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QSPTFT QFSBEBOHBO  EBO NFOZFCBCLBO LFTVMJUBO QFOZFSBQBO PLTJHFO TFIJOHHB PUPU
QFSOBGBTBO UBNCBIBO UVSVU CFSGVOHTJ TFIJOHHB UFSKBEJ LFTVLBSBO CFSOBGBT 4FCBHBJ
LPNQFOTBTJUVCVI LFNBNQVBOQBSVQBSVVOUVLNFOHFNCBOHCFSLVSBOHTFIJOHHBUVCVI
CFSFBLTJEFOHBOCFSOBGBTDFQBUBHBSUJEBLUFSKBEJIJQPLTJB LFLVSBOHBOPLTJHFOEJEBMBN
EBSBI  QBCJMB 1OFVNPOJB CFSUBNCBI QBSBI BLBO UFSKBEJ HBHBM OBGBT  EBO BOBL EBQBU
NFOJOHHBMLBSFOBIJQPLTJBCFSBU,FNBUJBOMFCJITFSJOHUFSKBEJQBEBCBEVUBLBSFOBTUSVLUVS
QBSVQBSVEBOQFSUBIBOBOUVCVIZBOHCFMVNTFNQVSOB
Paru-paru
Alveoli
normal
Infeksi pada alveoli
berisi cairan
(pneumonia)
Gambar 2.1 Alveoli normal dan alveoli dengan Pneumonia
3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5,
1OFVNPOJBEJTFCBCLBOPMFIWJSVT CBLUFSJ EBOKBNVS#BLUFSJQFOZFCBCQOFVNPOJB
ZBOHQBMJOHVNVNZBJUVStreptococcus pneumoniae QOFVNPLPLVT QFOZFCBCQBMJOHVNVN
EBSJ QOFVNPOJB CBLUFSJBM QBEB BOBLBOBL Haemophilus influenzae tipe b (Hib)  QFOZFCBC
QBMJOH VNVN LFEVB 7JSVT QFOZFCBC QOFVNPOJB ZBOH QBMJOH VNVN BEBMBI respiratory
syncytial virus
1OFVNPOJB EBQBU NFOZFCBS EFOHBO CFSCBHBJ DBSB 7JSVT EBO CBLUFSJ ZBOH CJBTB
EJUFNVLBOEJIJEVOHBUBVUFOHHPSPLBOBOBL EBQBUNFOHJOGFLTJQBSVQBSVKJLBUFSIJSVQTFSUB
EBQBUNFOZFCBSNFMBMVJQFSDJLBOMVEBITBBUCBUVLBUBVCFSTJOZBOHUFSCBXBVEBSB4FMBJOJUV 
QOFVNPOJBEBQBUNFOZFCBSNFMBMVJEBSBI UFSVUBNBTFMBNBEBOTFHFSBTFUFMBICBZJMBIJS
 150(/4*41/6.0/*
1OFVNPLPLVT Streptococcuspneumoniae BEBMBICBLUFSJHSBNQPTJUJGEJQMPLPLVTZBOH
NFSVQBLBOQFOZFCBCVUBNBQFOZBLJUJOGFLTJTBMVSBOOBGBTQBEBBOBL1OFVNPLPLVTKVHB
NFOZFCBCLBO NFOJOHJUJT  CBLUFSJFNJB  TFQTJT  TJOVTJUJT  PUJUJT NFEJB  EBO LPOKVOHUJWJUJT
UFSVUBNB QBEB CBEVUB EBO MBOTJB 1OFVNPLPLVT EJUFNVLBO TFCBHBJ GMPSB OPSNBM TBMVSBO
OBGBTBUBT OBNVOEBQBUNFOZFCBCLBOQFOZBLJUJOWBTJGNBVQVOOPOJOWBTJG,FNBNQVBO
1OFVNPLPLVT VOUVL NFOZFCBCLBO QFOZBLJU JOWBTJG CFSBTBM EBSJ WJSVMFOTJ LVNBO ZBOH
EJQFSBOLBOPMFIQPMJTBLBSJEBEBSJLBQTVMMVBSCBLUFSJ+JLBJOGFLTJ1OFVNPLPLVTNBTVLLF
QFSFEBSBOEBSBI JOWBTJG BOUBSBMBJOBLBOUFSKBEJ1OFVNPOJB CBLUFSJFNJB EBONFOJOHJUJT
ZBOHEJTFCVUInvasive Pneumococcal Diseases *1% 
1BUPHFOFTJT Invasive Pneumococcal Disease *1%  EJBXBMJ EFOHBO LPMPOJTBTJ CBLUFSJ
1OFVNPLPLVTTFSPUJQFQBUPHFOEJOBTPGBSJOHZBOHLFNVEJBONFOZFCBSTFDBSBMBOHTVOHLF
PSHBOTFLJUBSOZBBUBVNFMBMVJQFSFEBSBOEBSBI1FOZFCBSBOJOJEJQFOHBSVIJPMFICFCFSBQB
GBLUPSSJTJLPZBJUVVNVS CBMJUBEBOMBOTJB LVSBOHOZBQFNCFSJBO4*FLTLMVTJG HJ[JCVSVL 
QPMVTJ VEBSB EBMBN SVBOHBO indoor air pollution  NJTBMOZB BTBQ SPLPL  #FSBU #BEBO -BIJS
3FOEBI ##-3 LFQBEBUBOQFOEVEVL UJEBLNFOEBQBULBOJNVOJTBTJMFOHLBQ EBOCFSCBHBJ
QFOZBLJULSPOJT EJBCFUFTNFMJUVT IJQFSUFOTJ BTNB EBOMBJOMBJO 
Gambar 2.2 Patogenesis Invasive Pneumococcal Diseases (IPD)
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'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, 
4FSPUJQF 1OFVNPLPLVT EJUFOUVLBO PMFI QPMJTBLBSJEB ZBOH NFMJOHLBSJ EJOEJOH TFM
4BNQBJ TBBU JOJ UFMBI EBQBU EJJEFOUJGJLBTJ MFCJI EBSJ  TFSPUJQF  OBNVO IBOZB CFCFSBQB
TFSPUJQFNFOZFCBCLBOQFOZBLJUTFSJVT *1% ZBOHEJTFCVUTFCBHBJUJQFQBUPHFO#FSEBTBSLBO
IBTJMQFOFMJUJBO4PFXJHOKP ELLQBEBUBIVOZBOHEJCBOEJOHLBOEFOHBOQFOFMJUJBO4SJ
3F[FLJ)BEJOFHPSP ELLQBEBUBIVOEJ-PNCPL EJEBQBULBOCBIXBTFKBLTFCFMVNFSB
WBLTJO1$7NBVQVOTFTVEBINFNBTVLJFSB1$7 LVSBOHMFCJITFMBNBUBIVO UJEBLBEB
QFSVCBIBOTFSPUJQF1OFVNPLPLVTQBEBLPMPOJTBTJEJOBTPGBSJOH)BMJOJEJTFCBCLBOLBSFOBEJ
-PNCPLCFMVNEJMBLVLBOJNVOJTBTJ1$7TFDBSBMVBTEBONFSBUB
%JBHOPTJT*1%EJUFHBLLBOCFSEBTBSLBOIBTJMLVMUVSS. pneumoniaeQPTJUJGEBSJTFEJBBO
EBSBI BUBV DBJSBO TFSFCSPTQJOBM 1FSNBTBMBIBO ZBOH EJIBEBQJ TBBU JOJ BEBMBI TVMJUOZB
NFOVNCVILBOLVMUVSEBSJJTPMBU1OFVNPLPLVT ZBJUVIBOZBTFLJUBSEBSJLBTVT'BLUPSJOJ
EJTFCBCLBOTJGBU1OFVNPLPLVTZBOHTVMJUEJCJBLLBOEBOQFOHHVOBBOBOUJCJPUJLTFCFMVNOZB
.BTBMBI MBJOOZB ZBJUV QFOJOHLBUBO SFTJTUFOTJ S. pneumoniae UFSIBEBQ QFOJTJMJO EBO
BOUJCJPUJL MBJO TFIJOHHB NFOJNCVMLBO LFTVMJUBO EBMBN UBUB MBLTBOB EBO NFOJOHLBULBO
LPNQMJLBTJ TFSUB BOHLB LFNBUJBO BLJCBU *1% 1PMB SFTJTUFOTJ S. pneumoniae EJ OFHBSB
CFSLFNCBOH CFSCFEB EFOHBO OFHBSB NBKV  ZBJUV EJEBQBULBO BOHLB SFTJTUFOTJ UFSIBEBQ
LPUSJNPLTB[PMZBOHKBVIMFCJIUJOHHJEBSJQFOJTJMJO1FOFMJUJBOZBOHUFSBLIJSEJMBLTBOBLBOEJ
,BCVQBUFO -PNCPL 5FOHBI QBEB UBIVO  NFOVOKVLLBO SFTJTUFOTJ 1OFVNPLPLVT
UFSIBEBQ LPUSJNPLTB[PM UFMBI NFODBQBJ   QBEBIBM TBBU JUV BOUJCJPUJL UFSTFCVU NBTJI
EJHVOBLBO TFCBHBJ PCBU QJMJIBO VUBNB EBMBN QSPHSBN .BOBKFNFO 5FSQBEV #BMJUB 4FIBU
.5#4 1OFVNPOJBQBEBBOBLEJ1VTLFTNBT
4BBU JOJ QFOHFOEBMJBO *1% MFCJI EJUVKVLBO QBEB VQBZB QSFWFOUJG  ZBJUV EFOHBO
QFNCFSJBOJNVOJTBTJ1$7#FCFSBQBTUVEJNFOVOKVLLBOJNVOJTBTJ1$7NFOVSVOLBOJOTJEFOT
QFOZBLJU1OFVNPLPLVTJOWBTJGTFDBSBCFSNBLOB*NVOJTBTJSVUJOKVHBNFOVSVOLBOJOTJEFOT
PUJUJTNFEJBBLVU NFOHVSBOHJQSFWBMFOTJLPMPOJTBTJ1OFVNPLPLVTEJOBTPGBSJOHTFIJOHHB
NFOHVSBOHJQFOVMBSBOCBLUFSJ NFNVUVTQFOVMBSBO1OFVNPLPLVTZBOHSFTJTUFOUFSIBEBQ
BOUJCJPUJL  EBO NFNCFSJLBO LFLFCBMBO TFDBSB UJEBL MBOHTVOH herd immunity  LFQBEB
NBTZBSBLBUEJTFLJUBSOZB
 1*%.*0-0(*1/6.0/*
*OGFLTJBLJCBUQOFVNPLPLVTEBQBUNFOZFCBCLBOQFOZBLJUTFSJVTTFQFSUJNFOJOHJUJT 
septicemia  EBO QOFVNPOJB #BZJ EBO CBMJUB NFOKBEJ SFTFSWPJS VUBNB CBLUFSJ JOJ  EJNBOB
QSFWBMFOTJ TXBC OBTPGBSJOH CFSLJTBS   QBEB BOBLBOBL EJ low-and-middle income
countriesEBOQBEBCFCFSBQBQPQVMBTJEJhigh income countries
4FCFMVNEJMBLVLBOJOUSPEVLTJJNVOJTBTJ1$7EJCFSCBHBJSFHJPOBM8)0 TFSPUJQF
EJJEFOUJGJLBTJTFCBHBJQFOZFCBCŻEBSJTFNVBInvasive Pneumococcal DiseasesQBEBBOBL
CBMJUB4FKBLUBIVO MBQPSBOSBUBSBUBLFKBEJBO*1%TFUJBQUBIVOBOOZBQBEBBOBLVTJB
UBIVOBEBMBI QFS SPQB EBOQFS NFSJLB4FSJLBU  *TBBDNBO%+ FU
BM EBO#MBDL4 FUBM  4FEBOHLBOJOTJEFOTQFSUBIVOVOUVL*1%QBEBBOBLUBIVO
EJGSJLBCFSLJTBSBOUBSBQFSEJGSJLB4FMBUBOTBNQBJEFOHBOQFSEJ
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'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5,
.P[BNCJRVF 3PDB FUBM ,BSTUBFEU4 FUBM $VUUT'5 FUBM  *OTJEFOT*1%
EJGSJLBMFCJIUJOHHJEJCBOEJOHLBOEJSPQBEBONFSJLB4FMBJOJUV EJQFSLJSBLBOEBSJ KVUB
LFNBUJBO CBMJUB EJ EVOJB QBEB UBIVO    LFNBUJBO EJTFCBCLBO LBSFOB JOGFLTJ
QOFVNPLPLVT 8BIM #  FU BM    OHLB LFKBEJBO QFOZBLJU EBO BOHLB LFNBUJBO UJOHHJ
UFSVUBNBQBEBOFHBSBCFSLFNCBOH
1OFVNPOJBBLJCBUJOGFLTJCBLUFSJQOFVNPLPLVTEJQFSLJSBLBONFXBLJMJMFCJIEBSJ
EBSJTFMVSVILBTVTQOFVNPOJBEBOEJQFSLJSBLBOUFSKBEJQBEB KVUBBOBLEJTFMVSVIEVOJB
QBEBUBIVOCase Fatality Rate $'3 QOFVNPOJBBLJCBUJOGFLTJQOFVNPLPLVTCFSLJTBS
BOUBSB EJNBOBSFHJPOBMTJB5FOHHBSBNFNJMJLJKVNMBIUFSUJOHHJ 8BIM# FUBM  
*OEPOFTJBNFOZVNCBOHBOHLBQFOZBLJUZBOHDVLVQCFTBSVOUVLTJB EJQFSLJSBLBONFXBLJMJ
EBSJLBTVTQFOZBLJUQOFVNPLPLVTHMPCBM 0#SJFO,- 8PMGTPO-+ 8BUU+1 FUBM  
)BTJM QFOFMJUJBO 3VEBO  ELL   EJ OFHBSB CFSLFNCBOH UFSNBTVL *OEPOFTJB
NFOVOKVLLBOCBIXBJOTJEFOTQOFVNPOJBNFODBQBJEBSJKVNMBICBMJUB.FOVSVUIBTJM
3JTLFTEBT QSFWBMFOTJQOFVNPOJBEJ*OEPOFTJBBEBMBI EFOHBOQSFWBMFOTJUFSUJOHHJ
QBEBCBMJUBBEBMBIQBEBLFMPNQPLVTJBoCVMBO ZBJUV4VSWFJSample Registration
SystemZBOHEJMBLTBOBLBOPMFI#BMJUCBOHLFTUBIVONFOVOKVLLBOCBMJUBNFOJOHHBM
TFUJBQKBNEBOEJBOUBSBOZBLBSFOBQOFVNPOJB4FKBLUBIVO ,FNFOUFSJBO,FTFIBUBO
KVHBUFMBINFNCVBUFTUJNBTJBOHLBLFTBLJUBOQOFVNPOJBTFCFTBS EBSJKVNMBICBMJUB
3BUBSBUBFTUJNBTJUBIVO  UFSBLIJSCBMJUBQFSUBIVO
'BLUPS SJTJLP ZBOH CFSQFOHBSVI UFSIBEBQ JOGFLTJ QOFVNPOJB QBEB BOBL BOUBSB MBJO
NBMOVUSJTJTFIJOHHBEBZBUBIBOUVCVIBOBLNFOVSVOBEBOZBQFOZBLJUJOGFLTJMBJOOZBTFQFSUJ
DBNQBL )*7TFSUBGBLUPSMJOHLVOHBOTFQFSUJUFNQBUUJOHHBMZBOHQBEBUEBOLVNVI QPMVTJ
VEBSBEBOBTBQSPLPL
1FODFHBIBO QOFVNPOJB QBEB BOBL NFSVQBLBO LPNQPOFO QFOUJOH EBSJ TUSBUFHJ
NFOVSVOLBOBOHLBLFNBUJBOBOBL*NVOJTBTJVOUVLNFODFHBIJOGFLTJ)JC QOFVNPLPLVT 
DBNQBLEBOCBUVLSFKBO QFSUVTJT BEBMBIDBSBQBMJOHFGFLUJGVOUVLNFODFHBIQOFVNPOJB
4FMBJOJUV HJ[JZBOHDVLVQNFSVQBLBOLVODJVOUVLNFOJOHLBULBOQFSUBIBOBOBMBNJBOBL 
EJNVMBJEFOHBOQFNCFSJBO4*FLTLMVTJGTFMBNBCVMBOQFSUBNBLFIJEVQBO.FOHBUBTJGBLUPS
MJOHLVOHBOTFQFSUJNFOHVSBOHJQPMVTJVEBSBEBOBTBQSPLPLEBMBNSVBOHBOTFSUBNFOKBHB
LFCFSTJIBOMJOHLVOHBOEBQBUNFOVSVOLBOBOHLBLFTBLJUBOBLJCBUQOFVNPOJB
 1/$()/%/1/(/%-*/1/6.0/*
8)0 EBO 6/*$' NFMVODVSLBO 3FODBOB LTJ (MPCBM 1OFVNPOJB EBO %JBSF Global
Action Plan for Pneumonia and DiarrhoeaGAPPD)  EFOHBO QFOEFLBUBO NVMUJ TFDUPSBM 
UFSJOUFHSBTJVOUVLNFOVSVOLBOJOTJEFOQOFVNPOBEBOEJBSF NFOVSVOLBOBOHLBTUVOUJOH
CBMJUB EBONFODFHBILFNBUJBOBOBLLBSFOBQOFVNPOJBEBOEJBSF3FODBOBBLTJJOJNFNVBU
LFSBOHLB LFSKB UFSJOUFHSBTJ EBSJ JOUFSWFOTJJOUFSWFOTJ VUBNB ZBOH UFMBI UFSCVLUJ VOUVL
NFMJOEVOHJ  NFODFHBI EBO NFMBLVLBO UBUBMBLTBOB QOFVNPOJB EBO EJBSF BOBL TFDBSB
UFSLPPSEJOBTJ*OUFSWFOTJJOJUFSEJSJEBSJCFCFSBQBJOUFSWFOTJTFEFSIBOBTFQFSUJQFNCFSJBO[JOD 
4*FLTLMVTJG EBOQFNCFSJBOBOUJCJPUJL-FCJIEFUJMOZBEBQBUEJMJIBUQBEBHBNCBS
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'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, 
Gambar 2.3 Kerangka kerja pencegahan dan pengendalian pneumonia
 3,0./%4* */530%6,4* *.6/*44* 1/6.0,0,64
,0/:6(4* 1$7 
WHO Position Paper on Pneumococcal Conjugate Vaccine for Childhood Immunization
UBIVOZBOHTFMBOKVUOZBEJQFSCBIBSVJQBEBUBIVONFOZFCVULBOCBIXBEFOHBO
NFNQFSUJNCBOHLBOUJOHHJOZBCFCBOQFOZBLJUBLJCBUJOGFLTJ1OFVNPLPLVTQBEBCBMJUBEBO
UFMBIBEBOZBWBLTJOZBOHBNBOEFOHBOFGJLBTJZBOHCBJLNBLBEJSFLPNFOEBTJLBOCBHJOFHBSB
EFOHBOBOHLBLFNBUJBOCBMJUBZBOHUJOHHJVOUVLNFOHJOUFHSBTJLBOWBLTJO1OFVNPLPLVTLF
EBMBN1SPHSBN*NVOJTBTJ/BTJPOBM
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 1/(/-/7,4*/1$7
#FSEBTBSLBOEBUBEBSJWorld Health Organization 8)0 TBNQBJEFOHBOUBIVO 
BEBOFHBSB  EJEVOJBZBOHTVEBINFMBLVLBOJOUSPEVLTJWBLTJOQOFVNPLPLVTLF
EBMBN QSPHSBN JNVOJTBTJ  CBJL JOUSPEVLTJ TFDBSB OBTJPOBM  NBVQVO JOUSPEVLTJ TFDBSB TVC
OBTJPOBMBUBVQBEBEBFSBICFSJTJLPUJOHHJTBKB
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#FSEBTBSLBOIBTJMTUVEJZBOHEJMBLTBOBLBOEJ,BCVQBUFO ,BCVQBUFO-PNCPL5FOHBI 
,BCVQBUFO-PNCPL#BSBUEBO,BCVQBUFO-PNCPL5JNVS EJ1SPWJOTJ/5#UBIVO TFSPUJQF
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EBMBN 1SPHSBN %FNPOTUSBTJ JOJ BEBMBI WBLTJO 1OFVNPLPLVT ,POZVHBTJ 1$7 7BLTJO
1OFVNPLPLVT,POZVHBTJ1$7UFSEJSJEBSJTFSPUJQF      # ' 7  $  
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1OFVNPOJB NFSVQBLBO QFOZBLJU ZBOH NFNJMJLJ burden of disease CFCBO QFOZBLJU 
ZBOHUJOHHJ NBLBVQBZBQFODFHBIBONFMBMVJJNVOJTBTJNFOKBEJIBMZBOHTBOHBUQFOUJOH
7BLTJO 1$7 IBSVT NFNJMJLJ FGFLUJWJUBT ZBOH UJOHHJ CJMB BLBO EJHVOBLBO EBMBN QSPHSBN
JNVOJTBTJEJTVBUVOFHBSBGFLUJWJUBT(effectiveness)TVBUVWBLTJOBEBMBILFNBNQVBOTVBUV
WBLTJOVOUVLNFODFHBIUFSKBEJOZBTVBUVQFOZBLJUBUBVVOUVLNFOVSVOLBOBOHLBLFKBEJBO
TVBUV QFOZBLJU GFLUJWJUBT WBLTJO 1$7 EJVLVS EFOHBO NFOHFUBIVJ TFCFSBQB CBOZBL
QFOVSVOBOLFKBEJBO*1%BUBVQFOZBLJU1OFVNPOJBQBEBEBFSBIBUBVQPQVMBTJZBOHEJCFSJLBO
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Gambar 2.4 Peta global status negara-negara yang sudah memperkenalkan vaksin
PCV dalam program EPI
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 UFSKBEJQFOVSVOBOKVNMBILBTVTZBOHEJSBXBUEJSVNBITBLJULBSFOB1OFVNPOJBQBEB
CBEVUB ZBJUVEBSJ QFSBOBLQBEBFSBQSB1$7NFOKBEJ EBO QBEBFSB1$7
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TFCFTBSEBSJFSBQSB1$7LFFSB1$7
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1OFVNPOJBEBSJ TFCFMVNFSB1$7NFOKBEJ TFTVEBIFSB1$7EBONFOKBEJ 
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Kebutuhan Vaksin PCV = Jumlah Sasaran x Jumlah Pemberian x Target Cakupan
Indeks Pemakaian Vaksin
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[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf
[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf

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[Final]_Petunjuk Teknis Imunisasi PCV [Cetak].pdf

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  •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
  • 19. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, BAB I PENDAHULUAN -53#-,/( 1OFVNPOJB NFSVQBLBO QFOZFCBC VUBNB LFNBUJBO CBMJUB BLJCBU QFOZBLJU JOGFLTJ EJ EVOJB#BEBO,FTFIBUBO%VOJB 8)0 NFOZBUBLBOCBIXBQOFVNPOJBNFSVQBLBOQFOZFCBC LFNBUJBO CBMJUB OPNPS EJ EVOJB EBO CFSLPOUSJCVTJ UFSIBEBQ LFNBUJBO QBEB CBMJUB 8)0 #FSEBTBSLBOEBUBUnitedNationsInter-AgencyGroupforChildMortalityEstimation Estimates for the Year EJQFSLJSBLBOMFCJIEBSJSJCVLFNBUJBOTFUJBQUBIVOEJTFCBCLBO PMFIQOFVNPOJBEBOPSBOHCBMJUBNFOJOHHBMTFUJBQEFUJLEJTFCBCLBOPMFIQOFVNPOJB ,BSFOBCFTBSOZBBOHLBLFNBUJBOQOFVNPOJBJOJ QOFVNPOJBEJTFCVUTFCBHBJQBOEFNJZBOH UFSMVQBLBOBUBVithe forgotten pandemicw/BNVO UJEBLCBOZBLQFSIBUJBOUFSIBEBQQFOZBLJU JOJ TFIJOHHBQOFVNPOJBEJTFCVUKVHBQFNCVOVICBMJUBZBOHUFSMVQBLBOBUBVithe forgotten killer of childrenw 6/*$'8)0 %J*OEPOFTJB QOFVNPOJBKVHBNFSVQBLBONBTBMBICFTBS4VSWFJSample Registration SystemZBOHEJMBLTBOBLBOPMFI#BMJUCBOHLFTUBIVONFOVOKVLLBOCBIXBQOFVNPOJB NFOFNQBUJ VSVUBO LF TFCBHBJ QFOZFCBC LFNBUJBO CBMJUB 4FKBL UBIVO ,FNFOUFSJBO,FTFIBUBOKVHBUFMBINFNCVBUFTUJNBTJBOHLBLFTBLJUBOQOFVNPOJBTFCFTBS EBSJKVNMBICBMJUB4FMBJOJUV NFOVSVUIBTJM3JTLFTEBT QSFWBMFOTJQOFVNPOJBCBMJUB EJ*OEPOFTJBBEBMBI EFOHBOQSFWBMFOTJUFSUJOHHJQBEBCBMJUBBEBMBIQBEBLFMPNQPLVTJB oCVMBO ZBJUV %JOFHBSBCFSLFNCBOH LBTVTQOFVNPOJBEJTFCBCLBOPMFICBLUFSJTFNFOUBSBEJ OFHBSB NBKV VNVNOZB EJTFCBCLBO PMFI WJSVT 4UVEJ Streptococcus Pneumoniae Nasopharyngeal Carriage Prevalence, Serotype Distribution, and Resistance Patterns among Children on Lombok Island, Indonesia ZBOHEJMBLVLBOEJ-PNCPLQBEBUBIVOPMFI4SJ 3F[FLJ )BEJOFHPSP ELL NFOVOKVLLBO CBIXB QSFWBMFOTJ LBSJFS CBLUFSJ Streptococcus pneumoniaeNFODBQBJ Streptococcus pneumoniae BUBV 1OFVNPLPLVT EBQBU NFOZFCBCLBO QFOZBLJU ZBOH SJOHBOEBOCFSTJGBUOPOJOWBTJG NBVQVOZBOHCFSBUEBOCFSTJGBUJOWBTJG.BOJGFTUBTJLMJOJTZBOH CFSBUEBOCFSTJGBUJOWBTJGBOUBSBMBJOCFSVQBCBLUFSJFNJB QOFVNPOJB EBONFOJOHJUJTWHO Position Paper UBIVO ZBOH TFMBOKVUOZB EJQFSCBIBSVJ QBEB UBIVO NFSFLPNFOEBTJLBO JNVOJTBTJ 1OFVNPLPLVT ,POZVHBTJ Pneumococcal Conjugate Vaccine1$7 VOUVLEJNBTVLLBOLFEBMBN1SPHSBN*NVOJTBTJ/BTJPOBMUFSVUBNBQBEBOFHBSB EFOHBOBOHLBNPSUBMJUBTCBMJUBZBOHUJOHHJ 4FMBJO EJTFCBCLBO PMFI Streptococcus pneumoniae QFOZBLJU QOFVNPOJB KVHB EBQBU EJTFCBCLBOPMFIHaemophilus influenzaeUJQFC )JC %BMBNSBOHLB QFODFHBIBOQFOZBLJU QOFVNPOJB ZBOH EJTFCBCLBO PMFI Haemophilus influenzae UJQF C )JC UFMBI EJMBLVLBO JOUSPEVLTJWBLTJO)JCZBOHEJLPNCJOBTJLBOEFOHBO%15)#NFOKBEJ%15)#)JCLFEBMBN 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 20. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, 1SPHSBN*NVOJTBTJ/BTJPOBMTFKBLUBIVO)BMJOJEJMBLTBOBLBOLBSFOB)JCNFSVQBLBO QFOZFCBCLVSBOHMFCJIQOFVNPOJBZBOHTFSJVTQBEBBOBL6QBZBJOJBLBOMFCJIFGFLUJG CJMBEJCBSFOHJEFOHBOQFNCFSJBOJNVOJTBTJ1$7TFIJOHHBEJIBSBQLBOEBQBUNFOVSVOLBO BOHLBLFNBUJBOBLJCBUQOFVNPOJB %FOHBONFNQFSUJNCBOHLBOUJOHHJOZBCFCBOQFOZBLJUQOFVNPOJBEBOUFMBIBEBOZB CFCFSBQBTUVEJUFOUBOHQOFVNPOJBEJ-PNCPLTFCBHBJbaseline data TFSUBSFLPNFOEBTJEBSJ 8)0EBO,PNJUF1FOBTJIBUIMJ*NVOJTBTJ/BTJPOBM Indonesian Technical Advisory Group on Immunization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ost Marketing SurveillanceWBLTJO1$7KVHBNFOVOKVLLBOUJEBLBEBOZB ,*1*TFSJVTEBOTFDBSBLFTFMVSVIBOWBLTJOEBQBUEJUPMFSBOTJEFOHBOCBJL 4FMBJOJUV IBTJMTUVEJZBOHEJMBLTBOBLBOEJ,BCVQBUFO ,BCVQBUFO-PNCPL5FOHBI ,BCVQBUFO -PNCPL #BSBU EBO ,BCVQBUFO -PNCPL 5JNVS EJ 1SPWJOTJ /5# UBIVO NFOVOKVLLBOCBIXBQSPHSBNJNVOJTBTJ1$7NFOHHVOBLBOWBLTJO1$7WBMFOU EFOHBO KBEXBMQFNCFSJBOQBEBCBZJVTJBCVMBO CVMBOEBOCVMBOUFSCVLUJFGFLUJGNFOVSVOLBO QSPQPSTJTFSPUJQFQOFVNPLPLVTZBOHEBQBUNFOZFCBCLBOQFOZBLJUQOFVNPOJBZBOHCFSBU 1SBZJUOP #FSEBTBSLBOMBQPSBOSVUJO4VCTUBOTJ5VCFSLVMPTJTEBO*41 KVNMBILBTVTQOFVNPOJB CBMJUB 1SPWJOTJ ,FQVMBVBO #BOHLB #FMJUVOH ZBOH EJMBQPSLBO TFMBNB UBIVO o NFOVOKVLLBOUSFOZBOHNFOVSVOLBTVT LBTVT LBTVT EBOLBTVT 4FEBOHLBOEJ1SPWJOTJ/VTB5FOHHBSB#BSBU KVNMBILBTVTQOFVNPOJB CBMJUBZBOHEJMBQPSLBOTFMBNBUBIVOo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
  • 21. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, EJCFSJLBO 1SPWJOTJ +BXB #BSBU EBO +BXB 5JNVS NVMBJ UBIVO EBO EJ TFMVSVI XJMBZBI *OEPOFTJB MBJOOZB QBEB UBIVO 1FMBLTBOBBO JNVOJTBTJ 1$7 QBEB EBFSBI QFSMVBTBO JOUSPEVLTJJNVOJTBTJ1$7UBIVOBLBOEJNVMBJQBEBCVMBO+VMJ 56+6/ 7XMXDQXPXP x 5FSTFEJBOZBQFEPNBOUFLOJTTFCBHBJBDVBOEBMBNQFMBLTBOBBOJNVOJTBTJ1$7QBEBCBZJ EBOJNVOJTBTJMBOKVUBO1$7QBEBBOBLCBEVUBTFTVBJTUBOEBS 7XMXDQNKXVXV x 5FSTFEJBOZB JOGPSNBTJ NFOHFOBJ FQJEPNJPMPHJ EBO QBUPHFOFOJT QFOZBLJU QOFVNPOJB BLJCBUJOGFLTJ1OFVNPLPLVT x 5FSTFEJBOZBQBOEVBONFOHFOBJUBIBQBOLFHJBUBOQFMBLTBOBBOJNVOJTBTJ1$7QBEBCBZJ EBOJNVOJTBTJMBOKVUBO1$7QBEBBOBLCBEVUBTFTVBJTUBOEBS x 5FSTFEJBOZB QBOEVBO EBMBN QFSTJBQBO EBO QFMBLTBOBBO JNVOJTBTJ 1$7 QBEB CBZJ EBO JNVOJTBTJMBOKVUBO1$7QBEBBOBLCBEVUBTFTVBJTUBOEBS x 5FSTFEJBOZBQBOEVBOEBMBNQFMBLTBOBBOTVSWFJMBOTLFKBEJBOJLVUBOQBTDBJNVOJTBTJ ,*1* JNVOJTBTJ1$7QBEBCBZJEBOJNVOJTBTJMBOKVUBO1$7QBEBBOBLCBEVUBTFTVBJTUBOEBS x 5FSTFEJBOZBQBOEVBOEBMBNNFMBLVLBONPOJUPSJOHFWBMVBTJQFMBLTBOBBOJNVOJTBTJ1$7 QBEBCBZJEBOJNVOJTBTJMBOKVUBO1$7QBEBBOBLCBEVUBTFTVBJTUBOEBS 443/ 1FUVOKVL UFLOJT JOJ EJCVBU TFCBHBJ QFEPNBO CBHJ QFUVHBT LFTFIBUBO EJ UJOHLBU QSPWJOTJ LBCVQBUFOLPUB QVTLFTNBT EBO GBTJMJUBT LFTFIBUBO MBJOOZB ZBOH NFNCFSJLBO MBZBOBOJNVOJTBTJEBMBNQFMBLTBOBBOJNVOJTBTJ1$7QBEBCBZJEBOJNVOJTBTJMBOKVUBO1$7 QBEBBOBLCBEVUB 36/(-*/(,61 3VBOHMJOHLVQLFHJBUBOJOJBEBMBIMBOHLBIMBOHLBIQFMBLTBOBBOLFHJBUBOJNVOJTBTJ 1$7ZBOHNFMJQVUJQFSTJBQBO QFMBLTBOBBO TVSWFJMBOT,*1* QFODBUBUBOEBOQFMBQPSBO TFSUB NPOJUPSJOHEBOFWBMVBTJ 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
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  • 25. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, BAB II TINJAUAN PUSTAKA 1/6.0/* 1OFVNPOJBBEBMBIJOGFLTJBLVUZBOHNFOHFOBJKBSJOHBOQBSVQBSV BMWFPMJ TFIJOHHB UFSHPMPOHEBMBN*OGFLTJ4BMVSBO1FSOBQBTBOLVU *41 CBXBI(FKBMBQOFVNPOJBQBEBCBMJUB BEBMBIEFNBN CBUVL EBOLFTVLBSBOCFSOBGBTZBOHEJUBOEBJEFOHBOOBGBTDFQBU GSFLVFOTJ OBGBTCBZJCVMBOŻYNFOJUoCVMBOŻYNFOJUCVMBOoCVMBOŻ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aru-paru Alveoli normal Infeksi pada alveoli berisi cairan (pneumonia) Gambar 2.1 Alveoli normal dan alveoli dengan Pneumonia 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 26. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, 1OFVNPOJBEJTFCBCLBOPMFIWJSVT CBLUFSJ EBOKBNVS#BLUFSJQFOZFCBCQOFVNPOJB ZBOHQBMJOHVNVNZBJUVStreptococcus pneumoniae QOFVNPLPLVT QFOZFCBCQBMJOHVNVN EBSJ QOFVNPOJB CBLUFSJBM QBEB BOBLBOBL Haemophilus influenzae tipe b (Hib) QFOZFCBC QBMJOH VNVN LFEVB 7JSVT QFOZFCBC QOFVNPOJB ZBOH QBMJOH VNVN BEBMBI respiratory syncytial virus 1OFVNPOJB EBQBU NFOZFCBS EFOHBO CFSCBHBJ DBSB 7JSVT EBO CBLUFSJ ZBOH CJBTB EJUFNVLBOEJIJEVOHBUBVUFOHHPSPLBOBOBL EBQBUNFOHJOGFLTJQBSVQBSVKJLBUFSIJSVQTFSUB EBQBUNFOZFCBSNFMBMVJQFSDJLBOMVEBITBBUCBUVLBUBVCFSTJOZBOHUFSCBXBVEBSB4FMBJOJUV QOFVNPOJBEBQBUNFOZFCBSNFMBMVJEBSBI UFSVUBNBTFMBNBEBOTFHFSBTFUFMBICBZJMBIJS 150(/4*41/6.0/* 1OFVNPLPLVT Streptococcuspneumoniae BEBMBICBLUFSJHSBNQPTJUJGEJQMPLPLVTZBOH NFSVQBLBOQFOZFCBCVUBNBQFOZBLJUJOGFLTJTBMVSBOOBGBTQBEBBOBL1OFVNPLPLVTKVHB NFOZFCBCLBO NFOJOHJUJT CBLUFSJFNJB TFQTJT TJOVTJUJT PUJUJT NFEJB EBO LPOKVOHUJWJUJT UFSVUBNB QBEB CBEVUB EBO MBOTJB 1OFVNPLPLVT EJUFNVLBO TFCBHBJ GMPSB OPSNBM TBMVSBO OBGBTBUBT OBNVOEBQBUNFOZFCBCLBOQFOZBLJUJOWBTJGNBVQVOOPOJOWBTJG,FNBNQVBO 1OFVNPLPLVT VOUVL NFOZFCBCLBO QFOZBLJU JOWBTJG CFSBTBM EBSJ WJSVMFOTJ LVNBO ZBOH EJQFSBOLBOPMFIQPMJTBLBSJEBEBSJLBQTVMMVBSCBLUFSJ+JLBJOGFLTJ1OFVNPLPLVTNBTVLLF QFSFEBSBOEBSBI JOWBTJG BOUBSBMBJOBLBOUFSKBEJ1OFVNPOJB CBLUFSJFNJB EBONFOJOHJUJT ZBOHEJTFCVUInvasive Pneumococcal Diseases *1% 1BUPHFOFTJT Invasive Pneumococcal Disease *1% EJBXBMJ EFOHBO LPMPOJTBTJ CBLUFSJ 1OFVNPLPLVTTFSPUJQFQBUPHFOEJOBTPGBSJOHZBOHLFNVEJBONFOZFCBSTFDBSBMBOHTVOHLF PSHBOTFLJUBSOZBBUBVNFMBMVJQFSFEBSBOEBSBI1FOZFCBSBOJOJEJQFOHBSVIJPMFICFCFSBQB GBLUPSSJTJLPZBJUVVNVS CBMJUBEBOMBOTJB LVSBOHOZBQFNCFSJBO4*FLTLMVTJG HJ[JCVSVL QPMVTJ VEBSB EBMBN SVBOHBO indoor air pollution NJTBMOZB BTBQ SPLPL #FSBU #BEBO -BIJS 3FOEBI ##-3 LFQBEBUBOQFOEVEVL UJEBLNFOEBQBULBOJNVOJTBTJMFOHLBQ EBOCFSCBHBJ QFOZBLJULSPOJT EJBCFUFTNFMJUVT IJQFSUFOTJ BTNB EBOMBJOMBJO Gambar 2.2 Patogenesis Invasive Pneumococcal Diseases (IPD) 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  •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pneumoniaeQPTJUJGEBSJTFEJBBO EBSBI BUBV DBJSBO TFSFCSPTQJOBM 1FSNBTBMBIBO ZBOH EJIBEBQJ TBBU JOJ BEBMBI TVMJUOZB NFOVNCVILBOLVMUVSEBSJJTPMBU1OFVNPLPLVT ZBJUVIBOZBTFLJUBSEBSJLBTVT'BLUPSJOJ EJTFCBCLBOTJGBU1OFVNPLPLVTZBOHTVMJUEJCJBLLBOEBOQFOHHVOBBOBOUJCJPUJLTFCFMVNOZB .BTBMBI MBJOOZB ZBJUV QFOJOHLBUBO SFTJTUFOTJ S. pneumoniae UFSIBEBQ QFOJTJMJO EBO BOUJCJPUJL MBJO TFIJOHHB NFOJNCVMLBO LFTVMJUBO EBMBN UBUB MBLTBOB EBO NFOJOHLBULBO LPNQMJLBTJ TFSUB BOHLB LFNBUJBO BLJCBU *1% 1PMB SFTJTUFOTJ S. pneumoniae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herd immunity LFQBEB NBTZBSBLBUEJTFLJUBSOZB 1*%.*0-0(*1/6.0/* *OGFLTJBLJCBUQOFVNPLPLVTEBQBUNFOZFCBCLBOQFOZBLJUTFSJVTTFQFSUJNFOJOHJUJT septicemia EBO QOFVNPOJB #BZJ EBO CBMJUB NFOKBEJ SFTFSWPJS VUBNB CBLUFSJ JOJ EJNBOB QSFWBMFOTJ TXBC OBTPGBSJOH CFSLJTBS QBEB BOBLBOBL EJ low-and-middle income countriesEBOQBEBCFCFSBQBQPQVMBTJEJhigh income countries 4FCFMVNEJMBLVLBOJOUSPEVLTJJNVOJTBTJ1$7EJCFSCBHBJSFHJPOBM8)0 TFSPUJQF EJJEFOUJGJLBTJTFCBHBJQFOZFCBCŻEBSJTFNVBInvasive Pneumococcal DiseasesQBEBBOBL CBMJUB4FKBLUBIVO MBQPSBOSBUBSBUBLFKBEJBO*1%TFUJBQUBIVOBOOZBQBEBBOBLVTJB UBIVOBEBMBI QFS SPQB EBOQFS NFSJLB4FSJLBU *TBBDNBO%+ FU BM EBO#MBDL4 FUBM 4FEBOHLBOJOTJEFOTQFSUBIVOVOUVL*1%QBEBBOBLUBIVO EJGSJLBCFSLJTBSBOUBSBQFSEJGSJLB4FMBUBOTBNQBJEFOHBOQFSEJ 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  •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ase Fatality Rate $'3 QOFVNPOJBBLJCBUJOGFLTJQOFVNPLPLVTCFSLJTBS BOUBSB EJNBOBSFHJPOBMTJB5FOHHBSBNFNJMJLJKVNMBIUFSUJOHHJ 8BIM# FUBM *OEPOFTJBNFOZVNCBOHBOHLBQFOZBLJUZBOHDVLVQCFTBSVOUVLTJB EJQFSLJSBLBONFXBLJMJ EBSJLBTVTQFOZBLJUQOFVNPLPLVTHMPCBM 0#SJFO,- 8PMGTPO-+ 8BUU+1 FUBM )BTJM QFOFMJUJBO 3VEBO ELL EJ OFHBSB CFSLFNCBOH UFSNBTVL *OEPOFTJB NFOVOKVLLBOCBIXBJOTJEFOTQOFVNPOJBNFODBQBJEBSJKVNMBICBMJUB.FOVSVUIBTJM 3JTLFTEBT QSFWBMFOTJQOFVNPOJBEJ*OEPOFTJBBEBMBI EFOHBOQSFWBMFOTJUFSUJOHHJ QBEBCBMJUBBEBMBIQBEBLFMPNQPLVTJBoCVMBO ZBJUV4VSWFJSample Registration System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lobal Action Plan for Pneumonia and Diarrhoea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
  • 29. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, Gambar 2.3 Kerangka kerja pencegahan dan pengendalian pneumonia 3,0./%4* */530%6,4* *.6/*44* 1/6.0,0,64 ,0/:6(4* 1$7 WHO Position Paper on Pneumococcal Conjugate Vaccine for Childhood Immunization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orld Health Organization 8)0 TBNQBJEFOHBOUBIVO BEBOFHBSB EJEVOJBZBOHTVEBINFMBLVLBOJOUSPEVLTJWBLTJOQOFVNPLPLVTLF EBMBN QSPHSBN JNVOJTBTJ CBJL JOUSPEVLTJ TFDBSB OBTJPOBM NBVQVO JOUSPEVLTJ TFDBSB TVC OBTJPOBMBUBVQBEBEBFSBICFSJTJLPUJOHHJTBKB 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  •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burden of disease CFCBO QFOZBLJU ZBOHUJOHHJ NBLBVQBZBQFODFHBIBONFMBMVJJNVOJTBTJNFOKBEJIBMZBOHTBOHBUQFOUJOH 7BLTJO 1$7 IBSVT NFNJMJLJ FGFLUJWJUBT ZBOH UJOHHJ CJMB BLBO EJHVOBLBO EBMBN QSPHSBN JNVOJTBTJEJTVBUVOFHBSBGFLUJWJUBT(effectiveness)TVBUVWBLTJOBEBMBILFNBNQVBOTVBUV WBLTJOVOUVLNFODFHBIUFSKBEJOZBTVBUVQFOZBLJUBUBVVOUVLNFOVSVOLBOBOHLBLFKBEJBO TVBUV QFOZBLJU GFLUJWJUBT WBLTJO 1$7 EJVLVS EFOHBO NFOHFUBIVJ TFCFSBQB CBOZBL QFOVSVOBOLFKBEJBO*1%BUBVQFOZBLJU1OFVNPOJBQBEBEBFSBIBUBVQPQVMBTJZBOHEJCFSJLBO WBLTJOUFSTFCVU *OUSPEVLTJJNVOJTBTJ1$7EJ*OEPOFTJBEJMBLVLBOTFDBSBCFSUBIBQNVMBJUBIVOEBO BLBONFODBQBJTLBMBOBTJPOBMQBEBUBIVO0MFILBSFOBJUV VOUVLNFMJIBUFGFLUJWJUBTEBSJ Gambar 2.4 Peta global status negara-negara yang sudah memperkenalkan vaksin PCV dalam program EPI 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 31. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, WBLTJO1$7JOJ EBUBZBOHEJHVOBLBONFOHBDVQBEBOFHBSBOFHBSBZBOHUFMBINFMBLTBOBLBO JNVOJTBTJ1OFVNPLPLVTTFDBSBOBTJPOBMEBMBNQSPHSBNJNVOJTBTJSVUJO %JNFSJLB TFKBLEJQFSLFOBMLBOWBLTJO1$7QBEBUBIVOEBO1$7QBEBUBIVO UFSKBEJQFOVSVOBOKVNMBILBTVTZBOHEJSBXBUEJSVNBITBLJULBSFOB1OFVNPOJBQBEB CBEVUB ZBJUVEBSJ QFSBOBLQBEBFSBQSB1$7NFOKBEJ EBO QBEBFSB1$7 EBO1$74FEBOHLBOEJ1FSBODJT QBEBQFOFMJUJBOZBOHEJMBLVLBOEJSVNBITBLJUTFMBNB UBIVO EBSJo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non-susceptible UFSIBEBQ BOUJCJPUJL QBEB CBEVUB UFSVUBNBTFSPUZQF 4FUFMBIJOUSPEVLTJ1$7EJ5BJXBO JOTJEFOT*1%TFSPUZQFQBEBCBMJUBNFOVSVO 4FMBJOJUVJOTJEFOT*1%QBEBEFXBTBŻUBIVONFOVSVO $* o EBSJ QFS EJ NFOKBEJ QFS EJ NFOBOEBLBO FGFL LPNVOJUBT EBSJ QSPHSBNWBLTJOBTJBOBL%JNFSJLB BOHLBLVOKVOHBOSBXBUKBMBOUBIVOBO rates of annual ambulatory office visits LBSFOBPUJUJTNFEJBQBEBCBEVUBNFOVSVOQBEBQFSJPEFQBTDB 1$7 QFSBOBL EJCBOEJOHLBOQFSJPEFQBTDB1$7 QFSBOBL 1 %J+FQBOH QBEBQBTJFOźUBIVOEFOHBOPUJUJTNFEJBBLVU JTPMBUTFSPUZQF1$7NFOVSVO EBSJEJUBIVONFOKBEJTFUFMBIJOUSPEVLTJ1$7EJUBIVO%JSPQB 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 32. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, JNVOJTBTJ 1$7 NFOVOKVLLBO QFOVSVOBO JOTJEFOT *1% TFSPUZQF EBO QBEB LFMPNQPLQPQVMBTJEFXBTBŻ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
  • 33. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, BAB III PERSIAPAN PROGRAM IMUNISASI PCV 443/ 4BTBSBOQFNCFSJBOJNVOJTBTJ1$7BEBMBI x 4FMVSVICBZJVTJBEBOCVMBO EBO x 4FMVSVIBOBLVTJBCVMBO 5.15%/8,561-,4// 5FNQBU1FMBLTBOBBO 1FMBZBOBOJNVOJTBTJEBQBUEJMBLVLBOEJGBTJMJUBTGBTJMJUBTQFMBZBOBOLFTFIBUBO TFQFSUJ EJ 1PTZBOEV 1VTLFTNBT 1VTLFTNBT QFNCBOUV 3VNBI 4BLJU QFNFSJOUBI 3VNBI4BLJUTXBTUB LMJOJL QSBLUJLNBOEJSJEPLUFS QSBLUJLNBOEJSJCJEBO EBOGBTJMJUBT GBTJMJUBTQFMBZBOBOLFTFIBUBOMBJOOZBZBOHNFNCFSJLBOMBZBOBOJNVOJTBTJ 1BEB NBTB BEBQUBTJ LFCJBTBBO CBSV QFMBZBOBO JNVOJTBTJ EJMBLTBOBLBO EJ SVBOHUFNQBUZBOHDVLVQMVBTBHBSUJEBLUFSKBEJLFSVNVOBOEFOHBOTJSLVMBTJVEBSB ZBOH CBJL TFTVBJ QSJOTJQ QSPUPLPM LFTFIBUBO ZBJUV EFOHBO NFOFSBQLBO VQBZB 1FODFHBIBOEBO1FOHFOEBMJBO*OGFLTJ 11* EBONFOKBHBKBSBLBNBOoNFUFS 8BLUV1FMBLTBOBBO 1FMBLTBOBBOJNVOJTBTJ1$7EJMBLVLBOCFSTBNBBOEFOHBOQFMBLTBOBBOJNVOJTBTJ SVUJOMBJOOZBTFTVBJEFOHBOKBEXBMZBOHEJUFOUVLBO1BEBNBTBBEBQUBTJLFCJBTBBO CBSV QFSMVEJMBLVLBOQFOHBUVSBOKBEXBMJNVOJTBTJBHBSUJEBLUFSKBEJQFOVNQVLLBO TBTBSBO5FOUVLBOKBEXBMIBSJEBOKBNLIVTVTQFMBZBOBOJNVOJTBTJEBOCVBUMBIKBOKJ UFNVEFOHBOTBTBSBOJNVOJTBTJ .*,301-/*/(13/$// %BMBNQFOZVTVOBONJLSPQMBOJOHQFSFODBOBBOEJCVUVILBOEBUBEBUBTFCBHBJCFSJLVU +VNMBITBTBSBO ZBJUVCBZJVTJBCVMBO Surviving Infant EBOBOBLVTJBCVMBO ZBOHBEBEJXJMBZBILFSKBNBTJOHNBTJOH 1FSIJUVOHBO LFCVUVIBO WBLTJO EBO MPHJTUJL ZBOH EJHVOBLBO VOUVL NFOHFUBIVJ LFCVUVIBOTUPLWBLTJOEBOMPHJTUJLEBMBNNFOHIBEBQJLFHJBUBOQSPHSBN 1FNFUBBO XJMBZBI LFSKB ZBOH NFNVBU JOGPSNBTJ NFOHFOBJ CBUBTCBUBT XJMBZBI LPOEJTJ HFPHSBGJT XJMBZBI ZBOH NVEBI EJKBOHLBV EBO TVMJU EJKBOHLBV EBO MPLBTJ 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 34. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, 1PTZBOEV 3VNBI 4BLJU ,MJOJL 1SBLUJL NBOEJSJ EPLUFS QSBLUJL NBOEJSJ #JEBO TFSUB GBTJMJUBTQFMBZBOBOLFTFIBUBOMBJOOZBZBOHNFNCFSJMBZBOBOJNVOJTBTJ *OWFOUBSJTBTJQFSBMBUBOSBOUBJEJOHJO cold chain inventory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x 8BLUVEBOUFNQBUQFMBLTBOBBO x ,FHJBUBOQFOJOHLBUBOLBQBTJUBTCBHJQFUVHBTLFTFIBUBOEBOLBEFS TPTJBMJTBTJLFQBEB MJOUBTQSPHSBNEBOMJOUBTTFLUPS TFSUBQFSUFNVBOLPPSEJOBTJMBJOOZB x TUJNBTJLFCVUVIBOWBLTJOEBOMPHJTUJLMBJOOZBTFSUBSFODBOBQFOEJTUSJCVTJBOOZB x .FNBTUJLBOLFUFSTFEJBBOQFSMFOHLBQBOBOBGJMBLUJL x .FNBTUJLBOLFUFSTFEJBBO1% x 3FODBOBQFOHPMBIBOMJNCBINFEJT x 3FODBOBQFOBOHBOBOEBOQFOBUBMBLTBOBBOLBTVT,*1* x .PCJMJTBTJBOHHBSBO 1FSIJUVOHBO4BTBSBO $BSB QFSIJUVOHBO TBTBSBO EBMBN SBOHLB QFMBLTBOBBO JNVOJTBTJ 1$7 TBNB EFOHBO DBSB QFSIJUVOHBO TBTBSBO VOUVL QFMBLTBOBBO JNVOJTBTJ SVUJO MBJOOZB CBJL JNVOJTBTJEBTBSNBVQVOMBOKVUBO #BZJ Surviving Infant +VNMBI CBZJ ZBOH CFSUBIBO IJEVQ Surviving Infant EJIJUVOHEJUFOUVLBO CFSEBTBSLBOKVNMBIMBIJSIJEVQEJLVSBOHJEFOHBOKVNMBILFNBUJBOCBZJ+VNMBI LFNBUJBOCBZJEJQFSPMFIEBSJQFSIJUVOHBOiBOHLBLFNBUJBOCBZJ ,# EJLBMJLBO EFOHBOKVNMBIMBIJSIJEVQw Surviving Infant (SI) = Jumlah Lahir Hidup – (AKB x Jumlah Lahir Hidup) 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 35. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, OBLEJCBXBIVTJBUBIVO #BEVUB +VNMBI TBTBSBO JNVOJTBTJ MBOKVUBO QBEB CBEVUB EJUFOUVLBO CFSEBTBSLBO KVNMBI Surviving Infant 4* UBIVOMBMV 1FOHIJUVOHBO TBTBSBO EBQBU NFOHHVOBLBO IBTJM LVOKVOHBO LFMVBSHB 1SPHSBN *OEPOFTJB4FIBUEFOHBO1FOEFLBUBO,FMVBSHB 1*41, .FMBMVJrawdata1*41,ZBOHEBQBU NFNVODVMLBOTBTBSBObynamebyaddress 1VTLFTNBTNFOHFNCBOHLBOdatabase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wastage rate,FNBTBOWBLTJO1$7BEBMBINVMUJEPTJT, ZBJUVLFNBTBOEPTJTQFSWJBMEFOHBOLFUFOUVBOJOEFLTQFNBLBJBO *1 TFCFTBS BUBVwastage rate NBLTJNBMTFCFTBS 1FSIJUVOHBO,FCVUVIBO-PHJTUJL $BSB QFSIJUVOHBO LFCVUVIBO Auto Disable Syringe %4 EBO 4BGFUZ #PY BEBMBI TFCBHBJCFSJLVU Pada daerah perluasan introduksi, perhitungan sasaran memperhatikan waktu dimulainya pelaksanaan introduksi sehingga tidak menghitung sasaran 1 tahun. Kebutuhan Vaksin PCV = Jumlah Sasaran x Jumlah Pemberian x Target Cakupan Indeks Pemakaian Vaksin Kebutuhan ADS 0,5 ml = ∑ sasaran + 5 % sebagai cadangan* Kebutuhan Safety Box 2,5 L = σ ஺஽ௌ ହ଴ Kebutuhan Safety Box 5 L = σ ஺஽ௌ ଵ଴଴ DBEBOHBOBEBMBIQFSIJUVOHBODBEBOHBONBLTJNBM 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  •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gownBQSPOQBLBJBOIB[NBULFEBQBJSEBOface shield 1FSIJUVOHBOLFCVUVIBOMPHJTUJL11*CBHJQFUVHBTTBBUQFMBZBOBOJNVOJTBTJBEBMBI TFCBHBJCFSJLVU B .BTLFSNFEJTBUBVNBTLFSCFEBI 1FSIJUVOHBOLFCVUVIBOEJTFTVBJLBOEFOHBOKVNMBIQFUVHBTZBOHCFSUVHBTEJ UFNQBUMBZBOBOJNVOJTBTJ.BTLFSNFEJTEBQBUEJQBLBJNBLTJNBMKBN BUBV EBQBUEJHBOUJMFCJITFSJOHBQBCJMBCBTBI SPCFLBUBVSVTBL C 4BSVOHUBOHBO UJEBLXBKJC CPMFIEJHVOBLBOBQBCJMBUFSTFEJB 1FSIJUVOHBOLFCVUVIBOEJTFTVBJLBOEFOHBOKVNMBITBTBSBOZBOHBLBOEJMBZBOJ 4BUVTBSVOHUBOHBOIBOZBEBQBUEJHVOBLBOVOUVLTBUVTBTBSBO D Face shield UJEBLXBKJC CPMFIEJHVOBLBOBQBCJMBUFSTFEJB 1FSIJUVOHBOLFCVUVIBOEJTFTVBJLBOEFOHBOKVNMBIQFUVHBT E Gown/ QSPOHazmat UJEBLXBKJC CPMFIEJHVOBLBOBQBCJMBUFSTFEJB 1FSIJUVOHBOLFCVUVIBOEJTFTVBJLBOEFOHBOKVNMBIQFUVHBT F ,FCVUVIBOMPHJTUJL11*MBJOOZBTBBUQFMBZBOBOJNVOJTBTJ NFMJQVUJ - Hand Sanitizer QFSIJUVOHBOEJTFTVBJLBOEFOHBOLFCVUVIBO - 4BCVODBJSEBOBJSNFOHBMJS QFSIJUVOHBOEJTFTVBJLBOEFOHBOLFCVUVIBO - $BJSBOEJTJOGFLUBO QFSIJUVOHBOEJTFTVBJLBOEFOHBOLFCVUVIBO 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  •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cold chain,QFUVHBTZBOHNFOHFMPMBQSPHSBN LFTFIBUBOLFMVBSHB QFUVHBTZBOHNFOHFMPMBQSPHSBN*41 EBOQFUVHBTZBOH NFOHFMPMBWBLTJOUJOHLBULBCVQBUFOLPUB 4BTBSBOEJ,BCVQBUFO,PUBBEBMBIQFUVHBTZBOHNFOHFMPMBQSPHSBNJNVOJTBTJ EBO TVSWFJMBOT ,*1* QFUVHBT ZBOH NFOHFMPMB cold chain, QFUVHBT ZBOH NFOHFMPMB QSPHSBN LFTFIBUBO LFMVBSHB QFUVHBT ZBOH NFOHFMPMB QSPHSBN *41 EBOQFUVHBTZBOHNFOHFMPMBWBLTJOUJOHLBU1VTLFTNBT 4BTBSBOEJ1VTLFTNBTZBJUVQBSBQFUVHBTLFTFIBUBOTFQFSUJEPLUFS CJEBO EBO QFSBXBU ZBOH EJUVOKVL TFCBHBJ QFNCFSJ MBZBOBO JNVOJTBTJ EBO LPSJN LPPSEJOBUPSJNVOJTBTJ .BUFSJ1FOJOHLBUBO,BQBTJUBT .BUFSJQFOJOHLBUBOLBQBTJUBTNFMJQVUJ 5VKVBOEBOTUSBUFHJQFMBLTBOBBOJNVOJTBTJ1$7 8BLUVQFMBLTBOBBOJNVOJTBTJ1$7 ,FMPNQPLVTJBTBTBSBO 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
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  • 39. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, %BMBNSBOHLBNFMBLVLBOVQBZBNPCJMJTBTJNBTZBSBLBUZBOHFGFLUJG NBLBIBSVT EJUFOUVLBOTFDBSBSJODJNFEJBLPNVOJLBTJBQBTBKBZBOHBLBOEJQFSHVOBLBO DPOUPI banner QPTUFS leaflet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radio spot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x .JLSPQMBOJOH x ,FHJBUBONPCJMJTBTJNBTZBSBLBU x ,FHJBUBOQFOJOHLBUBOLBQBTJUBT x ,FUFSTFEJBBOEBOEJTUSJCVTJWBLTJOEBOMPHJTUJL x ,FUFSTFEJBBOQFSMFOHLBQBOBOBGJMBLUJLEBO1% x 1FOHFMPMBBOSBOUBJEJOHJOWBLTJO .FMBMVJLFHJBUBONPOJUPSJOHJOJKVHBIBSVTEBQBUEJJEFOUJGJLBTJBQBTBKBLFOEBMBZBOH EJUFNVJEBOIBSVTTFHFSBEJUJOEBLMBOKVUJBHBSLFOEBMBUFSTFCVUUJEBLNFOHIBNCBUQSPTFT QFMBLTBOBBO 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 41. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, BAB IV PELAKSANAANIMUNISASI PCV %*453*#64*7,4*/%/-0(*45*, 1FOEJTUSJCVTJBO WBLTJO EBO MPHJTUJL EJMBLVLBO TFDBSB CFSKFOKBOH 7BLTJO EBO MPHJTUJL %4EBOSafety Box ZBOHEJBEBLBO1VTBUBLBOEJEJTUSJCVTJLBOTBNQBJLF%JOBT,FTFIBUBO 1SPWJOTJ4FMBOKVUOZBEBSJ%JOBT,FTFIBUBO1SPWJOTJBLBOEJEJTUSJCVTJLBOLF%JOBT,FTFIBUBO ,BCVQBUFO,PUB 1VTLFTNBT LFNVEJBOLFQPTQPTQFMBZBOBOJNVOJTBTJMBJOOZB.FLBOJTNF QFOEJTUSJCVTJBOWBLTJOEBOMPHJTUJLEBSJ%JOBT,FTFIBUBO1SPWJOTJTBNQBJEFOHBOQVTLFTNBT EBQBU EJMBLVLBO NFMBMVJ EVB DBSB ZBJUV NFMBMVJ NFLBOJTNF push EJBOUBS NBVQVO pull EJBNCJM 6OUVLMPHJTUJLQFOEVLVOHMBJOOZB TFQFSUJQFSMFOHLBQBOBOBGJMBLUJL MPHJTUJL11* NBUFSJ ,* TFSUB GPSNBU QFODBUBUBO EBO QFMBQPSBO DBLVQBO MPHJTUJL EBO ,*1* EJTFEJBLBO PMFI EBFSBITFTVBJEFOHBOLFCVUVIBONBTJOHNBTJOHQVTLFTNBT 7BLTJO1$7EJEJTUSJCVTJLBOLFQPTQFMBZBOBOQBEBIBSJZBOHTBNBEFOHBOQFMBZBOBO NFOHHVOBLBOvaccine carrierZBOHEJMFOHLBQJEFOHBOoCVBIcool pack LPUBLEJOHJODBJS 1FUVHBTLFTFIBUBOBUBVQFNCFSJJNVOJTBTJCFSUBOHHVOHKBXBCNFNCBXBvaccine carrierLF UFNQBUQFMBZBOBO4BBUTFTJQFMBZBOBOTVEBITFMFTBJTFUJBQIBSJOZB QFUVHBTCFSUBOHHVOH KBXBCNFOHFNCBMJLBOTJTBWBLTJOZBOHCFMVNEJCVLB vaccine carrier EBOsafety boxZBOH UFMBIUFSJTJLF1VTLFTNBT 1SPTFTEJTUSJCVTJWBLTJOEBOMPHJTUJLJNVOJTBTJMBJOOZBUFSNBTVLQFOZJNQBOBOUFUBQ EJMBLTBOBLBO EFOHBO NFNQFSIBUJLBO QSPUPLPM LFTFIBUBO TFSUB Standard Operational Procedure (SOP)NBOBKFNFOSBOUBJEJOHJOZBOHCFSMBLVTFTVBJEFOHBOZBOHUFSDBOUVNEBMBN 1FUVOKVL5FLOJT1FMBZBOBO*NVOJTBTJ1BEB.BTB1BOEFNJ$07*% .BTVLLBO7BLTJO1$7 5VUVQ3BQBUVaccine Carrier .BTVLLBOCool Pack Gambar 4.1 Cara penyimpanan vaksin dalam vaccine carrier 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 42. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, ./+./7,4*/%/-0(*45*, ,3,53*45*,7,4*/1$7 7BLTJO1$7NFNJMJLJLBSBLUFSJTUJLTFCBHBJCFSJLVU 7BLTJO1$7NFSVQBLBOWBLTJOZBOHTFOTJUJGCFLV IBSVTEJTJNQBOQBEBTVIVo¡$ EBOUFSMJOEVOHEBSJDBIBZBNBUBIBSJ 7BLTJO1$7EBQBUCFSUBIBO NBTJIUFUBQQPUFO TFMBNBCVMBOBQBCJMBEJTJNQBO EBMBNMFNBSJFTQBEBTVIVoP $EBOUFSMJOEVOHEBSJDBIBZBNBUBIBSJ 7BLTJO 1$7 EJMFOHLBQJ EFOHBO vaccine vial monitor 77. 1FOKFMBTBO 77. EBO HBNCBS 1BEBLPOEJTJEBSVSBU NJTBMOZBCFODBOBBMBN TFQFSUJHFNQB CBOKJS EBOMBJOOZB WBLTJO 1$7EBQBUCFSUBIBOEJTVIVSVBOHBO EBONBTJIEBQBUEJHVOBLBOTFMBNB77.EBMBN LPOEJTJ BUBV # 4FMBOKVUOZB TFTFHFSB NVOHLJO WBLTJO UFSTFCVU IBSVT TFHFSB EJQJOEBILBOLFEBMBNUFNQBUQFOZJNQBOBOTFTVBJTUBOEBS 7BLTJO 1$7 EJLFNBT EBMBN CFOUVL WJBM EJNBOB EBMBN TBUV WJBMCFSJTJEPTJT Gambar 4.3 Vaksin berupa vial, tiap box berisi 25 botol Gambar 4.2 Vaccine Vial Monitor pada Vaksin PCV 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 43. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, 1/:*.1//7,4*/%/-0(*45*, 7BLTJO 1$7 BEBMBI WBLTJO TFOTJUJG CFLV TFIJOHHB IBSVT EJTJNQBO EBO EJUSBOTQPSUBTJLBOQBEBSFOUBOHTVIVo¡$EBSJQSPEVTFOTBNQBJEJCFSJLBOQBEB TBTBSBO4FDBSBVNVN QSJOTJQQSJOTJQQFOZJNQBOBOEBOQFOBOHBOBOWBLTJOCFSJLVU JOJIBSVTEJQFSIBUJLBOEBMBNNFOHFMPMBWBLTJO1$7 x 4FUJBQWJBMEJTJNQBOCFSEBTBSLBOOPNPSbatch x 1FSIBUJLBO UBOHHBM LFEBMVXBSTB WBLTJO +BOHBO HVOBLBO WBLTJO ZBOH TVEBI LFEBMVXBSTB5FSBQLBOQSJOTJQWBLTJOEFOHBOXBLUVLFEBMVXBSTBMFCJIDFQBU NBLBEJHVOBLBOUFSMFCJIEBIVMV early-expiry-first-out'0 x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uto Disable Syringe %4 EBOsafety box EJNBOBKVHBNFNFSMVLBOUBUBLFMPMBZBOH CBJL %BMBN QFOZJNQBOBO MPHTJUJL JOJ IBSVT EJQBTUJLBO LPOEJTJ GJTJL EBO LFBNBOBO CBSBOHEBOLFNBTBOOZB EJTFNVBUJOHLBUGBTJMJUBTQFOZJNQBOBOTBNQBJEJHVOBLBO 1FSIBUJLBO LFEBMVXBSTB TFUJBQ CBSBOH LIVTVT VOUVL %4 QFOHJSJNBO EBO QFNBLBJBOOZBIBSVTNFOHJLVUJQSJOTJQ'0 Early Expired First Out EJNBOBCBSBOH ZBOHBLBOLFEBMVXBSTB EJVUBNBLBOVOUVLEJLJSJNBUBVEJQBLBJUFSMFCJIEBIVMV%4 ZBOHTVEBILFEBMVXBSTBUJEBLCPMFIEJEJTUSJCVTJLBOBUBVEJHVOBLBO ,5/56/7,4*/:/(#-6.%*(6/,/ 1BEBQFMBZBOBOTUBUJTBUBVQFMBZBOBOEJEBMBNHFEVOH WBLTJO1$7ZBOHUFMBI EJCVLB EBQBU EJHVOBLBO LFNCBMJ TBNQBJ IBSJ EFOHBO TZBSBU NFNFOVIJ LSJUFSJB Multi-Dose Vial Policy .%71 ZBJUV B 7BLTJOUFSTJNQBOEBMBNTVIV$ C 77.NBTJIBUBV# D 5FSUVMJTUBOHHBMWBLTJOEJCVLBQBEBWJBMWBLTJO EJCFSJMBCFM E 5JEBLNFMFXBUJNBTBLFEBMVXBSTB 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 44. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, F 7JBMWBLTJOUJEBLUFSFOEBNBJSBUBVCFLV G 4FNVBEPTJTEJBNCJMTFDBSBBTFQUJT 6OUVLQFMBZBOBOEJOBNJTBUBVQFMBZBOBOEJMVBSHFEVOH TFQFSUJEJ1PTZBOEV TJTBWBLTJO1$7ZBOHTVEBIEJCVLBIBSVTEJCVBOHTFUFMBIQFMBZBOBOJNVOJTBTJTFMFTBJ 4FEBOHLBOVOUVLTJTBWBLTJOZBOHCFMVNEJHVOBLBO NBTJIEBMBNLFBEBBOUFSUVUVQ IBSVTEJLFNCBMJLBOLF1VTLFTNBTVOUVLEJTJNQBOEJEBMBNvaccine refrigeratorQBEB TVIV $ 7BLTJO UFSTFCVU EJCFSJ UBOEB i,w LFNCBMJ EBO EJEBIVMVLBO QFOHHVOBBOOZB QBEB QFMBZBOBO CFSJLVUOZB EFOHBO UFUBQ NFNQFSIBUJLBO UBOHHBM LFEBMVXBSTB4FCFMVNLFNCBMJLFQVTLFTNBT IJUVOHLFNCBMJEBODBUBUKVNMBIWBLTJO 1$7ZBOHEJHVOBLBO TFSUBQBTUJLBOWJBMWBLTJOZBOHNBTJIVUVIEBOTVEBIEJHVOBLBO EJCBXBLFNCBMJLFQVTLFTNBT +%8-%/$31.#3*/7,4*/1$7 +%8-1.#3*/*.6/*44*1$7 x *NVOJTBTJ1$7EJCFSJLBOTFCBOZBLEPTJT%PTJTQFSUBNBWBLTJO1$7EJCFSJLBO QBEBCBZJVTJBCVMBO EPTJTLFEVBEJCFSJLBOQBEBCBZJVTJBCVMBOEBOEPTJT LFUJHB JNVOJTBTJMBOKVUBO EJCFSJLBOQBEBBOBLVTJBCVMBO x 7BLTJO1$7EPTJTQFSUBNBEBOLFEVBEJCFSJLBOCFSTBNBBOEFOHBOWBLTJO%15 )#)JCEBO0176OUVL1SPWJOTJ%*:PHZBLBSUB WBLTJO1$7EPTJTQFSUBNBEBO LFEVBEJCFSJLBOCFSTBNBBOEFOHBOWBLTJO%15)#)JCEBO*17 +VNMBIWJBMWBLTJOZBOH TVEBIEJHVOBLBO +VNMBIWBLTJOZBOHEJCBXBLF QPTQFMBZBOBO +VNMBIWBLTJOVUVI 1/5*/( $BUBUKVNMBIWBLTJO1$7ZBOHEJHVOBLBO 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 45. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, Tabel 4.1 Jadwal imunisasi setelah Introduksi Imunisasi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
  • 46. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, $31.#3*/7,4*/1$7 7BLTJO1$7EJCFSJLBOTFDBSBJOUSBNVTLVMFSEFOHBOEPTJT NMEJUFOHBI CBHJBO MVBS QBIB LJSJ QBEB CBZJ VTJB EBO CVMBO TFSUB QBEB BOBL VTJB CVMBO -BOHLBIMBOHLBI EBMBN QFOZVOUJLBO WBLTJO 1$7 EJMBLVLBO EFOHBO NFNQFSUJNCBOHLBOTJUVBTJQBEBNBTBBEBQUBTJLFCJBTBBOCBSV 1FMBLTBOBBO QFMBZBOBO JNVOJTBTJ 1$7 EJMBLTBOBLBO EFOHBO NFOFSBQLBO QSPUPLPMLFTFIBUBO QSJOTJQQFODFHBIBOEBOQFOHFOEBMJBOJOGFLTJEBONFOKBHB KBSBL BNBO o NFUFS TFSUB NFNBLBJ 1% TFTVBJ EFOHBO 1FUVOKVL 5FLOJT 1FMBZBOBO*NVOJTBTJQBEB.BTB1BOEFNJ$07*% -BLVLBO TLSJOJOH LFTFIBUBO UFSMFCJI EBIVMV TFCFMVN NFNCFSJLBO JNVOJTBTJ 1$7LFQBEBTBTBSBO5FOUVLBOBQBLBITBTBSBONFNJMJLJLPOUSBJOEJLBTJUFSUFOUV Tabel 4.2 Skrining kesehatan anak sebelum pemberian imunisasi PCV pada masa adaptasi kebiasaan baru /P 1FSUBOZBBO :B 5JEBL QBLBI BOBL OEB BUBV BEB BOHHPUB LFMVBSHB TFSVNBI UFSNBTVL EBMBN LBUBHPSJ LPOUBL FSBUTVTQFLLPOGJSNBTJ BUBVTFEBOHEBMBNQFSBXBUBOUFSLBJU$07*% QBLBIBOBLBOEBNFNJMJLJLPOUBLEFOHBOLBTVTLPOUBL FSBUTVTQFLLPOGJSNBTJ$07*%EBMBNIBSJUFSBLIJS QBLBIBOBLTFEBOHEFNBNEBMBNUVKVIIBSJUFSBLIJS QBLBI BOBL NFOHBMBNJ TBLJU UFOHHPSPLBO BUBV TFEBOH CBUVLQJMFLTFTBL BUBV TBMBI TBUV QFOZBLJU QFSOBGBTBO EBMBNUVKVIIBSJUFSBLIJS QBLBI BOBL TFEBOH EJBSF BUBV BMFSHJ EBMBN UVKVI IBSJ UFSBLIJS QBLBIBOBLTFEBOHTBLJUMBJOEBMBNCFCFSBQBUVKVIIBSJ UFSBLIJS KJLB:BTFCVULBOTBLJUBUBVHFKBMBOZB QBLBI BOBL TFEBOH EBMBN QFOHPCBUBO EPLUFS KJLB :B TFCVULBOTBLJUBUBVHFKBMBOZB QBLBITBBUJOJBOBLTFEBOHNFNJOVNPCBUPCBUBOVOUVL QFOHPCBUBO KJLB:BTFCVULBONJOVNPCBUBQB QBLBI BOBL NFNJMJLJ SJXBZBU SFBLTJ BOBGJMBLUJL CFSBU UFSIBEBQLPNQPOFOWBLTJO1$7BUBVWBLTJOMBJOZBOH NFOHBOEVOHLPNQPOFO%JQIUFSJB %15)#)JC %5 5E QBLBI BOBL QFSOBI NFOEFSJUB LBOLFSHBOHHVBO QFNCFLVBOEBSBIHBOHHVBOHJOKBMHBOHHVBOKBOUVOH QFOZBLJUHVMB QBLBIBOBLBOEBQFSOBINFOHBMBNJLFKBOH QBLBI BOBL OEB QFSOBI NFOHBMBNJ LFMVIBO QBTDB JNVOJTBTJ ,*1* 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 47. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, ,FUFSBOHBO B +JLBUFSEBQBUKBXBCBOZBQBEBOPNPSo NBLBJNVOJTBTJEJUVOEBTBNQBJBOBL EJOZBUBLBOTFIBULFNCBMJPMFIEPLUFSBUBVNJOJNBMIBSJTFUFMBIUJNCVMOZB HFKBMB C +JLB UFSEBQBU KBXBCBO ZB QBEB OPNPS o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ambar 4.3: Gambar posisi bayi saat penyuntikan Gambar 4.2: Penyuntikan tegak lurus dengan permukaan kulit 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 48. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, 4FUFMBIWBLTJOEJTVOUJLLBO KBSVNEJUBSJLLFMVBS MBMVBNCJMLBQBTLFSJOHZBOH CBSV EBOUFLBOQBEBCFLBTTVOUJLBO+JLBBEBQFSEBSBIBOLBQBTUFUBQEJUFLBO QBEBMPLBTJTVOUJLBOIJOHHBEBSBICFSIFOUJ+BOHBONFNJKBUNJKBUEBFSBICFLBT TVOUJLBO #VBOHKBSVNTVOUJLIBCJTQBLBJLFEBMBNsafety box UBOQBNFOVUVQLFNCBMJ KBSVN OP SFDBQQJOH Safety box IBSVT EJUVUVQ BQBCJMB TVEBI £ QFOVI EBO EJTJNQBOEJUFNQBUZBOHBNBO KBVIEBSJKBOHLBVBOBOBLo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
  •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oNFUFS ,.//1.#3*/*.6/*44*(/% 4FTVBJ EFOHBO KBEXBM QSPHBN JNVOJTBTJ OBTJPOBM WBLTJO 1$7 BLBO EJCFSJLBO CFSTBNBBO EFOHBO WBLTJO MBJOOZB ZBJUV WBLTJO %15)#)JC WBLTJO QPMJP PSBM C017 EBO Gambar 4.4 Contoh Pengaturan Ruang/Tempat Pelayanan Imunisasi 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 50. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, WBLTJOSPUBWJSVTPSBM TFSUBWBLTJO*17 LIVTVT1SPWJOTJ%*:PHZBLBSUB QBEBVTJBEBOCVMBO ZBOHBSUJOZBBLBOEJMBLVLBOQFNCFSJBOJNVOJTBTJHBOEBQBEBVTJBUFSTFCVU 1FNCFSJBOMFCJIEBSJTBUVKFOJTJNVOJTBTJEBMBNTBUVLBMJLVOKVOHBOCFSNBOGBBUVOUVL NFNQFSDFQBUQFSMJOEVOHBOLFQBEBBOBL NFOJOHLBULBOFGJTJFOTJQFMBZBOBOEBOPSBOHUVB UJEBLQFSMVEBUBOHLFGBTJMJUBTLFTFIBUBOCFSVMBOHLBMJ1FNCFSJBOJNVOJTBTJHBOEBTVEBI UFSCVLUJ BNBO FGFLUJG EBO UJEBL NFOJOHLBULBO SJTJLP ,*1* QBEB BOBL 1BTUJLBO QFMBZBOBO JNVOJTBTJNFNBUVIJQSJOTJQQFOZVOUJLBOBNBO QFOZJNQBOBOWBLTJOTFTVBJQSPTFEVSEBO NFNQFSIBUJLBOLPOUSBJOEJLBTJJNVOJTBTJ EBQVODBSBQFNCFSJBOJNVOJTBTJHBOEBBEBMBITFCBHBJCFSJLVU +FMBTLBO NBOGBBU EBO LFBNBOBO QFNCFSJBO JNVOJTBTJ HBOEB LFQBEB PSBOH UVBQFOHBOUBS UVSQPTJTJCBZJBOBLTFOZBNBONVOHLJO 1FNCFSJBOJNVOJTBTJHBOEBEJMBLVLBOEJUFNQBUQFOZVOUJLBOZBOHCFSCFEBNJTBMOZB EJQBIBLBOBOEBOQBIBLJSJUBVCJTBKVHBEJCFSJLBOEJTBUVUFNQBUTVOUJLBOZBOH TBNB EFOHBOMPLBTJTVOUJLBOEJQJTBILBOTFUJEBLOZBCFSKBSBL DN JODIJ ,VSBOHJ SBTB OZFSJ EFOHBO NFNCFSJLBO WBLTJO ZBOH MFCJI UJEBL TBLJU EBIVMV DPOUPIOZBTVOUJLBO%15)#)JCUFSMFCJIEBIVMV CBSV1$7 BUBVTVOUJLBO*17UFSMFCJI EBIVMVCBSV%15)#)JCEBO1$7VOUVL1SPWJOTJ%*:PHZBLBSUB 1/:6/5*,/:/(./%/./+./-*.#) 1/:6/5*,/./ 1FMBLTBOBBO JNVOJTBTJ IBSVT CJTB NFOKBNJO CBIXB TBTBSBO NFOEBQBULBO LFLFCBMBO TFSUB NFOHIJOEBSLBO QFOZFCBSBO QFOZBLJU UFSIBEBQ QFUVHBT EBO NBTZBSBLBU 6OUVL NFODBQBJ UVKVBO UFSTFCVU IBSVT EJQFSIBUJLBO CFCFSBQB IBM EJCBXBIJOJ +BOHBONFOHHVOBLBOWBLTJO1$7EFOHBOLFNBTBOZBOHUFMBISVTBLBUBVUFMBI NFMFXBUJUBOHHBMLFEBMVXBSTB +BSVNTVOUJLIBCJTQBLBJIBSVTMBOHTVOHEJCVBOHLFsafety boxUBOQBNFOVUVQ LFNCBMJKBSVN no recapping +BOHBONFMFUBLLBOKBSVNTVOUJLEJBUBTNFKBBUBV EJOBNQBOTFUFMBIJOKFLTJ .BOGBBU1FNCFSJBO*NVOJTBTJ(BOEB .FMJOEVOHJBOBLTFTFHFSBNVOHLJOTFMBNBCVMBOCVMBOBXBMLFIJEVQBONFSFLB ZBOHSFOUBO -FCJITFEJLJUKVNMBILVOKVOHBOVOUVLJNVOJTBTJ .FOJOHLBULBOFGJTJFOTJMBZBOBOLFTFIBUBO 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  • 51. 'LUHNWRUDW3HQJHORODDQ,PXQLVDVL.HPHQWHULDQ.HVHKDWDQ5, +BOHBONFOHJTJsafety boxTBNQBJUFSMBMVQFOVI IBOZBCPMFIEJJTJ£ Safety boxEJCBXBLFNCBMJLF1VTLFTNBTVOUVLEJNVTOBILBO 1FNVTOBIBOsafety boxZBOHCFSJTJKBSVNCFLBTEFOHBOEJCBLBSQBEBJODJOFSBUPS QFNCBLBSBOBNBOUFSMJOEVOHBUBVEJLVCVS 4BNQBI NFEJT MBJO TFQFSUJ LBQBT handscoen EBO MBJOOZB EJNBTVLLBO LFEBMBN LBOUPOHQMBTUJLLVOJOHBUBVLBOUPOHQMBTUJLZBOHEJCFSJUBOEBwMJNCBINFEJTw 1FMBLTBOBBOQFMBZBOBOJNVOJTBTJ1$7EJMBLTBOBLBOEFOHBONFOFSBQLBOQSPUPLPM LFTFIBUBO QSJOTJQQFODFHBIBOEBOQFOHFOEBMJBOJOGFLTJEBONFOKBHBKBSBLBNBO o NFUFS TFTVBJ EFOHBO 1FUVOKVL 5FLOJT 1FMBZBOBO *NVOJTBTJ QBEB .BTB 1BOEFNJ$07*% -BLVLBOTLSJOJOHLFTFIBUBOUFSMFCJIEBIVMV TFCFMVNNFNCFSJLBOJNVOJTBTJ1$7 LFQBEBTBTBSBO 5FOBHB LFTFIBUBO IBSVT NFODVDJ UBOHBO TFCFMVN EBO TFTVEBI NFMBLVLBO QFOZVOUJLBO ./+./-*.#) 4FUJBQUFNQBUQFMBZBOBOJNVOJTBTJIBSVTEJTFEJBLBOsafety boxEFOHBOKVNMBI ZBOHDVLVQCFSEBTBSLBOKVNMBITBTBSBOSafety boxIBSVTEJCFSJMBCFMEFOHBOOBNB QFUVHBT OBNBUFNQBUQFMBZBOBOEBOUBOHHBMQFMBZBOBO%4IBSVTEJCVBOHLFEBMBN safety boxUBOQBEJUVUVQLFNCBMJno recapping+BOHBONFNCVBOHTBNQBIMBJOOZBLF EBMBNsafety box -JNCBI MBJOOZB TFQFSUJ WJBM WBLTJO BNQVM QFMBSVU LBQBT NBTLFS NFEJT EBO TBSVOHUBOHBOEJCVBOHLFEBMBNLBOUPOHQMBTUJLLIVTVTMJNCBINFEJTBUBVLBOUPOH QMBTUJL CJBTB ZBOH EJCFSJ UBOEBEJUVMJT iMJNCBI NFEJTw 1JTBILBO HVOBLBO LBOUPOH QMBTUJL ZBOH CFSCFEB BOUBSB WJBM WBLTJO EBO BNQVM QFMBSVU EFOHBO MJNCBI LBQBT NBTLFSNFEJTEBOTBSVOHUBOHBO Safety box IBSVT UBIBO UFSIBEBQ UVTVLBO EBO CFOEB UBKBN MBJO ZBOH UFSLPOUBNJOBTJSafety boxIBSVTEJUVUVQCJMBTVEBI£QFOVIEBOEJTJNQBOEJUFNQBU ZBOH BNBO KBVI EBSJ KBOHLBVBO BOBLBOBL VOUVL LFNVEJBO EJNVTOBILBO TFTVBJ EFOHBO TUBOEBS OBTJPOBM 1FSNFOLFT /P UBIVO UFOUBOH 1FOZFMFOHHBSBBO *NVOJTBTJ */(5,.//1/:6/5*,,/ ƒ ,6.16-,/ KBSVN TVOUJL ZBOH TVEBI EJQBLBJ EJ EBMBN safety box EBO NVTOBILBOTFDBSBBNBO ƒ +/(/NFOZFOUVIEBONFOVUVQLFNCBMJKBSVNTFUFMBIQFOZVOUJLBO 3HWXQMXN7HNQLV3HODNVDQDDQ,PXQLVDVL3QHXPRNRNXV.RQXJDVL 39
  •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