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EDITORIAL BOARD

Advisor
Kunta Wibawa Dasa Nugraha, S.E, M.A, Ph.D
Secretary General
Sekretaris JenderalofKemenkes
Ministry of
RI Health of the Republic of Indonesia

Editor-in-Chief
Setiaji, S.T, M.Si
Head
Plt. of Center
Kepala Pusatfor Data
Data and
dan Information
Teknologi Technology (temporarily in charge)
Informasi

Editor
Farida Sibuea, SKM, MSc.PH
Boga Hardhana,
Hardhana, S.Si,Winne
S.Si, MM MM
Winne Widiantini,
Widiantini, SKM, MKMSKM, MKM

Members
Intan Suryantisa Indah, SKM, MKM; Supriyono Pangribowo,SKM, MKM; dr. Yoeyoen Aryantin
Indrayani; Wardah, SKM, MKM; dr. Ellysa, M.Epid; Marlina Indah Susanti, SKM, M.Epid; Annisa Harpini,
SKM, MKM; Khairani SKM, MKM; Ratri Aprianda, SKM, MKM; Tri Wahyudi, S.Si; Hira Ahmad Habibi,
S.Sn; Hellena Maslinda; Prillia Syafira Liani, SKM; Elsa Kathalea Putri, S.I.Kom; Anisah Mufidatush
Shalihah, S.Stat; Ridwan Febryanto Syahputra, SKM; Muhammad Hafid, S.Stat.

Contributor

Ministry of Internal Affairs; Ministry of Education and Culture; Statistics Indonesia; National
Population and Family Planning Board; Health Social Security Administering Agency; Bureau i of
Planning and Budgeting; Bureau of Finance and State‐Owned Asset; Bureau of Personnel;Hajj Health
Centre; Centre for Health Financing and National Health Insurance; Centre for HealthCrises; Secretariat
of Directorate General of Health Services; Directorate of Primary Healthcare;Directorate of Referral
Healthcare; Directorate of Traditional Healthcare; Directorate ofHealthcare Facilities; Directorate of
Quality and Accreditation of Health Services; Secretariat of Directorate General of Disease Prevention
and Control; Directorate of Surveillance and HealthQuarantine; Directorate of Direct Communicable
Disease Prevention and Control; Directorate of Vector‐Borne Disease and Zoonosis Prevention and
Control; Directorate of Non Communicable Disease Control; Directorate of Prevention and Control of
Mental HealthProblems and Drugs; Secretariat of Directorate General of Public Health; Directorate of
Family Health; Directorate of Environmental Health; Directorate of Occupational Health and Sports;
Directorate of Public Nutrition; Directorate of Health Promotion and Community Empowerment;
Secretariat of Directorate General of Pharmaceuticals and Medical Devices; Secretariat of Huma n
Resources for Health Development and Empowerment Agency; Centre for Health Human Resource
Education; Centre for Health Human Resource Planning and Utilization; Indonesia Medical Council;
Indonesia HealthProfessionCouncil.
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PREFACE
SECRETARY GENERAL OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF
INDONESIA

We express our gratitude to Allah SWT for the public of the 2021
Indonesian Health Profile. The issuance of the 2021 Indonesia Health Profile
is an effort to fulfill the public's right to access to information and education
about balanced and responsible health.
The Indonesian Health Profile presents a national picture,
comparisons between provinces and from year to year. This health profile is
prepared based on routine data and survey data from technical units within
the Ministry of Health and other
related institutions such as the Central Statistics Agency (BPS), the Cultural Guarantee
Administration (BPJS), the Ministry of Home Affairs, the Ministry of Education and Culture and the
Population and Family Agency. National Planning (BKKBN). The information presented includes data
and narratives about the demographic situation, health service facilities and Community‐Based
Health Efforts (UKBM), Health Human Resources (HR), health financing, family health, and disease
control and environmental health.

 ‡‡š’”‡••‘—”ƒ’’”‡…‹ƒ–‹‘ƒ†‰”ƒ–‹–—†‡–‘ƒŽŽ’ƒ”–‹‡•™Š‘Šƒ˜‡…‘–”‹„—–‡†–‘–Š‡
’”‡’ƒ”ƒ–‹‘‘ˆ–Š‡ʹͲʹͳ †‘‡•‹ƒ ‡ƒŽ–Š”‘ˆ‹Ž‡Ǥ‡Š‘’‡ˆ‘”positive criticism and suggestions
as improvements in the future.

July 2022
Secretary General of the Ministry of Health of
the Republic Indonesia

Kunta Wibawa Dasa Nugraha

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FOREWORD
THE MINISTER OF HEALTH OF THE REPUBLIC OF INDONESIA

Health development is essentially an effort that is carried out by


components of the Indonesian nation which aims to improve
awareness, willingness, and ability to live a healthy life for
everyone so that the realization of the highest degree of public
health, as investment in the development of socially productive
human resources and economical.
The success of health development is largely determined by
continue it of efforts between programs and sectors, as well as
sustainability with the efforts that have been carried out in the
previous period
Health development is essentially an effort that is carried out by all components of
the Indonesian nation which aims to improve awareness, willingness, and ability to live a
healthy life for everyone so that the realization of the highest degree of public health, as
investment in the development of socially productive human resources and economical. The
success of health development is largely determined by continuity of efforts between programs
and sectors, as well as sustainability with the efforts that have been carried out in the previous
period.
The Indonesian Health Profile Is published every year as a publication of
comprehensive health data and information, which is expected to provide accurate data and
information as well as become a parameter for the success of health development from year to
year. This profile also illustrates the success of health development that has been achieved until
2021. The 2021 Indonesia Health Profile is expected to provide access to information and
education about balanced and responsible health for government officials and the community.
Hopefully, with the publication of the Indonesian Health Profile, it can support planning and
decision making in every health management process, both at the central and regional levels.
It is expected that data managers at the central and regional levels will always strive
to improve the quality of the data, including the timeliness, completeness and consistency of
the data reported.
Finally, I would like to express my appreciation and gratitude to all those who have
contributed directly or indirectly to the preparation of this 2021 Health Profile.
July 2022
The Minister of Health of
the Republic of Indonesia

Budi G. Sadikin

Jl. H.R. Rasuna Said Blok X5, Kav.4‐9 Jakarta 12950 Telpon(Faxsimile (021) 5201591
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LIST OF FIGURES
CHAPTER I. DEMOGRAPHY
FIGURE 1.1 NUMBER OF PUSKESMAS IN INDONESIA YEAR 2017 - 2021 1
FIGURE 1.2 RATIO OF PUSKESMAS TO REGENCIES IN INDONESIA YEAR 2021 2
FIGURE 1.3 NUMBER OF PUSKESMAS WITH AND WITHOUT INPATIENT CARE IN 3
  INDONESIA YEAR 2017 - 2021
FIGURE 1.4 PERCENTAGE OF PUSKESMAS WITH 9 (NINE) TYPES OF HEALTH 3
  PERSONNEL ACCORDING TO STANDARDS BY PROVINCE YEAR 2021
FIGURE 1.5 PERCENTAGE OF PUSKESMAS WITHOUT A DOCTOR BY PROVINCE YEAR 2021 4
FIGURE 1.6 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING OCCUPATIONAL 6
  HEALTH BY PROVINCE YEAR 2021
FIGURE 1.7 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING SPORT HEALTH 7
  BY PROVINCE YEAR 2021
FIGURE 1.8 PERCENTAGE OF AVERAGE MONTHLY EXPENDITURE PER CAPITA YEAR 2021 9
FIGURE 1.9 OPEN UNEMPLOYMENT RATE (TPT) PER PROVINCE YEAR 2021 10
FIGURE 1.10 AVERAGE LENGTH OF STUDY OF POPULATION AGED 15 AND UP 11
  YEAR 2017 – 2021 (in year)
FIGURE 1.11 SCHOOL ENROLLMENT PERCENTAGE YEAR 2017 – 2021 12
FIGURE 1.12 GROSS SCHOOL ENROLLMENT PERCENTAGE YEAR 2017– 2021 13
FIGURE 1.13 NET SCHOOL ENROLLMENT PERCENTAGE YEAR 2017 – 2021 14
FIGURE 1.14 HUMAN DEVELOPMENT INDEX YEAR 2004– 2021 15
FIGURE 1.15 HUMAN DEVELOPMENT INDEX BY PROVINCE YEAR 2021 16

CHAPTER II. HEALTHCARE FACILITIES AND UKBM


FIGURE 2.1 NUMBER OF PUSKESMAS IN INDONESIA YEAR 2017 – 2021 20
FIGURE 2.2 RATIO OF PUSKESMAS TO REGENCIES IN INDONESIA YEAR 2021 21
FIGURE 2.3 NUMBER OF PUSKESMAS WITH AND WITHOUT INPATIENT CARE IN 22
  INDONESIA YEAR 2017 – 2021
FIGURE 2.4 PERCENTAGE OF PUSKESMAS WITH 9 (NINE) TYPES OF HEALTH 23
PERSONNEL ACCORDING TO STANDARDS BY PROVINCE YEAR 2021
FIGURE 2.5 PERCENTAGE OF PUSKESMAS WITHOUT A DOCTOR BY PROVINCE YEAR 2021 24
FIGURE 2.6 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING OCCUPATIONAL 25
  HEALTH BY PROVINCE YEAR 2021
FIGURE 2.7 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING SPORT HEALTH 26
  BY PROVINCE YEAR 2021
FIGURE 2.8 NUMBER OF OCCUPATIONAL HEALTH IMPLEMENTATIONS IN THE 28
WORKPLACE IN INDONESIA YEAR 2021
FIGURE 2.9 NUMBER OF SPORT HEALTH IMPLEMENTATIONS IN INDONESIA YEAR 2021 29
FIGURE 2.10 PUSKESMAS PROVIDING HATTRA, ASMAN, AND HEALTH PERSONNEL 30
  TRAINING IN INDONESIA YEAR 2021
FIGURE 2.11 NUMBER OF GOVERNMENT HOSPITAL WITH TRAINED HEALTH 31
  PERSONNEL IN INDONESIA YEAR 2021
FIGURE 2.12 PROPORTION OF REGISTERED CLINICS BY OWNERSHIP IN INDONESIA YEAR 2021 32
FIGURE 2.13 NUMBER OF REGISTERED MAIN CLINICS BY PROVINCE IN INDONESIA YEAR 2021 33
FIGURE 2.14 NUMBER OF REGISTERED PRIMARY CLINICS BY PROVINCE IN INDONESIA YEAR 2021 34
FIGURE 2.15 NUMBER OF PRIVATE MEDICAL PRACTICE OF GENERAL 35
  PRACTITIONERS IN COOPERATION WITH BPJS-KESEHATAN BY
  PROVINCE IN INDONESIA YEAR 2021

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FIGURE 2.16 NUMBER OF PRIVATE MEDICAL PRACTICE OF DENTISTS IN 36
  COOPERATION WITH BPJS-KESEHATAN BY PROVINCE IN INDONESIA YEAR
FIGURE 2.17 NUMBER OF BLOOD TRANSFUSION UNITS BY PROVINCE IN 36
  INDONESIA YEAR 2021
FIGURE 2.18 NUMBER OF HEALTH LABORATORIES BY OWNERSHIP AND PROVINCE YEAR 2021 36
FIGURE 2.19 NUMBER OF HEALTH LABORATORIES BY PROVINCE YEAR 2020 37
FIGURE 2.20 GROWING NUMBER OF GENERAL HOSPITALS AND SPECIALIZED 37
  HOSPITALS IN INDONESIA YEAR 2017 – 2021
FIGURE 2.21 NUMBER OF HOSPITALS BY CLASS YEAR 2021 37
FIGURE 2.22 PERCENTAGE OF C-CLASS REGENCY/CITY HOSPITALS HAVING 4 BASIC 39
SPECIALIST DOCTORS AND 3 SUPPORTING SPECIALIST DOCTORS YEAR 2021
FIGURE 2.23 RATIO OF HOSPITAL BEDS PER 1,000 POPULATION IN INDONESIA 39
  YEAR 2016 - 2021
FIGURE 2.24 RATIO OF HOSPITAL BEDS PER 1,000 POPULATION BY PROVINCE IN 40
  NDONESIA YEAR 2021
FIGURE 2.25 PERCENTAGE OF HOSPITALS WITH ACCREDITATION BY PROVINCE 41
  IN INDONESIA YEAR 2021
FIGURE 2.26 PERCENTAGE OF PUSKESMAS WITH THE AVAILABILITY OF ESSENTIAL 42
  MEDICINE YEAR 2021
FIGURE 2.27 PERCENTAGE OF REGENCY/CITY WITH THE AVAILABILITY OF 46
  SSENTIAL MEDICINE YEAR 2021
FIGURE 2.28 PERCENTAGE OF PUSKESMAS WITH THE AVAILABILITY OF IDL VACCINE 47
  (FULL BASIC IMMUNIZATION) YEAR 2021
FIGURE 2.29 NUMBER OF PHARMACEUTICAL AND MEDICAL DEVICES PRODUCTION 46
  FACILITIES IN INDONESIA YEAR 2021
FIGURE 2.30 NUMBER OF PHARMACEUTICAL AND MEDICAL DEVICES 47
  DISTRIBUTION FACILITIES IN INDONESIA YEAR 2021
FIGURE ʹǤ͵ͳ PERCENTAGE OF REGENCY/CITY WITH NO LESS THAN 80% ACTIVE 50
POSYANDU BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 2.32 NUMBER OF POSBINDU PTM PER PROVINCE IN INDONESIA YEAR 2021 50

CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.1 RECAPITULATION OF HEALTH HUMAN RESOURCES IN INDONESIA YEAR 2021 51
FIGURE 3.2 NUMBER OF MEDICAL PROFESSIONALS IN INDONESIA YEAR 2021 52
FIGURE 3.3 NUMBER OF HEALTH HUMAN RESOURCES IN PUSKESMAS IN 53
  INDONESIA YEAR 2021
FIGURE 3.4 PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF 54
  GENERAL PRACTITIONERS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 3.5 PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF 55
  DENTISTS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 3.6 PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF 56
  NURSES BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 3.7 PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF 57
  MIDWIVES BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 3.8 NUMBER OF HEALTH HUMAN RESOURCES IN HOSPITALS IN 58
  INDONESIA YEAR 2021
FIGURE 3.9 NUMBER OF MEDICAL SPECIALISTS AND DENTAL SPECIALISTS IN 59
  HOSPITALS IN INDONESIA YEAR 2021

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FIGURE 3.10 COMPARISON OF THE NUMBER OF HEALTH PERSONNEL IN 60
  UNDERDEVELOPED REGIONS TO THE NATIONAL NUMBER YEAR 2021
FIGURE 3.11 DISTRIBUTION OF THE NUMBER OF HEALTH RESOURCES IN 60
  UNDERDEVELOPED REGIONS IN INDONESIA YEAR 2021
FIGURE 3.12 DISTRIBUTION OF THE NUMBER OF HEALTH HUMAN RESOURCES IN 61
  UNDERDEVELOPED IN INDONESIA YEAR 2021
FIGURE 3.13 NUMBER OF HEALTH PERSONNELS WITH CERTIFICATES OF 62
  REGISTRATION PER DECEMBER 2021
FIGURE 3.14 NUMBER OF NEW CERTIFICATES OF REGISTRATION ISSUED BY 63
GROUP OF HEALTH WORKERS YEAR 2021
FIGURE 3.15 NUMBER OF NEW CERTIFICATES OF REGISTRATION ISSUED BY 63
  PROVINCE YEAR 2021
FIGURE 3.16 NUMBER OF RENEWED CERTIFICATES OF REGISTRATION ISSUED BY 64
  GROUP OF HEALTH WORKERS YEAR 2021
FIGURE 3.17 NUMBER OF RENEWED CERTIFICATES OF REGISTRATION ISSUED BY 66
  PROVINCES YEAR 2021
FIGURE 3.18 NUMBER OF HEALTH PERSONNELS AS ACTIVE-IMPERMANENT 67
  MPLOYEES MINISTRY OF HEALTH BY REGIONAL CRITERIA IN
IN INDONESIA PER 31 DECEMBER 2021
FIGURE 3.19 PROPORTION OF MEDICAL SPECIALIZED DOCTOR RESIDENTS BY 68
  REGION YEAR 2021
FIGURE 3.20 PLACEMENTS OF HEALTH WORKERS IN NUSANTARA SEHAT TEAMS 69
  UP TO 2021

͵Ǥʹͳ PLACEMENTS OF HEALTH WORKERS IN INDIVIDUAL NUSANTARA 70
SEHAT UP TO 2021
FIGURE 3.22 PROPORTION OF PARTICIPATING DOCTOR YEAR 2021 72
FIGURE 3.23 PLACEMENT OF HEALTH PERSONNEL ON THE UTILIZATION OF 73
  MEDICAL SPECIALIZED DOCTORS YEAR 2021
FIGURE 3.24 NUMBER OF GRADUATES OF DIPLOMA III AND DIPLOMA IV FROM 74
ALL POLTEKKES BY TYPE OF HEALTH WORKERS YEAR 2021
FIGURE 3.25 NUMBER OF GRADUATES OF POLTEKKES BY TYPE OF HEALTH 75
WORKERS YEAR 2021
FIGURE 3.26 NUMBER OF RPL GRADUATES OF DIPLOMA III BY TYPE OF HEALTH 76
WORKERS YEAR 2021
FIGURE 3.27 NUMBER OF UNIVERSITY GRADUATES BY GROUP OF 76
  HEALTH PERSONNEL YEAR 2021
FIGURE 3.28 NUMBER OF UNIVERSITY GRADUATE BY PROVINCE YEAR 2021 77
FIGURE 3.29 NUMBER OF UNIVERSITY GRADUATES OF MEDICAL SPECIALIZED 78
  DOCTORS AND SPECIALIST DENTISTS YEAR 2021

CHAPTER IV. HEALTH FINANCING


FIGURE 4.1 BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF 79
HEALTH RI YEAR 2012-2021
FIGURE 4.2 BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF 80
HEALTH RI ACCORDING TO ECHELON I UNIT YEAR 2021
FIGURE 4.3 BUDGET PERCENTAGE OF THE MINISTRY OF HEALTH BY TYPES OF 81
EXPENDITURE YEAR 2021
FIGURE 4.4 BUDGET REALIZATION OF THE MINISTRY OF HEALTH RI BY TYPES OF 81
EXPENDITURE YEAR 2021

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FIGURE 4.5 REALIZATION OF HEALTH DECONCENTRATION FUND BY PROVINCE IN 82
INDONESIA YEAR 2021
FIGURE 4.6 PHYSICAL DAK REALIZATION IN HEALTH SECTOR AND FAMILY 84
PLANNING (KB) PROGRAM BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 4.7 NON-PHYSICAL DAK REALIZATION IN HEALTH SECTOR BY PROVINCE IN 85
INDONESIA YEAR 2021
FIGURE 4.8 PROPORTION OF TOTAL HEALTH EXPENDITURE BY FUNDING 87
SCHEME YEAR 2015-2021
FIGURE 4.9 DEVELOPMENT OF JKN PARTICIPATION COVERAGE AND INDONESIA 90
HEALTH CARD (KIS) YEAR 2015-2021
FIGURE 4.10 COVERAGE OF JKN PARTICIPATION IN INDONESIA BY PROVINCE YEAR 2021 91
FIGURE 4.11 TARGET AND ACHIEVEMENT OF PBI PARTICIPANTS OF HEALTH 92
INSURANCE YEAR 2015-2021
FIGURE 4.12 ALLOCATION AND REALIZATION OF HEALTH INSURANCE PBI YEAR 2015-2021 92
FIGURE 4.13 NUMBER OF FIRST LEVEL HEALTH FACILITIES (FKTP) IN COOPERATION 93
WITH BPJS‐KESEHATAN YEAR 2015-2021
FIGURE 4.14 PERCENTAGE OF FIRST LEVEL HEALTH FACILITIES (FKTP) 93
IN COOPERATION WITH BPJS‐KESEHATAN YEAR 2021
FIGURE 4.15 NUMBER OF ADVANCED REFERRAL HEALTH FACILITIES (FKRTL) 94
IN COOPERATION WITH BPJS‐KESEHATAN YEAR 2021
FIGURE 4.16 PERCENTAGE OF FKRTL IN COOPERATION WITH BPJS-KESEHATANYEAR 2021 94
FIGURE 4.17 NUMBER OF SUPPORTING HEALTH FACILITIES IN COOPERATION WITH 94
BPJS-KESEHATAN YEAR 2021
FIGURE 4.18 PERCENTAGE OF SUPPORTING HEALTH FACILITIES IN COOPERATION 94
WITH BPJS-KESEHATAN YEAR 2021
FIGURE 4.19 BPJS-KESEHATAN PREMIUM INCOME BY PARTICIPATION SEGMENT YEAR 2021 95
FIGURE 4.20 HEALTH SERVICE UTILIZATION OF JKN PROGRAM YEAR 2021 95
FIGURE 4.21 BENEFIT COSTS OF JKN PROGRAM YEAR 2021 95

CHAPTER V. FAMILY HEALTH


FIGURE 5.1 MATERNAL MORTALITY RATE IN INDONESIA PER 100,000 LIVE BIRTHS 109
YEAR 1991 – 2016
FIGURE 5.2 COVERAGE OF FOURTH VISITS OF ANTENATAL HEALTHCARE IN 109
INDONESIA YEAR 2007 – 2021
FIGURE 5.3 COVERAGE OF FOURTH VISITS OF ANTENATAL HEALTHCARE IN 110
INDONESIA BY PROVINCE YEAR 2021
FIGURE 5.4 COVERAGE OF Td1-Td5 IMMUNIZATION IN PREGNANT WOMEN YEAR 2021 111
FIGURE 5.5 COVERAGE OF Td2+ IMMUNIZATION IN PREGNANT WOMEN YEAR 2021 112
FIGURE 5.6 COVERAGE OF ADMINISTRATION OF IRON TABLETS (TTD) FOR 113
PREGNANT WOMEN BY PROVINCE YEAR 2021
FIGURE 5.7 COVERAGE OF DELIVERIES IN HEALTHCARE FACILITIES BY PROVINCE YEAR 2021 114
FIGURE 5.8 COVERAGE OF COMPLETE POSTPARTUM VISITS IN INDONESIA BY 115
PROVINCE YEAR 2021
FIGURE 5.9 PUSKESMAS PROVIDING ANTENATAL CLASSES BY PROVINCE YEAR 2021 117
FIGURE 5.10 PUSKESMAS PROVIDING DELIVERY PLANNING AND COMPLICATION 118
PREVENTION PROGRAM (P4K) ORIENTATION BY PROVINCE YEAR 2021

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FIGURE 5.11 COVERAGE OF ACTIVE KB ACCEPTORS IN INDONESIA YEAR 2021 119
FIGURE 5.12 COVERAGE OF ACTIVE KB ACCEPTORS BY MODERN CONTRACEPTIVE 121
METHODS YEAR 2021
FIGURE 5.13 PERCENTAGE OF KB SERVICE FACILITIES IN INDONESIA YEAR 2021 121
FIGURE 5.14 PERCENTAGE OF HIV‐POSITIVE PREGNANT WOMEN BY PROVINCE YEAR 2021 123
FIGURE 5.15 PERCENTAGE OF REGENCY/CITY IMPLEMENTING HEPATITIS B EARLY 124
DETECTION (DDHB) BY PROVINCE YEAR 2021
FIGURE 5.16 PERCENTAGE OF PREGNANT WOMEN PERFORMING HEPATITIS B 125
EARLY DETECTION (DDHB) BY PROVINCE YEAR 2021
FIGURE 5.17 PERCENTAGE OF PREGNANT WOMEN WITH REACTIVE HBSAG BY 126
PROVINCE YEAR 2021
FIGURE 5.18 NUMBER OF MORTALITY TO CHILDREN (0 – 59 MONTHS) IN 127
INDONESIA BY AGE GROUPS YEAR 2021
FIGURE 5.19 PROPORTION OF NEONATAL MORTALITY CAUSES (0‐28 DAYS) IN 128
INDONESIA YEAR 2021
FIGURE 5.20 PROPORTION OF POST‐NEONATAL MORTALITY CAUSES (29 DAYS‐11 129
MONTHS) IN INDONESIA YEAR 2021
FIGURE 5.21 PROPORTION OF MORTALITY CAUSES TO TODDLER (12‐59 MONTHS) 130
IN INDONESIA YEAR 2021
FIGURE 5.22 COVERAGE OF FIRST NEONATAL VISITS (KN1) YEAR 2009‐2021 130
FIGURE 5.23 COVERAGE OF FIRST NEONATAL VISITS (KN1) BY PROVINCE YEAR 2021 131
FIGURE 5.24 COVERAGE OF COMPLETE BASIC IMMUNIZATION ON INFANTS 131
YEAR 2011‐2021
FIGURE 5.25 COVERAGE OF COMPLETE BASIC IMMUNIZATION ON INFANTS BY 122
PROVINCE YEAR 2021
FIGURE 5.26 DROP OUT RATE OF IMMUNIZATION OF DPT/HB/HiB1‐MEASLES ON 124
INFANTS YEAR 2009‐2021
FIGURE 5.27 COVERAGE OF UCI VILLAGES/SUB‐REGENCIES BY PROVINCE YEAR 2021 124
FIGURE 5.28 PERCENTAGE OF REGENCIES/CITIES ACHIEVING 80% OF COMPLETE 125
BASIC IMMUNIZATION ON INFANTS YEAR 2015‐2021
FIGURE 5.29 PERCENTAGE OF REGENCIES/CITIES ACHIEVING 80% OF COMPLETE 127
BASIC IMMUNIZATION ON INFANTS BY PROVINCE YEAR 2021
FIGURE 5.30 COVERAGE OF ADVANCED IMMUNIZATION OF DPT‐HB‐HIB (4) AND 129
MEASLES RUBELLA 2 ON UNDER‐TWOS BY PROVINCE YEAR 2021
FIGURE 5.32 COVERAGE OF ELEMENTARY SCHOOLS (SD/MI) RECEIVING STUDENT 130
HEALTH SERVICES BY PROVINCE YEAR 2021
FIGURE 5.33 COVERAGE OF SECONDARY SCHOOLS (SMP/MTS) RECEIVING 131
STUDENT HEALTH SERVICES BY PROVINCE YEAR 2021
FIGURE 5.34 PERCENTAGE OF SEVERE UNDERWEIGHT AND UNDERWEIGHT IN 132
TODDLERS 0‐23 MONTHS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 5.35 PERCENTAGE OF SEVERE UNDERWEIGHT AND UNDERWEIGHT IN 133
TODDLERS 0‐59 MONTHS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 5.36 PERCENTAGE OF SEVERE STUNTING AND STUNTING ON TODDLERS 134
0‐23 MONTHS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 5.37 PERCENTAGE OF SEVERE STUNTING AND STUNTING ON TODDLERS 135
0‐59 MONTHS BY PROVINCE IN INDONESIA YEAR 2021

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FIGURE 5.38 PERCENTAGE OF POOR NUTRITION AND LESS NUTRITION IN 136
TODDLERS 0‐23 MONTHS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 5.39 PERCENTAGE OF POOR NUTRITION AND LESS NUTRITION IN 137
TODDLERS 0‐59 MONTHS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE 5.40 PERCENTAGE OF SEVERE STUNTING AND STUNTING AS WELL AS 138
POOR NUTRITION AND LESS NUTRITION IN TODDLERS 0‐59 MONTHS
IN INDONESIA YEAR 2013‐2020
FIGURE 5.41 PROPORTION GRAPH OF SEVERE STUNTING AND STUNTING (TB/U) 138
  ON TODDLERS BY PROVINCE, SSGBI 2020
FIGURE 5.42 COVERAGE OF NEWBORNS RECEIVING EARLY BREASTFEEDING 139
  INITIATION (EBI) BY PROVINCE YEAR 2021
FIGURE 5.43 COVERAGE OF INFANTS RECEIVING EXCLUSIVE BREASTFEEDING BY 140
  PROVINCE YEAR 2021
FIGURE 5.44 AVERAGE PERCENTAGE OF TODDLERS WEIGHED MONTHLY BY 140
  PROVINCE YEAR 2021
FIGURE 5.45 COVERAGE OF ADMINISTRATION OF VITAMIN A TO UNDER‐FIVES 141
(6‐59 MONTHS) BY PROVINCE YEAR 2021
FIGURE 5.46 COVERAGE OF ADMINISTRATION OF IRON TABLETS (TTD) TO FEMALE 142
  ADOLESCENTS BY PROVINCE YEAR 2021
FIGURE 5.47 COVERAGE OF PREGNANT WOMEN UNDER THE RISK OF KEK 143
  RECEIVING DIETARY SUPPLEMENTS BY PROVINCE YEAT 2021
FIGURE 5.48 COVERAGE OF LESS‐NUTRITION TODDLERS RECEIVING DIETARY 144
SUPPLEMENTS BY PROVINCE YEAR 2021
FIGURE 5.49 PERCENTAGE OF SEVERE STUNTING AND STUNTING AS WELL AS POOR NUTRITION 160
AND LESS NUTRITION IN TODDLERS 0‐59 MONTHS IN INDONESIA
YEAR 2016‐2021
FIGURE 5.50 PROPORTION FIGURE OF SEVERE STUNTING AND STUNTING (H/U) ON TODDLERS 160
BY PROVINCE SSGBI YEAR 2021
FIGURE 5.51 COVERAGE OF NEWBORN BABIES RECEIVING EARLY BREASTFEEDING INITIATION 161
(EBI) BY PROVINCE YEAR 2021
FIGURE 5.52 COVERAGE OF INFANTS RECEIVING EXCLUSIVE BREASTFEEDING BY PROVINCE 162
YEAR 2021
FIGURE 5.53 AVERAGE PERCENTAGE OF TODDLERS WEIGHED MONTHLY BY PROVINCE YEAR 2021 164
FIGURE 5.54 COVERAGE OF ADMINISTRATION OF VITAMIN A TO UNDER‐FIVES (6‐59 MONTHS) 165
BY PROVINCE YEAR 2021
FIGURE 5.55 COVERAGE OF ADMINISTRATION OF IRON TABLETS (TTD) TO FEMALE ADOLESCENTS 166
BY PROVINCE YEAR 2021
FIGURE 5.56 COVERAGE OF PREGNANT WOMEN UNDER THE RISK OF KEKRECEIVING 167
DIETARY SUPPLEMENTS BY PROVINCE
FIGURE 5.57 COVERAGE OF LESS‐NUTRITION TODDLERS RECEIVING DIETARY 169
SUPPLEMENTS BY PROVINCE YEAR 2021

CHAPTER VI. DISEASE CONTROL


FIGURE 6.1 PROPORTION OF TUBERCULOSIS CASES BY AGE GROUP YEAR 2021 173
FIGURE 6.2 TREATMENT COVERAGE (TC) YEAR 2010‐2021 173
FIGURE 6.3 TREATMENT COVERAGE (TC) BY PROVINCE YEAR 2021 174

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FIGURE 6.4 CASE NOTIFICATION RATE OF TUBERCULOSIS PER 100,000 174
POPULATION YEAR 2010‐2021
FIGURE 6.5 CASE NOTIFICATION RATE OF TUBERCULOSIS PER 100,000 175
POPULATION BY PROVINCE YEAR 2021
FIGURE 6.6 SUCCESS RATE OF PATIENTS WITH TUBERCULOSIS IN INDONESIA 175
YEAR 2010‐2021
FIGURE 6.7 SUCCESS RATE OF PATIENTS WITH TUBERCULOSIS BY PROVINCE YEAR 2021 176
FIGURE 6.8 NUMBER OF CASES OF HIV POSITIVE AND AIDS REPORTED IN 177
INDONESIA DURING 2010‐2021
FIGURE 6.9 PROPORTION OF CASES OF HIV POSITIVE AND AIDS BY SEX IN 177
INDONESIA YEAR 2021
FIGURE 6.10 PERCENTAGE OF CASES OF HIV POSITIVE AND AIDS BY AGE GROUP IN 178
INDONESIA YEAR 2021
FIGURE 6.11 COVERAGE OF PNEUMONIA FINDINGS IN UNDER‐FIVES IN INDONESIA 179
YEAR 2010‐2021
FIGURE 6.12 COVERAGE OF PNEUMONIA FINDINGS IN UNDER‐FIVES BY PROVINCE YEAR 2021 179
FIGURE 6.13 ACHIEVEMENTS OF THE PERCENTAGE INDICATOR OF 180
REGENCIES/CITIES IN WHICH 50% OF PUSKESMAS IMPLEMENT
STANDARD PNEUMONIA MANAGEMENT YEAR 2016‐2021
FIGURE 6.14 TARGET AND ACHIEVEMENT OF PERCENTAGE INDICATOR OF 181
REGENCY/CITY CONDUCTING EARLY DETECTION OF HEPATITIS B
YEAR 2015‐2021
FIGURE 6.15 PERCENTAGE OF REGENCY/CITY CONDUCTING EARLY DETECTION OF 182
HEPATITIS B BY PROVINCE YEAR 2021
FIGURE 6.16 COVERAGE OF TREATED UNDER‐FIVE PATIENTS WITH DIARRHEA 183
BY PROVINCE YEAR 2021
FIGURE 6.17 PREVALENCE AND NEW CASE DETECTION RATE (NCDR) OF LEPROSY 185
YEAR 2010‐2021
FIGURE 6.18 MAP OF LEPROSY ELIMINATION BY PROVINCE IN INDONESIA 186
YEAR 2019 AND 2021
FIGURE 6.19 GRADE 2 DISABILITY RATE OF NEW LEPROSY PATIENTS PER 1,000,000 187
POPULATION YEAR 2010‐2021
FIGURE 6.20 GRADE 2 DISABILITY RATE OF LEPROSY PER 1,000,000 POPULATION BY 188
PROVINCE YEAR 2021
FIGURE 6.21 PROPORTION OF MB LEPROSY AND PROPORTION OF LEPROSY IN 188
CHILDREN YEAR 2010‐2021
FIGURE 6.22 CONFIRMED CASES OF COVID‐19 BY AGE AND SEX GROUPS YEAR 2021 189
FIGURE 6.23 RECOVERY RATE (RR) AND CASE FATALITY RATE (CFR) OF COVID‐19 YEAR 2021 190
FIGURE 6.24 RECOVERY RATE OF COVID‐19 BY PROVINCE YEAR 2021 192
FIGURE 6.25 CASE FATALITY RATE OF COVID‐19 BY PROVINCE YEAR 2021 193
FIGURE 6.26 POSITIVITY RATE OF COVID‐19 BY PROVINCE YEAR 2021 194
FIGURE 6.27 THE SITUATION OF COVID–19 VACCINATION IN INDONESIA YEAR 2021 197
FIGURE 6.28 ACHIEVEMENT OF FIRST DOSAGE VACCINATION BY PROVINCE YEAR 2021 198
FIGURE 6.29 ACHIEVEMENT OF SECOND DOSAGE VACCINATION BY PROVINCE YEAR 2021 199
FIGURE 6.30 DISTRIBUTION OF NEONATAL TETANUS CASES BY PROVINCE YEAR 200
2020 ‐ 2021
FIGURE 6.31 PROPORTION OF NEONATAL TETANUS CASES BY RISK FACTORS YEAR 2021 202

xiii
FIGURE 6.32 DISTRIBUTION OF SUSPECTED MEASLES CASES IN INDONESIA YEAR 2021 203
FIGURE 6.33 NUMBER OF SUSPECTED MEASLES CASES PER MONTH IN 204
INDONESIA YEAR 2021
FIGURE 6.34 PROPORTION OF SUSPECTED MEASLES CASES BY AGE GROUP IN 205
INDONESIA YEAR 2021
FIGURE 6.35 PROPORTION OF SUSPECTED MEASLES CASES PER VACCINATED 206
SUSPECTS BY PROVINCE IN INDONESIA YEAR 2021
FIGURE ͸Ǥ͵͸ FREQUENCY OF SUSPECTED MEASLES OUTBREAK BY PROVINCE 206
IN INDONESIA YEAR 2021
FIGURE ͸Ǥ͵7 DISTRIBUTION OF DIPHTHERIA CASES BY PROVINCE YEAR 2021 207
FIGURE 6.38 CASE OF DEATH OF DIPHTHERIA IN INDONESIA YEAR 2021 207
FIGURE ͸Ǥ͵ͻ ACHIEVEMENT OF NON POLIO AFP RATE PER 100,000 POPULATION OF 208
AGE <15 BY PROVINCE YEAR 2020 AND 2021
FIGURE 6.40 ACHIEVEMENT OF AFP SURVEILLANCE IN INDONESIA YEAR 2017 – 2021` 210
FIGURE 6.41 NON POLIO AFP RATE PER 100,000 POPULATION OF AGE <15 IN 211
INDONESIA YEAR 2021
FIGURE 6.42 ACHIEVEMENT ADEQUATE SPECIMEN OBTAINED BY PROVINCE YEAR 2020 AND 2021 212
FIGURE 6.43 PERCENTAGE OF AFP ADEQUATE SPECIMEN BY PROVINCE YEAR 2021 213
FIGURE 6.44 DHF INCIDENCE RATE PER 100,000 POPULATION YEAR 2012‐2021 215
FIGURE 6.45 DHF INCIDENCE RATE PER 100,000 POPULATION BY PROVINCE YEAR 2021 215
FIGURE 6.46 CASE FATALITY RATE (%) OF DENGUE FEVER 2012 – 2021 216
FIGURE 6.47 CFR OF DHF BY PROVINCE YEAR 2021 216
FIGURE 6.48 NUMBER OF REGENCIES/CITIES INFECTED BY DHF IN INDONESIA year 2021 118
FIGURE 6.49 PERCENTAGE OF REGENCY/CITY WITH IR OF DHF < 49 PER 100,000 219
POPULATION IN INDONESIA YEAR 2021
FIGURE 6.50 NUMBER OF CHIKUNGUNYA CASES IN INDONESIA YEAR 2012‐2021 201
FIGURE 6.51 NUMBER OF CHRONIC CASES OF FILARIASIS IN INDONESIA YEAR 2012‐2021 221
FIGURE 6.52 NUMBER OF CHRONIC CASES OF FILARIASIS BY PROVINCE YEAR 2021 222
FIGURE 6.53 PERCENTAGE OF FILARIASIS‐ENDEMIC REGENCIES/CITIES 225
FIGURE 6.54 COVERAGE OF POPM FOR FILARIASIS YEAR 2012‐2021 226
FIGURE 6.55 PERCENTAGE OF REGENCY/CITY ACHIEVING MALARIA ELIMINATION BY 227
PROVINCE YEAR 2021
FIGURE 6.56 MAP OF MALARIA ENDEMICITY YEAR 2021 228
FIGURE 6.57 ANNUAL PARASITE INCIDENCE (API) PER 1,000 POPULATION YEAR 2021‐2022 229
FIGURE 6.58 ANNUAL PARASITE INCIDENCE (API) PER 1,000 POPULATION BY 229
PROVINCE YEAR 2021
FIGURE 6.59 PERCENTAGE OF ACT TREATMENT BY PROVINCE YEAR 2021 231
FIGURE 6.60 RABIES IN INDONESIA YEAR 2011 – 2021 230
FIGURE 6.61 PERCENTAGE OF VAR PROVISIONS IN GHPR CASES IN INDONESIA YEAR 2021 231
FIGURE 6.62 TOTAL DEATH DUE TO RABIES (LYSA) IN INDONESIA YEAR 2021 233
FIGURE ͸Ǥ͸͵ PROPORTION OF DEATH DUE TO RABIES (LYSA) TO GHPR CASES (%) 234
IN INDONESIA 2021
FIGURE 6.64 LEPTOSPIROSIS SITUATION IN INDONESIA YEAR 2011‐ 2021 235235
FIGURE 6.65 NUMBER OF LEPTOSPIROSIS CASES IN INDONESIA YEAR 2020 ‐2021 237
FIGURE 6.66 PERCENTAGE OF REGENCIES/CITIES HAVING 25% OF HEALTH CENTERS 238
IMPLEMENTINGVECTOR SURVEILLANCE IN INDONESIA YEAR 2021

xiv
FIGURE 6.67 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING EARLY DETECTION 240
240
OF MENTAL HEALTH AND DRUGS YEAR 2021
FIGURE 6.68 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING NO SMOKING AREA 241
241
FIGURE 6.69 PERCENTAGE OF REGENCIES/CITIES APPLYING UBM SERVICE 242
242
IN INDONESIA YEAR 2021
FIGURE 6.70 PERCENTAGE OF EARLY DETECTION FOR CERVICAL CANCER AND BREAST 243
243
CANCER BY PROVINCE DURING YEAR 2019‐2021
FIGURE 6.71 RESULTS OF EARLY DETECTION FOR CERVICAL CANCER AND BREAST 244
244
CANCER IN WOMEN OF AGE 30‐50 IN INDONESIA YEAR 2019‐2021
FIGURE 6.72 PERCENTAGE OF VILLAGES IMPLENTING POSBINDU IN INDONESIA YEAR 2021 245 245
FIGURE 6.73 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING EARLY DETECTION 247
OF MENTAL HEALTH AND DRUGS YEAR 2021
FIGURE 6.74 PERCENTAGE OF THE HEALTH CRISES BY DISASTER CATEGORIES IN 249
INDONESIA YEAR 2021
FIGURE 6.75 NUMBER OF HEALTH CRISES BY CATEGORIES AND TIME OF INCIDENTS IN 250
250
INDONESIA YEAR 2021
FIGURE 6,77 NUMBER OF HEALTH CRISIS DUE TO NATURAL DISASTERS IN 250
250
INDONESIA YEAR 2021
FIGURE 6.78 NUMBER OF PROVINCE FACING HEALTH CRISES BY DISASTER CATEGORIES 251
YEAR 2021
FIGURE 6.79 EXAMINATION ACHIEVEMENTS BY PROVINCE OF AUDIT PLACES YEAR 2021 255 255
FIGURE 6.80 INDONESIAN HAJJ PILGRIM BY AGE GROUPS YEAR 2021 256 256
FIGURE 6.81 10 MOST HIGH RISK DISEASES IN REGULAR HAJJ PARTNERSHIPS
YEAR 2021
FIGURE 6.82 PROPORTION OF FITNESS MEASUREMENTS FOR REGULAR HAJJ PARTNERSHIP 257
257
YEAR 2021

CHAPTER VII. ENVIRONMENTAL HEALTH


FIGURE 7.1 PERCENTAGE OF SUPERVISED DRINKING WATER FACILITIES ACCORDING 259
259
TO STANDARD DRINKING WATER QUALITY YEAR 2021
FIGURE 7.2 PERCENTAGE OF HOUSEHOLD WITH ACCESS TO PROPER DRINKING WATER 261
261
YEAR 2021
FIGURE 7.3 PROPORTION OF HEALTHY LATRINE USAGE IN INDONESIA YEAR 2021 263
263
FIGURE 7.4 PERCENTAGE OF FAMILIES WITH ACCESS TO PROPER SANITATION 264
264
(HEALTHY LATRINE) YEAR 2021
FIGURE 7.5 PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO PROPER SANITATION 265
265
YEAR 2021
FIGURE 7.6 PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO PROPER SANITATION BY 266
266
REGION TYPES YEAR 2019‐2021
FIGURE 7.7 PERCENTAGE OF VILLAGES IMPLEMENTING CBTS BY PROVINCE YEAR 2021 267
267
FIGURE 7.8 PERCENTAGE OF VILLAGES STOP OPEN DEFECATION (SBS) BY PROVINCE 268
268
YEAR 2021

FIGURE 7.9 PERCENTAGE OF PUBLIC PLACES AND FACILITIES (TFU) CONTROLLED 270
270
ACCORDING TO STANDARDS YEAR 2021
FIGURE 7.10 PERCENTAGE OF FOOD PROCESSING PLACES (FPP) MEETING THE STANDAR 272
272
HEALTH REQUIREMENTS YEAR 2021
FIGURE 7.11 PERCENTAGE OF HEALTHY REGENCY/CITY YEAR 2021 274
274
FIGURE 7.12 PERCENTAGE OF HEALTHCARE FACILITIES (FASYANKES) CONDUCTING 276
276
STANDARD MEDICAL WASTE MANAGEMENT YEAR 2021

xv
FIGURE 7.13 PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING HEALTHY LIVING 278
COMMUNITY MOVEMENT POLICY YEAR 2021
FIGURE 7.14 PERCENTAGE OF HOUSEHOLDS LIVING IN LIVABLE HOUSES BY PROVINCE 279
YEAR 2021
FIGURE 7.15 PERCENTAGE OF HOUSEHOLDS LIVING IN LIVABLE HOUSES BY REGION TYPE 281
YEAR 2021

xvi
LIST OF TABLES

CHAPTER I. DEMOGRAPHY
TABEL 1.1 POPULATION TARGET FOR HEALTH DEVELOPMENT PROGRAM 7
IN INDONESIAYEAR 2021
TABEL 1.2 POPULATION AGES 15 YEARS AND OVER BY MAIN ACTIVITY 12
(MILLION PEOPLE) YEAR 2018-2021

CHAPTER II. HEALTHCARE FACILITIES AND UKMB


TABEL 2.1 GROWING NUMBER OF GENERAL HOSPITALS BY MANAGEMENT 40
IN INDONESIA YEAR 2017 – 2021

CHAPTER IV. HEALTH FINACING


TABEL 4.1 TOTAL HEALTH EXPENDITURE INDONESIA 94
YEAR 2012-2019
TABEL 4.2 NUMBER OF CASES AND CATASTROPHIC COSTS IN THE JKN 106
PROGRAM YEAR 2021

CHAPTER VI. DISEASE CONTROL


TABEL 6.1 NUMBER OF DISASTERS AND VICTIMS YEAR 2021 253

CHAPTER VII. ENVIRONMENTAL HEALTH


TABEL 7.1 PERCENTAGE OF HOUSEHOLDS BY MAIN SOURCE OF WATER USED 260
FOR DRINKING AND TYPES OF REGION YEAR 2021

xvii
xviii
LIST OF APPENDICES
CHAPTER I. DEMOGRAPHY
APPENDIX 1 AREA, NUMBER OF REGENCIES/CITIES, DISTRICTS, VILLAGES/SUB-DISTRICTS,
NUMBER OF POPULATION, AND POPULATION DENSITY BY PROVINCE YEAR
2021
APPENDIX 2.a NUMBER OF POPULATION BY AGE GROUPS AND SEX YEAR 2021
APPENDIX 2.b ESTIMATION OF NUMBER OF LIFE BIRTHS, INFANTS (0 YEARS), UNDER-THREE
(0-2 YEARS), UNDER-FIVE CHILDREN (1-4 YEARS AND 0-4 YEARS) BY PROVINCE
YEAR 2019
APPENDIX 2.c ESTIMATED NUMBER OF PRE-SCHOOL CHILDREN, 1ST GRADE ELEMENTARY-
AGED CHILDREN, AND THE NUMBER OF ELEMENTARY-AGED CHILDREN BY
PROVINCE YEAR 2021
APPENDIX 2.d ESTIMATED NUMBER OF REPRODUCTIVE AGE WOMEN (15‐49 YEARS OLD),
IMMUNIZED REPRODUCTIVE AGE WOMEN (15‐39 YEARS OLD), PREGNANT,
DELIVERING AND POSTPARTUM WOMEN BY PROVINCE YEAR 2019
APPENDIX 3.a ESTIMATED POPULATION BY YOUTH, PRODUCTIVE AND NON‐PRODUCTIVE AGE
AND SEX YEAR 2021
APPENDIX 3.b NUMBER AND PERCENTAGE OF THE POOR AND POVERTY
THRESHOLD YEAR 2001 – 2021
APPENDIX 3.c POVERTY THRESHOLD, NUMBER AND PERCENTAGE OF THE POOR BY PROVINCE
AND TYPES OF REGION YEAR 2021
APPENDIX 3.d POVERTY GAP INDEX (P1) AND POVERTY SEVERITY INDEX (P2) BY PROVINCE
YEAR 2021
APPENDIX 3.e GINI INDEX BY PROVINCE YEAR 2014 - 2021
APPENDIX 3.f AVERAGE PERCENTAGE OF MONTHLY EXPENDITURE PER CAPITA
BY COMMODITY AND AREA PER SEPTEMBER 2021
APPENDIX 3.g AVERAGE PERCENTAGE OF MONTHLY NON FOOD EXPENDITURE PER CAPITA
YEAR 2021
APPENDIX 3.h OPEN UNEMPLOYMENT RATE (TPT) OF POPULATION AGED 15 AND ABOVE BY
PROVINCE YEAR 2018 - 2021
APPENDIX 3.i AVERAGE LENGTH OF STUDY IN POPULATION AGED 15 AND ABOVE BY
PROVINCE YEAR 2021
APPENDIX 3.j LITERACY RATE (PERCENTAGE OF POPULATION AGED 15 AND ABOVE WHO ARE
LITERATE) BY PROVINCE AND SEX YEAR 2016 – 2021
APPENDIX 3.k SCHOOL ENROLLMENT RATIO (APS) BY PROVINCE YEAR 2018 - 2021
APPENDIX 3.l GROSS-SCHOOL ENROLLMENT RATIO (APK) BY PROVINCE YEAR 2016 – 2021
APPENDIX 3.m GROSS-SCHOOL ENROLLMENT RATIO (APK) BY SEX AND PROVINCE YEAR 2020
APPENDIX 3.n NET-SCHOOL ENROLLMENT RATIO (APK) BY PROVINCE YEAR 2016 - 2021
APPENDIX 3.o HUMAN DEVELOPMENT INDEX (HDI) AND RANKS BY PROVINCE YEAR 2016 -
2021
APPENDIX 3.p HUMAN DEVELOPMENT INDEX (HDI) AND ITS COMPONENTS BY PROVINCE
YEAR 2019 - 2021

xix
CHAPTER II. HEALTHCARE FACILITIES AND UKBM
APPENDIX 4.a NUMBER OF PUSKESMAS PER PROVINCE YEAR 2016 ‐ 2021
APPENDIX 4.b NUMBER OF PUSKESMAS WITH AND WITHOUT INPATIENT CARE PER PROVINCE
YEAR 2016 – 2021
APPENDIX 4.c RATIO OF PUSKESMAS PER DISTRICT (KECAMATAN) YEAR 2021
APPENDIX 4.d PUSKESMAS ACCREDITATION IN INDONESIA YEAR 2021
APPENDIX 4.e NUMBER OF PUSKESMAS HAVING FIVE KINDS OF PROMOTIVE AND PREVENTIVE
HEALTH WORKERS BY PROVINCE YEAR 2019 ‐ 2021
APPENDIX 4.f PERCENTAGE OF PUSKESMAS WITH TYPES OF HEALTH PERSONNEL (9 HEALTH
PERSONNELS) IN ACCORDANCE WITH THE MINIMUM STANDARDS BY
PROVINCE YEAR 2021
APPENDIX 4.g PERCENTAGE OF PUSKESMAS WITHOUT DOCTOR BY PROVINCE YEAR 2021
APPENDIX 4.h NUMBER OF PUSKESMAS PROVIDED TRADITIONAL HEALTH SERVICES BY
PROVINCE YEAR 2021
APPENDIX 4.i NUMBER OF PRIMARY CLINICS AND MAIN CLINICS BY OWNERSHIP AND
PROVINCE YEAR 2021
APPENDIX 4.j NUMBER OF PRIVATE PRACTICES OF GENERAL PRATITIONERS AND DENTISTS IN
COOPERATION WITH BPJS‐KESEHATAN BY PROVINCE YEAR 2021
APPENDIX 4.k NUMBER OF HEALTH LABORATORIES BY OWNERSHIP PER PROVINCE IN
INDONESIA YEAR 2021
APPENDIX 4.l NUMBER OF BLOOD TRANSFUSION UNITS BY PROVINCE AND ORGANIZER IN
INDONESIA YEAR 2021
APPENDIX 8.a NUMBER OF HOSPITAL BY TYPES, OWNERSHIP AND PROVINCE YEAR
20201APPENDIX 8.b NUMBER OF HOSPITAL AND HOSPITAL BEDS BY HOSPITAL CLASS AND
PROVINCE YEAR 2021
APPENDIX 8.c NUMBER OF HOSPITALS AND HOSPITAL BED RATIO PER 1000 POPULATION BY
PROVINCE YEAR 2019 – 2021
APPENDIX 8.d HOSPITAL ACCREDITATION IN INDONESIA YEAR 2021
APPENDIX 8.e PERCENTAGE OF C‐CLASS REGENCY/CITY HOSPITALS HAVING 4 BASIC
SPECIALIST DOCTORS AND 3 OTHER SPECIALIST DOCTORS BY PROVINCE YEAR
2021
APPENDIX 8.f NUMBER OF GOVERNMENT HOSPITALS PROVIDED INTEGRATED TRADITIONAL
HEALTH SERVICES BY PROVINCE YEAR 2021
APPENDIX 8.g NUMBER OF REGENCY/CITY IMPLEMENTING OCCUPATIONAL HEALTH AND
SPORT HEALTH BY PROVINCE YEAR 2021
APPENDIX 8.h NUMBER OF OCCUPATIONAL HEALTH IMPLEMENTATIONS; MEASUREMENTS
AND INSPECTIONS OF PHYSICAL FITNESS BY PROVINCE YEAR 2021
APPENDIX 9.a PERCENTAGE OF PUSKESMAS WITH THE AVAILABILITY OF ESSENTIAL DRUGS BY
PROVINCE YEAR 2021
APPENDIX 9.b PERCENTAGE OF REGENCY/CITY WITH THE AVAILABILITY OF ESSENTIAL DRUG
BY PROVINCE YEAR 2021
APPENDIX 9.c PERCENTAGE OF PUSKESMAS WITH THE AVAILABILITY OF IDL VACCINE
(COMPLETE BASIC IMMUNIZATION) BY PROVINCE YEAR 2021
APPENDIX 9.d NUMBER OF PRODUCTION FACILITIES IN PHARMACEUTICAL AND MEDICAL
DEVICES BY PROVINCE YEAR 2021

xx
APPENDIX 9.e NUMBER OF DISTRIBUTION FACILITIES IN PHARMACEUTICAL AND MEDICAL
DEVICES BY PROVINCE YEAR 2021
APPENDIX 10 PERCENTAGE OF REGENCIES/CITIES DEVELOPING ACTIVE INTEGRATED HEALTH
POST (POSYANDU); REGENCIES/CITIES WITH MINIMUM 80% ACTIVE
POSYANDU; AND NUMBER OF POSBINDU PTM BY PROVINCE YEAR 2021

CHAPTER III. HEALTH HUMAN RESOURCES


APPENDIX 11.a NUMBER OF MEDICAL PERSONNEL IN HEALTH FACILITIES IN INDONESIA YEAR
2021
APPENDIX 11.b NUMBER OF MEDICAL PERSONNEL IN PUSKESMAS IN INDONESIA YEAR 2021
APPENDIX 11.c NUMBER OF MEDICAL PERSONNEL IN HOSPITALS IN INDONESIA YEAR 2021
APPENDIX 11.d NUMBER OF MEDICAL SPECIALISTS AND DENTAL SPECIALISTS IN THE HOSPITAL
BY PROVINCE YEAR 2021
APPENDIX 11.e ADEQUACY OF GENERAL PRACTITIONERS, DENTISTS, NURSES, AND MIDWIVES
IN PUSKESMAS BY PROVINCE YEAR 2021
APPENDIX 11.f NUMBER OF HEALTH HUMAN RESOURCES IN UNDERDEVELOPED REGIONS BY
TYPES AND PROVINCE YEAR 2021
APPENDIX 11.g NUMBER OF GENERAL PRACTITIONERS, MEDICAL SPECIALISTS, DENTISTS,
AND DENTAL SPECIALISTS WITH CERTIFICATES OF REGISTRATION BY PROVINCE
PER 31 DECEMBER 2021
APPENDIX 11.h NUMBER OF MEDICAL SPECIALIST RESIDENTS WITH SPECIAL ASSIGNMENT BY
PROVINCE YEAR 2018- 2021
APPENDIX 11.i NUMBER OF REGENCIES/CITIES AND PUSKESMAS ASSIGNED FOR TEAM‐BASED
NUSANTARA SEHAT PROGRAM (BATCHES XV-XVI), PERIOD OF I-III YEAR 2021
APPENDIX 11.j NUMBER OF HEALTH WORKERS ASSIGNED TO NUSANTARA SEHAT TEAM
(BATCH XV - XVI / PERIOD I - II YEAR 2021)
APPENDIX 11.k NUMBER OF REGENCIES/CITIES AND PUSKESMAS NEW ASSIGNED FOR
INDIVIDUAL NUSANTARA SEHAT PROGRAM PERIOD OF I-V YEAR 2021
APPENDIX 11.l NUMBER OF NEW ASSIGNED HEALTH WORKERS TO INDIVIDUAL
NUSANTARA SEHAT PERIOD OF I-V YEAR 2021
APPENDIX 11.m NUMBER OF INTERNSHIP PHYSICIANS BY MONTH OF DEPARTURE AND
PROVINCE, YEAR 2021
APPENDIX 11.n NUMBER OF HEALTH PERSONNEL ASSIGNED TO MEDICAL SPECIALIST DOCTOR
UTILIZATION (PGDS) BY PROVINCE YEAR 2021
APPENDIX 12.a NUMBER OF NURSING AND MIDWIFE PERSONNELS IN HEALTH FACILITIES IN
INDONESIA YEAR 2022
APPENDIX 12.b NUMBER OF NEW CERTIFICATES OF REGISTRATION ISSUED FOR HEALTH WORK
ERS BY PROVINCE YEAR 2021
APPENDIX 12.c NUMBER OF RENEWED CERTIFICATES OF REGISTRATION ISSUED FOR HEALTH
WORKERS BY PROVINCE YEAR 2021
APPENDIX 12.d NUMBER OF MIDWIVES AS ACTIVE NON‐PERMANENT EMPLOYEES (PTT) BY
REGION CRITERIA AND PROVINCE PER 31 DESEMBER 2021
APPENDIX 13.a NUMBER OF PERSONNELS OF COMMUNITY HEALTH, ENVIRONMENTAL
HEALTH, AND NUTRITION IN HEALTH FACILITIES IN INDONESIA YEAR 2021
APPENDIX 13.b NUMBER OF PERSONNELS OF COMMUNITY HEALTH, ENVIRONMENTAL
HEALTH, AND NUTRITION IN PUSKESMAS IN INDONESIA YEAR 2021
APPENDIX 13.c NUMBER OF PERSONNELS OF COMMUNITY HEALTH, ENVIRONMENTAL

xxi
HEALTH, AND NUTRITION IN HOSPITALS IN INDONESIA YEAR 2021
APPENDIX 14.a NUMBER OF PERSONNEL OF BIOMEDICAL ENGINEERING, PHYSICAL THERAPY,
AND MEDICAL ENGINEERING IN HEALTH FACILITIES IN INDONESIA YEAR 2021
APPENDIX 14.b NUMBER OF PERSONNEL OF BIOMEDICAL ENGINEERING, PHYSICAL THERAPY,
AND MEDICAL ENGINEERING IN PUSKESMAS IN INDONESIA YEAR 2021
APPENDIX 14.c NUMBER OF PERSONNEL OF BIOMEDICAL ENGINEERING, PHYSICAL THERAPY,
AND MEDICAL ENGINEERING IN HOSPITALS IN INDONESIA YEAR 2021
APPENDIX 15.a NUMBER OF PHARMACEUTICAL PERSONNEL AT HEALTH FACILITIES IN
INDONESIA YEAR 2021
APPENDIX 15.b NUMBER OF PHARMACEUTICAL PERSONNEL AT PUSKESMAS IN INDONESIA
YEAR 2021
APPENDIX 15.c NUMBER OF PHARMACEUTICAL PERSONNEL AT HOSPITALS IN INDONESIA YEAR
2021
APPENDIX 16.a NUMBER OF HEALTH SUPPORTING PERSONNEL AT HEALTH FACILITIES IN
INDONESIA YEAR 2021
APPENDIX 16.b NUMBER OF HEALTH SUPPORTING PERSONNEL AT PUSKESMAS IN INDONESIA
YEAR 2021
APPENDIX 16.c NUMBER OF HEALTH SUPPORTING PERSONNEL AT HOSPITALS IN INDONESIA
YEAR 2021
APPENDIX 16.d NUMBER OF CLINICAL PSYCHOLOGY AND TRADITIONAL HEALTH PERSONNELS
AT HEALTH FACILITIES IN INDONESIA IN 2021
APPENDIX 16.e NUMBER OF CLINICAL PSYCHOLOGY AND TRADITIONAL HEALTH PERSONNELS
AT PUSKESMAS IN INDONESIA IN 2021
APPENDIX 16.f NUMBER OF CLINICAL PSYCHOLOGY AND TRADITIONAL HEALTH PERSONNELS
AT HOSPITALS IN INDONESIA IN 2021
APPENDIX 16.g NUMBER OF GRADUATES OF DIPLOMA III OF HEALTH POLITECHNIC
(POLTEKKES) BY STUDY PROGRAM YEAR 2021
APPENDIX 16.h NUMBER OF GRADUATES OF RPL DIPLOMA III OF HEALTH POLYTECHNIC
(POLTEKKES) BY STUDY PROGRAM YEAR 2021
APPENDIX 16.i NUMBER OF GRADUATES OF DIPLOMA IV OF HEALTH POLYTECHNIC
(POLTEKKES) BY TYPE OF HEALTH PERSONNEL YEAR 2021
APPENDIX 16.j NUMBER OF GRADUATES OF PROFESSIONAL PROGRAM OF HEALTH
POLYTECHNIC (POLTEKKES) BY TYPE OF HEALTH PERSONNEL YEAR 2021
APPENDIX 16.k NUMBER OF UNIVERSITY GRADUATES BY HEALTH PERSONNEL GROUP AND
PROVINCE YEAR 2021
APPENDIX 16.l NUMBER OF UNIVERSITY GRADUATES OF MEDICAL SPECIALIST DOCTORS AND
DENTAL SPECIALIST BY PROVINCE YEAR 2021

CHAPTER IV HEALTH FINANCING


APPENDIX 17.a COVERAGE OF NATIONAL HEALTH INSURANCE (JKN) MEMBERSHIP, YEAR 2021
APPENDIX 17.b PRIMARY HEALTH FACILITIES IN COOPERATION WITH BPJS‐KESEHATAN
YEAR 2021
APPENDIX 17.c ADVANCED REFERRAL HEALTH FACILITIES IN COOPERATION WITH BPJS‐
KESEHATAN YEAR 2021
APPENDIX 17.d SUPPORTING HEALTH FACILITIES IN COOPERATION WITH BPJS‐KESEHATAN
YEAR 2021

xxii
APPENDIX 19.a BUDGET ALLOCATION FOR HEALTHCARE OF MINISTRY OF HEALTH YEAR 2021
APPENDIX 19.b BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF HEALTH
BY ECHELON I UNIT YEAR 2021
APPENDIX 19.c BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF HEALTH BY
TYPES OF EXPENDITURE FOR FISCAL YEAR 2021
APPENDIX 19.d BUDGET ALLOCATION AND REALIZATION OF ECHELON 1 UNIT OF
THE MINISTRY OF HEALTH RI BY SOURCE OF FUNDS YEAR 2021
APPENDIX 19.e ALLOCATION AND REALIZATION OF DECONCENTRATION BUDGET OF THE
MINISTRY OF HEALTH RI BY PROVINCE FOR FISCAL YEAR 2021
APPENDIX 19.f SPECIAL ALLOCATION FUNDS (DAK) FOR HEALTH BY PROVINCE YEAR 2021

CHAPTER V FAMILY HEALTH


APPENDIX 20 NUMBER OF BIRTH BY PROVINCE YEAR 2021
APPENDIX 21 NUMBER OF MATERNAL MORTALITY BY PROVINCE YEAR 2019 – 2021
APPENDIX 22 NUMBER OF MATERNAL MORTALITY BY CAUSES AND PROVINCE YEAR 2021
APPENDIX 23.a COVERAGE OF HEALTH SERVICE TO PREGNANT, DELIVERING, AND
POSTPARTUM WOMEN BY PROVINCE YEAR 2021
APPENDIX 23.b PERCENTAGE OF PUSKESMAS PROVIDING ANTENATAL CLASSES,
DELIVERY PLANNING AND COMPLICATION PREVENTION PROGRAM (P4K),
AND MATERNITY WAITING HOMES (RTK) BY PROVINCE YEAR 2021
APPENDIX 24 COVERAGE OF Td IMMUNIZATION ON PREGNANT WOMEN BY PROVINCE YEAR
2021
APPENDIX 25 COVERAGE OF Td IMMUNIZATION ON NONPREGNANT REPRODUCTIVE‐AGE
WOMEN BY PROVINCE YEAR 2021
APPENDIX 26 COVERAGE OF Td IMMUNIZATION ON REPRODUCTIVE‐AGE WOMEN (BOTH
PREGNANT AND NONPREGNANT WOMEN) BY PROVINCE YEAR 2021
APPENDIX 27.a NUMBER OF PREGNANT WOMEN RECEIVING IRON TABLETS (TTD) BY PROVINCE
YEAR 2021
APPENDIX 27.b PERCENTAGE OF FEMALE ADOLESCENTS AND PREGNANT WOMEN RECEIVING
IRON TABLETS (TTD) BY PROVINCE YEAR 2021
APPENDIX 27.c PERCENTAGE OF WASTING UNDER‐FIVES AND PREGNANT WOMEN UNDER THE
RISK OF KEK RECEIVING DIETARY SUPPLEMENTS BY PROVINCE, YEAR 2021
APPENDIX 28.a NUMBER OF REPRODUCTIVE‐AGE COUPLES (PUS) KB PARTICIPANTS BY USED
CONTRACEPTION METHODS YEAR 2021
APPENDIX 28.b NUMBER OF REPRODUCTIVE‐AGE COUPLES (PUS) AS FAMILY PLANNING (KB)
ACCEPTORS BY SERVICE FACILITIES AND PROVINCE YEAR 2021
APPENDIX 29 COVERAGE AND PROPORTION OF POSTPARTUM KB PARTICIPANTS BY TYPES OF
CONTRACEPTION AND PROVINCE YEAR 2021
APPENDIX 30.a PREGNANT WOMEN PERFORMING HIV TESTING BY PROVINCE YEAR 20201
APPENDIX 30.b PERCENTAGE OF PREGNANT WOMEN PERFORMING EARLY DETECTION OF
HEPATITIS B (DDHB) AND THE RESULTS BY PROVINCE YEAR 2021
APPENDIX 31 MORTALITY NUMBER OF NEONATAL, INFANTS, AND UNDER‐FIVES BY
PROVINCE IN INDONESIA YEAR 2021
APPENDIX 32 MORTALITY NUMBER OF NEONATAL, INFANTS, AND UNDER‐FIVES BY THE MAIN
CAUSES IN INDONESIA YEAR 2021

xxiii
APPENDIX 33 LOW BIRTH WEIGHT (LBW) INFANTS BY GENDER AND PROVINCE IN INDONESIA
YEAR 2021
APPENDIX 34 COVERAGE OF NEONATAL VISITS BY PROVINCE IN INDONESIA YEAR 2021
APPENDIX 35 PERCENTAGE OF NEWBORNS RECEIVING EARLY BREASTFEEDING INITIATION
(IMD) AND INFANTS RECEIVING EXCLUSIVE BREASTFEEDING BY PROVINCE YEAR
2021
APPENDIX 37 COVERAGE OF VILLAGES/SUB‐REGENCIES HAVING UNIVERSAL CHILD
IMMUNIZATION (UCI) BY PROVINCE IN INDONESIA YEAR 2021
APPENDIX 38 COVERAGE OF IMMUNIZATION OF HEPATITIS B0 (0‐7 DAYS) AND BCG IN
INFANTS BY SEX AND PROVINCE YEAR 2021
APPENDIX 39.a COVERAGE OF IMMUNIZATION OF DPT/HB/HiB 3, POLIO 4, MEASLES/MR, AND
COMPLETE BASIC IMMUNIZATION ON INFANTS BY SEX AND PROVINCE IN
INDONESIA YEAR 2021
APPENDIX 39.b DROP OUT RATE OF COVERAGE OF IMMUNIZATION OF DPT/HB/HiB(1)
‐ MEASLES, AND DPT/HB/HiB(1) ‐ DPT/HB/HiB(3) ON INFANTS BY PROVINCE
YEAR 2019‐2021
APPENDIX 39.c PERCENTAGE OF REGENCIES/CITIES ACHIEVING 80% OF COMPLETE
BASIC IMMUNIZATION ON INFANTS BY PROVINCE YEAR 2019‐2021
APPENDIX 40.a COVERAGE OF ADVANCED IMMUNIZATION OF DPT‐HB‐Hib 4 AND
MEASLES/MR2 ON UNDER‐TWOS BY SEX AND PROVINCE IN INDONESIA YEAR
2021
APPENDIX 40.b COVERAGE OF IMMUNIZATION ON SCHOOL‐AGED CHILDREN BY PROVINCE
YEAR 2021
APPENDIX 41 SCOPE OF ADMINISTRATION OF VITAMIN A TO INFANTS AND UNDER‐FIVES BY
PROVINCE YEAR 2021
APPENDIX 43 NUMBER OF UNDER‐FIVES WEIGHED BY SEX AND PROVINCE YEAR 2021
APPENDIX 44.a PERCENTAGE OF 0 ‐ 23 MONTH OLD CHILDREN ACCORDING TO
NUTRITIONAL STATUS WITH WEIGHT/AGE INDEX BY PROVINCE YEAR 2021
APPENDIX 44.b PERCENTAGE OF 0 ‐ 59 MONTH OLD CHILDREN ACCORDING TO
NUTRITIONAL STATUS WITH WEIGHT/AGE INDEX BY PROVINCE YEAR 2021
APPENDIX 44.c PERCENTAGE OF 0 ‐ 23 MONTH OLD CHILDREN ACCORDING TO
NUTRITIONAL STATUS WITH HEIGHT/AGE INDEX BY PROVINCE YEAR 2021
APPENDIX 44.d PERCENTAGE OF 0 ‐ 59 MONTH OLD CHILDREN ACCORDING TO
NUTRITIONAL STATUS WITH HEIGHT/AGE INDEX BY PROVINCE YEAR 2021
APPENDIX 44.e PERCENTAGE OF 0 ‐ 23 MONTH OLD CHILDREN ACCORDING TO
NUTRITIONAL STATUS WITH WEIGHT/HEIGHT INDEX BY PROVINCE YEAR 2021
APPENDIX 44.f PERCENTAGE OF 0 ‐ 59 MONTH OLD CHILDREN ACCORDING TO
NUTRITIONAL STATUS WITH WEIGHT/HEIGHT INDEX BY PROVINCE YEAR 2021
APPENDIX 45 SCOPE OF HEALTH SERVICES FOR ELEMENTARY, SECONDARY, AND HIGH
SCHOOL STUDENTS BY PROVINCE IN INDONESIA YEAR 2021
APPENDIX 48 IMPLEMENTATION OF EARLY DETECTION IN POPULATION AGE >= 15 YEARS
YEAR 2021
APPENDIX 49 PERCENTAGE OF PUSKESMAS CONDUCTING GERIATRIC CARE HEALTH SERVICE
BY PROVINCE YEAR 2021

xxiv
CHAPTER VI DISEASE CONTROL
APPENDIX 51.a NUMBER OF SUSPECTED TUBERCULOSIS; CASES OF TUBERCULOSIS AND CHILD
TUBERCULOSIS; CASE NOTIFICATION RATE (CNR) PER 100,000 POPULATION
AND TREATMENT COVERAGE (TC) BY GENDER AND PROVINCE YEAR 2021
APPENDIX 51.b NUMBER OF TUBERCULOSIS CASES OF ALL TYPES BY AGE GROUPS, SEX, AND
PROVINCE YEAR 2021
APPENDIX 51.c NUMBER OF NEW CASES OF BACTERIOLOGICALLY‐
CONFIRMED PULMONARY TUBERCULOSIS BY AGE GROUPS,
SEX AND PROVINCE YEAR 2021
APPENDIX 52 RATE OF RECOVERY, COMPLETE TREATMENT, AND SUCCESSFUL TREATMENT
OF TUBERCULOSIS BY SEX AND PROVINCE YEAR 2021
APPENDIX 53.a PNEUMONIA CASES IN UNDER‐FIVES BY AGE GROUPS AND PROVINCE
YEAR 2021
APPENDIX 53.b TODDLERS COUGHING/DIFFICULT BREATHING GETTING STANDARD
TREATMENT; AND REGENCIES/CITIES IN WHICH 50% OF PUSKESMAS DOING
60% MINIMUM STANDARD MANAGEMENT BY PROVINCE YEAR 2021
APPENDIX 53.c CONFIRMED CASES, RECOVERY AND MORTALITY DUE TO COVID‐19 IN 2021
APPENDIX 53.d NUMBER OF LABORATORIES AND EXAMINATION OF COVID‐19 SPECIMENS BY
PROVINCE YEAR 2021
APPENDIX 53.e CONFIRMED CASES OF COVID‐19 BY SEX, AGE GROUPS AND PROVINCE YEAR
2021
APPENDIX 54 NUMBER OF HIV CASES BY SEX, AGE GROUPS, AND PROVINCE YEAR 2021
APPENDIX 55.a NUMBER OF NEW HIV CASES BY PROVINCE YEAR 2019 ‐ 2021
APPENDIX 55.b NUMBER OF NEW AIDS CASES BY SEX, AGE GROUPS, AND PROVINCE YEAR 2021
APPENDIX 55.c CUMULATIVE CASES OF AIDS BY SEX, AGE GROUPS AND PROVINCE YEAR 2021
APPENDIX 55.d MORTALITY RATE DUE TO AIDS BY SEX AND AGE GROUPS YEAR 2021
APPENDIX 55.e NUMBER OF NEW CASES AND CUMULATIVE CASES OF AIDS BY PROVINCE UP
TO DECEMBER 2021
APPENDIX 55.f NUMBER AND PERCENTAGE OF AIDS CASES ON INJECTING DRUG USERS (IDU)
BY PROVINCE YEAR 2021
APPENDIX 56 TREATED CASES OF DIARRHEA BY PROVINCE YEAR 2021
APPENDIX 57 NEW CASES OF LEPROSY BY SEX GROUP AND PROVINCE YEAR 2021
APPENDIX 58 NEW CASES OF GRADE 0‐DISABILITY LEPROSY, GRADE 2‐DISABILITY LEPROSY,
AND LEPROSY IN CHILDREN <15 TAHUN BY PROVINCE YEAR 2021
APPENDIX 59 NUMBER OF REGISTERED CASES AND PREVALENCE NUMBER OF LEPROSY BY
TYPES AND PROVINCE YEAR 2021
APPENDIX 59.b LEPROSY PATIENTS RELEASE FROM TREATMENT (RFT) BY PROVINCE YEAR 2021
APPENDIX 60.a PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING HEPATITIS B EARLY
DETECTION (DDHB) BY PROVINCE YEAR 2021
APPENDIX 60.b PERCENTAGE OF PREGNANT WOMEN TAKING HEPATITIS B (DDHB) EARLY
DETECTION AND THE RESULTS BY PROVINCE YEAR 2021
APPENDIX 61 AFP (NON POLIO) CASES PER 100,000 POPULATION AGE <15 YEARS; AND
PERCENTAGE OF ADEQUATE SPECIMENS BY PROVINCE YEAR 2021
APPENDIX 62.a NUMBER OF DISEASES THAT CAN BE PREVENTED BY IMMUNIZATION (PD3I) BY
PROVINCE YEAR 2021

xxv
APPENDIX 62.b NUMBER OF NEONATAL TETANUS CASES AND RISK FACTORS BY PROVINCE
YEAR 2021
APPENDIX 62.c NUMBER OF SUSPECTED MEASLES CASES PER MONTH BY PROVINCE, YEAR
2021
APPENDIX 62.d NUMBER OF SUSPECTED MEASLES CASES AND THOSE THAT ARE VACCINATED
BY AGE GROUP AND PROVINCE YEAR 2021
APPENDIX 62.e FREQUENCY OF OUTBREAK AND NUMBER OF SUSPECTED MEASLES CASES
DURING OUTBREAK BY PROVINCE YEAR 2021
APPENDIX 62.f DISTRIBUTION OF SUSPECTED MEASLES DURING OUTBREAK BASED ON
LABORATORY CONFIRMATION BY PROVINCE YEAR 2021
APPENDIX 63 OUTBREAKS (KLB) IN VILLAGES / SUB‐REGENCIES HANDLED <24 HOURS BY
PROVINCE YEAR 2021
APPENDIX 63.b NUMBER OF HEALTH CRISIS INCIDENTS BY TYPES OF DISASTER AND TIME IN
INDONESIA YEAR 2021
APPENDIX 63.c NUMBER OF VICTIMS DUE TO HEALTH CRISES BY TYPES OF DISASTER YEAR 2021
APPENDIX 63.d NUMBER OF VICTIMS DUE TO HEALTH CRISES BY PROVINCE YEAR 2021
APPENDIX 65.a CASE OF DENGUE HEMORRHAGIC FEVER (DHF) BY SEX GROUP AND PROVINCE
IN INDONESIA YEAR 2021
APPENDIX 65.b NUMBER OF REGENCIES/CITIES INFECTED BY DENGUE HEMORRHAGIC FEVER BY
PROVINCE YEAR 2019 – 2021
APPENDIX 66.a MALARIA CASES BY SEX AND PROVINCE IN INDONESIA YEAR 2021
APPENDIX 66.b NUMBER OF REGENCIES/CITIES WITH <1 API AND THOSE ACHIEVING
CERTIFIED MALARIA ELIMINATION BY PROVINCE YEAR 2021
APPENDIX 66.c ANNUAL PARASITE INCIDENCE (API) OF MALARIA PER 1,000 POPULATION BY
PROVINCE YEAR 2017‐2021
APPENDIX 67.a CHRONIC FILARIASIS BY SEX AND PROVINCE IN INDONESIA YEAR 2021
APPENDIX 67.b NUMBER OF FILARIAL‐ENDEMIC REGENCIES/CITIES SUCCESSFULLY
DECREASED MICROFILARIAL RATE TO < 1% AND STILL IMPLEMENTING MASS
DRUG ADMINISTRATION (POPM) FOR FILARIASIS PREVENTION BY PROVINCE
YEAR 2021
APPENDIX 67.c RABIES BY PROVINCE IN INDONESIA YEAR 2019‐2021
APPENDIX 67.d NUMBER OF CASES, FATALITIES, AND CASE FATALITY RATE (CFR) OF
LEPTOSPIROSIS BY PROVINCE YEAR 2019‐2021
APPENDIX 70.a EARLY DETECTION RECAPITULATION OF CERVICAL CANCER (IVA) AND BREAST
CANCER BY PROVINCE YEAR 2019‐2021
APPENDIX 70.b NUMBER OF VILLAGES CONDUCTING INTEGRATED HEALTH POST
(POSBINDU) BY PROVINCE YEAR 2019‐2021
APPENDIX 70.c REGENCIES/CITIES IMPLEMENTING NO‐SMOKING AREA (KTR) BY PROVINCE
YEAR 2019‐2021
APPENDIX 71.a NUMBER OF REGENCIES/CITIES IMPLEMENTING EARLY DETECTION OF MENTAL
HEALTH AND DRUG ABUSE BY PROVINCE IN INDONESIA YEAR 2021
APPENDIX 71.b NUMBER OF DRUGS ABUSERS RECEIVING MEDICAL SERVICES BY PROVINCE IN
INDONESIA UP TO 2021

xxvi
CHAPTER VII ENVIRONMENTAL HEALTH
APPENDIX 72.a PERCENTAGE OF DRINKING WATER FACILITIES SUPERVISED FOR THEIR QUALITY
IN ACORDANCE WITH STANDARD BY PROVINCE YEAR 2021
APPENDIX 72.b PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO PROPER DRINKING WATER
BY PROVINCE YEAR 2019‐2021
APPENDIX 73.a NUMBER OF HOUSEHOLDERS WITH ACCESS TO DECENT SANITATION FACILITIES
(HEALTH LATRINES) BY PROVINCE YEAR 2021
APPENDIX 73.b PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO DECENT SANITATION BY
PROVINCE YEAR 2019‐2021
APPENDIX 74 PERCENTAGE OF VILLAGES/SUB‐VILLAGES IMPLEMENTING STOP OPEN
DEFECATION (SBS) BY PROVINCE YEAR 2021
APPENDIX 75 PERCENTAGE OF PUBLIC PLACES AND FACILITIES (TFU) CONTROLLED
ACCORDING TO STANDARD REGULATION BY PROVINCE YEAR 2021
APPENDIX 76.a PERCENTAGE OF FOOD MANAGEMENT PLACES (TPP) MEETING STANDARD
REQUIREMENTS BY PROVINCE YEAR 2021
APPENDIX 76.b NUMBER OF HEALTHY REGENCIES/CITIES BY PROVINCE YEAR 2021
APPENDIX 76.c NUMBER OF HEALTH SERVICE FACILITIES (FASYANKES) HAVING MEDICAL
WASTE MANAGEMENT ACCORDING TO STANDARDS BY PROVINCE YEAR 2021
APPENDIX 76.d PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING HEALTHY COMMUNITY
MOVEMENT (GERMAS) YEAR 2021
APPENDIX 76.e PERCENTAGE OF HOUSEHOLDS LIVING IN LIVABLE HOUSES BY PROVINCE YEAR
2019‐2021

xxvii
xxviii
Chapter I
DEMOGRAPHY

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 1


2 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY
CHAPTER I. DEMOGRAPHY
Indonesia is astronomically located between 6o North Latitude (LU) to 11 o South Latitude (LS)
and 141o to 95o East Longitude (BT), shows the position of the country of Indonesia which is crossed
by the equator. Geographically, Indonesia is located between the Australian continent and the Asian
continent, and between the Indian Ocean and the Pacific Ocean. Indonesia is an archipelagic country
with total number of 16,772 islands (according to the Decree of the Minister of Home Affairs Number
050-145 of 2022), total land area of 1,892,555.5 km2 which stretches from Sabang to Merauke and
from Miangas Island to Rote Island. The number of islands in Indonesia more or less affects the
number of tribes, cultures, and languages, which can pose challenges in the government's efforts to
empower people to live healthy lives.
The location of Indonesia which is around the equator makes Indonesia have a tropical
climate. This climate with more rainfall and exposure to sunlight than regions with other climates is a
blessing to a variety of food crops and forests in Indonesia, although deforestation continues to this
day. Deforestation that occurs will affect the environment and in the end will also have an impact on
the health of the population.
Administratively, the Unitary State of the Republic of Indonesia (NKRI) is divided into
provinces. The province is divided into regencies and cities. Regencies and cities are divided into
districts and districts are divided into hamlet and/villages. According to the Decree of the Minister of
Home Affairs Number 050-145 of 2022 regarding Codes and Data of Governmental Administrative
Area, and Islands in 2021, Indonesia is divided into 34 provinces, 416 regencies, 98 cities, 7,266
districts, 8,506 villages, and 74,961 hamlets (Appendix 1).

A. DEMOGRAPHIC CONDITION
According to the Ministry of Home Affairs, the total population of Indonesia in December 31,
2021 is 273,879,750 people, consisting of 138,303,472 male population and 135,576,278 female
population. Meanwhile, according to the projection figures from the Central Statistics Agency, the
total population of Indonesia in 2021 is 272,682,515 people, consisting of 137,871,054 male
population and 134,811,461 female population. Figure 1.1 shows the total population in Indonesia in
2021 by sex.

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 3


CHAPTER 1 YANG Belum direvisi :

1. Figure 1.1 diganti ini :

Source: Total Population as of 31 December 2021, Ministry of Home Affairs, 2022


(https://gis.dukcapil.kemendagri.go.id)
Population Projection (interim) 2020-2023, Statistics Indonesia, 2022

4 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


FIGURE 1.2
FIGURE 1.2
TOTAL NUMBER OF POPULATION BY PROVINCE (IN THOUSANDS)
TOTAL NUMBER OF POPULATION BY PROVINCE (IN THOUSANDS)
BY PROVINCE YEAR 2021
2. Figure 1.2 diganti ini : BY PROVINCE YEAR 2021

North Kalimantan 698


NorthWest
Kalimantan 698
1.150
Papua
West Papua 1.150
1.201
Gorontalo
Gorontalo 1.201
1.324
North Maluku
North Maluku 1.324
1.442
West Sulawesi
West Sulawesi 1.442
1.462
Bangka Belitung Islands
Bangka BelitungMaluku
Islands 1.462
1.881
Maluku 1.881
2.037
Bengkulu
Bengkulu 2.037
2.083
Riau islands
2.083
Central Riau islands
Kalimantan 2.656
Central Kalimantan 2.656
2.658
North Sulawesi
North Sulawesi 2.658
2.679
Southeast Sulawesi
Southeast 2.679
Central Sulawesi
Sulawesi 3.052
Central Sulawesi 3.052
3.603
Jambi
Jambi 3.603
3.677
Yogyakarta
Yogyakarta 3.677
3.850
East Kalimantan
East Kalimantan 3.850
4.120
South Kalimantan
South Kalimantan 4.120
4.279
Bali
Bali 4.279
4.313
Papua
Papua 4.313
5.348
Aceh
Aceh 5.348
5.432
West Nusa Tenggara
West Nusa Tenggara 5.432
5.467
West Kalimantan
West Kalimantan 5.467
5.490
East Nusa Tenggara
East Nusa 5.490
WestTenggara
Sumatra 5.604
West Sumatra 5.604
6.575
Riau
Riau 6.575
8.566
South Sumatra
SouthLampung
Sumatra 8.566
8.882
Lampung 8.882
9.219
South Sulawesi
South Sulawesi 9.219
11.262
DKI Jakarta
DKI Jakarta 11.262
12.031
Banten
Banten 12.031
15.242
North Sumatra
North Sumatra 15.242
37.313
Central Java
Central 37.313 Dukcapil
East Java
Java 41.063 Dukcapil
East Java 41.063
48.220
West Java BPS
West Java 48.220 BPS
-9.950.000,0 50.000,0
-9.950.000,0 50.000,0

Source: Total Population as of 31 December 2021, Ministry of Home Affairs, 2022


(https://gis.dukcapil.kemendagri.go.id)
Source: Population Number 31 December 2021, Ministry of Home Affairs, 2022
Source:
Population Population
Projection Number
(interim) 31 December
2020-2023, 2021,Indonesia,
Statistics Ministry of Home Affairs, 2022
2022
(https://gis.dukcapil.kemendagri.go.id)
(https://gis.dukcapil.kemendagri.go.id)
Interim Projection Population Population 2020-2023, BPS 2022
Interim Projection Population Population 2020-2023, BPS 2022
Java Island is the island with the largest population compared to other islands in Indonesia
Java Island is the island with the largest population compared to other islands in Indonesia
(56.1%). The eastern regions, namely Maluku Island (1.2%) and Papua (2.0%) are the islands in
(56.1%). The eastern regions, namely Maluku Island (1.2%) and Papua (2.0%) are the islands in
Indonesia with the least population. Data on population distribution per major islands in Indonesia
Indonesia with the least population. Data on population distribution per major islands in Indonesia
can be seen in Figure 1.3.
can be seen in Figure 1.3.

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 5


FIGURE 1.3
DISTRIBUTION OF INDONESIAN POPULATION
Figure 1.3 warnanya masih beda, diganti ini :
YEAR 2021

1,63 1,92
1,15

7,35
Java
Kalimantan
Sumatra
21,89
Sulawesi
Maluku
59,87
Papua
6,19 Other

Source: Total Population as of 31 December 2021, Ministry of Home Affairs, 2022


Source:(https://gis.dukcapil.kemendagri.go.id)
Population Number 31 December 2021, Ministry of Home Affairs, 2022
(https://gis.dukcapil.kemendagri.go.id)

Figure 1.4 diganti grafik ini :


There are two axes in the population pyramid: horizontal axis and vertical axis. The vertical
axis illustrates a group of age of population from zero until more than 75 years old with five yearly
interval and the total number of male population is shown in the left side while the total number
of female population is shown in the right side. The horizontal axis illustrates the number of
population. The said pyramid describes the young, adult and old population structures. This
population structure has become the basis for the establishment of demographic, socio-cultural
and economic policies.

Source: Population Projection (interim) 2020-2023, Statistics Indonesia, 2022

6 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


Source: Total Population as of 31 December 2021, Ministry of Home Affairs, 2022
(https://gis.dukcapil.kemendagri.go.id) FIGURE 1.4
POPULATION PYRAMID OF INDONESIA
YEAR 2021
Figure 1.4 diganti grafik ini :

0-4
15-19
30-34
45-49
60-64
75+
0 2.000.000 4.000.000 6.000.000 8.000.00010.000.00012.000.000

0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39


40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+
Source: Population Projection (interim) 2020-2023, Statistics Indonesia, 2022
Source: Interim Projection of Population 2020-2023, BPS 2022

Indonesia's population pyramid in Figure 1.4 is conical in shape with a broad base and a pointed
peak. This shows that the population structure in Indonesia includes the structure of the young
population. Age 0-14 years (young age) more in number than the age above. The shorter top of the
pyramid indicates that the death rate is still high in the elderly population.
The concentration of population in an area can be studied by using a measure of population
density. Population density shows the level of population distribution in an area. The population
density figure shows the average number of inhabitants per 1 square kilometer. The higher the
population density, the more people inhabit the area. Areas that have a high density are generally
residential centers, centers of civilization, centers of government, and centers of socio-economic
activity. The average population density in Indonesia in 2021 based on data from the Directorate
General of Population and Civil Registration of the Ministry of Home Affairs is 145 people/km2.
Population density is useful as a reference in order to achieve even distribution and distribution of the
population. Population density by province in 2021 can be seen in Appendix 1.

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 7


FIGURE 1.5
MAP OF POPULATION DENSITY (people/km2) OF INDONESIA
YEAR 2021

Figure 1.5, diganti keterangan di bawah peta Indonesia menjadi ini :


Source: Total Population
Source as of 31data
of population December
as of 312021, Ministry
December of https://gis.dukcapil.kemendagri.go.id
2021: Home Affairs, 2022
(https://gis.dukcapil.kemendagri.go.id)
Figure 1.5 shows the uneven population density in Indonesia. The highest population density is
onTable
the island of Javadata
1.1 : sumber withdiganti
DKI Jakarta Province
sebagai berikutas the province with the highest population density
(17,031 people/km ). The province with the lowest population density is North Kalimantan, which is 10
2
Sebelumnya
people/km 2 : Sourcedata
(complete : Population Interim
can be seen Projection
in Appendix 1).2020-2023, BPS 2022
DigantiSome of the
menjadi ways the
: Source: government
Population does in
Projection order to
(interim) equalize Statistics
2020-2023, the population, are2022
Indonesia, among others: (1)
transmigration or program to relocate people from densely populated areas to sparsely populated areas;
(2) equitable development especially in eastern areas of Indonesia; (3) disseminating the family planning
programs andgrafik
Figure 1.6, delaydanthe sumber
age of first
datamarriage.
(keterangan di bawagnya) diganti gambar di bawah ini :
The Indicator frequently used to know the population productivity is the Dependency Ratio (ABK).
The Dependency Ratio is the ratio of the number of population aged 0-14 years old plus the number of
population aged 65 and up (both are called non-labor force) to the number of population aged 15-64 years
old (labor force). This number is used as an indicator which roughly shows the economic condition of a
certain country. The higher the percentage of dependency ratio, the higher the burden that must be borne
by the productive population to finance the lives of people who are not yet productive and are no longer
productive, meanwhile the lower of percentage of dependency ratio, the lower the burden that must be
borne by the productive population to finance the lives of people who are not yet productive and are no
longer productive.
The Dependency Ratio of Indonesian People in 2021 was 44.34%. It indicates that 100 Indonesian
people who are productive, in addition to bearing themselves, they also bear approximately 45
unproductive people. The Dependency Ratio per province in detail can be seen in Appendix 3.a.
Table 1.1 shows data on the target population of the health development program in 2021 by
gender. Data on the target population of the health development program is needed for planning and
evaluating the results
Source: Statistics of the health
Indonesia, 2022 efforts that have been implemented. The population data for the
target population of the health development program in 2021 is contained in Appendix 2

8 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


TABLE 1.1
POPULATION TARGET FOR HEALTH DEVELOPMENT PROGRAM
IN INDONESIA YEAR 2021
Age Sex
No Program Target Number
Group/Formula Male Female
1 Infant 0 Years 2,273,236 2,174,781 4,448,017

2 Toddler (Under Three Years) 6,772 .794 6,463,162 13,235,956


0 – 2 Years
3 Young Children 1 – 4 Years 9,007,072 8,590,172 17,597,244
4 Young Children (Under Five Years) 0 – 4 Years 11,280,308 10,764,953 22,045,261
4,495,947 8,806,068
5 Preschool 5 – 6 Years
8 Population Young Age 95,629,734 93,285,510 188,915,244
< 15 Years 15 – 64 Years
33,922,823
32,263,373
66,186,196
Productive
Population of

≥65 Years 8,318,497 9,262,578 17,581,075


Non-Productive Age
11 Population Elderly ≥ 60 Years 13,599,306 14,599,553 28,198,859
12 High Risk Elderly Population ≥70 Years 4,457,944 5,294,626 9,752,570
Women of Childbearing Age 73,095,757 73,095,757
13 15 – 49 Year -
(WUS)
WUS Immunized Women of 15 – 39 Years - 53,922,808 53,922,808
Childbearing Aged

Source: Population Projection (interim) 2020-2023, Statistics Indonesia, 2022


Source: Population Interim Projection 2020-2023, BPS 2022

B. ECONOMIC CONDITION
One of the important indicators to determine the economic condition in a country in a
period certain data is Gross Domestic Product (GDP), both at current prices and at constant prices.
GDP is basically the amount of added value produced by all business units in a particular country, or
is the total value of final goods and services produced by all economic units.
GDP at nominal current prices shows the ability of economic resources produced by a country.
A large GDP value indicates large economic resources, and vice versa. The Indonesian economy in
2021 as measured by GDP at current prices will reach Rp. 16,970.8 trillion and GDP per capita reaching
Rp. 62.2 million or US$ 4,349.5. Indonesia's economy in 2021 will grow by 3.69%, higher than the
achievement in 2020 which experienced a growth contraction of 2.07%. In terms of production, the
highest growth occurred in the Health Services and Social Activities Business Field of 10.46%.
Meanwhile, in terms of expenditure, the highest growth was achieved by the Export Component of
Goods and Services at 24.04%. The spatial structure of Indonesia's economy in 2021 isdominated by a
group of provinces on the island of Java which contribute 57.89% to the economy and economic
performance which grows by 3.66%.

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 9


Table 1.1 : sumber data diganti sebagai berikut

Sebelumnya : Source : Population Interim Projection 2020-2023, BPS 2022

Diganti menjadi : Source: Population Projection (interim) 2020-2023, Statistics Indonesia, 2022
FIGURE 1.6
FigureECONOMIC GROWTH
1.6, grafik dan OF INDONESIA
sumber data (keteranganYEAR 2017 – 2021
di bawagnya) (INgambar
diganti %) di bawah ini :
6
5,07 5,17 5,02
4
3,69

0
2017 2018 2019 2020 2021
-2 -2,07

-4

Source:
Source: Central Statistics
Statistics Indonesia,Agency,
20222022

Since COVID-19 has spread throughout the world and infects the population rapidly, the World
Health Organization (WHO) has declared that this disease is a pandemic. As a result, almost all
countries in the world impose restrictions on mobility and community interaction. This generally has
a negative impact on economies worldwide, including Indonesia, which experienced a very bad
economic contraction in 2020. Unfavorable economic conditions will also result in poverty in a
country.
To measure poverty, BPS uses the concept of the ability to meet basic needs (basic needs
approach). This concept refers to the Handbook on Poverty and Inequality published by the World
Bank. With this approach, poverty is seen as an economic inability to meet basic food and non-food
needs as measured from the expenditure side. A population is categorized as poor if it has an average
monthly per capita expenditure below the poverty line.
The poverty rate can be measured using the level of income, level of expenditure, as well as
a combination of both. Indonesia is one of the countries that measure poverty data using the level of
expenditure per capita with the concept of the ability to meet basic needs (basic needs approach).
Measuring the poverty rate using the expenditure poverty line method, both the non-food poverty
line and the food poverty line. The poverty line shows the minimum amount of rupiah needed to meet
the minimum basic needs of food which is equivalent to 2100 kilocalories per capita per day and non-
food basic needs. So the poor are people who have an average consumption expenditure per capita
per month below the poverty line.
The number of poor in September 2021 was 26.50 million people, decreased by 1.04 million
people against March 2021 and decreased by 1.05 million people in September 2020. The percentage
of poor in September 2021 was 9.71%, decreased by 0.43%t points against March2021 and decreased
by 0.48% points against September 2020. The percentage of the urban poor in March 2021 was 7.89%,
decreased to 7.60% in September 2021. While the percentage of the rural poor in March 2021 was
13.10%, down to 12.53% in September 2021. Details on the number of poor people and their
percentages can be seen in appendices 3.a and 3.b.

10 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


Based on Figure 1.7, it can be concluded that in 2021, the percentage of poverty in general in
Indonesia is 9.7%. The lowest poverty percentage is in South Kalimantan Province at 4.6%, while the
highest is in Papua Province which in 2021 will reach 27.4%.

FIGURE 1.7
PERCENTAGE OF THE POOR BY PROVINCE YEAR 2021
Figure 1.7 : gambar diganti dengan grafik di bawah ini :

South Kalimantan 4,6


Bangka Belitung Islands 4,7
DKI Jakarta 4,7
Bali 4,7
Central Kalimantan 5,2
Riau islands 5,8
West Sumatra 6,0
East Kalimantan 6,3
North Maluku 6,4
Banten 6,5
North Kalimantan 6,8
West Kalimantan 6,8
Riau 7,0
North Sulawesi 7,4
Jambi 7,7
West Java 8,0
North Sumatra 8,5
South Sulawesi 8,5
East Java 10,6
Central Java 11,3
Lampung 11,7
Southeast Sulawesi 11,7
West Sulawesi 11,9
Yogyakarta 11,9
Central Sulawesi 12,2
South Sumatra 12,8
West Nusa Tenggara 13,8
Bengkulu 14,4
Gorontalo 15,4
Aceh 15,5
Maluku 16,3
East Nusa Tenggara 20,4
West Papua 21,8
Papua 27,4
0,0
Indonesia 9,7
0 5 10 15 20 25 30

Source: Statistics Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 11


Apart from the number of poor, another important thing to know is the depth and severity of
poverty. The Poverty Depth Index is a measure of the average expenditure gap of each against the
poverty line. The higher the index value, the farther the average population expenditure is from the
poverty line. Nationally, the poverty depth index in 2021 is 1.67, a decrease of 0.04 points from March
conditions in the same year. The Poverty Severity Index (Proverty Severity Index-P2) provides an
overview of the distribution of spending among the poor. The higher the indexvalue, the higher the
disparity of expenditure among the poor. Nationally, the poverty severity index in the same period
remained constant, at 0.42. More detailed data on the poverty depth and severity index can be seen
in Appendix 3.c.
One of the measuring tools to describe income inequality is the Gini Coefficient / Gini Index
(Gini Ratio). The Gini Index is a coefficient that shows the level of inequality or even distribution of
income as a whole. The Gini coefficient ranges from 0 to 1. If the Gini coefficient is 0 it means that
there is perfect equality in the income distribution (perfect equality), meanwhile if it the coefficient 1,
it means that there is perfect income inequality (perfect inequality). In September 2021, the value of
Indonesia's Gini Index is 0.381. This figure decreased by 0.003 points when compared to the Gini Ratio
in March 2021 which was 0.384 and decreased by 0.004 points compared to the Gini Ratio in
September 2020 which was 0.385. The Gini Index in detail can be seen in Appendix 3.d.
The income earned by the family can describe the level of prosperity of the family. However,
accurate information on household income is difficult to obtain, so an approach is carried out through
household expenditure data. Data on household expenditures are differentiated by food and non-food
groups, the two groups can describe how households allocate its household needs

12 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


FIGURE 1.8
PERCENTAGE OF AVERAGE MONTHLY EXPENDITURE PER CAPITA
YEAR 2021
Figure 1.8, diganti gambar di bawah ini :

Party and Ceremony/festival necessities 1,2


Clothing, footwear, and headgear 2,5
Taxes, levies, and insurance 3,9
Durable goods 4,6
Various goods and services 12,2
Housing and household facilities 26,3
Non food 0,0
0,0
Tubers 0,6
Other food ingredients 1,0
Nuts 1,0
Spices 1,1
Oil and coconut 1,3
Beverage ingredients 1,5
Fruits 2,1
Meat 2,3
Eggs and dairy 2,8
Fish/shrimp/squid/shells 4,1
Vegetables 4,3
Grains 5,5
Cigarette 6,1
Prepared food and beverage 15,6
Food 0,0

0,0 5,0 10,0 15,0 20,0 25,0 30,0

Source: Statistics Indonesia, 2022

Based on Susenas (National Socio-Economic Survey) findings in March 2021, the average
percentage of per capita expenditure per month used to meet the needs for food is almost the same,
namely 49.25% for food expenditure and 50.75% for non-food expenditure. Based on Figure 1.8 it can
be seen that the three largest expenditures are for housing and household facilities (26.3%), prepared
food and beverages (15.6%) and expenditures for various goods and services (12.2%).
Based on The Labor Force Concept suggested by the International Labor Organization (ILO),
the population is divided into two groups, namely the working age population and the non-working
age population. The working age population is 15 years and up. The population included in the labor
force are people of working age (15 years and over) who work, or have a job but are temporarily not
working and unemployed. Furthermore, the working age population is also divided into two groups
based on the main activities being carried out, namely the Labor Force and Non-Labor Force groups.
The labor force group consists of the working population (actively working or having a job but
temporarily not working) and the unemployed (people who are looking for work, are preparing for a

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 13


business, already have a job but have not started work, feel it is impossible to get a job/desperate).
Meanwhile, the non-labor force group consists of residents currently attending school, taking care of
household and others.
Indonesia's labor conditions can be seen in Table 1.2. The number of labor force and the
number of working population has decreased. The total workforce in the February 2020 period was
140.2 million people to 139.8 million people in the February 2021 period. Meanwhile, in the August
period the number increased, from 138.2 million people in August 2020 to 140.2 million people in
August 2021. The Labor Force Participation Rate (TPAK) also decreased in February and increased in
August, from 69.21% to 68.08% in February and from 67.77% to 67.80% in August. LFPR is the
percentage of the total workforce to the total working age population. This indicator indicates the size
of the economically active working age population in an area and shows the relative size of the labor
supply available for the production of goods and services in an economy.
The number of open unemployment fluctuates in each period and year. In the February 2021
period, the number of open unemployment was 8.8 million people, this number decreased from
August 2020 which was 9.76 million people. However, from February 2021 to August 2021 the number
increased to 9.1 million people.

TABLE 1.2
POPULATION AGES 15 YEARS AND OVER BY MAIN ACTIVITY (MILLION PEOPLE)
2018-2021
2018
2018 2019
2019 2020
2020 2021
2021

Labor Force February August February


February August February August
February February August
August August August February August

Number of Labor 133.94


Number of Labor 133,94 131.01 136.18 133.56 140.22 138.22 139.8 140.2

Labor Force
Participation 69.2 67.26 69.37 67.53 69.21 67.77 68.08 67.80
Rate (%)

Total Working
127.07 124 ,01 131.69 128.75 133.29 128.45 131.1 131.1
Population

Total Open
Unemployment 6.87 7.00 6.89 7.10 6.92 9.76 8.8 9.1

Open
Unemployment 5.13 5.34 5.01 5.28 4.94 7.07 6.26 6.49
Rate (%)

Source: Statistics Indonesia, 2022

14 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


The Open Unemployment Rate (TPT) in Indonesia also fluctuated in the period of 2020
-2021, where in the period of August 2020 TPT was recorded at 7.07%, decreased to 6.26% in February
2021. In contrast, TPT in August 2021 increased to 6.49% when compared to TPT in February 2021.
The high TPT is usually in line with the addition of the population and is not
Supported by the availability of new jobs or reluctance to create jobs (at least) for themselves or it is
not possible to get jobs or not possible to create job.

FIGURE 1.9
OPEN UNEMPLOYMENT RATE (TPT) PER PROVINCE
YEAR 2021
Figure 1.9 diganti menjadi grafik di bawah ini :

Papua 3,3
3,77

West Papua 5,8


6,18

North Maluku 4,7


5,06

Maluku 6,73
6,9
West Sulawesi 3,28
3,1
Gorontalo 3,0
3,41

Southeast Sulawesi 3,9


4,22

South Sulawesi 5,79


5,7
Central Sulawesi 3,73
3,8
North Sulawesi 7,28
7,1
North Kalimantan 4,67
4,6
East Kalimantan 6,81
6,8
South Kalimantan 4,33
5,0
Central Kalimantan 4,25
4,5
West Kalimantan 5,73
5,8
East Nusa Tenggara 3,38
3,8
West Nusa Tenggara 3,0
3,97

Bali 5,42
5,4
Banten 9,01
9,0
East Java 5,17
5,7
Yogyakarta 4,28
4,6
Central Java 5,96
6,0
West Java 8,92
9,8
DKI Jakarta 8,51
8,5
Riau islands 10,12
9,9
Bangka Belitung Islands 5,04
5,0
Lampung 4,54
4,7
Bengkulu 3,72
3,7
South Sumatra 5,17
5,0
Jambi 4,76
5,1
Riau 4,4
4,96

West Sumatra 6,67


6,5
North Sumatra 6,01
6,3
Aceh 6,3
6,3
0
0,0
Indonesia 6,26
6,5

0 2 4 6 8 10 12

FEBRUARY AUGUST

Source: Statistics Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 15


C. EDUCATION CONDITION
Every Indonesian citizen has the right to receive a proper education in accordance with the
government's spirit of realizing 9-year compulsory education. Although in practice, in each region it
depends on the readiness and ability of the region which can be regulated in each regional regulation.
The level of public education can be measured by various indicators, one indicator that can sensitively
measure the level of public education is the Average Length of Schooling (RLS).
Based on Figure 1.10, we can see that the Average Length of Schooling (RLS) of the Indonesian
population aged 15 years and up in 2021 has increased from the previous year, although it has not
been able to meet the target of the 9-year compulsory education program. The increase in RLS occurs
every year as shown in Figure 1.10, namely the RLS in 2017 by 8.50 years to 8.97 years in 2021.

FIGURE 1.10
AVERAGE LENGTH OF STUDY OF POPULATION AGED 15 AND UP
Figure 1.10 diganti grafik di bawah ini :
YEAR 2017 – 2021 (IN YEARS)

Source : Statistics Indonesia, 2022

Figure 1.11, diganti menjadi di bawah ini :


The lowest RLS is in Papua Province (7.05 years) and the highest is in DKI Jakarta Province
(11.20 years). A total of 21 (twenty one) provinces have achieved the 9-year compulsory education
program. Details of data regarding the Average Lengths of Schooling for population aged 15 years and
over by province can be seen in Appendix 3.h.
The ability of the population to read and write is a basic ability. This literacy can be seen based
on the Literacy Rate (AMH) indicator. The AMH measure is used to find out how many people in an
area have the basic ability to expand access to information, thereby increasing their knowledge and
skills, which in the end the population is able to improve the quality of life for themselves, their
families, and their country in various fields of life. AMH is the percentage of population aged 15 years
and over who can read and write and understand a simple sentence in their daily life. Based on gender,
in 2021 male AMH (97.4%) is higher than female AMH (94.7%). In detail, AMH (percentage of
population aged 15 years and over who are literate) by province and gender can be seen in Appendix
3.j.

16 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


The school participation rate is an education indicator that measures the school participation rate
of the population according to a particular school age group or level of education. There are three
Figure 1.10 diganti grafik di bawah ini :
types of indicators that provide an overview of school participation, namely the School Participation Rate
(APS), Gross Enrollment Rate (APK), and Pure Participation Rate (APM).
The School Participation Rate (APS) describes a measure of the absorption capacity of the
education system to the school-age population. The high APS indicates the high school participation of
a certain age population. APS is a basic indicator used to see access to education, especially for the school-
age population. The APS value is the percentage of the number of students in a certain schoolage group
attending various levels of education divided by the population of the appropriate school age group. APS
is generally categorized into 3 age groups, 7-12 years representing the age at the Elementary school
level, 13-15 years representing the age at Senior High School level, 16-18 years representing the age at
the SMA/SMK level and 19-24 years representing the age at the university level.

FIGURE 1.11
SCHOOL ENROLLMENT PERCENTAGE
YEAR 2017 – 2021

Figure 1.11, diganti menjadi di bawah ini :

99,1 99,2 99,2 99,3 99,2


100 95,1 95,4 95,5 95,7 96,0

80 71,4 72,0 72,4 72,7 73,1

60 7-12 years
13-15 years
40 16-18 years
24,8 24,4 25,2 25,6 26,0
19-24 years
20

0
2017 2018 2019 2020 2021

Source: Statistics Indonesia, 2022

Figure 1.11, the percentage of APS in each age group has increased from 2017 to 2021. The
higher the age group, the lower the school participation rate. This is possible due to the high age group
(16-18 years and 19-24 years) enters the workforce, so that some population choose to work rather
than continue their education for various reasons. The increase in the percentage of APS in the age
group 7-12 years (elementary school equivalent/equivalent) and in the age group 13-15 years (junior
high school equivalent/equivalent) which is not too much is possible because of the 9-year compulsory
education program, and also because the percentage is already quite high from the start (especially
in the 7-12 year age group).

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 17


The APK value (Figure 1.12) for SD/MI in 2017-2021 exceeds 100% which indicates that there
are still people who go to school too early (people under 7 years old who are already in school) or late
for school (people over 12 years old are still attending school in SD/equivalent). However, from year
to year the value is decreasing to close to 100%, this means that more and more people who attend
elementary school/equivalent are in accordance with their age allocation. Figure 1.12 shows that from
2017 to 2021 the APK value for SMP/equivalent and the APK value for SMA/equivalent has increased.
In general, the APK of the female population in the higher school group is higher than the male
population. This shows that more of the female population continue their education to a higher level
than the male population. Details of APK by province and gender in 2021 are in Appendix 3.l.

FIGURE 1.12
GROSS SCHOOL ENROLLMENT PERCENTAGE
Figure 1.12, diganti menjadi grafik diYEAR
bawah ini :– 2021
2017
120 109,3 108,6 107,5 106,3 106,2
100 90,1 91,5 90,6 92,1 92,8
80,9 80,7 84,0 84,5 85,2
80
60
40
20
0
2017 2018 2019 2020 2021
Elementary School/Equivalent 109,31 108,61 107,46 106,32 106,2
Junior High School/Equivalent 90,12 91,52 90,57 92,06 92,8
Senior High School/ Equivalent 80,89 80,68 83,98 84,53 85,23

Source: Statistics Indonesia, 2022

APM is the ratio between the number of school-age group students at a certain level of
education and the school-age population according to their age, expressed in percent. The APM aims
Figure 1.13, diganti menjadi grafik di bawah ini :
to measure the age accuracy of the population in participating in a certain level of education. When
compared to APK, the APM is a better indicator of education because it also takes into account the
participation of the population of the standard age group at the level of education in accordance with
these standards. In general, the APK in each school age group has increased from 2017 to 2021.

18 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


FIGURE 1.13
NET SCHOOL ENROLLMENT PERCENTAGE
YEAR 2011 – 2021
Figure 1.13, diganti menjadi grafik di bawah ini :

97,2 97,6 97,6 97,7 97,8


100
78,4 78,8 79,4 80,1 80,6
80
60,4 60,7 60,8 61,3 61,7
60

40

20

0
2017 2018 2019 2020 2021
Elementary School/Equivalent Junior High School/Equivalent
Senior High School/Equivalent

Source: Statistics Indonesia, 2022

D. HUMAN DEVELOPMENT INDEX (IPM)


Human Development Index (IPM) was introduced by the United Nations Development
Program (UNDP) in 1990 and published regularly in the annual Human Development Report (HDR).
The IPM explains how the population can access development outcomes in terms of income, health,
education, and so on. IPM is an important indicator to measure success in efforts to build the quality
of human life (community/population). IPM can determine the ranking or level of development in a
region/country. IPM is formed from 3 (three) basic dimensions: (1) Long life and healthy life; (2)
Knowledge; and (3) a decent standard of living. IPM is an indicator used to see development progress
in a region in the long term.
The human development of Indonesia keeps increasing from year to year, both by using old
and new measurement methods. The COVID-19 pandemic that has occurred since 2020 until now
has more or less affected human development in the world, including in Indonesia. This can be seen
from the slowdown in the growth of the Human Development Index (IPM) in 2021 when compared to
the previous year. After being depressed in 2020 due to the COVID-19 pandemic, Indonesia's IPM in
2021 is recorded to have begun to improve. Indonesia's IPM growth in 2021 is 0.49%. This figure is
higher than the growth in the previous year which was 0.03%, but still lower than the growth in 2019
which was 0.74%. The improvement in Indonesia's IPM in 2021 is mainly driven by an increase in the
dimensions of a decent standard of living represented by the adjusted real per capita expenditure
variable.

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 19


Indonesia's IPM in 2021 was recorded at 72.29, an increase of 0.35 points compared to the
previous year's achievement. The increase in IPM in 2021 occurs in all dimensions, both long life and
healthy life, knowledge, and a decent standard of living. This is different from the increase in IPM 2020
which is only supported by an increase in the dimensions of longevity and healthy living and the
dimensions of knowledge, while the dimensions of decent living standards have decreased. In 2021,
the decent living dimension as measured by average real per capita expenditure (adjusted) will
increase by 1.30 percent. In the education dimension, the 7-year-old population has an expectation
of 13.08 years of schooling (can undergo formal education), or almost equivalent to the length of time
to complete education up to Diploma I level. This figure is an increase of 0.10 years compared to 2020
which reached 12.98 years. Meanwhile, the average length of schooling for population aged 25years
and over increased by 0.06 years, from 8.48 years to 8.54 years in 2021. In the dimensions of longevity
and healthy living, babies born in 2021 have high expectations. to live up to 71.57 years, 0.10 years
longer than those born the previous year.

FIGURE 1.14
HUMAN DEVELOPMENT INDEX
Figure 1.14 diganti menjadi gambar di bawah ini :
YEAR 2004 – 2021
80
71,7672,2772,7773,2973,81 72,29
69,5570,1870,8171,3971,9271,94
70 68,6969,5770,0870,5971,17 66,5367,0967,7 68,3168,9
60

50

40

30

20

10

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

Old Method New Method

Source: Statistics Indonesia, 2022

The IPM assessment is divided into 4 (four) categories, namely: (1) very high (IPM≥80); (2)
high (70≤IPM<80); (3) moderate (60≤IPM<70); and low (IPM<60). In 2021, DKI Jakarta Province (81.11)
and DI Yogyakarta Province (80.22) have a very high IPM value category. There are 21 provinces with
a high IPM category and 11 provinces in the medium IPM category.

20 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY


The province with the highest IPM rating is DKI Jakarta. Since it was first calculated until 2021,
the IPM achievement of DKI JAKARTA Province has always been the highest among other provinces.
The availability of health, education and economic facilities, as well as easy access to all these facilities
make DKI Jakarta Province superior to other regions in Indonesia. This condition is oneof the factors
driving the high achievement of human development in DKI Jakarta Province every year.

FIGURE 1.15
HUMAN DEVELOPMENT INDEX BY PROVINCE
YEAR
Figure 1.15, diganti menjadi gambar di bawah ini2021
:

Papua 60,62
West Papua 65,26
East Nusa Tenggara 65,28
West Sulawesi 66,36
West Kalimantan 67,90
West Nusa Tenggara 68,65
North Maluku 68,76
Gorontalo 69,00
Maluku 69,71
Central Sulawesi 69,79
Lampung 69,90
South Sumatra 70,24
North Kalimantan 71,19
Central Kalimantan 71,25
South Kalimantan 71,28
Jambi 71,63
Bengkulu 71,64
Southeast Sulawesi 71,66
Bangka Belitung Islands 71,69
North Sumatra 72,00
East Java 72,14
Central Java 72,16
Aceh 72,18
South Sulawesi 72,24
West Java 72,45
West Sumatra 72,65
Banten 72,72
Riau 72,94
North Sulawesi 73,30
Bali 75,69
Riau islands 75,79
East Kalimantan 76,88
Yogyakarta 80,22
DKI Jakarta 81,11
0
Indonesia 72,29
0 20 40 60 80 100

Source: Statistics Indonesia,, 2022

***

Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY 21


22 Indonesia Health Profile 2021 | CHAPTER I. DEMOGRAPHY
Chapter II
HEALTH CARE FACILITIES
AND UKM

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 23
24 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
CHAPTER II. HEALTHCARE FACILITIES AND
COMMUNITY BASED HEALTH EFFORTS
(UKBM)
The degree of public health of a country is influenced by the existence of health facilities.
Law Number 36 of 2009 concerning Health states that a healthcare facility is a tool and/or place used
to carry out healthcare efforts, whether promotive, preventive, curative, or rehabilitative carried out
by the central government, regional government, and/or public.
This chapter will discuss about Healthcare Facilities consisting of First Level Health
Facilities/FKTP (Puskesmas, primary clinics, private practice of health personnels), Health
Laboratories, Blood Transfusion Units, Advanced Referral Health Facilities/FKTRL (general hospitals
and specialized hospitals) and Pharmaceutical Facilities and Medical Devices.
Community empowerment in the health sector in accordance with the Regulation of the
Minister of Health of the Republic of Indonesia Number 8 of 2019 is a process to gain knowledge,
awareness and ability of individuals, families and communities in order to play an active role in
health efforts. It is carried out through problem solving processes applying an educative and
participatory approach by paying attention to the needs, local potential and socio-culture.
A community empowerment program is a Community Based Health Effort (UKBM) which is
formed on the basis of community needs - managed by, from, for, and with the community -
including the development of the health sector, across sectors and other relevant stakeholders.
Thus, positioning the community not only as an object of development but as a subject of health
development who can make decisions in adopting innovations in the health sector. The Community
Empowerment is implemented through the following stages: a. condition identification of the
villages/sub-Regencies; b. introspective surveys; c. deliberation in the village/sub-Regencies; d.
participatory planning; e. execution of the activities; and f. sustainable development.
The implementation of community empowerment is accompanied by Assistance Personnels
from the Central Government, Regional Government, community institutions, community
organizations, private sectors, universities, and/or community members. The Assistant Personnels
in question must have the ability as a Companion Personnel obtained through a set of training. In
this chapter, the reviewed UKBM will cover Posyandu (Integrated Service Post) and Posbindu PTM
(Integrated Development Post for Non-Communicable Diseases).

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 25
A. COMMUNITY HEALTH CENTERS ( PUSKESMAS )

The Minister of Health Regulation Number 43 of 2019 concerning Health Centers states that
Puskesmas are healthcare facilities that carry out both public and first-level individual health efforts,
by prioritizing promotive and preventive ways in their working areas.
The total number of Puskesmas in Indonesia per December 2021 is 10,292 health centers;
consisting of 4,201 inpatient-Puskesmas and 6,091 non-inpatient Puskesmas. This number has
increased compared to 2020 which was 10,205 in which the number of inpatient Puskesmas was
4,119 and non-inpatient Puskesmas was 6,086. Data regarding the numbers are displayed in
Appendix 4.a and 4.b.
FIGURE 2.1
NUMBER OF PUSKESMAS IN INDONESIA
YEAR 2016 - 2021

10.400

10.300 10.292
10.200 10.203
10.134
10.100

10.000 9.993
9.900

9.800 9.825
9.767
9.700

9.600

9.500
2016 2017 2018 2019 2020 2021

Source: Centre for Data and Information, Ministry of Health RI 2022

The number of Puskesmas has been increasing from 9,767 units in 2016 to 10,230 Puskesmas
in 2020. This increasing number of Puskesmas illustrates the government's efforts to provide access
to primary health services. Fulfillment of the primary health care needs can be seen in general from
the ratio of Puskesmas to Regencies. The ratio of Puskesmas to Regencies in 2020 is 1.4. This shows
that the ideal ratio of Puskesmas to Regencies, which is at least 1 Puskesmas in 1 district, has been
fulfilled nationally. Nevertheless, it is necessary to see the distribution of the Puskesmas in all
Regencies.

26 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.2
RATIO OF PUSKESMAS TO REGENCIES IN INDONESIA
YEAR 2021

Indonesia 1,42
DKI Jakarta 7,16
Bali 2,11
Papua 2,00
Maluku 1,88
East Kalimantan 1,83
West Java 1,73
Banten 1,58
West Sumatera 1,56
DI Yogyakarta 1,55
South Kalimantan 1,54
Central Java 1,53
South Sulawesi 1,51
Central Kalimantan 1,51
West Nusa Tenggara 1,50
East Jawa 1,46
Jambi 1,45
South Sumatera 1,43
West Sulawesi 1,42
West Kalimantan 1,42
Bengkulu 1,39
Riau 1,38
Lampung 1,38
Bangka Belitung Islands 1,36
East Nusa Tenggara 1,36
North Sumatera 1,35
Southeast Sulawesi 1,34
North Maluku 1,26
Aceh 1,25
Central Sulawesi 1,23
Riau Islands 1,22
Gorontalo 1,21
North Sulawesi 1,16
North Kalimantan 1,02
West Papua 0,29
0,00 2,00 4,00 6,00 8,00

Sources: Centre for Data and Information, Ministry of Health RI 2021; Ministry of Internal Affairs, 2021

The ratio of Puskesmas to Regencies describes the community accessibility to primary health
services. Besides the availability of at least 1 Puskesmas in each district, community accessibility is
influenced by various factors including geographical conditions, size of the region, availability of
basic facilities and infrastructure, socio-economic and regional progress. For example, West Papua
is the province with the lowest ratio. It indicates that public access to primary health care facilities
in this province is not yet ideal. A ratio below 1 indicates that not all Regencies have puskesmas. The
difficult geographical conditions and the low average socioeconomic level of the community in the
area indicate that access to health services needs to be improved. Data on the ratio of Puskesmas to
district for each province is shown in Appendix 4.c.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 27
1. Puskesmas Accreditation
Permenkes No. 43 of 2019 states that Puskesmas accreditation, hereinafter referred to as
Accreditation, is a quality acknowledgment of Puskesmas services, after an assessment proving that
the Puskesmas has met accreditation standards. Puskesmas accreditation is hoped to gradually and
continuously develop the governance system by improving:

1) institutional management,
2) program management,
3) risk management, and
4) quality management.

The Minister of Health Regulation Number 43 of 2019 concerning Community Health Centers
(Puskesmas), Article 57 states that in a means to improve the quality of Puskesmas services,
accreditation must be carried out periodically at least every 3 (three) years.
Health Center Accreditation Data in 2021 is the same as 2020, where there are 9,153 Puskesmas
that have been accredited or around 89.69% of 10,205 Puskesmas. Based on SE No.
HK.02.01/MENKES/455/2020 concerning Licensing and Accreditation of Health Service Facilities, and
Designation of Teaching Hospitals During the Corona Virus Disease 2019 (Covid-19) Pandemic, there
is no implementation of puskesmas accreditation because it is still in a Covid-19 pandemic condition

2. Development of Puskesmas with and without Inpatient Care


Puskesmas based on their service capabilities are divided into two categories: With and
Without Inpatient Puskesmas. The figure below shows the increasing number of With and Without
Inpatient Puskesmas from 2016 to 2021.

28 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.3
NUMBER OF PUSKESMAS WITH AND WITHOUT INPATIENT CARE IN INDONESIA
YEAR 2017 – 2021
7.000 6.366 6.370 6.086 6.086 6.091
6.000
5.000 4.119 4.201
4.048
4.000 3.459 3.623

3.000
2.000
1.000
0
2017 2018 2019 2020 2021

With Inpatient Without Inpatient

Source: Centre for Data and Information, Ministry of Health RI, 2022
The number of inpatient Puskesmas over the last five years has been increasing from
3,459 units in 2017 to 4,201 units in 2021 (Figure 2.4). Non-inpatient Puskesmas tend to decrease in
number; there were 6,366 units in 2016 and 6,086 Non-inpatient Puskesmas in 2020. Detailed
number and types of Puskesmas by province is shown in Appendix 4.b.

3. Puskesmas with Health Workers


Data from the Health Human Resources Information System (SISDMK) reported that only
48,9% of puskesmas already have 9 (nine) types of health worker: 1) doctors; (2) dentists; (3) nurses;
(4) midwives; (5) public health personnels; (6) environmental sanitation personnels; (7) medical
laboratory technology experts; (8) nutritionists; and (9) pharmacy staff. Puskesmas is said to be
sufficient if there is at least 1 (one) person from each type of health worker.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 29
FIGURE 2.4
PERCENTAGE OF PUSKESMAS WITH 9 (NINE) TYPES OF HEALTH PERSONNEL
ACCORDING TO STANDARDS BY PROVINCE YEAR 2021

Indonesia 48,86

DKI Jakarta 105,4


DI Yogyakarta 89,26
Bangka Belitung Islands 84,38
Central Java 81,57
South Kalimantan 66,67
West Sumatera 66,31
South Sulawesi 64,53
West Nusa Tenggara 63,43
East Jawa 60,97
Riau 59,48
East Kalimantan 59,36
Aceh 58,77
Bali 56,67
Riau Islands 55,43
West Sulawesi 54,08
North Kalimantan 53,57
Jambi 51,21
Banten 51,02
West Jawa 46,35
Gorontalo 35,48
Lampung 35,14
South Sumatera 34,49
West Kalimantan 34,01
North Sumatera 32,63
Bengkulu 30,17
Central Sulawesi 29,72
Southeast Sulawesi 28,67
East Nusa Tenggara 25,84
Central Kalimantan 23,41
North Sulawesi 22,45
North Maluku 17,69
Maluku 13,36
West Papua 12,35
Papua 8,56
0 20 40 60 80 100 120

Source : The HR for Health Information System - processed by the Secretariat of the Human Resources
for Health Development and Empowerment Agency, Ministry of Health RI, 2022

Figure 2.4 shows the percentage of provinces in which Puskesmas meet 9 (nine)types of health
workers according to the highest standard is DKI Jakarta province (105,4%), followed by DI Yogyakarta
(89,3%), Bangka Belitung Islands (81.3%). Meanwhile, the percentage of provinces with puskesmas
meeting 9 (nine) types of healthworkers according to the lowest standard is Papua (8,6 %), followed

30 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
by West Papua (12,4 %), and Maluku (13,4 %). More on the percentage of puskesmas with 9 (nine)
types of health workers can be seen in Appendix 4.3.

The public health status has improved but has not yet reached the entire population. Maternal
and infant mortality is still high. The capacity of health workers, maternal referralsystem, management
of maternal and child health services, as well as reproductive healthservices have not been running
optimally. Health personnels, especially doctors, have not
been evenly distributed in all Puskesmas.
Data from the Health HR Information System (SISDMK) shows that in 2021 there were 5,0%
of puskesmas without a doctor. The Nusantara Sehat Program is an effort by the Ministry of Health in
order to equalize the distribution of Health Personnels, especially doctors.

FIGURE 2.5
PERCENTAGE OF PUSKESMAS WITHOUT A DOCTOR
BY PROVINCE, YEAR 2021

Indonesia 5,0

Papua 42,6
Maluku 23,0
West Papua 20,4
North Maluku 15,7
Southeast Sulawesi 14,3
Gorontalo 10,8
East Nusa Tenggara 9,6
West Sulawesi 6,1
Central Kalimantan 5,9
Central Sulawesi 3,8
North Sumatera 3,6
North Kalimantan 3,6
West Kalimantan 3,2
Bengkulu 2,8
South Sulawesi 2,6
North Sulawesi 2,6
South Sumatera 2,3
Aceh 2,2
Riau Islands 2,2
West Sumatera 1,8
South Kalimantan 0,8
West Java 0,7
East Java 0,7
East Kalimantan 0,5
Jambi 0,5
Riau 0,4
Banten 0,4
Lampung 0,3
Central Java 0,1
West Nusa Tenggara 0,0
Bali 0,0
DI Yogyakarta 0,0
DKI Jakarta 0,0
Bangka Belitung Islands 0,0
0,0 5,0 10,0 15,0 20,0 25,0 30,0 35,0 40,0 45,0

Source : The Health HR Information System - processed by the Secretariat of the Human Resources for
Health Development and Empowerment Agency, Ministry of Health RI, 2021

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 31
The province with the highest percentage of puskesmas without a doctor based on figure 2.5 is
Papua province (42,6%), followed by Maluku (23,0%) and West Papua (20.4%). Meanwhile, the
provinces where there is no puskesmas without a doctor are the province of Bali, DI Yogyakarta, West
Nusa Tenggara, DKI Jakarta, and the province of Bangka and Belitung Islands. More on the percentage
of puskesmas without a doctor is in Appendix 4.f.

4. Implementations of Occupational Health, Measurement and Examination


of Physical Fitness
Law Number 36 of 2009 Chapter XII concerning health management in articles 164-166 stated
that occupational health efforts are aimed at protecting workers so that they live healthy; free from
health problems and adverse effects caused by work. Occupational health efforts include the workers
from both the formal sector (large and medium enterprises) and informal sector (self-
employed/individual, household, micro and small businesses). In addition, the government
encourages and assists worker protection through workplace managers by means of prevention,
improvement, treatment, and recovery efforts for workers. Chapter VI, the ninth section in articles
80-81, mentioned sports health efforts are aimed at improving the health and physical fitness of the
community, which are the basis for improving achievements in learning, work and sports.

The Government Regulation No. 88 of 2019 in article 3 mandates that the implementation of
Occupational Health is applied to everyone in the workplace, and is fulfilled by the administrators or
managers and employers in all workplaces. The Central and Regional Government, and the community
are responsible for the implementation of Occupational Health in an integrated, comprehensive, and
sustainable manner. The occupational health efforts are carried out in accordance with occupational
health standards.

In 2020, indicators of the Ministry of Health's Strategic Plan (Renstra) related to


Occupational Health and Sports are measured by the number of Regencies/cities implementing
occupational health and sports health. Percentage of Regencies/cities implementing those programs
can be seen in the figures below.

32 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.6
PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING OCCUPATIONAL HEALTH
BY PROVINCE YEAR 2021

Gorontalo 6 6 6
North Sulawesi 15 15 15
Bali 9 9 9
Banten 8 8 8
DI Yogyakarta 5 5 5
DKI Jakarta 6 6 6
Bangka Belitung Islands 7 7 7
Southeast Sulawesi 17 12 16
West Java 27 22 24
Aceh 23 23 20
Riau Islands 7 4 6
Central Sulawesi 13 9 10
West Sumatera 19 14 14
Jambi 11 7 8
Riau 12 8 8
Central Java 35 22 22
West Nusa Tenggara 10 2 6
Lampung 15 10 9
South Sulawesi 24 16 14
East Java 38 21 21
West Sulawesi 6 5 3
West Papua 13 6 6
Papua 29 10 13
North Kalimantan 5 4 2
South Kalimantan 13 5 5
Maluku 11 5 4
East Nusa Tenggara 22 7 7
Bengkulu 10 10 3
North Sumatera 33 15 9
Central Kalimantan 14 7 3
North Maluku 10 6 2
East Kalimantan 10 7 2
South Sumatera 17 11 3
West Kalimantan 14 10 2
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Numbers of Regencies/Cities
Target of Regencfies/Cities
Numbers of Regencies or Cities Implementing Health Work

Source: Directorate General of Public Health, Ministry of Health RI, 2021

Based on figure 2.6, there are 21 provinces that have achieved or exceeded the target
of the number of regencies/cities implementing the specified occupational health, which is 65%
of the total number of regencies/cities. Provinces with regencies/cities that achieved targets

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 33
include: West Sumatra, Riau, Jambi, Bangka Belitung, Riau Islands, DKI Jakarta, West Java,
Central Java, DI Yogyakarta, East Java, Banten, Bali, West Nusa Tenggara, East Nusa Tenggara,
South Kalimantan, North Sulawesi, Central Sulawesi, Southeast Sulawesi, Gorontalo, and West
Papua. Provinces that are still far below the target with the lowest number of achievements,
namely the Provinces of West Kalimantan, East Kalimantan, North Kalimantan, and North
Maluku as many as two regencies/cities that implement occupational health. There are 7
provinces with all regencies/cities having implemented occupational health, namely Gorontalo,
North Sulawesi, Bali, Banten, DI Yogyakarta, DKI Jakarta and Bangka Belitung Islands.

FIGURE 2.7
PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING SPORT HEALTH
BY PROVINCE YEAR 2020

6 6 6
North Sulawesi 15 15 15
9 9 9
Banten 8 8 8
5 5 5
DKI Jakarta 6 6 6
7 7 7
Southeast Sulawesi 17 12 16
27 22 24
Aceh 23 23 20
7 4 6
Central Sulawesi 13 9 10
19 14 14
Jambi 11 7 8
12 8 8
Central Java 35 22 22
10 2 6
Lampung 15 10 9
24 16 14
East Java 38 21 21
6 5 3
West Papua 13 6 6
29 10 13
North Kalimantan 5 4 2
13 5 5
Maluku 11 5 4
22 7 7
Bengkulu 10 10 3
33 15 9
Central Kalimantan 14 7 3
10 6 2
East Kalimantan 10 7 2
17 11 3
West Kalimantan 14 10 2
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Numbers of Regencies/Cities
Target of Regencfies/Cities
Numbers of Regencies or Cities Implementing Health Work

Source: Directorate General of Public Health, Ministry of Health RI, 2022

Based on figure 2.7, there are 12 provinces that have achieved the target of 65% of the total
regencies/cities, namely West Sumatra, DKI Jakarta, West Java, East Java, Bali, West Nusa Tenggara,

34 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
South Kalimantan, North Sulawesi,Southeast Sulawesi, Gorontalo, West Papua, and Papua. While the
provinces that have not met the criteria for regencies/cities that implement sports health (at least
30% of puskesmas implement sports health) are Riau, South Sumatra, Bengkulu, Riau Islands, West
Kalimantan, North Kalimantan, Central Kalimantan, East Kalimantan, East Nusa Tenggara, and North
Maluku. There are 2 provinces with 0% achievement, namely East Kalimantan and Central Kalimantan.
Complete data can be seen in appendix 8.h.

Puskesmas organizes occupational health or provides healthcare for workers in its working area
through the Occupational Health Effort Post (UKK Post). The Productive Healthy Women Worker
Movement (GP2SP) is also formed and implemented in companies. In addition, occupational health
efforts are also carried out through the formation of the Productive Healthy Women Worker
Movement (GP2SP), occupational health efforts are also implemented in companies, GP2SP is an
effort from the government, the community, as well as employers and trade unions/labor unions to
mobilize and participate in improving caring and realizing efforts to improve the health of female
workers/laborers so as to increase work productivity and improve the quality of the next generation
in its implementation. In 2021, in Indonesia there were 2,821 puskesmas, 1,047 companies, 9,550
Occupational Health Effort Posts (UKK Posts), and 750 GP2SPs providing occupational health services
in the workplace.

FIGURE 2.8
NUMBER OF OCCUPATIONAL HEALTH IMPLEMENTATIONS IN THE WORKPLACE
IN INDONESIA YEAR 2021

12.000

10.000 9.550

8.000

6.000

4.000
2.821

2.000
1.047
750

-
Puskesmas Company UKK Post GP2SP

Source: Directorate General of Public Health, Ministry of Health RI, 2022

The Occupational Health Standards as a means to improve health stated in the


Government Regulation No. 88 of 2019 include:
a) improving the health knowledge;
b) cultivating clean and healthy living behavior;
c) cultivating occupational safety and health in the workplace
d) applying work nutrition; and
e) improving physical and mental health.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 35
Physical health improvement is an increase in the body's ability to carry out daily work
without causing significant fatigue by doing good, correct, measurable regular physical activities
in order to achieve physical fitness.
Figure 2.8 shows that in 2021 in Indonesia, there were 690 government agencies
carrying out physical fitness measurements; 10,866 pilgrims and 107,560 sport groups did
physical fitness checks. More on the implementation of occupational health, measurement and
fitness checks by province is described in Appendix 8.h.
The number of fitness measurement implementations in 2021 differs significantly
compared to the number of implementations in 2020, namely the decrease in the number of
physical fitness measurement agencies and physical fitness development for Hajj pilgrims, as
well as an increase in the number of sports groups. This is influenced by the adaptation of
physical fitness activities into independent activities by groups of workers (government
agencies), and is influenced by the uncertainty of the departure time of prospective Hajj
pilgrims. Meanwhile, the increase in the number of sports group was signed with 6 main sports
communities in early 2020.

FIGURE 2.9
NUMBER OF SPORT HEALTH IMPLEMENTATIONS IN INDONESIA YEAR 2021

120.000
107.560

100.000

80.000

60.000

40.000

20.000 10.866
690 1 1
-
Number of Physical Number of Pilgrims Number of Sports Groups
Fitness Measurement Physical Fitness
Agencies Development

Source : Directorate General of Public Health, Ministry of Health RI, 2022

5. Traditional Health Services


Traditional health services play a role in the life cycle or continuum of care from the
time of pregnancy to old age, provided both by skill methods and ingredients. Government
Regulation Number 103 of 2014 concerning Traditional Health Services states that the types
of traditional health services are divided into empirical, complementary, and integrated
traditional health services. The traditional health services mentioned must be accountable
for their safety and benefits and must not conflict with religious and cultural norms of
society. This is also reinforced by Minister of Health Regulation No. 61 of 2016 concerning
Empirical Traditional Health Services, the Minister of Health Regulation No. 37 of 2017
concerning Integrated Traditional Health Services, and the Minister of Health Regulation No.

36 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
15 of 2018 concerning the Implementation of Complementary Traditional Health Services
and other supporting regulations.
Traditional health services have considerable potency which needs serious attention
as part of national health development. The Strategic Plan of the Ministry of Health for 2020-
2024 set indicators for achieving the target of fostering traditional health services, though:
the number of Puskesmas organizing traditional healthcare activities, the number of
government hospitals carrying out integrated traditional healthcare activities, and the
number of healthy homes in regencies/cities.
Traditional healthcare can be carried out at Puskesmas, hospitals and traditional
healthcare facilities (Griya Sehat). The Strategic Plan of the Ministry of Health for 2020-2024
describes that Puskesmas providing traditional healthcare encourage self-care groups,
collect data, develop traditional healers, and have a Green Open Space (RTH) in the form of
Family Medicinal Plants (TOGA)
Traditional healthcare can be carried out at Puskesmas, hospitals and traditional
healthcare facilities (Griya Sehat). The Strategic Plan of the Ministry of Health for 2020-2024
describes that Puskesmas providing traditional healthcare encourage self-care groups,
collect data, develop traditional healers, and have a Green Open Space (RTH) in the form of
Family Medicinal Plants (TOGA). The number of Puskesmas providing traditional healthcare
in 2021 is 126 out of 10,134 Puskesmas (2.6%) located in the 14 provinces : Jambi, Lampung,
Riau Islands, DKI Jakarta, West Java, East Java, Bali, South Kalimantan, North Kalimantan,
Central Sulawesi, South Sulawesi, Southeast Sulawesi, North Maluku, and West Papua.
Hospitals that provide integrated traditional healthcare referred to the Strategic Plan
of the Ministry of Health for 2020-2024 are hospitals holding a Decree (SK) on the
Implementation of Integrated Traditional Health Services. The number of government
hospitals providing integrated traditional healthcare is 16 out of 1,071 hospitals (1.5%) located
in the 9 provinces : Aceh, Central Java, DI Yogyakarta, East Java, Bali, West Nusa Tenggara,
East Kalimantan, Maluku and Papua

FIGURE 2.10
PUSKESMAS PROVIDING HATTRA, ASMAN, AND HEALTH PERSONNEL TRAINING
IN INDONESIA YEAR 2021

Puskesmas�that�Provide�Traditional�Health
3068
Coaching�(HATTRA)

Trained� in Accupressure 2418

Self-Care (ASMAN),Utilizing family medicine


1277
plants (TOGA)�and Acupressure

Trained in Herbal Medicine 437

Trained�in Accupuncture 83

0 500 1000 1500 2000 2500 3000 3500

Source: Directorate General of Health Services, Ministry of Health RI, 2021

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 37
In 2021, there were 3.068 Puskesmas having carried out traditional health coaching
(HATRA). As in previous year, 2020, the province of West Sulawesi did not have any Puskesmas
running traditional health coaching (HATTRA). Meanwhile, there are 1,277 Puskesmas
providing guidance for Traditional Health Independent Care. There are 2,418 Puskesmas have
trained personnels in acupressure; 437 Puskesmas have trained personnels in herbs, and 83
Puskesmas have trained personnels in acupuncture. More data on Puskesmas providing
traditional healthcare in 2021 are displayed in appendix 4.h.

FIGURE 2.11
NUMBER OF GOVERNMENT HOSPITAL WITH TRAINED HEALTH PERSONNEL
IN INDONESIA YEAR 2021

250
195
200

150

100
46
50

0
Trained Accupunture Trained Herbal Medicine

Source: Directorate General of Health Services, Ministry of Health RI, 2022

In 2021 there were 195 government hospitals having trained personnels in


acupuncture; a and 46 government hospitals have trained personnels in medical herbs.
More about it can be seen in appendix 8.g.

B. CLINICS, PRIVATE MEDICAL PRACTICES, BLOOD TRANSFUSION


UNITS, AND LABORATORIES
1. Clinics
Clinics are health service facilities providing health services that provide comprehensive
basic and/or specialist medical services, as stated in the Regulation of the Minister of Health
Number 14 of 2021 concerning Standards for Business Activities and Products in the
Implementation of Risk-Based Business Licensing in the Health Sector. In 2021, the Ministry of
Health has registered for health facilities through a website-based application at the registration
address for fasyankes.kemkes.go.id. Based on the data in the application, there are 7,614
registered clinics in Indonesia that are owned by the Government (Ministries/Institutions and
regions), TNI, Polri, and the community.

38 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
Based on the ability of clinical services, there are 6,572 primary clinics and 1,042 main
clinics. The province with the most number of clinics is West Java Province, which is 1,623 clinics
consisting of 1,433 primary clinics and 190 main clinics. Meanwhile, the province with the least
number of clinics is West Papua Province, namely 2 primary clinics and 2 main clinics. Complete
data regarding the clinic can be seen in Figure 2.12 and Appendix 4.h

FIGURE 2.12
PROPORTION OF REGISTERED CLINICS BY OWNERSHIP
IN INDONESIA YEAR 2021

PRIMARY CLINIC MAIN CLINIC

242 303 14
20
216

5811 1026

Government Military (TNI) Government Military (TNI)


Police (POLRY) Community Police (POLRI) Community

Source: Directorate General of Health Services, Ministry of Health RI, 202

FIGURE 2.13
NUMBER OF REGISTERED PRIMARY CLINICS BY PROVINCE IN INDONESI YEAR 2021

Source: Directorate General of Health Services, Ministry of Health RI, 2022

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 39
 FIGURE 2.14
 NUMBER OF REGISTERED MAIN CLINICS BY PROVINCE IN INDONESIA
YEAR 2021

Source: Directorate General of Health Services, Ministry of Health RI, 2022

2. Private Medical Practices


Medical practice is a series of activities run by doctors and dentists for patients in
carrying out health efforts. General Practitioners and Dentists are required to have a SIP
(Practice License) issued by the district/city health office and a Registration Certificate (STR)
given by the Indonesian Medical Council to those meeting the requirements.

In 2020, there are 4,851 independent general practitioners and 1,190 dentists in collaboration
with BPJS-Kesehatan (Social Security Administering Body). The province that has the largest number of
private medical practice of general practitioners and dentists who collaborate with BPJS is Central Java
Province with 1,047 general practitioners and 304 dentists. While the least is Banten Province, with 7
independent practice places for doctors and 1 independent practice for dentists. More on private medical
practice can be seen in Appendix 4.j.

40 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.15
NUMBER OF PRIVATE MEDICAL PRACTICE OF GENERAL PRACTITIONERS IN COOPERATION
WITH BPJS-KESEHATAN BY PROVINCE IN INDONESIA
YEAR 2021

Source: Directorate General of Health Services, Ministry of Health RI, 2022


(Data of BPJS Kesehatan)

FIGURE 2.16
NUMBER OF PRIVATE MEDICAL PRACTICE OF DENTISTS IN COOPERATION WITH BPJS-KESEHATAN
BY PROVINCE IN INDONESIA
YEAR 2021

Source: Directorate General of Health Services, Ministry of Health RI, 202


(Data of BPJS Kesehatan per March 2022)

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 41
3. Blood Transfusion Units
As stated in the Government Regulation Number 7 of 2011 concerning Blood
Services, Minister of Health Regulation Number 83 of 2014 concerning Blood Transfusion
Units, and Minister of Health Regulation Number 14 of 2021 concerning Standards for
Business Activities and Products in the Implementation of Risk-Based Business Licensing in
the Health Sector, Blood Transfusion Units ( UTD) is a health service facility that organizes
blood donation, blood supply, and blood distribution. Based on data from the health
facilities registration application, there are 265 registered UTDs in Indonesia organized by
the government, local governments, and the Indonesian Red Cross (PMI).
In 2021, the province with the largest total number of registered UTDs is Central
Java Province (33 UTD), meanwhile West Papua and Papua Provinces do not have registered
UTDs. The province with the most registered UTDs organized by the government/local
government is South Sulawesi Province (15 UTD), while the province with the most
registered UTDs organized by PMI is Central Java Province (33 UTD). Three provinces do not
have registered UTD organized by the government/local government, namely North
Kalimantan, West Papua, and Papua. Five provinces do not have a registered UTD organized
by PMI, namely the Provinces of East Nusa Tenggara, Southeast Sulawesi, Maluku, West
Papua, and Papua. Complete data regarding registered UTD can be seen in Figure 2.17 and
attachment 4.k.

42 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.17
NUMBER OF BLOOD TRANSFUSION UNITS BY PROVINCE IN INDONESIA
YEAR 2021

West Java 33
East Java 30
South Sulawesi 18
West Java 18
Aceh 15
Lampung 13
South Sumatera 12
North Sumatera 12
South Kalimantan 11
West Nusa Tenggara 10
Riau 10
West Sumatera 9
Southeast Sulawesi 6
West Kalimantan 6
Bali 6
DI Yogyakarta 6
Bengkulu 6
East Kalimantan 5
Central Kalimantan 5
Bangka Belitung Islands 5
Banten 4
DKI Jakarta 4
Jambi 4
North Maluku 3
Maluku 2
West Sulawesi 2
Gorontalo 2
North Sulawesi 2
East Nusa Tenggara 2
Riau Islands 2
Central Sulawesi 1
North Kalimantan 1
Papua 0
West Papua 0
0 5 10 15 20 25 30 35

Source: Directorate General of Health Services, Ministry of Health RI, 2022

C. LABORATORIES

The health laboratory is a supporting facility in the health service efforts. It is needed to
examine, analyze, describe, and identify materials in determining the type and cause of the disease,
and certain health conditions.
Health laboratories are mostly owned by the private sector, as many as 1,275 laboratories and
177 of those have been accredited. The second largest ownership of health laboratories is the city

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 43
government owning 235 laboratories in which 137 of them have been accredited. The third most
ownership of health laboratories is the provincial government with 28 laboratories. Health
laboratories owned by the Ministry of Health serve as supervisors for Health laboratories which are
spread across Indonesia based on regional divisions; there are 4 Balai Besar Health Laboratories.The
third most ownership of health laboratories is laboratories owned by the provincial government,
which are 28 laboratories. Health laboratories owned by the Ministry of Health are the facilitators of
health laboratories spread across Indonesia.

FIGURE 2.18
NUMBER OF HEALTH LABORATORIES BY OWNERSHIP AND PROVINCE
YEAR 2021

Ministry of Provincial
Health Regency /City Government
0,3% Government 1,8%
15,0%

Private
82,9%

Ministry of Provincial Government Regency /City Private


Health Government

Source: Directorate General of Health Services, Ministry of Health RI, 2022

West Java Province has the most health laboratories which are 317 laboratories. Followed by
DKI Jakarta Province owning 233 health laboratories, and East Java Province having 217 laboratories.
Three provinces have the least number of laboratories: West Papua (2 laboratories), CentralSulawesi
(3 laboratories), and West Sulawesi (4 laboratories).

44 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.19
NUMBER OF HEALTH LABORATORIES BY PROVINCE
YEAR 2021

Indonesia 1564
West Java 317
DKI Jakarta 233
East Java 217
Central Java 154
East Nusa… 62
North Sumatera 52
South Kalimantan 46
West Sumatera 37
Bali 35
South Sulawesi 34
East Kalimantan 34
Bengkulu 34
Central Kalimantan 30
DI Yogyakarta 27
South Sumatera 25
West Kalimantan 24
Banten 24
West Nusa… 20
Lampung 20
Southeast Sulawesi 16
Riau Islands 14
Riau 14
Papua 13
Jambi 12
Aceh 12
Bangka Belitung… 11
North Maluku 9
North Sulawesi 9
Gorontalo 8
Maluku 6
North Kalimantan 6
West Sulawesi 4
Central Sulawesi 3
West Papua 2
0 200 400 600 800 1000 1200 1400 1600

Source: Directorate General of Health Services, Ministry of Health RI, 2022

D. Hospitals
As an effort to improve public health status, apart from promotive and preventive efforts,
curative and rehabilitative efforts are also needed. In addition to providing curative and rehabilitative
health efforts, the hospital also functions as a provider of referral health services. Based on the

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 45
Government Regulation of the Republic of Indonesia Number 47 of 2021 concerning the
Implementation of the Hospital Sector, a hospital is a health service institution that provides complete
individual health services that provide inpatient, outpatient, and emergency services. Hospitals are
classified or grouped by class based on service capabilities, health facilities, supporting facilities, and
human data sources

1. Type of Hospitals
Hospitals registered with the Ministry of Health are organized by various agencies or
institutions, including the central government, regional governments, TNI/POLRI, BUMN, and the
private sector. Based on the types of services provided, hospitals are categorized into General
Hospitals and Specialty Hospitals.

During 2017-2021 the number of hospitals in Indonesia increased by 9.6%. In 2017 the number
of hospitals was 2,776, increasing to 3,042 in 2021. The number of hospitals in Indonesia until 2021
consisted of 2,522 General Hospitals (RSU) and 520 Specialty Hospitals (RSK). The development of the
number of general hospitals and specialty hospitals in the last five years can be seen in Figure 2.20

FIGURE 2.20
GROWING NUMBER OF GENERAL HOSPITALS AND SPECIALIZED HOSPITALS
IN INDONESIA YEAR 2017 – 2021

3500

3000
536 520
2500 544 533
578

2000

1500
2344 2449 2.522
2198 2269
1000

500

0
2017 2018 2019 2020 2021
General Hospital Specialized Hospitals

Source: Directorate General of Health Services, Ministry of Health RI, 2022

46 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
TABLE 2.1
GROWING NUMBER OF GENERAL HOSPITALS BY MANAGEMENT
IN INDONESIA YEAR 2017 – 2021

No Administrators 2017 2018 2019 2020 2021


GOVERMENT 240 228 228 230 236
1 Ministry of Health 14 15 18 19 19
2 TNI/POLRI 164 158 159 160 164
3 Other Ministries and BUMN 62 55 51 51 53

LOCAL GOVERMENT 672 705 732 773 790


1 Provincial Goverment 87 91 92 97 96
2 City Goverment 585 614 640 676 694

PRIVATE 1.286 1.336 1.384 1.445 1.496


Grand total 2.198 2.269 2.344 2.448 2.522
Source: Directorate General of Health Services, Ministry of Health RI, 2022

In 2021 there will be 36 hospitals organized by the Ministry of Health (1.2%), Other
Ministries and SOEs 63 hospitals (2.1%), TNI/POLRI 168 hospitals (5.5%), Local Government 847
hospitals ( 27.8%), while the private sector operated the most 1,928 hospitals (63.4%). Most of them
are general hospitals, with details per operator according to table 2.1 above. The details of the number
of hospitals by type, ownership, and province can be seen in Appendix 8.a.

2. Hospital Classification
Hospitals are grouped based on service capabilities, health facilities, supporting facilities, and
human resources into Class A, Class B, Class C, and Class D. The number of hospitals (RS) in Indonesia
according to the largest class is type C which is 1,593 hospitals or 52.4%, then class D and D Primary is
905 hospitals or 29.8%, class B has 437 hospitals or 14.4%, and class A has 60 hospitals or 2.0%. the
remaining 1 ,5% or 47 hospitals have not been classified

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 47
FIGURE 2.21
NUMBER OF HOSPITALS BY CLASS YEAR 2021

Class A
2,0%

Class B
14,4%
Class C Not Classified
52,4% 15,5%

Class D and D
Pratama
29,8%

Source: Directorate General of Health Services, Ministry of Health RI, 2022

In 2021, there were 75.3% of Class C regency/city hospitals that have 4 basic specialists and 3
supporting specialists; with the highest percentages belong to Aceh and Bangka Belitung Islands are
100% or all Class C regency/city hospitals having 4 basic specialists and 3 supporting specialists.
Meanwhile, the provinces with the lowest percentages belong to Maluku (38.5%) and Papua (31.6%).
There is no data for DKI Jakarta Province.More can be seen in Figure 2.22.

48 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.22
PERCENTAGE OF C-CLASS REGENCY/CITY HOSPITALS HAVING 4 BASIC SPECIALIST DOCTORS AND
3 SUPPORTING SPECIALIST DOCTORS
YEAR 2021

Indonesia 75,3

Bangka Belitung Islands 100,0


Aceh 100,0
Central Java 94,6
DI Yogyakarta 88,9
East Java 86,7
North Sumatera 84,8
East Kalimantan 83,3
Bali 81,8
Banten 81,8
Lampung 81,3
West Java 80,8
North Kalimantan 80,0
Bengkulu 80,0
South Sulawesi 78,1
Gorontalo 77,8
Jambi 75,0
Riau 75,0
South Kalimantan 72,2
Central Kalimantan 71,4
East Nusa Tenggara 71,4
West Sumatera 71,4
West Nusa Tenggara 69,2
South Sumatera 69,0
West Papua 66,7
Central Sulawesi 60,9
Riau Islands 60,0
West Kalimantan 57,9
North Maluku 57,1
West Sulawesi 57,1
North Sulawesi 52,9
Southeast Sulawesi 50,0
Maluku 38,5
Papua 31,6
DKI Jakarta* 0,0
0,0 10,0 20,0 30,0 40,0 50,0 60,0 70,0 80,0 90,0 100,0

Source : The HR for Health Information System - processed by the Secretariat of the Human Resources
for Health Development and Empowerment Agency, Ministry of Health RI, 2022

3. Ratio of Beds to Hospitals


Referring to the WHO standard, whether or not the community's needs are met
forreferrals and individual healthcare in an area can be seen from the ratio of beds to 1,000
inhabitants. The WHO standard is 1 bed for 1,000 residents. The ratio of hospital beds in
Indonesia from 2016 to 2021 is more than 1 per 1,000 population. Thus, the number has been
fulfilled according to WHO. The ratio of hospital beds in Indonesia from 2016 to 2021 can be
seen below.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 49
FIGURE 2.23
RATIO OF HOSPITAL BEDS PER 1,000 POPULATION IN INDONESIA
YEAR 2016 - 2021

1,6
1,36

1,2 1,12

0,8
1,42
1,16 1,17 1,18

0,4

0
2016 2017 2018 2019 2020 2021

Source: Directorate General of Health Services, Ministry of Health RI, 2022

Nationally, the ratio of hospital beds to 1,000 inhabitants in Indonesia in 2021 has
reached the minimum standard of WHO. Nonetheless, there is still 1 province whose bed
ratio does not meet the WHO standards: Lampung province (0.9)

50 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.24
RATIO OF HOSPITAL BEDS PER 1,000 POPULATION BY PROVINCE IN INDONESIA
YEAR 2021

Indonesia 1,36

North Sulawesi 2,70


DKI Jakarta 2,37
West Papua 2,07
Aceh 1,94
Bali 1,93
North Kalimantan 1,90
South Sulawesi 1,87
Gorontalo 1,84
East Kalimantan 1,83
DI Yogyakarta 1,80
Riau Islands 1,70
Maluku 1,69
Central Sulawesi 1,65
Bangka Belitung Islands 1,63
North Sumatera 1,63
South Kalimantan 1,50
Central Kalimantan 1,47
North Maluku 1,42
Bengkulu 1,41
Papua 1,35
West Sumatera 1,35
Southeast Sulawesi 1,35
West Java 1,31
Jambi 1,30
East Java 1,27
west Kalimantan 1,27
Riau 1,19
West Nusa Tenggara 1,14
South Sumatera 1,12
West Sulawesi 1,07
West Java 1,04
Banten 1,03
East Nusa Tenggara 1,00
Lampung 0,95
0,00 0,50 1,00 1,50 2,00 2,50 3,00

 –Š‡ʹͲʹͲǦʹͲʹͶ ǡ‘‡‘ˆ–Š‡–ƒ”‰‡–•–‘„‡ƒ…Š‹‡˜‡†‹•‡“—ƒŽ†‹•–”‹„—–‹‘‘ˆŠ‡ƒŽ–Š
•‡”˜‹…‡• –Š”‘—‰Š ‹…”‡ƒ•‹‰ ƒ……‡•• ƒ† “—ƒŽ‹–› ‘ˆ Š‡ƒŽ–Š •‡”˜‹…‡•ǡ „‘–Š ƒ– ˆ‹”•–ǦŽ‡˜‡Ž Š‡ƒŽ–Š
ˆƒ…‹Ž‹–‹‡•ƒ†ƒ†˜ƒ…‡†Š‡ƒŽ–Šˆƒ…‹Ž‹–‹‡•ǤŠ‡•–”ƒ–‡‰‹…–ƒ”‰‡–‹†‹…ƒ–‘”–‘„‡ƒ…Š‹‡˜‡†‹•ͳͲͲΨ
ƒ……”‡†‹–‡†Š‘•’‹–ƒŽ•„›ʹͲʹͶǤ
 ƒ•‡† ‘ –Š‡ ƒ……”‡†‹–ƒ–‹‘ Ž‡˜‡Žǡ –Š‡ ‹‹–‹ƒŽ ƒ……”‡†‹–ƒ–‹‘ Ž‡˜‡Ž ‹• ʹ͸Ψǡ „ƒ•‹… ͺǤͶΨǡ
‹–‡”‡†‹ƒ–‡ͳͷǤͷΨǡ’”‹ƒ”›ͳ͵ǤͶΨǡ’Ž‡ƒ”›͵͸ǤͷΨǡƒ†‘Ž›  ‹–‡”ƒ–‹‘ƒŽƒ……”‡†‹–ƒ–‹‘
‹•ͲǤʹΨǤ

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 51
 Š‡ Š‹‰Š‡•– ’‡”…‡–ƒ‰‡ ‘ˆ ƒ……”‡†‹–‡† Š‘•’‹–ƒŽ• ‹• …‡Š ”‘˜‹…‡ ƒ– ͻͲǤʹͺΨ ƒ† –Š‡
Ž‘™‡•–‹•‡•–ƒ’—ƒ”‘˜‹…‡ƒ–͸ͲǤͺ͹ΨǤ…Š‹‡˜‡‡–•‘ˆƒ……”‡†‹–‡†Š‘•’‹–ƒŽ•‹ʹͲʹͳƒ•
•Š‘™‹ ‹‰—”‡ʹǤʹͷ„‡Ž‘™Ǥƒ–ƒ†‡–ƒ‹Ž•…ƒ„‡•‡‡‹’’‡†‹šͺǤ‡Ǥ


4. Hospital Accreditation
  –Š‡ʹͲʹͲǦʹͲʹͶ ǡ‘‡‘ˆ–Š‡–ƒ”‰‡–•–‘„‡ƒ…Š‹‡˜‡†‹•‡“—ƒŽ†‹•–”‹„—–‹‘‘ˆ
Š‡ƒŽ–Š•‡”˜‹…‡•–Š”‘—‰Š‹…”‡ƒ•‹‰ƒ……‡••ƒ†“—ƒŽ‹–›‘ˆŠ‡ƒŽ–Š•‡”˜‹…‡•ǡ„‘–Šƒ–ˆ‹”•–ǦŽ‡˜‡Ž
Š‡ƒŽ–Š ˆƒ…‹Ž‹–‹‡• ƒ† ƒ†˜ƒ…‡† Š‡ƒŽ–Š ˆƒ…‹Ž‹–‹‡•Ǥ Š‡ •–”ƒ–‡‰‹… –ƒ”‰‡– ‹†‹…ƒ–‘” –‘ „‡
ƒ…Š‹‡˜‡†‹•ͳͲͲΨƒ……”‡†‹–‡†Š‘•’‹–ƒŽ•„›ʹͲʹͶǤ
 ƒ•‡†‘–Š‡ƒ……”‡†‹–ƒ–‹‘Ž‡˜‡Žǡ–Š‡‹‹–‹ƒŽƒ……”‡†‹–ƒ–‹‘Ž‡˜‡Ž‹•ʹ͸Ψǡ„ƒ•‹…ͺǤͶΨǡ
‹–‡”‡†‹ƒ–‡ ͳͷǤͷΨǡ ’”‹ƒ”› ͳ͵ǤͶΨǡ ’Ž‡ƒ”› ͵͸ǤͷΨǡ ƒ† ‘Ž›   ‹–‡”ƒ–‹‘ƒŽ
ƒ……”‡†‹–ƒ–‹‘‹•ͲǤʹΨǤ
Š‡Š‹‰Š‡•–’‡”…‡–ƒ‰‡‘ˆƒ……”‡†‹–‡†Š‘•’‹–ƒŽ•‹•…‡Š”‘˜‹…‡ƒ–ͻͲǤʹͺΨƒ†
–Š‡Ž‘™‡•–‹•‡•–ƒ’—ƒ”‘˜‹…‡ƒ–͸ͲǤͺ͹ΨǤ…Š‹‡˜‡‡–•‘ˆƒ……”‡†‹–‡†Š‘•’‹–ƒŽ•‹
ʹͲʹͳƒ••Š‘™‹ ‹‰—”‡ʹǤʹͷ„‡Ž‘™Ǥƒ–ƒ†‡–ƒ‹Ž•…ƒ„‡•‡‡‹’’‡†‹šͺǤ‡Ǥ

FIGURE 2.25
PERCENTAGE OF HOSPITALS WITH ACCREDITATION BY PROVINCE IN INDONESIA
YEAR 2021

81,59
90,28
East Java 88,25
87,67
DKI Jakarta 87,56
85,80
West Kalimantan 84,91
83,95
West Java 83,51
82,50
Riau 81,58
81,25
South Kalimantan 80,77
80,77
Riau Islands 80,56
80,49
East Nusa Tenggara 80,36
79,67
Southeast Sulawesi 78,95
78,33
Central Sulawesi 77,50
77,36
West Nusa Tenggara 76,74
74,71
North Sumatera 73,87
73,33
North Maluku 72,73
71,67
Gorontalo 70,59
69,70
Papua 68,09
66,67
Bangka Belitung Islands 66,67
64,29
West Papua 60,87
0,00 10,00 20,00 30,00 40,00 50,00 60,00 70,00 80,00 90,00 100,00

Source: Directorate General of Health Services, Ministry of Health RI, 2022

52 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
With the enactment of the Circular Letter of the Minister of Health Number
HK.02.01/Menkes/455/2020 dated July 29, 2020 concerning Licensing and Accreditation of
Health Service Facilities, and Designation of Teaching Hospitals during the COVID-19 Pandemic,
the preparation and survey activities for the accreditation of health care facilities began carried
out after the national disaster status is revoked by the Government. The temporary suspension
of the hospital accreditation process will reduce the number of accredited hospitals in 2021.
Other efforts need to be made to ensure the quality of health care facilities during the COVID-
19 pandemic, including through a statement of hospital commitment to maintain and make
efforts to improve quality, monitor and evaluate readiness Hospitals during the COVID-19
pandemic monitoring and evaluating hospital quality during the Adaptation of New Habits.

E. AVAILABILITY OF DRUGS AND VACCINE


1. Percentage of Puskesmas with Availability of Essential Medicines
The Ministry of Health has made various efforts to increase the availability of public
drugs and healthsupplies to ensure access, independence and quality of pharmaceutical
preparations andmedical devices. These efforts are carried out through the provision of quality,
equitable and affordable medicines, vaccines and health supplies in government health service
facilities. The Ministry of Health has set strategic target indicators in the Ministry of Health's
Strategic Plan for 2020-2024 as one of the benchmarks for the success of achieving these
efforts. The strategic target indicator is the percentage of puskesmas with the availability of
essential drugs. The operational idefinition of the indicator is the percentage of puskesmas that
have a minimum availability of 80% of the 40 indicator drug items at the time of monitoring.
Monitoring was carried out on 40 drug items that were considered essential and should
be available in basic health services. The drugs selected as indicator drugs are drugs that
support tuberculosis, malaria, family health, nutrition, and immunization programs as well as
essential basic health care drugs contained in the National Formulary. In 2021, the realization
of the percentage of puskesmas with essential medicines availability is 92.3%, exceeding the
target set in the 2020-2024 Ministry of Health Strategic Plan, which is 90%, resulting in a
realization percentage of 102.6%. These results were obtained from the November 2021
reporting period, where the number of puskesmas reporting was 9,275 health centers from
10,177 health centers in Indonesia (91.1%), with the number of health centers having 80% of
essential medicines as many as 8,564 health centers.
The highest achievement in the percentage of puskesmas with the availability of
essential drugs in 2021 is 100% and was achieved by 6 (six) provinces, namely West Sumatra,
D.I. Yogyakarta, Bali, South Kalimantan, Gorontalo and West Sulawesi. There are 10 (ten)
provinces that have not reached the indicator target for 2021 of 90%, namely Aceh, North
Sumatra, Lampung, Central Java, Banten, Central Kalimantan, North Sulawesi, Maluku, North
Maluku and West Papua. Details of the percentage of puskesmas with essential medicines
availability by province can be found in Appendix 9.a.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 53
FIGURE 2.26
PERCENTAGE OF PUSKESMAS WITH THE AVAILABILITY OF ESSENTIAL MEDICINE
YEAR 2021

Indonesia 92,3

West Sulawesi 100,0


Gorontalo 100,0
South Kalimantan 100,0
Bali 100,0
D.I. Yogyakarta 100,0
West Sumatera 100,0
DKI Jakarta 99,7
East Kalimantan 99,5
East Java 98,7
Bengkulu 98,3
North Kalimantan 98,2
East Nusa Tenggara Target 2021 96,9
South Sulawesi 95,2
West Nusa Tenggara 90 % 94,7
Jambi 94,6
North Sumatera 94,4
West Java 94,1
Central Sulawesi 93,8
West Kalimantan 93,1
Riau Islands 92,2
South Sulawesi 91,8
Riau 90,9
Papua 90,7
Bangka Belitung Island 90,6
Aceh 89,9
West Papua 89,3
Central Java 88,0
North Maluku 86,1
North Sulawesi 83,4
Central Kalimantan 81,5
South Sumatera 78,3
Lampung 76,4
Banten 72,0
Maluku 63,4

0 10 20 30 40 50 60 70 80 90 100

Source: Directorate General of Pharmacy and Medical Devices, Ministry of Health RI, 2022

2. Percentage of Regencies/Cities with Availability of Essential Medicines

The National Health Service and Health Insurance (JKN) program which is one of the
programs at the Ministry of Health plays a role in supporting national health development
policies in terms of ensuring access, independence and quality of pharmaceutical preparations
and medical devices, one of which is indicated by regencies/cities with the availability of
medicines. essential. This indicator aims to monitor the availability of essential drugs at the
regency/city level. The operational definition of the indicator of the percentage of
regencies/cities with the availability of essential drugs is the percentage of regencies/cities
that have the availability of at least 85% of the 40 items of indicator drugs at the time of
monitoring.

In 2021, the realization of the regency/city percentage indicator with the availability
of essential medicines is 84.2%, exceeding the target set in the 2020-2024 Ministry of Health
Strategic Plan of 79%, resulting in a realization percentage of 106.6%. These results were
obtained from the November 2021 reporting period, where the number of regencies/cities
that had a minimum availability of 85% essential drugs (40 indicator drug items) were 383

54 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
regencies/cities out of 455 regencies/cities that reported. This shows the regency/city
reporting rate of 88.5% from 514 regencies/cities throughout Indonesia.

The highest achievement in the percentage of regencies/cities with the availability of


essential drugs in 2021 is 100% and was achieved by 13 (thirteen) provinces, namely West
Sumatra, Jambi, Bengkulu, D.I. Yogyakarta, Bali, West Nusa Tenggara, South Kalimantan,
North Kalimantan, South Sulawesi, Gorontalo, West Sulawesi, North Maluku and Papua. There
is one province that did not submit a report within the stipulated time limit, namely West
Papua Province. The measurement of these performance indicators was carried out in 33
provinces excluding DKI Jakarta Province. This is because the locus of measurement for this
indicator is the Regency/City Pharmacy Installation as the place where the drug management
function is held in the Regency/City. However, DKI Jakarta Province has a special form of
regional government that is different from other provinces which has an impact on the
organization of health institutions. The management function of drug management is mostly
carried out by the Regency Health Center because it has BLUD status, while the Health Sub-
Department which is at the same level as the Regency/City Health Office only manages the
drug and vaccine program. Details of regency/city data with availability of essential drugs by
province are contained in Appendix 9.b.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 55
FIGURE 2.27
PERCENTAGE OF REGENCY/CITY WITH THE AVAILABILITY OF ESSENTIAL MEDICINE
YEAR 2021

Indonesia 84,2

Papua 100,0
North Maluku 100,0
West Sulawesi 100,0
Gorontalo 100,0
South Sulawesi 100,0
North Kalimantan 100,0
South Kalimantan 100,0
West Nusa Tenggara 100,0
Bali 100,0
D.I. Yogyakarta 100,0
Bengkulu 100,0
Jambi 100,0
West Sumatera 100,0
West Kalimantan 92,9
West Sulawesi 92,3
Riau 91,7
East Kalimantan 90,0
Central Java 90,0
West Java 85,2
North Sumatera 83,3
Southeast Sulawesi 82,4
East Nusa Tenggara 81,8
Lampung 80,0
North Sulawesi 78,6
East Java 78,1
Aceh 69,6
South Sumatera 58,8
Maluku 55,6
Bangka Belitung Island 50,0
Central Kalimantan 42,9
Banten 33,3
Riau Islands 28,6
West Papua 0,0
0,0 20,0 40,0 60,0 80,0 100,0 120,0

Source: Directorate General of Pharmacy and Medical Devices, Ministry of Health RI, 2022

3. Percentage of Puskesmas with the Availability of IDL Vaccine (Complete Basic Immuniza-
tion)
Ensuring the availability of vaccines in health care facilities, especially in Puskesmas,
is an effort to increase access, independence and quality of pharmaceutical and medical
devices availability. The achievement is indicated by the percentage of Puskesmas with the
availability of IDL vaccine (Complete Basic Immunization) which aims to monitor the
availability of IDL vaccine at the Puskesmas level. The operational definition of this indicator is
the percentage of Puskesmas that have IDL vaccines covering vaccines of Hepatitis B, BCG

56 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
(Bacillus Calmette-Guérin), DPT-HB-HIB (Diphtheria, Pertussis, Tetanus - Hepatitis B -
Haemophilus Influenza Type B), Polio and Measles/Rubella Measles at the time of monitoring.
In 2020, the realization of the percentage indicator of Puskesmas with the availability
of IDL vaccine (Complete Basic Immunization) was 96.4%, exceeding the target set in the 2020-
2024 Ministry of Health Strategic Plan, which was 95% with an achievement of 101.5%. These
results were obtained from the November 2021 reporting period where there were 8,908 out
of 9,241 reporting Puskesmas having IDL vaccines including vaccines of Hepatitis B, BCG, DPT-
HB-HIB, Polio and Measles/Measles Rubella.The Puskesmas reporting rate is 90.8% of the
10,176 Puskesmas that have IDL vaccines available. The total number of monitored puskesmas
is the one that were used at the time of planning at the beginning of the year, so the number
was different from the number of puskesmas in the second semester of 2021 published by the
Center for Data and Information Technology.
The highest percentage of Puskesmas with the availability of IDL (Complete Basic
Immunization) vaccine in 2021 was 100%, which was achieved by 19 provinces. Meanwhile,
there are 7 provinces with percentage achievements below the national target: the provinces
of Jambi, Central Kalimantan, West Java, East Nusa Tenggara, North Sumatera, Central Java, and
West Papua.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 57
FIGURE 2.28
PERCENTAGE OF PUSKESMAS WITH THE AVAILABILITY OF IDL VACCINE
(FULL BASIC IMMUNIZATION)
YEAR 2021

Indonesia 96,4

North Maluku 100,0


Maluku 100,0
West Sulawesi 100,0
Gorontalo 100,0
Southeast Sulawesi 100,0
South Sulawesi 100,0
Central Sulawesi 100,0
North Sulawesi 100,0
North Kalimantan 100,0
East Kalimantan 100,0
West Kalimantan 100,0
West Nusa Tenggara 100,0
D.I. Yogyakarta 100,0
Target 2021 : 95%
DKI Jakarta 100,0
Riau Islands 100,0
Bangka Belitung Islands 100,0
Bengkulu 100,0
South Sumatera 100,0
West Sumatera 100,0
Banten 99,6
Riau 99,1
East Java 98,2
South Kalimantan 97,5
Papua 97,3
Aceh 96,1
Bali 95,8
Lampung 95,8
Jambi 93,6
Central Kalimantan 93,5
West Java 92,6
East Nusa Tenggara 92,5
North Sumatera 91,9
Central Java 82,3
West papua 70,3
0,0 20,0 40,0 60,0 80,0 100,0 120,0

Source: Directorate General of Pharmacy and Medical Devices, Ministry of Health RI, 2022

F. PHARMACEUTICAL AND MEDICAL DEVICES FACILITIES

Production and Distribution Facilities of Pharmaceutical and Medical


Devices
The scope of production facilities in the field of pharmaceuticals and medical devices describes
the availability level of health service facilities and production efforts in the field of pharmaceuticals
and medical devices. Production facilities in this field include the Pharmaceutical Industry, Traditional
Medicine Industry (IOT), Traditional Medicine Small/Micro Business (UKOT/UMOT), Medical Device
Production (Alkes), Household Health Supplies Production (PKRT), and Cosmetics Industry.

58 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
Production and distribution facilities in Indonesia are still unequal in terms of the distribution
of numbers. Most of the production and distribution facilities are located on the islands of Sumatra
and Java; 95.4% of production facilities and 77.8% of distribution facilities. This is due to the resources
owned and the needs of the local area. This condition can be used as a reference to develop the
number of production and distribution facilities of pharmaceuticals and medical devices in other
regions of Indonesia; so that there is an even distribution of facilities throughout Indonesia. In addition
to opening up the affordability of the community to health facilities in the field of pharmaceuticals
and medical devices.
In 2021 there were 6,082 pharmaceutical and medical devices production facilities in
Indonesia. The highest number of production facilities is owned by West Java Province, with 1,972
facilities. This is because West Java has a large population and a wide area. However, there are 5
provinces that did not have pharmaceutical and medical devices production facilities. More on the
number of production facilities of pharmaceutical and medical devices by type in 2020 are shown in
Figure 2.29

FIGURE 2.29
NUMBER OF PHARMACEUTICAL AND MEDICAL DEVICES PRODUCTION FACILITIES IN INDONESIA
YEAR 2021

2.500

1949
2.000

1.430 1.480
1.500

1.000 844

500
243
136
0
Industri Farmasi
Pharmaceutical IOT/IEBA UKOT/UMOT* Produksi
Medical Alat
Device PKRT Industri Kosmetika
Cosmetics Industry
Industry Kesehatan
Distributor

Source: Directorate General of Pharmaceutical and Medical Devices, Ministry of Health RI, 2022
Note: *Data year 2020

The number of pharmaceutical and medical device distribution facilities monitored by the
Directorate General of Pharmaceutical and Medical Devices includes Pharmaceutical Wholesalers
(PBF), Pharmacies, Drug Stores, and Medical Device Distributors (PAK). The number of distribution
facilities of pharmaceuticals and medical devices in Indonesia in 2021 was 49,551 facilities. West Java
has the largest number of distribution facilities which is 8,222 facilities. The following Figure 2.30
presents the number of pharmaceutical distribution facilities in 2021.

Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM) 59
FIGURE 2.30
NUMBER OF PHARMACEUTICAL AND MEDICAL DEVICES DISTRIBUTION FACILITIES IN INDONESIA
Seharusnya : YEAR 2021
35.000
3 30.199
30.000 3
5
25.000
.
20.000 0
15.000 0
0 9.752
10.000 7.103
3
5.000
0 2.457
- .
0Pharmaceutical
Pharmaceutical Pharmacy*
Pharmacy* Drug Drug
store* Medical Device
Medical Device
Wholesaler (IBF)
Wholesaler (PBF) Distributor
Store* Distributor
Source:
Source: Directorate
Directorate General
General of Pharmaceutical
of Pharmaceutical andand Medical
Medical Devices,
Devices, Ministry
Ministry of Health
of Health RI, 2022
RI, 2022
Note:
Note: *Data
*Data yearyear
20202020

G.
5. COMMUNITY‐BASED HEALTH
Figure 2.31 halaman 61 : nama EFFORTS
provinsi (UKBM)
tidak muncul semua
Seharusnya :
1. Integrated service post (Posyandu)
Posyandu (Integrated service post) is a social institution accommodating communit
empowerment in basic social services. Its implementation can be synergized with other services
according to regionals' potency. Institutionally, Posyandu is a Village Community Institution. The
target of Posyandu is the entire community, especially early childhood, and pregnant, lactating and
postpartum mothers. One form of UKBM is posyandu (integrated service post). Posyandu is a social
institution that accommodates community empowerment in basic social services and its
implementation can be synergized with other services according to regional potential. Institutionally,
Posyandu is a Village/Subdistricts Community Institution. The posyandu targets are infants, children
under five, pregnant women, postpartum mothers, breastfeeding mothers, and couples of
childbearing age according to the 2011 Posyandu General Management Manual.
In accordance with the Minister of Home Affairs Regulation Number 18 of 2018 concerning
Village Community Institutions and Village Traditional Institutions, Posyandu is a form of UKBM.
Posyandu is a forum for community empowerment in the form of Village/Kelurahan Community
Institutions initiated by the community and managed by the community together with the
Village/Kelurahan Government in order to provide convenience in obtaining public health services.
Active posyandu are posyandu that meet the following criteria:
1) Perform routine posyandu activities at least 8 times/year
2) Have a minimum of 5 cadres
3) As many as 3 out of 4 services in posyandu meet the minimum 50% coverage of the target for 8
months in a year
In 2021, there are 31 districts/cities (6.0%) that have at least 80% active posyandu
throughout Indonesia from the 15 provinces that report. Complete posyandu data can be seen in
Appendix 10.

60 Indonesia Health Profile 2021 | CHAPTER II. HEALTHCARE FACILITIES AND (UKBM)
FIGURE 2.31
PERCENTAGE OF REGENCY/CITY WITH NO LESS THAN 80% ACTIVE POSYANDU
BY PROVINCE IN INDONESIA
YEAR 2021

Indonesia 6,0

Gorontalo 33,3
30,0
Riau Islands 28,6
20,0
Southeast Sulawesi 17,6
16,7
South Kalimantan 15,4
13,3
South Sumatera 11,8
11,1
Maluku 9,1
8,3
East Java 7,9
7,7
Central Kalimantan 7,1
5,3
Aceh 4,3
3,0
Central Java 2,9
0,0 5,0 10,0 15,0 20,0 25,0 30,0 35,0

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022

6. Figure 2.32 halaman 62 : nama provinsi kurang dr 34


2. Integrated Development Post for Non‐Communicable Diseases
Seharusnya
(Posbindu PTM):

The shift in the types of diseases that cause the most death in Indonesia from infectious
diseases to non-communicable diseases makes the role of Posbindu PTM very important. Based
on the Regulation of the Minister of Health Number 71 of 2015 concerning the Management of
Non-Communicable Diseases, the community, both individually and in groups, plays an active
role in the prevention of NCDs. The intended community participation can be carried out
through Community Based Health Efforts (UKBM) activities by establishing and developing PTM
Integrated Guidance Posts (PTM Posbindu). At the PTM Integrated Development Post (Posbindu
PTM) early detection, monitoring and early follow-up activities for PTM risk factors can be
carried out independently and continuously under the guidance of the Puskesmas.

In 2021 in Indonesia there will be 75,508 PTM Posbindu. The province with the highest
number of PTM Posbindu is East Java with 10,432 PTM Posbindu and the lowest is North
Kalimantan (124 PTM Posbindu). Complete PTM Posbindu data can be seen in Appendix 10

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 61


FIGURE 2.32
NUMBER OF POSBINDU PTM PER PROVINCE IN INDONESIA
YEAR 2021

East Java 10.432


Central Java 8.366
West Java 7.274
Aceh 4.882
North Sumatera 4.376
South Sulawesi 3.816
East Nusa Tenggara 2.992
South Sumatera 2.892
West Sumatera 2.527
Lampung 2.526
West Nusa Tenggara 2.236
Central Sulawesi 1.853
DKI Jakarta 1.828
South Kalimantan 1.751
West Kalimantan 1.691
Banten 1.545
East Kalimantan 1.433
Riau 1.414
Bengkulu 1.270
Southeast Sulawesi 1.239
D.I. Yogyakarata 1.188
Central Kalimantan 1.174
Jambi 1.106
North Maluku 748
Bali 744
West Sulawesi 705
North Sulawesi 617
Gorontalo 576
Bangka Belitung Islands 567
Riau Islands 476
West Papua 434
Maluku 417
Papua 289
North Kalimantan 124
0 2.000 4.000 6.000 8.000 10.000 12.000

Source: Directorate General of Disease Prevention and Control, Ministry of Health RI, 2022

BAB III :
1. FIGURE 3.3 : label nama grafik batang bertumpuk
Seharusnya :

62 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


Chapter III
HEALTH HUMAN
RESOURCES

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 63


64 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES
CHAPTER III. HEALTH HUMAN RESOURCES
Health Human Resources (SDMK) is a key component in health development. SDMK plays a
role as executors of health services through increasing awareness, willingness and ability to live
healthy for everyone in order to realize optimal health degrees; so that the health development goals
are achieved. Presidential Regulation Number 72 of 2012 concerning the National Health System
stipulates that health human resources are health workers - both strategic and supporting health
personnels - who are involved, working and devoting themselves to health efforts and management.

This chapter will discuss SDMK covering the number, registration, utilization, and graduates
of health workers.

A. NUMBER OF HEALTH WORKERS


Law Number 36 of 2014 describes Health Workers as any person devoting himself to the
health sector and having knowledge and/or skills through education in the health field which for
certain types requires the authority to carry out health efforts.
The Human Resources for Health Development and Empowerment Agency (BPPSDMK)
annually manages SDMK data through its task and function approach. The number of SDMK in
Indonesia in 2021 was 1,850,926 people consisting of 1,251,621 health personnels (68.2%) and
587,830 health supporting personnel (31.8%). Nursing personnels take the highest proportion of
health workers with 40.5% of the total health workers; while the least proportion of health workers
is traditional health workers at 0.01%. The complete distribution of SDMK in Indonesia can be seen
in Appendix 11-15.

FIGURE 3.1
RECAPITULATION OF HEALTH HUMAN RESOURCES IN INDONESIA
YEAR 2021
650.000 587.830
600.000
550.000 511.191
500.000
450.000
400.000
350.000 288.686
300.000
250.000 173.707
200.000
150.000 87.093
100.000 63.748 40.315 37.302 27.917 20.426
50.000 11.475 1.155 81
0
Physical Therapist
Medical Technician

Biomedical Technician

Medical Technician
Nursing Personnel

Public Health

Nutrition

Environmental Health

Clinical Psychology
Health Supporting

Pharmacist

Traditional Health
Midwifery Personnel

Personnel
Personnel

Personnel
Personnel
Personnel

Personnel

Source : Human Resource for Health Information System (SISDMK) processed by Secretariat of the Agency
for the Development and Empowerment of Health Human Resources, Ministry of Health 2022

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 65


Medical personnel providing services in healthcare facilities according to their functions will
be described in this section. The number of medical personnels in Indonesia is 173,707 people, of
which doctors have the highest proportion of 60%. A total of 63% of medical personnel are located on
the island of Java-Bali; the highest number is in DKI Jakarta (24,235 people), East Java (24,085 people),
West Java (23,592 people) and Provinces with the least number of medical personnels are West
Sulawesi (485 people), North Kalimantan (558 people), Gorontalo (672 people).

FIGURE 3.2
NUMBER OF MEDICAL PROFESSIONALS IN INDONESIA YEAR 2021

Spesialist Dentist
dentists 23.954
3.166 14%
2%
Specialist doctors
42.319
24%

General
Practitioners
104.268
60%

Source : Human Resource for Health Information System processed by Secretariat of the
Agency for the Development and Empowerment of Health, Human Resources, Ministry of
Health 2022

1. Health Workers at the Puskesmas


Puskesmas is a health facility that organizes public health efforts and first-level
individual health efforts. To support the functions and objectives of the puskesmas, it is
necessary to have health human resources, both health workers and health support personnel.

Based on the Regulation of the Minister of Health Number 43 of 2019 concerning Health
Centers, the types of health workers in the Puskesmas consist of at least doctors, dentists,
nurses, midwives, public health promotion workers and behavioral sciences, environmental
health workers, nutritionists, pharmacists and/or pharmaceutical technical personnel, and
medical laboratory technology experts.

66 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.3
NUMBER OF HEALTH HUMAN RESOURCES IN PUSKESMAS IN INDONESIA
YEAR 2021
200.000 188963

150.000 142659

100.000

50.000
36305
25330
18395 16149 13435 12418 12575
851
0
Midwife Nurse Medical Public Health Nutrition Medical Biomedical Physical
Personnels Personnel Pharmacist Environmental Technician Technician Therapist
Health

Source : Human Resource for Health Information System (SISDMK) processed by the Secretariat of the
Human Resources for Health Development and Empowerment Agency, Ministry of Health 2022

The number of on-duty health workers at Puskesmas in Indonesia in 2021 was 453,529 people.
Midwives took the highest proportion of health workers with 41.7% (188,963 people), while physical
therapy personnel is only 0.18% (851 people ).
The number and types of health workers at Puskesmas are calculated based on a workload
analysis by taking into account: the number of services provided, the population and their distribution,
the characteristics of the working area, the size of the working area, the availability of other first-level
health service facilities in the working area, and the work time division.

a. Adequacy of Doctors at the Puskesmas


The adequacy of health workers at puskesmas is regulated in the Regulation of Minister of
Health Number 43 of 2019. The regulation distinguishes between inpatient and non-inpatient
puskesmas. In non-inpatient puskesmas there must be at least one general practitioner, while in
inpatient puskesmas there are at least two doctors; either in urban, rural areas, remote or very
secluded areas.
Nationally, there are 9.6% of Puskesmas that lack of general practitioners; 35.5% of Puskesmas
have a sufficient number of general practitioners, and 54.9% of Puskesmas have a number of doctors
exceeding the minimum requirement standard.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 67


FIGURE 3.4
PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF GENERAL PRACTITIONERS BY
PROVINCE IN INDONESIA YEAR 2021
Indonesia
D.I. Yogyakarta
DI Yogyakarta
Riau Riau
DKI JakartaDKI Jakarta
Banten Banten
Westj javaJawa Barat
Bali Bali
RiauKepulauan
islands Riau
Central Jawa
Java Tengah
Jambi Jambi
WestSumatera
Java Barat
Lampung Lampung
Aceh Aceh
Nusa
WestTenggara
Nusa Tenggara Barat
East Java Jawa Timur
NorthSumatera
Sumatra Utara
Kurang
Kep. Bangka
Bangka Belitung
Belitung Islands
Cukup
Sumatera
South Sumatra Selatan
Bengkulu Bengkulu Lebih
Kalimantan
South Kalimantan Selatan
Kalimantan
East Kalimantan Timur
Kalimantan
North KalimantanUtara
NorthSulawesi
Sulawesi Utara
Gorontalo Gorontalo
Sulawesi
South SulawesiSelatan
Kalimantan
West Kalimantan Barat
Sulawesi
Central Tengah
Sulawesi
Maluku Utara
North Maluku
SulawesiSulawesi
Southeast Tenggara
West Sulawesi
Sulawesi Barat
Kalimantan Tengah
Central Kalimantan
Nusa
EastTenggara
Nusa Tenggara Timur
West Papua Papua Barat
Maluku Maluku
Papua Papua
0% 20% 40% 60% 80% 100%

Source: Directorate General of Health Personnel, Ministry of Health of the RI year 2022

Judging from the proportion of puskesmas with the availability of doctors according to
the minimum standard, there are six provinces that have the percentage of puskesmas with the
availability of doctors according to standards of less than 80%, namely Papua, Maluku, West
Papua, East Nusa Tenggara, Central Kalimantan, and West Sulawesi. This means that the six
provinces have the highest percentage of puskesmas lacking doctors. Papua is the highest
province with a percentage of puskesmas lacking doctors of 49.5%, although it has decreased
compared to 2020 which was 57.4%. Meanwhile, all puskesmas in D.I. Yogyakarta and Riau have
the number of doctors according to the minimum standard.

b. Adequacy of Dentists at the Puskesmas


In accordance with the same regulation. The standard adequacy of dentists at the Puskesmas
is at least one personnel, both in inpatient and non-inpatient puskesmas and either in urban, rural
areas, remote or very secluded areas. Nationally, there are 32,4 % of puskesmas having a number
of dentists below the minimum standard. The remaining proportion is 56.00% of puskesmas
having a sufficient number of dentists and 11.6% of puskesmas having a number of dentists
exceeding the minimum standard.

68 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.5
PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF DENTISTS
BY PROVINCE IN INDONESIA YEAR 2021

Indonesia
INDONESIA

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

0% 20% 40% 60% 80% 100%


Source: Human Resources for Health Development and Empowerment Agency, Ministry of Health, 2022

Compared to doctors, the shortage of dentists in puskesmas is much higher. Of the 34


provinces in Indonesia, more than two thirds (12 provinces) have a percentage of puskesmas
that lack dentists of more than 50%. Provinces with the highest percentage of puskesmas
lacking dentists were Papua (79.0%), West Papua (77.7%), and Maluku (77.4%). On the other
hand, the highest province of puskesmas having dentists according to the minimum standard is
D.I. Yogyakarta, Bali and DKI Jakarta.

c. Adequacy of Nurses at Puskesmas

A puskesmas is considered to have sufficient nurses if it has a minimum of five nurses


at a non-inpatient puskesmas and a minimum of eight nurses at an inpatient puskesmas. This
condition is the minimum standard in urban, rural, and remote and very remote areas.
Nationally, there are 89.4% of puskesmas have the number of nurses according to the minimum
standards set. Only 10.6% of puskesmas did not meet the standards.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 69


FIGURE 3.6
PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF NURSES
BY PROVINCE IN INDONESIA YEAR 2021

INDONESIA

Bali
Central Kalimantan
West Nusa Tenggara
Jambi
East Java
West Sulawesi
Riau Islands
South Sumatera
West Kalimantan
Lampung Insufficient
Bangka Belitung Islandz
Gorontalo
Central Sulawesi
South Kalimantan
East Nusa Tenggara
North Sulawesi
Bengkulu Sufficient
Aceh
Riau
North Kalimantan
Central Java
South Sulawesi
Banten
East Kalimantan
Southeast Sulawesi Exceed
North Sumatera
Maluku
West Papua
North Maluku
DI Yogyakarta
West Sumatera
West Java
Papua
DKI Jakarta
0% 20% 40% 60% 80% 100%
Source: Directorate General of Health Manpower, Ministry of Health RI, 2022

In Figure 3.6, it can be seen that most provinces have a percentage of puskesmas with
adequate nurses according to standards, even exceeding the adequacy. However, DKI Jakarta
Province is the percentage of puskesmas with the highest shortage of nurses (78.4%). This
deficiency can be caused by the fact that most of the puskesmas in DKI Jakarta are “sub-district
puskesmas” which are equivalent to sub-health centers (Pustu) in other provinces, so that these
puskesmas do not pay attention to the adequacy of the number of nurses.
At the provincial level, apart from DKI Jakarta and Papua, the percentage of puskesmas
having nurses according to standards is more than 80%. Thus, most puskesmas in Indonesia
have an excess distribution of nurses.

d. Adequacy of Midwives at the Puskesmas

The number of midwives in non-inpatient puskesmas is a minimum of four people and


at least seven inpatient puskesmas. This condition applies in urban, rural, and remote and very
remote areas.

70 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.7
PERCENTAGE OF PUSKESMAS WITH SUFFICIENT NUMBER OF MIDWIVES
BY PROVINCE IN INDONESIA YEAR 2021

INDONESIA

Gorontalo
North Kalimantan
Bali
Bangka Belitung…
Lampung
Bengkulu
South Sumatera
Jambi
Aceh
West Sumatera
Banten
East Java
Central Kalimantan
West Nusa Tenggara
West Kalimantan
South Kalimantan Insufficient
Riau
Central Java
North Sumatera
West Sulawesi
Riau Islands Sufficient
Central Sulawesi
South Sulawesi
West Java
East Kalimantan Exceed
East Nusa Tenggara
North Maluku
Southeast Sulawesi
DI Yogyakarta
West Papua
North Sulawesi
Maluku
Papua
DKI Jakarta
0% 20% 40% 60% 80% 100%
Source: Directorate General of Health Manpower, Ministry of Health RI, 2022

By 2021, most provinces will have a percentage of puskesmas with a number of


midwives less than the minimum standard below 80%. DKI Jakarta is the province with the
highest percentage of puskesmas lacking a midwife, which is 69.7% of puskesmas. The high
shortage of fields in DKI Jakarta has the same explanation as the previous discussion on the
percentage of puskesmas lacking nurses in DKI Jakarta.

Nationally, puskesmas have 93.4% adequacy of midwives. In fact, most of them have
nurses more than the minimum standard (82.2%). Only three provinces have a percentage of
puskesmas with a number of midwives that do not meet the standard.

Thus, it can be concluded that one of the problems with the distribution of midwives in
Indonesia is the excessive number of midwives in most puskesmas while there are still
puskesmas that have a shortage of midwives. Complete details regarding the percentage of
puskesmas with sufficient midwives can be seen in Appendix 11.e.

2. Health Workers in Hospitals

Hospitals are health service institutions that provide complete individual health services
that provide inpatient, outpatient, and emergency services (Minister of Health Regulation No.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 71


3 of 2020 concerning Hospital Classification and Licensing). HRK in hospitals includes medical
personnel, pharmaceutical personnel, nursing personnel, other health workers and non-health
workers. The following figure shows the distribution of HRK types in hospitals in 2021.

FIGURE 3.8
NUMBER OF HEALTH HUMAN RESOURCES IN HOSPITALS
IN INDONESIA YEAR 2021

400.000

350.000 334.091

300.000

250.000

200.000

150.000
107.430
100.000 74.447
43.612 43.186
50.000 22.179
10.684 9.509 6.989 4.540 774 10
0
Midwife

Technician
Biomedical

Psyhology

Traditional
Environmental
Nurse

Personnel

Pharmacist

Therapist

Personnel

Personnel
Personnel
Technician

Physical
Nutrition

Personnel
Medical

Clinical
Medical

Health
Public

Personnel

Health
Health
Source : Human Resources for Health Information System processed by the Secretariat of the Human
Resources for Health Development and Empowerment Agency, Ministry of Health 2022

Of all health workers in hospitals, as many as 657,451 people are health workers and
343,661 health support personnel. The largest proportion of health workers is nurses by 50.8%
and medical personnel by 16.3%. Meanwhile, the lowest proportion of health workers is
traditional health workers.

Appendix 11.d divides specialists into 4 major groups, namely basic specialists,
supporting specialists, specialist dentists, and other specialists. Basic specialists consist of
specialists in internal medicine, specialists in obstetrics and gynecology, specialists in pediatrics,
and specialists in surgery. Meanwhile, the supporting specialists consist of a radiology specialist,
an anesthesiologist, a clinical pathologist, an anatomical pathologist, and a medical
rehabilitation specialist.

72 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.9
NUMBER OF MEDICAL SPECIALISTS AND DENTAL SPECIALISTS IN HOSPITALS
IN INDONESIA YEAR 2021

Other specialist
dentists
16.065
37% Basic
Specialists
17.584
40%

Supporting
Specialist specialists
dentists 7.075
2.834 16%
7%

Source : Human Resource for Health Information System processed by the Secretariat of the
Human Resources for Health Development and Empowerment Agency, Ministry of Health 2022

In 2021, the number of specialist doctors in hospitals in Indonesia was 43,558 people,
this number decreased compared to the previous year which was 44,158 people. The largest
proportion are basic specialists (40.4%) and the smallest proportion are specialist dentists
(6.5%). Meanwhile, according to the type of specialization, the most specialist doctors are
internal medicine specialists (12.0%).

Provinces with the highest number of specialist doctors are DKI Jakarta (6,644 people),
West Java (6,476 people), and East Java (5,991 people). Meanwhile, the provinces with the least
number of specialist doctors are West Sulawesi (122 people) and West Papua (131 people).

3. Health Workers in underdeveloped regions


Based on Presidential Regulation No. 63 of 2020 concerning the Determination of
Underdeveloped Regions in 2020-2024, the central government has determined
underdeveloped areas as the main target of development. This is done as an effort to accelerate
regional development. An area is designated as a Disadvantaged Region based on the following
criteria: the community's economy; human Resources; facilities and infrastructure; regional
financial capacity; accessibility; and regional characteristics.

Underdeveloped areas include 62 regencies/cities located in eleven provinces.


Fulfillment of HRK in Disadvantaged Regions requires not only the role of the center but also
the role of the provincial health office and the district/city health office by analyzing the needs
of the region and submitting it to the central government.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 73


FIGURE 3.10
DISTRIBUTION OF THE NUMBER OF HEALTH PERSONNELS IN UNDERDEVELOPED
REGIONS IN INDONESIA YEAR 2021
20.000 18.650
18.000
16.000
14.000 12.594
12.000
10.000
8.000
6.000
4.000 2.814 2.500 2.057 1.650 1.491 1.280 937
2.000
121 68 17
0
Public Health

Technician

Biomedical
Nutrition

Pyshology
Traditional

Environment
Midwifery
Personnel

Personnel

Pharmacist

Personnel

Personnel
Personnel

Engenering
Personnel
Personnel

Personnel
Therapy
Medical

Physical
Medical
Nursing

Personnel

Clinical
Personnel

al Health
Health
Source : Human Resource for Health Information System processed by the Secretariat of the Human
Resources for Health Development and Empowerment Agency, Ministry of Health 2022

The highest distribution of health workers in disadvantaged areas is nursing personnel


at 42.2% and midwifery personnel at 28.5%. While the lowest are clinical psychology personnel,
biomedical engineering personnel, and physical therapy personnel.

The following figure shows a comparison of the number of health workers in


underdeveloped areas to the national number.

FIGURE 3.11
COMPARISON OF THE NUMBER OF HEALTH PERSONNELS IN UNDERDEVELOPED
REGIONS TO THE NATIONAL NUMBER YEAR 2021

600.000
511191 Underdevelo
500.000 ped Region

400.000 National
288686
300.000

200.000 173707

87093
100.000 40315
18650 12594 2814 2500 2057
0
Nursing Personnel Midwifery Public Health Personnel Tenaga Medical Pharmacist
Personnel Personnel

Source : Human Resource for Health Information System processed by the Secretariat of the Human
Resources for Health Development and Empowerment Agency, Ministry of Health 2022

74 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


The proportion of Regencies in the category of Undeveloped Regions is 12.1% of the total
regencies/cities. The distribution of HRK in Undeveloped Regions is 3.9% (44,179) of the total
HRK nationally. This number increased compared to 2020 which was 31,374 people.

FIGURE 3.12
DISTRIBUTION OF THE NUMBER OF HEALTH RESOURCES IN UNDERDEVELOPED
REGIONS IN INDONESIA YEAR 2021
East Nusa Tenggara 15.534
Papua 8.322
Maluku 4.972
Central Sulawesi 3.874
West Papua 3.717
North Sumatera 3.275
West Nusa Tenggara 1.105
South Sumatera 996
West Sumatera 829
North Maluku 820
Lampung 735
0 2.000 4.000 6.000 8.000 10.000 12.000 14.000 16.000 18.000

Source : Human Resource for Health Information System processed by the Secretariat of the Human
Resources for Health Development and Empowerment Agency, Ministry of Health 2022

East Nusa Tenggara Province has the highest number of SDMK in Underdeveloped Regions
with 13 disadvantaged regencies/cities and a total of 15,534 SDMKs. Complete details regarding the
number of HRK in Undeveloped Regions in 2021 can be seen in Appendix 11.f.

B. REGISTRATION OF HEALTH WORKERS


Every health personnel who runs a practice is required to have a Registration Certificate
(STR) which is valid for five years and can be renewed. This is regulated by Law Number 36 of 2014
concerning Health Workers in Article 44. The Registration Certificate is issued by the Health Workers
Council after the health personnels who submit are deemed to have met the specified requirements.

Registration of doctors and dentists is managed by the Indonesian Medical Council (KKI)
based on the Regulation of the Indonesian Medical Council Number 6 of 2011 concerning
Registration of Doctors and Dentists. This registration is intended to officially record the doctors and
dentists holding a Registration Certificate; besides providing legal protection and certainty to the
public, doctors, and dentists.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 75


FIGURE 3.13
NUMBER OF MEDICAL PERSONNELS WITH CERTIFICATES OF REGISTRATION
PER 31 DECEMBER 2021

160.000
141.946
140.000

120.000

100.000

80.000

60.000
43.173
40.000
33.652

20.000 4.483
0
General Practitioners Specialist doctors Dentists Spesialist dentists

Source: Secretariat of the Indonesian Medical Council, 2022

As of December 31, 2021, the number of medical personnel who have active STR is 223,254
people. This number decreased compared to 2020 which was 233,064 people. Doctors are the medical
personnel who have the most STR, which is 141,946 people. While the lowest is a specialist dentist as
many as 4,483 people. Complete details regarding the number of doctors, dentists, specialists, and
specialist dentists who have STR can be seen in Appendix 11.g.

Regulation of the Minister of Health Number 46 of 2013 article 2 concerning the


Registration of Health Workers regulates the authority of the Indonesian Health Workers Council
(KTKI) to manage the registration of health workers other than doctors/specialist
doctors/dentists/specialist dentists. Every health worker who will carry out his/her professional
practice and/or work must have a permit from the government. To obtain a permit from the
government, an STR is required which is issued by the KTKI and is valid nationally for five years. Health
workers must re-register after fulfilling the requirements after five years from the previous
registration. There are 27 types of health professions that can be issued STR.

Issuance of STR consists of new submissions and re-registration for STR owners whose
validity period has expired. There are 120,158 new STRs issued in 2021. The number of new STR
issuances has increased by 40% compared to 2020 (72,143 letters). This increase could be due to the
policy of appointing and placing volunteers in the health sector to handle the COVID-19 pandemic
based on the Decree of the Minister of Health No. HK.01.07/Menkes/4765/2021. One of the
requirements to become a volunteer is ownership of STR.

76 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.14
NUMBER OF NEW CERTIFICATES OF REGISTRATION ISSUED BY GROUPS OF HEALTH
WORKERS YEAR 2021

70.000
58.552
60.000

50.000

40.000
31.410
30.000

20.000
11.124
10.000
7.209 4.755 2.429 2.343 1.675 604 57
0
Nursing Midwifery Biomedical Medical Nutrition Environmental Physical Public Health Clinical Traditional
Personnel Personnel Technician Technician Health Therapist Personnel Psyhology Health
Personnel Personnel Personnel Personnel

Source: Indonesian Health Workers Council, Ministry of Health RI year 2022

Based on the distribution of the issuance of STRs for health workers by region, the same as
the previous year, the provinces with the most health workers who made new registrations were
Banten (18,394), Central Java (13,435), and DI Yogyakarta (13,368) people. In general, these provinces
have the most graduates of health workers, therefore the number of health workers who do new
registration is also relatively more than other provinces.

FIGURE 3.15
NUMBER OF NEW CERTIFICATES OF REGISTRATION ISSUED BY PROVINCES YEAR 2021
Banten 18.394
Central Java 13.435
DI Yogyakarta 13.368
Southeast Sulawesi 7.166
North Sumatera 6.301
West Java 5.505
Lampung 4.163
Aceh 3.992
East Nusa Tenggara 3.582
DKI Jakarta 3.200
West Nusa Tenggara 2.825
Riau Island 2.737
West Sumatera 2.694
East Java 2.620
Bali 2.417
Gorontalo 2.334
North Kalimantan 2.255
Jambi 2.198
Central Sulawesi 2.142
West Kalimantan 2.043
Central Kalimantan 1.824
Bangka Belitung Islands 1.823
Riau 1.765
South Kalimantan 1.741
Maluku 1.596
East Kalimantan 1.539
West Papua 1.348
West Sulawesi 1.196
North Sulawesi 1.043
South Sumatera 775
South Sulawesi 723
North Maluku 633
Bengkulu 412
Papua 369
0 5.000 10.000 15.000 20.000

Source: Indonesian Health Workers Council, Ministry of Health RI, 2022

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 77


Renewing STR is taken out by health workers having expired registration certificates. The
number of health workers who re-registered in 2021 was 163,043 people. The number of nursing
and midwifery personnels who re-registered was almost equal; nursing staff at 44.94% and midwifery
personnels at 41.04%. Meanwhile, other health workers who re-registered were only under 6%.

FIGURE 3.16
NUMBER OF RENEWED CERTIFICATES OF REGISTRATION ISSUED
BY GROUPS OF HEALTH WORKERS IN 2021
80.000 74.323
70.000 61.183
60.000
50.000
40.000
30.000
20.000
10.369
6.817 3.448
10.000 2.582 2.327 1.793 195 6
0
Nursing personnels Biomedical Technician iNutritionist Physical Therapist Clinical Psychologist

Source: Indonesian Health Workers Council, Ministry of Health RI, 2022

By region, the provinces with the most health workers who re-registered were Central Java with
21,150 people and DI Yogyakarta with 15,509 people. Provinces of Central Java and DI Yogyakarta,
which are the provinces with the highest number of health workers, are conducting new registrations
and re-registrations. Complete details regarding the number of issuances of new STRs and re-STRs for
health workers can be seen in Appendix 12.b and 12.c.

78 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.17
NUMBER OF RENEWED CERTIFICATES OF REGISTRATION ISSUED BY PROVINCES IN 2020
Central Java 21.150
DI Yogyakarta 15.509
North Sumatera 12.431
Banten 11.344
West Java 9.117
Southeast Sulawesi 8.616
Lampung 7.013
Aceh 6.052
DKI Jakarta 5.926
West Sumatera 5.357
Riau Islands 4.746
Central Kalimantan 4.264
Bali 4.198
Riau 3.822
West Nusa Tenggara 3.730
Jambi 3.723
East Nusa Tenggara 3.638
Gorontalo 3.441
West Kalimantan 3.288
Central Sulawesi 3.082
East Java 3.002
South Kalimantan 2.751
East Kalimantan 2.715
North Kalimantan 2.293
Bangka Belitung Islands 1.791
South Sumatera 1.574
West Papua 1.440
West Sulawesi 1.309
South Sulawesi 1.286
Maluku 1.182
Bengkulu 1.073
North Sulawesi 799
Papua 764
North Maluku 617
0 5.000 10.000 15.000 20.000 25.000

Source: Indonesian Health Workers Council, Ministry of Health RI, 2022

C. UTILIZATION OF HEALTH WORKERS


1. Health Workers as Non‐Permanent Employees (PTT)

Appointment of Non-Permanent Employees (PTT) within a certain period of time aims


to support government and development tasks that are technical, operational and
administrative in accordance with organizational needs and capabilities (Minister of Health
Regulation No. 7 of 2013). The appointment and placement of doctors and midwives as PTT
can be carried out by the Minister of Health through the Head of the Ministry of Health's
Personnel Bureau, and by local governments through the Governor and Regent/Mayor.
The appointment and placement of PTT is done for doctors and midwives. The medical
personnel in question are doctors, dentists, specialist doctors, and specialist dentists who have
graduated from medical or dental education both at home and abroad who are recognized by
the Government of the Republic of Indonesia in accordance with the provisions of the
legislation. The appointment of PTT doctors is carried out in the context of meeting the needs
of health services at health service facilities in disadvantaged areas, border areas, areas with
health problems, conflict-prone areas; provincial hospital as disaster preparedness brigade
doctor; and the Port Health Office (KKP) in remote and very remote areas. The assignment

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 79


period for PTT doctors is one year for specialist doctors and specialist dentists assigned to health
care facilities with remote and very remote criteria; two years for doctors or dentists assigned
to health care facilities with remote and very remote criteria; and three years for doctors,
dentists, specialist doctors and specialist dentists assigned to health care facilities with the usual
criteria. PTT doctors can be reappointed or extended for a maximum of one term of assignment.

The placement of PTT midwives can only be done to be placed as a village midwife with
the criteria of ordinary, remote, or very remote. PTT midwives are assigned for three years and
can be reappointed or extended for a maximum of two terms of assignment.

In accordance with the policy of the Minister of Health in the circular letter number
KP.01.02/Menkes/203/2016 dated April 8, 2016 regarding the Appointment of
Doctors/Dentists/Midwives PTT, there has been no new appointment of health workers with
PTT status of the Ministry of Health since 2016. This is due to the need for health workers in the
regions, not only the types of health workers, doctors, dentists, or midwives, but also the types
of health workers who support promotive and preventive efforts. In an effort to meet the needs
of these health workers, the Ministry of Health made a breakthrough with the team-based and
individual-based Nusantara Sehat program which was held starting in 2015.

The number of health workers who are still on duty at the Ministry of Health's PTT as
of December 31, 2021 is 45 people, with details of 41 midwives, 2 general practitioners, 1
dentist, and 1 specialist. Meanwhile, based on regional criteria, there are 21 health workers in
ordinary areas, 12 people in remote areas, and 12 people in secluded areas.

FIGURE 3.18
NUMBER OF HEALTH PERSONNELS AS ACTIVE‐IMPERMANENT EMPLOYEES MINISTRY
OF HEALTH BY REGIONAL CRITERIA IN INDONESIA PER 31 DECEMBER YEAR 2021

25

20
20

15
12

10 9

5
2
1 1
0
Ordi na ry Are a Re mote Are a Mos t Re mote Are a

Mi dwi fe Ge ne ra l Pra c��one r De n�s t Spe s i a l i s t

Source: Bureau of Personnel Affairs, Ministry of Health RI Year 2021

80 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


2. Health Workers with Special Assignment
a. Special Assignment to Residents
Based on the Regulation of the Minister of Health Number 9 of 2013 concerning Special
Assignments for Health Workers, special assignments are the special utilization of health
workers within a certain period of time in order to improve access and quality of health services
at health service facilities in Disadvantaged Regions, Borders and Islands (DTPK), Regions Health
Problems (DBK), as well as class C homes and class D hospitals in districts that require specialist
medical services. The type of health worker appointed in a special assignment is resident.
Resident is a doctor/dentist who is currently studying for a specialist/dentist specialist.
Residents in special assignments consist of senior residents (self-funded education) and post-
level I residents (education funding from the Ministry of Health). Senior residents are assigned
between three and six months, while post-level I residents are assigned for six months.
In 2021, the number of specialist doctors on special assignments as residents in
Indonesia will be 157 people. The trend of the number of special assignments for residents for
the last 3 years has decreased, from 339 people in 2019 to 129 in 2020 and experienced a slight
increase in 2021 to 157 people. This is due to the fact that some of the resident assignment loci
have been filled with specialist doctors from the Specialist Physician Utilization program (PGDS).
The resident special assignment program will continue until 2024.
The largest proportion of specialist resident special assignments in 2021 is the Sumatra
region at 40.1%, followed by the Nusa Tenggara-Maluku-Papua region at 15.9%, and Kalimantan
at 10.8%. The highest number of resident specialists is in North Sumatra Province (32 people).
A total of 7 provinces do not have specialist resident doctors in 2021. Complete details regarding
the number of special assignment participants for specialist resident doctors can be seen in
Appendix 11.h.

FIGURE 3.19

PROPORTION OF MEDICAL SPECIALIZED DOCTOR RESIDENTS BY REGION YEAR 2021

Nus a
Ja va-Ba l i Tengga ra-
14,6% Ma l uku-
Pa pua
15,9%
Sul a wes i
18,5%

Suma tera
Ka l i ma nta n 40,1%
10,8%

Source : Human Resources for Health Development and Empowerment Agency, Ministry of Health RI
year 2022

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 81


b. Special Assignment to Health Workers of Nusantara Sehat.

In 2015, the Ministry of Health launched a special assignment program for Nusantara
Sehat health workers. This special assignment includes special assignments for team-based and
individual health workers. According to Minister of Health Regulation Number 33 of 2018
concerning the Special Assignment of Health Workers in Supporting the Nusantara Sehat
Program, the function of the Nusantara Sehat program is to improve access and quality of
health services at health facilities in underdeveloped areas, borders, and islands, areas with
health problems and other areas to provide health services to the community. In addition, this
special assignment program is carried out to maintain the continuity of health services, handle
health problems according to regional needs, increase retention of health workers on duty,
meet the needs of health workers, mobilize community empowerment, realize integrated
health services, and improve and distribute health services.

1. Special Assignment to Health Workers for Team‐Based (Nusantara Sehat Team)


Assignment of team-based Nusantara Sehat health workers (NS team) will be placed
in health centers in disadvantaged areas, borders, and islands, areas with health problems and
other areas to fulfill health services to the community with a 2-year tenure. The NS team
consists of at least five types of health workers from nine types of personnel at the puskesmas,
namely doctors, dentists, nurses, midwives, nutritionists, environmental health workers,
medical laboratory technology experts, pharmaceutical workers, and public health workers.

The placement of Nusantara Sehat based on a team until 2021 has been carried out in
16 batches. Batch I-II was implemented in 2015, with placements in 120 puskesmas. Batch III-V
was implemented in 2016, with placements in 131 puskesmas. Batch VI-VIII was carried out in
2017 with placements in 188 puskesmas. Batch IX-XI was carried out in 2018 with placements
in 156 puskesmas. Batch XII-XIV was carried out in 2019 with placements in 173 puskesmas.
Batch XV-XVI was carried out in 2020 with the placement of active NS teams in 32 health
centers, 22 regencies/cities, and 11 provinces. Batch XVII-XIX will be implemented in 2021 with
placements in 104 puskesmas, 52 regencies/cities, and 17 provinces. Complete details regarding
the placement of the Nusantara Sehat Team can be seen in Appendix 11.i.
The type of health workers who will be placed the most in 2021 are Medical Laboratory
Technologists as many as 88 people (13.6%), while the least types of personnel are dentists as
many as 45 people (7%). The province with the most placements for the NS team was West
Papua (142 people), while the province with the fewest placements was West Kalimantan (6
people). A total of 12 provinces did not receive NS team placements in 2021. Complete details
regarding the number of placements of health workers in the Nusantara Sehat Team can be
seen in Appendix 11.j.

82 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.20
PLACEMENTS OF HEALTH WORKERS IN NUSANTARA SEHAT TEAMS
UP TO 2021

20%

16% 13,6% 12,8% 12,5%


11,3% 11,1% 10,8% 10,5%
12% 10,2%

8% 7,0%

4%

0%

Dentist
Pharmacy
Public Health
Nutritionist

General Practitioner

Nurse
Midwife

Environmental Health
Medical Laboratory
Technology Expert

Source: Directorate General of Health Manpower, Ministry of Health RI year 2022

2. Special Assignment to Health Workers for Individual (Individual Nusantara Sehat )

The Regulation of Minister of Health Number 33 of 2018 explains that the assignment of
Individual Nusantara Sehat health workers (Individual NS) is an individual special assignment that are
adjusted to the workforce mapping set by the Ministry of Health. The types of health workers assigned
are doctors, dentists, nurses, midwives, nutritionists, environmental health workers, medical
laboratory technology experts, dental and oral therapists, pharmaceutical workers, and public health
workers. Individual NS will be placed in disadvantaged areas, borders and islands, areas with health
problems and other areas to fulfill health services to the community for 2 years with an evaluation in
the first year of assignment.
There have been 36 batches of individual NS placements until 2021, with placements in 514
regencies/cities in 34 provinces. Complete details regarding the placement of Individuals Nusantara
Sehat can be seen in Appendix 11.k.
Nutrition personnels were the most health workers placed in 2021 with as many as 568
personnels (16%); followed by Medical Laboratory Technology Experts as many as 558 personnels
(15.7%). The least number of health workers placed was public health personnels by 219 people
(6.2%). There were no clinical psychology and electromedical staff in 2021. The province with the most
individual NS placements in 2021 was Southeast Sulawesi with 365 people; while the province with
the least number of individual NS placements was Banten with 4 people. The Province of DKI Jakarta
did not receive individual NS placements in 2021. Complete details regarding it can be seen in
Appendix 11.l.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 83


FIGURE 3.21
PLACEMENTS OF HEALTH WORKERS IN INDIVIDUAL NUSANTARA SEHAT
YEAR 2021

Publ i c
Hea l th
6,2%

Den�s t
Nutri �oni s t
7,4%
Envi ronmenta l 16,0%
Hea l th
10,0%
Medi ca l La bora tory
Genera l Technol ogi s t
Pra c��oner 15,7%
10,2%

Pha rma ci s t Nurs e


Mi dwi fe 12,2%
10,8%
11,5%

Source : HR for Health Development and Empowerment Agency, Ministry of Health RI, 2022

Local governments can employ post-Nusantara Sehat health workers based on competence,
labor standards, and regional needs so as to achieve independence in health workers
fulfillment in accordance with statutory provisions.

2. Internship Physician Program


The internship program is a process of strengthening the medical profession quality by
applying the competencies acquired during education in an integrated, comprehensive and
independent manner using a family medicine approach. Thus, proficiency and alignment
between educational outcomes with field practice can be achieved. (Regulation of the Minister
of Health Number 39 of 2017). The internship program must be followed by doctors who have
just graduated from a competency-based medical education study program who will carry out
medical practice and/or attend specialist doctor education. Doctors participating in the
internship program must have a Registration Certificate (STR) for the internship authority
issued by the Indonesian Medical Council (KKI) and an Intern Practice License (SIP) issued by
the head of the district/city service. The STR for the internship authority and the internship SIP
are only valid for the duration of the internship. Doctors participating in the official bond
internship program are placed for one year and are required to carry out post-internship duties
at health service facilities designated by the Ministry of Health.
Doctors who participate in internships are dispatched six times a year. The number of
doctors participating in the internship who departed in February 2021 was 2,937 people, in May
as many as 2,512 people, in July for the Special Forces Phase I and II as many as 403 people, in
August as many as 1,607 people, and in November as many as 3,307 people. Regionally, the
largest proportion of doctors participating in internships is the Java-Bali region (5,638 people)
with the largest number of doctors participating in internships being West Java (1,256 people).
The province with the least number of doctors participating in the internship is North
Kalimantan, which is 19 people. Complete details regarding the number of interns participating
in 2021 can be seen in Appendix 11.m.

84 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.21

NUMBER OF INTERNS YEAR 2021

Ka l i ma nta n
Nus a Tengga ra
- 6,4%
Ma l uku-Pa pua
7,0%

Sul a wes i
8,0%

Ja va-Ba l i
52,4%
Suma tera
26,3%

Source: Directorate General of Health Manpower, Ministry of Health RI, 2022

3. Utilization of Medical Specialized Doctors (PGDS)


Utilization of medical specialized doctors aims to meet the needs, equalize, and
improve the quality of specialist health services in the regions; and support the implementation of
family approach to health services at the referral level. The stipulation of the Presidential Regulation
of the Republic of Indonesia Number 31 of 2019 concerning the Utilization of Specialist Doctors
makes Presidential Regulation Number 4 of 2017 concerning the Mandatory Work of Specialist
Doctors declared no longer valid. The regulation states that PGDS Participants receive tuition
assistance.
In 2021, there were 582 medical specialist placed in government-owned hospitals in 34
provinces, including hospitals belonging to TNI/POLRI institutions that participated in the PGDS
program. PGDS participants are divided into Direct Assistance Participants (PBL), State Civil
Apparatus (ASN), Indirect Assistance Participants (PBTL) and non-ASN. PBL are participants receiving
tuition assistance from the APBN/APBD and assistance from the central government through
medical faculties and hospitals that provide specialist medical professional education. Participants
with the status of a state civil apparatus, tuition assistance is provided through study assignments.
Indirect assistance participants are those receiving educational assistance from the central
government through the faculty of medicine and hospitals that provide professional education for
specialist doctors.
Around 64.6% or 308 people of PGDS participants were PBL/ASN participants; while 202
people were PBTL non-ASN participants. The province with the most placements of PGDS is East Java
by 37 people; meanwhile the fewest placements is DKI Jakarta, Banten, and Gorontalo by 5 people.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 85


There is a province where there is no placement of PGDS Health workers, namely West Sulawesi. The
most type of specializations in PGDS placements in 2021 was internal medicine specialist (133 people),
and the least type of specializations was clinical pathology specialists (40 people). More on it is
displayed in Appendix 11.n.

FIGURE 3.23
PLACEMENT OF HEALTH PERSONNEL ON THE UTILIZATION OF MEDICAL
SPECIALIZED DOCTORS YEAR 2021

100

89
90

80

70
70
62 61
60

50 47
44 45
40
40 38 37

30 26

20 18

10
3 2
0
PBL/ ASN PBTL- PBL/ ASN PBTL- PBL/ ASN PBTL- PBL/ ASN PBTL- PBL/ ASN PBTL- PBL/ ASN PBTL- PBL/ ASN PBTL-
nonASN nonASN nonASN nonASN nonASN nonASN nonASN

Pediatrician Obstetrician - Gynechologist Internist Surgeon Spesialis Anestesi Clinical Phatologist Radiologist
Anesthesiologist

Source : HR for Health Development and Empowerment Agency, Ministry of Health RI, 2022

D. HEALTH EDUCATIONAL INSTITUTES


A health worker is any person who devotes himself to the health sector and has knowledge
and/or skills through education in the health sector, for certain types, requires authority to carry out
health efforts. Law Number 36 of 2014 concerning Health Workers mandates that health workers
must have a minimum qualification of Diploma III except for medical personnels. The procurement of
health workers is carried out through higher education in the health field aiming to produce quality
health workers, in accordance with professional service standards. The implementation of higher
education in the health field must balance between the need for implementing health efforts and the
dynamics of job opportunities both at home and abroad; the balance between the production
capabilities of health workers and available resources, and the development of science and
technology.
Educational institutions for health workers other than medical personnels consist of Health
Polytechnics (Poltekkes) and Non Health Polytechnics (Non Poltekkes). The Ministry of Health is
responsible for the technical development of the Poltekkes institutions in accordance with the Decree
of the Minister of Education and Culture of the Republic of Indonesia Number 507/E/O/2013

86 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


concerning Amendments to the Decree of the Minister of Education and Culture of the Republic of
Indonesia Number 355/E/O/2012 concerning the Development Transfer for the Implementation of
Study Programs in Health Polytechnic of the Ministry of Health - from the Ministry of Health to the
Ministry of Education and Culture.
There are 38 Poltekkes of the Ministry of Health spread across 33 provinces. These Poltekkes
have 502 study programs including 297 Diploma III strata study programs (293 regular study programs
and 4 PJJ study programs), 153 Applied Undergraduate study programs, 48 professionaleducation
study programs, and 4 Applied Master study programs. The groups of majors at Poltekkes cover: Law
Number 36 of 2014 concerning Health Workers mandates that health workers must have a minimum
qualification of Diploma III except for medical personnels. The procurement of health workers is
carried out through higher education in the health field aiming to produce quality health workers, in
accordance with professional service standards. The implementation of higher education in the health
field must balance between the need for implementing health efforts and the dynamics of job
opportunities both at home and abroad; the balance between the production capabilities of health
workers and available resources, and the development of science and technology.
Educational institutions for health workers other than medical personnels consist of Health
Polytechnics (Poltekkes) and Non Health Polytechnics (Non Poltekkes). The Ministry of Health is
responsible for the technical development of the Poltekkes institutions in accordance with tDecree of
the Minister of Education and Culture of the Republic of Indonesia Number 507/E/O/2013 concerning
Amendments to the Decree of the Minister of Education and Culture of the Republic of Indonesia
Number 355/E/O/2012 concerning the Development Transfer for the Implementation of Study
Programs in Health Polytechnic of the Ministry of Health - from the Ministry of Health to the Ministry
of Education and Culture.
There are 38 Poltekkes of the Ministry of Health spread across 33 provinces. These Poltekkes
have 502 study programs including 297 Diploma III strata study programs (293 regular study programs
and 4 PJJ study programs), 153 Applied Undergraduate study programs, 48 professional education
study programs, and 4 Applied Master study programs. The groups of majors at Poltekkes cover:
1. Nursing, including Nursing and Dental Nursing;
2. Midwifery;
3. Pharmacy, consisting of Pharmacy, and Pharmacy and Food Analysts;
4. Traditional Health;
5. Environmental Health;
6. Nutrition;
7. Public Health, including Health Promotion;
8. Physical Therapy, covering Physiotherapy, Occupational Therapy, Speech Therapy, and
Acupuncture;
9. Medical Technician, consisting of Dental Engineering, Dental Hygiene, Anesthesiology
Nursing, Medical Recorder and Health Information, and Blood Bank Technology;
`10. Biomedical Engineering, including Medical Laboratory Technology, Radiodiagnostic
Engineering and Radiotherapy, Electromedical Engineering, and Prosthetic Orthotics.
11. Others (Health Insurance)

To comply with the educational qualifications of at least Diploma III for health workers, the
Ministry of Health holds an accelerated education program for health workers through the
Recognition of Past Learning (RPL). Regulation of the Minister of Research, Technology and Higher
Education Number 26 of 2016 described Past Learning Recognition as an acknowledgment of a
person's Learning Outcomes (CP) obtained through formal or informal education, and/or work
experience.
The study programs in the Health Workers Education Acceleration Program in 2021 cover 9
Diploma III study programs: Midwifery, Pharmacy, Nursing, Dental Nursing, Medical Laboratory

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 87


Technology, Nutrition, Sanitation, Medical Records and Health Information, Blood transfusion
Nutrition, and Medical Records and Health Information. In 2021, there are 5 study programs from RPL
that have graduates: Nursing, Midwifery, Pharmacy, Medical Laboratory Technology, and Health
Records and Information. RPL organizers are health universities appointed by the Ministry of Research,
Technology and Higher Education in 2018 in accordance with Kepmenristekdikti Number
181/M/KPT/2018 including Poltekkes, State and privately owned health universities with a total of 496
study programs whose implementation is carried out in all Poltekkes Kemenkes and 50 other state
universities (PTN) and private universities (PTS). The RPL study period takes 2-3 semesters.
Besides the Diploma level, Poltekkes open Applied and Professional Masters study programs.
The Applied Masters study program are opened at Poltekkes Semarang with Masters in Applied
Midwifery, Nursing, Dental and Oral Therapists, and Biomedical Engineering (Diagnostic Imaging)
study programs. Meanwhile, Professional study programs opened areincluding Midwife, Nurse,
Nutritionist, and Physiotherapy.

1. Number of Health Polytechnic (Poltekkes) Graduates


The number of Poltekkes graduates in 2021 is 29.771 people. There was a slight decrease
compared to the previous year consisting of 23,722 Diploma graduates (18,128 regular and 328 RPL),
9,310 Applied Bachelor graduates, 2,214 Professional Education graduates, and 92 Applied Masters
graduates. The Nursing study program has the most graduates with 6,156 Diploma III and 1,594
Diploma IV graduates. Meanwhile, Blood transfusion technolgy major has the least graduates with
29 people. In general, almost all majors have more graduates for Diploma III compared to Diploma
IV; except for the Physical Therapy program with 422 Diploma III graduates and 559 Diploma IV
graduates. More on the graduate number can be seen in Appendix 16.g and Appendix 16.i.

FIGURE 3.24
NUMBER OF GRADUATES OF DIPLOMA III AND DIPLOMA IV FROM ALL POLTEKKES BY
TYPE OF HEALTH WORKERS YEAR 2021

7.000

6.156
6.000

5.000

4.000 3.775

3.151
3.000

2.009
2.000
1.594 1663
1394 1.288
1237 1.269
1.094
1.000
541 603 559
422
82 183
47 70
0
Nurs e Mi dwi fe Bi omedi ca l Nutri �oni s t Medi ca l Envi ronmenta l Pha rma cy Phys i ca l Tra di �ona l Hea l th Publ i c Hea l th
Techni ci a n Techni ci a n Hea l th Thera pi s t

Di pl oma III Di pl oma IV

Source : HR for Health Development and Empowerment Agency, Ministry of Health RI, 2022

88 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


In addition to the diploma level, Poltekkes has produced RPL Diploma III
graduates in 2020. with details of 781 graduates of the Midwife Profession, 1,189 graduates
of the Nurse Profession, 71 graduates of the nutrition Professions, and 173 graduates of the
Physiotherapy Profession. The Applied Masters study program at Poltekkes Semarang in 2021
produced 92 graduates with details of 53 graduates of the Master of Applied Midwifery, 14
graduates of the Master of Applied Nursing, 18 graduates of the Master's Degree in Applied
Dental and Oral Therapists, and 7 Masters in the Master of Applied Diagnostic Imaging. Details
regarding the number of graduates of professional programs at Poltekkes can be seen in
Appendix 16.j.

FIGURE 3.25
NUMBER OF RPL GRADUATES OF DIPLOMA III
BY TYPE OF HEALTH WORKERS YEAR 2021

1400

1189
1200

1000

781
800

600

400

173
200
71

0
Mi dwi fe Nurs e Nutri �on Phys i ca l The ra py

Source : HR for Health Development and Empowerment Agency, Ministry of Health RI, 2022
Indonesian Ministry of Health Polytechnic organizes RPL programs for health
workers who are still educated in SMA/Equivalent, Diploma I and Diploma II whose
qualifications will be upgraded to Diploma III. In 2021, Poltekkes has produced 328
graduates of the Diploma III RPL study program. Poltekkes has produced 6,024 RPL
Diploma III graduates in 2021. The highest number of graduates in 2021 was from the
medical records and health information study program with 162 people; while the least
number of graduates was Pharmacy majors which was 106 people. More on the number
of graduates of the Diploma III RPL Poltekkes program is in Appendix 16.h.

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 89


FIGURE 3.26
NUMBER OF RPL GRADUATES OF DIPLOMA III
BY TYPE OF HEALTH WORKERS IN 2021
180

162
160

140

120

100

82
77
80

60

40

20

4 3
0
Medical Technician Nurse Biomedical Technician Midwife Pharmacist

Source : HR for Health Development and Empowerment Agency, Ministry of Health RI, 2022

2. Number of University Graduates

To achieve excellent Indonesian human resources, the Directorate General of Higher


Education (Ditjen Dikti) of the Ministry of Education and Culture fosters and develops
universities under its authority. As of December 31, 2021, there were 1,629,040 graduates from
29,831 study programs in 4,481 higher education institutions spread throughout Indonesia.
Universities consist of State Universities (PTN), Private Universities (PTS), Religious Universities
(PTA), and Ministry and Institutional Universities (PTK/L). The educational levels at universities
consist of D1, D2, D3, D4, S1, Profession, S2, Applied Masters, Specialist 1, Specialist 2, and S3.
Universities, especially in the health majors, are expected to produce excellent competent
health human resources.
Based on universities in the health field and health-related fields (MIPA, Engineering,
Agriculture, and Social Affairs) with D3, D4, S1, S2, S3, Specialist and Profession levels, the
number of graduates of health workers in 2021 was 278,614 people. The highest number of
university graduates was nurses which was 38,841 people, followed by pharmaceutical
engineering personnels (29,633 people) and midwives (26,150 people). The least number of
university graduates was traditional health workers, which was 41 people.

90 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.27
NUMBER OF UNIVERSITY GRADUATES
BY GROUPS OF HEALTH WORKERS IN 2021

45.000

40.000 38.841

35.000

29.633
30.000
26.150
25.000

20.000

15.000 13.448

10.000 9.008
7.725
6.795
5.025
5.000 3.656
2.066 1.892
41
0

Source: Higher Education Database (PDDikti), Ministry of Education and Culture, 2022

By province, the highest number of graduates in the health field was in East Java. Province with
20,518 people, followed by Central Java with 20,011 people, and West Java with 16,218 people. The
province with the least number of university graduates in the health majors was North Kalimantan,
which was 186 people. Details on it can be seen in Appendix 16.k

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 91


FIGURE 3.28
NUMBER OF UNIVERSITY GRADUATE BY PROVINCE IN 2021

East Java 20.518


Central Java 20.011
West Java 16.218
DKI Jakarta 14.051
North Sumatera 9.813
South Sulawesi 9.066
DI Yogyakarta 7.916
West Sumatera 4.657
South Sumatera 3.883
Bali 3.873
Lampung 3.853
Banten 3.799
Riau 3.240
Aceh 2.809
South Kalimantan 2.734
Bengkulu 2.017
West Nusa Tenggara 1.840
North Sulawesi 1.696
Jambi 1.572
West Kalimantan 1.497
Central Sulawesi 1.374
East Nusa Tenggara 1.317
East Kalimantan 1.315
Papua 826
Southeast Sulawesi 652
Riau Islands 649
Central Kalimantan 586
Gorontalo 570
Maluku 566
North Maluku 352
West Papua 343
Bangka Belitung Islands 289
West Sulawesi 192
North Kalimantan 186

0 5.000 10.000 15.000 20.000 25.000

Source: Higher Education Database (PDDikti), Ministry of Education and Culture, 2022

The number of university graduates for medical specialized doctors and specialist
dentists in 2021 was 1,999 people spread across 13 provinces in Indonesia. The majority of
graduated medical specialized doctors were internal medicine with 269 people, surgeons with
387 people, followed by surgeons with 269 people. There were 636 graduates of other medical
specialists that were not listed specifically in the field of specialization, and 201 graduates of
specialist dentists. The least number of medical specialized doctors graduating in 2021 were
medical rehabilitation specialists with as many as 34 graduates.

92 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES


FIGURE 3.29
NUMBER OF UNIVERSITY GRADUATES OF
MEDICAL SPECIALIZED DOCTORS AND DENTAL SPECIALIST YEAR 2021
700
636

600

500

400

300 269
247
201
200 162 149
119
100 75 64
43 34

Source: Higher Education Database (PDDikti), Ministry of Education and Culture, 2022

More on the graduate number of medical specialized doctors and dental specialists
by province in 2021 can be seen in Appendix 16.l.

***

Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES 93


94 Indonesia Health Profile 2021 | CHAPTER III. HEALTH HUMAN RESOURCES
Chapter IV
HEALTH FINANCING

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 95


96 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING
Pursuant to Law Number 36 of 2009 concerning Health, health development aims to increase
awareness, willingness, and ability to live healthy for everyone in order to realize the highest degree
of public health, as an investment for the development of socially and economically productive human
resources. Thus, the economic element is one of the most important aspects in the implementation
of health development in Indonesia.
In addition, the same Law also states that health financing aims to provide sustainable health
financing in sufficient amounts, allocated fairly, and utilized. Health financing is the amount of funds
that must be provided to organize and or utilize various health efforts needed by individuals, families,
groups, and community.
The health budget can be said to be a government instrument in fulfilling health rights for
citizens (Ansar, 2017). Sources of health financing come from the central government, local
governments, the community, the private sector, and other sources. In this chapter, we only discuss
the allocation and realization of the health budget sourced from the government, both from the
central and regional governments. In addition, it also explained further about the National Health
Insurance (JKN).

A. THE MINISTRY OF HEALTH BUDGET


The Ministry of Health in 2021 has a budget allocation of IDR 214 trillion with a realization of
IDR 208 trillion. The budget allocation of 2021 has increased by IDR 107 trillion comparing to that of
2020. Compared to the percentage of realization in the previous year, in 2021 there is also an increase,
where the percentage of realization of the Ministry of Health's budget in 2021 is 97.16%, up from 2020
which was 95 ,49%.
FIGURE 4.1
BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF HEALTH RI
YEAR 2017-2021

95,49 97,16
250.000.000 92,89 92,70 94,60 100
90
Budget (In Millions Rupiah)

200.000.000 80
214.443.819

70
Percentage

150.000.000 60
50
100.000.000 40
107.033.608

30
102.207.400

208.356.836
67.279.326
59.114.104

54.912.282

61.864.479

57.348.657

71.121.938

50.000.000 20
10
0 0
2017 2018 2019 2020 2021
Budget Allocation Budget Realization Realization Percentage
Source: Bureau of Finance and BMN, Ministry of Health RI, 2022

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 97


Figure 4.1 shows the increase in allocation and realization of the Ministry of Health's budget
from 2017-2021, with the highest allocation in 2021.
Budget distribution based on the allocation and realization of the Ministry of Health's budget
according to Echelon I units (Figure 4.2) shows that the largest allocation is at the Directorate General
of Health and Health of IDR 103.5 trillions, while the lowest allocation is to the Inspectorate General
of IDR 124.2 billions. The Echelon I Unit with the highest percentage of budget realization was the
Secretariat General at 98.3%, while the lowest realization was the Health Research and Development
Agency (Badan Litbangkes) with a realization percentage of 87.8%. Complete data and information
regarding the allocation and realization of the Ministry of Health's budget according to echelon I in
2021 can be found in Appendix 19.b.

FIGURE 4.2
BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF HEALTH RI
BY ESHELON I UNITS
YEAR 2021

99,39 96,98 94,24


40000000 90,55 92,38 100
90,12 89,17
35000000 90
37837839,8

80
30000000 69,32
70
17.524.372

25000000 60

Percentage
Budget (in

38071663

20000000 50
40

4759014,79
15000000
19444970,76

4.396.495
30
3.124.772

1.979.331
1711159,29

3315636,92

2855475,66
1.549.382

10000000
845845,54
118172,59

20
754.217
114.600

5000000 10
0 0

Budget Allocation Budget Realization

Source: Bureau of Finance and BMN, Ministry of Health, Republic of Indonesia, 2022

Of the total budget allocation of the Ministry of Health of IDR 214.4 trillions, as much as IDR 45.4 trillions or
21.18 % is the funds for premium assistance beneficiaries (PBI) in the National HealthInsurance (JKN) which is
included in the Secretariat General‘s budget allocation. The funds are realized through the Ministry of Social
Assistance Expenditure (Bansos) budget. In the Ministry of Health's budget, the next largest was allocated for
goods expenditures, amounting to 74.4%, as well as personnel expenditures and capital expenditures of 2.0%
each. For the percentage of the Ministryof Health's budget realization by type of expenditure, the highest was
social assistance expenditure of 98.5% and the lowest was capital expenditure of 57.9% (Figures 4.3 and 4.4).
The details of the budget allocation and realization of the Ministry of health of the Republic of Indonesia by
types of expenditure for the 2021 fiscal year in full can be seen in

98 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


FIGURE 4.3 FIGURE 4.4
PERCENTAGE OF THE MINISTRY OF HEALTH PERCENTAGE OF THE MINISTRY OF HEALTH
BY TYPE OF EXPENDITURE YEAR 2021 BY TYPE OF EXPENDITURE 2021

0,98 0,97 0,99


1,0
Personnel
0,78
0,8
2% Expenditure
0,6
2% Goods 0,4
21% Expenditure 0,2
Capital 0,0
Expenditure
75%
Social
Assistance
Expenditure

Source: Bureau of Finance and BMN, Ministry of Health, Republic of Indonesia, 2022

B. DECONCENTRATION FUND AND SPECIAL ALLOCATION FUND IN


HEALTH SECTOR FOR THE FISCAL YEAR 2021

According to the Regulation of the Minister of Health Number 248/PMK.07/2010, the


government regulates through the Ministries/Agencies to support the achievement of development
which is the national focus/priority, as well as to increase the role of the province in the framework of
good governance in overseeing the implementation of ministry/institutional programs in the regions
and to ensure the availability of funds for implementation In the delegation of authority. The
government through the Ministries/Agencies (K/L) regulates the provision of deconcentration funds
and the assigned assistance tasks.
According to the Regulation of the Minister of Health, deconcentration is the delegation of part
of government affairs which are under the authority of the Central Government to the governoras the
representative of the Central Government. Meanwhile, deconcentration funds are funds originating
from the APBN which are carried out by the governor as a representative of the government which
includes all revenues and expenditures in the context of implementing deconcentration, excluding
funds allocated to central vertical agencies in the regions. In an effort to accelerate the achievement
of health program goals and targets, deconcentration funds are provided. Funding in the context of
deconcentration is allocated for non-physical activities, i.e. activities that produce outputs that do not
add fixed assets. These non-physical activities include: synchronization and coordination of planning,
facilitation, technical guidance, training, counseling, supervision, workshops, research and surveys,
guidance and supervision, and control. To support theimplementation of deconcentration activities, a
small portion of the deconcentration funds can be allocated as supporting funds for the
implementation of administrative tasks and/or procurement of inputs in the form of procurement of
goods/services and other supports. However, because deconcentration funds are not the main funds
in the implementation of health activities in the regions, so that local governments are still obliged to
allocate funds for the health sector in accordance with the mandate of Law No. 36 of 2009 concerning
health. The use of deconcentration funds must be carried out carefully so that they are integrated
with

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 99


activities originating from other budget sources so that there is no duplication of activities. Annually,
technical guidelines are issued to serve as guidelines for local governments in utilizing deconcentration
funds from the central government. More detailed data and information regarding the allocation and
realization of the Ministry of Health's deconcentration budget by province for the 2021 fiscal year are
presented in Appendix 19.e.
Figure 4.5 shows the highest realization of deconcentration funds is the Central Sulawesi
Province at 97.6%, meanwhile the lowest realization was West Java Province at 48.1%. Further studies
are still needed, especially regarding the causes of the low absorption of the deconcentration budget
in several provinces, including an analysis of the adequacy of the deconcentration budget allocation
for each program in each province itself.

FIGURE 4.5
REALIZATION OF HEALTH DECONCENTRATION FUNDS BY PROVINCE IN INDONESIA
YEAR 2021

14.000
12.000
10.000
8.000
6.000
4.000
2.000
62,3%
88,4%
48,1%
74,4%
83,8%
78,9%
86,7%
83,7%
93,0%
79,9%
87,2%
90,0%
89,2%
89,0%
87,0%
90,4%
92,0%
90,2%
77,3%
91,1%
56,0%
88,3%
91,8%
78,7%
75,1%
88,6%
96,7%
96,6%
92,2%
97,5%
94,9%
94,8%
96,7%
97,6%
-
East Kalimantan
Maluku

West Kalimantan

North Kalimantan

West Nusa Tenggara

East Nusa Tenggara


Southeast Sulawesi
South Sumatra

North Sulawesi
Central Java

West Sulawesi
Banten
Aceh

South Kalimantan

Central Kalimantan

Kep. Bangka Belitung

Gorontalo
West Java

East Java

South Sulawesi

North Sumatra
Riau islands

Lampung

West Papua
D.I. Yogyakarata
Riau

North Maluku

Bengkulu
Jambi

Central Sulawesi
Papua
DKI Jakarta

West Sumatra

Bali

Percentage Budget Page Budget in Millions

Source: Bureau of Finance and BMN, Ministry of Health RI, 2022

The Special Allocation Funds for Health, hereinafter abbreviated as DAK for Health, are
funds allocated in the state budget for revenues and expenditures to certain regions with the
aim of help fund physical and non-physical activities which are regional health matters and in
accordance with national priorities. DAK is divided into two, namely physical DAK and non-
physical DAK. Guidelines for the use of DAK in the health sector in 2021 are regulated in
Regulation of the Minister of Health of the Republic of Indonesia Number 8 of 2021 concerning
Operational Guidelines for the Use of Special Physical Allocation Funds for Health for Fiscal Year
2021 and Regulation of the Minister of Health of the Republic of Indonesia Number 12 of 2021
concerning Technical Guidelines for the Use of Non-physical Special Allocation Funds Health
Sector Fiscal Year 2021.

100 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


Physical DAK in the health sector is directed to finance activities such as: provision of facilities,
infrastructure, and health equipment for puskesmas, procurement of Health Information System (SIK)
equipment, provision of disease control tools and materials and environmental health, hospital
continuation and puskesmas that are not yet operational, strengthening of regional health
laboratories, construction, improvement, rehabilitation, and/or renovation of provincial/district/city
hospital facilities, provision of medical devices and infrastructure in hospitals, and improvement or
construction of transfusion units and This includes the fulfillment of equipment, facilities and
infrastructure at provincial/district/municipal regional hospitals, provision of drugs and medical
consumables at the regency/municipal level, development, rehabilitation, and provision of
infrastructure for provincial and district/city pharmaceutical installations. Meanwhile, non-physical
DAK in the health sector consists of: Health Operational Assistance (BOK), maternity (Jampersal),
Puskesmas accreditation, and drug and food supervision.
DAK reports in the health sector are submitted by the Regional Head to the Minister of Health,
Minister of Finance, and Minister of Home Affairs on a regular basis (quarterly as well as annual
report). Meanwhile, the data on the budget realization is reported through different mechanisms:
Physical DAK using the Online Monitoring application for the State Treasury and Budget System
(OMSPAN) and Non-Physical DAK using the e-Renggar application.
The physical DAK realization in 2021 nationally was 36.7% with the highest realization being DKI
Jakarta Province (81.6%) and the lowest being West Papua Province (10.5%), as shown in Figure
4.6 follows.

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 101


FIGURE 4.7
PHYSICAL DAK REALIZATION IN HEALTH SECTOR AND FAMILY PLANNING
(KB) PROGRAM BY PROVINCE IN INDONESIA YEAR 2021

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

Source: Bureau of Planning and Budget, Ministry of Health, Republic of Indonesia, 2022

For non-physical DAK in 2021 nationally is 34.5% with the highest realization is Province West
Nusa Tenggara (56.7%) and the lowest is Maluku (16.3%) as shown in Figure 4.7.

102 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


FIGURE 4.7
NON-PHYSICAL DAK REALIZATION IN HEALTH SECTOR
BY PROVINCE IN INDONESIA
YEAR 2021

West Nusa Tenggara


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

Source: Bureau of Planning and Budget, Ministry of Health, Republic of Indonesia, 2022

C. HEALTH EXPENDITURE AND HEALTH INSURANCE


Accordance to the mandate contained in Law Number 36 of 2009, the allocation of spending in
the health sector is something that is absolutely fulfilled (mandatory spending). Article 171 of the
law states that the government allocates a Health budget of at least 5% of the APBN excluding salaries,
while the provincial and district/city governments allocate a Health budget of at least 10% of the APBD
excluding salaries. It is hoped that the use of the budget in the health sector can be used as optimally
as possible to achieve health-related development goals.
One of the indicators used to measure the amount of health spending in a country is the

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 103


National Health Accounts or NHA. NHA is a systematic and comprehensive approach used to monitor
the amount of health expenditure in a country, including the flow of health funds, distribution and
use. NHA is needed to answer questions on health financing issues such insufficiency, equity,
efficiency, effectiveness, and sustainability related to health resource allocation policies, both from
thesupply and demand in achieve the Universal Health Coverage (UHC).
Indonesia created the NHA using the System of Health Accounts (SHA) method, which is an
international standard method, so that it can see Indonesia's position compared to other countries.
NHA data has also been distributed globally in the World Health Report which is published annually by
the World Health Organization (WHO). As a country with the single payer in the world, many countries
pay attention to health financing in Indonesia for the implementation of the National Health Insurance
(JKN) program in order to achieve UHC. Based on 2018 NHA data, there are several things that still
need to be improved, including strengthening funding to support preventive and promotive efforts,
including the fulfillment of Minimum Service Standards (SPM), health education for a clean and
healthy lifestyle, immunization, surveillance, screening, procurement of diet. additions, and so on.
Strengthening funding for services at FKTP as well as preventive-promotional funding will build a more
robust health service system against various unexpected events, including the COVID-19 pandemic.

1) Indonesia's Total Health Expenditure/Total Health Expenditure (THE)


The 2018 NHA estimate yields Indonesia's total health expenditure figure which includes Current
Health Expenditure (CHE) and investment spending. CHE is all health expenditures excluding investment
expenditures (capital expenditures), both in the form of expenditures for individual and community
health services, also including the administration of the health system. Investment spending is
expenditure on goods and services commodities that have a useful life of more than one year, such as
health infrastructure (buildings, machinery, information technology, etc.), spending on education and
training of health workers, as well as for health research and development. Limited access to data
sources for non-public (private) schemes means that currently investment spending in Indonesia cannot
be fully captured, especially in the non-public sector which only covers part of the expenditures
contained in the Non-Profit Institutions Serving Household (LNPRT) scheme. ).
The general indicator used to measure health spending in a country on an international scale
today is CHE, because it describes the final consumption that can be enjoyed in a year. However, in this
publication, the indicator that will be used is THE. This is done to accommodate government health
spending which is also spent on investment in the health sector.

104 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


TABLE 4.1
TOTAL HEALTH EXPENDITURE INDONESIA
2012-2019

YEAR Total Health Health


Health Expenditure pe % THE to Gross Domestic
Expenditure Expenditure per
Capita (US $) Product (GDP)
(Rp Trillion) Capita (Rp)

2012 260.7 1,062,079 113 3.0


2013 287.5 1,155,370 110 3.0
2014 324.6 1,287,409 109 3.1
2015 358.3 1,402,747 105 3.1
2016 399.3 1,543,512 116 3.2
2017 432, 9 1,618,548 121 3.1
2018 454.1 1,713,534 120 3.1
2019 490,3 1,828,862 129 3.1
Source: Center for Health Financing and Decentralization Policy, Ministry of Health of the Republic of
Indonesia, 2022

Table 4.1 above shows the total expenditure Indonesia's health during 2012-2019
increased every year. In a period of 8 (eight) years there has been an almost 2 (double) increase
in health spending, from Rp260.7 trillion in 2012 to Rp490.3 trillion in 2019. The proportion of
health spending to GDP only experienced an increase of 0.1% fluctuation. %, from 3.0% in 2012
to 3.1% in 2019, however, per capita health spending increased from Rp. 1,062,072 (US $113)
in 2012 to Rp. 1,828,862 (US $129) in 2019.

FIGURE 4.8
PROPORTION OF TOTAL HEALTH EXPENDITURE
BY FUNDING SCHEME YEAR
YEAR 2012-2019

Total Health Expenditure (Effective Price)

100
50
0
201
4
2016 2017 2018
2015
2019 2020
Non PBI %) 8 )8
Ci i 8.7j

11.1juta 15.5j 6.1juta (41.37%


( 0% 20,3
j 6.2juta (14.37%
%) 3

Ministry of Health Scheme Other K/L Scheme Local Government Scheme Social Health Insurance Scheme
Private Health Insurance Scheme LNPRT Corporate RT Financing Scheme

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 105


Source: Center for Health Financing and Decentralization Policy, Ministry of Health, Republic of
Indonesia, 2021.

Figure 4.8 above shows the proportion of health expenditure according to Health
funding scheme which includes the public sector (Ministry of Health schemes, other
Ministries/Institutions , Local Government (provincial and regency/city), Social Health Insurance
(JKN) and the non-public sector (Private Health Insurance schemes, Non-Profit Institutions
serving Home Ladder (LNPRT), Corporate, and Household Financing). The share of spending on
social health insurance schemes to total health spending shows the government's role and
commitment in providing health insurance for the people of the country. In addition, it shows
that an increase in the share of spending on social health insurance schemes is in line with a
decrease in the portion of financing schemes from household pockets. The trend of health
spending on financing schemes from household pockets which tends to decrease in proportion
from 2012 to 2019 must be monitored continuously. However, although the proportion of
financing schemes from household pockets decreased (from 51.6% in 2012 to 32.1% in 2019),
nominally it increased from 2012–2019 (from Rp134.6 trillion in 2010 to Rp. Rp157.5 trillion in
2019). This is a direct impact of market growth in the healthcare sector.
Initially, health spending was dominated by non-public sector funding, mainly from
household financing contributions. Even so, funding from the public sector each year has
increased both in proportion and in number, where in 2012 it was 29.4 percent (Rp76.7 trillion)
of total national expenditure and in 2019 it was 52.1 percent (Rp255.5 trillion). ). This increasing
trend mainly occurs in the JKN scheme and local government (Pemda) schemes, while the
Ministry of Health (Kemenkes) scheme tends to decline and other K/L schemes are relatively
stable during 2014-2019.
One that shows an increasing trend is that health spending in the regional government
scheme, both provincial and regencies/cities tends to increase during 2012-2019. The increase
in the amount of local government health spending is expected to provide ample space for the
regions to be able to assist the central government in implementing vertical programs that are
indicators of national health performance. The big role of the regions in managing health
financing, of course, gives birth to great responsibilities. Therefore, the implementation of these
authorities and responsibilities requires good coordination between the central government
and local governments, starting from the planning process to evaluating programs/activities.
Given that the achievement of health indicators is an important measure of the performance of
the Ministry of Health as focal point for the health sector, it is necessaryto carry out a process
of monitoring and evaluating transfers from the center to the regions. This is intended so that
the allocated health funding can be used effectively and efficiently, as well as having a positive
impact on the development of the health sector.

106 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


2. Health Insurance
The most important legal basis for health insurance is the 1945 Constitution Article 28
H, namely:
1. Everyone has the right to live in physical and spiritual prosperity, to have a place to live,
and to have a good and healthy environment and have the right to health services;
2. Everyone has the right to get special facilities and treatment to get the same
opportunities and benefits in order to achieve equality and justice;
3. Everyone has the right to social security that allows his full development as a useful human
being.
In addition, the legal basis for the existence of Health Insurance is also contained in
Article 34 of the 1945 Constitution:
1. The poor and neglected children are cared for by the state;
2. The state develops a social security system for all people and empowers the weak and
underprivileged in accordance with human dignity;
3. The state is responsible for providing adequate health care facilities and public service
facilities.
On that basis, the issuance of Law no. 40/2004 concerning the National Social Security System
(SJSN), one of which is the National Health Insurance (JKN).
According to the National Social Security Council (DJSN), Health Insurance (JKN) is a
nationally administered social security program based on social insurance and equity principles
with the aim of ensuring that participants receive health care benefits and protection in meeting
basic health needs. The social insurance principles referred to include:
1. Mutual cooperation between the rich and the poor, the healthy and sick, the old and
young, and the high and low risk;
2. mandatory and non-selective participation;
3. Contribution based on percentage of wages/income;
4. Non-profit.
While the equity principle is equality in obtaining services according to their medical needs
which is not related to the amount of contributions that have been paid. The implementation
of JKN in Indonesia is organized by the Social Security Administrator for Health (BPJS).
Participation in BPJS-Kesehatan consists of 2 groups, namely as follows:
1. PBI (Premium Assistance Beneficiaries) of Health Insurance
Contribution Assistance Recipients (PBI) are participants in Health Insurance for the poor
and underprivileged as mandated by the SJSN Law whose contributions as participants in
the Health Insurance program are paid by the government. PBI participants are the poor
who are determined by the Government and regulated through Government Regulations.
2. Not PBI health insurance.
Participants who are not PBI health insurance consist of:
● Wage workers and their family members
● Non-wage workers and their family members
● Non-employees and their family members

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 107


FIGURE 4.9
DEVELOPMENT OF JKN PARTICIPATION COVERAGE AND INDONESIA HEALTH CARD (KIS)
YEAR 2014-2020

300

250

200

150

Source: Centre for Health Financing and National Health Insurance, Ministry of Health RI, 2022

In 2020, the largest proportion of participants came from the PBI (APBN) segment of 49.10%.
However, the most significant growth in participants from year to year occurred in the non-PBI segment.
Until the end of 2020, the total coverage of JKN/KIS participation reached 222.4 million people, where
there was a decrease in the number of participants compared to the number of participants in 2019. This
was due to the adjustment of contribution contributions in the Population segment registered by the
Regional Government so that there was limited fiscal capacity. area to pay fees. In 2020, it was also
known that the Coronavirus disease (Covid-19) pandemic had an impact on the ability to pay dues by
PBPU/BP segment participants.

108 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


FIGURE 4.10
COVERAGE OF JKN PARTICIPATION IN INDONESIA BY PROVINCE
YEAR 2021

Indonesia 87,0%

DKI Jakarta 173,6%


Papua 123,9%
West Papua 119,1%
Aceh 102,1%
East Kalimantan 101,8%
North Sulawesi 101,7%
Gorontalo 96,0%
West Sulawesi 95,5%
Bali 95,2%
South Sulawesi 95,0%
North Kalimantan 93,5%
Central Sulawesi 92,8%
Central Kalimantan 92,4%
Riau islands 87,3%
Southeast Sulawesi 87,3%
D.I. Yogyakarta 86,6%
West Nusa Tenggara 85,8%
Central Java 84,9%
East Nusa Tenggara 84,3%
West Sumatra 83,9%
Bengkulu 83,8%
Banten 82,6%
Bangka Belitung Islands 82,4%
Maluku 81,8%
Lampung 80,7%
South Sumatra 80,7%
South Kalimantan 80,5%
East Java 79,6%
West Kalimantan 79,0%
North Sumatra 78,8%
North Maluku 78,3%
West Java 77,4%
Jambi 74,5%
Riau 71,4%
0% 20% 40% 60% 80% 100% 120% 140% 160% 180%

Source: Center for Health Financing and Decentralization Policy, Ministry of Health RI, 2022

In 2021, 87.0% of the Indonesian population have participated in JKN where there are 6 (four)
provinces that have achieved universal health coverage (UHC), namely DKI Jakarta, Papua, West Papua,
East Kalimantan, Aceh, and North Sulawesi. The highest coverage of JKN participation is the population
of DKI Jakarta Province (173.6%), while the lowest JKN membership coverage is the population of Riau
Province (71.4%). The number of memberships that exceeds 100% is due to the registration in the
coverage of participation based on the performance of the Branch Office, not all based on the Resident’s
Identity Number (NIK) or participant's address. More on the coverage of JKN participation in Indonesia
by province can be seen in appendix 17.a.

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 109


FIGURE 4.11
TARGET AND ACHIEVEMENT OF PBI PARTICIPANTS OF HEALTH INSURANCE YEAR 2021

100
90

96,8

96,8

96,8
96,5

96,2

93,5
92,4

92,4

92,4
92,4
92,3
91,1
80
88,2
87,9
70
60
50
40
30
20
10
0
2015 2016 2017 2018 2019 2020 2021
Target (Millions) Achievement (Millions)

Source: Center for Health Financing and Decentralization Policy, Ministry of Health of the
Republic of Indonesia, 2022

In 2020, the Minister of Social Affairs determines the poor and the needy based on an
integrated database of 96.8 million people based on the Decree of the Minister of Social Affairs
Number 1/HUK/2020 concerning Determination of Recipients Health Insurance Contribution
Assistance in 2020. This determination includes babies from PBI who were born in 2020.
Based on the Minister of Social Affairs Regulation Number 5 of 2016 concerning the
Implementation of Government Regulation Number 76 of 2015 concerning Amendments to
Government Regulation Number 101 of 2012 concerning Contribution Assistance Recipients
Health Insurance which has now been changed to Minister of Social Affairs Regulation Number
21 of 2019 concerning Requirements and Procedures for Changing Data on Health Insurance
Contribution Assistance Beneficiaries, it is necessary to verify and validate changes to the Health
Insurance PBI data every month.

110 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


FIGURE 4.12
ALLOCATION AND REALIZATION OF HEALTH INSURANCE PBI
YEAR 2015-2021

0,9769 0,9929 0,9967 0,9996 0,9962 0,9967 0,9855


60 1

50
0,8

48,79
48,62

45,41
44,75
40
0,6

35,91
35,78
30
0,4
25,5

25,5
25,49
25,42
24,99
24,81

20
20,36
19,88

0,2
10

0 0
2015 2016 2017 2018 2019 2020 2021

Allocation in Trillions Realization in Trillions Percentage

Source: Center for Health Financing and Decentralization Policy, Ministry of Health of
the Republic of Indonesia, 2022

The budget allocation for the contribution of Contribution Assistance Recipients (PBI) is
adjusted to existing regulations. There has been a change in the amount of PBI participant
contributions from 2015 to 2021. Pursuant to Presidential Regulation (Perpres) Number 64 of
2020 concerning National Health Insurance, there has been a change in the amount of
contributions, including the Class III 2020 premium of IDR 25,500 (IDR 42,000). subtracted by
the Government subsidy of IDR 16,500), in 2021 and the following year it will be IDR 35,000, as
well as the amount of the contribution of PBI Health Insurance participants, which is IDR 42,000
per person per month which is fully paid by the Government. The Presidential Regulation is the
Second Amendment to Presidential Regulation Number 82 of 2018 which is contained in Article
34 and is in line with the decision of the Supreme Court No. 7P/HUM/2020.
The realization of premium payment of health insurance PBI in 2015 and 2021 was
97.7% and 98.5% of the budgeted allocation was the lowest percentage in the last seven years.

FIGURE 4.13 FIGURE 4.14


NUMBER OF FIRST HEALTH FACILITIES PERCENTAGE OF FIRST HEALTH
(FKTP) IN COLLABORATION FACILITIES (FKTP) IN COLLABORATION
WITH BPJS - KESEHATAN WITH BPJS - KESEHATAN
YEAR 2015-2021 YEAR 2021

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 111


The realization of premium payment of health insurance PBI in 2015 and 2021 was
97.7% and 98.5% of the budgeted allocation was the lowest percentage in the last seven years.

FIGURE 4.13 FIGURE 4.14


NUMBER OF FIRST HEALTH FACILITIES PERCENTAGE OF FIRST HEALTH
(FKTP) IN COLLABORATION FACILITIES (FKTP) IN COLLABORATION
WITH BPJS - KESEHATAN WITH BPJS - KESEHATAN
YEAR 2015-2021 YEAR 2021
Type D Others
Pratam 5,3%
a Others
Individ
Type D
Hospita 5,3%
Others
ual
Type D
Pratam
l 5,3%
Practici
Pratam
a
0,2% Individ
a
Hospita Puskes ng
Individ
ual
Hospita
l mas Doctor
Primary
ual
Practici
l
0,2% 43,1% 21,4%
Puskes Clinic
Practici
ng
0,2% ng
30,0%
Puskes
mas Doctor
Primary
mas
43,1% Doctor
21,4%
Primary
Clinic
43,1% 21,4%
Clinic
30,0%
30,0%

The number of FKTP in cooperation with BPJS-Kesehatan in 2021 has increased, from
19,969 health facilities in 2015 to 23,366 health facilities in 2021. The largest type of FKTP
The number
thatcollaborates withofBPJS-Kesehatan
FKTP in cooperation with BPJS-Kesehatan
is Puskesmas, in 2021
which is 43.1%, hasPrimary
then increased, from
Clinic by
19,969 the
30.0%, The number
health of FKTP in
facilitiespracticing
individual cooperation
in 2015 tomedical with
23,366doctors BPJS-Kesehatan
health facilities
by 21.4%. in 2021
in Detailed
2021. Thedatahas increased,
largest
andtype from
of FKTP
information
19,969 health
thatcollaborates
regarding facilities
FKTP inwith in 2015 to
BPJS-Kesehatan
cooperation 23,366
with the health facilities
is Puskesmas, which
BPJS-Kesehatan in 2021.
in is2021
43.1%,The largest
canthen type
Primary
be seen of FKTP
Clinic
in Appendixby
that collaborates with BPJS-Kesehatan is Puskesmas, which is 43.1%, then
30.0%, the individual practicing medical doctors by 21.4%. Detailed data and information
17.b. Primary Clinic by
30.0%,
regardingtheFKTP
individual practicingwith
in cooperation medical doctors by 21.4%.
the BPJS-Kesehatan Detailed
in 2021 candata and in
be seen information
Appendix
regarding
17.b. FKTP in cooperation with the BPJS-Kesehatan in 2021 can be seen in Appendix
FIGURE 4.15 FIGURE 4.16
17.b.
NUMBER OF ADVANCED REFERRAL PERCENTAGE OF ADVANCED REFERRAL
FIGURE 4.15
HEALTH FACILITIES (FKRTL) IN FIGURE 4.16
HEALTH FACILITIES (FKRTL) IN
NUMBER FIGURE
COLLABORATION 4.15
OF ADVANCEDWITH REFERRAL PERCENTAGE FIGURE 4.16
OF ADVANCED
COLLABORATION WITHREFERRAL
NUMBER
HEALTH OF ADVANCED
FACILITIES
BPJS - KESEHATAN REFERRAL
(FKRTL) IN PERCENTAGE
HEALTH OF ADVANCED
FACILITIES
BPJS REFERRAL
(FKRTL) IN
- KESEHATAN
HEALTH FACILITIES
COLLABORATION (FKRTL)
YEAR 2021 WITH IN HEALTH FACILITIES
YEAR 2021 WITH IN
COLLABORATION (FKRTL)
COLLABORATION
BPJS - KESEHATAN WITH COLLABORATION
BPJS - KESEHATAN WITH
BPJSYEAR
- KESEHATAN
2021 BPJSYEAR
- KESEHATAN
2021
YEAR 2021 YEAR 2021

Main
Clinic
Specialized 11,1%
Main Government
Hospital… Main
Clinic Hospital…
MILITARY /
Specialized Clinic
11,1%Private
Government
POLICE …
Specialized
Hospital… 11,1%
Hospital
Government
Hospital…
Hospital… 46,8%
MILITARY / PrivateHospital…
MILITARY
POLICE… / Private
Hospital
POLICE… Hospital
46,8%
46,8%

Similar to FKTP, the development of FKRTL in cooperation with the BPJS – Kesehatan has increased
from 1,847 health facilities in 2015 to 2,809 health facilities in 2021. The most types of FKRTL are Private
112 Indonesia Health
Similar to Profile
FKTP, the2021 | CHAPTER of
development IV.FKRTL
HEALTH FINANCING with the BPJS – Kesehatan has increased
in cooperation
Similar
from 1,847 to FKTP,
health the development
facilities of FKRTL
in 2015 to 2,809 healthinfacilities
cooperation with
in 2021. themost
The BPJStypes
– Kesehatan has
of FKRTL increased
are Private
from 1,847 health facilities in 2015 to 2,809 health facilities in 2021. The most types of FKRTL are Private
46,8%

Similar to FKTP, the development of FKRTL in cooperation with the BPJS – Kesehatan has increased
from 1,847 health facilities in 2015 to 2,809 health facilities in 2021. The most types of FKRTL are Private
Hospitals, which are 46.8%, Government Hospitals (26.3%), and Specialized Hospitals of 10.5% of all
FKRTL in collaboration with BPJS-Kesehatan.

4.17 FIGURE 4.18


NUMBER OF SUPPORTING HEALTH PERCENTAGE OF SUPPORTING HEALTH
FACILITIES IN COOPERATION WITH FACILITIES IN COOPERATION WITH
BPJS-KESEHATAN YEAR 2021 BPJS-KESEHATAN YEAR 2021

4.500
3.910
4.000
3.500
Optics
3.000
21,8%
2.500
2.000
1.500 1.092 Pharmacy
1.000 78,2%
500
0
Pharmacy Optics

Source: Centre for Health Financing and National Health Insurance, Ministry of Health RI, 2022

In 2021, in addition to FKTP and FKRTL that have been in cooperation with BPJS-Kesehatan,
there are also pharmacies and optics as supporting health facility providers. There are 3,910
pharmacies that have been in cooperation with BPJS-Kesehatan or 78.2% and 1,092 optics or
21.8% of the number of supporting providers that have been in cooperation with BPJS-Kesehatan.

In 2020, the largest proportion of participants came from the PBI (APBN) segment of
49.10%. However, the most significant growth in participants from year to year occurred in
the non-PBI segment. Until the end of 2020, the total coverage of JKN/KIS participation
reached
222.4 million people, where there was a decrease in the number of participants compared
to the number of participants in 2019. This was due to the adjustment of contribution
contributions in the Population segment registered by the Regional Government so that
there was limited fiscal capacity. area to pay fees. In 2020, it was also known that the
Coronavirus disease (Covid-19) pandemic had an impact on the ability to pay dues by
PBPU/BP segment participants.

Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 113


FIGURE 4.19
PJS-KESEHATAN PREMIUM INCOME BY PARTICIPATION SEGMENT
YEAR 2021

Registered resident by
the local government
Non – worker ,11%
,1%

Source: Centre for Health Financing and National Health Insurance, Ministry of Health RI, 2022

The total contribution income up to 31 December 2020 was IDR 138.5 trillions, while
the premium income of BPJS-Kesehatan based on the largest participation segment is from
PPU segment or Wage Workers of IDR 60.9 trillions or around 43.6%, the second largest from
the PBI segment by IDR 47.1 trillions or around 33.7%. Meanwhile, BPJS-Kesehatan
contribution income is based on the lowest participation segment is BP Segment or Non-
Workers by IDR. 2.0 trillion or only approximately 1.5% of total premium income.

FIGURE 4.20 FIGURE 4.21


HEALTH SERVICE UTILIZATION OF JKN PROGRAM BENEFIT COSTS OF JKN PROGRAM
YEAR 2021 YEAR 2021

RITL PROMOTIF
And
RJTP
PREVENTIF RITP
16,3%
0,3% 1,0%

RJTL
RITL
51,2%
RJTL
31,1%

Source: Center for Health Financing and Decentralization Policy, Ministry of Health RI, 2022

114 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING


In 2020, the largest proportion of participants came from the PBI (APBN) segment
of 49.10%. However, the most significant growth in participants from year to year occurred
in the non-PBI segment. Until the end of 2020, the total coverage of JKN/KIS participation
reached
222.4 million people, where there was a decrease in the number of participants compared
to the number of participants in 2019. This was due to the adjustment of contribution
contributions in the Population segment registered by the Regional Government so that
there was limited fiscal capacity. area to pay fees. In 2020, it was also known that the
Coronavirus disease (Covid-19) pandemic had an impact on the ability to pay dues by
PBPU/BP segment participants.

In 2021, the number of health services that are mostly utilized by BPJS-Kesehatan
participants is RJTP or First Level Outpatient, which is 79.8%. Meanwhile, the least utilized
by BPJS-Kesehatan participants is RITL or Advanced Inpatient at 2.0%. Although RITL in terms
of number is the least utilized by BPJS-Kesehatan participants, in terms of financing it is the
largest utilization, which is 51.2% of the total financing for health services. While the lowest
financing is for promotive and preventive programs, which is 0.3%. This figure shows that
BPJS-Kesehatan financing is currently still concentrated in curative or treatment terms, while
promotive and preventive only take a very small portion of BPJS-Kesehatan financing.

Until the end of December 2021, there were eight catastrophic diseases in BPJS-
Kesehatan financing. Catastrophic disease is a disease that requires the highest cost in JKN
services. The disease with the highest cost is heart disease, which requires nearly 8.6 trillions
to finance. Heart disease is also the highest number of disease cases funded by BPJS-
Kesehatan, which is 12,934,931 cases. Meanwhile, the catastrophic disease with the lowest
cost is liver cirrhosis, which was funded by BPJS-Kesehatan in the amount of more than
238.4
billions with 160,152 cases. However, when viewed from the average cost per case, the top
three diseases with the highest costs per case are diseases related to blood disorders,
namely Hemophilia, Leukemia, and Thalassemia.

TABLE 4.2
NUMBER OF CASES AND CATASTROPHIC COSTS IN THE JKN
PROGRAM YEAR 2021
Realization until December 31st, 2021
No Catastrophic
Total Cases Costs Average Cost Per Case
Diseases
1 Heart 12,934,931 8,671,706,289,303 670,410
2 Cancer 2,595,520 3,500,655,437,003 1,348,730
3 Stroke 1,992,014 2,163,344,987,900 1,086,009
4 Kidney Failure 1,417,104 1,781,134,745,860 1,256,884
5 Thalassemia 281,577 604,616,997,602 2,147,253
6 Hemophilia 98,225 590,659,296,753 6,013,330
7 Leukemia 137,749 364,611,205,552 2,646,925
8 Hepatic Cirrhosis 160,152 238,497,880,605 1,489,197
Total 19,617,272 17,915,226,840,578
Source: Centre for Health Financing and National Health Insurance, Ministry of Health RI, 2022

Hepatics Cirrhosis
Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING 115
116 Indonesia Health Profile 2021 | CHAPTER IV. HEALTH FINANCING
Chapter V
FAMILY HEALTH

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 117


118 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH
Family development is carried out in an effort to create quality families who live in a healthy
environment. In addition to a healthy environment, the health condition of each family member is
also one of the requirements for a quality family. The family plays a role in optimizing the growth,
development, and productivity of all its members through fulfilling nutritional needs and ensuring the
health of family members. Within the family component, mothers and children are a vulnerable group.
This is related to the phase of pregnancy, childbirth and postpartum in the mother and the phase of
growth and development in children. This is the reason for the importance of maternal and child
health efforts to be one of the priorities of health development in Indonesia.
Mothers and children are family members who need to get priority in the implementation of
health efforts. Mothers and children are a vulnerable group to family and surrounding conditions in
general, So that an assessment of the health status and performance of maternal and child health is
important to do.

A. MATERNAL HEALTH
The success of maternal health programs can be assessed through the main indicators of the
Maternal Mortality Rate (MMR). Maternal mortality in this indicator is defined as all mortality during
the period of pregnancy, childbirth, and the puerperium caused by its management but not due to
other causes such as accidents or incidentals. MMR is all mortality within that range in every 100,000
live births.
In addition to assessing maternal health programs, this indicator is also able to assess the
degree of public health, because of its sensitivity to improving health services, both in terms of
accessibility and quality. In general, there was a decrease in maternal mortality during the period
1991-2015 from 390 to 305 per 100,000 live births. Although there is a tendency to decrease maternal
mortality, this figure did not succeed in achieving the MDGs target that must be achieved, which is
102 per 100,000 live births in 2015. The results of the 2015 Inter-Census Population Survey (SUPAS)
show that the maternal mortality rate is three times higher than the MDGs target. An overview of
MMR in Indonesia from 1991 to 2015 can be seen in Figure 5.1 below.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 119


FIGURE 5.1
MATERNAL MORTALITY RATE IN INDONESIA PER 100,000 LIVING BIRTHS YEAR 1991 – 2015
400
350 390
359
per 100,000 live births

300 334 305


307
250
200 228
150
100
50
0
1991 1997 2002 2007 2012 2015
Year

Source: BPS, IDHS 1991-2012


*2015 MMR is the result of SUPAS 2015

The number of maternal mortality collected from the recording of family health programs at
the Ministry of Health is increasing every year. In 2021 shows 7,389 mortality in Indonesia. This
number shows an increase compared to 2020 of 4,627 mortality.

FIGURE 5.2
MATERNAL MORTALITY RATE IN INDONESIA
2018 – 2021

Year

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022

Based on the causes, the majority of maternal mortality in 2021 were related to COVID-19 as
many as 2,982 cases, bleeding as many as 1,330 cases, and hypertension in pregnancy as many as
1,077 cases. The number of maternal mortalities by province is presented in Appendix 21.

120 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.3
MATERNAL MORTALITY RATE BY CAUSE
2021

3500 2.982
3000
2500
2000
1.320 1.309
1500 1.077
1000
335 207
500 80 65 14
0

Metabolic Disorder
COVID-19

Bleeding

Infection

Circulatory System

Abortion
Others

Heart
Hypertension In
Pregnancy

Disorders
Source: Directorate General of Public Health, Ministry of Health RI, 2022

Efforts to accelerate the decline in MMR are carried out by ensuring that every mother is able
to access quality health services, such as health services for pregnant women, delivery assistance by
trained health workers in facilities health services, postnatal care for mothers and babies, special care
and referrals in case of complications, and family planning (KB) services including postnatal family
planning.
In the following section, an overview of maternal health efforts is presented consisting of
health services for pregnant women, Tetanus Diphtheria immunization services for Women of
Childbearing Age (WUS), giving blood supplements, maternal health services, postpartum maternal
health services, puskesmas carrying out classes for pregnant women and Delivery Planning and
Complications Prevention Program (P4K), contraceptive/Family Planning (KB) services, and HIV and
Hepatitis B examinations.

1. Antenatal Healthcare
Pregnant women receive services from health workers in health care facilities. This
service is carried out during the mother's gestational age range whose types of services are
grouped according to gestational age into the first trimester, second trimester, and third
trimester. healthcares for pregnant women provided must meet the following types of services.
1. Weighing and measuring height.
2. Blood pressure measurement.
3. Measurement of Upper Arm Circumference (LiLA).
4. Measurement of the height of the top of the uterus (fundus uteri).
5. Determination of tetanus immunization status and provision of tetanus immunization
according to immunization status.
6. Giving blood tablets plus a minimum of 90 tablets during pregnancy.
7. Determination of fetal presentation and Fetal Heart Rate (FHR).
8. Implementation of the interview (providing interpersonal communication and counseling,
including postnatal family planning).
Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 121
9. Simple laboratory test services, at least a blood hemoglobin (Hb) test, urine protein
examination and blood type examination (If it’s never been done before).
10. Cases’ management as indicated.
Health cares for pregnant or antenatal women must meet a minimum frequency of six
antenatal check-ups and two examinations by a doctor. Health checks for pregnant women are
carried out at least once in the first trimester (0-12 weeks of gestation), twice in the second
trimester (12-24 weeks of gestation), and three times in the third trimester (24 weeks of
gestation until delivery). and at least twice checked by a doctor during the first visit in the first
trimester and during the fifth visit in the third trimester. The standard time of service is
recommended to ensure protection for pregnant women and fetuses in the form of early
detection of risk factors, prevention, and early treatment of pregnancy complications.
Assessment of the implementation of health services for pregnant women can be
done by looking at the coverage of K1, K4, and K6. K1 coverage is the number of pregnant
women who have received antenatal care for the first time by health workers, compared to the
target number of pregnant women in one work area within one year. K4 coverage is the number
of pregnant women who have received antenatal care in accordance with the standard at least
four times according to the recommended schedule in each trimester, compared to the target
number of pregnant women in one work area within one year. Meanwhile, K6 coverage is the
number of pregnant women who have received antenatal care in accordance with the standards
of at least six examinations and at least two doctor's examinations according to the
recommended schedule in each semester, compared to the target number of pregnant women
in one work area within one year. These indicators show access to health services for pregnant
women and the level of compliance of pregnant womenin checking their pregnancies to health
workers.
The following figure shows the coverage of health services for pregnant women K4 from
2007 to 2021.

FIGURE 5.4
COVERAGE OF HEALTH SERVICES FOR PREGNANT WOMEN K4 IN INDONESIA
YEAR 2007 – 2021

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

122 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


From 2007 to 2021 coverage of health services of K4 pregnant women tended to
fluctuate. In 2021 the K4 figure is 88.8%, this number is an increase compared to the previous
year. The increase in K4 coverage can be influenced by new adaptations to the COVID-19
pandemic situation in 2021, because in the previous year there were still many restrictions on
almost all routine services including maternal health services, such as pregnant women being
reluctant to go to the puskesmas or other health care facilities for fear infected, there are
recommendations for postponing pregnancy check-ups and classes for pregnant women, as
well as the unpreparedness of services in terms of personnel and infrastructure including
Personal Protective Equipment (PPE).
An overview of the coverage of K4 pregnant women in 2021 by province is presented
in the following figure.

FIGURE 5.5
COVERAGE OF FOURTH VISITS OF ANTENATAL HEALTHCARE IN INDONESIA
BY PROVINCE YEAR 2021

Indonesia 88,77
DKI Jakarta 114,45
West Java 98,78
Banten 95,75
South Sulawesi 93,42
West Nusa Tenggara 93,40
Lampung 92,86
Central Java 91,61
Jambi 91,04
Bali 90,24
South Sumatera 90,06
East Java 89,65
North Kalimantan 89,29
Bengkulu 88,85
East Kalimantan 88,15
Central Kalimantan 88,14
Riau 86,91
West Kalimantan 85,73
Bangka Belitung Island 84,59
North Sumatera 84,19
Gorontalo 82,75
Riau Islands 82,11
South Kalimantan 81,86
Central Sulawesi 80,14
Aceh 78,07
Maluku 77,51
West Sulawesi 76,85
North Sulawesi 75,24
West Sumatera 74,73
Southeast Sulawesi 74,68
North Maluku 67,63
East Nusa Tenggara 63,06
DI Yogyakarta 60,42
Papua 34,11
West Papua 16,83
0 10 20 30 40 50 60 70 80 90 100 110 120

Source: Directorate General of Public Health, Ministry of Health RI, 2022

Health services for pregnant women (K4) in 2021 show that nationally the RPJMN 2021
target has reached 88.8% of the 85% target. There are 17 provinces that have achieved the
RPJMN target of 85%. The highest provincial figure is DKI Jakarta at 114.5%, followed by West
Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 123
Java at 98.8% and Banten at 95.7%. There are two provinces with achievements of less than
50%, namely Papua and West Papua. Coverage that exceeds 100% is because the target data
set is lower than the real target data obtained.

FIGURE 5.6
COVERAGE OF HEALTH SERVICES FOR PREGNANT WOMEN K6
BY PROVINCE IN 2021

Indonesia 63,02

North Sumatera 84,62


Banten 84,24
Bangka Belitung Islands 82,84
DKI Jakarta 82,78
Maluku 81,91
Gorontalo 81,56
East Nusa Tenggara 77,60
West Sulawesi 76,17
Central Java 74,78
South Sumatera 72,87
West Java 69,94
Central Kalimantan 63,42
Riau Islands 62,28
South Kalimantan 59,73
East Jawa 58,72
West Nusa Tenggara 58,15
Jambi 55,70
South Sulawesi 55,43
Bali 51,60
East Kalimantan 48,11
West Papua 44,47
Southeast Sulawesi 44,31
DI Yogyakarta 43,69
Bengkulu 42,48
West Sumatera 42,20
Aceh 41,56
North Sulawesi 41,50
West Kalimantan 41,42
Southeast Sulawesi 39,01
Lampung 36,81
North Maluku 34,27
Riau 29,51
North Kalimantan 28,00
Papua 9,51
0 10 20 30 40 50 60 70 80 90 100 110 120

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

The image above shows health services for pregnant women (K6) in 2021 in Indonesia
at 63% with the highest province being North Sumatra Province at 84, 6%, followed by Banten
at 84.2%, and the Bangka Belitung Islands at 82.8%.
In addition to access to health care facilities, the obstacle faced in the implementation
of health services for pregnant women is the quality of services that must be improved,
including the fulfillment of all components of health services for pregnant women that mustbe
provided during visits. More detailed data and information by province regarding health
services for pregnant women K1, K4, and K6 can be found in Appendix 23.a.
124 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH
2. Administration Diphtheria and Tetanus Toxoids Immunization for
Reproductive-Age Women (WUS)
Tetanus infection is one of the causes of maternal and infant mortality. Thsi happens as
the result of an unsafe/sterile delivery process or from wounds obtained by pregnant women
before giving birth. As an effort to control tetanus infection, which is a risk factor for maternal
and infant mortality and to provide additional protection against diphtheria, the Tetanus
Diphtheria (Td) immunization program for Women of Childbearing Age (WUS) was
implemented. Minister of Health Regulation Number 12 of 2017 concerning the
Implementation of Immunization mandates that women of childbearing age (especially
pregnant women) are one of the population groups that are targeted for further immunization.
Follow-up immunization is a repeat of basic immunization to maintain the level of immunity and
to extend the life of protection.
Women of childbearing age who were targeted for Td immunization were in the 15-39
year age group consisting of pregnant women (pregnant women) and non-pregnant women. Td
immunization in WUS is given in 5 doses at certain intervals, based on the results of the
screening for T status assessment, starting with basic infant immunization, continuing under the
age of five, continuing BIAS and prospective brides or giving vaccines containing "T" in other
immunization activities. One of the follow-up immunizations in WUS is carried out during
antenatal care, or health services at the posyandu.
Screening for “T” status in WUS must be carried out before administering the vaccine.
Provision of Td immunization does not need to be carried out if the screening results show the
WUS status has reached T5, as evidenced by the KIA book, medical record, cohort or other
immunization register books. Groups of pregnant women who have received Td2 to Td5
immunization are said to have received Td2+ immunization. Figure 5.7 shows the coverage of
Td1-Td5 immunization for pregnant women.

FIGURE 5.7
COVERAGE OF Td1-Td5 IMMUNIZATION IN PREGNANT WOMEN
YEAR 2021

Source: Directorate General of P2P, Ministry of Health RI, 2022

The coverage of Td1 to Td5 immunization for pregnant women in 2021 is still very low,
less than 20%. 12.5% Td5 coverage, decreased compared to 2020 of 15.8%.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 125


FIGURE 5.8
COVERAGE OF Td2+ IMMUNIZATION IN PREGNANT WOMEN
YEAR 2021

Indonesia 46,4

West Java 82,5


South Sumatera 80,1
Banten 65,4
East Java 64,1
South Sulawesi 62,1
Gorontalo 62,0
DI Yogyakarta 57,7
Bangka Belitung Islands 50,8
Southeast Sulawesi 50,5
Central Sulawesi 47,0
West Nusa Tenggara 46,3
DKI Jakarta 44,2
West Kalimantan 36,2
Riau Islands 35,9
Bali 35,6
Aceh 34,2
West Sulawesi 33,4
Jambi 32,8
Central Jawa 31,3
Riau 30,5
Maluku 29,7
North Sulawesi 29,1
South Kalimantan 29,0
West Sumatera 24,7
Papua 23,9
West Papua 20,1
Bengkulu 19,8
East Nusa Tenggara 13,7
Central Kalimantan 12,1
North Kalimantan 8,0
East Kalimantan 6,5
0 10 20 30 40 50 60 70 80 90

Source: Directorate General of P2P, Ministry of Health RI, 2022

126 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


The coverage of Td2+ immunization for pregnant women in 2021 is 46.4%. This
coverage is lower than that in 2020 of 54.7%, and also lower than the coverage of services for
K4 pregnant women which was 88.8%. While Td2+ is a prerequisite for health services for
pregnant women K4.
Based on the provincial distribution, West Java Province has the highest coverage at
82.5%, followed by South Sumatra at 80.1%, and Banten at 65.4%. Meanwhile, the provinces of
North Sumatra, Lampung, and North Maluku did not submit reports, so there was no data on
Td2+ immunization coverage. Provinces with low coverage are East Kalimantan at 6.5%, North
Kalimantan at 8%, and Central Kalimantan at 12.1%. More detailed information on Td
immunization in women of childbearing age can be found in Appendix 24-26.

3. Administration of Iron Tablets (TTD) for Pregnant Women


Anemia in pregnant women can increase the risk of premature birth, maternal and child
mortality, and infectious diseases. Iron deficiency anemia in the mother can affect the growth
and development of the fetus/infant during pregnancy and afterward. The results of Riskesdas
2018 state that in Indonesia 48.9% of pregnant women experience anemia. As manyas 84.6%
of anemia in pregnant women occurred in the age group 15-24 years. To prevent anemia, every
pregnant woman is expected to get a minimum TTD of 90 tablets during pregnancy.
The coverage of administering TTD of at least 90 tablets to pregnant women in
Indonesia in 2021 is 84.2%. This figure increased compared to 2020 of 83.6%. Provinces with
the highest coverage of giving iron tablets to pregnant women were Bali at 92.6%, Jambi at
92.1%, and East Java at 91.3%. Meanwhile, the provinces with the lowest achievement were
West Papua at 37.5%, Papua at 56.8%, and Southeast Sulawesi at 64.1%. The complete coverage
of administering iron tablets to pregnant women can be seen in Appendix 27.a.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 127


FIGURE 5.9
COVERAGE OF ADMINISTRATION OF IRON TABLETS (TTD) FOR PREGNANT WOMEN
BY PROVINCE YEAR 2021

Indonesia 84,2

Bali 92,6
Jambi 92,1
East Java 91,3
Bengkulu 90,9
West Java 90,6
Banten 89,9
Riau Islands 89,6
Lampung 89,1
East Kalimantan 87,0
Central Kalimantan 86,1
DI Yogyakarta 86,0
South Sumatera 85,9
North Sulawesi 85,3
North Sumatera 84,4
West Kalimantan 83,7
Bangka Belitung Islands 83,4
Central Java 83,3
Aceh 80,8
West Sulawesi 80,0
West Sumatera 79,9
South Kalimantan 79,0
North Maluku 77,2
DKI Jakarta 76,2
Central Sulawesi 75,6
West Nusa Tenggara 75,6
Gorontalo 74,8
Riau 73,1
East Nusa Tenggara 72,1
Maluku 70,6
South Sulawesi 69,1
North Kalimantan 68,2
Southeast Sulawesi 64,1
Papua 56,8
West Papua 37,5
0 10 20 30 40 50 60 70 80 90 100

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia 2022

4. Delivery Care
In addition to during pregnancy, other efforts are made to reduce maternal mortality
and infant mortality, is by encouraging every delivery to be assisted by competent health
personnel, they are obstetrics and gynecology specialists (SpOG), general practitioners,
midwives, and nurses. in health care facilities. The success of this program is measured by the
percentage of deliveries in health care facilities.
To ensure that delivering women receive health services according to standards, since
2015 every woman giving birth is expected to give birth with the help of competent health
workers in health care facilities. Therefore, the Strategic Plan (RENSTRA) of the Ministry of
Health for 2020-2024 stipulates childbirth assisted by health workers in health service facilities

128 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


as an indicator of family health efforts, replacing the indicator of delivery assistance by health
workers.
Figure 5.10 presents the coverage of deliveries assisted by health workers in health care
facilities in 34 provinces in Indonesia in 2021.

FIGURE 5.10
COVERAGE OF DELIVERIES IN HEALTHCARE FACILITIES
BY PROVINCE IN 2021

Indonesia 90,9

DKI Jakarta 114,8


Banten 99,3
South Sulawesi 99,3
West Java 98,6
Gorontalo 96,9
Bali 95,9
West Nusa Tenggara 94,9
East Java 94,3
Central Java 93,8
Lampung 93,6
South Sumatera 93,6
East Kalimantan 93,5
North Kalimantan 92,5
Bangka Belitung Islands 90,4
Bengkulu 89,8
Jambi 87,5
West Sulawesi 86,9
South Kalimantan 85,0
Riau 84,8
North Sumatera 84,6
Southeast Sulawesi 83,8
Central Sulawesi 83,0
Riau Islands 82,9
Aceh 82,4
North Sulawesi 79,4
West Kalimantan 79,0
West Sumatera 78,2
Central Kalimantan 77,8
East Nusa Tenggara 68,8
North Maluku 66,0
Maluku 66,0
DI Yogyakarta 64,7
Papua 49,6
West Papua 22,8
0 20 40 60 80 100 120 140

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022

Delivery assisted by health personnels in 2021 in Indonesia is 90.9%. This figure is an


increase compared to 86% in 2020 which has not yet reached the 2020 RENSTRA target.
However, in 2021 this indicator has met the 2021 RENSTRA target of 90.92% against the 89%
target.
The significant increase in the scope of delivery services in health facilities in 2021 is the
impact of the efforts made to improve services during the new health adaptation period. It must
be admitted that the COVID-19 pandemic has had a major impact on the disruption of the public
service system, including the health care system. The COVID-19 pandemic has forced all health
care resources to focus on dealing with this impact. Especially in the regions, all health workers
are focused on testing, tracing, and vaccination as well as optimizing beds for handling COVID-

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 129


19, so that it has an impact on maternity services by health workers in health facilities. However,
in 2021 there will be a decrease in the number of COVID-19 cases and an increase in COVID-19
vaccination coverage so that people can access health facilities more and health workers can
refocus on serving deliveries at healthcare facilities.
Provinces with the highest coverage of deliveries in health care facilities were DKI
Jakarta at 114.8%, Banten at 99.3%, and South Sulawesi at 99.3%. The coverage that exceeds
100% is because the target data set is lower than the real/realized data obtained.

5. Postpartum Healthcare
Postpartum health services must be carried out at least four times with the mother and
newborn visiting at the same time, i.e. from six hours to two days after delivery, from the 3rd
to the 7th day after delivery, from the eighth to the seventh day. by day 28 after delivery, and
on day 29 to 42 days after delivery. The types of postpartum maternal health services provided
consist of:
1. History;
2. Check blood pressure, pulse, respiration and temperature;
3. Check for signs of anemia;
4. Examination of uterine fundus;
5. Examination of uterine;
6. Examination of the bladder and urinary tract;
7. examination Lochia and bleeding;
8. Birth canal examination;
9. Breast examination and exclusive breastfeeding assistance;
10. Identification of high risks and complications during the puerperium;
11. Maternal mental status examination;
12. Postpartum contraceptive services;
13. Provision of IEC and counseling;
14. Provision of vitamin A capsules.
Maternity mothers who have made 4 postpartum visits can be counted as having
completed complete postpartum visits (complete KF).
The coverage of postpartum visits by province in Indonesia is shown in Figure 5.11
below.

FIGURE 5.11
COVERAGE OF COMPLETE POSTPARTUM VISITS IN INDONESIA
BY PROVINCE YEAR 2021

130 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


Indonesia FIGURE 5.11 90,7
COVERAGE OF COMPLETE POSTPARTUM VISITS IN INDONESIA
DKI Jakarta 114,2
West Java BY PROVINCE YEAR 2021 102,4
Central Kalimantan 97,7
Banten 97,6
Central Java 95,7
SouthIndonesia
Sulawesi 90,795,7
Bali 94,8
DKI Jakarta
Lampung 92,3 114,2
West Nusa West Java
Tenggara 91,9 102,4
Central Kalimantan
Jambi 91,997,7
Banten
East Java 91,497,6
NorthCentral Java
Kalimantan 90,795,7
South Sulawesi
Bangka Belitung Islands 90,295,7
South Sumatera Bali 88,694,8
Lampung
Maluku 86,792,3
West Nusa Tenggara
Bengkulu 86,291,9
Jambi
West Sulawesi 86,191,9
East Java
East Kalimantan 85,691,4
North
West Kalimantan 85,390,7
Bangka Belitung Islands
Riau 83,0 90,2
South Sumatera
North 82,688,6
Maluku
East Nusa Tenggara 86,7
82,6
Bengkulu
Gorontalo 81,086,2
West Sulawesi
Aceh 79,2 86,1
East Kalimantan
South 78,4 85,6
WestRiau
Kalimantan
Islands 78,3 85,3
West Sumatera Riau 78,183,0
North Sumatera
Southeast Sulawesi 77,482,6
East North
Nusa Tenggara
Sulawesi 75,3 82,6
Gorontalo
DI Yogyakarta 64,6 81,0
Aceh
North Maluku 64,0 79,2
South Kalimantan
Central Sulawesi 61,0 78,4
Riau Islands
Papua 39,8 78,3
West Sumatera
West Papua 33,8 78,1
Southeast Sulawesi 77,4
North Sulawesi 0 20 40 60 80
75,3 100 120
DI Yogyakarta 64,6
Source: Directorate 64,0
North MalukuGeneral of Public Health, Ministry of Health, Republic of Indonesia, 2022
Central Sulawesi 61,0
Papua 39,8
West Papua 33,8
0 20 40 60 80 100 120

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

The coverage of complete KF visits in Indonesia in 2021 is 90.7%. Provinces with the
highest coverage were DKI Jakarta at 114.2%, West Java at 102.4%, and Central Kalimantan at
97.7%. Meanwhile, West Papua, Papua and Central Sulawesi have the lowest coverage.
Coverage that exceeds 100% is because the target data set is lower than the real data obtained.

6. Puskesmas Implementing
The coverage Antenatal
of complete KF visits Classes
in Indonesia in 2021and Delivery
is 90.7%. Planning
Provinces with the
highest coverage were DKI Jakarta at 114.2%, West Java at 102.4%, and Central Kalimantan at
and Complication Prevention Program (P4K)
97.7%. Meanwhile, West Papua, Papua and Central Sulawesi have the lowest coverage.
The
Coverage reduction
that in maternal
exceeds 100% and the
is because child mortality
target cannot
data set be than
is lower separated from
the real datathe role of
obtained.
community empowerment, one of which is carried out through the implementation of
6. Puskesmas
Antenatal Implementing
Classes and Antenatal
the Delivery Planning ClassesPrevention
and Complications and Delivery
ProgramPlanning
(P4K).
andThe
Complication Prevention Program (P4K)
Ministry of Health sets indicators for the percentage of puskesmas implementing
classes for
Thepregnant women
reduction and theand
in maternal percentage of puskesmas
child mortality cannot carrying out P4K
be separated orientation
from the role as
of
an effort to reduce maternal and child mortality.
community empowerment, one of which is carried out through the implementation of
Antenatal Classes and the Delivery Planning and Complications Prevention Program (P4K).
Indonesiafor
The Ministry of Health sets indicators Health Profile 2021
the percentage CHAPTER V.
of|puskesmas FAMILY HEALTH 131
implementing
classes for pregnant women and the percentage of puskesmas carrying out P4K orientation as
an effort to reduce maternal and child mortality.
The class for pregnant women is a means for pregnant women and their families to
learn together about the health of pregnant women, which is carried out face-to-face in
groups. This activity aims to increase the knowledge and skills of mothers and families regarding
pregnancy, childbirth, postpartum, postnatal family planning, prevention of complications, care
for newborns and physical activity or exercise for pregnant women.
The coverage of the puskesmas implementing antenatal classes ware obtained by
counting the puskesmas that had implemented the antenatal class compared to the total
number of puskesmas in the regency/city. The Puskesmas is said to have carried out the
antenatal class if it has carried out the antenatal class at least in 50% of the villages or hamlets.

FIGURE 5.12
PUSKESMAS PROVIDING ANTENATAL CLASSES BY PROVINCE
YEAR 20

Indonesia 83,51

North Kalimantan 100,00


West Nusa Tenggara 100,00
Riau Islands 100,00
Bangka Belitung Island 100,00
Lampung 100,00
Bengkulu 100,00
South Sumatera 100,00
DI Yogyakarta 95,04
Jambi 94,20
Banten 93,88
Riau 93,51
East Nusa Tenggara 93,17
East Java 93,08
South Kalimantan 91,95
Central Sulawesi 91,79
West Java 90,86
West Sumatera 89,86
Gorontalo 89,25
Southeast Sulawesi 86,64
Maluku 85,12
Aceh 82,17
West Kalimantan 81,30
South Sulawesi 81,13
Central Kalimantan 80,00
Central Java 79,27
North Sumatera 77,14
West Sulawesi 76,04
North Maluku 69,39
Bali 68,33
East Kalimantan 67,38
DKI Jakarta 67,30
North Sulawesi 62,05
Papua 39,72
West Papua 14,91
0 20 40 60 80 100 120

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

In 2021, there are 83.5% of puskesmas were recorded as arranging P4K orientation;
This figure is higher than in 2020 of 69.9%. Seven provinces got 100% achievement, namely,

132 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


Riau Islands, West Nusa Tenggara, South Sumatra, North Kalimantan, Bangka Belitung Islands,
Lampung, and Bengkulu. Meanwhile, West Papua Province had the lowest score of 14.9%,
followed by Papua (39.7%) and North Sulawesi (62.1%).
P4K is a program that is implemented to achieve the target of reducing AKI. This
program focuses on community empowerment in monitoring pregnant women and giving birth.
The indicator of puskesmas carrying out P4K orientation calculates the percentage of
puskesmas carrying out P4K orientation. What is meant by the orientation is a meeting organized
by the puskesmas by inviting cadres and/or village midwives from all villages in theirarea order to
provide debriefing to increase the active role of husbands, families, pregnant women and the
community in planning safe deliveries and preparation for facing complications of pregnancy,
childbirth and the puerperium.

FIGURE 5.13
PUSKESMAS PROVIDING DELIVERY PLANNING AND COMPLICATION
PREVENTION PROGRAM (P4K) ORIENTATION BY PROVINCE
YEAR 2021

Indonesia 85,5

West Papua 100,0


West Sulawesi 100,0
North Kalimantan 100,0
East Kalimantan 100,0
South Kalimantan 100,0
Central Kalimantan 100,0
Bali 100,0
Banten 100,0
DI Yogyakarta 100,0
Central Java 100,0
Kepulauan Riau 100,0
Bangka Belitung Islands 100,0
Lampung 100,0
Bengkulu 100,0
Jambi 100,0
Riau 100,0
West Kalimantan 95,5
West Java 94,3
West Sumatera 92,8
East Java 91,7
Aceh 91,1
South Sulawesi 90,7
South Sumatera 88,4
Southeast Sulawesi 86,3
DKI Jakarta 85,7
Gorontalo 82,8
North Sumatera 79,3
Maluku 74,4
West Nusa Tenggara 69,0
Maluku Utara 59,9
North Sulawesi 57,9
East Nusa Tenggara 42,2
Central Sulawesi 38,6
Papua 16,4
0 20 40 60 80 100 120

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

In 2021 85.5% of registered health centers have carried out P4K orientation. This
percentage has increased compared to 2020, where 53.9% of puskesmas have conducted P4K
Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 133
West Nusa Tenggara 69,0
Maluku Utara 59,9
North Sulawesi 57,9
East Nusa Tenggara 42,2
Central Sulawesi 38,6
Papua 16,4
0 20 40 60 80 100 120

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

In 2021 85.5% of registered health centers have carried out P4K orientation. This
percentage has increased compared to 2020, where 53.9% of puskesmas have conducted P4K
orientation. A total of 16 provinces have 100% achievement, which means that all puskesmas
in the area have carried out P4K orientation, the provinces are Riau, Central Kalimantan, East
Kalimantan, Riau Islands, West Papua, Jambi, West Sulawesi, North Kalimantan, South
Kalimantan, Bali, Banten , DI Yogyakarta, Central Java, Bangka Belitung Islands, Lampung, and
Bengkulu.

7. Contraceptive Services
Contraceptive services, hereinafter abbreviated as KB, is an effort to regulate the birth
of children, the ideal distance and age to give birth, to regulate pregnancy, through promotion,
protection and assistance in accordance with reproductive rights to create a quality family.
Family planning is one of the strategies to support the acceleration of reducing maternal
mortality by:
1. regulating the time, distance and number of pregnancies;
2. Prevent or minimize the possibility of a pregnant woman experiencing complications that
endanger the life or fetus during pregnancy, childbirth and the puerperium;
3. Preventing mortality in a woman who experiences complications during pregnancy,
childbirth and the puerperium.
Family planning participants are reproductive-age couples (PUS) who are currently
using one of the contraceptive methods without interspersed with pregnancy. PUS KB
participants consist of modern family planning participants (using family planning
tools/medicines/methods in the form of female sterile (MOW), male sterile (MOP), IUD/IUD).
Implants/implants, injections, pills, condoms and the Lactational Amenorrhea Method (MAL)
and traditional family planning participants (using contraception tools/medicines/methods in
the form of periodic abstinence, interrupted intercourse, and other traditional family planning
tools/medicines/methods).

134 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.14
COVERAGE OF ACTIVE KB ACCEPTORS IN INDONESIA
YEAR 2021

Indonesia 57,4

South Kalimantan 67,9


Bangka Belitung Islands 67,5
Bengkulu 65,5
Central Kalimantan 64,3
Jambi 64,0
East Java 63,8
Lampung 62,1
South Sumatera 61,3
Gorontalo 61,1
Central Java 60,7
West Java 59,1
West Kalimantan 58,4
West Nusa Tenggara 58,2
Banten 57,2
North Sulawesi 56,6
DI Yogyakarta 56,2
Bali 54,0
Central Sulawesi 53,7
South Sulawesi 52,8
East Kalimantan 51,4
West Sumatera 51,3
Aceh 50,7
West Sulawesi 50,3
Southeast Sulawesi 48,3
North Maluku 46,6
Riau 46,3
North Kalimantan 45,3
Riau Islands 42,3
North Sumatera 41,2
East Nusa Tenggara 39,9
Maluku 33,9
West Papua 29,4
Papua 15,4
0 10 20 30 40 50 60 70 80

Source: Family Data Collection 2021, BKKBN, 2022

According to the results of the 2021 family data collection, the BKKBN, it shows that the
prevalence rate of EFA of family planning participants in Indonesia in 2021 is 57.4%. Based on
the provincial distribution, the highest prevalence rates for family planning use were South
Kalimantan (67.9%), Bangka Belitung Islands (67.5%), and Bengkulu (65.5%), while the lowest
were Papua (15.4%), Papua West (29.4%) and Maluku (33.9%). Meanwhile, DKI Jakarta Province
is not recorded in the graph above because the data sourced from CARIK JAKARTA has not been
integrated into the 2021 family data collection data, the BKKBN.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 135


FIGURE 5.15
COVERAGE OF ACTIVE KB ACCEPTORS BY MODERN CONTRACEPTIVE METHODS
YEAR 2021

70
59,91
60

50

40

30

20 15,79
10,00 7,99
10 4,19 1,84 0,22 0,05
0

Source: BKKBN, 2022


Note: MOW = Female Operation Method
MOP = Male Operation Method
IUD / IUD = Intra Uterine Device/ Contraceptive Device in the womb
MAL = Lactational Amenorrhea Method The

The pattern of choosing the type of modern contraceptive method in 2021 shows that
most of the acceptors choose to use injections at 59.9%, followed by pills at 15.8%. This pattern
occurs every year, where family planning participants prefer short-term contraceptive methods
than long-term contraceptive methods (MKJP). In terms of effectiveness, these two types of
contraception devices/drugs/methods (injections and pills) belong to the Short-Term
Contraceptive Method so that the level of effectiveness in controlling pregnancy is lower than
the Long-Term Contraceptive Method (MKJP). MKJP is a contraception that can be used for a
long period of time, more than two years, is effective and efficient for the purpose of spacing
births for more than three years or terminating pregnancy in women who do not want to have
more children. KB tools/medicines/methods included in MKJP are IUD/IUD, Implants, MOP and
MOW.
The government is obligated to ensure the availability of safe, quality, and affordable
reproductive health information and service facilities, including family planning. Health cares in
family planning are intended to regulate pregnancy for couples of childbearing age to form a
healthy and intelligent next generation. PUS can get contraceptive services in places that serve
family planning programs. An overview of the place of serving family planning in Indonesia is
shown in Figure 5.16 below.

136 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.16
PERCENTAGE OF KB SERVICE FACILITIES IN INDONESIA
YEAR 2021

Midwives independent practice

Pustu/Pusling/Village Midwives

Goverment hospital/TNI/Polri
Puskesmas/Clinic TNI/Polri

Drug store / Pharmacy

Private Hospital

KB Service Car
Private Clinic

Others
Clinic
Source: Family Data Collection, BKKBN, 2022

Based on family planning services, EFA is mostly served by midwives independent


practice at 33.1%, then Pustu/Pusling/Village Midwives (28 ,3%), and Puskesmas/Clinic
TNI/Polri (12,6%).

8. HIV and Hepatitis B Examination for Pregnant Women

a. HIV
HIV examination in pregnant women aims to prevent cases in infants born. Mother-to-
child transmission of HIV can occur during pregnancy, during delivery and during breastfeeding.
HIV infection in infants can cause illness, disability and mortality so that it impacts negatively
on the survival and quality of life of children.
During 2021 there were 2,485,430 pregnant women tested for HIV in Indonesia. From
these examinations, 4,466 (0.18%) pregnant women were HIV positive. Provinces with the
highest percentage of HIV-positive pregnant women were North Maluku Province at 1.52%,
Papua at 1.25% and Maluku at 0.91%. Complete data can be seen in Appendix 30.b

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 137


FIGURE 5.17
PERCENTAGE OF HIV-POSITIVE PREGNANT WOMEN BY PROVINCE
YEAR 2021

Indonesia 0,18

North Maluku 1,52


Papua 1,25
Maluku 0,91
East Nusa Tenggara 0,70
West Papua 0,70
Riau Islands 0,35
Bali 0,31
West Java 0,30
East Kalimantan 0,27
North Sumatera 0,23
Jambi 0,22
Southeast Sulawesi 0,19
North Sulawesi 0,17
West Kalimantan 0,17
South Kalimantan 0,15
East Java 0,14
West Java 0,14
Gorontalo 0,13
North Kalimantan 0,10
Central Kalimantan 0,10
South Sulawesi 0,10
DKI Jakarta 0,10
Bangka Belitung Islands 0,09
West Sumatera 0,08
Banten 0,08
West Sulawesi 0,07
Riau 0,07
DI Yogyakarta 0,07
West Nusa Tenggara 0,06
Lampung 0,04
Central Sulawesi 0,04
South Sumatera 0,02
Aceh 0,01
Bengkulu 0,01
0,00 0,20 0,40 0,60 0,80 1,00 1,20 1,40 1,60

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

b. Hepatitis B
Virus transmission generally occurs vertically (from mothers who are positive for
hepatitis B to their babies) and horizontally (from individuals who are positive for hepatitis B
to other individuals). In endemic areas such as Indonesia, hepatitis B transmission generally
occurs vertically, especially during the perinatal period and 95% of infants infected during the
perinatal period will develop chronic hepatitis B.
To prevent transmission from mother to child, prevention efforts have been carried out,
including by conducting Early Detection of Hepatitis B (DDHB) in pregnant women using aRapid
Diagnostic Test (RDT) for Hepatitis B Surface Antigen (HBsAg). HBsAg is a surface antigen found
in the hepatitis B virus which indicates the presence of hepatitis B infection. DDHB aims to find
pregnant women infected with hepatitis B (HBsAg Reactive) as early as possible, then follow
up with a series of efforts on infants of mothers who detected HBsAg

138 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


Reactive, which was preceded by giving vitamin K1 then Hepatitis B (HB0) and HBIg (Hepatitis
B Immunoglobulin) vaccine before 24 hours of birth. HBIg is a serum hepatitis B specific
antibody that provides direct protection to infants.
The implementation of DDHB in at-risk groups/pregnant women has been carried out
since 2013 with trials in one province, namely DKI Jakarta on 5,000 pregnant women, the
implementation of DDHB continues to be gradually expanded to all districts/cities in Indonesia.
The percentage of districts/cities implementing the 2021 DDHB by province is illustrated in the
graph below.

FIGURE 5.18
PERCENTAGE OF REGENCY/CITY IMPLEMENTING HEPATITIS B EARLY
DETECTION (DDHB) BY PROVINCE YEAR 2021

Indonesia 93,0

North Maluku 100,0


West Sulawesi 100,0
Gorontalo 100,0
South Sulawesi 100,0
Central Sulawesi 100,0
North Kalimantan 100,0
East Kalimantan 100,0
South Kalimantan 100,0
Central Kalimantan 100,0
East Nusa Tenggara 100,0
West Nusa Tenggara 100,0
Bali 100,0
Banten 100,0
East Java 100,0
DI Yogyakarta 100,0
Central Java 100,0
West Java 100,0
DKI Jakarta 100,0
Riau Islands 100,0
Bangka Belitung Island 100,0
Lampung 100,0
Bengkulu 100,0
South Sumatera 100,0
Jambi 100,0
Riau 100,0
West Sumatera 100,0
Aceh 100,0
North Sulawesi 93,3
Maluku 90,9
Southeast Sulawesi 88,2
West Kalimantan 85,7
North Sumatera 75,8
West Papua 61,5
Papua 41,4
0 20 40 60 80 100 120

Source: Directorate General of P2P, Ministry of Health RI, 2022

The RENSTRA target for districts/cities implementing DDHB in 2021 is 90% (462
districts/cities). In 2021, DDHB for pregnant women/risk groups has been implemented in 478

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 139


regencies/cities or 93% spread across 34 provinces. There are 29 provinces that have reached
the target. Provinces with the highest achievement (100%) were 27 provinces while there were
five provinces that had not yet reached the target, including Papua (41.4%), West Papua
(61.5%), North Sumatra (75.8%), West Kalimantan (85.7%), and Southeast Sulawesi (88.2%).

FIGURE 5.19
PERCENTAGE OF PREGNANT WOMEN PERFORMING HEPATITIS B EARLY DETECTION (DDHB)
BY PROVINCE YEAR 2021

Indonesia 60,3
South Sulawesi 84,9
Bali 83,0
North Kalimantan 81,9
Gorontalo 80,9
Central Java 79,9
Central Kalimantan 79,6
Aceh 78,8
Bangka Belitung… 77,6
East Java 76,0
East Kalimantan 74,5
DKI Jakarta 71,8
Lampung 71,3
South Kalimantan 69,8
West Nusa Tenggara 68,6
Banten 68,1
West Sulawesi 67,6
West Sumatera 62,2
Jambi 60,1
South Sumatera 57,0
Central Sulawesi 56,9
West Java 51,5
DI Yogyakarta 50,6
West Kalimantan 49,8
East Nusa Tenggara 48,5
Bengkulu 47,9
North Maluku 47,6
Riau 38,4
Southeast Sulawesi 37,2
Riau Islands 36,5
Maluku 35,5
North Sulawesi 31,4
Papua 27,7
West Papua 26,0
North Sumatera 10,6
0 10 20 30 40 50 60 70 80 90

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

The percentage of pregnant women carrying out DDHB in 2021 by province can be seen
in Figure 5.19. In 2021, 60.3% of pregnant women carried out DDHB of the target number of
pregnant women in 2021 as many as 4,887,405 pregnant women. The provinces with the
highest achievements were South Sulawesi at 84.9%, Bali at 83%, and North Kalimantan at
81.9%.
The number of pregnant women who were tested for hepatitis B using the RDT HBsAg
in 2021 was 2,946,013 people or 60.3% of the targeted pregnant women. This achievement
shows an increase compared to the previous year, namely 2,682,297 or 51.4% of pregnant
women who were reached by the examination.
The results of the 2021 HBsAg RDT examination found that 47,550 or 1.6% of pregnant
women showed reactive results.

140 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.20
PERCENTAGE OF PREGNANT WOMEN WITH REACTIVE HBSAG BY PROVINCE
YEAR 2021

Indonesia 1,6

East Nusa Tenggara 5,0


North Papua 4,2
Maluku Utara 3,3
Gorontalo 3,3
Papua 3,1
Southeast Sulawesi 3,0
West Nusa Tenggara 2,9
Maluku 2,7
Central Kalimantan 2,3
West Kalimantan 2,3
Central Sulawesi 2,3
North Kalimantan 2,2
South Sulawesi 2,0
East Kalimantan 2,0
South Kalimantan 1,9
West Sulawesi 1,9
East Java 1,8
Bangka Belitung Islands 1,8
Bengkulu 1,7
Riau Islands 1,6
Riau 1,5
Central Java 1,4
Banten 1,4
Jambi 1,3
North Sumatera 1,3
West Java 1,3
Lampung 1,2
Bali 1,2
North Sulawesi 1,1
Aceh 1,0
West Sumatera 1,0
DKI Jakarta 1,0
DI Yogyakarta 0,8
South Sumatera 0,8
0 1 2 3 4 5 6

Source: Directorate General of P2P, Ministry of Health RI, 2022

In 2021, 1.6% of pregnant women showed reactive HBsAg results. This figure shows a
slight decrease compared to 2020, namely 1.7% of pregnant women who were declared
reactive.
The provincial distribution shows East Nusa Tenggara Province with the highest
percentage of 5%, followed by West Papua (4.2%) and North Maluku (3.3%). Data/information
related to hepatitis B by province can be found in Appendix 30.c.

B. CHILD'S HEALTH
Regulation of the Minister of Health Number 25 of 2014 concerning Child Health Efforts states
that every child has the right to survive, grow, and develop, and has the right to protection
from violence and discrimination. This causes the need for integrated, comprehensive, and
sustainable child health efforts. Child health efforts are carried out from the fetus in the womb
until the child is 18 years old. One of the goals of child health efforts is to ensure the survival
Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 141
of children through efforts to reduce the mortality rate of newborns, infants and toddlers.
FIGURE 5.21
NUMBER OF MORTALITY TO CHILDREN (0 – 59 MONTHS)
IN INDONESIA BY AGE GROUPS
YEAR 2021

25.000
20.154
20.000

15.000

10.000
5.102
5.000 2.310

0
0-28 days 29 days - 11 months 12 - 59 months

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

The trend of child mortality from year to year shows a decline. Data reported to the
Directorate of Maternal and Child Nutrition and Health via https://komdatkesmas.kemkes.go.id shows
the number of under-five mortalities in 2021 as many as 27,566 under-five mortalities, a decrease
compared to 2020, which was 28,158 mortalities. Of all under-five mortalities, 73.1% of them occurred
in the neonatal period (20,154 mortalities). Of all reported neonatal mortality, most of them (79.1%)
occurred at the age of 0-6 days, while mortality at the age of 7-28 days were 20.9%. Meanwhile,
mortality in the post-neonatal period (aged 29 days-11 months) was 18.5% (5,102 mortalities) and
mortality for children under five (aged 12-59 months) was 8.4% (2,310 mortalities).

FIGURE 5.22
PROPORTION OF NEONATAL MORTALITY CAUSES (0-28 DAYS) IN INDONESIA
YEAR 2021

Tetanus
neonatorium
0% 20% BBLR
COVID-19 35%
0%
Infection
4%
Congenital
abnormalities Asphyxia
13% 28%

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
The most common causes of neonatal mortality in 2021 are low birth weight (LBW) conditions
of 34.5% and asphyxia of 27.8%. Other causes of mortality include congenital abnormalities, infection,
COVID-19, neonatal tetanus, and others.
142 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH
Congenital
abnormalities Asphyxia
13% 28%

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
The most common causes of neonatal mortality in 2021 are low birth weight (LBW) conditions
of 34.5% and asphyxia of 27.8%. Other causes of mortality include congenital abnormalities, infection,
COVID-19, neonatal tetanus, and others.

FIGURE 5.23
PROPORTION OF POST-NEONATAL MORTALITY CAUSES (29 DAYS-11 MONTHS)
IN INDONESIA YEAR 2021

Pneumonia
14%

Diare
14%
Other Congenital
Abnormalities
Congenital
56%
abnormalities
11%
COVID-19
Perinatal 1%
Drowning, injury,
accident Condition
0% PD3I 1% Neurological
0% Dengue fever Meningitis Disease
1% 1% 1%

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Infectious diseases are a contributor to mortality in the post-neonatal period. In 2021,


pneumonia and diarrhea are still the most common causes of mortality in the post-neonatal period,
namely 14.4% of mortality due to pneumonia and 14% of mortality due to diarrhea. In addition,
congenital abnormalities cause mortality by 10.6%. Other causes of mortality include COVID-19,
perinatal conditions, neurological diseases, meningitis, dengue fever, and others. The main causes of
mortality in the neonatal and post-neonatal period in more detail can be seen in Appendix 32.a.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 143


FIGURE 5.24
PROPORTION OF CAUSES OF MORTALITY CAUSES TO TODDLER (12-59 MONTHS)
IN INDONESIA YEAR 2021

Diarrhea Pneumonia
10% 9%

Dengue fever
4%
Heart congenital
Etc abnormalities
59% 3%
Ex. Other
Drowning,
congenital
injury,
6%
accident
5%
Nerve Covid-19
PD3I disease Parasitic infection
1% 2%
0% 1%

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

The main causes of mortality among children under five (12-59 months) are diarrhea at 10.3%
and pneumonia by 9.4%. Other causes of mortality include dengue fever, congenital heart defects,
drowning, injuries, accidents, other congenital abnormalities, COVID-19, parasitic infections,and other
causes. The main causes of mortality in children under five in more detail can be seen in Appendix
32.b.
Child health efforts as referred to in the Regulation of the Minister of Health Number 25 of
2014 are carried out through health services for the fetus in the womb, newborn health, infant health,
toddlers, and preschoolers, health for school-age children and adolescents, and child health
protection.
In this Indonesian Health Profile, data and information on child health efforts are presented
in child health indicators which include: neonatal health services, routine immunizations for children,
and health services for school children.

1. Neonatal Health Services


During the neonatal period (0-28 days) there are very large changes from life in the
womb and organ maturation in almost all systems. Babies up to the age of one month are the
age group that has the highest risk of health problems and various health problems can arise,
so that without proper treatment, it can be fatal. Several health efforts were made to control
the risk in this group, among others, by ensuring that deliveries can be carried out by health
workers in health facilities, as well as ensuring the availability of standard health services at
newborn visits. Neonatal visits should ideally be carried out 3 times, namely at the age of 6-48
hours, at the age of 3-7 days, and at the age of 8-28 days.

144 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.25
LOW BIRTH WEIGHT (LBW) BABIES
IN INDONESIA YEAR 2018-2021
100 4,0
89,5
90 3,4 81,8 3,5
80 3,1
69,3 3,0
70 2,5
60 2,5
50 2,0
40 1,5
30
1,0
20
10 0,5
0 0,0
2019 2020 2021

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

One of the services provided to newborns is weighing. Based on data reported from 34
provinces to the Directorate of Maternal and Child Nutrition and Health, in 2021 there were
3,632,252 newborns who were reported to be weighed (81.8%). Meanwhile, of the newborns
who were weighed there were 111,719 LBW babies (2.5%). The number of LBW babies
decreased compared to the previous year, which was 129,815 babies (3.1%).
The condition of LBW babies is caused by the condition of the mother during pregnancy
(adolescent pregnancy, malnutrition, and pregnancy complications), twins, the fetus has
congenital abnormalities or conditions, and disorders of the placenta that inhibit the baby's
growth (intrauterine growth restriction). LBW babies without complications can catch up with
the weight loss with age. However, LBW infants have a greater risk of stunting and develop non-
communicable diseases as adults, such as diabetes, hypertension, and heart disease. Details of
data on LBW infants can be seen in Appendix 33.
An indicator that describes the health efforts made to reduce the risk of mortality in the
neonatal period (0-28 days), namely the coverage of neonatal visits. This effort is to detectas
early as possible health problems that can cause newborn mortality. This effort also aims to
ensure that the services that newborns should receive can be implemented. Services at this visit
were carried out using an Integrated Management of Young Toddler (MTBM) approach,
including including counseling for newborn care, exclusive breastfeeding, administration of
vitamin K1 injection (if not already given) and Hepatitis B0 injection (if not already given).
Neonatal visit coverage indicators are measured in the Ministry of Health's Strategic
Plan (Renstra) for 2020-2024. This indicator is a development of the percentage coverage of the
first neonatal visit (KN1) from the 2015-2019 Strategic Plan. The coverage of neonatal visits is
calculated based on the number of newborns aged 0-28 days who receive services accordingto
standards at least three times, with a time distribution of 1 time in the 6-48 hour period, 1 time
on the 3rd day to the 7th day, and 1 time on the 8th day to the 28th day after birth, compared

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 145


to the total number of newborns aged 0-28 days in an area at a certain time, multiplied by 100%.

FIGURE 5.26
COVERAGE OF THE FIRST NEONATAL VISIT (KN1) AND COMPLETE KNIN INDONESIA YEAR 2018-2021

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

If you look at the trend of the last few years, the coverage of KN1 decreased from 2018
to 2020, but increased in 2021, that is 100.2%. Meanwhile, complete KN coverage decreased
in 2018 and 2019, but increased again in 2020 and 2021. Complete KN coverage in 2021 was
96.3%. This figure has reached the strategic plan target for 2021, which is 88%. A total of 24
provinces (70.6%) have met the target. Complete KN coverage by province can be seen in Figure
5.26.

146 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.27
COVERAGE OF 3 NEONATAL VISITS (FULL KNOWLEDGE)
BY PROVINCE IN 2021

West Papua 0,0


Papua 47,4
North Sulawesi 55,6
East Nusa Tenggara 73,1
North Maluku 74,0
Maluku 78,3
Riau islands 81,1
West Sumatra 81,3
Aceh 84,1
Central Java 86,1
North Sumatra 86,3
Central Sulawesi 86,9
Southeast Sulawesi 87,2
Riau 88,2
West Kalimantan 89,0
Bengkulu 90,1
West Sulawesi 90,6
Central Kalimantan 91,5
South Kalimantan 92,4
North Kalimantan 93,3
Gorontalo 93,4
Bangka Belitung Islands 94,0
Lampung 95,7
South Sumatra 95,8
East Kalimantan 96,3
Jambi 96,6
West Nusa Tenggara 97,9
Bali 100,0
South Sulawesi 101,3
Banten 101,6
West Java 104,3
DKI Jakarta 115,9
D.I. Yogyakarta 116,2
118,7
0
Indonesia 96,3
0 20 40 60 80 100 120

Source: Directorate General of Public Health, Ministry of Health RI, 2022

The results of national achievements per province still have disparities in KN1 coverage
which ranged between 17,1% in West Papua dan 118,7% di East Java. Some provinces get
coverage of more than 100% because the target data set is lower than the real target data.
Provinces with coverage of more than 100% were East Java, DI Yogyakarta, DKI Jakarta, West
Java, Banten, South Sulawesi and Bali. Details of the complete KN1 and KN coverage data can
be seen in Appendix 34.

2. Health Services for Infants, Toddlers and Preschoolers


According to the Regulation of the Minister of Health Number 25 of 2014 concerning
Health Services for Infants, Toddlers and Preschools Article 21, health services for infants,
toddlers and preschools are carried out through exclusive breastfeeding until the age of 6
months, breastfeeding for up to 2 (two) years, providing complementary feeding for breast milk
(MP ASI) starting at the age of 6 (six) months, providing complete basic immunization for infants,
providing further immunizations for DPT/HB/ Hib for children aged 18 months and measles

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 147


immunization for children aged 24 months, giving vitamin A, efforts to parenting children,
monitoring growth, monitoring development, monitoring growth and development disorders,
Integrated Management of Sick Toddlers (MTBS), and referring cases that cannot behandled in
a stable condition and on time to a more capable health care facility.
Health service activities for infants, toddlers and preschools are carried out by health
workers together with posyandu cadres, Early Childhood Education (PAUD)/Kindergarten
(TK)/Raudhatul Athfal (RA) teachers with a minimum of toddler health services including weight
weighing, measurement of body length/height, monitoring of development, administration of
vitamin A (aged 6-59 months), complete basic immunization and services forsick toddlers with
the IMCI approach.
Healthcares for infants, toddlers and preschoolers aim to reduce infant and under-five
mortality, improve the quality of life of children under five (reducing the prevalence of stunting
and wasting through efforts to fulfill essential services as disease prevention, early detectionof
disease risk in infants, toddlers and so that they can be followed up on a regular basis). The
results of health services at posyandu, PAUD/TK/RA, puskesmas, hospitals and other health
facilities can be used as planning and evaluation materials for puskesmas so that the
implementation of improving the health of infants, toddlers and preschools can be more
targeted and targeted.
To reduce infant and under-five mortality, it is necessary to optimize the use of the KIA
handbook by mothers with toddlers through family and community empowerment. The KIA
Handbook is a home-base record to ensure continuum of care (COC) for mothers and children
as well as guidelines for families and health service providers. to detect problems k health
through monitoring .
Based on Komdat Kesmas data, the percentage of children under five having KIA
Handbooks in Indonesia in 2021 is 81.8%. The results of national achievements per province
show that there is still a disparity in the coverage of the percentage of children under five having
KIA Handbooks between provinces, which ranges between 21.5% in West Papua and 110.1% in
West Java. Provinces with a high percentage of children under five had a high KIA Handbook,
namely 110.1% in West Java, 99.3% in Papua, 96% in Central Java and 95.5% in Lampung. The
coverage of children under five having a KIA Handbook in West Java is more than 100%, this is
because the number of real children under five in West Java Province is more than the
estimated target under five contained in the Decree of the Minister of Health Number
HK.01.07/MENKES/5675/2021 concerning Program Target Population Data. Health
Development 2021-2025. Provinces with the lowest percentage coverage of children under
five having KIA books are West Papua (21.5%), West Nusa Tenggara (39%), and Riau Islands
(50.4%).

148 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.28
TODDLERS HAVE KIA
BOOK BY PROVINCE YEAR 2021

West Java

Papua
Central Java
Lampung
West Sulawesi

Bengkulu

South Kalimantan
East Java
Jakarta
West Sumatra
North Maluku
Central Kalimantan
Bali
Gorontalo
Jambi

Aceh
East Kalimantan
Central Sulawesi
Banten
Maluku
North Sumatera

Southeast Sulawesi
South Sulawesi
Bangka Belitung Islands

North Sulawesi
West Kalimantan
D I Yogyakarta
Riau

South Sumatera
North Kalimantan
East Nusa Tenggara
Riau Islands

West Nusa Tenggara


West Papua

Source: Directorate General of Public Health, Ministry of Health RI, 2022

Nationally, coverage of health services for infants, toddlers and preschoolers tends to
decrease compared to 2021, this is due to the impact of the COVID-19 pandemic. Efforts to fulfill
the main essential services for infants and toddlers are exclusive breastfeeding, Vitamin A and
monitoring of growth and development.
In Figure 5.29 it can be seen that the percentage of children under five who are
monitored for growth and development in Indonesia in 2021 is 69.6%. While the target for the
2021 Strategic Plan is 70%.of the COVID-19 pandemic. During the COVID-19 pandemic,
monitoring of growth and development that has been carried out at the Posyandu has been
stalled according to the regency/city situation level ( rapid assessment)

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 149


Result nationally per province there is still a disparity in the coverage of the percentage
of children under five monitored for growth and development between provinces, which ranges
between 2.1% in West Papua and 88.2% in Banten. Provinces with high growth and
development monitored by the percentage of children under five, namely Banten (88.2%),
South Sumatra (80.1%), DKI Jakarta (78.9%), Bali (78.6%) and South Sulawesi (78 .3%), Central
Sulawesi (78.2%) and East Java (77.8%). Provinces with the lowest percentage of children under
five being monitored for growth and development are West Papua (2.1%), Papua (25%) and
North Sulawesi (30.3%).

FIGURE 5.29
GROWTH AND DEVELOPMENT MONITORING
BY PROVINCE BY CHILDREN YEAR 2021

Indonesia

Banten
South Sumatera
Jakarta
Bali
South Sulawesi

Central Sulawesi
East Java
West Java
Aceh

Jambi
West Nusa Tenggara
South Kalimantan
Bangka Belitung Islands
Lampung
West Sumatra
Bengkulu
Central Java
Riau Islands
West Kalimantan
West Sulawesi
East Kalimantan
Central Kalimantan
East Nusa Tenggara

North Sumatera
Gorontalo
North Maluku
North Kalimantan
Riau
DI Yogyakarta
Maluku
Southeast Sulawesi
North Sulawesi
West Papua

Papua

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

150 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


Monitoring of growth and development in Indonesia is carried out in stages starting
from the family/community level using checklist the KIA Handbook developmentThe results of
the developmental examination through the KIA Handbook with incomplete interpretation,
were followed up with an examination of growth and development through Stimulation,
Detection, and Early Intervention on Child Growth and Development (SDIDTK) activities at the
Puskesmas.

FIGURE 5.30
TODLLERS SERVED BY SDIDTK
BY PROVINCE YEAR 2021

Indonesia
Indonesia

West NusaNusa
West
Jakarta Tenggara
Tenggara

LampungLampung
Bangka Belitung Islands

SouthSouth
South Kalimantan
Sumatera
Sumatera
Banten Banten
Special Region of Yogyakarta
Bali Riau
BaliIslands

SouthWestKalimantan
South Kalimantan
Java
DKI Jambi
Jakarta
Jakarta
West Sumatera
West
Central Sumatera
Java
West Sulawesi
Southeast
West Sulawesi
Sulawesi
Bangka
West Belitung
BangkaNusaBelitungIslands
Islands
Tenggara
WestBanten
JavaJava
West
Jambi Jambi
West Sumatra
EastLampung
Java
East Java
North
East Kalimantan
North
NusaKalimantan
Tenggara
Maluku
Bali
Maluku
South Sulawesi
South
North Sulawesi
Sumatera
AcehPapua
Aceh
Central JavaJava
Central
NorthNorth
Maluku Maluku
Riau Riau
Central Kalimantan
Central Kalimantan
Central Sulawesi
Central Sulawesi
D.I.Yogyakarta
Special Region of Yogyakarta
West West
Kalimantan
Kalimantan
NorthNorth
SulawesiSulawesi
BengkuluBengkulu
Gorontalo
Gorontalo
Southeast
SoutheastSulawesi
Sulawesi
NorthNorth
SumateraSumatera
East Kalimantan
East Kalimantan
Riau Islands
Riau Islands
PapuaPapua
West West
Papua Papua
East Nusa Tenggara
East Nusa Tenggara

Source: Directorate General of Public Health, Ministry of Health RI, 2022

The percentage of children under five served by SDIDTK at the national level in 2021 is
57.6%. There is still a very large disparity between provinces, which ranges between 2.9% in
East Nusa Tenggara and 94.2% in West Nusa Tenggara. Provinces with a high coverage of under-
fives served by SDIDTK, namely West Nusa Tenggara (94.2%), Lampung (84.7%), South Sumatra
(82.4%), and Banten (76.2%). Provinces with the lowest coverage of children under

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 151


five served by SDIDTK are West Papua (2.9%), West Papua (3.5%), Papua (23.1%) and Riau
Islands (26.3%).
As a follow-up to the detection of risk factors and disease, sick infants and toddlers are
treated with the IMCI approach at the Puskesmas or other first-level health facilities.

FIGURE 5.31
TODLLERS SERVED BY IMCI BY PROVINCE
YEAR 2021

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

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

The percentage of children under five served by IMCI at the national level in 2021 is
30.5%. The disparity in coverage of children under five years old served by IMCI between
provinces ranges between 2.8% in North Sulawesi and 99.1% in DKI Jakarta. Provinces with a
high coverage of children under five years old are DKI Jakarta (99.1%), Bangka Belitung Islands
(97.4%), South Kalimantan (95.1%), DI Yogyakarta (76.9%), and Riau Islands ( 75.6%). Provinces
with the lowest coverage of children under five served by IMCI were North Sulawesi (2.8%),

152 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


Papua (6%), Maluku (8.6%), Gorontalo (9.4%) and Central Kalimantan (10.9%). Complete details
regarding the coverage of health services for toddlers and preschoolers can be seen in Appendix
42.

3. Immunization
Immunization is a public health effort that has been proven to be the most cost-
effective and has a positive impact on achieving maternal and child health status in Indonesia.
Immunization not only protects a person but also society, by providing community protection
or what is known as herd immunity. The current direction of health development focuses on
promotive and preventive efforts without leaving the curative and rehabilitative aspects. One
of the preventive efforts is the implementation of the immunization program. Immunization
can prevent and reduce the incidence of morbidity, disability, and mortality due to
Immunization Preventable Diseases (PD3I) which is estimated at 2 to 3 million mortality each
year.
Immunization is an effort to actively induce or increase a person's immunity to a
disease, so that if one day they are exposed to the disease, they will not get sick or only
experience mild illness. Several infectious diseases are included in PD3I, including Hepatitis B,
tuberculosis, diphtheria, pertussis, tetanus, polio, rubella measles, inflammation of the lining of
the brain and pneumonia.
Health Law Number 36 Year 2009 states that every child has the right to obtain basic
immunization in accordance with the provisions. The government is obliged to provide
complete immunization to every baby and child. Provisions regarding the implementation of
immunization are contained in the Regulation of the Minister of Health Number 12 of 2017
which was promulgated on April 11, 2017. Further will discuss the immunization program
carried out by the government.

a. Infant Basic Immunization


In Indonesia, each baby between 0-11 moths old should be given infant basic
immunization, they are 1 dose of Hepatitis B, 1 dose BCG, 3 doses DPT-HB-HiB, 4 doses of Oral
Polio Vaccine (OPV), 1 dose of Inactivated Polio Vaccine (IPV) dan 1 dose of Measles Rubella.
Determination of the type of immunization and schedule of administration is based on expert
studies and epidemiological analysis of emerging diseases. For some selected areas according
to epidemiological studies, disease burden analysis and expert recommendations, certain
additional immunizations are available, namely Pneumococcal Conjugate Vaccine (PCV) and
Japanese Encephalitis. The implementation of the immunization has not been applied
nationally, so it is not counted as a component of complete basic immunization for infants.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 153


FIGURE 5.32
COVERAGE OF COMPLETE BASIC IMMUNIZATION ON INFANTS
YEAR 2012-2021

Renstra Target

Source: Directorate General of P2P, Ministry of Health RI, 2022

In 2021, national complete basic immunization coverage is 84.2% (Figure 5.31). This
figure has not met the strategic plan target for 2021, which is 93.6%. The coverage of complete
basic immunization in 2021 is almost the same as in 2020. This low coverage is as a result of the
COVID-19 pandemic.
If viewed by province, there are 6 provinces that can achieve the strategic plan target
in 2021, namely South Sulawesi, Bali, West Nusa Tenggara, DI Yogyakarta, Banten and Bengkulu.

154 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.33
COVERAGE OF COMPLETE BASIC IMMUNIZATION ON INFANTS BY PROVINCE
YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health RI, 2022


Figure above, shows that the provinces with the highest complete basic immunization
coverage are South Sulawesi Province (100.0%), Bali (98.8%), West Nusa Tenggara (95.5%). )
and DI Yogyakarta (95.3%). Meanwhile, the lowest achievement was reached by Aceh (42.7%).
Detailed data regarding basic immunization for infants in 2021 can be found in Appendix 39.a.

b. Drop Out Rate of DPT/HB/HiB1-Measles Immunization Coverage


Every child who has had the first opportunity for immunization, must complete a series
of doses according to the schedule so that the immunity obtained through immunization can
be formed optimally. However, there is a case where some babies do not get complete basic
immunizations. This group is named immunization drop out (DO). This immunization drop-out
rate is an indicator of the immunization service utilization. Utilization of immunization services
is the opportunity for people to use health facilities to obtain immunization services.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 155


The calculation is done by counting the drop-out of DPT-HB-Hib1 immunization to DPT-
HB-Hib3, or the drop-out of DPT-HB-Hib1 immunization to Measles Rubella 1. The drop-out rate
of DPT-HB-Hib1 to DPT-HB-Hib3 immunization is obtained by calculating the gapbetween DPT-
HB-Hib3 immunization coverage and DPT-HB-Hib1 immunization coverage. Meanwhile, the
drop-out rate for DPT-HB-Hib1 immunization to Measles Rubella 1 was obtained by calculating
the decrease of the Measles Rubella 1 immunization coverage to the DPT-HB-Hib1
immunization coverage. Utilization of immunization services is considered good if the drop-out
rate is <5%. So that, the drop-out rate from DPT-HB-Hib 1 to DPT-HB-Hib3, or DPT-HB-Hib1 to
Measles Rubella 1 is expected to not exceed 5%.
In 2019 to 2020, the DO for DPT-HB-Hib1 with Rubella 1 Measles is below the maximum
limit of 5%, but tends to increase. The trend in 2019 and 2020 DO increase again. Until 2021,
the DO for DPT-HB-Hib1 with Measles Rubella 1 is at the minimum threshold (minus value). This
indicates that the number of children immunized against Measles Rubella 1was higher than the
number of children immunized with DPT-HB-Hib1. When the child enters the age of 9 months,
it is easy for parents to remember the Measles Rubella 1 immunization schedule, so they tend
to take their child for immunization. In addition, the side effects of DPT-HB-Hib1 often cause
parents to skip the immunization schedule.
The trend of DO for DPT-HB-Hib1 immunization to DPT-HB-Hib3 tends to increase from
2019 to 2021. The DO in 2021 exceeds the maximum limit that has been set and is the highest
in the last 3 years, which is 6.9% . This is due to the limited schedule of immunization services,
both at health centers and posyandu due to the COVID-19 pandemic, decreased target visits to
obtain immunization services, and limited number of vaccines in several places due to
decreased cold chain storage capacity.

FIGURE 5.34
DROP OUT RATE OF IMMUNIZATION OF DPT/HB/HiB1-MEASLES ON INFANTS
YEAR 2019-2021

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2021


Details of complete data regarding DO for DPT-HB-Hib1 immunization to DPT-HB-Hib3
and DPT-HB-Hib1 immunization to Measles Rubella 1 in 2019-2021 can be seen in Appendix
39.b.

156 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


c. Universal Child Immunization (UCI) Villages/Sub-Regencies
In 2021 the coverage of UCI in Indonesia is 58.4%. This coverage decreased slightly
compared to the previous year's coverage, which was 59.2%. This is due to changes in the
number of village/sub-regency that are used as denominators village/sub-regency coverage UCI
namely West Sumatra, DI Yogyakarta and DKI Jakarta. As of April 1, 2021, there are 4 provinces
that have not sent UCI, namely Central Sulawesi, Lampung, Jambi and Riau village/sub-regency
UCI in 2021 by province are in Appendix 37.

FIGURE 5.35
COVERAGE OF UCI VILLAGES/SUB-REGENCIES BY PROVINCE YEAR 2021

West Papua 12,5


North Sulawesi 15,2
Aceh 25,0
Papua 35,7
West Sulawesi 38,0
South Kalimantan 51,5
North Maluku 51,6
West Kalimantan 57,1
North Kalimantan 57,9
Central Kalimantan 64,8
Maluku 65,3
Riau islands 67,4
Banten 68,8
West Java 71,0
East Java 72,1
East Kalimantan 72,3
North Sumatra 72,5
Southeast Sulawesi 73,0
West Nusa Tenggara 74,3
Gorontalo 74,5
East Nusa Tenggara 77,4
Bangka Belitung Islands 80,7
South Sulawesi 83,8
South Sumatera 84,4
Bengkulu 85,6
Central Java 85,6
Bali 96,8
DKI Jakarta 100,0
D.I. Yogyakarta 100,0
West Sumatra 164,5
0
Indonesia 58,4

0 20 40 60 80 100

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

d. Percentage of Regencies / Cities Achieving 80% of Infant Basic Immunization


Districts/cities that reach 80% of complete basic immunization for infants is one
indicator of equity and quality of health services, with a strategic plan target of 83.8 % in 2021.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 157


FIGURE 5.36
PERCENTAGE OF REGENCIES/CITIES ACHIEVING 80% OF
COMPLETE BASIC IMMUNIZATION ON INFANTS YEAR
2019-2021

100
95,0
80 73,5 83,8
79,3
56,2 58,0
60

40

20

0
2019 2020 2021

Regency/City coverage reaches 80% IDL Renstra Target

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia, 2022

Regencies/cities that achieved 80% of complete basic immunizations for infants during
the last three years tend to fluctuate. In 2020 it tends to decrease, but will increase slightly in
2021, which is 58.0%. The gap in achievement compared to the set targets is getting bigger
every year.

158 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.37
PERCENTAGE OF REGENCIES/CITIES ACHIEVING 80% OF COMPLETE BASIC
IMMUNIZATION ON INFANTS BY PROVINCE YEAR 2021

Aceh 8,7
West Sumatera 10,5
Riau 16,7
West Papua 23,1
Papua 24,1
West Kalimantan 28,6
DKI Jakarta 33,3
East Nusa Tenggara 40,9
North Sumatera 42,4
Maluku 45,5
West Sulawesi 50,0
North Maluku 50,0
North Sulawesi 53,3
South Kalimantan 53,8
Bangka Belitung Islands 57,1
North Kalimantan 60,0
Central Sulawesi 61,5
Jambi 63,6
Southeast Sulawesi 64,7
East Java 68,4
Riau Islands 71,4
Central Java 74,3
West Java 77,8
Central Kalimantan 78,6
Lampung 80,0
West Nusa Tenggara 80,0
Gorontalo 83,3
Banten 87,5
East Kalimantan 90,0
South Sulawesi 91,7
South Sumatera 94,1
Bengkulu 100,0
DI Yogyakarta 100,0
Bali 100,0
0
Indonesia 58,0
0 20 40 60 80 100

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia, 2022

In the picture above, it can be seen that there are 6 provinces with their districts/cities
have achieved 80% of complete basic immunization for infants who have reached the 2021
Strategic Plan target, those are the Provinces of Bali, DI Yogyakarta, Bengkulu, South Sumatra,
South Sulawesi, East Kalimantan and Banten. The province with the lowest percentage is Aceh,
with 8.7% of regency/city achieving a minimum of 80% complete basic immunization coverage.
More on the percentage of regencies/cities achieving 80% complete basic immunization in the
last three years can be seen in Annex 39.c.

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 159


e. Advanced Immunization on Under-Two Children
Advanced immunization for children under two years old is needed to maintain the
level of immunity so that it can provide optimal protection. Several types of basic immunization
are given to increase their immunity by giving further immunizations at the age of 18 months.
Optimal protection from the provision of further immunization is only obtained if the
child has received complete basic immunization. Therefore, since 2014, nationally the advanced
immunization program has been included in the routine immunization program by giving 1 dose
each of DPT-HB-HiB and Rubella Measles to children aged 18-24 months.

FIGURE 5.38
COVERAGE OF ADVANCED IMMUNIZATION OF DPT-HB-HIB (4) AND MEASLES
RUBELLA 2 ON UNDER-TWOS BY PROVINCE YEAR 2021

Aceh 15,6
13,3
West Sumatra 29,4
27,4
Riau 33,3
32,8
Central Java 34,3
34,5
Papua 37,5
34,2
West Papua 37,8
42,2
North Kalimantan 37,9
36,6
West Sulawesi 45,8
42,9
North Maluku 46,2
43,4
West Kalimantan 47,9
46,5
East Nusa Tenggara 50,2
50,2
Maluku 50,8
47,1
Southeast Sulawesi 50,8
48,8
Central Kalimantan 51,6
48,4
South Kalimantan 51,9
48,7
Bangka Belitung Islands 52,8
50,7
Gorontalo 53,5
49,5
North Sulawesi 53,6
54,7
Central Sulawesi 54,5
50,8
East Kalimantan 55,4
52,5
North Sumatra 55,5
56,3
East Java 59,8
70,6
Jambi 61,4
62,5
West Nusa Tenggara 62,8
64,1
West Java 63,2
65,3
Banten 66,0
67,8
South Sulawesi 69,5
68,2
Lampung 69,6
77,4
Bengkulu 70,9
69,2
Riau islands 73,0
70,4
South Sumatra 76,5
100,3
Bali 80,2
78,5
DKI Jakarta 89,6
89,5
D.I. Yogyakarta 91,4
89,8

Indonesia 56,2
58,5

0 20 40 60 80 100
Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

160 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


Nationally coverage of DPT-HB-Hib4 and Measles Rubella 2 immunization in children
aged 18-24 months in 2021 decreased compared to 2020. The coverage of DPT-HB-Hib4
immunization in 2021 was 56.2% decreased compared to 67.8% in 2020, while the coverage of
Measles Rubella 2 immunization in 2021 was 58.5% decreased compared to 2020 which was
64. ,7%. The coverage of DPT-HB-Hib4 and Measles Rubella 2 immunization varies by province,
with most provinces not reaching the 2021 target. South Sumatra Province has the highest
Measles Rubella 2 immunization coverage, which is 100.3%, while DI Yogyakarta Province has
the highest immunization coverage. The highest DPT-HB-Hib4 was 91.4%. The province with the
lowest coverage of DPT-HB-Hib4 and Measles Rubella 2 immunization is Aceh Province.
Complete details regarding the coverage of further immunization for DPT-HB-HiB4 and Measles
Rubella 2 in under-five children can be seen in Appendix 40.a.

f. Immunization on School Children


To maintain the immunity level in children under two, so that they can be protected
from Diseases Preventable by Immunization (PD3I), further immunization is also carried out for
school-age children. The implementation of further immunization for school-age children is
carried out through the School Child Immunization Month (BIAS) activity which is integrated
with the School Health Business (UKS) activities targeting elementary school-aged children (SD).
The types of immunizations given during the BIAS implementation were Rubella Measles,
Tetanus and Diphtheria. In certain areas where the implementation of the Human Papilloma
Virus (HPV) immunization HPV was added to the BIAS activity targeting female students in
grades 5 and 6. in elementary/MI/equivalent children aged in grade 1 (Measles Rubella and DT),
grade 2 (Td) and grade 5 (Td). During the COVID-19 pandemic, the implementation of BIAS was
greatly affected and could not run properly due to the absence of face-to-face teaching and
learning in schools.

FIGURE 5.39
SCHOOL CHILDREN IMMUNIZATION COVERAGE
IN INDONESIA, 2021

61 59,9
60
60
59 58,4 58,3
59
58
58 57,1
57
57
56
56
Measles Rubella DT (Class 1) Td (Class 2) Td (Class 5)
(Class 1)

Source: Directorate General of P2P, Ministry of Health RI, 2022

Immunization coverage in the implementation of BIAS in 2021 is far below the target of
95%. The coverage of measles-rubella immunization in grade 1 children is 58.4%, the

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 161


coverage of DT immunization is 57.1%, the coverage of Td immunization in grade 2 children is
58.3%. The coverage of Td immunization for children aged 5th grade is 59.9%. Details of
immunization coverage for school children by province can be seen in Appendix 40.b.

4. School-Age Children Healthcare


Regulation of the Minister of Health Number 25 of 2014 concerning Child Health Efforts
article 28, health services for school age children and adolescents are carried out through school
health efforts and health care services for adolescents. School Health Program (UKS) are cross-
sectoral activities, which include various efforts, including health screening and periodic check-
ups, giving blood-added tablets for young girls, fostering healthy school canteens,
immunization, and coaching school health cadres.
Health service activities carried out in schools are performed by health workers
together with school health cadres, with a minimum of nutritional status checks (height and
weight), dental examinations, visual acuity, and hearing sharpness.
Health services for school-age children aim to detect early risk of disease in school
children so that they can be followed up early, promote optimal growth and development, thus
it can support their learning process and ultimately create healthy and high-achieving school-
age children.
The results of health services in schools can also be used as material for planning and
evaluating UKS for health centers, schools and the UKS mentors; so that the implementation of
school children health can be more targeted.
The coverage of health services for SD/MI, SMP/MTs, and SMA/MA students in 2021
decreased compared to 2020. This was due to the COVID-19 pandemic, causing health workers
in health care facilities to prioritize handling COVID-19 patients. 19. On the other hand,
restrictions on community activities have resulted in student learning being carried out from
home, resulting in difficulties in implementing health services for school-age children. However,
adjustments to online and scheduled health services have been made to ensure that health
services for school-age children are still available.

162 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.40
COVERAGE OF ELEMENTARY SCHOOLS (SD/MI) RECEIVING STUDENT HEALTH SERVICES
BY PROVINCE YEAR 2021

Papua 3,2
North Maluku 17,4
Gorontalo 18,5
East Nusa Tenggara 19,4
Bengkulu 33,4
Maluku 33,4
South Sulawesi 34,1
North Sulawesi 34,9
North Kalimantan 35,3
North Sumatera 41,5
Riau 45,5
Southeast Sulawesi 48,1
Banten 53,0
Riau Islands 53,4
West Java 56,9
West Nusa Tenggara 60,0
West Papua 60,1
Central Sulawesi 60,1
Lampung 62,0
East Kalimantan 64,2
West Sulawesi 64,5
West Kalimantan 67,9
South Kalimantan 68,2
Aceh 78,1
Central Kalimantan 78,7
West Sumatera 79,0
South Sumatera 80,8
East Java 84,9
Bali 86,1
Jambi 87,6
East Java 87,7
D I Yogyakarta 88,4
Bangka Belitung Islands 95,1
DKI Jakarta 100,0
0
Indonesia 57,5

0 20 40 60 80 100

Source: Directorate General of Public Health, Ministry of Health RI, 2022

The coverage of SD/MI schools providing health services in Indonesia in 2021 is 57.5%
(Figure 5.39) . DKI Jakarta is the province with the highest coverage of health services for
children aged SD/MI, which is 100% health checks on students online which are carried out in
all target students at the SD/MI level. Other provinces with SD/MI coverage that have provided
more than 80% health services, namely the Bangka Belitung Islands, DI Yogyakarta, East Java,
Jambi, Bali, Central Java and South Sumatra. The province with the lowest coverage of SD/MI
schools providing health services is Papua (3.2%).

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 163


FIGURE 5.41
COVERAGE OF SECONDARY SCHOOLS (SMP/MTS) RECEIVING STUDENT HEALTH
SERVICES BY PROVINCE YEAR 2021

Papua 1,6
East Nusa Tenggara 5,6
West Papua 14,6
North Maluku 18,2
Maluku 32,5
Gorontalo 36,1
Lampung 36,2
North Kalimantan 37,6
North Sulawesi 38,9
Riau 39,5
North Sumatera 39,9
South Sulawesi 39,9
Bengkulu 41,3
Banten 48,1
West Sulawesi 50,0
West Nusa Tenggara 51,5
West Java 52,5
West Kalimantan 53,5
Central Sulawesi 53,5
Riau Island 58,8
Southeast Sulawesi 59,3
East Kalimantan 65,3
South Kalimantan 68,1
South Sumatera 74,0
Aceh 74,0
East Java 74,8
Central Kalimantan 75,3
West Sumatera 77,8
Bali 77,8
Central Java 83,8
Bangka Belitung Islands 86,9
Jambi 87,2
D I Yogyakarta 87,9
DKI Jakarta 94,9
0
Indonesia 54,4

0 20 40 60 80 100

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

The coverage of SMP/MTs schools providing health services in Indonesia in 2021 is


54.4% (Figure 5.40) . DKI Jakarta has the highest coverage for SMP/MTs schools that have
provided student health services, which is 94.9%, while provinces with SMP/MTs coverage that
have provided health services are more than 80%, namely DI Yogyakarta, Jambi, Bangka Islands.
Belitung and Central Java. The province with the lowest coverage of SMP/MTs schools providing
health services is Papua (1.6%).

164 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.42
COVERAGE OF HIGH SCHOOLS (SMA/MA)
Papua
RECEIVING STUDENT HEALTH SERVICES
1,8
BY
DKIPROVINCE
Jakarta YEAR
6,3 2021
East Nusa Tenggara 8,4
West Papua 8,4
North Kalimantan 18,2
Gorontalo 19,5
Papua 1,8
North Maluku 19,9
DKI Jakarta 6,3
Maluku 27,3
East Nusa Tenggara 8,4
North Sumatera 29,6
West Papua 8,4
South Sulawesi 30,0
North Kalimantan 18,2
West Kalimantan 31,0
Gorontalo 19,5
North Sulawesi 34,1
North Maluku 19,9
Bengkulu 35,6
Maluku 27,3
West Sulawesi 38,3
North Sumatera 29,6
West Nusa Tenggara 38,4
South Sulawesi 30,0
Banten 38,9
West Kalimantan 31,0
West Java 39,5
North Sulawesi 34,1
Central Sulawesi 46,0
Bengkulu 35,6
Riau 49,8
West Sulawesi 38,3
Southeast Sulawesi 52,5
West Nusa Tenggara 38,4
East Kalimantan 53,9
Banten 38,9
Riau Islands 60,7
West Java 39,5
South Kalimantan 62,8
Central Sulawesi 46,0
Central Kalimantan 63,0
Riau 49,8
South Sumatera 63,3
Southeast Sulawesi 52,5
Aceh 66,4
East Kalimantan 53,9
East Java 69,5
Riau Islands 60,7
West Sumatera 69,9
South Kalimantan 62,8
Bangka Belitung Islands 71,7
Central Kalimantan 63,0
Lampung 71,8
South Sumatera 63,3
Bali 72,0
Aceh 66,4
Central Java 76,3
East Java 69,5
Jambi 81,9
West Sumatera 69,9
D I Yogyakarta 87,8
Bangka Belitung Islands 71,7
0
Lampung 71,8
Indonesia 45,2
Bali 72,0
Central Java 0 20 40 60 80
76,3 100
Jambi 81,9
D I Yogyakarta 87,8
0
Source: Directorate General of Public Health, Ministry of Health RI, 2022
Indonesia 45,2

0 20 40 60 80 100

Source: Directorate General of Public Health, Ministry of Health RI, 2022

The coverage of SMA/MA schools providing health services in Indonesia in 2021 is


45.2% (Figure 5.41). DI Yogyakarta has the highest coverage for SMA/MA schools that have
provided health services, which is 87.8%, while for other provinces with coverage of more than
80%, namely Jambi. The province with the lowest coverage is Papua (1.8%). Complete details
regardingThethecoverage
coverageofofSMA/MA schoolsforproviding
health services health services
SD/MI, SMP/MTs, in Indonesia
and SMA/MA in 2021
students is
can be
45.2% (Figure 5.41).
seen in Appendix 45. DI Yogyakarta has the highest coverage for SMA/MA schools that have
provided health services, which is 87.8%, while for other provinces with coverage of more than
80%, namely Jambi. The province with the lowest coverage is Papua (1.8%). Complete details
C. NUTRITION
regarding the coverage of health services for SD/MI, SMP/MTs, and SMA/MA students can be
seen
Thisinsub-chapter
Appendix 45.will discuss the nutritional status of toddlers along with prevention and
treatment of nutritional problems, including exclusive breastfeeding for infants aged up to 6 years.
C. NUTRITION
months, giving vitamin A capsules to toddlers 6-59 months old, giving iron tablets (TTD) to adolescent
girls, as well as giving additional food to pregnant women with KEK risks and undernourished toddlers.
This sub-chapter will discuss the nutritional status of toddlers along with prevention and
treatment of nutritional problems, includingIndonesia
exclusive Health Profile 2021
breastfeeding | CHAPTER
for infants aged V.
upFAMILY HEALTH 165
to 6 years.
months, giving vitamin A capsules to toddlers 6-59 months old, giving iron tablets (TTD) to adolescent
girls, as well as giving additional food to pregnant women with KEK risks and undernourished toddlers.
80%, namely Jambi. The province with the lowest coverage is Papua (1.8%). Complete details
regarding the coverage of health services for SD/MI, SMP/MTs, and SMA/MA students can be
seen in Appendix 45.

C. NUTRITION
This sub-chapter will discuss the nutritional status of toddlers along with prevention and
treatment of nutritional problems, including exclusive breastfeeding for infants aged up to 6 years.
months, giving vitamin A capsules to toddlers 6-59 months old, giving iron tablets (TTD) to adolescent
girls, as well as giving additional food to pregnant women with KEK risks and undernourished toddlers.

1. Nutritional Status of Toddlers


In the Regulation of the Minister of Health Number 2 of 2020 concerning Child
Anthropometric Standards, anthropometric standards have been regulated which are used to
measure or assess the nutritional status of children. The anthropometric standards used by
the Nutrition Surveillance Program consist of an index of Body Weight for Age (W/A), Body
Length or Height for Age (H/A), and Weight for Height (W/H). The classification of nutritional
status assessment based on the Anthropometric Index is in accordance with the nutritional
status category in the WHO Child Growth Standards for children aged 0-5 years and The WHO
Reference 2007 for children 5-18 years.
Based on the Indonesia Nutrition Status Study (SSGI) in 2021 conducted by the Health
Research and Development (Balitbangkes) of the Ministry of Health in collaboration with the
Central Statistics (BPS), the percentage underweight (underweight and severely underweight)
in toddlers was 17%. Meanwhile, based on data from the Electronic Application of Community-
Based Nutrition Recording and Reporting (e-PPBGM) through Nutrition Surveillance in 2021, it
was found that toddlers with very low body weight of 1.2% and underweight of 6.1% are
depicted in Figure 5.44. The province with the highest percentage was East Nusa Tenggara,
while the province with the lowest percentage was Bali.
Baduta underweight by 1.2% and toddlers underweight by 5.2% as illustrated in Figure
5.43. The province with the highest percentage of severely underweight and underweight was
East Nusa Tenggara, while the lowest province was Bali.
The difference between SSGI data and e-PPBGM data is that SSGI data comes from a
survey targeting households with children under five, while the data in e-PPGBM comes from
data input by health center nutrition officers based on the results of weighing at the posyandu
every month. Thus, e-PPGBM data can be viewed in a cohort down to the individual level based
on name and address (by name & by address).

166 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.43
PERCENTAGE OF SEVERE UNDERWEIGHT AND UNDERWEIGHT
IN TODDLERS 0-23 MONTHS BY PROVINCE IN INDONESIA
2021

East Nusa Tenggara


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

Very Underweight Underweight

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 167


FIGURE 5.44
PERCENTAGE OF SEVERE STUNTING AND STUNTING ON TODDLERS 0-59 MONTHS
BY PROVINCE IN INDONESIA
YEAR 2021

East Nusa Tenggara


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

Very Underweight Underweight

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Malnutrition in children under five based on the Height for Age (H/A) index includes
severe stunting and stunting categories. The SSGI 2021 states that the percentage of stunted
(severe stunting and stunting) is 24.4%. Meanwhile, e-PPBGM data is 2.7% severe stunting

toddlers and 6.5% stunting toddlers. The province with the highest percentage of severe
stunting and stunting of toddlers is West Sulawesi, while the province with the lowest
percentage is DKI Jakarta.

FIGURE 5.45
PERCENTAGE OF SEVERE STUNTING AND STUNTING ON TODDLERS 0-23 MONTHS
BY PROVINCE IN INDONESIA YEAR 2021
168 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH

West Sulawesi
toddlers and 6.5% stunting toddlers. The province with the highest percentage of severe
stunting and stunting of toddlers is West Sulawesi, while the province with the lowest
percentage is DKI Jakarta.

FIGURE 5.45
PERCENTAGE OF SEVERE STUNTING AND STUNTING ON TODDLERS 0-23 MONTHS
BY PROVINCE IN INDONESIA YEAR 2021

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

Very Short Short

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 169


For toddlers, 2.5% of toddlers are severe stunting and 7.0% of toddlers is stunting. The
province with the highest percentage of severe stunting and stunting children under five is West
Sulawesi, while the province with the lowest percentage is North Sulawesi.

FIGURE 5.46
PERCENTAGE OF SEVERE STUNTING AND STUNTING ON TODDLERS 0-59 MONTHS
BY PROVINCE IN INDONESIA
YEAR 2021

North Sulawesi 0,6 2,5


DKI Jakarta 0,9 2,1
South Sumatra 1,1 2,8
Bali 1,0 3,4
Bangka Belitung Islands 0,9 3,5
Jambi 1,1 3,5
Lampung 1,4 4,0
North Sumatra 1,7 4,2
Riau 1,7 4,3
Bengkulu 1,0 5,0
Riau islands 1,6 4,8
West Java 2,3 6,2
Banten 2,9 5,8
South Sulawesi 2,1 6,9
Gorontalo 2,4 7,0
East Java 2,4 7,2
Maluku 2,0 7,8
South Kalimantan 2,7 8,2
Central Java 2,6 8,7
West Sumatra 2,8 9,4
North Kalimantan 3,0 9,6
North Maluku 3,0 10,2
Yogyakarta 2,9 10,3
Southeast Sulawesi 3,1 10,2
Aceh 3,5 10,0
Central Kalimantan 3,4 10,3
Central Sulawesi 3,5 10,6
East Kalimantan 3,8 10,5
Papua 4,0 10,4
West Kalimantan 4,8 12,4
West Nusa Tenggara 5,0 14,6
West Papua 6,7 13,9
East Nusa Tenggara 5,5 15,7
West Sulawesi 6,3 18,7
0
Indonesia 2,5 7,0
0 5 10 15 20 25 30
very short short

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

170 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


Malnutrition in children under five based on the Weight for Height (W/H) index includes
the categories of poor nutrition and less nutrition. The SSGI in 2021 stated that 7.0% wasted
(poor nutrition and less nutrition). According to e-PPBGM, it was found that 1.0% poornutrition
and 3.9% less nutrition toddlers. The province with the highest percentage of poor nutrition
and less nutrition in toddlers is West Papua, while the province with the lowest percentage is
Bengkulu Province.

FIGURE 5.47
PERCENTAGE OF POOR NUTRITION AND LESS NUTRITION IN TODDLERS 0-23 MONTHS
BY PROVINCE IN INDONESIA YEAR 2021

Bengkulu 0,2 1,2


0,3 1,3
Bali
Bangka Belitung Islands 0,2 1,4
North Sulawesi 0,2 2,2
Jambi 0,4 2,1
South Sumatra 0,6 2,1
North Sumatra 0,6 2,3
Lampung 0,6 2,7
Southeast Sulawesi 0,5 2,7
South Sulawesi 0,5 3,0
DKI Jakarta 0,8 2,7
North Kalimantan 0,8 3,3
Riau islands 0,9 3,2
West Java 0,8 3,4
Gorontalo 0,7 3,7
West Sulawesi 0,7 4,0
Riau 1,4 3,6
West Nusa Tenggara 0,7 4,3
Yogyakarta 0,6 4,6
North Maluku 1,1 4,3
Maluku 0,8 4,7
Central Sulawesi 1,2 4,6
Central Java 1,1 5,0
Banten 2,0 4,1
Central Kalimantan 1,2 4,9
South Kalimantan 1,4 4,9
West Sumatra 1,2 5,1
East Java 1,5 5,1
Papua 1,7 5,2
East Kalimantan 1,2 5,7
Aceh 1,8 5,4
West Kalimantan 1,7 6,0
East Nusa Tenggara 1,1 6,7
West Papua 2,8 7,2
0
Indonesia 1,0 3,9
0
0 2 4 6 8 10 12

Malnutrition Undernutrition

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 171


Toddlers with a Weight for Height (W/H) index measurement of 0.9% under five malnutrition
and 4.0% of undernourished children under five. The province with the highest percentage of
malnutrition and under-nutrition in children under five is West Papua, while the province with
the lowest percentage is Bengkulu Province.
FIGURE 5.48
PERCENTAGE OF POOR NUTRITION AND NUTRITION IN TODDLERS 0-59 MONTHS
BY PROVINCE IN INDONESIA YEAR 2021

West Papua
East Nusa Tenggara
West Kalimantan
East Kalimantan
Papua
East Java
Aceh
South Kalimantan
Central Sulawesi
Central Java
West Sumatra
Central Kalimantan
North Maluku
Banten
D.I. Yogyakarta
East Nusa Tenggara
Maluku
North Kalimantan
West Sulawesi
Gorontalo
Riau
West Java
Riau islands
Southeast Sulawesi
South Sulawesi
Lampung
DKI Jakarta
North Sumatra
Jambi
South Sumatra
North Sumatra
Bangka Belitung Islands
Bali
Bengkulu

Less Malnutrition Malnutrition

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Figure 5.49 shows that the percentage of stunting (severe stunting and stunting) and
wasting (poor nutrition and less nutrition) in children aged 0-59 months from 2016-2021 tends

172 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


to decrease. This is certainly a good step in an effort to achieve the 2020-2024 RPJMN target
for reducing stunting and wasting.
FIGURE 5.49
PERCENTAGE OF SEVERE STUNTING AND STUNTING AS WELL AS POOR NUTRITION
AND LESS NUTRITION IN TODDLERS 0-59 MONTHS IN INDONESIA
YEAR 2016-2021

Source: Balitbangkes Ministry of Health PSG (2016-2017), Riskesdas (year 2018), SSGBI 2019,
and SSGI 2021

FIGURE 5.50
PROPORTION FIGURE OF SEVERE STUNTING AND STUNTING (H/U) ON TODDLERS
BY PROVINCE SSGBI
YEAR 2021

East Nusa Tenggara


West Sulawesi
Aceh
West Nusa Tenggara
Southeast Sulawesi
South Kalimantan
West Kalimantan
Central Sulawesi
Papua
Gorontalo
Maluku
North Maluku
North Kalimantan
South Sulawesi
West Papua
North Sumatra
South Sumatra
Banten
West Java
East Java
West Sumatera
East Kalimantan
Jambi
Riau
Bengkulu
North Sulawesi
Central java
Bangka Belitung islands
Lampung
Riau islands
D.I. Yogyakarta
DKI Jakarta
Bali

Source: BKPK, Ministry of Health RI year 2022

Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH 173


Based on figure 5.50 the results of the Study on Nutritional Status of Indonesia (SSGI) by BKPK Ministry
of Health of the Republic of Indonesia in 2021, it is known that the proportion of stunting the highest
was in East Nusa Tenggara (37.8%), West Sulawesi (33.8%), and Aceh (33.2%).

2. Prevention and Management of Nutritional Problems


Based on the Regulation of the Minister of Health Number 23 of 2014 concerning Efforts to
Improve Nutrition, it is necessary to improve individual nutrition and community nutrition in an effort
to implement balanced nutrition. Every family must be able to recognize, prevent, and overcome
nutritional problems of each family member. The efforts made to recognize, prevent, and overcome
nutritional problems are by weighing regularly, giving only breast milk to babies from birthto 6 months
of age (exclusive breastfeeding), varied food menus, using iodized salt, and giving supplements.
nutrition as recommended by health workers. Nutritional supplements provided according to the
Regulation of the Minister of Health Number 51 of 2016 concerning Nutritional Supplementation
Product Standards, include vitamin A capsules, iron tablets (TTD), additional food for pregnant
women, children under five, and school-aged children, complementary foods for breast milk, and
powder multi vitamins and minerals.

a. Early Breastfeeding Initiation and Exclusive Breastfeeding

Early Initiation of Breastfeeding (EBI) is a breastfeeding process that begins immediately after
birth by skin-to-skin contact between the baby and its mother and lasts at least 1 (one) hour. Some of
the benefits of EBI include reducing infant mortality, helping the baby's breathing and heartbeat to be
more stable, the baby getting immune substances and other important substances, and stimulating
the flow of milk from the breast. Early Initiation of Breastfeeding will also be very helpful in the
continuity of exclusive breastfeeding (ASI only) and the duration of breastfeeding.
Based on Government Regulation Number 33 of 2012 concerning Exclusive Breastfeeding,
Exclusive Breastfeeding is breast milk that is given to babies from birth for six months, without adding
and/or replacing with other foods or drinks (except drugs, vitamins, and minerals).
Breast milk is a source of nutritional intake for newborns, which is exclusive breastfeeding
because it is given to infants aged 0 months to 6 months. In this phase, proper attention must be paid
to the provision and quality of breast milk, so as not to interfere with the developmental stage of the
little one during the first six months from the first day of birth (HPL), considering that this period is the
golden period of child development until the age of 2 years.
In 2021, nationally the percentage of newborns who received EBI was 82.7%. The province
with the highest percentage of newborns receiving EBI was DKI Jakarta (98.5%) while the province
with the lowest percentage was Bali (59.8%). EBI's national target for 2021 is 58%, so all provinces
have passed the target.

174 Indonesia Health Profile 2021 | CHAPTER V. FAMILY HEALTH


FIGURE 5.51
COVERAGE OF NEWBORN BABIES RECEIVING EARLY BREASTFEEDING INITIATION (EBI)
BY PROVINCE YEAR 2021

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

Source: Directorate General of Public Health, Ministry of Health, RI year 2022

Nationally, the coverage of infants receiving exclusive breastfeeding in 2021 is 56.9%. This
figure has exceeded the 2021 Strategic Plan of 40%. The highest percentage of exclusive breastfeeding
coverage is in West Nusa Tenggara Province (82.4%), while the lowest percentage is in Maluku
Province (13.0%). Five provinces have not yet reached the 2021 Strategic Plan, were Maluku,Papua,
Gorontalo, West Papua, and North Sulawesi. The full coverage of infants receiving exclusive
breastfeeding can be seen in Figure 5.52.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 175


FIGURE 5.52
COVERAGE OF INFANTS RECEIVING EXCLUSIVE BREASTFEEDING
BY PROVINCE YEAR 2021

Maluku 13,0
Papua 13,5
Gorontalo 27,0
West Papua 27,6
North Sulawesi 30,2
Riau 39,5
North Sumatra 42,1
Central Kalimantan 44,7
South Sumatra 45,4
West Sulawesi 45,8
North Kalimantan 49,1
Central Sulawesi 49,7
West Kalimantan 52,1
East Kalimantan 53,6
Riau islands 53,7
Southeast Sulawesi 54,0
South Kalimantan 54,4
Aceh 55,4
North Maluku 55,9
East Java 56,3
Banten 57,6
East Nusa Tenggara 57,8
Kep. Bangka Belitung 58,4
West Java 59,4
Jambi 63,3
Lampung 65,0
Bengkulu 66,3
Central Java 67,4
DKI Jakarta 68,6
West Sumatra 69,7
South Sulawesi 70,5
Bali 70,9
In Yogyakarta 74,7
West Nusa Tenggara 82,4
Indonesia 56,9
0 20 40 60 80 100

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

b. Weighing the Under-Fives


Monitoring the growth of children under five is part of the routine monitoring of growth and
development in nutrition and health services at puskesmas. Monitoring the growth of toddlers also
serves as an early detection tool for growth disorders in toddlers. One of the series of activities in
monitoring growth is weighing toddlers. Through weighing the toddlers, it can be known the
nutritional status of problematic toddlers so that interventions can be carried out according to the
problem.
The average percentage of children under five who are weighed in Indonesia in 2021 is 69.0%
children per month. This number increased from 2020 of 61.3% children per month. The highest
percentage is in Aceh Province, which is 85.4%, while the lowest percentage is in Papua Province,
which is 21.7%. More complete data regarding the average of children under five who are weighed
per month can be seen in Figure 5.53.

176 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 5.53
AVERAGE PERCENTAGE OF TODDLERS WEIGHED MONTHLY BY PROVINCE YEAR 2021

Aceh
West Nusa Tenggara
North Maluku
Gorontalo
East Nusa Tenggara
Central java
North Sumatra
West Sumatra
Bali
West java
Jambi
Lampung
South Sulawesi
Bengkulu
Central Sulawesi
South Sumatra
Banten
Southeast Sulawesi
D.I. Yogyakarta
North Sulawesi
East java
Bangka Belitung islands
South Kalimantan
Maluku
Riau islands
West Sulawesi
West Kalimantan
Riau
Central Kalimantan
DKI Jakarta
North Kalimantan
East Kalimantan
West Papua
Papua

Source: Directorate General of Public Health, Ministry of Health RI, 2022

c. Coverage of Vitamin A Capsules for Toddlers Age 6–59 Months


Vitamin A is an important nutrient involved in the formation, production, and growth of blood
cells red cells, lymphocytes, antibodies as well as the integrity of the epithelial cells lining the body.
The vitamin A can also prevent night blindness, xerophthalmia, corneal damage and blindness and
prevent anemia in postpartum mothers. Meanwhile, if the child lacks vitamin A, then the child can be
susceptible to infectious diseases such as upper respiratory tract infections, measles, and diarrhea.
According to the Regulation of the Minister of Health Number 21 of 2015 concerning
Standards for Vitamin A Capsules for Infants, Toddlers, and Postpartum Mothers, vitamin A capsules
are soft capsules with a tip (nipple) that can be cut, are not transparent (opaque), and are easy to
consume, including can enter the baby's mouth. Vitamin A capsules for infants aged 6–11 months are
blue and contain retinol (palmitate/acetate) 100,000 IU, while vitamin A capsules for children under
five years old 12-59 months and postpartum mothers are red and contain retinol (palmitate/acetate)
200,000 IU .
In accordance with the Management Guidelines for Vitamin A Supplementation, the
administration of vitamin A capsules to infants and toddlers is carried out simultaneously every
February and August. The frequency of giving vitamin A to infants 6-11 months is 1 time, while to
children under five years 12-59 months it is 2 times.
The coverage of giving vitamin A to toddlers in Indonesia in 2021 is 90.2%. The province with
the highest percentage of coverage of vitamin A administration was DI Yogyakarta (100.0%), while the
province with the lowest percentage was Papua (22.0%).

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 177


FIGURE 5.54
COVERAGE OF ADMINISTRATION OF VITAMIN A TO UNDER-FIVES (6-59 MONTHS)
BY PROVINCE YEAR 2021

D.I. Yogyakarta
Central java
Bali
West Nusa Tenggara
West Java
Aceh
Lampung
East Nusa Tenggara
South Sulawesi
Jambi
Bengkulu
Banten
Gorontalo
North Sumatra
East Java
North Sumatra
East Java
West Sumatra
North Sulawesi
South Kalimantan
Bangka Belitung Island
Central Sulawesi
North Maluku
South Sumatra
Central Kalimantan
Riau Islands
Southeast Sulawesi
Maluku
East Kalimantan
Riau
DKI Jakarta
West Papua
Papua

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia year 2022

d. Iron Tablet Administration to Female Adolescents


Anemia is a health problem that can occur in all age groups from from toddlers to old age.
Teenage girls (rheumatism) are prone to anemia due to monthly menstrual cycles. Anemia can cause
a decrease in endurance and productivity. Anemia that occurs in rheumatism can also be risky during
pregnancy and will have a negative impact on the growth and development of the fetus in the womb
and has the potential to cause pregnancy and childbirth complications, and even cause maternal and
child mortality.
Handling and prevention of anemia can be done by consuming foods that contain vitamins
and minerals that support the formation of red blood cells as prevention, fortification of foodstuffs
with iron, and iron supplementation. Eat a variety of foods rich in iron, folate, vitamin B12, and
vitamin C such as those found in liver, meat, beans, dark green vegetables, fruits, etc. However, not all
people can consume these foods, so additional iron intake is needed from blood-added tablets (TTD).

Circular Letter of the Director General of Public Health of the Ministry of Health Number
HK.03.03/V/0595/2016 concerning the Provision of Blood-Adding Tablets to Adolescent Girls and

178 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


Women of Childbearing Age, giving iron tablets to adolescent girls is carried out through UKS/M in
educational institutions (Secondary and High school). or the equivalent) by determining the day of
taking TTD together. The dose given is one tablet every week for the whole year.

The coverage of giving iron tablets to young women in Indonesia in 2021 is 31.3%. The
province with the highest percentage of coverage of giving iron tablets to adolescent girls was Bali
(85.9%), while the lowest percentage was North Maluku (2.1%).

FIGURE 5.55
COVERAGE OF ADMINISTRATION OF IRON TABLETS (TTD) TO FEMALE ADOLESCENTS
BY PROVINCE YEAR 2021

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

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 179


e. Dietary Supplementation for Pregnant Women under the Risk of KEK and
Undernutrition Toddlers
Pregnant women with nutritional and health problems have an impact on health and safety
mother and baby and the quality of the baby born. The condition of pregnant women with Chronic
Energy Deficiency (KEK) has the risk of reducing muscle strength that helps the delivery process so
that it can lead to prolonged labor and postpartum hemorrhage, and even maternal mortality. The
risk to the baby can result in fetal mortality (miscarriage), premature birth, birth defects, low birth
weight babies (LBW) and even infant mortality.
One of the efforts made to KEK pregnant women is in the form of Supplementary Feeding
(PMT) which aims to meet the nutritional needs of mothers during pregnancy. PMT does not mean
replacing the intake of the main food, but increasing the intake of nutritional needs.
The coverage of supplementary feeding for KEK pregnant women in Indonesia in 2021 is
89.7%. Provinces with the highest coverage of supplementary feeding for pregnant women with KEK
are Bali, Bangka Belitung Islands, and DI Yogyakarta at 100.0%. Meanwhile, the province with the
lowest achievement was West Papua at 42.2%.

FIGURE 5.56
CCOVERAGE OF PREGNANT WOMEN UNDER THE RISK OF KEK
RECEIVING DIETARY SUPPLEMENTS BY PROVINCE
YEAR 2021

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

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

180 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


In addition to KEK pregnant women, PMT is also carried out on undernourished toddlers who
are included in the nutritionally vulnerable group who need nutritional supplementation.
Supplementary feeding is given to toddlers aged 6 months and over for 90 consecutive days with poor
nutritional status. Supplementary feeding can be given in the form of local or manufactured food
additives such as biscuits. If the child's nutritional status improves (assessed by weight gain and the z-
score of weight according to height has reached minus 2 standard deviations (-2 SD) or more oris in
accordance with the calculation, then the supplementary food for undernourished toddlers is
discontinued. can consume family food that meets balanced nutrition and routine weight monitoring
is carried out so that the nutritional status of toddlers does not return to being malnourished.
The percentage of undernourished children under five receiving additional food in Indonesia
in 2021 is 77.9% Province with the highest percentage of undernourished children receiving
Supplementary food is Bali with an achievement of 99.9% while the lowest percentage is West Papua
with an achievement of 46.6%

FIGURE 5.57
COVERAGE OF LESS-NUTRITION TODDLERS RECEIVING DIETARY SUPPLEMENTS
BY PROVINCE YEAR 2021

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

Source: Directorate General of Public Health, Ministry of Health, Republic of Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 181


182 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL
Chapter VI
DISEASE CONTROL

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 183


184 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL
VI. DISEASE CONTROL
This chapter will discuss the control of communicable and non-communicable diseases. Disease
control as an effort to reduce the incidence, prevalence, morbidity and mortality of a disease plays an
important role in measuring the status of public health.
Communicable diseases include direct infectious diseases, diseases that can be controlled by
immunization and diseases transmitted through animals. Meanwhile, non-communicable diseases
cover prevention and early detection of certain non-communicable diseases.

A. COMMUNICABLE DISEASES
1. Tuberculosis
Tuberculosis (TBC) is currently still a public health problem both in Indonesia and
internationally so that it has become one of the goals of sustainable health development (SDGs).
Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis.
The germs spread from TB sufferers through the air. TB germs usually attack the lungs can also
be outside the lungs (extra lung). Nearly a quarter of the world's population is infected with
Mycobacterium tuberculosis, about 89% of TB in adults and 11% in children. Until now (the
COVID-19 pandemic), TB is still the leading cause of death after HIV/AIDS, and is one of the top
20 causes of death worldwide. Indonesia is ranked 3rd with the highest TB sufferers in the world
after India and China. Globally, it is estimated that 9.9 million people will suffer from TB in 2020.
(WHO, Global Tuberculosis Report, 2021).
The number of deaths due to tuberculosis globally in 2020 was 1.3 million, this was an
increase compared to 2019, which was 1.2 million.
The burden of disease caused by tuberculosis can be measured, among others, by case
incidence and mortality/death, as described below.

a. Incidence of Tuberculosis
According to Global Tuberculosis report 2021 in 2020 the incidence of TB in Indonesia
was 301 per 100,000 population, a decrease when compared to the TB incidence rate in 2019
which was 312 per 100,000 population. Meanwhile, the TB death rate in 2019 and 2020 is still
the same at 34 per 100,000 population.

b. Tuberculosis Cases
In 2021 the number of tuberculosis cases found was 397,377 cases, an increase when
compared to all tuberculosis cases found in 2020, which was 351,936 case. The highest number
of cases were reported from provinces with large populations, namely West Java, EastJava, and
Central Java. Tuberculosis cases in the three provinces accounted for 44% of the total number of
tuberculosis cases in Indonesia.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 185


When compared by gender, the number of cases in males is higher than females, both
nationally and provincially. Nationally, the number of cases in men was 57.5% and 42.5% in
women.

FIGURE 6.1
PROPORTION OF TUBERCULOSIS CASES BY AGE GROUP YEAR 2021

7,99% 9,73%
0-14 years
14,32% 16,86%
15-24 years

17,52%
25-34 years
17,09% 35-44 years
16,48%

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia, 2022

Figure 6.1 shows that in 2021 the most TB cases were found in the 45-54 year age group,
namely 17.5%, followed by the 25-34 year age group at 17.1% and 15-24 year 16.9%.

c. Discovery and Treatment Coverage of Tuberculosis Cases


Treatment Coverage (TC) is the number of TB cases treated and reported in a given year
divided by the estimated number of incident TB cases in the same year and expressed as a
percentage. TC describes how many tuberculosis cases are covered by the program.

FIGURE 6.2
TREATMENT COVERAGE (TC)
YEAR 2011-2021

Source: Directorate General of P2P, Ministry of Health RI, 2022.

Figure 6.2. shows that the TC of tuberculosis cases in 2021 is 47.1%, an increase
compared to 2020. The highest TC was seen in 2018 which was 67.6%. TC in 2021 in Indonesia
has not reached the expected TC target of 49% (WHO, Global Tuberculosis Report, 2021).

186 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.3
TREATMENT COVERAGE (TC) BY PROVINCE
YEAR 2021

Bengkulu 23,3
Bali 24,4
Bangka Belitung Islands 25,7
Jambi 26,3
East Nusa Tenggara 26,8
South Kalimantan 26,8
Central Kalimantan 30,2
West Papua 30,8
D.I. Yogyakarta 33,3
Riau 33,5
West Nusa Tenggara 34,0
Aceh 34,6
North Sumatra 35,3
East Kalimantan 35,8
West Sumatra 35,8
North Kalimantan 35,9
Riau Islands 37,1
Central Sulawesi 38,3
Lampung 40,2
South Sumatra 40,3
Southeast Sulawesi 40,9
North Maluku 41,0
West Kalimantan 42,3
Maluku 43,6
East Java 44,0
South Sulawesi 47,6
Papua 49,8
West Sulawesi 50,4
Central Java 51,9
North Sulawesi 58,4
DKI Jakarta 59,3
Gorontalo 63,5
Banten 70,5
West Java 71,3
INDONESIA 47,1
0 20 40 60 80 100

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

Figure 6.3 shows that no province has yet reached the TC rate of 85% in 2021.
However, the provinces with the highest TC are West Java 71.3% and Banten at 70.5 %.

d. Tuberculosis Case Notification Rate (CNR)


Case Notification Rate (CNR) is the number of all cases of tuberculosis treated and
reported among 100,000 residents in a certain area. This figure, when collected serially, will
describe a trend (trend) of increasing or decreasing case finding from year to year in a region
which nationally shows a trend of increasing CNR until 2018 and decreasing in 2019 and 2020.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 187


FIGURE 6.4
CASE NOTIFICATION RATE OF TUBERCULOSIS PER 100,000 POPULATION
YEAR 2011-2021

Source: Directorate General of P2P, Ministry of Health RI, 2022

CNR of all TB cases by province in 2021 varies between 69-268 per 100,000
population, with the highest CNR in Papua Province and the lowest in Bali Province.

188 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.5
CASE NOTIFICATION RATE OF TUBERCULOSIS PER 100,000 POPULATION
BY PROVINCE YEAR 2021

Bali 69
D.I. Yogyakarta 78
Bengkulu 89
East Nusa Tenggara 91
South Kalimantan 94
Jambi 97
Bangka Belitung Islands 100
Central Kalimantan 102
East Java 105
West Nusa Tenggara 117
Central Java 123
Central Sulawesi 126
Aceh 127
North Kalimantan 129
Riau 129
Southeast Sulawesi 133
North Maluku 134
East Kalimantan 136
Lampung 139
West Kalimantan 141
West Sumatra 149
North Sumatra 150
Maluku 156
South Sumatra 158
West Sulawesi 159
South Sulawesi 165
Banten 177
Riau Islands 179
West Java 182
West Papua 204
North Sulawesi 219
Gorontalo 223
DKI Jakarta 263
Papua 268
INDONESIA 146
0 50 100 150 200 250 300
per 100.000 population

Source: Directorate General of P2P, Ministry of Health RI, 2022

d. Treatment Success Rate


Treatment Success rate is an indicator used to evaluate tuberculosis treatment. The
treatment success rate is the number of all cured tuberculosis cases and complete treatment
among all TB cases treated and reported.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 189


FIGURE 6.6
SUCCESSFUL RATE FOR TREATMENT OF TUBERCULOSIS PATIENTS
IN INDONESIA YEAR 2011-2021

Source: Directorate General of P2PL, Ministry of Health, Republic of Indonesia, 2021

If referring to the target set by the Ministry of Health strategic plan for this indicator in
2021, which is 85%, nationally, the success rate for tuberculosis treatment is already achieved
(86.0%).
FIGURE 6.7
SUCCESS RATE OF PATIENTS WITH TUBERCULOSIS
BY PROVINCE YEAR 2021

North Kalimantan 71,68


Papua 72,03
West Papua 74,03
DKI Jakarta 79,32
North Maluku 79,73
West Kalimantan 80,36
West Java 82,43
East Kalimantan 82,47
Bali 83,35
South Kalimantan 83,63
Central Kalimantan 83,71
Kep. Bangka Belitung 86,04
Riau Islands 86,14
Central Java 86,53
Maluku 87,22
South Sulawesi 87,31
D. I. Yogyakarta 87,95
Bengkulu 88,36
East Nusa Tenggara 88,43
Central Sulawesi 89,00
East Java 89,19
West Sumatra 89,30
Aceh 89,31
Gorontalo 89,56
South Sumatra 89,68
Southeast Sulawesi 89,87
Jambi 89,92
Banten 90,08
West Nusa Tenggara 90,25
North Sumatra 90,28
North Sulawesi 90,60
West Sulawesi 90,90
Riau 93,18
Lampung 94,88
0
Indonesia 86,05
0 20 40 60 80 100
Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

190 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


Provinces that achieve treatment success rates for all tuberculosis cases are at least
90% in 2021 as many as 7 provinces, namely Lampung (94.9%), Riau ( 93.2%), West Sulawesi
(90.9%), North Sulawesi (90.6%), North Sumatra (90.3%), West Nusa Tenggara (90.3%) Banten
(90.1%).

2. HIV and AIDS


Human Immunodeficiency Virus (HIV) is a virus that infects white blood cells that causes
a decrease in human immunity. The infection causes the patient to experience a decrease in
immunity so it is very easy to be infected with various other diseases. While Acquired
Immune Deficiency Syndrome (AIDS) is a collection of symptoms that arise due to decreased
immunity caused by infection with HIV. People infected with HIV require antiretroviral (ARV)
treatment to suppress the amount of the HIV virus in the body. The suppressed (suppressed)
virus has no potential to infect other people, and people with HIV will have a good quality of life.
Finding cases at an early stage and immediately getting ARV treatment, makes a person not fall
into advanced stages of HIV (AIDS). In advanced stages of HIV (AIDS) there is the potential for
entry of other infections known as opportunistic infections. The HIV control program in
Indonesia aims to:
1. reduce to eliminate new infections;
2. reduce or eliminate AIDS-related deaths;
3. reduce stigma and discrimination.
The estimated number of people living with HIV in Indonesia in 2020 is 543,100 people
with 29,557 new infections and 30,137 deaths (Spectrum Modeling Results 2020).
From Figure 6.8, it can be seen that the number of reported positive HIV cases from
year to year tends to increase. However, in 2021 the number of HIV positive cases was the
lowest since the last four years, which was reported as many as 36,902 cases. On the other
hand, compared to the average of the previous 8 years, the number of new AIDS cases tends to
decrease, with 5,750 reported cases in 2021.

FIGURE 6.8
NUMBER OF CASES OF HIV POSITIVE AND AIDS REPORTED IN
INDONESIA DURING 2011-2021

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022


The decline in HIV and AIDS cases in 2020 and 2021 was due to the COVID 19 pandemic,
where many health workers at the service assisted in handling COVID-19, while in 2021 health
workers at the service will help provide COVID-19
Indonesia Healthvaccinations
Profile 2021to the community.
| CHAPTER VI. DISEASES CONTROL 191
In HIV and AIDS, the proportion of cases in the male group is more than double that in
the female group, as illustrated in Figure 6.9 below.
Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022
The decline in HIV and AIDS cases in 2020 and 2021 was due to the COVID 19 pandemic,
where many health workers at the service assisted in handling COVID-19, while in 2021 health
workers at the service will help provide COVID-19 vaccinations to the community.
In HIV and AIDS, the proportion of cases in the male group is more than double that in
the female group, as illustrated in Figure 6.9 below.

FIGURE 6.9
PROPORTION OF CASES OF HIV POSITIVE AND AIDS
BY SEX IN INDONESIA YEAR 2021

HIV AIDS

30% 25%

70% 75%

Men Women Men Women

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

Percentage of HIV positive and AIDS cases in 2021 by age group as illustrated in Figure
6.10 below.

FIGURE 6.10
PERCENTAGE OF CASES OF HIV POSITIVE AND AIDS
BY AGE GROUP IN INDONESIA, YEAR 2021

80,0 40,0 34,2


69,7
70,0 35,0 29,4
30,0
60,0
25,0 18,7
50,0 20,0
40,0 15,0 9,8
30,0 10,0
16,9 3,4
20,0 5,0 0,2 1,1 1,1 1,7 0,4
8,1 0,0
10,0 1,4 0,7 3,1
0,0
≤ 4 5-14 15-19 20-24 25-49 ≥ 50
years years years years years years

Source: Directorate General of Disease Prevention and Control, Ministry of Health RI, 2022

Most of the distribution of HIV and AIDS cases are in the productive age group of 15-
49 years. Meanwhile, HIV and AIDS cases are still found in the age group under 4 years old,
which shows HIV transmission from mother to child. In order to achieve national and global

192 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


triple elimination (elimination of HIV, hepatitis B, and syphilis) in infants, it is hoped that mother-
to-child transmission of HIV will continue to decline in the following year.

3. Pneumonia
Pneumonia is an acute infection of the lung tissue (alveoli) which can be caused by
various microorganisms such as viruses, fungi and bacteria. Until now, the program in
controlling pneumonia is prioritized on controlling pneumonia in children under five.
Pneumonia in toddlers is characterized by coughing and/or signs of difficulty breathing, namely
rapid breathing, sometimes accompanied by lower chest wall indrawing (TDDK), with rapid
breathing limits based on the patient's age:
• < 2 months : 60/minute,
• 2 - < 12 months : 50/minute,
• 1 - < 5 years : 40/minute.
One of the efforts made to control this disease is to increase the discovery of
pneumonia in children under five. The following is the scope of finding cases of pneumonia in
children under five in Indonesia in 2011-2021 can be seen in the image below.

FIGURE 6.11
COVERAGE OF PNEUMONIA FINDINGS IN UNDER-FIVES IN INDONESIA
YEAR 2011-2021

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia, 2022

The coverage of pneumonia in under-fives in the last 11 years has fluctuated quite a bit.
The highest coverage in 2016 was 65.3%. In 2015-2019 there was a change in the estimated
number of cases from 10% to 3.55%, this caused a high coverage in that year. A significant
decrease was seen in 2020-2021 when compared to the coverage of the last 5 years, this
decrease was due to the impact of the COVID-19 pandemic, where there was a stigma on
COVID-19 sufferers which affected the decrease in the number of visits for toddlers with
coughing or difficulty breathing at the puskesmas.
In 2019 the number of visits for toddlers with coughing or difficulty breathing was
7,047,834 visits, in 2020 it was 4,972,553 visits, there was a 30% decrease from visits in 2019,

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 193


and in 2021 it decreased again to 4,432,177 which ultimately resulted in the discovery of
pneumonia under five.

FIGURE 6.12
COVERAGE OF PNEUMONIA FINDINGS IN UNDER-FIVES
BY PROVINCE YEAR 2020

North Sulawesi 4,4


Aceh 5,6
West Sulawesi 5,8
East Nusa Tenggara 6,8
South Sulawesi 7,3
West Kalimantan 7,4
North Sumatra 7,6
Bengkulu 8,3
Maluku 8,6
Riau 8,8
Central Kalimantan 9,2
D.I. Yogyakarta 9,3
Southeast Sulawesi 10,0
Jambi 10,1
North Maluku 11,6
West Papua 12,0
South Sumatra 12,7
East Kalimantan 13,5
West Sumatra 18,4
South Kalimantan 19,5
Riau islands 19,6
Papua 21,9
Bangka Belitung Islands 22,3
Gorontalo 24,8
DKI Jakarta 25,2
Bali 28,6
Central Sulawesi 30,4
North Kalimantan 31,8
West Java 32,8
West Nusa Tenggara 35,7
Central Java 37,6
Lampung 40,6
Banten 46,2
East Java 50,0
0
Indonesia 31,4
0 20 40 60 80 100
(%)

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

In 2021 nationally the coverage of pneumonia in children under five is 31.4%, and
provinces have not yet reached the target of 65%. Provinces with the highest coverage of
pneumonia in children under five were East Java (50.0), Banten (46.2%), and Lampung (40.6%).

194 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.13
ACHIEVEMENTS OF THE PERCENTAGE INDICATOR OF REGENCIES/CITIES
IN WHICH 50% OF PUSKESMAS IMPLEMENT STANDARD PNEUMONIA MANAGEMENT
YEAR 2016-2021

70% 64,4%
60,0% 60,7%
60% 52,0%
50,0% 47,8% 50,0%
50% 42,0% 43,0%
40,0%
40%
30%28%
30%
20%
10%
0%
2016 2017 2018 2019 2020 2021

Target Achievement

Source: Directorate General of P2P, Ministry of Health RI, 2021

The Strategic Plan indicator used in 2021 is the percentage of regencies/cities in which
50% of puskesmas carry out standard pneumonia examinations and management according to
the standard of 52%, both through the IMCI approach (Integrated Management of Sick
Toddlers), as well as the ARI Prevention and Control program. In 2021, the percentage of
regencies/cities where 50% of the puskesmas carry out standard management of pneumonia is
64.4%, which means that it has reached the 2021 strategic plan target, which is 52%.
In 2021, there will be seven provinces, all of which (100%) are regencies//cities with
50% of their health centers carrying out standard management of pneumonia, namely: Jambi,
Bangka Belitung, DKI Jakarta, North Kalimantan, Central Sulawesi, Bali, NTB.
In 2021 the mortality rate due to pneumonia in children under five is 0.16%. The
mortality rate due to pneumonia in the infant group is almost twice as high as that in the group
of children aged 1-4 years. The scope of pneumonia findings and deaths by province and age
group in 2020 can be seen in Annexes 53a and 53b.

4. Hepatitis
Hepatitis is an inflammation of the liver that can progress to fibrosis, cirrhosis or liver
cancer. Hepatitis is caused by various factors, such as viral infections, toxic substances, and
autoimmune diseases. The most common cause of Hepatitis is infection with Hepatitis A, B, C,
D and E Viruses. For Hepatitis A and Hepatitis E, the magnitude of the problem is not known
with certainty. However, considering the conditions of environmental sanitation, food hygiene
and sanitation, as well as clean and healthy living behaviors that are not yet optimal, the
Indonesian people are a risk group for contracting Hepatitis A and Hepatitis E. Reports received
by the Ministry of Health show that every year there are outbreaks of Hepatitis A , while
Hepatitis E is rarely reported in Indonesia. The results of the 2018 RISKESDAS show that the

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 195


prevalence of hepatitis based on a doctor's diagnosis history is 0.39% with a disparity between
provinces of 0.18% (Bangka Belitung Islands) and 0.66% (Papua). Based on age group, hepatitis
spreads almost evenly in all age groups, gender, education, occupation, and place of residence.
The National Program on Prevention and Control of Hepatitis B Virus currently focuses
on preventing Mother to Child Transmission (PPIA) because 95% of children are at risk of
contracting chronic hepatitis B from their mothers who are positive for hepatitis B.
Implementation of Hepatitis B Early Detection (DDHB) in risk groups/mothers pregnancy has
been carried out since 2013 with trials in one province, namely DKI Jakarta on 5000 pregnant
women, the implementation continues to be gradually expanded until 2017 this activity has
been carried out in 34 provinces (173 regencies/cities), and in the same year the program DDHB
collaborates and interacts in HIV, Syphilis and Hepatitis B Prevention of Mother-to-Child
Transmission
FIGURE 6.14
TARGET AND ACHIEVEMENT OF PERCENTAGE INDICATOR OF REGENCIES/CITIES
CONDUCTING EARLY DETECTION OF HEPATITIS B YEAR 2015-2021

Achievement Target

Ministry of Health of the Republic of Indonesia, 2022

Figure 6.14 shows an increase in the annual target followed by an increase in


the achievement of the indicator target. In 2021 the achievement of indicators has
reached the strategic plan target for 2021 (90%), which is 93.0%. For seven consecutive
years since its implementation, the Strategic Plan indicators have always achieved the
target.
In Figure 6.15 it can be seen that 27 out of 34 provinces have 100% of their
regencies/cities implementing early detection of hepatitis B, while as many as 5
provinces, namely Southeast Sulawesi, West Kalimantan, North Sumatra, West Papua,
and Papua have not yet reached the strategic plan target in 2021.

196 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.15
PERCENTAGE OF REGENCY/CITY CONDUCTING EARLY DETECTION OF HEPATITIS B
BY PROVINCE YEAR 2021

% Regency /City DDHB 2021


Papua 41,38
West Papua 61,54
North Sumatra 75,76
West Kalimantan 85,71
Southeast Sulawesi 88,24
Maluku 90,91
North Sulawesi 93,33
Aceh 100,00
West Sumatra 100,00
Riau 100,00
Jambi 100,00
South Sumatra 100,00
Bengkulu 100,00
Lampung 100,00
Bangka Belitung Islands 100,00
Riau islands 100,00
DKI Jakarta 100,00
West Java 100,00
Central Java 100,00
D.I. Yogyakarta 100,00
East Java 100,00
Banten 100,00
Bali 100,00
West Nusa Tenggara 100,00
East Nusa Tenggara 100,00
Central Kalimantan 100,00
South Kalimantan 100,00
East Kalimantan 100,00
North Kalimantan 100,00
Central Sulawesi 100,00
South Sulawesi 100,00
Gorontalo 100,00
West Sulawesi 100,00
North Maluku 100,00
0
Indonesia 93,00
0,00 20,00 40,00 60,00 80,00 100,00 120,00
%
Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

5. Diarrhea

Diarrhea is an endemic disease that has the potential to cause Extraordinary Events (KLB) and is
still a contributor to mortality in Indonesia especially in toddlers. The results of the 2018 Basic
Health Research show that the prevalence of diarrhea for all age groups is 8%, under five is
12.3%, and in infants is 10.6%. While in the 2018 Sample Registration System, diarrhea remains
one of the main causes of death in neonates by 7% and in infants aged 28 days by 6%.

a. Coverage of Services for Diarrhea Patients


The target of services for diarrhea sufferers to children under five who come to health
facilities is targeted by the program at 20% of the estimated number of diarrhea sufferers in

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 197


children under five. Meanwhile, the target of services for diarrhea sufferers at all ages is
targeted at 10% of the estimated number of diarrhea sufferers of all ages.

FIGURE 6.16
COVERAGE OF TREATED UNDER-FIVE PATIENTS WITH DIARRHEA
BY PROVINCE YEAR 2021

North Sumatra 3,3


In Yogyakarta 5,3
Bali 9,9
Riau islands 10,5
Aceh 11,2
North Sulawesi 11,4
Papua 11,7
Lampung 11,9
Riau 12,2
Southeast Sulawesi 13,7
West Kalimantan 15,8
Central Kalimantan 16,6
South Kalimantan 17,4
West Sumatra 17,6
South Sulawesi 18,2
East Nusa Tenggara 18,6
Kep. Bangka Belitung 19,5
Bengkulu 19,6
Central Sulawesi 21,2
West Sulawesi 21,2
Central Java 21,2
East Kalimantan 21,4
Jambi 21,8
South Sumatra 23,0
West Java 24,4
DKI Jakarta 27,2
North Maluku 28,6
Gorontalo 29,0
West Papua 30,2
Maluku 30,5
North Kalimantan 32,6
East Java 39,4
West Nusa Tenggara 51,4
Banten 55,3
0
Indonesia 23,8
0,0 10,0 20,0 30,0 40,0 50,0 60,0
%

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

In 2021 the coverage of services for diarrhea sufferers at all ages is 33.6% and 23.8%
for toddlers of the target set . The inter-provincial disparity in service coverage for diarrhea
sufferers of all ages is between 6.7% (North Sumatra) and Banten (68.6%). Meanwhile, the inter-
provincial disparity in service coverage for children with diarrhea is between 3.3% (North
Sumatra) and Banten (55.3%).

b. ORS and zinc for Diarrhea

198 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


for toddlers of the target set . The inter-provincial disparity in service coverage for diarrhea
sufferers of all ages is between 6.7% (North Sumatra) and Banten (68.6%). Meanwhile, the inter-
provincial disparity in service coverage for children with diarrhea is between 3.3% (North
Sumatra) and Banten (55.3%).

b. ORS and zinc for Diarrhea


LINTAS DIARE (Five Steps to Complete Diarrhea) recommends that all diarrhea sufferers
must receive ORS, so the target for using ORS is 100% of all diarrhea cases receiving services at
the puskesmas. In 2021 nationally the use of ORS at all ages and toddlers is still below 100%, at
all ages 90.1% and for toddlers 91.2%.
The target was not achieved because the service providers at the Puskesmas had not
provided ORS according to the standard of care, namely 6 packs/diarrhea sufferers. In addition,
people still do not know about the benefits of ORS as a liquid that must be given to every patient
with diarrhea to prevent dehydration.
In addition to ORS, toddlers are also given zinc, which is a micronutrient that serves to
reduce the duration and severity of diarrhea, reduce the frequency of bowel movements,
reduce stool volume and prevent recurrent diarrhea in the following three months. The use of
zinc for 10 consecutive days when toddlers have diarrhea is a therapy for toddlers' diarrhea. In
2021 the coverage of giving zinc to children with diarrhea is 90.7%.

6. Leprosy

Leprosy is an infectious disease caused by bacteria, Mycobacterium leprae. Leprosy is a


chronic disease, attacking the skin, peripheral nerves and other organs except the central
nervous system. Poor management of leprosy can result in disability, in the eyes, hands and
feet.

a. Prevalence and New Case Detection Rates


Since 2000, Indonesia has been declared to have reached the status of elimination of
leprosy with a national level of leprosy prevalence rate of 0.9 per 10,000 population. The
prevalence rate of leprosy in Indonesia in 2021 is 0.45 cases per 10,000 population and the new
case finding rate is 4.03 cases per 100,000 population. Trends The incidence rate can be seen in
Figure 6.17. During the last ten years, the prevalence ratio of new cases of leprosy found a
relatively decreasing trend.
In 2021, the COVID-19 pandemic is still happening, this causes early detection of cases
in the community to run less than optimally due to restrictions on community gathering
activities. In addition, most of the health resources are also focused on the prevention and
vaccination of COVID-19, so that the program runs less than optimally and the discovery of new
cases has decreased.
In 2021 it was reported that there were 10,976 new cases of leprosy, 89% of which were
multi (MB) leprosy.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 199


FIGURE 6.17
PREVALENCE AND NEW CASE DETECTION RATES (NCDR) OF LEPROSY
YEAR 2011-2021

10,00

8,00 8,30
7,76
6,79 6,75 6,73 6,50 6,42 6,51
6,00 6,08
per 100,000 population

4,00 4,12 4,03

2,00
0,96 0,91 0,79 0,79 0,79 0,71 0,70 0,70 0,74 0,49 0,45
0,00
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

New Leprosy Case Detection Rate per 100,000 population


Leprosy Prevalence Rate per 10,000 population
Source: Directorate General of P2P, Ministry of Health RI, 2022

Provinces are declared to have reached elimination if the prevalence rate is <1 per
10,000 population. Following are the changes to the elimination maps for 2020 and 2021. In
2021, twenty-eight provinces have achieved leprosy elimination, two more provinces compared
to the previous year, namely South Sulawesi and West Sulawesi. Meanwhile, provinces that
have not yet reached elimination in 2021 are North Sulawesi, Gorontalo, Maluku, North Maluku,
West Papua, and Papua.

FIGURE 6.18
MAP OF LEPROSY ELIMINATION BY PROVINCE IN INDONESIA
YEAR 2020 AND 2021
Map of Leprosy Elimination by Province in Indonesia 2020

Map of Leprosy Elimination By Province in

200 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


Map of Leprosy Elimination by Province in Indonesia 2021

Map of Leprosy Elimination by Province in Indonesia 2021

Not yet eliminated ( Prev>1/10.000 Population) Eliminated (Prev<1/10.000 Population )

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

Map of Leprosy Elimination Year 2019


All provinces that have not achieved leprosy elimination are found in parts of Central Indonesia and
throughout Eastern Indonesia

b. Grade 2 Disability Rate


Increased early detection of cases is needed in controlling leprosy cases. One of the
indicators used to show success in detecting new cases of leprosy early is the level 2 disability
rate. In 2021 the level 2 disability rate is 2.47 per 1,000,000 population, this figure tends to
decrease every year. This illustrates that case finding activities are getting more and more early
and disability can be prevented.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 201


FIGURE 6.19
GRADE 2 DISABILITY RATE OF NEW LEPROSY PATIENTS PER 1,000,000 POPULATION
YEAR 2011-2021

10
9
8 8,40 8,71
per 1.000.000 population

7 6,82
6 6,33 6,60
5 5,27
4 4,26 4,22 4,18
3
2 2,32 2,47
1
0
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

Source: Directorate General of P2P, Ministry of Health RI, 2022

There were no grade 2 disability found in new cases in 2020 in the Provinces of D.I. Yogyakarta
and West Papua. On the other hand, Papua Province far exceeded other provinces, reaching
11.57 per 1,000,000 population.

202 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.20
GRADE 2 DISABILITY RATE OF LEPROSY PER 1,000,000 POPULATION
BY PROVINCE YEAR 2021

DI Yogyakarta 0,00
Riau 0,14
Bengkulu 0,50
West Sulawesi 0,71
DKI Jakarta 0,72
West Kalimantan 0,77
South Kalimantan 0,94
Riau Islands 0,97
Jambi 1,09
West Nusa Tenggara 1,13
North Sumatera 1,16
East Kalimantan 1,35
Papua 1,51
Lampung 1,53
Central Java 1,58
Bali 1,60
South Sumatera 1,89
Central Kalimantan 1,92
West Java 1,96
Central Sulawesi 2,44
Aceh 2,71
North Sulawesi 2,74
Banten 3,30
Bangka Belitung Islands 4,03
East Jawa 4,08
North Kalimantan 4,41
West Sumatera 4,46
South Sulawesi 4,58
Gorontalo 5,04
Southeast Sulawesi 5,88
North Maluku 7,82
East Nusa Tenggara 8,42
Maluku 9,83
West Papua 11,57

Indonesia 2,47
0 5 10 15 20
per 1.000.000 Population
Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

c. Proportions of MB Leprosy and Leprosy in Children


The proportion of MB leprosy and the proportion of leprosy in children (0-14 years)
amongnew cases shows that there is a hidden source of transmission and the high rate of
transmission in the community.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 203


FIGURE 6.21
PROPORTION OF MB LEPROSY AND PROPORTION OF LEPROSY IN CHILDREN
YEAR 2011-2021

100 86,12 85,46 84,70 86,87 88,80


90 80,4 82,69 83,44 83,48 84,55 84,19
80
70
60
50
40
(%)

30
20 10,78 11,88 11,12 11,22 11,43 11,03 10,94 11,52 10,08 10,33
10 0
0
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

Proportion of MB Leprosy Proportion of Leprosy in Children

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

There is not much change in the proportion of MB leprosy during the period 2011-2021.
MB leprosy cases still dominate in Indonesia, showing the many sources of transmission in the
community. Provinces with the highest proportion of MB leprosy in 2021 are West Kalimantan
(97%), DI Yogyakarta (96%), and Southeast Sulawesi (96%)
Likewise, the proportion of child leprosy in the same period did not change much. The
province with the highest proportion of leprosy in children is West Papua (25.86%), Papua
(23.57%), and Riau Islands (21.88%). Data or information related to leprosy by province can be
found in Appendix 57 to Appendix 59.b.

7. Coronavirus Disease (COVID-19)


Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered
type of corona virus, namely Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).
The first case of COVID-19 was reported on December 31, 2019 in Wuhan City, Hubei Province,
China. Since then, the disease has spread throughout the world and on March 11, 2020 WHO
declared COVID-19 a pandemic.
COVID-19 infection can cause mild, moderate or severe symptoms. The main clinical
symptoms that appear are fever (temperature >38°C), cough, sore throat, nasal congestion,
headache, and difficulty breathing. In addition, it can be accompanied by severe shortness of
breath, fatigue, myalgia, loss of smell and smell or skin rash, gastrointestinal symptoms such as
diarrhea and other respiratory symptoms. In severe cases of rapid and progressive worsening,
such as ARDS, septic shock, metabolic acidosis that is difficult to correct and some patients,
the symptoms are mild, not even accompanied by fever. Most patients have a good prognosis,
with a small proportion in critical condition or even death. Older people and with pre-existing

204 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


medical conditions such as high blood pressure, heart and lung disorders, diabetes and cancer
are at greater risk of developing it.
COVID-19 is transmitted through droplets, transmission occurs when a person is at
close distance (within 1 meter) with someone who has respiratory symptoms (for example:
coughing or sneezing) so that droplets are at risk of contacting the mucosa (mouth and nose)
or conjunctiva (eyes). Transmission can also occur through objects and surfaces contaminated
with droplets around an infected person. Therefore, transmission of the COVID-19 virus can
occur through direct contact with an infected person and indirect contact with surfaces or
objects used on infected people.
Policies for controlling infectious disease outbreaks are regulated by Law Number 4 of
1984 concerning Infectious Diseases, Government Regulation Number 40 of 1991 concerning
Control of Outbreaks of Infectious Diseases, and Regulation of the Minister of Health Number
1501/Menkes/Per/X/2010 concerning Certain Types of Infectious Diseases. that can cause
epidemics and efforts to overcome them. And in the context of efforts to overcome the early
COVID-19 outbreak, the Minister of Health has issued the Minister of Health Decree Number
K.01.07/MENKES/104/2020 concerning the Determination of Novel Coronavirus Infection
(2019-nCoV Infection) as a type of disease that can cause outbreaks and efforts to overcome
them. The determination was based on the consideration that the Novel Coronavirus infection
(2019-nCoV infection) has been declared by WHO as a Public Health Emergency of International
Concern (PHEIC).

a. Confirmed Cases of COVID-19


Since the first announcement of COVID-19 cases in Indonesia on March 2, 2020 to
December 31, 2021, there have been 4,262,720 confirmed cases in Indonesia with 4,292 active
cases. The highest number of confirmed cases were reported from DKI Jakarta (865,297), West
Java (708,852), and Central Java (486,916).

FIGURE 6.22
CONFIRMED CASES OF COVID-19 BY AGE AND SEX GROUPS YEAR 2021
28.155 0-2 25.178
34.870 3-6 31.873
70.878 7-12 68.953
44.270 13-15 46.818
52.123 16-18 63.612
388.063 19-30 475.234
489.053 31-45 495.670
360.424 46-59 380.489
215.450 60+ 203.084
600.000 400.000 200.000 0 200.000 400.000 600.000

Men Women

Source: Center for Data and Information Technology, Ministry of Health of the Republic of Indonesia, 2022

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 205


The figure above shows that the number of confirmed cases of COVID-19 by sex as a
whole and in each age group does not have a significant difference. However, the most
confirmed cases of COVID-19 are female.
Based on age group, the most cases of COVID-19 suffered in the age group 31 – 45 years
(984,723), 19 – 30 years (863,297), and 46 – 59 years (740,913), both male and female.
However, it should be noted that, the data above is a distribution of sex and age group from the
complete identity reported in the New All Record system.

b. Recovery Rate (RR) and Case Fatality Rate (CFR) of COVID-19


Recovery Rate (RR) is the number of recovered COVID-19 cases divided by the number
of confirmed COVID-19 cases. Meanwhile, Case Fatality Rate (CFR) is a calculation of the number
of COVID-19 cases that died divided by the number of confirmed COVID-19 cases.

FIGURE 6.23
RECOVERY RATE (RR) AND CASE FATALITY RATE (CFR) OF COVID-19
YEAR 2021

Case Active case


Fatality 0,1%
Rate
3%

Recovery
Rate
97%

Source: Directorate General of P2P, Ministry of Health RI, 2022

The figure above shows that until December 31, 2021, the RR in Indonesia was 96.25%
with a total of 4,114,334 recovered cases and a CFR of 3.38% with a total of 144,094 deaths.

206 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.24
RECOVERY RATE OF COVID-19 BY PROVINCE
YEAR 2021

Lampung 91,1
East Java 92,5
Central Java 93,6
Aceh 94,6
South Sumatra 94,8
Gorontalo 96,1
Riau Islands 96,2
Bali 96,4
Central Sulawesi 96,5
Riau 96,5
East Kalimantan 96,5
South Kalimantan 96,6
D.I. Yogyakarta 96,6
North Sulawesi 96,6
Central Kalimantan 96,8
West Nusa Tenggara 97,0
West Sulawesi 97,2
Bangka Belitung… 97,2
North Sumatra 97,2
Jambi 97,3
Southeast Sulawesi 97,4
West Kalimantan 97,4
North Maluku 97,5
West Sumatra 97,6
North Kalimantan 97,7
East Nusa Tenggara 97,8
West Java 97,8
South Sulawesi 97,9
Banten 97,9
Bengkulu 97,9
West Papua 98,0
Papua 98,1
Maluku 98,1
DKI Jakarta 98,4

Indonesia 96,5
0 20 40 60 80 100
Source: Directorate General of P2PL, Ministry of Health RI, 2022

Provinces with the highest RR are DKI Jakarta (98.4%), Maluku (98.1%), Papua (98.1%)
and West Papua (98.0 %). Meanwhile, the provinces with the lowest RR are Lampung (91.1%),
East Java (92.5%), and Central Java (93.6%),

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 207


FIGURE 6.25
CASE FATALITY RATE OF COVID-19 BY PROVINCE
YEAR 2021

West Papua 1,5


DKI Jakarta 1,6
Papua 1,6
Maluku 1,8
Banten 2,0
South Sulawesi 2,0
Bengkulu 2,0
West Java 2,1
East Nusa Tenggara 2,1
North Kalimantan 2,3
West Sumatra 2,4
North Maluku 2,5
West Kalimantan 2,6
Southeast Sulawesi 2,6
Jambi 2,6
North Sumatra 2,7
Bangka Belitung Islands 2,8
West Sulawesi 2,8
West Nusa Tenggara 2,9
North Sulawesi 3,1
Central Kalimantan 3,1
Riau 3,2
Kep. Riau 3,2
D.I. Yogyakarta 3,4
Central Sulawesi 3,4
South Kalimantan 3,4
East Kalimantan 3,4
Bali 3,5
Gorontalo 3,9
South Sumatra 5,1
Aceh 5,4
Central Java 6,2
East Java 7,4
Lampung 7,8
0,0
Indonesia 3,4
0 1 2 3 4 5 6 7 8

Source: Directorate General of P2P, Ministry of Health RI, 2022

Provinces with a CFR greater than the national figure are Lampung (7.8%), East Java
(7.4%), Central Java (6.2%), Aceh ( 5.4%), South Sumatra (5.1%), Gorontalo (3.9%), and Bali
(3.5%).

c. Positivity Rate COVID-19


Positivity Rate The positivity rate calculated by comparing the number of confirmed
cases of COVID-19 divided by the number of people tested for COVID-19. positivity rate WHO
recommended 5%. The positivity rate can give an indication of how widespread the
transmission is in the community or in the area where testing is being carried out. positivity rate

208 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


indicates a high transmission of transmission and the possibility that there are still many people
with the corona virus in the community who have not been tested. This can also happen
if only part of the community at high risk is tested, and another possibility is that the reporting
process is delayed or interferes with the results of the positivity rate, for example byprioritizing
reporting positive test results over negative results.

FIGURE 6.26
POSITIVITY RATE OF COVID-19 BY PROVINCE YEAR 2021

Central Sulawesi
North Kalimantan
Bangka Belitung Islands
West Sulawesi
Bengkulu
Papua
East Nusa Tenggara
Central java
Aceh
Lampung
D.I. Yogyakarta
Riau
Central Kalimantan
Southeast Sulawesi
Gorontalo
West java
East Kalimantan
Bali
Jambi
South Kalimantan
South Sumatra
East java
Maluku
North Sulawesi
West Sumatra
DKI Jakarta
South Sulawesi
West Nusa Tenggara
North Maluku
Banten
Riau islands
North Sumatra
West Kalimantan
West Papua

Source: Center for Data and Information Technology, 2022

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 209


The above figure shows that positivity rates have not yet reached the WHO
recommendation of 5%. positivity rate was 27.22%, while the provinces with the lowest
positivity rates were West Papua (14.80%), West Kalimantan (16.30%), and North Sumatra
(16.67%).
Until now, the COVID-19 situation at the global and national levels is still at very high
risk. To suppress the spread of the virus and to cope with the pandemic, one of the policies
carried out is to impose Community Activity Restrictions (PPKM). PPKM is the Indonesian
Government's policy since early 2021 to deal with the Covid-19 pandemic in Indonesia. Prior to
the implementation of PPKM, the government had implemented large-scale social restrictions
(PSBB) which took place in a number of regions in Indonesia. PPKM took place in several areas
where the Covid-19 infection spread, namely on the islands of Java and Bali. The Indonesian
government first implemented PPKM on January 11 to 25, 2021. The PPKM for twoweeks was
carried out based on the Instruction of the Minister of Home Affairs (Mendagri) Number 1 of
2021 and was implemented in the Java and Bali regions. Then PPKM expanded in non-JABAL
provinces. PPKM is extended every two weeks.
In addition, we must also implement the 5M health protocol (washing hands, wearing
masks, maintaining distance, staying away from crowds, reducing mobility) to prevent and
reduce the number of cases spreading.

7. COVID-19 Vaccination
To break the chain of transmission of COVID-19, in addition to implementing strict
health protocols, efforts are needed to increase community immunity. Vaccination aims to
increase herd immunity. The implementation of the COVID-19 vaccination has been carried out
since January 13, 2021 with a total target of 208,265,720 people aged >12 years and is expected
to be completed by the end of 2021.

FIGURE 6.27
THE SITUATION OF COVID-19 VACCINATION IN INDONESIA YEAR 2021

210 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


Source: KPPEN Dashboard December 31, 2021 , at 18.00 WIB

FIGURE 6.28.
ACHIEVEMENTS OF FIRST DOSAGE VACCINATION BY PROVINCE YEAR 2021

Papua 29,3
West Papua 53,4
Maluku 59,8
West Sulawesi 66,7
Aceh 68,1
West Sumatra 68,7
West Kalimantan 69,7
Southeast Sulawesi 72,0
East Nusa Tenggara 72,6
South Sulawesi 72,8
Central Sulawesi 73,7
North Maluku 74,5
South Kalimantan 75,2
North Sumatra 76,4
Bengkulu 76,5
North Sulawesi 77,0
South Sumatra 77,6
Lampung 77,7
Jambi 77,8
West Java 77,8
Gorontalo 78,6
Riau 78,8
East Java 79,7
Central Java 79,9
Central Kalimantan 80,1
Banten 80,4
West Nusa Tenggara 81,4
Bangka Belitung Islands 81,7
North Kalimantan 82,0
East Kalimantan 83,6
Riau islands 102,4
Yogyakarta 102,6
Bali 113,0
DKI Jakarta 144,0
Indonesia 80,6
0 20 40 60 80 100 120 140 160

Source: KPCPEN, access 18 May 2022 at 18.00, Filter data as of 31ST December 2021

The figure above shows the achievement of dose 1 vaccination nationally and
provincially. The achievement of national dose 1 vaccination is 80.6%. There are 8 provinces
with a dose 1 vaccination achievement that exceeds the national level, namely DKI Jakarta
(114.0%), Bali (113.0%), Yogyakarta (102.6%), Riau Islands (102.4%), East Kalimantan (83 .6%),
North Kalimantan (82.0), Bangka Belitung Islands (81.7%), and West Nusa Tenggara (81.4%).

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 211


FIGURE 6.29.
ACHIEVEMENTS OF SECOND DOSAGE VACCINATION BY PROVINCE YEAR 2021

Papua 21,2
Maluku 28,4
Aceh 30,3
West Papua 33,5
Southeast Sulawesi 34,6
North Maluku 35,8
East Nusa Tenggara 36,8
West Sulawesi 38,0
Central Sulawesi 40,0
South Kalimantan 41,2
South Sulawesi 42,0
West Sumatra 43,7
Riau 43,8
South Sumatra 44,3
West Kalimantan 45,6
Gorontalo 47,5
Central Kalimantan 47,8
Lampung 47,8
North Sulawesi 47,9
Bengkulu 50,3
North Sumatra 50,3
West Java 54,9
Banten 55,1
West Nusa Tenggara 55,9
Jambi 56,3
East Java 58,0
Bangka Belitung Islands 60,7
North Kalimantan 60,8
Central Java 61,1
East Kalimantan 62,6
Riau islands 78,7
Yogyakarta 90,4
Bali 91,6
DKI Jakarta 114,4
Indonesia 55,8
0 20 40 60 80 100 120 140

Source: KPCPEN, accessed 18 May 2022 at 18.00, Filter data as of 31 December 2021

The figure above shows the achievement of dose 2 vaccination nationally and
provincially. The achievement of the national dose 2 vaccination was 55.8%. The five provinces
with the second highest dose of vaccination were DKI Jakarta (114.4%), Bali (91.6%), Yogyakarta
(90.4%), Riau Islands (78.7%), and East Kalimantan (62.6 %).

B. DISEASES THAT CAN BE PREVENTED BY IMMUNIZATION (PD3I)


PD3I is a disease that can be prevented by immunization. The government through the
Ministry of Health has made various efforts to prevent and control PD3I. The efforts made include:
a. Increase the coverage of basic and advanced immunization, because immunization is a
specific prevention of PD3I;

212 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


b. Conduct technical guidance and supervision of surveillance and immunization programs;
c. Perform capacity building of PD3I surveillance officers in order to improve theperformance
of AFP and Measles-Rubella surveillance and control of Diphtheria;
d. Develop, provide, and distribute PD3I surveillance technical guidelines during the Covid – 19
pandemic;
e. Provide and distribute PD3I surveillance communication, information, and education (KIE)
media;
f. Conduct socialization related to PD3I to cross programs and related sectors and
professional organizations (IDI, IDAI, IBI, PPNI, PEAI etc.)
g. Conduct regular meetings with the Diphtheria Expert Commission, Measles-Rubella/CRS
Komli, AFP surveillance Komli and Eradication Commission Polio (ERAPO), to obtain
recommendations in order to achieve the target of polio eradication, elimination of measles-
rubella/CRS as well as diphtheria control and outbreak control strategies.
h. Conduct Diphtheria, Measles-Rubella/CRS, and Polio laboratory network meetings;
i. Assist in Epidemiological Investigations of Potential Outbreaks of Diseases including PD3I to
areas

The following diseases can be prevented by immunization:

1. Tetanus Neonatorum

Tetanus neonatorum (TN) is a tetanus disease that attacks newborns. The main
cause is infection with the bacterium Clostridium tetani, which is a bacterium that can produce
toxins that can attack the brain and central nervous system. These bacteria are commonly found
in soil, dust, and animal waste bacteria Clostridium tetanican infect a person, through cuts,
tears, or puncture wounds caused by contaminated objects. In newborns, tetanus neonatorum
occurs when these bacteria enter the baby's body through unhygienic, such as cutting and
caring for unclean or sterile umbilical cords.

Cases TN increased in 2021, which amounted to 11 cases, where previously there were
4 cases in 2020. Case Fatality Rate (CFR) increased to 82% in 2021 where previously in 2020 the
CFR was 50%. The distribution of TN in 2021 will be in 7 provinces, namely Jambi, South
Sumatra, East Java, South Sulawesi, North Kalimantan, West Kalimantan, and West Sulawesi.
From 7 provinces, 5 provinces have cases of TN deaths, namely South Sumatra, South Sulawesi,
East Java, West Kalimantan and West Sulawesi. Cases TN in 2021 occurred in South Sumatra
Province, namely 3 cases, with CFR of 100%. The distribution of TN can be seen in Figure 6.30
below.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 213


FIGURE 6.30
DISTRIBUTION OF NEONATORUM TETANUS CASES PER PROVINCE
YEAR 2020 and 2021
YEAR 2020

4 Cases Tetanus Neonatorum

Indonesia : 4 Cases

YEAR 2021

Cases

11 Tetanus Cases

Indonesia : 11 Cases

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

Based on the risk factors for TN cases, from 11 cases in 2021, 9 cases (82%) were not
immunized. Based on birth attendants in TN cases, 8 cases (73%) were assisted by traditional
healers/helpers, 1 case (9%) was assisted by a doctor, 1 case (9%) was assisted by a
midwife/nurse and 1 case (9%) had no known history of birth attendant. . Based on the risk
factors for umbilical cord care, 55% (6 cases) used traditional methods and 8% (2) cases used
alcohol. Meanwhile, based on umbilical cord cutting, 5 cases (46%) used scissors, 1 case (9%)
used bamboo, 3 cases (27%) other cutting tools, and 2 cases (18%) were unknown.

214 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.31
PROPORTION OF TETANUS NENONATORUM BY RISK FACTORS
IN 2021
Immunization Status Auxiliary

Doctor
Unknown

Midwives

Care for Umbilical Cord Cutting

Unknown

Unknown
Others

Scissors

Others
Traditional

Bamboo

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

2. Measles
Measles is a highly contagious disease. Measles is an important cause of death for
children worldwide. The group of pre-school age and elementary school age children is a
group that is vulnerable to contracting measles. Measles is caused by a virus from the genus
Morbillivirus and belongs to Paramyxovirus. Measles is also known as morbili or measles.
Measles is transmitted through air contaminated with droplets from the nose, mouth, or throat
of an infected person. Initial symptoms usually appear 10-12 days after infection, including high
fever, runny nose, red eyes, and small white spots on the inside of the mouth. Afew days later,
a rash develops, starting on the upper face and neck and gradually spreading

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 215


downwards. Severe measles is possible in children who are malnourished, especially in those
who are deficient in vitamin A, or whose immune systems have been weakened by other
diseases. The most serious complications include blindness, encephalitis (an infection that
causes swelling of the brain), severe diarrhea and dehydration, and severe respiratory
infections such as pneumonia. A person who has had measles will have immunity to the disease
for the rest of his life.
In 2020 the spread of suspected measles cases was almost all over Indonesia, only 3
provinces where there were no suspected measles cases. In 2021, there were 2,931 suspected
cases of measles, a decrease when compared to 2020, which was 3,434 cases. The most
suspected measles cases were in Central Java (493 cases), DKI Jakarta (489 cases), and East Java
(366 cases).

FIGURE 6.32
DISTRIBUTION OF SUSPECTED MEASLES CASES IN INDONESIA
YEAR 2020 AND 2021
IN 2020
Year 2020

YEAR 2021 Year 2021

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

Suspected measles in 2021 spread to almost all parts of Indonesia, with an Incidence
Rate (IR) of 0.48 per 100,000 population . This figure decreased when compared to 2020 which

216 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


was 1.14 per 100,000 population. The decrease in the number of suspected measles cases in
2021 was in line with the decreasing number of suspected measles cases reported by the
province due to the Covid 19 pandemic.
If we look at the distribution of suspected measles cases per month in 2021 (Figure
6.33), it can be seen that the trend of suspected measles cases tends to be low. at the beginning
of the year and increases in October, November and December. The highest number of
suspected measles cases was in December (695 cases), while the lowest number was in July(71
cases). The decline in the number of cases was partly due to the Covid-19 Pandemic which
caused surveillance staff at all levels to focus on dealing with the Covid-19 pandemic so that
other surveillance programs including PD3I surveillance could not run according to the
standards set.

FIGURE 6.33
NUMBER OF CASE OF SUSPECTED MEASLES PER MONTH
IN INDONESIA YEAR 2021

Source: Directorate General of P2P, Ministry of Health RI, 2022

The largest proportion of suspected measles cases is in the >14 year age group (29.3%)
and the second is in the 1-4 year age group (26.7%), while the lowest proportion of suspected
cases was in the 10-14 year age group and suspects with an unknown age, with percentages of
10.8% and 0%, respectively. Figure 6.32 shows the proportion of suspected measles cases per
age group. Details of suspected measles cases by province can be seen in Appendix 62.a, 62.c,
and 62.d.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 217


FIGURE 6.34
PROPORTION OF SUSPECTED MEASLES BY AGE IN INDONESIA
YEAR 2021

Year

Year

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

The proportion of suspected measles vaccinated nationally is 22.4%. Meanwhile, the


provinces with the highest percentage of suspected cases were North Sulawesi, South Sumatra
and Gorontalo. The provinces with the lowest proportion are DI Yogyakarta, Central Java and
Jambi. Figure 6.35 shows the percentage of suspected measles cases to measles suspect cases
that were vaccinated by province.

FIGURE 6.35
PERCENTAGE OF SUSPECTED MEASLES VACCINED

North Sulawesi
South Sumatra
Gorontalo
Bangka Belitung Island
East Java
Bali
North Maluku
West Kalimantan
West Papua
West Java
West Sulawesi
Central Sulawesi
South Sulawesi
West Sumatra
DKI Jakarta
Papua
Southeast Sulawesi
Jambi
Central Java
D.I. Yogyakarta

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

218 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


If there are 5 or more suspected measles cases within 4 consecutive weeks that occur
in groups, and an epidemiological relationship has been proven in a area, the area is declared
a suspected measles outbreak. In 2021, from 2,931 suspected measles cases, there were 75
cases with 8 outbreaks of measles suspected. This number is higher than in 2020 where there
were 6 outbreaks of measles suspected.

FIGURE 6.36
FREQUENCY OF MEASURES SUSPECTED OUTBREAK
BY PROVINCE IN INDONESIA YEAR 2021

D.I. Yogyakarta East Java North Sulawesi South Sulawesi South Papua North Maluku
Sulawesi

Source: Directorate General of P2P, Ministry of Health RI, 2022

Outbreaks of suspected measles are found in North Maluku, Papua, South Sulawesi,
North Sulawesi, East Java, and DI Yogyakarta Provinces. All suspected measles outbreaks that
occurred in 2021 reported no deaths. The complete frequency and number of cases in
suspected measles outbreaks by province can be seen in Appendix 62.e.
Distribution of outbreaks of suspected measles based on laboratory confirmation of 73
total blood (serum) samples reported in 2021, there were 4 cases of measles, 58 cases of
rubella, 6 combined cases (measles and rubella), 7 negative cases, and no pending cases.
laboratory confirmation.

3. Diphtheria
Diphtheria is a highly infectious disease that can be prevented by immunization, caused
by the toxigenic strain of the bacterium Corynebacterium diphtheriae. Transmission occurs by
droplets (spit splashes) from coughing, sneezing, vomiting, through eating utensils, or direct
close contact from lesions on the skin. If untreated and cases do not have immunity, the
mortality rate is around 50%, while with therapy the mortality rate is around 10% (CDC Manual
for the Surveillance of Vaccine Preventable Diseases, 2017). The average diphtheria mortality
rate is 5-10% in children aged less than 5 years and 20% in adults over 40 years (CDC Atlanta,
2016).

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 219


Diphtheria is a type of infectious disease that can cause outbreaks/outbreaks as stated
in the Regulation of the Minister of Health number 1501 of 2010. Each case is suspected of
diphtheria with symptoms of pharyngitis, tonsillitis, laryngitis, tracheitis, or a combination of
them accompanied by fever or without fever and the presence of a pseudo membrane gray-
white Gray dust that is difficult to come off, bleeds easily when removed or manipulated must
be reported within 24 hours and immediate response is taken to break the chain of
transmission. Diphtheria outbreak control activities are carried out by involving related
programs, namely epidemiological surveillance, immunization programs, clinicians, laboratories
and other health programs as well as across related sectors (Diphtheria Surveillance Guidelines,
2019).
Diphtheria cases in 2021 spread to almost all regions in Indonesia. The number of
diphtheria cases in 2021 is 235 cases, the number of deaths is 25 cases, with CFR of 11%. The
number of diphtheria cases in 2021 has decreased compared to 2020 (259 cases). The number
of deaths due to diphtheria has increased significantly when compared to the previous year (13
cases). CFR in 2021 increased when compared to 2020 (5.02%). The highest number of cases
was in East Java Province as many as 59 cases, West Kalimantan 49 cases and West Java
33 cases, meanwhile in 2021 there were 11 provinces where there were no cases of Diphtheria.

FIGURE 6.37
DISTRIBUTION OF DIPHTHERIA CASES BY PROVINCE
YEAR 2021

Cases

Source: Directorate General of P2P, Ministry of Health RI, 2022

Deaths from diphtheria cases in 2021 were 25 deaths with CFR of 11%. Diphtheria
cases of death occurred in 11 provinces, with the highest order of deaths in West Kalimantan
(6 cases), DKI Jakarta (4 cases), West Sumatra and Banten with 3 cases each. This may happen
because the patient may never have received diphtheria immunization or incomplete
immunization, thus worsening the condition because the patient does not have immunity to
diphtheria disease.

220 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.38
CASE OF DEATH OF DIPHTHERIA IN INDONESIA
YEAR 2021

Indonesia, Number of deaths = 25

Number of deaths

West Kalimantan

South Sulawesi
South Sumatra
Southeast Sulawesi
West Sumatra

East Java
Lampung
Banten
Jakarta

Jambi
Alive Death

Source: Directorate General of P2P, Ministry of Health RI, 2022

Diphtheria outbreaks occur when a district/city area is declared an outbreak of


Diphtheria if one suspect Diphtheria is found with positive laboratory confirmation of culture
or if a suspected Diphtheria has an epidemiological relationship with culture positive cases.
Policies in the prevention of Diphtheria include:
1. Every Extraordinary Event (KLB) must be investigated and handled as soon as possible to
stop transmission and prevent complications and death.
2. Case management is carried out in hospitals by applying precautionary principles such as
maintaining hand hygiene, placing cases in separate rooms / isolation, and reducing close
contact of cases with other people
3. Every suspected diphtheria is tested with a culture laboratory
4. Every close contact is given chemoprophylaxis Close
5. contacts are given immunizations during an epidemiological investigation
6. Specimen collection in close contacts can be done if needed in accordance with
epidemiological studies
7. Every suspected diphtheria is carried out Outbreak Response Immunization (ORI) or
response to immunization in outbreaks as soon as possible area ORI be carried out for
one (1) district/city but if it is not possible for some reason then ORI is carried out at least
one (1) sub-district with the target according to epidemiological studies and ORI intervals
0-1-6 months
8. ORI of Diphtheria in a regency/municipal area is declared to have ended.

4. Polio and Acute Flaccid Paralysis (AFP)/Polio


is a highly contagious disease caused by a virus. This disease attacks the nervous system
and can cause complete paralysis in just a matter of hours. The virus is mainly transmitted from
person to person by faecal-oral route. Early symptoms that occur are fever, fatigue, headache,
vomiting, stiffness in the neck, and pain in the legs. 1 in 200 infections cause permanent

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 221


paralysis (usually in the legs). Among those who are paralyzed, 5% to 10% will end up in death
because paralysis occurs in their respiratory muscles.
In November 2018, one case of polio due to VDPV type 1 was reported in Yahukimo,
Papua. Subsequent investigations found that two stool specimens from healthy children in the
vicinity of the case were also positive for the same type of virus, which proved that the virus
was circulating so that this condition was declared an outbreak. In response, a sub PIN was
conducted in Papua and West Papua using bOPV. Outbreaks of polio due to VDPV can occur
anywhere if polio immunization coverage is low for many years. To avoid similar cases, polio
immunization should be kept high (more than 95% of children are immunized) and evenly
distributed, and all cases of sudden paralysis (AFP) should be detected early and reported.
The discovery of the presence of wild poliovirus transmission can be done through AFP
surveillance, where all cases of acute crippled paralysis in children aged <15 years (which is a
group susceptible to polio) were observed. AFP surveillance is an indicator of the sensitivity of
detection of wild poliovirus surveillance AFP is also important for documentation of the absence
of wild poliovirus as a condition for polio-free certification.
Cases of acute crippled paralysis that occur acutely (suddenly), not caused by force, are
suspected to be polio cases until proven by laboratory examinations, not polio cases are the
definition of nonpolio AFP. The Ministry of Health has set a non-polio AFP rate of at least
2/100,000 population aged <15 years. In 2021, nationally the non-polio AFP rate be 1.4/100,000
population <15 years. This has increased compared to 2020 of 0.6/100,000 population <15
years.
In 2021, non-polio AFP in almost all provinces in Indonesia, except for the provinces of
East Nusa Tenggara and Gorontalo, where there were no cases. There are 16 provinces that
have reached the minimum standard for non-polio AFP detection rates of 2 per 100,000
population aged less than 15 years.

222 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.39
ACHIEVEMENTS OF NON POLIO AFP RATE PER 100,000 POPULATION AGE < 15 YEARS
BY PROVINCE YEAR 2020 AND 2021

YEAR 2020
Year 2020

YEAR 2021
Year 2021

Source: Directorate General of P2P, Ministry of Health RI, 2022

From 2007 to 2019, in general the target for Non Polio AFP rate 2 per 100,000
population aged < 15 years has been reached. In 2021 there will be a decrease of 1.4/100,000
population aged <15 years, although there is an increase from 2020. The percentage of
adequate specimens which in general since 2007-2017 has reached the target of 80%. In 2018,
2020 and 2021 performance achievements were slightly below the target (79.5%, 78.4%, and
68.1%). In 2019, the minimum standard for adequate specimens of 80% has been met, which
can be seen in Figure 6.40.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 223


FIGURE 6.40
ACHIEVEMENTS OF THE AFP SURVEILLANCE IN INDONESIA YEAR 2017-2021

Source: Directorate General of P2P, Ministry of Health RI, 2022

FIGURE 6.41
NON POLIO AFP RATE PER 100,000 POPULATION < 15 YEARS
IN INDONESIA YEAR 2021

DKI Jakarta
Jambi
Bali
East Kalimantan
Bangka Belitung islands
West sumatra
Central java
West Kalimantan
South Kalimantan
North Maluku
South Sulawesi
South sumatra
East java
Riau islands
Southeast Sulawesi
West Sulawesi
D.I. Yogyakarta
Papua
West Papua
North Kalimantan
Bengkulu
Aceh
West java
West Nusa Tenggara
Banten
Maluku
North Sulawesi
Central Sulawesi
Riau
Central Kalimantan
Lampung
North sumatra
Gorontalo
East Nusa Tenggara

Source: Directorate General of P2P, Ministry of Health RI, 2022

Examination of stool specimens is carried out to determine the presence or absence of


wild polio virus in AFP cases found during AFP surveillance activities. All AFP cases should

224 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


undergo clinical examination and virological investigations, and at least 80% of AFP cases must
meet adequate specimen standards with the requirements of sufficient volume 8-10 g,
specimens in good condition (not leaking, cold temperature 4-8 0C), two specimens obtained
14 days after the appearance of paralysis with a gap of at least 24 hours between samples 1
and 2.

FIGURE 6.42
ACHIEVEMENT OF ADEQUATE SPECIMENS BY PROVINCE
YEAR 2020 AND 2021
IN 2020
Year 2020

Year YEAR
2021 2021

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia year 2022

The percentage of adequate specimens in Indonesia in 2021 has not reached the target
(80%) which is expected to be only 67.8%. However, as many as 11 provinces have reached the
standard for adequate specimens by 2021, while 23 other provinces have not yet reached the
standard. The percentage of adequate AFP by province in 2021 can be seen in Figure 6.42. More
detailed information on diseases that can be prevented by immunization by province and age
group can be seen in Annexes 61-63.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 225


FIGURE 6.43

PERCENTAGE OF ADEQUATE AFP SPECIMENS


BY PROVINCE YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health RI Year, 2022

226 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


C. VECTOR TRANSMITTED DISEASES AND ZOONOSIS
1. Dengue Hemorrhagic Fever (DHF)
Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by a virus and spread
by vectors. The virus that causes this disease is Dengue. The first DHF case in Indonesia was
reported in Surabaya in 1968. Since it was first discovered this case has continued to show an
increase every year.
The vector for this disease is the Aedes aegypti and Aedes albopictus mosquitoes. The
characteristics of the infectious vector determine the distribution and timing of infection
habitat of Aedes is generally in areas with a tropical climate, high rainfall, and hot and humid
temperatures mosquitoes Aedes like puddles or water reservoirs such as sewers, vases or plant
pots, pet, swimming pools, or trash cans as breeding places. The characteristics and behavior
of these vectors can explain the tendency of an increase in dengue cases in the rainy season
along with the emergence of breeding places. In addition to influencing the number of cases,
the characteristics and behavior of the Aedes are also the basis of efforts to control dengue
disease through environmental interventions and individual and community behavior. These
control efforts include the 3M and 3M plus campaigns.

a. Illness and Death Due to DHF The

Diagnosis of dengue cases is established by anamnesis of the course of the disease,


clinical symptoms, physical examination including vital signs and signs of bleeding, as well as
supporting examinations to confirm the diagnosis. Patients suspected of DHF will undergo
laboratory tests that indicate a decrease in platelets <100,000/mm3 and plasma leakage which
is characterized by an increase in hematocrit >20%.
In 2021, there will be 73,518 cases of dengue fever with a total number of deaths of
705 cases. Cases and deaths due to dengue have decreased compared to 2020, which
amounted to 108,303 cases and 747 deaths.
In controlling DHF, several indicators are used for monitoring activities. The two main
indicators used are the Incidence Rate per 100,000 population and the Case Fatality Rate.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 227


FIGURE 6.44
FIGURE 6.44
INCIDENCE RATE PER 100,000 POPULATION OFDENGUE FEVER YEAR 2012-2021
INCIDENCE RATE PER 100,000 POPULATION OFDENGUE FEVER YEAR 2012-2021

100.000
100.000
(Per(Per ) )
population
population

Source: Directorate General of P2P, Ministry of Health RI, 2022


Source: Directorate General of P2P, Ministry of Health RI, 2022

Incidence rate of dengue fever per 100,000 population shows a downward trend from
Incidence
51.5 in 2019, to 40rate
andof
27dengue
in 2020fever per 100,000 population shows a downward trend from
and 2021
51.5 in 2019, to 40 and 27 in 2020 and 2021
FIGURE 6.45
(INCIDENCE RATE IR) Dengue Hemorrhagic Fever (DHF)
PER 100,000 POPULATION BY PROVINCE YEAR 2021

Per 100.000 population

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia year 2021

228 Indonesia HealthInProfile


2021,2021
Riau |Islands Province
CHAPTER has the CONTROL
VI. DISEASES highest DHF IR of 80.9 per 100,000 population ,
followed by East Kalimantan and Bali at 78.1 and 59.8 per 100,000 population, respectively.
Nationally, the IR DHF 2021 is 27 per 100,000 population, this figure is still lower than the
Per 100.000 population

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia year 2021

In 2021, Riau Islands Province has the highest DHF IR of 80.9 per 100,000 population ,
followed by East Kalimantan and Bali at 78.1 and 59.8 per 100,000 population, respectively.
Nationally, the IR DHF 2021 is 27 per 100,000 population, this figure is still lower than the
national target of 49 per 100,000 population.
DHF cases that are delayed in getting treatment can cause fatalities such as death. The
proportion of deaths to all cases of DHF or known as the Case Fatality Rate (CFR) can also be
used to assess the success of DHF control.

FIGURE 6.46
CASE FATALITY RATE (%) DENGUE FEVER
YEAR 2012-2021
(Per 100.000 population )

Source: Directorate General of P2P, Ministry of Health RI, 2022


CFR DHF in Indonesia shows a downward trend in the period 2012-2020, from 0.9% to
0.69%. However, this figure will increase to 0.96% in 2021. This increase can be an evaluation
for the care of DHF patients, both in terms of timeliness of handling and quality of health
services.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 229


FIGURE 6.47
CASE FATALITY RATE DENGUE
BY PROVINCE YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

Nationally, the CFR of DHF in 2021 reached 0.96%. This CFR exceeds the 0.7% limit that
has been set in the target of the National Dengue Strategy. Although the CFR in 2021 has
increased compared to the previous period, the amount is below 1%, which means it is still in
the low category. CFR is considered high if it exceeds 1%.
There are 13 provinces or 38.2% provinces have CFR above 1%. Immediate help to
prevent and reduce the severity and complications leading to death is needed to lower CFR.
Adequate follow-up efforts are needed in case management, education and information to the
public about the dangers of dengue to prevent delays in handling and increase the competence
of health workers to be able to recognize the symptoms and signs of dengue early.

230 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


b. Regencies /Cities Affected by DHF

The spread of dengue cases in Indonesia can be monitored through the number of
regencies/cities with the status of being infected with DHF. In 2021 there are 474 (92.2%)
regencies/cities infected with dengue fever in Indonesia.

FIGURE 6.48
NUMBER OF REGENCIES/CITIES INCREASE
DHFIN INDONESIA YEAR 2011-2021
(Per 100.000 population )

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia, 2022

From 2011 to 2021 the number of regencies/cities affected by dengue tends to


increase, although a slight decline occurred from 477 in 2020 to 474 regencies/cities in 2021.
One indicator of the Strategic Plan for 2020- 2024, namely the percentage of
regencies/cities that have an IR of DHF < 49 per 100,000 population. Of the 514 regencies/cities
in Indonesia, there are 441 regencies/cities (85.8%) with an IR of DHF
<49/100,000 population. The data shows that the 2021 program target of 80% of
regencies/cities with an IR of DHF <49 per 100,000 population has been achieved.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 231


FIGURE 6.49
PERCENTAGE OF REGENCIES/CITIES WITH DHF IR < 49 PER 100,000 POPULATION
IN INDONESIA YEAR 2021

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

(Per 100.000 population )

Source: Directorate General of P2P, Ministry of Health RI, 2022

232 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


In figure 6.49 it is known that there are 9 provinces in 2021 that do not meet the target.
This number decreased when compared to 2020 when there were 12 provinces that did not
meet the national target.

c. Epidemiological Investigation (PE) in Dengue


Epidemiological Investigation (PE) in Dengue is an effort to investigate the transmission
of Dengue disease which includes searching or identifying cases of Dengue and/or other
suspected cases of Dengue infection and examination of dengue-transmitting mosquito larvae
in the patient's residence and house/building. surrounding areas, including public places within
a radius of at least 100 meters. PE must be performed within 1 x 24 hours after a case report or
suspected Dengue is reported. PE aims to determine the potential for further transmission and
spread of Dengue as well as countermeasures that need to be taken in the area around the
patient's residence or focus of transmission.

2. Chikungunya
The main symptoms of Chikungunya fever (chik fever) are sudden fever, pain in the
joints, especially in the joints of the knees, wrists, toes, hands, spine, and rashes on the skin.
Chik fever is transmitted by Aedes albopictus and Aedes aegypti mosquitoes which are also
mosquitoes that transmit dengue disease. Chik fever is mainly found in tropical/subtropical
areas and often causes epidemics. Several factors influence the emergence of chik fever,
namely the low immune status of community groups and the population density of transmitting
mosquitoes due to the large number of mosquito breeding places that usually occur in the rainy
season.
a. Illness and Death from Chikungunya

In 2021, there were 241 cases of Chikungunya fever, much lower than in 2020, which
was 1,689 cases. There were no Chikungunya deaths in 2021 or 2020. Only three provinces
reported Chikungunya data in 2021. This is different from 2020 when there were five provinces
reporting Chikungunya. The three provinces that reported cases in 2021 are West Java with 42
cases, Central Java with 188 cases, and Bali with 11 cases. In that year, 19 cases of Chikungunya
Extraordinary Events (KLB) were reported in Garut Regency in West Java Province. The number
of Chikungunya cases in 2012-2021 is presented in the following figure.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 233


FIGURE 6.50
NUMBER OF CASES OF CHIKUNGUNYA IN INDONESIA
YEAR 2012-2021

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022


Until now there has been no reported death from chikungunya. Factors causing the increase in cases
include relatively humid weather conditions with high rainfall and a long period of rain, the existence of
immunity in areas that have been infected.

b. Epidemiological Investigations on Chikungunya


Epidemiological investigations (PE) on Chikungunya are activities to search for patients
or suspected chikungunya fever and inspection of infectious mosquito larvae in the patient's
residence and surrounding houses/buildings, including public places within a radius of at least
100 meters. PE aims to determine the potential and further spread of Chikungunya as well as
countermeasures that need to be taken in the area around the patient's residence.

3. Control of DHF and Chikungunya Risk Factors


most effective risk factor control is integrated vector control physically, chemically and
biologically by involving community participation in carrying out 3M Plus Mosquito Nest Control
(PSN). PSN 3M Plus is an effort to eradicate mosquito nests continuously and continuously
through the Jumantik 1 House 1 Movement (G1R1J).
3M PSN activities include draining bathtubs or water reservoirs, closing water
reservoirs tightly and reusing or recycling used goods that have the potential to become
breeding grounds for mosquito larvae.
Plus activities include: changing water in flower vases, bird drinking bins or other similar
places once a week, repairing drains and gutters that are not smooth or damaged, closing holes
in bamboo or tree cuttings, and others, sprinkling larvicide powder, for example in places that
are difficult to drain or in areas where water is scarce, keeping larvae-eating fish in ponds or
water reservoirs, installing wire netting, avoiding the habit of hanging clothes in the room,
seeking adequate lighting and ventilation of the room, using mosquito nets, using drugs that
can prevent mosquito bites, and other specific methods in each area.

234 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


The success of 3M Plus PSN activities can be measured, among others, by the larva-free
number (ABJ). If the ABJ is 95%, it is hoped that the transmission of DHF and Chikungunya can
be prevented or reduced. Efforts to eradicate dengue and Chikungunya vectors can only be
successful if the entire community plays an active role in carrying out PSN 3M Plus activities
through the 1 Rumah 1 Jumantik movement.

4. Filariasis
Filariasis is a chronic disease caused by filarial worms and transmitted by mosquitoes.
Filaria worms that enter the human body through mosquito bites will infect lymph tissue. After
entering the lymphatic tissue, Filaria worms, each of which are micro Filarial, will grow into adult
worms which then cause swelling in the feet, legs, breasts, arms and genital organs. There are
three species of worms that cause Filaria in Indonesia, namely Wuchereria bancrofti, Brugia
malayi and Brugia timori.
The World Health Organization (WHO) through the Neglected Tropical Diseases (NTD)
roadmap has determined the elimination of filariasis by 2030. It is estimated that currently
there are 1.3 billion people at risk of contracting filariasis in the world. The number is spread in
more than 83 countries and 60% of the cases are in Southeast Asia.
In Indonesia, in 2021 there will be 9,354 chronic cases of filariasis spread across 34
provinces. This figure seems to have decreased from the previous year's data because several
cases of death were reported and there was a change in diagnosis after data
validation/confirmation of chronic clinical cases reported the previous year. The following
graph describes the condition of Filariasis cases in Indonesia over the last ten years.

FIGURE 6.51
NUMBER OF CASES OF CHRONIC FILARIASIS IN INDONESIA YEAR 2011 – 2021

Source: Directorate General of P2P, Ministry of Health RI, 2022

Provinces with the highest cases are in eastern Indonesia, namely Papua with 3,629
cases, East Nusa Tenggara with 1,307 cases, and West Papua with 620 cases. Provinces with <5
cases of filariasis are Gorontalo, Bali, DI Yogyakarta, and North Kalimantan.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 235


FIGURE 6.52
NUMBER OF CHRONIC FILARIASIS CASES BY PROVINCE
YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

The success of the filariasis control program can be seen among others by looking at
the number of regencies/cities that have succeeded in reducing microfilariae rates to < 1%. In
2021, there are 236 regencies/cities (45.9%) which are filariasis endemic areas spread across
28 provinces in Indonesia. Thus, there are 6 provinces that do not have endemic regencies/cities
so that the provinces are designated as non-endemic filariasis provinces. The six provinces are
DKI Jakarta, DI Yogyakarta, East Java, Bali, West Nusa Tenggara, and North Sulawesi.

236 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.53
PERCENTAGE OF FILARIA ENDEMIC REGENCIES/CITIES
THAT SUCCESSFULLY REDUCE MICROPHILARIA NUMBERS TO <1%
BY PROVINCE YEAR 2021

Gorontalo
Southeast Sulawesi
Central Sulawesi
North Kalimantan
East Kalimantan
South Kalimantan
Banten
West Java
Bangka Belitung Islands
Lampung
Bengkulu
South Sumatra
Jambi
Riau
West Sumatra
North Sumatra
East Nusa Tenggara
Central Kalimantan
North Maluku
Aceh
West Sulawesi
South Sulawesi
West Kalimantan
Riau Islands
Maluku
Central Java
Papua
West Papua

Source: Directorate General of P2P, Ministry of Health RI, 2022

The indicator of successful filariasis control that has been set by the Ministry of Health
is the number of endemic microfilariae regencies/cities that have succeeded in reducing the
number of microfilariae to be <1%. The number of endemic regencies/cities that have
succeeded in reducing microfilariae numbers to <1% is 190 regencies/cities in 2021. Thus, the
achievement of these performance indicators has met the indicator target of 190 out of 236
endemic regencies/cities. In the picture above, it can be seen that there is 1 province in which
all regencies/cities have not succeeded in reducing the microfilariae rate <1%, namely West
Papua.
Another effort to control filariasis is the provision of mass prevention drugs (POPM)
for filariasis. In 2021, not all provinces will implement POPM Filariasis because it includes non-
endemic areas or all endemic regencies/cities in the province are in the surveillance phase

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 237


after POPM Filariasis. A total of six provinces are non-endemic areas and in 12 provinces all
endemic regencies/cities are undergoing post-POPM Filariasis surveillance.
In 2021 as many as 33 (13.9%) filariasis endemic regencies/cities should still implement
POPM Filariasis. However, only 32 regencies/cities will implement POPM Filariasis in 2021. This
number is lower than in 2020, which was 74 regencies/cities. This decrease in numbers was due
to several filariasis endemic regencies/cities having completed the Filariasis POPM round and
entering the post-Filariasis POPM surveillance period. In addition, there is 1 district that delays
the implementation of POPM Filariasis because it is conducting a Midterm survey and
Ivermectin drug for POPM is not yet available.
FIGURE 6.54
COVERAGE OF FILARIASI POPM,
YEAR 2011-2021

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

The coverage of filariasis POPM reflects the high awareness of the public in participating
in breaking the chain of transmission of filariasis through the administration of mass preventive
drugs. During the period 2011 to 2019 the trend of population coverage taking filariasis drugs
in endemic regencies/cities that still implement POPM filariasis tends to increase. However, the
coverage decreased to 71.5% in 2021.
In 2021, POPM Filariasis was carried out in 28 regencies/cities using the drugs
Diethylcarbamazine (DEC) and Albendazole. A total of 4 regencies/cities used 3 kinds of drug
combinations, namely a combination of DEC, Albendazole and Ivermectine, namely in Mamuju,
Biak Numfor, Sorong City and Pekalongan City.

6. Malaria
Malaria is an infectious disease caused by a microorganism called Plasmodium.
Plasmodium infects humans via the Anopheles. Together with HIV AIDS and Tuberculosis,
malaria control is part of the Sustainable Development Goals (SDGs) as a global goal that must
be achieved by 2030. In relation to controlling Malaria in Indonesia, the Ministry of Health has
set a target for malaria elimination programs in all regions in Indonesia. free from malaria no
later than 2030. This target is in line with the Decree of the Minister of Health of the Republic

238 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


of Indonesia Number 293/Menkes/SK/IV/2009 dated 28 April 2009 concerning “Elimination of
Malaria in Indonesia”.
In 2021, there are four provinces that are designated as malaria-free areas, namely DKI
Jakarta, Bali, East Java, and Banten. In addition, there are three provinces where all
regencies/cities have not had malaria elimination status, namely Maluku, West Papua, and
Papua. However, there are several regencies in the three provinces that have low endemic
status. With an effective intervention, this status can be improved to be free of malaria.

FIGURE 6.55
PERCENTAGE OF REGENCY/CITY ACHIEVING MALARIA ELIMINATION
BY PROVINCE YEAR 2021

Bali
Banten
East Java
DKI Jakarta
West Java
Aceh
West sumatra
Central Java
Riau
South Sulawesi
Bangka Belitung Islands
West Sulawesi
Gorontalo
D.I. Yogyakarta
Central Kalimantan
Lampung
Southeast Sulawesi
Bengkulu
South Kalimantan
South Sumatra
Jambi
North Sumatra
North Kalimantan
West Nusa Tenggara
Riau Islands
North Sulawesi
Central Sulawesi
West Kalimantan
North Maluku
East Kalimantan
East Nusa Tenggara
Papua
West Papua
Maluku

Source: Directorate General of P2P, Ministry of Health RI, 2022

Malaria elimination can be pursued through increasing the percentage of confirmation


of blood availability and the percentage of standard treatment. In the picture above, it can be
seen that in 2021 as many as 67.5% of regencies/cities in Indonesia or as many as 347

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 239


regencies/cities have malaria-free status. The number of regencies/cities with malaria-free
status in 2021 is higher than in 2020 which was 318 regencies/cities.

FIGURE 6.56
MAP OF MALARIA ENDEMICITY YEAR 2021

Eliminate

Low Endemicity
Mid Endemicity
High Endemicity I
High Endemicity II

High Endemicity III

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia year 2022

In the figure above, it can be seen that most of the regencies/cities with malaria
elimination status are scattered in western Indonesia. Most of the regencies/cities with high
endemic status are Papua and West Papua. East Nusa Tenggara and East Kalimantan still have 3
regencies and 1 district with high endemic status.
Determination of endemicity stratification of which is determined based on the API
value. Low endemic area if API <1, moderate endemic if API is 1-5, and high endemic if API >5.
In 2021 there are 347 regencies/cities (67.5%) free of malaria, 124 regencies/cities (24.2%) with
low endemic status, 17 regencies/cities (3.3%) with moderate endemic status, and 26
regencies/cities (5%) high endemic status.

a. Malaria Illness Rate

Morbidity can be determined by assessing the Annual Parasite Incidence (API) indicator
per 1,000 population. This indicator is obtained by calculating the proportion of malaria positive
patients to the population at risk in a particular area. Indonesia has succeeded in reducing the
API to less than 1 from 2015 to 2020. However, in 2021 the API will increase to
1.1 per 1,000 population.

240 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.57
MALARIA ILLNESS RATE (ANNUAL PARACITE INCIDENCE /API)
PER 1,000 POPULATION YEAR 2011-2021
(Per 1.000 population )

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

Of all malaria cases reported, 95.8% of them have been confirmed by the laboratory, as
many as 68.6 % were examined microscopically and 31.4% used the Rapid Diagnostic Test (RDT).
API at the national and provincial levels in 2021 is presented in the following figure.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 241


FIGURE 6.58
MALARIA ILLNESS RATE (API)
PER 1,000 POPULATION BY PROVINCE YEAR 2021

Indonesia 1,12

Papua 80,05
West Papua 7,56
East Nusa Tenggara 1,69
East Kalimantan 0,61
Maluku 0,45
North Sulawesi 0,28
North Sumatera 0,17
Southeast Sulawesi 0,13
Riau 0,13
South Sulawesi 0,10
North Maluku 0,10
Bangka Belitung Island 0,07
West Nusa Tenggara 0,07
South Kalimantan 0,07
West Sulawesi 0,07
Lampung 0,06
Central Kalimantan 0,06
Aceh 0,06
North Kalimantan 0,05
Gorontalo 0,04
Central Java 0,02
Central Sulawesi 0,02
Riau Island 0,02
West Sumatera 0,01
DKI Jakarta 0,01
Jambi 0,01
Bali 0,01
DI Yogyakarta 0,01
East Java 0,01
West Java 0,00
West Kalimantan 0,00
South Sumatera 0,00
Banten 0,00
Bengkulu 0,00
per 1.000 population 0 10 20 30 40 50 60 70 80 90

Source: Directorate General of P2P, Ministry of Health RI year 2022

Papua, West Papua and East Nusa Tenggara provinces are the provinces with the
highest malaria APIs. This is in line with the number of regencies/cities in the province with high
endemic status.
The high API in Papua Province of 80.05 per 1,000 population, which is much higher
than the entire province, can illustrate a significant contribution to API at the national level. As
many as 91.2% of provinces in Indonesia have been able to suppress malaria API to less than 1
per 1,000 population.

b. Malaria

Treatment Standardized and effective treatment for malaria is still using Artemicinin-
based Combination Therapy (ACT). ACT is given in the first 24 hours of fever and the drug must
be taken completely. The government has set a target percentage of ACT treatment at 90%.

242 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.59
PERCENTAGE OF ACT TREATMENT BY PROVINCE
YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia year 2022
In the figure above, it can be seen that most of the provinces met the 90% target, as
many as 25 provinces (73.5%). There are four provinces with a percentage of less than 90%,
namely North Kalimantan, Banten, Bali, and West Kalimantan.
More detailed data and information on Malaria can be found in Annexes 66.a, 66.b, and
66.c.

6. Rabies
Rabies is an infectious disease caused by a virus from the Rhabdovirus group. This
disease is transmitted through the bite of infectious animals such as dogs, cats, bats, monkeys,
civets and wolves. In addition to humans, rabies can cause illness and death for these
transmitting animals.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 243


Until 2021, there are 8 provinces that have been declared as Rabies-free areas, namely
the Bangka Belitung Islands, Riau Islands, DKI Jakarta, Central Java, DI Yogyakarta, East Java,
West Papua, and Papua. Rabies problems can be identified through cases of animal bites that
transmit rabies (GHPR), administration of the Anti Rabies Vaccine (VAR), and cases of death
(LYSSA). Reported cases of GHPR will be referred for VAR. Cases in which GHPR died and were
found to be zero-positive in the animal that transmitted it became the basis for determining the
area of rabies.

FIGURE 6.60
RABIES SITUATION IN INDONESIA
YEAR 2011 – 2021
GPHR and VAR

Source: Directorate General of P2P, Ministry of Health RI Year 2022

Based on the graph of GHPR, VAR and LYSSA trends presented above, the highest GHPR
cases were reported in 2019 at 106,057 cases. GHPR cases in 2021 showed a decline to 57,257
cases. VAR cases reported in 2021 also decreased compared to 2020, from 56,797 to 42,773
cases. In contrast to GHPR and VAR, case fatality (LYSSA) increased from 40 to 62 cases.
The highest cases of GHPR were reported by the provinces of Bali, East Nusa Tenggara,
and South Sulawesi. GHPR cases must be treated immediately, including the administration of
VAR. In the following, the percentage of VAR administration for GHPR cases is presented.

244 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.61
PERCENTAGE OF VAR PROVISIONS IN GHPR CASES
IN INDONESIA YEAR 2021

North Maluku
D.I. Yogyakarta
Riau Islands
East Nusa Tenggara
West Nusa Tenggara
Southeast Sulawesi
Bengkulu
South Sumatra
Lampung
South Kalimantan
Gorontalo
East Kalimantan
Central Kalimantan
West Kalimantan
Jambi
Banten
Riau
West Sulawesi
Maluku
North Sumatra
South Sulawesi
East Java
Central Sulawesi
North Sulawesi
West Java
North Kalimantan
Bali
West sumatra
Bangka Belitung Islands
Aceh
Central Java
DKI Jakarta

Source: Directorate General of P2P, Ministry of Health RI, 2022

There are four provinces with 100% VAR achievement, namely North Maluku, DI
Yogyakarta, Riau Islands, and East Nusa Tenggara. The provinces of DKI Jakarta, Central Java,
and Aceh had the lowest percentage of VAR, even in DKI Jakarta Province there were no GHPR
cases that received VAR. The provinces of Bali and South Sulawesi which reported the highest
GHPR cases had 54.8% and 79% respectively. With the high number of GHPR cases in the two
provinces, high VAR achievements are needed. Effective case management and administration
of VAR can prevent deaths from Rabies.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 245


FIGURE 6.62 FIGURE 6.63
TOTAL DEATH DUE TO RABIES (LYSSA) IN PROPORTION OF DEATH DUE TO RABIES
INDONESIA YEAR 2021 (LYSSA)TO GHPR CASES (%) IN INDONESIA
YEAR 2021

Gorontalo 0,83 West Kalimantan 13

Maluku 0,58 West Nusa Tenggara 10

West Nusa Tenggara 0,54 North Sulawesi 9

West Kalimantan 0,50 South Sulawesi 7

North Sulawesi 0,45 Maluku 6

West Sulawesi 0,17 Gorontalo 6

South Sumatera 0,17 East Nusa Tenggara 4

South Sulawesi 0,14 North Sumatera 3

North Sumatera 0,14 South Sumatera 2

Central Sulawesi 0,06 West Sulawesi 1

East Nusa Tenggara 0,04 Central Sulawesi 1

0,0 0,2 0,4 0,6 0,8 1,0 0 3 6 9 12 15

Source: Directorate General of P2P, Ministry of Health RI year 2022

Province of West Kalimantan, West Nusa Tenggara, and North Sulawesi reported the
highest number of deaths from Rabies compared to other provinces. However, when viewed
based on the proportion of LYSSA to GHPR cases, the Provinces of Gorontalo, Maluku, and West
Nusa Tenggara occupy the top position with a percentage above 0.5%. When compared with
the percentage of VAR for GHPR cases, the provinces of Gorontalo, Maluku, and West Nusa
Tenggara have percentages above 80%. The high mortality rate in these provinces could be due
to delays in case management and administration of VAR.

7. Leptospirosis
Leptospirosis is an infectious disease caused by the bacteria Leptospira sp. This disease
is transmitted through direct or indirect contact between humans and the urine of animals that
have been infected with Leptospira bacteria. The high cost of laboratory tests and diagnostic
methods causes not all cases to be reported.
In 2021, there were 734 cases of Leptospirosis in Indonesia reported by eight provinces,
namely DKI Jakarta, West Java, Central Java, DI Yogyakarta, East Java, Banten, North Kalimantan,
and East Kalimantan. Of the reported cases, 84 cases died with a Case Fatality Rate (CFR) of
11.4%.

246 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.64
LEPTOSPIROSIS SITUATION IN INDONESIA
YEAR 2011 – 2021
Cases

Cases CFR

Source: Directorate General of P2P, Ministry of Health RI, 2022

Leptospirosis cases decreased compared to 2020, from 1,170 to 734 cases in 2021.
Meanwhile, CFR increased from 9.1% to 11.4%. Even though the national CFR has increased,
the average CFR from provinces reporting cases tends to be lower than in 2020.

FIGURE 6.65
NUMBER OF LEPTOSPIROSIS CASES IN INDONESIA
YEAR 2020 – 2021

DKI Jakarta West Java Central Java D.I. Yogyakarta East Java Banten North Kalimantan East Kalimantan
DKI Jakarta

Source: Directorate General of P2P, Ministry of Health RI, 2022

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 247


East Java Province, Banten, Kalimantan North, and East Kalimantan reported an
increase in cases. Meanwhile, a significant decrease in cases occurred in the provinces of DKI
Jakarta, West Java, Central Java, and DI Yogyakarta.
Despite showing a decline in cases, Central Java Province reported a high number of
cases in 2021. East Java and Central Java provinces were the largest contributors to all cases in
Indonesia, at 42.5% and 36.1%, respectively.
Cases and deaths due to Leptospirosis require control efforts which have been carried
out through the following strategies:
1. Provision of NSPK for Leptospirosis Control,
2. Provision of Communication, Information and Education media,
3. Capacity building of human resources through training, socialization, orientation and
workshops,
4. Strengthening laboratory-based zoonotic surveillance such as Sentinel Leptospirosis
Surveillance in various areas such as DKI Jakarta, South Sumatra, Central Java and East Java.
5. Strengthening management according to standards and procedures,
6. Increasing early warning systems and rapid response to outbreaks,
7. Integrated risk factor control consisting of cross-program and cross-sectoral sectors
including animal health and wildlife health,
8. Provision of logistics (Rapid Diagnostic Test).

8. Integrated Vector
Control of vectors and animals carrying disease is all activities or actions aimed at
reducing the population of vectors and animals carrying disease as low as possible so that their
presence is no longer at risk for vector-borne disease transmission in an area or avoiding public
contact with vectors so that vector transmission can be prevented. prevented. Control of
vectors and animals carrying disease is the most effective preventive effort in the context of
preventing vector and zoonotic infectious diseases, because transmission of these diseases will
not occur if there are no vectors and animals carrying disease.
The Ministry of Health determines the percentage of regencies/cities with 25% of
community health centers carrying out vector surveillance as an indicator of vector control.
Health centers that carry out vector surveillance referred to in these indicators are those that
carry out Aedes and/or Anopheles regular monthly
The target of this indicator in 2021 is as many as 80 regencies/cities that have 25% of
Puskesmas that carry out vector surveillance. In 2021, as many as 131 regencies/cities have 25%
of puskesmas carrying out vector surveillance.

248 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.66
PERCENTAGE OF REGENCIES/CITIES HAVE 25% OF HEALTH CENTERS IMPLEMENTING
VECTOR SURVEILLANCE IN INDONESIA YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health RI, 2022

In the picture above it can be seen that there are two provinces with 100%
achievement, namely DKI Jakarta and DI Yogyakarta. However, there are still nine provinces
that do not yet have regencies/cities with 25% of puskesmas implementing vector surveillance,
namely Central Sulawesi, Riau, West Papua, Maluku, Bangka Belitung Islands, Jambi, Gorontalo,
Bengkulu and Bali.
Vector surveillance is the basis of effective and efficient vector control. If the results of
the surveillance show that the population of high vector density exceeds the permissible quality
standard, vector control must be carried out immediately, before transmission of the disease
to humans occurs.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 249


C. Non-Communicable Diseases
Non-communicable diseases or non-infectious diseases have become part of the double burden
of epidemiology in the world since the last few decades. Unlike infectious diseases, this disease is not
caused by infection with microorganisms such as protozoa, bacteria, fungi, or viruses. The World
Health Organization (WHO) estimates that this disease causes at least 40 million deaths every year in
the world. This amount is equivalent to 70% of deaths by all causes at the global level.

Regulation of the Minister of Health Number 71 of 2015 concerning Management of Non-


Communicable Diseases (PTM) which refers to the international classification of diseases
(International Statistical Classification of Diseases and Related Health Problems) groups these diseases
based on body systems and organs into 12 types of diseases, namely:

1. Malignant
2. Endocrine, nutritional and metabolic diseases
3. Diseases of the nervous system
4. Diseases of the respiratory system
5. Circulatory system diseases
6. Diseases of the eye and adnexa
7. Diseases of the ear and mastoid
8. Diseases of the skin and subcutaneous tissue
9. Diseases of the musculoskeletal system and connective tissue
10. Diseases of the genitourinary system
11. Mental and behavioral disorders
12. Blood disorders and disorders of the formation of blood organs.

The morbidity rate of non-communicable diseases both at the global and national levels shows
an increasing trend in recent years. WHO identified four main risk factors that contributed to the
increase, namely tobacco consumption, lack of physical activity, alcohol abuse, and an unhealthy diet.
The emergence of COVID-19 as a new-emerging disease has made many parties aware of the
importance of controlling non-communicable diseases, because this disease is one of the
comorbidities that play a role in increasing the severity of COVID-19.

Prevention of NCDs is prioritized on the type of disease that is a public health problem with
several criteria, namely high mortality or disability, high morbidity or high burden of medical expenses,
and has modifiable risk factors.

Prevention of PTM through public health efforts consists of prevention and control efforts.
Prevention efforts are carried out through health promotion activities, early detection of risk factors,
and special protection that focuses on modifiable risk factors. Modifiable risk factors include smoking,
lack of physical activity, an unhealthy diet, consumption of alcoholic beverages, and an unhealthy
environment. Control efforts are carried out through early case detection and early management
activities.

250 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


1. Number of Regencies/Cities Performing PTM Integrated Services
(PANDU) in > 80% Puskesmas
.
Various efforts have been made to prevent and control NCDs at the national level, in
line with global and regional approaches. One of the programs that has been and is still being
carried out by the Ministry of Health is the Integrated Services for Non-Communicable Diseases
(PANDU PTM) at First Level Health Facilities (FKTP). This is an effort to support the achievement
of the 2020-2024 Ministry of Health Strategic Plan indicator targets, namely increasing
regencies/cities that carry out prevention and control of NCDs, and support the achievement of
MSS targets.
PANDU PTM in FKTP is an effort to prevent, control and manage Hypertension and
Diabetes Mellitus and other PTM that is carried out in a comprehensive, integrated and
sustainable manner with a risk factor approach, using the PTM PANDU Algorithm and PTM risk
prediction table.
The PTM Pandu Algorithm is a line of thought in conducting integrated PTM services in
FKTP. The algorithm describes the stages of service for puskesmas visitors aged 15 years and
over. The stages start from the identification of risk factors to diagnosis and treatment which in
one of the processes uses the PTM Risk Prediction Table. Meanwhile, in relation to the
management of specific diseases, PANDU PTM still refers to the applicable disease management
guidelines.

To strengthen the implementation of PANDU PTM in the regions, the Ministry of Health
sets a strategic plan indicator, namely the number of regencies/cities that provide integrated
services (Pandu) for non-communicable diseases (PTM) in 80% of puskesmas. Pandu PTM
Health Center is a health center that carries out comprehensive and integrated prevention and
control of PTM through Community Health Efforts (UKM) and Individual Health Efforts (UKP).
Districts/Cities are considered to have conducted PANDU PTM if 80% or more ofthe Puskesmas
have conducted PANDU PTM.

Until 2021, as many as 168 regencies/cities or 32.7% of the 514 regencies/cities that
carry out integrated PTM services in 80% of puskesmas. This number increased compared to
2020 when only 13.6% of regencies/cities had implemented PANDU PTM.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 251


FIGURE 6.67
PERCENTAGE OF REGENCIES/CITY
IMPLEMENTING PTM PANDU AT > 80% PUSKESMAS
IN INDONESIA YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health RI, 2022

There are five provinces that do not have regencies with the number of puskesmas
implementing PTM PANDU > 80%, namely Banten, North Sulawesi, North Maluku, West Papua,
and Papua. A total of six provinces with achievements exceeding 50%, namely Lampung
Province, Bangka Belitung Islands, Bengkulu, South Sumatra, South Sulawesi, and West Nusa
Tenggara. Most of the regions in Indonesia, namely 23 provinces or 67.6% of all provinces still
have achievements of less than 50%. Thus, it can be said that efforts are still needed to improve
the achievement of this indicator in most provinces.

252 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


2. Tobacco Consumption Control Smoking

Behavior is one of the risk factors that intervene in controlling non-communicable


diseases. One of the efforts to protect the public from exposure to cigarette smoke is through
the development of Non-Smoking Areas (KTR) by encouraging the formation of regional
regulations and policies and their implementation. This indicator is expected to encourage the
creation of Indonesian people who are healthy, free from exposure to cigarette smoke, of high
quality, and productive.
To strengthen the implementation of KTR, the Ministry of Health has set a strategic plan
indicator, namely the number of regencies/cities that implement KTR. A total of 321
regencies/cities (62.5%) have implemented KTR until 2021. This number shows an increase
compared to 2020 which was 285 regencies/cities.

FIGURE 6.68
PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING NO-SMOKING AREA (KTR )IN
INDONESIA YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health, Republic of Indonesia, 2022

The provincial distribution chart shows three provinces where all regencies/cities have
implemented KTR, namely South Kalimantan, Bali, and the Archipelago Bangka Belitung. Most
provinces already have a percentage exceeding 50%. Papua Province has the lowest score of
10.3%.
Although there has been an increase in the number of regencies/cities implementing

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 253


KTR at the national level, this number has not met the target set at 374 regencies/cities. The
target that was not achieved was because not all district/city local governments had prioritized
the implementation of KTR, which was proven by the lack of political support for the
preparation of KTR regulations. Efforts to improve the achievement of this indicator are still
carried out through continuous monitoring and the establishment of a task force in the
implementation of smoke-free areas in the regions.
In addition to the implementation of KTR, the government has developed an
innovation in the form of the Smoking Stop Effort Service (UBM). This service is a promotive,
preventive and management effort to control cigarette consumption by helping people to stop
smoking from nicotine withdrawal symptoms carried out in FKTP, one of which is at the
puskesmas. UBM service health center is a health center that carries out UBM counseling
services and reports the results of activities through the PTM Information System. This strategy
was adopted to reduce the prevalence of smokers aged 10-18 years. It is expected that
regencies/cities in Indonesia will provide UBM services in > 40% of Puskesmas.

FIGURE 6.69
PERCENTAGE OF REGENCIES/CITIES APPLYING UBM
SERVICE IN INDONESIA YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health RI, 2022

In 2021, the number of regencies/cities implementing UBM services in > 40%


Puskesmas is 74 out of 100 targeted regencies/cities, means that the number has not reached
the target indicator. This is because many regions do not run UBM services during the COVID-
19 pandemic and the low compliance of reporting activities through SI PTM.
As many as 79.4% or 27 of 34 provinces have provided UBM services, although they are
still not optimal. The province with the most regencies/cities that provide UBM services is North
Kalimantan, but on the other hand there are still provinces that have not implemented UBM

254 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


services or have not reported activities through SI PTM such as West Papua, Maluku, Southeast
Sulawesi, Central Kalimantan, East Java, DI Yogyakarta, and Bangalore.

3. Early Detection of Cervical and Breast

Cancer Breast cancer and cervical cancer are the two most common cancers in
Indonesia. Both types of cancer have a high mortality rate due to delay in early detection. Nearly
70% of cancer patients are detected at an advanced stage. This is very unfortunate, because
cervical cancer can be found at a pre-cancerous stage (precancerous lesions) by using Visual
Inspection of Acetic Acid (IVA) or Pap smear. Early detection of breast cancer is carried out by
the Clinical Breast Examination (SADANIS) method, which is a clinical breast examination carried
out by trained health personnel. Mortality rates and high health costs can be reduced by
effective early detection.

FIGURE 6.70
PERCENTAGE OF EARLY DETECTION FOR CERVICAL CANCER AND BREAST CANCER BY
PROVINCE DURING YEAR 2019-2021

Bangka Belitung Islands


South Sumatra
West Nusa Tenggara
Bali
Bengkulu
Lampung
DKI Jakarta
Jambi
East Nusa Tenggara
South Sulawesi
West Sumatra
Riau
South Kalimantan
Central Kalimantan
North Sumatra
Central Sulawesi
Riau Islands
Banten
East Java
West Java
West Kalimantan
D.I. Yogyakarta
North Maluku
Central Java
East Kalimantan
North Sulawesi
Maluku
Gorontalo
West Sulawesi
Southeast Sulawesi
Aceh
West Papua
Papua

Source: Directorate General of P2P, Ministry of Health RI, 2022

Until 2021, as many as 2,827,177 women aged 30-50 years or 6.83% of the target have
undergoing early detection of cervical cancer and breast cancer using the IVA and SADANIS methods.
The highest early detection was reported by the Province of Bangka Belitung Islands at 30.24%,
followed by South Sumatra at 25.16%, and West Nusa Tenggara at 23.22%. Meanwhile, the province
with the lowest coverage of early detection was Papua at 0.03%, followed by West Papua at 0.56%, and
Aceh at 0.57%.
Provinces with low early detection coverage are feared to experience an increase in morbidity

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 255


and mortality from cervical and breast cancer. Therefore, efforts are needed to increase the coverage
of early detection in areas with low coverage.

FIGURE 6.71
RESULTS OF EARLY DETECTION FOR CERVICAL CANCER AND BREAST CANCER
IN WOMEN OF AGE 30-50 IN INDONESIA YEAR 2019-2021

Positive IVA Swollen Suspect cervical Suspect breast


cancer cancer

Source: Directorate General of P2P, Ministry of Health RI, 2022

Early detection of IVA and SADANIS becomes the basis for determining referrals for
patients suspected of having cancer cervical and breast cancer. Early detection of cervical and
breast cancer has four outcome categories, namely Positive VIA, Lump, Suspected Cervical
Cancer, and Suspected Breast Cancer. In the four early detection results, positive VIA has the
highest number of 27,837.

4. Village Implementing Posbindu


Posbindu is one of the Community Health Efforts (UKM) that is oriented to promotive
and preventive efforts in controlling Non-Communicable Diseases (PTM) by involving the
community, starting from planning, implementation, monitoring, and assessment. The
community is involved as a change agent as well as a resource that moves Posbindu according
to their abilities and to meet community needs.
Posbindu plays a role in controlling PTM through early detection and screening of risk
factors for non-communicable diseases such as measuring blood pressure, measuring blood
sugar while, early detection of cancer, measuring weight (BB), height (TB), abdominal
circumference, and Body Mass Index (BMI). BMI).

256 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.72
PERCENTAGE OF VILLAGES IMPLENTING POSBINDU IN INDONESIA YEAR 2021

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

Source: Directorate General of P2P, Ministry of Health RI, 2022

In 2021, out of 82,752 targeted villages/sub-districts , as many as 54,986 villages/sub-


districts in Indonesia have Posbindu or equivalent to 66.4% of the target . DKI Jakarta Province
has the highest achievement of 97.8% of villages/ sub-districts having Posbindu. Meanwhile,
Papua Province has the lowest percentage of 5.3%. Of all provinces, most have achievements
above 50%. All provinces with achievements of less than 50% are located in eastern Indonesia.

1. Early Detection of Sensory Disorders


Efforts to overcome sensory disorders are carried out by prioritizing promotive and
preventive efforts, without neglecting curative and rehabilitative efforts. In line with the six
pillars of the transformation of the health system, in particular to realize the transformation of
primary care in the control of non-communicable diseases, the early detection of visual and
hearing impairments is the main program in the context of early case finding. This effort is made
so that cases found immediately receive intervention or early treatment to reduce morbidity,
mortality and disability due to visual and hearing impairments.
The program targets refer to the life cycle and family approach, so that the
implementation of early detection is carried out in an integrated manner and in collaboration
with various cross programs and related sectors. In the era of decentralization, early detection
of sensory disturbances is expected to be fulfilled by regencies/cities governments to meet the
needs of their citizens.
Early detection of sensory disorders is an activity of early detection of visual impairment
and/or hearing loss which is carried out for all age groups at least 40% of the population in
regencies/cities. Data on early detection of sensory disturbances are obtained from recording
and reporting on health services as well as from program management activities at the Ministry

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 257


of Health and across sectors.
Activities for early detection of visual and hearing impairments target all age groups.
This activity is determined through the Strategic Plan indicator, namely the number of
regencies/cities carrying out early detection of sensory disturbances in > 40% of the population.
In 2021, as many as 206 regencies/cities are targeted to realize this activity.

In 2021, there are 98 regencies/cities carrying out early detection of sensory


disturbances in > 40% of the population or 47.6% of the target regencies/cities. This number is
much higher than in 2020 when only 7 regencies/cities carried out early detection. East Java
Province has the highest number of regencies/cities that carry out early detection, which is 24
regencies/cities. There are 10 provinces where all regencies/cities have not carried out early
detection of > 40% of the population, namely Riau, Jambi, Bengkulu, Riau Islands, DI Yogyakarta,
North Kalimantan, West Sulawesi, Maluku, West Papua, and Papua. The tenprovinces require
intervention from the central and local governments so that in the followingyears activities for
early detection of sensory disorders can be carried out.

B. MENTAL HEALTH AND DRUG ABUSE


1. Number of Regencies/Cities that Implementing Early Detection of
Mental Health Problems and Drug Abuse
Detection is an important first step to bringing sick people to get medical help. The sooner a
disease is detected, in this case a mental disorder/disease, the faster the diagnosis process and the
faster treatment can be carried out so that it is hoped that it will cut the course of the disease and
prevent disability (abnormalities of a person's function associated with behavior) and disability.
Early detection of mental health problems and drug abusers is carried out for all age groups
using the Strengths and Difficulties Questionnaire (SDQ) instrument for children aged 4-18 years and/or
Self-Reporting Questionnaire (SRQ) 20 for over 18 years of age, and Alcohol, Smoking and Substances
Involvement Screening Test (ASSIST) conducted by trained health workers and/or teachers.

258 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.73
PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING EARLY DETECTION OF
MENTAL HEALTH AND DRUGS YEAR 2021

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

Source: Directorate General of Disease Prevention and Control, Ministry of Health RI, 2022

Of the 380 regencies/cities targeted in 2021, there are 327 regencies/cities with 25% of
puskesmas implementing early detection mental health and drug abuse. By province, there are 8
provinces in which all regencies/cities have 25% of puskesmas that carry out early detection of mental
health and drug abuse, namely Gorontalo, North Kalimantan, East Java, DIYogyakarta, DKI Jakarta,
Bangka Belitung Islands, Lampung and Aceh. However, there is still 1 out of 34 provinces in which all
regencies/cities do not yet have 25% puskesmas that carry outearly detection of mental health and
drug abuse, namely West Papua Province.

2. Drug Abusers Receiving Medical Rehabilitation Services

Drug abusers receive medical rehabilitation services at the facilities of the Compulsory
Reporting Recipient Institutions (IPWL), namely puskesmas, public hospitals, National Narcotics Agency
(BNN), POLRI, RSJ/RSKO, and prisons/detention centers. Based on regulationNo. HK.01.07/Menkes.701
of 2018 there were 754 IPWLs with the following distribution: 310 health centers, 180 public hospitals,
142 BNN, 77 POLRI, 33 RSJ/RSKO, 12 prisons/detention centers.
The government is targeting 10,000 drug abusers to receive medical rehabilitation services by
2021, and 10,149 drug abusers have received medical rehabilitation services from 33 provinces. The
targets and achievements of drug abusers who receive medical rehabilitation services are cumulative
sums from the previous year.

3. Mental Health Services


a. Percentage of People with Severe Mental Disorders (PSMD) who Received Services
PSMD are people diagnosed by psychiatrists, doctors, clinical psychologists as sufferers of
Schizophrenia or Acute Psychosis and must receive services and treatment in health care facilities

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 259


(Puskesmas, Clinics, General Hospitals with mental standards services, and Psychiatric Hospitals).
PSMD receive services according to standards in health care facilities, in the form of: mental
health examinations (psychiatric interviews and mental status examinations), provision of information
and education, initial management, basic treatment and referrals if needed.
Based on a report from the health office in 2021, the percentage of PSMD receiving services is
65%. Of the 30 provinces that reported, 6 provinces achieved achievements above 100%, namely DKI
Jakarta, Central Sulawesi, Bangka Belitung Islands, South Kalimantan, East Nusa Tenggara and Central
Kalimantan.

b. Percentage of People with Depression in the Population over 15 years who Received Service
Depression is a mood characterized by:
Major symptoms (main symptoms):
1. Depressive affect (changes in feelings);
2. Loss of interest;
3. Loss of energy characterized by rapid fatigue
4. Minor symptoms (additional symptoms):
5. Decreased concentration or attention;
6. Reduced self-esteem and self-confidence;
7. Feelings of guilt or worthlessness;
8. Have a gloomy and pessimistic view of the future;
9. Ideas or acts of self-harm or suicide;
10. disturbed sleep;
11. Decreased appetite;
These symptoms continue for a period of at least 2 weeks (PPDGJ III). It is said to have a
depressive disorder if it meets the criteria of 2 major symptoms plus 3 minor symptoms.
In general, the achievement of indicators for the percentage of people with depression in the
population over 15 years who will receive services in 2021 is still very low. The achievement of all
provinces is less than 10%. Of the 30 provinces that reported the percentage indicator of depression
sufferers in the population over 15 years old who received services, the highest was achieved by
Lampung, Jambi, and West Sumatra Provinces at 1.9%, 1.5%, and 1.2%, respectively.

c. Percentage of Emotional Mental Disorders in the Population over 15 years who


Received Services
Mental-emotional disorders (GME) are not diagnoses of mental disorders. GME is a change in
thoughts, feelings and behavior that can interfere with daily activities, but there are no signs and
symptoms of disturbances in the ability to value reality. Weakness or dysfunctionin work and daily life
was also not found. In general, GME can also be interpreted as emotionaldistress or mental health
problems.
Based on the 2018 RISKESDAS report, it is known that the prevalence of GME in the Indonesian
population is 9.8%. This shows that the problem of GME in Indonesia is still high. The highest prevalence
occurred in the age group > 75 years by 15.8% and the lowest at the age of 25-24 years by 8.5%.
Meanwhile, according to gender, the prevalence in women (12.1%) was higher than men (7.6%).
Although it does not cause death directly, GME can affect daily activities which have an impact on

260 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


decreasing productivity.
In general, the achievement of the GME percentage indicator for the population over 15years who
will receive services in 2021 is still very low. The achievement of all provinces is lessthan 10%. Of the
32 provinces that reported the percentage of GME indicators for residents over 15 years old who
received services, the highest was achieved by Lampung, Bangka Belitung Islands, and Jambi at 2.5%,
2.0%, and 1.9%, respectively.

C. HEALTH IMPACT OF DISASTER


According to Law Number 24 of 2007 concerning Disaster Management, disasters are
categorized into natural disasters, non-natural disasters, and social disasters. Natural disasters are
disasters caused by events or a series of events caused by nature, including earthquakes, tsunamis,
volcanic eruptions, floods, droughts, hurricanes, and landslides. Non-natural disasters are disasters
caused by non-natural events, including technological failures, modernization failures, epidemics, and
disease outbreaks. Meanwhile, social disasters are disasters caused by humans including social conflicts
between groups or between communities and terror.
In Indonesia, there were 450 health crises during 2021. The number of health crises in 2021
decreased when compared to the events in 2020, which were 518 health crises. In 2017 there is a new
definition for health crises in the Health Crisis Management Information System, namely there must
be an emergency statement by the regional head or the number of affected population is at least 50
people and there are victims/refugees.

FIGURE 6.74
PERCENTAGE OF THE HEALTH CRISES BY DISASTER
CATEGORIES IN INDONESIA YEAR 2021

Social
Disasters,
Non-Natural 0,4%
Disasters, 18,0%
Natural
Disasters
81,6%
Natural Disasters Non-Natural Disasters
Social Disasters

Source: Center for Health Crisis, Ministry of Health 2022


In Indonesia, the incidence of health crises due to natural disasters is the most common in 2021
with a percentage of 81.6%. The remaining 18.0% are non-natural disasters and 0.4% are social
disasters.
In 2021, flooding is a health crisis that often occurs as in previous years. The frequencyof floods
is 208 events (46.2%) and covers 29 of 34 provinces in Indonesia. The second largest event during 2021
was a tornado with 46 incidents (10.2%) covering 15 provinces.

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 261


FIGURE 6.75
NUMBER OF HEALTH CRISES BY CATEGORIES AND TIME OF
INCIDENTS IN INDONESIA YEAR 2021

68

54

37 35
28 31
26 24
10 18 20
15
10 11 9 9
7 5 7 5 7 6 4
0 0 0 0 1 0 1 0 0 0 0 2
0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Natural Disasters Non-Natural Disasters Social Disasters

Source: Center for Health Crisis, Ministry of Health, 2022

In the graph above it can be seen that the highest number of health crises due to natural
disasters occurred in February, most of which were floods. Meanwhile, the highest number of
non-natural disasters occurred in June-July, most of which were fires, this was due to the hot
and dry weather in the dry season. In addition, social disasters occur in July and September.
Overall, the highest number of disasters occurred in February and the lowest in June.

FIGURE 6.76
NUMBER OF HEALTH CRISIS DUE TO NATURAL DISASTERS IN INDONESIA
YEAR 2021

250 208
200
150
100 46 45
12 20 26 9
50 1 0 0 0
0

Source: Center for Health Crisis, Ministry of Health, 2022

The most frequent natural disasters in Indonesia in 2021 are floods, 208 disasters
(46.2%) followed by tornadoes 46 disasters (10, 2%), and floods & landslides 45 disasters
(10.0%).

262 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


FIGURE 6.77
PERCENTAGE OF HEALTH CRISES DUE TO NON-NATURAL DISASTERS IN INDONESIA
YEAR 2021

Technologi Disease
cal Failure Outbreak
Outbreak
9% (epidemic)
(KLB)- 0%
Poisoning Fires
31% 48% Outbreak
Industrial
Accidents (KLB)-
1% Diseases
0%
Air-Sea Transportation…
Land Transportation… Forest and Land…

Source: Center for Health Crisis, Ministry of Health 2022

The most frequent non-natural disasters in Indonesia in 2021 were forest fires 48.1% of the
total non-natural disasters and followed by external events ordinary (KLB)-Poisoning (30.9%) and
technology failure (8.6%).
Among the three types of disasters, social disasters are the least common compared to other
types of disasters. In 2021 there will be 2 social disasters, namely acts of terror and sabotage

Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL 263


FIGURE 6.78
NUMBER OF PROVINCE FACING HEALTH CRISES BY DISASTER CATEGORIES
YEAR 2020

Source: Center for Health Crisis, Ministry of Health, 2022

In 2021, West Java Province is the province with the most disasters, with 73 incidents, followed
by East Java with 48 incidents and Central Java with 32 disasters, while in the Bangka Belitung Islands
Province there are none. disaster event. In 2020, the Provinces of West Java and Central Java are also
the provinces with the most disasters.
TABLE 6.1
NUMBER OF DISASTERS AND VICTIMS YEAR 2021

Number of Serious Minor Injuries/


No Types of Disaster Frequency Decease Lost Refugees
Provinces Injuries/Inpatient Outpatient

1 Flood 208 29 124 178 35.702 5 395.041


2 Volcanic Eruption 1 1 51 21 4.091 9 10.400
3 Earthquake 12 8 121 304 10.637 3 109.538
4 Earthquake & Tsunami 0
5 Landslide 20 7 50 4 27 0 3.392
6 Flash Flood 26 10 120 66 730 20 8.189
7 Drought 0
8 Tornado 46 15 4 20 77 0 329
9 Tidal Wave/Storm 9 5 7 0 92 0 3.012
10 Flood & Landslide 45 15 106 74 5.563 24 94.990
11 Tsunami 0

Number of Disasters 367 90 583 667 56.919 61 624.891

264 Indonesia Health Profile 2021 | CHAPTER VI. DISEASES CONTROL


1 Fires 39 14 42 14 133 0 8.152
2 Forest & Land Fires 0
3 L. Transportation Accidents 3 3 35 27 60 0 0
4 Air-Sea Transp. Accidents 6 5 134 1 310 64 0
5 Industrial Accidents 1 1 1 6 30 0 940

6 Outbreak (KLB)-Diseases 0
7 Outbreak (KLB)- Poisoning 25 13 6 625 1.477 0 0
8 Technological Failure 7 4 7 144 221 0 943
Disease Outbreak
9 0
(epidemic)
Number of Non- Natural Disaster 81 40 225 817 2.231 64 10.035
1 Social Conflict or Riot
2 Acts of Terror &Sabotage 2 2 4 1 1 2 128
Number of Social Disasters 2 2 4 1 1 2 128
Indonesia 450 812 1.485 59.151 127 635.054
Source : Centre for Health Crises, Ministry of Health 2022

In 2021, the disaster events that caused the most deaths were natural disasters, as many as 583
people. Of these natural disasters, floods and earthquakes caused the most deaths of 124 and
121 people, respectively. Meanwhile, the disasters that caused the most serious
injuries/hospitalizations were non-natural disasters as many as 817 and minor injuries as many as
2,231 people. Of these non-natural disasters, poisoning outbreaks caused the most serious
injuries/hospitalization of 625 people and caused the most minor injuries of 1,477 people. Natural
disasters caused the largest number of refugees, namely 624,891 refugees, of which 395,041 refugees
were caused by floods.

G. HAJJ HEALTH SERVICES


Law Number 8 of 2019 concerning the implementation of the Hajj and Umrah pilgrimages states
that the implementation of the Hajj pilgrimage aims to provide the best possible guidance, service,
and protection to Hajj pilgrims so that they can perform their worship in accordance with the provisions
of Islamic teachings. The guidance, services and protection provided to the pilgrims are not only from
the general aspect and worship, but also from the health aspect of the pilgrims themselves.
In order to ensure the readiness of the congregation before departure, it is necessary to be
physically, mentally and spiritually prepared. Since 2018, the implementation of health for Hajj in
Indonesia has begun to apply the concept of Istithaah which is marked by the issuance of Regulation
of the Minister of Health Number 15 of 2016 concerning Istithaah Health of Hajj Pilgrims. This
Permenkes has the consequence that the implementation of Hajj health prioritizes health
development to strengthen services and protection of Hajj health. For this reason, coaching efforts
must be carried out as early as possible, starting with an initial health check. Various health risk factors
are controlled through tiered health development up to the stage of determining the istithaah of hajj
pilgrims at the district level.
The Hajj health organization in Saudi Arabia is carried out by the Indonesian Hajj Health Team
(TKHI) and the Saudi Arabia Hajj Organizing Committee (PPIH) in the Health Sector which consists of
the Assistance Team, Managerial Team, Rehabilitative Curative Team (TKR), Preventive Promotive
Team (TPP), Rapid Action Team (TGC), and Health Support Team (TPK). PPIH Saudi Arabia in the Health
Sector with a promotive and preventive strengthening paradigm without compromising health services
(curative) as well as an approach to early detection of health cases and emergency response services.

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 265


The implementation of hajj health with this concept is an operational concept of hajj health that has
been carried out in 2016-2019.

1. HEALTH INSPECTION OF THE HAJJ

CHRISTIANS The outbreak of the COVID-19 disease which initially only occurred in China in
December 2019, then quickly spread to other countries around the world, so the world health
organization (World Health Organization/WHO) declared the status of Pandemic COVID-19 . This has
caused the Saudi Arabian government in 2020 and 2021 to temporarily close the implementation of
the pilgrimage for pilgrims coming from abroad, the pilgrimage is only allowed for residents who live in
the territory of Saudi Arabia. However, the Indonesian government continues to strive to prepare for
the health and fitness of Indonesian Hajj pilgrims during the 2020-2021 pandemic status, which is
carried out by means of health checks and guidance for Hajj pilgrims.
The indicator of hajj health management is the coverage of the results of the health inspection
and guidance of hajj pilgrims which is inputted into the Health Sector Integrated Hajj Computerized
System (Siskohatkes) 1 month prior to hajj operations. Health checks and guidance for hajj pilgrims
have begun in early 2021. According to the Minister of Health Regulation No. 15/2016 on Hajj Health
Istithaah, there are three stages of health checks for hajj pilgrims. Each process of checking and
fostering the health of pilgrims towards istithaah is carried out by a team of hajj health organizers in
the district/city.
The first stage of health check is a health check that is carried out on prospective pilgrims when
they want to register to get a portion number. This examination is a basic examination of pilgrims that
can be carried out at a health center or clinic that has been designated as a health service facility for
pilgrims. The second stage of examination is carried out when the pilgrims are in waiting period and
carried out no later than three months before departure, while the third stage of examination is carried
out to determine the health status of the pilgrims as worthy or unfit to fly referring to international
flight safety standards and/or international health regulations.
In 2021 the Ministry of Health will conduct an examination of 195,142 prospective pilgrims with
an examination achievement of 85%. The province with the highest achievementwas the Province of
the Bangka Belitung Islands at 92% and the lowest was North Kalimantan and DKI Jakarta at 78%. The
results of the first examination of the Hajj pilgrims based on the inspection site are as follows.

266 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


FIGURE 6.79
EXAMINATION ACHIEVEMENTS
BY PROVINCE OF AUDIT PLACES YEAR 2021

North Kalimantan 78%


DKI Jakarta 78%
North Sulawesi 79%
Gorontalo 79%
Papua 80%
Central Sulawesi 80%
Maluku 80%
East Java 82%
North Sumatra 83%
Lampung 83%
South Sulawesi 84%
Banten 84%
West Papua 84%
North Maluku 84%
West Java 85%
East Nusa Tenggara 85%
Bali 85%
West Sulawesi 85%
South Sumatra 86%
West Kalimantan 86%
South Kalimantan 86%
Riau islands 86%
Aceh 86%
West Sumatra 86%
Central Kalimantan 87%
Southeast Sulawesi 87%
Central Java 87%
Jambi 87%
West Nusa Tenggara 88%
Bengkulu 89%
D.I. Yogyakarta 90%
Riau 90%
East Kalimantan 90%
Kep. Bangka Belitung 92%
0
Indonesia 85%
0% 20% 40% 60% 80% 100%

Source: Hajj Health Center, Ministry of Health, Republic of Indonesia, 2022

Examination of prospective pilgrims for 2021 Hajj is carried out from six to one month
before departure. Although in the end they were not sent, the health checks were still carried
out. More detailed data and information regarding the examination of Hajj pilgrims can be
found in Appendix 64.c.

1. CONDITION OF THE INDONESIAN HAJJ


CONGREGATION The Indonesian Hajj pilgrims in 2021 are 244,903 people. According to
age group, most of the pilgrims are in the 51-60 year age group, which is as many as 84,143
congregations (34.4%).

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 267


FIGURE 6.80
INDONESIAN HAJJ PILGRIM BY AGE GROUPS YEAR 2021

11% ≤40 Years


30%
25% 41-50 Years
51-60 Years
34%
>60 Years

Source: Hajj Health Center, Ministry of Health, Republic of Indonesia, 2022

The description of Hajj pilgrims according to age characteristics shows that the highest
percentage of pilgrims is in the age group 51-60 years (34.4%), >60 years (29.9%), and 41-50
years (25.0%). The pre-aged (older age) and elderly population groups are a group that is
vulnerable to the incidence of illness and death during the Hajj pilgrimage.

3. PATTERNS OF MORBIDITY AND FITNESS OF THE HAJJ CONTRIBUTORS

The Health of the Hajj Pilgrims is the ability of the Hajj pilgrims from the health aspect
which includes physical and mental measures that are measurable with an accountable
examination so that the Hajj pilgrims can carry out their worship according to the guidance of
Islam. The government is responsible for fostering istita'ah which is an integrated, planned,
structured, and measurable activity, starting with a health check at the time of registering for
hajj pilgrims until the time of departure to Saudi Arabia.
Through the implementation of istita'ah, health risk factors can be identified early so
that treatment can be carried out early. Based on the results of the health examination, pilgrims
are classified as high risk (risky) if they meet three criteria, namely aged 60 years with disease,
aged <60 years with disease, and age >60 years without disease.
During the COVID-19 pandemic from 2020 to 2021, Hajj pilgrims who have had their
turn to depart will continue to carry out health checks at health facilities appointed by the
government. This is done so that the health condition of the congregation can be monitored
continuously. From the results of the health examination, it can be seen that the distribution of
the ten most common diseases suffered by Indonesian Hajj pilgrims in 2021.

268 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


10 MOST HIGH RISK DISEASES IN REGULAR HAJJ PARTNERSHIPS
YEAR 2021
Bronchitis 1%
Tuberculosis 1%
Cardiovascular disease 1%
Asthma 1%
Heart failure 2%
Obesity 3%
Ischemic heart disease 6%
Diabetes mellitus 16%
Hypertension 32%
Dyslipidemia 37%

0 1

Source: Hajj Health Center, Ministry of Health, 2022

Most diseases suffered by pilgrims Indonesian Hajj in 2021, namely dyslipidemia (37%),
hypertension (32%) and diabetes mellitus (16%). Other diseases, such as ischemic heartdisease,
obesity, heart failure, and asthma, have a percentage below 10%.
In addition to trying to reduce morbidity, the Indonesian government through the
Ministry of Health is also trying to measure the fitness of pilgrims. In 2021, there will be 121,399
hajj pilgrims whose fitness measurements are carried out from a total of all regular hajj pilgrim

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 269


FIGURE 6.82
PROPORTION OF FITNESS MEASUREMENTS FOR REGULAR HAJJ PARTNERSHIP
YEAR 2021

Good

Fair

Source: Hajj Health Center, Ministry of Health, Republic of Indonesia, 2022

The proportion of fitness measurement results for hajj pilgrims is 53.0% of pilgrims have
adequate fitness status, 28.3% of pilgrims have good fitness status, 16.5% of the congregation
had poor fitness status, and only 2.3% of the congregation had very good fitness status. More
detailed data and information related to the implementation of the pilgrimage can be seen in
attachments 64.a-64.e.

270 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


Chapter VII
ENVIRONTMENTAL
HEALTH

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 271


272 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH
BAB VII. ENVIRONMENTAL HEALTH

Law Number 36 of 2009 concerning Health emphasizes that environmental health efforts
are aimed at realizing a healthy quality of the environment, whether physical, chemical, biological, or
social, which allows everyone to achieve the highest degree of health. A healthy environment includes
residential areas, workplaces, recreation areas, as well as public places and facilities, must be free
from elements that cause disturbances, including waste (liquid, solid, and gas), waste that is not
processed according to requirements, disease vectors, hazardous chemicals, noise that exceeds the
threshold, radiation, polluted water, polluted air, and contaminated food.
According to WHO, environmental health includes all physical, chemical and biological
factors from outside the human body and all factors that can influence human behavior. The
conditions and controls of environmental health have the potential to affect health. Meanwhile, based
on Government Regulation Number 66 of 2014 concerning Environmental Health, it is stated that
environmental health is an effort to prevent disease and/or health problems from environmental risk
factors to realize a healthy environmental quality from the physical, chemical, biological, and social
aspects.
The quality of a healthy environment is determined through the achievement or fulfillment
of Environmental Health Quality Standards and Health Requirements. Environmental Health Quality
Standards and Health Requirements are stipulated on environmental media which include water, air,
soil, food, facilities and buildings, as well as vectors and animals carrying disease. Monitoring and
evaluation of the implementation of Environmental Health is carried out on the implementation of
the obligation to create environmental media that meets the Environmental Health Quality Standards
and Health Requirements carried out by every manager, organizer, or person in charge of the
environment for settlements, workplaces, recreation areas, as well as public places and facilities.
Achieving the goal of environmental health is an accumulation of the implementation of activities
from various cross-sectors, the role of the private sector and the community where environmental
health management is the most complex treatment. These activities are closely related to one
another, namely from upstream originating from policies and physical development from various
cross-sectors participating in the role (Industry, Environment, Agriculture, Public Works - Public
Housing and others) to downstream, namely health impacts. The Ministry of Health itself focuses on
managing health impacts.

A. DRINKING WATER
Based on the Regulation of the Minister of Health Number 492 of 2010 concerning Drinking
Water Quality Requirements, drinking water is water that has been processed or without processing
that meets health requirements and can be drunk directly. Drinking water quality monitoring activities
include sanitation inspections, water sampling, water quality testing, analysis of laboratory
examination results, recommendations, and follow-up. The activity that has been carried out by the
Ministry of Health in monitoring the quality of drinking water is the Environmental Health Inspection
or IKL. The implementation of IKL is carried out by sanitarians at the puskesmas, environmental health

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 273


cadres, or other cadres in the village who have received practical training in monitoring the quality of
drinking water facilities.
To maintain the quality of drinking water consumed by the community, it is necessary to
monitor the quality of drinking water both externally and internally. External monitoring of drinking
water quality is carried out by the District/City Health Office or by the Port Health Office (KKP)
specifically for the KKP working area. Internal supervision is carried out by implementing drinking
water providers, namely State-Owned Enterprises/Regional-Owned Enterprises, cooperatives, Private
Enterprises, individual businesses, community groups, and/or individuals conducting drinking water
supply activities.

FIGURE 7.1
PERCENTAGE OF SUPERVISED DRINKING WATER FACILITIES ACCORDING TO
STANDARD DRINKING WATER QUALITY YEAR 2021

Indonesia 73,0

DKI Jakarta 100,0


South Sumatera 98,0
DI Yogyakarta 94,4
Lampung 94,0
West Nusa Tenggara 93,9
Central Sulawesi 91,7
North Kalimantan 91,6
Central Java 91,4
Target RPJMN 2021: 64%
East Nusa Tenggara 89,9
Gorontalo 89,4
North Maluku 87,4
Jambi 87,1
East Java 85,7
Southeast Sulawesi 85,6
North Sulawesi 85,1
South Sulawesi 81,9
Central Kalimantan 80,6
Banten 79,4
West Java 77,6
North Sumatra 73,1
Aceh 68,8
Maluku 64,6
East Kalimantan 64,5
Bangka Belitung islands 63,9
Papua 50,1
Bengkulu 49,3
Riau 43,7
West kalimantan 37,6
Riau islands 33,8
West Papua 29,6
West Sumatra 26,0
Bali 24,7
South Kalimantan 24,7
West Sulawesi 7,3
0 10 20 30 40 50 60 70 80 90 100

Source: Directorate General of Public Health, Ministry of Health RI, 2022

274 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


In 2021, drinking water facilities are monitored/checked for drinking water quality
according to standards as many as 25,918 facilities (73.0%). Provinces with the highest
percentage of drinking water facilities that are monitored according to standards are DKI Jakarta
(100%), South Sumatra (98.0%), and DI Yogyakarta (94.4%). Meanwhile, the lowest provinces
were West Sulawesi (7.3%), South Kalimantan and Bali (24.7%) then West Sumatra (26.0%). The
percentage of drinking water facilities that are monitored/checked for drinking water quality
according to these standards has met the 2021 RPJMN target, which is 64% (Figure 7.1). More
complete details regarding the percentage of drinking water facilities that are
monitored/checked for drinking water quality according to standards can be seen in Appendix
72.a.
Households must have access to safe and clean drinking water to support
environmental health and public health. The need for drinking water is not only seen from the
quantity but also from the quality of drinking water. The fulfillment of drinking water needs in
households can be measured by access to proper drinking water.
According to the BPS (Central Bureau of Statistics) published through Statistics
Indonesia in 2022, the concept of households having access to safe drinking water are:
1. The main types of drinking water sources used by households include piped water, protected
water, and rainwater. Protected water includes drilled/pump wells, protected wells and
protected springs;
2. The main source of drinking water used by households is bottled water, so households are
categorized as having access to proper drinking water if the source of water for bathing/washing
comes from pipes, drilled wells/pumps, protected wells, protected springs, and water rain.

TABEL 7.1
PERCENTAGE OF HOUSEHOLDS BY MAIN SOURCE OF WATER USED FOR DRINKING AND
TYPES OF REGION IN 2021

Perkotaan +
No Sumber Air Minum Perkotaan Perdesaan
Perdesaan
1 Branded Bottled Water, Refilled Water 52,93 21,28 39,27
2 Piped Water 10,74 6,44 8,88
3 Boreholes/Pump Wells 17,71 17,47 17,61
4 Protected Wells 11,30 20,63 15,33
5 Unprotected Wells 1,14 5,01 2,81
Protected Springs/ Unprotected
6 5,11 22,27 12,52
Springs
7 Surface Water 0,15 2,29 1,07
8 Rain Water 0,85 4,52 2,44
9 Others 0,06 0,10 0,07
Total 100 100 100
Source: Statistics Indonesia, Housing and Environmental Health Indicators 2021

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 275


Data from BPS published through the People's Welfare Statistics, 2021, nationally shows
that the main drinking water sources used by households for drinking are branded bottled water,
refilled water (39.27%), drilled wells/pumps (17.61). %), and protected wells (15.33%). In urban areas,
branded bottled water, refilled water is the most widely used source of household drinking water
(52.93%) while in rural areas the main source of household drinking water is protected springs,
unprotected springs (22, 27%). In detail, the data can be seen in table 7.1.

FIGURE 7.2
PERCENTAGE OF HOUSEHOLD WITH ACCESS TO PROPER DRINKING WATER YEAR 2021

Indonesia 90,78

DKI Jakarta 99,86


Bali 97,56
DI Yogyakarta 95,69
Jawa Timur 95,02
West Nusa Tenggara 94,60
Gorontalo 94,57
Central Java 93,62
Banten 93,51
West Java 93,24
Maluku 93,21
Southeast Sulawesi 91,94
North Sulawesi 91,65
South Sulawesi 91,18
North Sumatra 90,89
Riau Islands 90,83
Riau 89,76
Aceh 88,79
North Maluku 88,66
Central Sulawesi 88,51
North Kalimantan 86,80
East Kalimantan 85,80
East Nusa Tenggara 85,40
South Sumatra 84,70
West Sumatra 83,40
West Papua 81,68
Lampung 80,20
Jambi 79,70
Kalimantan Barat 78,76
West Sulawesi 78,35
Central Kalimantan 77,05
South Kalimantan 76,40
Bangka Belitung Islands 73,40
Bengkulu 67,39
Papua 64,92
0 20 40 60 80 100 120

Source: Statistics Indonesia, Statistics Indonesia 2022

Nationally, the percentage of households with access to safe drinking water is 90.78%
(Figure 7.2). Provinces with the highest percentage of households with access to safe drinking water
are DKI Jakarta (99.86%), Bali (97.56%), and DI Yogyakarta (95.69%). Meanwhile, the provinces with
the lowest percentage were Papua (64.92%), Bengkulu (67.39%), and the Bangka Belitung Islands

276 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


(73.40%). Complete details on the percentage of households that have access to safe drinking water
in 2021 can be seen in Appendix 72.b.

B. ACCESS TO PROPER SANITATION


Good sanitation is an important element that supports human health. The WHO definition
of sanitation refers to the provision of facilities and services for the disposal of human waste such as
urine and faeces. The term sanitation also refers to the maintenance of hygienic conditions through
waste management and wastewater treatment. Sanitation is related to environmental health which
affects the degree of public health. Poor sanitation conditions will have a negative impact on many
aspects of life, starting from the decline in the quality of the community's living environment,
contamination of drinking water sources for the community, increasing the number of diarrhea cases
and the emergence of several diseases.
According to the Guide to 5 Pillars of STBM (Community-Based Total Sanitation), healthy
latrines are latrines that meet building criteria and health requirements. The health requirements in
question are not to cause the spread of materials that are harmful to humans due to the disposal of
human waste and can prevent carrier vectors from spreading disease to users and the surrounding
environment.

A latrine building is said to be healthy if it meets the criteria for a healthy latrine building
consisting of:
1. Construction above latrines (walls and roofs)
The construction above the latrine serves to protect users from weather disturbances and other
disturbances.
2. Middle construction of latrine
Gooseneck shaped manhole. In areas where water is scarce, holes can be made without a goose-
neck structure but must be covered. The floor of the latrine is made of waterproof, non-slip material,
and has a drainage channel for used water to the waste water disposal system (SPAL).
3. Bottom construction of latrine
Substructure as a container, processing, and decomposer of dirt / feces. Substructure can be a septic
tank and cubluk. Cubluk should only be used in rural areas with low population density and water
shortages.

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 277


FIGURE 7.3
PROPORTION OF HEALTHY LATRINE USAGE IN INDONESIA YEAR 2021

9,0%

18,9% Permanent Healthy Latrine

Semi Permanent Healthy Latrine

72,1%
Sharing/Communal

Source : Directorate General of P2P, Ministry of Health, 2022


\\\

Healthy latrine facilities can be classified into sharing/communal latrines, semi-permanent


healthy latrines (JSSP), and permanent healthy latrines (JSP). Sharing/communal latrines are latrines
that are shared in the community (users are more than one family). JSSP has not used the goose neck
construction but has a lid and is located inside the house. JSP is a latrine that already uses a goose
neck construction and is located inside the house. By 2021, 72.1% of households in Indonesia are
already using JSP (Figure 7.3). The remaining 18.9% use JSSP and 9.0% use sharing/communal latrines.

FIGURE 7.4
PERCENTAGE OF FAMILIES WITH ACCESS TO PROPER SANITATION (HEALTHY LATRINE)
YEAR 2021

278 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


that are shared in the community (users are more than one family). JSSP has not used the goose neck
construction but has a lid and is located inside the house. JSP is a latrine that already uses a goose
neck construction and is located inside the house. By 2021, 72.1% of households in Indonesia are
already using JSP (Figure 7.3). The remaining 18.9% use JSSP and 9.0% use sharing/communal latrines.

FIGURE 7.4
PERCENTAGE OF FAMILIES WITH ACCESS TO PROPER SANITATION (HEALTHY LATRINE)
YEAR 2021

Indonesia 86,1

DI Yogyakarta 100,0
South Sulawesi 99,4
Central Java 96,1
Bangka Belitung islands 95,8
Bali 95,0
East java 94,5
Lampung 93,6
DKI Jakarta 93,5
Riau 93,0
Jambi 91,4
East Nusa Tenggara 91,0
West Nusa Tenggara 90,8
East Kalimantan 89,6
Bengkulu 89,5
North Sulawesi 89,5
Southeast Sulawesi 89,4
South Sumatera 89,1
South Kalimantan 86,3
West 'Sulawesi 86,0
West java 85,9
North Sumatera 85,3
North Kalimantan 84,9
Riau islands 83,1
Aceh 81,0
West Sumatera 80,4
Central Sulawesi 79,7
Gorontalo 79,0
North Maluku 78,2
Maluku 75,1
Central Kalimantan 73,9
West Kalimantan 73,6
West Papua 69,9
Papua 56,5
Banten 3,7
0 20 40 60 80 100 120

Source: Directorate General of P2P, Ministry of Health, 2022

The percentage of families with access to proper sanitation facilities (healthy latrines) in
Indonesia in 2021 is 86.1%. Provinces with the highest percentage of families with access to proper
sanitation facilities (healthy latrines) are DI Yogyakarta (100%), South Sulawesi (99.4%), and Central
Java (96.1%). The provinces with the lowest percentages were Banten (3.7%), Papua (56.5%), and
West Papua (69.9%). Complete details regarding families with access to proper sanitation facilities
(healthy latrines) can be seen in Appendix 73.a.
According to BPS published through Statistics Indonesia 2022, the definition of a
household that has access to proper sanitation is a sanitation facility that meets health
requirements, including:
1. The toilet uses a goose neck, the final disposal site for feces uses a septic tank or Wastewater
Treatment System/Installation/System (IPAL/SPAL), and the sanitation facilities are used by the
household itself, together with certain other households, or in Communal MCK (Bath, Wash,
Toilet). Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 279
2. For rural areas, it is said to have access to proper sanitation, if the toilet uses a goose neck, the
final disposal site for feces into a septic tank or earthen hole and the sanitation facilities are used
Indonesia in 2021 is 86.1%. Provinces with the highest percentage of families with access to proper
sanitation facilities (healthy latrines) are DI Yogyakarta (100%), South Sulawesi (99.4%), and Central
Java (96.1%). The provinces with the lowest percentages were Banten (3.7%), Papua (56.5%), and
West Papua (69.9%). Complete details regarding families with access to proper sanitation facilities
(healthy latrines) can be seen in Appendix 73.a.
According to BPS published through Statistics Indonesia 2022, the definition of a
household that has access to proper sanitation is a sanitation facility that meets health
requirements, including:
1. The toilet uses a goose neck, the final disposal site for feces uses a septic tank or Wastewater
Treatment System/Installation/System (IPAL/SPAL), and the sanitation facilities are used by the
household itself, together with certain other households, or in Communal MCK (Bath, Wash,
Toilet).
2. For rural areas, it is said to have access to proper sanitation, if the toilet uses a goose neck, the
final disposal site for feces into a septic tank or earthen hole and the sanitation facilities are used
by the household itself, together with certain other households, or in communal toilets.

FIGURE 7.5
PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO PROPER SANITATION YEAR 2021

Indonesia 80,29

DI Yogyakarta 97,12
Bali 95,95
DKI Jakarta 95,17
Bangka Belitung islands 92,24
Riau islands 91,62
South Sulawesi 91,57
East Kalimantan 89,77
Southeast Sulawesi 85,62
North Sulawesi 84,85
Lampung 83,89
Riau 83,64
Central Java 83,28
Banten 82,89
West Nusa Tenggara 82,85
North Sumatera 82,02
SouthKalimantan 81,43
East Java 80,97
Jambi 80,36
West Sulawesi 80,12
Bengkulu 79,81
North Kalimantan 79,80
Gorontalo 78,58
West Kalimantan 78,39
West Papua 77,89
Aceh 77,55
South 'Sumatera 77,29
North Maluku 77,11
Maluku 76,77
Central Sulawesi 76,06
Central Kalimantan 73,77
East Nusa Tenggara 73,36
West Java 71,66
West Sumatera 68,68
Papua 40,81
0 20 40 60 80 100 120

Source: Statistics Indonesia, Statistics Indonesia 2022

Nationally, the percentage of households that have access to proper sanitation is 80.29% (Figure
7.5). Provinces with the highest percentage of households having access to proper sanitation are DI
Yogyakarta (97.12%), Bali (95.95%), and DKI Jakarta (95.17%). Meanwhile, the provinces with the
lowest percentage of households having access to proper sanitation are Papua (40.81%), West
Sumatra (68.68%), and West Java (71.66%). Full details on the percentage of households that have
access to proper sanitation in 2019-2021 can be seen in Appendix 73.b.

280 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


FIGURE 7.6
PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO PROPER SANITATION BY REGION TYPES
YEAR 2019-2021

90 82,27 83,66 79,53 83,58 80,29


77,39 74,27 75,95
80 71,17
70
60
50
40
30
20
10
0
Year 2019 Year 2020 Year 2021
Urban Rural Urban + Rural

Source: Statistics Indonesia, Housing and Environmental Health Indicators March 2019 – 2021

Figure 7.6 shows that the percentage of households that have access to proper sanitation
shows an increase from 2019 to 2021 by 2.9%. When viewed by type of area, the percentage in urban
areas tends to be higher than in rural areas (83.58%) and (75.95%). During this period, in rural areas it
increased by (4.78%) while in urban areas (1.31%).

C. COMMUNITY-BASED TOTAL SANITATION (CBTS)


The Regulation of Minister of Health Number 3 of 2014 concerning Community-Based Total
Sanitation (CBTS) stated that CBTS is an approach to change hygienic and sanitary behavior through
community empowerment by stimulating. The CBTS aims to realize hygienic and sanitary community
behavior independently in order to improve the health status of the community as high as possible.
The community organizes CBTS independently by referring to the CBTS Pillars which aim to
break the chain of disease transmission and poisoning. The CBTS pillars consist of the following
behaviors:
1. Stop Open Defecation (SBS);
2. Washing Hands with Soap;
3. Household Drinking Water and Food Management;
4. Household Waste Safety; and
5. Household Liquid Waste Safety.
Referring to the Regulation of the Minister of Health Number 3 of 2014, the CBTS
implementation strategy includes 3 components that support each other, which are called the 3
Components of Total Sanitation as follows:
1. Creating an enabling environment,
2. Increasing sanitation demand (demand creation),

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3. Increasing the provision of sanitation access (supply improvement).
The number of villages/sub-districts that implemented CBTS is the cumulative number of
villages/sub-districts that were verified to implement STBM. The accumulated number of verified
villages/subdistricts meets the following criteria:
1. Having performed the CBTS stimulation (an attempt to change people's hygienic and sanitary
behavior through community empowerment) with a participatory method based on the CLTS
(Community-Led Total Sanitation) approach.
2. Having a natural leader (community members, both individuals and community groups who drive
the CBTS movement in the community).
3. Having a Community Work Plan (RKM). In 2021, there were 64.495 out of 83,441 villages/sub-
districts that have implemented CBTS in Indonesia. The number of villages/subdistricts in Indonesia is
based on Permendagri Number 72 of 2019.

FIGURE 7.7
PERCENTAGE OF VILLAGES IMPLEMENTING CBTS BY PROVINCE YEAR 2021

Indonesia 77,3

Central Java 100,0


South Sulawesi 100,0
DI Yogyakarta 100,0
DKI Jakarta 100,0
Bangka Belitung islands 100,0
Bali 99,9
West Nusa Tenggara 99,2
Riau islands 95,9
East Java 94,9
Banten 93,0
South Kalimantan 91,0
Riau 88,3
South Sumatera 87,3
East Nusa Tenggara 86,8
Lampung 86,7
Central Kalimantan 85,2
Bengkulu 85,1
West Java 84,7
North Kalimantan 83,6
East Kalimantan 81,0
West Sulawesi 81,0
Jambi 80,7
Central Sulawesi 77,5
West Sumatera 74,7
Aceh 71,2
Gorontalo 70,9
Southeast Sulawesi 66,7
West Kalimantan 65,8
North Sumatera 64,3
North Sulawesi 57,3
North Maluku 46,9
Maluku 32,2
West Papua 22,4
Papua 17,9

0 20 40 60 80 100 120

Source: Directorate General of P2P, Ministry of Health, 2022

Nationally, 77.3% of villages/sub-districts implemented CBTS in 2021; increased from the 2020
achievement of 73.1% (Figure 7.7). Five provinces have reached 100% of villages/sub- districts
implementing CBTS: Bangka Belitung Islands, DKI Jakarta , DI Yogyakarta, South Sulawesi and Central
Java. Meanwhile, the provinces with the lowest percentage of villages/sub-districts implementing
CBTS were Papua (17.9%), West Papua (22.4%) and Maluku (32.2%). Three provinces with the highest

282 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


realization of villages/sub-districts implementing CBTS were Central Java (8,563), East Java (8,070) and
West Java (5,043). More on it can be seen in Appendix 74.

Stop defecation (SBS) villages in the CBTS pillars can achieve the SBS status thru the following
indicators:
1. All people have defecated only in healthy latrines and disposed of baby faeces only in healthy
latrines (including in schools).
2. No visible human feces in the surrounding environment.
3. Applying sanctions, regulations or other efforts by the community to prevent the occurrence of
defecation in any place.
4. Implementing a general monitoring mechanism created by the community to achieve 100% of
households having healthy latrines.
5. Having clear efforts or strategies to achieve total sanitation.

FIGURE 7.8
PERCENTAGE OF VILLAGES STOP OPEN DEFECATION (SBS) BY PROVINCE YEAR 2021

Indonesia 48,7

DI Yogyakarta 100,0
South Sulawesi 96,3
Central Java 85,3
West Nusa Tenggara 84,0
North Sulawesi 80,3
East Nusa Tenggara 78,5
East Java 72,4
Bangka Belitung islands 68,3
Lampung 66,6
West Java 65,8
South Sumatera 54,2
Jambi 50,1
Riau 45,8
Bali 45,5
South Kalimantan 45,4
North Kalimantan 41,5
Southeast Sulawesi 41,3
Central Sulawesi 40,1
Bengkulu 38,4
East Kalimantan 35,1
West Sumatera 32,9
Central Kalimantan 31,9
West Sulawesi 30,4
Riau islands 24,9
Aceh 22,8
Banten 22,3
North Sumatera 19,2
North Maluku 16,4
Maluku 14,4
West Kalimantan 13,4
DKI Jakarta 12,4
Gorontalo 10,7
West Papua 7,7
Papua 3,8
0 20 40 60 80 100 120

Source: Directorate General of P2P, Ministry of Health, 2022

Nationally, the percentage of SBS villages/kelurahan in 2021 is 48.7%. Provinces with the
highest percentage of SBS villages/kelurahan are DI Yogyakarta (100%), South Sulawesi (96.3%), and
Central Java (85.3%). The provinces with the lowest percentage of SBS villages/kelurahan were Papua

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(3.8%), West Papua (7.7%), and Gorontalo (10.7%). Complete details regarding SBS village/kelurahan
in 2021 can be seen in Appendix 74.

D. PUBLIC PLACES AND FACILITIES CONTROLLED BY STANDARDIZED


SUPERVISION

Public Places and Facilities (TFU) which are supervised according to standards apply the
Environmental Health Inspection (IKL) form in the Puskesmas area within a period of 1 year. TFU is
the location, facilities, and infrastructure including: health facilities; educational facilities; worship
place; hotel; restaurants and other similar businesses; sports facilities; means of land, sea, air and
rail transportation; stations and terminals; markets and shopping centers; seaports, airports, and
state land border crossing posts; and other public places and facilities. The scope of supervision at
the TFU has been determined at three priority locations in accordance with the indicators for the
Strategic Plan of the Directorate of Environmental Health for 2020 – 2024. Local governments are
required to carry out supervision according to minimum standards at 3 (three) distinctive locations
of these public places and facilities:

1. Government-owned and private schools consisting of SD/MI (Elementary schools) and SMP/MTS
(Secondary schools) registered with the Ministry of Education and Culture and the Ministry of
Religion;
2. Puskesmas in the working area;
3. The people's markets that have been revitalized and registered with the Ministry of Trade.

Monitoring according to standards is performed through visits to determine environmental


health risk factors using the IKL form; covering physical observation of environmental media,
environmental media measurement and environmental health risk analysis and recommendations
for improvement.
TFU passes standardized supervision if IKL has been carried out by filling out a
predetermined form and measuring environmental quality with supporting equipment (Sanitarian
Kit) available at the Puskesmas or Regency/City Health Office. The purpose of this IKL is to identify
risk factors for diseases caused by the environment and then provide recommendations on the
inspection results to related sectors for improvement of environmental quality; so that a clean, safe,
comfortable and healthy TFU can be realized.

284 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


FIGURE 7.9
PERCENTAGE OF PUBLIC PLACES AND FACILITIES (TFU) CONTROLLED ACCORDING TO
STANDARDS YEAR 2021

Indonesia 60,0

Bengkulu 84,3
West Sumatera 76,5
DKI Jakarta 75,9
Central Java 74,6
Bangka Belitung islands
Target Renstra 2021: 60%
70,0
East Kalimantan 69,9
South Sulawesi 69,5
Papua 69,3
Central Kalimantan 68,1
Riau 66,1
West Sulawesi 65,4
Bali 64,7
East Java 64,3
Banten 60,9
North Maluku 59,1
North Kalimantan 57,9
North Sulawesi 53,7
South Kalimantan 52,7
West Papua 51,1
West Kalimantan 50,8
Central Sulawesi 50,7
Southeast Sulawesi 50,5
Maluku 50,0
West Java 48,6
Jambi 44,8
North Sumatera 41,7
Gorontalo 37,6
West Nusa Tenggara 36,2
Lampung 34,8
East Nusa Tenggara 31,4
South Sumatera 28,7
Aceh 24,0
Riau islands 23,5
DI Yogyakarta 17,0
0 10 20 30 40 50 60 70 80 90

Source: Directorate General of P2P, Ministry of Health, 2022

Nationally, the percentage of TFU under standard supervision in 2021 was 60%. This figure
has exceeded the 2021 Strategic Plan target of 60%. The provinces with the highest percentages were
Bengkulu (84.3%), West Sumatera (76.5%), and DKI Jakarta (75.9%). The provinces with the lowest
achievement were DI Yogyakarta (17.0%), Riau Island ( 23.5%), and Aceh (24.0%). More on it can be
seen in Appendix 75.

E. FOOD PROCESSING PLACES (FPP)


Food Processing Place (FPP) is a food management business including catering services,
restaurants and drinking water depots, canteens, and snack foods that have considerable potential to

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has exceeded the 2021 Strategic Plan target of 60%. The provinces with the highest percentages were
Bengkulu (84.3%), West Sumatera (76.5%), and DKI Jakarta (75.9%). The provinces with the lowest
achievement were DI Yogyakarta (17.0%), Riau Island ( 23.5%), and Aceh (24.0%). More on it can be
seen in Appendix 75.

E. FOOD PROCESSING PLACES (FPP)


Food Processing Place (FPP) is a food management business including catering services,
restaurants and drinking water depots, canteens, and snack foods that have considerable potential to
cause health problems, especially diseases caused by food or Food Borne Diseases. Each FPP must
implement food sanitation hygiene so that the food produced is safe and healthy for consumption.
For this reason, it is necessary to pay attention to hygiene and sanitation in food management at FPP,
starting from the selection of raw materials, food storage, food processing, storage of cooked food, to
serving. In addition, it must also pay attention to 4 (four) aspects of sanitation and hygiene in buildings,
equipment, food handlers and the food produced.
To ensure that the FPP meets the sanitation hygiene requirements, an IKL is done by the
puskesmas staff. In addition, the FPP can also conduct an independent assessment of its sanitary
hygiene condition by filling out a report card that has been developed by the Directorate of
Environmental Health of the Ministry of Health; so that the FPP can get an overview of the sanitation
hygiene conditions and can make improvements independently before the officers come to perform
IKL.
FPP that meets the requirements based on the results of the IKL can apply for a certificate
of sanitation hygiene eligibility to the local Health Office by fulfilling other requirements: inspection
of food samples and food handlers who have been trained in food sanitation hygiene as evidenced
by certificate ownership.

286 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


FIGURE 7.10
PERCENTAGE OF FOOD PROCESSING PLACES (FPP) MEETING THE STANDAR
HEALTH REQUIREMENTS YEAR 2021
Indonesia 52,4

Central Sulawesi 81,1


Central Java 79,6
DI Yogyakarta 70,6
DKI Jakarta 70,6
North Kalimantan 66,4
Bangka Belitung islands 65,7
East Java 63,7
Bali 59,8
EastKalimantan Target Renstra 2021: 44% 57,5
North Maluku 57,4
Central Kalimantan 57,0
Jambi 56,2
Papua 56,2
Lampung 54,5
Bengkulu 54,2
West Sumatera 52,5
Riau islands 50,9
Maluku 50,3
South Sumatera 50,0
West Sulawesi 48,6
South Sulawesi 48,1
West Papua 47,4
Riau 46,6
South Kalimantan 44,9
West Kalimantan 44,8
West Nusa Tenggara 44,7
Southeast Sulawesi 44,4
North Sulawesi 43,1
Banten 41,9
North Sumatera 35,3
West Java 33,9
East Nusa Tenggara 32,7
Gorontalo 27,1
Aceh 16,5
0 10 20 30 40 50 60 70 80 90

Source: Directorate General of P2P, Ministry of Health, 2022

The percentage of TPP that meets the requirements according to national standards in 2021
is 52.4%. This achievement has met the 2021 Strategic Plan target for TPP that meets the requirements
according to the standard, which is 44%.
The provinces with the highest percentage of FPP meeting the standard requirements were
Central Sulawesi (81.1%), Central Java (79.6%), DKI Jakarta and DI Yogyakarta (70.6%). Meanwhile, the
provinces with the lowest percentages were Aceh (16.5%), Gorontalo (27.1%), and East Nusa Tenggara
(32.7%). More on the percentage of TPP that meet the requirements according to the 2021 standards
can be seen in Appendix 76.a.

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F. HEALTHY REGENCIES / CITIES
Joint Regulation of the Minister of Home Affairs and the Minister of Health Number 34 of
2005 and Number 1138 of 2005 defined a Healthy Regency/City (HDC) as a condition of a clean,
comfortable, safe and healthy regency/city for residents to inhabit; this is achieved through the
implementation of several integrated arrangements and activities agreed upon by the community
and local government.
The HDC is implemented through various activities by empowering the community which is
facilitated by the Regency/City Government. It is executed through forums or by functioning the
existing community institutions. The forum is “Healthy Regency/City Forum'' or other similar
designations up to the sub-regency and village levels.
Based on the specific area and problems, the HDC arrangements are grouped into:
1. residential areas, public facilities and infrastructure;
2. the area for orderly traffic facilities and transportation services;
3. healthy industrial and office areas;
4. healthy tourism areas;
5. food and nutrition security;
6. independent community life
7. healthy social life.
The HDC development is part of the dynamics and enthusiasm of citizens, local
governments, and legislative institutions in the area. The central government plays a role in
fostering and facilitating the existing potential. The achievement of HDC is a continuous process of
creating and improving the quality of the physical, social, cultural environment, developing the
economy and the potential of the community to implement the functions of life in building the
maximum potential of a City/Village.
HDCs that meet the criteria will be awarded a Healthy Regency/City Award (Swasti Saba)
every two years. Selection of Regency/City proposals that will participate in this award is done by
the Governor whose implementation is performed by the Provincial HDC Development Team. This
award consists of 3 categories: the Padapa Award given to the Regency/City for the level of
stabilization, Wiwerda for the founding level, and Wistara for the development level.

288 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


FIGURE 7.11
PERCENTAGE OF HEALTHY REGENCY/CITY YEAR 2021

Indonesia 43,0

Gorontalo 100,0
South Sulawesi 100,0
North Sulawesi 100,0
Bali 100,0
DI Yogyakarta 100,0
West Java 92,6
Jambi 90,9
Riau islands 85,7
Bangka Belitung islands 85,7
East Java 78,9
South Kalimantan 69,2
Banten 62,5
North Kalimantan 60,0
Bengkulu 60,0
West Sumatera 52,6
South Sumatera 47,1
Central Java 34,3
Lampung 33,3
Riau 33,3
East Kalimantan 30,0
Southeast Sulawesi 29,4
Central Kalimantan 28,6
DKI Jakarta 16,7
Centrral Sulawesi 15,4
North Sumatera 12,1
North Maluku 10,0
West Kalimantan 7,1
Aceh 4,3
Papua 3,4

0 20 40 60 80 100 120

Source: Directorate General of Public Health, Ministry of Health RI, 2022

In 2021, there were 221 (43.0%) regencies/cities implementing HDC (Figure 7.11). This
number has met the 20201 Strategic Plan target by 220 HDC. The criteria for organizing a HDC are
1. a report from the Provincial HDC Development Team,
2. a SK HDC Guidance Team,
3. a HDC Forum SK,
4. a work plan for the development team,
5. a work plan for the HDC Forum.
There are 5 (five) provinces that achieve 100% in the implementation of Healthy
Districts/Cities, namely DI Yogyakarta, Bali, North Sulawesi, South Sulawesi, and Gorontalo. Papua
made the lowest percentage of HDC implementation by 3.4%; Meanwhile, as many as 5 (five)
provinces did not hold HDC, namely West Papua, Maluku, West Sulawesi, East Nusa Tenggara and

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 289


West Nusa Tenggara. Complete details regarding healthy districts/cities in 2021 can be seen in
Appendix 76.b.
Problems faced in running HDC activities include :
1. Indicators need to be updated following developments in the HDC implementation,
2. Difficulty in cross-sectoral coordination of relevant Ministries/Institutions,
3. Lack of socialization and low regional government commitment in making decisions due to frequent
staffing changes in the regions,
4. The lack of optimal function of the coaching team, both at the center, province and regency/city,
and
5. The lack of advocacy for HDC activities in the provinces.
Attempts that can be made to overcome these are to develop networks with cross sectors and
cross programs related to the HDC implementation.

G. MEDICAL WASTE MANAGEMENT


Medical waste is all waste generated from medical activities in the form of solid, liquid, and
gas. Solid medical waste is solid waste consisting of infectious waste, pathological waste, sharp
object waste, pharmaceutical waste, cytotoxic waste, chemical waste, radioactive waste,
pressurized container waste, and waste with high heavy metal content. Liquid waste is all waste
water including faeces that may contain microorganisms, toxic chemicals, and radioactive
substances that are harmful to health. Gas waste is all waste in the form of gas originating from
combustion activities such as incinerators, kitchens, generator equipment, anaesthesia, and the
manufacture of cytotoxic drugs.
Managing medical waste is different from domestic waste or household waste. Medical
waste is placed in containers that are in accordance with the characteristics of the chemical,
radioactive, and volume. Medical waste that has been collected is not allowed to be directly
disposed of in a domestic waste disposal site but must go through a cultivating process first. Medical
waste in the form of gas is equipped with a gas and dust emission reducing device in the disposal
process . In addition, steps to minimize waste need to be made: by reducing the amount of waste
produced (reduce), reuse (reuse), and recycle (recycle). Greening is also good to do to reduce gas
pollution and to absorb dust.
The standardized medical waste management is contained in the guidelines for
implementing hospital environmental sanitation in the Minister of Health Regulation number 7 of
2019 concerning Hospital Environmental Health including several efforts adapted to the types of
waste; these efforts cover:
1. Waste minimization efforts;
2. Sorting, storage, reuse, and recycling;
3. Temporary shelter;
4. Transportation (transport);
5. Processing, destruction, and final disposal of liquid and solid waste.
The operational definition of Health Service Facilities (Fasyankes) that manage medical
waste are hospitals and puskesmas that perform sorting, storage, transportation that meets the
requirements, temporary storage of B3 waste in a licensed B3 Waste Temporary Storage (TPSLB3)

290 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


and perform independent processing according to the requirements or licensed or in cooperation
with licensed B3 waste treatment services.

In 2021, there were 3,411 out of a total of 12,831 health facilities (hospitals and puskesmas)
managing medical waste according to standards.

FIGURE 7.12
PERCENTAGE OF HEALTHCARE FACILITIES (FASYANKES) CONDUCTING
STANDARD MEDICAL WASTE MANAGEMENT YEAR 2021

Indonesia 26,7

Lampung 78,1
Banten 63,4
Central Java 49,7
South Sulawesi 48,6
East Java 48,3
East Kalimantan 45,3
Bangka Belitung islands 44,2
Bengkulu 41,6
DI Yogyakarta 38,8
Riau islands 35,7
Central Sulawesi 31,0
Riau 29,3
DKI Jakarta 26,8
South Sumatera 22,2
North Sulawesi 19,6
Bali 17,5
West Java 16,5
North Sumatera 16,2
West Kalimantan 15,0
Jambi 13,2
West Sulawesi 10,2
West Nusa Tenggara 8,6
North Kalimantan 7,8
Central Kalimantan 7,0
West Sumatera 6,5
South Kalimantan 4,3
Maluku 4,1
Southeast Sulawesi 3,4
East Nusa Tenggara 2,3
Papua 1,9
West Papua 1,7
Aceh 1,7
North Maluku 1,3
Gorontalo 0,9
0 10 20 30 40 50 60 70 80 90

Source: Directorate General of Public Health, Ministry of Health RI, 2022; Directorate General of
Health Services, Ministry of Health RI, 2022

Nationally 26.7% of health facilities (hospitals and puskesmas) carried out waste
management according to standards in 2021 (Figure 7.12). This figure increased compared to the
previous year which was 18.9%. Provinces with the highest percentages were Lampung (78.1%),
Banten (63.4%), and Central Java (49.7%). The provinces with the lowest percentages were Gorontalo

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 291


(0.9%), North Maluku (1.3%), and Papua Barat and Aceh (1.7 %). More on the percentage of hospitals
doing medical waste management according to standards can be seen in
Appendix 76.c.

H. HEALTHY COMMUNITY MOVEMENT (GERMAS)


Since 2017, the Government has innovated by issuing the Healthy Living Community
Movement Policy through Presidential Instruction No. 1 of 2017. Germas is the embodiment of a
healthy-minded policy where cross-sectoral involvement is the key to the success of health
development. Currently, Germas cultivation has become one of the main strategies in health
development.
This strategy mandates each related party to establish policies and take steps according to
their respective duties, functions and authorities. The realization of GERMAS is carried out through
increasing physical activity, increasing healthy living behavior, providing healthy food and accelerating
nutrition improvement, increasing disease prevention and early detection, improving environmental
quality, and increasing education on healthy living. This Presidential Instruction also mandates the
Minister of Health to carry out the GERMAS campaign and improve regional advocacy and guidance
in implementing the Non-Smoking Area (KTR) policy, improve education on balanced nutrition and
exclusive breastfeeding, physical activity, and improve the implementation of early detection of
diseases. in health centers and develop guidelines for the implementation of early detection of disease
in government and private agencies.
GERMAS is not only run by the Ministry of Health, but also across ministries and institutions,
local governments, academia, business, community and professional organizations, and is supported
by the participation of all levels of society in practicing a healthy lifestyle. The central and local
governments prepare supporting facilities and infrastructure, monitor and evaluate their
implementation. The implementation of GERMAS must start from the family, because the family is the
smallest part of society that shapes clean and healthy living behavior. Therefore, strong advocacy is
needed across sectors and all components of society that are able to produce health-oriented
development.

The objectives of the GERMAS program are:


1. Reducing the burden of infectious and non-communicable diseases, both death and disability;
2. Avoiding a decline in population productivity;
3. Reducing the burden of financing health services due to increased disease and health expenditure
and;
4. Strengthening the health system; life cycle approach; National Health Insurance (JKN) and focuses
on equal distribution of services

292 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


FIGURE 7.13
PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING HEALTHY LIVING COMMUNITY
MOVEMENT POLICY YEAR 2021

Indonesia 45,1

North Maluku 100,0


West Nusa Tenggara 100,0
DI Yogyakarta 100,0
Bengkulu 100,0
Target Renstra 2021: 35%
South Kalimantan 92,3
Riau 83,3
Central Java 82,9
Lampung 73,3
Central Kalimantan 71,4
Riau islands 71,4
East Kalimantan 70,0
East Java 68,4
Gorontalo 66,7
Bali 66,7
Centra; Sulawesi 53,8
DKI Jakarta 50,0
Jambi 45,5
West Kalimantan 42,9
Bangka Belitung islands 42,9
Southeast Sulawesi 41,2
West Java 40,7
North Kalimantan 40,0
Banten 37,5
West Sumatera 31,6
South Sumatera 23,5
North Sumatera 18,2
West Sulawesi 16,7
South Sulawesi 16,7
North Sulawesi 13,3
Aceh 13,0
Maluku 9,1
East Nusa Tenggara 9,1
WestPapua 7,7
0 20 40 60 80 100 120

Source: Directorate General of Public Health, Ministry of Health RI, 2022

Regencies/cities that have implemented Germas policies in 2021 are 232 districts/cities
(45.1%) (Figure 7.13). This figure has met the 2021 Strategic Plan target, which is 35% of districts/cities
implementing the Germas Policy. There are 4 (four) provinces that reach 100% of the Regencies/Cities
implementing the Germas Policy, namely North Maluku, West Nusa Tenggara, DI Yogyakarta and
Bengkulu. Provinces with a low percentage of districts/cities implementing the Germas Policy are West
Papua (7.7%), East Nusa Tenggara and Maluku (9.1%) while Aceh (13.0%). There is 1 province that has
not implemented the Germas Policy, namely Papua. Complete details regarding regenciess/cities
implementing the Germas policy in 2021 can be seen in Appendix 76.d.

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I. HOUSING
Referring to Law Number 1 of 2011 concerning Housing and Settlements, housing is a group
of houses that function as a residential environment equipped with environmental facilities and
infrastructure. In a broad sense, the house is not only a structural building, but also a residence that
meets the requirements of a decent and healthy life, viewed from various aspects of people's lives.
Home can be understood as a sanctuary, to enjoy life, to rest with family. A decent house must
guarantee the interests of the family, one of which is to ensure the health of the family.
According to the World Health Organization (WHO), housing is a physical structure used for
shelter, where the environment of the structure includes all necessary facilities and services, useful
equipment for physical, spiritual and mental health; and good social conditions for families and
individuals. A healthy home is a means to achieve optimal health status.
A livable house creates a healthy home. Central Bureau of Statistics, through the publication
of the 2020 Housing and Environmental Health Indicators, defines livable houses should meet four
criteria:
1. Sufficient living space of at least 7.2 m2 per capita,
2. Have access to proper drinking water,
3. Have access to proper sanitation,
4. Building resilience (durable housing) with the specifications of: the widest roof in the form of
concrete, tile, zinc and wood/shingle; the widest wall in the form of walls, stucco woven
bamboo/wire, woven bamboo and logs; the widest floors are marble/granite, ceramic,
parquet/vinyl/carpet, tile/tile/terrazzo, wood/board and cement/red brick.

FIGURE 7.14
PERCENTAGE OF HOUSEHOLDS LIVING IN LIVABLE HOUSES BY PROVINCE YEAR 2021

Indonesia 60,90
DI Yogyakarta 85,15
Bali 78,47
East Kalimantan 70,70
Riau 70,63
Southeast Sulawesi 70,45
North Sulawesi 69,50
North Sumatera 69,48
South Sulawesi 69,11
Gorontalo 67,28
East Java 66,93
Central Java 66,47
North Kalimantan 65,65
Aceh 64,43
North Maluku 63,85
west Nusa Tenggara 62,90
Central Sulawesi 62,70
Jambi 62,54
Lampung 61,56
Wesst Kalimantan 61,17
Banten 60,78
Maluku 60,69
West Papua 57,90
South Sumatera 57,86
South Kalimantan 57,50
West Sulawesi 57,26
West Sumatera 56,67
Central Kalimantan 55,34
West Java 53,14
Bengkulu 51,36
Riau islands 50,23
East Nusa Tenggara 40,41
DKI Jakarta 40,00
Papua 28,92
Bangka Belitung islands 27,60
0 10 20 30 40 50 60 70 80 90

Source: Statistics Indonesia, Housing and Environmental Health Indicators 2021

294 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH


Nationally, the percentage of households occupying livable houses is 60.90% (Figure 7.14).
Provinces with the highest percentage of households occupying livable houses are DI Yogyakarta
(85.15%), Bali (78.47%) and East Kalimantan (70.70%). Meanwhile, the provinces with the lowest
percentage were Bangka Belitung Islands (27.60%), Papua (28.92%), and DKI Jakarta (40.00%).
Complete details on the percentage of households occupying livable houses in 2021 can be seen in
Appendix 76.e.

FIGURE 7.15
PERCENTAGE OF HOUSEHOLDS LIVING IN LIVABLE HOUSES BY REGION TYPE YEAR 2021

70 64,65
63,24
61,09 59,54 60,90
60 56,51 54,82 55,95
50,67
50

40

30

20

10

0
Year 2019 Year 2020 Year 2021

Source: Statistics Indonesia, Housing and Environmental Health Indicators March 2019 – 2021

Figure 7.15 shows the percentage of households occupying livable houses in 2021 at 60.90%.
During the period 2019 - 2021, there was an increase of 4.39%. The percentage in urban areas tends
to be higher than in rural areas (64.65%) and (55.95%).

***

Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH 295


296 Indonesia Health Profile 2021 | CHAPTER VII. ENVIRONMENTAL HEALTH
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286
ANNEXES
Appendix 1
AREA, NUMBER OF REGENCIES/CITIES, DISTRICTS, SUB-DISTRICTS/VILLAGES, NUMBER OF POPULATION,
AND POPULATION DENSITY BY PROVINCE
2021

Number of
Number of Population
Population Density
No Province Area (km2)
Regency City Regency + City District Sub-district Villages (per km2)
Male Female Male+Female Sex Ratio

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 56.839,09 18 5 23 290 0 6.497 2.676.698 2.671.191 5.347.889 100,2 94
2 72.460,61 25 8 33 455 693 5.417 7.638.329 7.603.968 15.242.297 100,5 210
Aceh

3 42.137,70 12 7 19 179 230 929 2.815.871 2.788.586 5.604.457 101,0 133


North Sumatera

4 89.935,90 10 2 12 172 271 1.591 3.360.287 3.214.645 6.574.932 104,5 73


West Sumatera

5 49.008,73 9 2 11 144 165 1.399 1.834.066 1.769.373 3.603.439 103,7 74


Riau

6 86.769,34 13 4 17 241 395 2.853 4.364.258 4.201.556 8.565.814 103,9 99


Jambi

7 20.130,21 9 1 10 129 172 1.341 1.040.481 996.538 2.037.019 104,4 101


South Sumatera

8 33.575,41 13 2 15 229 205 2.435 4.547.517 4.334.590 8.882.107 104,9 265


Bengkulu

9 16.690,54 6 1 7 47 84 309 748.664 713.229 1.461.893 105,0 88


Lampung

10 8.273,87 5 2 7 76 142 275 1.060.044 1.022.741 2.082.785 103,6 252


Bangka Belitung Islands

11 661,23 1 5 6 44 267 - 5.655.534 5.606.061 11.261.595 100,9 17.031


Riau Islands

12 37.040,04 18 9 27 627 645 5.312 24.423.410 23.796.684 48.220.094 102,6 1.302


DKI Jakarta

13 34.334,54 29 6 35 576 753 7.809 18.778.596 18.534.467 37.313.063 101,3 1.087


West Java

14 3.173,87 4 1 5 78 46 392 1.820.400 1.857.046 3.677.446 98,0 1.159


Central Java

15 48.033,89 29 9 38 666 777 7.724 20.485.906 20.577.188 41.063.094 99,6 855


DI Yogyakarta

16 9.352,52 4 4 8 155 314 1.238 6.110.955 5.919.937 12.030.892 103,2 1.286


East Java

17 5.590,21 8 1 9 57 80 2.145.798 2.133.331 4.279.129 100,6 765


Banten

18 19.677,04 8 2 10 117 145 1.005 2.706.822 2.725.387 5.432.209 99,3 276


Bali

19 46.452,38 21 1 22 315 327 3.026 2.749.006 2.740.845 5.489.851 100,3 118


West Nusa Tenggara

20 147.035,70 12 2 14 174 99 2.031 2.810.468 2.656.474 5.466.942 105,8 37


East Nusa Tenggara

21 153.413,06 13 1 14 136 139 1.432 1.372.773 1.283.669 2.656.442 106,9 17


West Kalimantan

22 37.190,30 11 2 13 156 144 1.864 2.082.688 2.037.136 4.119.824 102,2 111


Central Kalimantan

23 127.907,84 7 3 10 105 197 841 1.995.324 1.854.508 3.849.832 107,6 30


South Kalimantan

24 69.212,10 4 1 5 55 35 447 365.008 332.995 698.003 109,6 10


East Kalimantan

25 14.511,27 11 4 15 171 332 1.507 1.359.963 1.298.035 2.657.998 104,8 183


North Kalimantan

26 61.237,50 12 1 13 175 175 1.842 1.566.691 1.485.063 3.051.754 105,5 50


North Sulawesi

27 45.704,16 21 3 24 311 793 2.255 4.575.422 4.643.314 9.218.736 98,5 202


Central Sulawesi

28 36.158,55 15 2 17 220 378 1.908 1.357.522 1.321.657 2.679.179 102,7 74


South Sulawesi

29 12.045,91 5 1 6 77 72 657 605.977 594.686 1.200.663 101,9 100


Southeast Sulawesi

30 16.589,43 6 0 6 69 73 575 732.436 709.789 1.442.225 103,2 87


Gorontalo

31 46.150,92 9 2 11 118 35 1.198 948.625 932.041 1.880.666 101,8 41


West Sulawesi

32 32.989,31 8 2 10 118 118 1.063 678.715 645.212 1.323.927 105,2 40


Maluku

33 99.505,67 12 1 13 218 95 1.742 599.890 550.578 1.150.468 109,0 12


North Maluku

34 312.767,13 28 1 29 566 110 5.411 2.289.328 2.023.758 4.313.086 113,1 14 13,79


West Papua

Indonesia 1.892.555,47 416 98 514 7.266 8.506 74.961 138.303.472 135.576.278 273.879.750 102,0 145
Papua

Data sources of inhabitants as of December 31, 2021 : https://gis.dukcapil.kemendagri.go.id


Source: Ministry of Domestics Affairs, 2022 (Domestic Affairs Minister Decision Number 050-145 Year 2022)
Appendix 2.a
NUMBER OF POPULATION BY AGE GROUPS AN D SEX
2021

Total population
No Age Group (Years)
Male Female Male + Female Sex Ratio
(1) (2) (3) (4) (5) (6)
1 0-4 11.280.308 10.764.953 22.045.261 104,8
2 5-9 11.249.856 10.775.214 22.025.070 104,4
3 10 - 14 11.392.659 10.723.206 22.115.865 106,2
4 15 - 19 11.445.192 10.755.086 22.200.278 106,4
5 20 - 24 11.588.066 10.989.207 22.577.273 105,4
6 25 - 29 11.434.373 10.947.043 22.381.416 104,5
7 30 - 34 11.155.882 10.818.827 21.974.709 103,1
8 35 - 39 10.633.577 10.412.645 21.046.222 102,1
9 40 - 44 10.109.819 10.009.265 20.119.084 101,0
10 45 - 49 9.191.886 9.163.684 18.355.570 100,3
11 50 - 54 8.050.158 8.061.044 16.111.202 99,9
12 55 - 59 6.739.972 6.791.734 13.531.706 99,2
13 60 - 64 5.280.809 5.336.975 10.617.784 98,9
14 65 - 69 3.860.553 3.967.952 7.828.505 97,3
15 70 - 74 2.345.897 2.546.537 4.892.434 92,1
16 75+ 2.112.047 2.748.089 4.860.136 76,9
Indonesia 137.871.054 134.811.461 272.682.515 1 0 2 ,3
Number of Dependents (Dependency Ratio) 44,34
Source: Interim Projected Population Population 2020-2023, Statistics Indonesia, 2022
Appendix 2.b
NUMBER OF POPULATION BY PROVINCE
2020 - 2021

Population (thousand)
No Province
2020* 2021**
(1) (2) (3) (4)
1 5.274,9 5.333,7
2 14.799,4 14.936,2
Aceh

3 5.534,5 5.580,2
North Sumatera

4 6.394,1 6.493,6
West Sumatera

5 3.548,2 3.585,1
Riau

6 8.467,4 8.550,9
Jambi

7 2.010,7 2.032,9
South Sumatera

8 9.007,8 9.081,8
Bengkulu

9 1.455,7 1.473,2
Lampung

10 2.064,6 2.118,2
Bangka Belitung Islands

11 10.562,1 10.609,7
Riau Islands

12 48.274,2 48.782,4
DKI Jakarta

13 36.516,0 36.742,5
West Java

14 3.668,7 3.712,9
Central Java

15 40.665,7 40.878,8
DI Yogyakarta

16 11.904,6 12.061,5
East Java

17 4.317,4 4.362,7
Banten

18 5.320,1 5.390,0
Bali

19 5.325,6 5.387,7
West Nusa Tenggara

20 5.414,4 5.470,8
East Nusa Tenggara

21 2.670,0 2.702,2
West Kalimantan

22 4.073,6 4.122,6
Central Kalimantan

23 3.766,0 3.808,2
South Kalimantan

24 701,8 713,6
East Kalimantan

25 2.621,9 2.638,6
North Kalimantan

26 2.985,7 3.021,9
North Sulawesi

27 9.073,5 9.139,5
Central Sulawesi

28 2.624,9 2.659,2
South Sulawesi

29 1.171,7 1.181,0
Southeast Sulawesi

30 1.419,2 1.436,8
Gorontalo

31 1.848,9 1.862,6
West Sulawesi

32 1.282,9 1.299,2
Maluku

33 1.134,1 1.156,8
North Maluku

34 4.303,7 4.355,5
West Papua

Indonesia 270.203,9 272.682,5


Papua

Source: * Results of the 2020 Indonesia Census (September), Statistics Indonesia, 2022
**Interim Projection of Population 2020-2023, Statistics Indonesia 2022
Appendix 2.c
NUMBER OF POPULATION OF CERTAIN GROUP BY SEX
2021

No Total population Male Female Total


(1) (2) (4) (5) (6)
2.273.236 2.174.781 4.448.017
6.772.794 6.463.162 13.235.956
1 Number of Babies (0 years)

9.007.072 8.590.172 17.597.244


2 Number of Toddlers (0-2 years)

11.280.308 10.764.953 22.045.261


3 Number of Toddlers (1 - 4 years)

4.495.947 4.310.121 8.806.068


4 Number of Toddlers (0 - 4 years)

2.247.035 2.156.055 4.403.090


5 Number of Preschoolers (5 - 6 years)

13.570.550 12.904.399 26.474.949


6 Number of Children in Grade 1 ES/Equivalent (7 Years)

33.922.823 32.263.373 66.186.196


7 Number of E S Age Children (7 - 12 Years)

95.629.734 93.285.510 188.915.244


8 Number of Young People (<15 Years)

8.318.497 9.262.578 17.581.075


9 Number of Working Age Population (15-64 Years)

73.095.757 73.095.757
10 Number of Non-Productive Age Population (65+ Years)

53.922.808 53.922.808
11 Number of Women of Fertile Age (15 - 49 years)
12 Number of Women of Childhood Immunization (15-39 years)
Source: Interim Projected Population 2020-2023, Statistics Indonesia 2022 2.202.854 2.180.707 4.383.561
Appendix 3.b
NUMBER AND PERCENTAGE OF THE POOR AND POVERTY THRESHOLD
2001 - 2021

Number of the Poor (in millions) Percentage of the Poor Poverty Threshold (IDR/Capita/Month)
No Year
Urban Rural Total Urban Rural Total Urban Rural
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
1 2001 8,6 29,3 37,9 9,8 24,8 18,4 100.011,00 80.382,00
2 2002 13,3 25,1 38,4 14,5 21,1 18,2 130.499,00 96.512,00
3 2003 12,3 25,1 37,3 13,6 20,2 17,4 138.803,00 105.888,00
4 2004 11,4 24,8 36,2 12,1 20,1 16,7 143.455,00 108.725,00
5 2005 12,4 22,7 35,1 11,7 20,0 16,0 165.565,00 117.365,00
6 2006 14,5 24,8 39,3 13,5 21,8 17,8 174.290,00 130.584,00
7 2007 13,6 23,6 37,2 12,5 20,4 16,6 187.942,00 146.837,00
8 2008 12,8 22,2 35,0 11,7 18,9 15,4 204.895,99 161.830,79
9 2009 11,9 20,6 32,5 10,7 17,4 14,2 222.123,10 179.834,57
10 2010 11,1 19,9 31,0 9,9 16,6 13,3 232.989,00 192.353,83
11 March 2011 11,1 19,0 30,0 9,2 15,7 12,5 253.015,51 213.394,51
12 September 2011 11,0 18,9 29,9 9,1 15,6 12,4 263.593,84 223.180,69
13 March 2012 10,7 18,5 29,1 8,8 15,1 12,0 267.407,53 229.225,78
14 September 2012 10,5 18,1 28,6 8,6 14,7 11,7 277.381,99 240.441,35
15 March 2013 10,3 17,7 28,1 8,4 14,3 11,4 289.042,00 253.273,00
16 September 2013 10,6 17,9 28,6 8,5 14,4 11,5 308.826,00 275.779,00
17 March 2014 10,5 17,8 28,3 8,3 14,2 11,3 318.514,00 286.097,00
18 September 2014 10,4 17,4 27,7 8,2 13,8 11,0 326.853,00 296.681,00
19 March 2015 10,7 17,9 28,6 8,3 14,2 11,2 342.541,00 317.881,00
20 September 2015 10,6 17,9 28,5 8,2 14,1 11,1 356.378,00 333.034,00
21 March 2016 10,3 17,7 28,0 7,79 14,11 10,86 364.527,00 343.647,00
22 September 2016 10,5 17,3 27,8 7,73 13,96 10,70 372.114,00 350.420,00
23 42795 10,7 17,1 27,8 7,7 13,9 10,6 385.621,00 361.496,00
24 September 2017 10,3 16,3 26,6 7,3 13,5 10,1 400.995,00 370.910,00
25 March 2018 10,1 15,8 26,0 7,0 13,2 9,8 415.614,00 383.908,00
26 September 2018 10,1 15,5 25,7 6,9 13,1 9,7 425.770,00 392.154,00
27 March 2019 10,0 15,2 25,1 6,7 12,9 9,4 442.062,00 404.398,00
28 September 2019 9,9 14,9 24,8 6,6 12,6 9,2 458.380,00 418.515,00
29 March 2020 11,2 15,3 26,4 7,4 12,8 9,8 471.822,00 433.281,00
30 September 2020 12,0 15,5 27,6 7,9 13,2 10,2 475.477,00 437.902,00
31 March 2021 12,2 15,4 27,5 7,9 13,1 10,1 489.848,00 450.185,00
32 September 2021 11,9 14,6 26,5 7,6 12,5 9,7 502.730,00 464.474,00
Source: Statistics Indonesia , 2022
Appendix 3.c
POVERTY THRESHOLD, NUMBER AND PERCENTAGE OF POOR BY PROVINCE AND TYPES OF REGION
2021

Semester II (September)
Rural Urban Total

No Province
Poverty Threshold Total Percentage of The Poverty Threshold Total Percentage of The Poverty Threshold Total Percentage of the
(IDR/capita/month) (in Thousands) Poor (IDR/capita/month) (in Thousands) Poor (IDR/capita/month) (in Thousands) Poor

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 577.270,00 195,47 10,58 541.000,00 654,79 18,0 552.939,00 850,26 15,53
2 North Sumatera 556.437,00 725,04 8,68 513.987,00 548,03 8,3 537.310,00 1.273,07 8,49
3 West Sumatera 592.302,00 134,53 4,83 566.224,00 205,39 7,2 579.545,00 339,93 6,04
4 Riau 618.552,00 190,99 6,72 564.900,00 305,67 7,2 586.062,00 496,66 7,00
5 Jambi 598.178,00 126,10 10,50 479.006,00 153,75 6,3 517.722,00 279,86 7,67
6 South Sumatera 491.658,00 393,38 11,99 446.678,00 723,23 13,3 463.251,00 1 116,61 12,79
7 Bengkulu 624.573,00 98,83 14,73 548.327,00 192,97 14,3 572.455,00 291,79 14,43
8 Lampung 535.133,00 236,48 8,50 472.918,00 770,54 13,2 492.620,00 1.007,02 11,67
9 Bangka Belitung Islands 753.768,00 27,28 3,22 791.146,00 42,43 6,6 770.457,00 69,70 4,67
10 Riau Islands 655.506,00 119,31 5,37 626.811,00 18,44 10,5 653.853,00 137,75 5,75
11 DKI Jakarta 715.052,00 498,29 4,67 - - - 715.052,00 498,29 4,67
12 West Java 438.642,00 2.951,07 7,48 433.041,00 1053,79 9,76 437.604,00 4.004,86 7,97
13 Central Java 427.099,00 1.847,09 10,16 419.064,00 2086,92 12,44 423.264,00 3.934,01 11,25
14 DI Yogyakarta 517.353,00 331,71 11,20 438.412,00 142,78 13,99 496.904,00 474,49 11,91
15 East Java 459.440,00 1.768,91 7,99 428.457,00 2490,69 13,79 445.139,00 4.259,60 10,59
16 Banten 567.000,00 576,62 6,04 497.213,00 275,66 7,72 547.483,00 852,28 6,50
17 Bali 474.322,00 137,60 4,33 429.877,00 73,86 5,68 461.532,00 211,46 4,72
18 West Nusa Tenggara 452.855,00 387,67 14,54 430.381,00 347,64 13,12 441.711,00 735,30 13,83
19 East Nusa Tenggara 531.194,00 120,58 8,57 408.769,00 1025,70 24,42 437.606,00 1.146,28 20,44
20 West Kalimantan 540.474,00 89,04 4,72 486.544,00 264,96 8,05 505.228,00 354,00 6,84
21 Central Kalimantan 499.553,00 57,86 5,08 537.135,00 83,17 5,23 522.879,00 141,03 5,16
22 South Kalimantan 536.041,00 80,35 3,81 517.293,00 117,41 5,28 527.045,00 197,76 4,56
23 East Kalimantan 706.886,00 121,28 4,74 692.910,00 111,85 9,63 703.223,00 233,13 6,27
24 North Kalimantan 761.840,00 23,88 5,32 684.582,00 25,61 9,31 730.342,00 49,49 6,83
25 North Sulawesi 423.427,00 70,14 5,09 411.450,00 116,41 10,070 417.930,00 186,55 7,36
26 Central Sulawesi 516.374,00 86,67 8,82 500.351,00 294,54 13,71 505.608,00 381,21 12,18
27 South Sulawesi 403.751,00 198,84 4,89 368.465,00 566,62 11,55 384.455,00 765,46 8,53
28 Southeast Sulawesi 410.332,00 71,02 7,14 385.845,00 252,25 14,34 394.744,00 323,26 11,74
29 Gorontalo 401.219,00 21,51 4,06 398.806,00 163,09 24,38 400.504,00 184,60 15,41
30 West Sulawesi 382.292,00 27,72 9,72 384.598,00 138,27 12,39 384.084,00 165,99 11,85
31 Maluku 613.316,00 49,02 6,13 600.344,00 245,94 24,34 605.909,00 294,97 16,30
32 North Maluku 533.231,00 17,60 4,83 494.997,00 63,58 7,00 505.432,00 81,18 6,38
33 West Papua 683.148,00 28,19 6,44 629.885,00 193,10 33,50 652.521,00 221,29 21,82

Indonesia 502.730,00 11.859,34 7,60 464.474,00 14644,30 12,53 486.168,00 26.503,65 9,71
34 Papua 643.071,00 49,23 4,94 582.157,00 895,26 36,50 600.795,00 944,49 27,38

Source: Statistics Indonesia, 2022


Appendix 3.d
POVERTY DEPTH INDEX (P1) AND POVERTY SEVERITY INDEX (P2) BY PROVINCE, 2021

Semester II (September)
No Province *Poverty Depth Index (P1) * Poverty Severity Index (P2)**
Urban Rural Total Urban Rural Total
(1) (2) (3) (4) (5) (6) (7) (8)
1,70 3,59 2,95 0,45 1,00 0,81
1,40 1,51 1,45 0,34 0,43 0,38
1 Aceh

0,74 1,18 0,96 0,14 0,31 0,23


2 North Sumatera

1,12 1,08 1,09 0,31 0,26 0,28


3 West Sumatera

1,81 0,74 1,09 0,38 0,15 0,23


4 Riau

2,17 2,42 2,33 0,60 0,66 0,64


5 Jambi

2,56 2,39 2,45 0,59 0,52 0,55


6 South Sumatera

1,25 2,13 1,85 0,24 0,45 0,38


7 Bengkulu

0,44 0,71 0,56 0,11 0,12 0,11


8 Lampung

0,88 1,82 0,95 0,20 0,47 0,22


9 Bangka Belitung Islands

0,75 - 0,75 0,18 - 0,18


10 Riau Islands

1,23 1,52 1,29 0,29 0,36 0,31


11 DKI Jakarta***

1,75 2,15 1,94 0,42 0,50 0,46


12 West Java

2,05 2,11 2,06 0,56 0,45 0,53


13 Central Java

1,10 2,16 1,58 0,21 0,47 0,33


14 DI Yogyakarta

1,14 1,36 1,20 0,32 0,39 0,34


15 East Java

0,71 0,88 0,76 0,15 0,23 0,17


16 Banten

2,43 2,57 2,50 0,54 0,72 0,63


17 Bali

1,40 5,93 4,79 0,38 1,79 1,44


18 West Nusa Tenggara

0,62 1,24 1,02 0,12 0,31 0,24


19 East Nusa Tenggara

0,60 0,86 0,75 0,11 0,21 0,17


20 West Kalimantan

0,47 0,62 0,55 0,08 0,11 0,10


21 Central Kalimantan

0,88 1,38 1,04 0,22 0,26 0,23


22 South Kalimantan

0,79 1,07 0,89 0,17 0,18 0,17


23 East Kalimantan

0,73 1,42 1,04 0,16 0,28 0,22


24 North Kalimantan

1,48 2,59 2,24 0,43 0,70 0,62


25 North Sulawesi

0,63 2,03 1,40 0,14 0,50 0,34


26 Central Sulawesi

1,31 3,02 2,40 0,35 0,88 0,69


27 South Sulawesi

0,55 4,79 2,92 0,09 1,31 0,77


28 Southeast Sulawesi

1,25 2,07 1,90 0,26 0,57 0,50


29 Gorontalo

0,92 5,52 3,49 0,19 1,75 1,06


30 West Sulawesi

0,96 0,93 0,94 0,28 0,17 0,20


31 Maluku

0,91 9,58 5,84 0,26 3,64 2,18


32 North Maluku

0,86 8,53 6,31 0,22 2,80 2,05


33 West Papua

Indonesia 1,23 2,25 1,67 0,29 0,59 0,42


34 Papua

Source: Statistics Indonesia, 2022

*) The Poverty Depth Index (P1) is a measure of the average expenditure gap of each poor population against the poverty line. The higher the index value, the farther the average population expenditure is from the poverty line.
**)The Poverty Severity Index (P2) provides an overview of the distribution of expenditure among the poor, the higher the index value, the higher the disparity of expenditure among the poor.
***) DKI Jakarta has no village
Appendix 3.e
GINI INDEX BY PROVINCE 2016 - 2021

No Province 2016 2017 2018 2019 2020 2021

(1) (2) (3) (4) (5) (6) (7) (8)


0,32 0,32
0,31 0,31
1 Aceh 0,34 0,33 0,32 0,32

0,30 0,30
2 North Sumatera 0,31 0,34 0,31 0,32

0,32 0,33
3 West Sumatera 0,31 0,31 0,31 0,31

0,32 0,32
4 Riau 0,35 0,33 0,35 0,33

0,34 0,34
5 Jambi 0,35 0,33 0,34 0,32

0,32 0,32
6 South Sumatera 0,36 0,37 0,34 0,33

0,32 0,31
7 Bengkulu 0,35 0,35 0,36 0,34

0,26 0,25
8 Lampung 0,36 0,33 0,33 0,33

0,33 0,34
9 Bangka Belitung Islands 0,29 0,28 0,27 0,27

0,40 0,41
10 Riau Islands 0,35 0,36 0,34 0,34

0,40 0,41
11 DKI Jakarta 0,40 0,41 0,39 0,39

0,36 0,37
12 West Java 0,40 0,39 0,41 0,40

0,44 0,44
13 Central Java 0,36 0,37 0,36 0,36

0,36 0,36
14 DI Yogyakarta 0,43 0,44 0,42 0,42

0,37 0,36
15 East Java 0,40 0,42 0,37 0,37

0,37 0,38
16 Banten 0,39 0,38 0,37 0,37

0,39 0,38
17 Bali 0,37 0,38 0,36 0,37

0,36 0,34
18 West Nusa Tenggara 0,37 0,38 0,39 0,38

0,33 0,32
19 East Nusa Tenggara 0,36 0,36 0,36 0,36

0,32 0,32
20 West Kalimantan 0,33 0,33 0,33 0,33

0,35 0,33
21 Central Kalimantan 0,35 0,33 0,34 0,34

0,34 0,33
22 South Kalimantan 0,35 0,35 0,34 0,33

0,30 0,29
23 East Kalimantan 0,33 0,33 0,34 0,33

0,37 0,36
24 North Kalimantan 0,31 0,31 0,30 0,30

0,32 0,33
25 North Sulawesi 0,38 0,39 0,37 0,37

0,38 0,38
26 Central Sulawesi 0,35 0,35 0,32 0,33

0,39 0,39
27 South Sulawesi 0,40 0,43 0,39 0,39

0,41 0,41
28 Southeast Sulawesi 0,39 0,40 0,39 0,40

0,36 0,37
29 Gorontalo 0,41 0,41 0,42 0,41

0,33 0,32
30 West Sulawesi 0,37 0,34 0,37 0,37

0,29 0,28
31 Maluku 0,34 0,32 0,33 0,32

0,38 0,37
32 North Maluku 0,31 0,33 0,34 0,31

0,40 0,40
33 West Papua 0,40 0,39 0,39 0,39

Indonesia 0,39 0,39 0,38 0,38 0,39 0,38


34 Papua 0,40 0,40 0,40 0,39

Source: Statistics Indonesia , 2022


Note: The Gini Index in 2021 is the Gini Index in September 2021
Appendix 3.f
AVERAGE PERCENTAGE OF MONTHLY EXPENDITURE PER CAPITA BY COMMODITY AND AREA, 2021

Percentage (%)
No Item Group
Urban Rural Urban + Rural
(1) (2) (3) (4) (5)
7,82 5,52
0,96 0,62
1 Grains 4,37

4,89 4,07
2 Tubers 0,45

2,42 2,34
3 Fish/shrimp/squid/shell 3,67

2,70 2,79
4 Meat 2,29

5,43 4,26
5 Eggs and milk 2,83

1,22 1,03
6 Vegetables 3,68

2,08 2,07
7 Nuts 0,94

1,70 1,27
8 Fruits 2,07

2,09 1,54
9 Oil and coconut 1,06

1,33 1,07
10 Beverage ingredients 1,27

1,14 0,97
11 Spices 0,95

14,32 15,63
12 Other food ingredients 0,89

8,10 6,06
13 Prepared food and soft drink 16,29

Food 45,81 56,20 49,25


14 Cigarette and Tobacco 5,04

22,46 26,33
9,54 12,17
15 Housing and household facilities 28,25

2,75 2,51
16 Various goods and services 13,48

4,62 4,60
17 Clothes, Footwear and headgear 2,39

3,17 3,92
18 Durable goods 4,59

1,26 1,21
19 Taxes, levies and insurance 4,29

Non Food 54,19 43,80 50,75


20 Party and ceremony/festival necessities 1,19

Total Expenditure 100,00 100,00 100,00


Source : Statistics Indonesia, 2022 (The National Socioeconomic Survey, March 2021)
Appendix 3.g
AVERAGE PERCENTAGE OF MONTHLY NON FOOD EXPENDITURE PER CAPITA, 2021

Party and
Housing and Various goods and Clothing, footwear Taxes, levies and
No Province Durable Goods ceremony/festivals Total
household facilities services and headgear insurance
necessities
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1 Aceh 229.499 114.987 53.099 38.928 46.872 10.843 494.228
2 North Sumatera 266.349 142.308 33.606 39.623 43.715 9.304 534.905
3 West Sumatera 278.654 158.552 49.587 64.804 47.314 14.717 613.629
4 Riau 342.671 151.958 45.225 65.855 50.671 14.148 670.528
5 Jambi 299.454 114.768 40.877 55.876 43.530 12.001 566.507
6 South Sumatera 281.167 114.361 27.887 42.801 37.563 13.596 517.376
7 Bengkulu 277.964 119.006 32.984 75.482 43.222 9.643 558.299
8 Lampung 247.265 115.799 28.988 48.588 39.851 10.124 490.615
9 Bangka Belitung Islands 405.472 157.763 40.370 73.806 57.920 13.639 748.970
10 Riau Islands 562.308 241.372 44.384 83.355 80.016 15.654 1.027.089
11 DKI Jakarta 826.264 348.886 45.862 61.408 116.417 13.660 1.412.497
12 West Java 357.781 171.738 33.601 63.228 49.958 18.971 695.276
13 Central Java 249.842 136.948 24.522 60.774 42.727 14.786 529.600
14 DI Yogyakarta 376.041 236.931 29.758 96.731 66.955 16.832 823.248
15 East Java 271.577 140.942 25.734 60.527 43.443 12.988 555.211
16 Banten 432.304 178.290 36.424 45.305 58.952 15.088 766.363
17 Bali 466.674 172.820 17.439 48.629 70.698 63.892 840.152
18 West Nusa Tenggara 269.412 131.348 34.485 73.943 38.720 11.742 559.650
19 East Nusa Tenggara 201.248 83.673 16.588 31.607 31.556 7.434 372.106
20 West Kalimantan 316.987 121.993 27.682 43.992 39.968 9.146 559.767
21 Central Kalimantan 372.721 141.885 30.485 68.611 51.961 17.019 682.681
22 South Kalimantan 357.156 149.198 37.668 73.387 51.953 13.212 682.572
23 East Kalimantan 532.721 221.354 34.511 96.957 72.945 23.657 982.146
24 North Kalimantan 449.976 186.887 36.418 67.927 61.015 9.655 811.876
25 North Sulawesi 304.537 146.101 33.198 52.048 45.323 17.501 598.708
26 Central Sulawesi 294.020 102.343 27.861 53.086 45.704 16.382 539.396
27 South Sulawesi 301.628 107.067 32.947 63.052 47.559 18.363 570.615
28 Southeast Sulawesi 285.125 106.046 30.166 75.305 42.488 21.640 560.770
29 Gorontalo 314.513 125.147 35.600 73.305 50.526 16.970 616.061
30 West Sulawesi 218.220 78.020 28.061 63.392 38.482 13.175 439.349
31 Maluku 341.115 130.137 28.246 29.479 38.325 9.118 576.419
32 North Maluku 337.270 127.391 30.045 34.388 32.894 10.450 572.438
33 West Papua 446.979 167.377 27.315 43.325 46.810 17.372 749.178

Indonesia 332.975 153.941 31.745 58.165 49.589 15.328 641.744


34 Papua 376.494 112.144 23.482 24.879 30.225 8.375 575.598

Source: Statistics Indonesia, 2022


Appendix 3.h
OPEN UNEMPLOYMENT RATE (TPT)
OF POPULATION AGES 15 AND OVER BY PROVINCE, 2019 - 2021

2019 2020 2021

No Province February August February August February August

TPT (%) TPT (%) TPT (%) TPT (%) TPT (%) TPT (%)
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 5,48 6,17 5,40 6,59 6,30 6,30
2 North Sumatera 5,57 5,39 4,71 6,91 6,01 6,33
3 West Sumatera 5,38 5,38 5,25 6,88 6,67 6,52
4 Riau 5,36 5,76 4,92 6,32 4,96 4,42
5 Jambi 3,52 4,06 4,26 5,13 4,76 5,09
6 South Sumatera 4,02 4,53 3,90 5,51 5,17 4,98
7 Bengkulu 2,41 3,26 3,08 4,07 3,72 3,65
8 Lampung 3,95 4,03 4,26 4,67 4,54 4,69
9 Bangka Belitung Islands 3,32 3,58 3,35 5,25 5,04 5,03
10 Riau Islands 7,02 7,50 5,98 10,34 10,12 9,91
11 DKI Jakarta 5,50 6,54 5,15 10,95 8,51 8,50
12 West Java 7,78 8,04 7,71 10,46 8,92 9,82
13 Central Java 4,19 4,44 4,20 6,48 5,96 5,95
14 DI Yogyakarta 2,89 3,18 3,38 4,57 4,28 4,56
15 East Java 3,77 3,82 3,60 5,84 5,17 5,74
16 Banten 7,55 8,11 7,99 10,64 9,01 8,98
17 Bali 1,22 1,57 1,25 5,63 5,42 5,37
18 West Nusa Tenggara 3,15 3,28 3,04 4,22 3,97 3,01
19 East Nusa Tenggara 2,98 3,14 2,64 4,28 3,38 3,77
20 West Kalimantan 4,06 4,35 4,47 5,81 5,73 5,82
21 Central Kalimantan 3,21 4,04 3,33 4,58 4,25 4,53
22 South Kalimantan 3,41 4,18 3,67 4,74 4,33 4,95
23 East Kalimantan 6,65 5,94 6,72 6,87 6,81 6,83
24 North Kalimantan 5,84 4,49 5,71 4,97 4,67 4,58
25 North Sulawesi 5,17 6,01 5,34 7,37 7,28 7,06
26 Central Sulawesi 3,46 3,11 2,93 3,77 3,73 3,75
27 South Sulawesi 5,10 4,62 5,70 6,31 5,79 5,72
28 Southeast Sulawesi 2,88 3,52 3,10 4,58 4,22 3,92
29 Gorontalo 3,25 3,76 3,29 4,28 3,41 3,01
30 West Sulawesi 1,29 2,98 2,39 3,32 3,28 3,13
31 Maluku 6,61 6,69 6,71 7,57 6,73 6,93
32 North Maluku 4,96 4,81 4,09 5,15 5,06 4,71
33 West Papua 5,81 6,43 6,78 6,80 6,18 5,84

Indonesia 4,98 5,23 4,94 7,07 6,26 6,49


34 Papua 3,22 3,51 3,42 4,28 3,77 3,33

Source: Statistics Indonesia , 2022


Appendix 3.i
AVERAGE LENGTH OF STUDY IN POPULATION AGED 15 AND ABOVE
BY PROVINCE, 2019-2021

No Province 2019 2020 2021


(1) (2) (3) (4) (5)
1 Aceh 9,59 9,71 9,77
2 North Sumatera 9,71 9,83 9,88
3 West Sumatera 9,22 9,34 9,46
4 Riau 9,35 9,47 9,52
5 Jambi 8,86 8,97 9,03
6 South Sumatera 8,60 8,68 8,78
7 Bengkulu 9,08 9,20 9,26
8 Lampung 8,36 8,51 8,56
9 Bangka Belitung Islands 8,35 8,49 8,54
10 Riau Islands 10,13 10,22 10,38
11 DKI Jakarta 11,11 11,17 11,20
12 West Java 8,79 8,96 9,03
13 Central Java 8,03 8,19 8,26
14 DI Yogyakarta 9,83 9,95 10,04
15 East Java 8,11 8,31 8,37
16 Banten 9,07 9,22 9,29
17 Bali 9,19 9,31 9,45
18 West Nusa Tenggara 7,98 8,08 8,13
19 East Nusa Tenggara 7,98 8,09 8,20
20 West Kalimantan 7,80 7,90 8,00
21 Central Kalimantan 8,83 8,95 9,03
22 South Kalimantan 8,59 8,69 8,74
23 East Kalimantan 9,88 9,99 10,09
24 North Kalimantan 9,24 9,30 9,40
25 North Sulawesi 9,63 9,74 9,83
26 Central Sulawesi 8,98 9,09 9,18
27 South Sulawesi 8,73 8,86 8,95
28 Southeast Sulawesi 9,25 9,41 9,52
29 Gorontalo 8,11 8,26 8,32
30 West Sulawesi 8,22 8,33 8,39
31 Maluku 10,03 10,20 10,25
32 North Maluku 9,32 9,42 9,51
33 West Papua 9,92 10,00 10,03

Indonesia 8,75 8,90 8,97


34 Papua 6,85 6,96 7,05

Source: Statistics Indonesia, 2022


Appendix 3.j
LITERACY RATE/PERCENTAGE OF LITERATE POPULATION (AGE ≥ 15 YEARS)
BY PROVINCE AND SEX, 2017 - 2021

Male Female Male + Female


No Province
2017 2018 2019 2020 2021 2017 2018 2019 2020 2021 2017 2018 2019 2020 2021
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
99,1 97,4
99,5 98,8
1 Aceh 99,5 99,7 99,8 99,7 98,7 98,7 99,0 99,1 99,1 99,2 99,4 99,4 98,2

99,5 99,0
2 North Sumatera 99,8 99,8 99,9 99,8 99,4 99,4 99,4 99,5 99,6 99,6 99,6 99,6 99,2

99,5 98,9
3 West Sumatera 99,8 99,6 99,6 99,7 99,1 99,2 99,3 99,2 99,5 99,4 99,5 99,4 99,3

98,7 97,5
4 Riau 99,7 99,9 99,7 99,8 99,3 99,2 99,3 99,4 99,5 99,6 99,6 99,6 99,2

99,3 98,3
5 Jambi 99,7 99,6 99,8 99,3 98,9 98,4 98,3 98,9 99,3 99,0 99,1 99,1 98,1

98,9 96,8
6 South Sumatera 99,8 99,8 99,7 99,7 99,2 99,2 99,4 99,4 99,5 99,5 99,6 99,5 98,8

98,5 96,0
7 Bengkulu 99,5 99,3 99,6 99,7 98,5 98,9 98,7 98,6 99,0 99,1 99,2 99,2 97,9

99,1 97,1
8 Lampung 99,3 99,2 99,2 99,3 97,8 97,3 97,5 97,7 98,5 98,2 98,4 98,5 97,3

99,3 98,9
9 Bangka Belitung Islands 99,0 99,0 99,5 99,1 97,9 97,7 97,8 98,2 98,5 98,4 98,7 98,7 98,1

99,8 99,7
10 Riau Islands 99,4 99,6 99,5 99,7 99,0 98,9 99,1 98,9 99,2 99,3 99,3 99,3 99,1

99,3 97,9
11 DKI Jakarta 99,8 99,9 99,9 99,8 99,6 99,5 99,6 99,6 99,7 99,7 99,7 99,7 99,7

96,3 91,4
12 West Java 99,3 99,3 99,3 99,5 98,3 98,1 98,2 98,2 98,8 98,7 98,8 98,9 98,6

97,5 93,1
13 Central Java 97,9 97,6 97,4 97,4 93,5 93,1 93,3 93,4 95,6 95,3 95,3 95,4 93,8

95,2 90,1
14 DI Yogyakarta 98,4 98,2 98,7 98,5 95,2 95,1 94,8 95,2 96,8 96,6 96,7 96,9 95,2

98,8 96,7
15 East Java 97,8 97,3 97,3 97,5 94,1 93,3 93,8 94,1 95,9 95,2 95,5 95,8 92,6

97,4 92,6
16 Banten 99,1 99,1 99,2 99,3 97,2 97,2 97,1 97,6 98,1 98,2 98,2 98,5 97,8

91,0 84,0
17 Bali 98,2 98,0 98,5 98,6 93,6 93,3 95,5 95,7 95,9 95,6 97,0 97,2 95,0

94,8 92,9
18 West Nusa Tenggara 94,1 93,8 93,8 92,7 87,3 86,3 86,3 87,6 90,5 89,8 89,9 90,1 87,4

95,9 90,9
19 East Nusa Tenggara 98,5 97,5 98,6 98,1 96,9 96,4 97,3 97,0 97,7 96,9 97,9 97,5 93,9

99,3 98,8
20 West Kalimantan 97,7 97,6 97,7 97,9 94,6 93,7 94,5 94,7 96,2 95,7 96,1 96,3 93,4

99,2 97,4
21 Central Kalimantan 99,8 99,7 99,8 99,9 99,1 99,3 99,1 99,0 99,5 99,5 99,5 99,5 99,1

99,3 98,5
22 South Kalimantan 99,6 99,5 99,3 99,4 98,6 98,5 98,8 98,7 99,2 99,0 99,1 99,1 98,3

97,0 96,0
23 East Kalimantan 99,6 99,5 99,6 99,6 98,8 98,9 98,9 98,8 99,2 99,2 99,3 99,2 98,9

99,8 99,8
24 North Kalimantan 97,6 97,2 98,6 98,6 97,0 95,7 96,7 97,0 97,3 96,5 97,7 97,8 96,6

98,8 97,7
25 North Sulawesi 99,8 99,9 99,9 99,9 99,8 99,9 99,9 99,9 99,8 99,9 99,9 99,9 99,8

93,9 91,2
26 Central Sulawesi 99,6 99,5 99,9 99,8 99,0 99,4 99,3 99,4 99,3 99,5 99,6 99,6 98,3

96,8 93,1
27 South Sulawesi 97,7 97,5 97,8 97,2 96,4 95,2 96,0 96,3 97,0 96,3 96,9 96,8 92,5

98,8 98,7
28 Southeast Sulawesi 98,0 97,8 98,4 97,9 94,8 95,6 96,5 96,1 96,4 96,7 97,5 97,0 94,9

95,1 91,1
29 Gorontalo 99,0 99,2 99,3 99,4 99,2 99,5 99,7 99,5 99,1 99,3 99,5 99,5 98,8

99,5 99,4
30 West Sulawesi 95,7 96,4 96,9 97,4 95,0 93,6 95,2 93,1 95,4 94,9 96,1 95,3 93,1

99,4 98,0
31 Maluku 99,7 99,8 99,8 99,9 99,5 99,5 99,6 99,6 99,6 99,7 99,7 99,8 99,4

98,7 97,1
32 North Maluku 99,8 99,9 99,9 99,7 99,2 99,1 99,2 99,4 99,5 99,5 99,6 99,5 98,7

81,3 76,2
33 West Papua 99,7 99,5 99,5 99,3 99,6 98,7 99,3 99,0 99,6 99,1 99,4 99,2 97,9

Indonesia 98,8 98,7 98,7 98,7 97,4 96,8 96,5 96,7 96,9 9 4 ,7 97,8 97,6 97,7 97,8 96,0
34 Papua 97,0 98,6 99,1 99,2 96,5 98,0 98,2 97,5 96,8 98,3 95,7 98,5 78,9

Source: Statistics Indonesia , 2022


Appendix 3.k
SCHOOL ENROLLMENT RATIO (APS) BY PROVINCE, 2019 - 2021

2019 2020 2021


No Province 7 - 12 13-15 16-18 19-24 7 - 12 13-15 16-18 19-24 7 - 12 13-15 16-18 19-24
Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 99,8 98,5 83,3 32,5 99,8 98,5 83,3 32,5 99,7 98,4 83,3 32,6
2 North Sumatera 99,4 96,9 77,7 25,8 99,4 97,0 78,2 27,0 99,3 97,0 78,7 27,1
3 West Sumatera 99,5 96,2 83,6 35,7 99,6 96,6 83,7 36,0 99,6 96,6 84,1 36,4
4 Riau 99,4 95,4 77,3 28,2 99,5 95,5 77,4 28,4 99,7 95,7 77,8 28,8
5 Jambi 99,7 96,4 72,0 23,3 99,8 96,4 72,4 23,8 99,7 96,4 72,5 24,1
6 South Sumatera 99,7 94,5 70,3 18,1 99,7 94,6 70,9 18,5 99,7 94,9 71,5 18,8
7 Bengkulu 99,8 97,2 79,4 30,7 99,8 97,5 79,7 30,0 99,8 97,5 79,8 30,5
8 Lampung 99,8 94,9 71,1 20,7 99,7 95,2 71,3 21,0 99,5 95,6 71,7 21,2
9 Bangka Belitung Islands 99,8 92,9 67,8 17,0 99,7 93,3 67,8 17,5 99,5 93,2 68,2 18,0
10 Riau Islands 99,5 98,5 84,0 19,0 99,6 98,8 84,6 19,7 99,6 98,9 84,4 19,8
11 DKI Jakarta 99,6 98,3 72,0 24,5 99,6 98,3 72,1 25,0 99,5 98,7 72,3 24,9
12 West Java 99,5 94,2 67,3 22,7 99,7 94,5 67,7 22,8 99,5 95,1 67,8 23,5
13 Central Java 99,8 96,1 69,7 22,4 99,7 96,4 70,1 22,4 99,7 96,8 70,8 23,6
14 DI Yogyakarta 99,9 99,6 89,0 51,9 99,9 99,5 89,0 51,8 99,7 99,4 89,6 51,4
15 East Java 99,7 97,4 72,7 24,8 99,5 97,7 73,1 25,8 99,4 97,8 74,1 26,3
16 Banten 99,4 95,8 68,7 21,4 99,4 95,8 68,8 21,6 99,5 96,8 68,9 21,6
17 Bali 99,7 97,7 82,8 27,9 99,6 98,2 83,0 28,7 99,7 98,2 84,0 29,0
18 West Nusa Tenggara 99,5 97,9 77,5 25,6 99,5 98,3 77,6 26,0 99,5 98,3 77,5 26,2
19 East Nusa Tenggara 98,5 95,1 75,4 29,3 98,6 95,3 75,5 29,5 98,4 95,3 75,8 30,5
20 West Kalimantan 98,5 92,9 68,4 23,7 98,6 92,9 69,0 24,1 98,6 93,1 69,4 24,6
21 Central Kalimantan 99,7 94,1 67,0 24,0 99,5 94,9 66,9 24,3 99,6 95,2 66,7 24,5
22 South Kalimantan 99,5 92,8 69,2 24,3 99,5 93,0 69,4 24,6 99,4 93,5 69,3 24,7
23 East Kalimantan 99,7 98,8 81,8 29,9 99,7 99,1 81,9 29,7 99,6 98,9 82,0 29,9
24 North Kalimantan 98,8 96,5 76,1 23,1 98,9 96,5 76,1 23,8 98,7 96,5 76,5 25,0
25 North Sulawesi 99,4 95,2 74,0 22,6 99,6 95,3 74,1 23,2 99,4 95,4 73,9 23,7
26 Central Sulawesi 98,4 93,0 75,7 27,4 98,4 93,1 75,9 27,6 98,5 93,3 76,3 28,2
27 South Sulawesi 99,2 93,2 70,9 34,4 99,3 93,3 70,9 34,5 99,3 93,6 71,2 35,1
28 Southeast Sulawesi 99,1 94,8 74,0 31,3 99,1 95,0 74,5 31,8 99,2 95,1 75,0 32,0
29 Gorontalo 99,0 91,6 71,4 31,0 98,9 91,8 71,4 31,0 99,0 92,1 71,3 31,7
30 West Sulawesi 98,3 89,9 69,3 23,6 98,3 90,1 69,8 23,2 98,2 90,1 71,2 23,8
31 Maluku 99,6 97,3 79,7 38,6 99,5 97,4 79,9 38,6 99,5 97,7 79,7 39,0
32 North Maluku 99,0 97,0 76,4 31,2 99,0 97,2 76,8 31,4 98,8 97,0 77,0 31,2
33 West Papua 97,7 96,6 81,5 31,5 97,9 96,9 81,5 31,5 98,1 96,9 81,2 30,9

Indonesia 99,2 95,5 72,4 25,2 99,3 95,7 72,7 25,6 99,2 96,0 73,1 26,0
34 Papua 82,7 80,1 63,5 22,9 83,0 80,5 64,8 23,2 83,4 80,0 64,0 22,9
Appendix 3.l
CRUDE EDUCATION PARTICIPATION RATE BY PROVINCE 2017 - 2021

2017 2018 2019 2020 2021


Elementary Junior High Senior High Elementary Junior High Senior High Elementary Junior High Senior High Elementary Junior High Senior High Elementary Junior High Senior High
No Province School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/
Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/ Equivalent/
Package A Package B Package C Package A Package B Package C Package A Package B Package C Package A Package B Package C Package A Package B Package C
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1 Aceh 110,3 98,7 87,5 113,9 99,3 84,8 109,9 97,4 90,1 108,7 97,8 90,9 108,1 97,7 92,6
2 North Sumatera 109,5 90,7 93,6 111,1 90,0 91,6 109,5 90,4 94,0 108,5 91,7 94,7 107,9 91,9 96,8
3 West Sumatera 110,5 90,4 88,4 111,0 90,9 84,0 109,3 91,4 88,9 108,7 92,3 90,0 108,7 93,2 90,4
4 Riau 108,3 92,4 85,1 106,9 94,2 83,9 106,8 94,0 84,2 105,9 94,9 84,6 105,5 95,3 84,1
5 Jambi 112,4 86,4 83,5 112,0 87,6 78,9 111,1 87,3 82,5 109,4 88,9 83,7 109,5 89,0 84,5
6 South Sumatera 112,1 89,1 83,4 114,1 86,5 77,4 113,3 87,0 80,9 111,6 88,8 81,7 111,4 89,4 82,3
7 Bengkulu 112,7 90,5 87,1 113,5 92,1 85,6 110,0 89,5 93,8 109,2 91,3 94,1 109,3 92,1 93,8
8 Lampung 109,8 91,0 85,2 110,1 94,2 81,6 107,4 91,1 85,7 105,9 92,6 85,8 105,6 93,1 88,4
9 Bangka Belitung Islands 110,6 84,5 82,9 111,2 85,9 82,2 108,4 85,3 87,1 107,4 88,2 87,2 107,2 88,4 86,5
10 Riau Islands 106,8 90,5 95,8 107,3 92,4 91,0 107,6 92,8 86,7 106,3 94,0 87,5 106,6 94,1 86,3
11 DKI Jakarta 103,4 93,9 79,5 105,3 94,9 74,0 104,8 91,0 74,8 103,4 91,7 76,9 103,2 91,6 77,1
12 West Java 107,5 88,8 76,5 106,2 91,0 75,3 105,5 90,8 77,8 104,7 91,8 78,3 104,6 93,3 78,1
13 Central Java 108,4 91,1 84,4 108,2 92,0 84,2 107,7 91,7 86,8 106,3 93,2 86,8 106,4 94,0 86,7
14 DI Yogyakarta 106,3 94,8 93,4 105,8 97,0 87,4 106,2 95,0 89,1 106,0 95,4 89,3 105,2 95,5 90,5
15 East Java 106,8 92,2 81,4 106,7 94,9 79,1 105,6 94,2 84,8 104,4 96,4 85,2 104,5 97,2 87,6
16 Banten 109,6 91,1 75,9 109,5 91,7 71,7 107,9 91,6 72,9 107,2 92,8 73,4 106,9 94,9 75,7
17 Bali 104,4 96,3 90,0 103,0 96,1 87,7 103,5 97,3 88,0 102,9 97,4 88,7 103,1 98,7 89,9
18 West Nusa Tenggara 109,6 95,0 93,9 108,8 93,8 89,6 108,5 92,1 90,9 107,0 93,6 91,8 107,2 93,7 93,8
19 East Nusa Tenggara 114,1 91,4 78,8 116,6 88,5 77,8 115,0 87,8 84,6 113,4 89,9 84,7 113,6 90,8 86,4
20 West Kalimantan 115,1 81,2 82,5 117,0 83,0 79,3 112,6 83,3 82,5 111,5 85,2 84,5 111,0 85,5 85,2
21 Central Kalimantan 112,5 87,3 80,4 110,0 95,8 74,8 110,1 88,7 82,3 108,5 90,6 82,3 108,2 91,1 83,1
22 South Kalimantan 110,3 85,7 77,4 110,2 86,2 75,7 108,7 83,8 78,9 107,3 86,3 79,1 107,1 86,0 80,8
23 East Kalimantan 108,1 91,5 99,5 108,0 92,6 96,1 106,8 91,0 95,0 105,8 92,2 95,2 105,3 92,0 95,5
24 North Kalimantan 103,9 98,1 87,7 102,3 103,0 89,2 101,2 98,3 97,9 100,5 101,5 98,3 99,8 100,9 96,6
25 North Sulawesi 108,7 88,5 91,7 109,0 88,5 82,3 108,2 89,2 86,6 106,6 90,6 86,8 106,6 90,5 86,2
26 Central Sulawesi 104,2 91,9 84,9 105,3 92,9 83,5 105,1 90,6 87,4 104,0 92,0 88,4 103,7 93,2 88,1
27 South Sulawesi 109,6 84,0 83,1 110,3 87,0 81,7 108,5 84,2 86,1 107,0 86,2 86,4 106,9 86,8 87,1
28 Southeast Sulawesi 112,1 88,1 80,0 110,8 85,2 84,8 109,3 85,3 86,8 108,0 87,1 87,7 108,2 87,5 89,5
29 Gorontalo 111,3 81,7 80,9 112,0 80,2 84,3 110,9 79,0 88,6 109,5 79,3 88,7 108,4 79,4 88,0
30 West Sulawesi 110,2 83,0 80,3 108,6 82,4 84,5 107,3 82,7 84,1 106,1 84,7 84,4 105,1 85,3 87,8
31 Maluku 112,1 95,0 89,7 112,3 95,6 87,2 112,2 90,4 95,3 110,1 91,1 96,0 110,8 90,6 95,7
32 North Maluku 113,1 87,1 91,6 113,7 91,1 88,0 109,7 86,5 93,2 108,7 88,3 93,4 108,1 88,0 95,0
33 West Papua 110,2 91,0 89,7 110,7 89,7 90,7 111,2 88,5 96,4 110,2 90,8 97,7 111,0 90,6 97,3

Indonesia 108,5 90,2 82,8 108,6 91,5 80,7 107,5 95,7 84,0 97,7 92,1 84,5 106,2 92,8 85,2
34 Papua 92,9 82,2 67,9 94,5 87,8 65,1 91,9 78,1 76,3 91,3 81,2 76,6 93,1 81,7 75,1

Source: Statistics Indonesia, 2022


Appendix 3.m
CRUDE PARTICIPATION RATE IN EDUCATION BY PROVINCE AND SEX, 2021

Male Female Male+ Female

No Province Elementary Junior High Senior High Elementary Junior High Senior High Elementary Junior High Senior High
University University University
School/ School/ School/ School/ School/ School/ School/ School/ School/
(19-24 y.o) (19-24 y.o) (19-24 y.o)
Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 107,23 98,67 90,17 34,59 109,00 96,77 95,09 39,79 108,10 97,74 92,63 37,18
2 North Sumatera 107,74 93,05 93,38 23,55 107,98 90,71 100,23 28,84 107,85 91,87 96,75 26,12
3 West Sumatera 109,96 90,41 86,95 30,63 107,36 96,14 94,08 44,00 108,66 93,24 90,38 37,25
4 Riau 105,13 94,20 82,43 26,70 105,93 96,32 85,86 33,08 105,52 95,25 84,11 29,77
5 Jambi 110,40 87,98 85,14 22,75 108,55 90,00 83,82 29,16 109,48 88,96 84,47 25,93
6 South Sumatera 110,66 90,21 79,24 21,36 112,14 88,65 85,50 23,00 111,39 89,44 82,30 22,18
7 Bengkulu 110,12 94,13 86,79 30,68 108,49 90,04 100,92 33,69 109,31 92,11 93,79 32,12
8 Lampung 104,97 93,62 83,69 17,85 106,32 92,65 93,64 19,23 105,63 93,12 88,38 18,53
9 Bangka Belitung Islands 107,19 86,57 89,64 11,64 107,13 90,41 83,45 14,31 107,16 88,44 86,49 12,96
10 Riau Islands 105,95 92,69 85,66 22,21 107,30 95,71 86,93 23,77 106,60 94,12 86,31 23,03
11 DKI Jakarta 102,84 94,66 75,05 32,95 103,52 88,53 79,08 32,36 103,17 91,56 77,08 32,65
12 West Java 104,33 95,00 76,44 20,70 104,83 91,60 79,84 22,63 104,57 93,33 78,10 21,65
13 Central Java 106,42 94,95 84,48 17,36 106,39 92,99 89,00 22,02 106,40 94,00 86,65 19,67
14 DI Yogyakarta 103,08 97,23 91,52 64,45 107,38 93,87 89,34 64,44 105,15 95,54 90,50 64,45
15 East Java 105,02 96,36 87,24 23,81 104,01 98,03 87,87 26,70 104,52 97,17 87,55 25,27
16 Banten 107,29 98,29 75,06 24,34 106,53 91,51 76,27 30,10 106,91 94,88 75,66 27,17
17 Bali 101,96 99,56 88,25 31,00 104,28 97,69 91,58 30,27 103,09 98,68 89,87 30,64
18 West Nusa Tenggara 107,10 93,04 96,20 27,29 107,37 94,39 91,29 26,31 107,23 93,72 93,75 26,79
19 East Nusa Tenggara 115,09 87,83 79,90 24,57 112,02 94,09 93,07 31,17 113,55 90,78 86,36 27,90
20 West Kalimantan 112,24 82,11 82,28 21,21 109,70 88,69 88,18 22,68 111,01 85,45 85,21 21,93
21 Central Kalimantan 108,64 91,66 86,38 21,97 107,78 90,47 79,82 22,06 108,21 91,07 83,07 22,01
22 South Kalimantan 107,62 88,81 76,04 22,79 106,65 83,09 86,04 24,20 107,14 86,04 80,77 23,49
23 East Kalimantan 105,40 95,55 97,88 32,33 105,11 88,56 93,02 35,50 105,26 92,03 95,52 33,86
24 North Kalimantan 101,22 97,38 87,32 22,28 98,21 104,88 106,56 19,65 99,78 100,90 96,55 21,00
25 North Sulawesi 106,33 88,64 82,53 26,10 106,78 92,35 90,11 31,64 106,56 90,45 86,17 28,83
26 Central Sulawesi 105,78 88,72 84,35 29,81 101,60 98,21 91,55 38,25 103,68 93,17 88,06 33,92
27 South Sulawesi 106,47 85,37 87,22 31,50 107,26 88,29 86,94 40,58 106,85 86,82 87,07 36,10
28 Southeast Sulawesi 108,23 87,64 86,14 34,92 108,22 87,44 93,00 39,81 108,22 87,54 89,50 37,39
29 Gorontalo 105,56 76,74 80,20 23,23 111,44 82,04 96,44 40,81 108,44 79,37 87,97 31,84
30 West Sulawesi 106,10 82,06 85,25 21,69 104,05 88,36 90,29 29,29 105,09 85,27 87,81 25,40
31 Maluku 111,77 90,19 94,71 39,08 109,81 90,96 96,91 44,08 110,79 90,57 95,74 41,59
32 North Maluku 107,65 87,74 93,98 ü82 108,51 88,26 96,09 39,01 108,07 87,99 95,04 36,32
33 West Papua 111,04 91,78 92,11 27,99 110,99 89,16 102,87 31,64 111,02 90,55 97,25 29,81

Indonesia 106,18 93,27 83,48 24,29 106,21 92,30 87,05 27,94 106,20 92,80 85,23 26,09
34 Papua 91,59 84,38 7.834,00 17,46 94,71 78,87 71,66 17,05 93,07 81,68 75,05 17,27

Source: Statistics Indonesia 2022


Appendix 3.n
NET-SCHOOL ENROLLMENT RATIO (APK) BY PROVINCE, 2017 - 2021

2017 2018 2019 2020 2021

No Province Elementary Junior High Senior High Elementary Junior High Senior High Elementary Junior High Senior High Elementary Junior High Senior High Elementary Junior High Senior High
School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/ School/
Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent Equivalent
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1 Aceh 98,5 86,3 70,2 99,1 86,4 70,3 99,1 86,5 70,4 99,0 86,9 70,7 99,0 87,0 70,8
2 North Sumatera 97,2 79,1 67,1 97,6 79,3 67,3 97,7 80,3 67,5 97,7 80,6 68,0 97,7 81,1 68,0
3 West Sumatera 98,6 76,5 67,3 98,7 77,1 67,5 98,7 78,1 68,5 98,8 78,4 68,9 98,8 78,8 69,0
4 Riau 97,1 78,9 63,0 97,3 79,1 63,5 97,3 79,9 63,6 97,7 80,5 64,0 97,9 80,5 64,0
5 Jambi 98,4 78,6 60,0 99,0 79,4 60,9 99,1 79,5 60,9 99,1 79,9 61,4 99,4 79,9 61,6
6 South Sumatera 97,2 76,9 59,1 97,9 76,9 59,9 97,9 77,6 59,9 97,9 78,0 60,5 98,0 78,3 60,5
7 Bengkulu 98,6 77,9 65,3 98,6 78,0 65,5 98,7 78,8 65,5 98,7 79,8 65,8 98,6 80,3 66,1
8 Lampung 99,0 79,2 59,0 99,2 80,2 59,2 99,2 80,4 59,4 99,2 81,2 59,6 99,1 82,0 60,3
9 Bangka Belitung Islands 97,4 73,1 57,7 97,7 74,0 57,9 97,7 74,1 58,4 97,7 74,6 58,8 97,9 74,6 58,8
10 Riau Islands 98,9 84,3 72,0 99,1 84,6 72,9 99,1 85,5 73,0 99,2 86,5 73,5 99,3 86,6 73,4
11 DKI Jakarta 97,6 80,7 59,5 98,0 80,8 60,0 98,1 81,7 60,2 98,1 82,5 60,4 98,2 83,0 60,5
12 West Java 98,1 80,3 57,2 98,3 81,0 57,3 98,3 81,3 57,5 98,4 82,1 57,9 98,4 82,9 58,6
13 Central Java 97,1 79,1 59,2 97,8 79,3 59,3 97,8 79,8 59,4 97,9 80,5 59,7 98,2 81,0 60,5
14 DI Yogyakarta 99,3 83,3 69,7 99,5 83,6 70,2 99,5 84,0 70,5 99,6 84,0 71,0 99,4 83,6 71,4
15 East Java 97,8 81,5 61,5 97,9 82,0 61,5 98,0 82,8 61,8 98,0 83,5 62,2 97,9 83,8 62,6
16 Banten 97,6 80,6 57,9 98,0 80,9 58,7 98,0 81,9 58,8 98,0 82,7 59,1 98,2 84,3 59,7
17 Bali 96,1 85,3 72,4 96,2 86,0 73,0 96,8 86,8 73,0 96,8 87,3 73,3 97,2 87,1 74,8
18 West Nusa Tenggara 98,1 83,6 65,7 98,9 83,9 65,8 98,9 83,9 66,0 98,8 85,0 66,8 98,8 85,3 67,1
19 East Nusa Tenggara 95,4 67,2 53,3 96,1 68,1 53,7 96,2 69,2 53,7 96,1 69,8 54,1 96,0 70,0 54,3
20 West Kalimantan 96,6 65,2 51,0 97,1 65,9 51,2 97,1 66,7 51,2 97,4 67,4 51,7 97,4 68,1 51,8
21 Central Kalimantan 98,9 76,1 53,9 99,1 76,7 53,7 99,1 77,7 53,8 99,1 78,5 54,1 99,0 78,8 54,3
22 South Kalimantan 98,5 73,4 57,2 98,8 73,8 57,8 98,8 74,8 57,8 98,8 75,5 58,3 98,9 75,9 58,4
23 East Kalimantan 97,4 79,6 68,2 98,4 79,7 68,4 98,4 80,4 68,6 98,4 81,3 69,0 98,4 81,3 69,3
24 North Kalimantan 92,5 77,7 63,2 92,7 78,2 64,1 93,2 78,4 64,4 93,5 79,1 64,8 93,4 79,2 65,4
25 North Sulawesi 94,5 73,9 62,8 94,9 74,2 62,8 95,0 74,3 63,0 95,1 74,8 63,4 95,4 74,9 63,3
26 Central Sulawesi 92,8 72,3 63,8 92,8 73,2 64,3 93,2 73,8 64,7 93,2 74,4 65,0 93,3 75,0 65,4
27 South Sulawesi 97,5 74,4 59,9 98,0 75,1 60,0 98,1 75,8 60,1 98,0 76,2 60,3 98,3 77,0 60,4
28 Southeast Sulawesi 96,6 76,5 62,7 97,5 76,6 62,9 97,5 77,0 62,9 97,7 77,6 63,4 98,2 77,9 63,7
29 Gorontalo 97,5 69,2 56,8 98,4 69,3 57,4 98,4 70,3 57,5 98,5 70,7 57,9 98,7 71,2 58,2
30 West Sulawesi 95,5 69,4 57,5 95,8 69,4 57,6 95,9 69,4 57,6 95,8 70,0 58,1 95,7 70,0 59,8
31 Maluku 95,5 74,0 63,7 95,8 74,1 63,7 96,2 74,7 64,2 96,9 75,2 64,8 96,9 75,5 64,7
32 North Maluku 97,0 76,3 63,5 97,1 76,3 63,9 97,1 76,2 64,0 97,2 76,9 64,3 97,2 77,0 64,1
33 West Papua 93,6 68,9 62,7 93,7 69,1 63,1 93,8 69,9 63,2 93,9 70,5 63,6 94,1 70,5 63,5

Indonesia 97,2 78,4 60,4 97,6 78,8 60,7 97,6 95,7 60,8 97,7 80,1 61,3 97,8 80,6 61,7
34 Papua 78,8 56,1 43,5 79,1 57,1 44,3 79,2 57,2 44,3 79,3 58,0 44,7 80,4 57,9 44,4

Source: Statistics Indonesia , 2022


Appendix 3.O
HUMAN DEVELOPMENT INDEX (HDI) AND RANKS BY PROVINCE, 2017-2021

2017 2018 2019 2020 2021


No Province
HDI Ranks HDI Ranks HDI Ranks HDI Ranks HDI Ranks
(1) (2) (3) (4) (5) (6) (7) (8) (8) (10) (11) (12)
1 Aceh 70.60 11 71.19 11 71.90 11 71.99 11 72,18 12
2 North Sumatera 70.57 12 71.18 12 71.74 12 71.77 12 72,00 15
3 West Sumatera 71.24 9 71.73 9 72.39 9 72.38 9 72,65 9
4 Riau 71.79 6 72.44 6 73,00 6 72.71 6 72,94 7
5 Jambi 69.99 16 70.65 17 71.26 17 71.29 17 71,63 19
6 South Sumatera 68.86 23 69.39 23 70.02 23 70.01 23 70,24 23
7 Bengkulu 69.95 18 70.64 18 71.21 18 71.40 18 71,64 18
8 Lampung 68.25 24 69.02 24 69.57 24 69.69 24 69,90 24
9 Bangka Belitung Islands 69.99 17 70.67 16 71.30 16 71.47 16 71,69 16
10 Riau Islands 74.45 4 74.84 4 75.48 4 75.59 4 75,79 4
11 DKI Jakarta 80.06 1 80.47 1 80.76 1 80.77 1 81,11 1
12 West Java 70.69 10 71.30 10 72.03 10 72.09 10 72,45 10
13 Central Java 70.52 13 71.12 13 71.73 13 71.87 13 72,16 13
14 DI Yogyakarta 78.89 2 79.53 2 79.99 2 79.97 2 80,22 2
15 East Java 70.27 15 70.77 15 71.50 15 71.71 15 72,14 14
16 Banten 71.42 8 71.95 8 72.44 8 72.45 8 72,72 8
17 Bali 74.30 5 74.77 5 75.38 5 75.50 5 75,69 5
18 West Nusa Tenggara 66.58 29 67.30 29 68.14 29 68.25 29 68,65 29
19 East Nusa Tenggara 63.73 32 64.39 32 65.23 32 65.19 32 65,28 32
20 West Kalimantan 66.26 30 66.98 30 67.65 30 67.66 30 67,90 30
21 Central Kalimantan 69.79 21 70.42 21 70.91 21 71.05 21 71,25 21
22 South Kalimantan 69.65 22 70.17 22 70.72 22 70.91 22 71,28 20
23 East Kalimantan 75.12 3 75.83 3 76.61 3 76.24 3 76,88 3
24 North Kalimantan 69.84 20 70.56 20 71.15 20 70.63 20 71,19 22
25 North Sulawesi 71.66 7 72.20 7 72.99 7 72.93 7 73,30 6
26 Central Sulawesi 68.11 26 68.88 25 69.50 25 69.55 25 69,79 25
27 South Sulawesi 70.34 14 70.90 14 71.66 14 71.93 14 72,24 11
28 Southeast Sulawesi 69.86 19 70.61 19 71.20 19 71.45 19 71,66 17
29 Gorontalo 67.01 28 67.71 28 68.49 28 68.68 28 69,00 27
30 West Sulawesi 64.30 31 65.10 31 65.73 31 66.11 31 66,36 31
31 Maluku 68.19 25 68.87 26 69.45 26 69.49 26 69,71 26
32 North Maluku 67.20 27 67.76 27 68.70 27 68.49 27 68,76 28
33 West Papua 62.99 33 63.74 33 64.70 33 65.09 33 65,26 33

Indonesia 70.81 71.39 71.92 95,74 71.94 97,69 72,29


34 Papua 59.09 34 60.06 34 60.84 34 60.44 34 60,62 34

Source: Statistics Indonesia , 2022


Appendix 3.p
HUMAN DEVELOPMENT INDEX (HDI) AND COMPONENTS BY PROVINCE, 2020-2021
Expected Length of School Average Length of School Adjusted Expenditure per Capita
Life Expectancy at Birth (years) Human Development Index HDI Growth
No Province (years) (years) (Rp 000)
2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020-2021
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Aceh 69,93 69,96 14,31 14,36 9,33 9,37 9.492 9.572 71,99 72,18 0,19
2 North Sumatera 69,10 69,23 13,23 13,27 9,54 9,58 10.420 10.499 71,77 72,00 0,23
3 West Sumatera 69,47 69,59 14,02 14,09 8,99 9,07 10.733 10.790 72,38 72,65 0,27
4 Riau 71,60 71,67 13,20 13,28 9,14 9,19 10.675 10.736 72,71 72,94 0,23
5 Jambi 71,16 71,22 12,98 13,04 8,55 8,60 10.392 10.588 71,29 71,63 0,34
6 South Sumatera 69,88 69,98 12,45 12,54 8,24 8,30 10.652 10.662 70,01 70,24 0,23
7 Bengkulu 69,35 69,42 13,61 13,67 8,84 8,87 10.380 10.487 71,40 71,64 0,24
8 Lampung 70,65 70,73 12,65 12,73 8,05 8,08 9.982 10.038 69,69 69,90 0,21
9 Bangka Belitung Islands 70,64 70,73 12,05 12,17 8,06 8,08 12.794 12.819 71,47 71,69 0,22
10 Riau Islands 69,96 70,12 12,87 12,98 10,12 10,18 14.209 14.122 75,59 75,79 0,20
11 DKI Jakarta 72,91 73,01 12,98 13,07 11,13 11,17 18.227 18.520 80,77 81,11 0,34
12 West Java 73,04 73,23 12,50 12,61 8,55 8,61 10.845 10.934 72,09 72,45 0,36
13 Central Java 74,37 74,47 12,70 12,77 7,69 7,75 10.930 11.034 71,87 72,16 0,29
14 DI Yogyakarta 74,99 75,04 15,59 15,64 9,55 9,64 14.015 14.111 79,97 80,22 0,25
15 East Java 71,30 71,38 13,19 13,36 7,78 7,88 11.601 11.707 71,71 72,14 0,43
16 Banten 69,96 70,02 12,89 13,02 8,89 8,93 11.964 12.033 72,45 72,72 0,27
17 Bali 72,13 72,24 13,33 13,40 8,95 9,06 13.929 13.820 75,50 75,69 0,19
18 West Nusa Tenggara 66,51 66,69 13,70 13,90 7,31 7,38 10.351 10.377 68,25 68,65 0,40
19 East Nusa Tenggara 67,01 67,15 13,18 13,20 7,63 7,69 7.598 7.554 65,19 65,28 0,09
20 West Kalimantan 70,69 70,76 12,60 12,65 7,37 7,45 8.930 8.974 67,66 67,90 0,24
21 Central Kalimantan 69,74 69,79 12,66 12,74 8,59 8,64 11.154 11.182 71,05 71,25 0,20
22 South Kalimantan 68,66 68,83 12,68 12,81 8,29 8,34 12.032 12.143 70,91 71,28 0,37
23 East Kalimantan 74,33 74,61 13,72 13,81 9,77 9,84 11.728 12.116 76,24 76,88 0,64
24 North Kalimantan 72,59 72,65 12,93 12,94 9,00 9,11 8.756 9.075 70,63 71,19 0,56
25 North Sulawesi 71,69 71,76 12,85 12,94 9,49 9,62 10.791 10.882 72,93 73,30 0,37
26 Central Sulawesi 68,69 68,83 13,17 13,23 8,83 8,89 9.335 9.378 69,55 69,79 0,24
27 South Sulawesi 70,57 70,66 13,45 13,52 8,38 8,46 11.079 11.184 71,93 72,24 0,31
28 Southeast Sulawesi 71,22 71,27 13,65 13,68 9,04 9,13 9.331 9.381 71,45 71,66 0,21
29 Gorontalo 68,07 68,19 13,08 13,11 7,82 7,90 10.020 10.157 68,68 69,00 0,32
30 West Sulawesi 65,06 65,25 12,77 12,86 7,89 7,96 9.168 9.153 66,11 66,36 0,25
31 Maluku 65,98 66,09 13,96 13,97 9,93 10,03 8.732 8.770 69,49 69,71 0,22
32 North Maluku 68,33 68,45 13,67 13,68 9,04 9,09 8.032 8.140 68,49 68,76 0,27
33 West Papua 66,02 66,14 12,91 13,13 7,60 7,69 8.086 7.929 65,09 65,26 0,17

Indonesia 71,47 71,57 12,98 13,08 8,48 8,54 11.013 11.156 71,94 72,29 0,35
34 Papua 65,79 65,93 11,08 11,11 6,69 6,76 6.954 6.955 60,44 60,62 0,18

Source: Statistics Indonesia, 2022 71,36


Appendix 4.a
NUMBER OF PUSKESMAS PER PROVINCE
2017 - 2021

Number of Puskesmas
No Province
2017 2017 2018 2020 2021
(1) (2) (3) (4) (5) (6) (7)
1 Aceh 341 348 359 359 360
2 North Sumatera 571 581 601 608 615
3 West Sumatera 269 275 275 276 279
4 Riau 215 216 228 231 234
5 Jambi 186 195 205 207 207
6 South Sumatera 322 332 341 343 345
7 Bengkulu 180 180 179 179 179
8 Lampung 297 302 310 312 315
9 Bangka Belitung Islands 63 64 64 64 64
10 Riau Islands 74 83 86 88 93
11 DKI Jakarta 340 321 315 315 315
12 West Java 1.056 1.069 1.072 1.083 1.086
13 Central Java 876 881 878 878 880
14 DI Yogyakarta 121 121 121 121 121
15 East Java 963 967 968 968 971
16 Banten 233 242 243 245 245
17 Bali 120 120 120 120 120
18 West Nusa Tenggara 160 166 169 174 175
19 East Nusa Tenggara 372 381 402 410 421
20 West Kalimantan 241 244 246 246 247
21 Central Kalimantan 196 200 203 205 205
22 South Kalimantan 230 233 235 236 237
23 East Kalimantan 179 183 186 187 188
24 North Kalimantan 49 56 55 55 56
25 North Sulawesi 189 193 195 195 198
26 Central Sulawesi 193 202 206 207 215
27 South Sulawesi 451 458 459 461 469
28 Southeast Sulawesi 274 284 290 292 293
29 Gorontalo 93 93 93 93 93
30 West Sulawesi 94 94 95 96 98
31 Maluku 199 208 209 215 222
32 North Maluku 129 134 147 147 147
33 West Papua 155 159 159 161 162

Indonesia 9.825 9.993 10.134 10.205 10.292


34 Papua 394 408 420 428 437

Source: Centre for Data and Information, Ministry of Health RI, 2022
Appendix 4.b
NUMBER OF PUSKESMAS WITH AND WITHOUT INPATIENT CARE PER PROVINCE
2017 - 2021

Puskesmas with Inpatient Care Puskesmas without Inpatient Care


No Province
2017 2017 2018 2020 2021 2017 2017 2018 2020 2021
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Aceh
North Sumatera
1 143 148 179 181 180 198 200 180 178 180

West Sumatera
2 163 175 184 188 191 408 406 417 420 424

Riau
3 91 91 108 111 113 178 184 167 165 166

Jambi
4 80 81 102 102 109 135 135 126 129 125

South Sumatera
5 71 74 81 88 92 115 121 124 119 115

Bengkulu
6 95 95 98 113 114 227 237 243 230 231

Lampung
7 46 47 52 52 53 134 133 127 127 126

Bangka Belitung Islands


8 115 119 136 140 156 182 183 174 172 159

Riau Islands
9 21 21 21 26 26 42 43 43 38 38

DKI Jakarta
10 29 32 36 35 41 45 51 50 53 52

West Java
11 30 28 28 6 6 310 293 287 309 309

Central Java
12 185 186 291 299 299 871 883 781 784 787

DI Yogyakarta
13 322 361 368 371 371 554 520 510 507 509

East Java
14 43 49 49 49 49 78 72 72 72 72

Banten
15 520 534 553 575 588 443 433 415 393 383

Bali
16 56 56 82 81 78 177 186 161 164 167

West Nusa Tenggara


17 35 38 42 41 40 85 82 78 79 80

East Nusa Tenggara


18 110 111 122 142 143 50 55 47 32 32

West Kalimantan
19 137 151 163 164 177 235 230 239 246 244

Central Kalimantan
20 95 118 125 129 130 146 126 121 117 117

South Kalimantan
21 73 75 88 86 87 123 125 115 119 118

East Kalimantan
22 50 50 50 52 52 180 183 185 184 185

North Kalimantan
23 96 97 102 98 99 83 86 84 89 89

North Sulawesi
24 32 32 27 22 22 17 24 28 33 34

Central Sulawesi
25 92 92 94 95 96 97 101 101 100 102

South Sulawesi
26 79 84 102 104 104 114 118 104 103 111

Southeast Sulawesi
27 257 269 301 304 316 194 189 158 157 153

Gorontalo
28 81 82 93 91 92 193 202 197 201 201

West Sulawesi
29 26 28 32 26 27 67 65 61 67 66

Maluku
30 45 45 58 60 61 49 49 37 36 37

North Maluku
31 64 64 77 64 65 135 144 132 151 157

West Papua
32 27 36 45 53 53 102 98 102 94 94

Papua
33 45 44 44 45 45 110 115 115 116 117

Indonesia 3.459 3.623 4.048 4.119 4.201 6.366 6.370 6.086 6.086 6.091
34 105 110 115 126 126 289 298 305 302 311

Source: Centre for Data and Information, Ministry of Health RI, 2022
Appendix 4.c
RATIO OF PUSKESMAS PER DISTRICT
YEAR 2021

Ratio of Community Health Centers


No Province Number of Puskesmas Number of Districts
per Districts
(1) (2) (3) (4) (5)
Aceh
North Sumatera
1 360 289 1,2

West Sumatera
2 615 455 1,4

Riau
3 279 179 1,6

Jambi
4 234 169 1,4

South Sumatera
5 207 143 1,4

Bengkulu
6 345 241 1,4

Lampung
7 179 129 1,4

Bangka Belitung Islands


8 315 229 1,4

Riau Islands
9 64 47 1,4

DKI Jakarta
10 93 76 1,2

West Java
11 315 44 7,2

Central Java
12 1.086 627 1,7

DI Yogyakarta
13 880 576 1,5

East Java
14 121 78 1,6

Banten
15 971 666 1,5

Bali
16 245 155 1,6

West Nusa Tenggara


17 120 57 2,1

East Nusa Tenggara


18 175 117 1,5

West Kalimantan
19 421 310 1,4

Central Kalimantan
20 247 174 1,4

South Kalimantan
21 205 136 1,5

East Kalimantan
22 237 154 1,5

North Kalimantan
23 188 103 1,8

North Sulawesi
24 56 55 1,0

Central Sulawesi
25 198 171 1,2

South Sulawesi
26 215 175 1,2

Southeast Sulawesi
27 469 311 1,5

Gorontalo
28 293 219 1,3

West Sulawesi
29 93 77 1,2

Maluku
30 98 69 1,4

North Maluku
31 222 118 1,9

West Papua
32 147 117 1,3

Papua
33 162 560 0,3

Indonesia 10.292 7.244 1,4


34 437 218 2,0

Source: Centre for Data and Information, Ministry of Health RI, 2022
The number of districts based on Permendagri ( Minister of Domestics Affairs Regulation ) No. 137 year 2017
Appendix 4.d
PUSKESMAS ACCREDITATION IN INDONESIA
YEAR 2021

Number of Puskesmas Accreditation Status


Number of Percentage of Number of
Number of Regions/Cities
No Province Accredited Accredited Unaccredited
Puskesmas with Accredited
Puskesmas Puskesmas (%) Basic (Dasar) Moderate (Madya) Good (Utama) Excellent (Paripurna) Puskesmas
Puskesmas

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Aceh
North Sumatera
1 359 333 23 92,8 100 203 28 2 26

West Sumatera
2 604 559 33 92,5 236 293 29 1 45

Riau
3 275 271 19 98,5 61 164 41 5 4

Jambi
4 230 214 12 93,0 66 120 28 0 16

South Sumatera
5 206 188 11 91,3 54 112 19 3 18

Bengkulu
6 341 333 17 97,7 90 196 42 5 8

Lampung
7 179 179 10 100,0 70 100 9 0 0

Bangka Belitung Islands


8 310 296 15 95,5 25 208 59 4 14

Riau Islands
9 64 64 7 100,0 8 36 19 1 0

DKI Jakarta
10 86 83 7 96,5 20 42 20 1 3

West Java
11 315 151 6 47,9 11 89 20 31 164

Central Java
12 1.074 1.028 27 95,7 179 617 205 27 46

DI Yogyakarta
13 878 873 35 99,4 97 467 270 39 5

East Java
14 121 121 5 100,0 0 43 64 14 0

Banten
15 968 963 38 99,5 72 530 316 45 5

Bali
16 243 231 8 95,1 44 138 47 2 12

West Nusa Tenggara


17 120 120 9 100,0 13 66 31 10 0

East Nusa Tenggara


18 171 163 10 95,3 34 94 31 4 8

West Kalimantan
19 410 367 22 89,5 166 180 21 0 43

Central Kalimantan
20 246 230 14 93,5 68 133 24 5 16

South Kalimantan
21 203 194 14 95,6 72 100 20 2 9

East Kalimantan
22 236 233 13 98,7 73 125 32 3 3

North Kalimantan
23 186 182 10 97,8 36 102 38 6 4

North Sulawesi
24 55 55 5 100,0 21 24 9 1 0

Central Sulawesi
25 195 169 15 86,7 76 73 19 1 26

South Sulawesi
26 206 198 13 96,1 70 109 19 0 8

Southeast Sulawesi
27 461 454 24 98,5 80 235 118 21 7

Gorontalo
28 291 263 17 90,4 94 140 27 2 28

West Sulawesi
29 93 92 6 98,9 22 50 17 3 1

Maluku
30 96 85 6 88,5 18 54 13 0 11

North Maluku
31 212 156 11 73,6 69 77 10 0 56

West Papua
32 147 113 10 76,9 42 64 6 1 34

Papua
33 161 72 13 44,7 35 32 5 0 89

Indonesia 10.166 9.153 505 90,0 2.177 5.068 1.669 239 1013
34 424 120 20 28,3 55 52 13 0 304

Source: Directorate General. Health Services, Ministry of Health RI, 2022


Appendix 4.e
PERCENTAGE OF PUSKESMAS WITH TYPES OF HEALTH PERSONNEL (9) IN ACCORDANCE WITH MINIMUM STANDARDS
BY PROVINCE YEAR 2021

Number of Puskesmas
No Province Total % Adequacy
Inadequate Adequate
(1) (2) (3) (4) (5) (6)
Aceh
North Sumatera
1 148 211 359 58,77

West Sumatera
2 414 200 613 32,63

Riau
3 94 185 279 66,31

Jambi
4 98 138 232 59,48

South Sumatera
5 101 106 207 51,21

Bengkulu
6 226 119 345 34,49

Lampung
7 125 54 179 30,17

Bangka Belitung Islands


8 204 110 313 35,14

Riau Islands
9 10 54 64 84,38

DKI Jakarta
10 42 51 92 55,43

West Java
11 332 315 105,40

Central Java
12 596 502 1.083 46,35

DI Yogyakarta
13 163 717 879 81,57

East Java
14 13 108 121 89,26

Banten
15 379 592 971 60,97

Bali
16 120 125 245 51,02

West Nusa Tenggara


17 52 68 120 56,67

East Nusa Tenggara


18 64 111 175 63,43

West Kalimantan
19 315 108 418 25,84

Central Kalimantan
20 163 84 247 34,01

South Kalimantan
21 156 48 205 23,41

East Kalimantan
22 79 158 237 66,67

North Kalimantan
23 76 111 187 59,36

North Sulawesi
24 28 30 56 53,57

Central Sulawesi
25 153 44 196 22,45

South Sulawesi
26 152 63 212 29,72

Southeast Sulawesi
27 170 302 468 64,53

Gorontalo
28 209 84 293 28,67

West Sulawesi
29 60 33 93 35,48

Maluku
30 44 53 98 54,08

North Maluku
31 195 29 217 13,36

West Papua
32 121 26 147 17,69

Papua
33 150 20 162 12,35

Indonesia 5.308 5.013 10.260 48,86


34 388 37 432 8,56

Source: Human Resource for Health Information System. Processed by the Secretariat of the Human Resource for Health Development and Empowerment Agency,
Ministry of Health of the Republic of Indonesia, 2022
Note:
*) The number of Puskesmas used for the calculation is the number of Puskesmas based on the draft
of Puskesmas from Pusdatin (Centre for Data and Information ) as of June 2021.
**) The calculation of the percentage is the number of Puskesmas that meet the number of Puskesmas per province
(based on the draft codefication of from Puskesmas Pusdatin ( Centre for Data and Information ) as of June 2021 .
Appendix 4.f
PERCENTAGE OF PUSKESMAS WITHOUT DOCTORS
BY PROVINCE YEAR 2021

Number of Puskesmas
No Province Total % Without Doctors
Inadequate adequate
(1) (2) (3) (4) (5) (6)
Aceh
North Sumatera
1 8 351 359 2,23

West Sumatera
2 22 592 613 3,59

Riau
3 5 274 279 1,79

Jambi
4 1 235 232 0,43

South Sumatera
5 1 206 207 0,48

Bengkulu
6 8 337 345 2,32

Lampung
7 5 174 179 2,79

Bangka Belitung Islands


8 1 313 313 0,32

Riau Islands
9 0 64 64 0,00

DKI Jakarta
10 2 91 92 2,17

West Java
11 0 332 315 0,00

Central Java
12 8 1.090 1.083 0,74

DI Yogyakarta
13 1 879 879 0,11

East Java
14 0 121 121 0,00

Banten
15 7 964 971 0,72

Bali
16 1 244 245 0,41

West Nusa Tenggara


17 0 120 120 0,00

East Nusa Tenggara


18 0 175 175 0,00

West Kalimantan
19 40 383 418 9,57

Central Kalimantan
20 8 239 247 3,24

South Kalimantan
21 12 192 205 5,85

East Kalimantan
22 2 235 237 0,84

North Kalimantan
23 1 186 187 0,53

North Sulawesi
24 2 56 56 3,57

Central Sulawesi
25 5 192 196 2,55

South Sulawesi
26 8 207 212 3,77

Southeast Sulawesi
27 12 460 468 2,56

Gorontalo
28 42 251 293 14,33

West Sulawesi
29 10 83 93 10,75

Maluku
30 6 91 98 6,12

North Maluku
31 50 174 217 23,04

West Papua
32 23 124 147 15,65

Papua
33 33 137 162 20,37

Indonesia 508 9.813 10.251 4,96


34 184 241 432 42,59

Source: Human Resource for Health Information System. processed by the Secretariat of the Human Resource for Health Development and Empowerment Agency,
Ministry of Health of the Republic of Indonesia, 2022
Note:
*) The number of Puskesmas used for the calculation is the number of Puskesmas based on the draft
of Puskesmas from Pusdatin ( Center of Data and Information) as of June 2021.
**) The calculation of the percentage is the number of Puskesmas that have not fulfilled compared to the number of
Puskesmas per province (based on the draft codification of Puskesmas from Pusdatin (Center of Data and Information) as of June 2021.
Appendix 4.g
NUMBER OF PUSKESMAS PROVIDED TRADITIONAL HEALTH SERVICES
BY PROVINCE YEAR 2021

Number of Puskesmas with Trained Health Workers


Percentage of
Number of Puskesmas Puskesmas providing
Number of Puskesmas Providing Trained "Under two Self-Care (ASMAN),
No Province Providing Traditional Trained in Trained in Traditional Health
Puskesmas Traditional Health years old"( Baduta ) Utilization of TOGA, and
Health Services Acupuncture Acupressure Counseling (HATTRA)
Services Massage Acupressure

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Aceh
North Sumatera
1 359 0,0 2 107 107 73

West Sumatera
2 601 0,0 0 74 32 241

Riau
3 275 0,0 0 88 1 47 74

Jambi
4 228 0,0 3 111 36 18

South Sumatera
5 205 1 0,5 3 73 41 42 100

Bengkulu
6 341 0,0 0 72 28 81

Lampung
7 179 0,0 0 31 20 50

Bangka Belitung Islands


8 310 25 8,1 3 81 1 38 267

Riau Islands
9 64 0,0 1 50 27 62

DKI Jakarta
10 86 14 16,3 4 58 39 52

West Java
11 315 13 4,1 4 43 12 133

Central Java
12 1.072 1 0,1 3 89 23 7 508

DI Yogyakarta
13 878 0,0 3 142 305 39 40

East Java
14 121 0,0 18 52 28 54

Banten
15 968 102 10,5 10 196 21 167 148

Bali
16 243 0,0 7 96 15 36 26
17 120 53 44,2 2 114 26 56 39
18 West Nusa Tenggara 169 0,0 0 80 53 141
19 East Nusa Tenggara 402 0,0 0 73 34 29
20 West Kalimantan 246 0,0 0 61 59 51
21 Central Kalimantan 203 0,0 2 25 1 19 35
22 South Kalimantan 235 3 1,3 5 15 28 198
23 East Kalimantan 186 0,0 2 41 42 151
24 North Kalimantan 55 4 7,3 0 32 4 14
25 North Sulawesi 195 0,0 0 77 60 21
26 Central Sulawesi 206 8 3,9 0 96 12 74
27 South Sulawesi 459 22 4,8 4 122 2 21 75
28 Southeast Sulawesi 290 2 0,7 1 70 43 37
29 Gorontalo 93 0,0 1 41 34 55
30 West Sulawesi 95 0,0 1 29 1 0
31 Maluku 209 0,0 1 98 37 114
32 North Maluku 147 13 8,8 2 42 1 66 90
33 West Papua 159 1 0,6 1 24 2 17

Indonesia 10.134 262 2,6 83 2.418 437 1.277 3.068


34 Papua 420 0,0 0 15 1 0

Info: Puskesmas that organizes the yankestrad, It is Puskesmas that carries out the yankestrad, fosters asman groups, collects hattra data, and has green open space in the form of TOGA.

Source: Directorate General of Health Services, Ministry of Health RI, 2022


Appendix 4.h
NUMBER OF PRIMARY AND MAIN CLINICS BY OWNERSHIP
AND PROVINCE YEAR 2021

Number of Primary and Main Clinics

No Healthcare Facilities Government* Military (TNI) Police (POLRI) Community Total

Primary Clinics Main Clinics Primary Clinics Main Clinics Primary Clinics Main Clinics Primary Clinics Main Clinics Primary Clinics Main Clinics

(1) (2) (3) (4) (7) (8) (9) (10) (11) (12) (13) (14)
Aceh
North Sumatera
1 11 21 11 150 29 193 29

West Sumatera
2 8 9 11 185 14 213 14

Riau
3 5 1 6 15 106 18 132 19

Jambi
4 1 2 1 96 6 100 6

South Sumatera
5 1 2 4 66 2 73 2

Bengkulu
6 18 15 14 265 20 312 20

Lampung
7 2 2 4 29 3 37 3

Bangka Belitung Islands


8 5 5 2 178 10 190 10

Riau Islands
9 6 3 6 53 19 68 19

DKI Jakarta
10 4 6 1 78 21 89 21

West Java
11 42 6 15 5 364 207 426 213

Central Java
12 35 3 34 1 25 1339 186 1433 190

DI Yogyakarta
13 17 37 26 894 166 974 166

East Java
14 6 6 5 108 8 125 8

Banten
15 16 1 45 20 900 129 981 130

Bali
16 5 1 3 2 325 26 335 27

West Nusa Tenggara


17 2 4 8 105 33 119 33

East Nusa Tenggara


18 8 6 7 86 19 107 19

West Kalimantan
19 4 3 6 47 6 60 6

Central Kalimantan
20 5 8 2 39 12 54 12

South Kalimantan
21 4 2 3 41 6 50 6

East Kalimantan
22 9 5 2 42 13 58 13

North Kalimantan
23 3 8 4 100 14 115 14

North Sulawesi
24 4 2 11 2 17 2

Central Sulawesi
25 3 3 1 9 1 16 1

South Sulawesi
26 2 5 16 6 23 6

Southeast Sulawesi
27 9 1 28 1 17 118 33 172 35

Gorontalo
28 3 4 1 17 7 25 7

West Sulawesi
29 2 2 11 15 0

Maluku
30 2 1 2 3 2

North Maluku
31 6 3 7 1 16 1

West Papua
32 3 2 12 4 17 4

Papua
33 2 2 2 2

Indonesia 242 14 303 2 216 0 5.811 1.026 6.572 1.042


34 1 1 7 3 11 1 22 2

* : Ministries/Agencies and Regions


Source: Registered Clinic Data January 2022, Directorate General of Health Services, Ministry of Health RI, 2022
Appendix 4.i
NUMBER OF PRIVATE PRACTICES OF GENERAL PRACTITIONERS AND DENTISTS IN COOPERATION WITH BPJS-KESEHATAN
BY PROVINCE YEAR 2021

No Province Private Practices of General Practitioners Private Practices of Dentist


(1) (2) (3) (4)
Aceh
North Sumatera
1 78 4

West Sumatera
2 128 8

Riau
3 107 37
4 74 18
5 Jambi 68 19
6 South Sumatera 225 34
7 Bengkulu 97 16
8 Lampung 117 5
9 Bangka Belitung Islands 30 6
10 Riau Islands 8 1
11 DKI Jakarta 16 1
12 West Java 466 60
13 Central Java 1047 304
14 DI Yogyakarta 103 31
15 East Java 682 227
16 Banten 7 1
17 Bali 301 91
18 West Nusa Tenggara 111 11
19 East Nusa Tenggara 89 29
20 West Kalimantan 91 14
21 Central Kalimantan 64 12
22 South Kalimantan 150 32
23 East Kalimantan 114 48
24 North Kalimantan 28 5
25 North Sulawesi 151 31
26 Central Sulawesi 40 14
27 South Sulawesi 182 77
28 Southeast Sulawesi 67 13
29 Gorontalo 27 6
30 West Sulawesi 35 7
31 Maluku 32 6
32 North Maluku 31 8
33 West Papua 28 5

Indonesia 4.851 1.190


34 Papua 57 9

Source: Directorate General of Health Services, Ministry of Health RI, 2022 (BPJS Data)
Appendix 4.k
NUMBER OF REGISTERED BLOOD TRANSFUSION UNITS BY PROVINCE AND ORGANIZERS IN INDONESIA
YEAR 2021

Number of Registered Blood Transfusion Units (UTD)


No Province
Government/Local Government Indonesian Red Cross (IRC) Total

(1) (2) (3) (4) (5)


Aceh
North Sumatera
1 11 4 15

West Sumatera
2 8 4 12

Riau
3 6 3 9

Jambi
4 5 5 10

South Sumatera
5 3 1 4

Bengkulu
6 7 5 12

Lampung
7 3 3 6

Bangka Belitung Islands


8 5 8 13

Riau Islands
9 3 2 5

DKI Jakarta
10 1 1 2

West Java
11 2 2 4

Central Java
12 2 16 18

DI Yogyakarta
13 33 33

East Java
14 1 5 6

Banten
15 1 29 30

Bali
16 0 4 4

West Nusa Tenggara


17 0 6 6

East Nusa Tenggara


18 7 3 10

West Kalimantan
19 2 2

Central Kalimantan
20 4 2 6

South Kalimantan
21 3 2 5

East Kalimantan
22 6 5 11

North Kalimantan
23 2 3 5

North Sulawesi
24 1 1

Central Sulawesi
25 1 1 2

South Sulawesi
26 4 2 6

Southeast Sulawesi
27 15 3 18

Gorontalo
28 1 1

West Sulawesi
29 1 1 2

Maluku
30 1 1 2

North Maluku
31 2 2

West Papua
32 2 1 3

Papua
33 0

Indonesia 109 156 265


34 0

Source: Registered UTD data as of December 2021, Directorate General of Health Services, Ministry of Health of the Republic of Indonesia, 2022
Appendix 8.a
NUMBER OF HOSPITAL BY TYPE, OWNERSHIP, AND PROVINCE
IN 2021

Ownership/ Management

*State-owned
No Health Facility Ministry of Health Provincial Government Regency/City Government Military/Police Private Total
Enterprise/Other Ministry*

General Hospital Specialty Hospital General Hospital Specialty Hospital General Hospital Specialty Hospital General Hospital Specialty Hospital General Hospital Specialty Hospital General Hospital Specialty Hospital General Hospital Specialty Hospital

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)
Aceh
North Sumatera
1 0 0 1 2 25 0 5 0 3 0 32 4 66 6

West Sumatera
2 1 0 2 4 36 0 9 0 10 1 138 21 196 26

Riau
3 1 1 3 2 22 0 4 0 2 0 19 26 51 29

Jambi
4 0 0 2 1 16 0 4 0 3 0 36 14 61 15

South Sumatera
5 0 0 1 1 14 0 2 0 0 0 21 2 38 3

Bengkulu
6 2 0 1 4 30 0 4 0 3 0 28 15 68 19

Lampung
7 0 0 1 1 12 0 3 0 0 0 8 1 24 2

Bangka Belitung Islands


8 0 0 2 1 16 0 2 0 0 0 40 19 60 20

Riau Islands
9 0 0 1 1 11 0 1 0 0 0 10 3 23 4

DKI Jakarta
10 0 0 2 0 11 0 3 0 1 0 14 5 31 5

West Java
11 3 7 30 1 0 0 9 2 8 1 93 39 143 50
12 1 4 4 2 51 3 15 0 4 1 254 49 329 59

DI Yogyakarta
13 Central Java 3 3 4 3 56 1 11 0 3 1 202 37 279 45

East Java
14 1 0 0 2 9 0 3 0 0 1 47 18 60 21

Banten
15 0 1 10 4 61 0 24 1 5 2 218 74 318 82

Bali
16 1 0 2 0 12 0 3 0 1 0 75 29 94 29

West Nusa Tenggara


17 1 0 1 2 15 0 3 0 1 0 41 9 62 11

East Nusa Tenggara


18 0 0 2 2 16 0 2 0 0 0 17 4 37 6
19 0 0 1 1 25 0 5 0 0 0 22 2 53 3

Central Kalimantan
20 West Kalimantan 0 0 1 1 21 0 5 0 1 0 17 7 45 8

South Kalimantan
21 0 0 1 1 18 0 2 0 0 0 6 2 27 3

East Kalimantan
22 0 0 2 2 15 0 4 0 2 0 19 8 42 10

North Kalimantan
23 0 0 3 2 17 1 4 0 1 0 22 10 47 13

North Sulawesi
24 0 0 1 0 8 0 2 0 1 0 0 0 12 0

Central Sulawesi
25 2 0 3 2 15 1 4 0 0 2 21 3 45 8

South Sulawesi
26 0 0 2 0 23 0 3 0 1 0 6 5 35 5
27 2 1 3 4 36 1 7 1 1 1 41 22 90 30

Gorontalo
28 Southeast Sulawesi 0 0 1 1 17 0 2 0 1 0 16 0 37 1

West Sulawesi
29 0 0 1 0 10 0 1 0 0 0 4 1 16 1

Maluku
30 0 0 1 0 7 0 1 0 0 0 3 2 12 2

North Maluku
31 1 0 2 1 17 0 4 0 0 0 8 0 32 1

West Papua
32 0 0 2 1 12 0 2 0 0 0 4 1 20 2

Papua
33 0 0 1 0 13 0 5 0 1 0 3 0 23 0

Indonesia 19 17 96 50 694 7 164 4 53 10 1.496 432 2.522 520


34 0 0 2 1 27 0 6 0 0 0 11 0 46 1

Source: Directorate General. Health Services, Ministry of Health of the RI, 2022 as of January 2, 2022
Informationn: *BUMN Hospital/KL including Emergency Hospital Covid - 19, Wisma Atlet
Appendix 8.b
NUMBER OF HOSPITALS AND HOSPITAL BEDS
BY CLASS OF HOSPITAL AND PROVINCE YEAR 2021

Class A Class B Class C Class D and Class D Primary Not Specified Class

No Province Hospital Hospital Hospital Hospital Hospital


Beds Beds Beds Beds Beds
Total % Total % Total % Total % Total %
(1) (2) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)
Aceh
North Sumatera
1 2 2,8 1.370 10 13,9 2.532 34 47,2 4.647 25 34,7 2.020 1 1,4 42

West Sumatera
2 2 0,9 1.210 29 13,1 6.641 122 55,0 13.600 61 27,5 2.823 8 3,6 84

Riau
3 2 2,5 992 6 7,5 866 51 63,8 4.637 17 21,3 1.044 4 5,0 19

Jambi
4 1 1,3 537 6 7,9 1.809 44 57,9 4.825 25 32,9 1.267 0 0,0 0

South Sumatera
5 0 0,0 0 4 9,8 993 24 58,5 3.199 13 31,7 554 0 0,0 0

Bengkulu
6 2 2,3 1.136 8 9,2 1.678 50 57,5 5.250 27 31,0 1.686 0 0,0 0

Lampung
7 0 0,0 0 2 7,7 573 15 57,7 1.707 9 34,6 564 0 0,0 0

Bangka Belitung Islands


8 1 1,3 613 5 6,3 940 54 67,5 5.405 20 25,0 1.228 0 0,0 0

Riau Islands
9 0 0,0 0 2 7,4 349 15 55,6 1.573 10 37,0 505 0 0,0 0

DKI Jakarta
10 0 0,0 0 6 16,7 1.441 20 55,6 2.107 10 27,8 488 0 0,0 0

West Java
11 17 8,8 5.966 71 36,8 12.135 77 39,9 5.748 25 13,0 1.325 3 1,6 48
12 8 2,1 1.991 70 18,0 18.733 231 59,5 26.607 76 19,6 4.736 3 0,8 231

DI Yogyakarta
13 Central Java 9 2,8 4.005 36 11,1 11.234 144 44,4 20.137 133 41,0 10.337 2 0,6 188

East Java
14 2 2,5 935 14 17,3 2.546 31 38,3 1.964 34 42,0 1.698 0 0,0 0

Banten
15 5 1,3 4.353 62 15,5 16.681 197 49,3 20.798 133 33,3 9.183 3 0,8 85

Bali
16 0 0,0 0 20 16,3 4.714 88 71,5 7.991 13 10,6 715 2 1,6 6

West Nusa Tenggara


17 3 4,1 1.213 11 15,1 2.092 48 65,8 4.807 11 15,1 512 0 0,0 0

East Nusa Tenggara


18 0 0,0 0 4 9,3 1.720 21 48,8 2.833 18 41,9 1.493 0 0,0 0
19 0 0,0 0 2 3,6 433 29 51,8 3.629 24 42,9 1.521 1 1,8 18

Central Kalimantan
20 West Kalimantan 0 0,0 0 4 7,5 1.720 31 58,5 3.963 18 34,0 873 0 0,0 0

South Kalimantan
21 0 0,0 0 4 13,3 1.097 17 56,7 2.361 8 26,7 456 1 3,3 88

East Kalimantan
22 2 3,8 939 6 11,5 1.360 31 59,6 3.610 13 25,0 569 0 0,0 0

North Kalimantan
23 1 1,7 170 6 10,0 2.197 33 55,0 3.237 20 33,3 1.182 0 0,0 0

North Sulawesi
24 0 0,0 0 1 8,3 304 5 41,7 802 6 50,0 265 0 0,0 0

Central Sulawesi
25 1 1,9 844 4 7,5 888 31 58,5 3.850 15 28,3 1.224 2 3,8 27

South Sulawesi
26 0 0,0 0 4 10,0 1.251 24 60,0 3.327 12 30,0 578 0 0,0 0
27 2 1,7 1.913 29 24,2 6.590 62 51,7 7.087 24 20,0 1.120 3 2,5 11

Gorontalo
28 Southeast Sulawesi 0 0,0 0 2 5,3 628 15 39,5 2.181 19 50,0 883 2 5,3 0

West Sulawesi
29 0 0,0 0 2 11,8 683 6 35,3 915 9 52,9 608 0 0,0 0

Maluku
30 0 0,0 0 0 0,0 0 7 50,0 1.169 5 35,7 312 2 14,3 9

North Maluku
31 0 0,0 0 4 12,1 884 8 24,2 1.126 20 60,6 1.033 1 3,0 0

West Papua
32 0 0,0 0 1 4,5 334 7 31,8 760 12 54,5 656 2 9,1 49

Papua
33 0 0,0 0 0 0,0 0 7 30,4 1.083 14 60,9 936 2 8,7 71

Indonesia 60 2,0 28.187 437 14,4 106.496 1.593 52,4 179.565 905 29,8 55.676 47 1,5 1.271
34 0 0,0 0 2 4,3 450 14 29,8 2.630 26 55,3 1.282 5 10,6 295

Source: Directorate General. Health Services, Ministry of Health of the Republic of Indonesia, 2022 as of January 2, 2022
Appendix 8.c
NUMBER OF HOSPITALS AND HOSPITAL BEDS RATIO PER 1000 POPULATION
BY PROVINCE IN 2020 - 2021

2020 2021

Total Total
No Province Estimated Estimated
population in Beds population in Beds
2020 Hospitals 2021 Hospitals
Total Ratio Total Ratio
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Aceh
North Sumatera
1 5.371.532 70 9.311 1,7 5.459.114 72 10.611 1,9

West Sumatera
2 14.562.549 222 24.838 1,7 14.954.028 222 24.358 1,6

Riau
3 5.441.197 79 8.092 1,5 5.610.859 80 7.558 1,3

Jambi
4 6.971.745 73 8.467 1,2 7.066.464 76 8.438 1,2

South Sumatera
5 3.624.579 42 4.701 1,3 3.641.279 41 4.746 1,3

Bengkulu
6 8.470.683 87 10.583 1,2 8.702.628 87 9.750 1,1

Lampung
7 1.991.838 25 2.904 1,5 2.016.437 26 2.844 1,4

Bangka Belitung Islands


8 8.447.737 80 8.391 1,0 8.609.884 80 8.186 1,0

Riau Islands
9 1.488.792 25 2.160 1,5 1.488.245 27 2.427 1,6

DKI Jakarta
10 2.189.653 36 3.712 1,7 2.378.795 36 4.036 1,7

West Java
11 10.557.810 193 32.284 3,1 10.645.542 193 25.222 2,4

Central Java
12 49.316.712 377 54.137 1,1 50.103.251 388 52.298 1,0

DI Yogyakarta
13 34.718.204 319 47.923 1,4 34.917.040 324 45.901 1,3

East Java
14 3.842.932 85 7.219 1,9 3.970.220 81 7.143 1,8

Banten
15 39.698.631 395 51.504 1,3 40.156.672 400 51.100 1,3

Bali
16 12.927.316 120 13.881 1,1 13.074.189 123 13.426 1,0

West Nusa Tenggara


17 4.336.923 72 8.183 1,9 4.466.595 73 8.624 1,9

East Nusa Tenggara


18 5.070.385 39 4.510 0,9 5.298.471 43 6.046 1,1

West Kalimantan
19 5.456.203 54 5.052 0,9 5.588.744 56 5.601 1,0

Central Kalimantan
20 5.069.127 55 5.922 1,2 5.162.937 53 6.556 1,3

South Kalimantan
21 2.714.859 28 3.885 1,4 2.722.168 30 4.002 1,5

East Kalimantan
22 4.244.096 47 6.187 1,5 4.319.794 52 6.478 1,5

North Kalimantan
23 3.721.389 57 7.551 2,0 3.708.936 60 6.786 1,8

North Sulawesi
24 742.245 11 1.177 1,6 721.181 12 1.371 1,9

Central Sulawesi
25 2.506.981 51 6.706 2,7 2.530.967 53 6.833 2,7

South Sulawesi
26 3.054.023 40 4.833 1,6 3.120.863 40 5.156 1,7

Southeast Sulawesi
27 8.851.240 116 16.723 1,9 8.956.181 120 16.721 1,9

Gorontalo
28 2.704.737 37 3.496 1,3 2.743.155 38 3.692 1,3

West Sulawesi
29 1.202.631 16 2.335 1,9 1.195.883 17 2.206 1,8

Maluku
30 1.380.256 13 1.496 1,1 1.396.749 14 1.490 1,1

North Maluku
31 1.802.870 33 3.109 1,7 1.805.376 33 3.043 1,7

West Papua
32 1.255.771 21 1.608 1,3 1.268.866 22 1.799 1,4

Papua
33 959.617 20 2.160 2,3 1.008.698 23 2.090 2,1

Indonesia 268.074.565 2.985 379.548 1,4 272.248.454 3.042 371.195 1,4


34 3.379.302 47 4.508 1,3 3.438.243 47 4.657 1,4

Source: The Directorate General of Health Services, Ministry of Health of the Republic of Indonesia, 2021 as of 2 January 2022
Notes: 1. Hospitals that already have the RS Code
2 . E s t i mated Population 2021: Targeted population of Health Development Program Year 2020 (BPS-Statistics Indonesia processed by Pusdatin)
3. Hospital Beds Ratio per 1,000 population
Appendix 8.X
Appendix 8.X
HOSPITALS
NUMBER OF NUMBER OF AND HOSPITAL
HOSPITALS ANDBEDS OF FIELD
HOSPITAL HOSPITALS/
BEDS OF FIELD HOSPITALS/ HOSPITALS COVID
EMERGENCYEMERGENCY HOSPITALS
- 19 COVID - 19
BY PROVINCE YEAR 2021
BY PROVINCE YEAR 2021

Number of Number
No No Health Facility
Health Facility Number
of of Beds
Number of Beds
Hospitals Hospitals
(1) (1) (2) (2) (3) (3) (4) (4)
Aceh
North Sumatera North Sumatera
1 Aceh 1 0 0 0 0

West Sumatera West Sumatera


2 2 0 0 0 0

Riau
3 3 1 1 0 0

Jambi
4 Riau 4 0 0 0 0

South Sumatera South Sumatera


5 Jambi 5 0 0 0 0

Bengkulu Bengkulu
6 6 0 0 0 0

Lampung Lampung
7 7 0 0 0 0

IslandsBelitung Islands
8 8 1 1 50 50

Riau Islands Riau Islands


9 Bangka 9BelitungBangka 1 1 0 0

DKI Jakarta DKI Jakarta


10 10 1 1 920 920

West Java West Java


11 11 3 3 8286 8286

Java Central Java


12 12 3 3 567 567

DI Yogyakarta DI Yogyakarta
13 Central13 5 5 1216 1216

East Java East Java


14 14 3 3 200 200

Banten
15 15 45 45 3338 3338

Bali
16 Banten16 0 0 0 0

West Nusa West Nusa Tenggara


17 Bali 17 0 0 0 0

East Nusa East Nusa Tenggara


18 18 Tenggara 0 0 0 0

West KalimantanWest Kalimantan


19 19 Tenggara 0 0 0 0

Kalimantan
Central Kalimantan
20 20 2 2 290 290

South KalimantanSouth Kalimantan


21 Central21 0 0 0 0

East Kalimantan East Kalimantan


22 22 1 1 266 266

North KalimantanNorth Kalimantan


23 23 0 0 0 0

North Sulawesi North Sulawesi


24 24 0 0 0 0

Sulawesi
Central Sulawesi
25 25 3 3 626 626

South Sulawesi South Sulawesi


26 Central26 1 1 57 57

Southeast Southeast Sulawesi


27 27 2 2 66 66

Gorontalo Gorontalo
28 28 Sulawesi 0 0 0 0

West Sulawesi West Sulawesi


29 29 0 0 0 0

Maluku
30 30 0 0 0 0

North Maluku North Maluku


31 Maluku31 4 4 520 520

West Papua West Papua


32 32 0 0 0 0

Papua
33 33 1 1 138 138

Indonesia Indonesia 77 77 16.540 16.540


34 Papua 34 0 0 0 0

Source: Directorate General.


Source: Health Services,
Directorate General. Ministry of Health
Health Services, of the Republic
Ministry of HealthofofIndonesia, 2021
the Republic of as of January
Indonesia, 2, 2022
2021 as of January 2, 2022
Appendix 8.d
HOSPITAL ACCREDITATION IN INDONESIA
YEAR 2021

Accredited
Number of Accredited Total Percentage of
No Province Government
Hospitals Private Hospitals Accredited Hospitals Accredited Hospitals
Hospitals
(1) (2) (3) (4) (5) (6) (7)
1 Aceh 72 33 32 65 90,3
2 North Sumatera 222 46 118 164 73,9
3 West Sumatera 80 28 37 65 81,3
4 Riau 76 21 41 62 81,6
5 Jambi 41 16 17 33 80,5
6 South Sumatera 87 32 33 65 74,7
7 Bengkulu 26 15 6 21 80,8
8 Lampung 80 18 48 66 82,5
9 Bangka Belitung Islands 27 10 8 18 66,7
10 Riau Islands 36 14 15 29 80,6
11 DKI Jakarta 193 55 114 169 87,6
12 West Java 388 69 255 324 83,5
13 Central Java 324 75 203 278 85,8
14 DI Yogyakarta 81 14 54 68 84,0
15 East Java 400 100 253 353 88,3
16 Banten 123 14 84 98 79,7
17 Bali 73 21 43 64 87,7
18 West Nusa Tenggara 43 18 15 33 76,7
19 East Nusa Tenggara 56 24 21 45 80,4
20 West Kalimantan 53 25 20 45 84,9
21 Central Kalimantan 30 19 3 22 73,3
22 South Kalimantan 52 22 20 42 80,8
23 East Kalimantan 60 20 23 43 71,7
24 North Kalimantan 12 7 1 8 66,7
25 North Sulawesi 53 22 19 41 77,4
26 Central Sulawesi 40 21 10 31 77,5
27 South Sulawesi 120 46 48 94 78,3
28 Southeast Sulawesi 38 21 9 30 78,9
29 Gorontalo 17 8 4 12 70,6
30 West Sulawesi 14 8 1 9 64,3
31 Maluku 33 18 5 23 69,7
32 North Maluku 22 12 4 16 72,7
33 West Papua 23 11 3 14 60,9

Indonesia 3.042 909 1.573 2.482 81,6


34 Papua 47 26 6 32 68,1

Source: Directorate General. Health Services (Directorate of Quality and Accreditation of Health Services), Ministry of Health of the Republic of Indonesia, 2021
¿
Appendix 8.f
PERCENTAGE OF REGION/CITY HOSPITAL CLASS C
HAVING 4 BASIC SPECIALIST DOCTORS AND 3 OTHER SPECIALIST DOCTORS
BY PROVINCE YEAR 2021

Number of Hospitals with 4 Basic


Number of C Class Regency/City
No Province Specialists and 3 Supporting Percentage
Hospitals that Report Data
Specialists

(1) (2) (3) (4) (5)


Aceh
North Sumatera
1 24 24 100,0

West Sumatera
2 33 28 84,8

Riau
3 21 15 71,4

Jambi
4 16 12 75,0

South Sumatera
5 16 12 75,0

Bengkulu
6 29 20 69,0

Lampung
7 10 8 80,0

Bangka Belitung Islands


8 16 13 81,3

Riau Islands
9 8 8 100,0

DKI Jakarta
10 10 6 60,0

West Java
11 0 0 0,0

Central Java
12 52 42 80,8

DI Yogyakarta
13 56 53 94,6

East Java
14 9 8 88,9

Banten
15 60 52 86,7

Bali
16 11 9 81,8

West Nusa Tenggara


17 11 9 81,8

East Nusa Tenggara


18 13 9 69,2

West Kalimantan
19 21 15 71,4

Central Kalimantan
20 19 11 57,9

South Kalimantan
21 14 10 71,4

East Kalimantan
22 18 13 72,2

North Kalimantan
23 12 10 83,3

North Sulawesi
24 5 4 80,0

Central Sulawesi
25 17 9 52,9

South Sulawesi
26 23 14 60,9

Southeast Sulawesi
27 32 25 78,1

Gorontalo
28 16 8 50,0

West Sulawesi
29 9 7 77,8

Maluku
30 7 4 57,1

North Maluku
31 13 5 38,5

West Papua
32 7 4 57,1

Papua
33 9 6 66,7

Indonesia 636 479 75,3


34 19 6 31,6

Source: Human Resource for Health Information System. Processed by the Secretariat of the Human Resource for Health Development and Empowerment Agency,

Ministry of Health of the Republic of Indonesia, 2022


Appendix 8.g
NUMBER OF GOVERNMENT HOSPITALS PROVIDING INTEGRATED TRADITIONAL HEALTH SERVICES
BY PROVINCE YEAR 2021

Number of Government Hospitals with Trained


Percentage of Health Workers
Number of Government
Government Hospitals
Number of Hospitals Providing
No Province Providing Integrated
Government Hospitals Integrated Traditional
Traditional Health Trained in Medical
Health Services Trained in Acupuncture
Services Herbs

(1) (2) (3) (4) (5) (6) (7)


Aceh
North Sumatera
1 34 3 8,8 7 2

West Sumatera
2 62 0,0 7 2

Riau
3 33 0,0 4 3

Jambi
4 26 0,0 8 3

South Sumatera
5 18 0,0 7

Bengkulu
6 44 0,0 6 1

Lampung
7 17 0,0 4 1

Bangka Belitung Islands


8 20 0,0 6 1

Riau Islands
9 12 0,0 6 1

DKI Jakarta
10 16 0,0 4 1

West Java
11 61 0,0 2

Central Java
12 81 0,0 12 2

DI Yogyakarta
13 82 3 3,7 14 5

East Java
14 15 1 6,7 7

Banten
15 106 3 2,8 15 4

Bali
16 18 0,0 5 2

West Nusa Tenggara


17 23 2 8,7 3 4

East Nusa Tenggara


18 20 1 5,0 5 1
19 29 0,0 7

Central Kalimantan
20 West Kalimantan 31 0,0 5 1

South Kalimantan
21 20 0,0 5 2

East Kalimantan
22 25 0,0 2 2

North Kalimantan
23 27 1 3,7 6 2

North Sulawesi
24 10 0,0 1

Central Sulawesi
25 27 0,0 6

South Sulawesi
26 28 0,0 5 1
27 53 0,0 6 1

Gorontalo
28 Southeast Sulawesi 22 0,0 5

West Sulawesi
29 11 0,0 5 1

Maluku
30 9 0,0 4 1

North Maluku
31 23 1 4,3 4 1

West Papua
32 16 0,0 4

Papua
33 16 0,0 3

Indonesia 1.071 16 1,5 195 46


34 36 1 2,8 5 1

Source: Directorate General. Health Services, Ministry of Health of the Republic of Indonesia, 2022
Information: 1.) The hospital that organizes the integrated Yankestrad is a hospital that already has the Decree on the Determination of the Implementation of the Integrated Yankestrad, 2) The number of health workers trained
by the hospital can be more than one type of training
Appendix 8.h
NUMBER OF DISTRICTS/CITIES IMPLEMENTING OCCUPATIONAL HEALTH AND SPORTS HEALTH
BY PROVINCE YEAR 2021

Number of Regencies/Cities Implementing Occupational Health Number of Regencies/Cities Implementing Occupational Health

Number of
No Province Target of Regencies/Cities
Regencies/cities

Outcome Percentage (Target) Percentage Outcome Percentage (Target) Percentage

(1) (2) (3) (5) (6) (7) (8) (9) (10)


Aceh
North Sumatera
1 23 23 20 87,0 87,0 20 87,0 87,0

West Sumatera
2 33 15 9 60,0 27,3 12 80,0 36,4

Riau
3 19 14 14 100,0 73,7 14 100,0 73,7

Jambi
4 12 8 8 100,0 66,7 3 37,5 25,0

South Sumatera
5 11 7 8 114,3 72,7 4 57,1 36,4

Bengkulu
6 17 11 3 27,3 17,6 2 18,2 11,8

Lampung
7 10 10 3 30,0 30,0 1 10,0 10,0

Bangka Belitung Islands


8 15 10 9 90,0 60,0 6 60,0 40,0

Riau Islands
9 7 7 7 100,0 100,0 4 57,1 57,1

DKI Jakarta
10 7 4 6 150,0 85,7 2 50,0 28,6

West Java
11 6 6 6 100,0 100,0 6 100,0 100,0

Central Java
12 27 22 24 109,1 88,9 24 109,1 88,9

DI Yogyakarta
13 35 22 22 100,0 62,9 21 95,5 60,0

East Java
14 5 5 5 100,0 100,0 4 80,0 80,0

Banten
15 38 21 21 100,0 55,3 21 100,0 55,3

Bali
16 8 8 8 100,0 100,0 6 75,0 75,0

West Nusa Tenggara


17 9 9 9 100,0 100,0 9 100,0 100,0

East Nusa Tenggara


18 10 2 6 300,0 60,0 6 300,0 60,0

West Kalimantan
19 22 7 7 100,0 31,8 1 14,3 4,5

Central Kalimantan
20 14 10 2 20,0 14,3 1 10,0 7,1

South Kalimantan
21 14 7 3 42,9 21,4 0 0,0 0,0

East Kalimantan
22 13 5 5 100,0 38,5 6 120,0 46,2

North Kalimantan
23 10 7 2 28,6 20,0 0 0,0 0,0

North Sulawesi
24 5 4 2 50,0 40,0 1 25,0 20,0

Central Sulawesi
25 15 15 15 100,0 100,0 15 100,0 100,0

South Sulawesi
26 13 9 10 111,1 76,9 5 55,6 38,5

Southeast Sulawesi
27 24 16 14 87,5 58,3 14 87,5 58,3

Gorontalo
28 17 12 16 133,3 94,1 16 133,3 94,1

West Sulawesi
29 6 6 6 100,0 100,0 6 100,0 100,0

Maluku
30 6 5 3 60,0 50,0 2 40,0 33,3

North Maluku
31 11 5 4 80,0 36,4 4 80,0 36,4

West Papua
32 10 6 2 33,3 20,0 1 16,7 10,0

Papua
33 13 6 6 100,0 46,2 6 100,0 46,2

Indonesia 514 334 298 89,2 58,0 255 76,3 49,6


34 29 10 13 130,0 44,8 12 120,0 41,4

Source: Provincial Report up to January 15, 2022, Directorate of Health of Productive Age and Elderly, Ministry of Health, Republic of Indonesia, 2022
Appendix 8.i
NUMBER OF OCCUPATIONAL HEALTH IMPLEMENTATIONS, PHYSICAL FITNESS MEASUREMENTS AND INSPECTIONS
BY PROVINCE YEAR 2021

Implementation of Occupational Health in the Workplace Number of Government Agencies Number of


Number of Physical Fitness
No Province implementing Physical Fitness Sports
Check-ups for Hajj Pilgrims
Puskesmas Company POS UKK GP2SP Measurement Groups
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Aceh 33 9 167 0 1.863
North Sumatera 132 56 313 4 4.149
1 24 178

West Sumatera 62 24 232 3 2.110


2 51 232

Riau 65 12 177 5 2.584


3 14 110

Jambi 95 21 285 11 2.177


4 23 467

South Sumatera 58 27 310 11 6.035


5 19 241

Bengkulu 95 12 403 0 3.722


6 18 217

Lampung 118 30 322 18 6.409


7 14 206

Bangka Belitung Islands 45 17 123 6 1.963


8 25 434

Riau Islands 47 34 235 15 916


9 12 84

DKI Jakarta 235 17 277 105 3.765


10 7 149

West Java 303 156 883 158 12.558


11 7 31

Central Java 224 64 763 251 12.267


12 67 1853

DI Yogyakarta 49 7 135 11 3.806


13 44 1395

East Java 401 105 975 50 14.413


14 19 31

Banten 167 32 359 45 4.058


15 67 2175

Bali 13 2 25 2 547
16 20 1396

West Nusa Tenggara 35 9 287 1 920


17 6 0

East Nusa Tenggara 124 9 685 0 1.781


18 4 157

West Kalimantan 51 37 251 3 1.211


19 17 173

Central Kalimantan 38 4 127 19 632


20 18 94

South Kalimantan 43 13 178 3 832


21 17 252

East Kalimantan 41 37 184 5 2.326


22 14 417

North Kalimantan 17 1 46 2 350


23 13 68

North Sulawesi 2 12 41 0 96
24 5 19

Central Sulawesi 96 16 298 0 2.808


25 3 0

South Sulawesi 105 52 823 22 8.089


26 15 119

Southeast Sulawesi 32 186 178 0 1.690


27 38 90

Gorontalo 29 16 80 0 1.444
28 19 20

West Sulawesi 41 6 178 0 876


29 20 45

Maluku 4 1 39 0 92
30 8 91

North Maluku 8 4 43 0 228


31 15 71

West Papua 4 0 17 0 157


32 10 51

Papua 9 19 111 0 686


33 3 0

Indonesia 2.821 1.047 9.550 750 690 10.866 107.560


34 34 0

Source: Directorate of Productive Age and Elderly Health, Ministry of Health, Republic of Indonesia, 2022
Tabel 9.a
PERCENTAGE OF PUSKESMAS WITH THE AVAILABILITY OF ESSENTIAL DRUGS
BY PROVINCE YEAR 2021

Puskesmas with the Availability of Essential Drug**


No Province Number of Puskesmas Number of reporting Puskesmas
Total %
(1) (2) (3) (4) (5) (6)
Aceh
North Sumatera
1 357 357 321 89,9

West Sumatera
2 596 574 542 94,4

Riau
3 275 275 275 100,0

Jambi
4 232 232 211 90,9

South Sumatera
5 202 202 191 94,6

Bengkulu
6 341 341 267 78,3

Lampung
7 179 179 176 98,3

Bangka Belitung Islands


8 309 309 236 76,4

Riau Islands
9 64 64 58 90,6

DKI Jakarta
10 90 90 83 92,2

West Java
11 329 328 327 99,7

Central Java
12 1086 1086 1022 94,1

DI Yogyakarta
13 878 250 220 88,0

East Java
14 121 121 121 100,0

Banten
15 968 872 861 98,7

Bali
16 245 168 121 72,0

West Nusa Tenggara


17 120 120 120 100,0

East Nusa Tenggara


18 170 170 161 94,7

West Kalimantan
19 424 424 411 96,9

Central Kalimantan
20 246 246 229 93,1

South Kalimantan
21 200 200 163 81,5

East Kalimantan
22 237 237 237 100,0

North Kalimantan
23 188 188 187 99,5

North Sulawesi
24 57 57 56 98,2

Central Sulawesi
25 193 193 161 83,4

South Sulawesi
26 210 210 197 93,8

Southeast Sulawesi
27 458 458 436 95,2

Gorontalo
28 292 292 268 91,8

West Sulawesi
29 93 93 93 100,0

Maluku
30 96 96 96 100,0

North Maluku
31 210 142 90 63,4

West Papua
32 144 144 124 86,1

Papua
33 159 149 133 89,3

Indonesia 10.177 9.275 8.564 92,3


34 408 408 370 90,7

Source: Directorate General of Pharmaceutical and Medical Devices, the Ministry of Health of the Republic of Indonesia, 2021
Notes: *) Number of Puskesmas according to the initial planning of Directorate General of Pharmaceutical and Medical Devices
**) fill in with the number of puskesmas that have ≥80% of essential drug
Tabel 9.b
PERCENTAGE OF REGENCY/CITY WITH AVAILABILITY OF ESSENTIAL MEDICINE
BY PROVINCE IN 2021

Regencies/Cities with Avaibility of Essential Drugs


No Province Number of Regencies/Cities Number of Reporting Regency/City
Total %

(1) (2) (3) (4) (5) (6)


Aceh
North Sumatera
1 23 23 16 69,6

West Sumatera
2 33 30 25 83,3

Riau
3 19 19 19 100,0

Jambi
4 12 12 11 91,7

South Sumatera
5 11 11 11 100,0

Bengkulu
6 17 17 10 58,8

Lampung
7 10 10 10 100,0

Bangka Belitung Islands


8 15 15 12 80,0

Riau Islands
9 7 6 3 50,0

DKI Jakarta
10 7 7 2 28,6

West Java
11 6 0 0 0,0

Central Java
12 27 27 23 85,2

DI Yogyakarta
13 35 10 9 90,0

East Java
14 5 5 5 100,0

Banten
15 38 32 25 78,1

Bali
16 8 6 2 33,3

West Nusa Tenggara


17 9 9 9 100,0

East Nusa Tenggara


18 10 10 10 100,0

West Kalimantan
19 22 22 18 81,8

Central Kalimantan
20 14 14 13 92,9

South Kalimantan
21 14 14 6 42,9

East Kalimantan
22 13 13 13 100,0

North Kalimantan
23 10 10 9 90,0

North Sulawesi
24 5 5 5 100,0

Central Sulawesi
25 15 14 11 78,6

South Sulawesi
26 13 13 12 92,3

Southeast Sulawesi
27 24 24 24 100,0

Gorontalo
28 17 17 14 82,4

West Sulawesi
29 6 6 6 100,0

Maluku
30 6 6 6 100,0

North Maluku
31 11 9 5 55,6

West Papua
32 10 10 10 100,0

Papua
33 13 0 0 #DIV/0!

Indonesia 514 455 383 84,2


34 29 29 29 100,0

Source: Directorate General of Pharmacy and Medical Devices, Ministry of Health, Republic of Indonesia, 2022
Information: *) Fill in the number of regions/cities having 85% essential medicine
Tabel 9.c

Puekesmas with Availability of IDL Vaccine


No Province Number of Puskesmas* Number of Reporting Puskesmas
Total %

(1) (2) (3) (4) (5) (6)


Aceh
North Sumatera
1 357 357 343 96,1

West Sumatera
2 596 484 445 91,9

Riau
3 275 275 275 100,0

Jambi
4 232 232 230 99,1

South Sumatera
5 202 202 189 93,6

Bengkulu
6 341 341 341 100,0

Lampung
7 179 179 179 100,0

Bangka Belitung Islands


8 309 309 296 95,8

Riau Islands
9 64 64 64 100,0

DKI Jakarta
10 90 90 90 100,0

West Java
11 329 329 329 100,0

Central Java
12 1086 1083 1003 92,6

DI Yogyakarta
13 878 249 205 82,3

East Java
14 121 121 121 100,0

Banten
15 968 870 854 98,2

Bali
16 245 230 229 99,6

West Nusa Tenggara


17 120 120 115 95,8

East Nusa Tenggara


18 170 170 170 100,0

West Kalimantan
19 424 424 392 92,5

Central Kalimantan
20 246 246 246 100,0

South Kalimantan
21 200 200 187 93,5

East Kalimantan
22 237 237 231 97,5

North Kalimantan
23 188 188 188 100,0

North Sulawesi
24 57 57 57 100,0

Central Sulawesi
25 193 193 193 100,0

South Sulawesi
26 210 210 210 100,0

Southeast Sulawesi
27 458 458 458 100,0

Gorontalo
28 292 292 292 100,0

West Sulawesi
29 93 93 93 100,0

Maluku
30 96 96 96 100,0

North Maluku
31 209 142 142 100,0

West Papua
32 144 144 144 100,0

Papua
33 159 148 104 70,3

Indonesia 10.176 9.241 8.908 96,4


34 408 408 397 97,3

Source: Directorate General of Pharmacy and Medical Devices, Ministry of Health, Republic of Indonesia, 2022
Information: *) Number of Puskesmas according to the initial planning of the pharmaceutical and medical devices
Appendixes 9.d
NUMBER OF PRODUCTION FACILITIES IN PHARMACEUTICAL AND MEDICAL DEVICES BY PROVINCE YEAR 2020

Traditional Medicine
Small/Micro Business of
Industry/Natural Household Health Supplies
No Province Pharmaceutical industry Traditional Medicine Medical Device Production Cosmetic Industry
Ingredient Extract Production (PKRT)
(UKOT/UMOT)
(IOT/IEBA)
(1) (2) (3) (4) (5) (6) (7) (8)
Aceh 0 0 5 2
North Sumatera 4 1 104 25
1 4 5

West Sumatera 1 0 10 0
2 43 33

Riau 0 0 3 0
3 2 6

Jambi 0 0 2 0
4 2 2

South Sumatera 1 1 3 3
5 2 1

Bengkulu 0 0 0 0
6 5 1

Lampung 0 0 13 2
7 0 1

Bangka Belitung Islands 0 0 0 0


8 7 5

Riau Islands 0 0 3 19
9 0 0

DKI Jakarta 35 19 531 206


10 5 4

West Java 107 52 571 549


11 228 113

Central Java 22 17 242 177


12 497 196

DI Yogyakarta 1 1 44 27
13 128 96

East Java 41 16 204 191


14 22 28

Banten 31 22 79 214
15 213 155

Bali 0 2 31 5
16 278 118

West Nusa Tenggara 0 0 12 4


17 22 48

East Nusa Tenggara 0 0 6 0


18 4 6

West Kalimantan 0 0 5 2
19 0 0

Central Kalimantan 0 0 1 0
20 1 3

South Kalimantan 0 2 6 0
21 0 0

East Kalimantan 0 0 3 0
22 2 8

North Kalimantan 0 0 1 0
23 0 1

North Sulawesi 0 0 4 0
24 0 0

Central Sulawesi 0 0 0 1
25 3 0

South Sulawesi 0 2 37 3
26 1 1

Southeast Sulawesi 0 0 2 0
27 10 11

Gorontalo 0 1 2 0
28 0 1

West Sulawesi 0 0 0 0
29 1 1

Maluku 0 0 25 0
30 0 0

North Maluku 0 0 0 0
31 0 0

West Papua 0 0 0 0
32 0 0

Papua 0 0 0 0
33 0 0

Indonesia 243 136 1.949 1.430 1.480 844


34 0 0

Source: Directorate General of Pharmacy and Medical Devices, Ministry of Health of the Republic of Indonesia, 2022
Appendix 9.e

NUMBER OF DISTRIBUTION FACILITIES


IN PHARMACEUTICAL AND MEDICAL DEVICES BY PROVINCE YEAR 2021
Pharmaceuticals
No Province Pharmacy Drugstore Medical Device Distributor
Wholesalers (PBF)
(1) (2) (3) (4) (5) (6)
Aceh 31 492 584 45
North Sumatera 91 1431 1501 189
1

West Sumatera 43 571 266 82


2

Riau 44 771 513 103


3

Jambi 34 418 172 45


4

South Sumatera 60 614 193 119


5

Bengkulu 16 288 119 33


6

Lampung 46 655 114 110


7

Bangka Belitung Islands 18 200 81 14


8

Riau Islands 36 305 260 76


9

DKI Jakarta 353 2055 554 2486


10

West Java 360 4874 1720 1268


11

Central Java 272 3768 355 374


12

DI Yogyakarta 51 603 45 120


13

East Java 304 4250 490 577


14

Banten 115 1632 448 640


15

Bali 59 885 87 111


16

West Nusa Tenggara 26 530 104 32


17

East Nusa Tenggara 34 379 78 47


18

West Kalimantan 38 339 309 56


19

Central Kalimantan 9 153 54 12


20

South Kalimantan 43 494 531 61


21

East Kalimantan 54 724 226 87


22

North Kalimantan 3 86 40 3
23

North Sulawesi 40 284 95 40


24

Central Sulawesi 25 437 204 30


25

South Sulawesi 118 1329 275 164


26

Southeast Sulawesi 29 489 73 34


27

Gorontalo 15 183 35 11
28

West Sulawesi 3 130 52 3


29

Maluku 14 175 86 24
30

North Maluku 6 145 19 7


31

West Papua 20 169 16 9


32

Papua 47 341 53 91
33

Indonesia 2.457 30.199 9.752 7.103


34

Source: Directorate General of Pharmacy and Medical Devices, Ministry of Health, Republic of Indonesia, 2022
Information: *) Data for 2020
Appendix 10
PERCENTAGE OF REGENCIES/CITIES DEVELOPING ACTIVE INTEGRATED HEALTH POST (POSYANDU);
REGENCIES/CITIES WITH MINIMUM 80% ACTIVE POSYANDU;
AND NUMBER OF POSBINDU PTM BY PROVINCE YEAR 2021

% Regency/City Implementing Active Integrated Health % Regency/City with Minimum 80% Active Posyandu
No. Province Number of Regencies/Cities Post (Posyandu)Development* ** Number of Posbindu PTM**

Outcome Percentage Outcome Percentage


(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 23 5 21,7 1 4,3
2 North Sumatera 33 7 21,2 1 3,0
4.882

3 West Sumatera 19 13 68,4 1 5,3


4.376

4 Riau 12 9 75,0 1 8,3


2.527

5 Jambi 11 5 45,5 -
1.414

6 South Sumatera 17 9 52,9 2 11,8


1.106

7 Bengkulu 10 9 90,0 3 30,0


2.892

8 Lampung 15 13 86,7 2 13,3


1.270

9 Bangka Belitung Islands 7 4 57,1 -


2.526

10 Riau Islands 7 5 71,4 2 28,6


567

11 DKI Jakarta 6 5 83,3 1 16,7


476

12 West Java 27 12 44,4 -


1.828

13 Central Java 35 31 88,6 1 2,9


7.274

14 DI Yogyakarta 5 5 100,0 -
8.366

15 East Java 38 31 81,6 3 7,9


1.188

16 Banten 8 3 37,5 -
10.432

17 Bali 9 4 44,4 1 11,1


1.545

18 West Nusa Tenggara 10 10 100,0 -


744

19 East Nusa Tenggara 22 1 4,5 -


2.236

20 West Kalimantan 14 2 14,3 -


2.992

21 Central Kalimantan 14 11 78,6 1 7,1


1.691

22 South Kalimantan 13 13 100,0 2 15,4


1.174

23 East Kalimantan 10 5 50,0 -


1.751

24 North Kalimantan 5 - - -
1.433

25 North Sulawesi 15 3 20,0 -


124

26 Central Sulawesi 13 1 7,7 1 7,7


617

27 South Sulawesi 24 9 37,5 - -


1.853

28 Southeast Sulawesi 17 6 35,3 3 17,6


3.816

29 Gorontalo 6 3 50,0 2 33,3


1.239

30 West Sulawesi 6 2 33,3 -


576

31 Maluku 11 2 18,2 1 9,1


705

32 North Maluku 10 7 70,0 2 20,0


417

33 West Papua 13 - - -
748

34 Papua 29 - - -
434

Indonesia 514 245 47,7 31 6,0 75.508


289

source *Data communication of the Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
**Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Note: PTM: Penyakit Tidak Menular ( Non - Transmitted Diseases )
Appendix 11.a
NUMBER OF MEDICAL PERSONNEL IN HEALTH FACILITIES
IN INDONESIA YEAR 2021

Medical Specialists General Practitioners Total Spesialist Dentist Dentist Total


No Province
M F M+F M F M+F M F M+F M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1 Aceh 448 430 878 837 1.713 2.550 1.285 2.143 3.428 8 15 23 83 381 464 91 396 487
2 North Sumatera 1.233 853 2.086 2.140 3.493 5.633 3.373 4.346 7.719 33 65 98 334 1.169 1.503 367 1.234 1.601
3 West Sumatera 497 500 997 645 1.739 2.384 1.142 2.239 3.381 8 14 22 76 453 529 84 467 551
4 Riau 565 365 930 967 2.144 3.111 1.532 2.509 4.041 16 30 46 100 481 581 116 511 627
5 Jambi 230 172 402 407 894 1.301 637 1.066 1.703 5 10 15 55 205 260 60 215 275
6 South Sumatera 523 476 999 899 1.728 2.627 1.422 2.204 3.626 12 24 36 94 298 392 106 322 428
7 Bengkulu 119 94 213 221 473 694 340 567 907 2 7 9 25 119 144 27 126 153
8 Lampung 450 245 695 696 1.428 2.124 1.146 1.673 2.819 7 15 22 47 212 259 54 227 281
9 Bangka Belitung Islands 133 91 224 223 382 605 356 473 829 6 12 18 36 81 117 42 93 135
10 Riau Islands 255 149 404 440 792 1.232 695 941 1.636 17 13 30 54 192 246 71 205 276
11 DKI Jakarta 3.563 3.214 6.777 4.270 8.271 12.541 7.833 11.485 19.318 252 568 820 822 3.275 4.097 1.074 3.843 4.917
12 West Java 3.480 2.592 6.072 5.475 8.679 14.154 8.955 11.271 20.226 152 331 483 538 2.345 2.883 690 2.676 3.366
13 Central Java 2.692 1.814 4.506 4.164 6.578 10.742 6.856 8.392 15.248 89 132 221 421 1.582 2.003 510 1.714 2.224
14 DI Yogyakarta 569 521 1.090 1.287 1.944 3.231 1.856 2.465 4.321 66 146 212 154 596 750 220 742 962
15 East Java 3.343 2.375 5.718 5.529 8.043 13.572 8.872 10.418 19.290 193 351 544 900 3.351 4.251 1.093 3.702 4.795
16 Banten 1.026 885 1.911 1.572 2.983 4.555 2.598 3.868 6.466 35 102 137 146 868 1.014 181 970 1.151
17 Bali 975 596 1.571 1.980 2.204 4.184 2.955 2.800 5.755 35 35 70 225 545 770 260 580 840
18 West Nusa Tenggara 238 186 424 479 781 1.260 717 967 1.684 7 14 21 37 157 194 44 171 215
19 East Nusa Tenggara 210 170 380 507 872 1.379 717 1.042 1.759 3 7 10 49 149 198 52 156 208
20 West Kalimantan 249 166 415 565 674 1.239 814 840 1.654 10 12 22 63 153 216 73 165 238
21 Central Kalimantan 159 138 297 339 490 829 498 628 1.126 6 8 14 36 107 143 42 115 157
22 South Kalimantan 409 292 701 501 936 1.437 910 1.228 2.138 15 26 41 130 332 462 145 358 503
23 East Kalimantan 418 325 743 776 1.293 2.069 1.194 1.618 2.812 20 38 58 93 317 410 113 355 468
24 North Kalimantan 76 52 128 169 182 351 245 234 479 4 5 9 25 45 70 29 50 79
25 North Sulawesi 297 267 564 810 1.151 1.961 1.107 1.418 2.525 6 7 13 51 131 182 57 138 195
26 Central Sulawesi 140 160 300 330 607 937 470 767 1.237 1 4 5 43 125 168 44 129 173
27 South Sulawesi 739 904 1.643 1.156 2.200 3.356 1.895 3.104 4.999 32 82 114 176 761 937 208 843 1.051
28 Southeast Sulawesi 138 122 260 261 520 781 399 642 1.041 6 8 14 45 180 225 51 188 239
29 Gorontalo 80 70 150 146 259 405 226 329 555 2 2 4 14 54 68 16 56 72
30 West Sulawesi 47 64 111 77 192 269 124 256 380 3 7 10 15 80 95 18 87 105
31 Maluku 89 80 169 242 520 762 331 600 931 5 4 9 23 59 82 28 63 91
32 North Maluku 64 58 122 187 282 469 251 340 591 4 2 6 15 45 60 19 47 66
33 West Papua 80 51 131 183 339 522 263 390 653 0 0 0 18 52 70 18 52 70
34 Papua 162 146 308 382 620 1.002 544 766 1.310 3 7 10 28 83 111 31 90 121

Urban/Rural

Indonesia 23.696 18.623 42.319 38.862 65.406 104.268 62.558 84.029 146.587 1.063 2.103 3.166 4.971 18.983 23.954 6.034 21.086 27.120
Appendix 11.b
NUMBER OF MEDICAL PERSONNEL AT PUSKESMAS
IN INDONESIA YEAR 2021

Dental Specialist General Practitioner Total Dental Spesialist Dentist Total


No Province
M F M+F M F M+F M F M+F M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1 Aceh 1 0 1 256 810 1.066 257 810 1.067 0 0 0 57 310 367 57 310 367
2 North Sumatera 3 4 7 594 1.404 1.998 597 1.408 2.005 0 3 3 94 522 616 94 525 619
3 West Sumatera 2 1 3 174 623 797 176 624 800 0 1 1 40 299 339 40 300 340
4 Riau 2 0 2 278 758 1.036 280 758 1.038 1 0 1 48 286 334 49 286 335
5 Jambi 0 0 0 154 407 561 154 407 561 0 0 0 35 133 168 35 133 168
6 South Sumatera 0 6 6 200 551 751 200 557 757 0 1 1 53 148 201 53 149 202
7 Bengkulu 0 0 0 98 214 312 98 214 312 0 0 0 16 72 88 16 72 88
8 Lampung 0 1 1 255 621 876 255 622 877 0 0 0 20 144 164 20 144 164
9 Bangka Belitung Islands 0 0 0 79 151 230 79 151 230 0 0 0 23 46 69 23 46 69
10 Riau Islands 2 0 2 127 300 427 129 300 429 0 0 0 23 87 110 23 87 110
11 DKI Jakarta 0 0 0 471 1.508 1.979 471 1.508 1.979 0 0 0 72 391 463 72 391 463
12 West Java 2 2 4 952 2.037 2.989 954 2.039 2.993 0 0 0 154 776 930 154 776 930
13 Central Java 0 0 0 933 1.762 2.695 933 1.762 2.695 0 0 0 147 712 859 147 712 859
14 DI Yogyakarta 0 0 0 131 410 541 131 410 541 0 2 2 14 160 174 14 162 176
15 East Java 0 0 0 870 1.764 2.634 870 1.764 2.634 0 3 3 203 944 1.147 203 947 1.150
16 Banten 0 0 0 237 646 883 237 646 883 0 0 0 44 286 330 44 286 330
17 Bali 0 0 0 291 358 649 291 358 649 0 0 0 79 203 282 79 203 282
18 West Nusa Tenggara 0 0 0 183 327 510 183 327 510 0 0 0 24 99 123 24 99 123
19 East Nusa Tenggara 0 0 0 225 401 626 225 401 626 0 0 0 38 103 141 38 103 141
20 West Kalimantan 0 0 0 235 280 515 235 280 515 0 1 1 22 86 108 22 87 109
21 Central Kalimantan 0 0 0 136 226 362 136 226 362 0 0 0 20 70 90 20 70 90
22 South Kalimantan 0 0 0 144 364 508 144 364 508 0 0 0 51 143 194 51 143 194
23 East Kalimantan 0 0 0 167 353 520 167 353 520 0 1 1 37 160 197 37 161 198
24 North Kalimantan 0 0 0 56 81 137 56 81 137 0 0 0 16 28 44 16 28 44
25 North Sulawesi 0 5 5 171 427 598 171 432 603 0 0 0 28 79 107 28 79 107
26 Central Sulawesi 0 0 0 132 266 398 132 266 398 0 0 0 27 83 110 27 83 110
27 South Sulawesi 0 5 5 227 763 990 227 768 995 0 1 1 80 448 528 80 449 529
28 Southeast Sulawesi 0 0 0 119 300 419 119 300 419 0 1 1 23 131 154 23 132 155
29 Gorontalo 0 0 0 43 126 169 43 126 169 0 0 0 9 44 53 9 44 53
30 West Sulawesi 0 0 0 41 133 174 41 133 174 0 0 0 10 65 75 10 65 75
31 Maluku 0 0 0 76 209 285 76 209 285 0 0 0 8 34 42 8 34 42
32 North Maluku 0 1 1 79 139 218 79 140 219 0 0 0 9 34 43 9 34 43
33 West Papua 0 0 0 85 165 250 85 165 250 0 0 0 5 31 36 5 31 36

Indonesia 12 25 37 8.358 19.144 27.502 8.370 19.169 27.539 1 14 15 1.543 7.208 8.751 1.544 7.222 8.766
34 Papua 0 0 0 139 260 399 139 260 399 0 0 0 14 51 65 14 51 65

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2022
Appendix 11.c
NUMBER OF MEDICAL PERSONNEL IN THE HOSPITAL
IN INDONESIA IN 2021

N Medical Spesialist General Practitioner Total Dental Specialist Dentist Total


Province
o M F M+F M F M+F M F M+F M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1 Aceh 448 433 881 596 935 1.531 1.044 1.368 2.412 8 15 23 31 77 108 39 92 131
2 North Sumatera 1.238 849 2.087 1.442 1.929 3.371 2.680 2.778 5.458 30 62 92 189 555 744 219 617 836
3 West Sumatera 494 481 975 420 952 1.372 914 1.433 2.347 8 13 21 26 108 134 34 121 155
4 Riau 560 367 927 495 915 1.410 1.055 1.282 2.337 14 28 42 43 146 189 57 174 231
5 Jambi 228 172 400 210 414 624 438 586 1.024 5 10 15 16 62 78 21 72 93
6 South Sumatera 524 480 1.004 646 1.022 1.668 1.170 1.502 2.672 12 22 34 30 118 148 42 140 182
7 Bengkulu 120 91 211 111 249 360 231 340 571 2 7 9 8 38 46 10 45 55
8 Lampung 452 245 697 381 661 1.042 833 906 1.739 7 15 22 23 59 82 30 74 104
9 Bangka Belitung Islands 132 90 222 110 171 281 242 261 503 7 12 19 9 19 28 16 31 47
10 Riau Islands 254 149 403 216 337 553 470 486 956 15 11 26 14 42 56 29 53 82
11 DKI Jakarta 3.120 2.846 5.966 1.817 3.113 4.930 4.937 5.959 10.896 211 467 678 384 1.515 1.899 595 1.982 2.577
12 West Java 3.441 2.583 6.024 3.164 4.317 7.481 6.605 6.900 13.505 151 301 452 225 762 987 376 1.063 1.439
13 Central Java 2.539 1.658 4.197 2.027 2.984 5.011 4.566 4.642 9.208 87 119 206 157 515 672 244 634 878
14 DI Yogyakarta 562 516 1.078 1.002 1.148 2.150 1.564 1.664 3.228 57 108 165 97 237 334 154 345 499
15 East Java 3.226 2.285 5.511 3.325 4.166 7.491 6.551 6.451 13.002 168 312 480 379 1.206 1.585 547 1.518 2.065
16 Banten 1.028 898 1.926 870 1.545 2.415 1.898 2.443 4.341 39 94 133 39 234 273 78 328 406
17 Bali 950 583 1.533 1.396 1.501 2.897 2.346 2.084 4.430 34 31 65 62 168 230 96 199 295
18 West Nusa Tenggara 240 185 425 266 390 656 506 575 1.081 6 14 20 7 44 51 13 58 71
19 East Nusa Tenggara 212 172 384 279 454 733 491 626 1.117 3 7 10 9 45 54 12 52 64
20 West Kalimantan 252 165 417 289 356 645 541 521 1.062 9 11 20 30 52 82 39 63 102
21 Central Kalimantan 161 137 298 171 226 397 332 363 695 6 8 14 12 33 45 18 41 59
22 South Kalimantan 321 232 553 265 369 634 586 601 1.187 14 25 39 35 60 95 49 85 134
23 East Kalimantan 421 318 739 352 594 946 773 912 1.685 17 36 53 28 66 94 45 102 147
24 North Kalimantan 77 52 129 81 85 166 158 137 295 4 5 9 5 13 18 9 18 27
25 North Sulawesi 299 267 566 627 690 1.317 926 957 1.883 6 7 13 27 64 91 33 71 104
26 Central Sulawesi 144 162 306 177 329 506 321 491 812 1 4 5 16 40 56 17 44 61
27 South Sulawesi 726 878 1.604 885 1.361 2.246 1.611 2.239 3.850 32 84 116 93 299 392 125 383 508
28 Southeast Sulawesi 138 124 262 151 222 373 289 346 635 6 7 13 21 53 74 27 60 87
29 Gorontalo 83 68 151 100 138 238 183 206 389 2 2 4 5 9 14 7 11 18
30 West Sulawesi 48 63 111 33 67 100 81 130 211 3 8 11 4 12 16 7 20 27
31 Maluku 88 82 170 142 298 440 230 380 610 5 4 9 9 13 22 14 17 31
32 North Maluku 69 58 127 97 142 239 166 200 366 4 2 6 6 12 18 10 14 24
33 West Papua 79 52 131 91 175 266 170 227 397 0 0 0 13 21 34 13 21 34

Indonesia 22.837 17.887 40.724 22.465 32.610 55.075 45.302 50.497 95.799 976 1.858 2.834 2.066 6.731 8.797 3.042 8.589 11.631
34 Papua 163 146 309 231 355 586 394 501 895 3 7 10 14 34 48 17 41 58

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2022
Appendix 11.d
NUMBER OF MEDICAL SPECIALISTS AND DENTAL SPECIALISTS IN THE HOSPITAL
BY PROVINCE YEAR 2021

Basic Medical Specialists Supporting Medical Specialist Doctors


Other Dental
No Province Medical Total
Obstetrician- Anesthesiolog Clinical Anatomical Specialist Spesialist
Internist Surgeon Radiologist rehabilitation
Gynecologists Pediatrician ists Pathologist Pathologistg
Specialists
(1) (2) (3) Gynecologists (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 140 100 95 75 28 59 42 12 5 325 23 904
2 North Sumatera 298 263 254 161 54 119 106 43 7 782 92 2.179
3 West Sumatera 123 107 99 84 24 54 58 20 4 402 21 996
4 Riau 124 133 106 71 35 53 38 17 7 343 42 969
5 Jambi 61 57 37 32 16 27 21 9 1 139 15 415
6 South Sumatera 161 155 114 91 34 56 26 30 5 332 34 1.038
7 Bengkulu 28 35 22 26 6 15 13 4 1 61 9 220
8 Lampung 99 105 66 65 35 50 35 14 3 225 22 719
9 Bangka Belitung Islands 28 33 25 17 12 11 13 5 1 77 19 241
10 Riau Islands 37 51 45 41 18 31 19 9 1 151 26 429
11 DKI Jakarta 690 648 654 260 256 423 167 92 36 2.740 678 6.644
12 West Java 770 733 725 414 282 449 215 77 50 2.309 452 6.476
13 Central Java 552 476 426 340 188 326 142 56 26 1.665 206 4.403
14 DI Yogyakarta 142 96 126 70 52 62 45 18 4 463 165 1.243
15 East Java 632 610 526 377 253 366 218 104 29 2.396 480 5.991
16 Banten 253 267 230 125 78 156 67 16 13 721 133 2.059
17 Bali 185 201 167 127 52 104 27 31 7 632 65 1.598
18 West Nusa Tenggara 50 57 48 31 24 24 21 7 1 162 20 445
19 East Nusa Tenggara 66 61 44 52 20 34 23 8 4 72 10 394
20 West Kalimantan 57 54 51 47 20 32 16 5 3 132 20 437
21 Central Kalimantan 42 37 32 27 13 23 20 5 3 96 14 312
22 South Kalimantan 76 71 55 33 23 38 30 6 1 220 39 592
23 East Kalimantan 84 97 75 55 34 64 30 13 7 280 53 792
24 North Kalimantan 13 14 18 13 6 8 7 3 1 46 9 138
25 North Sulawesi 106 69 76 47 21 36 16 3 5 187 13 579
26 Central Sulawesi 47 33 39 33 20 18 11 3 1 101 5 311
27 South Sulawesi 208 177 143 128 91 97 83 34 6 637 116 1.720
28 Southeast Sulawesi 36 28 31 20 16 23 16 1 0 91 13 275
29 Gorontalo 22 12 20 14 8 10 6 4 1 54 4 155
30 West Sulawesi 13 12 12 12 5 12 6 0 0 39 11 122
31 Maluku 23 22 20 22 10 15 9 4 0 45 9 179
32 North Maluku 20 16 18 18 5 11 8 0 0 31 6 133
33 West Papua 23 24 20 16 10 10 6 0 0 22 0 131

Indonesia 5.244 4.895 4.460 2.985 1.763 2.843 1.580 655 234 16.065 2.834 43.558
34 Papua 35 41 41 41 14 27 20 2 1 87 10 319

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2022
Appendix 11.e
ADEQUACY OF GENERAL PRACTITIONER, DENTISTS, NURSES, AND MIDWIVES OF PUSKESMAS
BY PROVINCES, 2017 --> 2021

Percentage of Puskesmas with Percentage of Puskesmas with Percentage of Puskesmas with Percentage of Puskesmas with
No Province Adequacy of Doctors Adequacy of Dentists Adequacy of Nurses Adequacy of Midwives
Adequate Inadequate Excess Adequate Inadequate Excess Adequate Inadequate Excess Adequate Inadequate Excess
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 21,2 3,6 75,1 60,9 20,9 18,2 6,7 6,7 86,6 6,1 0,3 93,6
2 North Sumatera 27,0 6,1 66,9 52,5 30,8 16,7 15,1 12,3 72,6 9,7 1,0 89,3
3 West Sumatera 35,1 2,2 62,7 72,4 8,2 19,4 19,4 15,4 65,2 11,5 0,4 88,2
4 Riau 23,8 0,0 76,2 52,8 16,2 31,1 11,9 6,8 81,3 11,9 0,9 87,2
5 Jambi 30,9 2,0 67,2 61,8 28,4 9,8 9,8 1,5 88,7 5,4 0,0 94,6
6 South Sumatera 40,9 7,0 52,2 51,6 43,5 4,9 11,3 2,6 86,1 7,8 0,0 92,2
7 Bengkulu 49,2 7,3 43,6 40,8 55,9 3,4 6,7 5,6 87,7 3,9 0,0 96,1
8 Lampung 32,5 2,5 65,0 37,6 58,6 3,8 13,4 2,9 83,8 9,2 0,0 90,8
Bangka Belitung
9 17,2 6,3 76,6 76,6 9,4 14,1 10,9 3,1 85,9 10,9 0,0 89,1
Islands
10 Riau Islands 31,5 1,1 67,4 66,3 15,2 18,5 16,3 2,2 81,5 12,0 1,1 87,0
11 DKI Jakarta 19,2 0,3 80,5 86,5 3,6 9,9 12,0 78,4 9,6 17,4 69,7 12,9
12 West Java 24,2 0,8 74,9 60,7 28,4 10,9 14,0 16,4 69,6 10,1 3,2 86,7
13 Central Java 27,8 1,4 70,9 80,1 11,5 8,4 18,0 7,4 74,6 11,8 0,9 87,3
14 DI Yogyakarta 14,9 0,0 85,1 62,0 2,5 35,5 26,4 14,9 58,7 17,4 10,7 71,9
15 East Java 43,4 5,1 51,5 75,4 6,7 17,9 17,6 1,9 80,5 15,6 0,4 84,0
16 Banten 25,3 0,8 73,9 50,6 14,7 34,7 18,4 9,8 71,8 12,7 0,4 86,9
17 Bali 11,7 0,8 87,5 38,3 2,5 59,2 8,3 0,8 90,8 6,7 0,0 93,3
18 West Nusa Tenggara 32,6 5,1 62,3 63,4 33,7 2,9 6,3 1,1 92,6 5,7 0,6 93,7
19 East Nusa Tenggara 51,7 27,7 20,6 30,1 68,0 1,9 7,3 4,5 88,2 7,3 3,3 89,3
20 West Kalimantan 41,3 12,6 46,2 39,7 57,9 2,4 8,1 2,8 89,1 5,3 0,8 93,9
21 Central Kalimantan 43,1 25,0 31,9 30,9 61,8 7,4 3,4 1,0 95,6 2,9 0,5 96,6
22 South Kalimantan 41,4 8,0 50,6 66,2 26,2 7,6 8,0 4,2 87,8 3,8 0,8 95,4
23 East Kalimantan 45,5 8,0 46,5 64,7 17,6 17,6 25,7 10,2 64,2 30,5 3,2 66,3
24 North Kalimantan 56,9 10,3 32,8 72,4 25,9 1,7 25,9 6,9 67,2 27,6 0,0 72,4
25 North Sulawesi 30,3 10,6 59,1 39,4 54,0 6,6 18,7 5,1 76,3 16,7 21,7 61,6
26 Central Sulawesi 49,3 14,6 36,2 45,5 52,1 2,3 2,8 3,3 93,9 1,9 1,4 96,7
27 South Sulawesi 47,1 12,5 40,3 69,2 13,0 17,8 14,9 7,4 77,7 12,5 2,3 85,1
28 Southeast Sulawesi 53,9 19,8 26,3 43,0 53,2 3,8 10,6 12,3 77,1 7,8 5,5 86,7
29 Gorontalo 55,9 11,8 32,3 54,8 44,1 1,1 12,9 3,2 83,9 9,7 0,0 90,3
30 West Sulawesi 49,5 20,6 29,9 57,7 36,1 6,2 8,2 2,1 89,7 9,3 1,0 89,7
31 Maluku 45,1 31,9 23,0 21,7 77,4 0,9 11,9 13,3 74,8 15,5 29,6 54,9
32 North Maluku 50,3 17,7 32,0 33,3 65,3 1,4 16,3 13,6 70,1 10,9 3,4 85,7
33 West Papua 51,8 28,8 19,4 20,6 77,6 1,8 12,9 13,5 73,5 17,1 18,2 64,7

Indonesia 35,5 9,6 54,9 56,0 32,4 11,6 13,6 10,6 75,8 11,2 6,6 82,2
34 Papua 36,2 49,5 14,3 20,1 79,0 0,9 16,6 24,8 58,6 17,3 41,1 41,6

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 11.f
NUMBER OF HEALTH HUMAN RESOURCES IN UNDERDEVELOPED REGIONS*BY TYPES AND PROVINCE 2022
BY TYPES AND PROVINCE 2022

NUMBER OF HEALTH WORKERS

Number of
underdevelo
No Province
ped
for Health

Total

Regency/city

Health

Dentist
Clinical

General
Medical

Nursing
Nutrition
Health Support

Midwifery
Technician
Technician

Pharmacist
Biomedical

Practitioner
Psychologist
Public Health
Environmental

Dental Spesialist

Medical Spesialist
Physical Therapist
Traditional Health
Total Human Resources

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21)
1 North Sumatera 4 22 117 0 14 0 1.282 1.281 110 181 37 73 20 47 0 91 3.275 604 3.879

2 West Sumatera 1 7 28 0 11 0 376 246 39 44 11 26 3 17 0 21 829 492 1.321

3 South Sumatera 1 9 45 1 6 0 327 425 57 40 22 20 3 14 0 27 996 206 1.202

4 Lampung 1 6 28 0 3 0 194 372 27 22 21 21 0 17 0 24 735 205 940

5 West Nusa Tenggara 1 12 66 1 10 1 441 282 92 32 19 37 1 51 0 60 1.105 400 1.505

6 East Nusa Tenggara 13 126 616 4 83 5 6.226 4.644 675 804 511 658 47 579 1 555 15.534 4.175 19.709

7 Central Sulawesi 3 39 136 0 24 6 1.379 1.248 231 399 148 104 9 49 0 102 3.874 685 4.559

8 Maluku 6 27 206 3 17 2 2.394 1.022 183 401 240 280 11 30 0 156 4.972 965 5.937

9 North Maluku 2 6 38 0 4 0 347 188 40 112 28 33 1 8 0 15 820 130 950

10 West Papua 8 51 202 0 14 0 1.695 952 180 221 59 160 10 42 0 131 3.717 981 4.698

Indonesia 62 393 1.869 11 227 17 18.650 12.594 2.057 2.814 1.280 1.650 121 937 68 1.491 44.179 11.439 55.618
11 Papua 22 88 387 2 41 3 3.989 1.934 423 558 184 238 16 83 67 309 8.322 2.596 10.918

Source: Health HR Information System processed by the Directorate General of Health Personnel, Ministry of Health of the Republic of Indonesia, 2022
Appendix 11.g
NUMBER OF GENERAL PRACTITIONER, MEDICAL SPECIALIST, DENTIST AND DENTAL SPECIALIST
(WITH CERTIFICATES OF REGISTRATION)
BY PROVINCE PER 31 DECEMBER 2022

General Medical
No Province Dentist Dentist Total
Practitioner Spesialist
(1) (2) (3) (4) (5) (6) (7)
3.918 764 908 44 5.634
10.879 2.046 2.606 171 15.702
1 Aceh

3.738 1.062 1.059 41 5.900


2 North Sumatera

4.826 914 883 52 6.675


3 West Sumatera

2.071 313 371 16 2.771


4 Riau

4.000 693 1.143 48 5.884


5 Jambi

1.003 154 168 8 1.333


6 South Sumatera

2.958 308 646 23 3.935


7 Bengkulu

566 136 184 17 903


8 Lampung

1.206 315 333 22 1.876


9 Bangka Belitung Islands

16.781 4.906 7.592 1.096 30.375


10 Riau Islands

21.406 5.121 5.671 735 32.933


11 DKI Jakarta

13.631 2.626 4.196 261 20.714


12 West Java

3.975 1.094 1.597 333 6.999


13 Central Java

16.631 4.975 5.903 878 28.387


14 DI Yogyakarta

7.205 2.120 1.915 232 11.472


15 East Java

4.673 1.215 1.800 75 7.763


16 Banten

1.656 233 347 21 2.257


17 Bali

1.085 223 224 10 1.542


18 West Nusa Tenggara

1.518 243 342 22 2.125


19 East Nusa Tenggara

993 175 228 17 1.413


20 West Kalimantan

1.632 450 504 33 2.619


21 Central Kalimantan

2.158 553 685 59 3.455


22 South Kalimantan

291 73 92 12 468
23 East Kalimantan

2.717 313 708 15 3.753


24 North Kalimantan

1.212 177 231 6 1.626


25 North Sulawesi

5.338 1.735 1.962 183 9.218


26 Central Sulawesi

918 237 199 13 1.367


27 South Sulawesi

329 70 115 4 518


28 Southeast Sulawesi

172 85 61 9 327
29 Gorontalo

586 81 116 9 792


30 West Sulawesi

307 55 74 6 442
31 Maluku

349 64 85 1 499
32 North Maluku

1.218 123 225 11 1.577


33 West Papua

Indonesia 141.946 33.652 43.173 4.483 223.254


34 Papua

Source: Secretariat of the Indonesian Medical Council, 2022


Appendix 11.h
NUMBER OF MEDICAL SPECIALIST RESIDENTS WITH SPECIAL ASSIGNMENTOF SPECIALIST
BY PROVINCE YEAR 2019-2021

Number of Residents
No Province
2019 2020 2021
(1) (2) (3) (4) (5)
1 Aceh 15 2 3
2 North Sumatera 34 2 32
3 West Sumatera 16 7 4
4 Riau 12 2 9
5 Jambi 5 1 5
6 South Sumatera 8 4 0
7 Bengkulu 4 2 0
8 Lampung 6 1 3
9 Bangka Belitung Islands 8 5 3
10 Riau Islands 8 6 4
11 DKI Jakarta 0 0 0
12 West Java 27 5 2
13 Central Java 13 3 6
14 DI Yogyakarta 1 0 1
15 East Java 14 6 4
16 Banten 6 1 0
17 Bali 12 0 10
18 West Nusa Tenggara 11 4 1
19 East Nusa Tenggara 16 14 5
20 West Kalimantan 4 9 7
21 Central Kalimantan 5 7 4
22 South Kalimantan 11 4 2
23 East Kalimantan 5 1 4
24 North Kalimantan 10 0 0
25 North Sulawesi 4 0 2
26 Central Sulawesi 14 12 10
27 South Sulawesi 10 0 5
28 Southeast Sulawesi 6 7 9
29 Gorontalo 3 0 0
30 West Sulawesi 2 0 3
31 Maluku 7 1 0
32 North Maluku 15 8 8
33 West Papua 12 4 5

Indonesia 339 129 157


34 Papua 15 11 6

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 11.i
NUMBER OF REGENCIES/CITIES AND PUSKESMAS ASSIGNED FOR TEAM‐BASED NUSANTARA SEHAT PROGRAM
BATCH XVII‐XIX (PERIOD I‐III YEAR 2021)

Batch XVII (Period I in 2021) Batch XVIII (Period II in 2021) Batch XIX (Periode II in 2021)
No Province
Number of Number of Number of
Number of Puskesmas Number of Puskesmas Number of Puskesmas
Regencies/Cities Regencies/Cities Regencies/Cities
(1) (2) (3) (4) (5) (6) (5) (6)
1 Aceh 1 2 1 1
2 North Sumatera 3 3 2 8
3 West Sumatera 2 2
4 Riau
5 Jambi 2 2
6 South Sumatera
7 Bengkulu 2 2
8 Lampung 1 1 1 2
9 Bangka Belitung Islands
10 Riau Island
11 West Java 1 5
12 East Java
13 West Nusa Tenggara
14 East Nusa Tenggara
15 West Kalimantan 1 1
16 Central Kalimantan 1 3 2 3
17 South Kalimantan
18 East Kalimantan
19 North Kalimantan 1 1 1 1
20 North Sulawesi 1 2
21 Central Sulawesi 1 3 3 3
22 South Sulawesi 2 6 2 2
23 Southeast Sulawesi 4 4 1 4 1 3
24 Gorontalo
25 West Sulawesi
26 Maluku 1 1 1 2 1 2
27 North Maluku
28 West Papua 2 10 1 5 4 6

Indonesia 18 35 11 34 23 35
29 Papua 4 13 1 1

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 11.j
NUMBER OF HEALTH WORKERS ASSIGNED TO "NUSANTARA SEHAT TEAM " (BATCH XVII TO BATCH XIX/ PERIOD I TO III)
BY PROVINCE YEAR 2021

Number of Personnel
No Province Medical Total
General Public Environmental
Dentist Nurse Midwife Pharmacist Nutirition Laboratory
Practitioner Health Health
Technologist
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
1 Aceh 1 3 3 3 1 2 2 2 2 19
2 North Sumatera 10 3 5 5 9 7 10 10 9 68
3 West Sumatera 1 1 2 2 1 1 2 2 0 12
4 Riau 0 0 0 0 0 0 0 0 0 0
5 Jambi 2 1 1 1 1 2 2 2 2 14
6 South Sumatera 0 0 0 0 0 0 0 0 0 0
7 Bengkulu 1 1 1 0 2 2 2 2 2 13
8 Lampung 1 1 1 1 3 3 1 3 3 17
Bangka Belitung
9 0 0 0 0 0 0 0 0 0 0
Islands
10 Riau Islands 0 0 0 0 0 0 0 0 0 0
11 West Java 0 4 0 0 3 4 4 5 5 25
12 East Java 0 0 0 0 0 0 0 0 0 0
13 West Nusa Tenggara 0 0 0 0 0 0 0 0 0 0
14 East Nusa Tenggara 0 0 0 0 0 0 0 0 0 0
15 West Kalimantan 1 0 1 1 1 1 0 0 1 6
16 Central Kalimantan 4 5 5 4 1 4 5 1 6 35
17 South Kalimantan 0 0 0 0 0 0 0 0 0 0
18 East Kalimantan 0 0 0 0 0 0 0 0 0 0
19 North Kalimantan 2 1 1 2 1 1 1 2 0 11
20 North Sulawesi 2 0 1 2 1 2 0 2 1 11
21 Central Sulawesi 4 3 5 2 5 3 3 4 6 35
22 South Sulawesi 7 6 4 5 4 5 6 7 7 51
23 Southeast Sulawesi 10 6 11 6 6 7 6 8 9 69
24 Gorontalo 0 0 0 0 0 0 0 0 0 0
25 West Sulawesi 0 0 0 0 0 0 0 0 0 0
26 Maluku 3 3 4 4 4 5 3 3 4 33
27 North Maluku 0 0 0 0 0 0 0 0 0 0
28 West Papua 15 7 14 21 17 19 12 18 19 142

Indonesia 72 45 66 70 73 81 68 83 88 646
29 Papua 8 0 7 11 13 13 9 12 12 85

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 11.k
NUMBER OF REGENCY / CITY AND NEW ASSIGNEED TO INDIVIDUAL"NUSANTARA SEHAT"PROGRAM
PERIOD I-IX IN 2021

Period I Period II Period III Period IV Period V Period VI Period VII Period VIII Period IX

No Province Number of Number of Number of Number of Number of Number of Number of Number of Number of Number of Number of Number of Number of Number of Number of Jumlah Number of Number of
Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas Regencies/ Cities Puskesmas
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (3) (4) (5) (6) (7) (8) (9) (10)
1 Aceh 7 11 9 32 0 0 3 6 11 51 9 17 10 34 10 29 10 36
2 North Sumatera 4 6 4 14 0 0 3 9 7 29 6 10 7 22 8 24 10 30
3 West Sumatera 1 3 6 25 2 6 0 0 6 29 9 17 9 27 8 14 11 37
4 Riau 8 16 2 2 0 0 3 3 7 19 6 15 7 20 5 9 7 26
5 Jambi 8 28 2 13 0 0 2 6 3 7 3 3 5 18 4 9 6 34
6 South Sumatera 1 1 3 6 1 3 0 0 3 6 6 15 3 8 3 4 6 15
7 Bengkulu 7 9 3 4 5 15 0 0 9 39 5 7 5 11 8 16 9 30
8 Lampung 3 3 4 16 1 1 0 0 5 17 3 11 7 20 6 10 6 26
9 Bangka Belitung Islands 0 0 2 2 0 0 0 0 0 0 1 1 1 1 2 2 2 4
10 Riau Islands 3 6 2 8 0 0 2 5 3 4 2 3 3 3 3 4 4 9
11 West Java 2 4 1 8 1 5 0 0 0 0 2 3 2 2 0 0 2 11
12 Central Java 1 1 1 4 0 0 0 0 1 16 1 1 1 3 2 8 1 10
13 East Java 1 1 1 2 2 3 0 0 1 3 1 3 1 1 2 3 1 2
14 Banten 0 0 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0
15 West Nusa Tenggara 1 1 2 6 0 0 0 0 2 6 1 2 2 2 1 1 2 5
16 East Nusa Tenggara 5 12 0 0 0 0 0 0 4 5 11 47 3 3 9 31 10 26
17 West Kalimantan 5 30 2 11 2 15 0 0 0 0 2 10 2 4 3 5 4 9
18 Central Kalimantan 4 12 3 10 2 3 0 0 3 6 3 4 2 2 4 5 3 6
19 South Kalimantan 0 0 2 6 1 3 0 0 3 17 1 2 0 0 3 4 4 9
20 East Kalimantan 3 4 0 0 1 1 0 0 2 2 0 0 1 1 0 0 0 0
21 North Kalimantan 1 2 1 1 0 0 0 0 0 0 1 1 0 0 2 2 2 4
22 North Sulawesi 3 12 0 0 4 12 0 0 5 22 8 18 4 14 9 17 8 26
23 Central Sulawesi 8 19 0 0 4 19 0 0 4 7 3 5 3 6 4 10 7 32
24 South Sulawesi 6 8 0 0 3 11 0 0 4 22 4 15 5 21 4 9 6 15
25 Southeast Sulawesi 8 14 0 0 7 49 0 0 13 45 11 25 9 42 8 22 12 27
26 Gorontalo 3 5 0 0 4 7 0 0 4 11 2 4 3 4 5 13 5 8
27 West Sulawesi 2 2 0 0 3 8 0 0 2 7 2 3 1 1 2 2 2 5
28 Maluku 6 52 0 0 5 21 0 0 2 3 3 7 3 4 2 7 5 14
29 North Maluku 4 9 0 0 1 5 0 0 0 0 0 0 0 0 1 2 1 2
30 West Papua 1 2 0 0 0 0 0 0 0 0 0 0 1 1 1 1 3 15

Indonesia 110 281 50 170 49 187 13 29 105 376 106 249 100 275 119 263 149 473
31 Papua 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 11.l
NUMBER OF NEW ASSIGNED HEALTH WORKERS TO INDIVIDUAL NUSANTARA SEHAT (PERIOD OF I-IX 2021)
BY PROVINSI IN 2021

Number of Workers

No Province Medical Elektromedi Total


General Environmental Clinical
Dentist Nurse Midwife Pharmacy Public Health Nutirition Laboratory cal
Doctor Health Psychologist
Technologist Technician
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 19 51 13 12 33 6 44 64 54 0 0 296
2 North Sumatera 22 15 28 24 20 23 27 32 31 0 0 222
3 West Sumatera 37 14 61 21 20 16 33 43 24 0 0 269
4 Riau 11 5 30 26 17 4 20 39 17 0 0 169
5 Jambi 15 9 18 11 28 18 10 46 35 0 0 190
6 South Sumatera 9 3 8 1 11 9 12 21 11 0 0 85
7 Bengkulu 30 13 10 13 23 0 31 34 39 0 0 193
8 Lampung 6 3 26 2 30 16 14 35 22 0 0 154
9 Bangka Belitung Islands 1 1 3 1 1 0 3 3 2 0 0 15
10 Riau Islands 4 3 10 7 7 7 3 10 15 0 0 66
11 DKI Jakarta 0 0 0 0 0 0 0 0 0 0 0 0
12 West Java 3 12 0 0 4 0 8 9 10 0 0 46
13 Central Java 4 5 5 1 16 0 0 9 15 0 0 55
14 East Java 5 1 2 3 4 0 2 1 1 0 0 19
15 Banten 0 0 4 0 0 0 0 0 0 0 0 4
16 West Nusa Tenggara 4 4 5 2 1 6 5 0 6 0 0 33
17 East Nusa Tenggara 45 22 7 47 12 8 7 20 7 0 0 175
18 West Kalimantan 6 6 30 41 19 15 12 29 8 0 0 166
19 Central Kalimantan 8 1 1 4 9 12 11 22 12 0 0 80
20 South Kalimantan 12 4 7 9 7 12 1 2 3 0 0 57
21 East Kalimantan 0 0 4 4 0 0 0 4 2 0 0 14
22 North Kalimantan 0 1 1 1 0 1 1 3 4 0 0 12
23 North Sulawesi 3 7 24 26 19 20 7 22 40 0 0 168
24 Central Sulawesi 22 20 10 12 7 2 9 28 28 0 0 138
25 South Sulawesi 22 15 22 22 9 9 11 37 16 0 0 163
26 Southeast Sulawesi 40 29 56 59 31 13 42 24 71 0 0 365
27 Gorontalo 7 9 14 4 4 0 7 0 19 0 0 64
28 West Sulawesi 5 4 4 5 0 4 4 1 10 0 0 37
29 Maluku 17 2 21 43 39 7 16 21 47 0 0 213
30 North Maluku 3 4 2 0 1 1 10 1 1 0 0 23
31 West Papua 3 0 5 6 5 10 2 5 7 0 0 43

Indonesia 363 263 433 407 382 219 356 568 558 0 0 3.549
32 Papua 0 0 2 0 5 0 4 3 1 0 0 15

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 11.m
NUMBER OF INTERNSHIP PHYSICIANS
BY MONTH OF DEPARTURE AND PROVINCE IN 2021

Departure
No Province Total
BATCH I BATCH II SPECIAL BATCH I SPECIAL BATCH II BATCH III BATCH IV
(FEBRUARY) (MAY) (JULY) (JULY) (AUGUST) (NOVEMBER)
(1) (2) (7)
1 Aceh 54 112 0 0 59 82 307
2 North Sumatera 179 166 0 0 90 170 605
3 West Sumatera 66 71 0 0 43 126 306
4 Riau 66 99 0 0 66 112 343
5 Jambi 48 44 0 0 59 59 210
6 South Sumatera 36 87 0 0 122 66 311
7 Bengkulu 44 20 0 0 26 44 134
8 Lampung 73 67 0 0 47 80 267
9 Bangka Belitung Islands 48 15 0 0 32 40 135
10 Riau Islands 67 43 0 0 64 37 211
11 DKI Jakarta 298 180 121 115 39 83 836
12 West Jawa 276 318 0 119 91 452 1.256
13 Central Jawa 252 322 0 0 176 360 1.110
14 DI Yogyakarta 68 54 0 0 67 85 274
15 East Jawa 366 260 0 0 105 477 1.208
16 Banten 82 100 0 48 5 135 370
17 Bali 150 120 0 0 132 182 584
18 West Nusa Tenggara 67 18 0 0 34 55 174
19 East Nusa Tenggara 87 39 0 0 41 82 249
20 West Kalimantan 48 32 0 0 40 39 159
21 Central Kalimantan 12 16 0 0 21 49 98
22 South Kalimantan 92 35 0 0 18 18 163
23 East Kalimantan 74 60 0 0 35 76 245
24 North Kalimantan 0 11 0 0 3 5 0
25 North Sulawesi 67 30 0 0 20 38 155
26 Central Sulawesi 51 29 0 0 15 29 124
27 South Sulawesi 117 38 0 0 67 94 316
28 Southeast Sulawesi 40 22 0 0 48 50 160
29 Gorontalo 6 15 0 10 43 74
30 West Sulawesi 5 1 0 7 15 28
31 Maluku 9 28 0 8 20 65
32 North Maluku 18 8 0 12 24 62
33 West Papua 35 31 0 1 58 125

Indonesia 2.937 2.512 121 282 1.607 3.307 10.747


34 Papua 36 21 0 4 22 83

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 11.n
NUMBER OF HEALTH PERSONNEL ASSIGNED TO MEDICAL SPECIALIST DOCTOR UTILIZATION (PGDS)
BY PROVINCE IN 2021

Obstetrician-
Pediatrician Internist Surgeon Anesthesiologist Clinical Pathologist Specialist Radiology
Gynecologists
No Province Total
PBTL- PBTL- PBTL- PBTL- PBTL- PBTL- PBTL-
PBL/ ASN PBL/ ASN PBL/ ASN PBL/ ASN PBL/ ASN PBL/ ASN PBL/ ASN
nonASN nonASN nonASN nonASN nonASN nonASN nonASN
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1 Aceh 5 4 1 13 1 1 2 2 29
2 North Sumatera 2 2 4 5 2 1 2 18
3 West Sumatera 2 4 3 2 2 2 2 2 19
4 Riau 1 3 1 1 1 2 2 3 1 15
5 Jambi 2 2 1 1 1 2 9
6 South Sumatera 4 1 3 2 1 2 1 2 16
7 Bengkulu 2 3 2 1 2 10
8 Lampung 2 1 1 2 3 2 1 1 1 1 1 16
9 Bangka Belitung Islands 2 2 3 1 1 1 10
10 Riau Islands 1 5 1 3 1 1 1 1 1 15
11 DKI Jakarta 3 1 1 5
12 West Jawa 2 1 6 1 1 3 1 4 2 21
13 Central Jawa 1 1 3 4 3 1 3 3 3 4 26
14 DI Yogyakarta 3 1 1 1 1 7
15 East Java 4 3 3 3 9 1 2 3 2 1 1 3 35
16 Banten 2 1 2 5
17 Bali 2 1 2 1 2 1 1 1 1 12
18 West Nusa Tenggara 3 1 2 5 3 4 1 4 2 1 1 2 29
19 East Nusa Tenggara 5 2 2 5 2 6 3 1 3 1 3 1 34
20 West Kalimantan 2 3 2 2 1 1 2 1 1 15
21 Central Kalimantan 2 2 1 5 1 2 1 2 1 17
22 South Kalimantan 2 2 1 1 1 2 1 1 11
23 East Kalimantan 1 1 3 1 1 1 3 2 13
24 North Kalimantan 1 1 1 1 1 1 6
25 North Sulawesi 1 2 2 2 1 2 1 1 2 14
26 Central Sulawesi 2 3 2 4 2 4 2 1 2 22
27 South Sulawesi 5 1 4 1 6 5 1 2 3 3 31
28 Southeast Sulawesi 1 3 3 3 1 2 1 1 1 16
29 Gorontalo 1 1 1 1 1 5
30 West Sulawesi 0
31 Maluku 2 4 4 3 1 2 4 1 1 22
32 North Maluku 3 2 1 1 1 1 1 1 1 12
33 West Papua 2 1 2 2 1 1 9
34 Papua 6 1 4 1 1 3 1 2 2 21

Indonesia 70 38 62 61 89 44 47 40 26 18 37 3 45 2 582
35 TNI/POLRI 4 9 8 6 3 7 37

Source: Directorate General of Health Personnel, Ministry of Health RI, 2022


Appendix 12.a
NUMBER OF NURSING AND MIDWIFE PERSONNEL IN HEALTH FACILITIES
IN INDONESIA YEAR 2021

Puskesmas Hospital Other Health Service Facilities Total


No Province
Nurses Nurses Midwive Nurses Midwive Nurses
Midwives Midwives
M F M+F M F M+F s M F M+F s M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)
1 Aceh 2.167 5.593 7.760 14.194 2.969 5.932 8.901 3.953 178 153 331 229 5.314 11.678 16.992 18.376
2 North Sumatera 2.003 5.320 7.323 16.256 3.729 10.656 14.385 5.232 321 534 855 827 6.053 16.510 22.563 22.315
3 West Sumatera 533 2.455 2.988 5.786 1.354 6.153 7.507 1.598 98 284 382 270 1.985 8.892 10.877 7.654
4 Riau 994 2.790 3.784 5.500 1.724 4.990 6.714 2.037 201 375 576 920 2.919 8.155 11.074 8.457
5 Jambi 1.056 2.487 3.543 5.190 1.138 3.032 4.170 1.258 164 251 415 332 2.358 5.770 8.128 6.780
6 South Sumatera 1.571 4.648 6.219 10.477 1.957 6.579 8.536 2.612 238 393 631 541 3.766 11.620 15.386 13.630
7 Bengkulu 584 1.523 2.107 3.030 818 1.745 2.563 945 91 140 231 142 1.493 3.408 4.901 4.117
8 Lampung 1.698 2.622 4.320 7.638 2.372 4.247 6.619 1.851 289 354 643 598 4.359 7.223 11.582 10.087
9 Bangka Belitung Islands 349 761 1.110 1.004 685 1.549 2.234 478 129 232 361 198 1.163 2.542 3.705 1.680
10 Riau Islands 297 885 1.182 1.370 815 2.362 3.177 790 149 315 464 301 1.261 3.562 4.823 2.461
11 DKI Jakarta 521 1.491 2.012 1.926 6.607 25.489 32.096 3.737 1.026 2.127 3.153 1.620 8.154 29.107 37.261 7.283
12 West Java 4.707 6.265 10.972 16.346 14.548 33.085 47.633 8.700 1.481 2.672 4.153 4.750 20.736 42.022 62.758 29.796
13 Central Java 3.596 6.127 9.723 16.422 13.031 30.238 43.269 7.598 1.488 4.053 5.541 4.093 18.115 40.418 58.533 28.113
14 DI Yogyakarta 277 684 961 984 1.906 6.470 8.376 1.185 222 758 980 718 2.405 7.912 10.317 2.887
15 East Java 6.903 9.537 16.440 17.980 14.768 28.906 43.674 8.514 2.233 3.948 6.181 3.956 23.904 42.391 66.295 30.450
16 Banten 1.122 1.455 2.577 4.125 2.970 9.307 12.277 2.525 441 777 1.218 1.648 4.533 11.539 16.072 8.298
17 Bali 570 1.198 1.768 2.537 2.556 6.366 8.922 2.231 345 818 1.163 756 3.471 8.382 11.853 5.524
18 West Nusa Tenggara 1.981 3.021 5.002 4.679 1.793 3.006 4.799 1.379 278 374 652 190 4.052 6.401 10.453 6.248
19 East Nusa Tenggara 2.349 5.292 7.641 8.223 1.323 3.964 5.287 1.800 148 236 384 130 3.820 9.492 13.312 10.153
20 West Kalimantan 2.025 2.342 4.367 4.106 1.848 3.720 5.568 1.209 316 319 635 704 4.189 6.381 10.570 6.019
21 Central Kalimantan 1.615 2.182 3.797 3.133 1.115 2.140 3.255 872 244 198 442 289 2.974 4.520 7.494 4.294
22 South Kalimantan 1.104 1.562 2.666 3.511 2.361 3.409 5.770 1.385 409 279 688 261 3.874 5.250 9.124 5.157
23 East Kalimantan 837 1.647 2.484 2.421 2.044 5.039 7.083 1.514 504 600 1.104 746 3.385 7.286 10.671 4.681
24 North Kalimantan 317 608 925 717 440 908 1.348 361 64 90 154 89 821 1.606 2.427 1.167
25 North Sulawesi 399 2.114 2.513 1.541 1.352 4.490 5.842 801 115 231 346 46 1.866 6.835 8.701 2.388
26 Central Sulawesi 1.062 2.394 3.456 4.289 1.237 3.267 4.504 1.463 183 202 385 68 2.482 5.863 8.345 5.820
27 South Sulawesi 1.384 5.885 7.269 9.277 2.804 10.829 13.633 3.518 280 603 883 349 4.468 17.317 21.785 13.144
28 Southeast Sulawesi 982 3.053 4.035 4.633 884 2.207 3.091 1.015 109 163 272 114 1.975 5.423 7.398 5.762
29 Gorontalo 292 745 1.037 1.197 532 1.295 1.827 562 48 65 113 61 872 2.105 2.977 1.820
30 West Sulawesi 495 1.461 1.956 2.763 352 975 1.327 602 24 43 67 50 871 2.479 3.350 3.415
31 Maluku 733 1.950 2.683 1.530 590 2.070 2.660 621 117 278 395 85 1.440 4.298 5.738 2.236
32 North Maluku 468 964 1.432 2.010 423 1.177 1.600 611 121 109 230 61 1.012 2.250 3.262 2.682
33 West Papua 780 1.485 2.265 1.529 489 1.171 1.660 493 97 57 154 45 1.366 2.713 4.079 2.067

Indonesia 47.399 95.260 142.659 188.963 94.622 239.469 334.091 74.447 12.281 22.160 34.441 25.276 154.302 356.889 511.191 288.686
34 Papua 1.628 2.714 4.342 2.639 1.088 2.696 3.784 997 130 129 259 89 2.846 5.539 8.385 3.725

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2022
Appendix 12.b
NUMBER OF NEW CERTIFICATES OF REGISTRATION ISSUED FOR HEALTH WORKERS
BY PROVINCE IN 2021

Traditional
Public Health Workers Physical Therapist Medical Technician Health
Biomedical Technician
Workers

No Province
Total

Midwifery
Personnels

Nursing Personnel
Nutritional Workers

Health
Environmental Health

Health
Dental

Health
Speech
Medical
Medical
Physicist
Orthotics

Therapist
Therapist
Therapist

Technician
Prosthetic

Promotion
Technician
Optometry
Technician

Community
Anesthetist
Laboratory
Traditional

Epidemiologist
Audiologist

acupuncture
Technologist

Occupational
Occupational
Refractionist
Clinical Psychology Personnel

Physiotherapy
Cardiovascular
Blood Service
Radiographer
Electromedist

Health Advisor
Dental and Oral

Medical records
Complementary

(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)
1 Aceh 1.954 1.500 0 14 17 0 57 83 15 0 0 0 36 0 3 25 0 0 151 0 37 28 67 0 2 1 2 3.992
2 North Sumatera 2.328 2.764 0 93 11 5 67 190 47 1 0 0 121 0 0 54 0 1 132 0 108 45 303 1 2 7 21 6.301
3 West Sumatera 1.166 744 2 5 8 1 160 186 59 1 16 0 114 0 4 34 0 5 61 0 33 12 73 4 1 0 5 2.694
4 Riau 772 675 0 8 7 4 43 43 40 1 0 0 32 0 0 12 1 3 54 0 13 1 50 0 0 0 6 1.765
5 Jambi 803 809 1 6 9 0 12 131 65 3 1 0 78 1 5 19 2 3 22 0 36 6 167 0 0 1 18 2.198
6 South Sumatera 336 244 0 4 5 2 54 15 5 5 0 2 10 0 1 0 0 1 8 2 13 6 55 0 0 1 6 775
7 Bengkulu 203 100 0 7 1 0 2 28 11 0 3 1 8 1 2 3 0 1 4 0 7 3 21 1 0 1 4 412
8 Lampung 1.700 1.569 3 16 7 0 84 169 52 2 2 0 96 0 5 21 4 13 64 0 33 7 310 0 4 0 2 4.163
9 Bangka Belitung Islands 657 655 0 82 2 3 40 114 3 0 3 1 55 0 0 7 0 6 3 0 19 7 163 0 1 0 2 1.823
10 Riau Islands 1.222 829 0 11 6 2 121 105 38 3 2 0 41 0 2 60 37 7 58 2 52 15 115 1 4 0 4 2.737
11 DKI Jakarta 1.491 871 1 8 13 2 43 134 37 14 5 5 39 12 7 36 3 4 18 0 50 20 337 4 5 0 41 3.200
12 West Java 3.090 562 0 6 39 15 123 262 96 20 21 22 94 8 17 62 48 0 51 8 170 145 505 3 6 9 123 5.505
13 Central Java 6.979 2.703 0 132 81 18 239 591 204 39 44 14 482 3 16 143 10 40 184 0 211 69 1.091 6 10 6 120 13.435
14 DI Yogyakarta 7.205 1.701 1 55 102 23 253 461 351 75 59 51 1.191 0 78 63 1 18 167 1 396 142 854 9 67 2 42 13.368
15 East Java 1.181 423 0 3 10 3 85 141 60 6 2 3 210 0 17 6 1 39 74 0 38 35 235 0 0 0 48 2.620
16 Banten 10.153 3.917 1 26 39 5 302 791 275 20 11 44 654 0 22 74 21 5 124 1 173 98 1.523 12 11 25 67 18.394
17 Bali 1.411 312 0 2 4 0 41 179 61 0 1 1 10 0 2 3 0 0 63 0 46 16 245 0 1 1 18 2.417
18 West Nusa Tenggara 1.317 571 0 23 10 0 25 116 50 1 4 1 162 2 19 10 0 3 57 0 37 8 391 2 1 1 14 2.825
19 East Nusa Tenggara 1.792 1.197 5 40 17 0 82 130 16 0 0 0 44 0 13 1 3 0 75 0 14 10 140 0 0 0 3 3.582
20 West Kalimantan 823 643 0 8 17 4 43 133 21 1 0 0 76 0 4 3 0 2 105 0 29 6 121 0 1 0 3 2.043
21 Central Kalimantan 703 331 1 36 6 3 107 159 44 3 3 0 50 0 0 23 0 0 61 0 32 16 240 2 0 0 4 1.824
22 South Kalimantan 756 470 0 22 22 1 37 58 34 4 2 1 37 4 0 32 0 1 7 1 19 9 210 1 1 1 11 1.741
23 East Kalimantan 765 473 0 7 4 0 13 83 17 5 1 0 14 0 4 4 0 0 9 0 24 5 104 0 0 0 7 1.539
24 North Kalimantan 1.315 509 0 13 177 0 40 50 9 2 1 0 12 0 0 4 0 0 33 0 25 0 62 1 0 0 2 2.255
25 North Sulawesi 529 302 0 7 16 4 5 56 1 0 0 0 38 0 1 0 0 4 5 0 14 0 61 0 0 0 0 1.043
26 Central Sulawesi 878 995 0 10 31 0 35 50 13 0 0 0 3 0 9 6 0 1 19 0 29 1 57 1 0 0 4 2.142
27 South Sulawesi 240 387 0 0 3 0 22 32 3 0 0 0 5 0 1 0 1 1 3 0 8 0 16 0 0 0 1 723
28 Southeast Sulawesi 3.177 2.690 0 16 50 2 144 113 133 0 0 1 151 24 0 10 12 1 186 0 124 31 291 0 0 0 10 7.166
29 Gorontalo 975 759 0 58 83 0 86 27 14 0 0 0 48 0 2 4 1 3 68 0 24 27 151 0 0 0 4 2.334
30 West Sulawesi 507 519 0 2 8 0 16 24 8 0 0 0 6 4 4 1 0 1 16 0 13 2 63 1 0 0 1 1.196
31 Maluku 906 474 0 7 9 1 10 41 6 0 2 0 9 2 0 3 1 1 19 0 16 0 87 0 0 0 2 1.596
32 North Maluku 321 215 0 1 6 1 8 19 4 0 0 0 3 0 4 4 0 0 2 0 6 4 31 0 0 1 3 633
33 West Papua 694 398 0 1 7 0 24 29 7 0 0 0 8 1 0 2 0 2 2 0 6 2 163 1 0 0 1 1.348

Indonesia 58.552 31.410 15 732 829 99 2.429 4.755 1.807 206 183 147 3.940 62 244 730 146 166 1.906 15 1.860 776 8.320 51 117 57 604 120.158
34 Papua 203 99 0 3 2 0 6 12 8 0 0 0 3 0 2 1 0 0 1 0 5 0 18 1 0 0 5 369

Source: Konsil Indonesian Health Personnels Council, 2022


Notes: - new registrations are health workers who have just been registered in 2021
traditional health personnels are a combination of traditional health practitioners, traditional healers, and intercontinental traditional health personnels
Appendix 12.c
NUMBER OF ISSUANCE OF HEALTH PERSONNEL RE-REGISTRATION LETTERS
BY PROVINCE IN 2021

Traditional
Public Health Personnel Physical Therapist Medical Technician Health
Biomedical Technician
Workers

No Province
Total

Midwifery
Personnels
Nutritionist

Nursing Personnel
Clinical Psychologists

Environmental Health
Dental

Health

Health
Health
Speech
Medical
Medical
Physicist
Orthotics

Therapist
Therapist
Therapist
Prosthetic

Technician
Technician
Optometry
Technician

Promotion
Anesthetist
Laboratory

Community
Traditional

Audiologist

acupuncture
Technologist

Refractionist

Occupational
Occupational
Blood Service
Radiographer
Electromedist

Physiotherapy

Health Advisor
Cardiovascular

Epidemiologist
Dental and Oral

Medical records
Complementary

(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)
1 Aceh 2.245 2.808 0 93 25 0 143 103 39 0 0 0 47 0 1 20 0 12 110 0 38 71 293 1 0 0 3 6.052
2 North Sumatera 4.310 6.754 0 184 10 7 77 114 102 2 2 0 60 0 0 42 0 36 165 0 80 49 424 10 0 0 3 12.431
3 West Sumatera 2.184 2.188 0 37 9 3 62 115 47 3 0 0 260 0 0 29 7 28 51 0 49 20 257 1 0 0 7 5.357
4 Riau 1.470 1.813 0 33 2 3 48 52 34 1 0 0 23 0 0 12 3 7 96 0 31 7 186 1 0 0 0 3.822
5 Jambi 1.563 1.554 0 27 10 0 19 108 59 2 4 1 73 0 1 26 2 58 40 0 30 10 121 1 1 0 13 3.723
6 South Sumatera 595 767 0 9 4 3 29 14 12 2 0 0 24 0 0 3 1 3 17 0 13 4 72 0 0 0 2 1.574
7 Bengkulu 500 300 0 7 0 1 12 42 17 0 2 1 19 0 1 8 0 17 44 0 16 2 83 0 0 0 1 1.073
8 Lampung 2.470 3.625 0 92 6 0 134 104 65 5 1 0 40 1 1 17 2 17 97 0 57 13 257 2 1 0 6 7.013
Bangka Belitung
9 858 681 0 30 1 5 16 39 8 0 0 0 2 0 0 7 0 13 10 0 8 6 107 0 0 0 0 1.791
Islands
10 Riau Islands 1.843 2.346 0 35 1 0 46 77 16 5 2 2 19 0 0 12 0 6 75 0 58 2 196 2 0 0 3 4.746
11 DKI Jakarta 2.267 2.937 0 4 3 0 47 54 98 9 8 0 99 2 11 25 0 23 58 0 53 12 203 8 1 0 4 5.926
12 West Jawa 5.354 1.458 0 7 21 11 129 240 256 24 15 0 247 3 28 57 12 22 145 0 194 143 694 15 6 0 36 9.117
13 Central Jawa 10.669 7.344 0 127 33 14 150 268 256 51 23 3 421 1 14 92 5 101 244 0 257 96 956 9 0 0 16 21.150
14 DI Yogyakarta 7.756 4.140 0 407 81 2 174 344 337 83 31 20 625 0 14 25 3 86 252 0 277 85 720 18 9 0 20 15.509
15 East Jawa 1.831 463 0 28 8 2 36 81 58 22 12 2 179 0 9 15 2 13 57 0 36 29 81 0 3 6 29 3.002
16 Banten 5.987 3.467 0 91 15 1 61 146 135 32 17 27 467 0 12 37 7 35 130 0 85 280 262 9 15 0 26 11.344
17 Bali 2.529 972 0 8 1 0 61 104 14 7 3 7 15 0 2 2 4 8 42 0 93 17 307 0 0 0 2 4.198
18 West Nusa Tenggara 1.429 1.657 0 59 4 0 39 95 25 1 2 1 74 0 1 5 1 11 85 0 37 22 180 1 0 0 1 3.730
19 East Nusa Tenggara 1.299 1.632 0 69 15 0 29 152 12 0 0 0 50 0 5 9 1 0 94 0 23 8 240 0 0 0 0 3.638
20 West Kalimantan 1.369 1.340 0 27 8 4 32 113 29 3 1 0 42 0 2 4 0 8 101 0 19 7 173 0 0 0 6 3.288
21 Central Kalimantan 1.792 1.775 0 121 6 2 41 110 19 3 0 0 51 0 0 10 3 9 72 0 39 14 190 3 0 0 4 4.264
22 South Kalimantan 1.411 869 0 46 4 0 21 34 34 7 0 2 17 0 0 3 2 34 26 0 21 5 213 0 0 0 2 2.751
23 East Kalimantan 1.324 970 0 17 2 1 11 73 11 5 1 0 12 0 0 5 1 13 40 0 31 5 190 0 0 0 3 2.715
24 North Kalimantan 1.281 681 0 24 13 0 11 106 17 0 0 0 5 0 4 3 0 20 26 0 10 9 81 0 1 0 1 2.293
25 North Sulawesi 468 171 0 14 22 0 7 74 3 0 0 0 0 0 0 1 0 2 3 0 2 0 32 0 0 0 0 799
26 Central Sulawesi 1.490 1.247 0 11 40 0 41 75 17 1 0 0 6 0 3 1 0 7 37 0 5 14 86 0 0 0 1 3.082
27 South Sulawesi 409 774 0 1 7 0 18 13 5 0 1 0 1 0 0 0 1 1 10 0 3 8 34 0 0 0 0 1.286
28 Southeast Sulawesi 4.072 3.192 0 52 66 2 152 121 90 1 0 0 86 1 0 6 6 54 196 0 63 20 427 6 0 0 3 8.616
29 Gorontalo 1.486 1.084 0 155 208 7 79 160 14 0 0 0 11 0 0 1 0 5 75 0 23 0 130 0 0 0 3 3.441
30 West Sulawesi 414 602 0 13 23 0 20 76 8 0 0 0 1 0 2 2 0 9 15 0 17 6 101 0 0 0 0 1.309
31 Maluku 485 434 0 8 12 0 33 86 9 0 0 0 4 0 1 1 0 0 22 0 4 0 83 0 0 0 0 1.182
32 North Maluku 244 196 0 2 5 0 5 105 5 0 0 0 1 0 2 0 0 1 13 0 4 0 34 0 0 0 0 617
33 West Papua 584 614 0 1 8 0 6 41 9 0 0 0 10 0 0 2 0 3 11 0 12 1 138 0 0 0 0 1.440

Indonesia 74.323 61.183 0 1.840 674 68 1.793 3.448 1.867 269 125 66 2.998 8 114 482 63 666 2.486 0 1.695 974 7.576 87 37 6 195 163.043
34 Papua 335 328 0 1 1 0 4 9 7 0 0 0 7 0 0 0 0 4 27 0 7 9 25 0 0 0 0 764

Source: Konsil Indonesian Health Personnels Council, 2022


Remarks: - re-registration consists of renewal, level up, transfer of profession, and recognition of past learning.
- traditional health personnels are a combination of traditional health practitioners, traditional healers, and intercontinental traditional health personnels.
Appendix 12.d
NUMBER OF MIDWIVES AS ACTIVE NON‐PERMANENT EMPLOYEES (PTT)
BY REGION AND PROVINCE CRITERIA AS OF 31 DECEMBER 2021

Number of Midwives as Active Non‐Permanent Employees (PTT)


No Province
Urban/Rural Remote Very Remote Total
(1) (2) (3) (4) (5) (6)
1 Aceh 1 2 0 3
2 North Sumatera 4 3 0 7
3 West Sumatera 0 0 1 1
4 Riau 0 0 0 0
5 Jambi 0 0 0 0
6 South Sumatera 0 0 0 0
7 Bengkulu 0 1 0 1
8 Lampung 2 1 1 4
9 Bangka Belitung Islands 0 0 0 0
10 Riau Islands 0 1 0 1
11 DKI Jakarta 0 0 0 0
12 West Java 5 0 0 5
13 Central Java 2 0 0 2
14 DI Yogyakarta 0 0 0 0
15 East Java 5 0 0 5
16 Banten 0 0 0 0
17 Bali 0 0 0 0
18 West Nusa Tenggara 0 0 0 0
19 East Nusa Tenggara 0 1 0 1
20 West Kalimantan 0 0 0 0
21 Central Kalimantan 0 0 0 0
22 South Kalimantan 0 0 0 0
23 East Kalimantan 0 0 0 0
24 North Kalimantan 0 0 0 0
25 North Sulawesi 1 2 1 4
26 Central Sulawesi 0 0 0 0
27 South Sulawesi 0 0 0 0
28 Southeast Sulawesi 0 1 0 1
29 Gorontalo 0 0 0 0
30 West Sulawesi 0 0 0 0
31 Maluku 0 0 0 0
32 North Maluku 0 0 0 0
33 West Papua 0 0 6 6

Indonesia 20 12 9 41
34 Papua 0 0 0 0

Source: Bureau of Personnel, Ministry of Health RI, 2022


Appendix 12.a
NUMBER OF NURSING AND MIDWIFE PERSONNEL IN HEALTH FACILITIES
IN INDONESIA YEAR 2021

Puskesmas Hospital Other Health Service Facilities Total


No Province
Nurses Nurses Midwive Nurses Midwive Nurses
Midwives Midwives
M F M+F M F M+F s M F M+F s M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)
1 Aceh 2.167 5.593 7.760 14.194 2.969 5.932 8.901 3.953 178 153 331 229 5.314 11.678 16.992 18.376
2 North Sumatera 2.003 5.320 7.323 16.256 3.729 10.656 14.385 5.232 321 534 855 827 6.053 16.510 22.563 22.315
3 West Sumatera 533 2.455 2.988 5.786 1.354 6.153 7.507 1.598 98 284 382 270 1.985 8.892 10.877 7.654
4 Riau 994 2.790 3.784 5.500 1.724 4.990 6.714 2.037 201 375 576 920 2.919 8.155 11.074 8.457
5 Jambi 1.056 2.487 3.543 5.190 1.138 3.032 4.170 1.258 164 251 415 332 2.358 5.770 8.128 6.780
6 South Sumatera 1.571 4.648 6.219 10.477 1.957 6.579 8.536 2.612 238 393 631 541 3.766 11.620 15.386 13.630
7 Bengkulu 584 1.523 2.107 3.030 818 1.745 2.563 945 91 140 231 142 1.493 3.408 4.901 4.117
8 Lampung 1.698 2.622 4.320 7.638 2.372 4.247 6.619 1.851 289 354 643 598 4.359 7.223 11.582 10.087
9 Bangka Belitung Islands 349 761 1.110 1.004 685 1.549 2.234 478 129 232 361 198 1.163 2.542 3.705 1.680
10 Riau Islands 297 885 1.182 1.370 815 2.362 3.177 790 149 315 464 301 1.261 3.562 4.823 2.461
11 DKI Jakarta 521 1.491 2.012 1.926 6.607 25.489 32.096 3.737 1.026 2.127 3.153 1.620 8.154 29.107 37.261 7.283
12 West Java 4.707 6.265 10.972 16.346 14.548 33.085 47.633 8.700 1.481 2.672 4.153 4.750 20.736 42.022 62.758 29.796
13 Central Java 3.596 6.127 9.723 16.422 13.031 30.238 43.269 7.598 1.488 4.053 5.541 4.093 18.115 40.418 58.533 28.113
14 DI Yogyakarta 277 684 961 984 1.906 6.470 8.376 1.185 222 758 980 718 2.405 7.912 10.317 2.887
15 East Java 6.903 9.537 16.440 17.980 14.768 28.906 43.674 8.514 2.233 3.948 6.181 3.956 23.904 42.391 66.295 30.450
16 Banten 1.122 1.455 2.577 4.125 2.970 9.307 12.277 2.525 441 777 1.218 1.648 4.533 11.539 16.072 8.298
17 Bali 570 1.198 1.768 2.537 2.556 6.366 8.922 2.231 345 818 1.163 756 3.471 8.382 11.853 5.524
18 West Nusa Tenggara 1.981 3.021 5.002 4.679 1.793 3.006 4.799 1.379 278 374 652 190 4.052 6.401 10.453 6.248
19 East Nusa Tenggara 2.349 5.292 7.641 8.223 1.323 3.964 5.287 1.800 148 236 384 130 3.820 9.492 13.312 10.153
20 West Kalimantan 2.025 2.342 4.367 4.106 1.848 3.720 5.568 1.209 316 319 635 704 4.189 6.381 10.570 6.019
21 Central Kalimantan 1.615 2.182 3.797 3.133 1.115 2.140 3.255 872 244 198 442 289 2.974 4.520 7.494 4.294
22 South Kalimantan 1.104 1.562 2.666 3.511 2.361 3.409 5.770 1.385 409 279 688 261 3.874 5.250 9.124 5.157
23 East Kalimantan 837 1.647 2.484 2.421 2.044 5.039 7.083 1.514 504 600 1.104 746 3.385 7.286 10.671 4.681
24 North Kalimantan 317 608 925 717 440 908 1.348 361 64 90 154 89 821 1.606 2.427 1.167
25 North Sulawesi 399 2.114 2.513 1.541 1.352 4.490 5.842 801 115 231 346 46 1.866 6.835 8.701 2.388
26 Central Sulawesi 1.062 2.394 3.456 4.289 1.237 3.267 4.504 1.463 183 202 385 68 2.482 5.863 8.345 5.820
27 South Sulawesi 1.384 5.885 7.269 9.277 2.804 10.829 13.633 3.518 280 603 883 349 4.468 17.317 21.785 13.144
28 Southeast Sulawesi 982 3.053 4.035 4.633 884 2.207 3.091 1.015 109 163 272 114 1.975 5.423 7.398 5.762
29 Gorontalo 292 745 1.037 1.197 532 1.295 1.827 562 48 65 113 61 872 2.105 2.977 1.820
30 West Sulawesi 495 1.461 1.956 2.763 352 975 1.327 602 24 43 67 50 871 2.479 3.350 3.415
31 Maluku 733 1.950 2.683 1.530 590 2.070 2.660 621 117 278 395 85 1.440 4.298 5.738 2.236
32 North Maluku 468 964 1.432 2.010 423 1.177 1.600 611 121 109 230 61 1.012 2.250 3.262 2.682
33 West Papua 780 1.485 2.265 1.529 489 1.171 1.660 493 97 57 154 45 1.366 2.713 4.079 2.067

Indonesia 47.399 95.260 142.659 188.963 94.622 239.469 334.091 74.447 12.281 22.160 34.441 25.276 154.302 356.889 511.191 288.686
34 Papua 1.628 2.714 4.342 2.639 1.088 2.696 3.784 997 130 129 259 89 2.846 5.539 8.385 3.725

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2022
Appendix 12.b
NUMBER OF NEW CERTIFICATES OF REGISTRATION ISSUED FOR HEALTH WORKERS
BY PROVINCE IN 2021

Traditional
Public Health Workers Physical Therapist Medical Technician Health
Biomedical Technician
Workers

No Province
Total

Midwifery
Personnels

Nursing Personnel
Nutritional Workers

Health
Environmental Health

Health
Dental

Health
Speech
Medical
Medical
Physicist
Orthotics

Therapist
Therapist
Therapist

Technician
Prosthetic

Promotion
Technician
Optometry
Technician

Community
Anesthetist
Laboratory
Traditional

Epidemiologist
Audiologist

acupuncture
Technologist

Occupational
Occupational
Refractionist
Clinical Psychology Personnel

Physiotherapy
Cardiovascular
Blood Service
Radiographer
Electromedist

Health Advisor
Dental and Oral

Medical records
Complementary

(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)
1 Aceh 1.954 1.500 0 14 17 0 57 83 15 0 0 0 36 0 3 25 0 0 151 0 37 28 67 0 2 1 2 3.992
2 North Sumatera 2.328 2.764 0 93 11 5 67 190 47 1 0 0 121 0 0 54 0 1 132 0 108 45 303 1 2 7 21 6.301
3 West Sumatera 1.166 744 2 5 8 1 160 186 59 1 16 0 114 0 4 34 0 5 61 0 33 12 73 4 1 0 5 2.694
4 Riau 772 675 0 8 7 4 43 43 40 1 0 0 32 0 0 12 1 3 54 0 13 1 50 0 0 0 6 1.765
5 Jambi 803 809 1 6 9 0 12 131 65 3 1 0 78 1 5 19 2 3 22 0 36 6 167 0 0 1 18 2.198
6 South Sumatera 336 244 0 4 5 2 54 15 5 5 0 2 10 0 1 0 0 1 8 2 13 6 55 0 0 1 6 775
7 Bengkulu 203 100 0 7 1 0 2 28 11 0 3 1 8 1 2 3 0 1 4 0 7 3 21 1 0 1 4 412
8 Lampung 1.700 1.569 3 16 7 0 84 169 52 2 2 0 96 0 5 21 4 13 64 0 33 7 310 0 4 0 2 4.163
9 Bangka Belitung Islands 657 655 0 82 2 3 40 114 3 0 3 1 55 0 0 7 0 6 3 0 19 7 163 0 1 0 2 1.823
10 Riau Islands 1.222 829 0 11 6 2 121 105 38 3 2 0 41 0 2 60 37 7 58 2 52 15 115 1 4 0 4 2.737
11 DKI Jakarta 1.491 871 1 8 13 2 43 134 37 14 5 5 39 12 7 36 3 4 18 0 50 20 337 4 5 0 41 3.200
12 West Java 3.090 562 0 6 39 15 123 262 96 20 21 22 94 8 17 62 48 0 51 8 170 145 505 3 6 9 123 5.505
13 Central Java 6.979 2.703 0 132 81 18 239 591 204 39 44 14 482 3 16 143 10 40 184 0 211 69 1.091 6 10 6 120 13.435
14 DI Yogyakarta 7.205 1.701 1 55 102 23 253 461 351 75 59 51 1.191 0 78 63 1 18 167 1 396 142 854 9 67 2 42 13.368
15 East Java 1.181 423 0 3 10 3 85 141 60 6 2 3 210 0 17 6 1 39 74 0 38 35 235 0 0 0 48 2.620
16 Banten 10.153 3.917 1 26 39 5 302 791 275 20 11 44 654 0 22 74 21 5 124 1 173 98 1.523 12 11 25 67 18.394
17 Bali 1.411 312 0 2 4 0 41 179 61 0 1 1 10 0 2 3 0 0 63 0 46 16 245 0 1 1 18 2.417
18 West Nusa Tenggara 1.317 571 0 23 10 0 25 116 50 1 4 1 162 2 19 10 0 3 57 0 37 8 391 2 1 1 14 2.825
19 East Nusa Tenggara 1.792 1.197 5 40 17 0 82 130 16 0 0 0 44 0 13 1 3 0 75 0 14 10 140 0 0 0 3 3.582
20 West Kalimantan 823 643 0 8 17 4 43 133 21 1 0 0 76 0 4 3 0 2 105 0 29 6 121 0 1 0 3 2.043
21 Central Kalimantan 703 331 1 36 6 3 107 159 44 3 3 0 50 0 0 23 0 0 61 0 32 16 240 2 0 0 4 1.824
22 South Kalimantan 756 470 0 22 22 1 37 58 34 4 2 1 37 4 0 32 0 1 7 1 19 9 210 1 1 1 11 1.741
23 East Kalimantan 765 473 0 7 4 0 13 83 17 5 1 0 14 0 4 4 0 0 9 0 24 5 104 0 0 0 7 1.539
24 North Kalimantan 1.315 509 0 13 177 0 40 50 9 2 1 0 12 0 0 4 0 0 33 0 25 0 62 1 0 0 2 2.255
25 North Sulawesi 529 302 0 7 16 4 5 56 1 0 0 0 38 0 1 0 0 4 5 0 14 0 61 0 0 0 0 1.043
26 Central Sulawesi 878 995 0 10 31 0 35 50 13 0 0 0 3 0 9 6 0 1 19 0 29 1 57 1 0 0 4 2.142
27 South Sulawesi 240 387 0 0 3 0 22 32 3 0 0 0 5 0 1 0 1 1 3 0 8 0 16 0 0 0 1 723
28 Southeast Sulawesi 3.177 2.690 0 16 50 2 144 113 133 0 0 1 151 24 0 10 12 1 186 0 124 31 291 0 0 0 10 7.166
29 Gorontalo 975 759 0 58 83 0 86 27 14 0 0 0 48 0 2 4 1 3 68 0 24 27 151 0 0 0 4 2.334
30 West Sulawesi 507 519 0 2 8 0 16 24 8 0 0 0 6 4 4 1 0 1 16 0 13 2 63 1 0 0 1 1.196
31 Maluku 906 474 0 7 9 1 10 41 6 0 2 0 9 2 0 3 1 1 19 0 16 0 87 0 0 0 2 1.596
32 North Maluku 321 215 0 1 6 1 8 19 4 0 0 0 3 0 4 4 0 0 2 0 6 4 31 0 0 1 3 633
33 West Papua 694 398 0 1 7 0 24 29 7 0 0 0 8 1 0 2 0 2 2 0 6 2 163 1 0 0 1 1.348

Indonesia 58.552 31.410 15 732 829 99 2.429 4.755 1.807 206 183 147 3.940 62 244 730 146 166 1.906 15 1.860 776 8.320 51 117 57 604 120.158
34 Papua 203 99 0 3 2 0 6 12 8 0 0 0 3 0 2 1 0 0 1 0 5 0 18 1 0 0 5 369

Source: Konsil Indonesian Health Personnels Council, 2022


Notes: - new registrations are health workers who have just been registered in 2021
traditional health personnels are a combination of traditional health practitioners, traditional healers, and intercontinental traditional health personnels
Appendix 12.c
NUMBER OF ISSUANCE OF HEALTH PERSONNEL RE-REGISTRATION LETTERS
BY PROVINCE IN 2021

Traditional
Public Health Personnel Physical Therapist Medical Technician Health
Biomedical Technician
Workers

No Province
Total

Midwifery
Personnels
Nutritionist

Nursing Personnel
Clinical Psychologists

Environmental Health
Dental

Health

Health
Health
Speech
Medical
Medical
Physicist
Orthotics

Therapist
Therapist
Therapist
Prosthetic

Technician
Technician
Optometry
Technician

Promotion
Anesthetist
Laboratory

Community
Traditional

Audiologist

acupuncture
Technologist

Refractionist

Occupational
Occupational
Blood Service
Radiographer
Electromedist

Physiotherapy

Health Advisor
Cardiovascular

Epidemiologist
Dental and Oral

Medical records
Complementary

(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)
1 Aceh 2.245 2.808 0 93 25 0 143 103 39 0 0 0 47 0 1 20 0 12 110 0 38 71 293 1 0 0 3 6.052
2 North Sumatera 4.310 6.754 0 184 10 7 77 114 102 2 2 0 60 0 0 42 0 36 165 0 80 49 424 10 0 0 3 12.431
3 West Sumatera 2.184 2.188 0 37 9 3 62 115 47 3 0 0 260 0 0 29 7 28 51 0 49 20 257 1 0 0 7 5.357
4 Riau 1.470 1.813 0 33 2 3 48 52 34 1 0 0 23 0 0 12 3 7 96 0 31 7 186 1 0 0 0 3.822
5 Jambi 1.563 1.554 0 27 10 0 19 108 59 2 4 1 73 0 1 26 2 58 40 0 30 10 121 1 1 0 13 3.723
6 South Sumatera 595 767 0 9 4 3 29 14 12 2 0 0 24 0 0 3 1 3 17 0 13 4 72 0 0 0 2 1.574
7 Bengkulu 500 300 0 7 0 1 12 42 17 0 2 1 19 0 1 8 0 17 44 0 16 2 83 0 0 0 1 1.073
8 Lampung 2.470 3.625 0 92 6 0 134 104 65 5 1 0 40 1 1 17 2 17 97 0 57 13 257 2 1 0 6 7.013
Bangka Belitung
9 858 681 0 30 1 5 16 39 8 0 0 0 2 0 0 7 0 13 10 0 8 6 107 0 0 0 0 1.791
Islands
10 Riau Islands 1.843 2.346 0 35 1 0 46 77 16 5 2 2 19 0 0 12 0 6 75 0 58 2 196 2 0 0 3 4.746
11 DKI Jakarta 2.267 2.937 0 4 3 0 47 54 98 9 8 0 99 2 11 25 0 23 58 0 53 12 203 8 1 0 4 5.926
12 West Jawa 5.354 1.458 0 7 21 11 129 240 256 24 15 0 247 3 28 57 12 22 145 0 194 143 694 15 6 0 36 9.117
13 Central Jawa 10.669 7.344 0 127 33 14 150 268 256 51 23 3 421 1 14 92 5 101 244 0 257 96 956 9 0 0 16 21.150
14 DI Yogyakarta 7.756 4.140 0 407 81 2 174 344 337 83 31 20 625 0 14 25 3 86 252 0 277 85 720 18 9 0 20 15.509
15 East Jawa 1.831 463 0 28 8 2 36 81 58 22 12 2 179 0 9 15 2 13 57 0 36 29 81 0 3 6 29 3.002
16 Banten 5.987 3.467 0 91 15 1 61 146 135 32 17 27 467 0 12 37 7 35 130 0 85 280 262 9 15 0 26 11.344
17 Bali 2.529 972 0 8 1 0 61 104 14 7 3 7 15 0 2 2 4 8 42 0 93 17 307 0 0 0 2 4.198
18 West Nusa Tenggara 1.429 1.657 0 59 4 0 39 95 25 1 2 1 74 0 1 5 1 11 85 0 37 22 180 1 0 0 1 3.730
19 East Nusa Tenggara 1.299 1.632 0 69 15 0 29 152 12 0 0 0 50 0 5 9 1 0 94 0 23 8 240 0 0 0 0 3.638
20 West Kalimantan 1.369 1.340 0 27 8 4 32 113 29 3 1 0 42 0 2 4 0 8 101 0 19 7 173 0 0 0 6 3.288
21 Central Kalimantan 1.792 1.775 0 121 6 2 41 110 19 3 0 0 51 0 0 10 3 9 72 0 39 14 190 3 0 0 4 4.264
22 South Kalimantan 1.411 869 0 46 4 0 21 34 34 7 0 2 17 0 0 3 2 34 26 0 21 5 213 0 0 0 2 2.751
23 East Kalimantan 1.324 970 0 17 2 1 11 73 11 5 1 0 12 0 0 5 1 13 40 0 31 5 190 0 0 0 3 2.715
24 North Kalimantan 1.281 681 0 24 13 0 11 106 17 0 0 0 5 0 4 3 0 20 26 0 10 9 81 0 1 0 1 2.293
25 North Sulawesi 468 171 0 14 22 0 7 74 3 0 0 0 0 0 0 1 0 2 3 0 2 0 32 0 0 0 0 799
26 Central Sulawesi 1.490 1.247 0 11 40 0 41 75 17 1 0 0 6 0 3 1 0 7 37 0 5 14 86 0 0 0 1 3.082
27 South Sulawesi 409 774 0 1 7 0 18 13 5 0 1 0 1 0 0 0 1 1 10 0 3 8 34 0 0 0 0 1.286
28 Southeast Sulawesi 4.072 3.192 0 52 66 2 152 121 90 1 0 0 86 1 0 6 6 54 196 0 63 20 427 6 0 0 3 8.616
29 Gorontalo 1.486 1.084 0 155 208 7 79 160 14 0 0 0 11 0 0 1 0 5 75 0 23 0 130 0 0 0 3 3.441
30 West Sulawesi 414 602 0 13 23 0 20 76 8 0 0 0 1 0 2 2 0 9 15 0 17 6 101 0 0 0 0 1.309
31 Maluku 485 434 0 8 12 0 33 86 9 0 0 0 4 0 1 1 0 0 22 0 4 0 83 0 0 0 0 1.182
32 North Maluku 244 196 0 2 5 0 5 105 5 0 0 0 1 0 2 0 0 1 13 0 4 0 34 0 0 0 0 617
33 West Papua 584 614 0 1 8 0 6 41 9 0 0 0 10 0 0 2 0 3 11 0 12 1 138 0 0 0 0 1.440

Indonesia 74.323 61.183 0 1.840 674 68 1.793 3.448 1.867 269 125 66 2.998 8 114 482 63 666 2.486 0 1.695 974 7.576 87 37 6 195 163.043
34 Papua 335 328 0 1 1 0 4 9 7 0 0 0 7 0 0 0 0 4 27 0 7 9 25 0 0 0 0 764

Source: Konsil Indonesian Health Personnels Council, 2022


Remarks: - re-registration consists of renewal, level up, transfer of profession, and recognition of past learning.
- traditional health personnels are a combination of traditional health practitioners, traditional healers, and intercontinental traditional health personnels.
Appendix 12.d
NUMBER OF MIDWIVES AS ACTIVE NON‐PERMANENT EMPLOYEES (PTT)
BY REGION AND PROVINCE CRITERIA AS OF 31 DECEMBER 2021

Number of Midwives as Active Non‐Permanent Employees (PTT)


No Province
Urban/Rural Remote Very Remote Total
(1) (2) (3) (4) (5) (6)
1 Aceh 1 2 0 3
2 North Sumatera 4 3 0 7
3 West Sumatera 0 0 1 1
4 Riau 0 0 0 0
5 Jambi 0 0 0 0
6 South Sumatera 0 0 0 0
7 Bengkulu 0 1 0 1
8 Lampung 2 1 1 4
9 Bangka Belitung Islands 0 0 0 0
10 Riau Islands 0 1 0 1
11 DKI Jakarta 0 0 0 0
12 West Java 5 0 0 5
13 Central Java 2 0 0 2
14 DI Yogyakarta 0 0 0 0
15 East Java 5 0 0 5
16 Banten 0 0 0 0
17 Bali 0 0 0 0
18 West Nusa Tenggara 0 0 0 0
19 East Nusa Tenggara 0 1 0 1
20 West Kalimantan 0 0 0 0
21 Central Kalimantan 0 0 0 0
22 South Kalimantan 0 0 0 0
23 East Kalimantan 0 0 0 0
24 North Kalimantan 0 0 0 0
25 North Sulawesi 1 2 1 4
26 Central Sulawesi 0 0 0 0
27 South Sulawesi 0 0 0 0
28 Southeast Sulawesi 0 1 0 1
29 Gorontalo 0 0 0 0
30 West Sulawesi 0 0 0 0
31 Maluku 0 0 0 0
32 North Maluku 0 0 0 0
33 West Papua 0 0 6 6

Indonesia 20 12 9 41
34 Papua 0 0 0 0

Source: Bureau of Personnel, Ministry of Health RI, 2022


Appendix 13.a
NUMBER OF PERSONNELS OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH, AND NUTRITION IN HEALTH FACILITIES IN INDONESIA YEAR 2021

Public Health Environmental Health Nutrition


No Province
M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 717 2.361 3.078 264 927 1.191 82 952 1.034
2 North Sumatera 523 2.168 2.691 224 482 706 89 1.085 1.174
3 West Sumatera 190 796 986 145 389 534 39 761 800
4 Riau 293 841 1.134 119 232 351 33 539 572
5 Jambi 249 575 824 154 309 463 46 430 476
6 South Sumatera 425 1.428 1.853 140 563 703 70 709 779
7 Bengkulu 284 666 950 109 168 277 60 368 428
8 Lampung 277 614 891 201 419 620 78 548 626
9 Bangka Belitung Islands 96 218 314 42 125 167 32 212 244
10 Riau Islands 97 187 284 92 174 266 20 175 195
11 DKI Jakarta 138 437 575 269 436 705 122 1.116 1.238
12 West Java 917 1.983 2.900 524 1.100 1.624 224 2.103 2.327
13 Central Java 562 2.072 2.634 645 1.282 1.927 245 2.391 2.636
14 DI Yogyakarta 82 311 393 166 248 414 61 483 544
15 East Java 401 1.811 2.212 500 1.180 1.680 368 2.694 3.062
16 Banten 209 514 723 144 273 417 50 544 594
17 Bali 124 307 431 195 274 469 76 534 610
18 West Nusa Tenggara 230 480 710 181 378 559 138 712 850
19 East Nusa Tenggara 597 963 1.560 422 563 985 271 967 1.238
20 West Kalimantan 250 458 708 269 312 581 118 574 692
21 Central Kalimantan 175 331 506 108 148 256 70 459 529
22 South Kalimantan 241 456 697 211 341 552 149 761 910
23 East Kalimantan 176 451 627 121 218 339 67 310 377
24 North Kalimantan 88 169 257 49 67 116 21 96 117
25 North Sulawesi 162 618 780 184 302 486 101 468 569
26 Central Sulawesi 554 1.471 2.025 209 374 583 71 421 492
27 South Sulawesi 662 2.300 2.962 301 896 1.197 124 1.284 1.408
28 Southeast Sulawesi 439 1.591 2.030 152 344 496 104 681 785
29 Gorontalo 131 575 706 67 164 231 76 394 470
30 West Sulawesi 125 440 565 80 146 226 28 267 295
31 Maluku 243 590 833 216 301 517 89 522 611
32 North Maluku 225 742 967 75 129 204 34 358 392
33 West Papua 129 350 479 74 75 149 35 286 321

Indonesia 10.356 29.959 40.315 6.866 13.560 20.426 3.280 24.637 27.917
34 Papua 345 685 1.030 214 221 435 89 433 522

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 13.b
NUMBER OF PERSONNELS OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH, AND NUTRITION IN PUSKESMAS
IN INDONESIA YEAR 2021

Public Health Environmental Health Nutrition


No Province
M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 412 1.716 2.128 163 696 859 47 621 668
2 North Sumatera 313 1.460 1.773 109 347 456 56 618 674
3 West Sumatera 106 492 598 92 286 378 24 479 503
4 Riau 175 501 676 81 163 244 25 322 347
5 Jambi 152 362 514 70 222 292 34 282 316
6 South Sumatera 273 925 1.198 84 385 469 43 406 449
7 Bengkulu 181 406 587 65 122 187 30 223 253
8 Lampung 215 458 673 144 310 454 63 367 430
9 Bangka Belitung Islands 54 129 183 30 75 105 19 127 146
10 Riau Islands 41 107 148 38 100 138 11 106 117
11 DKI Jakarta 36 228 264 116 237 353 31 376 407
12 West Java 496 1.293 1.789 320 806 1.126 116 1.025 1.141
13 Central Java 324 1.438 1.762 360 868 1.228 147 1.230 1.377
14 DI Yogyakarta 50 202 252 60 122 182 36 212 248
15 East Java 186 1.051 1.237 270 758 1.028 230 1.230 1.460
16 Banten 98 273 371 53 163 216 24 261 285
17 Bali 53 125 178 93 128 221 31 179 210
18 West Nusa Tenggara 160 333 493 107 291 398 110 477 587
19 East Nusa Tenggara 463 705 1.168 322 459 781 223 728 951
20 West Kalimantan 163 279 442 165 224 389 84 378 462
21 Central Kalimantan 118 216 334 76 104 180 47 292 339
22 South Kalimantan 162 336 498 128 255 383 119 526 645
23 East Kalimantan 117 336 453 60 152 212 45 176 221
24 North Kalimantan 41 97 138 29 42 71 15 61 76
25 North Sulawesi 92 406 498 126 210 336 66 307 373
26 Central Sulawesi 297 803 1.100 125 239 364 54 274 328
27 South Sulawesi 348 1.306 1.654 176 619 795 68 757 825
28 Southeast Sulawesi 292 1.094 1.386 110 260 370 82 505 587
29 Gorontalo 66 375 441 41 110 151 45 243 288
30 West Sulawesi 81 332 413 65 119 184 26 177 203
31 Maluku 123 354 477 143 204 347 61 345 406
32 North Maluku 137 472 609 46 94 140 26 228 254
33 West Papua 68 208 276 50 52 102 26 205 231

6.096 19.234 25.330 4.062 9.373 13.435 2.125 14.024 16.149


34 Papua 203 416 619 145 151 296 61 281 342

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of
Appendix 13.c
NUMBER OF PERSONNELS OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH, AND NUTRITION IN HOSPITALS
IN INDONESIA YEAR 2021

Public Health Environmental Health Nutrition


No Province
M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 163 415 578 72 186 258 28 319 347
2 North Sumatera 108 420 528 67 78 145 25 435 460
3 West Sumatera 39 127 166 35 70 105 15 257 272
4 Riau 62 170 232 14 39 53 8 201 209
5 Jambi 32 82 114 45 58 103 12 131 143
6 South Sumatera 52 207 259 35 130 165 24 267 291
7 Bengkulu 44 145 189 29 24 53 21 131 152
8 Lampung 26 84 110 33 81 114 15 168 183
9 Bangka Belitung Islands 14 42 56 6 30 36 11 79 90
10 Riau Islands 19 35 54 22 47 69 9 69 78
11 DKI Jakarta 68 140 208 112 159 271 91 729 820
12 West Java 245 304 549 140 227 367 103 981 1.084
13 Central Java 54 169 223 184 303 487 81 1.032 1.113
14 DI Yogyakarta 4 39 43 74 98 172 20 251 271
15 East Java 91 378 469 162 344 506 123 1.341 1.464
16 Banten 48 118 166 35 65 100 22 265 287
17 Bali 28 77 105 59 95 154 43 326 369
18 West Nusa Tenggara 16 52 68 37 52 89 21 214 235
19 East Nusa Tenggara 50 133 183 58 74 132 41 221 262
20 West Kalimantan 28 90 118 53 41 94 25 165 190
21 Central Kalimantan 16 49 65 20 26 46 21 150 171
22 South Kalimantan 35 56 91 49 68 117 28 231 259
23 East Kalimantan 16 50 66 34 40 74 21 130 151
24 North Kalimantan 20 29 49 9 15 24 6 34 40
25 North Sulawesi 37 109 146 35 61 96 32 149 181
26 Central Sulawesi 123 361 484 47 91 138 15 129 144
27 South Sulawesi 136 496 632 62 164 226 45 485 530
28 Southeast Sulawesi 47 216 263 21 48 69 16 137 153
29 Gorontalo 19 92 111 9 25 34 16 118 134
30 West Sulawesi 12 34 46 9 19 28 2 83 85
31 Maluku 39 101 140 35 57 92 19 138 157
32 North Maluku 43 148 191 13 15 28 5 109 114
33 West Papua 25 82 107 10 15 25 7 78 85

1.803 5.186 6.989 1.661 2.879 4.540 994 9.690 10.684


34 Papua 44 136 180 36 34 70 23 137 160

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 14.a
NUMBER OF PERSONNEL OF BIOMEDICAL ENGINEERING, PHYSICAL THERAPY, AND MEDICAL TECHNICIAN IN HEALTH FACILITIES
IN INDONESIA YEAR 2021

Medical Laboratory Technologists Other Biomedical Engineering Personnels Physical Therapists Medical Technicians
No Province
M F M+F M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 117 915 1.032 288 284 572 83 335 418 243 923 1.166
2 North Sumatera 253 1.444 1.697 365 493 858 148 256 404 245 904 1.149
3 West Sumatera 178 882 1.060 260 219 479 72 177 249 253 1.232 1.485
4 Riau 149 850 999 168 198 366 81 210 291 195 530 725
5 Jambi 175 711 886 98 94 192 38 122 160 102 474 576
6 South Sumatera 181 1.038 1.219 219 255 474 66 240 306 241 888 1.129
7 Bengkulu 110 379 489 94 66 160 16 31 47 68 139 207
8 Lampung 217 817 1.034 222 179 401 56 111 167 191 456 647
9 Bangka Belitung Islands 89 295 384 90 59 149 13 68 81 84 257 341
10 Riau Islands 89 286 375 102 91 193 24 63 87 77 185 262
11 DKI Jakarta 1.132 3.081 4.213 1.215 1.005 2.220 569 860 1.429 1.012 2.297 3.309
12 West Java 1.314 4.323 5.637 1.380 986 2.366 507 1.091 1.598 1.711 3.440 5.151
13 Central Java 1.018 4.430 5.448 1.337 1.168 2.505 605 1.225 1.830 1.333 4.154 5.487
14 DI Yogyakarta 252 979 1.231 278 247 525 143 284 427 268 1.093 1.361
15 East Java 1.117 4.708 5.825 1.207 1.040 2.247 484 805 1.289 1.413 3.088 4.501
16 Banten 262 1.052 1.314 325 302 627 151 345 496 265 641 906
17 Bali 272 798 1.070 338 183 521 114 118 232 194 504 698
18 West Nusa Tenggara 244 831 1.075 229 146 375 56 132 188 338 551 889
19 East Nusa Tenggara 292 848 1.140 148 126 274 54 114 168 291 872 1.163
20 West Kalimantan 240 650 890 151 99 250 38 86 124 313 622 935
21 Central Kalimantan 162 489 651 132 65 197 29 55 84 144 292 436
22 South Kalimantan 259 903 1.162 207 124 331 54 78 132 238 657 895
23 East Kalimantan 256 770 1.026 170 136 306 77 138 215 169 280 449
24 North Kalimantan 57 129 186 50 33 83 11 21 32 49 69 118
25 North Sulawesi 116 253 369 86 36 122 66 105 171 89 311 400
26 Central Sulawesi 121 327 448 79 73 152 17 70 87 95 179 274
27 South Sulawesi 350 1.425 1.775 298 439 737 117 298 415 300 1.149 1.449
28 Southeast Sulawesi 100 425 525 73 95 168 14 87 101 95 303 398
29 Gorontalo 73 130 203 42 41 83 11 11 22 35 86 121
30 West Sulawesi 56 159 215 25 37 62 8 33 41 35 103 138
31 Maluku 78 315 393 42 52 94 9 42 51 34 77 111
32 North Maluku 88 262 350 41 65 106 16 28 44 37 77 114
33 West Papua 84 218 302 34 38 72 7 18 25 33 81 114

Indonesia 9.737 35.640 45.377 9.857 8.514 18.371 3.779 7.696 11.475 10.263 27.039 37.302
34 Papua 236 518 754 64 40 104 25 39 64 73 125 198

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 14.b
NUMBER OF PERSONNEL OF BIOMEDICAL ENGINEERING, PHYSICAL THERAPY, AND MEDICAL ENGINEERING IN PUSKESMAS
IN INDONESIA YEAR 2021

Other Biomedical Engineering


Medical Laboratory Technologists Physical Therapists Medical Technicians
No Province Personnels

M F M+F M F M+F M F M+F M F M+F


(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 35 391 426 5 14 19 19 98 117 95 489 584
2 North Sumatera 64 424 488 6 12 18 9 17 26 51 381 432
3 West Sumatera 50 317 367 3 3 6 6 26 32 68 506 574
4 Riau 42 271 313 0 5 5 4 30 34 27 184 211
5 Jambi 65 252 317 0 0 0 4 13 17 51 267 318
6 South Sumatera 52 329 381 1 10 11 4 22 26 51 400 451
7 Bengkulu 40 170 210 4 3 7 2 1 3 2 46 48
8 Lampung 71 299 370 3 3 6 0 3 3 80 261 341
9 Bangka Belitung Islands 26 94 120 1 0 1 1 0 1 32 119 151
10 Riau Islands 22 64 86 1 0 1 0 2 2 8 61 69
11 DKI Jakarta 132 226 358 3 3 6 0 8 8 84 281 365
12 West Java 230 915 1.145 6 17 23 15 21 36 313 1.094 1.407
13 Central Java 234 1.056 1.290 21 21 42 63 159 222 331 1.274 1.605
14 DI Yogyakarta 34 208 242 0 5 5 23 38 61 52 295 347
15 East Java 228 1.086 1.314 16 17 33 37 54 91 307 935 1.242
16 Banten 33 168 201 3 1 4 4 12 16 43 165 208
17 Bali 36 112 148 5 0 5 2 3 5 56 172 228
18 West Nusa Tenggara 81 357 438 20 6 26 4 10 14 128 239 367
19 East Nusa Tenggara 160 433 593 8 2 10 6 28 34 139 491 630
20 West Kalimantan 81 266 347 5 1 6 1 2 3 151 334 485
21 Central Kalimantan 59 178 237 0 0 0 1 0 1 68 159 227
22 South Kalimantan 67 339 406 3 1 4 3 5 8 93 353 446
23 East Kalimantan 48 218 266 0 1 1 0 4 4 43 89 132
24 North Kalimantan 20 41 61 1 0 1 0 1 1 19 32 51
25 North Sulawesi 34 62 96 4 1 5 4 22 26 37 185 222
26 Central Sulawesi 43 114 157 2 0 2 0 2 2 49 91 140
27 South Sulawesi 78 508 586 4 5 9 6 14 20 111 533 644
28 Southeast Sulawesi 44 215 259 3 4 7 3 12 15 40 163 203
29 Gorontalo 24 50 74 0 0 0 0 0 0 6 31 37
30 West Sulawesi 25 86 111 0 0 0 0 6 6 18 55 73
31 Maluku 40 163 203 2 3 5 1 1 2 11 28 39
32 North Maluku 36 131 167 2 6 8 4 5 9 13 38 51
33 West Papua 44 105 149 0 1 1 0 2 2 11 26 37

Indonesia 2.394 9.899 12.293 135 147 282 227 624 851 2.603 9.815 12.418
34 Papua 116 251 367 3 2 5 1 3 4 15 38 53

Source: Source: Human Resource for


Health Information System processed by
Appendix 14.c
NUMBER OF PERSONNEL OF BIOMEDICAL ENGINEERING, PHYSICAL THERAPY, AND MEDICAL ENGINEERING IN HOSPITALS
IN INDONESIA IN 2021

Other Biomedical Engineering


Medical Laboratory Technologists Physical Therapists Medical Technicians
No Provinsi Personnels
M F M+F M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 77 490 567 272 266 538 63 239 302 147 419 566
2 North Sumatera 117 805 922 332 449 781 135 237 372 190 503 693
3 West Sumatera 122 511 633 256 216 472 63 150 213 178 706 884
4 Riau 91 527 618 166 192 358 76 175 251 157 327 484
5 Jambi 83 358 441 95 94 189 34 108 142 45 187 232
6 South Sumatera 111 623 734 215 237 452 62 216 278 187 452 639
7 Bengkulu 64 170 234 90 63 153 14 30 44 67 90 157
8 Lampung 125 454 579 211 171 382 51 98 149 107 180 287
9 Bangka Belitung Islands 44 152 196 86 54 140 12 64 76 49 131 180
10 Riau Islands 51 181 232 97 83 180 24 58 82 65 122 187
11 DKI Jakarta 769 2.095 2.864 1.093 865 1.958 440 665 1.105 779 1.590 2.369
12 West Java 918 2.791 3.709 1.309 909 2.218 456 986 1.442 1.237 2.056 3.293
13 Central Java 623 2.548 3.171 1.260 1.048 2.308 476 889 1.365 913 2.539 3.452
14 DI Yogyakarta 130 520 650 265 222 487 115 208 323 197 674 871
15 East Java 690 2.645 3.335 1.095 931 2.026 411 637 1.048 931 1.860 2.791
16 Banten 189 763 952 312 295 607 135 320 455 189 438 627
17 Bali 190 548 738 316 162 478 83 77 160 114 281 395
18 West Nusa Tenggara 133 385 518 197 132 329 47 112 159 203 293 496
19 East Nusa Tenggara 114 335 449 134 121 255 47 76 123 146 368 514
20 West Kalimantan 110 304 414 135 90 225 34 76 110 142 236 378
21 Central Kalimantan 86 258 344 127 64 191 27 51 78 74 132 206
22 South Kalimantan 148 442 590 175 115 290 49 69 118 136 271 407
23 East Kalimantan 157 414 571 151 126 277 75 124 199 112 166 278
24 North Kalimantan 33 68 101 44 33 77 10 20 30 30 37 67
25 North Sulawesi 64 150 214 81 35 116 58 77 135 50 109 159
26 Central Sulawesi 64 179 243 70 68 138 17 67 84 43 86 129
27 South Sulawesi 243 812 1.055 286 426 712 97 261 358 174 584 758
28 Southeast Sulawesi 45 161 206 64 84 148 11 74 85 53 144 197
29 Gorontalo 42 70 112 41 40 81 11 11 22 24 53 77
30 West Sulawesi 27 58 85 25 37 62 8 27 35 15 49 64
31 Maluku 35 119 154 33 46 79 8 40 48 22 47 69
32 North Maluku 32 112 144 39 57 96 13 22 35 22 36 58
33 West Papua 41 109 150 33 36 69 7 16 23 19 53 72

Indonesia 5.869 20.345 26.214 9.168 7.804 16.972 3.193 6.316 9.509 6.875 15.304 22.179
34 Papua 101 188 289 63 37 100 24 36 60 58 85 143

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 15.a
NUMBER OF PHARMACEUTICAL PERSONNEL AT HEALTH FACILITIES
IN INDONESIA IN 2021

Pharmacy Personnels

No Province Pharmacy Techniciansa Pharmacists Total

M F M+F M F M+F M F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 179 1.242 1.421 73 508 581 252 1.750 2.002
2 North Sumatera 209 1.439 1.648 147 818 965 356 2.257 2.613
3 West Sumatera 140 1.017 1.157 86 559 645 226 1.576 1.802
4 Riau 131 927 1.058 98 668 766 229 1.595 1.824
5 Jambi 103 756 859 105 451 556 208 1.207 1.415
6 South Sumatera 210 1.248 1.458 136 541 677 346 1.789 2.135
7 Bengkulu 68 314 382 49 245 294 117 559 676
8 Lampung 151 551 702 151 507 658 302 1.058 1.360
9 Bangka Belitung Islands 81 339 420 71 222 293 152 561 713
10 Riau Islands 103 326 429 107 333 440 210 659 869
11 DKI Jakarta 841 3.548 4.389 655 2.178 2.833 1.496 5.726 7.222
12 West Java 1.273 5.000 6.273 1.388 4.268 5.656 2.661 9.268 11.929
13 Central Java 933 5.945 6.878 1.094 5.646 6.740 2.027 11.591 13.618
14 DI Yogyakarta 136 1.030 1.166 221 1.502 1.723 357 2.532 2.889
15 East Java 922 5.407 6.329 1.067 4.976 6.043 1.989 10.383 12.372
16 Banten 325 1.265 1.590 258 1.088 1.346 583 2.353 2.936
17 Bali 145 661 806 266 555 821 411 1.216 1.627
18 West Nusa Tenggara 288 588 876 141 416 557 429 1.004 1.433
19 East Nusa Tenggara 216 892 1.108 115 462 577 331 1.354 1.685
20 West Kalimantan 169 560 729 125 341 466 294 901 1.195
21 Central Kalimantan 132 414 546 79 336 415 211 750 961
22 South Kalimantan 209 773 982 150 420 570 359 1.193 1.552
23 East Kalimantan 252 782 1.034 198 694 892 450 1.476 1.926
24 North Kalimantan 58 216 274 70 185 255 128 401 529
25 North Sulawesi 126 406 532 82 276 358 208 682 890
26 Central Sulawesi 151 619 770 95 337 432 246 956 1.202
27 South Sulawesi 260 1.444 1.704 228 1.306 1.534 488 2.750 3.238
28 Southeast Sulawesi 107 536 643 104 493 597 211 1.029 1.240
29 Gorontalo 36 196 232 26 145 171 62 341 403
30 West Sulawesi 35 224 259 41 160 201 76 384 460
31 Maluku 50 152 202 46 266 312 96 418 514
32 North Maluku 36 181 217 36 183 219 72 364 436
33 West Papua 43 139 182 65 254 319 108 393 501

Indonesia 8.259 39.498 47.757 7.668 31.668 39.336 15.927 71.166 87.093
34 Papua 141 361 502 95 329 424 236 690 926

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 15.a
NUMBER OF PHARMACEUTICAL PERSONNEL AT HEALTH FACILITIES
IN INDONESIA IN 2021

Pharmacy Personnels

No Province Pharmacy Techniciansa Pharmacists Total

M F M+F M F M+F M F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 179 1.242 1.421 73 508 581 252 1.750 2.002
2 North Sumatera 209 1.439 1.648 147 818 965 356 2.257 2.613
3 West Sumatera 140 1.017 1.157 86 559 645 226 1.576 1.802
4 Riau 131 927 1.058 98 668 766 229 1.595 1.824
5 Jambi 103 756 859 105 451 556 208 1.207 1.415
6 South Sumatera 210 1.248 1.458 136 541 677 346 1.789 2.135
7 Bengkulu 68 314 382 49 245 294 117 559 676
8 Lampung 151 551 702 151 507 658 302 1.058 1.360
9 Bangka Belitung Islands 81 339 420 71 222 293 152 561 713
10 Riau Islands 103 326 429 107 333 440 210 659 869
11 DKI Jakarta 841 3.548 4.389 655 2.178 2.833 1.496 5.726 7.222
12 West Java 1.273 5.000 6.273 1.388 4.268 5.656 2.661 9.268 11.929
13 Central Java 933 5.945 6.878 1.094 5.646 6.740 2.027 11.591 13.618
14 DI Yogyakarta 136 1.030 1.166 221 1.502 1.723 357 2.532 2.889
15 East Java 922 5.407 6.329 1.067 4.976 6.043 1.989 10.383 12.372
16 Banten 325 1.265 1.590 258 1.088 1.346 583 2.353 2.936
17 Bali 145 661 806 266 555 821 411 1.216 1.627
18 West Nusa Tenggara 288 588 876 141 416 557 429 1.004 1.433
19 East Nusa Tenggara 216 892 1.108 115 462 577 331 1.354 1.685
20 West Kalimantan 169 560 729 125 341 466 294 901 1.195
21 Central Kalimantan 132 414 546 79 336 415 211 750 961
22 South Kalimantan 209 773 982 150 420 570 359 1.193 1.552
23 East Kalimantan 252 782 1.034 198 694 892 450 1.476 1.926
24 North Kalimantan 58 216 274 70 185 255 128 401 529
25 North Sulawesi 126 406 532 82 276 358 208 682 890
26 Central Sulawesi 151 619 770 95 337 432 246 956 1.202
27 South Sulawesi 260 1.444 1.704 228 1.306 1.534 488 2.750 3.238
28 Southeast Sulawesi 107 536 643 104 493 597 211 1.029 1.240
29 Gorontalo 36 196 232 26 145 171 62 341 403
30 West Sulawesi 35 224 259 41 160 201 76 384 460
31 Maluku 50 152 202 46 266 312 96 418 514
32 North Maluku 36 181 217 36 183 219 72 364 436
33 West Papua 43 139 182 65 254 319 108 393 501

Indonesia 8.259 39.498 47.757 7.668 31.668 39.336 15.927 71.166 87.093
34 Papua 141 361 502 95 329 424 236 690 926

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 15.c
NUMBER OF PHARMACEUTICAL PERSONNELS AT HOSPITALS
IN INDONESIA YEAR 2021
Pharmaceutical Personnels
No Province Pharmacy Techniciansa Pharmacists Total
M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 103 636 739 43 319 362 146 955 1.101
2 North Sumatera 103 844 947 89 488 577 192 1.332 1.524
3 West Sumatera 93 673 766 47 323 370 140 996 1.136
4 Riau 82 551 633 49 362 411 131 913 1.044
5 Jambi 38 345 383 44 181 225 82 526 608
6 South Sumatera 125 775 900 77 292 369 202 1.067 1.269
7 Bengkulu 33 137 170 22 108 130 55 245 300
8 Lampung 78 288 366 66 185 251 144 473 617
9 Bangka Belitung Islands 46 163 209 24 82 106 70 245 315
10 Riau Islands 48 156 204 42 129 171 90 285 375
11 DKI Jakarta 626 2.661 3.287 344 1.086 1.430 970 3.747 4.717
12 West Java 832 3.181 4.013 454 1.727 2.181 1.286 4.908 6.194
13 Central Java 578 3.369 3.947 303 1.620 1.923 881 4.989 5.870
14 DI Yogyakarta 73 602 675 64 419 483 137 1.021 1.158
15 East Java 533 3.111 3.644 359 1.712 2.071 892 4.823 5.715
16 Banten 233 887 1.120 130 572 702 363 1.459 1.822
17 Bali 83 407 490 100 228 328 183 635 818
18 West Nusa Tenggara 159 280 439 67 185 252 226 465 691
19 East Nusa Tenggara 66 311 377 45 212 257 111 523 634
20 West Kalimantan 89 279 368 59 160 219 148 439 587
21 Central Kalimantan 59 174 233 34 150 184 93 324 417
22 South Kalimantan 123 399 522 56 178 234 179 577 756
23 East Kalimantan 177 463 640 73 243 316 250 706 956
24 North Kalimantan 30 103 133 31 66 97 61 169 230
25 North Sulawesi 80 211 291 55 154 209 135 365 500
26 Central Sulawesi 71 284 355 54 172 226 125 456 581
27 South Sulawesi 171 815 986 134 681 815 305 1.496 1.801
28 Southeast Sulawesi 31 201 232 44 201 245 75 402 477
29 Gorontalo 24 89 113 14 72 86 38 161 199
30 West Sulawesi 14 81 95 11 65 76 25 146 171
31 Maluku 18 66 84 16 116 132 34 182 216
32 North Maluku 6 86 92 15 76 91 21 162 183
33 West Papua 20 66 86 14 93 107 34 159 193

Indonesia 4.903 22.853 27.756 3.025 12.831 15.856 7.928 35.684 43.612
34 Papua 58 159 217 46 174 220 104 333 437

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
nformation: a) Including pharmaceutical analysts, pharmacist assistants, and pharmacy graduates;
Appendix 16.a
NUMBER OF HEALTH SUPPORTING PERSONNELS AT HEALTH FACILITIES
IN INDONESIA IN 2021

Health Support Personnels


Total
No Province Structural Officers Educators Management Support Personnels
M F M+F M F M+F M F M+F M F M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 537 545 1.082 9 14 23 5.826 5.705 11.531 6.372 6.264 12.636
2 North Sumatera 617 904 1.521 32 33 7.840 9.530 17.370 8.489 10.467 18.956
3 West Sumatera 334 699 1.033 3 8 11 3.782 4.738 8.520 4.119 5.445 9.564
4 Riau 356 416 772 12 24 36 5.586 5.849 11.435 5.954 6.289 12.243
5 Jambi 376 287 663 11 6 17 3.149 3.509 6.658 3.536 3.802 7.338
6 South Sumatera 479 667 1.146 5 10 15 5.875 6.469 12.344 6.359 7.146 13.505
7 Bengkulu 260 261 521 4 8 12 1.371 1.813 3.184 1.635 2.082 3.717
8 Lampung 603 610 1.213 7 31 38 5.685 6.560 12.245 6.295 7.201 13.496
9 Bangka Belitung Islands 181 237 418 1 0 1 2.065 2.332 4.397 2.247 2.569 4.816
10 Riau Islands 346 296 642 18 60 78 3.172 3.116 6.288 3.536 3.472 7.008
11 DKI Jakarta 922 1.176 2.098 359 444 803 31.528 26.405 57.933 32.809 28.025 60.834
12 West Java 2.312 2.269 4.581 73 94 167 44.973 33.877 78.850 47.358 36.240 83.598
13 Central Java 1.906 1.987 3.893 128 252 380 43.995 37.431 81.426 46.029 39.670 85.699
14 DI Yogyakarta 383 455 838 16 46 62 8.790 7.904 16.694 9.189 8.405 17.594
15 East Java 2.018 2.224 4.242 86 179 265 48.615 41.175 89.790 50.719 43.578 94.297
16 Banten 524 729 1.253 9 24 33 11.071 9.884 20.955 11.604 10.637 22.241
17 Bali 449 432 881 9 20 29 6.887 8.295 15.182 7.345 8.747 16.092
18 West Nusa Tenggara 497 324 821 67 93 160 4.662 3.251 7.913 5.226 3.668 8.894
19 East Nusa Tenggara 340 419 759 3 5 8 4.077 3.731 7.808 4.420 4.155 8.575
20 West Kalimantan 468 281 749 4 8 12 3.363 3.923 7.286 3.835 4.212 8.047
21 Central Kalimantan 376 293 669 3 4 7 2.530 2.841 5.371 2.909 3.138 6.047
22 South Kalimantan 527 381 908 9 7 16 4.579 4.310 8.889 5.115 4.698 9.813
23 East Kalimantan 512 437 949 6 18 24 6.179 6.235 12.414 6.697 6.690 13.387
24 North Kalimantan 120 103 223 6 23 29 1.486 1.341 2.827 1.612 1.467 3.079
25 North Sulawesi 235 386 621 3 10 13 2.545 2.768 5.313 2.783 3.164 5.947
26 Central Sulawesi 293 315 608 0 5 5 2.093 2.566 4.659 2.386 2.886 5.272
27 South Sulawesi 530 721 1.251 9 11 20 4.946 6.086 11.032 5.485 6.818 12.303
28 Southeast Sulawesi 346 367 713 6 8 14 1.554 1.938 3.492 1.906 2.313 4.219
29 Gorontalo 122 181 303 0 0 0 1.041 1.443 2.484 1.163 1.624 2.787
30 West Sulawesi 116 153 269 0 0 0 835 965 1.800 951 1.118 2.069
31 Maluku 219 209 428 4 3 7 1.390 1.494 2.884 1.613 1.706 3.319
32 North Maluku 173 177 350 29 78 107 720 928 1.648 922 1.183 2.105
33 West Papua 250 161 411 0 0 0 1.202 1.121 2.323 1.452 1.282 2.734

Indonesia 18.223 19.483 37.706 945 1.538 2.418 285.778 261.863 547.641 304.946 282.884 587.830
34 Papua 496 381 877 14 12 26 2.366 2.330 4.696 2.876 2.723 5.599

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 16.b
NUMBER OF HEALTH SUPPORTING PERSONNELS AT PUSKESMAS
IN INDONESIA YEAR 2021

Health Support Personnels


Total
No Province Structural Officers Educators Management Support Personnels

M F M+F M F M+F M F M+F M F M+F


(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 108 142 250 0 2 2 1.213 1.405 2.618 1.321 1.549 2.870
2 North Sumatera 94 177 271 0 2 2 783 899 1.682 877 1.078 1.955
3 West Sumatera 55 121 176 0 0 0 936 962 1.898 991 1.083 2.074
4 Riau 69 53 122 1 0 1 910 716 1.626 980 769 1.749
5 Jambi 102 61 163 0 0 0 429 482 911 531 543 1.074
6 South Sumatera 144 163 307 1 0 1 882 993 1.875 1.027 1.156 2.183
7 Bengkulu 81 101 182 0 0 0 271 357 628 352 458 810
8 Lampung 142 111 253 0 1 1 999 1.204 2.203 1.141 1.316 2.457
9 Bangka Belitung Islands 32 37 69 0 0 0 329 356 685 361 393 754
10 Riau Islands 63 66 129 0 0 0 464 436 900 527 502 1.029
11 DKI Jakarta 26 55 81 0 0 0 2.862 1.243 4.105 2.888 1.298 4.186
12 West Java 492 358 850 0 1 1 5.341 4.381 9.722 5.833 4.740 10.573
13 Central Java 275 282 557 0 0 0 5.369 4.429 9.798 5.644 4.711 10.355
14 DI Yogyakarta 45 66 111 0 0 0 938 736 1.674 983 802 1.785
15 East Java 197 182 379 1 0 1 6.575 5.158 11.733 6.773 5.340 12.113
16 Banten 108 139 247 1 0 1 1.804 948 2.752 1.913 1.087 3.000
17 Bali 56 34 90 0 1 1 1.439 1.492 2.931 1.495 1.527 3.022
18 West Nusa Tenggara 177 69 246 1 2 3 1.137 763 1.900 1.315 834 2.149
19 East Nusa Tenggara 80 61 141 1 0 1 1.321 989 2.310 1.402 1.050 2.452
20 West Kalimantan 144 59 203 1 0 1 730 853 1.583 875 912 1.787
21 Central Kalimantan 129 56 185 0 0 0 477 586 1.063 606 642 1.248
22 South Kalimantan 164 112 276 0 0 0 757 789 1.546 921 901 1.822
23 East Kalimantan 139 99 238 0 0 0 933 1.094 2.027 1.072 1.193 2.265
24 North Kalimantan 24 20 44 0 0 0 301 245 546 325 265 590
25 North Sulawesi 19 17 36 0 0 0 331 353 684 350 370 720
26 Central Sulawesi 64 40 104 0 0 0 460 519 979 524 559 1.083
27 South Sulawesi 88 103 191 0 0 0 1.048 1.207 2.255 1.136 1.310 2.446
28 Southeast Sulawesi 109 108 217 4 1 5 321 396 717 434 505 939
29 Gorontalo 24 40 64 0 0 0 220 406 626 244 446 690
30 West Sulawesi 38 51 89 0 0 0 282 341 623 320 392 712
31 Maluku 55 47 102 0 0 0 275 274 549 330 321 651
32 North Maluku 69 45 114 0 0 0 129 147 276 198 192 390
33 West Papua 62 33 95 0 0 0 206 180 386 268 213 481

Indonesia 3.636 3.215 6.851 11 12 23 40.992 35.792 76.784 44.639 39.019 83.658
34 Papua 162 107 269 0 2 2 520 453 973 682 562 1.244

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 16.c
NUMBER OF HEALTH SUPPORTING PERSONNELS AT THE HOSPITAL
IN INDONESIA YEAR 2021

Health Support Personnels


Total
No Provinsi Structural Officers Educators Management Support Personnels

M F M+F M F M+F M F M+F M F M+F


(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 227 189 416 2 2 4 3.843 3.360 7.203 4.072 3.551 7.623
2 North Sumatera 274 369 643 5 6 11 5.762 6.926 12.688 6.041 7.301 13.342
3 West Sumatera 154 335 489 1 1 2 2.305 2.963 5.268 2.460 3.299 5.759
4 Riau 150 198 348 4 1 5 3.689 3.823 7.512 3.843 4.022 7.865
5 Jambi 108 121 229 0 0 0 1.645 2.032 3.677 1.753 2.153 3.906
6 South Sumatera 157 284 441 0 0 0 4.159 4.276 8.435 4.316 4.560 8.876
7 Bengkulu 71 80 151 1 1 2 814 970 1.784 886 1.051 1.937
8 Lampung 139 247 386 0 1 1 3.306 3.531 6.837 3.445 3.779 7.224
9 Bangka Belitung Islands 84 99 183 0 0 0 1.232 1.109 2.341 1.316 1.208 2.524
10 Riau Islands 88 96 184 1 2 3 1.750 1.553 3.303 1.839 1.651 3.490
11 DKI Jakarta 800 985 1.785 33 48 81 22.710 17.591 40.301 23.543 18.624 42.167
12 West Java 1.009 1.126 2.135 7 15 22 29.730 20.891 50.621 30.746 22.032 52.778
13 Central Java 963 924 1.887 18 12 30 25.488 18.997 44.485 26.469 19.933 46.402
14 DI Yogyakarta 189 201 390 4 14 18 5.316 4.103 9.419 5.509 4.318 9.827
15 East Java 941 1.103 2.044 14 21 35 26.323 20.373 46.696 27.278 21.497 48.775
16 Banten 222 325 547 2 1 3 7.135 6.468 13.603 7.359 6.794 14.153
17 Bali 252 289 541 1 2 3 4.036 4.977 9.013 4.289 5.268 9.557
18 West Nusa Tenggara 163 132 295 4 7 11 2.699 1.848 4.547 2.866 1.987 4.853
19 East Nusa Tenggara 98 127 225 0 2 2 2.048 2.068 4.116 2.146 2.197 4.343
20 West Kalimantan 116 126 242 0 0 0 1.701 2.256 3.957 1.817 2.382 4.199
21 Central Kalimantan 105 109 214 0 0 0 1.410 1.557 2.967 1.515 1.666 3.181
22 South Kalimantan 173 127 300 1 1 2 2.879 2.600 5.479 3.053 2.728 5.781
23 East Kalimantan 164 168 332 0 0 0 3.551 3.352 6.903 3.715 3.520 7.235
24 North Kalimantan 42 38 80 0 0 0 912 806 1.718 954 844 1.798
25 North Sulawesi 122 205 327 3 7 10 1.768 1.866 3.634 1.893 2.078 3.971
26 Central Sulawesi 117 137 254 0 0 0 1.302 1.596 2.898 1.419 1.733 3.152
27 South Sulawesi 248 347 595 5 3 8 3.138 3.951 7.089 3.391 4.301 7.692
28 Southeast Sulawesi 85 94 179 0 1 1 850 966 1.816 935 1.061 1.996
29 Gorontalo 46 76 122 0 0 0 661 770 1.431 707 846 1.553
30 West Sulawesi 24 40 64 0 0 0 402 411 813 426 451 877
31 Maluku 75 69 144 0 2 2 766 850 1.616 841 921 1.762
32 North Maluku 26 52 78 0 0 0 397 572 969 423 624 1.047
33 West Papua 57 30 87 0 0 0 658 661 1.319 715 691 1.406

Indonesia 7.557 8.929 16.486 107 150 257 175.588 151.330 326.918 183.252 160.409 343.661
34 Papua 68 81 149 1 0 1 1.203 1.257 2.460 1.272 1.338 2.610

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 16.d
NUMBER OF CLINICAL PSYCHOLOGY AND TRADITIONAL HEALTH PERSONNELS AT HEALTH FACILITIES
IN INDONESIA YEAR 2021

Traditional Health Personnels


Clinical Psychologists
No Province Health Personnels of Traditional Medicines Health Personnels of Traditional Expertises

M F M+F M F M+F M F M+F


(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 13 59 72 0 0 0 0 1 1
2 North Sumatera 2 23 25 0 0 0 0 2 2
3 West Sumatera 4 21 25 1 1 2 0 0 0
4 Riau 2 27 29 1 1 2 0 0 0
5 Jambi 0 11 11 0 0 0 0 0 0
6 South Sumatera 7 27 34 0 1 1 0 0 0
7 Bengkulu 2 6 8 0 0 0 0 0 0
8 Lampung 3 5 8 0 9 9 0 33 33
9 Bangka Belitung Islands 2 6 8 0 0 0 0 0 0
10 Riau Islands 3 12 15 0 0 0 0 0 0
11 DKI Jakarta 16 126 142 20 20 40 23 73 96
12 West Java 7 85 92 0 2 2 9 3 12
13 Central Java 26 123 149 3 6 9 3 13 16
14 DI Yogyakarta 12 95 107 0 0 0 0 0 0
15 East Java 29 124 153 7 36 43 10 54 64
16 Banten 7 26 33 0 0 0 0 2 2
17 Bali 4 28 32 2 1 3 0 6 6
18 West Nusa Tenggara 1 15 16 0 0 0 0 1 1
19 East Nusa Tenggara 1 9 10 0 1 1 0 0 0
20 West Kalimantan 5 13 18 0 0 0 0 0 0
21 Central Kalimantan 3 12 15 0 0 0 0 0 0
22 South Kalimantan 3 31 34 0 0 0 0 0 0
23 East Kalimantan 2 26 28 0 0 0 0 0 0
24 North Kalimantan 2 2 4 0 0 0 0 0 0
25 North Sulawesi 4 5 9 0 1 1 0 0 0
26 Central Sulawesi 11 19 30 0 0 0 0 0 0
27 South Sulawesi 5 9 14 0 1 1 0 0 0
28 Southeast Sulawesi 2 7 9 1 0 1 0 0 0
29 Gorontalo 0 0 0 0 0 0 0 0 0
30 West Sulawesi 1 1 2 0 0 0 0 0 0
31 Maluku 1 11 12 0 0 0 0 0 0
32 North Maluku 0 2 2 0 0 0 0 1 1
33 West Papua 0 3 3 0 0 0 0 1 1

Indonesia 183 972 1.155 35 81 116 73 224 297


34 Papua 3 3 6 0 1 1 28 34 62

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 16.e
NUMBER OF CLINICAL PSYCHOLOGY AND TRADITIONAL HEALTH PERSONNELS AT PUSKESMAS
IN INDONESIA YEAR 2021

Traditional Health Personnel


Clinical Psychology Personnel
No Province Traditional Herbal Medicine Traditional Health Personnel Skills

M F M+F M F M+F M F M+F


(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 3 22 25 0 0 0 0 1 1
2 North Sumatera 0 1 1 0 0 0 0 0 0
3 West Sumatera 0 0 0 0 1 1 0 1 1
4 Riau 0 2 2 0 1 1 0 1 1
5 Jambi 0 0 0 0 0 0 0 0 0
6 South Sumatera 2 5 7 0 0 0 0 0 0
7 Bengkulu 0 1 1 0 0 0 0 0 0
8 Lampung 0 0 0 0 0 0 0 0 0
9 Bangka Belitung Islands 0 0 0 0 0 0 0 0 0
10 Riau Islands 0 0 0 0 0 0 0 0 0
11 DKI Jakarta 4 18 22 0 0 0 0 0 0
12 West Java 0 2 2 0 0 0 0 0 0
13 Central Java 0 0 0 0 1 1 0 1 1
14 DI Yogyakarta 5 56 61 0 0 0 0 0 0
15 East Java 10 48 58 5 30 35 5 30 35
16 Banten 0 0 0 0 0 0 0 0 0
17 Bali 0 0 0 0 0 0 0 0 0
18 West Nusa Tenggara 0 1 1 0 0 0 0 0 0
19 East Nusa Tenggara 0 0 0 0 1 1 0 1 1
20 West Kalimantan 0 2 2 0 0 0 0 0 0
21 Central Kalimantan 0 0 0 0 0 0 0 0 0
22 South Kalimantan 0 1 1 0 0 0 0 0 0
23 East Kalimantan 0 1 1 0 0 0 0 0 0
24 North Kalimantan 0 0 0 0 0 0 0 0 0
25 North Sulawesi 0 0 0 0 0 0 0 0 0
26 Central Sulawesi 1 5 6 0 0 0 0 0 0
27 South Sulawesi 1 4 5 0 0 0 0 0 0
28 Southeast Sulawesi 0 0 0 0 0 0 0 0 0
29 Gorontalo 0 0 0 0 0 0 0 0 0
30 West Sulawesi 0 1 1 0 0 0 0 0 0
31 Maluku 0 0 0 0 0 0 0 0 0
32 North Maluku 0 1 1 0 0 0 0 0 0
33 West Papua 0 0 0 0 0 0 0 0 0

Indonesia 27 171 198 5 35 40 5 36 41


34 Papua 1 0 1 0 1 1 0 1 1

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 16.f
NUMBER OF CLINICAL PSYCHOLOGY AND TRADITIONAL HEALTH PERSONNELS IN HOSPITAL
IN INDONESIA YEAR 2021

Traditional Health Personnel


Clinical Psychology Personnels
No Province Health Personnels of Traditional Medicines Health Personnels of Traditional Expertises

M F M+F M F M+F M F M+F


(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 8 30 38 0 0 0 0 0 0
2 North Sumatera 2 21 23 0 0 0 0 0 0
3 West Sumatera 3 18 21 0 0 0 0 0 0
4 Riau 2 23 25 1 0 1 0 0 0
5 Jambi 0 10 10 0 0 0 0 0 0
6 South Sumatera 5 21 26 0 0 0 0 0 0
7 Bengkulu 1 4 5 0 0 0 0 0 0
8 Lampung 3 4 7 0 0 0 0 0 0
9 Bangka Belitung Islands 0 6 6 0 0 0 0 0 0
10 Riau Islands 1 9 10 0 0 0 0 0 0
11 DKI Jakarta 9 81 90 0 0 0 0 1 1
12 West Java 3 62 65 0 1 1 0 0 0
13 Central Java 22 114 136 1 3 4 1 0 1
14 DI Yogyakarta 4 24 28 0 0 0 0 0 0
15 East Java 14 61 75 1 2 3 3 3 6
16 Banten 6 23 29 0 0 0 0 1 1
17 Bali 2 17 19 0 0 0 0 0 0
18 West Nusa Tenggara 1 14 15 0 0 0 0 1 1
19 East Nusa Tenggara 1 9 10 0 0 0 0 0 0
20 West Kalimantan 4 11 15 0 0 0 0 0 0
21 Central Kalimantan 2 8 10 0 0 0 0 0 0
22 South Kalimantan 1 29 30 0 0 0 0 0 0
23 East Kalimantan 1 11 12 0 0 0 0 0 0
24 North Kalimantan 1 2 3 0 0 0 0 0 0
25 North Sulawesi 3 5 8 0 1 1 0 0 0
26 Central Sulawesi 10 12 22 0 0 0 0 0 0
27 South Sulawesi 4 5 9 0 0 0 0 0 0
28 Southeast Sulawesi 2 7 9 0 0 0 0 0 0
29 Gorontalo 0 0 0 0 0 0 0 0 0
30 West Sulawesi 1 0 1 0 0 0 0 0 0
31 Maluku 1 7 8 0 0 0 0 0 0
32 North Maluku 0 1 1 0 0 0 0 0 0
33 West Papua 0 3 3 0 0 0 0 0 0

Indonesia 119 655 774 3 8 11 4 6 10


34 Papua 2 3 5 0 1 1 0 0 0

Source: Human Resource for Health Information System processed by Secretariat of the Human Resource for Health Development and Empowerment Agency, Ministry of Health of the Republic of Indonesia, 2021
Appendix 16.h
NUMBER OF GRADUATES OF RPL DIPLOMA III OF HEALTH POLYTECHNIC (POLTEKKES)
BY STUDY PROGRAM RPL (RECOGNITION OF PAST LEARNING), YEAR 2021

Study program

No Name of Health Polytechnic Medical Medical Records Total


Nursing Midwifery Pharmacy Laboratory and Health
Technology Information
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 0 0 0 0 0 0
2 Medan 0 0 0 0 0 0
3 Padang 0 0 0 0 0 0
4 Riau 0 0 0 0 0 0
5 Jambi 0 0 0 0 0 0
6 Palembang 0 0 0 0 0 0
7 Bengkulu 26 4 0 0 0 30
8 Tanjung Karang 2 0 0 0 0 2
9 Tanjung Pinang 9 0 0 0 0 9
10 Pangkal Pinang 0 0 3 0 0 3
11 Jakarta I 0 0 0 0 0 0
12 Jakarta II 0 0 0 0 0 0
13 Jakarta III 0 0 0 0 0 0
14 Bandung 0 0 0 0 0 0
15 Tasikmalaya 0 0 0 0 32 32
16 Semarang 1 0 0 0 74 75
17 Surakarta 0 0 0 0 0 0
18 Yogyakarta 0 0 0 0 0 0
19 Surabaya 5 0 0 39 0 44
20 Malang 38 0 0 0 56 94
21 Banten 0 0 0 38 0 38
22 Denpasar 0 0 0 0 0 0
23 Mataram 0 0 0 0 0 0
24 Kupang 0 0 0 0 0 0
25 Pontianak 0 0 0 0 0 0
26 Palangkaraya 0 0 0 0 0 0
27 Banjarmasin 1 0 0 0 0 1
28 East Kalimantan 0 0 0 0 0 0
29 Manado 0 0 0 0 0 0
30 Palu 0 0 0 0 0 0
31 Makassar 0 0 0 0 0 0
32 Kendari 0 0 0 0 0 0
33 Gorontalo 0 0 0 0 0 0
34 Mamuju 0 0 0 0 0 0
35 Maluku 0 0 0 0 0 0
36 Ternate 0 0 0 0 0 0
37 Jayapura 0 0 0 0 0 0

Total 82 4 3 77 162 328


38 Sorong 0 0 0 0 0 0

Source: Directorate General of Health Personnel of Ministry of Health, Republic of Indonesia, 2022
Note: - = there is no study program at the health polytechnic
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
1 Aceh 5.459.891 2.168.711 2.424.731 853.630 30.379 98.784 5.576.235 1,02
2 North Sumatera 14.703.532 4.773.620 1.574.963 2.744.196 2.169.448 320.043 11.582.270 0,79
3 West Sumatera 5.498.751 1.959.461 806.452 919.047 828.407 97.986 4.611.353 0,84
4 Riau 7.128.305 1.733.306 756.346 1.622.413 907.108 69.847 5.089.020 0,71
5 Jambi 3.677.894 1.005.833 332.059 701.966 646.244 52.271 2.738.373 0,74
6 South Sumatera 8.567.923 2.895.827 1.711.990 1.338.547 874.903 89.355 6.910.622 0,81
7 Bengkulu 2.019.848 773.226 211.006 378.765 307.260 22.437 1.692.694 0,84
8 Lampung 8.521.201 3.886.362 861.007 1.033.903 990.220 102.870 6.874.362 0,81
9 Bangka Belitung Islands 1.517.590 264.222 360.593 300.903 307.361 17.506 1.250.585 0,82
10 Riau Islands 2.242.198 364.952 240.577 946.599 390.528 15.268 1.957.924 0,87
11 DKI Jakarta 10.644.986 1.140.936 5.117.111 10.915.377 1.006.227 298.530 18.478.181 1,74
12 West Java 49.935.858 17.051.660 4.960.308 9.356.404 6.555.665 749.660 38.673.697 0,77
13 Central Java 34.940.078 16.568.859 2.521.369 5.982.841 3.911.023 665.109 29.649.201 0,85
14 DI Yogyakarta 3.882.288 1.613.200 385.416 843.639 382.124 138.706 3.363.085 0,87
15 East Java 39.886.288 15.825.405 5.029.855 6.282.511 3.900.264 693.999 31.732.034 0,80
16 Banten 13.160.496 3.298.212 1.900.940 3.884.726 1.666.956 120.258 10.871.092 0,83
17 Bali 4.380.824 942.092 1.380.681 1.184.765 594.174 68.170 4.169.882 0,95
18 West Nusa Tenggara 5.125.622 2.955.435 469.000 607.136 319.407 48.871 4.399.849 0,86
19 East Nusa Tenggara 5.541.394 3.007.444 683.434 627.545 268.646 82.230 4.669.299 0,84
20 West Kalimantan 5.134.760 1.815.373 363.272 1.151.801 664.878 61.776 4.057.100 0,79
21 Central Kalimantan 2.769.156 561.989 741.925 922.391 291.364 41.112 2.558.781 0,92
22 South Kalimantan 4.303.979 1.050.162 925.661 927.451 481.333 79.743 3.464.350 0,80
23 East Kalimantan 3.793.152 689.258 795.216 1.595.454 735.171 44.447 3.859.546 1,02
24 North Kalimantan 768.505 204.117 157.505 227.637 122.523 6.688 718.470 0,93
25 North Sulawesi 2.528.794 966.395 655.005 490.910 391.061 69.468 2.572.839 1,02
26 Central Sulawesi 3.096.976 1.357.715 617.090 567.568 299.562 33.530 2.875.465 0,93
27 South Sulawesi 8.928.004 3.726.676 2.181.729 1.316.806 1.101.658 153.026 8.479.895 0,95
28 Southeast Sulawesi 2.755.589 1.161.926 572.484 450.211 188.719 31.351 2.404.691 0,87
29 Gorontalo 1.219.576 650.364 262.866 183.847 62.378 11.161 1.170.616 0,96
30 West Sulawesi 1.405.012 680.873 325.279 179.494 135.619 20.554 1.341.819 0,96
31 Maluku 1.831.880 756.786 255.900 334.540 118.082 34.041 1.499.349 0,82
32 North Maluku 1.278.764 401.012 232.689 288.345 67.951 11.254 1.001.251 0,78
33 West Papua 981.822 628.344 213.177 257.730 59.511 10.896 1.169.658 1,19

Indonesia 271.066.366 99.987.219 40.424.739 60.008.295 30.914.126 4.384.883 235.719.262


34 Papua 3.435.430 3.107.466 397.103 589.197 137.972 23.936 4.255.674 1,24
0,87
Source: Social Security Administrator for Health (BPJS-Kesehatan) , Report December 2021
Source of Population Data: Indonesian Population Projection 2010-2035, Central Bureau of Statistics (BPS) (Processed by Pusdatin Kemenkes RI)
Appendix 17.b
PRIMARY HEALTH FACILITIES IN COOPERATION WITH BPJS-KESEHATAN
YEAR 2021

First Level Health Facilities


No Province Total
Type D Primary
Private doctor practice Primary Care Clinic Puskesmas Others
Hospital
(1) (2) (3) (4) (5) (6) (8) (9)
1 Aceh 84 190 359 0 4 637
2 North Sumatera 131 543 608 3 8 1293
3 West Sumatera 112 149 278 2 37 578
4 Riau 8 124 86 1 1 220
5 Jambi 68 78 202 0 19 367
6 South Sumatera 241 240 346 2 36 865
7 Bengkulu 97 47 179 0 16 339
8 Lampung 123 200 312 0 8 643
9 Bangka Belitung Islands 30 35 64 3 6 138
10 Riau Islands 8 124 86 1 1 220
11 DKI Jakarta 17 358 320 0 1 696
12 West Java 487 1422 1086 0 62 3057
13 Central Java 1090 760 879 0 310 3039
14 DI Yogyakarta 109 129 121 0 32 391
15 East Java 701 828 970 0 232 2731
16 Banten 8 424 245 0 3 680
17 Bali 310 133 120 1 92 656
18 West Nusa Tenggara 112 63 175 1 11 362
19 East Nusa Tenggara 95 84 420 5 31 635
20 West Kalimantan 91 89 246 2 13 441
21 Central Kalimantan 118 158 187 3 43 509
22 South Kalimantan 153 103 237 0 37 530
23 East Kalimantan 118 158 187 3 43 509
24 North Kalimantan 29 25 57 4 5 120
25 North Sulawesi 155 61 195 1 33 445
26 Central Sulawesi 42 53 208 5 11 319
27 South Sulawesi 190 216 468 5 79 958
28 Southeast Sulawesi 69 37 293 1 13 413
29 Gorontalo 27 36 93 0 9 165
30 West Sulawesi 37 21 98 1 7 164
31 Maluku 33 26 215 0 7 281
32 North Maluku 31 21 145 1 8 206
33 West Papua 61 58 423 4 10 556

Indonesia 5.003 7.015 10.068 49 1.231 23.366


34 Papua 18 22 160 0 3 203

Source: Social Security Administrator for Health (BPJS-Kesehatan)


Appendix 17.c
ADVANCED REFERRAL HEALTH FACILITIES IN COOPERATION WITH BPJS-KESEHATAN
YEAR 2021

Advanced Referral Health Facilities


No Province Total
Military/Police Specialized
Government Hospital Private Hospital Main Clinic
Hospital Hospitals
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 26 35 5 4 11 81
2 North Sumatera 35 103 8 13 4 163
3 West Sumatera 25 19 5 19 5 73
4 Riau 17 34 3 7 7 68
5 Jambi 14 15 2 2 2 35
6 South Sumatera 28 30 4 12 5 79
7 Bengkulu 12 7 2 2 3 26
8 Lampung 18 37 1 11 5 72
9 Bangka Belitung Islands 9 7 0 3 5 24
10 Riau Islands 14 13 2 2 8 39
11 DKI Jakarta 36 73 10 22 28 169
12 West Java 52 232 15 36 64 399
13 Central Java 62 189 10 26 25 312
14 DI Yogyakarta 12 44 3 9 4 72
15 East Java 73 203 24 42 36 378
16 Banten 14 59 3 15 11 102
17 Bali 15 36 3 8 8 70
18 West Nusa Tenggara 16 14 2 3 2 37
19 East Nusa Tenggara 23 20 4 2 2 51
20 West Kalimantan 21 11 6 9 11 58
21 Central Kalimantan 16 3 2 1 2 24
22 South Kalimantan 17 12 4 6 8 47
23 East Kalimantan 16 22 3 8 7 56
24 North Kalimantan 5 0 1 0 0 6
25 North Sulawesi 19 19 4 6 5 53
26 Central Sulawesi 18 6 2 4 5 35
27 South Sulawesi 36 36 6 18 26 122
28 Southeast Sulawesi 17 11 2 1 3 34
29 Gorontalo 11 4 0 1 2 18
30 West Sulawesi 7 1 1 0 2 11
31 Maluku 16 6 3 1 3 29
32 North Maluku 10 3 2 0 2 17
33 West Papua 20 7 5 1 0 33

Indonesia 739 1.314 150 294 312 2.809


34 Papua 9 3 3 0 1 16

Source: Social Security Administrator for Health (BPJS-Kesehatan), 2021


Appendix 17.d
SUPPORTING HEALTH FACILITIES IN COOPERATION WITH BPJS-KESEHATAN
YEAR 2021

Supporting Health Facilities


No Province Total
Pharmacy Optical

(1) (2) (3) (4) (5)


1 Aceh 78 37 115
2 North Sumatera 203 58 261
3 West Sumatera 94 55 149
4 Riau 101 27 128
5 Jambi 50 18 68
6 South Sumatera 83 29 112
7 Bengkulu 31 13 44
8 Lampung 94 18 112
9 Bangka Belitung Islands 39 12 51
10 Riau Islands 67 14 81
11 DKI Jakarta 198 34 232
12 West Java 528 113 641
13 Central Java 608 147 755
14 DI Yogyakarta 93 8 101
15 East Java 573 224 797
16 Banten 139 14 153
17 Bali 102 24 126
18 West Nusa Tenggara 39 26 65
19 East Nusa Tenggara 61 16 77
20 West Kalimantan 61 24 85
21 Central Kalimantan 44 10 54
22 South Kalimantan 91 27 118
23 East Kalimantan 82 8 90
24 North Kalimantan 16 7 23
25 North Sulawesi 75 26 101
26 Central Sulawesi 57 13 70
27 South Sulawesi 170 39 209
28 Southeast Sulawesi 25 8 33
29 Gorontalo 25 7 32
30 West Sulawesi 17 4 21
31 Maluku 13 5 18
32 North Maluku 17 6 23
33 West Papua 25 15 40

Indonesia 3.910 1.092 5.002


34 Papua 11 6 17

Source: Social Security Administrator for Health (BPJS-Kesehatan), 2021


Appendix 19.a
HEALTH BUDGET ALLOCATION
MINISTRY OF HEALTH YEAR 2021

Health Budget Allocation


No Source of Funds
IDR %
(1) (2) (3) (4)

SOURCE OF HEALTH BUDGET:

1 CENTRAL APBN /STATE BUDGET 213.943.356.008.000 87,30%


Pure Rupiah 196.490.749.914.000
Foreign Loans (PLN) 450.597.920.000
Non-Tax Revenue (PNBP) 376.342.647.000
Public Service Agency (BLU) 16.035.341.546.000
Domestic Direct Grants 1.534.125.000
Overseas Direct Grants (HLL) 588.789.856.000

2 DECONCENTRATION FUND 500.462.859.000 0,20%

3 SPECIAL ALLOCATION FUND (DAK) 30.634.393.000.000 12,50%


a. Physical DAK ( Physical Special Allocation Fund ) 20.106.200.000.000
b. Non-physical DAK ( Non - Physical Special Allocation ) 10.528.193.000.000

Total Health Budget 245.078.211.867.000


Total State Budget 2.750.028.018.431.000
% of Health Budget to Indonesian State Budget 8,91%
Source:
- Law of Republic of Indonesia No. 20 of 2020 Regarding the State Budget Fiscal Year 2021
- Presidential Regulation No. 78 of 2019 Regarding Details of the State Budget for Fiscal Year 2021
Appendix 19.b
BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF HEALTH
BY ECHELON I UNIT YEAR 2020 YEAR2021

Ministry of Health budget

No Echelon I Units Headquarters Regional Office Deconcentration Total


%
Allocation (Rp) Realization (Rp) % Allocation (Rp) Realization (Rp) % Allocation (Rp) Realization (Rp) % Allocation (Rp) Realization (Rp)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)

1 Secretariat General 48.124.530.141.000 47.322.354.725.559 98,33% 10.541.687.000 9.641.513.513 91,46% 48.135.071.828.000 47.331.996.239.072 98,33%

2 Inspectorate General 124.247.294.000 114.857.333.539 92,44% 124.247.294.000 114.857.333.539 92,44%

3 Directorate General of Public Health 929.247.183.000 887.841.227.048 95,54% 23.873.775.000 23.133.627.724 96,90% 92.959.429.000 86.983.784.495 93,57% 1.046.080.387.000 997.958.639.267 95,40%

4 Directorate General of Health Services 84.639.116.498.000 84.072.356.064.609 99,33% 18.875.637.001.000 16.295.488.258.697 86,33% 40.191.262.000 35.748.472.711 88,95% 103.554.944.761.000 100.403.592.796.017 96,96%
Directorate General of Disease Prevention and
5 3.825.965.207.000 3.737.279.478.156 97,68% 1.324.231.416.000 1.282.019.900.823 96,81% 241.363.008.000 219.157.339.115 90,80% 5.391.559.631.000 5.238.456.718.094 97,16%
Control
6 Directorate General of Pharmaceuticals and Med 38.322.755.143.000 37.441.134.308.281 97,70% 12.000.000.000 10.466.054.109 87,22% 38.334.755.143.000 37.451.600.362.390 97,70%

7 Health Research and Development Agency 2.541.279.567.000 2.202.113.493.081 86,65% 329.246.943.000 318.146.481.850 96,63% 2.870.526.510.000 2.520.259.974.931 87,80%
Human Resources for Health Development and
8 Empowerment Agency 11.634.717.123.000 11.211.937.705.127 96,37% 3.248.508.717.000 3.002.602.266.657 92,43% 103.407.473.000 83.574.121.490 80,82% 14.986.633.313.000 14.298.114.093.274 95,41%

Ministry of Health 190.141.858.156.000 186.989.874.335.400 98,34% 23.801.497.852.000 20.921.390.535.751 87,90% 500.462.859.000 445.571.285.433 89,03% 214.443.818.867.000 208.356.836.156.584 97,16%

Source : Bureau of Finance and State's Assets, Ministry of Health RI, 2021
Appendix 19.c
BUDGET ALLOCATION AND REALIZATION OF THE MINISTRY OF HEALTH
BY TYPES OF EXPENDITURE FOR FISCAL YEAR 2021

Echelon I Units
No Type of Expenditure Directorate General of Directorate General of Human Resources for
Directorate General of Directorate General of Health Research and
Secretariat General Inspectorate General Disease Prevention and Pharmaceuticals and Health Development and Total
Public Health Health Services Development Agency
Control Medical Devices Empowerment Agency
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
EMPLOYEE
A.
EXPENDITURE
Allocation 849.023.394.000 38.289.676.000 67.974.991.000 2.318.081.691.000 548.755.073.000 34.601.247.000 172.574.193.000 1.093.877.593.000 5.123.177.858.000
Realization 835.421.020.595 38.059.794.787 66.533.468.160 2.259.290.635.415 535.885.079.053 33.898.024.433 166.390.217.910 1.068.629.768.256 5.004.108.008.609
% 98,40% 99,40% 97,88% 97,46% 97,65% 97,97% 96,42% 97,69% 97,68%
B. GOODS EXPENDITURE
Budget 1.789.389.158.000 83.545.486.000 969.245.845.000 98.047.910.804.000 4.630.533.095.000 38.288.774.168.000 2.518.789.238.000 13.280.991.008.000 159.609.178.802.000
Realization 1.695.318.836.838 74.563.977.752 922.648.954.711 95.820.673.120.434 4.496.057.840.330 37.406.836.738.425 2.179.129.965.014 12.661.653.077.985 155.256.882.511.489
% 94,74% 89,25% 95,19% 97,73% 97,10% 97,70% 86,51% 95,34% 97,27%
C. CAPITAL EXPENDITURE
Allocation 83.329.772.000 2.412.132.000 8.859.551.000 3.188.952.266.000 212.271.463.000 11.379.728.000 179.163.079.000 611.764.712.000 4.298.132.703.000
Realization 48.267.936.439 2.233.561.000 8.776.216.396 2.323.629.040.168 206.513.798.711 10.865.599.532 174.739.792.007 567.831.247.033 3.342.857.191.286
% 57,92% 92,60% 99,06% 72,86% 97,29% 95,48% 97,53% 92,82% 77,77%
SOCIAL ASSISTANCE
D.
EXPENDITURE
Allocation 45.413.329.504.000 45.413.329.504.000
Realization 44.752.988.445.200 44.752.988.445.200
% 98,55% 98,55%

Allocation Realization % 48.135.071.828.000 124.247.294.000 1.046.080.387.000 103.554.944.761.000 5.391.559.631.000 38.334.755.143.000 2.870.526.510.000 14.986.633.313.000 214.443.818.867.000
47.331.996.239.072 114.857.333.539 997.958.639.267 100.403.592.796.017 5.238.456.718.094 37.451.600.362.390 2.520.259.974.931 14.298.114.093.274 208.356.836.156.584
98,33% 92,44% 95,40% 96,96% 97,16% 97,70% 87,80% 95,41% 97,16%
Source: Bureau of Finance and State's Assets, Ministry of Health RI, 2022
Appendix 19.d
BUDGET ALLOCATION AND REALIZATION OF ECHELON 1 UNIT OF THE MINISTRY OF HEALTH RI
BY SOURCE OF FUNDS YEAR 2021

Echelon I Units

No Source of FundS Directorate General of Directorate General of Human Resources for


Directorate General of Directorate General of Health Research and
Secretariat General Inspectorate General Disease Prevention and Pharmaceuticals and Health Development and Total
Public Health Health Services Development Agency
Control Medical Devices Empowerment Agency
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
A. PURE RUPIAH
Allocation 48.117.343.790.000 124.247.294.000 1.034.992.337.000 87.741.613.777.000 4.894.527.723.000 38.199.937.460.000 2.859.231.627.000 14.019.318.765.000 196.991.212.773.000
Realization 47.314.757.457.119 114.857.333.539 987.757.269.909 87.291.062.516.402 4.790.418.381.420 37.317.278.734.206 2.511.059.203.705 13.476.705.989.764 193.803.896.886.064
% 98,33% 92,44% 95,44% 99,49% 97,87% 97,69% 87,82% 96,13% 98,38%
B. FOREIGN LOAN
Allocation 0 450.597.920.000 450.597.920.000
Realization 0 161.005.215.533 161.005.215.533
% #DIV/0! #DIV/0! #DIV/0! 35,73% #DIV/0! #DIV/0! #DIV/0! #DIV/0! 35,73%
C NON TAX REVENUE
Allocation 11.783.673.000 340.760.000 64.600.487.000 61.856.429.000 15.093.888.000 3.344.653.000 219.322.757.000 376.342.647.000
Realization 11.295.157.128 159.292.173 38.366.705.669 56.982.135.976 14.631.980.844 1.251.026.792 182.398.970.808 305.085.269.390
% 95,85% #DIV/0! 46,75% 59,39% 92,12% 96,94% 37,40% 83,16% 81,07%
D. PUBLIC SERVICE AGENCY
Allocation 15.289.782.309.000 745.559.237.000 16.035.341.546.000
Realization 12.904.808.090.413 636.576.578.702 13.541.384.669.115
% #DIV/0! #DIV/0! #DIV/0! 84,40% #DIV/0! #DIV/0! #DIV/0! 85,38% 84,45%
E. DOMESTIC DIRECT GRANTS
Allocation 805.750.000 566.375.000 162.000.000 1.534.125.000
Realization 682.040.064 566.361.876 162.000.000 1.410.401.940
% #DIV/0! #DIV/0! #DIV/0! #DIV/0! 84,65% #DIV/0! 100,00% 100,00% 91,94%
F. OVERSEAS DIRECT GRANTS (HLL)
Allocation 5.944.365.000 10.747.290.000 8.350.268.000 434.369.729.000 119.723.795.000 7.383.855.000 2.270.554.000 588.789.856.000
Realization 5.943.624.825 10.042.077.185 8.350.268.000 390.374.160.634 119.689.647.340 7.383.382.558 2.270.554.000 544.053.714.542

TOTAL
% 99,99% #DIV/0! 93,44% 100,00% 89,87% 99,97% 99,99% 100,00% 92,40%

48.135.071.828.000 124.247.294.000 1.046.080.387.000 103.554.944.761.000 5.391.559.631.000 38.334.755.143.000 2.870.526.510.000 14.986.633.313.000 214.443.818.867.000


47.331.996.239.072 114.857.333.539 997.958.639.267 100.403.592.796.017 5.238.456.718.094 37.451.600.362.390 2.520.259.974.931 14.298.114.093.274 208.356.836.156.584
Allocation

% 98,33% 92,44% 95,40% 96,96% 97,16% 97,70% 87,80% 95,41% 97,16%


Realization

Source: Bureau of Finance and State's Assets, Ministry of Health RI, 2022
Appendix 19.e
ALLOCATION AND REALIZATION OF THE DECONCENTRATION BUDGET OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF INDONE
BY PROVINCE YEAR 2021

No Province Allocation Realization %


(1) (2) (3) (4) (5)
1 Aceh 11.318.402.000 8.873.509.808 78,40%
2 North Sumatera 27.113.939.000 24.218.505.432 89,32%
3 West Sumatera 13.290.910.000 11.705.794.378 88,07%
4 Riau 11.828.540.000 10.142.826.095 85,75%
5 Jambi 13.656.442.000 12.626.744.017 92,46%
6 South Sumatera 23.952.194.000 22.654.945.934 94,58%
7 Bengkulu 15.210.547.000 14.269.819.916 93,82%
8 Lampung 15.426.169.000 13.849.588.132 89,78%
9 Bangka Belitung Islands 8.014.390.000 7.276.374.530 90,79%
10 Riau Islands 9.790.117.000 9.547.763.311 97,52%
11 DKI Jakarta 4.228.150.000 3.629.608.100 85,84%
12 West Java 17.705.897.000 15.918.677.968 89,91%
13 Central Java 15.680.750.000 14.834.436.230 94,60%
14 DI Yogyakarta 4.492.206.000 4.102.580.294 91,33%
15 East Java 24.383.512.000 19.755.738.151 81,02%
16 Banten 8.447.980.000 6.619.051.000 78,35%
17 Bali 7.611.637.000 6.725.058.564 88,35%
18 West Nusa Tenggara 12.150.569.000 11.289.780.474 92,92%
19 East Nusa Tenggara 25.245.279.000 23.674.646.951 93,78%
20 West Kalimantan 9.170.478.000 7.832.327.344 85,41%
21 Central Kalimantan 9.099.433.000 7.612.464.806 83,66%
22 South Kalimantan 11.768.391.000 9.584.658.370 81,44%
23 East Kalimantan 10.514.734.000 9.011.218.914 85,70%
24 North Kalimantan 8.692.756.000 7.688.801.024 88,45%
25 North Sulawesi 18.047.820.000 17.045.621.989 94,45%
26 Central Sulawesi 20.698.796.000 19.770.307.301 95,51%
27 South Sulawesi 33.379.738.000 31.410.581.635 94,10%
28 Southeast Sulawesi 9.754.876.000 9.521.468.600 97,61%
29 Gorontalo 15.670.787.000 15.051.150.635 96,05%
30 West Sulawesi 12.000.264.000 10.938.582.950 91,15%
31 Maluku 12.456.753.000 10.436.684.069 83,78%
32 North Maluku 15.851.576.000 15.306.715.067 96,56%
33 West Papua 20.680.869.000 15.894.172.202 76,85%

Ministry of Health Deconcentration 500.462.859.000 445.571.285.433 89,03%


34 Papua 23.127.958.000 16.751.081.242 72,43%

Source: Bureau of Finance and State's Assets, Ministry of Health RI, 2022
Physical DAK Non Physical DAK
No Province
Allocation (Rp) Realization (Rp) % Allocation (Rp) Realization (Rp) %
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 603.489.134.000 424.110.630.906 70,3% 385.546.598.000 126.799.572.756 32,9%
2 North Sumatera 820.197.436.000 419.716.409.151 51,2% 626.780.452.000 227.535.301.643 36,3%
3 West Sumatera 532.443.366.000 353.529.098.674 66,4% 271.468.298.000 85.536.725.726 31,5%
4 Riau 453.359.297.000 304.469.696.024 67,2% 245.862.033.000 89.725.255.657 36,5%
5 Jambi 371.320.037.000 287.458.004.327 77,4% 209.900.728.000 84.881.022.796 40,4%
6 South Sumatera 550.760.256.000 449.870.587.463 81,7% 357.920.367.000 217.437.714.792 60,8%
7 Bengkulu 266.364.494.000 212.110.960.701 79,6% 182.676.409.000 98.229.485.249 53,8%
8 Lampung 334.193.663.000 234.176.070.021 70,1% 319.017.795.000 187.620.857.399 58,8%
9 DKI Jakarta 74.616.849.000 46.687.531.417 62,6% 19.562.371.000 4.565.885.286 23,3%
10 West Java 1.146.269.530.000 833.551.771.490 72,7% 970.376.053.000 353.029.086.801 36,4%
11 Central Java 1.434.190.918.000 1.170.530.976.706 81,6% 808.444.719.000 472.596.618.281 58,5%
12 DI Yogyakarta 150.825.284.000 133.386.547.775 88,4% 106.054.646.000 46.961.891.808 44,3%
13 East Java 1.531.274.424.000 886.597.372.207 57,9% 867.535.586.000 340.660.426.902 39,3%
14 West Kalimantan 977.404.998.000 599.720.255.949 61,4% 321.048.068.000 151.190.892.571 47,1%
15 Central Kalimantan 486.900.332.000 407.666.017.564 83,7% 249.475.260.000 123.810.636.514 49,6%
16 South Kalimantan 456.391.525.000 283.966.956.869 62,2% 237.664.777.000 103.348.975.259 43,5%
17 East Kalimantan 212.641.907.000 120.273.649.461 56,6% 197.161.072.000 81.789.448.370 41,5%
18 North Sulawesi 502.431.111.000 306.267.345.034 61,0% 206.794.684.000 36.650.212.812 17,7%
19 Central Sulawesi 693.427.349.000 367.942.354.500 53,1% 255.852.321.000 150.190.960.080 58,7%
20 South Sulawesi 1.435.149.866.000 879.364.563.327 61,3% 494.710.883.000 268.712.419.304 54,3%
21 Southeast Sulawesi 613.061.505.000 431.791.675.496 70,4% 337.568.931.000 131.997.609.333 39,1%
22 Bali 264.720.784.000 216.451.052.402 81,8% 110.950.911.000 48.554.938.239 43,8%
23 West Nusa Tenggara 684.727.794.000 560.068.763.032 81,8% 192.316.349.000 120.118.348.208 62,5%
24 East Nusa Tenggara 1.006.982.309.000 611.841.943.782 60,8% 548.967.719.000 183.944.935.987 33,5%
25 Maluku 774.801.106.000 371.594.779.152 48,0% 298.845.502.000 33.890.503.115 11,3%
26 Papua 1.416.911.966.000 776.998.614.313 54,8% 636.553.967.000 150.367.609.619 23,6%
27 North Maluku 555.633.672.000 336.089.937.633 60,5% 190.517.046.000 63.262.999.321 33,2%
28 Banten 302.039.089.000 191.397.318.671 63,4% 211.096.064.000 70.890.698.617 33,6%
29 Bangka Belitung Islands 299.141.570.000 232.045.265.553 77,6% 69.257.692.000 31.146.131.394 45,0%
30 Gorontalo 215.434.724.000 163.750.253.995 76,0% 107.499.802.000 44.308.482.432 41,2%
31 Riau Island 167.436.358.000 118.996.310.699 71,1% 78.166.693.000 42.991.312.623 55,0%
32 West Papua 344.281.187.000 218.182.886.126 63,4% 221.137.562.000 44.230.779.979 20,0%
33 west Sulawesi 214.241.421.000 160.847.981.300 75,1% 118.256.796.000 59.974.077.362 50,7%

TOTAL 20.106.200.000.000 13.279.356.856.182 66,0% 10.528.193.000.000 4.292.833.015.156 40,8%


34 North Kalimantan 213.134.739.000 167.903.274.463 78,8% 73.204.846.000 15.881.198.921 21,7%

Note:
1. Allocation Data of Physical and Non-Physical DAK is based on the Presidential Regulation No.113 of 2020 regarding Details of the State Budget Fiscal Year 2021
2. Physical D[AK Realization Data based on the Minister of Finance Regulation number 198/PMK.07/2021 regarding the Management of Physical Special Allocation Funds (the budget has been updated t
3. Non-Physical DAK Realization Data for FY 2020 based on data from e-Renggar (Planning and Budget Bureau) as of April 21, 2022
Appendix 20
NUMBER OF BIRTH BY PROVINCE
YEAR 2021

Number of Births
No Province
Live Birth Stillbirth Live Birth + Stillbirth
(1) (2) (3) (4) (5)
1 Aceh 104.847 649 105.496
2 North Sumatera 278.100 413 278.513
3 West Sumatera 104.121 647 104.768
4 Riau 130.651 413 131.064
5 Jambi 63.912 243 64.155
6 South Sumatera 158.262 381 158.643
7 Bengkulu 34.798 193 34.991
8 Lampung 144.178 367 144.545
9 Bangka Belitung Islands 25.589 224 25.813
10 Riau Islands 47.117 247 47.364
11 DKI Jakarta 172.215 164 172.379
12 West Java 815.650 3.646 819.296
13 Central Java 495.556 2.863 498.419
14 DI Yogyakarta 56.684 236 56.920
15 East Java 539.691 2.827 542.518
16 Banten 223.004 554 223.558
17 Bali 65.379 382 65.761
18 West Nusa Tenggara 98.165 956 99.121
19 East Nusa Tenggara 114.473 1258 115.731
20 West Kalimantan 91.021 613 91.634
21 Central Kalimantan 43.901 280 44.181
22 South Kalimantan 72.733 253 72.986
23 East Kalimantan 60.751 536 61.287
24 North Kalimantan 12.998 146 13.144
25 North Sulawesi 35.369 150 35.519
26 Central Sulawesi 58.725 629 59.354
27 South Sulawesi 144.079 920 144.999
28 Southeast Sulawesi 53.593 456 54.049
29 Gorontalo 20.151 206 20.357
30 West Sulawesi 27.218 315 27.533
31 Maluku 35.056 219 35.275
32 North Maluku 24.118 386 24.504
33 West Papua 20.478 77 20.555

Indonesia 4.438.141 22.257 4.460.398


34 Papua 65.558 408 65.966

Stillbirth Rate per 1000


5,0

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2021
Note: The stillbirth rate (reported) above does not necessarily reflect the actual stillbirth rate in the population
Appendix 21
NUMBER OF MATERNAL MORTALITY BY PROVINCE
YEAR 2020 - 2021

2020 2021
No Province
Number of Maternal Number of Maternal
Number of Live Births Number of Live Births
Mortality Mortality
(1) (2) (3) (4) (5) (19)
1 Aceh 114.623 173 104.847 208
2 North Sumatera 299.198 187 278.100 248
3 West Sumatera 108.653 125 104.121 193
4 Riau 155.322 129 130.651 180
5 Jambi 65.427 62 63.912 75
6 South Sumatera 158.251 128 158.262 131
7 Bengkulu 36.917 32 34.798 50
8 Lampung 147.694 115 144.178 187
9 Bangka Belitung Islands 27.476 26 25.589 62
10 Riau Islands 40.568 38 47.117 99
11 DKI Jakarta 163.138 117 172.215 129
12 West Java 880.250 745 815.650 1204
13 Central Java 522.802 530 495.556 976
14 DI Yogyakarta 41.896 40 56.684 162
15 East Java 562.006 565 539.691 1279
16 Banten 237.844 242 223.004 298
17 Bali 64.417 56 65.379 125
18 West Nusa Tenggara 102.477 122 98.165 144
19 East Nusa Tenggara 140.603 151 114.473 181
20 West Kalimantan 99.378 115 91.021 183
21 Central Kalimantan 53.783 68 43.901 96
22 South Kalimantan 79.621 97 72.733 140
23 East Kalimantan 75.011 92 60.751 169
24 North Kalimantan 12.146 18 12.998 29
25 North Sulawesi 40.496 48 35.369 64
26 Central Sulawesi 62.469 81 58.725 109
27 South Sulawesi 167.083 133 144.079 195
28 Southeast Sulawesi 56.438 61 53.593 113
29 Gorontalo 23.894 56 20.151 51
30 West Sulawesi 33.034 46 27.218 60
31 Maluku 44.803 70 35.056 63
32 North Maluku 29.282 39 24.118 58
33 West Papua 21.990 48 20.478 49

Indonesia 4.740.342 4.627 4.438.141 7.389


34 Papua 71.352 72 65.558 79

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2021
Appendix 22
NUMBER OF MATERNAL MORTALITY BY CAUSES AND PROVINCE
YEAR 2021

Causes of Maternal Mortality

No Province Hypertension Circulatory


Hemorrhage Metabolic
during Infection Abortions System Hearth Covid19 Others
Disorders**
Pregnancy Disorders *
(1) (2) (3) h (5) (6) (7) (8) (9) (10) (11)
1 Aceh 55 27 5 0 3 1 5 54 58
2 North Sumatera 59 33 5 1 8 2 5 55 80
3 West Sumatera 46 29 8 0 0 3 9 47 51
4 Riau 50 19 2 0 1 8 7 66 27
5 Jambi 19 18 1 0 1 0 2 17 17
6 South Sumatera 38 32 2 0 0 4 4 23 28
7 Bengkulu 10 6 2 0 0 1 1 20 10
8 Lampung 39 26 6 0 1 2 10 83 20
9 Bangka Belitung Islands 5 15 3 0 0 0 1 23 15
10 Riau Islands 23 15 1 1 2 0 3 39 15
11 DKI Jakarta 17 22 3 0 5 0 5 52 25
12 West Java 235 212 29 2 8 15 81 479 143
13 Central Java 96 156 15 3 2 4 44 539 117
14 DI Yogyakarta 16 16 3 0 0 1 7 110 9
15 East Java 128 119 26 1 13 6 54 799 133
16 Banten 64 50 10 0 1 1 28 98 46
17 Bali 8 4 0 0 0 2 12 75 24
18 West Nusa Tenggara 30 28 9 1 0 2 11 37 26
19 East Nusa Tenggara 55 23 11 0 9 7 2 7 67
20 West Kalimantan 41 31 9 0 3 1 9 50 39
21 Central Kalimantan 33 15 2 0 2 1 4 22 17
22 South Kalimantan 20 32 3 0 2 5 4 45 29
23 East Kalimantan 21 17 3 0 0 2 6 94 26
24 North Kalimantan 3 5 0 0 0 0 0 14 7
25 North Sulawesi 12 9 5 0 0 1 2 20 15
26 Central Sulawesi 28 18 5 1 1 0 3 20 33
27 South Sulawesi 44 41 6 2 1 2 2 40 57
28 Southeast Sulawesi 25 20 4 1 1 4 1 14 43
29 Gorontalo 3 7 2 0 0 1 1 8 29
30 West Sulawesi 20 7 5 0 0 0 4 6 18
31 Maluku 26 7 7 0 0 1 2 1 19
32 North Maluku 24 7 2 1 1 0 3 3 17
33 West Papua 9 4 6 0 0 0 2 7 21

Indonesia 1.320 1.077 207 14 65 80 335 2.982 1.309


34 Papua 18 7 7 0 0 3 1 15 28

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2021
* Stroke, dll
** Diabetes Mellitus, dll
Appendix 23.a
COVERAGE OF HEALTH SERVICE TO PREGNANT, DELIVERY, AND POSTPARTUM WOMEN BY PROVINCE
YEAR 2021

Pregnant Women Delivery/Postpartum Women


Births attended in Health Postpartum Women
No Province K1 K4* K6 KF1 KF Complete
Total Total Facilitiesl** Receives Vitamin A
Total % Total % Total % Total % Total % Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8) (11) (12) (13) (14) (17) (18) (19) (20)
1 Aceh 114.929 103.655 90,19 89.721 78,07 47768 41,56 109.922 90.525 82,35 91.736 83,46 87.029 79,17 90.982 82,77
2 North Sumatera 305.910 281.385 91,98 257.550 84,19 258849 84,62 292.005 246.974 84,58 255.360 87,45 241.331 82,65 252.079 86,33
3 West Sumatera 114.533 99.415 86,80 85.590 74,73 48329 42,20 109.327 85.513 78,22 88.323 80,79 85.411 78,12 89.081 81,48
4 Riau 144.236 131.530 91,19 125.361 86,91 42559 29,51 137.184 116.271 84,76 121.699 88,71 113.869 83,00 121.727 88,73
5 Jambi 69.707 68.459 98,21 63.464 91,04 38826 55,70 66.559 58.256 87,53 62.260 93,54 61.142 91,86 51.805 77,83
6 South Sumatera 171.905 162.571 94,57 154.821 90,06 125271 72,87 164.131 153.647 93,61 155.797 94,92 145.481 88,64 156.029 95,06
7 Bengkulu 38.278 35.848 93,65 34.010 88,85 16259 42,48 36.538 32.810 89,80 33.021 90,37 31.497 86,20 32.919 90,10
8 Lampung 158.593 155.707 98,18 147.268 92,86 58375 36,81 151.387 141.752 93,64 144.108 95,19 139.748 92,31 142.914 94,40
9 Bangka Belitung Island 28.030 26.028 92,86 23.711 84,59 23220 82,84 26.726 24.164 90,41 24.464 91,54 24.113 90,22 23.921 89,50
10 Riau Islands 51.829 44.367 85,60 42.558 82,11 32279 62,28 49.473 40.993 82,86 40.750 82,37 38.715 78,25 40.598 82,06
11 DKI Jakarta 189.437 216.349 114,21 216.813 114,45 156813 82,78 180.826 207.620 114,82 208.873 115,51 206.459 114,18 208.115 115,09
12 West Java 897.215 962.676 107,30 886.238 98,78 627492 69,94 856.433 844.651 98,62 908.097 106,03 877.000 102,40 899.837 105,07
13 Central Java 545.961 545.813 99,97 500.134 91,61 408280 74,78 520.974 488.423 93,75 500.734 96,11 498.615 95,71 508.144 97,54
14 DI Yogyakarta 62.352 46.510 74,59 37.670 60,42 27243 43,69 59.518 38.513 64,71 40.270 67,66 38.457 64,61 40.084 67,35
15 East Java 592.735 579.277 97,73 531.380 89,65 348074 58,72 565.793 533.762 94,34 537386 94,98 517.095 91,39 505.262 89,30
16 Banten 245.304 251.431 102,50 234.867 95,75 206642 84,24 234.154 232.620 99,34 245.978 105,05 228.469 97,57 242.023 103,36
17 Bali 71.917 68.806 95,67 64.898 90,24 37111 51,60 68.648 65.839 95,91 65.917 96,02 65.102 94,83 65.387 95,25
18 West Nusa Tenggara 107.982 109.858 101,74 100.851 93,40 62792 58,15 103.073 97.812 94,90 99.218 96,26 94.711 91,89 97.040 94,15
19 East Nusa Tenggara 131.245 122.022 92,97 82.765 63,06 101841 77,60 125.280 86.248 68,84 108.689 86,76 103.490 82,61 108.158 86,33
20 West Kalimantan 100.213 95.247 95,04 85.916 85,73 41511 41,42 95.657 75.595 79,03 84.889 88,74 81.626 85,33 84.394 88,23
21 Central Kalimantan 48.291 54.374 112,60 42.564 88,14 30626 63,42 46.096 35.843 77,76 48.623 105,48 45.038 97,70 47.387 102,80
22 South Kalimantan 80.006 76.108 95,13 65.494 81,86 47787 59,73 76.370 64.928 85,02 69.251 90,68 59.861 78,38 69.337 90,79
23 East Kalimantan 66.826 67.794 101,45 58.905 88,15 32151 48,11 63.789 59.642 93,50 59.362 93,06 54.628 85,64 57.538 90,20
24 North Kalimantan 14.297 14.765 103,27 12.766 89,29 4003 28,00 13.647 12.623 92,50 13.149 96,35 12.378 90,70 13.015 95,37
25 North Sulawesi 39.254 30.633 78,04 29.535 75,24 16291 41,50 36.901 29.313 79,44 30.734 83,29 27.798 75,33 30.829 83,55
26 Central Sulawesi 64.598 45.605 70,60 51.771 80,14 28621 44,31 61.661 51.155 82,96 39.602 64,23 37.586 60,96 40.984 66,47
27 South Sulawesi 158.487 165.749 104,58 148.062 93,42 87853 55,43 151.283 150.246 99,31 151.441 100,10 144.755 95,68 150.579 99,53
28 Southeast Sulawesi 58.952 54.915 93,15 44.028 74,68 22998 39,01 56.273 47.151 83,79 48.988 87,05 43.565 77,42 48.308 85,85
29 Gorontalo 22.166 23.382 105,49 18.342 82,75 18078 81,56 21.159 20.508 96,92 18.061 85,36 17.137 80,99 17.771 83,99
30 West Sulawesi 29.940 29.168 97,42 23.009 76,85 22804 76,17 28.579 24.824 86,86 25.318 88,59 24.603 86,09 24.325 85,11
31 Maluku 38.562 37.230 96,55 29.888 77,51 31587 81,91 36.809 24.304 66,03 34.719 94,32 31.900 86,66 28.538 77,53
32 North Maluku 26.530 18.635 70,24 17.943 67,63 9093 34,27 25.324 16.725 66,04 16.599 65,55 16.197 63,96 16.547 65,34
33 West Papua 22.377 51.968 232,24 3.765 16,83 9952 44,47 21.360 4.869 22,79 33.334 156,06 7.209 33,75 32.412 151,74

Indonesia 4.884.711 4.786.642 97,99 4.336.254 88,77 3.078.237 63,02 4.661.695 4.238.245 90,92 4.414.778 94,70 4.229.383 90,73 4.345.182 93,21
34 Papua 72.114 9.362 12,98 24.596 34,11 6859 9,51 68.836 34.126 49,58 8.028 11,66 27.368 39,76 7.113 10,33

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2021
Note: *K4 coverage is the same as the MSS indicator "percentage of pregnant women receiving health services for pregnant women"
** deliveries at health facilities are the same as the MSS indicator "percentage of women giving birth receiving delivery services"
Appendix 23.b
PERCENTAGE OF PUSKESMAS* PROVIDING ANTENATAL CLASSES, DELIVERY PLANNING AND COMPLICATION PREVENTION PROGRAM (P4K), AND
AND MATERNITY WAITING HOMES (RTK) BY PROVINCE YEAR 2021

Number of Puskesmas Providing Antenatal Classes Puskesmas Providing P4K Number of RTK
No Province
Puskesmas
Total % Total % Total
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 359 295 82,17 327 91,09 117
2 North Sumatera 608 469 77,14 482 79,28 151
3 West Sumatera 276 248 89,86 256 92,75 74
4 Riau 231 216 93,51 231 100,00 41
5 Jambi 207 195 94,20 207 100,00 52
6 South Sumatera 344 344 100,00 304 88,37 93
7 Bengkulu 179 179 100,00 179 100,00 67
8 Lampung 312 312 100,00 312 100,00 96
9 Bangka Belitung Islands 64 64 100,00 64 100,00 41
10 Riau Islands 88 88 100,00 88 100,00 15
11 DKI Jakarta 315 212 67,30 270 85,71 0
12 West Java 1.083 984 90,86 1.021 94,28 33
13 Central Java 878 696 79,27 878 100,00 40
14 DI Yogyakarta 121 115 95,04 121 100,00 8
15 East Java 968 901 93,08 888 91,74 47
16 Banten 245 230 93,88 245 100,00 10
17 Bali 120 82 68,33 120 100,00 30
18 West Nusa Tenggara 174 174 100,00 120 68,97 29
19 East Nusa Tenggara 410 382 93,17 173 42,20 54
20 West Kalimantan 246 200 81,30 235 95,53 149
21 Central Kalimantan 205 164 80,00 205 100,00 45
22 South Kalimantan 236 217 91,95 236 100,00 75
23 East Kalimantan 187 126 67,38 187 100,00 71
24 North Kalimantan 55 55 100,00 55 100,00 25
25 North Sulawesi 195 121 62,05 113 57,95 64
26 Central Sulawesi 207 190 91,79 80 38,65 160
27 South Sulawesi 461 374 81,13 418 90,67 146
28 Southeast Sulawesi 292 253 86,64 252 86,30 176
29 Gorontalo 93 83 89,25 77 82,80 15
30 West Sulawesi 96 73 76,04 96 100,00 68
31 Maluku 215 183 85,12 160 74,42 30
32 North Maluku 147 102 69,39 88 59,86 43
33 West Papua 161 24 14,91 161 100,00 48

Indonesia 10.203 8.521 83,51 8.719 85,46 2.170


34 Papua 428 170 39,72 70 16,36 57

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2021
* only registered health center
Appendix 24
COVERAGE OF Td IMMUNIZATION ON PREGNANT WOMEN BY PROVINCE
YEAR 2021

Td Immunization for Pregnant Women


Number of
No Province Pregnant Td1 Td2 Td3 Td4 Td5 Td2+
Women
Total % Total % Total % Total % Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
1 Aceh 114.458 14.671 12,8 14.194 12,4 11.341 9,9 7.647 6,7 5.955 5,2 39.137 34,2
2 North Sumatera 305.915 - - - - - - - - - - - -
3 West Sumatera 114.534 6.576 5,7 8.178 7,1 7.316 6,4 6.141 5,4 6.637 5,8 28.272 24,7
4 Riau 143.716 4.754 3,3 6.881 4,8 11.268 7,8 12.344 8,6 13.411 9,3 43.904 30,5
5 Jambi 68.805 7.865 11,4 7.982 11,6 6.139 8,9 4.846 7,0 3.599 5,2 22.566 32,8
6 South Sumatera 173.817 59.988 34,5 57.930 33,3 27.346 15,7 26.305 15,1 27.719 15,9 139.300 80,1
7 Bengkulu 38.278 2.264 5,9 2.362 6,2 1.801 4,7 1.800 4,7 1.603 4,2 7.566 19,8
8 Lampung 158.609 - - - - - - - - - - - -
9 Bangka Belitung Islands 28.186 289 1,0 793 2,8 3097 11,0 4902 17,4 5534 19,6 14326 50,8
10 Riau Islands 51.829 4.496 8,7 4.639 9,0 4.247 8,2 4.668 9,0 5.033 9,7 18.587 35,9
11 DKI Jakarta 189.438 15.693 8,3 17.888 9,4 20.085 10,6 21.133 11,2 24.663 13,0 83.769 44,2
12 West Java 897.216 417.148 46,5 384.334 42,8 171.971 19,2 105.978 11,8 77.998 8,7 740.281 82,5
13 Central Java 548.077 30.585 5,6 35.840 6,5 42.513 7,8 45.475 8,3 47.601 8,7 171.429 31,3
14 DI Yogyakarta 45.133 68 0,2 246 0,5 4.063 9,0 5.893 13,1 15.852 35,1 26.054 57,7
15 East Java 592.735 20.118 3,4 18.809 3,2 26.005 4,4 47.320 8,0 287.715 48,5 379.849 64,1
16 Banten 245.304 86.886 35,4 82.602 33,7 36.729 15,0 24.001 9,8 17.194 7,0 160.526 65,4
17 Bali 71.919 22 0,0 152 0,2 1.006 1,4 3.386 4,7 21.054 29,3 25.598 35,6
18 West Nusa Tenggara 107.981 18.995 17,6 18.388 17,0 13.107 12,1 10.744 9,9 7.755 7,2 49.994 46,3
19 East Nusa Tenggara 130.311 8.716 6,7 7.640 5,9 4.699 3,6 2.840 2,2 2.687 2,1 17.866 13,7
20 West Kalimantan 99.996 9.024 9,0 10.158 10,2 9.051 9,1 8.055 8,1 8.981 9,0 36.245 36,2
21 Central Kalimantan 48.290 3.528 7,3 2.960 6,1 1.383 2,9 819 1,7 681 1,4 5.843 12,1
22 South Kalimantan 80.010 7.154 8,9 9.769 12,2 7.053 8,8 3.999 5,0 2.373 3,0 23.194 29,0
23 East Kalimantan 89.607 1842 2,1 1838 2,1 1541 1,7 1056 1,2 1387 1,5 5.822 6,5
24 North Kalimantan 14.287 175 1,2 243 1,7 283 2,0 286 2,0 331 2,3 1.143 8,0
25 North Sulawesi 40.808 10.591 26,0 8.082 19,8 2.150 5,3 910 2,2 722 1,8 11.864 29,1
26 Central Sulawesi 64.599 10.534 16,3 10.010 15,5 8.154 12,6 6.366 9,9 5.834 9,0 30.364 47,0

58.955
27 South Sulawesi 158.488 59.403 37,5 50.467 31,8 24.777 15,6 13.332 8,4 9.889 6,2 98.465 62,1
28 Southeast Sulawesi 16.747 28,4 14.400 24,4 7.205 12,2 4.311 7,3 3.853 6,5 29.769 50,5
29 Gorontalo 22.166 11.776 53,1 11.090 50,0 1.459 6,6 600 2,7 584 2,6 13.733 62,0
30 West Sulawesi 29.940 4.631 15,5 4.218 14,1 3.050 10,2 1.485 5,0 1.240 4,1 9.993 33,4
31 Maluku 38.562 6.921 17,9 5.814 15,1 2.813 7,3 1.556 4,0 1.272 3,3 11.455 29,7
32 North Maluku 26.531 - - - - - - - - - - - -
33 West Papua 22.377 1266 5,7 1095 4,9 983 4,4 1022 4,6 1390 6,2 4.490 20,1

Indonesia 4.892.994 853.533 17,4 807.278 16,5 466.872 9,5 381.657 7,8 612.835 12,5 2.268.642 46,4
34 Papua 72.117 10.807 15,0 8.276 11,5 4.237 5,9 2.437 3,4 2.288 3,2 17.238 23,9

Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2021
Notes:
No data
Appendix 25
COVERAGE OF Td IMMUNIZATION ON NONPREGNANT REPRODUCTIVE‐AGE WOMEN BY PROVINCE
YEAR 2021

Number of Td Immunization on Non pregnant Reproductive Age Women


Nonpregnant
No Province Td1 Td2 Td3 Td4 Td5
Reproductive Age
Women Total % Total % Total % Total % Jumlah %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Aceh 1.029.124 14.157 1,4 8.379 0,8 6.917 0,7 5.575 0,5 6.462 0,6
2 North Sumatera 2.711.926 - - - - - - - - - -
3 West Sumatera 1.006.249 33 0,0 7 0,0 25 0,0 27 0,0 38 0,0
4 Riau 1.287.867 1.502 0,1 1.501 0,1 3.890 0,3 2.737 0,2 1.854 0,1
5 Jambi 653.131 3.801 0,6 2.313 0,4 2.384 0,4 1.856 0,3 1.523 0,2
6 South Sumatera 1.560.716 11.093 0,7 7.825 0,5 8.022 0,5 6.194 0,4 3.904 0,3
7 Bengkulu 360.630 457 0,1 159 0,0 155 0,0 134 0,0 178 0,0
8 Lampung 1.515.344 - - - - - - - - - -
9 Bangka Belitung Islands 267.482 489 0,2 228 0,1 1330 0,5 807 0,3 1464 0,5
10 Riau Islands 483.191 2.424 0,5 1.238 0,3 1.698 0,4 1.152 0,2 1.534 0,3
11 DKI Jakarta 2.069.350 12.334 0,6 9.891 0,5 14.724 0,7 12.488 0,6 14.946 0,7
12 West Java 9.156.209 0 0,0 0 0,0 0 0,0 0 0,0 0 0,0
13 Central Java 5.925.050 78.351 1,3 68.061 1,1 72.233 1,2 77.168 1,3 76.656 1,3
14 DI Yogyakarta 717.469 31 0,0 76 0,0 713 0,1 1.428 0,2 4.712 0,7
15 East Java 6.797.210 45.822 0,7 77.145 1,1 160.376 2,4 404.122 5,9 3.068.816 45,1
16 Banten 2.406.950 8.268 0,3 6.318 0,3 6.207 0,3 6.282 0,3 5.916 0,2
17 Bali 792.060 4 0,0 4 0,0 10 0,0 47 0,0 108 0,0
18 West Nusa Tenggara 943.305 - - - - - - - - - -
19 East Nusa Tenggara 986.968 409 0,0 428 0,0 451 0,0 233 0,0 254 0,0
20 West Kalimantan 954.516 3.519 0,4 2.855 0,3 2.846 0,3 2.124 0,2 2.130 0,2
21 Central Kalimantan 500.155 895 0,2 306 0,1 211 0,0 125 0,0 141 0,0
22 South Kalimantan 733.832 8.570 1,2 4.147 0,6 1.474 0,2 764 0,1 611 0,1
23 East Kalimantan 644.686 1128 0,2 813 0,1 949 0,1 1665 0,3 8707 1,4
24 North Kalimantan 128.935 300 0,2 486 0,4 733 0,6 629 0,5 716 0,6
25 North Sulawesi 420.045 - - - - - - - - - -
26 Central Sulawesi 552.031 3.028 0,5 2.158 0,4 1.703 0,3 1.425 0,3 1.389 0,3
27 South Sulawesi 1.606.750 11.115 0,7 1.674 0,1 1.789 0,1 960 0,1 630 0,0
28 Southeast Sulawesi 511.712 3.076 0,6 471 0,1 475 0,1 177 0,0 123 0,0
29 Gorontalo 218.332 1.764 0,8 1.245 0,6 1.094 0,5 474 0,2 380 0,2
30 West Sulawesi 248.381 327 0,1 56 0,0 8 0,0 0 0,0 2 0,0
31 Maluku 334.354 2.588 0,8 2.194 0,7 2.679 0,8 1.021 0,3 830 0,2
32 North Maluku 234.724 - - - - - - - - - -
33 West Papua 190.135 244 0,1 197 0,1 283 0,1 235 0,1 244 0,1

Indonesia 48.579.963 224.097 0,5 206.628 0,4 299.211 0,6 533.795 1,1 3.208.095 6,6
34 Papua 631.144 8.368 1,3 6.453 1,0 5.832 0,9 3.946 0,6 3827 0,6

Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2021
Notes:
- : No data
Appendix 26
COVERAGE OF Td IMMUNIZATION ON REPRODUCTIVE‐AGE WOMEN (BOTH PREGNANT AND NONPREGNANT WOMEN) BY PROVINCE
YEAR 2021
Td immunization in women of fertile ageTd Immunization on Reproductive Age Women
Number of
Td1 Td2
Reproductive Age
No Province Td1 Td2 Td3 Td4 Td5
Women (15‐39
Years) Total % Total % Total % Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Aceh 1.143.582 28.828 2,5 22.573 2,0 18.258 1,6 13.222 1,2 12.417 1,1
2 North Sumatera 3.017.841 - - - - - - - - - -
3 West Sumatera 1.120.783 6.609 0,6 8.185 0,7 7.341 0,7 6.168 0,6 6.675 0,6
4 Riau 1.431.583 6.256 0,4 8.382 0,6 15.158 1,1 15.081 1,1 15.265 1,1
5 Jambi 721.936 11.666 1,6 10.295 1,4 8.523 1,2 6.702 0,9 5.122 0,7
6 South Sumatera 1.734.533 71.081 4,1 65.755 3,8 35.368 2,0 32.499 1,9 31.623 1,8
7 Bengkulu 398.908 2.721 0,7 2.521 0,6 1.956 0,5 1.934 0,5 1.781 0,4
8 Lampung 1.673.953 - - - - - - - - - -
9 Bangka Belitung Islands 295.668 778 0,3 1.021 0,3 4.427 1,5 5.709 1,9 6.998 2,4
10 Riau Islands 535.020 6.920 1,3 5.877 1,1 5.945 1,1 5.820 1,1 6.567 1,2
11 DKI Jakarta 2.258.788 28.027 1,2 27.779 1,2 34.809 1,5 33.621 1,5 39.609 1,8
12 West Java 10.053.425 417.148 4,1 384.334 3,8 171.971 1,7 105.978 1,1 77.998 0,8
13 Central Java 6.473.127 108.936 1,7 103.901 1,6 114.746 1,8 122.643 1,9 124.257 1,9
14 DI Yogyakarta 762.602 99 0,0 322 0,0 4.776 0,6 7.321 1,0 20.564 2,7
15 East Java 7.389.945 65.940 0,9 95.954 1,3 186.381 2,5 451.442 6,1 3.356.531 45,4
16 Banten 2.652.254 95.154 3,6 88.920 3,4 42.936 1,6 30.283 1,1 23.110 0,9
17 Bali 863.979 26 0,0 0 0,0 1.016 0,1 0 0,0 21.162 2,4
18 West Nusa Tenggara 1.051.286 18.995 1,8 18.388 1,7 13.107 1,2 10.744 1,0 7.755 0,7
19 East Nusa Tenggara 1.117.279 9.125 0,8 8.068 0,7 5.150 0,5 3.073 0,3 2.941 0,3
20 West Kalimantan 1.054.512 12.543 1,2 13.013 1,2 11.897 1,1 10.179 1,0 11.111 1,1
21 Central Kalimantan 548.445 4.423 0,8 3.266 0,6 1.594 0,3 944 0,2 822 0,1
22 South Kalimantan 813.842 15.724 1,9 13.916 1,7 8.527 1,0 4.763 0,6 2.984 0,4
23 East Kalimantan 734.293 2.970 0,4 2.651 0,4 2.490 0,3 2.721 0,4 10.094 1,4
24 North Kalimantan 143.222 475 0,3 729 0,5 1.016 0,7 915 0,6 1.047 0,7
25 North Sulawesi 460.853 10.591 2,3 8.082 1,8 2.150 0,5 910 0,2 722 0,2
26 Central Sulawesi 616.630 13.562 2,2 12.168 2,0 9.857 1,6 7.791 1,3 7.223 1,2
27 South Sulawesi 1.765.238 70.518 4,0 52.141 3,0 26.566 1,5 14.292 0,8 10.519 0,6
28 Southeast Sulawesi 570.667 785 0,1 14.871 2,6 7.680 1,3 4.488 0,8 3.976 0,7
29 Gorontalo 240.498 13.540 5,6 12.335 5,1 2.553 1,1 1.074 0,4 964 0,4
30 West Sulawesi 278.321 4.958 1,8 4.274 1,5 3.058 1,1 1.485 0,5 1.242 0,4
31 Maluku 372.916 9.509 2,5 8.008 2,1 5.492 1,5 2.577 0,7 2.102 0,6
32 North Maluku 261.255 - - - - - - - - - -
33 West Papua 212.512 1.510 0,7 1.292 0,6 1.266 0,6 1.257 0,6 1.634 0,8

Indonesia 53.472.957 1.058.592 2,0 1.013.750 1,9 766.083 1,4 912.019 1,7 3.820.930 7,1
34 Papua 703.261 19.175 2,7 14.729 2,1 10.069 1,4 6.383 0,9 6.115 0,9

Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2021
Information:
- : No data
Appendix 27.a
PERCENTAGE OF FEMALE ADOLESCENT AND PREGNANT WOMEN RECEIVING IRON TABLETS (TTD)
BY PROVINCE YEAR 2021

Female Adolescent (12-18 years) Pregnant Women


No Province
Number of Pregnant
Total Total got TTD % Total %
Women Receiving TTD
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 312.015 66.022 21,16 114.456 92.478 80,80
2 North Sumatera 598.271 187.575 31,35 181.480 153.222 84,43
3 West Sumatera 294.992 33.949 11,51 103.233 82.508 79,92
4 Riau 306.320 16.408 5,36 42.270 30.918 73,14
5 Jambi 142.288 20.821 14,63 33.777 31.100 92,07
6 South Sumatera 505.593 127.049 25,13 106.257 91.246 85,87
7 Bengkulu 96.883 34.439 35,55 36.836 33.485 90,90
8 Lampung 299.575 146.386 48,86 108.960 97.120 89,13
9 Bangka Belitung Islands 61.382 24.812 40,42 28.403 23.674 83,35
10 Riau Islands 97.597 32.504 33,30 28.449 25.484 89,58
11 DKI Jakarta 544.883 41.184 7,56 58.040 44.210 76,17
12 West Java 1.506.843 328.916 21,83 743.390 673.596 90,61
13 Central Java 1.636.697 1.032.227 63,07 557.249 464.142 83,29
14 DI Yogyakarta 159.150 90.498 56,86 43.811 37.695 86,04
15 East Java 1.641.604 385.111 23,46 325.303 296.927 91,28
16 Banten 335.154 115.017 34,32 213.327 191.769 89,89
17 Bali 186.708 160.472 85,95 70.009 64.821 92,59
18 West Nusa Tenggara 286.848 102.299 35,66 129.551 97.971 75,62
19 East Nusa Tenggara 326.303 20.683 6,34 130.909 94.445 72,15
20 West Kalimantan 272.816 95.553 35,02 102.768 86.015 83,70
21 Central Kalimantan 136.526 25.824 18,92 46.730 40.220 86,07
22 South Kalimantan 160.153 43.674 27,27 53.347 42.152 79,01
23 East Kalimantan 190.849 7.567 3,96 58.087 50.537 87,00
24 North Kalimantan 12.110 6.563 54,19 11.272 7.688 68,20
25 North Sulawesi 15.611 3.079 19,72 3.594 3.067 85,34
26 Central Sulawesi 161.451 94.657 58,63 64.598 48.864 75,64
27 South Sulawesi 302.261 135.307 44,76 146.146 101.039 69,14
28 Southeast Sulawesi 65.913 14.476 21,96 32.328 20.709 64,06
29 Gorontalo 19.749 463 2,34 24.948 18.663 74,81
30 West Sulawesi 61.702 2.392 3,88 28.069 22.446 79,97
31 Maluku 58.118 11.603 19,96 40.935 28.904 70,61
32 North Maluku 9.639 200 2,07 26.530 20.485 77,21
33 West Papua 9.454 1.095 11,58 12.353 4.632 37,50

Indonesia 10.897.041 3.414.243 31,33 3.711.878 3.124.767 84,18


34 Papua 81.583 5.418 6,64 4.463 2.535 56,80

Source: 2021 Annual Report


Appendix 27.b
TING UNDER- FIVE AND PREGNANT WOMEN UNDER THE RISK OF CHRONIC ENERGY DEFICIENCY RECEIVING D
BY PROVINCE YEAR 2021

Percentage of Receiving Dietary Supplements


No Province Pregnant Women Under the Risk of
Wasted Under-Fives
Chronic Energy Def
(1) (2) (3) (4)
1 Aceh 75,53 81,10
2 North Sumatera 89,86 96,95
3 West Sumatera 94,26 91,76
4 Riau 79,84 95,23
5 Jambi 96,87 98,51
6 South Sumatera 94,99 81,52
7 Bengkulu 97,07 98,92
8 Lampung 98,00 98,36
9 Bangka Belitung Islands 97,00 100,00
10 Riau Islands 93,27 98,29
11 DKI Jakarta 98,58 63,82
12 West Java 72,07 92,08
13 Central Java 83,90 94,15
14 DI Yogyakarta 96,17 99,96
15 East Java 60,18 87,23
16 Banten 98,63 98,10
17 Bali 99,90 100,00
18 West Nusa Tenggara 62,97 93,86
19 East Nusa Tenggara 74,01 72,16
20 West Kalimantan 94,79 85,22
21 Central Kalimantan 98,49 93,00
22 South Kalimantan 94,84 93,73
23 East Kalimantan 86,14 95,54
24 North Kalimantan 65,53 85,09
25 North Sulawesi 80,57 99,80
26 Central Sulawesi 92,39 97,22
27 South Sulawesi 93,19 94,25
28 Southeast Sulawesi 89,17 95,26
29 Gorontalo 98,96 97,26
30 West Sulawesi 65,74 91,48
31 Maluku 90,60 96,83
32 North Maluku 61,26 69,35
33 West Papua 46,64 42,16

Indonesia 77,93 89,71


34 Papua 58,53 78,94

Source: 2021 Annual Report


Appendix 27.c
PERCENTAGE OF WASTED UNDER-FIVES AND PREGNANT WOMEN UNDER THE RISK OF CHRONIC ENERGY DEFICIENCY (KEK) RECEIVING
DIETARY SUPPLEMENTS
BY PROVINCE YEAR 2021

Percentage of Receiving Dietary Supplements


No Province Pregnant Women under the Risk of Chronic Energy
Wasted Under-Fives
Deficiency (KEK)
(1) (2) (3) (4)
1 Aceh 75,5 81,1
2 North Sumatera 89,9 97,0
3 West Sumatera 94,3 91,8
4 Riau 79,8 95,2
5 Jambi 96,9 98,5
6 South Sumatera 95,0 81,5
7 Bengkulu 97,1 98,9
8 Lampung 98,0 98,4
9 Bangka Belitung Islands 97,0 100,0
10 Riau Islands 93,3 98,3
11 DKI Jakarta 98,6 63,8
12 West Java 72,1 92,1
13 Central Java 83,9 94,1
14 DI Yogyakarta 96,2 100,0
15 East Java 60,2 87,2
16 Banten 98,6 98,1
17 Bali 99,9 100,0
18 West Nusa Tenggara 63,0 93,9
19 East Nusa Tenggara 74,0 72,2
20 West Kalimantan 94,8 85,2
21 Central Kalimantan 98,5 93,0
22 South Kalimantan 94,8 93,7
23 East Kalimantan 86,1 95,5
24 North Kalimantan 65,5 85,1
25 North Sulawesi 80,6 99,8
26 Central Sulawesi 92,4 97,2
27 South Sulawesi 93,2 94,3
28 Southeast Sulawesi 89,2 95,3
29 Gorontalo 99,0 97,3
30 West Sulawesi 65,7 91,5
31 Maluku 90,6 96,8
32 North Maluku 61,3 69,4
33 West Papua 46,6 42,2
34 Papua 58,5 78,9
Indonesia 77,9 89,7
Source: Annual Report 2021
*KEK=Kekurangan Energi Kronik ( Chronic Energy Deficiency )
PERCENTAGE OF FEMALE ADOLESCENT AND PREGNANT WOMEN RECEIVING IRON TABLETS (TTD)
BY PROVINCE YEAR 2021

Female Adolescents (12-18 years old) Pregnant Women (9 month)

No Province Number of Female


Number of Pregnant
Total Adolescents Receiving % Total %
Women Receiving TTD
TTD

(1) (2) (3) (4) (5) (6) (7) (8)


1 Aceh 312.015 66.022 21,2 114.456 92.478 80,8
2 North Sumatera 598.271 187.575 31,4 181.480 153.222 84,4
3 West Sumatera 294.992 33.949 11,5 103.233 82.508 79,9
4 Riau 306.320 16.408 5,4 42.270 30.918 73,1
5 Jambi 142.288 20.821 14,6 33.777 31.100 92,1
6 South Sumatera 505.593 127.049 25,1 106.257 91.246 85,9
7 Bengkulu 96.883 34.439 35,5 36.836 33.485 90,9
8 Lampung 299.575 146.386 48,9 108.960 97.120 89,1
9 Bangka Belitung Islands 61.382 24.812 40,4 28.403 23.674 83,4
10 Riau Islands 97.597 32.504 33,3 28.449 25.484 89,6
11 DKI Jakarta 544.883 41.184 7,6 58.040 44.210 76,2
12 West Java 1.506.843 328.916 21,8 743.390 673.596 90,6
13 Central Java 1.636.697 1.032.227 63,1 557.249 464.142 83,3
14 DI Yogyakarta 159.150 90.498 56,9 43.811 37.695 86,0
15 East Java 1.641.604 385.111 23,5 325.303 296.927 91,3
16 Banten 335.154 115.017 34,3 213.327 191.769 89,9
17 Bali 186.708 160.472 85,9 70.009 64.821 92,6
18 West Nusa Tenggara 286.848 102.299 35,7 129.551 97.971 75,6
19 East Nusa Tenggara 326.303 20.683 6,3 130.909 94.445 72,1
20 West Kalimantan 272.816 95.553 35,0 102.768 86.015 83,7
21 Central Kalimantan 136.526 25.824 18,9 46.730 40.220 86,1
22 South Kalimantan 160.153 43.674 27,3 53.347 42.152 79,0
23 East Kalimantan 190.849 7.567 4,0 58.087 50.537 87,0
24 North Kalimantan 12.110 6.563 54,2 11.272 7.688 68,2
25 North Sulawesi 15.611 3.079 19,7 3.594 3.067 85,3
26 Central Sulawesi 161.451 94.657 58,6 64.598 48.864 75,6
27 South Sulawesi 302.261 135.307 44,8 146.146 101.039 69,1
28 Southeast Sulawesi 65.913 14.476 22,0 32.328 20.709 64,1
29 Gorontalo 19.749 463 2,3 24.948 18.663 74,8
30 West Sulawesi 61.702 2.392 3,9 28.069 22.446 80,0
31 Maluku 58.118 11.603 20,0 40.935 28.904 70,6
32 North Maluku 9.639 200 2,1 26.530 20.485 77,2
33 West Papua 9.454 1.095 11,6 12.353 4.632 37,5
34 Papua 81.583 5.418 6,6 4.463 2.535 56,8
Indonesia 10.897.041 3.414.243 31,3 3.711.878 3.124.767 84,2
Source: Annual Report 2021
Appendix 28.a
NUMBER OF REPRODUCTIVE-AGE COUPLES (PUS) AS FAMILY PLANNING (KB) PARTICIPANTS BASED ON CONTRACEPTION METHODS CURRENTLY USED
YEAR 2021

Number of Reproductive-Age Couples as Family Planning Participants Based on Contraception Methods


Traditional Family Planning
Modern Family Planning Participants Participants
Number of
Birth Control
No Province couples of
Number of PUS Prevalence
fertile age
Condom % Injection % Pill % IUD % MSM % FSM % Implan % LAM % Total % Total %

(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)
1 Aceh 773.590 10.729 2,78 253.776 65,86 68.356 17,74 18.907 4,91 306 0,08 15.492 4,02 17.479 4,54 276 0,07 385.321 49,81 6.907 0,89 392.228 50,70
2 North Sumatera 1.855.245 20.564 2,74 353.557 47,06 139.182 18,53 29.107 3,87 1.882 0,25 73.213 9,75 133.011 17,71 721 0,10 751.237 40,49 13.298 0,72 764.535 41,21
3 West Sumatera 709.389 16.078 4,48 195.272 54,40 42.410 11,81 32.096 8,94 1.512 0,42 24.245 6,75 47.173 13,14 185 0,05 358.971 50,60 4.688 0,66 363.659 51,26
4 Riau 911.400 10.349 2,49 243.908 58,75 83.713 20,16 19.276 4,64 730 0,18 18.112 4,36 38.900 9,37 176 0,04 415.164 45,55 6.960 0,76 422.124 46,32
5 Jambi 598.306 6.060 1,60 230.371 60,74 77.418 20,41 12.922 3,41 429 0,11 9.418 2,48 42.557 11,22 124 0,03 379.299 63,40 3.325 0,56 382.624 63,95
6 South Sumatera 1.318.466 9.370 1,17 532.197 66,46 88.376 11,04 16.506 2,06 1.094 0,14 14.149 1,77 138.572 17,30 561 0,07 800.825 60,74 7.041 0,53 807.866 61,27
7 Bengkulu 328.796 6.180 2,89 131.203 61,36 22.871 10,70 9.499 4,44 482 0,23 6.738 3,15 36.804 17,21 54 0,03 213.831 65,03 1.458 0,44 215.289 65,48
8 Lampung 1.329.045 9.720 1,18 530.751 64,66 110.494 13,46 31.715 3,86 1.124 0,14 14.045 1,71 122.672 14,94 353 0,04 820.874 61,76 4.845 0,36 825.719 62,13
9 Bangka Belitung Islands 233.364 3.222 2,06 90.140 57,76 40.424 25,90 5.831 3,74 239 0,15 5.032 3,22 11.111 7,12 52 0,03 156.051 66,87 1.549 0,66 157.600 67,53
10 Riau Islands 294.526 3.815 3,21 58.330 49,05 26.543 22,32 10.475 8,81 307 0,26 10.089 8,48 9.264 7,79 105 0,09 118.928 40,38 5.543 1,88 124.471 42,26
11 DKI Jakarta - - - - - - - - - - - - - - - - - - - - - - -
12 West Java 7.822.002 64.416 1,40 2.811.552 61,03 826.179 17,93 471.470 10,23 9.721 0,21 159.038 3,45 263.003 5,71 1.436 0,03 4.606.815 58,90 18.157 0,23 4.624.972 59,13
13 Central Java 5.870.344 93.683 2,65 2.190.427 61,92 341.463 9,65 320.669 9,06 11.069 0,31 179.725 5,08 398.393 11,26 2.062 0,06 3.537.491 60,26 25.609 0,44 3.563.100 60,70
14 DI Yogyakarta 525.968 39.319 13,45 103.477 35,41 25.245 8,64 82.684 28,29 1.829 0,63 16.475 5,64 23.058 7,89 155 0,05 292.242 55,56 3.363 0,64 295.605 56,20
15 East Java 6.309.132 57.429 1,43 2.443.723 61,06 645.370 16,12 342.916 8,57 9.196 0,23 201.307 5,03 300.859 7,52 1.660 0,04 4.002.460 63,44 22.705 0,36 4.025.165 63,80
16 Banten 1.741.025 11.631 1,17 723.455 73,00 113.609 11,46 55.970 5,65 1.229 0,12 22.601 2,28 62.194 6,28 311 0,03 991.000 56,92 5.372 0,31 996.372 57,23
17 Bali 600.733 6.503 2,03 136.728 42,59 31.737 9,89 104.126 32,44 1.428 0,44 24.715 7,70 15.532 4,84 260 0,08 321.029 53,44 3.602 0,60 324.631 54,04
18 West Nusa Tenggara 925.538 2.895 0,54 358.637 66,77 30.178 5,62 38.135 7,10 660 0,12 9.727 1,81 96.718 18,01 173 0,03 537.123 58,03 1.440 0,16 538.563 58,19
19 East Nusa Tenggara 623.734 930 0,38 108.827 44,42 17.184 7,01 18.942 7,73 702 0,29 26.566 10,84 71.657 29,25 186 0,08 244.994 39,28 3.924 0,63 248.918 39,91
20 West Kalimantan 688.997 2.500 0,63 250.054 62,56 104.703 26,20 12.608 3,15 581 0,15 9.217 2,31 19.840 4,96 170 0,04 399.673 58,01 2.705 0,39 402.378 58,40
21 Central Kalimantan 340.332 1.823 0,84 139.892 64,25 52.461 24,09 3.307 1,52 278 0,13 3.498 1,61 16.351 7,51 130 0,06 217.740 63,98 1.113 0,33 218.853 64,31
22 South Kalimantan 635.477 4.596 1,07 219.133 51,06 166.155 38,71 9.328 2,17 737 0,17 7.253 1,69 21.771 5,07 211 0,05 429.184 67,54 2.268 0,36 431.452 67,89
23 East Kalimantan 501.372 7.952 3,12 115.262 45,24 74.041 29,06 27.686 10,87 570 0,22 12.564 4,93 16.556 6,50 166 0,07 254.797 50,82 2.826 0,56 257.623 51,38
24 North Kalimantan 82.790 814 2,20 18.985 51,28 9.682 26,15 2.801 7,57 59 0,16 1.469 3,97 3.180 8,59 35 0,09 37.025 44,72 476 0,57 37.501 45,30
25 North Sulawesi 328.217 746 0,40 97.506 52,89 31.595 17,14 10.694 5,80 351 0,19 6.110 3,31 37.265 20,22 76 0,04 184.343 56,16 1.496 0,46 185.839 56,62
26 Central Sulawesi 445.164 969 0,41 113.457 47,81 64.493 27,18 15.407 6,49 488 0,21 9.246 3,90 33.150 13,97 98 0,04 237.308 53,31 1.935 0,43 239.243 53,74
27 South Sulawesi 1.197.914 5.297 0,85 363.038 57,99 112.449 17,96 28.763 4,59 1.014 0,16 20.045 3,20 95.072 15,19 375 0,06 626.053 52,26 6.761 0,56 632.814 52,83
28 Southeast Sulawesi 373.044 953 0,53 90.434 50,55 45.139 25,23 5.352 2,99 325 0,18 3.960 2,21 32.663 18,26 80 0,04 178.906 47,96 1.287 0,34 180.193 48,30
29 Gorontalo 196.453 363 0,30 55.808 46,62 22.828 19,07 6.914 5,78 358 0,30 4.940 4,13 28.480 23,79 19 0,02 119.710 60,94 371 0,19 120.081 61,12
30 West Sulawesi 186.406 1.312 1,41 44.456 47,79 24.419 26,25 3.032 3,26 299 0,32 2.714 2,92 16.696 17,95 93 0,10 93.021 49,90 715 0,38 93.736 50,29
31 Maluku 167.742 268 0,47 37.413 66,22 5.011 8,87 735 1,30 62 0,11 1.298 2,30 11.679 20,67 31 0,05 56.497 33,68 399 0,24 56.896 33,92
32 North Maluku 156.656 101 0,14 45.155 62,32 4.186 5,78 996 1,37 51 0,07 1.279 1,77 20.663 28,52 23 0,03 72.454 46,25 512 0,33 72.966 46,58
33 West Papua 48.306 71 0,51 9.543 68,59 1.881 13,52 336 2,42 36 0,26 400 2,88 1.629 11,71 17 0,12 13.913 28,80 301 0,62 14.214 29,42

Indonesia 38.409.722 402.321 1,84 13.119.689 59,91 3.458.659 15,79 1.750.257 7,99 49.208 0,22 916.575 4,19 2.190.740 10,00 10.400 0,05 21.897.849 57,01 164.056 0,43 22.061.905 57,44
34 Papua 290.249 1.663 3,82 23.222 53,30 8.864 20,34 1.052 2,41 60 0,14 1.895 4,35 6.788 15,58 26 0,06 43.570 15,01 1.105 0,38 44.675 15,39

Source: Family Data Collection, BKKBN, 2021


Notes :
ID (intrauterine device), ICD Intrauterine Contraceptive Device
MSM : Male Surgery Method
FSM : Female Surgery Method
L AM: Lactational Amenorrhea Method
- : No data
Appendix 28.b
NUMBER OF REPRODUCTIVE‐AGE COUPLES (PUS) AS MODERN FAMILY PLANNING (KB) ACCEPTORS

Number of Reproductive‐Aged Couples (PUS) as ModernFamily Planning (KB) Acceptors by Service Facilities and Province Year 2021
Auxiliary
Hospital of Puskesmas puskesmas "Family
No Province Drug
Governmen Private /Military Private Doctor (Pustu)/Mo Midwife Planning" Total
Store/Pharm Others
t/ Hospital Clinic/Polic Clinic Practice bile Puskesmas Practice Mobile
acy
TNI/Police e (Pusling)/Villag Service
e
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Aceh 27.082 10.310 67.800 34.187 11.941 113.700 95.061 2.649 19.564 3.027 385.321
2 North Sumatera 54.039 46.185 124.446 85.418 10.819 167.963 187.988 17.551 53.521 3.307 751.237
3 West Sumatera 26.929 14.766 48.418 13.775 5.205 148.229 71.657 3.638 23.722 2.632 358.971
4 Riau 12.933 19.618 42.630 37.813 11.057 125.588 124.512 2.555 37.274 1.184 415.164
5 Jambi 7.849 7.731 28.561 12.938 7.186 153.615 107.842 17.203 34.686 1.688 379.299
6 South Sumatera 13.085 12.465 70.365 23.306 13.461 376.821 253.151 12.704 21.796 3.671 800.825
7 Bengkulu 7.518 3.522 32.469 6.668 3.769 76.315 70.417 4.179 8.161 813 213.831
8 Lampung 10.136 18.087 66.566 34.159 19.255 256.876 360.489 11.810 40.246 3.250 820.874
9 Bangka Belitung Islands 4.085 3.629 10.392 4.451 2.694 64.419 45.783 2.411 17.420 767 156.051
10 Riau Islands 7.647 9.497 19.069 11.278 3.708 24.784 28.889 846 12.801 409 118.928
11 DKI Jakarta - - - - - - - - - - -
12 West Java 167.014 190.815 473.799 291.841 90.484 869.960 1.919.246 20.141 552.255 31.260 4.606.815
13 Central Java 190.166 149.877 507.930 135.201 67.783 795.602 1.397.026 13.878 258.809 21.219 3.537.491
14 DI Yogyakarta 29.568 22.178 51.300 26.427 6.268 12.805 96.210 297 46.065 1.124 292.242
15 East Java 184.083 199.876 372.014 160.728 90.306 1.154.629 1.390.734 9.452 427.938 12.700 4.002.460
16 Banten 16.294 41.843 131.488 154.803 20.358 187.794 376.827 5.838 52.197 3.558 991.000
17 Bali 27.804 25.984 38.890 20.308 20.726 48.777 125.378 2.389 10.516 257 321.029
18 West Nusa Tenggara 15.945 7.900 61.289 13.982 12.719 313.403 91.833 7.505 7.898 4.649 537.123
19 East Nusa Tenggara 27.605 6.406 79.958 2.897 1.821 116.433 4.192 1.491 3.079 1.112 244.994
20 West Kalimantan 10.181 7.521 49.528 20.612 7.841 182.352 91.774 1.303 26.524 2.037 399.673
21 Central Kalimantan 4.326 1.565 24.075 7.748 2.687 104.215 45.018 1.319 25.059 1.728 217.740
22 South Kalimantan 8.871 4.466 34.178 12.859 6.292 153.885 95.646 6.282 88.488 18.217 429.184
23 East Kalimantan 15.509 14.561 45.720 20.064 8.679 42.163 63.049 924 43.108 1.020 254.797
24 North Kalimantan 2.360 310 10.445 1.411 2.838 6.985 7.402 92 5.041 141 37.025
25 North Sulawesi 9.928 6.030 47.264 9.369 11.430 46.065 34.810 4.575 13.255 1.617 184.343
26 Central Sulawesi 12.144 4.083 33.022 3.532 2.748 138.302 18.297 3.658 16.452 5.070 237.308
27 South Sulawesi 31.575 14.045 153.827 22.854 8.135 260.309 76.373 5.288 48.743 4.904 626.053
28 Southeast Sulawesi 6.006 2.601 36.573 3.259 2.774 84.306 18.463 10.415 11.772 2.737 178.906
29 Gorontalo 7.391 2.206 34.759 6.137 3.192 40.494 13.568 1.345 8.979 1.639 119.710
30 West Sulawesi 3.506 1.058 17.335 2.133 827 50.321 8.803 1.839 5.549 1.650 93.021
31 Maluku 2.337 571 13.281 1.054 545 27.692 7.152 1.472 1.459 934 56.497
32 North Maluku 2.033 564 16.309 1.069 676 39.301 8.035 2.954 1.185 328 72.454
33 West Papua 701 250 5.193 321 248 5.250 1.199 31 636 84 13.913

Indonesia 950.324 851.029 2.766.626 1.184.275 459.106 6.203.403 7.240.013 178.219 1.925.798 139.056 21.897.849
34 Papua 3.674 509 17.733 1.673 634 14.050 3.189 185 1.600 323 43.570

Source: Family Data Collection, BKKBN, 2021


Notes:

- : No data
Appendix 29
COVERAGE AND PROPORTION OF POSTPARTUM FAMILY PLANNING PARTICIPANTS BY TYPES OF CONTRACEPTION AND PROVINCE
YEAR 2021

Post-copying family
Postpartum Family Planning Participants
planning participants
No Province Maternity Target
ABS % Condom % Injection % Pil % ID/ICD % MSM % FSM % Implan % LAM % Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23)
1 Aceh 110.256 52.313 47,45 4.961 9,48 24.812 47,43 14.855 28,40 4.080 7,80 402 0,77 1.553 2,97 1.572 3,00 78 0,15 52.313 47,45
2 North Sumatera 292.215 62.534 21,40 4355 6,96 14.548 23,26 9.748 15,59 1.484 2,37 30 0,05 1.969 3,15 6.875 10,99 23.525 37,62 62.534 21,40
3 West Sumatera 107.037 33.276 31,09 2294 6,89 18.423 55,36 5.000 15,03 2.474 7,43 354 1,06 688 2,07 4043 12,15 0 0,00 33.276 31,09
4 Riau 127.911 91.347 71,41 5744 6,29 51.123 55,97 17.722 19,40 5.681 6,22 78 0,09 700 0,77 5.815 6,37 4.484 4,91 91.347 71,41
5 Jambi 66.559 34.340 51,59 1066 3,10 20.041 58,36 10.384 30,24 944 2,75 60 0,17 247 0,72 1.259 3,67 339 0,99 34.340 51,59
6 South Sumatera 164.131 127.415 77,00 8817 6,92 77.336 60,70 25.430 19,96 2.034 1,60 16 0,01 459 0,36 9.786 7,68 3.537 2,78 127.415 77,63
7 Bengkulu 36.630 24.176 66,00 1211 5,01 16.069 66,47 3.403 14,08 646 2,67 20 0,08 204 0,84 2.623 10,85 0 0,00 24.176 66,00
8 Lampung 153.778 94.619 58,97 4241 4,48 54.967 58,09 14.024 14,82 9.512 10,05 97 0,10 1172 1,24 10.606 11,21 0 0,00 94.619 61,53
9 Bangka Belitung Islands 27.741 17.997 64,88 453 2,52 11.181 62,13 4.269 23,72 449 2,49 32 0,18 608 3,38 833 4,63 172 0,96 17.997 64,88
10 Riau Islands 44.329 16.788 0,38 939 5,59 9.171 54,63 3.066 18,26 747 4,45 28 0,17 397 2,36 1.064 6,34 1.376 8,20 16.788 37,87
11 DKI Jakarta 207.620 136.055 0,66 14014 10,30 70.776 52,02 16.243 11,94 22.455 16,50 27 0,02 1284 0,94 11.256 8,27 0 0,00 136.055 65,53
12 West Java 948.036 562.397 59,32 18613 3,31 362.379 64,43 108.891 19,36 34.832 6,19 4452 0,79 4.762 0,85 23.433 4,17 5.035 0,90 562.397 59,32
13 Central Java 510.294 203.514 39,88 13290 6,53 113468 55,75 24598 12,09 15447 7,59 1978 0,97 7162 3,52 27571 13,55 0 0,00 203514 39,88
14 DI Yogyakarta 38.567 4.319 11.19 527 12,20 1348 31,21 169 3,91 1512 35,01 2 0,05 184 4,26 577 13,36 0 0,00 4.319 11,20
15 East Java 565.793 296.958 52,49 11877 4,00 32.915 11,08 193.149 65,04 24.071 8,11 19312 6,50 6.818 2,30 50 0,02 8.766 2,95 296.958 52,49
16 Banten 235.886 155.106 63,00 7754 5,00 105.417 67,96 28.797 18,57 4.393 2,83 4 0,00 304 0,20 7736 4,99 701 0,45 155.106 65,75
17 Bali 68.690 30.649 44,60 2799 9,13 15.904 51,89 2.521 8,23 5.352 17,46 30 0,10 1.641 5,35 2.402 7,84 0 0,00 30.649 44,62
18 West Nusa Tenggara 103.073 65.112 61,50 416 0,64 51.193 78,62 2.227 3,42 2.309 3,55 40 0,06 746 1,15 8.181 12,56 0 0,00 65.112 63,17
19 East Nusa Tenggara 124.405 23.586 19,00 530 2,25 12.712 53,90 1222 5,18 1193 5,06 86 0,36 1687 7,15 6.156 26,10 0,00 23.586 18,96
20 West Kalimantan 95.657 40.162 41,99 752 1,87 26.115 65,02 10.064 25,06 964 2,40 26 0,06 634 1,58 1427 3,55 180 0,45 40.162 41,99
21 Central Kalimantan 46.096 29.297 63,56 300 1,02 21.452 73,22 5.953 20,32 211 0,72 7 0,02 225 0,77 1.149 3,92 0 0,00 29.297 63,56
22 South Kalimantan 76.370 55.832 73,16 968 1,73 40.369 72,30 11.355 20,34 616 1,10 98 0,18 559 1,00 1110 1,99 757 1,36 55.832 73,11
23 East Kalimantan 64.844 31.788 49,02 997 3,14 18.386 57,84 5.214 16,40 2.195 6,91 24 0,08 754 2,37 2.180 6,86 2.038 6,41 31.788 49,02
24 North Kalimantan 13.636 6.924 50,78 628 9,07 2.322 33,54 495 7,15 274 3,96 0 0,00 158 2,28 461 6,66 2.586 37,35 6.924 50,78
25 North Sulawesi 266.696 15.971 5,99 378 2,37 10341 64,75 2933 18,36 523 3,27 2 0,01 80 0,50 1714 10,73 0 0,00 15971 5,99
26 Central Sulawesi 61.661 32.772 53,15 635 1,94 18.099 55,23 8.616 26,29 1.637 5,00 54 0,16 656 2,00 3.075 9,38 0 0,00 32.772 53,15
27 South Sulawesi 161.328 58.732 36,41 772 1,31 32.451 55,25 10.421 17,74 2.447 4,17 252 0,43 1.706 2,90 8.885 15,13 1.798 3,06 58.732 36,41
28 Southeast Sulawesi 455.100 1.517 3,00 34 2,24 444 29,27 747 49,24 17 1,12 126 8,31 8 0,53 0 0,00 141 9,29 1.517 0,33
29 Gorontalo 19.308 9.925 51,40 106 1,07 5.426 54,67 557 5,61 467 4,71 1 0,01 152 1,53 2231 22,48 985 9,92 9.925 51,40
30 West Sulawesi 28.251 4.962 0,18 78 1,57 2.687 54,15 805 16,22 183 3,69 2 0,04 262 5,28 587 11,83 358 7,21 4.962 17,56
31 Maluku 36.019 11.472 29,00 86 0,75 6.002 52,32 3322 28,96 100 0,87 3 0,03 77 0,67 1882 16,41 0 0,00 11.472 31,85
32 North Maluku 428.040 10.440 41,00 124 1,19 8.229 78,82 576 5,52 110 1,05 0 0,00 66 0,63 1.241 11,89 94 0,90 10.440 2,44
33 West Papua 96.832 7.262 7,50 70 0,96 4.784 65,88 1799 24,77 244 3,36 0 0,00 76 1,05 289 3,98 0 0,00 7.262 7,50

27.64 38.10 56.95


Indonesia 5.851.625 2.361.591 40,36 110.168 4,66 1.269.496 53,76 550.238 23,30 149.756 6,34 1,17 1,61 159.234 6,74 2,41 2.361.591 40,36
34 Papua 68.836 12.034 17,48 339 2,82 8.606 71,51 1.663 13,82 153 1,27 1 0,01 107 0,89 1.165 9,68 0 0,00 12.034 17,48

4 5 0
Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2021
Appendix 30.b
PERCENTAGE OF PREGNANT WOMEN PERFORMING EARLY DETECTION OF HEPATITIS B (DDHB) AND THE RESULTS
BY PROVINCE YEAR 2022

Number of Pregnant Percentage of Pregnant


Target Number of Pregnant Number of Pregnant Percentage of Pregnant
No Province Women Detected HBsAg Women Detected HBsAg
Women Women Performing DDHB Women Performing DDHB
Reactive Reactive
(1) (2) (3) (4) (5) (5) (5)
1 Aceh 114.456 90.185 78,79 919 1,02
2 North Sumatera 305.910 32.438 10,60 415 1,28
3 West Sumatera 114.533 71.187 62,15 716 1,01
4 Riau 143.716 55.141 38,37 803 1,46
5 Jambi 68.805 41.319 60,05 556 1,35
6 South Sumatera 173.815 99.084 57,01 788 0,80
7 Bengkulu 38.278 18.340 47,91 309 1,68
8 Lampung 158.609 113.132 71,33 1.403 1,24
9 Bangka Belitung Islands 28.185 21.865 77,58 390 1,78
10 Riau Islands 51.829 18.898 36,46 297 1,57
11 DKI Jakarta 189.437 136.080 71,83 1.344 0,99
12 West Java 897.215 462.079 51,50 5.819 1,26
13 Central Java 548.079 438.169 79,95 5.942 1,36
14 DI Yogyakarta 62.352 31.568 50,63 261 0,83
15 East Java 592.735 450.406 75,99 8.071 1,79
16 Banten 245.304 167.154 68,14 2.264 1,35
17 Bali 71.917 59.686 82,99 705 1,18
18 West Nusa Tenggara 107.982 74.053 68,58 2.116 2,86
19 East Nusa Tenggara 130.310 63.245 48,53 3.148 4,98
20 West Kalimantan 99.996 49.818 49,82 1.132 2,27
21 Central Kalimantan 48.291 38.432 79,58 903 2,35
22 South Kalimantan 80.006 55.880 69,84 1.086 1,94
23 East Kalimantan 66.826 49.772 74,48 985 1,98
24 North Kalimantan 14.286 11.703 81,92 254 2,17
25 North Sulawesi 40.807 12.812 31,40 147 1,15
26 Central Sulawesi 64.598 36.741 56,88 834 2,27
27 South Sulawesi 158.487 134.634 84,95 2.685 1,99
28 Southeast Sulawesi 58.952 21.901 37,15 657 3,00
29 Gorontalo 22.166 17.942 80,94 585 3,26
30 West Sulawesi 29.940 20.246 67,62 376 1,86
31 Maluku 38.562 13.681 35,48 367 2,68
32 North Maluku 26.530 12.629 47,60 419 3,32
33 West Papua 22.377 5.814 25,98 242 4,16

Indonesia 4.887.405 2.946.013 60,28 47.550 1,61


34 Papua 72.114 19.979 27,70 612 3,06

Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia 2022
Note: The number of targets referred to in column 3 is the number of pregnant women listed in the target population of the Health Development Program in 2021-2025 (KMK RI Number HK.01.07/Menkes/5675/2021
Hepatitis B examination in pregnant women using RDT (Rapid Diagnostic Test) HBsAg
HBsAg (Hepatitis B Surface Antigen) is a surface antigen found on the hepatitis B virus which gives the meaning of hepatitis B infection.
Appendix 30.b
PERCENTAGE OF PREGNANT WOMEN PERFORMING EARLY DETECTION OF HEPATITIS B (DDHB) AND THE RESULTS
BY PROVINCE YEAR 2022

Number of Pregnant Percentage of Pregnant


Target Number of Pregnant Number of Pregnant Percentage of Pregnant
No Province Women Detected HBsAg Women Detected HBsAg
Women Women Performing DDHB Women Performing DDHB
Reactive Reactive
(1) (2) (3) (4) (5) (5) (5)
1 Aceh 114.456 90.185 78,79 919 1,02
2 North Sumatera 305.910 32.438 10,60 415 1,28
3 West Sumatera 114.533 71.187 62,15 716 1,01
4 Riau 143.716 55.141 38,37 803 1,46
5 Jambi 68.805 41.319 60,05 556 1,35
6 South Sumatera 173.815 99.084 57,01 788 0,80
7 Bengkulu 38.278 18.340 47,91 309 1,68
8 Lampung 158.609 113.132 71,33 1.403 1,24
9 Bangka Belitung Islands 28.185 21.865 77,58 390 1,78
10 Riau Islands 51.829 18.898 36,46 297 1,57
11 DKI Jakarta 189.437 136.080 71,83 1.344 0,99
12 West Java 897.215 462.079 51,50 5.819 1,26
13 Central Java 548.079 438.169 79,95 5.942 1,36
14 DI Yogyakarta 62.352 31.568 50,63 261 0,83
15 East Java 592.735 450.406 75,99 8.071 1,79
16 Banten 245.304 167.154 68,14 2.264 1,35
17 Bali 71.917 59.686 82,99 705 1,18
18 West Nusa Tenggara 107.982 74.053 68,58 2.116 2,86
19 East Nusa Tenggara 130.310 63.245 48,53 3.148 4,98
20 West Kalimantan 99.996 49.818 49,82 1.132 2,27
21 Central Kalimantan 48.291 38.432 79,58 903 2,35
22 South Kalimantan 80.006 55.880 69,84 1.086 1,94
23 East Kalimantan 66.826 49.772 74,48 985 1,98
24 North Kalimantan 14.286 11.703 81,92 254 2,17
25 North Sulawesi 40.807 12.812 31,40 147 1,15
26 Central Sulawesi 64.598 36.741 56,88 834 2,27
27 South Sulawesi 158.487 134.634 84,95 2.685 1,99
28 Southeast Sulawesi 58.952 21.901 37,15 657 3,00
29 Gorontalo 22.166 17.942 80,94 585 3,26
30 West Sulawesi 29.940 20.246 67,62 376 1,86
31 Maluku 38.562 13.681 35,48 367 2,68
32 North Maluku 26.530 12.629 47,60 419 3,32
33 West Papua 22.377 5.814 25,98 242 4,16

Indonesia 4.887.405 2.946.013 60,28 47.550 1,61


34 Papua 72.114 19.979 27,70 612 3,06

Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia 2022
Note: The number of targets referred to in column 3 is the number of pregnant women listed in the target population of the Health Development Program in 2021-2025 (KMK RI Number HK.01.07/Menkes/5675/2021
Hepatitis B examination in pregnant women using RDT (Rapid Diagnostic Test) HBsAg
HBsAg (Hepatitis B Surface Antigen) is a surface antigen found on the hepatitis B virus which gives the meaning of hepatitis B infection.
Appendix 31
MORTALITY NUMBER OF NEONATAL, INFANTS, AND UNDER-FIVES BY PROVINCE IN INDONESIA

YEAR 2021

Mortality Number

No Province Neonatal Under Five Years Old


Post Neonatal
0-6 Days 7-28 Days 0-28 Days Infant Under Five Years Old Total
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1 Aceh 696 148 844 221 1.065 71 1.136
2 North Sumatera 484 76 560 78 638 40 678
3 West Sumatera 474 156 630 221 851 84 935
4 Riau 355 142 497 87 584 37 621
5 Jambi 247 34 281 25 306 9 315
6 South Sumatera 359 52 411 90 501 31 532
7 Bengkulu 184 52 236 39 275 25 300
8 Lampung 349 78 427 60 487 24 511
9 Bangka Belitung Islands 107 35 142 39 181 15 196
10 Riau Islands 192 52 244 62 306 23 329
11 DKI Jakarta 183 84 267 61 328 52 380
12 West Java 1956 410 2.366 398 2.764 224 2.988
13 Central Java 2202 899 3.101 1.129 4.230 633 4.863
14 DI Yogyakarta 147 65 212 62 274 32 306
15 East Java 2092 633 2.725 631 3.356 219 3.575
16 Banten 839 170 1.009 191 1.200 84 1.284
17 Bali 206 85 291 90 381 36 417
18 West Nusa Tenggara 593 83 676 130 806 31 837
19 East Nusa Tenggara 571 123 694 261 955 119 1.074
20 West Kalimantan 410 86 496 120 616 37 653
21 Central Kalimantan 267 67 334 60 394 29 423
22 South Kalimantan 401 82 483 137 620 56 676
23 East Kalimantan 432 127 559 145 704 52 756
24 North Kalimantan 76 21 97 36 133 8 141
25 North Sulawesi 103 26 129 38 167 27 194
26 Central Sulawesi 285 29 314 68 382 24 406
27 South Sulawesi 543 138 681 163 844 48 892
28 Southeast Sulawesi 247 39 286 72 358 29 387
29 Gorontalo 125 43 168 61 229 21 250
30 West Sulawesi 175 35 210 51 261 13 274
31 Maluku 143 21 164 48 212 31 243
32 North Maluku 175 45 220 80 300 34 334
33 West Papua 93 10 103 17 120 12 132

Indonesia 15.949 4.205 20.154 5.102 25.256 2.310 27.566


34 Papua 238 59 297 131 428 100 528

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022
Appendix 32.a
MORTALITY NUMBER OF NEONATAL, INFANTS, AND UNDER-FIVES BY THE MAIN CAUSES IN INDONESIA
YEAR 2021

Causes of Neonatal Mortality (0-28 Days) Causes of Post Neonatal Mortality (29 Days-11 Months)

No Province PD3I (Vaccine


Neonatal Congenital Perinatal Congenital Nervous System Drowning, Injury,
Low Birth Weight Asphyxia Infection COVID-19 Other Pneumonia Diarrhea Meningitis Dengue fever Preventable COVID-19 Others
Tetanus abnormalities Condition abnormalities Disease Accident
Disease)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1 Aceh 244 289 1 22 104 1 176 1 30 13 16 0 3 0 0 1 0 157
2 North Sumatera 133 168 0 17 64 5 173 1 10 10 6 0 0 0 0 0 0 51
3 West Sumatera 188 170 2 13 76 0 180 8 19 29 34 3 1 0 0 0 0 127
4 Riau 128 127 1 16 52 0 173 8 7 12 6 0 0 0 0 0 5 49
5 Jambi 86 92 0 3 38 2 60 0 4 4 3 0 1 0 0 0 0 13
6 South Sumatera 133 128 2 13 31 0 104 0 11 17 11 1 2 0 0 0 2 46
7 Bengkulu 85 55 0 8 39 1 48 0 2 3 2 1 0 0 1 0 0 30
8 Lampung 118 118 0 7 64 3 117 0 5 4 5 1 0 0 0 0 1 44
9 Bangka Belitung Islands 69 30 0 3 22 1 17 0 5 5 7 1 0 0 0 0 1 20
10 Riau Islands 101 60 1 10 12 1 59 2 8 11 9 0 1 0 0 0 1 30
11 DKI Jakarta 74 82 0 29 37 1 42 1 14 6 4 1 1 1 0 0 2 31
12 West Java 902 709 2 107 299 13 334 2 52 61 54 8 0 7 0 0 8 206
13 Central Java 1149 750 2 99 502 27 538 9 100 131 147 11 10 7 0 2 30 682
14 DI Yogyakarta 60 45 0 12 42 1 52 0 10 1 17 1 0 1 0 0 1 31
15 East Java 993 757 4 128 430 19 394 4 110 80 83 1 5 2 0 2 9 335
16 Banten 374 309 5 55 119 3 144 6 19 30 30 0 0 1 1 1 3 100
17 Bali 95 49 0 23 67 0 57 0 9 4 21 0 0 1 0 0 2 53
18 West Nusa Tenggara 273 163 0 27 99 1 113 0 55 9 0 0 0 6 0 0 3 57
19 East Nusa Tenggara 191 220 4 35 58 0 186 0 64 21 10 0 13 2 0 0 2 149
20 West Kalimantan 151 139 1 18 41 0 146 1 25 16 2 0 0 0 0 0 1 75
21 Central Kalimantan 85 114 5 15 30 0 85 1 2 17 4 0 0 0 0 0 0 36
22 South Kalimantan 208 106 2 13 56 2 96 0 22 27 20 0 0 0 0 2 1 65
23 East Kalimantan 204 145 0 29 86 7 88 0 31 30 18 1 1 0 0 3 3 58
24 North Kalimantan 32 24 2 2 16 0 21 0 3 11 1 0 0 0 0 0 1 20
25 North Sulawesi 42 32 0 4 20 1 30 0 3 7 3 0 0 1 0 0 1 23
26 Central Sulawesi 89 85 0 2 29 0 109 0 16 14 9 0 0 1 0 0 3 25
27 South Sulawesi 259 194 3 13 59 4 149 0 26 23 4 0 0 0 0 0 1 109
28 Southeast Sulawesi 92 96 1 3 31 0 63 0 12 18 3 0 0 0 0 0 0 39
29 Gorontalo 57 46 1 3 11 1 49 0 10 13 2 0 1 0 0 0 0 35
30 West Sulawesi 78 61 0 18 17 0 36 0 6 11 4 0 1 0 0 0 0 29
31 Maluku 49 41 0 5 7 0 62 0 10 13 0 0 0 0 0 0 0 25
32 North Maluku 70 56 3 18 9 3 61 4 7 16 6 0 0 0 0 0 0 47
33 West Papua 23 37 0 7 0 0 36 0 2 5 0 0 0 0 0 0 0 10

Indonesia 6.945 5.599 45 796 2.569 100 4.056 48 737 715 541 30 40 30 2 11 81 2.867
34 Papua 110 102 3 19 2 3 58 0 28 43 0 0 0 0 0 0 0 60
Appendix 32.b
MORTALITY NUMBER OF CHILDREN BY THE MAIN CAUSES IN INDONESIA
YEAR 2021

No Province Congenital PD3I (Vaccine


Nervous System Other Congenital Drowning, Injury,
Diarrhea Dengue fever Pneumonia abnormalities Preventable Parasite Infection COVID-19 others
Disease Disorders Accident
Heart Disease)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Aceh 2 0 6 1 0 0 6 5 1 1 49
2 North Sumatera 6 0 1 0 0 0 1 3 0 0 29
3 West Sumatera 8 1 2 1 0 2 4 10 0 0 56
4 Riau 4 2 2 2 0 0 3 3 0 1 20
5 Jambi 0 0 0 0 0 0 1 0 0 0 8
6 South Sumatera 2 1 5 0 0 0 0 3 0 0 20
7 Bengkulu 3 0 0 3 0 0 0 0 0 0 19
8 Lampung 0 0 0 1 0 0 1 0 1 0 21
9 Bangka Belitung Islands 1 1 1 0 0 0 1 1 0 0 10
10 Riau Islands 5 1 0 1 0 0 0 2 0 0 14
11 DKI Jakarta 5 3 9 3 0 3 1 2 0 5 21
12 West Java 22 32 24 6 0 2 4 6 5 2 121
13 Central Java 53 16 37 36 0 6 73 24 4 14 370
14 DI Yogyakarta 4 0 3 3 0 0 4 3 0 0 15
15 East Java 29 13 31 4 0 0 9 11 4 6 112
16 Banten 12 4 8 0 3 0 8 3 0 1 45
17 Bali 0 0 2 4 0 0 6 1 0 0 23
18 West Nusa Tenggara 1 2 8 1 0 0 1 1 0 0 17
19 East Nusa Tenggara 7 7 14 0 0 2 0 1 1 0 87
20 West Kalimantan 4 0 3 0 0 0 0 0 0 2 28
21 Central Kalimantan 3 0 2 0 0 0 0 4 0 0 20
22 South Kalimantan 5 1 1 0 0 0 4 11 0 0 34
23 East Kalimantan 2 1 3 2 0 1 0 5 0 3 35
24 North Kalimantan 1 0 0 0 0 0 0 3 0 0 4
25 North Sulawesi 3 0 9 0 0 0 3 0 2 0 10
26 Central Sulawesi 5 0 5 0 0 0 0 1 0 0 13
27 South Sulawesi 3 1 3 0 0 0 1 8 0 1 31
28 Southeast Sulawesi 5 0 1 2 0 0 2 2 0 0 17
29 Gorontalo 5 0 0 0 0 0 1 0 0 0 15
30 West Sulawesi 1 0 2 0 0 0 0 1 0 0 9
31 Maluku 7 0 4 0 0 0 0 2 0 0 18
32 North Maluku 2 1 1 0 0 0 0 4 0 0 26
33 West Papua 2 0 0 0 0 0 0 1 0 0 9

Indonesia 239 87 217 70 3 16 134 121 22 37 1.364


34 Papua 27 0 30 0 0 0 0 0 4 1 38

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022 2.310
Appendix 32.b
MORTALITY NUMBER OF CHILDREN BY THE MAIN CAUSES IN INDONESIA
YEAR 2021

No Province Congenital PD3I (Vaccine


Nervous System Other Congenital Drowning, Injury,
Diarrhea Dengue fever Pneumonia abnormalities Preventable Parasite Infection COVID-19 others
Disease Disorders Accident
Heart Disease)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Aceh 2 0 6 1 0 0 6 5 1 1 49
2 North Sumatera 6 0 1 0 0 0 1 3 0 0 29
3 West Sumatera 8 1 2 1 0 2 4 10 0 0 56
4 Riau 4 2 2 2 0 0 3 3 0 1 20
5 Jambi 0 0 0 0 0 0 1 0 0 0 8
6 South Sumatera 2 1 5 0 0 0 0 3 0 0 20
7 Bengkulu 3 0 0 3 0 0 0 0 0 0 19
8 Lampung 0 0 0 1 0 0 1 0 1 0 21
9 Bangka Belitung Islands 1 1 1 0 0 0 1 1 0 0 10
10 Riau Islands 5 1 0 1 0 0 0 2 0 0 14
11 DKI Jakarta 5 3 9 3 0 3 1 2 0 5 21
12 West Java 22 32 24 6 0 2 4 6 5 2 121
13 Central Java 53 16 37 36 0 6 73 24 4 14 370
14 DI Yogyakarta 4 0 3 3 0 0 4 3 0 0 15
15 East Java 29 13 31 4 0 0 9 11 4 6 112
16 Banten 12 4 8 0 3 0 8 3 0 1 45
17 Bali 0 0 2 4 0 0 6 1 0 0 23
18 West Nusa Tenggara 1 2 8 1 0 0 1 1 0 0 17
19 East Nusa Tenggara 7 7 14 0 0 2 0 1 1 0 87
20 West Kalimantan 4 0 3 0 0 0 0 0 0 2 28
21 Central Kalimantan 3 0 2 0 0 0 0 4 0 0 20
22 South Kalimantan 5 1 1 0 0 0 4 11 0 0 34
23 East Kalimantan 2 1 3 2 0 1 0 5 0 3 35
24 North Kalimantan 1 0 0 0 0 0 0 3 0 0 4
25 North Sulawesi 3 0 9 0 0 0 3 0 2 0 10
26 Central Sulawesi 5 0 5 0 0 0 0 1 0 0 13
27 South Sulawesi 3 1 3 0 0 0 1 8 0 1 31
28 Southeast Sulawesi 5 0 1 2 0 0 2 2 0 0 17
29 Gorontalo 5 0 0 0 0 0 1 0 0 0 15
30 West Sulawesi 1 0 2 0 0 0 0 1 0 0 9
31 Maluku 7 0 4 0 0 0 0 2 0 0 18
32 North Maluku 2 1 1 0 0 0 0 4 0 0 26
33 West Papua 2 0 0 0 0 0 0 1 0 0 9

Indonesia 239 87 217 70 3 16 134 121 22 37 1.364


34 Papua 27 0 30 0 0 0 0 0 4 1 38

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022 2.310
Appendix 34
COVERAGE OF NEONATAL VISIT BY PROVINCE IN INDONESIA
YEAR 2021

First Time Neonatal Visit (KN1) Third Time Neonatal Visits (Complete Neonatal Visits )*
No Province Number of live births
Total % Total %
(1) (2) (3) (4) (5) (6) (7)
1 Aceh 104.051 89.385 85,9 87.526 84,1
2 North Sumatera 278.100 244.852 88,0 240.022 86,3
3 West Sumatera 104.121 88.878 85,4 84.651 81,3
4 Riau 130.651 120.125 91,9 115.174 88,2
5 Jambi 62.550 62.079 99,2 60.426 96,6
6 South Sumatera 158.014 159.001 100,6 151.416 95,8
7 Bengkulu 34.798 35.074 100,8 31.340 90,1
8 Lampung 144.190 146.276 101,4 137.983 95,7
9 Bangka Belitung Islands 25.623 24.336 95,0 24.082 94,0
10 Riau Islands 47.117 40.679 86,3 38.199 81,1
11 DKI Jakarta 172.215 204.832 118,9 199.671 115,9
12 West Java 815.650 898.816 110,2 850.509 104,3
13 Central Java 498.254 552.047 110,8 429.158 86,1
14 DI Yogyakarta 56.684 36.973 65,2 65.889 116,2
15 East Java 538.850 532.438 98,8 639.688 118,7
16 Banten 223.004 241.325 108,2 226.481 101,6
17 Bali 65.379 65.850 100,7 65.368 100,0
18 West Nusa Tenggara 98.165 98.601 100,4 96.149 97,9
19 East Nusa Tenggara 118.464 109.104 92,1 86.643 73,1
20 West Kalimantan 90.905 83.575 91,9 80.923 89,0
21 Central Kalimantan 43.901 50.670 115,4 40.167 91,5
22 South Kalimantan 72.733 69.033 94,9 67.175 92,4
23 East Kalimantan 60.751 62.470 102,8 58.506 96,3
24 North Kalimantan 12.987 12.820 98,7 12.115 93,3
25 North Sulawesi 37.097 27.906 75,2 20.617 55,6
26 Central Sulawesi 58.725 52.551 89,5 51.027 86,9
27 South Sulawesi 144.079 153.480 106,5 145.949 101,3
28 Southeast Sulawesi 53.593 48.354 90,2 46.756 87,2
29 Gorontalo 20.151 21.206 105,2 18.828 93,4
30 West Sulawesi 27.218 25.297 92,9 24.655 90,6
31 Maluku 35.056 32.475 92,6 27.435 78,3
32 North Maluku 24.118 21.624 89,7 17.855 74,0
33 West Papua 20.343 32.513 159,8 3.488 17,1

Indonesia 4.443.095 4.450.131 100,2 4.276.919 96,3


34 Papua 65.558 5.486 8,4 31.048 47,4

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022
centage of newborns receiving health services for newborns"
Appendix 35
PERCENTAGE OF NEWBORNS RECEIVING EARLY BREASTFEEDING INITIATION (IMD)
AND INFANTS RECEIVING EXCLUSIVE BREASTFEEDING BY PROVINCE YEAR 2021

Newborns Infants Age ≤ 6 Moths


No Province Receiving IMD Receiving Exclusive Breastfeeding
Total Total
Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 86.453 65.693 76,0 79.959 44.262 55,4
2 North Sumatera 176.416 118.574 67,2 194.840 82.025 42,1
3 West Sumatera 93.315 75.674 81,1 100.951 70.400 69,7
4 Riau 60.914 49.135 80,7 71.424 28.239 39,5
5 Jambi 46.722 43.266 92,6 102.298 64.725 63,3
6 South Sumatera 324.726 272.757 84,0 217.603 98.733 45,4
7 Bengkulu 34.254 27.519 80,3 47.061 31.219 66,3
8 Lampung 132.985 112.184 84,4 261.678 170.068 65,0
9 Bangka Belitung Islands 24.618 19.829 80,5 26.290 15.364 58,4
10 Riau Islands 39.344 34.227 87,0 36.508 19.591 53,7
11 DKI Jakarta 174.493 171.833 98,5 67.205 46.088 68,6
12 West Java 813.321 714.948 87,9 954.773 567.552 59,4
13 Central Java 383.643 317.425 82,7 59.857 40.339 67,4
14 DI Yogyakarta 38.558 34.022 88,2 29.346 21.919 74,7
15 East Java 513.143 391.243 76,2 421.405 237.217 56,3
16 Banten 201.190 161.511 80,3 159.437 91.821 57,6
17 Bali 63.269 37.812 59,8 41.891 29.713 70,9
18 West Nusa Tenggara 96.506 84.286 87,3 158.099 130.343 82,4
19 East Nusa Tenggara 91.797 79.185 86,3 122.875 71.021 57,8
20 West Kalimantan 114.641 81.767 71,3 65.240 34.021 52,1
21 Central Kalimantan 42.449 37.614 88,6 46.021 20.567 44,7
22 South Kalimantan 70.457 58.556 83,1 94.484 51.417 54,4
23 East Kalimantan 62.327 46.178 74,1 52.544 28.166 53,6
24 North Kalimantan 9.701 8.189 84,4 9.336 4.585 49,1
25 North Sulawesi 7.434 5.027 67,6 19.545 5.904 30,2
26 Central Sulawesi 52.966 47.536 89,7 64.762 32.191 49,7
27 South Sulawesi 137.698 120.277 87,3 167.870 118.276 70,5
28 Southeast Sulawesi 28.168 26.418 93,8 35.804 19.342 54,0
29 Gorontalo 20.828 16.941 81,3 32.164 8.684 27,0
30 West Sulawesi 23.295 21.234 91,2 25.674 11.761 45,8
31 Maluku 23.506 17.569 74,7 104.350 13.589 13,0
32 North Maluku 21.340 18.747 87,8 23.305 13.038 55,9
33 West Papua 2.576 1.989 77,2 4.788 1.321 27,6
34 Papua 7.717 6.514 84,4 12.461 1.685 13,5
INDONESIA 4.020.769 3.325.680 8 2 ,7 3.911.849 2.225.186 56,9
Source: Annual Report 2021
'Appendix 37
COVERAGE OF VILLAGES/SUB-DISTRICTS HAVING UNIVERSAL CHILD IMMUNIZATION (UCI)
BY PROVINCE IN INDONESIA YEAR 2021

Number of
No Province UCI Villages/Sub-districts % UCI Villagee/Sub-Districts
Villages/Sub-Districts
(1) (2) (3) (4) (5)
1 Aceh 6.497 1.623 25,0
2 North Sumatera 6.110 4.432 72,5
3 West Sumatera 1.159 1.907 164,5
4 Riau 1.862
5 Jambi 1.564
6 South Sumatera 3.248 2.740 84,4
7 Bengkulu 1.513 1.295 85,6
8 Lampung 2.640
9 Bangka Belitung Islands 393 317 80,7
10 Riau Islands 417 281 67,4
11 DKI Jakarta 267 267 100,0
12 West Java 5.957 4.228 71,0
13 Central Java 8.562 7.333 85,6
14 DI Yogyakarta 438 438 100,0
15 East Java 8.501 6.132 72,1
16 Banten 1.552 1.068 68,8
17 Bali 716 693 96,8
18 West Nusa Tenggara 1.150 855 74,3
19 East Nusa Tenggara 3.353 2.596 77,4
20 West Kalimantan 2.130 1.217 57,1
21 Central Kalimantan 1.571 1.018 64,8
22 South Kalimantan 2.008 1.034 51,5
23 East Kalimantan 1.038 750 72,3
24 North Kalimantan 482 279 57,9
25 North Sulawesi 1.839 280 15,2
26 Central Sulawesi 2.017
27 South Sulawesi 3.048 2.555 83,8
28 Southeast Sulawesi 2.286 1.668 73,0
29 Gorontalo 729 543 74,5
30 West Sulawesi 648 246 38,0
31 Maluku 1.233 805 65,3
32 North Maluku 1.181 609 51,6
33 West Papua 5.521 692 12,5

Indonesia 83.467 48.556 58,2


34 Papua 1.837 655 35,7

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022

1. Data as of April 1, 2022


Note:

2. Number of villages/subdistricts based on Ministry of Home Affairs Decree No. 050-145 of 2022
'Appendix 38
COVERAGE OF IMMUNIZATION OF HEPATITIS B0 (0 -7 DAYS) AND BCG IN INFANTS BY SEX AND PROVINCE
YEAR 2021
Infants Immunized
HB0
Number of live births BCG
No Province < 24 Hours 1 - 7 Days Total
M F M+F M F M+F M F M+F M F M+F
M F M+F Total % Total % Total % Total % Total % Total % Total % Total % Total % Total % Total % Total %
(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)
1 Aceh 52.488 51.563 104.051 35.547 67,7 33.081 64,2 68.628 66,0 9.920 18,9 9.247 17,9 19.167 18,4 45.235 86,2 42.261 82,0 87.496 84,1 29.167 55,6 28.139 54,6 57.306 55,1
2 North Sumatera 139.706 138.394 278.100 95.025 68,0 92.024 66,5 187.049 67,3 25.884 18,5 25.158 18,2 51.042 18,4 120.909 86,5 117.182 84,7 238.091 85,6 114.613 82,0 112.095 81,0 226.708 81,5
3 West Sumatera 52.363 51.758 104.121 33.539 64,1 31.806 61,5 65.345 62,8 7.568 14,5 7.056 13,6 14.624 14,0 41.107 78,5 38.862 75,1 79.969 76,8 37.162 71,0 35.663 68,9 72.825 69,9
4 Riau 65.962 64.689 130.651 42.282 64,1 40.383 62,4 82.665 63,3 4.505 6,8 4.554 7,0 9.059 6,9 46.787 70,9 44.937 69,5 91.724 70,2 46.531 70,5 45.102 69,7 91.633 70,1
5 Jambi 31.399 31.151 62.550 25.953 82,7 24.704 79,3 50.657 81,0 1.700 5,4 1.573 5,0 3.273 5,2 27.653 88,1 26.277 84,4 53.930 86,2 27.990 89,1 26.847 86,2 54.837 87,7
6 South Sumatera 79.618 78.396 158.014 66.057 83,0 65.418 83,4 131.475 83,2 8.674 10,9 8.697 11,1 17.371 11,0 74.731 93,9 74.115 94,5 148.846 94,2 75.279 94,6 74.454 95,0 149.733 94,8
7 Bengkulu 17.491 17.307 34.798 15.151 86,6 14.115 81,6 29.266 84,1 1.781 10,2 1.729 10,0 3.510 10,1 16.932 96,8 15.844 91,5 32.776 94,2 16.745 95,7 16.140 93,3 32.885 94,5
8 Lampung 72.305 71.885 144.190 58.989 81,6 56.450 78,5 115.439 80,1 8.060 11,1 7.803 10,9 15.863 11,0 67.049 92,7 64.253 89,4 131.302 91,1 62.431 86,3 60.795 84,6 123.226 85,5
9 Bangka Belitung Islands 12.924 12.699 25.623 12.398 95,9 11.758 92,6 24.156 94,3 126 1,0 139 1,1 265 1,0 12.524 96,9 11.897 93,7 24.421 95,3 11.332 87,7 10.862 85,5 22.194 86,6
10 Riau Islands 23.652 23.465 47.117 18.360 77,6 17.741 75,6 36.101 76,6 833 3,5 796 3,4 1.629 3,5 19.193 81,1 18.537 79,0 37.730 80,1 19.401 82,0 18.863 80,4 38.264 81,2
11 DKI Jakarta 86.264 85.951 172.215 87.524 101,5 92.630 107,8 180.154 104,6 5.031 5,8 5.121 6,0 10.152 5,9 93.800 108,7 98.977 115,2 192.777 111,9 91.385 105,9 96.718 112,5 188.103 109,2
12 West Java 408.809 406.841 815.650 385.114 94,2 372.113 91,5 757.227 92,8 5 0,0 5 0,0 10 0,0 385.119 94,2 372.118 91,5 757.237 92,8 368.949 90,2 358.020 88,0 726.969 89,1
13 Central Java 250.668 247.586 498.254 234.673 93,6 223.445 90,2 458.118 91,9 14.262 5,7 13.839 5,6 28.101 5,6 248.935 99,3 237.284 95,8 486.219 97,6 235.384 93,9 224.183 90,5 459.567 92,2
14 DI Yogyakarta 20.921 20.109 41.030 19.318 92,3 18.304 91,0 37.622 91,7 748 3,6 573 2,8 1.321 3,2 21.648 103,5 18.877 93,9 40.525 98,8 20.240 96,7 19.036 94,7 39.276 95,7
15 East Java 270.730 268.120 538.850 264.558 97,7 252.856 94,3 517.414 96,0 1.088 0,4 840 0,3 1.928 0,4 265.646 98,1 253.696 94,6 519.342 96,4 263.310 97,3 252.158 94,0 515.468 95,7
16 Banten 112.515 110.489 223.004 104.911 93,2 101.844 92,2 206.755 92,7 11.620 10,3 11.074 10,0 22.694 10,2 116.531 103,6 112.918 102,2 229.449 102,9 110.853 98,5 108.440 98,1 219.293 98,3
17 Bali 32.791 32.588 65.379 33.004 100,6 30.854 94,7 63.858 97,7 1.924 5,9 1.848 5,7 3.772 5,8 34.925 106,5 32.678 100,3 67.603 103,4 32.952 100,5 31.265 95,9 64.217 98,2
18 West Nusa Tenggara 49.226 48.939 98.165 48.355 98,2 45.593 93,2 93.948 95,7 571 1,2 568 1,2 1.139 1,2 48.926 99,4 46.161 94,3 95.087 96,9 46.631 94,7 44.411 90,7 91.042 92,7
19 East Nusa Tenggara 59.586 58.878 118.464 42.085 70,6 39.061 66,3 81.146 68,5 2.190 3,7 2.188 3,7 4.378 3,7 44.275 74,3 41.249 70,1 85.524 72,2 44.661 75,0 42.443 72,1 87.104 73,5
20 West Kalimantan 45.670 45.235 90.905 30.964 67,8 30.076 66,5 61.040 67,1 6.794 14,9 6.466 14,3 13.260 14,6 37.758 82,7 36.542 80,8 74.300 81,7 37.204 81,5 35.892 79,3 73.096 80,4
21 Central Kalimantan 22.103 21.798 43.901 17.563 79,5 15.784 72,4 33.347 76,0 3.498 15,8 3.424 15,7 6.922 15,8 21.061 95,3 19.208 88,1 40.269 91,7 22.042 99,7 20.538 94,2 42.580 97,0
22 South Kalimantan 36.641 36.092 72.733 23.976 65,4 22.939 63,6 46.915 64,5 8.476 23,1 8.411 23,3 16.887 23,2 32.452 88,6 31.350 86,9 29.779 40,9 31.579 86,2 30.228 83,8 61.807 85,0
23 East Kalimantan 30.594 30.157 60.751 27.510 89,9 26.003 86,2 53.513 88,1 3.082 10,1 3.027 10,0 6.109 10,1 30.592 100,0 29.030 96,3 59.622 98,1 31.176 101,9 29.670 98,4 60.846 100,2
24 North Kalimantan 6.553 6.434 12.987 4.475 68,3 4.171 64,8 8.646 66,6 680 10,4 614 9,5 1.294 10,0 5.155 78,7 4.785 74,4 9.940 76,5 5.582 85,2 5.135 79,8 10.717 82,5
25 North Sulawesi 18.688 18.409 37.097 8.729 46,7 8.392 45,6 17.121 46,2 6.761 36,2 6.497 35,3 13.258 35,7 15.490 82,9 14.889 80,9 30.379 81,9 16.972 90,8 15.720 85,4 32.692 88,1
26 Central Sulawesi 29.519 29.206 58.725 19.588 66,4 18.413 63,0 38.001 64,7 5.359 18,2 5.262 18,0 10.621 18,1 24.947 84,5 23.675 81,1 48.622 82,8 24.755 83,9 23.909 81,9 48.664 82,9
27 South Sulawesi 72.856 71.223 144.079 72.398 99,4 68.353 96,0 140.751 97,7 3.330 4,6 3.105 4,4 6.435 4,5 75.728 103,9 71.458 100,3 147.186 102,2 73.926 101,5 71.603 100,5 145.529 101,0
28 Southeast Sulawesi 26.894 26.699 53.593 23.212 86,3 21.681 81,2 44.893 83,8 0 0,0 0 0,0 0 0,0 23.212 86,3 21.681 81,2 44.893 83,8 24.708 91,9 23.181 86,8 47.889 89,4
29 Gorontalo 10.160 9.991 20.151 8.654 85,2 8.357 83,6 17.011 84,4 428 4,2 502 5,0 930 4,6 8.319 81,9 8.138 81,5 16.457 81,7 8.808 86,7 8.509 85,2 17.317 85,9
30 West Sulawesi 13.663 13.555 27.218 10.015 73,3 9.399 69,3 19.414 71,3 1.178 8,6 1.114 8,2 2.292 8,4 11.193 81,9 10.513 77,6 21.706 79,7 10.829 79,3 10.285 75,9 21.114 77,6
31 Maluku 17.575 17.481 35.056 9.410 53,5 9.095 52,0 18.505 52,8 3.475 19,8 3.193 18,3 6.668 19,0 12.885 73,3 12.288 70,3 25.173 71,8 14.425 82,1 13.664 78,2 28.089 80,1
32 North Maluku 12.132 11.986 24.118 9.637 79,4 8.878 74,1 18.515 76,8 1.201 9,9 1.139 9,5 2.340 9,7 9.850 81,2 9.133 76,2 18.983 78,7 10.545 86,9 9.765 81,5 20.310 84,2
33 West Papua 10.114 10.229 20.343 3.290 32,5 3.091 30,2 6.381 31,4 3.109 30,7 3.040 29,7 6.149 30,2 6.399 63,3 6.131 59,9 12.530 61,6 8.117 80,3 7.821 76,5 15.938 78,3
34 Papua 33.073 32.484 65.557 9.950 30,1 9.085 28,0 19.035 29,0 7.845 23,7 7.303 22,5 15.148 23,1 17.795 53,8 16.388 50,4 34.183 52,1 21.764 65,8 20.287 62,5 42.051 64,1

ndonesia 2.225.653 2.201.787 4.427.440 1.902.214 85,5 1.827.897 83,0 3.730.111 84,2 161.706 7,3 155.905 7,1 317.611 7,2 2.064.761 92,8 1.983.332 90,1 4.014.070 90,7 1.997.448 89,7 1.931.841 87,7 3.929.289 88,7
Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022
Note: Data as of April 1, 2022
'Appendix 39.a
COVERAGE OF DPT-HB-Hib 3, POLIO 4*, RUBELLA MEASLES, AND COMPLETE BASIC IMMUNIZATION IN INFANTS BY SEX AND PROVINCE IN INDONESIA
YEAR 2021

Infants Immunized
Number of Infants
DPT-HB-Hib3 Polio 4* Measles Rubella Complete Basic Immunization
No Province (Surviving Infant)
M F M+F M F M+F M F M+F M F M+F

M F M+F Total % Total % Total % Total % Total % Total % Total % Total % Total % Total % Total % Total %
(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)

1 Aceh 51.202 50.322 101.524 23.767 46,4 23.247 46,2 47.014 46,3 26.084 50,9 25.548 50,8 51.632 50,9 22.589 44,1 21.837 43,4 44.426 43,8 22.033 43,0 21.305 42,3 43.338 42,7

2 North Sumatera 134.248 133.288 267.536 108.643 80,9 107.447 80,6 216.090 80,8 112.348 83,7 112.547 84,4 224.895 84,1 116.850 87,0 114.851 86,2 231.701 86,6 109.386 81,5 107.026 80,3 216.412 80,9

3 West Sumatera 51.224 50.645 101.869 32.454 63,4 31.515 62,2 63.969 62,8 31.391 61,3 30.785 60,8 62.176 61,0 31.303 61,1 30.534 60,3 61.837 60,7 30.098 58,8 29.368 58,0 59.466 58,4

4 Riau 62.996 61.763 124.759 40.887 64,9 39.235 63,5 80.122 64,2 42.110 66,8 40.427 65,5 82.537 66,2 43.957 69,8 42.013 68,0 85.970 68,9 40.095 63,6 38.386 62,2 78.481 62,9

5 Jambi 30.367 30.126 60.493 25.230 83,1 24.500 81,3 49.730 82,2 26.004 85,6 25.119 83,4 51.123 84,5 27.689 91,2 26.269 87,2 53.958 89,2 26.780 88,2 25.363 84,2 52.143 86,2

6 South Sumatera 80.926 79.695 160.621 67.332 83,2 66.878 83,9 134.210 83,6 71.125 87,9 70.425 88,4 141.550 88,1 74.606 92,2 73.821 92,6 148.427 92,4 71.881 88,8 71.099 89,2 142.980 89,0

7 Bengkulu 16.946 16.771 33.717 14.971 88,3 14.351 85,6 29.322 87,0 15.078 89,0 14.749 87,9 29.827 88,5 16.170 95,4 15.434 92,0 31.604 93,7 16.238 95,8 15.480 92,3 31.718 94,1

8 Lampung 69.734 69.342 139.076 60.069 86,1 58.476 84,3 118.545 85,2 61.729 88,5 60.128 86,7 121.857 87,6 68.026 97,6 66.669 96,1 134.695 96,8 63.293 90,8 61.755 89,1 125.048 89,9

9 Bangka Belitung Islands 12.474 12.251 24.725 9.271 74,3 9.079 74,1 18.350 74,2 9.570 76,7 9.413 76,8 18.983 76,8 10.933 87,6 10.594 86,5 21.527 87,1 10.940 87,7 10.640 86,9 21.580 87,3

10 Riau Islands 22.636 22.481 45.117 18.298 80,8 17.888 79,6 36.186 80,2 18.306 80,9 17.924 79,7 36.230 80,3 18.668 82,5 18.226 81,1 36.894 81,8 18.539 81,9 18.162 80,8 36.701 81,3

11 DKI Jakarta 87.035 86.711 173.746 56.459 64,9 54.128 62,4 110.587 63,6 56.063 64,4 53.842 62,1 109.905 63,3 55.996 64,3 53.840 62,1 109.836 63,2 56.074 64,4 53.903 62,2 109.977 63,3

12 West Java 396.748 394.895 791.643 359.207 90,5 351.069 88,9 710.276 89,7 350.758 88,4 344.094 87,1 694.852 87,8 384.547 96,9 373.612 94,6 758.159 95,8 361.056 91,0 350.090 88,7 711.146 89,8

13 Central Java 243.168 240.311 483.479 189.379 77,9 181.691 75,6 371.070 76,7 190.236 78,2 182.994 76,1 373.230 77,2 224.896 92,5 215.088 89,5 439.984 91,0 218.784 90,0 210.568 87,6 429.352 88,8

14 DI Yogyakarta 20.756 19.992 40.748 20.144 97,1 18.855 94,3 38.999 95,7 20.099 TAD 18.905 TAD 39.004 TAD 20.072 96,7 18.703 93,6 38.775 95,2 20.035 96,5 18.802 94,0 38.837 95,3

15 East Java 287.669 284.872 572.541 219.130 76,2 211.484 74,2 430.614 75,2 235.334 81,8 227.680 79,9 463.014 80,9 257.839 89,6 247.248 86,8 505.087 88,2 263.087 91,5 253.727 89,1 516.814 90,3

16 Banten 109.590 107.719 217.309 104.308 95,2 102.008 94,7 206.316 94,9 104.879 95,7 102.692 95,3 207.571 95,5 107.498 98,1 104.897 97,4 212.395 97,7 104.113 95,0 101.857 94,6 205.970 94,8

17 Bali 32.481 32.297 64.778 31.191 96,0 29.455 91,2 60.646 93,6 31.367 96,6 29.594 91,6 60.961 94,1 32.890 101,3 31.194 96,6 64.084 98,9 32.942 101,4 31.076 96,2 64.018 98,8

18 West Nusa Tenggara 49.017 48.741 97.758 42.105 85,9 40.354 82,8 82.459 84,4 39.606 80,8 37.910 77,8 77.516 79,3 48.735 99,4 46.665 95,7 95.400 97,6 47.675 97,3 45.640 93,6 93.315 95,5

19 East Nusa Tenggara 59.370 58.690 118.060 41.463 69,8 39.374 67,1 80.837 68,5 43.189 72,7 41.111 70,0 84.300 71,4 44.926 75,7 43.292 73,8 88.218 74,7 44.395 74,8 42.390 72,2 86.785 73,5

20 West Kalimantan 44.347 43.923 88.270 32.943 74,3 31.860 72,5 64.803 73,4 31.007 69,9 30.045 68,4 61.052 69,2 34.269 77,3 32.695 74,4 66.964 75,9 33.350 75,2 31.785 72,4 65.135 73,8

21 Central Kalimantan 22.510 22.206 44.716 19.129 85,0 18.107 81,5 37.236 83,3 19.514 86,7 18.458 83,1 37.972 84,9 20.190 89,7 18.751 84,4 38.941 87,1 19.685 87,5 18.273 82,3 37.958 84,9

22 South Kalimantan 35.535 35.008 70.543 28.493 80,2 27.237 77,8 55.730 79,0 27.939 78,6 26.884 76,8 54.823 77,7 28.869 81,2 27.610 78,9 56.479 80,1 29.004 81,6 27.560 78,7 56.564 80,2

23 East Kalimantan 30.472 30.042 60.514 27.015 88,7 26.366 87,8 53.381 88,2 27.307 89,6 26.652 88,7 53.959 89,2 27.902 91,6 26.831 89,3 54.733 90,4 27.733 91,0 26.704 88,9 54.437 90,0

24 North Kalimantan 6.277 6.179 12.456 4.433 70,6 4.250 68,8 8.683 69,7 4.492 71,6 4.240 68,6 8.732 70,1 4.655 74,2 4.337 70,2 8.992 72,2 4.555 72,6 4.291 69,4 8.846 71,0

25 North Sulawesi 19.134 18.851 37.985 14.561 76,1 13.923 73,9 28.484 75,0 15.217 79,5 14.614 77,5 29.831 78,5 16.408 85,8 15.629 82,9 32.037 84,3 15.849 82,8 15.055 79,9 30.904 81,4

26 Central Sulawesi 27.969 27.697 55.666 24.167 86,4 23.049 83,2 47.216 84,8 23.986 85,8 22.798 82,3 46.784 84,0 25.178 90,0 24.284 87,7 49.462 88,9 24.991 89,4 23.904 86,3 48.895 87,8

27 South Sulawesi 70.187 68.651 138.838 67.006 95,5 65.006 94,7 132.012 95,1 68.068 97,0 66.119 96,3 134.187 96,7 73.026 104,0 70.287 102,4 143.313 103,2 70.645 100,7 68.162 99,3 138.807 100,0

28 Southeast Sulawesi 27.327 27.172 54.499 20.531 75,1 17.931 66,0 38.462 70,6 21.032 77,0 20.084 73,9 41.116 75,4 24.622 90,1 23.339 85,9 47.961 88,0 23.395 85,6 22.061 81,2 45.456 83,4

29 Gorontalo 9.596 9.445 19.041 8.199 85,4 8.052 85,3 16.251 85,3 8.237 85,8 8.037 85,1 16.274 85,5 8.957 93,3 8.659 91,7 17.616 92,5 8.697 90,6 8.430 89,3 17.127 89,9

30 West Sulawesi 13.261 13.165 26.426 9.507 71,7 9.137 69,4 18.644 70,6 9.009 67,9 8.670 65,9 17.679 66,9 10.584 79,8 10.002 76,0 20.586 77,9 10.395 78,4 9.799 74,4 20.194 76,4

31 Maluku 16.833 16.742 33.575 13.286 78,9 12.870 76,9 26.156 77,9 13.121 77,9 13.015 77,7 26.136 77,8 13.499 80,2 13.045 77,9 26.544 79,1 12.526 74,4 11.974 71,5 24.500 73,0

32 North Maluku 11.655 11.520 23.175 9.870 84,7 9.332 81,0 19.202 82,9 9.495 81,5 9.106 79,0 18.601 80,3 10.158 87,2 9.553 82,9 19.711 85,1 9.720 83,4 9.054 78,6 18.774 81,0

33 West Papua 9.550 9.651 19.201 5.891 61,7 5.697 59,0 11.588 60,4 4.250 44,5 4.088 42,4 8.338 43,4 6.797 71,2 6.664 69,0 13.461 70,1 5.855 61,3 5.743 59,5 11.598 60,4

34 Papua 31.633 31.191 62.824 19.880 62,8 19.030 61,0 38.910 61,9 19.873 62,8 18.759 60,1 38.632 61,5 20.180 63,8 18.930 60,7 39.110 62,3 17.210 54,4 16.424 52,7 33.634 53,5

Indonesia 2.194.873 2.172.355 4.367.228 1.769.219 80,6 1.712.881 78,8 3.482.100 79,7 1.787.823 81,5 1.737.456 80,0 3.525.279 80,7 1.933.484 88,1 1.865.403 85,9 3.798.887 87,0 1.871.054 85,2 1.805.856 83,1 3.676.910 84,2

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022
Notes :
*specifically for DIY province, filled with the 3rd dose of IPV immunization
** Data as of April 1, 2022
Appendix 39.b
DROP OUT RATE DPT/HB/HiB IMMUNIZATION COVERAGE(1) -RUBELLA MEASLES AND DPT/HB/HiB(1) IMMUNIZATION COVERAGE - DPT/HB/HiB(3)
IN INFANTS BY PROVINCE YEAR 2019-2021

2019 2020 2021

No Province
DPT/HB/HiB(1)- DPT/HB/HiB(1) - DPT/HB/HiB(1)- DPT/HB/HiB(1) - DPT/HB/HiB(1)- DPT/HB/HiB(1) -
Measles Rubella DPT/HB/HiB(3) Measles Rubella DPT/HB/HiB(3) Measles Rubella DPT/HB/HiB(3)

(1) (2) (3) (4) (5) (6) (7) (8)


1 Aceh 20,1 9,8 21,5 10,8 12,3 7,2
2 North Sumatera 2,5 1,5 6,4 3,4 -1,9 5,0
3 West Sumatera 15,3 5,2 10,1 8,0 11,0 8,0
4 Riau 5,6 3,9 9,0 3,6 0,5 7,3
5 Jambi 1,4 1,4 11,5 2,7 -0,5 7,4
6 South Sumatera 1,8 0,5 1,3 1,5 -7,3 3,0
7 Bengkulu 7,6 4,2 2,9 3,1 1,2 8,3
8 Lampung 3,0 0,7 3,2 -0,1 -8,1 4,9
9 Bangka Belitung Islands 3,8 4,5 3,2 4,3 -3,1 12,1
10 Riau Islands 3,2 0,3 0,3 4,1 1,9 3,8
11 DKI Jakarta -0,1 0,4 -8,2 0,4 1,4 0,7
12 West Java 2,5 0,6 3,5 2,8 -3,8 2,8
13 Central Java 1,2 0,4 1,0 0,9 -4,0 12,2
14 DI Yogyakarta 1,3 0,4 1,4 0,4 2,2 1,7
15 East Java 2,2 1,1 1,9 1,4 -6,3 9,4
16 Banten 4,0 3,0 4,2 3,7 1,1 3,9
17 Bali 5,2 4,8 4,8 3,1 -0,2 5,2
18 West Nusa Tenggara 2,5 0,8 8,4 3,6 -4,2 9,9
19 East Nusa Tenggara 6,7 1,1 2,8 1,0 -1,0 7,4
20 West Kalimantan 6,5 4,4 7,4 8,2 5,5 8,5
21 Central Kalimantan 5,5 5,0 9,3 8,5 4,1 8,3
22 South Kalimantan 2,8 1,8 8,2 6,3 5,9 7,2
23 East Kalimantan 5,2 4,2 9,9 6,9 7,0 9,3
24 North Kalimantan 9,9 6,1 11,9 12,7 16,1 19,0
25 North Sulawesi 4,8 2,1 7,6 5,0 -1,0 10,2
26 Central Sulawesi 3,5 2,5 5,3 4,8 2,4 6,9
27 South Sulawesi 2,6 0,8 3,7 5,4 -0,3 7,6
28 Southeast Sulawesi 2,8 4,6 3,7 7,0 -0,9 19,1
29 Gorontalo 0,0 3,5 6,2 9,7 3,1 10,6
30 West Sulawesi 2,9 3,8 6,0 6,8 4,1 13,2
31 Maluku 5,7 1,7 3,2 3,9 7,6 9,0
32 North Maluku 5,5 3,5 10,1 6,8 3,4 5,9
33 West Papua 10,5 5,2 16,1 12,0 4,2 17,5

Indonesia 3,6 1,8 4,1 3,2 -1,6 6,9


34 Papua 24,8 11,8 12,8 13,0 9,6 10,1

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022
Note: Data as of April 1, 2022
Appendix 39.c
PERCENTAGE OF REGENCIES/CITIES ACHIEVING 80% OF COMPLETE BASIC IMMUNIZATION IN INFANTS BY PROVINCE YEAR 2019-2021

2019 2020 2021

No Province Number of Number of


Number of Achieve 80% Complete Achieve 80% Complete Achieve 80% Complete
% Regencies/citi % Regencies/citi %
Regencies/cities Basic Immunization Basic Immunization Basic Immunization
es es
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 23 3 13,0 23 2 8,7 23 2 8,7
2 North Sumatera 33 20 60,6 33 9 27,3 33 14 42,4
3 West Sumatera 19 8 42,1 19 0 0,0 19 2 10,5
4 Riau 12 6 50,0 12 2 16,7 12 2 16,7
5 Jambi 11 11 100,0 11 11 100,0 11 7 63,6
6 South Sumatera 17 17 100,0 17 16 94,1 17 16 94,1
7 Bengkulu 10 10 100,0 10 9 90,0 10 10 100,0
8 Lampung 15 15 100,0 15 14 93,3 15 12 80,0
9 Bangka Belitung Islands 7 4 57,1 7 4 57,1 7 4 57,1
10 Riau Islands 7 6 85,7 7 6 85,7 7 5 71,4
11 DKI Jakarta 6 6 100,0 6 2 33,3 6 2 33,3
12 West Java 27 27 100,0 27 23 85,2 27 21 77,8
13 Central Java 35 35 100,0 35 34 97,1 35 26 74,3
14 DI Yogyakarta 5 5 100,0 5 5 100,0 5 5 100,0
15 East Java 38 37 97,4 38 36 94,7 38 26 68,4
16 Banten 8 8 100,0 8 6 75,0 8 7 87,5
17 Bali 9 9 100,0 9 9 100,0 9 9 100,0
18 West Nusa Tenggara 10 10 100,0 10 8 80,0 10 8 80,0
19 East Nusa Tenggara 22 6 27,3 22 6 27,3 22 9 40,9
20 West Kalimantan 14 6 42,9 14 4 28,6 14 4 28,6
21 Central Kalimantan 14 9 64,3 14 6 42,9 14 11 78,6
22 South Kalimantan 13 13 100,0 13 5 38,5 13 7 53,8
23 East Kalimantan 10 9 90,0 10 9 90,0 10 9 90,0
24 North Kalimantan 5 2 40,0 5 1 20,0 5 3 60,0
25 North Sulawesi 15 11 73,3 15 8 53,3 15 8 53,3
26 Central Sulawesi 13 12 92,3 13 8 61,5 13 8 61,5
27 South Sulawesi 24 21 87,5 24 13 54,2 24 22 91,7
28 Southeast Sulawesi 17 14 82,4 17 13 76,5 17 11 64,7
29 Gorontalo 6 5 83,3 6 1 16,7 6 5 83,3
30 West Sulawesi 6 3 50,0 6 1 16,7 6 3 50,0
31 Maluku 11 5 45,5 11 4 36,4 11 5 45,5
32 North Maluku 10 5 50,0 10 2 20,0 10 5 50,0
33 West Papua 13 8 61,5 13 4 30,8 13 3 23,1

Indonesia 514 378 73,5 514 289 56,2 514 298 58,0
34 Papua 29 12 41,4 29 8 27,6 29 7 24,1

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022
Note: Data as of April 1, 2022
'Appendix 40.a
COVERAGE OF ADVANCED IMMUNIZATION OF DPT-HB-Hib 4 AND MEASLES OF RUBELLA ON UNDER TWOS
BY SEX AND PROVINCE IN INDONESIA
YEAR 2021

Immunized children under two years old


u

Number of children under two years old DPT-HB-Hib4 Measles of Rubella


No Province
M F M+F M F M+F

M F M+F Total % Total % Total % Total % Total % Total %


(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1 Aceh 57.654 55.310 112.964 8.920 15,5 8.676 15,7 17.596 15,6 7.527 13,1 7.474 13,5 15.001 13,3
2 North Sumatera 149.341 143.549 292.890 82.577 55,3 79.967 55,7 162.544 55,5 83.584 56,0 81.250 56,6 164.834 56,3
3 West Sumatera 54.361 52.166 106.527 15.699 28,9 15.575 29,9 31.274 29,4 14.688 27,0 14.543 27,9 29.231 27,4
4 Riau 77.649 74.415 152.064 25.712 33,1 24.907 33,5 50.619 33,3 25.128 32,4 24.705 33,2 49.833 32,8
5 Jambi 32.608 31.227 63.835 20.107 61,7 19.118 61,2 39.225 61,4 20.358 62,4 19.516 62,5 39.874 62,5
6 South Sumatera 78.990 75.846 154.836 59.423 75,2 59.098 77,9 118.521 76,5 77.335 97,9 77.985 102,8 155.320 100,3
7 Bengkulu 18.354 17.623 35.977 12.993 70,8 12.521 71,0 25.514 70,9 12.476 68,0 12.418 70,5 24.894 69,2
8 Lampung 73.960 70.987 144.947 51.102 69,1 49.779 70,1 100.881 69,6 56.747 76,7 55.487 78,2 112.234 77,4
9 Bangka Belitung Islands 13.758 13.190 26.948 7.375 53,6 6.860 52,0 14.235 52,8 7.047 51,2 6.626 50,2 13.673 50,7
10 Riau Islands 20.683 19.882 40.565 14.886 72,0 14.715 74,0 29.601 73,0 14.293 69,1 14.282 71,8 28.575 70,4
11 DKI Jakarta 84.176 80.749 164.925 74.843 88,9 72.994 90,4 147.837 89,6 74.987 89,1 72.609 89,9 147.596 89,5
12 West Java 438.968 419.530 858.498 274.516 62,5 267.769 63,8 542.285 63,2 283.674 64,6 277.084 66,0 560.758 65,3
13 Central Java 264.349 251.281 515.630 91.027 34,4 85.581 34,1 176.608 34,3 91.545 34,6 86.111 34,3 177.656 34,5
14 DI Yogyakarta 21.124 20.908 42.032 19.897 94,2 18.528 88,6 38.425 91,4 19.575 92,7 18.152 86,8 37.727 89,8
15 East Java 282.804 271.041 553.845 169.268 59,9 162.045 59,8 331.313 59,8 198.785 70,3 192.207 70,9 390.992 70,6
16 Banten 119.818 115.073 234.891 78.144 65,2 76.890 66,8 155.034 66,0 80.306 67,0 78.941 68,6 159.247 67,8
17 Bali 32.456 31.110 63.566 26.267 80,9 24.735 79,5 51.002 80,2 25.625 79,0 24.264 78,0 49.889 78,5
18 West Nusa Tenggara 50.385 48.361 98.746 31.881 63,3 30.090 62,2 61.971 62,8 32.296 64,1 31.010 64,1 63.306 64,1
19 East Nusa Tenggara 68.712 66.028 134.740 34.568 50,3 33.111 50,1 67.679 50,2 34.555 50,3 33.101 50,1 67.656 50,2
20 West Kalimantan 49.540 47.484 97.024 23.803 48,0 22.637 47,7 46.440 47,9 22.879 46,2 22.204 46,8 45.083 46,5
21 Central Kalimantan 26.387 25.426 51.813 13.700 51,9 13.040 51,3 26.740 51,6 12.744 48,3 12.310 48,4 25.054 48,4
22 South Kalimantan 39.463 37.877 77.340 20.290 51,4 19.837 52,4 40.127 51,9 18.878 47,8 18.820 49,7 37.698 48,7
23 East Kalimantan 36.047 34.453 70.500 20.083 55,7 18.996 55,1 39.079 55,4 18.856 52,3 18.181 52,8 37.037 52,5
24 North Kalimantan 7.938 7.561 15.499 3.076 38,8 2.802 37,1 5.878 37,9 2.983 37,6 2.690 35,6 5.673 36,6
25 North Sulawesi 20.364 19.510 39.874 11.084 54,4 10.282 52,7 21.366 53,6 11.246 55,2 10.547 54,1 21.793 54,7
26 Central Sulawesi 30.843 29.561 60.404 16.824 54,5 16.067 54,4 32.891 54,5 15.439 50,1 15.246 51,6 30.685 50,8
27 South Sulawesi 83.416 79.920 163.336 59.776 71,7 53.664 67,1 113.440 69,5 56.702 68,0 54.756 68,5 111.458 68,2
28 Southeast Sulawesi 31.159 29.807 60.966 15.968 51,2 15.015 50,4 30.983 50,8 15.055 48,3 14.713 49,4 29.768 48,8
29 Gorontalo 11.797 11.297 23.094 6.167 52,3 6.183 54,7 12.350 53,5 5.648 47,9 5.785 51,2 11.433 49,5
30 West Sulawesi 16.033 15.415 31.448 7.313 45,6 7.090 46,0 14.403 45,8 6.926 43,2 6.560 42,6 13.486 42,9
31 Maluku 21.804 20.954 42.758 11.073 50,8 10.653 50,8 21.726 50,8 10.036 46,0 10.099 48,2 20.135 47,1
32 North Maluku 14.411 13.828 28.239 6.718 46,6 6.321 45,7 13.039 46,2 6.265 43,5 5.981 43,3 12.246 43,4
33 West Papua 10.699 10.319 21.018 4.084 38,2 3.864 37,4 7.948 37,8 4.342 40,6 4.518 43,8 8.860 42,2

Indonesia 2.374.767 2.275.342 4.650.109 1.332.273 56,1 1.281.920 56,3 2.614.193 56,2 1.380.383 58,1 1.341.695 59,0 2.722.078 58,5
34 Papua 34.716 33.654 68.370 13.110 37,8 12.510 37,2 25.620 37,5 11.853 34,1 11.520 34,2 23.373 34,2

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2021
Appendix 40.b
COVERAGE OF IMMUNIZATION ON SCHOOL-AGED CHILDREN BY PROVINCE YEAR 2021

Target (Primary/Equivalent Students)* Rubella Measles (1st Grade) DT (1st Grade) Td (2nd Grade) Td (5th Grade)
No Province
1st Grade 2nd Grade 5th Grade Total % Total % Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Aceh 101.475 101.411 101.130 15.637 15,4 16.303 16,1 16.335 16,1 17.843 17,6
2 North Sumatera 275.385 276.032 277.201 105.712 38,4 100.422 36,5 102.640 37,2 106.642 38,5
3 West Sumatera 103.787 103.645 102.746 38.383 37,0 21.173 20,4 20.839 20,1 22.243 21,6
4 Riau 132.238 134.612 143.622 75.576 57,2 69.643 52,7 76.314 56,7 90.322 62,9
5 Jambi 60.666 60.573 60.151 0 0,0 0 0,0 0 0,0 0 0,0
6 South Sumatera 155.205 154.158 150.689 141.803 91,4 117.846 75,9 119.202 77,3 119.989 79,6
7 Bengkulu 33.224 33.175 33.079 31.034 93,4 30.591 92,1 31.113 93,8 31.533 95,3
8 Lampung 143.337 143.726 144.627 0 0,0 0 0,0 0 0,0 0 0,0
9 Bangka Belitung Islands 24.857 24.749 24.280 9.259 37,2 9.122 36,7 8.698 35,1 9.247 38,1
10 Riau Islands 40.738 40.159 39.224 23.641 58,0 23.762 58,3 23.818 59,3 25.337 64,6
11 DKI Jakarta 162.567 159.173 146.535 120.392 74,1 120.489 74,1 128.191 80,5 134.206 91,6
12 West Java 798.193 803.875 825.643 521.395 65,3 554.628 69,5 576.440 71,7 593.283 71,9
13 Central Java 510.288 516.713 536.910 244.672 47,9 183.217 35,9 193.759 37,5 202.974 37,8
14 DI Yogyakarta 53.433 52.835 52.177 44.912 84,1 41.272 77,2 42.646 80,7 46.521 89,2
15 East Java 546.691 547.358 552.417 431.886 79,0 445.766 81,5 441.162 80,6 469.475 85,0
16 Banten 219.684 219.619 219.460 154.852 70,5 171.983 78,3 179.108 81,6 177.221 80,8
17 Bali 61.826 62.697 67.055 63.441 102,6 63.393 102,5 63.607 101,5 65.714 98,0
18 West Nusa Tenggara 96.203 95.382 92.403 58.529 60,8 62.214 64,7 60.273 63,2 60.452 65,4
19 East Nusa Tenggara 109.663 108.413 104.578 92.512 84,4 85.829 78,3 89.203 82,3 92.417 88,4
20 West Kalimantan 87.953 88.020 88.390 0 0,0 0 0,0 0 0,0 0 0,0
21 Central Kalimantan 44.940 44.923 44.932 36.247 80,7 40.653 90,5 29.166 64,9 28.254 62,9
22 South Kalimantan 77.423 77.129 75.018 45.786 59,1 42.512 54,9 45.091 58,5 48.478 64,6
23 East Kalimantan 59.877 59.711 59.188 47.463 79,3 46.736 78,1 48.327 80,9 50.035 84,5
24 North Kalimantan 12.598 12.575 12.483 8.376 66,5 7.959 63,2 8.166 64,9 7.475 59,9
25 North Sulawesi 39.515 39.431 38.805 0 0,0 0 0,0 0 0,0 0 0,0
26 Central Sulawesi 55.541 55.232 54.067 0 0,0 0 0,0 0 0,0 0 0,0
27 South Sulawesi 144.160 144.538 145.309 113.862 79,0 114.392 79,4 117.619 81,4 117.436 80,8
28 Southeast Sulawesi 51.174 51.122 51.203 43.904 85,8 42.912 83,9 49.461 96,8 46.483 90,8
29 Gorontalo 19.587 19.638 19.771 8.991 45,9 8.959 45,7 9.709 49,4 9.608 48,6
30 West Sulawesi 26.167 26.054 25.663 14.549 55,6 15.334 58,6 15.988 61,4 16.066 62,6
31 Maluku 33.308 33.302 33.292 17.457 52,4 15.807 47,5 15.068 45,2 15.110 45,4
32 North Maluku 23.170 23.194 23.334 12.120 52,3 11.217 48,4 11.222 48,4 11.582 49,6
33 West Papua 18.678 18.611 18.458 9.376 50,2 8.864 47,5 7.806 41,9 7.530 40,8

Indonesia 4.385.640 4.393.609 4.424.773 2.562.550 58,4 2.503.996 57,1 2.561.082 58,3 2.651.743 59,9
34 Papua 62.089 61.824 60.933 30.783 49,6 30.998 49,9 30.111 48,7 28.267 46,4

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022 2094784,00
Note: :Data per 1 April 2022
With the enactment of PMK No. 12 of 2017 regarding the implementation of immunization, the provision of immunization in BIAS is conducted in grade 1, 2, and 5 of Primary School. In year 2017-2018, the implementation of immunization in BIAS was conducted only in grade 1 and 2, and grade 5 was conducted from
year 2019
Appendix 41

SCOPE OF ADMINISTRATION OF VITAMIN A TO INFANTS AND UNDER-FIVES

BY PROVINCE YEAR 2021

Infants 6-11 Months Under-Fives (12-59 Months) Under-Fives (6-59 Months)

No Province Receiving Vitamin A Receiving Vitamin A Receiving Vitamin A


Total Total Total
S % S % S %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 99.998 93.482 93,5 309.626 292.853 94,6 409.623 386.335 94,3
2 North Sumatera 216.957 196.757 90,7 695.351 634.483 91,2 912.308 831.240 91,1
3 West Sumatera 91.971 82.827 90,1 321.483 288.190 89,6 413.454 371.017 89,7
4 Riau 67.257 51.792 77,0 290.447 208.339 71,7 357.704 260.131 72,7
5 Jambi 40.728 37.210 91,4 123.519 114.662 92,8 164.247 151.872 92,5
6 South Sumatera 119.960 93.912 78,3 490.140 404.856 82,6 610.100 498.768 81,8
7 Bengkulu 32.124 29.944 93,2 97.230 88.611 91,1 129.354 118.555 91,7
8 Lampung 145.572 135.093 92,8 450.406 421.403 93,6 595.978 556.496 93,4
9 Bangka Belitung Islands 25.693 23.015 89,6 90.640 79.764 88,0 116.333 102.779 88,3
10 Riau Islands 43.085 32.580 75,6 139.054 105.865 76,1 182.139 138.445 76,0
11 DKI Jakarta 136.026 89.264 65,6 614.301 431.376 70,2 750.327 520.640 69,4
12 West Java 741.784 716.741 96,6 2.690.942 2.599.997 96,6 3.432.726 3.316.738 96,6
13 Central Java 568.586 560.540 98,6 1.948.802 1.920.238 98,5 2.517.388 2.480.778 98,5
14 DI Yogyakarta 39.647 39.624 99,9 162.501 162.455 100,0 202.148 202.079 100,0
15 East Java 536.557 467.655 87,2 1.901.321 1.725.098 90,7 2.437.878 2.192.753 89,9
16 Banten 182.483 171.372 93,9 693.006 627.639 90,6 875.489 799.011 91,3
17 Bali 54.911 53.541 97,5 175.744 170.684 97,1 230.655 224.225 97,2
18 West Nusa Tenggara 111.182 108.071 97,2 369.245 356.821 96,6 480.427 464.892 96,8
19 East Nusa Tenggara 100.853 94.021 93,2 346.425 321.981 92,9 447.278 416.002 93,0
20 West Kalimantan 90.563 73.394 81,0 332.324 254.102 76,5 422.887 327.496 77,4
21 Central Kalimantan 47.058 39.263 83,4 162.013 126.578 78,1 209.071 165.841 79,3
22 South Kalimantan 64.311 58.176 90,5 248.863 220.739 88,7 313.174 278.915 89,1
23 East Kalimantan 58.513 44.636 76,3 238.145 172.801 72,6 296.658 217.437 73,3
24 North Kalimantan 10.704 7.648 71,4 42.746 28.459 66,6 53.450 36.107 67,6
25 North Sulawesi 8.511 7.876 92,5 23.834 20.973 88,0 32.345 28.849 89,2
26 Central Sulawesi 51.993 46.697 89,8 182.081 156.788 86,1 234.074 203.485 86,9
27 South Sulawesi 143.657 132.951 92,5 474.729 440.226 92,7 618.386 573.177 92,7
28 Southeast Sulawesi 35.239 28.705 81,5 109.014 80.839 74,2 144.253 109.544 75,9
29 Gorontalo 21.512 18.531 86,1 69.034 64.056 92,8 90.546 82.587 91,2
30 West Sulawesi 23.080 18.059 78,2 92.539 73.172 79,1 115.619 91.231 78,9
31 Maluku 30.483 22.544 74,0 92.932 69.867 75,2 123.415 92.411 74,9
32 North Maluku 37.300 32.424 86,9 70.375 58.282 82,8 107.675 90.706 84,2
33 West Papua 11.062 4.474 40,4 24.687 6.661 27,0 35.749 11.135 31,1

Indonesia
34 Papua

4.003.528 3.617.825 90,4 14.125.350 12.738.385 90,2 18.128.878 16.356.211 90,2


14.171 5.010 35,4 51.857 9.534 18,4 66.028 14.544 22,0

Source: Directorate General of Public Health, 2021


Note: Reports on the administration of vitamin A are carried out in February and August, so the calculation of infants 6-11 months who receive vitamin A in a year
calculated by accumulating infants 6-11 months who received vitamin A in February and who received vitamin A in August.
For the calculation of children under five months 12-59 months who received vitamin A using August data.
'Appendix 42
COVERAGE OF HEALTH SERVICES TO CHILDREN BY SEX AND PROVINCE IN INDONESIA
YEAR 2021

Under five years old Growth and Under five years old Served by
Under five years old Has MCH Book Under five years old Served by IMCI*
No Province Under Five Years Old Development Monitored SDIDTK
Total % Total % Total % Total %
(1) (2) (4) (7) (10) (13) (13)

1 Aceh 508.364 385.347 75,8 369.968 72,8 276.237 54,3 133.181 21,1

2 North Sumatera 1.352.284 913.719 67,6 814.006 60,2 454.881 33,6 205.292 28,4

3 West Sumatera 514.865 408.644 79,4 336.322 65,3 350.772 68,1 140.852 39,8

4 Riau 640.238 398.903 62,3 375.356 58,6 316.841 49,5 126.945 14,6

5 Jambi 303.093 232.978 76,9 216.104 71,3 189.729 62,6 127.005 52,9

6 South Sumatera 795.604 480.076 60,3 637.104 80,1 655.413 82,4 187.707 24,1

7 Bengkulu 167.985 138.429 82,4 109.663 65,3 64.990 38,7 24.634 23,1

8 Lampung 703.591 671.677 95,5 465.430 66,2 595.881 84,7 262.013 39,5

9 Bangka Belitung Islands 124.139 81.018 65,3 84.234 67,9 79.041 63,7 38.721 97,4

10 Riau Islands 222.314 112.094 50,4 144.386 64,9 58.486 26,3 24.441 75,6

11 DKI Jakarta 847.779 675.926 79,7 668.761 78,9 590.497 69,7 224.639 99,1

12 West Java 3.951.623 4.351.341 110,1 2.994.816 75,8 2.515.143 63,6 1.387.034 57,0

13 Central Java 2.443.282 2.345.943 96,0 1.587.669 65,0 1.321.320 54,1 880.266 52,0

14 DI Yogyakarta 278.940 175.486 62,9 142.529 51,1 121.688 43,6 39.113 76,9

15 East Java 2.793.402 2.244.289 80,3 2.173.452 77,8 1.727.410 61,8 649.572 16,9

16 Banten 1.094.798 786.227 71,8 965.286 88,2 834.577 76,2 406.416 42,0

17 Bali 317.193 245.219 77,3 249.266 78,6 233.050 73,5 112.416 28,6

18 West Nusa Tenggara 489.891 190.948 39,0 345.265 70,5 461.278 94,2 146.798 46,9

19 East Nusa Tenggara 577.891 327.299 56,6 351.219 60,8 16.721 2,9 38.912 32,5

20 West Kalimantan 441.161 287.165 65,1 286.444 64,9 190.093 43,1 80.405 25,0

21 Central Kalimantan 224.821 175.091 77,9 136.906 60,9 109.985 48,9 53.361 10,9

22 South Kalimantan 369.602 298.176 80,7 251.645 68,1 268.135 72,5 874.619 95,1

23 East Kalimantan 301.884 227.186 75,3 190.233 63,0 99.125 32,8 73.149 25,3

24 North Kalimantan 62.822 36.568 58,2 37.138 59,1 38.124 60,7 25.175 24,8

25 North Sulawesi 192.997 125.937 65,3 58.427 30,3 82.470 42,7 13.461 2,8

26 Central Sulawesi 279.981 201.908 72,1 219.065 78,2 124.759 44,6 32.199 25,2

27 South Sulawesi 704.722 473.261 67,2 551.958 78,3 390.214 55,4 131.717 16,7

28 Southeast Sulawesi 264.911 178.914 67,5 106.723 40,3 89.991 34,0 39.967 50,3

29 Gorontalo 96.293 74.244 77,1 57.863 60,1 37.116 38,5 19.691 9,4

30 West Sulawesi 132.425 115.514 87,2 84.543 63,8 88.164 66,6 17.294 21,5

31 Maluku 167.387 118.490 70,8 75.377 45,0 96.207 57,5 42.557 8,6

32 North Maluku 116.267 91.781 78,9 69.550 59,8 61.888 53,2 39.966 17,2

33 West Papua 95.440 20.527 21,5 1.987 2,1 3.361 3,5 7.654 6,0

34 Papua 313.970 311.649 99,3 78.641 25,0 72.529 23,1 76.327 26,0

Indonesia 21.891.959 17.901.974 81,8 15.237.336 69,6 12.616.116 57,6 6.683.499 30,5

Source : Directorate General of Disease Prevention and Control, the Ministry of Health of the Republic of Indonesia, 2022
Coverage of Under five years old served by Integrated Management of Childhood Illness (IMCI) is calculated based on the target of visiting sick under five years old.
Appendix 44.a

PERCENTAGE OF 0 ‐ 23 MONTH OLD CHILDREN ACCORDING TO NUTRITIONAL STATUS WITH WEIGHT/AGE INDEX
BY PROVINCE YEAR 2021

2021
No Province
Severely underweight Underweight Normal Risk of Overweight
(1) (2) (3) (4) (5) (6)
1 Aceh 1,7 7,1 86,0 5,2
2 North Sumatera 0,6 2,7 90,9 5,8
3 West Sumatera 1,3 6,3 87,3 5,0
4 Riau 0,9 3,9 88,6 6,6
5 Jambi 0,5 2,5 91,9 5,1
6 South Sumatera 0,5 1,8 88,8 8,9
7 Bengkulu 0,3 2,1 91,0 6,5
8 Lampung 0,5 2,7 88,4 8,4
9 Bangka Belitung Islands 0,6 3,8 89,7 5,8
10 Riau Islands 0,9 4,1 87,1 7,9
11 DKI Jakarta 0,7 2,4 87,7 9,2
12 West Java 1,1 4,2 86,8 7,9
13 Central Java 1,3 6,3 84,7 7,8
14 DI Yogyakarta 1,2 7,3 82,7 8,8
15 East Java 1,4 5,5 82,8 10,4
16 Banten 1,3 4,2 84,1 10,4
17 Bali 0,3 1,9 85,1 12,7
18 West Nusa Tenggara 1,8 8,9 84,8 4,5
19 East Nusa Tenggara 2,3 11,6 83,0 3,1
20 West Kalimantan 2,1 9,2 83,6 5,0
21 Central Kalimantan 1,5 6,7 85,3 6,4
22 South Kalimantan 1,6 7,4 86,6 4,4
23 East Kalimantan 1,7 8,0 81,3 9,0
24 North Kalimantan 1,5 6,8 85,8 5,8
25 North Sulawesi 0,4 3,0 91,8 4,8
26 Central Sulawesi 1,7 7,6 86,1 4,6
27 South Sulawesi 0,9 5,2 89,8 4,0
28 Southeast Sulawesi 1,1 5,5 88,7 4,8
29 Gorontalo 1,4 6,1 89,7 2,8
30 West Sulawesi 1,8 9,1 84,9 4,1
31 Maluku 1,2 6,6 88,9 3,3
32 North Maluku 1,7 7,9 87,3 3,1
33 West Papua 3,4 10,0 80,9 5,7

Indonesia
34 Papua

1,2 5,2 86,4 7,3


2,1 7,2 83,5 7,2

Source: ePPGBM measurement August 2021, accessed on 18 January 2022


Appendix 44.b
PERCENTAGE OF 0 ‐ 59 MONTH OLD CHILDREN ACCORDING TO NUTRITIONAL STATUS WITH WEIGHT/AGE INDEX
BY PROVINCE YEAR 2021

2021
No Province
Severely underweight Underweight Normal Risk of Overweight

(1) (2) (3) (4) (5) (6)


1 Aceh 1,8 8,6 86,7 2,9
2 North Sumatera 0,6 2,4 93,4 3,6
3 West Sumatera 1,3 7,8 87,8 3,1
4 Riau 1,0 4,0 90,4 4,5
5 Jambi 0,5 2,6 93,8 3,1
6 South Sumatera 0,5 1,8 92,4 5,4
7 Bengkulu 0,3 2,4 93,7 3,6
8 Lampung 0,5 3,0 91,9 4,6
9 Bangka Belitung Islands 0,6 3,5 90,5 5,3
10 Riau Islands 1,0 4,6 88,1 6,3
11 DKI Jakarta 0,5 2,3 91,1 6,0
12 West Java 1,0 5,2 88,0 5,7
13 Central Java 1,4 8,0 84,5 6,1
14 DI Yogyakarta 1,3 8,5 81,5 8,7
15 East Java 1,5 6,8 83,2 8,5
16 Banten 1,3 4,6 87,6 6,5
17 Bali 0,4 2,5 87,6 9,5
18 West Nusa Tenggara 2,0 12,1 83,5 2,3
19 East Nusa Tenggara 2,8 15,9 79,6 1,6
20 West Kalimantan 2,7 11,3 81,8 4,2
21 Central Kalimantan 1,7 7,9 84,5 5,9
22 South Kalimantan 1,8 8,4 86,1 3,7
23 East Kalimantan 2,0 9,4 79,3 9,3
24 North Kalimantan 1,8 8,3 84,6 5,3
25 North Sulawesi 0,4 2,8 93,7 3,2
26 Central Sulawesi 1,9 9,0 85,9 3,1
27 South Sulawesi 0,9 5,7 91,1 2,3
28 Southeast Sulawesi 1,3 6,9 88,9 2,9
29 Gorontalo 1,5 6,7 89,4 2,3
30 West Sulawesi 2,3 12,2 83,0 2,6
31 Maluku 1,2 7,6 89,1 2,0
32 North Maluku 1,7 9,6 86,8 1,9
33 West Papua 3,8 12,9 78,8 4,5

Indonesia 1,2 6,1 87,6 5,2


34 Papua 2,1 8,6 83,2 6,0

Source: ePPGBM measurement August 2021, accessed on 18 January 2022


Appendix 44.c
PERCENTAGE OF 0 ‐ 23 MONTH OLD CHILDREN ACCORDING TO NUTRITIONAL STATUS WITH HEIGHT/AGE INDEX

2021
No Province
Very stunted Stunted Normal Tall
(1) (2) (3) (4) (5) (6)
1 Aceh 3,6 8,5 86,0 1,8
2 North Sumatera 2,0 4,3 91,6 2,1
3 West Sumatera 2,8 7,4 88,6 1,2
4 Riau 1,9 4,5 91,7 1,8
5 Jambi 1,3 3,4 94,1 1,2
6 South Sumatera 1,1 2,6 93,9 2,4
7 Bengkulu 1,1 4,6 93,5 0,7
8 Lampung 1,6 3,8 92,6 2,1
9 Bangka Belitung Islands 1,2 3,4 94,9 0,6
10 Riau Islands 1,8 4,4 91,9 1,9
11 DKI Jakarta 1,0 1,9 94,5 2,6
12 West Java 2,4 5,1 90,8 1,8
13 Central Java 2,9 8,1 87,7 1,3
14 DI Yogyakarta 3,9 10,3 84,8 0,9
15 East Java 3,1 7,3 88,3 1,4
16 Banten 3,4 5,6 87,5 3,6
17 Bali 1,2 2,8 94,8 1,2
18 West Nusa Tenggara 5,2 12,4 81,6 0,8
19 East Nusa Tenggara 4,8 11,5 83,1 0,7
20 West Kalimantan 4,8 10,9 83,2 1,2
21 Central Kalimantan 3,9 10,3 84,8 1,0
22 South Kalimantan 3,0 8,3 87,7 1,0
23 East Kalimantan 4,3 10,1 83,6 2,0
24 North Kalimantan 3,1 8,8 87,4 0,7
25 North Sulawesi 0,6 2,6 95,7 1,0
26 Central Sulawesi 3,9 9,6 85,8 0,7
27 South Sulawesi 2,4 6,7 90,1 0,8
28 Southeast Sulawesi 3,2 8,9 87,2 0,7
29 Gorontalo 2,8 6,8 90,0 0,4
30 West Sulawesi 5,4 15,0 79,2 0,4
31 Maluku 2,0 6,7 90,7 0,6
32 North Maluku 3,7 9,5 86,5 0,3
33 West Papua 5,9 11,5 81,5 1,1

Indonesia 2,7 6,5 89,2 1,6


34 Papua 4,0 8,7 86,4 0,9

Source: ePPGBM measurement August 2021, accessed on January 18, 2022


Appendix 44.d
PERCENTAGE OF 0 ‐ 59 MONTH OLD CHILDREN ACCORDING TO NUTRITIONAL STATUS WITH HEIGHT/AGE INDEX
BY PROVINCE YEAR 2021

2021
No Province
Very stunted Stunted Normal Tall
(1) (2) (3) (4) (5) (6)
1 Aceh 3,5 10,0 85,6 1,0
2 North Sumatera 1,7 4,2 92,8 1,4
3 West Sumatera 2,8 9,4 87,1 0,6
4 Riau 1,7 4,3 93,1 1,0
5 Jambi 1,1 3,5 94,8 0,5
6 South Sumatera 1,1 2,8 94,8 1,3
7 Bengkulu 1,0 5,0 93,7 0,3
8 Lampung 1,4 4,0 93,6 0,9
9 Bangka Belitung Islands 0,9 3,5 95,2 0,4
10 Riau Islands 1,6 4,8 92,8 0,9
11 DKI Jakarta 0,9 2,1 96,0 1,0
12 West Java 2,3 6,2 90,6 0,9
13 Central Java 2,6 8,7 88,0 0,7
14 DI Yogyakarta 2,9 10,3 86,3 0,5
15 East Java 2,4 7,2 89,5 0,9
16 Banten 2,9 5,8 89,4 1,9
17 Bali 1,0 3,4 95,0 0,6
18 West Nusa Tenggara 5,0 14,6 80,1 0,4
19 East Nusa Tenggara 5,5 15,7 78,4 0,3
20 West Kalimantan 4,8 12,4 82,1 0,7
21 Central Kalimantan 3,4 10,3 85,8 0,6
22 South Kalimantan 2,7 8,2 88,6 0,5
23 East Kalimantan 3,8 10,5 84,2 1,5
24 North Kalimantan 3,0 9,6 87,0 0,4
25 North Sulawesi 0,6 2,5 96,4 0,5
26 Central Sulawesi 3,5 10,6 85,4 0,5
27 South Sulawesi 2,1 6,9 90,7 0,4
28 Southeast Sulawesi 3,1 10,2 86,3 0,4
29 Gorontalo 2,4 7,0 90,4 0,3
30 West Sulawesi 6,3 18,7 74,9 0,2
31 Maluku 2,0 7,8 89,8 0,3
32 North Maluku 3,0 10,2 86,7 0,2
33 West Papua 6,7 13,9 78,7 0,7

Indonesia 2,5 7,0 89,6 0,9


34 Papua 4,0 10,4 84,9 0,7

Source: ePPGBM measurement August 2021, accessed on 18 January 2022


Appendix 44.e
PERCENTAGE OF 0 ‐ 23 MONTH OLD CHILDREN ACCORDING TO NUTRITIONAL STATUS WITH WEIGHT/HEIGHT INDEX
BY PROVINCE YEAR 2021

2021
No Province
Severely Wasted Wasted Normal Risk of Overweight Overweight Obese
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 1,8 5,4 81,4 8,0 2,4 0,9
2 North Sumatera 0,6 2,3 88,6 6,1 1,8 0,6
3 West Sumatera 1,2 5,1 82,3 8,2 2,4 0,8
4 Riau 1,4 3,6 83,6 8,0 2,4 1,0
5 Jambi 0,4 2,1 88,5 6,6 1,7 0,6
6 South Sumatera 0,6 2,1 85,2 9,3 2,1 0,7
7 Bengkulu 0,2 1,2 84,1 11,0 2,8 0,7
8 Lampung 0,6 2,7 83,7 9,5 2,8 0,8
9 Bangka Belitung Islands 0,2 1,4 87,8 8,0 2,1 0,5
10 Riau Islands 0,9 3,2 83,0 9,5 2,5 0,8
11 DKI Jakarta 0,8 2,7 85,5 7,4 2,4 1,0
12 West Java 0,8 3,4 81,7 9,8 3,1 1,1
13 Central Java 1,1 5,0 79,7 9,8 3,2 1,2
14 DI Yogyakarta 0,6 4,6 76,8 11,8 4,1 2,0
15 East Java 1,5 5,1 73,5 13,1 4,7 2,1
16 Banten 2,0 4,1 80,0 9,4 3,3 1,3
17 Bali 0,3 1,3 78,9 13,0 5,0 1,5
18 West Nusa Tenggara 0,7 4,3 82,0 9,2 2,9 1,0
19 East Nusa Tenggara 1,1 6,7 82,6 7,1 1,9 0,6
20 West Kalimantan 1,7 6,0 80,5 8,3 2,5 0,9
21 Central Kalimantan 1,2 4,9 78,7 10,5 3,4 1,3
22 South Kalimantan 1,4 4,9 83,3 7,5 2,2 0,7
23 East Kalimantan 1,2 5,7 77,2 10,9 3,4 1,6
24 North Kalimantan 0,8 3,3 84,0 8,1 2,8 1,1
25 North Sulawesi 0,2 2,2 88,1 7,1 2,0 0,4
26 Central Sulawesi 1,2 4,6 81,7 8,8 2,7 1,0
27 South Sulawesi 0,5 3,0 86,2 7,7 2,1 0,6
28 Southeast Sulawesi 0,5 2,7 84,3 9,4 2,5 0,6
29 Gorontalo 0,7 3,7 86,7 6,4 1,9 0,6
30 West Sulawesi 0,7 4,0 80,5 10,9 3,0 0,8
31 Maluku 0,8 4,7 86,0 6,4 1,6 0,4
32 North Maluku 1,1 4,3 82,9 8,4 2,4 1,0
33 West Papua 2,8 7,2 73,4 11,2 3,7 1,8

Indonesia 1,0 3,9 81,6 9,4 3,0 1,1


34 Papua 1,7 5,2 76,0 11,8 3,7 1,6

Source: ePPGBM measurement August 2021, accessed on 18 January 2022


Appendix 44.f

PERCENTAGE OF 0 ‐ 59 MONTH OLD CHILDREN ACCORDING TO NUTRITIONAL STATUS WITH WEIGHT/HEIGHT INDEX
BY PROVINCE YEAR 2021
2021
No Province
Severely Wasted Wasted Normal Risk of Overweight Overweight Obese
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 1,6 5,6 84,8 5,9 1,5 0,6
2 North Sumatera 0,5 1,8 91,5 4,6 1,1 0,4
3 West Sumatera 1,1 5,2 85,3 6,2 1,6 0,6
4 Riau 1,1 3,6 86,9 5,8 1,7 0,9
5 Jambi 0,4 1,9 91,4 4,6 1,2 0,5
6 South Sumatera 0,5 1,8 89,0 6,9 1,4 0,5
7 Bengkulu 0,1 1,1 89,3 7,3 1,7 0,5
8 Lampung 0,5 2,7 87,3 7,1 1,8 0,7
9 Bangka Belitung Islands 0,2 1,5 88,7 6,2 2,0 1,2
10 Riau Islands 0,9 3,4 84,9 7,3 2,3 1,2
11 DKI Jakarta 0,5 2,2 88,8 5,3 1,9 1,2
12 West Java 0,7 3,6 84,6 7,5 2,4 1,2
13 Central Java 1,1 5,3 82,1 7,6 2,6 1,4
14 DI Yogyakarta 0,6 5,0 78,7 9,5 3,7 2,5
15 East Java 1,5 5,8 76,4 10,5 3,7 2,0
16 Banten 1,6 4,1 83,9 6,9 2,4 1,1
17 Bali 0,3 1,5 82,7 10,2 3,7 1,7
18 West Nusa Tenggara 0,6 5,0 86,5 5,8 1,6 0,6
19 East Nusa Tenggara 1,0 7,2 85,7 4,7 1,1 0,3
20 West Kalimantan 1,7 6,4 82,6 6,2 2,0 1,0
21 Central Kalimantan 1,2 5,1 80,8 8,7 2,8 1,4
22 South Kalimantan 1,3 5,3 85,4 5,5 1,6 0,9
23 East Kalimantan 1,3 6,2 77,6 9,2 3,4 2,3
24 North Kalimantan 0,7 4,3 84,6 6,6 2,4 1,4
25 North Sulawesi 0,1 1,9 90,7 5,5 1,4 0,4
26 Central Sulawesi 1,4 5,2 84,4 6,4 1,8 0,7
27 South Sulawesi 0,5 3,1 90,0 4,8 1,2 0,4
28 Southeast Sulawesi 0,6 3,2 87,7 6,6 1,5 0,5
29 Gorontalo 0,9 4,0 88,3 4,8 1,4 0,6
30 West Sulawesi 0,7 4,2 84,6 7,9 2,0 0,7
31 Maluku 0,7 4,7 88,9 4,4 1,0 0,3
32 North Maluku 1,1 4,9 86,4 5,6 1,4 0,6
33 West Papua 2,7 8,2 75,8 8,9 2,9 1,5

Indonesia 0,9 4,0 84,9 7,0 2,2 1,0


34 Papua 1,7 5,6 78,1 10,0 3,1 1,5

Source: ePPGBM measurement August 2021, accessed on January 18, 2022


Appendix 45
SCOPE OF HEALTH SERVICES FOR ELEMENTARY, SECONDARY, AND HIGH SCHOOL STUDENTS BY PROVINCE IN INDONESIA
YEAR 2021

SCHOOL

ELEMENTARY/ISLAMIC ELEMENTARY SECONDARY/ISLAMIC SECONDARY HIGH SCHOOL/ISLAMIC HIGH SCHOOL


No Province
Receiving Receiving Receiving
Total % Total % Total %
Health Services Health Services Health Services

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 192.916 150.679 78,1 105.092 77.749 74,0 86.176 57.232 66,4
2 North Sumatera 405.478 168.290 41,5 293.944 117.147 39,9 268.075 79.262 29,6
3 West Sumatera 108.750 85.917 79,0 107.511 83.609 77,8 68.204 47.648 69,9
4 Riau 226.605 103.045 45,5 114.974 45.457 39,5 74.302 36.995 49,8
5 Jambi 118.685 103.984 87,6 88.874 77.540 87,2 80.614 66.059 81,9
6 South Sumatera 203.386 164.321 80,8 143.338 106.042 74,0 120.817 76.478 63,3
7 Bengkulu 93.805 31.299 33,4 67.397 27.816 41,3 60.938 21.689 35,6
8 Lampung 469.936 291.582 62,0 418.785 151.786 36,2 171.697 123.236 71,8
9 Bangka Belitung Islands 28.447 27.056 95,1 25.192 21.887 86,9 22.750 16.310 71,7
10 Riau Islands 43.083 22.990 53,4 22.937 13.488 58,8 8.905 5.409 60,7
11 DKI Jakarta 194.538 194.538 100,0 189.006 179.383 94,9 169.829 10.741 6,3
12 West Java 1.421.054 809.047 56,9 1.032.741 541.731 52,5 992.677 392.369 39,5
13 Central Java 585.408 497.164 84,9 551.534 462.178 83,8 479.080 365.395 76,3
14 DI Yogyakarta 154.247 136.371 88,4 69.758 61.338 87,9 25.135 22.056 87,8
15 East Java 622.346 545.993 87,7 591.678 442.384 74,8 508.948 353.528 69,5
16 Banten 7.202.130 3.818.193 53,0 3.127.234 1.503.584 48,1 2.416.020 940.599 38,9
17 Bali 72.028 61.990 86,1 71.896 55.918 77,8 65.424 47.091 72,0
18 West Nusa Tenggara 233.604 140.188 60,0 150.104 77.265 51,5 101.021 38.825 38,4
19 East Nusa Tenggara 109.663 21.255 19,4 91.189 5.089 5,6 76.298 6.382 8,4
20 West Kalimantan 87.952 59.688 67,9 88.203 47.210 53,5 87.313 27.028 31,0
21 Central Kalimantan 44.940 35.376 78,7 26.773 20.157 75,3 18.441 11.616 63,0
22 South Kalimantan 194.073 132.269 68,2 101.862 69.332 68,1 58.727 36.870 62,8
23 East Kalimantan 109.089 70.059 64,2 74.565 48.693 65,3 75.602 40.777 53,9
24 North Kalimantan 41.324 14.576 35,3 27.235 10.246 37,6 31.126 5.661 18,2
25 North Sulawesi 108.152 37.721 34,9 61.314 23.827 38,9 48.621 16.570 34,1
26 Central Sulawesi 56.152 33.770 60,1 46.371 24.828 53,5 36.632 16.846 46,0
27 South Sulawesi 390.438 133.015 34,1 231.985 92.657 39,9 154.668 46.342 30,0
28 Southeast Sulawesi 35.803 17.231 48,1 25.329 15.032 59,3 19.406 10.188 52,5
29 Gorontalo 19.587 3.632 18,5 8.408 3.034 36,1 8.976 1.752 19,5
30 West Sulawesi 105.821 68.240 64,5 46.445 23.243 50,0 22.181 8.501 38,3
31 Maluku 148.365 49.593 33,4 78.296 25.441 32,5 69.716 19.018 27,3
32 North Maluku 114.035 19.867 17,4 65.241 11.844 18,2 54.945 10.948 19,9
33 West Papua 18.678 11.228 60,1 36.079 5.271 14,6 31.969 2.681 8,4

Indonesia 14.022.607 8.062.173 57,5 8.227.344 4.472.960 54,4 6.549.877 2.962.724 45,2
34 Papua 62.089 2.006 3,2 46.054 754 1,6 34.644 622 1,8

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
Notes
*is an SPM indicator of "Percentage of primary school age receiving health services according to standards"
Appendix 51.a
NUMBER OF SUSPECTED TUBERCULOSIS, CASE OF TUBERCULOSIS, CASE OF CHILD TUBERCULOSIS, CASE NOTIFICATION RATE (CNR) PER 100,000 POPULATION
TREATMENT COVERAGE (TC) BY GENDER AND PROVINCE
IN 2021

Total All Tuberculosis Cases


% of People
Estimated
Suspected of Case Notification
Number of Male Female Estimated Scope of
Estimated Tuberculosis Rate (CNR) All Tuberculosis
Suspected Incidence of Treatment Findings of
Number of (TBC) Get Tuberculosis Cases in
No Province Total population Tuberculosis Tuberculosis Coverage Child
Suspected Tuberculosis Cases Per Children 0-14
Who Received Male + Female (In Absolute) (TC%) Tuberculosis
Tuberculosis Services 100,000 Years
Standardized Total % Total % *) Cases (%)
According to Population
Service
Standards

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)
1 Aceh 5.483.702 80.515 34.963 43,4 4.448 63,8 2.526 36,2 6.974 127 20.149 34,6 216 8,9
2 North Sumatera 14.767.655 269.884 79.255 29,4 14.371 64,8 7.798 35,2 22.169 150 62.819 35,3 883 11,7
3 West Sumatera 5.522.731 111.640 51.713 46,3 5.036 61,3 3.180 38,7 8.216 149 22.971 35,8 967 35,1
4 Riau 7.159.392 134.303 52.533 39,1 5.872 63,5 3.372 36,5 9.244 129 27.634 33,5 678 20,4
5 Jambi 3.693.933 31.433 14.993 47,7 2.153 59,8 1.445 40,2 3.598 97 13.681 26,3 253 15,4
6 South Sumatera 8.605.288 164.138 97.074 59,1 8.359 61,4 5.252 38,6 13.611 158 33.773 40,3 988 24,4
7 Bengkulu 2.028.657 29.705 7.095 23,9 1.095 60,6 711 39,4 1.806 89 7.760 23,3 127 13,6
8 Lampung 8.558.362 113.303 73.406 64,8 6.830 57,5 5.044 42,5 11.874 139 29.508 40,2 1.088 30,7
9 Bangka Belitung Islands 1.524.208 21.476 14.694 68,4 948 62,3 574 37,7 1.522 100 5.923 25,7 129 18,1
10 Riau Islands 2.251.976 52.684 22.763 43,2 2.477 61,6 1.544 38,4 4.021 179 10.840 37,1 329 25,3
11 DKI Jakarta 10.691.409 230.515 124.054 53,8 15.585 55,4 12.540 44,6 28.125 263 47.431 59,3 2.984 52,4
12 West Jawa 50.153.631 622.361 299.876 48,2 49.580 54,3 41.788 45,7 91.368 182 128.057 71,3 13.922 90,6
13 Central Jawa 35.092.453 403.747 168.429 41,7 23.877 55,4 19.244 44,6 43.121 123 83.076 51,9 5.121 51,4
14 DI Yogyakarta 3.899.219 43.259 18.448 42,6 1.755 58,0 1.270 42,0 3.025 78 9.074 33,3 540 49,6
15 East Jawa 40.060.234 466.297 261.191 56,0 23.372 55,4 18.821 44,6 42.193 105 95.925 44,0 2.779 24,1
16 Banten 13.217.890 178.729 98.708 55,2 13.516 57,9 9.827 42,1 23.343 177 33.098 70,5 1.955 49,2
17 Bali 4.399.929 40.516 12.598 31,1 1.861 61,5 1.166 38,5 3.027 69 12.406 24,4 115 7,7
18 West Nusa Tenggara 5.147.975 95.774 35.824 37,4 3.632 60,2 2.397 39,8 6.029 117 17.736 34,0 283 13,3
19 East Nusa Tenggara 5.565.560 82.037 45.399 55,3 2.903 57,5 2.148 42,5 5.051 91 18.856 26,8 256 11,3
20 West Kalimantan 5.157.153 63.607 31.893 50,1 4.607 63,2 2.679 36,8 7.286 141 17.233 42,3 691 33,4
21 Central Kalimantan 2.781.232 43.589 16.707 38,3 1.695 59,9 1.135 40,1 2.830 102 9.380 30,2 178 15,8
22 South Kalimantan 4.322.749 73.321 21.225 28,9 2.454 60,6 1.596 39,4 4.050 94 15.087 26,8 256 14,1
23 East Kalimantan 3.809.694 70.270 23.594 33,6 3.063 59,2 2.108 40,8 5.171 136 14.459 35,8 451 26,0
24 North Kalimantan 771.856 13.471 9.296 69,0 602 60,5 393 39,5 995 129 2.772 35,9 78 23,4
25 North Sulawesi 2.539.822 46.386 16.392 35,3 3.534 63,5 2.030 36,5 5.564 219 9.532 58,4 197 17,2
26 Central Sulawesi 3.110.482 49.664 15.165 30,5 2.345 59,9 1.570 40,1 3.915 126 10.219 38,3 136 11,1
27 South Sulawesi 8.966.939 150.768 66.092 43,8 8.496 57,6 6.262 42,4 14.758 165 31.022 47,6 515 13,8
28 Southeast Sulawesi 2.767.606 39.382 17.121 43,5 2.215 60,2 1.463 39,8 3.678 133 9.003 40,9 99 9,2
29 Gorontalo 1.224.895 20.930 13.365 63,9 1.598 58,4 1.136 41,6 2.734 223 4.306 63,5 72 13,9
30 West Sulawesi 1.411.139 21.605 12.300 56,9 1.285 57,3 958 42,7 2.243 159 4.446 50,4 93 17,4
31 Maluku 1.839.869 32.012 8.508 26,6 1.702 59,3 1.169 40,7 2.871 156 6.587 43,6 174 22,0
32 North Maluku 1.284.341 19.256 7.691 39,9 1.034 60,1 687 39,9 1.721 134 4.193 41,0 50 9,9
33 West Papua 986.104 17.820 6.032 33,8 1.118 55,6 891 44,4 2.009 204 6.516 30,8 181 23,1

Indonesia 272.248.500 3.924.454 1.804.760 46,0 228.434 57,5 168.943 42,5 397.377 146 844.000 47,1 38.663 38,2
34 Papua 3.450.412 90.056 26.363 29,3 5.016 54,3 4.219 45,7 9.235 268 18.530 49,8 1.879 84,5

Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022
*) Based on the 2018 Modeling Year.
Information:
The number of patients is all Tuberculosis patients in the working area of the health center including patients found in hospitals, BBKPM/BPKPM/BP4, Correctional Institutions,
Prisons, Independent Practitioners, Clinics, etc
Appendix 51.b
NUMBER OF TUBERCULOSIS CASES ALL TYPES
BY AGE, GENDER, AND PROVINCE GROUPS IN 2021

Age Group (Years)

No Province 0 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 ≥ 65 Total

M F M F M F M F M F M F M F M F T
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (19) (20) (21)
1 Aceh 104 112 462 359 606 422 796 419 1.004 511 865 451 611 252 4.448 2.526 6.974
2 North Sumatera 478 405 1.804 1.623 2.226 1.395 2.717 1.220 3.134 1.437 2.753 1.204 1.259 514 14.371 7.798 22.169
3 West Sumatera 544 423 570 616 740 538 819 474 941 478 810 399 612 252 5.036 3.180 8.216
4 Riau 366 312 735 681 943 635 1.152 604 1.248 582 970 396 458 162 5.872 3.372 9.244
5 Jambi 129 124 272 257 346 237 369 270 419 281 400 188 218 88 2.153 1.445 3.598
6 South Sumatera 553 435 844 827 1.267 920 1.446 867 1.520 991 1.651 805 1.078 407 8.359 5.252 13.611
7 Bengkulu 64 63 141 90 196 144 207 146 207 113 179 102 101 53 1.095 711 1.806
8 Lampung 568 520 613 738 985 844 1.171 901 1.312 893 1.231 737 950 411 6.830 5.044 11.874
9 Bangka Belitung Islands 67 62 103 101 155 112 171 99 178 98 163 68 111 34 948 574 1.522
10 Riau Islands 172 157 396 401 489 352 546 277 442 202 288 104 144 51 2.477 1.544 4.021
11 DKI Jakarta 1.481 1.503 2.506 2.846 2.788 2.282 2.701 1.878 2.790 1.981 2.208 1.411 1.111 639 15.585 12.540 28.125
12 West Jawa 7.162 6.760 7.749 9.607 8.300 7.416 7.631 6.068 7.987 5.902 6.740 4.052 4.011 1.983 49.580 41.788 91.368
13 Central Jawa 2.728 2.393 2.898 3.790 3.482 3.264 3.786 2.869 4.224 3.076 4.081 2.594 2.678 1.258 23.877 19.244 43.121
14 DI Yogyakarta 303 237 210 248 232 188 239 160 250 152 276 160 245 125 1.755 1.270 3.025
15 East Jawa 1.411 1.368 3.102 3.934 3.331 3.130 3.838 3.022 4.634 3.529 4.317 2.657 2.739 1.181 23.372 18.821 42.193
16 Banten 995 960 1.916 2.041 2.624 1.955 2.521 1.673 2.495 1.622 1.963 1.110 1.002 466 13.516 9.827 23.343
17 Bali 60 55 231 226 329 259 336 203 360 190 318 157 227 76 1.861 1.166 3.027
18 West Nusa Tenggara 147 136 376 388 627 472 677 423 750 506 635 317 420 155 3.632 2.397 6.029
19 East Nusa Tenggara 128 128 518 501 584 472 464 314 450 296 419 268 340 169 2.903 2.148 5.051
20 West Kalimantan 384 307 553 505 760 456 864 452 869 443 741 323 436 193 4.607 2.679 7.286
21 Central Kalimantan 89 89 191 165 281 232 338 228 381 210 289 151 126 60 1.695 1.135 2.830
22 South Kalimantan 130 126 269 262 408 292 422 282 552 319 463 234 210 81 2.454 1.596 4.050
23 East Kalimantan 238 213 426 423 538 432 593 393 564 324 459 249 245 74 3.063 2.108 5.171
24 North Kalimantan 43 35 60 70 109 73 103 69 141 80 92 42 54 24 602 393 995
25 North Sulawesi 117 80 478 359 547 346 626 356 725 394 635 336 406 159 3.534 2.030 5.564
26 Central Sulawesi 69 67 348 318 438 260 417 260 447 317 371 240 255 108 2.345 1.570 3.915
27 South Sulawesi 246 269 1.170 1.274 1.436 1.086 1.523 1.065 1.765 1.284 1.416 851 940 433 8.496 6.262 14.758
28 Southeast Sulawesi 54 45 330 336 404 293 378 239 442 265 370 187 237 98 2.215 1.463 3.678
29 Gorontalo 38 34 219 202 247 181 307 186 326 268 284 188 177 77 1.598 1.136 2.734
30 West Sulawesi 47 46 203 217 208 153 236 160 261 176 193 136 137 70 1.285 958 2.243
31 Maluku 90 84 319 288 364 237 312 199 257 177 226 129 134 55 1.702 1.169 2.871
32 North Maluku 23 27 166 179 231 161 198 110 199 110 148 69 69 31 1.034 687 1.721
33 West Papua 84 97 235 267 239 209 212 126 180 108 103 64 65 20 1.118 891 2.009

20.086 18.577 31.627 35.370 37.537 30.382 38.888 26.597 41.995 27.645 36.365 20.551 21.936 9.821 228.434 168.943 397.377
34 Papua 974 905 1.214 1.231 1.077 934 772 585 541 330 308 172 130 62 5.016 4.219 9.235

Indonesia
9,73% 16,86% 17,09% 16,48% 17,52% 14,32% 7,99% 100%
Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2021
Note: M = Male F = Female T = Number of male and female
*: The data is based on the results of the sweeping of the Mopping up RS SIM cases
Appendix 51.c
NUMBER OF BACTERIOLOGICALLY CONFIRMED PULMONARY TUBERCULOSIS
BY AGE, GENDER, AND PROVINCE GROUPS IN 2021

Age Group (Years)


No Province 0 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 ≥ 65 Total

M F M F M F M F M F M F M F M F T
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (19) (20) (21)
1 Aceh 11 15 248 203 364 231 497 245 600 307 475 221 295 93 2.490 1.315 3.805
2 North Sumatera 48 55 919 767 1.212 716 1.537 663 1.812 803 1.502 621 603 224 7.633 3.849 11.482
3 West Sumatera 22 31 358 358 499 326 587 296 668 311 545 277 371 140 3.050 1.739 4.789
4 Riau 23 32 419 369 604 369 772 353 849 392 636 226 279 84 3.582 1.825 5.407
5 Jambi 8 14 170 136 217 147 252 160 271 172 253 122 131 55 1.302 806 2.108
6 South Sumatera 45 39 466 444 721 508 869 468 908 531 840 378 453 153 4.302 2.521 6.823
7 Bengkulu 13 14 87 55 138 79 137 93 136 73 109 64 63 28 683 406 1.089
8 Lampung 85 90 347 402 620 469 784 562 846 567 744 431 557 240 3.983 2.761 6.744
9 Bangka Belitung Islands 4 2 56 65 98 74 121 61 117 58 101 44 63 18 560 322 882
10 Riau Islands 11 12 230 228 287 192 343 144 303 136 210 63 82 31 1.466 806 2.272
11 DKI Jakarta 62 113 1.344 1.357 1.515 1.050 1.539 915 1.613 1.054 1.144 640 397 217 7.614 5.346 12.960
12 West Jawa 211 350 3.448 4.111 3.921 3.224 3.920 2.688 3.967 2.638 2.986 1.670 1.463 648 19.916 15.329 35.245
13 Central Jawa 58 130 1.641 2.159 2.090 1.899 2.422 1.680 2.675 1.778 2.287 1.360 1.266 512 12.439 9.518 21.957
14 DI Yogyakarta 1 10 104 109 108 92 138 82 130 75 155 62 99 31 735 461 1.196
15 East Jawa 98 136 1.638 2.071 1.990 1.678 2.554 1.881 3.144 2.270 2.704 1.697 1.542 608 13.670 10.341 24.011
16 Banten 75 80 832 766 1.197 771 1.199 674 1.179 692 814 474 381 183 5.677 3.640 9.317
17 Bali 6 7 142 114 187 133 220 112 229 105 205 97 151 41 1.140 609 1.749
18 West Nusa Tenggara 30 27 259 262 473 335 526 323 575 406 483 254 297 114 2.643 1.721 4.364
19 East Nusa Tenggara 28 31 383 338 405 351 342 221 317 209 277 194 235 111 1.987 1.455 3.442
20 West Kalimantan 23 20 320 305 469 265 545 287 571 254 434 195 234 93 2.596 1.419 4.015
21 Central Kalimantan 6 10 120 94 177 127 210 131 240 132 175 91 70 32 998 617 1.615
22 South Kalimantan 9 12 141 133 249 167 251 178 357 217 249 139 108 40 1.364 886 2.250
23 East Kalimantan 11 14 212 188 280 187 331 192 324 174 253 123 115 33 1.526 911 2.437
24 North Kalimantan 3 - 41 44 87 49 79 54 112 56 70 26 41 16 433 245 678
25 North Sulawesi 15 20 291 233 365 226 452 249 515 289 431 233 245 93 2.314 1.343 3.657
26 Central Sulawesi 13 23 229 205 270 163 291 174 296 187 226 148 133 47 1.458 947 2.405
27 South Sulawesi 23 43 813 898 1.054 788 1.120 819 1.331 971 1.020 608 593 268 5.954 4.395 10.349
28 Southeast Sulawesi 11 14 212 215 243 193 246 139 277 152 221 111 131 51 1.341 875 2.216
29 Gorontalo 9 9 129 128 172 122 195 123 215 157 152 99 92 31 964 669 1.633
30 West Sulawesi 12 17 151 159 155 121 190 119 186 125 140 83 83 41 917 665 1.582
31 Maluku 8 11 215 183 250 158 206 132 174 113 147 81 85 34 1.085 712 1.797
32 North Maluku 6 7 120 128 157 118 150 89 150 81 115 50 50 20 748 493 1.241
33 West Papua 5 14 144 167 136 114 119 81 108 47 55 31 28 5 595 459 1.054

1.092 1.498 16.924 18.078 21.314 15.920 23.568 14.673 25.468 15.672 20.304 10.994 10.791 4.355 119.461 81.190 200.651
34 Papua 99 96 695 684 604 478 424 285 273 140 146 81 55 20 2.296 1.784 4.080

Indonesia
1,29% 17,44% 18,56% 19,06% 20,50% 15,60% 7,55% 100%
Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022
Note: M = Male F = Female T = Number of male and female
*: The data is based on the results of the sweeping of the Mopping up RS SIM cases

Mopping up for age group


Appendix 52
CURRENCY RATE AND COMPLETE TREATMENT AND SUCCESSFUL TREATMENT OF TUBERCULOSIS BY GENDER AND PROVINCE
IN 2021

Complete Treatment Rate


Number of Bacteriologically Confirmed Bacteriologically Confirmed Pulmonary Tuberculosis Cure Rate Treatment Success Rate (SR) for All Tuberculosis Cases Number of Deaths
Total of All Tuberculosis Cases (Complete Rate) All Tuberculosis Cases
Pulmonary Tuberculosis Cases During Tuberculosis
Registered And Treated*)
No Province Registered and Treated*) Treatment
Male Female Male + Female Male Female Male + Female Male Female Male + Female

M F M+F M F M+F Total % Total % Total % Total % Total % Total % Total % Total % Total % Total %
(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)
1 Aceh 2.149 1.146 3.295 4.174 2.513 6.687 624 29,0 339 29,6 963 29,2 3.055 73,2 1.954 77,8 5.009 74,9 3.679 88,1 2.293 91,2 5.972 89,3 249 3,7
2 North Sumatera 6.572 3.442 10.014 14.090 7.816 21.906 2.274 34,6 1.212 35,2 3.486 34,8 10.353 73,5 5.937 76,0 16.290 74,4 12.627 89,6 7.149 91,5 19.776 90,3 327 1,5
3 West Sumatera 2.319 1.320 3.639 3.794 2.460 6.254 1.183 51,0 702 53,2 1.885 51,8 2.148 56,6 1.552 63,1 3.700 59,2 3.331 87,8 2.254 91,6 5.585 89,3 492 7,9
4 Riau 3.042 1.619 4.661 5.470 3.328 8.798 1.107 36,4 583 36,0 1.690 36,3 3.959 72,4 2.549 76,6 6.508 74,0 5.066 92,6 3.132 94,1 8.198 93,2 76 0,9
5 Jambi 1.238 734 1.972 2.011 1.253 3.264 437 35,3 268 36,5 705 35,8 1.368 68,0 862 68,8 2.230 68,3 1.805 89,8 1.130 90,2 2.935 89,9 168 5,1
6 South Sumatera 3.584 2.202 5.786 6.047 3.895 9.942 1.244 34,7 792 36,0 2.036 35,2 4.151 68,6 2.729 70,1 6.880 69,2 5.395 89,2 3.521 90,4 8.916 89,7 834 8,4
7 Bengkulu 579 320 899 1.030 637 1.667 157 27,1 102 31,9 259 28,8 749 72,7 465 73,0 1.214 72,8 906 88,0 567 89,0 1.473 88,4 97 5,8
8 Lampung 3.801 2.527 6.328 6.785 4.785 11.570 1.689 44,4 1.198 47,4 2.887 45,6 4.703 69,3 3.388 70,8 8.091 69,9 6.392 94,2 4.586 95,8 10.978 94,9 158 1,4
9 Bangka Belitung Islands 604 354 958 1.004 622 1.626 189 31,3 106 29,9 295 30,8 661 65,8 443 71,2 1.104 67,9 850 84,7 549 88,3 1.399 86,0 1.898 116,7
10 Riau Islands 1.178 749 1.927 2.256 1.576 3.832 282 23,9 195 26,0 477 24,8 1.623 71,9 1.201 76,2 2.824 73,7 1.905 84,4 1.396 88,6 3.301 86,1 1.696 44,3
11 DKI Jakarta 6.729 4.191 10.920 14.569 10.794 25.363 2.260 33,6 1.423 34,0 3.683 33,7 9.083 62,3 7.353 68,1 16.436 64,8 11.343 77,9 8.776 81,3 20.119 79,3 2.154 8,5
12 West Jawa 17.726 12.865 30.591 46.404 38.118 84.522 6.223 35,1 4.749 36,9 10.972 35,9 31.333 67,5 27.366 71,8 58.699 69,4 37.556 80,9 32.115 84,3 69.671 82,4 307 0,4
13 Central Jawa 10.941 7.999 18.940 22.995 18.274 41.269 4.562 41,7 3.548 44,4 8.110 42,8 14.969 65,1 12.631 69,1 27.600 66,9 19.531 84,9 16.179 88,5 35.710 86,5 200 0,5
14 DI Yogyakarta 656 457 1.113 1.676 1.336 3.012 285 43,4 228 49,9 513 46,1 1.160 69,2 976 73,1 2.136 70,9 1.445 86,2 1.204 90,1 2.649 87,9 79 2,6
15 East Jawa 12.537 9.075 21.612 24.466 19.559 44.025 5.999 47,9 4.415 48,7 10.414 48,2 15.455 63,2 13.396 68,5 28.851 65,5 21.454 87,7 17.811 91,1 39.265 89,2 262 0,6
16 Banten 4.754 3.059 7.813 12.186 9.106 21.292 2.075 43,6 1.318 43,1 3.393 43,4 8.833 72,5 6.953 76,4 15.786 74,1 10.908 89,5 8.271 90,8 19.179 90,1 56 0,3
17 Bali 972 557 1.529 1.766 1.171 2.937 459 47,2 283 50,8 742 48,5 989 56,0 717 61,2 1.706 58,1 1.448 82,0 1.000 85,4 2.448 83,4 107 3,6
18 West Nusa Tenggara 2.238 1.379 3.617 3.335 2.205 5.540 1.296 57,9 810 58,7 2.106 58,2 1.695 50,8 1.199 54,4 2.894 52,2 2.991 89,7 2.009 91,1 5.000 90,3 162 2,9
19 East Nusa Tenggara 1.800 1.382 3.182 3.063 2.415 5.478 484 26,9 399 28,9 883 27,7 2.215 72,3 1.746 72,3 3.961 72,3 2.699 88,1 2.145 88,8 4.844 88,4 373 6,8
20 West Kalimantan 2.425 1.191 3.616 4.405 2.422 6.827 915 37,7 459 38,5 1.374 38,0 2.601 59,0 1.511 62,4 4.112 60,2 3.516 79,8 1.970 81,3 5.486 80,4 80 1,2
21 Central Kalimantan 919 463 1.382 1.592 912 2.504 331 36,0 168 36,3 499 36,1 996 62,6 601 65,9 1.597 63,8 1.327 83,4 769 84,3 2.096 83,7 84 3,4
22 South Kalimantan 1.100 664 1.764 2.148 1.365 3.513 367 33,4 249 37,5 616 34,9 1.398 65,1 924 67,7 2.322 66,1 1.765 82,2 1.173 85,9 2.938 83,6 291 8,3
23 East Kalimantan 1.156 643 1.799 2.789 1.884 4.673 237 20,5 157 24,4 394 21,9 2.034 72,9 1.426 75,7 3.460 74,0 2.271 81,4 1.583 84,0 3.854 82,5 342 7,3
24 North Kalimantan 394 229 623 602 376 978 77 19,5 59 25,8 136 21,8 345 57,3 220 58,5 565 57,8 422 70,1 279 74,2 701 71,7 350 35,8
25 North Sulawesi 2.205 1.223 3.428 3.141 1.786 4.927 946 42,9 526 43,0 1.472 42,9 1.886 60,0 1.106 61,9 2.992 60,7 2.832 90,2 1.632 91,4 4.464 90,6 72 1,5
26 Central Sulawesi 1.485 937 2.422 2.549 1.631 4.180 291 19,6 176 18,8 467 19,3 1.952 76,6 1.301 79,8 3.253 77,8 2.243 88,0 1.477 90,6 3.720 89,0 366 8,8
27 South Sulawesi 4.565 3.195 7.760 7.134 5.061 12.195 1.830 40,1 1.341 42,0 3.171 40,9 4.275 59,9 3.202 63,3 7.477 61,3 6.105 85,6 4.543 89,8 10.648 87,3 100 0,8
28 Southeast Sulawesi 1.240 794 2.034 1.919 1.229 3.148 447 36,0 312 39,3 759 37,3 1.267 66,0 803 65,3 2.070 65,8 1.714 89,3 1.115 90,7 2.829 89,9 696 22,1
29 Gorontalo 865 630 1.495 1.339 989 2.328 327 37,8 226 35,9 553 37,0 860 64,2 672 67,9 1.532 65,8 1.187 88,6 898 90,8 2.085 89,6 240 10,3
30 West Sulawesi 780 580 1.360 1.160 841 2.001 238 30,5 191 32,9 429 31,5 794 68,4 596 70,9 1.390 69,5 1.032 89,0 787 93,6 1.819 90,9 191 9,5
31 Maluku 635 455 1.090 1.182 907 2.089 267 42,0 202 44,4 469 43,0 750 63,5 603 66,5 1.353 64,8 1.017 86,0 805 88,8 1.822 87,2 191 9,1
32 North Maluku 595 424 1.019 868 617 1.485 154 25,9 104 24,5 258 25,3 540 62,2 386 62,6 926 62,4 694 80,0 490 79,4 1.184 79,7 311 20,9
33 West Papua 487 343 830 857 745 1.602 104 21,4 68 19,8 172 20,7 507 59,2 507 68,1 1.014 63,3 611 71,3 575 77,2 1.186 74,0 375 23,4

Indonesia 104.456 68.765 173.221 213.709 156.581 370.290 40.121 38,4 27.454 39,9 67.575 39,0 141.441 66,2 109.613 70,0 251.054 67,8 181.562 85,0 137.067 87,5 318.629 86,0 14.148 3,8
34 Papua 2.186 1.617 3.803 4.903 3.953 8.856 761 34,8 546 33,8 1.307 34,4 2.734 55,8 2.338 59,1 5.072 57,3 3.495 71,3 2.884 73,0 6.379 72,0 764 8,6

Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022
Information:
*) Tuberculosis cases were registered and treated based on the same cohort of cases assessed for complete cure and treatment
The number of patients is all Tuberculosis patients in the working area ofthe health center including patients found in hospitals, BBKPM/BPKPM/BP4, Correctional Institutions,
Prisons, Independent Practitioners, Clinics, etc
*) 2020 Treatment Outcomes based on the 2019 case finding cohort
Appendix 53.a
CASE FINDINGS OF PNEUMONIA BY TOGETHER BY AGE, GENDER AND PROVINCE GROUPS
IN 2021

Realization of Findings of Pneumonia Patients in Toddlers


Prevalence
of Forecast of Number of Toddler Deaths Due to
Number of Pneumonia Severe Pneumonia Total Total
No Province Pneumonia Toddler Pneumonia
Toddlers
in Toddlers Pneumonia % CFR (%)
(%) < 1 Years 1-4 Years < 1 Years 1-4 Years < 1 Years 1-4 Years
M F M+F M F M+F
M F M F M F M F M F M F
(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)
1 Aceh 532.353 4,46 23.743 147 141 540 421 23 7 20 19 730 588 1.318 5,6 4 2 6 21 10 23 33 2,50
2 North Sumatera 1.479.131 2,99 44.226 519 510 1.144 1.054 38 9 16 55 1.717 1.628 3.345 7,6 5 4 9 11 14 15 29 0,87
3 West Sumatera 499.694 3,91 19.538 522 466 1.358 1.067 57 31 52 42 1.989 1.606 3.595 18,4 0 1 1 7 1 8 9 0,25
4 Riau 676.218 2,67 18.055 285 268 552 399 6 13 47 25 890 705 1.595 8,8 1 2 3 0 4 2 6 0,38
5 Jambi 364.183 3,15 11.472 160 158 451 332 24 9 18 11 653 510 1.163 10,1 0 0 0 0 0 0 0 0,00
6 South Sumatera 874.326 3,61 31.563 598 529 1.483 1.215 52 39 41 42 2.174 1.825 3.999 12,7 0 0 0 0 0 0 0 0,00
7 Bengkulu 197.709 2,00 3.954 41 49 112 89 10 5 12 12 175 155 330 8,3 0 0 0 2 0 2 2 1,03
8 Lampung 769.682 2,23 17.164 961 925 2.374 2.085 68 38 286 235 3.689 3.283 6.972 40,6 1 0 1 0 2 0 2 0,05
9 Bangka Belitung Islands 140.236 6,05 8.484 207 201 762 681 1 3 19 16 989 901 1.890 22,3 0 1 1 1 1 2 3 0,29
10 Riau Islands 140.236 3,98 5.581 191 161 431 284 5 4 10 6 637 455 1.092 19,6 0 0 0 0 0 0 0 0,00
11 DKI Jakarta 1.110.093 4,62 51.286 2.346 1.978 4.583 3.895 34 23 21 28 6.984 5.924 12.908 25,2 0 0 0 0 0 0 0 0,00
12 West Jawa 4.835.292 4,24 205.016 10.803 10.258 23.229 20.676 578 443 659 539 35.269 31.916 67.185 32,8 9 9 18 5 27 14 41 0,13
13 Central Jawa 2.652.751 3,61 95.764 4.554 4.094 14.060 11.893 376 306 352 343 19.342 16.636 35.978 37,6 18 20 38 14 56 34 90 0,58
14 DI Yogyakarta 293.068 4,32 12.661 248 126 440 318 11 3 16 16 715 463 1.178 9,3 3 5 8 2 11 7 18 3,67
15 East Jawa 3.330.329 4,45 148.200 8.694 8.772 28.387 26.467 438 325 544 444 38.063 36.008 74.071 50,0 4 6 10 5 14 11 25 0,08
16 Banten 1.236.601 4,12 50.948 3.851 3.411 8.061 7.617 171 131 153 135 12.236 11.294 23.530 46,2 2 1 3 2 5 3 8 0,07
17 Bali 440.876 2,05 9.038 436 320 884 635 113 61 63 72 1.496 1.088 2.584 28,6 4 5 9 5 13 10 23 3,20
18 West Nusa Tenggara 522.598 6,38 33.342 2.347 1.817 3.720 3.178 214 174 265 198 6.546 5.367 11.913 35,7 4 3 7 0 11 3 14 0,43
19 East Nusa Tenggara 579.310 4,28 24.794 386 335 468 390 34 28 27 18 915 771 1.686 6,8 8 4 12 2 20 6 26 5,86
20 West Kalimantan 469.747 2,12 9.959 134 123 253 167 11 10 18 19 416 319 735 7,4 8 5 13 12 21 17 38 13,44
21 Central Kalimantan 265.371 4,37 11.597 149 139 291 218 74 62 79 50 593 469 1.062 9,2 1 3 4 1 5 4 9 2,29
22 South Kalimantan 415.761 5,53 22.992 811 622 1.594 1.233 84 47 50 52 2.539 1.954 4.493 19,5 2 0 2 2 4 2 6 0,37
23 East Kalimantan 393.378 2,86 11.251 314 211 554 419 7 5 2 7 877 642 1.519 13,5 0 1 1 0 1 1 2 0,38
24 North Kalimantan 75.361 2,86 2.155 177 62 255 176 4 2 6 3 442 243 685 31,8 0 0 0 0 0 0 0 0,00
25 North Sulawesi 238.270 2,68 6.386 53 26 94 102 0 2 3 1 150 131 281 4,4 2 0 2 0 4 0 4 4,27
26 Central Sulawesi 296.292 5,19 15.378 855 703 1.660 1.328 51 16 33 22 2.599 2.069 4.668 30,4 0 0 0 5 0 5 5 0,34
27 South Sulawesi 884.870 3,79 33.537 477 417 798 620 56 15 27 33 1.358 1.085 2.443 7,3 2 1 3 4 5 5 10 1,39
28 Southeast Sulawesi 271.952 3,84 10.443 218 162 344 276 17 5 11 15 590 458 1.048 10,0 0 0 0 0 0 0 0 0,00
29 Gorontalo 118.781 4,84 5.749 285 210 425 353 24 15 47 65 781 643 1.424 24,8 4 3 7 0 11 3 14 3,05
30 West Sulawesi 141.096 4,88 6.885 73 51 156 98 9 1 3 5 241 155 396 5,8 1 0 1 2 2 2 4 3,33
31 Maluku 172.816 3,74 6.463 120 95 179 108 13 16 14 9 326 228 554 8,6 0 2 2 3 2 5 7 5,05
32 North Maluku 123.806 2,29 2.835 84 50 117 75 3 1 0 0 204 126 330 11,6 1 2 3 0 4 2 6 7,09
33 West Papua 97.542 2,88 2.809 68 66 107 88 2 1 4 2 181 157 338 12,0 3 2 5 0 8 2 10 12,13

Indonesia 24.958.589 3,55 886.030 41.523 37.797 100.317 88.452 2.680 1.910 2.985 2.597 147.505 130.756 278.261 31,4 87 82 169 106 256 188 444 0,16
34 Papua 318.861 2,80 8.928 409 341 451 495 72 60 67 58 999 954 1.953 21,9 0 0 0 0 0 0 0 0,00

Source: Directorate General of Disease Prevention and Control (P2 ARI Routine Report 2021)
Information:
The number of cases is all cases in the working area of the puskesmas, including cases found in several hospitals (not all districts/cities have reported cases in their regional hospitals)
Appendix 53.b

TODDLER COUGH/ DIFFICULTY BREATHING GIVEN STANDARD TREATMENT AND REGENCIES/CITIES WITH 50% OF COMMUNITY HEALTH CENTERS DOING STANDARD MANAGEMENT MINIMUM
60% BY PROVINCE IN 2021

Number of Percentage of
Toddler Cough Or Difficulty Breathing Regencies/Cities in Regencies/Cities in
Cough Not Pneumonia which 50% of which 50% of
Number of
Given Standard Community Health Community Health
No Province Percentage Given regencies/citie
Management Centers Perform Centers Perform
Number of Visits Standard s
(Counted Standard Standard
Treatment Management at least Management at least
Breaths/See BPDD*) M F M+F
60% 60%
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Aceh 94.501 52.839 55,9 44.360 42.949 87.309 23 10 43,48
2 North Sumatera 196.696 154.881 86,6 113.538 113.302 226.840 33 15 45,45
3 West Sumatera 81.619 70.508 103,7 40.240 40.400 80.640 19 17 89,47
4 Riau 106.762 85.978 104,7 49.502 48.070 97.572 12 9 75,00
5 Jambi 88.882 82.593 139,4 41.590 40.891 82.481 11 11 100,00
6 South Sumatera 140.888 132.123 150,0 72.292 71.274 143.566 17 14 82,35
7 Bengkulu 34.965 32.347 157,3 16.421 17.082 33.503 10 6 60,00
8 Lampung 161.506 164.165 193,1 87.403 89.337 176.740 15 14 93,33
9 Bangka Belitung Islands 22.900 22.679 178,3 10.693 9.791 20.484 7 7 100,00
10 Riau Islands 33.476 26.414 110,5 15.546 14.950 30.496 7 4 57,14
11 DKI Jakarta 154.371 151.952 216,6 75.818 66.597 142.415 6 6 100,00
12 West Jawa 922.230 749.816 170,7 428.791 424.076 852.867 27 26 96,30
13 Central Jawa 553.082 509.845 212,0 291.612 292.388 584.000 35 25 71,43
14 DI Yogyakarta 17.450 18.811 258,7 10.530 9.779 20.309 5 3 60,00
15 East Jawa 652.502 585.460 224,3 290.599 298.367 588.966 38 36 94,74
16 Banten 273.096 226.496 165,9 123.142 118.435 241.577 8 7 87,50
17 Bali 40.958 41.150 361,7 23.550 20.554 44.104 9 9 100,00
18 West Nusa Tenggara 170.265 141.734 308,0 83.234 79.686 162.920 10 10 100,00
19 East Nusa Tenggara 122.001 119.619 372,6 60.266 60.043 120.309 22 14 63,64
20 West Kalimantan 41.320 34.790 218,9 33.209 31.406 64.615 14 4 28,57
21 Central Kalimantan 27.844 25.814 250,3 14.893 13.730 28.623 14 11 78,57
22 South Kalimantan 41.393 39.368 266,3 25.319 24.034 49.353 13 11 84,62
23 East Kalimantan 64.650 44.915 201,5 34.130 30.596 64.726 10 6 60,00
24 North Kalimantan 18.281 13.342 313,8 9.409 8.500 17.909 5 4 80,00
25 North Sulawesi 18.046 14.553 241,9 17.049 15.940 32.989 15 2 13,33
26 Central Sulawesi 69.521 60.436 278,2 34.916 33.678 68.594 13 13 100,00
27 South Sulawesi 81.236 56.389 236,0 41.850 39.203 81.053 24 11 45,83
28 Southeast Sulawesi 28.257 24.973 309,3 17.295 15.428 32.723 17 8 47,06
29 Gorontalo 16.326 11.912 241,5 8.035 7.467 15.502 6 4 66,67
30 West Sulawesi 17.022 12.579 243,9 8.820 8.424 17.244 6 5 83,33
31 Maluku 40.663 23.118 227,4 26.263 24.963 51.226 11 4 36,36
32 North Maluku 32.050 31.855 387,6 20.492 18.584 39.076 10 4 40,00
33 West Papua 19.011 14.907 321,5 10.596 10.957 21.553 13 1 7,69

Indonesia 4.432.177 3.799.759 3,55 2.208.312 2.168.114 4.376.426 514 331 64,40
34 Papua 48.407 21.398 185,7 26.909 27.233 54.142 29 0 0,00

Source: Directorate General of Disease Prevention and Control (P2 ARI Routine Report 2021)
Information:
* TDDK = Draw the lower chest wall inward
The number of cases is all cases in the working area of the community health centers in several regencies/cities including cases found in several hospitals (not all regencies/cities have reported cases in their regional hospitals)
'Appendix 53.c
CASE OF CONFIRMATION, RECOVERY, AND DEATH OF COVID-19 BY PROVINCE
IN 2021

No Province Confirm Case Healed Die Recovery Rate/RR


(Case Fatality Rate/ CFR )

(1) (2) (3) (4) (5) (7) (8)


1 Aceh 38.430 36.361 2.066 94,62 5,38
2 North Sumatera 106.119 103.151 2.893 97,20 2,73
3 West Sumatera 89.873 87.704 2.153 97,59 2,40
4 Riau 128.939 124.476 4.124 96,54 3,20
5 Jambi 29.792 28.993 780 97,32 2,62
6 South Sumatera 59.986 56.890 3.081 94,84 5,14
7 Bengkulu 23.106 22.632 473 97,95 2,05
8 Lampung 49.750 45.340 3.873 91,14 7,78
9 Bangka Belitung Islands 52.359 50.881 1.462 97,18 2,79
10 Riau Islands 54.214 52.133 1.748 96,16 3,22
11 DKI Jakarta 865.297 851.191 13.608 98,37 1,57
12 West Jawa 708.852 693.571 14.756 97,84 2,08
13 Central Jawa 486.916 455.599 30.287 93,57 6,22
14 DI Yogyakarta 156.997 151.624 5.271 96,58 3,36
15 East Jawa 400.066 370.225 29.745 92,54 7,44
16 Banten 132.835 130.094 2.693 97,94 2,03
17 Bali 114.389 110.271 4.059 96,40 3,55
18 West Nusa Tenggara 27.809 26.978 818 97,01 2,94
19 East Nusa Tenggara 64.253 62.844 1.347 97,81 2,10
20 West Kalimantan 41.672 40.604 1.063 97,44 2,55
21 Central Kalimantan 45.659 44.208 1.407 96,82 3,08
22 South Kalimantan 69.955 67.553 2.391 96,57 3,42
23 East Kalimantan 158.332 152.867 5.457 96,55 3,45
24 North Kalimantan 35.940 35.111 811 97,69 2,26
25 North Sulawesi 34.799 33.629 1.062 96,64 3,05
26 Central Sulawesi 47.253 45.603 1.605 96,51 3,40
27 South Sulawesi 110.000 107.723 2.241 97,93 2,04
28 Southeast Sulawesi 20.173 19.639 528 97,35 2,62
29 Gorontalo 11.849 11.386 461 96,09 3,89
30 West Sulawesi 12.368 12.017 347 97,16 2,81
31 Maluku 14.596 14.325 264 98,14 1,81
32 North Maluku 12.105 11.802 303 97,50 2,50
33 West Papua 23.660 23.194 357 98,03 1,51
34 Papua 34.377 33.715 560 98,07 1,63
Indonesia 4.262.720 4.114.334 144.094 96,52 3,38
Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022

Data as of December 31, 2021


Appendix 53.d
NUMBER OF LABORATORIES AND EXAMINATION OF COVID-19 SPECIMENS BY PROVINCE
IN 2021

Number of
Number of Labs Checking Number of Specimens3
Number of People
Number of Total Positivity Rate
No Province People Checked Checked/ 1
People Checked population (%)
RT-PCR dan Positive Million
RT-PCR1 TCM2 Diperiksa Positif Negatif Inkonklusif Invalid
TCM1 Population
(1) (2) (3) (4) (5) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)
1 Aceh 4 4 1 170.157 44.179 124.740 616 595 97.644 38.430 5.483.702 17.806 39,36
2 North Sumatera 27 6 2 1.166.626 241.610 924.065 464 412 636.747 106.119 14.767.655 43.118 16,67
3 West Sumatera 5 6 871.615 120.084 750.401 362 572 380.996 89.873 5.522.731 68.987 23,59
4 Riau 11 3 2 674.715 171.267 503.305 16 28 354.090 128.939 7.159.392 49.458 36,41
5 Jambi 5 2 1 193.571 49.963 143.377 160 55 115.196 29.792 3.693.933 31.185 25,86
6 South Sumatera 7 7 1 578.145 120.245 452.506 267 5.053 244.147 59.986 8.605.288 28.372 24,57
7 Bengkulu 3 6 2 75.927 21.707 53.866 242 82 51.040 23.106 2.028.657 25.160 45,27
8 Lampung 8 3 229.799 82.409 146.752 312 248 128.541 49.750 8.558.362 15.019 38,70
9 Bangka Belitung Islands 3 4 1 162.541 32.348 130.039 74 61 101.344 52.359 1.524.208 66.490 51,66
10 Riau Islands 15 4 2 485.874 65.543 420.180 84 26 308.459 54.214 2.251.976 136.973 17,58
11 DKI Jakarta 61 7 8 8.109.109 1.487.298 6.593.819 15.038 2.227 3.825.198 865.297 10.691.409 357.782 22,62
12 West Jawa 101 22 6 3.940.556 1.085.816 2.834.002 10.935 2.691 2.255.129 708.852 50.153.631 44.964 31,43
13 Central Jawa 35 23 5 2.407.929 747.139 1.652.125 3.425 2.295 1.190.765 486.916 35.092.453 33.932 40,89
14 DI Yogyakarta 11 1 680.452 174.462 505.046 819 23 410.230 156.997 3.899.219 105.208 38,27
15 East Jawa 35 38 19 3.157.059 759.630 2.368.825 19.516 7.713 1.662.769 400.066 40.060.234 41.507 24,06
16 Banten 19 8 5 1.325.477 356.163 963.526 3.690 1.618 744.253 132.835 13.217.890 56.306 17,85
17 Bali 14 0 711.326 118.356 592.487 101 44 420.463 114.389 4.399.929 95.561 27,21
18 West Nusa Tenggara 6 10 3 222.954 34.704 188.188 27 33 148.310 27.809 5.147.975 28.809 18,75
19 East Nusa Tenggara 12 11 1 197.918 33.901 163.577 44 90 145.079 64.253 5.565.560 26.067 44,29
20 West Kalimantan 17 5 387.217 53.251 333.542 228 80 255.639 41.672 5.157.153 49.570 16,30
21 Central Kalimantan 1 7 1 263.027 68.096 194.093 594 233 129.638 45.659 2.781.232 46.612 35,22
22 South Kalimantan 9 2 1 615.099 120.487 493.459 145 964 276.248 69.955 4.322.749 63.906 25,32
23 East Kalimantan 10 10 2 1.186.175 176.906 1.006.971 1.132 1.086 514.996 158.332 3.809.694 135.180 30,74
24 North Kalimantan 4 4 2 101.435 20.219 80.892 228 8 62.037 35.940 771.856 80.374 57,93
25 North Sulawesi 5 5 1 279.868 45.656 232.313 1.157 544 145.595 34.799 2.539.822 57.325 23,90
26 Central Sulawesi 2 5 121.582 27.474 93.447 478 179 79.162 47.253 3.110.482 25.450 59,69
27 South Sulawesi 20 12 1 882.264 167.572 710.770 1.782 1.741 493.904 110.000 8.966.939 55.081 22,27
28 Southeast Sulawesi 8 2 1 89.877 16.611 73.199 26 34 61.644 20.173 2.767.606 22.273 32,73
29 Gorontalo 0 2 66.315 11.372 54.034 250 659 36.311 11.849 1.224.895 29.644 32,63
30 West Sulawesi 1 2 43.945 11.661 32.066 183 27 24.278 12.368 1.411.139 17.205 50,94
31 Maluku 3 10 98.352 17.206 79.826 1.218 99 60.730 14.596 1.839.869 33.008 24,03
32 North Maluku 6 3 3 181.837 14.343 167.136 132 191 65.291 12.105 1.284.341 50.836 18,54
33 West Papua 4 8 2 301.584 44.930 255.986 202 264 76.896 23.660 986.104 162.163 14,80
34 Papua 11 14 1 131.409 26.651 104.012 132 526 159.910 34.377 3.450.412 22.286 44,71
Indonesia 483 256 74 30.111.736 6.569.259 23.422.572 64.079 30.501 15.502.769 4.262.720 272.248.500 56.943 27,50
Sumber : 1 Badan Penelitian dan Pemngembangan Kesehatan, Kemenkes RI, 2022
2
Ditjen Pencegahan dan Pengendalian Penyakit, Kemenkes RI, 2022

Note: column E is not the sum of C and D


Data as of December 31, 2020
'Appendix 53.e
CASE CONFIRMATION OF COVID-19 BY GENDER AND AGE GROUPS BY PROVINCE
IN 2021

0-2 Years 3-6 Years 7-12 Years 13-15 Years 16-18 Years 19-30 Years 31-45 Years 46-59 Years 60+ Years Total
No Province
M F M F M F M F M F M F M F M F M F M F Unknown
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23)
1 Aceh 116 76 139 95 343 330 313 318 369 430 3.025 3.684 4.326 4.835 3.070 3.404 2.467 2.323 14.168 15.495 8.767
2 North Sumatera 600 484 862 808 1.950 1.960 1.185 1.228 1.458 1.785 9.099 11.076 11.979 12.426 8.487 9.690 6.044 6.833 41.664 46.290 18.165
3 West Sumatera 463 420 744 683 1.610 1.626 1.061 1.206 1.289 1.618 6.281 9.940 7.170 9.412 5.723 7.321 4.374 4.671 28.715 36.897 24.261
4 Riau 1.033 885 1.220 1.038 2.438 2.308 1.478 1.560 1.586 1.831 11.710 13.767 15.473 15.751 10.459 10.597 5.367 5.020 50.764 52.757 25.418
5 Jambi 192 202 282 249 590 566 395 436 531 537 2.647 3.446 3.740 3.990 2.611 2.812 1.435 1.349 12.423 13.587 3.782
6 South Sumatera 340 310 373 378 794 739 478 458 530 631 5.139 5.977 7.172 7.162 5.004 5.276 3.814 3.395 23.644 24.326 12.016
7 Bengkulu 91 103 153 144 323 362 254 269 252 333 1.936 2.618 2.643 3.159 1.845 2.190 1.265 1.080 8.762 10.258 4.086
8 Lampung 184 147 241 235 526 553 384 469 426 677 3.081 5.391 5.019 6.800 4.804 6.313 3.926 3.633 18.591 24.218 6.941
9 Bangka Belitung Islands 482 402 606 649 1.583 1.475 1.085 994 1.056 1.267 5.027 6.432 6.692 7.991 3.933 4.835 2.696 2.748 23.160 26.793 2.406
10 Riau Islands 308 292 576 495 1.063 1.082 624 612 700 801 6.414 7.403 7.949 6.650 4.429 3.797 2.093 1.789 24.156 22.921 7.137
11 DKI Jakarta 6.251 5.740 7.663 6.960 14.270 13.695 8.001 8.347 9.651 11.858 85.473 98.576 102.616 94.672 64.692 65.434 33.112 35.317 331.729 340.599 192.969
12 West Jawa 4.848 4.597 6.669 6.153 13.039 12.994 8.328 9.032 9.580 12.056 67.948 81.592 86.624 84.651 63.545 69.652 32.691 31.360 293.272 312.087 103.493
13 Central Jawa 3.043 2.543 2.960 2.786 6.721 6.741 4.738 5.137 5.517 6.981 35.922 55.238 48.527 57.944 46.471 51.824 32.290 28.450 186.189 217.644 83.083
14 DI Yogyakarta 1.658 1.483 2.136 2.061 4.358 4.133 2.651 2.441 2.769 2.961 13.585 16.898 15.370 17.992 14.547 16.561 11.261 10.699 68.335 75.229 13.433
15 East Jawa 1.889 1.792 2.064 1.858 4.511 4.371 2.942 3.168 3.436 4.255 28.965 36.652 40.081 43.024 38.534 41.896 26.904 25.596 149.326 162.612 88.128
16 Banten 847 778 1.176 1.073 2.288 2.176 1.362 1.523 1.580 1.963 13.696 15.914 17.908 16.436 12.888 12.139 5.645 4.846 57.390 56.848 18.597
17 Bali 823 719 946 785 1.990 1.750 1.108 1.078 1.413 1.536 10.233 12.472 12.200 12.292 11.586 10.640 8.396 6.535 48.695 47.807 17.887
18 West Nusa Tenggara 223 187 105 128 254 229 191 191 269 256 2.750 3.266 3.524 3.456 2.129 2.225 1.504 1.203 10.949 11.141 5.719
19 East Nusa Tenggara 568 502 736 659 1.615 1.644 1.235 1.162 1.477 1.750 6.959 9.359 7.710 9.265 4.985 5.119 3.072 2.603 28.357 32.063 3.833
20 West Kalimantan 293 234 324 269 766 759 537 670 740 957 4.607 5.170 5.382 5.534 3.782 3.766 2.469 2.179 18.900 19.538 3.234
21 Central Kalimantan 300 256 404 357 841 731 465 464 542 662 4.418 4.940 5.437 5.328 3.602 3.669 1.864 1.467 17.873 17.874 9.912
22 South Kalimantan 354 315 421 358 869 874 626 621 799 931 7.517 7.697 8.398 7.887 5.609 5.606 2.805 2.360 27.398 26.649 15.908
23 East Kalimantan 1.208 1.032 1.596 1.465 3.148 3.007 1.701 1.792 1.972 2.211 19.162 16.191 23.889 17.395 13.421 11.261 5.608 4.407 71.705 58.761 27.866
24 North Kalimantan 207 167 384 326 789 722 438 550 586 673 4.537 4.472 5.473 4.515 2.948 2.554 1.364 1.101 16.726 15.080 4.134
25 North Sulawesi 170 157 237 204 423 400 275 277 358 453 2.626 3.206 3.438 3.603 2.578 2.638 1.964 2.075 12.069 13.013 9.717
26 Central Sulawesi 357 325 394 325 843 858 484 631 640 907 4.662 6.756 5.663 7.275 3.960 4.610 2.566 2.375 19.569 24.062 3.622
27 South Sulawesi 622 482 712 645 1.424 1.409 903 1.113 1.193 1.603 8.880 13.385 10.476 12.517 6.589 7.429 4.510 4.546 35.309 43.129 31.562
28 Southeast Sulawesi 87 68 69 63 155 146 115 123 156 208 1.582 1.979 1.859 1.957 1.165 1.118 729 583 5.917 6.245 8.011
29 Gorontalo 46 46 45 32 91 97 102 91 120 161 1.040 1.369 1.129 1.203 848 749 420 407 3.841 4.155 3.853
30 West Sulawesi 66 46 75 73 174 204 106 139 173 241 1.188 1.795 1.497 1.882 880 855 516 455 4.675 5.690 2.003
31 Maluku 46 37 62 54 116 123 104 91 147 133 1.215 1.349 1.356 1.350 736 722 371 293 4.153 4.152 6.291
32 North Maluku 50 46 44 35 113 104 76 101 106 178 1.244 1.543 1.726 1.648 818 732 429 316 4.606 4.703 2.796
33 West Papua 190 133 226 198 379 362 247 253 307 360 2.538 2.693 3.062 2.598 1.549 1.284 620 446 9.118 8.327 6.215
34 Papua 200 172 226 232 481 423 278 273 395 408 2.957 2.988 3.545 3.070 2.197 1.771 859 624 11.138 9.961 13.278
Indonesia 28.155 25.178 34.870 31.873 70.878 68.953 44.270 46.818 52.123 63.612 388.063 475.234 489.053 495.670 360.424 380.489 215.450 203.084 1.683.286 1.790.911 788.523
Source: Center for Data and Information Technology, Ministry of Health of the Republic of Indonesia, 2022
Note: The distribution of sex and age is only from the identity of the fully reported cases
Data as of December 31, 2021
Appendix 53.f
COVID-19 VACCINATION COVERAGE BY AGE
IN NDONESIA IN 2021
12-17 Years Old Age 18-59 Years Usia 60+ Total Coverage
No Province Dose 1 Dose 2 Dose 1 Dose 2 Dose 1 Dose 2
Target Target Target Target Dose 1 % Dose 2 %
M F M+F % M F M+F % M F M+F % M F M+F % M F M+F % M F M+F %
(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) (34)

1 Aceh 577.015 166.159 184.210 350.369 60,7 70.130 90.172 160.302 27,8 3.112.751 1.064.301 1.119.677 2.183.978 70,2 490.232 510.343 1.000.575 32,1 339.125 98.615 111.747 210.362 62,0 30.707 27.471 58.178 17 4.028.891 2.744.709 68,1 1.219.055 30,3
2 North Sumatera 1.586.864 766.337 792.517 1.558.854 98,2 506.594 577.507 1.084.101 68,3 8.739.249 3.107.413 3.321.597 6.429.010 73,6 1.959.122 2.253.056 4.212.178 48,2 1.093.446 331.723 410.092 741.815 67,8 192.195 252.391 444.586 41 11.419.559 8.729.679 76,4 5.740.865 50,3
3 West Sumatera 589.723 256.764 275.653 532.417 90,3 173.577 219.728 393.305 66,7 3.329.211 1.089.278 1.179.737 2.269.015 68,2 617.314 797.240 1.414.554 42,5 489.575 109.920 118.438 228.358 46,6 58.301 61.688 119.989 25 4.408.509 3.029.790 68,7 1.927.848 43,7
4 Riau 684.190 287.259 306.719 593.978 86,8 149.507 183.325 332.832 48,6 3.833.691 1.553.392 1.478.798 3.032.190 79,1 850.294 841.811 1.692.105 44,1 322.466 102.784 86.725 189.509 58,8 51.777 42.905 94.682 29 4.840.347 3.815.677 78,8 2.119.619 43,8
5 Jambi 364.233 154.464 166.763 321.227 88,2 104.311 124.461 228.772 62,8 2.099.710 809.097 822.794 1.631.891 77,7 571.964 617.609 1.189.573 56,7 222.250 72.891 64.871 137.762 62,0 51.241 43.799 95.040 43 2.686.193 2.090.880 77,8 1.513.385 56,3
6 South Sumatera 846.683 355.724 381.669 737.393 87,1 235.470 282.804 518.274 61,2 4.859.342 1.848.188 1.916.327 3.764.515 77,5 987.205 1.095.786 2.082.991 42,9 597.071 199.286 192.670 391.956 65,6 94.944 94.452 189.396 32 6.303.096 4.893.864 77,6 2.790.661 44,3
7 Bengkulu 206.643 94.060 101.575 195.635 94,7 54.591 68.123 122.714 59,4 1.213.699 435.751 467.199 902.950 74,4 270.851 328.885 599.736 49,4 133.450 46.082 44.157 90.239 67,6 29.527 28.899 58.426 44 1.553.792 1.188.824 76,5 780.876 50,3
8 Lampung 880.203 390.447 416.208 806.655 91,6 230.918 275.507 506.425 57,5 5.060.777 1.901.438 1.966.429 3.867.867 76,4 1.123.731 1.309.551 2.433.282 48,1 704.246 264.132 227.154 491.286 69,8 129.509 109.827 239.336 34 6.645.226 5.165.808 77,7 3.179.043 47,8
9 Bangka Belitung Islands 151.433 76.663 80.424 157.087 103,7 51.108 58.389 109.497 72,3 890.528 360.231 344.256 704.487 79,1 260.018 269.219 529.237 59,4 95.863 35.293 32.747 68.040 71,0 26.936 24.890 51.826 54 1.137.824 929.614 81,7 690.560 60,7
10 Riau Islands 207.663 157.135 154.147 311.282 149,9 83.572 86.686 170.258 82,0 1.286.244 643.314 591.664 1.234.978 96,0 515.717 501.566 1.017.283 79,1 87.128 37.222 35.978 73.200 84,0 28.918 27.043 55.961 64 1.581.035 1.619.460 102,4 1.243.502 78,7
11 DKI Jakarta 1.000.121 855.652 855.726 1.711.378 171,1 470.756 489.410 960.166 96,0 6.634.027 5.265.141 4.291.592 9.556.733 144,1 4.254.793 3.643.113 7.897.906 119,1 761.279 391.132 430.979 822.111 108,0 351.662 394.645 746.307 98 8.395.427 12.090.222 144,0 9.604.379 114,4
12 West Jawa 4.867.047 2.423.965 2.491.464 4.915.429 101,0 1.487.117 1.688.401 3.175.518 65,2 29.631.827 10.393.125 11.472.069 21.865.194 73,8 7.220.655 8.806.785 16.027.440 54,1 3.408.940 1.355.976 1.370.403 2.726.379 80,0 784.154 809.979 1.594.133 47 37.907.814 29.507.002 77,8 20.797.091 54,9
13 Central Jawa 3.371.070 1.807.759 1.810.163 3.617.922 107,3 1.253.149 1.337.523 2.590.672 76,9 21.675.260 7.727.653 8.897.521 16.625.174 76,7 5.775.490 7.186.808 12.962.298 59,8 3.681.475 1.316.812 1.404.712 2.721.524 73,9 968.032 1.028.237 1.996.269 54 28.727.805 22.964.620 79,9 17.549.239 61,1
14 DI Yogyakarta 311.596 223.000 216.945 439.945 141,2 158.384 156.371 314.755 101,0 2.095.251 1.025.895 1.090.205 2.116.100 101,0 925.583 1.014.590 1.940.173 92,6 472.852 187.673 210.024 397.697 84,1 164.451 184.138 348.589 74 2.879.699 2.953.742 102,6 2.603.517 90,4
15 East Jawa 3.586.141 1.959.629 1.959.350 3.918.979 109,3 1.242.388 1.323.371 2.565.759 71,5 23.904.516 8.950.945 9.639.785 18.590.730 77,8 6.581.217 7.493.966 14.075.183 58,9 4.335.549 1.365.697 1.501.666 2.867.363 66,1 879.840 954.082 1.833.922 42 31.826.206 25.377.072 79,7 18.474.864 58,0
16 Banten 1.207.002 626.561 654.967 1.281.528 106,2 320.601 378.036 698.637 57,9 7.378.774 2.740.482 2.913.708 5.654.190 76,6 1.903.092 2.175.642 4.078.734 55,3 643.607 240.571 240.577 481.148 74,8 154.286 149.460 303.746 47 9.229.383 7.416.866 80,4 5.081.117 55,1
17 Bali 397.239 390.741 366.128 756.869 190,5 190.907 181.449 372.356 93,7 2.552.987 1.396.683 1.296.065 2.692.748 105,5 1.228.142 1.174.281 2.402.423 94,1 454.904 197.261 199.254 396.515 87,2 173.590 172.417 346.007 76 3.405.130 3.846.132 113,0 3.120.786 91,6
18 West Nusa Tenggara 533.491 226.865 238.023 464.888 87,1 136.885 159.177 296.062 55,5 3.009.030 1.182.383 1.275.296 2.457.679 81,7 816.649 906.172 1.722.821 57,3 368.117 128.331 133.227 261.558 71,1 82.367 84.261 166.628 45 3.910.638 3.184.125 81,4 2.185.511 55,9
19 East Nusa Tenggara 582.844 231.055 263.310 494.365 84,8 119.154 154.968 274.122 47,0 2.843.029 988.000 1.080.904 2.068.904 72,8 482.483 562.656 1.045.139 36,8 405.566 109.532 106.999 216.531 53,4 47.296 43.332 90.628 22 3.831.439 2.779.800 72,6 1.409.889 36,8
20 West Kalimantan 569.699 195.781 215.149 410.930 72,1 144.123 171.104 315.227 55,3 2.952.086 1.069.848 1.056.083 2.125.931 72,0 674.055 685.220 1.359.275 46,0 350.692 85.488 78.579 164.067 46,8 48.449 43.015 91.464 26 3.872.477 2.700.928 69,7 1.765.966 45,6
21 Central Kalimantan 283.576 119.061 122.640 241.701 85,2 80.082 86.971 167.053 58,9 1.611.512 695.689 599.472 1.295.161 80,4 397.272 357.073 754.345 46,8 141.016 49.884 43.879 93.763 66,5 27.980 23.679 51.659 37 2.036.104 1.630.625 80,1 973.057 47,8
22 South Kalimantan 402.121 160.075 168.626 328.701 81,7 102.630 118.161 220.791 54,9 2.500.464 963.182 929.554 1.892.736 75,7 525.469 496.601 1.022.070 40,9 258.552 79.676 76.642 156.318 60,5 32.100 28.304 60.404 23 3.161.137 2.377.755 75,2 1.303.265 41,2
23 East Kalimantan 397.462 188.331 187.454 375.785 94,5 133.624 140.641 274.265 69,0 2.287.406 1.038.509 871.904 1.910.413 83,5 776.058 660.640 1.436.698 62,8 189.533 65.819 49.848 115.667 61,0 49.516 37.692 87.208 46 2.874.401 2.401.865 83,6 1.798.171 62,6
24 North Kalimantan 77.891 39.750 39.533 79.283 101,8 24.051 25.826 49.877 64,0 434.527 188.634 156.084 344.718 79,3 141.951 124.096 266.047 61,2 33.254 13.357 10.200 23.557 70,8 9.274 6.816 16.090 48 545.672 447.558 82,0 332.014 60,8
25 North Sulawesi 245.339 120.114 123.396 243.510 99,3 67.277 79.658 146.935 59,9 1.575.881 589.622 596.000 1.185.622 75,2 344.524 398.259 742.783 47,1 259.465 82.037 90.814 172.851 66,6 49.731 58.041 107.772 42 2.080.685 1.601.983 77,0 997.490 47,9
26 Central Sulawesi 314.609 104.566 118.385 222.951 70,9 51.377 68.228 119.605 38,0 1.624.670 644.455 610.778 1.255.233 77,3 348.913 338.655 687.568 42,3 196.628 51.584 44.767 96.351 49,0 24.940 21.212 46.152 23 2.135.907 1.574.535 73,7 853.325 40,0
27 South Sulawesi 978.890 371.708 402.070 773.778 79,0 224.062 282.218 506.280 51,7 5.325.332 1.857.546 2.087.879 3.945.425 74,1 1.013.095 1.268.431 2.281.526 42,8 753.919 194.909 223.618 418.527 55,5 82.518 93.711 176.229 23 7.058.141 5.137.730 72,8 2.964.035 42,0
28 Southeast Sulawesi 296.410 110.583 120.143 230.726 77,8 48.912 63.685 112.597 38,0 1.548.873 563.775 562.655 1.126.430 72,7 274.083 279.058 553.141 35,7 157.296 43.127 41.315 84.442 53,7 14.838 11.680 26.518 17 2.002.579 1.441.598 72,0 692.256 34,6
29 Gorontalo 127.071 53.398 58.154 111.552 87,8 29.730 38.473 68.203 53,7 734.456 285.985 294.539 580.524 79,0 163.094 192.724 355.818 48,4 76.882 22.261 23.139 45.400 59,1 10.792 11.165 21.957 29 938.409 737.476 78,6 445.978 47,5
30 West Sulawesi 163.725 51.330 56.569 107.899 65,9 28.667 36.788 65.455 40,0 836.369 295.591 280.942 576.533 68,9 162.762 166.815 329.577 39,4 89.146 22.139 20.468 42.607 47,8 10.264 8.604 18.868 21 1.089.240 727.039 66,7 413.900 38,0
31 Maluku 215.890 66.425 71.435 137.860 63,86 27.451 34.041 61.492 28,5 1.074.492 328.169 324.657 652.826 60,8 152.909 162.760 315.669 29,4 127.308 29.220 28.354 57.574 45,2 12.990 12.383 25.373 20 1.417.690 848.260 59,8 402.534 28,4
32 North Maluku 145.842 38.915 44.492 83.407 57,19 16.008 21.833 37.841 25,9 733.927 311.189 266.024 577.213 78,6 163.216 126.671 289.887 39,5 74.323 26.800 23.390 50.190 67,5 7.726 5.834 13.560 18 954.092 710.810 74,5 341.288 35,8
33 West Papua 127.914 26.765 28.292 55.057 43,04 14.599 17.171 31.770 24,8 618.654 205.585 150.370 355.955 57,5 129.432 96.928 226.360 36,6 50.834 8.742 5.848 14.590 28,7 5.447 3.442 8.889 17 797.402 425.602 53,4 267.019 33,5

Indonesia 26.705.490 13.142.525 13.518.685 26.661.210 8.062.180 9.053.479 17.115.659 160.007.112 61.895.184 64.217.745 126.112.929 42.369.321 47.040.090 89.409.411 21.553.118 7.380.812 7.693.657 15.074.469 4.697.032 4.906.812 9.603.844 208.265.720 167.848.608 116.128.914
34 Papua 407.850 45.484 46.386 91.870 22,53 30.468 33.273 63.741 15,6 1.998.560 374.695 265.181 639.876 32,0 267.936 197.080 465.016 23,3 177.361 14.836 10.376 25.212 14,2 10.734 7.318 18.052 10 2.583.771 756.958 29,3 546.809 21,2
99,8 64,1 78,8 55,9 69,9 45 80,6 55,8
Source: KPCPEN, access 18 May 2022 at 18.00.
Filter data as of December 31, 2021
Appendix ….
COVERAGE OF THE COVID-19 VACCINATION DOSAGE 1
IN INDONESIA IN 2021

12-17 Years Old 18-59 Years Old Age 60+ Total Coverage
No Province Dosage 1 Dosage 1 Dosage 1
Target Target Target Target Dosage 1 %
M F M+F M F M+F % M F M+F %
(1) (2) (3) (4) (5) (6) (12) (4) (5) (6) (16) (21) (22) (23) (24) (25) (30) (31) (32)
1 Aceh 577.015 166.159 184.210 350.369 3.112.751 1.064.301 1.119.677 2.183.978 70 339.125 98.615 111.747 210.362 62 4.028.891 2.744.709 68
2 North Sumatera 1.586.864 766.337 792.517 1.558.854 8.739.249 3.107.413 3.321.597 6.429.010 74 1.093.446 331.723 410.092 741.815 68 11.419.559 8.729.679 76
3 West Sumatera 589.723 256.764 275.653 532.417 3.329.211 1.089.278 1.179.737 2.269.015 68 489.575 109.920 118.438 228.358 47 4.408.509 3.029.790 69
4 Riau 684.190 287.259 306.719 593.978 3.833.691 1.553.392 1.478.798 3.032.190 79 322.466 102.784 86.725 189.509 59 4.840.347 3.815.677 79
5 Jambi 364.233 154.464 166.763 321.227 2.099.710 809.097 822.794 1.631.891 78 222.250 72.891 64.871 137.762 62 2.686.193 2.090.880 78
6 South Sumatera 846.683 355.724 381.669 737.393 4.859.342 1.848.188 1.916.327 3.764.515 77 597.071 199.286 192.670 391.956 66 6.303.096 4.893.864 78
7 Bengkulu 206.643 94.060 101.575 195.635 1.213.699 435.751 467.199 902.950 74 133.450 46.082 44.157 90.239 68 1.553.792 1.188.824 77
8 Lampung 880.203 390.447 416.208 806.655 5.060.777 1.901.438 1.966.429 3.867.867 76 704.246 264.132 227.154 491.286 70 6.645.226 5.165.808 78
9 Bangka Belitung Islands 151.433 76.663 80.424 157.087 890.528 360.231 344.256 704.487 79 95.863 35.293 32.747 68.040 71 1.137.824 929.614 82
10 Riau Islands 207.663 157.135 154.147 311.282 1.286.244 643.314 591.664 1.234.978 96 87.128 37.222 35.978 73.200 84 1.581.035 1.619.460 102
11 DKI Jakarta 1.000.121 855.652 855.726 1.711.378 6.634.027 5.265.141 4.291.592 9.556.733 144 761.279 391.132 430.979 822.111 108 8.395.427 12.090.222 144
12 West Jawa 4.867.047 2.423.965 2.491.464 4.915.429 29.631.827 10.393.125 11.472.069 21.865.194 74 3.408.940 1.355.976 1.370.403 2.726.379 80 37.907.814 29.507.002 78
13 Central Jawa 3.371.070 1.807.759 1.810.163 3.617.922 21.675.260 7.727.653 8.897.521 16.625.174 77 3.681.475 1.316.812 1.404.712 2.721.524 74 28.727.805 22.964.620 80
14 DI Yogyakarta 311.596 223.000 216.945 439.945 2.095.251 1.025.895 1.090.205 2.116.100 101 472.852 187.673 210.024 397.697 84 2.879.699 2.953.742 103
15 East Jawa 3.586.141 1.959.629 1.959.350 3.918.979 23.904.516 8.950.945 9.639.785 18.590.730 78 4.335.549 1.365.697 1.501.666 2.867.363 66 31.826.206 25.377.072 80
16 Banten 1.207.002 626.561 654.967 1.281.528 7.378.774 2.740.482 2.913.708 5.654.190 77 643.607 240.571 240.577 481.148 75 9.229.383 7.416.866 80
17 Bali 397.239 390.741 366.128 756.869 2.552.987 1.396.683 1.296.065 2.692.748 105 454.904 197.261 199.254 396.515 87 3.405.130 3.846.132 113
18 West Nusa Tenggara 533.491 226.865 238.023 464.888 3.009.030 1.182.383 1.275.296 2.457.679 82 368.117 128.331 133.227 261.558 71 3.910.638 3.184.125 81
19 East Nusa Tenggara 582.844 231.055 263.310 494.365 2.843.029 988.000 1.080.904 2.068.904 73 405.566 109.532 106.999 216.531 53 3.831.439 2.779.800 73
20 West Kalimantan 569.699 195.781 215.149 410.930 2.952.086 1.069.848 1.056.083 2.125.931 72 350.692 85.488 78.579 164.067 47 3.872.477 2.700.928 70
21 Central Kalimantan 283.576 119.061 122.640 241.701 1.611.512 695.689 599.472 1.295.161 80 141.016 49.884 43.879 93.763 66 2.036.104 1.630.625 80
22 South Kalimantan 402.121 160.075 168.626 328.701 2.500.464 963.182 929.554 1.892.736 76 258.552 79.676 76.642 156.318 60 3.161.137 2.377.755 75
23 East Kalimantan 397.462 188.331 187.454 375.785 2.287.406 1.038.509 871.904 1.910.413 84 189.533 65.819 49.848 115.667 61 2.874.401 2.401.865 84
24 North Kalimantan 77.891 39.750 39.533 79.283 434.527 188.634 156.084 344.718 79 33.254 13.357 10.200 23.557 71 545.672 447.558 82
25 North Sulawesi 245.339 120.114 123.396 243.510 1.575.881 589.622 596.000 1.185.622 75 259.465 82.037 90.814 172.851 67 2.080.685 1.601.983 77
26 Central Sulawesi 314.609 104.566 118.385 222.951 1.624.670 644.455 610.778 1.255.233 77 196.628 51.584 44.767 96.351 49 2.135.907 1.574.535 74
27 South Sulawesi 978.890 371.708 402.070 773.778 5.325.332 1.857.546 2.087.879 3.945.425 74 753.919 194.909 223.618 418.527 56 7.058.141 5.137.730 73
28 Southeast Sulawesi 296.410 110.583 120.143 230.726 1.548.873 563.775 562.655 1.126.430 73 157.296 43.127 41.315 84.442 54 2.002.579 1.441.598 72
29 Gorontalo 127.071 53.398 58.154 111.552 734.456 285.985 294.539 580.524 79 76.882 22.261 23.139 45.400 59 938.409 737.476 79
30 West Sulawesi 163.725 51.330 56.569 107.899 836.369 295.591 280.942 576.533 69 89.146 22.139 20.468 42.607 48 1.089.240 727.039 67
31 Maluku 215.890 66.425 71.435 137.860 1.074.492 328.169 324.657 652.826 61 127.308 29.220 28.354 57.574 45 1.417.690 848.260 60
32 North Maluku 145.842 38.915 44.492 83.407 733.927 311.189 266.024 577.213 79 74.323 26.800 23.390 50.190 68 954.092 710.810 75
33 West Papua 127.914 26.765 28.292 55.057 618.654 205.585 150.370 355.955 58 50.834 8.742 5.848 14.590 29 797.402 425.602 53

#####
Indonesia 26.705.490 13.142.525 13.518.685 26.661.210 160.007.112 61.895.184 64.217.745 126.112.929 21.553.118 7.380.812 7.693.657 208.265.720
#####
34 Papua 407.850 45.484 46.386 91.870 1.998.560 374.695 265.181 639.876 32 177.361 14.836 10.376 25.212 14 2.583.771 756.958 29
79 70 167.848.608 81
Source: KPCPEN, access 18 May 2022 at 18.00.
Filter data as of December 31, 2021
Appendix ….
COVERAGE OF THE COVID-19 VACCINATION DOSAGE 2
IN INDONESIA IN 2021

Age 12-17 Years Age 18-59 Years Age 60+ Total Coverage
No Province Dosage 2 Dosage 2 Dosiage 2
Target Target Target Target Dosis 2 %
M F M+F % M F M+F % M F M+F %
(1) (2) (3) (8) (9) (10) (11) (12) (17) (18) (19) (20) (21) (26) (27) (28) (29) (30) (33) (34)
1 Aceh 577.015 70.130 90.172 160.302 27,8 3.112.751 490.232 510.343 1.000.575 32,1 339.125 30.707 27.471 58.178 17,2 4.028.891 1.219.055 30,3
2 North Sumatera 1.586.864 506.594 577.507 1.084.101 68,3 8.739.249 1.959.122 2.253.056 4.212.178 48,2 1.093.446 192.195 252.391 444.586 40,7 11.419.559 5.740.865 50,3
3 West Sumatera 589.723 173.577 219.728 393.305 66,7 3.329.211 617.314 797.240 1.414.554 42,5 489.575 58.301 61.688 119.989 24,5 4.408.509 1.927.848 43,7
4 Riau 684.190 149.507 183.325 332.832 48,6 3.833.691 850.294 841.811 1.692.105 44,1 322.466 51.777 42.905 94.682 29,4 4.840.347 2.119.619 43,8
5 Jambi 364.233 104.311 124.461 228.772 62,8 2.099.710 571.964 617.609 1.189.573 56,7 222.250 51.241 43.799 95.040 42,8 2.686.193 1.513.385 56,3
6 South Sumatera 846.683 235.470 282.804 518.274 61,2 4.859.342 987.205 1.095.786 2.082.991 42,9 597.071 94.944 94.452 189.396 31,7 6.303.096 2.790.661 44,3
7 Bengkulu 206.643 54.591 68.123 122.714 59,4 1.213.699 270.851 328.885 599.736 49,4 133.450 29.527 28.899 58.426 43,8 1.553.792 780.876 50,3
8 Lampung 880.203 230.918 275.507 506.425 57,5 5.060.777 1.123.731 1.309.551 2.433.282 48,1 704.246 129.509 109.827 239.336 34,0 6.645.226 3.179.043 47,8
9 Bangka Belitung Islands 151.433 51.108 58.389 109.497 72,3 890.528 260.018 269.219 529.237 59,4 95.863 26.936 24.890 51.826 54,1 1.137.824 690.560 60,7
10 Riau Islands 207.663 83.572 86.686 170.258 82,0 1.286.244 515.717 501.566 1.017.283 79,1 87.128 28.918 27.043 55.961 64,2 1.581.035 1.243.502 78,7
11 DKI Jakarta 1.000.121 470.756 489.410 960.166 96,0 6.634.027 4.254.793 3.643.113 7.897.906 119,1 761.279 351.662 394.645 746.307 98,0 8.395.427 9.604.379 114,4
12 West Jawa 4.867.047 1.487.117 1.688.401 3.175.518 65,2 29.631.827 7.220.655 8.806.785 16.027.440 54,1 3.408.940 784.154 809.979 1.594.133 46,8 37.907.814 20.797.091 54,9
13 Central Jawa 3.371.070 1.253.149 1.337.523 2.590.672 76,9 21.675.260 5.775.490 7.186.808 12.962.298 59,8 3.681.475 968.032 1.028.237 1.996.269 54,2 28.727.805 17.549.239 61,1
14 DI Yogyakarta 311.596 158.384 156.371 314.755 101,0 2.095.251 925.583 1.014.590 1.940.173 92,6 472.852 164.451 184.138 348.589 73,7 2.879.699 2.603.517 90,4
15 East Jawa 3.586.141 1.242.388 1.323.371 2.565.759 71,5 23.904.516 6.581.217 7.493.966 14.075.183 58,9 4.335.549 879.840 954.082 1.833.922 42,3 31.826.206 18.474.864 58,0
16 Banten 1.207.002 320.601 378.036 698.637 57,9 7.378.774 1.903.092 2.175.642 4.078.734 55,3 643.607 154.286 149.460 303.746 47,2 9.229.383 5.081.117 55,1
17 Bali 397.239 190.907 181.449 372.356 93,7 2.552.987 1.228.142 1.174.281 2.402.423 94,1 454.904 173.590 172.417 346.007 76,1 3.405.130 3.120.786 91,6
18 West Nusa Tenggara 533.491 136.885 159.177 296.062 55,5 3.009.030 816.649 906.172 1.722.821 57,3 368.117 82.367 84.261 166.628 45,3 3.910.638 2.185.511 55,9
19 East Nusa Tenggara 582.844 119.154 154.968 274.122 47,0 2.843.029 482.483 562.656 1.045.139 36,8 405.566 47.296 43.332 90.628 22,3 3.831.439 1.409.889 36,8
20 West Kalimantan 569.699 144.123 171.104 315.227 55,3 2.952.086 674.055 685.220 1.359.275 46,0 350.692 48.449 43.015 91.464 26,1 3.872.477 1.765.966 45,6
21 Central Kalimantan 283.576 80.082 86.971 167.053 58,9 1.611.512 397.272 357.073 754.345 46,8 141.016 27.980 23.679 51.659 36,6 2.036.104 973.057 47,8
22 South Kalimantan 402.121 102.630 118.161 220.791 54,9 2.500.464 525.469 496.601 1.022.070 40,9 258.552 32.100 28.304 60.404 23,4 3.161.137 1.303.265 41,2
23 East Kalimantan 397.462 133.624 140.641 274.265 69,0 2.287.406 776.058 660.640 1.436.698 62,8 189.533 49.516 37.692 87.208 46,0 2.874.401 1.798.171 62,6
24 North Kalimantan 77.891 24.051 25.826 49.877 64,0 434.527 141.951 124.096 266.047 61,2 33.254 9.274 6.816 16.090 48,4 545.672 332.014 60,8
25 North Sulawesi 245.339 67.277 79.658 146.935 59,9 1.575.881 344.524 398.259 742.783 47,1 259.465 49.731 58.041 107.772 41,5 2.080.685 997.490 47,9
26 Central Sulawesi 314.609 51.377 68.228 119.605 38,0 1.624.670 348.913 338.655 687.568 42,3 196.628 24.940 21.212 46.152 23,5 2.135.907 853.325 40,0
27 South Sulawesi 978.890 224.062 282.218 506.280 51,7 5.325.332 1.013.095 1.268.431 2.281.526 42,8 753.919 82.518 93.711 176.229 23,4 7.058.141 2.964.035 42,0
28 Southeast Sulawesi 296.410 48.912 63.685 112.597 38,0 1.548.873 274.083 279.058 553.141 35,7 157.296 14.838 11.680 26.518 16,9 2.002.579 692.256 34,6
29 Gorontalo 127.071 29.730 38.473 68.203 53,7 734.456 163.094 192.724 355.818 48,4 76.882 10.792 11.165 21.957 28,6 938.409 445.978 47,5
30 West Sulawesi 163.725 28.667 36.788 65.455 40,0 836.369 162.762 166.815 329.577 39,4 89.146 10.264 8.604 18.868 21,2 1.089.240 413.900 38,0
31 Maluku 215.890 27.451 34.041 61.492 28,5 1.074.492 152.909 162.760 315.669 29,4 127.308 12.990 12.383 25.373 19,9 1.417.690 402.534 28,4
32 North Maluku 145.842 16.008 21.833 37.841 25,9 733.927 163.216 126.671 289.887 39,5 74.323 7.726 5.834 13.560 18,2 954.092 341.288 35,8
33 West Papua 127.914 14.599 17.171 31.770 24,8 618.654 129.432 96.928 226.360 36,6 50.834 5.447 3.442 8.889 17,5 797.402 267.019 33,5

##### ##### #####


Indonesia 26.705.490 8.062.180 9.053.479 160.007.112 89.409.411 21.553.118 4.697.032 4.906.812 9.603.844 208.265.720
##### ##### #####
34 Papua 407.850 30.468 33.273 63.741 15,6 1.998.560 267.936 197.080 465.016 23,3 177.361 10.734 7.318 18.052 10,2 2.583.771 546.809 21,2
64,1 55,9 44,6 116.128.914 55,8
Source: KPCPEN, access 18 May 2022 at 18.00.
Filter data as of December 31, 2021
Appendix 54
NUMBER OF HIV CASES BY GENDER, AGE GROUP AND PROVINCE
IN 2021

Age Group (Years) Percentage of


Number of people at
people at risk of HIV
Estimated number of risk of HIV infection
≤ 4 Years 5 - 14 Years 15 - 19 Years 20 - 24 Years 25 - 49 Years ≥ 50 Years Total infection getting
No Province people at risk of HIV who receive services
HIV early detection
infection (minimum) according to
services according
standards
M F M F M F M F M F M F M F T to standards

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1 Aceh 2 3 1 - 6 - 22 1 111 26 2 1 144 31 175 250.435 40.481 16,2
2 North Sumatera 7 7 2 8 39 3 296 30 1.149 239 89 35 1.582 322 1.904 713.310 69.706 9,8
3 West Sumatera 2 3 - 1 5 1 51 4 234 43 16 4 308 56 364 259.867 52.263 20,1
4 Riau 2 4 7 - 11 3 67 5 262 76 33 6 382 94 476 355.021 68.548 19,3
5 Jambi 3 - 2 1 1 - 24 1 113 26 12 4 155 32 187 156.504 23.435 15,0
6 South Sumatera 7 2 1 1 10 2 59 13 304 81 33 8 414 107 521 396.073 94.666 23,9
7 Bengkulu 4 2 - - - - 19 6 83 28 3 1 109 37 146 94.895 16.713 17,6
8 Lampung 12 3 5 6 17 3 86 14 260 96 13 11 393 133 526 357.206 72.062 20,2
Bangka Belitung
9 4 - - - 3 2 9 14 78 50 16 8 110 74 184 68.332 28.681 42,0
Islands
10 Riau Islands 4 5 3 1 9 6 53 10 369 139 55 15 493 176 669 113.840 29.086 25,5
11 DKI Jakarta 21 16 12 6 76 27 612 100 2.633 585 214 56 3.568 790 4.358 488.965 219.640 44,9
12 West Jawa 55 30 15 17 151 40 828 200 2.735 1.005 195 66 3.979 1.358 5.337 2.112.292 475.277 22,5
13 Central Jawa 29 30 26 22 94 46 376 246 1.892 1.210 388 210 2.805 1.764 4.569 1.369.751 494.490 36,1
14 DI Yogyakarta 11 3 2 5 13 1 116 13 252 85 43 23 437 130 567 141.244 34.614 24,5
15 East Jawa 38 22 18 20 107 33 493 253 2.450 1.665 492 281 3.598 2.274 5.872 1.496.320 481.437 32,2
16 Banten 6 7 3 5 33 10 190 41 771 247 58 21 1.061 331 1.392 578.408 192.459 33,3
17 Bali 8 6 4 8 22 10 178 78 774 341 96 46 1.082 489 1.571 184.979 69.395 37,5
18 West Nusa Tenggara 3 2 1 1 4 2 39 8 99 39 7 2 153 54 207 231.825 46.669 20,1
19 East Nusa Tenggara 4 3 2 3 7 5 37 26 195 131 11 5 256 173 429 277.755 24.198 8,7
20 West Kalimantan 7 4 2 1 11 2 60 24 266 111 34 9 380 151 531 230.508 47.746 20,7
21 Central Kalimantan 2 1 1 - 3 1 31 9 129 63 12 5 178 79 257 132.559 19.013 14,3
22 South Kalimantan 11 3 4 2 20 3 77 15 194 71 13 6 319 100 419 195.974 25.641 13,1
23 East Kalimantan 4 3 2 2 25 7 129 50 479 303 63 22 702 387 1.089 194.853 57.793 29,7
24 North Kalimantan - 1 - 4 5 2 14 5 61 27 8 3 88 42 130 33.770 11.686 34,6
25 North Sulawesi 2 3 - 3 10 7 96 28 240 86 20 13 368 140 508 113.551 18.958 16,7
26 Central Sulawesi 2 - 2 - 7 1 59 5 97 44 9 1 176 51 227 143.917 31.481 21,9
27 South Sulawesi 16 6 5 8 32 5 248 26 655 163 54 9 1.010 217 1.227 406.706 113.118 27,8
28 Southeast Sulawesi 2 - 1 1 10 1 45 7 86 31 7 2 151 42 193 133.839 18.077 13,5
29 Gorontalo 1 2 4 - 2 - 20 1 61 14 1 3 89 20 109 58.504 14.969 25,6
30 West Sulawesi - - - - - - 5 2 13 10 1 - 19 12 31 67.386 9.434 14,0
31 Maluku 5 3 2 2 6 2 50 31 124 75 14 6 201 119 320 94.719 17.125 18,1
32 North Maluku 6 5 1 - 4 5 28 20 112 54 13 9 164 93 257 60.293 7.616 12,6
33 West Papua 3 3 - 2 8 15 24 59 104 131 7 4 146 214 360 126.994 30.446 24,0

300 201 134 142 781 376 4.597 1.636 17.896 7.839 2.073 927 25.781 11.121 36.902 11.737.827 2.967.992 25,3
34 Papua 17 19 6 12 30 131 156 291 511 544 41 32 761 1.029 1.790 97.232 11.069 11,4

Indonesia
1,4 0,7 3,1 16,9 69,7 8,1 100
Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022
Information: M = Male F = Female T = Number of Male and Female
Appendix 55.a
NUMBER OF NEW HIV CASES
BY PROVINCE 2019 - 2021

Number of New HIV Cases


No Province
2019 2020 2021
(1) (2) (3) (4) (5)
1 Aceh 174 139 175
2 North Sumatera 2.463 2.193 1.904
3 West Sumatera 541 403 364
4 Riau 558 761 476
5 Jambi 131 167 187
6 South Sumatera 601 556 521
7 Bengkulu 177 104 146
8 Lampung 568 589 526
9 Bangka Belitung Islands 234 219 184
10 Riau Islands 854 757 669
11 DKI Jakarta 6.701 4.931 4.358
12 West Jawa 6.066 5.666 5.337
13 Central Jawa 5.630 5.531 4.569
14 DI Yogyakarta 714 591 567
15 East Jawa 8.935 7.157 5.872
16 Banten 1.643 1.480 1.392
17 Bali 2.283 1.704 1.571
18 West Nusa Tenggara 258 278 207
19 East Nusa Tenggara 821 584 429
20 West Kalimantan 698 682 531
21 Central Kalimantan 222 286 257
22 South Kalimantan 474 283 419
23 East Kalimantan 1.301 965 1.089
24 North Kalimantan 199 138 130
25 North Sulawesi 673 432 508
26 Central Sulawesi 350 317 227
27 South Sulawesi 1.537 1.183 1.227
28 Southeast Sulawesi 180 123 193
29 Gorontalo 48 84 109
30 West Sulawesi 69 27 31
31 Maluku 462 378 320
32 North Maluku 267 230 257
33 West Papua 697 405 360

Indonesia 50.282 41.987 36.902


34 Papua 3.753 2.644 1.790

Source: SIHA, Directorate General of Disease Prevention and Control, Indonesian Ministry of Health, 2022
Appendix 55.b
NUMBER OF NEW AIDS CASES BY GENDER, AGE GROUPS, AND PROVINCE
IN 2021

Age Group (Years )

No Province < 1 Year 1 - 4 Years 5 - 14 Years 15 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years ≥ 60 Years Unknown Age Group Gender Total
Unknown
M F M F M F M F M F M F M F M F M F M F M F M+F
(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)
1 Aceh 0 1 0 0 0 0 0 0 11 2 22 8 6 0 0 0 0 0 0 0 0 39 11 50
2 North Sumatera 1 0 1 1 0 1 1 0 108 11 83 32 32 19 22 4 7 3 0 0 0 255 71 326
3 West Sumatera 0 0 0 1 0 1 1 0 28 1 31 6 12 1 6 0 1 0 0 0 0 79 10 89
4 Riau 0 1 2 3 1 2 1 0 69 14 96 18 44 14 21 4 5 3 0 0 0 239 59 298
5 Jambi 0 0 1 0 1 0 0 0 3 0 1 2 5 1 2 0 0 0 0 0 0 13 3 16
6 South Sumatera 0 0 1 0 1 1 2 0 46 10 49 6 20 7 14 0 4 1 0 1 0 137 26 163
7 Bengkulu 0 0 1 0 0 0 0 0 12 3 8 2 2 2 1 0 0 0 0 0 0 24 7 31
8 Lampung 1 0 3 2 2 1 1 0 16 2 21 3 7 5 1 1 1 0 0 0 0 53 14 67
9 Bangka Belitung Islands 0 0 0 0 0 0 0 0 3 1 1 3 6 1 0 0 0 1 0 0 0 10 6 16
10 Riau Islands 0 0 0 0 2 0 1 1 15 4 49 6 19 6 11 3 2 0 0 0 0 99 20 119
11 DKI Jakarta 0 0 0 0 0 0 1 0 29 5 45 8 25 6 9 3 2 0 0 0 0 111 22 133
12 West Jawa 1 0 1 1 0 2 5 0 84 7 57 15 24 9 9 2 2 2 0 0 0 183 38 221
13 Central Jawa 1 0 2 3 8 6 11 4 197 50 268 94 152 80 120 53 46 24 0 0 0 805 314 1.119
14 DI Yogyakarta 0 0 2 2 0 1 1 0 14 1 12 4 10 7 6 5 3 1 0 0 0 48 21 69
15 East Jawa 1 0 1 0 4 0 1 1 59 29 100 27 69 32 39 11 17 3 0 0 0 291 103 394
16 Banten 0 0 0 0 0 0 2 0 39 8 54 10 13 6 9 0 1 0 0 0 0 118 24 142
17 Bali 0 0 3 0 3 3 5 4 92 28 108 49 77 35 46 21 15 3 0 0 0 349 143 492
18 West Nusa Tenggara 1 0 4 1 0 1 2 0 42 14 32 7 14 8 8 0 2 0 14 4 0 119 35 154
19 East Nusa Tenggara 0 0 1 2 1 1 1 1 35 11 40 15 21 4 6 4 3 2 0 0 0 108 40 148
20 West Kalimantan 0 0 0 0 0 3 0 1 21 4 17 7 13 7 3 0 3 0 0 0 0 57 22 79
21 Central Kalimantan 0 0 0 0 0 0 0 0 5 1 10 1 4 0 4 1 0 0 0 0 0 23 3 26
22 South Kalimantan 0 0 1 1 2 3 1 1 39 7 34 10 20 2 7 4 4 3 0 0 0 108 31 139
23 East Kalimantan 0 0 1 0 0 0 1 0 48 16 72 27 50 20 20 13 4 2 0 0 0 196 78 274
24 North Kalimantan 0 0 0 1 0 1 0 0 5 3 10 2 8 0 3 1 0 0 0 0 0 26 8 34
25 North Sulawesi 1 1 0 1 0 2 3 1 69 12 51 15 22 9 11 4 10 2 0 0 0 167 47 214
26 Central Sulawesi 0 0 0 0 0 0 1 0 14 2 20 5 9 1 4 0 2 0 1 0 0 51 8 59
27 South Sulawesi 1 0 4 4 0 2 8 1 105 15 98 18 40 10 12 3 5 1 0 0 0 273 54 327
28 Southeast Sulawesi 0 0 0 0 0 0 0 0 16 7 17 2 2 2 9 1 1 0 0 0 0 45 12 57
29 Gorontalo 0 0 0 1 0 0 0 0 17 0 19 1 2 1 1 1 0 0 0 0 0 39 4 43
30 West Sulawesi 0 0 0 0 0 0 1 0 6 0 4 1 0 0 0 0 0 0 0 0 0 11 1 12
31 Maluku 0 0 0 0 0 0 0 0 6 2 7 0 1 2 0 2 0 0 0 0 0 14 6 20
32 North Maluku 1 1 1 0 1 0 1 1 17 12 22 7 11 2 6 0 0 0 2 0 0 62 23 85
33 West Papua 0 0 1 1 0 1 0 4 20 18 12 10 4 5 2 0 1 0 0 1 0 40 40 80

9 4 34 27 27 34 62 37 1.326 365 1.508 459 764 313 421 143 143 51 17 6 0 4.311 1.439 5.750
34 Papua 0 0 3 2 1 2 10 17 36 65 38 38 20 9 9 2 2 0 0 0 0 119 135 254

Indonesia
0,2 1,1 1,1 1,7 29,4 34,2 18,7 9,8 3,4 0,4
Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022
Information: M = Male F = Female T = Number of Male and Female
Appendix 55.c
NUMBER OF CUMULATIVE AIDS CASES BY GENDER, AGE GROUPS, AND PROVINCE
IN 2021

Age Group (Years)

No Province < 1 Year 1 - 4 Years 5 - 14 Years 15 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years ≥ 60 Years Unknown Age Group Gender Total
Unknown
M F M F M F M F M F M F M F M F M F M F M F M+F
(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)
1 Aceh 1 1 8 2 9 1 3 3 134 63 204 73 102 26 24 2 5 0 0 0 2 490 171 663
2 North Sumatera 2 0 43 37 27 25 28 12 1.170 413 1.363 480 494 180 186 52 38 7 23 11 18 3.374 1.217 4.609
3 West Sumatera 3 0 13 7 8 16 18 3 373 78 478 150 228 46 40 15 11 2 9 4 952 1.181 321 2.454
4 Riau 1 5 30 31 24 14 21 11 668 297 798 311 353 120 141 42 34 5 0 1 0 2.070 837 2.907
5 Jambi 1 1 7 5 3 0 6 2 213 82 234 78 98 25 41 7 4 2 12 2 42 619 204 865
6 South Sumatera 0 0 15 10 8 7 15 6 462 142 499 143 227 42 89 8 11 4 12 13 0 1.338 375 1.713
7 Bengkulu 51 34 5 11 2 3 4 0 111 64 119 64 43 18 12 5 3 1 0 2 3 350 202 555
8 Lampung 5 2 19 21 12 8 15 2 286 123 349 135 135 41 34 19 10 4 6 0 0 871 355 1.226
9 Bangka Belitung Islands 9 3 4 9 6 6 2 4 93 42 156 57 76 28 22 7 11 6 44 8 2 423 170 595
10 Riau Islands 14 7 20 13 14 10 18 8 421 250 594 303 341 149 133 41 50 16 6 0 1 1.611 797 2.409
11 DKI Jakarta 4 1 20 8 20 15 20 8 702 127 1.001 181 469 89 167 33 41 8 2 1 7.963 2.446 471 10.880
12 West Jawa 63 19 77 84 42 52 59 41 2.414 930 2.018 869 648 274 201 66 41 11 128 62 20 5.691 2.408 8.119
13 Central Jawa 42 12 141 108 93 84 78 70 2.132 1.202 3.134 1.725 2.081 1.046 1.108 503 415 112 70 53 21 9.294 4.915 14.230
14 DI Yogyakarta 1 0 22 11 141 53 6 2 147 69 204 109 139 61 92 42 24 8 357 180 9 1.133 535 1.677
15 East Jawa 54 40 269 181 161 111 104 139 3.535 2.546 4.871 3.016 2.930 1.479 1.262 541 323 114 0 0 0 13.509 8.167 21.676
16 Banten 41 16 39 28 17 14 62 24 992 365 903 337 271 91 82 18 20 7 13 4 52 2.440 904 3.396
17 Bali 54 44 149 88 42 41 70 81 1.787 980 2.346 1.050 1.200 516 528 193 156 56 99 44 28 6.431 3.093 9.552
18 West Nusa Tenggara 3 2 24 21 9 11 9 6 202 134 259 138 98 44 32 11 3 1 19 7 1 658 375 1.034
19 East Nusa Tenggara 3 7 23 16 9 9 10 25 484 365 589 237 231 112 90 30 27 9 3 0 112 1.469 810 2.391
20 West Kalimantan 4 5 23 15 11 16 100 131 665 521 760 264 249 75 86 23 22 4 0 1 0 1.920 1.055 2.975
21 Central Kalimantan 1 0 4 4 0 4 0 3 59 52 109 48 43 21 27 6 5 1 5 3 0 253 142 395
22 South Kalimantan 5 2 8 6 7 7 4 4 154 89 171 77 95 22 36 11 10 4 0 0 0 490 222 712
23 East Kalimantan 7 10 19 18 11 12 13 21 406 300 527 284 246 125 129 45 31 3 3 1 0 1.392 819 2.211
24 North Kalimantan 0 0 18 17 6 2 10 4 117 80 208 82 111 29 29 10 13 1 0 0 5 512 225 742
25 North Sulawesi 9 7 21 17 12 13 32 21 610 272 559 243 331 108 120 31 33 9 8 10 0 1.735 731 2.466
26 Central Sulawesi 1 2 12 8 5 2 4 14 218 151 241 102 95 32 36 6 6 3 7 6 0 625 326 951
27 South Sulawesi 7 8 26 30 25 22 68 21 1.210 372 1.088 371 387 108 119 38 27 9 89 33 16 3.046 1.012 4.074
28 Southeast Sulawesi 0 3 2 0 1 3 4 6 110 56 109 49 36 23 22 8 2 0 169 91 0 455 239 694
29 Gorontalo 1 3 0 5 0 1 5 2 90 17 77 19 21 5 6 3 0 0 1 2 0 201 57 258
30 West Sulawesi 0 0 0 0 0 0 1 0 9 2 14 6 5 2 0 0 0 0 0 0 0 29 10 39
31 Maluku 3 2 9 11 1 4 5 9 153 130 169 110 77 39 53 25 21 3 0 0 0 491 333 824
32 North Maluku 5 4 9 5 2 4 11 11 172 155 203 97 92 35 41 8 9 2 3 1 0 547 322 869
33 West Papua 0 0 1 2 0 3 0 4 27 28 14 14 7 6 3 0 2 2 0 1 1.734 54 60 1.848

415 258 1.292 973 822 767 1.640 2.753 25.939 16.778 28.130 13.906 13.399 5.895 5.490 2.120 1.698 564 1.088 541 11.022 79.913 44.555 135.490
34 Papua 20 18 212 144 94 194 835 2.055 5.613 6.281 3.762 2.684 1.440 878 499 271 290 150 0 0 41 12.765 12.675 25.481

Indonesia
0,5 1,7 1,2 3,2 31,5 31,0 14,2 5,6 1,7 1,2
Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022
Information: M = Male F = Female T = Number of Male and Female
Appendix 55.d
NUMBER OF DEATH DUE TO AIDS BY GENDER AND AGE GROUPS
IN 2021

Age Group ( Years )

Tidak
No Provinsi < 1 Year 1 - 4 Years 5 - 14 Years 15 - 19 Years 20 - 29 Years 30 - 39 Tahun 40 - 49 Tahun 50 - 59 Tahun ≥ 60 Tahun Total
Diketahui

M F M F M F M F M F M F M F M F M F M F M F M+F
(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)
1 Aceh 0 0 0 0 0 0 0 0 2 0 6 1 0 0 0 0 0 0 0 0 8 1 9
2 North Sumatera 0 0 0 0 0 0 0 0 8 0 4 0 8 3 2 1 2 0 0 0 24 4 28
3 West Sumatera 0 0 0 0 0 0 0 0 1 0 3 1 1 0 0 0 0 0 0 0 5 1 6
4 Riau 0 0 0 0 0 0 0 0 8 1 8 2 6 0 1 0 0 0 0 0 23 3 26
5 Jambi 0 0 0 0 1 0 0 0 2 0 2 1 0 0 1 0 0 0 0 0 6 1 7
6 South Sumatera 0 0 0 0 0 0 0 0 5 2 11 0 4 0 0 0 1 1 0 0 21 3 24
7 Bengkulu 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 0 0 0 0 4 1 5
8 Lampung 0 0 0 0 0 0 0
9 Bangka Belitung Islands 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 2 1 3
10 Riau Islands 0 0 0 0 1 0 0 0 2 0 3 0 1 1 2 1 1 0 0 0 10 2 12
11 DKI Jakarta 0 0 0 0 0 0 0 0 0 2 5 2 2 0 3 1 0 0 0 0 10 5 15
12 West Jawa 0 0 0 0 0 0 0 0 12 1 6 1 5 1 1 0 0 0 0 0 24 3 27
13 Central Jawa 0 0 0 0 1 0 1 0 32 9 57 13 32 17 25 11 11 3 0 0 159 53 212
14 DI Yogyakarta 0 0 0 1 0 0 0 0 1 0 2 1 1 3 0 1 0 0 0 0 4 6 10
15 East Jawa 0 0 0 0 1 1 0 0 8 6 18 6 23 9 10 3 0 0 0 0 60 25 85
16 Banten 0 0 0 0 0 0 0 0 0 0 3 0 1 1 0 0 0 0 0 0 4 1 5
17 Bali 1 1 0 0 0 0 1 0 1 1 5 2 9 2 6 2 0 0 0 0 23 8 31
18 West Nusa Tenggara 0 0 0 0 0 0 0 0 3 2 4 1 2 2 1 0 0 0 4 0 14 5 19
19 East Nusa Tenggara 0 0 0 0 0 0 0 0 5 0 4 0 2 0 1 0 0 0 0 0 12 0 12
20 West Kalimantan 0 0 0 0 0 0 0 0 2 1 4 2 3 2 0 0 0 0 0 0 9 5 14
21 Central Kalimantan 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 0 0 0 0 4 0 4
22 South Kalimantan 0 0 1 0 0 0 0 0 2 1 3 1 2 0 0 0 1 0 0 0 9 2 11
23 East Kalimantan 0 0 0 0 0 0 0 0 4 1 8 5 7 2 3 2 0 0 0 0 22 10 32
24 North Kalimantan 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 3 1 4
25 North Sulawesi 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 1 0 0 4 1 5
26 Central Sulawesi 0 0 0 0 0 0 0 0 0 1 2 1 1 0 0 0 0 0 1 0 4 2 6
27 South Sulawesi 0 0 0 1 0 0 0 0 6 1 8 3 0 3 1 0 1 0 0 0 16 8 24
28 Southeast Sulawesi 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 0 0 0 0 4 1 5
29 Gorontalo 0 0 0 0 0 0 0 0 7 0 5 0 1 1 0 1 0 0 0 0 13 2 15
30 West Sulawesi 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 0 0 5 0 5
31 Maluku 0 0 0 0 0 0 0
32 North Maluku 0 0 0 0 0 0 0 0 1 2 2 0 4 1 1 0 0 0 0 1 8 4 12
33 West Papua 0 0 1 0 0 0 0 0 2 2 3 2 3 0 0 0 0 0 0 0 9 4 13

1 1 2 2 4 1 3 1 124 35 184 45 120 49 64 24 17 5 5 1 524 164 688


34 Papua 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2

Indonesia
0,3 0,6 0,7 0,6 23,1 33,3 24,6 12,8 3,2 0,9
Sumber: Ditjen Pencegahan dan Pengendalian Penyakit, Kemenkes RI, 2022
Keterangan: L = Laki-laki P = Perempuan T = Jumlah laki-laki dan Perempuan
Appendix 55.e
NUMBER OF NEW CASE AND CUMULATIVE CASE OF AIDS
BY PROVINCE UNTIL DECEMBER 2021

Number of New Cases Cumulative Number of


No Province Cases
2019 2020 2021 s.d. December 2021
(1) (2) (3) (4) (5) (6)
1 Aceh 49 67 50 663
2 North Sumatera 0 218 326 4.609
3 West Sumatera 258 148 89 2.453
4 Riau 0 139 298 2.907
5 Jambi 11 99 16 865
6 South Sumatera 207 228 163 1.713
7 Bengkulu 69 40 31 555
8 Lampung 143 124 67 1.226
9 Bangka Belitung Islands 44 32 16 595
10 Riau Islands 411 306 119 2.409
11 DKI Jakarta 585 231 133 10.881
12 West Jawa 313 836 221 8.119
13 Central Jawa 1.613 1.387 1.119 14.230
14 DI Yogyakarta 78 71 69 1.677
15 East Jawa 958 495 394 21.676
16 Banten 158 107 142 3.396
17 Bali 240 830 492 9.552
18 West Nusa Tenggara 34 33 154 1.034
19 East Nusa Tenggara 29 155 148 2.391
20 West Kalimantan 113 88 79 2.975
21 Central Kalimantan 53 44 26 395
22 South Kalimantan 5 163 139 712
23 East Kalimantan 203 162 274 2.211
24 North Kalimantan 66 103 34 742
25 North Sulawesi 125 328 214 2.466
26 Central Sulawesi 52 77 59 951
27 South Sulawesi 0 328 327 4.071
28 Southeast Sulawesi 52 25 57 695
29 Gorontalo 0 0 43 258
30 West Sulawesi 0 2 12 39
31 Maluku 45 30 20 824
32 North Maluku 61 86 85 869
33 West Papua 0 783 80 2.604

Indonesia 7.036 8.639 5.750 135.490


34 Papua 1.061 874 254 24.727

Source: SIHA, Directorate General of Disease Prevention and Control, Indonesian Ministry of Health, 2022
Appendix 55.f
NUMBER AND PERCENTAGE OF AIDS CASES IN INJECTING DRUGS USERS (IDUs)
BY PROVINCE IN 2021

Number of New AIDS Cases Percentage of New AIDS


No Province Number of New AIDS Cases
on IDU Cases in IDU

(1) (2) (3) (4) (5)


1 Aceh 50 0%
2 North Sumatera 326 23 7%
3 West Sumatera 89 13 15%
4 Riau 298 0%
5 Jambi 16 0%
6 South Sumatera 163 8 5%
7 Bengkulu 31 4 13%
8 Lampung 67 10 15%
9 Bangka Belitung Islands 16 1 6%
10 Riau Islands 119 27 23%
11 DKI Jakarta 133 34 26%
12 West Jawa 221 22 10%
13 Central Jawa 1.119 7 1%
14 DI Yogyakarta 69 13 19%
15 East Jawa 394 18 5%
16 Banten 142 5 4%
17 Bali 492 9 2%
18 West Nusa Tenggara 154 7 5%
19 East Nusa Tenggara 148 0%
20 West Kalimantan 79 2 3%
21 Central Kalimantan 26 3 12%
22 South Kalimantan 139 2 1%
23 East Kalimantan 274 0%
24 North Kalimantan 34 0%
25 North Sulawesi 214 1 0%
26 Central Sulawesi 59 1 2%
27 South Sulawesi 327 4 1%
28 Southeast Sulawesi 57 0%
29 Gorontalo 43 0%
30 West Sulawesi 12 1 8%
31 Maluku 20 1 5%
32 North Maluku 85 1 1%
33 West Papua 80 0%

Indonesia 5.750 217 5,86


34 Papua 254 0%

Source: SIHA, Directorate General of Disease Prevention and Control, Indonesian Ministry of Health, 2022
'Appendix 56
CASE OF DIARRHEA SERVED BY PROVINCE
IN 2021

Diarrhea
Number of Discovery Targets Served Getting ORS Get Zinc
No Province
All Ages Toddler All Ages Toddler Toddlers
All Ages Toddler Total % Total % Total % Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 147.396 85.710 29.866 20,3 9.591 11,2 21.432 71,8 7.298 76,1 6.721 70,1
2 North Sumatera 403.759 227.995 26.945 6,7 7.416 3,3 21.662 80,4 5.634 76,0 5.201 70,1
3 West Sumatera 151.493 86.806 57.203 37,8 15.315 17,6 56.664 99,1 14.184 92,6 14.731 96,2
4 Riau 190.795 107.944 41.163 21,6 13.134 12,2 38.020 92,4 11.852 90,2 12.340 94,0
5 Jambi 98.315 51.101 38.704 39,4 11.153 21,8 36.319 93,8 10.913 97,8 10.416 93,4
6 South Sumatera 234.971 134.139 94.538 40,2 30.862 23,0 89.808 95,0 30.107 97,6 29.617 96,0
7 Bengkulu 54.444 28.322 15.832 29,1 5.558 19,6 15.832 100,0 5.545 99,8 5.558 100,0
8 Lampung 232.467 118.625 49.194 21,2 14.162 11,9 47.353 96,3 13.112 92,6 13.331 94,1
9 Bangka Belitung Islands 40.183 20.930 10.334 25,7 4.079 19,5 10.334 100,0 4.079 100,0 4.079 100,0
10 Riau Islands 64.227 37.482 16.432 25,6 3.932 10,5 16.432 100,0 3.932 100,0 3.932 100,0
11 DKI Jakarta 287.430 142.936 122.914 42,8 38.818 27,2 118.313 96,3 37.519 96,7 37.277 96,0
12 West Jawa 1.352.788 666.244 430.520 31,8 162.745 24,4 385.987 89,7 144.853 89,0 141.688 87,1
13 Central Jawa 942.760 411.937 297.062 31,5 87.510 21,2 247.329 83,3 75.141 85,9 74.725 85,4
14 DI Yogyakarta 107.196 47.029 14.738 13,7 2.500 5,3 11.812 80,1 2.045 81,8 2.126 85,0
15 East Jawa 1.084.230 470.968 510.033 47,0 185.559 39,4 493.095 96,7 181.456 97,8 180.350 97,2
16 Banten 353.003 184.583 242.094 68,6 102.030 55,3 205.691 85,0 87.079 85,3 90.535 88,7
17 Bali 120.598 53.479 25.691 21,3 5.268 9,9 13.335 51,9 4.270 81,1 3.669 69,7
18 West Nusa Tenggara 143.059 82.596 92.978 65,0 42.430 51,4 90.762 97,6 41.187 97,1 37.916 89,4
19 East Nusa Tenggara 150.896 97.432 40.137 26,6 18.165 18,6 37.926 94,5 17.269 95,1 17.323 95,4
20 West Kalimantan 139.399 74.380 32.964 23,6 11.725 15,8 32.099 97,4 10.860 92,6 11.695 99,7
21 Central Kalimantan 73.499 37.905 18.357 25,0 6.283 16,6 18.315 99,8 6.264 99,7 6.267 99,7
22 South Kalimantan 116.634 62.315 29.466 25,3 10.822 17,4 26.347 89,4 9.863 91,1 9.915 91,6
23 East Kalimantan 100.141 50.898 30.308 30,3 10.915 21,4 26.214 86,5 9.800 89,8 9.930 91,0
24 North Kalimantan 19.472 10.592 8.465 43,5 3.454 32,6 7.195 85,0 2.967 85,9 2.459 71,2
25 North Sulawesi 68.336 32.539 10.687 15,6 3.708 11,4 8.786 82,2 3.176 85,7 2.658 71,7
26 Central Sulawesi 84.263 47.205 29.273 34,7 10.012 21,2 27.499 93,9 9.584 95,7 9.545 95,3
27 South Sulawesi 241.817 118.816 67.241 27,8 21.618 18,2 48.937 72,8 16.941 78,4 16.814 77,8
28 Southeast Sulawesi 74.065 44.664 14.929 20,2 6.116 13,7 12.176 81,6 4.980 81,4 5.414 88,5
29 Gorontalo 32.289 16.235 9.982 30,9 4.707 29,0 7.796 78,1 3.905 83,0 4.246 90,2
30 West Sulawesi 37.712 22.327 15.589 41,3 4.739 21,2 13.750 88,2 4.238 89,4 4.164 87,9
31 Maluku 48.745 28.221 16.730 34,3 8.599 30,5 14.755 88,2 8.276 96,2 8.179 95,1
32 North Maluku 34.259 19.603 10.878 31,8 5.607 28,6 8.839 81,3 4.547 81,1 5.096 90,9
33 West Papua 27.235 16.091 9.250 34,0 4.862 30,2 7.983 86,3 4.339 89,2 4.396 90,4

Indonesia 7.350.708 3.690.984 2.473.081 33,6 879.596 23,8 2.228.500 90,1 802.492 91,2 797.495 90,7
34 Papua 92.833 52.935 12.584 13,6 6.202 11,7 9.703 77,1 5.276 85,1 5.183 83,6

Diarrhea Pain Rate Per 1000


Population
Source: Directorate General of Disease Prevention and Control, Ministry of Health, Republic of Indonesia, 2022
Appendix 61
AFP (NON POLIO) CASES PER 100,000 POPULATION AGE <15 YEARS AND PERCENTAGE OF ADEQUATE SPECIMENS
BY PROVINCE YEAR 2021

Non Polio AFP Rate


Total Population Number of Non Polio AFP Adequate Specimen(s)
No Province per 100.000 Population
<15 Years Cases (%)
Age < 15 Years
(1) (2) (3) (4) (5) (6)
1 Aceh 1.519.617 19 1,01 36,8
2 North Sumatera 4.112.379 12 0,28 83,3
3 West Sumatera 1.543.786 41 2,40 80,5
4 Riau 2.016.857 13 0,50 69,2
5 Jambi 906.436 36 3,63 83,3
6 South Sumatera 2.320.658 36 1,54 50,0
7 Bengkulu 499.184 7 1,03 85,7
8 Lampung 2.142.260 13 0,42 61,5
9 Bangka Belitung Islands 369.363 10 2,52 50,0
10 Riau Islands 620.137 11 1,52 100,0
11 DKI Jakarta 2.392.014 131 4,60 26,7
12 West Java 12.097.846 120 0,81 75,8
13 Central Java 7.702.454 182 2,30 96,7
14 DI Yogyakarta 803.289 17 1,49 47,1
15 East Java 8.313.393 154 1,59 61,7
16 Banten 3.287.616 25 0,64 68,0
17 Bali 966.139 30 2,86 80,0
18 West Nusa Tenggara 1.427.232 10 0,70 90,0
19 East Nusa Tenggara 1.643.677 0 0,00 0,0
20 West Kalimantan 1.322.428 31 2,24 87,1
21 Central Kalimantan 673.584 5 0,59 40,0
22 South Kalimantan 1.125.813 24 2,02 66,7
23 East Kalimantan 896.929 30 2,59 60,0
24 North Kalimantan 187.955 3 1,11 100,0
25 North Sulawesi 583.830 8 0,60 12,5
26 Central Sulawesi 825.379 5 0,55 40,0
27 South Sulawesi 2.151.051 38 1,63 76,3
28 Southeast Sulawesi 777.465 17 1,49 70,6
29 Gorontalo 293.039 0 0,00 0,0
30 West Sulawesi 390.463 6 1,49 66,7
31 Maluku 500.084 5 0,60 20,0
32 North Maluku 348.371 9 1,70 44,4
33 West Papua 280.819 11 1,34 27,3

Indonesia 65.969.246 1.078 1,40 67,8


34 Papua 927.699 19 1,20 89,5

Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Published : April 15, 2022
Appendix 62.a
NUMBER OF DISEASES THAT CAN BE PREVENTED BY IMMUNIZATION (PD3I)
BY PROVINCE YEAR 2021

Diphtheria Pertussis Neonatal Tetanus Suspected Measles


Number of Number of
No Province Number of Cases Number of Cases
Mortality Cases Cases Mortality
M F M+F M+F M+F M M+F
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
F

1 Aceh 5 8 13 0 0 0 0 42 37 79
2 North Sumatera 1 3 4 0 0 0 0 1 0 1
3 West Sumatera 3 0 3 3 0 0 0 16 28 44
4 Riau 0 1 1 0 0 0 0 5 6 11
5 Jambi 1 2 3 1 0 1 0 16 18 34
6 South Sumatera 2 1 3 1 1 3 3 31 34 65
7 Bengkulu 0 0 0 0 2 0 0 15 13 28
8 Lampung 6 3 9 2 0 0 0 64 64 128
9 Bangka Belitung Islands 2 1 3 1 0 0 0 22 18 40
10 Riau Islands 0 0 0 0 0 0 0 2 3 5
11 DKI Jakarta 12 12 24 4 0 0 0 248 241 489
12 West Java 19 14 33 0 4 0 0 93 121 214
13 Central Java 3 3 6 0 0 0 0 225 268 493
14 DI Yogyakarta 0 0 0 0 0 0 0 68 89 157
15 East Java 35 24 59 1 2 1 1 176 190 366
16 Banten 2 1 3 3 0 0 0 51 42 93
17 Bali 0 0 0 0 0 0 0 52 45 97
18 West Nusa Tenggara 0 0 0 0 1 0 0 1 0 1
19 East Nusa Tenggara 0 0 0 0 0 0 0 0 0 0
20 West Kalimantan 27 22 49 6 0 1 0 19 22 41
21 Central Kalimantan 1 0 1 0 0 0 0 0 0 0
22 South Kalimantan 2 0 2 0 0 0 0 11 17 28
23 East Kalimantan 2 0 2 0 1 0 0 17 17 34
24 North Kalimantan 0 0 0 0 0 2 2 3 2 5
25 North Sulawesi 0 0 0 0 0 0 0 25 29 54
26 Central Sulawesi 0 0 0 0 0 0 0 11 16 27
27 South Sulawesi 2 2 4 1 0 2 2 57 65 122
28 Southeast Sulawesi 6 2 8 2 0 0 0 25 27 52
29 Gorontalo 0 1 1 0 0 0 0 2 0 2
30 West Sulawesi 0 0 0 0 0 1 1 15 22 37
31 Maluku 0 1 1 0 0 0 0 0 0 0
32 North Maluku 0 0 0 0 0 0 0 61 72 133
33 West Papua 0 2 2 0 1 0 0 13 7 20

Total 131 104 235 25 12 11 9 1396 1535 2931


34 Papua 0 1 1 0 0 0 0 9 22 31

Case Fatality Rate (%) 11% 82%


Incidence Rate of Suspected Measles (1/100,000 population)
Indonesia
Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Published : April 16, 2022
Appendix 62.b
NUMBER OF NEONATAL TETANUS CASES AND RISK FACTORS
BY PROVINCE YEAR 2021

Risk Factor
Pregnancy Examination Immunization Status Birth Attendant Umbilical Cord Care Umbilical Cord Cutting Hospitalized

No Province

Total
Mortality
No

Yes

TT1

TT2+
Others
Others

Doctor
Doctor
Scissors
Bamboo

Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Traditional
Traditional
Traditional

Case Fatality Rate (%)


Midwife/Nurse
Midwife/Nurse
Alcohol/Iodine

Not Immunized

Without Examinatio
(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)
1 Aceh 0 0 0% 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 North Sumatera 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 West Sumatera 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Riau 0 0 0% 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 Jambi 1 0 0% 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0 1 0 0
6 South Sumatera 3 3 100% 1 0 1 1 0 0 0 3 0 1 0 2 0 0 2 1 0 1 0 2 0 3 0 0
7 Bengkulu 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Lampung 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bangka Belitung Islands 0 0 0% 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0
11 DKI Jakarta 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 West Java 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Central Java 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 DI Yogyakarta 0 0 0% 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 East Java 1 1 100% 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
16 Banten 0 0 0% 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 Bali 0 0 0% 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 West Nusa Tenggara 0 0 0% 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0
20 West Kalimantan 1 0 0% 0 1 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0
21 Central Kalimantan 0 0 0% 0 0 0 0 0 0 0 0 0 0 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0
24 North Kalimantan 2 2 50% 0 2 0 0 0 0 1 1 0 0 0 1 1 0 2 0 0 2 0 0 0 2 0 0
25 North Sulawesi 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Central Sulawesi 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 South Sulawesi 2 2 100% 0 0 0 0 2 0 0 2 0 0 0 2 0 1 0 0 1 1 0 0 1 2 0 0
28 Southeast Sulawesi 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Gorontalo 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 West Sulawesi 1 1 100% 0 1 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 1 1 0 0
31 Maluku 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 North Maluku 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 West Papua 0 0 0% 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 11 9 81,8 1 5 1 2 2 0 2 9 0 1 1 8 1 2 6 2 1 5 1 3 2 11 0 0
34 Papua 0 0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 62.c
NUMBER OF SUSPECTED MEASLES CASES PER MONTH
BY PROVINCE YEAR 2021

Number of Suspected Measles Cases Per Month


No Province
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
1 Aceh 11 3 8 5 1 0 0 2 3 8 19 19 79
2 North Sumatera 0 0 0 0 0 0 0 0 0 0 0 1 1
3 West Sumatera 0 0 2 5 3 0 3 0 5 12 10 4 44
4 Riau 0 0 0 1 0 0 0 0 1 1 1 7 11
5 Jambi 0 0 3 0 1 4 0 0 1 6 14 5 34
6 South Sumatera 1 9 5 5 4 6 1 6 0 10 12 6 65
7 Bengkulu 0 0 0 0 0 0 0 1 1 9 9 8 28
8 Lampung 13 11 5 5 13 12 5 15 13 12 14 10 128
9 Bangka Belitung Islands 4 0 2 1 0 7 4 1 9 10 2 0 40
10 Riau Islands 0 2 0 0 0 0 0 0 0 2 1 0 5
11 DKI Jakarta 15 18 38 54 44 32 16 24 40 58 52 97 488
12 West Java 1 11 16 7 6 6 2 4 8 30 34 89 214
13 Central Java 11 14 18 37 26 21 7 11 20 78 139 111 493
14 DI Yogyakarta 12 10 17 10 9 4 5 6 4 14 28 38 157
15 East Java 11 9 16 25 22 11 2 5 12 30 77 146 366
16 Banten 0 1 0 5 1 2 0 0 0 37 24 23 93
17 Bali 1 2 0 0 1 0 6 0 3 8 31 45 97
18 West Nusa Tenggara 0 0 0 0 0 0 0 0 0 0 1 0 1
19 East Nusa Tenggara 0 0 0 0 0 0 0 0 0 0 0 0 0
20 West Kalimantan 0 0 1 0 4 0 0 2 0 25 7 2 41
21 Central Kalimantan 0 0 0 0 0 0 0 0 0 0 0 0 0
22 South Kalimantan 0 1 0 1 0 0 0 1 0 1 0 24 28
23 East Kalimantan 0 0 3 3 1 5 1 2 5 6 3 5 34
24 North Kalimantan 0 0 0 4 0 1 0 0 0 0 0 0 5
25 North Sulawesi 0 0 2 2 0 1 1 1 3 3 19 22 54
26 Central Sulawesi 0 1 3 4 2 8 2 1 1 2 2 1 27
27 South Sulawesi 2 8 8 6 15 17 9 2 8 9 26 12 122
28 Southeast Sulawesi 0 0 0 2 0 2 0 0 2 9 31 6 52
29 Gorontalo 0 0 0 0 0 0 0 0 0 0 2 0 2
30 West Sulawesi 2 2 0 0 5 0 0 0 0 22 6 0 37
31 Maluku 0 0 0 0 0 0 0 0 0 0 0 0 0
32 North Maluku 3 1 4 5 4 6 6 13 16 35 27 13 133
33 West Papua 3 1 1 1 0 1 0 0 1 4 8 1 21

Indonesia 91 104 153 189 163 149 71 100 156 450 610 695 2931
34 Papua 1 0 1 1 1 3 1 3 0 9 11 0 31

Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Published : April 16, 2022
Appendix 62.d
NUMBER OF SUSPECTED MEASLES CASES AND THOSE THAT ARE VACCINATED
BY AGE GROUP AND PROVINCE YEAR 2021

Number of Cases by Age Group (Years)


Proportion of
Total
No Province <1 Year 1-4 Years 5-9 Years 10-14 Years > 14 Years Unknown Total Cases Vaccinated
Vaccinated
Against Cases
Vaccinated Total Vaccinated Total Vaccinated Total Vaccinated Total Vaccinated Total Vaccinated Total
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1 Aceh 0 11 0 23 0 23 0 12 0 10 0 0 79 0 0,00
2 North Sumatera 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0,00
3 West Sumatera 1 4 0 7 4 7 0 5 3 21 0 0 44 8 18,18
4 Riau 0 6 0 2 0 0 0 1 0 2 0 0 11 0 0,00
5 Jambi 0 9 0 7 4 4 1 4 0 10 0 0 34 5 14,71
6 South Sumatera 1 5 8 25 9 13 5 6 12 16 0 0 65 35 53,85
7 Bengkulu 0 8 0 6 0 1 0 2 0 11 0 0 28 0 0,00
8 Lampung 0 9 0 54 0 30 0 17 0 18 0 0 128 0 0,00
9 Bangka Belitung Islands 0 3 3 13 10 14 5 9 0 1 0 0 40 18 45,00
10 Riau Islands 0 1 0 0 0 0 0 2 0 2 0 0 5 0 0,00
11 DKI Jakarta 27 110 26 173 14 79 8 31 7 95 0 0 488 82 16,80
12 West Java 8 29 10 38 14 36 9 18 27 93 0 0 214 68 31,78
13 Central Java 16 55 9 104 16 95 6 61 11 178 0 0 493 58 11,76
14 DI Yogyakarta 2 23 3 42 2 19 0 8 1 65 0 0 157 8 5,10
15 East Java 10 54 46 116 49 73 21 39 34 84 0 0 366 160 43,72
16 Banten 0 8 0 28 0 16 0 12 0 29 0 0 93 0 0,00
17 Bali 1 6 9 14 11 12 3 3 18 62 0 0 97 42 43,30
18 West Nusa Tenggara 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0,00
19 East Nusa Tenggara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0!
20 West Kalimantan 1 5 1 3 4 12 1 7 7 14 0 0 41 14 34,15
21 Central Kalimantan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0!
22 South Kalimantan 0 14 0 7 0 4 0 2 0 1 0 0 28 0 0,00
23 East Kalimantan 0 10 0 12 0 3 0 3 0 6 0 0 34 0 0,00
24 North Kalimantan 0 1 0 2 0 1 0 1 0 0 0 0 5 0 0,00
25 North Sulawesi 2 4 3 8 8 11 21 22 6 9 0 0 54 40 74,07
26 Central Sulawesi 1 5 0 3 5 7 1 4 1 8 0 0 27 8 29,63
27 South Sulawesi 2 14 1 29 5 22 12 20 10 37 0 0 122 30 24,59
28 Southeast Sulawesi 1 6 1 7 3 13 1 5 2 21 0 0 52 8 15,38
29 Gorontalo 0 1 0 0 0 0 1 1 0 0 0 0 2 1 50,00
30 West Sulawesi 0 0 0 1 1 3 1 5 9 28 0 0 37 11 29,73
31 Maluku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0!
32 North Maluku 5 31 10 37 17 21 11 13 6 31 0 0 133 49 36,84
33 West Papua 3 9 1 7 2 2 0 1 1 2 0 0 21 7 33,33

Indonesia 82 442 131 783 180 532 108 316 156 858 0 0 2.931 657 22,42
34 Papua 1 1 0 14 2 10 1 2 1 4 0 0 31 5 16,13

Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022 18,2 10,8 29,3 0,0
Published : April 16, 2022
Appendix 62.e
FREQUENCY OF OUTBREAK AND NUMBER OF SUSPECTED MEASLES CASES DURING OUTBREAK
BY PROVINCE YEAR 2021

Outbreak (KLB) Report

No Province Frequency of Outbreak


Frequency of Outbreak Frequency of Outbreak
Total Outbreak (KLB) with Reports to Central Total Cases Mortality
with Specimens > 5 with Full Investigation

(1) (2) (3) (4) (5) (6) (7) (8)


1 Aceh 0 0 0 0 0 0
2 North Sumatera 0 0 0 0 0 0
3 West Sumatera 0 0 0 0 0 0
4 Riau 0 0 0 0 0 0
5 Jambi 0 0 0 0 0 0
6 South Sumatera 0 0 0 0 0 0
7 Bengkulu 0 0 0 0 0 0
8 Lampung 0 0 0 0 0 0
9 Bangka Belitung Islands 0 0 0 0 0 0
10 Riau Islands 0 0 0 0 0 0
11 DKI Jakarta 0 0 0 0 0 0
12 West Java 0 0 0 0 0 0
13 Central Java 0 0 0 0 0 0
14 DI Yogyakarta 1 1 1 1 7 0
15 East Java 1 1 1 1 7 0
16 Banten 0 0 0 0 0 0
17 Bali 0 0 0 0 0 0
18 West Nusa Tenggara 0 0 0 0 0 0
19 East Nusa Tenggara 0 0 0 0 0 0
20 West Kalimantan 0 0 0 0 0 0
21 Central Kalimantan 0 0 0 0 0 0
22 South Kalimantan 0 0 0 0 0 0
23 East Kalimantan 0 0 0 0 0 0
24 North Kalimantan 0 0 0 0 0 0
25 North Sulawesi 1 1 1 1 21 0
26 Central Sulawesi 0 0 0 0 0 0
27 South Sulawesi 1 0 1 1 4 0
28 Southeast Sulawesi 0 0 0 0 0 0
29 Gorontalo 0 0 0 0 0 0
30 West Sulawesi 0 0 0 0 0 0
31 Maluku 0 0 0 0 0 0
32 North Maluku 3 2 3 3 15 0
33 West Papua 0 0 0 0 0 0

Indonesia 8 6 8 8 75 0
34 Papua 1 1 1 1 21 0

Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Published : April 16, 2022
Appendix 62.f
DISTRIBUTION OF SUSPECTED MEASLES DURING OUTBREAK BASED ON LABORATORY CONFIRMATION
BY PROVINCE YEAR 2021

Laboratorium Confirmation

Combined (Measles Without Specimen


No Province Total Blood Measles Rubella Negative Pending Lab
Sample and Rubella)
(Serum)
Frequency Cases Frequency Cases Frequency Cases Frequency Cases Frequency Cases Frequency Cases
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
1 Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0
2 North Sumatera 0 0 0 0 0 0 0 0 0 0 0 0 0
3 West Sumatera 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Riau 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Jambi 0 0 0 0 0 0 0 0 0 0 0 0 0
6 South Sumatera 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bengkulu 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Lampung 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bangka Belitung Islands 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
11 DKI Jakarta 0 0 0 0 0 0 0 0 0 0 0 0 0
12 West Java 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Central Java 0 0 0 0 0 0 0 0 0 0 0 0 0
14 DI Yogyakarta 7 0 0 0 0 0 0 1 7 0 0 0 0
15 East Java 7 0 0 1 7 0 0 0 0 0 0 0 0
16 Banten 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Bali 0 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 0
19 East Nusa Tenggara 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
21 Central Kalimantan 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
23 East Kalimantan 0 0 0 0 0 0 0 0 0 0 0 0 0
24 North Kalimantan 0 0 0 0 0 0 0 0 0 0 0 0 0
25 North Sulawesi 18 0 0 1 21 0 0 0 0 0 0 0 0
26 Central Sulawesi 0 0 0 0 0 0 0 0 0 0 0 0 0
27 South Sulawesi 4 1 4 0 0 0 0 0 0 0 0 0 0
28 Southeast Sulawesi 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Gorontalo 0 0 0 0 0 0 0 0 0 0 0 0 0
30 West Sulawesi 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Maluku 0 0 0 0 0 0 0 0 0 0 0 0 0
32 North Maluku 16 0 0 2 9 1 6 0 0 0 0 0 0
33 West Papua 0 0 0 0 0 0 0 0 0 0 0 0 0

Indonesia 73 1 4 5 58 1 6 1 7 0 0 0 0
34 Papua 21 0 0 1 21 0 0 0 0 0 0 0 0

Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Published : April 16, 2022
Appendix 63
OUTBREAKS (KLB) IN VILLAGES / SUB-DISTRICTS HANDLED <24 HOURS
BY PROVINCE BY 2021

Outbreaks in Villages/Sub-Districts
No Province
Total Handled <24 Hours %
(1) (2) (3) (4) (5)
1 Aceh 1 1 100
2 North Sumatera 1 1 100
3 West Sumatera 3 3 100
4 Riau 7 7 100
5 Jambi 0 0 0
6 South Sumatera 2 2 100
7 Bengkulu 0 0 0
8 Lampung 0 0 0
9 Bangka Belitung Islands 0 0 0
10 Riau Islands 0 0 0
11 DKI Jakarta 1 0 0
12 West Java 21 21 100
13 Central Java 8 8 100
14 DI Yogyakarta 0 0 0
15 East Java 11 11 100
16 Banten 1 1 100
17 Bali 0 0 0
18 West Nusa Tenggara 12 12 100
19 East Nusa Tenggara 4 4 100
20 West Kalimantan 20 20 100
21 Central Kalimantan 0 0 0
22 South Kalimantan 1 1 100
23 East Kalimantan 4 4 100
24 North Kalimantan 1 1 100
25 North Sulawesi 0 0 0
26 Central Sulawesi 3 3 100
27 South Sulawesi 55 55 100
28 Southeast Sulawesi 0 0 0
29 Gorontalo 5 5 100
30 West Sulawesi 2 2 100
31 Maluku 1 1 100
32 North Maluku 4 4 100
33 West Papua 0 0 0

Indonesia 168 167 99


34 Papua 0 0 0

Source: Directorate General of Disease Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 63.b
NUMBER OF HEALTH CRISES INSIDENTS BY TYPES OF DISASTER AND TIME IN INDONESIA
YEAR 2021

Number of Incidents
No Types of Disaster Total
January February March April May June July August September October November December
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
1 Flood 33 42 14 15 11 3 11 19 12 14 17 17 208
2 Volcano Eruption 0 0 0 0 0 0 0 0 0 0 0 1 1
3 Earthquake 1 1 0 2 1 1 0 1 0 1 1 3 12
4 Earthquake and Tsunami 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Landslides 4 7 2 1 0 1 0 0 2 0 2 1 20
6 Flash Flood 6 0 4 3 1 1 0 2 1 2 3 3 26
7 Drought 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Tornado 2 11 7 5 2 4 1 1 4 3 2 4 46
9 Tidal wave/ Storm 2 1 0 1 0 0 1 1 0 0 2 1 9
10 Flood and Landslides 6 6 1 10 0 1 5 2 5 0 4 5 45
11 Tsunami 0 0 0 0 0 0 0 0 0 0 0 0 0
Number of Natural Disasters 54 68 28 37 15 11 18 26 24 20 31 35 367
1 Fire 4 2 4 1 4 5 6 4 2 4 1 2 39
2 Forest and Land Fire 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Land Transportation Accident 0 0 1 0 0 1 0 0 0 0 1 0 3
4 Sea-Air Transportation Accident 1 0 0 1 1 1 2 0 0 0 0 0 6
5 Industrial Accident 0 0 1 0 0 0 0 0 0 0 0 0 1
6 Outbreak (KLB) - Disease 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Outbreak (KLB) - Poisoning 0 3 1 2 5 1 1 2 3 5 2 0 25
8 Technology Failure 2 0 0 1 0 2 0 1 1 0 0 0 7
9 Disease Outbreak (Epidemic) 0 0 0 0 0 0 0 0 0 0 0 0 0
Number of Non-Natural Disasters 7 5 7 5 10 10 9 7 6 9 4 2 81
1 Social Conflict or Social Riot 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Acts of Terror and Sabotage 0 0 0 0 0 0 1 0 1 0 0 0 2
Number of Social Disasters 0 0 0 0 0 0 1 0 1 0 0 0 2
Total Number of Disasters 2021 61 73 35 42 25 21 28 33 31 29 35 37 450
Source: Centre for Health Crises, Ministry of Health of the Republic of Indonesia, 2022
Appendix 63.c
NUMBER OF VICTIMS DUE TO HEALTH CRISES BY TYPES OF DISASTER
YEAR 2021

Number of Serious Injury/


No Disaster Type Frequency Fatality Minor Injury/Outpatient Refugees
Provinces Hospitalization

1 Flood 208 29 124 178 35.702 395.041


2 Volcano Eruption 1 1 51 21 4.091 10.400
3 Earthquake 12 8 121 304 10.637 109.538
4 Earthquake and Tsunami 0
5 Landslides 20 7 50 4 27 3.392
6 Flash Flood 26 10 120 66 730 8.189
7 Drought 0
8 Tornado 46 15 4 20 77 329
9 Tidal Wave /Storm 9 5 7 0 92 3.012
10 Flood and Landslide 45 15 106 74 5.563 94.990
11 Tsunami 0
Number of Natural Disasters 367 90 583 667 56.919 624.891
1 Fire 39 14 42 14 133 8.152
2 Forest and Land Fire 0
3 Land Transportation Accident 3 3 35 27 60 0
4 Sea-Air Transportation Accident 6 5 134 1 310 0
5 Industrial Accident 1 1 1 6 30 940
6 Outbreak (KLB) - Disease 0
7 Outbreak (KLB) - Poisoning 25 13 6 625 1.477 0
8 Technology Failure 7 4 7 144 221 943
9 Disease Outbreak (Epidemic) 0
Number of Non-Natural Disasters 81 40 225 817 2.231 10.035
1 Social Conflict or Social Riot
2 Acts of Terror and Sabotage 2 2 4 1 1 128
Number of Social Disasters 2 2 4 1 1 128
Indonesia 450 812 1.485 59.151 635.054
Source: Centre for Health Crises, Ministry of Health of the Republic of Indonesia, 2022
Appendix 63.d
NUMBER OF VICTIMS DUE TO HEALTH CRISES BY PROVINCE
YEAR 2021

Serious Injury/ Minor Injury/ Outpatient


No Province Frequency Fatality Missing Refugees
Hospitalization Care
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 26 1 63 1.151 0 23.716
2 North Sumatera 18 8 147 962 1 13.590
3 West Sumatera 11 8 0 6 0 1.911
4 Riau 5 0 0 0 0 907
5 Jambi 4 0 5 132 0 92
6 South Sumatera 6 0 0 109 0 346
7 Bengkulu 2 0 0 0 0 200
8 Lampung 4 0 1 3 0 8
9 Bangka Belitung Islands 0 0 0 0 0 0
10 Riau Islands 10 0 0 70 0 3.097
11 DKI Jakarta 28 63 11 545 4 9.720
12 West Java 73 85 361 6.093 0 145.342
13 Central Java 32 14 14 1.084 0 3.715
14 DI Yogyakarta 2 0 31 139 0 0
15 East Java 48 99 149 6.376 9 19.949
16 Banten 19 44 8 454 0 8.940
17 Bali 3 64 9 124 17 19
18 West Nusa Tenggara 20 11 40 3.217 1 5.661
19 East Nusa Tenggara 26 180 113 2.606 45 45.423
20 West Kalimantan 18 26 90 9.968 42 64.465
21 Central Kalimantan 11 1 0 1.367 0 22.020
22 South Kalimantan 16 64 48 13.743 0 136.277
23 East Kalimantan 11 1 0 307 0 1.309
24 North Kalimantan 2 0 0 0 0 328
25 North Sulawesi 11 22 5 415 1 5.058
26 Central Sulawesi 7 1 1 8 0 2.284
27 South Sulawesi 16 9 48 191 1 11.766
28 Southeast Sulawesi 2 0 0 0 0 213
29 Gorontalo 2 0 49 110 0 200
30 West Sulawesi 5 107 280 9.487 3 92.021
31 Maluku 3 0 0 0 0 9.775
32 North Maluku 3 0 2 320 1 2.018
33 West Papua 1 3 1 0 2 0
34 Papua 5 1 9 164 0 4.684
Indonesia 450 812 1.485 59.151 127 635.054
Source: Center for Health Crises, Ministry of Health of the Republic of Indonesia, 2022
NUMBER OF DISASTERS INSIDENTS BY PROVINCE
YEAR 2021

Number of Disasters Insidents

No. Province
Total

Fire
Fires
Land

Flood
Social

Sea-Air
Disease

Drought
Tornado

Tsunami
Accident
Accident
Sabotage

Landslide
Poisoning

Flood and

Landslides
(Epidemic)

Earthquake
Flash Floods
Transportation
Transportation

Earthquake and
Forest and Land
Outbreak (KLB) -
Outbreak (KLB) -

Tidal wve/Storm

Volcano Eruption
Disease Outbreak
Acts of Terror and

Industrial Accident
Technology Failure
Conflict/Social Riot

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23)
1 Aceh 17 0 0 0 1 0 0 0 0 2 3 0 0 0 0 0 1 2 0 0 0 26
2 North Sumatera 7 0 0 0 1 2 0 2 0 4 0 0 0 0 0 0 1 1 0 0 0 18
3 West Sumatera 6 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 11
4 Riau 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5
5 Jambi 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 4
6 South Sumatera 3 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 0 0 0 0 6
7 Bengkulu 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2
8 Lampung 1 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 4
9 Bangka Belitung Islands 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Riau Islands 5 0 0 0 0 0 0 1 2 1 1 0 0 0 0 0 0 0 0 0 0 10
11 DKI Jakarta 6 0 0 0 0 0 0 1 0 0 19 0 0 1 0 0 1 0 0 0 0 28
12 West Java 29 0 0 0 13 3 0 8 2 3 1 0 1 0 1 0 9 3 0 0 0 73
13 Central Java 14 0 0 0 1 1 0 8 2 4 0 0 1 0 0 0 1 0 0 0 0 32
14 DI Yogyakarta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2
15 East Java 20 1 4 0 2 2 0 11 0 4 0 0 0 0 0 0 3 1 0 0 0 48
16 Banten 13 0 0 0 0 0 0 2 0 3 1 0 0 0 0 0 0 0 0 0 0 19
17 Bali 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 3
18 West Nusa Tenggara 11 0 0 0 0 4 0 3 0 0 1 0 0 0 0 0 1 0 0 0 0 20
19 East Nusa Tenggara 7 0 1 0 0 4 0 1 1 10 0 0 0 0 0 0 2 0 0 0 0 26
20 West Kalimantan 15 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 18
21 Central Kalimantan 9 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 11
22 South Kalimantan 15 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16
23 East Kalimantan 9 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 11
24 North Kalimantan 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 2
25 North Sulawesi 1 0 0 0 0 2 0 1 2 4 1 0 0 0 0 0 0 0 0 0 0 11
26 Central Sulawesi 2 0 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7
27 South Sulawesi 5 0 1 0 1 3 0 1 0 2 2 0 0 0 0 0 1 0 0 0 0 16
28 Southeast Sulawesi 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2
29 Gorontalo 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2
30 West Sulawesi 1 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 5
31 Maluku 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
32 North Maluku 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3
33 West Papua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
34 Papua 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 1 5
Total 208 1 12 0 20 26 0 46 9 45 39 0 3 6 1 0 25 7 0 0 2 450
Source: Centre for Health Crises, Ministry of Health of the Republic of Indonesia, 2022
Appendix 64.f
NUMBER OF PILGRIMS BEFORE DEPARTURE BY TYPE AND PROVINCE
YEAR 2021

2021
No Province
PIHK Reguler
(1) (2) (5) (6)
1 Aceh 28 4.938
2 North Sumatra 45 9.599
3 West Sumatra 131 5.221
4 Riau 299 5.646
5 Jambi 208 3.236
6 South Sumatra 352 7.868
7 Bengkulu 15 1.809
8 Lampung 122 7.876
9 Bangka Belitung Islands 58 1.172
10 Riau Islands 68 1.434
11 DKI Jakarta 2.249 9.067
12 West Java 1.977 43.883
13 Central Java 1.260 34.267
14 DI Yogyakarta 552 3.588
15 East Java 2.512 40.250
16 Banten 969 10.994
17 Bali 41 771
18 West Nusa Tenggara 76 5.140
19 East Nusa Tenggara 2 723
20 West Kalimantan 30 2.785
21 Central Kalimantan 187 1.781
22 South Kalimantan 598 4.321
23 East Kalimantan 946 2.888
24 North Kalimantan 1 497
25 North Sulawesi 3 817
26 Central Sulawesi 36 2.286
27 South Sulawesi 1.151 8.317
28 Southeast Sulawesi 131 2.319
29 Gorontalo 2 1.135
30 West Sulawesi 8 1.673
31 Maluku 7 1.210
32 North Maluku 11 1.240
33 West Papua 7 816

Indonesia 14.119 230.784


34 Papua 37 1.217

Source: Hajj Health Center, Ministry of Health of Republic of Indonesia, 2022


Information:
- North Kalimantan is still merged with East Kalimantan (provincial data is taken from the Ministry
of Religion's Siskohat).
- Coverage / % of the total data on the results of the examination at Siskohatkes divided by the
quota of pilgrims per province from the Ministry of Religion
- Coverage in 2018 is more than 100% because there are reserve congregations and replacement adjust by year

data from the Ministry of Religion for Kaltara has not been separated, but by the Puskeshaji it has been separated
registered congregation data
Appendix 64.g
NUMBER OF PILGRIMS BY AGE GROUPS AND PROVINCE
YEAR 2021

NUMBER OF PILGRIMS
No Province
≤40 Years Old 41-50 Years Old 51-60 Years Old >60 Years Old Total
(1) (2) (3) (4) (5) (6) (7)
1 Aceh 433 986 1.659 1.888 4.966
2 North Sumatra 619 2.020 3.546 3.459 9.644
3 West Sumatra 326 959 1.945 2.122 5.352
4 Riau 445 1.495 2.326 1.679 5.945
5 Jambi 263 813 1.241 1.127 3.444
6 South Sumatra 792 1.722 2.813 2.893 8.220
7 Bengkulu 77 272 632 843 1.824
8 Lampung 609 1.754 2.807 2.828 7.998
9 Bangka Belitung Islands 116 291 401 422 1.230
10 Riau Islands 124 484 516 378 1.502
11 DKI Jakarta 1.217 3.166 3.703 3.230 11.316
12 WEst Java 5.449 12.171 15.587 12.653 45.860
13 Central Java 2.953 7.686 12.710 12.178 35.527
14 DI Yogyakarta 285 939 1.525 1.391 4.140
15 East Java 4.944 10.978 15.070 11.770 42.762
16 Banten 1.507 3.319 4.046 3.091 11.963
17 Bali 114 269 272 157 812
18 West Nusa Tenggara 385 1.256 1.784 1.791 5.216
19 East Nusa Tenggara 126 185 198 216 725
20 West Kalimantan 210 711 1.031 863 2.815
21 Central Kalimantan 376 690 594 308 1.968
22 South Kalimantan 829 1.620 1.599 871 4.919
23 East Kalimantan 546 1.162 1.389 737 3.834
24 North Kalimantan 78 169 137 114 498
25 North Sulawesi 93 206 249 272 820
26 Central Sulawesi 405 552 692 673 2.322
27 South Sulawesi 1.399 2.827 2.892 2.350 9.468
28 Southeast Sulawesi 331 641 712 766 2.450
29 Gorontalo 118 308 315 396 1.137
30 West Sulawesi 264 494 477 446 1.681
31 Maluku 150 285 339 443 1.217
32 North Maluku 113 247 341 550 1.251
33 West Papua 137 245 252 189 823

Indonesia 26.092 61.344 84.143 73.324 244.903


34 Papua 259 422 343 230 1.254

Source: Siskohatkes, Hajj Health Center, Indonesian Ministry of Health, 2022


age group created based on input from surveillance, correlated with request from US government for age group yyyy
Appendix 64.h
NUMBER OF PILGRIMS AND ACHIEVEMENTS OF REGULAR PILGRIMS EXAMINATION BEFORE DEPARTURE BY PROVINCE OF EXAMINATION PLACES
YEAR 2021

2020 2021
No Province
% Applicant Number of
Number of Pilgrims Number of Pilgrims Checked % Number of Pilgrims Checked
Pilgrim Checked
(1) (2) (4) (5) (6) (7)
1 Aceh 4.938 4.246 86%
2 North Sumatra 9.599 7.951 83%
3 West Sumatra 5.221 4.511 86%
4 Riau 5.646 5.097 90%
5 Jambi 3.236 2.821 87%
6 South Sumatra 7.868 6.728 86%
7 Bengkulu 1.809 1.617 89%
8 Lampung 7.876 6.537 83%
9 Bangka Belitung Islands 1.172 1.075 92%
10 Riau Islands 1.434 1.233 86%
11 DKI Jakarta 9.067 7.080 78%
12 West java 43.883 37.200 85%
13 Central Java 34.267 29.805 87%
14 DI Yogyakarta 3.588 3.220 90%
15 East java 40.250 32.950 82%
16 Banten 10.994 9.221 84%
17 Bali 771 658 85%
18 West Nusa Tenggara 5.140 4.499 88%
19 East Nusa Tenggara 723 615 85%
20 West Kalimantan 2.785 2.385 86%
21 Central Kalimantan 1.781 1.542 87%
22 South Kalimantan 4.321 3.713 86%
23 East Kalimantan 2.888 2.609 90%
24 North Kalimantan 497 387 78%
25 North Sulawesi 817 649 79%
26 Central Sulawesi 2.286 1.829 80%
27 South Sulawesi 8.317 6.945 84%
28 Southeast Sulawesi 2.319 2.013 87%
29 Gorontalo 1.135 902 79%
30 West Sulawesi 1.673 1.428 85%
31 Maluku 1.210 969 80%
32 North Maluku 1.240 1.046 84%
33 West Papua 816 688 84%

Indonesia 0 230.784 195.142 85%


34 Papua 1.217 973 80%

Source: Hajj Health Center, Ministry of Health, 2022


Information:
- North Kalimantan is still merged with East Kalimantan (provincial data is taken from the Ministry of Religion's Siskohat).
- Coverage / % of the total data on the results of the examination at Siskohatkes divided by the quota of pilgrims per province from the
Ministry of Religion
- Coverage in 2018 is more than 100% because there are reserve congregations and replacement congregations. Each congregation is
required to carry out a health check to determine the status of health istitaah. Health istitaah is one of the conditions in paying off BPIH
Appendix 64.i
10 MOST HIGH RISK DISEASES IN REGULAR PILGRIMS
YEAR 2021

No Disease Name ICD-X Code Number of Cases %

(1) (2) (3) (4) (5)


1 Dyslipidaemia E78 55.057 37%
2 Hypertension I10 47.721 32%
3 Diabetes mellitus E11 24.774 16%
4 Ischaemic heart disease I25 9.179 6%
5 Obesity E66 4.841 3%
6 Heart Failure I50 2.661 2%
7 Asthma J45 1.775 1%
8 CVD(Cardiovascular Disease) I51 1.430 1%
9 Tuberculosis A15 1.401 1%
10 Bronchitis J40 1.356 1%
150.195 100%
Source: Siskohatkes, Hajj Health Center, Indonesian Ministry of Health, 2022
Appendix 64.j
RESULTS OF FITNESS MEASUREMENTS FOR REGULAR PILGRIMS BY PROVINCE
YEAR 2021

Pilgrims Fitness Measurement Results


No Province
Excellent Good Enough Poor Total

(1) (2) (3) (4) (5) (6) (7)

1 Aceh 149 1.563 1.457 340 3.509

47 441 1.424 343 2.255


2 North Sumatra 19 838 2.213 983 4.053
3 West Sumatra
4 Riau 116 1.000 1.991 960 4.067

5 Jambi 87 708 1.202 381 2.378

110 442 700 76 1.328


6 South Sumatra 54 1.510 2.910 1.042 5.516
7 Bengkulu

8 Lampung 138 1.323 1.793 377 3.631

9 Bangka Belitung Islands 22 252 256 43 573

24 435 1.944 976 3.379


10 Riau Islands 7 240 289 105 641
11 DKI Jakarta

379 3.647 7.830 2.341 14.197


12 West Java 394 7.801 15.330 4.795 28.320
13 Central Java

363 6.802 11.034 2.582 20.781


14 DI Yogyakarta 49 405 1.209 434 2.097
15 East Java

- 35 226 146 407


16 Banten 57 1.398 3.025 756 5.236
17 Bali
18 West Nusa Tenggara 88 910 1.429 336 2.763

19 East Nusa Tenggara 4 82 99 47 232

20 West Kalimantan 74 234 543 70 921

21 Central Kalimantan 3 263 772 318 1.356

10 182 687 115 994


22 South Kalimantan 27 265 1.204 741 2.237
23 East Kalimantan
24 North Kalimantan 4 14 48 41 107

25 North Sulawesi 46 61 35 6 148

99 1.402 1.877 635 4.013


26 Central Sulawesi 97 467 448 278 1.290
27 South Sulawesi

8 165 201 72 446


28 Southeast Sulawesi 53 252 357 143 805
29 Gorontalo

63 179 433 54 729


30 West Sulawesi 72 617 376 164 1.229
31 Maluku

2 80 125 114 321


32 North Maluku 92 145 451 121 809
33 West Papua
34 Papua 12 163 411 45 631

Indonesia

Source: Siskohatkes, Hajj Health Center, Indonesian Ministry of Health, 2022


Appendix 65.a
CASE OF DENGUE HEMORRHAGIC FEVER (DHF) BY SEX GROUP AND PROVINCE IN INDONESIA
YEAR 2021

Incidence Rate per


No Province Total population Total Case Mortality CFR (%)
100.000 Population

(1) (2) (3) (4) (5) (6) (7)


Aceh
North Sumatera 14.954.028
1 5.459.114 366 6,7 7 1,91

West Sumatera 5.610.859


2 2.918 19,5 14 0,48

Riau
3 654 11,7 6 0,92

Jambi
4 7.066.464 1.038 14,7 10 0,96

South Sumatera
5 3.641.279 357 9,8 5 1,40

Bengkulu
6 8.702.628 1.135 13,0 3 0,26

Lampung
7 2.016.437 628 31,1 1 0,16

Bangka Belitung Islands


8 8.609.884 2.271 26,4 8 0,35

Riau Islands
9 1.488.245 864 58,1 20 2,31

DKI Jakarta
10 2.378.795 1.925 80,9 17 0,88

West Java
11 10.645.542 3.092 29,0 0 0,00

Central Java
12 50.103.251 23.959 47,8 212 0,88

DI Yogyakarta 3.970.220
13 34.917.040 4.468 12,8 121 2,71

East Java
14 1.186 29,9 12 1,01

Banten
15 40.156.672 6.760 16,8 72 1,07

Bali
16 13.074.189 2.136 16,3 16 0,75

West Nusa Tenggara


17 4.466.595 2.673 59,8 4 0,15

East Nusa Tenggara


18 5.298.471 2.697 50,9 21 0,78

West Kalimantan
19 5.588.744 2.538 45,4 14 0,55

Central Kalimantan
20 5.162.937 664 12,9 4 0,60

South Kalimantan
21 2.722.168 189 6,9 0 0,00

East Kalimantan
22 4.319.794 176 4,1 0 0,00

North Kalimantan
23 3.708.936 2.898 78,1 23 0,79

North Sulawesi
24 721.181 172 23,8 4 2,33

Central Sulawesi
25 2.530.967 1.196 47,3 32 2,68

South Sulawesi
26 3.120.863 671 21,5 5 0,75

Southeast Sulawesi
27 8.956.181 3.585 40,0 35 0,98

Gorontalo
28 2.743.155 674 24,6 8 1,19

West Sulawesi
29 1.195.883 557 46,6 15 2,69

Maluku
30 1.396.749 339 24,3 6 1,77

North Maluku
31 1.805.376 169 9,4 3 1,78

West Papua
32 1.268.866 318 25,1 7 2,20

Papua
33 1.008.698 147 14,6 0 0,00

Indonesia 272.248.454 73.518 27,0 705 0,96


34 3.438.243 98 2,9 0 0,00

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022

Notes: Total Cases is all cases in the working area of Puskesmas including cases found in hospitals.
Appendix 65.b
NUMBER OF REGENCIES/CITIES INFECTED BY DENGUE HEMORRHAGIC FEVER
BY PROVINCE BY 2019 - 2021

Infected Regencies/Cities
No Province Number of Regencies/Cities 2019 2020 2021
Total % Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Aceh
North Sumatera
1 23 23 100,00 23 100,00 21 91,30

West Sumatera
2 33 32 96,97 33 100,00 31 93,94

Riau
3 19 19 100,00 19 100,00 19 100,00

Jambi
4 12 12 100,00 12 100,00 12 100,00

South Sumatera
5 11 11 100,00 11 100,00 11 100,00

Bengkulu
6 17 17 100,00 17 100,00 17 100,00

Lampung
7 10 10 100,00 10 100,00 10 100,00

Bangka Belitung Islands


8 15 15 100,00 15 100,00 15 100,00

Riau Islands
9 7 7 100,00 7 100,00 7 100,00
10 7 7 100,00 7 100,00 7 100,00
11 DKI Jakarta 6 6 100,00 6 100,00 6 100,00
12 West Java 27 27 100,00 27 100,00 27 100,00
13 Central Java 35 35 100,00 35 100,00 35 100,00
14 DI Yogyakarta 5 5 100,00 5 100,00 5 100,00
15 East Java 38 38 100,00 38 100,00 38 100,00
16 Banten 8 8 100,00 8 100,00 8 100,00
17 Bali 9 9 100,00 9 100,00 9 100,00
18 West Nusa Tenggara 10 10 100,00 10 100,00 10 100,00
19 East Nusa Tenggara 22 22 100,00 22 100,00 22 100,00
20 West Kalimantan 14 14 100,00 14 100,00 14 100,00
21 Central Kalimantan 14 14 100,00 14 100,00 14 100,00
22 South Kalimantan 13 13 100,00 13 100,00 12 92,31
23 East Kalimantan 10 10 100,00 10 100,00 10 100,00
24 North Kalimantan 5 5 100,00 5 100,00 4 80,00
25 North Sulawesi 15 15 100,00 15 100,00 15 100,00

South Sulawesi
26 Central Sulawesi 13 13 100,00 13 100,00 13 100,00

Southeast Sulawesi
27 24 24 100,00 24 100,00 24 100,00

Gorontalo
28 17 16 94,12 17 100,00 14 82,35

West Sulawesi
29 6 6 100,00 6 100,00 6 100,00

Maluku
30 6 6 100,00 6 100,00 6 100,00
31 11 7 63,64 5 45,45 8 72,73
32 North Maluku 10 8 80,00 9 90,00 9 90,00
33 West Papua 13 7 53,85 6 46,15 5 38,46

Indonesia 514 481 93,58 477 92,80 474 92,22


34 Papua 29 10 34,48 6 20,69 10 34,48

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 66.a
MALARIA CASES BY SEX AND PROVINCE IN INDONESIA
YEAR 2021

Malaria
Annual
Laboratory Confirmation Positive
Paracite
No Province Population %
% Laboratory Standardized Incidence
Suspected Standardized
Rapid Diagnostic Test Confirmation Treatment (API) per
Microscopic Total M F Total Treatment
(RDT) 1,000
Population
(1) (2) (3) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Aceh
North Sumatera
1 5.459.114 24.622 18.860 5.035 23.895 97,05% 313 11 324 324 100,00% 0,06

West Sumatera
2 14.954.028 20.770 10.735 8.143 18.878 90,89% 1.568 963 2.531 2.504 98,93% 0,17

Riau
3 5.610.859 11.980 3.119 7.176 10.295 85,93% 45 27 72 72 100,00% 0,01

Jambi
4 7.066.464 4.184 416 3.655 4.071 97,30% 552 345 897 897 100,00% 0,13

South Sumatera
5 3.641.279 30.516 12.514 15.372 27.886 91,38% 30 9 39 39 100,00% 0,01

Bengkulu
6 8.702.628 17.684 9.898 7.393 17.291 97,78% 24 1 25 25 100,00% 0,00

Lampung
7 2.016.437 8.501 4.415 3.735 8.150 95,87% 1 1 2 2 100,00% 0,00

Bangka Belitung Islands


8 8.609.884 29.404 15.779 12.690 28.469 96,82% 343 214 557 557 100,00% 0,06

Riau Islands
9 1.488.245 14.632 9.929 3.266 13.195 90,18% 76 28 104 101 97,12% 0,07

DKI Jakarta
10 2.378.795 3.061 929 2.132 3.061 100,00% 24 15 39 38 97,44% 0,02

West Java
11 10.645.542 315 114 193 307 97,46% 103 12 115 114 99,13% 0,01

Central Java
12 50.103.251 16.513 10.514 3.244 13.758 83,32% 237 10 247 245 99,19% 0,00

DI Yogyakarta
13 34.917.040 30.313 28.809 880 29.689 97,94% 510 295 805 805 100,00% 0,02

East Java
14 3.970.220 14.275 13.752 126 13.878 97,22% 18 7 25 24 96,00% 0,01

Banten
15 40.156.672 8.444 7.022 1.267 8.289 98,16% 199 13 212 212 100,00% 0,01

Bali
16 13.074.189 1.547 135 1.128 1.263 81,64% 20 3 23 15 65,22% 0,00

West Nusa Tenggara


17 4.466.595 6.013 5.857 58 5.915 98,37% 24 9 33 24 72,73% 0,01

East Nusa Tenggara


18 5.298.471 98.182 71.216 11.097 82.313 83,84% 297 70 367 359 97,82% 0,07

West Kalimantan
19 5.588.744 514.658 338.901 163.897 502.798 97,70% 5.270 4.149 9.419 9.397 99,77% 1,69

Central Kalimantan
20 5.162.937 36.533 23.024 9.796 32.820 89,84% 14 3 17 13 76,47% 0,00

South Kalimantan
21 2.722.168 11.451 5.936 5.441 11.377 99,35% 148 23 171 167 97,66% 0,06

East Kalimantan
22 4.319.794 19.327 13.116 4.808 17.924 92,74% 268 27 295 293 99,32% 0,07

North Kalimantan
23 3.708.936 14.354 8.074 5.982 14.056 97,92% 2.069 180 2.249 2.038 90,62% 0,61

North Sulawesi
24 721.181 2.213 375 1.403 1.778 80,34% 31 2 33 18 54,55% 0,05

Central Sulawesi
25 2.530.967 14.552 7.406 4.463 11.869 81,56% 483 230 713 682 95,65% 0,28

South Sulawesi
26 3.120.863 19.527 5.837 12.089 17.926 91,80% 43 13 56 54 96,43% 0,02

Southeast Sulawesi
27 8.956.181 17.728 8.490 8.546 17.036 96,10% 756 180 936 914 97,65% 0,10

Gorontalo
28 2.743.155 16.405 7.535 8.506 16.041 97,78% 284 67 351 349 99,43% 0,13

West Sulawesi
29 1.195.883 17.009 6.025 10.505 16.530 97,18% 47 2 49 49 100,00% 0,04

Maluku
30 1.396.749 13.373 5.786 7.129 12.915 96,58% 90 3 93 93 100,00% 0,07

North Maluku
31 1.805.376 57.268 38.666 15.047 53.713 93,79% 483 326 809 793 98,02% 0,45

West Papua
32 1.268.866 20.968 12.419 6.762 19.181 91,48% 88 40 128 128 100,00% 0,10

Papua
33 1.008.698 139.623 78.827 47.836 126.663 90,72% 4.541 3.087 7.628 7.582 99,40% 7,56

Indonesia 272.248.454 2.128.771 1.399.683 640.609 2.040.292 95,84% 172.230 132.377 304.607 299.148 98,21% 1,12
34 3.438.243 872.826 615.253 241.809 857.062 98,19% 153.231 122.012 275.243 270.221 98,18% 80,05

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Notes: Total Cases is all cases in the working area of Puskesmas including cases found in hospitals
Appendix 66.b
NUMBER OF REGENCIES/CITIES WITH <1 API AND THOSE ACHIEVING CERTIFIED MALARIA ELIMINATION
BY PROVINSI YEAR 2021

Number of Regencies/Cities Based on Malaria Endemicity Level


Percentage of Regencies /Cities
No Province Received Malaria Elimination
Moderate Endemic (API 1-
Certified Malaria Elimination Low Endemic (API<1) High Endemic (API >5) Certificate
5)

(1) (2) (3) (4) (5) (6) (7)


Aceh 95,65%
North Sumatera 63,64%
1 22 0 1 0

West Sumatera 94,74%


2 21 9 3 0

Riau 91,67%
3 18 1 0 0

Jambi 63,64%
4 11 1 0 0

South Sumatera 64,71%


5 7 4 0 0

Bengkulu 70,00%
6 11 6 0 0

Lampung 73,33%
7 7 3 0 0

85,71%
8 11 4 0 0

57,14%
9 Bangka Belitung Islands 6 1 0 0

100,00%
10 Riau Islands 4 3 0 0

96,30%
11 DKI Jakarta 6 0 0

94,29%
12 West Java 26 1 0 0

80,00%
13 Central Java 33 2 0 0

100,00%
14 DI Yogyakarta 4 1 0 0

100,00%
15 East Java 38 0 0 0

100,00%
16 Banten 8 0 0 0

60,00%
17 Bali 9 0 0 0

22,73%
18 West Nusa Tenggara 6 4 0 0

42,86%
19 East Nusa Tenggara 5 14 0 3

78,57%
20 West Kalimantan 6 8 0 0

69,23%
21 Central Kalimantan 11 3 0 0

40,00%
22 South Kalimantan 9 4 0 0

60,00%
23 East Kalimantan 4 5 0 1

53,33%
24 North Kalimantan 3 2 0 0

46,15%
25 North Sulawesi 8 6 1 0

87,50%
26 Central Sulawesi 6 7 0 0

70,59%
27 South Sulawesi 21 3 0 0

83,33%
28 Southeast Sulawesi 12 5 0 0

83,33%
29 Gorontalo 5 1 0 0

0,00%
30 West Sulawesi 5 1 0 0

40,00%
31 Maluku 0 8 3 0

0,00%
32 North Maluku 4 6 0 0

0,00%
33 West Papua 0 3 5 5

Indonesia 347 124 17 26 6 7, 51


34 Papua 0 8 4 17

Notes: Total Cases is all cases in the working area of Puskesmas including cases found in hospitals
Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 66.c
ANNUAL PARASITE INSIDENCE (API) OF MALARIA PER 1.000 POPULATION
BY PROVINCE YEAR 2017- 2021

API
No Province
2017 2018 2019 2020 2021
(1) (2) (3) (4) (5) (6) (7)
Aceh
North Sumatera
1 0,06 0,02 0,02 0,04 0,06

West Sumatera
2 0,17 0,09 0,07 0,07 0,17

Riau
3 0,10 0,09 0,06 0,02 0,01

Jambi
4 0,03 0,01 0,02 0,24 0,13

South Sumatera
5 0,05 0,05 0,02 0,02 0,01

Bengkulu
6 0,11 0,08 0,07 0,01 0,00

Lampung
7 0,53 0,16 0,04 0,05 0,00

Bangka Belitung Islands


8 0,52 0,38 0,18 0,05 0,06
9 0,07 0,16 0,09 0,12 0,07
10 Riau Islands 0,17 0,11 0,06 0,09 0,02
11 DKI Jakarta 0,01 0,01 0,01 0,01 0,01
12 West Java 0,01 0,00 0,01 0,01 0,00
13 Central Java 0,03 0,02 0,01 0,01 0,02
14 DI Yogyakarta 0,02 0,01 0,00 0,00 0,01
15 East Java 0,00 0,01 0,02 0,01 0,01
16 Banten 0,00 0,00 0,00 0,00 0,00
17 Bali 0,01 0,02 0,01 0,00 0,01
18 West Nusa Tenggara 0,15 0,34 0,19 0,05 0,07
19 East Nusa Tenggara 5,76 3,42 2,37 2,76 1,69
20 West Kalimantan 0,03 0,02 0,00 0,01 0,00
21 Central Kalimantan 0,29 0,25 0,07 0,06 0,06
22 South Kalimantan 0,28 0,20 0,20 0,12 0,07
23 East Kalimantan 0,44 0,53 0,55 0,62 0,61
24 North Kalimantan 0,09 0,04 0,08 0,09 0,05
25 North Sulawesi 0,37 0,25 0,20 0,36 0,28
26 Central Sulawesi 0,18 0,06 0,06 0,06 0,02
27 South Sulawesi 0,14 0,15 0,10 0,09 0,10
28 Southeast Sulawesi 0,21 0,29 0,30 0,14 0,13
29 Gorontalo 0,04 0,05 0,03 0,03 0,04
30 West Sulawesi 0,11 0,19 0,14 0,10 0,07
31 Maluku 2,30 1,16 0,72 0,42 0,45
32 North Maluku 0,79 0,39 0,46 0,16 0,10
33 West Papua 14,97 8,49 7,38 10,15 7,56

Indonesia 0,88 0,99 0,84 0,94 1,12


34 Papua 59,00 52,99 64,03 63,12 80,05

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia, 2021
Appendix 67.a
CHRONIC FILARIASIS BY SEX AND PROVINCE IN INDONESIA
YEAR 2021

Chronic Filariasis Patients

No Province Previous Year's Chronic Newly Detected Chronic Number of All Chronic
Moving Chronic Case Chronic Mortality Case
Cases Cases Cases
(1) (2) (3) (4) (5) (6) (8)
Aceh
North Sumatera
1 570 19 2 64 523

West Sumatera
2 191 3 0 0 194

Riau
3 187 0 13 46 128

Jambi
4 136 11 5 9 133

South Sumatera
5 275 4 0 64 215

Bengkulu
6 120 1 3 9 109

Lampung
7 64 0 0 0 64

Bangka Belitung Islands


8 33 1 0 0 34
9 93 7 0 0 100
10 Riau Islands 81 0 0 0 81
11 DKI Jakarta 23 0 0 3 20
12 West Java 641 2 22 33 588
13 Central Java 400 29 3 21 405
14 DI Yogyakarta 2 0 0 0 2
15 East Java 329 0 57 31 241
16 Banten 107 1 0 3 105
17 Bali 2 0 0 0 2
18 West Nusa Tenggara 10 0 0 0 10
19 East Nusa Tenggara 1.534 57 4 280 1.307
20 West Kalimantan 251 1 0 1 251
21 Central Kalimantan 52 2 0 5 49
22 South Kalimantan 27 12 0 1 38
23 East Kalimantan 107 5 0 0 112
24 North Kalimantan 3 0 0 0 0
25 North Sulawesi 18 0 0 1 17
26 Central Sulawesi 180 1 4 36 141
27 South Sulawesi 63 0 0 1 62
28 Southeast Sulawesi 50 1 1 6 44
29 Gorontalo 4 0 0 0 2
30 West Sulawesi 55 0 0 1 54
31 Maluku 39 12 0 2 49
32 North Maluku 24 1 0 0 25
33 West Papua 620 0 0 0 620

Indonesia 9.906 184 114 617 9.354


34 Papua 3.615 14 0 0 3.629

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Note: The number of cases is all cases in the working area of Puskesmas including cases found in the hospital until December 31, 2022
* Based on validation results, all cases in Kaltara Province and 2 cases in Gorontalo Province in the previous year were not chronic cases of filariasis
Appendix 67.b
NUMBER OF FILARIAL‐ENDEMIC REGENCIES/CITIES SUCCESSFULLY DECREASED MICROFILARIA RATE TO < 1%,
AND STILL IMPLEMENTING MASS DRUG ADMINISTRATION (POPM) FOR FILARIASIS PREVENTION
BY PROVINCE BY 2021

Number of Percentage of Number of


Number of Filariasis Number of Percentage of Regencies/Cities Still Regencies/Cities Still Regencies/Cities that
Number of
Endemic Regencies/Cities Regencies/Cities Implementing Mass Implementing Mass Postponed the
No Province Regencies/Cities
Regencies/Cities Successfully Decreased Successfully Decresed Drug Administration Drug Administration Implementation of
Eliminate Filariasis
Number of Microfilaria < 1% Microfilaria <1% (POPM) For Filariasis (POPM) For Filariasis Microfilaria Reduction
Prevention Prevention Evaluation*
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Aceh
North Sumatera
1 12 10 83,3 2 16,7 2 16,7

West Sumatera
2 9 9 100,0 0 0,0 5 55,6

Riau
3 10 10 100,0 0 0,0 7 70,0

Jambi
4 10 10 100,0 0 0,0 8 80,0

South Sumatera
5 5 5 100,0 0 0,0 1 20,0

Bengkulu
6 9 9 100,0 0 0,0 4 44,4

Lampung
7 5 5 100,0 0 0,0 3 60,0

Bangka Belitung Islands


8 1 1 100,0 0 0,0 0 0,0
9 7 7 100,0 0 0,0 5 71,4
10 Riau Islands 3 2 66,7 0 0,0 0 0,0
11 DKI Jakarta 0 - - - - - -
12 West Java 11 11 100,0 0 0,0 7 63,6
13 Central Java 9 4 44,4 5 55,6 0 0,0
14 DI Yogyakarta 0 0 0,0 0 0,0 0 0,0
15 East Java 0 0 0,0 0 0,0 0 0,0
16 Banten 5 5 100,0 0 0,0 5 100,0
17 Bali 0 0 0,0 0 0,0 0 0,0
18 West Nusa Tenggara 0 0 0,0 0 0,0 0 0,0
19 East Nusa Tenggara 18 17 94,4 0 0,0 2 11,1
20 West Kalimantan 9 6 66,7 1 11,1 0 0,0
21 Central Kalimantan 11 10 90,9 0 0,0 3 27,3
22 South Kalimantan 8 8 100,0 0 0,0 1 12,5
23 East Kalimantan 6 6 100,0 0 0,0 0 0,0
24 North Kalimantan 4 4 100,0 0 0,0 0 0,0
25 North Sulawesi 0 0 0,0 0 0,0 0 0,0
26 Central Sulawesi 9 9 100,0 1 11,1 3 33,3
27 South Sulawesi 4 3 75,0 1 25,0 3 75,0
28 Southeast Sulawesi 12 12 100,0 0 0,0 3 25,0
29 Gorontalo 6 6 100,0 0 0,0 4 66,7
30 West Sulawesi 4 3 75,0 1 25,0 1 25,0
31 Maluku 8 5 62,5 2 25,0 0 0,0
32 North Maluku 6 5 83,3 0 0,0 1 16,7
33 West Papua 12 0 0,0 8 66,7 0 0,0

Indonesia 236 190 80,5 32 13,6 72 30,5


34 Papua 23 8 34,8 11 47,8 4 17,4

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Notes: * = Additional column to explain the status of 34 regencies/cities that have completed the 5 Years of Filariasis POPM, but have delayed the implementation of the Microfilaria Reduction Evaluation due to Covid-19 Pandemic
Appendix 67.c
RABIES BY PROVINCE IN INDONESIA
IN 2019 - 2021

2019 2020 2021


No Province
GHPR VAR LYSSA GHPR VAR LYSSA GHPR VAR LYSSA
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Aceh
North Sumatera
1 893 634 0 640 640 0 527 170 0

West Sumatera
2 8.163 6.489 12 6.802 5.457 1 2201 1740 3

Riau
3 4.994 2.912 1 4.341 2.508 2 3151 1565 0

Jambi
4 2.514 2.514 1 2.543 1.696 4 557 476 0

South Sumatera
5 1.154 938 0 867 682 0 327 289 0

Bengkulu
6 1.779 1.779 0 1.842 1.586 2 1164 1090 2

Lampung
7 1.608 1.505 0 1.555 1.481 0 1156 1096 0

Bangka Belitung Islands


8 1.946 1.890 0 2.043 1.866 1 1555 1443 0
9 0 0 0 36 0 0 30 14 0
10 Riau Islands 2 0 0 13 3 0 5 5 0
11 DKI Jakarta 157 80 0 869 697 0 605 0 0
12 West Java 1.571 944 0 1.291 755 0 480 290 0
13 Central Java 254 89 0 250 117 0 223 41 0
14 DI Yogyakarta 112 302 0 56 56 0 97 97 0
15 East Java 0 0 0 19 0 0 98 65 0
16 Banten 192 157 0 176 88 0 100 88 0
17 Bali 37.372 19.681 4 26.979 13.511 2 16454 9020 0
18 West Nusa Tenggara 861 559 13 1.237 1.144 6 1864 1821 10
19 East Nusa Tenggara 13.449 11.100 16 11.262 10.913 5 10858 10857 4
20 West Kalimantan 4.154 3.757 14 3.124 2.573 2 2602 2304 13
21 Central Kalimantan 1.441 2.117 0 259 355 0 304 271 0
22 South Kalimantan 438 376 0 311 270 0 136 125 0
23 East Kalimantan 1.049 1.822 0 169 222 0 868 777 0
24 North Kalimantan 155 104 0 36 25 0 183 108 0
25 North Sulawesi 5.851 3.129 17 3.924 589 7 1980 1295 9
26 Central Sulawesi 3.471 11.468 8 2.533 2.422 1 1637 1080 1
27 South Sulawesi 6.583 3.210 12 6.078 4.956 4 5111 4038 7
28 Southeast Sulawesi 1.257 1.249 1 920 90 0 497 484 0
29 Gorontalo 1.063 991 5 662 661 1 719 658 6
30 West Sulawesi 1.348 1.348 0 1.065 1.065 0 573 471 1
31 Maluku 1.133 835 2 539 291 2 1037 837 6
32 North Maluku 306 283 0 193 78 0 158 158 0
33 West Papua 0 0 0 0 0 0 0 0 0

Indonesia 105.270 82.262 106 82.634 56.797 40 57.257 42.773 62


34 Papua 0 0 0 0 0 0 0 0 0

Persentase VAR/GHPR 78,1% 68,7% 74,7%


Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Desc GHPR = Rabies Infected Animal Bites
*Rabies free area
Appendix 67.d
NUMBER OF CASES, FATALITIES, AND CASE FATALITY RATE (CFR) OF LEPTOSPIROSIS
BY PROVINCE YEAR 2019 - 2021

2019 2020 2021


No Province
C F CFR C F CFR C CFR
(1) (2) (3) (4) (5) (6) (7) (8) (3) (10) (11)
1 DKI Jakarta 37 0 0,00 209 9 4,31 15 0 0,0
2 West Java 32 1 3,13 55 9 16,36 14 2 14,3
3 Central Java 458 67 14,63 422 49 11,61 265 44 16,6
4 DI Yogyakarta 183 8 4,37 192 17 8,85 79 7 8,9
5 East Java 147 23 15,65 272 21 7,72 312 29 9,3
6 Banten 52 19 36,54 8 0 0,00 33 0 0,0
7 Maluku 2 1 50,00 0 0 0,00 0 0 0,0
8 North Kalimantan 8 3 37,50 11 1 9,09 15 1 6,7
9 South Sulawesi 2 0 0,00 1 0 0,00 0 0 0,0
10 South Sumatera 0 0 0,00 0 0 0,00 0 0 0,0

Indonesia 921 122 13,25 1170 106 9,06 734 84 11,44


11 East Kalimantan 0 0 0,00 0 0 0,00 1 1 100,0

Source : Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Notes: : C= Cases, F= Fatalities, CFR=Case Fatality Rate
Appendix 70.a
EARLY DETECTION RECAPITULATION OF CERVICAL CANCER (IVA) AND BREAST CANCER
BY PROVINCE YEAR 2019-2021

Number of Total Scope of Examination Results 2019 to 2021


Examination
No Province Female Aged Examination Up Examination
2021 Suspect Cervical Suspect Breast
30-50 Years to 2021 2019 to 2021 (%) IVA Positive Lumps
Cancer Cancer
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1 Aceh 769.145 1.206 4.383 0,57% 95 1 810 16
2 North Sumatera 2.144.204 19.776 150.117 7,00% 354 61 405 50
3 West Sumatera 756.087 75.496 9,99% 893 179 151 27
4 Riau 877.266 6.914 69.895 7,97% 1040 121 311 25
5 Jambi 546.881 10.388 63.707 11,65% 254 26 482 3
6 South Sumatera 1.314.890 153.564 330.769 25,16% 426 125 680 142
7 Bengkulu 199.463 4.333 33.530 16,81% 26 1 44 13
8 Lampung 1.269.785 49.701 181.650 14,31% 651 165 1141 245
9 Bangka Belitung Islands 228.853 20.654 69.200 30,24% 63 14 41 15
10 Riau Islands 380.361 6.593 25.850 6,80% 304 28 90 9
11 DKI Jakarta 1.877.504 98.422 248.867 13,26% 934 159 1.007 243
12 West Java 7.768.504 64.679 285.466 3,67% 1.366 814 1574 332
13 Central Java 4.847.364 29.675 156.350 3,23% 7.043 781 3206 373
14 DI Yogyakarta 558.299 2.843 19.131 3,43% 2107 72 1985 63
15 East Java 6.000.227 67.617 280.746 4,68% 5.849 418 3077 680
16 Banten 2.446.797 29.825 137.198 5,61% 409 248 1151 251
17 Bali 549.265 21.300 103.377 18,82% 2.246 118 389 39
18 West Nusa Tenggara 748.349 142.253 173.789 23,22% 777 27 110 33
19 East Nusa Tenggara 788.144 17.998 89.132 11,31% 1340 126 196 71
20 West Kalimantan 756.914 6.101 27.261 3,60% 420 117 309 62
21 Central Kalimantan 306.367 5.575 21.700 7,08% 0 0 0 0
22 South Kalimantan 591.352 4.353 42.453 7,18% 302 97 106 126
23 East Kalimantan 853.466 6.211 22.865 2,68% 179 81 268 94
24 North Kalimantan 489.059 189 7.846 1,60% 120 35 179 52
25 North Sulawesi 332.147 871 6.572 1,98% 224 9 8 0
26 Central Sulawesi 414.376 16.722 28.619 6,91% 65 3 60 15
27 South Sulawesi 1.422.704 24.732 150.339 10,57% 54 26 182 13
28 Southeast Sulawesi 431.381 1.613 4.652 1,08% 28 8 31 0
29 Gorontalo 162.613 138 2.166 1,33% 37 0 12 0
30 West Sulawesi 208.701 477 2.373 1,14% 17 6 99 23
31 Maluku 329.738 599 4.535 1,38% 204 20 29 15
32 North Maluku 186.108 1.018 6.105 3,28% 9 8 16 10
33 West Papua 149.545 458 830 0,56% 0 0 0 0

Indonesia 41.371.258 816.992 2.827.177 6,83% 27.837 3.894 18.150 3.040


34 Papua 665.399 194 208 0,03% 1 0 1 0

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
D : Target = Female Aged 30-50
Y
Appendix 70.b
NUMBER OF VILLAGES CONDUCTING INTEGRATED HEALTH POST (POSBINDU)
BY PROVINCE YEAR 2021

Number of Villages/Urban Number of Villages Conducting % of Villages Conducting


No Province
Villages Posbindu Posbindu
(1) (2) (3) (4) (5)
1 Aceh 6.606 4.456 67%
2 North Sumatera 6.076 3.934 65%
3 West Sumatera 1.171 960 82%
4 Riau 1.904 1.211 64%
5 Jambi 1.522 919 60%
6 South Sumatera 3.353 2.490 74%
7 Bengkulu 1.523 987 65%
8 Lampung 2.652 2.146 81%
9 Bangka Belitung Islands 391 344 88%
10 Riau Islands 416 283 68%
11 DKI Jakarta 267 261 98%
12 West Java 5.996 4.297 72%
13 Central Java 8.582 6.876 80%
14 DI Yogyakarta 439 410 93%
15 East Java 8.582 7.029 82%
16 Banten 1.609 1.082 67%
17 Bali 716 551 77%
18 West Nusa Tenggara 1.152 1.070 93%
19 East Nusa Tenggara 3.519 2.591 74%
20 West Kalimantan 2.000 1.181 59%
21 Central Kalimantan 1.612 919 57%
22 South Kalimantan 2.010 1.577 78%
23 East Kalimantan 1.053 878 83%
24 North Kalimantan 483 102 21%
25 North Sulawesi 1.797 521 29%
26 Central Sulawesi 2.125 1.505 71%
27 South Sulawesi 3.224 2.875 89%
28 Southeast Sulawesi 2.684 1.087 40%
29 Gorontalo 734 537 73%
30 West Sulawesi 701 445 63%
31 Maluku 1.070 246 23%
32 North Maluku 1.300 663 51%
33 West Papua 1.585 345 22%

Indonesia 82.752 54.986 66,45


34 Papua 3.898 208 5%

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 70.c
REGENCIES/CITIES IMPLEMENTING NO-SMOKING AREA (KTR)
BY PROVINCE YEAR 2021

Regencies/Cities Implementing KTR


Number of
No Province
Regencies/Cities
Total %
(1) (2) (3) (4) (5)
1 Aceh 23 13 56,5%
2 North Sumatera 33 13 39,4%
3 West Sumatera 19 16 84,21%
4 Riau 12 4 33,3%
5 Jambi 11 8 72,7%
6 South Sumatera 17 15 88,2%
7 Bengkulu 10 9 90,0%
8 Lampung 15 10 66,7%
9 Bangka Belitung Islands 7 7 100%
10 Riau Islands 7 5 71,4%
11 DKI Jakarta 6 1 16,7%
12 West Java 27 23 85,2%
13 Central Java 35 20 57,1%
14 DI Yogyakarta 5 3 60,0%
15 East Java 38 22 57,9%
16 Banten 8 6 75,0%
17 Bali 9 9 100%
18 West Nusa Tenggara 10 7 70,0%
19 East Nusa Tenggara 22 10 45,5%
20 West Kalimantan 14 10 71,4%
21 Central Kalimantan 14 10 71,4%
22 South Kalimantan 13 13 100%
23 East Kalimantan 10 8 80,0%
24 North Kalimantan 5 3 60,0%
25 North Sulawesi 15 5 33,3%
26 Central Sulawesi 13 11 84,6%
27 South Sulawesi 24 23 95,8%
28 Southeast Sulawesi 17 9 52,9%
29 Gorontalo 6 5 83,3%
30 West Sulawesi 6 4 66,7%
31 Maluku 11 8 72,7%
32 North Maluku 10 5 50,0%
33 West Papua 13 3 23,1%

Indonesia 514 321 62,45%


34 Papua 29 3 10,3%

Renstra target for 2021 = 374 Districts/Cities


Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022

2021 Achievement = 320 Regencies/Cities (85.6%)


Appendix 70.d
REGENCIES/CITIES HAVING 40% PUSKESMAS ORGANIZING EFFORT TO STOP SMOKING (UBM)

BY PROVINCE YEAR 2021

Regencies/Cities Organizing UBM


Number of
No Province
Regencies/Cities
Total %
(1) (2) (3) (4) (5)
1 Aceh 23 2 8,7%
2 North Sumatera 33 8 24,2%
3 West Sumatera 19 5 26,32%
4 Riau 12 3 25,0%
5 Jambi 11 2 18,2%
6 South Sumatera 17 1 5,9%
7 Bengkulu 10 0 0,0%
8 Lampung 15 1 6,7%
9 Bangka Belitung Islands 7 2 29%
10 Riau Islands 7 3 42,9%
11 DKI Jakarta 6 1 16,7%
12 West Java 27 1 3,7%
13 Central Java 35 6 17,1%
14 DI Yogyakarta 5 0 0,0%
15 East Java 38 0 0,0%
16 Banten 8 3 37,5%
17 Bali 9 1 11%
18 West Nusa Tenggara 10 4 40,0%
19 East Nusa Tenggara 22 9 40,9%
20 West Kalimantan 14 1 7,1%
21 Central Kalimantan 14 0 0,0%
22 South Kalimantan 13 2 15%
23 East Kalimantan 10 1 10,0%
24 North Kalimantan 5 3 60,0%
25 North Sulawesi 15 1 6,7%
26 Central Sulawesi 13 5 38,5%
27 South Sulawesi 24 2 8,3%
28 Southeast Sulawesi 17 0 0,0%
29 Gorontalo 6 2 33,3%
30 West Sulawesi 6 3 50,0%
31 Maluku 11 0 0,0%
32 North Maluku 10 1 10,0%
33 West Papua 13 0 0,0%

Indonesia 514 74 74,00%


34 Papua 29 1 3,4%

Renstra Target for 2021 = 100 Districts/Cities


Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022

2021 Achievement = 74 Regencies/Cities (74%)


Appendix 70.d
NUMBER OF REGENCIES/CITIES CONDUCTING WITH ≤ 80% PUSKESMAS PROVIDING INTEGRATED NON-COMMUNICABLE
BY PROVINCE YEAR 2021

Number of Regencies/Cities Conducting PANDU Services


No Province
Regencies/Cities Total %
(1) (2) (3) (4) (5)
23 10
33 4
1 Aceh 43,5

19 8
2 North Sumatera 12,1

12 3
3 West Sumatera 42,1

11 1
4 Riau 25,0

17 13
5 Jambi 9,1

10 8
6 South Sumatera 76,5

15 13
7 Bengkulu 80,0

7 6
8 Lampung 86,7

7 3
9 Bangka Belitung Islands 85,7

6 3
10 Riau Islands 42,9

27 9
11 DKI Jakarta 50,0

35 8
12 West Java 33,3

5 1
13 Central Java 22,9

38 14
14 DI Yogyakarta 20,0

8 0
15 East Java 36,8

9 4
16 Banten 0,0

10 6
17 Bali 44,4

22 7
18 West Nusa Tenggara 60,0

14 7
19 East Nusa Tenggara 31,8

14 5
20 West Kalimantan 50,0

13 1
21 Central Kalimantan 35,7

10 2
22 South Kalimantan 7,7

5 2
23 East Kalimantan 20,0

15 0
24 North Kalimantan 40,0

13 1
25 North Sulawesi 0,0

24 15
26 Central Sulawesi 7,7

17 8
27 South Sulawesi 62,5

6 2
28 Southeast Sulawesi 47,1

6 2
29 Gorontalo 33,3

11 2
30 West Sulawesi 33,3

10 0
31 Maluku 18,2

13 0
32 North Maluku 0,0

29 0
33 West Papua 0,0

Indonesia 514 168


34 Papua 0,0
32,7
Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 70.d

NUMBER OF REGENCIES/CITIES IMPLEMENTING EARLY DETECTION OF SENSSORY DISORDERS IN 40% OF THE POPULATION
BY PROVINCE YEAR 2021

Regencies/Cities Implementing Early Detection of


RENSTRA Target (Number of Regenciess/Cities)
Number of Sensory Disorders at 40%
No Province
Regencies/Cities
2021 2022 2023 2024 Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1 Aceh 23 9 14 16 23 4 43,4
2 North Sumatera 33 13 20 23 33 1 7,6
3 West Sumatera 19 8 11 13 19 1 13,1
4 Riau 12 5 7 8 12 0 0,0
5 Jambi 11 4 7 8 11 0 0,0
6 South Sumatera 17 7 10 12 17 3 44,0
7 Bengkulu 10 4 6 7 10 0 0,0
8 Lampung 15 6 9 11 15 6 99,8
9 Bangka Belitung Islands 7 3 4 5 7 2 71,3
10 Riau Islands 7 3 4 5 7 0 0,0
11 DKI Jakarta 6 2 4 4 6 6 249,5
12 West Java 27 11 16 19 27 5 46,2
13 Central Java 35 14 21 25 35 11 78,4
14 DI Yogyakarta 5 2 3 4 5 0 0,0
15 East Java 38 15 23 27 38 24 157,6
16 Banten 8 3 5 6 8 4 124,8
17 Bali 9 4 5 6 9 1 27,7
18 West Nusa Tenggara 10 4 6 7 10 5 124,8
19 East Nusa Tenggara 22 9 13 15 22 4 45,4
20 West Kalimantan 14 6 8 10 14 2 35,6
21 Central Kalimantan 14 6 8 10 14 2 35,6
22 South Kalimantan 13 5 8 9 13 5 96,0
23 East Kalimantan 10 4 6 7 10 1 25,0
24 North Kalimantan 5 2 3 4 5 0 0,0
25 North Sulawesi 15 6 9 11 15 3 49,9
26 Central Sulawesi 13 5 8 9 13 1 19,2
27 South Sulawesi 24 10 14 17 24 2 20,8
28 Southeast Sulawesi 17 7 10 12 17 3 44,0
29 Gorontalo 6 2 4 4 6 1 41,6
30 West Sulawesi 6 2 4 4 6 0 0,0
31 Maluku 11 4 7 8 11 0 0,0
32 North Maluku 10 4 6 7 10 1 25,0
33 West Papua 13 5 8 9 13 0 0,0

Indonesia 514 206 308 360 514 98 47,6


34 Papua 29 12 17 20 29 0 0,0

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 71.a
NUMBER OF REGENCIES/CITIES IMPLEMENTING EARLY DETECTION OF MENTAL HEALTH AND DRUG ABUSE
BY PROVINCE IN INDONESIA YEAR 2021

Number of Regencies/Cities % of Regencies/Cities


Number of Number of Targeted Implementing Early Detection Implementing Early Detection
No Province
Regencies/Cities Regencies/Cities of Mental Health and Drug of Mental Health and Drug
Abuse Abuse
(1) (2) (3) (4) (5) (6)
1 Aceh 23 17 23 100,0
2 North Sumatera 33 24 21 63,6
3 West Sumatera 19 14 15 78,9
4 Riau 12 9 4 33,3
5 Jambi 11 8 8 72,7
6 South Sumatera 17 13 15 88,2
7 Bengkulu 10 7 4 40,0
8 Lampung 15 11 15 100,0
9 Bangka Belitung Islands 7 5 7 100,0
10 Riau Islands 7 5 4 57,1
11 DKI Jakarta 6 4 6 100,0
12 West Java 27 21 24 88,9
13 Central Java 35 26 19 54,3
14 DI Yogyakarta 5 4 5 100,0
15 East Java 38 29 38 100,0
16 Banten 8 6 5 62,5
17 Bali 9 7 8 88,9
18 West Nusa Tenggara 10 7 9 90,0
19 East Nusa Tenggara 22 16 2 9,1
20 West Kalimantan 14 10 8 57,1
21 Central Kalimantan 14 10 1 7,1
22 South Kalimantan 13 10 10 76,9
23 East Kalimantan 10 7 9 90,0
24 North Kalimantan 5 4 5 100,0
25 North Sulawesi 15 11 14 93,3
26 Central Sulawesi 13 10 2 15,4
27 South Sulawesi 24 18 17 70,8
28 Southeast Sulawesi 17 13 1 5,9
29 Gorontalo 6 4 6 100,0
30 West Sulawesi 6 4 5 83,3
31 Maluku 11 8 7 63,6
32 North Maluku 10 7 7 70,0
33 West Papua 13 10 0 0,0

Indonesia 514 380 327 63,6


34 Papua 29 21 3 10,3

Source: Directorate General of Diseases Prevention and Control, Ministry of Health of the Republic of Indonesia, 2022
Appendix 71.b
NUMBER OF DRUGS ABUSERS RECEIVING MEDICAL SERVICES
BY PROVINCE IN INDONESIA UP TO 2022

No Province Baseline 2011 until 2019 2020 Target 2020 Achievements 2021 Target 2021 Achievements 2011-2021 Achievements

(1) (2) (3) (4) (5) (6) (7) (8)


1 Aceh 207 229 67 252 75 349
2 North Sumatera 69 101 0 133 0 69
3 West Sumatera 416 434 19 453 25 460
4 Riau 795 807 41 818 16 852
5 Jambi 184 195 10 205 13 207
6 South Sumatera 1177 1194 84 1211 66 1327
7 Bengkulu 100 110 5 119 0 105
8 Lampung 393 408 18 422 26 437
9 Bangka Belitung Islands 72 79 5 86 5 82
10 Riau Islands 27 34 0 41 0 27
11 DKI Jakarta 1115 1121 30 1127 24 1169
12 West Java 730 756 48 783 37 815
13 Central Java 244 278 20 312 19 283
14 DI Yogyakarta 191 196 23 201 22 236
15 East Java 529 566 29 603 46 604
16 Banten 150 158 0 166 0 150
17 Bali 155 164 15 173 24 194
18 West Nusa Tenggara 301 311 11 320 27 339
19 East Nusa Tenggara 2 23 0 45 0 2
20 West Kalimantan 241 250 4 268 18 263
21 Central Kalimantan 194 208 11 221 16 221
22 South Kalimantan 1116 1129 97 1141 102 1315
23 East Kalimantan 502 512 7 521 0 509
24 North Kalimantan 14 19 0 24 0 14
25 North Sulawesi 4 18 0 32 0 4
26 Central Sulawesi 14 27 0 39 0 14
27 South Sulawesi 30 53 3 77 3 36
28 Southeast Sulawesi 1 19 0 35 0 1
29 Gorontalo 0 6 0 12 0 0
30 West Sulawesi 1 7 38 13 0 39
31 Maluku 6 17 0 27 0 6
32 North Maluku 12 22 0 31 0 12
33 West Papua 3 16 0 28 0 3

Indonesia 9000 9500 585 10000 564 10149


34 Papua 5 33 0 61 0 5

Source: Directorate General of P2P, Ministry of Health of the Republic of Indonesia, 2022
Appendix 72.a
PERCENTAGE OF DRINKING WATER FACILITIES SUPERVISED FOR THEIR QUALITY IN ACCORDANCE WITH STANDARD BY PROVINCE
YEAR 2021

Standards Compliant Drinking Water Facilities

Number of Drinking Number of Meet


No Province Number of Drinking Requirement
Water Facilities*
Water Facilities in % Drinking Water %
IKL Facilities

(1) (2) (3) (4) (5) (6) (7)


1 Aceh 977 672 68,8 672 68,8
2 North Sumatera 1.317 963 73,1 963 73,1
3 West Sumatera 2.120 551 26,0 551 26,0
4 Riau 1.269 554 43,7 554 43,7
5 Jambi 780 679 87,1 679 87,1
6 South Sumatera 1.842 1.805 98,0 1.805 98,0
7 Bengkulu 584 288 49,3 288 49,3
8 Lampung 1.327 1.247 94,0 1.247 94,0
9 Bangka Belitung Islands 205 131 63,9 131 63,9
10 Riau Islands 195 66 33,8 66 33,8
11 DKI Jakarta 6 6 100,0 6 100,0
12 West Java 2.223 1.726 77,6 1.726 77,6
13 Central Java 5.148 4.706 91,4 4.706 91,4
14 DI Yogyakarta 250 236 94,4 236 94,4
15 East Java 2.426 2.078 85,7 2.078 85,7
16 Banten 744 591 79,4 591 79,4
17 Bali 364 90 24,7 90 24,7
18 West Nusa Tenggara 608 571 93,9 571 93,9
19 East Nusa Tenggara 2.140 1.924 89,9 1.924 89,9
20 West Kalimantan 945 355 37,6 355 37,6
21 Central Kalimantan 654 527 80,6 527 80,6
22 South Kalimantan 1.326 327 24,7 327 24,7
23 East Kalimantan 307 198 64,5 198 64,5
24 North Kalimantan 202 185 91,6 185 91,6
25 North Sulawesi 638 543 85,1 543 85,1
26 Central Sulawesi 1.286 1.179 91,7 1.179 91,7
27 South Sulawesi 1.588 1.300 81,9 1.300 81,9
28 Southeast Sulawesi 742 635 85,6 635 85,6
29 Gorontalo 452 404 89,4 404 89,4
30 West Sulawesi 495 36 7,3 36 7,3
31 Maluku 690 446 64,6 446 64,6
32 North Maluku 437 382 87,4 382 87,4
33 West Papua 483 143 29,6 143 29,6

Indonesia 35.517 25.918 73,0 25.918 73,0


34 Papua 747 374 50,1 374 50,1

Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
Ket* Drinking water facility that have organizers are :
1. Drinking Water Facility Management Group (KPSPAM) Community Based Drinking Water and Sanitation Provision
(PAMSIMAS)
2. Drinking Water Facility Management Group (KPSPAM) Community Based Drinking Water and Total Sanitation
Provision (PAMSTBM) non PAMSIMAS
3. Regional Drinking Water Enterprise (PDAM) / Regional Owned Enterprise (BUMD)
4. Village Owned Enterprise (BUMDES)
5. Business Entity for Own Needs (BUKS) : School, apartement, industry/offices, Public Health Facility (Fasyankes)
6. Drinking Water Depot/Water Terminal
Appendix 72.b
PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO PROPER DRINKING WATER BY PROVINCE
IN 2019-2021

No Province 2019 2020 2021


(1) (2) (3) (4) (5)
1 Aceh 85,81 87,66 88,79
2 North Sumatera 90,22 89,68 90,89
3 West Sumatera 81,44 83,37 83,40
4 Riau 87,42 88,25 89,76
5 Jambi 76,92 78,86 79,70
6 South Sumatera 80,37 80,78 84,70
7 Bengkulu 57,60 62,47 67,39
8 Lampung 73,30 74,97 80,20
9 Bangka Belitung Islands 73,45 75,06 73,40
10 Riau Islands 88,51 90,41 90,83
11 DKI Jakarta 99,82 99,84 99,86
12 West Java 92,30 93,42 93,24
13 Central Java 93,82 94,07 93,62
14 DI Yogyakarta 94,94 96,02 95,69
15 East Java 94,39 95,56 95,02
16 Banten 91,64 92,87 93,51
17 Bali 96,84 97,36 97,56
18 West Nusa Tenggara 93,93 94,13 94,60
19 East Nusa Tenggara 82,35 83,87 85,40
20 West Kalimantan 77,07 78,83 78,76
21 Central Kalimantan 73,27 74,91 77,05
22 South Kalimantan 69,45 70,36 76,40
23 East Kalimantan 83,54 85,51 85,80
24 North Kalimantan 87,90 89,50 86,80
25 North Sulawesi 90,81 90,31 91,65
26 Central Sulawesi 83,42 84,60 88,51
27 South Sulawesi 89,38 90,84 91,18
28 Southeast Sulawesi 89,66 92,49 91,94
29 Gorontalo 94,19 94,16 94,57
30 West Sulawesi 71,50 72,75 78,35
31 Maluku 90,83 91,68 93,21
32 North Maluku 85,04 86,90 88,66
33 West Papua 81,85 79,56 81,68
Papua

Indonesia 89,27 90,21 90,78


34 60,85 62,73 64,92

Source: Statistics Indonesia, Housing and Environmental Health Indicators, 2022


Appendix 73.a
NUMBER OF HOUSEHOLDERS WITH ACCESS TO DECENT SANITATION FACILITIES (HEALTHY LATRINES) BY PROVINCE
YEAR 2021

Number of Householder Facility Users Households with Access to Decent


Number of Sanitation Facilities (Healthy Latrines)
No Province Regency/City
Householders Semi-Permanent Healthy Permanent Healthy Latrine
Sharing/Communal
Latrine (JSSP) (JSP)
Total %
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1 Aceh 23 1.304.570 126.315 192.248 738.660 1.057.223 81,0
2 North Sumatera 33 3.665.892 254.415 669.876 2.200.986 3.125.277 85,3
3 West Sumatera 19 1.260.499 73.543 131.881 807.485 1.012.909 80,4
4 Riau 12 1.638.648 71.640 388.406 1.063.338 1.523.384 93,0
5 Jambi 11 919.053 63.350 204.170 572.042 839.562 91,4
6 South Sumatera 17 2.226.837 135.248 373.886 1.474.201 1.983.335 89,1
7 Bengkulu 10 571.803 24.978 101.133 385.629 511.740 89,5
8 Lampung 15 2.178.205 95.759 539.388 1.403.392 2.038.539 93,6
9 Bangka Belitung Islands 7 558.092 10.371 52.826 471.273 534.470 95,8
10 Riau Islands 7 734.664 13.130 34.365 562.989 610.484 83,1
11 DKI Jakarta 6 2.846.389 334.653 171.857 2.154.466 2.660.976 93,5
12 West Java 27 13.641.449 1.207.761 3.299.592 7.210.701 11.718.054 85,9
13 Central Java 35 10.495.294 1.077.656 1.107.502 7.895.824 10.080.982 96,1
14 DI Yogyakarta 5 1.088.699 53.773 98.041 936.885 1.088.699 100,0
15 East Java 38 11.726.452 906.594 1.553.034 8.619.807 11.079.435 94,5
16 Banten 8 3.151.332 1.659 5.225 110.331 117.215 3,7
17 Bali 9 1.064.269 70.101 26.455 914.710 1.011.266 95,0
18 West Nusa Tenggara 10 1.468.226 194.363 154.783 984.361 1.333.507 90,8
19 East Nusa Tenggara 22 1.187.027 138.484 363.992 577.343 1.079.819 91,0
20 West Kalimantan 14 1.315.163 42.747 892.800 32.160 967.707 73,6
21 Central Kalimantan 14 721.765 31.907 105.751 396.064 533.722 73,9
22 South Kalimantan 13 1.067.478 82.905 226.276 612.498 921.679 86,3
23 East Kalimantan 10 959.997 37.566 145.373 677.479 860.418 89,6
24 North Kalimantan 5 133.011 7.610 24.582 80.706 112.898 84,9
25 North Sulawesi 15 657.309 61.312 125.287 401.634 588.233 89,5
26 Central Sulawesi 13 793.353 48.614 91.076 492.506 632.196 79,7
27 South Sulawesi 24 2.188.790 163.935 220.212 1.791.793 2.175.940 99,4
28 Southeast Sulawesi 17 602.661 40.169 125.196 373.562 538.927 89,4
29 Gorontalo 6 317.969 84.138 8.327 158.807 251.272 79,0
30 West Sulawesi 6 304.759 29.721 21.709 210.618 262.048 86,0
31 Maluku 11 378.069 26.401 126.530 130.917 283.848 75,1
32 North Maluku 10 273.583 38.776 23.789 151.417 213.982 78,2
33 West Papua 13 117.759 12.262 11.780 58.231 82.273 69,9

Indonesia 514 72.199.585 5.599.054 11.731.437 44.863.708 62.194.199 86,1


34 Papua 29 640.519 37.198 114.089 210.893 362.180 56,5

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
Appendix 73.b
PERCENTAGE OF HOUSEHOLDS WITH ACCESS TO DECENT SANITATION BY PROVINCE
IN 2019-2021

No Province 2019 2020 2021


(1) (2) (3) (4) (5)
1 Aceh 73,16 77,06 77,55
2 North Sumatera 79,59 81,08 82,02
3 West Sumatera 63,98 68,11 68,68
4 Riau 80,04 83,99 83,64
5 Jambi 75,60 77,82 80,36
6 South Sumatera 74,67 76,94 77,29
7 Bengkulu 75,91 78,10 79,81
8 Lampung 79,22 78,81 83,89
9 Bangka Belitung Islands 90,32 92,58 92,24
10 Riau Islands 89,13 89,19 91,62
11 DKI Jakarta 92,89 93,04 95,17
12 West Java 69,64 71,40 71,66
13 Central Java 80,29 83,24 83,28
14 DI Yogyakarta 94,67 96,96 97,12
15 East Java 78,78 80,98 80,97
16 Banten 81,01 82,00 82,89
17 Bali 94,59 95,01 95,95
18 West Nusa Tenggara 80,02 82,89 82,85
19 East Nusa Tenggara 64,55 69,70 73,36
20 West Kalimantan 72,08 75,81 78,39
21 Central Kalimantan 69,23 72,31 73,77
22 South Kalimantan 76,56 81,17 81,43
23 East Kalimantan 89,27 89,17 89,77
24 North Kalimantan 77,20 82,09 79,80
25 North Sulawesi 82,36 85,49 84,85
26 Central Sulawesi 71,95 74,61 76,06
27 South Sulawesi 87,80 88,96 91,57
28 Southeast Sulawesi 79,75 82,38 85,62
29 Gorontalo 74,57 75,68 78,58
30 West Sulawesi 73,39 77,07 80,12
31 Maluku 70,00 75,06 76,77
32 North Maluku 72,52 75,99 77,11
33 West Papua 76,39 78,71 77,89
Papua

Indonesia 77,39 79,53 80,29


34 38,27 40,31 40,81

Source: Statistics Indonesia, Housing and Environmental Health Indicators, 2022


Appendix 74
PERCENTAGE OF VILLAGES/SUB-DISTRICTS IMPLEMENTING STOP OPEN DEFECATION (SBS) BY PROVINCE
YEAR 2021

Community Based Total Sanitation (STBM)


Number of Villages / Villages Implementing Stop Open
No Province Regency / City Villages Implementing CBTS
Subdistricts Defecation (SBS)
Total % Total %
(1) (2) (3) (4) (5) (6) (7) (8)
1 Aceh 23 6.497 4.629 71,2 1.481 22,8
2 North Sumatera 33 6.110 3.928 64,3 1.174 19,2
3 West Sumatera 19 1.158 865 74,7 381 32,9
4 Riau 12 1.859 1.642 88,3 851 45,8
5 Jambi 11 1.562 1.260 80,7 783 50,1
6 South Sumatera 17 3.240 2.827 87,3 1.756 54,2
7 Bengkulu 10 1.513 1.288 85,1 581 38,4
8 Lampung 15 2.640 2.288 86,7 1.758 66,6
9 Bangka Belitung Islands 7 391 391 100,0 267 68,3
10 Riau Islands 7 417 400 95,9 104 24,9
11 DKI Jakarta 6 267 267 100,0 33 12,4
12 West Java 27 5.957 5.043 84,7 3.920 65,8
13 Central Java 35 8.562 8.563 100,0 7.303 85,3
14 DI Yogyakarta 5 438 438 100,0 438 100,0
15 East Java 38 8.501 8.070 94,9 6.151 72,4
16 Banten 8 1.551 1.442 93,0 346 22,3
17 Bali 9 716 715 99,9 326 45,5
18 West Nusa Tenggara 10 1.140 1.131 99,2 958 84,0
19 East Nusa Tenggara 22 3.353 2.912 86,8 2.632 78,5
20 West Kalimantan 14 2.130 1.402 65,8 285 13,4
21 Central Kalimantan 14 1.571 1.338 85,2 501 31,9
22 South Kalimantan 13 2.008 1.828 91,0 912 45,4
23 East Kalimantan 10 1.038 841 81,0 364 35,1
24 North Kalimantan 5 482 403 83,6 200 41,5
25 North Sulawesi 15 1.839 1.053 57,3 1.476 80,3
26 Central Sulawesi 13 2.017 1.564 77,5 809 40,1
27 South Sulawesi 24 3.047 3.047 100,0 2.933 96,3
28 Southeast Sulawesi 17 2.288 1.526 66,7 946 41,3
29 Gorontalo 6 729 517 70,9 78 10,7
30 West Sulawesi 6 648 525 81,0 197 30,4
31 Maluku 11 1.233 397 32,2 178 14,4
32 North Maluku 10 1.181 554 46,9 194 16,4
33 West Papua 13 1.837 412 22,4 141 7,7

Indonesia 514 83.441 64.495 77,3 40.665 48,7


34 Papua 29 5.521 989 17,9 208 3,8

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2021; Ministry of Home Affairs,2019 (The Regulation of the Ministry of Home Affairs No. 72 of 2019)
SBS (Stop Open Defecation)
Appendix 75
PERCENTAGE OF PUBLIC PLACES AND FACILITIES (TFU) CONTROLLED ACCORDING TO STANDARD REGULATION BY PROVINCE
YEAR 2021

Registered Public Places and Facilities (TFU) TFU Under Standardized Supervision

No Province Educational Facilities (Primary and


Educational Facilities Number of Registered Market Puskesmas Total
Market Puskesmas Secondary)
(Primary and Secondary) TFU
∑ % ∑ % ∑ % ∑ %
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Aceh 501 45 101 647 93 18,6 30 66,7 32 31,7 155 24,0
2 North Sumatera 1.824 122 205 2151 734 40,2 56 45,9 108 52,7 898 41,7
3 West Sumatera 2.934 215 198 3347 2.259 77,0 160 74,4 143 72,2 2.562 76,5
4 Riau 2.707 258 179 3144 1.831 67,6 151 58,5 96 53,6 2.078 66,1
5 Jambi 1.687 124 190 2001 674 40,0 68 54,8 154 81,1 896 44,8
6 South Sumatera 1.054 126 93 1273 276 26,2 60 47,6 29 31,2 365 28,7
7 Bengkulu 1.890 146 164 2200 1.578 83,5 135 92,5 142 86,6 1.855 84,3
8 Lampung 1.298 161 111 1570 446 34,4 68 42,2 33 29,7 547 34,8
9 Bangka Belitung Islands 712 33 36 781 494 69,4 30 90,9 23 63,9 547 70,0
10 Riau Islands 549 16 36 601 126 23,0 7 43,8 8 22,2 141 23,5
11 DKI Jakarta 2.380 113 220 2713 1810 76,1 89 78,8 159 72,3 2.058 75,9
12 West Java 4.899 273 592 5764 2.361 48,2 107 39,2 333 56,3 2.801 48,6
13 Central Java 9.609 682 702 10993 7.289 75,9 422 61,9 485 69,1 8.196 74,6
14 DI Yogyakarta 1.601 99 87 1787 278 17,4 15 15,2 11 12,6 304 17,0
15 East Java 12.325 682 716 13723 7.970 64,7 348 51,0 503 70,3 8.821 64,3
16 Banten 2.879 92 136 3107 1.744 60,6 65 70,7 82 60,3 1.891 60,9
17 Bali 1.557 197 120 1874 1.020 65,5 118 59,9 75 62,5 1.213 64,7
18 West Nusa Tenggara 1.816 51 94 1961 671 36,9 19 37,3 20 21,3 710 36,2
19 East Nusa Tenggara 1.578 98 102 1778 477 30,2 41 41,8 40 39,2 558 31,4
20 West Kalimantan 970 50 119 1139 524 54,0 14 28,0 41 34,5 579 50,8
21 Central Kalimantan 1.286 78 110 1474 871 67,7 52 66,7 81 73,6 1.004 68,1
22 South Kalimantan 900 40 79 1019 469 52,1 25 62,5 43 54,4 537 52,7
23 East Kalimantan 2.360 77 173 2610 1.645 69,7 41 53,2 139 80,3 1.825 69,9
24 North Kalimantan 379 14 20 413 215 56,7 9 64,3 15 75,0 239 57,9
25 North Sulawesi 25 9 20 54 21 84,0 1 11,1 7 35,0 29 53,7
26 Central Sulawesi 1.174 115 81 1370 585 49,8 61 53,0 48 59,3 694 50,7
27 South Sulawesi 3.493 441 322 4256 2.559 73,3 212 48,1 185 57,5 2.956 69,5
28 Southeast Sulawesi 1.938 194 161 2293 961 49,6 114 58,8 83 51,6 1.158 50,5
29 Gorontalo 96 40 53 189 59 61,5 6 15,0 6 11,3 71 37,6
30 West Sulawesi 1.119 95 80 1294 721 64,4 67 70,5 58 72,5 846 65,4
31 Maluku 0 1 1 2 0 0,0 0 0,0 1 100,0 1 50,0
32 North Maluku 198 7 49 254 120 60,6 2 28,6 28 57,1 150 59,1
33 West Papua 370 11 69 450 190 51,4 6 54,5 34 49,3 230 51,1

Indonesia 68.580 78.832


Papua

4.733 5.519 41.394 60,4 2.618 55,3 3.319 60,1 47.331 60,0
34 472 28 100 600 323 68,4 19 67,9 74 74,0 416 69,3

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
Appendix 76.a
PERCENTAGE OF FOOD MANAGEMENT PLACES (TPP) MEETING STANDARD REQUIREMENTS BY PROVINCE
YEAR 2021

Registered TPP TPP that Meet Requirements Acccording to Standard

Number of Meet
Drinking Water Depot Snack Food/ Canteen/ Snack
No Province Snack Food/ Catering Services Restaurant Requirements TPP
Catering Drinking Water Number of (DAM) Shop
Restaurant Canteen/ Snack According to Standard
Services Depot (DAM) Registered TPP
Shop
Total % Total % Total % Total % Total %
(1) (2) (3) eaetry (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1 Aceh 331 2.129 2.214 2.613 7.287 36 10,9 300 14,1 460 20,8 403 15,4 1.199 16,5
2 North Sumatera 223 1.624 1.771 1.464 5.082 59 26,5 419 25,8 750 42,3 566 38,7 1.794 35,3
3 West Sumatera 318 1.906 2.548 2.627 7.399 43 13,5 743 39,0 1.677 65,8 1.418 54,0 3.881 52,5
4 Riau 370 2.133 2.625 2.135 7.263 190 51,4 920 43,1 1.424 54,2 850 39,8 3.384 46,6
5 Jambi 170 1.310 1.555 1.363 4.398 95 55,9 620 47,3 966 62,1 792 58,1 2.473 56,2
6 South Sumatera 224 1.001 991 920 3.136 95 42,4 459 45,9 484 48,8 529 57,5 1.567 50,0
7 Bengkulu 97 577 795 1.421 2.890 30 30,9 296 51,3 525 66,0 714 50,2 1.565 54,2
8 Lampung 301 2.008 1.621 2.403 6.333 112 37,2 968 48,2 878 54,2 1.494 62,2 3.452 54,5
9 Bangka Belitung Islands 79 712 1.167 947 2.905 36 45,6 531 74,6 686 58,8 655 69,2 1.908 65,7
10 Riau Islands 330 1.830 1.410 1.428 4.998 204 61,8 918 50,2 895 63,5 527 36,9 2.544 50,9
11 DKI Jakarta 474 4.462 2.773 3.937 11.646 185 39,0 5.046 113,1 734 26,5 2.255 57,3 8.220 70,6
12 West Java 1.718 5.178 9.175 8.146 24.217 605 35,2 1.518 29,3 3.245 35,4 2.850 35,0 8.218 33,9
13 Central Java 2.083 3.434 7.077 3.666 16.260 1597 76,7 2.631 76,6 6.112 86,4 2.605 71,1 12.945 79,6
14 DI Yogyakarta 248 375 358 1.843 2.824 133 53,6 244 65,1 270 75,4 1.347 73,1 1.994 70,6
15 East Java 1.811 3.248 7.240 7.506 19.805 855 47,2 1.902 58,6 5.165 71,3 4.692 62,5 12.614 63,7
16 Banten 595 1.595 3.787 616 6.593 252 42,4 594 37,2 1.711 45,2 204 33,1 2.761 41,9
17 Bali 176 1.572 447 2.701 4.896 57 32,4 1.030 65,5 339 75,8 1.503 55,6 2.929 59,8
18 West Nusa Tenggara 361 1.120 570 1.425 3.476 112 31,0 465 41,5 283 49,6 693 48,6 1.553 44,7
19 East Nusa Tenggara 221 1.478 831 508 3.038 30 13,6 486 32,9 340 40,9 138 27,2 994 32,7
20 West Kalimantan 163 1.393 1.289 2.027 4.872 68 41,7 528 37,9 724 56,2 862 42,5 2.182 44,8
21 Central Kalimantan 125 814 1.541 1.423 3.903 59 47,2 333 40,9 806 52,3 1.026 72,1 2.224 57,0
22 South Kalimantan 212 1.042 2.279 3.946 7.479 51 24,1 362 34,7 1.209 53,0 1.735 44,0 3.357 44,9
23 East Kalimantan 479 2.775 3.703 3.189 10.146 262 54,7 1.352 48,7 2.292 61,9 1.927 60,4 5.833 57,5
24 North Kalimantan 68 537 666 1.541 2.812 40 58,8 282 52,5 380 57,1 1.165 75,6 1.867 66,4
25 North Sulawesi 81 917 630 489 2.117 23 28,4 284 31,0 279 44,3 327 66,9 913 43,1
26 Central Sulawesi 127 1.246 1.270 1.329 3.972 84 66,1 952 76,4 1.049 82,6 1.138 85,6 3.223 81,1
27 South Sulawesi 323 3.626 2.156 5.241 11.346 144 44,6 1.565 43,2 1.207 56,0 2.542 48,5 5.458 48,1
28 Southeast Sulawesi 83 1.242 856 2.335 4.516 19 22,9 426 34,3 360 42,1 1.200 51,4 2.005 44,4
29 Gorontalo 79 489 575 869 2.012 22 27,8 124 25,4 243 42,3 156 18,0 545 27,1
30 West Sulawesi 38 768 330 319 1.455 15 39,5 344 44,8 206 62,4 142 44,5 707 48,6
31 Maluku 55 434 307 373 1.169 18 32,7 171 39,4 223 72,6 176 47,2 588 50,3
32 North Maluku 66 283 181 182 712 20 30,3 146 51,6 120 66,3 123 67,6 409 57,4
33 West Papua 73 595 296 198 1.162 30 41,1 261 43,9 148 50,0 112 56,6 551 47,4

Indonesia 12.223 54.700 65.657 72.269 204.849 5.616 45,9 27.550 50,4 36.602 55,7 37.622 52,1 107.390 52,4
34 Papua 121 847 623 1.139 2.730 35 28,9 330 39,0 412 66,1 756 66,4 1.533 56,2

Source : Directorate General P2P of Ministry of Health of the Republic of Indonesia, 2021
Appendix 76.b
NUMBER OF HEALTHY REGENCIES/ CITIES BY PROVINCE
YEAR 2021

No Provinsi Number of Regencies/Cities Number of Healthy Regencies/Cities %

(1) (2) (3) (4) (5)


1 Aceh 23 1 4,3
2 North Sumatera 33 4 12,1
3 West Sumatera 19 10 52,6
4 Riau 12 4 33,3
5 Jambi 11 10 90,9
6 South Sumatera 17 8 47,1
7 Bengkulu 10 6 60,0
8 Lampung 15 5 33,3
9 Bangka Belitung Islands 7 6 85,7
10 Riau Islands 7 6 85,7
11 DKI Jakarta 6 1 16,7
12 West Java 27 25 92,6
13 Central Java 35 12 34,3
14 DI Yogyakarta 5 5 100,0
15 East Java 38 30 78,9
16 Banten 8 5 62,5
17 Bali 9 9 100,0
18 West Nusa Tenggara 10 0 0,0
19 East Nusa Tenggara 22 0 0,0
20 West Kalimantan 14 1 7,1
21 Central Kalimantan 14 4 28,6
22 South Kalimantan 13 9 69,2
23 East Kalimantan 10 3 30,0
24 North Kalimantan 5 3 60,0
25 North Sulawesi 15 15 100,0
26 Central Sulawesi 13 2 15,4
27 South Sulawesi 24 24 100,0
28 Southeast Sulawesi 17 5 29,4
29 Gorontalo 6 6 100,0
30 West Sulawesi 6 0 0,0
31 Maluku 11 0 0,0
32 North Maluku 10 1 10,0
33 West Papua 13 0 0,0
Papua

Indonesia 514 221 43,0


34 29 1 3,4

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia,, 2022
Appendix 76.c
NUMBER OF HEALTH SERVICE FACILITIES (FASYANKES) HAVING MEDICAL WASTE MANAGEMENT
ACCORDING TO STANDARDS BY PROVINCE YEAR 2021

Number of Hospitals and Puskesmas


Number of Hospitals and
No Province Conducting Medical Waste %
Puskesmas
Management
(1) (2) (3) (4) (5)
1 Aceh 423 7 1,7
2 North Sumatera 780 126 16,2
3 West Sumatera 356 23 6,5
4 Riau 294 86 29,3
5 Jambi 235 31 13,2
6 South Sumatera 405 90 22,2
7 Bengkulu 209 87 41,6
8 Lampung 401 313 78,1
9 Bangka Belitung Islands 86 38 44,2
10 Riau Islands 112 40 35,7
11 DKI Jakarta 512 137 26,8
12 West Java 1399 231 16,5
13 Central Java 1176 585 49,7
14 DI Yogyakarta 196 76 38,8
15 East Java 1339 647 48,3
16 Banten 339 215 63,4
17 Bali 177 31 17,5
18 West Nusa Tenggara 198 17 8,6
19 East Nusa Tenggara 440 10 2,3
20 West Kalimantan 294 44 15,0
21 Central Kalimantan 230 16 7,0
22 South Kalimantan 277 12 4,3
23 East Kalimantan 236 107 45,3
24 North Kalimantan 64 5 7,8
25 North Sulawesi 240 47 19,6
26 Central Sulawesi 248 77 31,0
27 South Sulawesi 568 276 48,6
28 Southeast Sulawesi 324 11 3,4
29 Gorontalo 110 1 0,9
30 West Sulawesi 108 11 10,2
31 Maluku 243 10 4,1
32 North Maluku 160 2 1,3
33 West Papua 181 3 1,7

Indonesia
Papua

12.831 3.421 26,7


34 471 9 1,9

Directorate General of Health Services, Ministry of Health of the Republic of Indonesia, 2022
Appendix 76.d
PERCENTAGE OF REGENCIES/CITIES IMPLEMENTING HEALTHY COMMUNITY MOVEMENT (GERMAS)
YEAR 2021

Number of Regencies/Cities
No Province Number of Regencies/Cities %
Implementing Germas Policy

(1) (2) (3) (4) (5)


1 Aceh 23 3 13,0
2 North Sumatera 33 6 18,2
3 West Sumatera 19 6 31,6
4 Riau 12 10 83,3
5 Jambi 11 5 45,5
6 South Sumatera 17 4 23,5
7 Bengkulu 10 10 100,0
8 Lampung 15 11 73,3
9 Bangka Belitung Islands 7 3 42,9
10 Riau Islands 7 5 71,4
11 DKI Jakarta 6 3 50,0
12 West Java 27 11 40,7
13 Central Java 35 29 82,9
14 DI Yogyakarta 5 5 100,0
15 East Java 38 26 68,4
16 Banten 8 3 37,5
17 Bali 9 6 66,7
18 West Nusa Tenggara 10 10 100,0
19 East Nusa Tenggara 22 2 9,1
20 West Kalimantan 14 6 42,9
21 Central Kalimantan 14 10 71,4
22 South Kalimantan 13 12 92,3
23 East Kalimantan 10 7 70,0
24 North Kalimantan 5 2 40,0
25 North Sulawesi 15 2 13,3
26 Central Sulawesi 13 7 53,8
27 South Sulawesi 24 4 16,7
28 Southeast Sulawesi 17 7 41,2
29 Gorontalo 6 4 66,7
30 West Sulawesi 6 1 16,7
31 Maluku 11 1 9,1
32 North Maluku 10 10 100,0
33 West Papua 13 1 7,7

Indonesia
Papua

514 232 45,1


34 29 0 0,0

Source: Directorate General of Public Health, Ministry of Health of the Republic of Indonesia, 2022
Appendix 76.e
PERCENTAGE OF HOUSEHOLDS LIVING IN LIVABLE HOUSES BY PROVINCE
YEAR 2019-2021

No Province 2019 2020 2021


(1) (2) (3) (4) (5)
1 Aceh 57,41 63,21 64,43
2 North Sumatera 64,65 67,44 69,48
3 West Sumatera 51,42 56,87 56,67
4 Riau 62,94 68,44 70,63
5 Jambi 54,78 61,41 62,54
6 South Sumatera 52,24 55,25 57,86
7 Bengkulu 41,73 47,94 51,36
8 Lampung 52,00 53,22 61,56
9 Bangka Belitung Islands 26,16 30,64 27,60
10 Riau Islands 44,09 48,19 50,23
11 DKI Jakarta 34,25 33,18 40,00
12 West Java 49,29 52,28 53,14
13 Central Java 64,69 67,93 66,47
14 DI Yogyakarta 81,61 86,19 85,15
15 East Java 65,61 68,08 66,93
16 Banten 56,92 56,21 60,78
17 Bali 77,24 77,05 78,47
18 West Nusa Tenggara 56,35 62,53 62,90
19 East Nusa Tenggara 32,08 36,34 40,41
20 West Kalimantan 53,52 58,81 61,17
21 Central Kalimantan 47,90 51,97 55,34
22 South Kalimantan 46,73 52,99 57,50
23 East Kalimantan 65,55 70,80 70,70
24 North Kalimantan 60,76 66,73 65,65
25 North Sulawesi 64,61 69,48 69,50
26 Central Sulawesi 56,65 58,85 62,70
27 South Sulawesi 60,93 64,24 69,11
28 Southeast Sulawesi 59,82 66,77 70,45
29 Gorontalo 62,26 65,42 67,28
30 West Sulawesi 47,23 50,65 57,26
31 Maluku 51,75 57,50 60,69
32 North Maluku 59,03 62,14 63,85
33 West Papua 52,22 55,44 57,90
Papua

Indonesia 56,51 59,54 60,90


34 26,19 28,56 28,92

Source: Statistics Indonesia, Housing and Environmental Health IndicatorS March 2019-2021

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