Coronavirus Disease 2019 (COVID-19) World Health

Organization
Situation Report - 3 Indonesia

Data reported as of 09 April 2020

HIGHLIGHTS Situation in Indonesia

Total confirmed cases

3 293
• As of 09 April, the Government of Indonesia
announced a total of 3 293 cases of COVID-19 Globally
with 280 deaths and 252 recoveries from
across 33 provinces. Total new cases in last 24 hours
• On 02 April, the UN General Assembly
approved a resolution, the Global Solidarity 337
to Fight COVID-19, calling for international
cooperation and multilateralism in the fight Total deaths
against COVID-19. The resolution was
initiated by Indonesia, Ghana, Liechtenstein,
Norway, Singapore, and Switzerland, and 280
co-sponsored by 188 Member States. The
resolution delineates the need for international Total recoveries
cooperation, information exchange and
collaborative research to curb the spread
of COVID-19. The resolution also includes
252
the vital role of and appreciation for
healthcare workers, medical professions, and
researchers¹.
Total provinces with
confirmed cases 33
Aceh

North
North Sumatra Kalimantan

North
Sulawesi
Riau Islands Gorontalo
East
West Kalimantan Central
Kalimantan Sulawesi North
Maluku
West Bangka West
Sumatra Belitung Central West
Jambi Sulawesi Papua
Islands Kalimantan

South
Bengkulu Sumatra
South
South Papua
Kalimantan Southeast
Sulawesi
Sulawesi
Lampung Jakarta Maluku
Central East
Java Java
Banten
no confirmed COVID-19 cases
West Yogyakarta
1-5 confirmed COVID-19 cases
Java
6-19 confirmed COVID-19 cases Bali East
West
20-49 confirmed COVID-19 cases Nusa
Nusa
Tenggara
>50 confirmed COVID-19 cases Tenggara

Figure: Geographic distribution of confirmed COVID-19 cases in Indonesia, as of 09 April 2020.

Source: https://www.covid19.go.id/
¹ https://www.thejakartapost.com/news/2020/04/04/indonesia-calls-for-collective-response-as-un-passes-covid-19-resolution.html

WHO Indonesia Situation Report - 3

1
who.int/indonesia
• As of 06 April, the MoH had officially reported 95 fatalities related to COVID-19 in Jakarta since
the beginning of March. In the same timeframe, the Jakarta Parks and Forestry Agency has
reported 639 burials that followed the protocols for burial of suspected or confirmed COVID-19
cases². The agency, however, does not have data on how many of these were confirmed
COVID-19 cases. The head of the COVID-19 Task Force said that many suspected cases were
under surveillance or general monitoring and had died before their test results came back.

Number of burials

5000

4000

3000

2000

1000

0
Jan-2018

Feb-2018

Mar-2018

Apr-2018
May-2018

Jun-2018

Jul-2018

Aug-2018

Sep-2018
Oct-2018

Nov-2018

Dec-2018

Jan-2019

Feb-2019

Mar-2019
Apr-2019

May-2019

Jun-2019

Jul-2019
Aug-2019

Sep-2019

Oct-2019

Nov-2019

Dec-2019

Jan-2020

Feb-2020

Mar-2020
Figure: Graph showing spike in number of burials in Jakarta in March 2020. Source: Reuters

• As reported by the media, the figure above shows that the number of burials in Jakarta –
nearly 4 400 – in March 2020 was 1 300 more than the number of burials in March 2019³. It
is abnormally higher than any other month. These additional deaths may need to be further
investigated, to confirm or exclude COVID-19 related deaths.

• On 07 April, the MoH approved the Jakarta administration’s proposal to implement large-scale
social restrictions in the capital to reduce the transmission of COVID-19. The restrictions are
regulated under the 2018 Health Quarantine Law, which stipulates suspending schools and
offices, limiting religious activities and restricting gathering in public places. The implementation
is to begin on 10 April for an initial duration of two weeks⁴.

• On 07 April, Indonesian Foreign Minister Retno Marsudi informed the Commission I of the
House of Representatives that eight countries have provided assistance to Indonesia to curb
COVID-19. The eight countries - namely Australia, China, Japan, Singapore, the Republic of
Korea (ROK), the United Arab Emirates, the United States of America, and Vietnam - have
primarily provided medical devices and supplies including personal protective equipment (PPE)
to Indonesia⁵.

² https://www.thejakartapost.com/news/2020/04/07/jakarta-buries-639-bodies-according-to-covid-19-protocols.html
³ https://www.reuters.com/article/us-health-coronavirus-indonesia-funerals/exclusive-jump-in-jakarta-funerals-raises-fears-of-unreported-coronavi-
rus-deaths-idUSKBN21L2XU
⁴ https://www.thejakartapost.com/news/2020/04/07/covid-19-health-ministrygrants-jakartas-request-to-impose-large-scale-social-restrictions.html
⁵ https://www.cnnindonesia.com/internasional/20200407160407-106-491293/delapan-negara-beri-ri-bantuan-medis-untuk-hadapi-corona

WHO Indonesia Situation Report - 3

2
who.int/indonesia
PLANNING AND RISK ASSESSMENT
• WHO has shared the COVID-19 Essential Supplies Forecasting Tool (COVID-ESFT), including
its user manual available in Indonesian, with the Ministry of National Development Planning,
the National Board for Disaster Management, and the Centre for Health Crisis Management,
MoH. The tool is used to forecast the needs for PPE, diagnostic test kits, medical equipment
for case management, essential drugs for supportive care, and other supplies and
consumables.

• On 03 April, WHO shared the draft national COVID-19 response plan, containing technical
inputs of WHO and scenarios, with the MoH and the National Board of Disaster Management.
Provincial and district level plans will need to be developed. It is important that a clear
response plan is approved and implemented timely at national, provincial and district levels.

• The Centre for Health Crisis Management organized two virtual meetings:
1) on 04 April, a technical team from WHO presented the COVID-ESFT to the provincial-level
health officers and healthcare workers; and
2) on 08 April, WHO, the MoH and the COVID-19 Task Force discussed the harmonized use of
the tool amongst ministries.

• WHO, in collaboration with the Indonesian Epidemiology Association, is in discussion with

the MoH to harmonize the COVID-19 surveillance system to improve information sharing and
management, data analysis, and planning and operations of the COVID-19 response.

SURVEILLANCE

Number of cases
350
337

300

250 247

218 218

200 196

181

153
150 149

130 129
114 113
106 105 103 109 106
100
81 81

61 64 65
55
50
35 38
27
21 17
13
08 07
02 02 02
0
02-03
03-03
04-03
05-03
06-03
07-03
08-03
09-03
10-03
11-03
12-03
13-03
14-03
15-03
16-03
17-03
18-03
19-03
20-03
21-03
22-03
23-03
24-03
25-03
26-03
27-03
28-03
29-03
30-03
31-03
01-04
02-04
03-04
04-04
05-04
06-04
07-04
08-04
09-04

Reporting date

Graph: Number of cases by reporting date. Source: https://infeksiemerging.kemkes.go.id/

WHO Indonesia Situation Report - 3

3
who.int/indonesia
• As of 05 April, the Indonesian government, with support from WHO, set up a COVID-19
surveillance system in Wisma Atlet in North Jakarta. This is the largest emergency hospital for
COVID-19 in the country, with a capacity for 3 000 inpatients as reported by the MoH on 03
April⁶. A system for data sharing and notification has been established as Wisma Atlet receives
patients from outside Jakarta.

• WHO is supporting the MoH to strengthen COVID-19 surveillance in the following provinces:
Lampung, North Kalimantan, North Maluku, Papua, South Sulawesi, West Nusa Tenggara, and
West Papua.

Cumulative number

3500

Number of cases
3000 Number of deaths
Number of recoveries

2500

2000

1500

1000

500

0
02-03
03-03
04-03
05-03
06-03
07-03
08-03
09-03
10-03
11-03
12-03
13-03
14-03
15-03
16-03
17-03
18-03
19-03
20-03
21-03
22-03
23-03
24-03
25-03
26-03
27-03
28-03
29-03
30-03
31-03
01-04
02-04
03-04
04-04
05-04
06-04
07-04
08-04
09-04

Reporting date

Graph: Cumulative number of cases, deaths and recoveries by reporting date

Source: https://www.covid19.go.id/situasi-virus-corona/

CASE MANAGEMENT

• On 01 April, a WHO ‘oxygen capacity’ survey tool was disseminated in Indonesian through the
MoH and the Indonesian Hospital Association to collect crucial information on the capacity of
healthcare facilities to provide key clinical interventions for COVID-19 patients with severe or

⁶ https://www.kominfo.go.id/content/detail/25280/miliki-kapasitas-24-ribu-orang-presiden-cek-kesiapan-wisma-atlet-tampung-pasien-covid-19/0/berita

WHO Indonesia Situation Report - 3

4
who.int/indonesia
 critical respiratory distress. Subsequently, on 07 April, WHO disseminated the main messages
and recommendations to improve national oxygen supply capacity to the stakeholders.

• The MoH and provincial governments are increasing the number of hospitals to manage
the COVID-19 response. The MoH previously appointed 132 hospitals to manage severe
and critical cases (secondary-level referral hospitals), while the Provincial Health Authorities
appointed 390 hospitals in which mild to moderate cases receive care (first-level referral
hospitals). As of 06 April, an additional 102 hospitals have been appointed as first-level referral
hospitals, bringing the total number of first-level referral hospitals to 492. It is critical to ensure
that all these hospitals have adequate health workers, PPE, medical equipment and supplies to
be able to cope with the increasing patient load as forecasted under draft planning scenarios.

• WHO guidance on clinical management of Severe Acute Respiratory Infection (SARI) in

COVID-19 patients has been translated to Indonesian and widely shared and published on the
website. The MoH, in collaboration with WHO and relevant professional associations, plans to
prepare a set of national guidelines on case management.

INFECTION PREVENTION AND CONTROL (IPC)

• On 07 April, WHO virtually joined the Water, Sanitation and Hygiene (WASH) Coordination
Meeting, facilitated by UNICEF and the National Board of Disaster Management. The agenda
covered a discussion on improvement of hand washing practices at community level, waste
management in healthcare facilities and key issues regarding disinfection practices.

• On 08 April, WHO joined the Bureau of International Cooperation, MoH, and UNDP to
participate in a meeting hosted by the Directorate of Environmental Health, MoH. The meeting
discussed a collaborative strategy for medical waste management.

LABORATORY

• Early testing to confirm and isolate confirmed cases continue to be a limitation and as of 09
April, only 16 848 suspected cases have been tested using PCR tests⁷.

• To respond to the increasing demand of PCR testing, the MoH released Decree 234/2020
on 07 April. As per the decree, all public and private hospital and clinic laboratories, and
microbiology and virology laboratories can become eligible for PCR testing for COVID-19 given
they meet the standard requirements.

• To strengthen the capacity of case finding and case management, the MoH has developed an
action plan to provide real time point of care polymerase chain reaction (POC RT-PCR) testing
for the COVID-19 referral hospitals. GeneXpert® machines for Tuberculosis (TB) testing
exist in 305 out of the 492 first-level referral hospitals. From 24 March to 06 April, a detailed
mapping of the capacity and bio-safety status of each of these 305 hospitals was completed,
including a calculation of needs for Xpert® Xpress SARS-CoV-2 cartridges and preparations
of a training plan. The report was presented on 08 April by the Directorate of Communicable
Disease Control and Prevention.
⁷ https://infeksiemerging.kemkes.go.id/
WHO Indonesia Situation Report - 3
5
who.int/indonesia
• WHO shared the updated guidance to include specifications on usage and storage conditions
for sterile saline as a substitute for viral transport media with the National Institute of Health
Research and Development (NIHRD).

• A Laboratory Coordination Meeting, facilitated by the MoH, took place on 08 April. Participants,
including WHO, other UN agencies and partners, shared their plan to strengthen the capacity
of laboratories. As of 06 April, 42 of the 48 appointed laboratories (i.e. 87.5%) have been
conducting PCR testing or sample collection for COVID-19.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS)

• On 03 April, WHO and the MoH, in collaboration with relevant professional organizations,
initiated the identification of the existing MHPSS hotlines that are nationally available to
respond to anyone who needs assistance. The hotlines are managed by the professional
organizations.

COMMUNICATIONS
• On 03 April, WHO shared a press release from the Regional Office titled “COVID19: WHO calls
for stronger whole of society approach in South-East Asia Region” with the media.

• On 07 April, an opinion piece from WHO Regional Director, Poonam Khetrapal Singh, was
published for World Health Day in acknowledgement of the role that healthcare workers, in
particular nurses and midwives, play in the COVID-19 response. The article, titled ‘Celebrate,
strengthen, support nursing, midwifery workforce’ followed one day after publication of an
opinion piece by the Secretary-General of the United Nations, António Guterres, calling for a
united approach in fighting the virus.

• On 08 April, WHO translated into Indonesian the guidance on the use of masks for people in
the context of COVID-19. The document was published on the website and widely shared with
relevant partners and the Risk Communication and Community Engagement Task Force.

RESEARCH

• As of 08 April, approvals from the national research ethics committee and the national
regulatory authority have been obtained for the international clinical trial, SOLIDARITY Trial.
The trial will examine the effectiveness of: 1) remdesivir; 2) chloroquine or hydroxychloroquine;
3) lopinavir with ritonavir; and 4) lopinavir with ritonavir plus interferon. The National Agency of
Drug and Food Control (BPOM) is supporting the timely issuance of drug importation licenses.

• WHO is supporting the NIHRD with the recruitment of hospitals and identification of site
principle investigators (PIs). As of 08 April, 20 hospitals confirmed participation in the trial and

WHO Indonesia Situation Report - 3

6
who.int/indonesia
 site PIs have received a preliminary introduction to the trial. WHO is currently planning a virtual
training on the randomization system and website reporting.

PARTNER COODINATION
• On 03 April, WHO joined a coordination meeting of development partners. Partners mainly
discussed ways to ensure a coordinated approach to support the governments COVID-19
response, with a particular focus on improving surveillance and testing capacities.

• On 08 April, WHO joined a meeting with the UN Office for Coordination of Humanitarian
Affairs and the Resident Coordinator’s Office for discussion on the UN-wide response plan for
COVID-19 in Indonesia. WHO will take the lead for the health sector and will also participate in
the risk communication and multisectoral response sectors.

• On 09 April, WHO participated in the third UN in Indonesia Townhall Meeting, which virtually
connected over 500 participants from UN organizations across the country. The WHO
Representative to Indonesia provided an update on the COVID-19 pandemic and responded to
many questions of participants.

FUNDING

• Overall funding request for WHO operations and technical assistance is US$ 18 million, based
on estimated needs as of April 2020.

Funding situation

Japan
US$ 7 523 364

Funding
shortfall
US$ 9 776 636

USAID
US$ 700 000

For further information please feel free to contact: seinocomm@who.int

WHO Indonesia Situation Report - 3

7
who.int/indonesia
 Snapshot of online WHO training and information material available in Indonesian

Online WHO COVID-19 courses:

• Clinical management of Severe Acute Respiratory Infections

• Health and safety briefing for respiratory diseases - eProtect
• Infection Prevention and Control

Trainings on COVID-19 are available in other languages

at OpenWHO, a knowledge-transfer platform offering
free online courses.

WHO technical guidance:

• Advice on the use of masks

• Home quarantine
• Investigation of cases and clusters
• Clinical management of Severe Acute Respiratory Infections

Media statements:

• Confirmed COVID-19 cases

• Dos and don’ts of mask use
• Risk factors for vulnerable populations
• Dual language online training

Infographics:

• FIFA campaign
• Mental health
• Community transmission
• Low risk is not no risk
• Coping with stress
• When and how to use a mask
• Getting workplace ready
• Social distancing
• Be Ready Campaign
• World Health Day
• Noncommunicable diseases
• Pregnancy, childbirth and breastfeeding

A selection of myth-busters, including:

• Can an ultraviolet disinfectant lamp kill
the new coronavirus?
• Can spraying alcohol or chlorine all
over your body kill the new
coronavirus?
• Does smoking have an effect on
COVID-19?
• Does drinking water alleviate a sore throat and
protect against COVID-19?
• Can COVID-19 spread through faeces?
• Is the new coronavirus airborne?
• Can pets at home spread COVID-19?
• Does the new coronavirus affect older people
or are younger people also susceptible?

WHO Indonesia Situation Report - 3

8
who.int/indonesia