“MALARIA UPDATES

IN INDONESIA”

Dr.drh Didik Budjianto, M.Kes

Director of Vector Borne & Zoonotic Diseases Prevention and Control

Jakarta, 30 Oktober 2021

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 MALARIA SITUATION
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 Milestone and Targets Malaria
Elimination 2030
2029
Indonesia certified as
2028
All provinces reach malaria elimination country
2025 the malaria
All districts reach
2019 the malaria elimination
The last year of elimination status
indigenous cases in
300 districts are free of all districts
malaria
5. Papua
2029
& Papua Barat Region

4. Maluku & NTT Region 2028

3. Kalimantan
& Malut Region
2027

2. Sumatera,
Sulawesi, NTB Region
2025

1. Jawa-Bali Region
2023
 Malaria Sub-national Elimination
Progress
2009 2013 2021

Stratification 2012 2021

Certified malaria free 0 331
“Subnational elimination strategy
Low endemic 332 136 initiated in 2009 and first district received
Moderate endemic 85 23 a certificate was in 2013”
High endemic (API > 5 ‰) 84 24
 Regional Subnational Elimination Updated
per Oktober 2021 – 331 District Elimination

Regional Sumatera, Sulawesi, NTB: 173 out of

Regional Kalimantan-North Maluku:
245 districts/cities achieve elimination status
31 out of 66 districts/cities achieve elimination
(70%)
status (47%)

Regional Papua:
0 out of 42 districts/cities achieve
elimination status (0%)

Regional Jawa-Bali:
124 out of 128 districts/cities Regional Maluku, NTT:
achieve elimination status (97%) 3 out of 33 districts/cities achieve elimination status (9%)
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 MALARIA PROGRAM POLICY

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 Specific Strategies Malaria Elimination
Acceleration
Objective: Reduce number
of malaria cases
Target: All high endemic
areas (API ≥5 ‰)
Interventions:
Mass LLINs distribution
IRS at village with API >
20‰ and other vector
control interventions based
on local evidence
Scale-up early diagnosis and
prompt treatment
Community empowerment
Integrated ANC and IMCI è
Screen Pregnant women (1st
visit) and all sick child U5
Intensification
Objective: Clear focus area
Target: Moderate endemic
areas (API 1 - 5 ‰)
Interventions:
LLINs Distribution for high
risk population / at foci
IRS application when
upward trend of malaria
cases detected and other
vector control measures
based on local evidence
Active Case Finding
Community empowerment
Elimination
Objective: Interrupt local
transmission/ No
indigenous case
Target: Low endemic areas
(API <1 ‰)
Interventions:
Epidemiology investigation
and responses : 1-2-5 for all
positive case
Early diagnosis and prompt
treatment at all networks
Active Case Finding
Surveillance receptive area
and vector control
interventions based on local
evidence
Maintenance
Objective: Prevent re-
introduction malaria case
Target: District that has
certified malaria
elimination
Interventions:
Migration surveillance
Epidemiology investigation
and responses : 1-2-5 for all
positive case
Strengthen network for
early diagnosis and prompt
treatment
Surveillance vectors and
receptive areas
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IMPACT OF COVID-19
ON MALARIA
Number of districts have Number of districts have
malaria cases COVID-19 cases
No Yes Total
No 2 166 168
Yes 7 339 346
Total 9 505 514
 Case finding activities at national by month and by province

Significant reduction of malaria case finding in 2020 due to COVID-19 pandemic, but number of cases increased.
Most provinces reported reduction of case finding activities,
some provinces showed an increased case finding due to improvement of reporting completeness in SISMAL.
 Assessment of Malaria Services
Interruption by COVID-19
pandemic
Coverage and quality Training,
Diagnosis and Operational
Surveillance of key preventive supervision,
treatment tools research/TES
M&E
• Reduction number Stock out of Delayed LLIN • Reduction number • Suspended some
of case finding by primaquine in most distribution process of field supervision operational
44% of provinces, NMCP Mass campaign • Reduction number research due to
• Reduction number re-mobilized it from conducted without of trainings, travel restriction to
of cases other provinces. followed standard although some study sites.
investigated Released protocol for microplanning and training have been • TES at two sites at
co-infection malaria community census modified to virtual Papua Province just
and COVID-19 in advance. or e-learning started by end Nov
when CQ/HQ used method. 2020.
by COVID-19 cases
Staying the course to elimination during COVID-19
through a strong surveilance system

Country Action

PROTOCOL ON MALARIA PREVENTION AND

CONTROL IN COVID-19 PANDEMIC PERIOD
to ensure continuous access to quality tests and
treatments for malaria

Best Practice

Ø Screening malaria and COVID for all visitors from outside

during migration surveillance activity in District and
screening malaria for all suspect COVID in Papua Province

Ø Case investigation for Imported cases conducted by phone

 Thank
You
Visit our website for more
information: malaria.id