

DKI Jakarta

1,601

1,624

214

3,439

12

West Java

852

18

3,856

13

1,575

92

34

6,375

13

Central Java

888

20

6,151

20

3,638

473

47

11,150

14

DI Yogyakarta

733

496

124

1,353

15

East Java

1,447

19

4,965

23

3,020

337

50

9,769

16

Banten

1,043

136

1,179

17

Bali

667

835

427

50

10

1,979

18

West Nusa Tenggara

322

672

50

1,044

19

East Nusa Tenggara

284

544

11

790

17

1,618

20

West Kalimantan

618

581

126

13

1,325

21

Central Kalimantan

451

466

253

14

1,170

22

South Kalimantan

682

10

850

78

14

1,610

23

East Kalimantan

1,158

613

199

16

1,970

24

North Sulawesi

735

466

405

12

1,606

25

Central Sulawesi

441

532

153

12

1,126

26

South Sulawesi

580

901

18

1,630

76

26

3,187

27

Southeast Sulawesi

212

407

250

12

869

28

Gorontalo

282

68

200

550

29

West Sulawesi

139

90

229

30

Maluku

353

147

402

11

902

31

North Maluku

160

118

350

11

628

32

West Papua

394

50

444

33

Papua

348

561

398

13

1,307

10

8,110

120

31,424

250

25,798

126

6,932

506

72,264

Indonesia
Source: DG Health Effort, MoH

Annex 5.6

NUMBER OF SPECIFIC HOSPITAL AND BED


BY TYPE OF HOSPITAL, 2006 - 2010
2006
No

Type of Hospital

(1)

(2)

2007

2008

2009

2010

Hospital

Bed

Hospital

Bed

Hospital

Bed

Hospital

Bed

Hospital

Bed

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

RS Jiwa

51

8,630

51

8,726

51

8,781

51

9,206

51

9,121

RS Kusta

22

2,137

22

2,133

22

2,168

22

2,224

22

2,170

RS Tuberkulosa Paru

718

10

757

11

782

10

731

10

757

RS Mata

10

459

10

418

10

418

11

423

13

515

RS Bersalin

57

2,458

57

2,635

57

2,577

61

2,475

65

2,502

RS Ibu dan Anak

69

3,388

74

3,556

79

3,804

95

4,591

107

5,130

RS Khusus Lainnya

62

2,157

62

2,187

62

2,258

71

2,427

65

2,665

280

19,947

286

20,412

292

20,788

321

22,077

333

22,860

Total
Source: DG Health Effort, MoH

Annex 5.7

NUMBER OF BED IN GENERAL HOSPITAL AND SPECIFIC HOSPITAL


BY BED CLASS AND PROVINCE, 2009
Bed Class
No

Provinces

(1)

(2)

VIP

Number of Bed

(3)

Class I

Class II

Class III

Without Class

Total

Total

Total

Total

Total

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

Aceh

North Sumatera

3,351

129

241

556

17

1,247

37

1,178

35

13,544

638

1,334

10

2,315

17

6,163

46

3,094

23

West Sumatera

4,312

350

Riau

2,983

266

442

10

1,069

25

1,909

44

542

13

303

10

600

20

1,160

39

654

22

Jambi

1,662

151

210

13

300

South Sumatera

4,727

322

588

12

840

18

571

34

430

26

18

2,198

46

779

Bengkulu

987

55

56

130

16

13

210

21

536

Lampung

3,091

253

251

54

551

18

1,450

47

586

19

Bangka Belitung Island

861

32

52

211

25

377

44

189

22

10

Riau Island

1,588

91

166

10

270

17

647

41

414

26

11

DKI Jakarta

16,998

1,974

12

2,126

13

3,650

21

5,886

35

3,362

20

12

West Java

19,368

1,404

2,142

11

4,491

23

7,167

37

4,164

21

13

Central Java

23,574

2,294

10

2,936

12

5,265

22

7,523

32

5,556

24

14

DI Yogyakarta

23

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

19

East Nusa Tenggara

20

West Kalimantan

21

4,141

323

506

12

911

22

1,432

35

969

22,268

1,601

2,171

10

5,041

23

9,952

45

3,503

16

3,319

154

411

12

693

21

1,191

36

870

26

3,473

392

11

457

13

636

18

1,123

32

865

25

1,602

112

167

10

289

18

818

51

216

13

2,448

129

273

11

426

17

1,039

42

581

24

3,254

123

291

563

17

1,547

48

730

22

Central Kalimantan

1,054

92

88

150

14

394

37

330

31

22

South Kalimantan

2,439

247

10

230

464

19

994

41

504

21

23

East Kalimantan

3,575

280

327

702

20

1,458

41

808

23

24

North Sulawesi

3,218

85

284

642

20

1,542

48

665

21

25

Central Sulawesi

1,708

73

196

11

279

16

712

42

448

26

26

South Sulawesi

7,447

473

764

10

1,186

16

2,756

37

2,268

30

27

Southeast Sulawesi

1,211

57

108

161

13

479

40

406

34

28

Gorontalo

510

35

24

81

16

204

40

166

33

29

West Sulawesi

279

28

10

22

58

21

125

45

46

16

30

Maluku

31

North Maluku

32

West Papua

33

Papua
Indonesia

Source: DG Health Care, MoH

1,653

48

68

192

12

894

54

451

27

696

20

20

83

12

214

31

359

52

686

53

22

66

10

445

65

100

15

1,653

21

98

229

14

824

50

481

163,680

12,305

7.5

17,374

10.6

33,100

20.2

64,651

39.5

36,250

29
22.1

Annex 5.8

NUMBER OF PRODUCTION FACILITY


IN PHARMACEUTICAL AND MEDICAL DEVICE BY PROVINCE, 2008-2010

No

Provinces

(1)

(2)

Pharmaceutical Industry

Traditional Drug Industry

Traditional Drug Small Industry

Medical Device Production

Household and Health Supply

Cosmetics Industry

2008

2009

2010

2008

2009

2010

2008

2009

2010

2008

2009

2010

2008

2009

2010

2008

2009

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

Aceh

North Sumatera

West Sumatera

Riau

Jambi

South Sumatera

Bengkulu

Lampung

Bangka Belitung Island

10

2010
(20)

10

19

10

78

79

98

13

26

37

32

41

41

56

11

13

15

15

13

16

Riau Island

11

DKI Jakarta

22

23

46

28

116

173

37

46

35

103

120

62

20

70

46

12

West Java

77

91

95

32

32

37

184

184

191

63

80

80

162

192

194

108

107

115

13

Central Java

31

25

23

14

36

282

281

14

18

23

50

55

40

45

26

38

14

DI Yogyakarta

42

40

61

15

East Java

54

54

45

17

17

15

411

388

136

17

25

25

64

80

46

150

151

113

16

Banten

30

28

30

17

20

47

54

57

15

20

19

76

87

86

38

37

100

17

Bali

13

12

18

24

12

18

West Nusa Tenggara

11

19

East Nusa Tenggara

20

West Kalimantan

10

13

21

Central Kalimantan

22

South Kalimantan

26

29

26

19

20

20

23

East Kalimantan

15

15

15

24

North Sulawesi

25

Central Sulawesi

26

South Sulawesi

10

13

27

Southeast Sulawesi

28

Gorontalo

29

West Sulawesi

30

Maluku

31

North Maluku

11

32

West Papua

33

Papua

232

238

251

67

78

98

951

1,293

1,152

164

214

204

507

600

481

453

492

526

TOTAL
Source: DG Pharmaceutical and Medical Supply, MoH

Annex 5.9

NUMBER OF DISTRIBUTION FACILITY


IN PHARMACEUTICALS AND MEDICAL DEVICE BY PROVINCE, 2008-2010

Wholesaler
No

Provinces

(1)

(2)

Pharmacy/Dispensary

Drug Store

Medical Device Distributor

Medical Device Sub Distributor

2008

2009

2010

2008

2009

2010

2008

2009

2010

2008

2009

2010

2008

2009

2010

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

Aceh

51

52

62

170

209

254

576

560

596

99

125

North Sumatera

131

103

106

107

769

768

971

738

737

805

13

15

36

128

128

186

West Sumatera

74

81

49

296

295

419

482

478

360

Riau

81

91

89

313

346

452

328

546

434

18

57

89

86

235

235

251

Jambi

47

49

54

151

166

206

167

176

161

South Sumatera

95

95

98

225

243

309

95

114

136

44

55

48

106

106

128

Bengkulu

17

19

20

96

99

140

95

90

76

72

72

84

Lampung

48

53

54

212

225

321

157

113

79

65

65

67

Bangka Belitung Island

10

14

14

62

70

91

79

92

103

30

30

35

10

Riau Island

28

33

34

129

160

154

336

377

341

38

55

63

11

DKI Jakarta

279

283

357

1,162

1,746

1,862

732

604

549

499

618

564

268

268

481

12

West Java

365

393

362

2,256

2,256

2,420

872

872

1,362

58

73

132

244

244

283

13

Central Java

329

325

327

522

1,820

2,514

361

361

381

17

23

22

114

14

DI Yogyakarta

42

44

43

355

359

418

52

57

60

96

96

107

15

East Java

461

461

492

1,586

1,586

2,418

218

217

298

27

34

47

274

274

348

16

Banten

79

81

89

137

401

561

111

31

37

52

12

20

37

17

Bali

81

82

73

383

462

466

159

165

203

109

96

69

18

West Nusa Tenggara

38

38

39

162

173

207

102

102

116

92

92

108

19

East Nusa Tenggara

27

28

39

103

103

157

183

183

141

153

153

63

20

West Kalimantan

69

74

54

130

160

163

270

337

327

97

107

121

21

Central Kalimantan

14

15

14

84

126

157

162

141

128

49

50

50

22

South Kalimantan

59

61

55

171

199

227

433

460

426

154

159

118

23

East Kalimantan

52

47

47

263

349

392

300

336

233

111

152

152

24

North Sulawesi

43

43

47

122

139

165

40

73

101

109

143

148

25

Central Sulawesi

26

South Sulawesi

27

Southeast Sulawesi

28

Gorontalo

29

23

24

25

124

148

178

112

174

161

102

103

96

134

134

118

468

518

319

436

116

366

150

150

201

13

13

16

105

109

150

165

165

106

90

139

37

55

61

74

41

40

53

25

18

11

West Sulawesi

28

45

60

33

44

45

30

Maluku

34

54

31

25

29

21

64

42

42

31

North Maluku

18

19

13

60

59

86

125

125

95

62

77

52

32

West Papua

13

13

13

71

75

96

44

46

52

33

Papua

38

37

43

127

142

165

13

14

21

151

212

67

2,743

2,821

2,855

10,931

13,671

16,603

7,940

7,953

8,447

667

826

889

3,296

3,566

3,800

TOTAL
Source: DG Pharmaceutical and Medical Supply, MoH

Annex 5.10

NUMBER OF HEALTH EFFORT COMMUNITY BASED (UKBM ) BY PROVINCE IN INDONESIA, 2009

No
(1)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Provinces

Number of
Village/Kelurahan

Desa / Kelurahan /
RW Siaga /
Poskesdes

Kader / Toma
Terlatih

Posyandu

Ratio of Desa
Siaga/Poskesdes to
Village

Ratio of Posyandu
to Village

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku
West Papua
Papua
Indonesia

Source :
DG Community Health, MoH
Center for Health Promotion, MoH

6,420
5,649
964
1,500
1,319
2,869
1,442
2,358
361
331
267
5,827
8,577
438
8,502
1,530
698
913
2,775
1,777
1,439
1,973
1,404
1,510
1,712
2,874
1,825
595
564
898
1,041
1,291
3,583
75,226

2021
3660
2328
1142
854
2362
1274
1371
275
192
1176
5378
7529
420
8446
508
462
888
574
1014
410
1668
636
984
1080
2610
1008
280
79
574
211
532
50
51,996

4500
3548
200
1950
4754
1878
4050
714
1059
990
4500
3750
714
4086
1800
780
2664
600
199
515
1770
4459
2520
1968
612
660
1248
360
1200
58,048

7,039
13,861
6,680
4,679
2,992
5,775
1,812
7,480
948
903
4,190
45,632
47,763
5,654
46,060
9,548
4,719
6,133
5,792
4,057
2,262
3,538
4,455
2,226
3,015
8,097
2,324
1,228
1,441
1,894
1,318
1,122
2,190
266,827

0.31
0.65
2.41
0.76
0.65
0.82
0.88
0.58
0.76
0.58
4.40
0.92
0.88
0.96
0.99
0.33
0.66
0.97
0.21
0.57
0.28
0.85
0.45
0.65
0.63
0.91
0.55
0.47
0.14
0.64
0.20
0.41
0.01
0.69

1.10
2.45
6.93
3.12
2.27
2.01
1.26
3.17
2.63
2.73
15.69
7.83
5.57
12.91
5.42
6.24
6.76
6.72
2.09
2.28
1.57
1.79
3.17
1.47
1.76
2.82
1.27
2.06
2.55
2.11
1.27
0.87
0.61
3.55

Annex 5.11

NUMBER OF HEALTH POLYTECHNIC INSTITUTION (POLTEKKES )


BY PROGRAM AND PROVINCE, 2010
Study Program

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

Total

Perekam
Informasi
Kesehatan

Ortotic
Prostetic

Dental Health

Radiodiagnostic
Technic

Electromedic
Technic

Acupuncture

Speech
Therapy

Occupation
Therapy

Physiotherapy

(9)

Medical Technician
Health Analyst

Physical Therapy

Nutrition

Nutrition

Environmental
Health

Public Health

Pharmacy &
Food Analyst

Pharmacy

Midwifery

Poltekkes
Nursery

No

Pharmacy
Dental Health

Nursery

(18)

(19)

(20)

Banda Aceh

10

Medan

Padang

Pekanbaru

Jambi

Palembang

12

Bengkulu

Tanjung Karang

10

Jakarta I

10

Jakarta II

11

Jakarta III

12

Bandung

12

13

Tasikmalaya

14

Semarang

14

15

Surakarta

16

Yogyakarta

17

Surabaya

12

18

Malang

19

Denpasar

20

Mataram

21

Kupang

22

Pontianak

23

Palangkaraya

24

Banjarmasin

25

Samarinda

26

Manado

27

Palu

28

Makassar

13

29

Kendari

30

Gorontalo

31

Ambon

32

Ternate

33

Jayapura

11

34

Sorong
TOTAL
%

71

57

18

23

30

18

243

29.2

23.5

7.4

3.7

0.4

9.5

12.3

0.8

0.4

0.4

0.4

7.4

0.8

1.2

0.8

0.8

0.8

100

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.12

NUMBER OF NON HEALTH POLYTECHNIC INSTITUTION (NON-POLTEKKES )


BY STUDY PROGRAM AND PROVINCE, 2010

(3)

(4)

(8)

(9)

(10)

(11)

(12)

(13)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(22)

D-III
Kardiovaskuler

D-I PTTD

ATEM

APIKES

ARO

ATRO

AAK

ATG

SMAK

ATW

(14)

Medical Technician

D-III AKUPUNTUR

Physical Therapy

AKFIS

Nutrition

AKZI

AKL

(7)

Public Health

AKAFARMA

(6)

SMKF

(5)

SMF

AKG

(2)

AKBID

(1)

AKPER

SPRG

Provinces
SPK

No

Pharmacy

AKFAR

Nursery

(23)

(24)

Total

(25)

(26)

Aceh

14

33

57

North Sumatera

42

55

117

West Sumatera

13

10

34

Riau

20

34

Jambi

15

South Sumatera

12

16

35

Bengkulu

Lampung

10

17
7

Bangka Belitung Island

10

Riau Island

11

DKI Jakarta

33

21

89

12

West Java

13

15

42

81

13

Central Java

44

58

12

154

14

DI Yogyakarta

16

15

East Java

42

28

101

16

Banten

15

17

Bali

18

West Nusa Tenggara

16

19

East Nusa Tenggara

20

West Kalimantan

11

21

Central Kalimantan

22

South Kalimantan

15

23

East Kalimantan

17

24

North Sulawesi

25

Central Sulawesi

26

South Sulawesi

23

26

22

87

27

Southeast Sulawesi

12

28

Gorontalo

29

West Sulawesi

30

Maluku

31

North Maluku

32

West Papua

33

Papua

33

322

349

50

43

15

43

13

17

12

22

20

986

TOTAL

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.13

NUMBER OF ACADEMIC FIELD/STUDY PROGRAM OF HEALTH POLYTECHNIC (POLTEKKES )


BY ACCREDITATION AND STRATA, 2010

No

Poltekkes

Number of Academic
Field/Study Program

(1)

(2)

(3)

Strata

Have Accreditation

Not have Accreditation Yet

Total

Total

Total

Total

Total

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

Banda Aceh

10

70

14

86

Medan

100

22

78

30
0

Pekanbaru

86

83

17

14

Padang

33

100

67

Jambi

100

50

50

Bengkulu

12

67

75

33

Palembang

Tanjung Karang

57

50

50

43

10

80

100

20
25

Jakarta I

75

67

33

10

Jakarta II

100

57

43

11

Jakarta III

100

100

12

Bandung

12

11

92

82

18

13

Tasikmalaya

63

100

38

14

Yogyakarta

14

43

100

15

Semarang

11

157

82

18

43

16

Surakarta

100

50

50

17

17

Surabaya

12

12

100

10

83

17

18

Malang

100

71

29

19

Denpasar

71

40

60

29

20

Mataram

100

80

20

21

Kupang

78

100

22

22

Pontianak

100

33

67

23

Palangkaraya

67

100

33

24

Samarinda

100

50

50

25

Banjarmasin

50

50

50

50

26

Palu

86

100

14

27

Makassar

75

28

Kendari

13

31

100

29

Manado

267

25

75

167

30

Gorontalo

100

100

31

Ambon

100

67

33

32

Ternate

33

Jayapura

34

Sorong
Total

67

100

33

11

36

100

64

20

100

80

243

192

79.01

87

45.3

100

52.1

2.6

51

20.99

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.14

NUMBER OF NON POLYTECHNIC INSTITUTION (NON-POLTEKKES )


BY ACCREDITATION AND STRATA, 2010
Strata
No

Provinces

Number of
Institution

(1)

(2)

(3)

Have Accreditation
A

No Accreditation yet

Total

Total

Total

Total

Total

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

Aceh

North Sumatera

57

23

77

20

30

53

27

47

117

66

75

16

18

88

75

29

25

West Sumatera

34

10

16

Riau

34

12

15

76

14

21

62

13

38

88

17

50

17

50

Jambi

15

60

40

South Sumatera

35

28

13

52

20

25

71

10

29

Bengkulu

20

80

56

44

Lampung

17

11

92

12

71

29

Bangka Belitung Island

100

29

71

10

Riau Island

100

11

DKI Jakarta

89

10

70

89

79

89

10

11

12

West Java

81

15

17

85

20

25

61

75

13

Central Java

154

18

17

85

79

108

70

46

30

14

DI Yogyakarta

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

19

East Nusa Tenggara

20

West Kalimantan

21

Central Kalimantan

22

South Kalimantan

15

23

East Kalimantan

17

24

North Sulawesi

25

Central Sulawesi

26

South Sulawesi

88

27

Southeast Sulawesi

12

28

Gorontalo

29

West Sulawesi

30

16

25

75

50

50

101

24

30

56

69

81

80

20

20

15

20

80

33

10

67

100

38

63

16

25

75

25

12

75

100

60

40

11

25

75

73

27

100

43

57

40

60

10

67

33

20

80

10

59

41

80

20

100

14

71

14

100

23

64

12

33

36

41

52

59

100

58

42

Maluku

100

100

100

31

North Maluku

100

32

West Papua

33

Papua

100

25

75

986

86

14.1

471

52

8.5

609

61.76

378

38.34

Total

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

77.3

Annex 5.15

NUMBER OF HEALTH PERSONNEL INSTITUTION OF NON-HEALTH POLYTECHNIC BY OWNERSHIP, 2010


No.

Number of Health Personnel

Local Government

Army/Police

Private

Total

(1)

(2)

(3)

(4)

(5)

(6)

NURSERY
1
Sekolah Perawat Kesehatan (SPK)
2
Akademi Keperawatan (AKPER)
3
Akademi Kebidanan (AKBID)
4
Sekolah Pengatur Rawat Gigi (SPRG)
5
Akademi Kesehatan Gigi (AKG)
Sub Total
PHARMACY
1
Sekolah Menengah Farmasi (SMF)
2
SMKF
3
Akademi Analis Farmasi dan Makanan (AKAFARMA)
4
Akademi Farmasi (AKFAR)
Sub Total
PUBLIC HEALTH
1 Akademi Kesehatan Lingkungan (AKL)
Sub Total
NUTRITION
1
Akademi Gizi (AKZI)
Sub Total
PHYSICAL THERAPY
1
Akademi Fisioterapi (AKFIS)
2
Akademi Okupasi Terapi (AOT)
3
Akademi Terapi Wicara (ATW)
4
Akademi Akupunktur
Sub Total
MEDICAL TECHNICIAN
1
Sekolah Menengah Analis Kesehatan (SMAK)
2
Akademi Analis Kesehatan (AAK)
3
Akademi Tekniker Gigi (ATG)
4
D-I Pendidikan Teknik Transfusi Darah (PTTD)
5
Akademi Teknik Radiodiagnostik dan Radioterapi (ATRO)
6
Akademi Perekam Informasi Kesehatan (APIKES)
7
Akademi Teknik Elektromedik (ATEM)
8
Akademi Refraksionis Optisi (ARO)
9
Akademi Teknik Kardiovaskuler
Sub Total
Total
%

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

1
69
18
0
0
88

4
16
1
3
0
24

28
237
330
1
1
597

33
322
349
4
1
709

0
0
0
2
2

3
0
0
1
4

90
0
15
40
145

93
0
15
43
151

1
1

0
0

12
12

13
13

1
1

0
0

7
7

8
8

0
0
0
0
0

0
0
0
0
0

17
0
1
3
21

17
0
1
3
21

1
2
0
0
0
0
0
0
0
3
95
9.63

1
0
1
0
0
0
1
0
0
3
31
3.14

10
20
1
2
9
20
6
9
1
78
860
87.22

12
22
2
2
9
20
7
9
1
84
986
100

Annex 5.16

RECAPITULATION OF POLTEKKES STUDENT BY TYPE OF HEALTH PERSONNEL


ACADEMIC YEAR 2010/2011
Poltekkes
No

Type of Health Personnel

(1)

(2)

NURSERY
AKPER
AKBID
AKG
Sub Total

Total
Level I

Level II

Level III

(3)

(4)

(5)

7,192
5,443
1,635
14,270

7,476
5,025
1,655
14,156

7,476
5,298
1,530
14,304

22,144
15,766
4,820
42,730

80
680
760

125
625
750

125
625
750

330
1,930
2,260

2,245
2,245

2,065
2,065

2,065
2,065

6,375
6,375

2,360
2,360

2,265
2,265

2,353
2,353

6,978
6,978

225
50
40
100
415

190
50
40
40
320

190
50
40
40
320

605
150
120
180
1,055

1,300
120
0
295
0
245
0
20
0
1,980
22,030

1,105
100
0
100
0
225
0
20
0
1,550
21,106

1,105
100
0
160
0
225
0
20
0
1,610
21,402

3,510
320
0
555
0
695
0
60
0
5,140
64,538

PHARMACY
AKAFARMA
AKFAR
Sub Total
PUBLIC HEALTH
AKL
Sub Total
NUTRITION
AKZI
Sub Total
PHISICAL THERAPY
AKFIS
AOT
ATW
AKUPUNKTUR
Sub Total
MEDICAL TECHNICIAN
AAK
ATG
PTTD
ATRO
APIKES
ATEM
ARO
AOP
KARDIOVASKULER
Sub Total
Total

(6)

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.17

RECAPITULATION OF NON POLTEKKES STUDENT BY TYPE OF HEALTH PERSONNEL


ACADEMIC YEAR 2010/2011
Non Poltekkes
No

Type of Health Personnel

(1)

(2)

NURSERY
SPK
AKPER
AKBID
SPRG
AKG
Sub Total
PHARMACY
SMF
AKAFARMA
AKFAR
Sub Total
PUBLIC HEALTH
AKL
Sub Total
NUTRITION
AKZI
Sub Total
PHYSICAL THERAPY
AKFIS
AOT
ATW
AKUPUNKTUR
Sub Total
MEDICAL TECHNICIAN
SMAK
AAK
ATG
PTTD
ATRO
APIKES
ATEM
ARO
AOP
KARDIOVASKULER
Sub Total
Total

Total
Level I

Level II

Level III

(3)

(4)

(5)

(6)

1,360
33,623
28,355
400
140
63,878

1,760
31,980
28,908
400
100
63,148

1,280
30,795
41,016
400
40
73,531

4,400
96,398
98,279
1,200
280
200,557

5,820
1,835
3,815
11,470

6,013
1,655
3,780
11,448

4,790
1,490
2,840
9,120

16,623
4,980
10,435
32,038

1,160
1,160

1,100
1,100

1,180
1,180

3,440
3,440

575
575

605
605

605
605

1,785
1,785

1,120
0
100
220
1,440

1,320
0
100
220
1,640

1,260
0
100
160
1,520

3,700
0
300
600
4,600

850
2,150
200
160
680
1,205
480
580
0
60
6,365
84,888

950
1,950
200
0
800
1,589
640
680
0
60
6,869
84,810

890
1,890
200
0
700
1,669
520
680
0
60
6,609
92,565

2,690
5,990
600
160
2,180
4,463
1,640
1,940
0
180
19,843
262,263

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.18

RECAPITULATION OF STUDENT OF DIPLOMA IV PROGRAM


BY TYPE OF EDUCATION INSTITUTION, 2007- 2009
Year
No

Type of Institution

(1)

(2)

III

NURSERY
Keperawatan Medical Bedah
Keperawatan Gawat Darurat
Keperawatan Klinik Kemahiran
Keperawatan Kardiovaskuler
Keperawatan Anestesi
Keperawatan Jiwa
Keperawatan Intensive
Keperawatan Anestesi Reanimasi
Sub Total
MIDWIVERY
Bidan Pendidik
Kebidanan Komunitas
Sub Total
ENVIRONMENTAL HEALTH

IV

NUTRITION

PHYSIOTHERAPY

VI

TECHNIC ELECTROMEDIC

VII

RADIOLOGY

VIII

HEALTH ANALYST

IX

HEALTH PROMOTION

DENTAL HEALTH
Dental Health
Community Dental Health
Kesehatan Gigi Prothodansia
Dental Bedah Mulut
Perawat Gigi Pendidik
Sub Total
TOTAL

II

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

2007

2008

2009

(3)

(4)

(5)

170
70
0
0
0
0
0
0
240

657
400
40
40
40
0
0
0
1177

380
280
20
20
0
20
20
20
760

80
0
80
100
100
30
30
40
40
0
0
40
40
40
40
0
0

520
0
520
320
320
580
580
80
80
80
80
80
80
160
160
0
0

440
20
440
180
180
280
280
40
40
40
40
40
40
80
80
20
20

0
0
0
0
0
0
570

0
0
0
0
0
0
2997

60
20
20
20
20
140
2020

Annex 5.19

GRADUATION OF DIKNAKES POLTEKKES AND NON POLTEKKES


BY TYPE OF HEALTH PERSONNEL, 2010
No
(1)

Type of Health Personnel

Poltekkes

Non Poltekkes

Total

(2)

(3)

(4)

(5)

NURSERY
SPK
AKPER
AKBID
SPRG
AKG
SUB TOTAL
PHARMACY
SMF
AKAFARMA
AKFAR
SUB TOTAL
PUBLIC HEALTH
AKL
SUB TOTAL
NUTRITION
AKZI
SUB TOTAL
PHYSICAL THERAPY
AKFIS
AOT
ATW
AKUPUNKTUR
SUB TOTAL
MEDICAL TECHNICIAN
SMAK
AAK
ATG
PTTD
ATRO
APIKES
ATEM
ARO
AOP
KARDIOVASKULER
SUB TOTAL
TOTAL

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

4,835
4,012
0
1,068
9,915

1,425
30,795
13,816
400
0
46,436

1,425
35,630
17,828
400
1,068
56,351

0
90
439
529

3,320
1,545
2,740
7,605

3,320
1,635
3,179
8,134

1,157
1,157

1,020
1,020

2,177
2,177

1,458
1,458

605
605

2,063
2,063

153
80
60
0
293

1,140
0
100
120
1,360

1,293
80
160
120
1,653

772
44
0
199
0
185
0
60
0
1,260
14,612

800
1,545
200
160
650
1,285
480
720
0
60
5,900
62,926

800
2,317
244
160
849
1,285
665
720
60
60
7,160
77,538

Annex 5.20

NUMBER OF POLTEKKES GRADUATED BY ACADEMIC FIELD/STUDI PROGRAM FROM HEALTH PERSONNEL INSTITUTION IN INDONESIA
ACADEMIC YEAR 2010/2011
Academic Field / Study Program
No

Poltekkes
Nursery

Midwufery

Environment
al Health

Nutrition

Dental
Health

Pharmacy

Health
Analyst

Technic of
Electromedic

Technic of
Diagnostic

Technic of
Dental

AKAFARMA

Physiotherapy

Ocupation
Therapy

Orthotic
Prostetic

Speech
Therapy

Technic of
Radiotherapy

Acupuncture

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(1)

(2)

Banda Aceh

233

82

29

100

100

Medan

100

291

55

80

60

Padang

225

250

125

75

60

Pekanbaru

168

160

Jambi

65

99

Bengkulu

95

223

60

Palembang

160

80

80

80

Tanjung Karang

200

120

60

80

Jakarta I

68

80

10 Jakarta II

120

60

726
735
382

40

242
378

65

104

44

39

60

50

200

155

12 Bandung

220

207

80

150

14 Semarang

400

200

15 Surakarta

110

80

72

79

17 Malang

314

300

18 Surabaya

600

189

195

19 Denpasar

101

80

17

280

220

80
56

16 Yogyakarta

544
80

80

80

560

80

660

16

11 Jakarta III

13 Tasikmalaya

(20)

54
38

164
199

60

90

109

671

40

395

94

670

37

267

100

90

90

73

73

100

80

125

102
79

80

60

880

60

492
476

125

45

739
125

1,314

21

264

50

630

20 Mataram
21 Kupang
22 Pontianak

78

185

23 Palangkaraya

109

101

24 Banjarmasin

40

40

25 Samarinda

80

74

26 Manado

80

80

80

27 Palu

106

130

89

28 Makassar

168

40

29 Kendari

83

97

30 Ambon

230

50

31 Ternate

90

32 Gorontalo

56

60

56

491

40

40

240

40

194

49
40

40

80

259

80

80

480
325

51

57

51

367

47

227

50

380

90

40

220

80

80

80

240

4,835

4,012

50

33 Jayapura
Total

Total

0
1,157

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

1,458

1,112

439

772

185

90

153

80

60

60

199

14,612

Annex 5.21
RECAPITULATION OF GRADUATION FROM NON POLTEKKES INSTITUTION IN INDONESIA BY TYPE AND PROVINCE
ACADEMIC YEAR 2010/2011

Nursery

Pharmacy

Provinces

No

(1)

(2)

SPK

SPRG

AKPER

AKBID

SMF

(3)

(4)

(5)

(6)

(7)

(8)

Aceh

260

810

440

North Sumatera

280

3,620

3,114

West Sumatera

1,205

965

Riau

682

750

Jambi

688

400

South Sumatera

1,060

659

135

Bengkulu

528

400

156

Lampung

689

600

Bangka Belitung Island

725

400

2,499

730

436

3,300

425

100

AKAFAR
AKFAR
MA
(9)

Public
Health

Nutrition

AKL

AKZI

AKFIS

ATW

AKUPUNTU
R

SMAK

ATG

AAK

ATRO

ARO

APIKES

ATEM

PTTD

KARDIOVAS
KULER

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(23)

(24)

200

100

100

270

100

80

200

100

260

180

182

90

400

Technician

Therapy

Total

100
115

260

80

90

166

90

230

90

135

45

90
90
110

104

90
104

80

(25)

60

2,330

90

8,905

170

3,315

50

2,083

105
70

1,283

100

80

2,208
1,084

100

90

1,479
1,225

10 Riau Island
11 DKI Jakarta

0
100

200

12 West Java
13 Central Java

815
200

4,300

14 DI Yogyakarta
15 East Java

100

16 Banten

818

117
551

550
100

18 West Nusa Tenggara

125

545

19 East Nusa Tenggara

160

560

160

260

500
90

56

303

179

90

320

4,055

17 Bali

130

50

130

200

160

160

100

89

100

130

75

90
280

200

120

100

125

90

130

100

140

70

110

66

340

90

180

460

105

60
100

90

290

70

90

60

5,280
1,700

180

79

11,075
70

1,395
6,363

750

1,300
125

225
151

821
720

20 West Kalimantan

750

130

21 Central Kalimantan

535

100

635

22 South Kalimantan

635

130

1,491

601

125

23 East Kalimantan

530

88

24 North Sulawesi

680

66

25 Central Sulawesi

725

180

26 South Sulawesi

100

100

27 Southeast Sulawesi

2,009

707

150

702

880

80

698
746
905

120

57

80

56

65

60

70

100

80

3,618
838

28 Gorontalo

29 West Sulawesi

30 Maluku

80

80

31 North Maluku

32 West Papua

33 Papua
Total

1,425

400

30,795

13,816

3,320

1,545

84
2,740

1,020

605

1,140

100

120

100
800

200

60
1,545

650

720

1,285

480

160

60

244
62,926

Annex 5.22

RECAPITULATION OF HEALTH MANPOWER BY PROVINCE


IN DECEMBER 2010

Medical

Nursery

Specialist

Physician

Dentist

Nurse

Dental
Nurse

Midwife

(3)

(4)

(5)

(6)

(7)

(8)

Pharmacy

Provinces

No

(1)

(2)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
29
28
30
31

Aceh
North Sumatera
West Sumatera
Riau
Jambi
South Sumatera
Bengkulu
Lampung
Bangka Belitung Island
Riau Island
DKI Jakarta
West Java
Central Java
DI Yogyakarta
East Java
Banten
Bali
West Nusa Tenggara
East Nusa Tenggara
West Kalimantan
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulawesi
Central Sulawesi
South Sulawesi
Southeast Sulawesi
Gorontalo
West Sulawesi
Maluku
North Maluku

32

West Papua

33

Papua
Total
Total Per Category

242
400
290
160
161
60
49
130
16
61
2,605
902
1,053
47
693
102
343
69
25
102
34
134
206
44
88
64
57
39
16
36
37

841
1,791
738
779
433
505
377
596
189
339
3,302
2,385
2,716
378
2,377
537
937
381
444
468
385
539
729
516
363
471
354
191
168
271
199

161
702
286
284
102
93
83
171
46
97
1,187
1,033
859
199
1,124
235
312
100
131
127
83
151
254
45
92
322
88
24
71
73
60

6,888
8,241
3,925
4,360
3,109
3,129
2,816
3,342
1,320
1,673
24,958
14,794
14,605
1,318
13,713
2,462
2,745
3,129
3,936
3,916
3,067
3,385
4,092
2,949
3,029
3,449
3,244
1,249
1,167
2,407
1,757

495
532
323
257
295
312
132
225
91
60
286
1,110
1,325
255
819
166
304
191
414
365
133
171
137
259
111
420
138
78
45
135
26

61

165

37

1,717

77
8,403

469
25,333

99
8,731
42,467

4,183
160,074

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Public Health

Public
Pharm.Gra Pharmacist
Health
duated &
Assistat
Graduated
Pharmacist
(9)

(10)

(11)

600
841
536
336
360
281
270
174
101
127
1,052
1,070
1,320
174
1,269
106
222
164
415
215
187
421
242
195
200
224
194
51
59
41
76

Physical
Therapy

Medical
Technician

Health
Analyst

(13)

(14)

(15)

(16)

Sanitarian

(12)

1,290
1,055
740
413
531
1,010
818
516
235
221
3,611
1,214
1,323
215
834
284
309
431
402
321
296
592
335
293
730
684
911
358
159
163
414

Nutritionist

697
581
336
208
435
504
726
367
96
125
168
1,140
1,104
180
1,194
151
411
467
576
374
203
213
240
401
576
417
544
293
67
213
83

480
773
373
224
165
320
250
196
102
94
1,072
1,028
1,122
164
1,190
174
281
669
323
384
225
380
210
332
190
383
556
239
61
258
183

171
78
70
43
38
69
52
41
17
16
749
97
336
16
167
30
69
29
51
33
16
23
48
70
29
92
40
14
20
10
21

378
335
274
249
126
156
119
87
68
90
2,651
586
1,029
184
555
87
169
146
144
283
87
326
139
8
124
105
175
19
30
25
64

Total of
Total of
Non Health
Health
Personnel Personnel

(17)

291
458
222
86
233
96
96
142
53
45
106
534
883
143
811
52
122
91
185
225
55
100
150
3
54
87
47
10
27
14
31

19,183
25,853
11,689
10,351
8,021
10,043
8,020
8,713
2,889
3,933
45,530
35,488
40,014
4,144
36,305
6,716
8,140
8,643
9,825
8,735
6,256
8,640
8,254
6,428
7,470
8,910
7,893
3,224
2,445
4,710
3,876

(19)

Total

(20)

6,516
9,828
3,430
2,818
1,906
3,409
1,950
2,614
519
908
1,897
9,322
11,962
822
11,253
2,253
1,853
2,667
2,663
1,825
1,266
2,097
1,349
1,223
1,721
1,998
1,377
556
504
1,006
816

133
238
146
134
127
99
282
112
36
77
1,886
273
377
49
306
77
63
109
116
97
219
108
123
90
163
194
168
103
51
58
109

2,592
1,470
1,750
1,836
1,666
1,655
1,560
1,703
467
784
29,955
10,121
14,165
1,650
13,994
1,575
4,042
2,227
1,787
2,282
932
2,169
2,124
724
1,205
931
908
439
220
705
236

21,775
27,323
13,439
12,187
9,687
11,698
9,580
10,416
3,356
4,717
75,485
45,609
54,179
5,794
50,299
8,291
12,182
10,870
11,612
11,017
7,188
10,809
10,378
7,152
8,675
9,841
8,801
3,663
2,665
5,415
4,112

35

719

44

94

131

158

137

28

27

3,360

200

3,560

78
9,723

1,504
96,551
266,348

97
6,264

141
11,758
18,022

525
21,364

257
13,505
34,869

285
12,823
12,823

25
2,587
2,587

253
9,099
9,099

51
5,530
5,530

8,044
391,745
391,745

1,233
109,307
109,307

9,277
501,052
501,052

Annex 5.23

NUMBER OF HUMAN RESOURCE IN HEALTH CENTER


BY TYPE AND PROVINCE, 2010
Number of Health Personnel
No

Provinces

(1)

(2)

Total of Health
Center

(3)

Specialist

Physician

Dentist

Nurse

Dental
Nurse

Midwife

Pharm.Gradu
ated &
Pharmacist

(5)

(6)

(7)

(8)

(9)

(10)

(4)

Pharmacist
Assistant

Public
Health

Sanitarian

Nutrition

Physical
Therapy

Medical
Technician

Health
Analyst

Total

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

Non Health
Personnel

Total

(19)

(20)

Aceh

313

547

104

4,185

355

5,728

31

308

568

492

285

38

69

140

12,850

982

13,832

North Sumatera

501

1,037

435

4,554

333

7,989

50

425

185

267

383

41

189

15,890

481

16,371

West Sumatera

243

447

219

1,848

247

2,887

21

286

200

221

213

74

112

6,780

614

7,394

Riau

190

551

192

2,465

133

2,253

36

185

117

140

127

73

39

6,319

369

6,688

Jambi

165

273

74

1,755

229

1,608

11

166

94

220

84

15

61

123

4,714

285

4,999

South Sumatera

300

365

78

2,251

273

3,204

34

197

421

334

221

11

81

59

7,536

879

8,415

Bengkulu

170

217

45

1,460

94

1,736

56

112

213

208

121

13

39

4,316

270

4,586

Lampung

266

405

135

1,943

181

2,371

25

83

187

223

114

14

63

5,747

423

6,170

Bangka Belitung Island

56

113

32

703

67

414

57

65

54

64

14

29

1,615

158

1,773

10

Riau Island

68

229

71

926

38

674

15

65

40

55

59

24

23

2,226

321

2,547

11

DKI Jakarta

358

33

624

510

1,552

173

984

58

130

98

111

156

93

4,535

1,056

5,591

12

West Java

1,028

11

1,726

771

7,733

937

8,502

80

615

484

833

745

78

273

22,796

3,691

26,487

13

Central Java

876

1,852

648

6,505

1,092

10,960

95

644

446

766

720

63

231

393

24,421

5,396

29,817

14

DI Yogyakarta

121

321

169

801

237

762

26

137

78

151

137

107

114

3,049

919

3,968

15

East Java

946

23

1,682

964

7,516

718

10,287

115

730

254

798

785

19

164

495

24,550

7,609

32,159

16

Banten

198

366

196

1,465

146

2,099

21

42

154

121

122

4,743

674

5,417

17

Bali

114

341

195

1,121

230

1,360

13

104

71

231

108

28

32

3,835

445

4,280

18

West Nusa Tenggara

150

239

82

2,056

166

2,311

32

96

172

364

319

52

29

5,923

778

6,701

19

East Nusa Tenggara

301

302

101

2,644

361

2,314

22

255

144

467

238

12

25

121

7,006

679

7,685

20

West Kalimantan

231

251

76

2,178

308

1,564

23

117

103

265

269

119

116

5,395

587

5,982

21

Central Kalimantan

176

259

56

2,160

83

1,086

133

128

104

113

162

50

10

4,344

271

4,615

22

South Kalimantan

219

335

114

1,603

92

1,668

36

240

377

129

226

147

4,968

843

5,811

23

East Kalimantan

212

417

191

2,123

110

1,012

37

97

139

149

124

30

29

4,463

584

5,047

24

North Sulawesi

167

339

37

2,023

226

1,080

31

134

127

292

249

42

4,585

110

4,695

25

Central Sulawesi

160

183

59

1,716

83

1,442

44

89

182

277

91

27

21

4,215

317

4,532

26

South Sulawesi

401

444

289

3,060

384

1,878

155

188

496

391

342

68

82

66

7,848

752

8,600

27

Southeast Sulawesi

233

232

60

2,183

110

1,119

41

102

342

357

399

32

11

4,988

279

5,267

28

Gorontalo

81

80

11

532

47

359

16

15

97

171

118

1,448

144

1,592

29

West Sulawesi

81

102

45

730

36

440

23

34

92

45

46

15

1,621

76

1,697

30

Maluku

155

188

59

1,620

126

798

16

23

30

121

171

3,170

209

3,379

31

North Maluku

101

101

39

846

17

562

24

47

159

60

108

11

1,988

82

2,070

32

West Papua

116

55

13

1,170

26

521

18

43

50

87

98

10

2,094

60

2,154

33

Papua

308

311

70

2,788

27

1,250

27

69

108

131

161

98

20

5,062

180

5,242

9,005

120

14,934

6,140

78,215

7,685

83,222

1,368

5,963

6,397

8,644

7,565

330

1,857

2,600

225,040

30,523

255,563

TOTAL

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.24

RATIO OF PHYSICIAN, DENTIST, NURSE AND MIDWIFE TO NUMBER OF HEALTH CENTER


BY PROVINCE, 2010

No

Provinces

Number of Health
Center

Physician

(2)

(3)

(4)

(1)

Dentist

Nurse

(5)

Midwife

(6)

(7)

Ratio of Physician

Ratio of Dentist

Ratio of Nurse

Ratio of Midwife

(8)

(9)

(10)

(11)

Aceh

313

547

104

4,185

5,728

1.75

0.33

13.37

North Sumatera

501

1,037

435

4,554

7,989

2.07

0.87

9.09

18.30
15.95

West Sumatera

243

447

219

1,848

2,887

1.84

0.90

7.60

11.88

Riau

190

551

192

2,465

2,253

2.90

1.01

12.97

11.86

Jambi

165

273

74

1,755

1,608

1.65

0.45

10.64

9.75

South Sumatera

300

365

78

2,251

3,204

1.22

0.26

7.50

10.68

Bengkulu

170

217

45

1,460

1,736

1.28

0.26

8.59

10.21

Lampung

266

405

135

1,943

2,371

1.52

0.51

7.30

8.91

Bangka Belitung Island

56

113

32

703

414

2.02

0.57

12.55

7.39

10

Riau Island

68

229

71

926

674

3.37

1.04

13.62

9.91

11

DKI Jakarta

358

624

510

1,552

984

1.74

1.42

4.34

2.75

12

West Java

13

Central Java

1,028

1,726

771

7,733

8,502

1.68

0.75

7.52

8.27

876

1,852

648

6,505

10,960

2.11

0.74

7.43

12.51

14

Y
k t
DI Yogyakarta

121

321

169

801

762

2 65
2.65

1 40
1.40

6 62
6.62

6 30
6.30

15

East Java

946

1,682

964

7,516

10,287

1.78

1.02

7.95

10.87

16

Banten

198

366

196

1,465

2,099

1.85

0.99

7.40

10.60

17

Bali

114

341

195

1,121

1,360

2.99

1.71

9.83

11.93

18

West Nusa Tenggara

150

239

82

2,056

2,311

1.59

0.55

13.71

15.41

19

East Nusa Tenggara

301

302

101

2,644

2,314

1.00

0.34

8.78

7.69

20

West Kalimantan

231

251

76

2,178

1,564

1.09

0.33

9.43

6.77

21

Central Kalimantan

176

259

56

2,160

1,086

1.47

0.32

12.27

6.17

22

South Kalimantan

219

335

114

1,603

1,668

1.53

0.52

7.32

7.62

23

East Kalimantan

212

417

191

2,123

1,012

1.97

0.90

10.01

4.77

24

North Sulawesi

167

339

37

2,023

1,080

2.03

0.22

12.11

6.47

25

Central Sulawesi

160

183

59

1,716

1,442

1.14

0.37

10.73

9.01

26

South Sulawesi

401

444

289

3,060

1,878

1.11

0.72

7.63

4.68

27

Southeast Sulawesi

233

232

60

2,183

1,119

1.00

0.26

9.37

4.80

28

Gorontalo

81

80

11

532

359

0.99

0.14

6.57

4.43

29

West Sulawesi

81

102

45

730

440

1.26

0.56

9.01

5.43

30

Maluku

155

188

59

1,620

798

1.21

0.38

10.45

5.15

31

North Maluku

101

101

39

846

562

1.00

0.39

8.38

5.56

32

West Papua

116

55

13

1,170

521

0.47

0.11

10.09

4.49

33

Papua

308

311

70

2,788

1,250

1.01

0.23

9.05

4.06

9,005

14,934

6,140

78,215

83,222

1.66

0.68

8.69

9.24

TOTAL

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.25

RECAPITULATION OF HUMAN RESOURCE OF GOVERNMENT HOSPITAL BY PROVINCE


BY TYPE AND PROVINCE, 2010
Health Personnel
No

Provinces

(1)

(2)

Number of
Hospital

(3)

Specialist

Physician

Dentist

(4)

(5)

(6)

Nurse

Dental
Nurse

Midwife

(7)

(8)

(9)

Pharm
Pharmacist
Graduated &
Assistant
Pharmacist
(10)

(11)

Public
Health

Env. Health

Nutrition

Physical
therapy

Medical
Therapy

Health
Analyst

Total

(12)

(13)

(14)

(15)

(16)

(17)

(18)

Non Health
Personnel

Total

(19)

(20)

Aceh

20

240

234

45

2,380

120

643

60

176

193

80

123

131

271

126

4,822

982

5,804

North Sumatera

29

381

467

184

3,028

161

1,322

82

227

116

108

221

75

190

149

6,711

481

7,192

West Sumatera

21

271

250

57

1,846

65

318

75

185

142

35

102

66

186

91

3,689

614

4,303

Riau

14

155

183

60

1,759

115

456

64

117

89

28

75

40

173

45

3,359

369

3,728

Jambi

11

147

148

28

1,244

50

248

46

129

98

85

53

22

38

97

2,433

285

2,718

South Sumatera

12

53

114

14

690

32

142

40

44

92

39

46

45

57

32

1,440

879

2,319

Bengkulu

14

48

157

36

1,216

33

141

174

133

228

230

103

42

88

53

2,682

270

2,952

Lampung

10

120

157

22

1,297

40

194

43

61

85

56

55

40

68

66

2,304

423

2,727

Bangka Belitung Island

13

60

501

18

77

16

30

27

10

18

17

48

19

862

158

1,020

10

Riau Island

44

80

22

623

18

164

23

37

34

12

22

13

52

21

1,165

321

1,486

11

DKI Jakarta

15

2,179

659

324

8,349

112

882

361

898

234

25

189

264

629

99

15,204

1,056

16,260

12

West Java

27

839

493

216

6,707

151

691

113

370

164

137

193

88

410

231

10,803

3,691

14,494

13

Central Java

56

1,022

710

171

7,710

218

841

185

605

209

138

315

256

712

472

13,564

5,396

18,960

14

DI Yogyakarta

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

65

120

14

995

22

276

39

47

19

East Nusa Tenggara

16

23

119

22

1,119

46

275

39

88

20

West Kalimantan

15

97

183

40

1,668

44

216

47

65

44

39

21

Central Kalimantan

13

32

85

14

780

38

139

46

30

26

24

22

South Kalimantan

14

123

163

32

1,529

75

393

50

158

125

75

23

East Kalimantan

15

204

259

46

1,869

24

298

58

123

38

25

24

North Sulawesi

36

92

618

21

88

24

30

15

25

Central Sulawesi

13

86

156

28

1,183

25

242

80

81

120

26

South Sulawesi

27

Southeast Sulawesi

28
29
30

Maluku

31
32
33

Papua

44

36

438

10

31

19

12

38

19

674

919

1,593

47

652

575

125

5,866

92

784

111

432

164

154

287

147

347

287

10,023

7,609

17,632

94

115

18

917

13

114

31

52

19

11

30

26

52

45

1,537

674

2,211

12

336

533

108

1,537

61

459

24

92

53

55

138

68

131

88

3,683

445

4,128

21

24

295

23

72

45

2,058

778

2,836

38

29

40

38

105

59

2,040

679

2,719

74

30

153

97

2,797

587

3,384

34

15

28

32

1,323

271

1,594

137

23

129

99

3,111

843

3,954

65

45

99

116

3,269

584

3,853

28

35

22

1,022

110

1,132

111

59

28

87

32

2,318

317

2,635

19

20

187

40

14

39

17

17

13

13

397

752

1,149

13

54

106

22

983

27

207

67

59

176

66

88

39

125

24

2,043

279

2,322

Gorontalo

35

90

13

618

31

171

53

25

107

75

82

14

12

1,332

144

1,476

West Sulawesi

16

42

391

53

14

20

23

10

14

23

12

640

76

716

12

33

60

647

159

13

26

23

43

12

1,050

209

1,259

North Maluku

36

73

12

798

223

57

22

66

51

15

50

21

1,437

82

1,519

West Papua

26

23

131

39

259

60

319

13

70

123

21

1,077

46

184

32

35

95

35

65

22

115

27

1,947

180

2,127

473

7,593

6,685

1,741

60,701

1,745

10,510

2,087

4,411

2,925

1,775

3,079

1,699

4,519

2,528

111,998

30,523

142,521

Total

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.26

RECAPITULATION OF PHYSICIAN AS ACTIVE NON PERMANENT EMPLOYEE, 2010

No

Reguler

Provinces

(1)

(2)

Remote Area

Very Remote Area

Total

Total

Total

6 Months

12 Months

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Aceh

10

63

31

125

129

64

202

North Sumatera

62

39

69

44

13

14

27

17

158

West Sumatera

10

24

49

14

20

41

49

Riau

26

43

23

38

12

12

20

61

Jambi

12

18

28

42

26

26

39

66

South Sumatera

16

100

16

Bengkulu

32

54

27

27

46

59

Lampung

46

64

21

21

29

72

Bangka Belitung Island

70

30

10

10

Riau Island

15

16

16

80

20

11

DKI Jakarta

12

100

12

12

West Java

37

100

37

13

Central Java

57

100

57

14

DI Yogyakarta

11

100

11

15

East Java

73

100

73

16

Banten

100

17

Bali

17

100

17

18

West Nusa Tenggara

24

57

17

17

40

42

19

East Nusa Tenggara

23

17

308

325

93

348

20

West Kalimantan

27

24

86

86

76

113

21

Central Kalimantan

23

33

47

47

67

70

22

South Kalimantan

45

41

64

64

59

109

23

East Kalimantan

26

40

34

34

52

65

24

North Sulawesi

27

26

76

76

74

103

25

Central Sulawesi

22

24

31

39

70

76

92

26

South Sulawesi

12

15

48

59

15

21

26

81

27

Southeast Sulawesi

11

18

110

128

91

140

28

Gorontalo

19

33

38

38

67

57

29

West Sulawesi

18

14

22

36

82

44

30

Maluku

137

137

99

138

31

North Maluku

10

44

44

90

49

32

West Papua

112

112

96

117

33

Papua
Total

Source: Bureau of Personnel, MoH RI

113

113

93

122

352

13

633

24

515

1,114

1,629

62

2,614

Annex 5.27

RECAPITULATION OF DENTIST AS ACTIVE NON PERMANENT EMPLOYEE, 2010

No
(1)

(2)

Aceh

Remote Area

Reguler

Provinces

Very Remote Area

Total

Total

Total

6 Months

12 Months

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

45

52

95

55

North Sumatera

11

32

13

38

10

29

34

West Sumatera

12

40

12

17

57

30

Riau

16

59

10

10

37

27

Jambi

24

13

13

76

17

South Sumatera

86

14

Bengkulu

14

14

93

15

Lampung

28

24

12

12

48

25

Bangka Belitung Island

57

43

10

Riau Island

33

67

12

11

DKI Jakarta

12

West Java

19

100

19

13

Central Java

100

14

DI Yogyakarta

100

15

East Java

52

100

52

16

Banten

100

17

Bali

100

18

West Nusa Tenggara

38

54

13

19

East Nusa Tenggara

14

83

97

99

98

20

West Kalimantan

11

25

25

89

28

21

Central Kalimantan

13

13

13

87

15

22

South Kalimantan

12

36

36

88

41

23

East Kalimantan

17

27

27

77

35

24

North Sulawesi

14

86

25

Central Sulawesi

17

94

18

26

South Sulawesi

18

40

19

25

56

45

27

Southeast Sulawesi

39

46

98

47

28

Gorontalo

16

16

100

16

29

West Sulawesi

15

19

100

19

30

Maluku

46

46

98

47

31

North Maluku

24

24

96

25

32

West Papua

15

11

11

85

13

33

Papua
Total

Source: Bureau of Personnel, MoH RI

10

90

10

119

15

117

15

143

421

564

71

800

Annex 5.28

RECAPITULATION OF MIDWIFE AS ACTIVE NON PERMANENT EMPLOYEE, 2010

No

Reguler

Provinces

(1)

(2)

Aceh

Remote Area

Very Remote Area

Total

Total

Total

(3)

(4)

(5)

(6)

(7)

(8)

Total
(9)

216

2,662

90

76

2,954

North Sumatera

2,128

46

2,509

54

4,640

West Sumatera

1,167

73

429

27

1,596

Riau

350

29

872

71

1,222

Jambi

168

20

681

80

849

South Sumatera

322

62

194

38

516

Bengkulu

33

406

91

445

Lampung

1,182

80

296

20

1,479

Bangka Belitung Island

53

83

11

17

64

10

Riau Island

52

26

149

74

202

11

DKI Jakarta

12

West Java

1,837

85

324

15

2,163

13

Central Java

4,543

100

4,547

14

DI Yogyakarta

214

100

214

15

East Java

2,850

95

132

2,986

16

Banten

629

69

281

31

910

17

Bali

314

96

12

326

18

West Nusa Tenggara

166

51

151

46

326

19

East Nusa Tenggara

337

97

348

20

West Kalimantan

366

88

49

12

418

21

Central Kalimantan

45

94

48

22

South Kalimantan

83

98

85

23

East Kalimantan

73

70

32

30

105

24

North Sulawesi

18

95

19

25

Central Sulawesi

198

98

203

26

South Sulawesi

464

58

331

42

796

27

Southeast Sulawesi

324

98

331

28

Gorontalo

25

58

17

12

29

West Sulawesi

349

99

352

30

Maluku

89

79

23

20

113

31

North Maluku

57

76

18

24

75

32

West Papua

32

100

32

33

Papua

16,789

59

11,381

206

28,376

Total
Source: Bureau of Personnel, MoH RI

Annex 5.29

RECAPITULATION OF PHYSICIAN RECRUITMENT AS ACTIVE NON PERMANENT EMPLOYEE, 2010

No

Reguler

Provinces

(1)

(2)

Aceh

Remote Area

Very Remote Area

Total

Total

Total

(3)

(4)

(5)

(6)

(7)

(8)

Total
(9)

10

80

34

148

62

238

North Sumatera

105

66

54

34

160

West Sumatera

28

45

34

55

62

Riau

10

29

59

15

31

49

Jambi

35

52

32

48

67

South Sumatera

28

93

30

Bengkulu

38

56

30

44

68

Lampung

50

67

25

33

75

Bangka Belitung Island

67

33

12

10

Riau Island

26

20

74

27

11

DKI Jakarta

12

West Java

100

13

Central Java

14

DI Yogyakarta

15

East Java

100

16

Banten

17

Bali

18

West Nusa Tenggara

27

61

17

39

44

19

East Nusa Tenggara

23

388

94

411

20

West Kalimantan

31

26

88

74

119

21

Central Kalimantan

29

35

54

65

83

22

South Kalimantan

51

43

69

58

120

23

East Kalimantan

34

47

38

53

72

24

North Sulawesi

32

28

81

72

113

25

Central Sulawesi

24

15

141

85

165

26

South Sulawesi

59

64

33

36

92

27

Southeast Sulawesi

24

12

181

88

205

28

Gorontalo

20

33

41

67

61

29

West Sulawesi

13

16

66

84

79

30

Maluku

340

100

340

31

North Maluku

105

95

111

32

West Papua

259

97

267

33

Papua

20

368

95

388

19

809

23

2,633

76

3,461

Total
Source: Bureau of Personnel, MoH RI
Notes:
*Compilation between Recruitment + New Recruitment

Annex 5.30

RECAPITULATION OF DENTIST RECRUITMENT AS ACTIVE NON PERMANENT EMPLOYEE, 2010

No

Reguler

Provinces

(1)

(2)

Remote Area

Very Remote Area

Total

Total

Total

(3)

(4)

(5)

(6)

(7)

(8)

Total
(9)

Aceh

61

94

65

North Sumatera

16

52

15

48

31

West Sumatera

14

39

22

61

36

Riau

16

57

12

43

28

Jambi

29

15

71

21

South Sumatera

70

30

10

Bengkulu

15

94

16

Lampung

30

16

70

23

Bangka Belitung Island

57

43

10

Riau Island

47

53

15

11

DKI Jakarta

12

West Java

13

Central Java

14

DI Yogyakarta

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

42

58

12

19

East Nusa Tenggara

131

99

132

20

West Kalimantan

13

27

87

31

21

Central Kalimantan

12

15

88

17

22

South Kalimantan

11

41

89

46

23

East Kalimantan

10

26

28

74

38

24

North Sulawesi

11

89

25

Central Sulawesi

39

98

40

26

South Sulawesi

18

37

31

63

49

27

Southeast Sulawesi

69

100

69

28

Gorontalo

13

100

13

29

West Sulawesi

23

96

24

30

Maluku

111

99

112

31

North Maluku

55

98

56

32

West Papua

42

95

44

33

Papua

30

97

31

135

14

840

86

975

Total
Source: Bureau of Personnel, MoH RI
Notes:
*Compilation between Recruitment + New Recruitment

Annex 5.31

RECAPITULATION OF MIDWIFE RECRUITMENT AS ACTIVE NON PERMANENT EMPLOYEE, 2010

No

Reguler

Provinces

(1)

(2)

Aceh

Remote Area

Total

Total

Total

(3)

(4)

(5)

(6)

(7)

60

1,165

95

1,225

North Sumatera

643

40

965

60

1,608

West Sumatera

667

70

290

30

957

Riau

85

20

350

80

435

Jambi

89

18

408

82

497

South Sumatera

327

75

110

25

437

Bengkulu

24

11

188

89

212

Lampung

494

70

210

30

704

Bangka Belitung Island

19

86

14

22

10

Riau Island

33

31

75

69

108

11

DKI Jakarta

12

West Java

702

84

132

16

834

13

Central Java

1,548

99

10

1,558

14

DI Yogyakarta

36

100

36

15

East Java

871

95

45

916

16

Banten

314

76

97

24

411

17

Bali

79

88

11

12

90

18

West Nusa Tenggara

119

53

104

47

223

19

East Nusa Tenggara

241

100

241

20

West Kalimantan

237

100

237

21

Central Kalimantan

37

100

37

22

South Kalimantan

52

100

52

23

East Kalimantan

54

76

17

24

71

24

North Sulawesi

12

100

12

25

Central Sulawesi

190

100

190

26

South Sulawesi

491

59

340

41

831

27

Southeast Sulawesi

219

100

219

28

Gorontalo

100

29

West Sulawesi

259

100

259

30

Maluku

75

100

75

31

North Maluku

63

100

63

32

West Papua

32

100

32

33

Papua

6,655

53

5,946

47

12,601

Total
Source: Bureau of Personnel, MoH RI
Notes:
*Compilation between Recruitment + New Recruitment

Annex 5.33

RECAPITULATION OF PHYSICIAN RECRUITMENT AS NON PERMANENT EMPLOYEE


2010

No

Provinces

(1)

(2)

Need
Criteria
VRA
RA
(3)

Total

(4)

(5)

April
Realization
Criteria
Total
RA
VRA

Percentage
Criteria
Total
RA
VRA

Need
Criteria
RA
VRA

(6)

(9)

(12)

(7)

(8)

(10)

(11)

Total

(13)

(14)

June
Realization
Criteria
Total
RA
VRA

Percentage
Criteria
Total
RA
VRA

Need
Criteria
RA
VRA

(15)

(18)

(21)

(16)

(17)

(19)

(20)

Total

(22)

(23)

September
Realization
Criteria
Total
RA
VRA

Percentage
Criteria
Total
RA
VRA

(24)

(27)

(25)

(26)

(28)

(29)

Aceh

29

27

56

29

27

56

100

100

100

20

13

33

16

13

29

80

100

88

13

20

13

20

100

100

100

North Sumatera

22

26

22

26

100

100

100

30

35

27

32

90

100

91

13

21

13

21

100

100

100

West Sumatera

15

15

100

100

100

17

17

100

100

100

15

15

100

100

100

Riau

100

100

100

10

10

100

100

100

11

11

100

100

100

Jambi

10

15

10

15

100

100

100

12

15

12

15

100

100

100

11

11

100

100

100

South Sumatera

100

100

10

11

10

11

100

100

11

11

11

11

100

100

Bengkulu

13

11

24

13

11

24

100

100

100

16

22

11

17

69

100

77

10

13

10

13

100

100

100

Lampung

14

19

14

19

100

100

100

23

31

18

26

78

100

84

15

17

15

17

100

100

100

Bangka Belitung Island

100

100

100

100

100

10

Riau Island

100

100

100

100

100

100

100

100

100

11

DKI Jakarta

12

West Java

13

Central Java

14

DI Yogyakarta

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

10

15

10

15

100

100

100

100

100

100

100

100

19

East Nusa Tenggara

71

77

71

77

100

100

100

77

84

77

84

100

100

100

65

69

65

69

100

100

100

20

West Kalimantan

12

17

12

17

100

100

100

17

23

40

23

31

47

100

78

12

16

12

16

100

100

100

21

Central Kalimantan

19

28

19

28

100

100

100

100

100

100

11

16

11

16

100

100

100

22

South Kalimantan

19

28

19

28

100

100

100

13

12

25

12

12

24

92

100

96

13

21

13

21

100

100

100

23

East Kalimantan

16

16

100

100

100

11

16

11

16

100

100

100

10

14

10

14

100

100

100

24

North Sulawesi

15

12

27

15

12

27

100

100

100

15

13

71

100

87

15

19

15

19

100

100

100

25

Central Sulawesi

15

24

15

24

100

100

100

11

22

33

22

29

64

100

88

12

20

12

20

100

100

100

26

South Sulawesi

27

10

37

27

10

37

100

100

100

24

28

12

16

50

100

57

13

17

13

17

100

100

100

27

Southeast Sulawesi

11

34

45

11

34

45

100

100

100

11

28

39

28

32

36

100

82

19

26

19

26

100

100

100

28

Gorontalo

12

12

100

100

100

14

21

15

57

100

71

100

100

100

29

West Sulawesi

10

17

10

17

100

100

100

11

11

100

100

100

10

13

10

13

100

100

100

30

Maluku

20

20

20

20

100

100

49

49

49

49

100

100

34

34

34

34

100

100

31

North Maluku

10

10

100

100

100

20

21

20

21

100

100

100

16

16

16

16

100

100

32

West Papua

100

33

Papua
Total

42

42

42

42

100

100

33

35

33

35

100

100

36

36

36

36

100

10

57

67

10

57

67

100

100

100

58

64

55

59

67

95

92

54

54

54

54

100

100

261

400

661

261

400

661

100

100

100

270

413

683

210

410

620

78

99

91

184

330

514

184

330

514

100

100

100

Source: Bureau of Personnel, MoH RI


Notes:
*percentage is comparison between Realization with Necessity

Annex 5.32

ACTIVE PHYSICIAN/DENTIST AS NON PERMANENT EMPLOYEE IN MINISTRY OF HEALTH


UNTIL DECEMBER 2010

Provinces

April

Recruitment 2010

Recruitment 2009

Recruitment 2008
NO

June

April

June

September

June

April

Total

PERPANJANGAN
, 2010

September

R
R
(1)

(2)

(3)

RA VRA Total

(4)

(7)

(5)

(6)

RA VRA Total
(8)

(9)

(10)

RA VRA Total

(11)

(12)

(13)

(14)

RA VRA Total

(15)

(16)

(17)

(18)

RA VRA Total

(19)

(20)

(21)

(22)

RA VRA Total

(23)

(24)

(25)

(26)

RA VRA Total

(27)

(28)

(29)

(30)

RA VRA Total

(31)

(32)

(33)

(34)

R
(35)

RA

VRA

(36)

(37)

RA VRA Total

(38)

(39)

(40)

(41)

Aceh

North Sumatera

West Sumatera

Riau

Jambi

South Sumatera

Bengkulu

Lampung

Bangka Belitung Island

10

Riau Island

11

DKI Jakarta

12

West Java

13

Central Java

14

DI Yogyakarta

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

19

East Nusa Tenggara

20

West Kalimantan

21

Central Kalimantan

22

South Kalimantan

23

East Kalimantan

24

North Sulawesi

25

Central Sulawesi

26

South Sulawesi

27

Southeast Sulawesi

28

Gorontalo

29

West Sulawesi

30

Maluku

31

North Maluku

32

West Papua

33

Papua
TOTAL

Source: Bureau of Personnel, MoH RI

10

14

26

10

50

Annex 5.34

RECAPITULATION OF DENTIST RECRUITMENT AS NON PERMANENT EMPLOYEE


2010

No

Provinces

(1)

(2)

Necessity
Criteria
VRA
RA
(3)

(4)

April
Realization
Criteria
Total
RA
VRA

Total
(5)

(6)

(7)

(8)

Percentage
Criteria
Total
RA
VRA

Necessity
Criteria
RA
VRA

(9)

(12)

(10)

(11)

(13)

Total
(14)

June
Realization
Criteria
Total
RA
VRA

Percentage
Criteria
Total
RA
VRA

Necessity
Criteria
RA
VRA

(15)

(18)

(21)

(16)

(17)

(19)

(20)

(22)

September
Realization
Criteria
Total
RA
VRA

Total
(23)

(24)

(25)

Percentage
Criteria
Total
RA
VRA

(26)

(27)

(28)

(29)

Aceh

32

26

58

27

12

17

27

44

12

12

44

27

17

26

22

12

North Sumatera

33

39

18

50

23

25

10

35

12

30

17

17

26

12

44

23

West Sumatera

12

20

17

50

30

16

22

57

38

11

16

13

73

100

81

Riau

83

100

86

100

100

100

100

100

100

Jambi

14

22

60

36

19

24

20

10

19

20

56

37

South Sumatera

40

40

11

33

50

36

13

11

Bengkulu

19

11

30

55

23

18

22

11

11

17

50

18

Lampung

19

26

10

21

86

38

20

10

30

20

18

21

100

19

Bangka Belitung Island

100

40

67

100

75

67

67

10

Riau Island

11

50

44

45

100

29

11

25

18

11

DKI Jakarta

12

West Java

13

Central Java

14

DI Yogyakarta

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

12

14

17

50

21

13

67

31

17

11

19

East Nusa Tenggara

10

66

76

29

29

44

38

51

51

17

17

33

33

38

39

18

18

47

46

20

West Kalimantan

15

20

20

40

35

17

26

11

18

15

13

20

29

15

20

21

Central Kalimantan

14

17

31

47

29

25

20

16

11

22

South Kalimantan

15

21

83

29

13

12

25

67

36

11

20

18

78

45

23

East Kalimantan

14

21

14

100

43

11

17

36

67

47

14

29

71

50

24

North Sulawesi

12

11

23

27

17

10

10

20

20

10

12

10

22

25

Central Sulawesi

12

24

36

25

17

16

22

17

50

41

10

15

20

13

26

South Sulawesi

17

11

28

10

14

24

91

50

18

23

22

100

39

19

24

10

26

100

42

27

Southeast Sulawesi

23

29

18

18

78

62

20

27

45

33

19

22

15

15

79

68

28

Gorontalo

10

14

50

14

10

14

10

11

50

27

29

West Sulawesi

11

100

27

57

50

71

63

30

Maluku

10

13

10

11

33

100

85

11

11

82

82

100

100

31

North Maluku

12

33

89

75

11

11

11

11

100

100

100

63

32

West Papua

11

100

64

50

100

83

100

100

100

33

Papua
Total

50

29

16

23

14

19

17

14

17

36

29

285

290

575

37

159

196

13

55

34

212

281

493

29

121

150

14

43

30

194

216

410

35

108

143

18

50

35

Source: Bureau of Personnel, MoH RI


Notes:
*percentage is comparison between Realization with Necessity

Annex 5.35

DISTRIBUTION OF INVOLVED LEVEL FROM HEALTH EDUCATION INSTITUTION IN INDONESIA


IN TRAINING AND EDUCATION INSTITUTION, 2009
No

Training and Education Institution

Training
Frequencies

II

Involved Level (Frequency)


III

IV

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Not Clear
(9)

Pusdiklat SDM Kesehatan

74

10

58

BBPK Cilandak

33

32

BPPK Ciloto

46

42

Bapelkesnas Lemahabang

16

Bapelkesnas Salaman Magelang

19

10

Bapelkesnas Makasar
Sub Total

19

19

207

60

130

BLTKM Jantho

25

23

Bapelkes Province of South Sumatera

36

30

0
0

Bapelkes Province of West Sumatera

87

63

14

10

Bapelkes Province of Riau

15

11

Bapelkes Province of Jambi

40

18

13

12

Bapelkes Province of Bengkulu

52

37

13

Bapelkes Province of Lampung

28

22

14

Bapelkes Province of South Sumatera

41

23

11

15

BPTKM Dinkes Province of West Java

62

62

16

BPTPK Gombong

22

22

17

Bapelkes Yogyakarta

21

18

Bapelkes Bendul Merisi Murnajati

61

26

30

19

UPTD BPKKTK Province of Bali

25

17

20

Bapelkes Mataram

62

50

21

UPTD Pel. Tenaga Kes Kupang

28

13

22

Upelkes Province of West Kalimantan

41

29

23

Bapelkes Province of Central Kalimantan

24

14

24

Bapelkes Province of East Kalimantan

35

17

25

Bapelkes Province of South Kalimantan

28

20

26

Bapelkes Province of North Sulawesi

33

24

27

Bapelkes Palu

29

18

28

Bapelkes Province Southeast Sulawesi

20

29

Bapelkes Province of Maluku

11

10

30

Bapelkes Province of Papua


Sub Total

19

13

845

418

34

89

219

75

10

Total

1,052

Percentage

100

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

419
39.8

36
3.4

98
9.3

279
26.5

205
19.5

15
1.4

Annex 5.36

DISTRIBUTION OF WIDYAISWARA FROM TRAINING AND EDUCATION INSTITUTION IN INDONESIA


BY AGE GROUP, 2009
Age Groups
No

Training and Education Institution

Total

Not Clear
< 40

(1)

(2)

(3)

41 - 50

(4)

51 - 60

(5)

> 60

(6)

(7)

(8)

Pusdiklat SDM Kesehatan

14

10

BBPK Cilandak

11

BPPK Ciloto

Bapelkesnas Lemahabang

Bapelkesnas Salaman Magelang

12

Bapelkesnas Makasar

58

12

34

10

Sub Total
7

BLTKM Jantho

Bapelkes Province of South Sumatera

Bapelkes Province of West Sumatera

10

Bapelkes Province of Riau

11

Bapelkes Province of Jambi

12

Bapelkes Province of Bengkulu

13

Bapelkes Province of Lampung

10

14

Bapelkes Province of South Sumatera

15

BPTKM Dinkes Province of West Java

16

BPTPK Gombong

17

Bapelkes Yogyakarta

10

18

Bapelkes Bendul Merisi Murnajati

19

UPTD BPKKTK Province of Bali

20

Bapelkes Mataram

11

21

UPTD Pel. Tenaga Kes Kupang

22

Upelkes Province of West Kalimantan

23

Bapelkes Province of Central Kalimantan

24

Bapelkes Province of East Kalimantan

25

Bapelkes Province of South Kalimantan

26

Bapelkes Province of North Sulawesi

27

Bapelkes Palu

28

Bapelkes Province Southeast Sulawesi

29

Bapelkes Province of Maluku

30

Bapelkes Province of Papua

Sub Total

114

14

30

52

11

Total

172

16

42

86

21

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.37

DISTRIBUTION OF TRAINING FREQUENCY AND NUMBER OF PARTICIPANTS IN HEALTH TRAINING AND EDUCATION IN INDONESIA
BY TYPE OF TRAINING AND EDUCATION INSTITUTION, 2009
Total
No

Training and Education Institution

(1)

(2)

Grading
(Penjenjangan )

Pre Post (Prajabatan )

Management

Technic

Functional

Others

Frequency

Total

Frequency

Total

Frequency

Total

Frequency

Total

Frequency

Total

Frequency

Total

Frequency

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

Pusdiklat SDM Kesehatan

74

2385

22

752

204

10

453

14

396

18

557

BBPK Cilandak

33

1093

356

171

18

514

52

BPPK Ciloto

46

3438

16

2001

25

18

944

110

358

Bapelkesnas Lemahabang

16

1325

758

537

30

Bapelkesnas Salaman Magelang

19

1549

19

1549

Bapelkesnas Makasar
Sub Total

23

19

779

58

15

568

153

207

10569

54

3925

11

375

11

478

74

2959

25

850

32

1982

BLTKM Jantho

25

3854

60

225

18

3569

Bapelkes Province of South Sumatera

36

1099

77

150

27

842

30

Bapelkes Province of West Sumatera

87

3014

56

151

25

1239

32

913

78

22

577

10

Bapelkes Province of Riau

15

439

69

60

120

190

11

Bapelkes Province of Jambi

40

906

25

575

11

236

75

20

12

Bapelkes Province of Bengkulu

52

1827

40

290

24

829

18

668

13

Bapelkes Province of Lampung

28

2749

60

25

2399

290

14

Bapelkes Province of South Sumatera

41

1420

198

30

34

1132

60

15

BPTKM Dinkes Province of West Java

62

2355

16

961

41

1235

159

16

BPTPK Gombong

22

1165

12

860

204

101

17

Bapelkes Yogyakarta

21

816

50

20

766

18

Bapelkes Bendul Merisi Murnajati

61

3327

401

42

11

606

34

1661

10

617

19

UPTD BPKKTK Province of Bali

25

1033

89

30

12

551

363

20

Bapelkes Mataram

62

1947

12

385

37

1157

30

12

375

21

UPTD Pel. Tenaga Kes Kupang

28

666

209

20

457

22

Upelkes Province of West Kalimantan

41

1974

36

1782

112

80

23

Bapelkes Province of Central Kalimantan

24

923

140

160

18

623

24

Bapelkes Province of East Kalimantan

35

757

35

15

387

16

195

30

110

25

Bapelkes Province of South Kalimantan

28

1417

161

145

24

1088

23

26

Bapelkes Province of North Sulawesi

33

1070

86

115

71

27

798

27

Bapelkes Palu

29

1014

85

22

649

102

178

28

Bapelkes Province Southeast Sulawesi

20

565

14

394

171

29

Bapelkes Province of Maluku

11

356

11

356

30

Bapelkes Province of Papua

19

874

93

60

15

691

30

Sub Total
Total

845

35,567

42

2,208

476

181

7,389

478

20,402

56

2,372

79

2,720

1,052

46,136

96

6,133

20

851

192

7,867

552

23,361

81

3,222

111

4,702

Source: National Board of Health Human Resources Development & Empowerment, MoH RI

Annex 5.38

ALLOCATION AND REALIZATION MINISTRY OF HEALTH


BY ECHELON I, 2010
Budget of Ministry of Health
No.

Echelon I Unit

Central Office

Local/Provincial Office

Deconsentration Budget

Supporting Task Budget (Tugas Pembantuan )


Total of Allocation (Rp)

Allocation (Rp)
(1)

(2)

General Secretary

General Inspectorate

(3)

Realization (Rp)

(4)

(5)

Allocation (Rp)
(6)

Realization (Rp)

(7)

(8)

Allocation (Rp)
(9)

Realization (Rp)

(10)

(11)

Allocation (Rp)
(12)

Realization (Rp)

(13)

(14)

(15)

Total of Realization
(Rp)
(16)

2,734,841,910,000

2,037,415,851,004

74.50

36,668,106,000

30,749,597,527

83.86

114,936,100,000

101,520,431,987

88.33

122,680,000,000

105,371,462,863

85.89

3,009,126,116,000

2,275,057,343,381

76,977,600,000

60,730,486,059

78.89

76,977,600,000

60,730,486,059

DG of Community Health

1,626,575,397,000

1,348,283,872,638

82.89

59,150,725,000

53,383,588,780

90.25

573,306,908,000

466,844,747,815

81.43

7,000,000,000

6,923,437,760

98.91

2,266,033,030,000

1,875,435,646,993

DG of Medical Care

4,911,288,035,000

4,673,933,560,560

95.17 6,604,289,127,000 6,018,876,798,657

91.14

6,600,000,000

6,072,395,985

92.01 1,683,200,000,000 1,582,016,309,281

93.99

13,205,377,162,000

12,280,899,064,483

DG of Disease Control and Environmental Health

1,858,133,435,000

1,605,706,258,864

86.42

395,548,915,000

358,991,405,357

90.76

60,974,545,000

52,926,067,513

86.80

115,587,826,000

92,581,830,665

80.10

2,430,244,721,000

2,110,205,562,399

DG of Pharmaceutical and Medical Device

954,304,590,000

914,389,369,109

95.82

16,500,000,000

15,161,018,191

91.88

970,804,590,000

929,550,387,300

Badan Penelitian dan Pengembangan Kesehatan

308,837,205,000

265,619,517,518

86.01

110,804,579,000

101,722,631,561

91.80

419,641,784,000

367,342,149,079

National Board of Health Human Resources Development &


Empowerment

1,531,081,712,000

1,373,952,080,563

89.74 1,313,084,861,000 1,179,451,452,695

89.82

52,432,419,000

43,834,163,375

83.60

2,896,598,992,000

2,597,237,696,633

14,002,039,884,000 12,280,030,996,315

87.70 8,519,546,313,000 7,743,175,474,577

90.89

824,749,972,000

686,358,824,866

83.22 1,928,467,826,000 1,786,893,040,569

92.66

25,274,803,995,000

22,496,458,336,327

Ministry of Health
Source: Bureau of Keuangan dan BMN, MoH

Annex 5.39

DATA OF HEALTH INSURANCE PARTICIPANT, 2010


Participant of Health Insurance (person)
No

Province

(1)

(2)

Aceh

Population Number

Jamkesmas

Askes PNS
dan TNI Polri

(3)

(4)

(5)

Jamsostek

Insurance Company

Other Private
Insurance

(6)

(7)

(8)

Jamkesda

Total of Insurance

(9)

(10)

(11)

4,670,647

2,682,285

524,638

5,550

1,731,925

4,944,398

North Sumatera

13,042,317

4,124,247

908,884

100,207

565,473

5,698,811

105.86
43.69

West Sumatera

4,697,764

1,361,281

535,646

98,829

279,272

2,275,028

48.43

Riau

5,422,961

1,230,911

299,421

42,669

2,042,651

3,615,652

66.67

Jambi

2,840,265

784,842

247,420

49,196

534,471

1,615,929

56.89

South Sumatera

7,288,591

2,793,317

487,956

4,016,349

7,297,622

100.12

Bengkulu

1,717,789

632,098

181,481

13,488

147,857

974,924

56.75

Lampung

8,129,250

3,146,184

416,025

199,512

339,594

4,101,315

50.45

Bangka Belitung Island

1,135,891

116,726

85,602

23,333

621,230

846,891

74.56

10

Riau Island

1,711,972

277,589

86,169

151,213

1,002,000

1,516,971

88.61

11

DKI Jakarta

9,146,181

675,718

857,007

1,560,213

341,000

3,433,938

37.55

12

West Java

42,693,951

10,700,175

2,357,903

414,243

5,002,792

18,475,113

43.27

13

Central Java

32,770,455

11,715,881

2,096,440

214,304

1,172,875

15,199,500

46.38

14

DI Yogyakarta

3,434,533

942,129

392,563

68,223

204,157

1,607,072

46.79

15

E t Java
East
J

37 432 020
37,432,020

10 710 051
10,710,051

2 189 495
2,189,495

698 482
698,482

1 291 881
1,291,881

14 889 909
14,889,909

39 78
39.78

16

Banten

10,579,005

2,910,506

421,326

560,648

37,978

3,930,458

37.15
100.39

17

Bali

3,516,000

548,617

356,332

88,954

2,535,886

3,529,789

18

West Nusa Tenggara

4,434,012

2,028,491

297,138

7,844

572,976

2,906,449

65.55

19

East Nusa Tenggara

4,540,053

2,798,871

363,699

5,877

545,375

3,713,822

81.80

20

West Kalimantan

4,319,142

1,584,451

310,171

2,484

405,231

2,302,337

53.31

21

Central Kalimantan

2,236,278

763,556

218,143

421,962

1,403,661

62.77

22

South Kalimantan

3,588,444

843,837

323,033

47,624

980,848

2,195,342

61.18

23

East Kalimantan

3,016,800

910,925

325,820

285,758

1,072,627

2,595,130

86.02

24

North Sulawesi

2,228,856

485,084

272,336

62,771

114,210

934,401

41.92

25

Central Sulawesi

2,396,224

851,027

254,125

14,849

333,057

1,453,058

60.64

26

South Sulawesi

7,868,358

2,449,737

751,549

86,233

4,601,568

7,889,087

100.26

27

Southeast Sulawesi

1,953,478

1,144,447

220,191

87

89,643

1,454,368

74.45

28

Gorontalo

1,143,645

431,299

92,379

9,024

532,702

46.58

29

West Sulawesi

1,163,342

473,817

88,550

14,500

576,867

49.59

30

Maluku

2,498,581

840,680

178,562

4,040

714,969

1,738,251

69.57

31

North Maluku

1,046,951

302,436

102,951

4,040

170,649

580,076

55.41

32

West Papua

729,962

521,558

80,962

602,520

82.54

33

Papua

2,640,760

1,943,517

185,494

12,608

2,141,619

81.10

Central

NATIONAL
%

Source: Center for Health Financing and Insurance, MoH

236,034,478

2,673,710

854,854

15,351,532

2,856,539

21,736,635

76,400,000

17,364,265

4,832,303

15,351,532

2,856,539

31,905,006

148,709,645

32.37

7.36

2.05

6.50

1.21

13.52

63.00

9.21
63.00

Annex 5.40

DISTRIBUTION OF MOH EMPLOYEE IN CENTRAL OFFICE, TECHNICAL IMPLEMENTATION UNIT AND DPK/DPB
DETAILS BY EDUCATION STRATA IN DECEMBER, 2010
Education Strata
No

Organization

Status of
Employee

Specialist

S2

S3

D III

DI

Senior High
Shool

Junior High
School

Primary
School

Total

S1
(7)

(8)

(9)

(10)

(11)

(12)

(13)

1/2/AV
(1)

(2)

PNS

Technical Implementation Unit

261

CPNS

12

82

45

139

PNS

112

84

28

234

CPNS

478

45

50

1,466

14

25

39

29

37

220

11

64

1,040

SUBTOTAL

954

54

617

596

15

570

51

52

2,918

PNS

128

69

11

24

236

CPNS

31

42

137

100

13

24

278
414

General Inspectorate

DG of Community Health Care


PNS

156

107

47

76

14

11

CPNS

23

34

PNS

88

15

88

177

115

12

502

22

24

53

257

16

240

253

191

26

17

1,003
499

DG of Medical Care
Central Office
Technical Implementation Unit

PNS

153

140

51

137

CPNS

10

12

PNS

21

1,711

1,515

3,789

10,685

277

10,782

1,296

689

30,765

CPNS
SUBTOTAL

263

437

1,677

13

2,399

23

2,127

1,518

4,376

12,415

290

10,928

1,300

698

33,675
651

DG of Disease Control and Environmental Health


Central Office
Technical Implementation Unit

PNS

201

195

61

151

14

18

CPNS

11

21

39

PNS

367

22

828

1,107

122

789

74

64

3,377

CPNS

18

76

313

407

597

23

1,120

1,488

129

940

88

82

4,474
213

SUBTOTAL
DG of Pharmaceutical and Medical Device

0
PNS

109

29

36

38

CPNS

10

16

119

33

38

38

229
805

SUBTOTAL
National Board of Health Research and Development
Central Office
Technical Implementation Unit

PNS

23

189

208

62

239

36

40

CPNS

16

58

25

99

PNS

59

142

115

78

16

20

435

CPNS
SUBTOTAL
VIII

247

675

CPNS

VII

361

SUBTOTAL

VI

11

Technical Implementation Unit

(6)

DPK/DPB

Central Office

IV

(5)

SUBTOTAL
III

(4)

Central Office

II

(3)

General Secretary

National Board of Health Human Resources Development &


Empowerment
Central Office
Technical Implementation Unit

TOTAL
Source: Bureau of Personnel, MoH RI

10

51

36

97

274

459

238

317

52

60

1,436

516

PNS

99

172

45

156

19

24

CPNS

26

37

PNS

17

1,974

36

2,895

944

48

1,886

386

330

8,516

CPNS
SUBTOTAL

0
24

19

255

206

480

17

2,097

37

3,348

1,201

48

2,042

405

354

9,549

82

6,306

1,655

10,160

16,191

488

14,988

1,922

1,263

53,055

Annex 6.1

DEMOGRAPHY IN ASEAN AND SEARO MEMBER STATES


2010

No

Countries

Population
(million)
Mid 2010

(1)

(2)

(3)

Brunei Darussalam

Density
(per Square
Kilometer)

Urban
Population
(%)

Population
Growth Rate
2000-2009
(%)

Population
Aged 0-14
(%)

Population
Aged 0-14
(%)

Population
Aged 0-14
(%)

(4)

(5)

(6)

(7)

(8)

(9)

GNI PPP per


Dependency
capita (US$),
Ratio (%)
2008
(10)

(11)

0.4

66

72

2.3

27

70

43

50,200

Philippines

94.0

313

63

2.1

33

63

59

3,900

Cambodia

15.1

83

20

1.9

35

62

61

1,820

Lao PDR

6.4

27

27

2.0

39

57

75

2,060

Malaysia

28.9

87

63

2.1

32

63

59

13,740

Sinapore

5.1

7,526

100

2.1

18

73

37

47,940

Viet Nam

88.9

268

28

1.4

25

67

49

2,700

Indonesia

235.5 *

124

43

1.4

28

66

52

3,830

Myanmar

53.4

79

31

0.8

27

70

43

1,290

10

Thailand

68.1

133

31

1.0

22

71

41

5,990

11

Bangladesh

164.4

1,142

25

1.6

32

64

56

1,440

12

Bhutan

0.7

15

32

2.5

31

64

56

4,880

13

India

1188.8

362

29

1.6

32

63

59

2,960

14

Korea DPR

22.8

189

60

0.5

22

69

45

15

Maldives

0.3

1,070

35

1.4

30

65

54

5,280

16

Nepal

28.0

191

17

2.1

37

59

69

1,120

17

Sri Lanka

20.7

315

15

0.8

26

68

47

4,480

18

Timor Leste

1.2

77

22

3.7

45

52

92

4,690

Sumber : - World Population Data Sheet, USAID, 2010


- The State of The Worlds Children, 2011: Population Growth Rate
Note:
*) Population Census 2010 : 237.6 million

Annex 6.2

BIRTH RATE, MORTALITY RATE AND HUMAN DEVELOPMENT INDEX


IN ASEAN & SEARO MEMBER STATES

No

Countries

Human
Development
Index

Life Expectancy at Birth


(Eo)

Human
Development
Index

HDI Rank

M
(2)

(3)

(4)

Crude Birth Rate


per 1000
Population

Under five Mortality Rate Maternal Mortality


(U5MR)
Rate per 100,000 live
births
M+F
M
F
M+F
2009
2008

Infant Mortality Rate


(IMR)

Crude Death
Rate per 1000
Population

M+F

2010

2009
(1)

Total Fertility
Rate (TFR)

2010
(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

Brunei Darussalam

0.804

37

0.805

75

80

77

1.7

16

21 [13 - 34]

Philippines

0.635

97

0.638

70

74

72

3.2

26

29

23

26

36

30

33

94 [61 - 140]

Cambodia

0.489

124

0.494

59

63

61

3.3

25

75

61

68

95

80

88

290 [180 - 480]

Lao PDR

0.490

122

0.497

63

66

65

3.5

28

52

40

46

62

55

59

580 [320 - 1000]

Malaysia

0.739

57

0.744

72

77

74

2.6

21

31 [14 - 68]

Sinapore

0.841

27

0.846

79

84

81

1.2

10

9 [8 - 10]

Viet Nam

0.566

113

0.572

72

76

74

2.1

17

19

20

19

25

23

24

56 [27 - 120]

Indonesia

0.593

108

0.600

69

73

71 *

2.4

20

33

27

30 *

42

35

39 *

Myanmar

0.444

132

0.451

56

60

58

2.4

20

11

61

47

54

79

63

71

240 [140 - 410]

10

Thailand

0.648

92

0.654

66

72

69

1.8

15

13

10

12

15

12

13

48 [32 - 68]

11

Bangladesh

0.463

129

0.469

65

67

66

2.4

22

44

39

41

53

51

52

340 [170 - 660]

12

Bhutan

67

68

68

3.1

25

57

48

52

84

73

79

200 [110 - 370]

13

India

0.512

119

0.519

63

65

64

2.6

23

50

51

50

62

70

66

230 [150 - 350]

14

Korea DPR

61

66

63

2.0

15

10

28

25

26

35

31

33

250 [84 - 690]

15

Maldives

0.595

107

0.602

72

74

73

2.5

22

12

10

11

14

11

13

37 [21 - 64]

16

Nepal

0.423

138

0.428

64

65

64

3.0

28

38

39

39

49

48

48

380 [210 -650]

17

Sri Lanka

0.653

91

0.658

72

76

74

2.4

19

15

11

13

18

13

16

39 [26 - 57]

18

Timor Leste

0.497

120

0.502

60

62

61

5.7

41

10

54

42

48

64

49

56

370 [150 - 860]

Source: - World Population Data Sheet, USAID, 2010


- Human Development Report 2010: Human Development Index
- World Health Statistics 2011 WHO: U5MR, Maternal Mortality Rate

240 [140 - 380] *

Annex 6.3

POPULATION USING CLEAN WATER SOURCE AND HYGIENIC SANITATION FACILITIES


IN ASEAN & SEARO, 2008
(%)
No

Countries

(1)

(2)

Brunei Darussalam

Philippines

Cambodia

Lao PDR

Malaysia

Sinapore

Viet Nam

Indonesia

Myanmar

10

Thailand

11

Bangladesh

12

Bhutan

13

India

14

Korea DPR

15

Maldives

16

Nepal

17

Sri Lanka

18

Timor Leste

Source: The State of The Worlds Children, 2011

Population

(%)

Population

Using Clean Water Source

Using Hygienic Sanitation Facilities

Urban

Rural

Total

Urban

Rural

Total

(3)

(4)

(5)

(6)

(7)

(8)

93

87

91

80

69

76

81

56

61

67

18

29

72

51

57

86

38

53

100

99

100

96

95

96

100

100

100

100

99

92

94

94

67

75

89

71

80

67

36

52

75

69

71

86

79

81

99

98

98

95

96

96

85

78

80

56

52

53

99

88

92

87

54

65

96

84

88

54

21

31

100

100

100

99

86

91

100

96

98

93

87

88

51

27

31

98

88

90

88

92

91

86

63

69

76

40

50

Annex 6.4

TUBERCULOSIS IN ASEAN AND SEARO MEMBER STATES


2008/2009

No

Countries

Prevalence of
Tuberculosis
per 100,000 Population

Incidence of
Tuberculosis
per 100,000 Population

2009
(1)

(2)

Brunei Darussalam

(3)

(4)

Incidence of Tuberculosis
Population

per 100,000

Proportion of Tuberculosis Cases through DOTS


Case Detection Rate

Succes Rate

2008

2009

2009

2008

(6)

(7)

(8)

(9)

72 [21-124]

60 [53-69]

4,2

1,7 [1,4-2,2]

89 [77-100]

87

Philippines

520 [486-554]

280 [228-338]

52

35 [23-49]

57 [47-70]

88

Cambodia

693 [316-1115]

442 [377-512]

79

71 [50-95]

60 [52-70]

95

Lao PDR

131 [54-221]

89 [72-107]

32

12 [6,8-19]

68 [57-84]

93

Malaysia

109 [47-173]

83 [75-90]

15

8,6 [6,4-11]

76 [70-84]

78

Sinapore

43 [13-74]

36 [32-42]

2,5

2,3 [1,9-3,0]

89 [77-100]

81

Viet Nam

333 [143-580]

200 [151-256]

34

36 [21-56]

54 [42-72]

92

Indonesia

285 [120-482]

189 [154-228]

27

27 [16-41]

67 [56-83]

91

Myanmar

597 [266-995]

404 [328-487]

57

59 [36-87]

64 [53-78]

85

10

Thailand

189 [84-315]

137 [111-165]

19

18 [11-27]

69 [57-85]

82

11

Bangladesh

425 [197-697]

225 [183-271]

50

51 [37-68]

44 [37-54]

91

12

Bhutan

179 [46-313]

158 [132-186]

15

8,3 [4,5-17]

100 [87-120]

91

13

India

249 [105-419]

168 [137-202]

23

23 [14-36]

67 [56-83]

87

14

Korea DPR

423 [126-739]

345 [294-400]

39

25 [13-45]

93 [80-110]

89

15

Maldives

47 [14-81]

39 [33-45]

2,9

2,6 [1,4-4,6]

83 [72-96]

45

16

Nepal

240 [97-408]

163 [133-197]

22

21 [13-24]

73 [60-89]

89

17

Sri Lanka

101 [41-172]

66 [54-80]

9,6

9,2 [5,3-15]

70 [58-85]

85

18

Timor Leste

744 [294-1285]

498 [406-601]

83

66 [36-107]

84 [70-100]

85

Source: World Health Statistics 2011, WHO


Note: - CDR = Case Detection Rate
- SR = Succes Rate

Annex 6.5

ESTIMATION OF HIV/AIDS IN ASEAN AND SEARO MEMBER STATES


2009
2. Deaths related to AIDS

1. HIV Estimation

No

Adults and Children

Countries

(1)

(2)

Brunei Darussalam

Teenagers (15+)

Estimation

(low - high estimation)

Estimation

(3)

(4)

(5)

Adults (1549) Rate (%)

(low - high estimation) Estimation


(6)

(7)

Women (15+)

Adults and Children

(low - high
estimation)

Estimation

(low - high
estimation)

Estimation

(low - high
estimation)

(8)

(9)

(10)

(11)

(12)

Philippines

8,700

[ 6.100 - 13.000 ]

8,600

[ 6.000 - 13.000 ]

<0,1

[ < 0,1 - <0,1 ]

2,600

[ 1.800 - 3.900 ]

< 200

[ <100 - <500 ]

Cambodia

63,000

[ 42.000 - 90.000 ]

56,000

[ 38.000 - 82.000 ]

0,5

[ 0,4 - 0,8 ]

35,000

[ 23.000 - 52.000 ]

3 100

[ 1.000 - 5.600 ]

Lao PDR

8,500

[ 6.000 - 13.000 ]

8,300

[ 5.800 - 12.000 ]

0.2

[ 0,2 - 0,4 ]

[ 2.400 - 5.500 ]

< 200

[ <100 - <500 ]

Malaysia

100,000

[ 83.000 - 120.000 ]

100,000

[ 83.000 - 120.000]

0.5

[ 0,4 - 0,6 ]

11,000

[ 8.600 - 15.000 ]

Sinapore

3,400

[ 2.500 - 4.400 ]

3,300

[ 2.400 - 4.300 ]

0,1

[ 0,1 - 0,1 ]

1,000

[ <1.000 - 1.300]

Viet Nam

280,000

81,000

[ 63.000 - 100.000 ]

Indonesia

310,000

[ 200.000 - 460.000 ]

300,000

[ 200.000 - 460.000 ]

0,2

[ 0,1 - 0,3 ]

Myanmar

240,000

[ 200.000 - 290.000 ]

230,000

[ 190.000 - 280.000 ]

0,6

[ 0,5 - 0,7 ]

10

Thailand

530,000

[ 420.000 - 660.000 ]

520,000

[ 410.000 - 640.00 ]

1,3

[ 1,0 - 1,6 ]

11

Bangladesh

[ 5.100 - 8.100 ]

<0,1

[ < 0,1 - <0,1]

12

Bhutan

13

India

14

Korea DPR

15

Maldives

16

Nepal

17

Sri Lanka

18

Timor Leste

[ 220.000 - 350.000 ]

6,300

[ 5.200 - 8.300 ]

270,000

6,200

[ 220.000 - 350.000]

0,4

[ 0,3 - 0,5 ]

< 1000

[ <1000 - 1.500]

< 1000

[ <1000 - 1.500]

0,2

[ 0,1 - 0,3 ]

2,400,000

[ 2.100.000 - 2.800.000 ]

2,300,000

[ 2.000.000 - 2.600.000 ]

0,3

[ 0,3 - 0,4 ]

3 500

88,000

5,800
< 100
14,000

[ 4.500 - 7.200 ]
[ <100 - <500 ]
[ 9.500 - 20.000 ]

[ 58.000 - 130.000 ]

8,300

[ 3.800 - 15.000 ]

[ 67.000 - 96.000 ]

18 000

[ 13.000 - 23.000 ]

[ 160.000 - 260.000 ]

12 000

[ 21.000 - 37.000 ]

[ 1.500 - 2.400 ]

< 200

[ <100 - <500 ]

[ < 200 - <500]

< 100

[ <100 - <100 ]

880,000 [ 730.000 - 1.000.000 ]

170 000

[ 150.000 - 200.000 ]

81 000
210,000
1,900
< 500

<100

[ <100 ]

<100

[ <100 ]

<0,1

[ < 0,1 -<0,1 ]

<100

[ <100 ]

< 100

[ <100 - <100 ]

64,000

[ 51.000 - 80.000 ]

60,000

[ 48.000 - 75.000 ]

0,4

[ 0,3 - 0,5 ]

20,000

[ 16.000 - 25.000 ]

4,700

[ 3.800 - 5.700 ]

2,800

[ 2.100 - 3.800 ]

2,800

[ 2.100 - 3.700 ]

<0,1

[ < 0,1 -<0,1 ]

<1000

[ <500 - <1.000 ]

< 200

[ <100 - <500 ]

Source: Global Report 2010, UNAIDS Report on the Global AIDS Epidemic

Annex 6.6

NUMBER OF VACCINE-PREVENTABLE DISEASES


IN ASEAN AND SEARO MEMBER STATES
2010

No

Countries

Diphteria

Pertussis

Tetanus

Tetanus
Neonatorum

Measles

Polio

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Brunei Darussalam

Philippines

Cambodia

372

19

1156

Lao PDR

34

14

153

Malaysia

41

28

10

73

Sinapore

50

Viet Nam

81

196

35

2,809

Indonesia

385

137

137

16,529

Myanmar

96

19

190

10

Thailand

65

172

2,534

11

Bangladesh

27

17

710

117

788

12

Bhutan

97

13

India

3,123

38,493

1,574

373

29,760

43

14

Korea DPR

80

15

Maldives

16

Nepal

146

2,293

547

13

190

17

Sri Lanka

11

79

18

Timor Leste

50

A S E A N

500

515

643

231

23,494

S E A R O

3,750

40,891

3,256

671

50,217

49

Source: WHO vaccine-preventable diseases monitoring system, 2011 global summary (1 June 2011 updated: http://apps.who.int/immunization_monitoring/en/globalsummary/countryprofileselect.cfm)

Annex 6.7

BASIC IMMUNIZATION TO INFANTS


IN ASEAN & SEARO, 2009

No

Countries

BCG (%)

DPT3 (%)

Polio3 (%)

Measles (%)

Hepatitis B3 (%)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

Brunei Darussalam

99

99

99

99

99

Philippines

90

87

86

88

85

Cambodia

98

94

95

92

91

Lao PDR

67

57

67

59

67

Malaysia

98

95

95

95

95

Sinapore

99

97

97

95

97

Viet Nam

97

96

97

97

94

Indonesia

93

82

89

82

82

Myanmar

93

90

90

87

90

10

Thailand

99

99

99

98

98

11

Bangladesh

99

94

94

89

95

12

Bhutan

96

96

96

98

96

13

India

87

66

67

71

21

14

Korea DPR

98

93

98

98

92

15

Maldives

99

98

98

98

98

16

Nepal

87

82

82

79

82

17

Sri Lanka

98

97

97

96

97

18

Timor Leste

71

72

78

70

72

Source: WHO Immunization Summary, 2011: A Statistical Reference Containing Data through 2009

Annex 6.8

HEALTH EFFORTS IN ASEAN AND SEARO MEMBER STATES


2000 - 2010

Married women aged 15-49


years using contraceptive (%)

Antenatal Care (4th Visit)

Delivery assisted by skilled


health assistants

Infants breastfed exclusively


(6 months)

2010

2000 - 2010

2000 - 2010

2000 - 2010

(3)

(4)

(5)

(6)

100

Philippines

34

78

62

34

Cambodia

27

27

44

66

Lao PDR

29

20

26

Malaysia

100

Sinapore

55

100

Viet Nam

69

29

88

17

Indonesia

57

82

73

32

Myanmar

33

43

37

31

10

Thailand

70

80

99

15

11

Bangladesh

48

21

18

43

12

Bhutan

31

72

10

13

India

49

50

47

46

14

Korea DPR

58

95

97

65

15

Maldives

27

85

95

48

16

Nepal

44

29

19

53

17

Sri Lanka

53

93

99

76

18

Timor Leste

21

55

30

52

No

Countries

(1)

(2)

Brunei Darussalam

Source: - World Health Statistics 2011, WHO


- World Population Data Sheet, USAID, 2010 : Percentage of married women aged 15-49 using contraceptive

Annex 6.9

HEALTH EXPENDITURES IN ASEAN AND SEARO MEMBER STATES


2008

No

Countries

(1)

(2)

General government
Total expenditure on health
expenditure on health as %
as % of gross domestic
of total expenditure on
product
health

Private expenditure on
health as % of total
expenditure on health

General government
expenditure on health as % Per capita total expenditure
of total government
on health (PPP int. $)
expenditure

(3)

(4)

(5)

(6)

(7)

Brunei Darussalam

2,3

85,5

14,5

7,0

967

Philippines

3,7

34,7

65.3

6,1

45

Cambodia

5,7

23,8

76,2

9,0

28

Lao PDR

4,0

17,6

82,4

3.7

15

Malaysia

4,3

44,1

55,9

6.9

274

Sinapore

3,3

34,1

65,9

7,8

625

Viet Nam

7,2

38,5

61,5

9,3

77

Indonesia

2,3

54,4

45,6

6.2

49

Myanmar

2,3

7,5

92,5

0,7

10

Thailand

4,1

74,3

25,7

14,2

244

11

Bangladesh

3,3

31,4

68,6

7,4

14

12

Bhutan

5,5

82,5

17,5

13,0

217

13

India

4,2

32,4

67,6

4,4

40

14

Korea DPR

15

Maldives

13,7

61,2

38,8

13,8

470

16

Nepal

6,0

37,7

62,3

11,3

25

17

Sri Lanka

4,1

43,7

56,3

7,9

82

18

Timor Leste

13,9

82,9

17,1

11,9

93

Source: World Health Statistics 2011, WHO

You might also like