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WHO Indonesia Situation Report - 19
who.int/indonesia
Situation Report - 7
INDONESIA Situation Report 19
Internal for SEARO
Data as of 07 May 2020
• As of 05 August, the Government of Indonesia
announced 116 871 confirmed cases of COVID-19,
5 452 deaths and 73 889 recovered cases from 479
districts across all 34 provinces1.
• WHO is supporting a rapid assessment on
community receptiveness and information needs
for COVID-19 prevention and control in 16 districts
of four provinces (page 17).
• WHO and the United Nations Children’s Fund
published a joint release to commemorate World
Breastfeeding Week, calling on governments and
stakeholders to support breastfeeding mothers
during the pandemic (page 19).
1
https://infeksiemerging.kemkes.go.id/
HIGHLIGHTS
Figure 1: Geographic distribution of cumulative number of confirmed COVID-19 cases in Indonesia across the
provinces reported between 30 July to 05 August 2020. Source of data
Disclaimer: The number of cases reported daily is not equivalent to the number of persons who contracted
COVID-19 on that day; reporting of laboratory-confirmed results may take up to one week from the time of testing.
Coronavirus Disease 2019 (COVID-19)
World Health
Organization
Indonesia
Data as of: 05 August 2020
Coronavirus Disease 2019 (COVID-19)
Coronavirus Disease 2019 (COVID-19)
Situation Report - 19
World Health
Organization
Indonesia
2
WHO Indonesia Situation Report - 19
who.int/indonesia
• Jakarta has again extended its first phase of transitional large-scale social
restrictions (PSBB) until 13 August. The first transitional PSBB phase
started on 05 June and was set to last until 02 July. Due to the increasing
number of confirmed COVID-19 cases, the administration extended the
phase until 16 July and then to 30 July. Governor Anies Baswedan stated
that businesses that had resumed operating from office buildings recorded
an alarming number of new COVID-19 clusters over the past two weeks.
He reiterated that businesses can open only at half-capacity while adhering
to health protocols and should implement alternating working hours2.
• The Ministry of Transportation recorded a significant increase in travellers
using private cars and public transportation at several main toll road
sections, airports, seaports, bus terminals, and train stations during the Eid-
al-Adha holiday. A total of 145 546 cars were recorded leaving several toll
road sections in Jakarta on 29 July – an 18% increase from that of normal
days. The Soekarno-Hatta International Airport recorded more than 37 000
passengers travelling on 30 July. The 16% increase in passengers was
followed by a 13% rise in aircraft movements, with 460 aircraft movements
that day3.
• At least 70 doctors and 50 nurses have died from COVID-19 in Indonesia,
with hundreds more contracting the disease while fighting the pandemic.
The Indonesian Medical Association (IDI) estimated between 200 and 300
of the country's 160 000 doctors had been infected by the virus. In the
second week of July alone, 14 doctors died from the disease. The National
Nurses Association (PPNI) stated that at least 300 of the country's 1.3
million nurses have contracted the disease, but cautioned the figure could
be higher. The associations are calling for regular testing of healthcare
workers, guaranteed access to personal protective equipment (PPE) and
further education on reducing the transmission of the disease4.
2
https://www.thejakartapost.com/news/2020/07/30/jakarta-extends-transitional-covid-19-restrictions-
for-another-two-weeks.html?utm_campaign=os&utm_source=mobile&utm_medium=ios
3
https://en.antaranews.com/news/153402/significant-surge-in-number-of-travelers-observed-in-idul-
adha-holiday
4
https://www.smh.com.au/world/asia/doctors-and-nurses-dying-as-coronavirus-cases-surge-in-
indonesia-20200730-p55gw2.html
GENERAL UPDATES
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WHO Indonesia Situation Report - 19
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• On 05 August, 1 815 new and 116 871 cumulative confirmed COVID-19
cases were reported (Fig. 2). The average for the last seven days was 1 777
cases per day, compared to 1 812 per day for the previous seven days.
• As of 05 August, most confirmed cases were in East Java and DKI Jakarta,
followed by Central Java, South Sulawesi, West Java, South Kalimantan
and North Sumatra. Java contributed 57% of the total cases in Indonesia.
The cumulative number of confirmed COVID-19 cases by province is shown
in Figure 3.
SURVEILLANCE
Figure 2: Daily and cumulative number of cases reported in Indonesia, as of 05 August
2020. Source of data
Disclaimer: The number of cases reported daily is not the number of persons who
contracted COVID-19 on that day; reporting of laboratory-confirmed results may take up
to one week from the time of testing. Therefore, caution must be taken in interpreting this
figure and the epidemiological curve for further analysis.
0
20000
40000
60000
80000
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140000
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2-Mar
9-Mar
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6-Apr
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27-Apr
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11-May
18-May
25-May
1-Jun
8-Jun
15-Jun
22-Jun
29-Jun
6-Jul
13-Jul
20-Jul
27-Jul
3-Aug
Cumulativenumber
Dailynumber
Daily number of confirmed COVID-19 cases
Cumulative number of confirmed COVID-19 cases
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0 5000 10000 15000 20000 25000 30000
East Nusa Tenggara
Jambi
Bangka Belitung Islands
Central Sulawesi
Bengkulu
West Sulawesi
North Kalimantan
Lampung
West Kalimantan
Aceh
West Papua
Riau Islands
Riau
Yogyakarta
Southeast Sulawesi
West Sumatra
Maluku
Gorontalo
North Maluku
East Kalimantan
Central Kalimantan
Banten
West Nusa Tenggara
North Sulawesi
Papua
South Sumatra
Bali
North Sumatra
South Kalimantan
West Java
South Sulawesi
Central Java
DKI Jakarta
East Java
Cumulative number of confirmed COVID-19 cases
Province
Figure 3: Cumulative number of confirmed COVID-19 cases by province in Indonesia, as of 05 August
2020. Source of data
Disclaimer: Data from DKI Jakarta include patients isolated or hospitalized in Wisma Atlet (RSDC: Rumah
Sakit Darurat COVID-19), which is the biggest national makeshift hospital for COVID-19; some patients
may not be residents of DKI Jakarta. The same may apply to other provinces.
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• As of 05 August, DKI Jakarta had the highest confirmed COVID-19 mortality
per one million population, followed by South Kalimantan, North Sulawesi,
East Java, North Maluku and South Sulawesi (Fig. 4).
Figure 4: Cumulative deaths per one million population by province in Indonesia, as of 05 August 2020.
Source of data
Disclaimer: Based on data availability, only confirmed COVID-19 deaths have been included; however, as
per the WHO definition, death resulting from a clinically compatible illness in a probable or confirmed
COVID-19 case is a COVID-19-related death, unless there is a clear alternative cause of death that cannot
be related to COVID-19 (e.g. trauma). There should be no period of complete recovery between the illness
and death.
0 10 20 30 40 50 60 70 80 90
East Nusa Tenggara
West Kalimantan
Jambi
Bangka Belitung Islands
Lampung
Riau
Central Sulawesi
North Kalimantan
Aceh
West Sulawesi
West Java
Yogyakarta
Southeast Sulawesi
West Papua
West Sumatra
Banten
Riau Islands
Papua
Bengkulu
Bali
East Kalimantan
Maluku
North Sumatra
Central Java
South Sumatra
West Nusa Tenggara
Gorontalo
Central Kalimantan
South Sulawesi
North Maluku
East Java
North Sulawesi
South Kalimantan
DKI Jakarta
Death per one million population
Province
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• As of 05 August, the daily number of specimens and suspected cases
tested were 28 738 and 14 722, respectively (Fig. 5). The weekly average
number of specimens and suspected cases tested in the last seven days
were 22 314 and 11 669, respectively. There was a decrease in the number
of suspected cases tested over the last week. Therefore, it is crucial to
strengthen primary-care and hospital-based surveillance, intensify contact
tracing, implement community-based surveillance (whereby the community
members monitor and report health events to local authorities), and
enhance surveillance for people who live in closed settings such as in
prisons, residential facilities or care homes for the elderly and people with
disabilities.
• The Ministry of Social Affairs and relevant partners convened the third and
fourth batches of webinars for the ‘Tagana’ (community volunteers for
responding to disasters) on the preparation of quarantine and isolation
facilities at the community level. These batches covered the provinces of
Figure 5: The daily number of specimens and suspected COVID-19 cases tested in Indonesia,
from 01 May to 05 August 2020. Source of data
Disclaimer: Due to the transition to a new data management application, there may have been
reporting issues in timing. Therefore, on certain days the number of specimens tested is almost
the same as the number of suspected cases tested, which might not have been the situation.
0
5000
10000
15000
20000
25000
30000
35000
1-May
5-May
9-May
13-May
17-May
21-May
25-May
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2-Jun
6-Jun
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14-Jun
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4-Jul
8-Jul
12-Jul
16-Jul
20-Jul
24-Jul
28-Jul
1-Aug
5-Aug
Dailynumber
Number of specimens tested Number of suspected cases tested
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Central Java and West Java on 27 and 29 July, respectively. WHO
delivered an update on the COVID-19 pandemic in Indonesia, discussed
the role of volunteers in surveillance, and suggested procedures for
preparing quarantine and isolation facilities.
• On 30 July, WHO participated in a follow-up meeting with the Provincial
Health Office (PHO) of East Java and the Field Epidemiology Training
Programme (FETP) to discuss strategies for strengthening surveillance
and contact tracing capacities in the provinces.
Table 1: Assessment of epidemiological criteria for six provinces in Java for the
3-week period from 13 July to 02 August.
Province Decline in the number of
confirmed COVID-19 cases
since the latest peak*
Decrease in the
number of
confirmed and
probable case
deaths for the
last 3 weeks**
DKI Jakarta Latest peak last week No
West Java More than 50% over three-weeks
since latest peak
No
Central Java Less than 50% since latest peak No
Yogyakarta Latest peak last week No
East Java Less than 50% since latest peak No
Banten Latest peak last week No
*date of latest peak differs for each province (see Figs. 6 to 11 for details)
**decrease in deaths is calculated from 13 July to 02 August 2020 (see Fig. 13 for
details)
Criterion 1: Decline of at least 50% over a 3-week period since the latest peak and
continuous decline in the observed incidence of confirmed and probable cases
• West Java is the only province in Java that has seen a decline in the number
of confirmed COVID-19 cases of at least 50% over a three-week period
since the latest peak (Figs. 6 to 11).
EPIDEMIOLOGICAL CRITERIA TO ASSESS COVID-19 TRANSMISSION
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Figure 6: Weekly and cumulative number of confirmed COVID-19 cases in DKI Jakarta, as of
02 August 2020. Source of data
Figure 7: Weekly and cumulative number of confirmed COVID-19 cases in West Java,
as of 02 August 2020. Source of data
0
5000
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15000
20000
25000
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3500
Cumulativenumber
Weeklynumber
DKI Jakarta
Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
0
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3000
4000
5000
6000
7000
0
200
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600
800
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1600
Cumulativenumber
Weeklynumber
West Java
Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
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Figure 8: Weekly and cumulative number of confirmed COVID-19 cases in Central Java,
as of 02 August 2020. Source of data
Figure 9: Weekly and cumulative number of confirmed COVID-19 cases in Yogyakarta,
as of 02 August 2020. Source of data
0
2000
4000
6000
8000
10000
12000
0
200
400
600
800
1000
1200
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Cumulativenumber
Weeklynumber
Central Java
Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
0
100
200
300
400
500
600
700
800
0
50
100
150
200
250
Cumulativenumber
Weeklynumber
Yogyakarta
Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
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Figure 10: Weekly and cumulative number of confirmed COVID-19 cases in East Java,
as of 02 August 2020. Source of data
Figure 11: Weekly and cumulative number of confirmed COVID-19 cases in Banten,
as of 02 August 2020. Source of data
0
5000
10000
15000
20000
25000
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3000
Cumulativenumber
Weeklynumber
East Java
Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
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Banten
Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
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Criterion 2: Less than 5% of samples positive for COVID-19, at least for the last 2
weeks, assuming that surveillance for suspected cases is comprehensive
• The percentage of positive samples can be interpreted only with
comprehensive surveillance and testing of suspected cases, in the order
of one per 1 000 population per week. DKI Jakarta has achieved this
minimum case detection benchmark (Fig. 12).
Figure 12: Positivity rate of cases, and suspected cases tested per 1 000 population per week:
Week 1: 13/07/20 - 19/07/20; Week 2: 20/07/20 - 26/07/20; Week 3: 27/07/20 - 02/08/20
For surveillance purposes, positivity rate is calculated as the number of confirmed cases
divided by the number of people tested for diagnosis. Source of data: Indonesia, DKI Jakarta
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
1 2 3 1 2 3 1 2 3
Indonesia DKI Jakarta Indonesia without DKI
Jakarta
Weeks
Positivityrate
Suspectedcasestested/1000population/week
Suspected cases tested/1000 population/week Positivity rate
Benchmark: One suspected case
tested per 1000 population per
week Threshold positivity rate <5%
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Criterion 3: Decline in the number of deaths among confirmed and probable cases
for the last 3 weeks
44 31
73
77 117
84
0
50
100
150
200
13/07/20 -
19/07/20
20/07/20 -
26/07/20
27/07/20 -
02/08/20
DKI Jakarta
Other death with COVID-19 protocol
Death-Confirmed-Case
4 16 4
17
73
63
4
0
20
40
60
80
100
13/07/20 -
19/07/20
20/07/20 -
26/07/20
27/07/20 -
02/08/20
West Java
Death-Confirmed-Case Death-PDP Death-ODP
121 95
166
44 88
85
0
50
100
150
200
250
300
13/07/20 -
19/07/20
20/07/20 -
26/07/20
27/07/20 -
02/08/20
Central Java
Death-Confirmed-Case Death-PDP
3 5 4
4 3
0
10
20
30
13/07/20 -
19/07/20
20/07/20 -
26/07/20
27/07/20 -
02/08/20
Yogyakarta
Death-Confirmed-Case Death-PDP
192 187 135
158 166
98
3
1
0
100
200
300
400
500
600
13/07/20 -
19/07/20
20/07/20 -
26/07/20
27/07/20 -
02/08/20
East Java
Death-Confirmed-Case Death-PDP Death-ODP
3 4 3
4
4 5
0
2
4
6
8
10
13/07/20 -
19/07/20
20/07/20 -
26/07/20
27/07/20 -
02/08/20
Banten
Death-Confirmed-Case Death-PDP
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Figure 13: Deaths among confirmed COVID-19 cases, patients under investigation
(PDP) and persons under observation (ODP) per week over the last three weeks from
13 July to 02 August 2020 in six provinces in Java. Source of data: DKI Jakarta, West
Java, Central Java, East Java, Yogyakarta, Banten.
Disclaimer: The data are provisional. As of 20 July, DKI Jakarta and East Java are in the
process of adopting case definitions based on the fifth revision of the national guidelines
on COVID-19 prevention and control. There may be a discrepancy in the number of
deaths of confirmed COVID-19 cases between national and provincial data sources.
• The number of confirmed COVID-19 cases hospitalized in DKI Jakarta since
the beginning of June had gradually decreased until 07 July; however, since
08 July, the number has been progressively increasing (Fig. 14).
HEALTH SYSTEM CRITERIA TO ASSESS COVID-19 TRANSMISSION
Figure 14: Number of confirmed COVID-19 cases hospitalized in DKI Jakarta from 01
June to 02 August 2020. Source of data
Disclaimer: Data from Wisma Atlet are not included.
0
500
1000
1500
2000
2500
1-Jun 8-Jun 15-Jun 22-Jun 29-Jun 6-Jul 13-Jul 20-Jul 27-Jul
NumberofconfirmedCOVID-19cases
hospitalized
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• During the last three-week period, an increase in the weekly number of
confirmed COVID-19 cases in DKI Jakarta was observed: 2 033, 2 713 and
3 025 from 13 to 19 July, 20 to 26 July and 27 July to 02 August,
respectively. This is a result of the active case finding strategy implemented
in the province. The positivity rate has also increased from 5.4% to 5.6%
and 7.9%, respectively. Despite DKI Jakarta exceeding the benchmark of
one suspected case tested per 1 000 population per week, there is an
increase in the positivity rate which shows a high level of on-going
transmission.
• As reported by the government on 05 August, the number of persons
tested for COVID-19 with polymerase chain reaction (PCR) was 14 722
and the cumulative number of persons tested was 922 709 (Fig. 15).
ANALYSIS OF EPIDEMIOLOGICAL CRITERIA TO ASSESS COVID-19
TRANSMISSION IN DKI JAKARTA
LABORATORY
Figure 15: Daily and cumulative number of suspected COVID-19 cases tested with
polymerase chain reaction (PCR) in Indonesia, as of 05 August 2020. Source of data
0
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7-Mar
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Cumulativenumber
Dailynumber
Reporting date
Daily number of suspected COVID-19 cases tested with PCR
Cumulative number of suspected COVID-19 cases tested with PCR
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• On 28 and 30 July, WHO participated in meetings with the National Institute
of Health Research and Development (NIHRD) to further discuss the
protocol, testing procedure, requirement for consumables and quality
control mechanism for the seroepidemiological study.
• On 29 July, WHO participated in a coordination meeting with the NIHRD to
discuss the logistics for COVID-19 PCR testing. The NIHRD will coordinate
requests from the provinces for automatic extraction machines required to
prepare samples for PCR tests. These machines are expected to speed
up the sample extraction process for COVID-19 testing.
• As of 05 August, the proportion of people that recovered among the total
confirmed COVID-19 cases was 63.2% (Fig. 16). As of the same date, there
were 37 530 confirmed COVID-19 cases under care or in isolation5.
5
https://covid19.go.id/
CASE MANAGEMENT
Figure 16: Cumulative number of recovered cases and percentage recovery
from COVID-19 in Indonesia, as of 05 August 2020. Source of data
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
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1-Apr
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31-May
6-Jun
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5-Aug
Percentage(%)
Cummulativenumber
Cumulative number of recovered cases Percentage recovery
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• On 29 July, WHO participated in a meeting with the Indonesian Medical
Association (IDI) to discuss a risk mitigation strategy for the increasing
number of doctors infected with COVID-19. The association has begun
recording the number of COVID-19 deaths in doctors. The IDI requested
WHO’s technical assistance to develop (i) supplementary
comprehensive protocols for doctors, focusing on their personal
protection during COVID-19 service delivery, and (ii) an information
system to collect data on the number COVID-19 infections,
hospitalizations, recoveries and deaths in doctors. Similarly, the
National Nurses Association (PPNI) has been concerned about the
increasing number of nurses infected and requested participation from
WHO in one of their daily webinars to reiterate preventive measures for
nurses. The PPNI also requested support to develop educational
materials on IPC, focusing on PPE, and to assess nurses’ exposure to
COVID-19 to understand why, how and where they got infected by the
virus. The results from the assessment will be used to develop an action
plan to mitigate risk of exposure and infection in nurses. As requested,
on 25 July, a resource person from WHO presented at the 77th daily
webinar for nurses on IPC, attended by 800 nurses nationwide (Fig. 17).
INFECTION PREVENTION AND CONTROL (IPC)
Figure 17: Dr B. Sihombing from WHO presenting during a webinar for nurses on infection
prevention and control measures, 25 July 2020. Credit: WHO
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• From 29 to 31 July, WHO and Ministry of Health (MoH) delegates from the
WHO South-East Asia Region and Western Pacific Region participated in
the Asia-Pacific Strategy for Emerging Diseases Technical Advisory Group
(APSED) bi-regional video conference. Countries from both regions shared
their best practices, challenges and lessons learned during the COVID-19
response. Participation in the meeting was a valuable opportunity for all
members to consider possible best practices that may be adaptable by
other countries to resolve bottlenecks faced during implementation of
COVID-19 response plans.
• WHO is collaborating with Wahana Visi Indonesia (WVI) for activities related
to risk communication and community engagement. A rapid assessment
was conducted during the last week of July to gain insight into community
receptiveness and information needs as well as identify appropriate
communication strategies in 16 districts of four provinces: East Nusa
Tenggara, North Maluku, Papua and West Kalimantan (Fig. 18). On 12
August, WVI, with input from WHO, will present the results of the
assessment to the PHOs.
PLANNING, RISK AND NEEDS ASSESSMENT
RISK COMMUNICATION
Figure 18: Rapid assessment on risk communication requirements in West
Kalimantan, July 2020. Credit: Wahana Visi Indonesia.
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• WHO is regularly translating and sharing important health messages on the
website and social media platforms – Twitter and Instagram – and has
recently published:
- Questions and answers on COVID-19 transmission
- Guidance on safe Eid-al-Adha practices in the context of COVID-19
- Infographics and videos on:
▪ Take care in your workplace (Fig. 19)
▪ Safe travel during COVID-19
Figure 19: An infographic from the ‘take care in your workplace’ infographic series, translated
and published by WHO, available online, August 2020.
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• On 03 August, WHO and UNICEF published a joint release in English and
Indonesian to commemorate World Breastfeeding Week from 01 to 07
August. The statement calls on the government and stakeholders to
safeguard and promote access to services that support mothers to continue
breastfeeding practices during the COVID-19 pandemic, including:
i. Prioritizing services and programmes to protect, promote and
support breastfeeding as a critical component of the health and
nutrition response to the COVID-19 pandemic;
ii. Continuing to support breastfeeding mothers with improved quality
counselling and accurate information on maternal, infant and young
child nutrition, including strengthening the ‘Baby Friendly Hospital
Initiative’;
iii. Ending the promotion of breastmilk substitutes to enable mothers
and caregivers to make informed decisions on best way to feed their
babies; and
iv. Encouraging women to continue to breastfeed during the pandemic,
with no separation of mother and baby, even if a mother is confirmed
or suspected to have COVID-19, while adhering to appropriate IPC
measures.
CONTINUITY OF ESSENTIAL HEALTH SERVICES
Figure 20: Early and exclusive breastfeeding helps children survive and provides them
with antibodies; therefore, programmes that safely promote breastfeeding practices,
adhering to appropriate infection prevention and control measures, during the pandemic
must be prioritized. Credit: WHO
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• WHO is supporting the government for programme analysis of various
essential health services to ensure their continuity during the pandemic.
Highlights of the noncommunicable disease (NCD) programme are presented
below:
Impact of COVID-19 on NCD services and interventions in Indonesia:
Indonesia contributed to WHO’s global rapid assessment of service delivery for
NCDs during the COVID-19 pandemic in May 2020. The data indicated the
following:
i. Outpatient NCD services have been open with limited access; and inpatient
NCD management services have been open for emergencies only.
ii. Hypertension management, cancer treatment, diabetes and diabetic
complication management, asthma and palliative care services have been
partially disrupted. One reason for these disruptions has been limited stocks
of essential medicines and medical diagnostics in health facilities.
iii. Public screening for NCD risk factors, which is usually carried out in
community-based health facilities, has stopped during the pandemic to
reduce the transmission risk of COVID-19.
To mitigate the impact of COVID-19 and maintain essential NCD services,
interventions focus on the following areas:
i. Guidelines: On 14 April 2020, the MoH issued a circular on management
guidelines for NCDs and their risk factors during the COVID-19 pandemic.
The circular acknowledges the vulnerability of NCD patients to contracting
COVID-19 and emphasizes the need to strengthen preventive measures. It
urges people with risk factors and NCDs to stay at home, practice physical
distancing, maintain hand hygiene and wear masks if required to leave the
house. It also recommends that they utilize digital health platforms to obtain
health information, and to visit health facilities immediately if they
experience any COVID-19 symptoms, for instance fever, cough or
breathing difficulty. WHO also shared modifications for the safe delivery of
NCD services in its interim guidance ‘Maintaining essential health services:
operational guidance for the COVID-19 context’.
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ii. Diagnosis, monitoring and evaluation of signs of risk: The MoH circular
advises persons with diabetes to routinely check their blood glucose level
and pay attention to the signs and symptoms of increased blood glucose
level such as thirst, headache, or lethargy; and those with hypertension to
routinely check their blood pressure at home and pay attention to the signs
and symptoms of increased blood pressure for instance headaches,
palpitations or blurry vision.
iii. Logistics: Persons with NCDs who are Jaminan Kesehatan Nasional
(national health insurance scheme) members are allowed to obtain a two-
month prescription for their medicines during the COVID-19 pandemic.
iv. Human resources: To increase awareness on COVID-19 as well as to
improve early detection of NCDs by community health workers, the
government has conducted virtual roadshows in all 34 provinces to promote
the guideline on “Adaptation of new habits in NCD prevention and control”.
v. Prevention: In line with WHO information note on COVID-19 and NCDs, the
government has recommended people with NCD risk factors to check their
condition at home, implement a healthy lifestyle, consume healthy food with
less sugar, salt and fat, as well as to keep physically active and to avoid
smoking. In addition, the Directorate of Noncommunicable Diseases has
been actively promoting smoke-free homes and early NCD detection
virtually, as well as spreading awareness through social media for NCD as
comorbidities for COVID-19. The ongoing social media campaign is done
to promote a healthy life style among people with NCDs and people with
NCD risk factors so they can maintain their health and general immunity.
WHO has also translated and shared many related infographics on the
website and social media platforms – Twitter and Instagram (Fig. 21).
22
WHO Indonesia Situation Report - 19
who.int/indonesia
• As a follow up to the ‘Kick-Off Executive Roundtable Dialogue’, on 06
August, WHO together with the Indonesia Global Compact Network (IGCN),
the International Labour Organization (ILO) and the United Nations
Development Programme (UNDP) will moderate a webinar on “Health,
safety and environmental standards in the workplace”. The webinar aims to
facilitate dialogue between UN agencies, governments, business
associations, the private sector and workers regarding the needs, concerns
and challenges for health and safety standards for businesses in the private
sector during the COVID-19 pandemic. WHO will present the WHO
guidance on ‘Considerations for public health and social measures in the
workplace in the context of COVID-19’.
PARTNER COORDINATION
Figure 21: Some infographics from the ‘healthy habit’ infographic series, translated and published on
WHO’s website and social media.
23
WHO Indonesia Situation Report - 19
who.int/indonesia
Figure 22: Poster of the webinar on “Health, safety and environmental standards in the workplace”, 06
August 2020. Credit: Indonesia Global Compact Network (IGCN)
24
WHO Indonesia Situation Report - 19
who.int/indonesia
• Overall funding request for WHO operations and technical assistance is
US$ 46 million (27 million for response and 19 million for recovery phase),
based on estimated needs as of August 2020 (Fig. 23).
Data presented in this situation report have been taken from publicly available data from the MoH
(https://infeksiemerging.kemkes.go.id/), BNPB (http://covid19.go.id) and provincial websites. There
may be differences in national and provincial data depending on the source used. All data are
provisional and subject to change.
Figure 23: WHO funding situation for COVID-19 response, August 2020
25
WHO Indonesia Situation Report - 19
who.int/indonesia
Online WHO COVID-19 courses:
• Operational planning guidelines and COVID-19
• Clinical management of severe acute respiratory infections
• Health and safety briefing for respiratory diseases – eProtect
• Infection prevention and control
• Emerging respiratory viruses, including COVID-19
• Design of severe acute respiratory infection treatment facility
WHO guidance:
• Doing things that matter
• Considerations for school-related public health measures
• Cleaning and disinfection of environmental surfaces
• Guiding principles for immunization activities during the COVID-19
pandemic
• Maintaining a safe and adequate blood supply during the COVID-19
pandemic
• Advice for the use of immunodiagnostics tests (point-of-care) in health
facilities
Infographics:
• Tuberculosis and COVID-19
• Nutrition tips
• Three places to avoid
• ‘Be Active’
• Is dexamethasone a treatment for all COVID-19 patients?
• The ‘new normal’
• Science solutions solidarity
• Helping the elderly
• The ‘new normal’
• Domestic violence
• A selection of myth-busters
Videos:
• COVID-19 is a virus not bacteria
• Health workers and stigma
• Managing stress
• Who wears what masks when
• COVID-19 spread
• Seven steps to prevent the spread of COVID-19
• Alternate to handshakes, hugs and high-fives
For more information please feel free to contact: seinocomm@who.int
WHO Indonesia Reports
A SNAPSHOT OF WHO COURSES AND INFORMATION MATERIAL

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Who Situation Report

  • 1. 1 WHO Indonesia Situation Report - 19 who.int/indonesia Situation Report - 7 INDONESIA Situation Report 19 Internal for SEARO Data as of 07 May 2020 • As of 05 August, the Government of Indonesia announced 116 871 confirmed cases of COVID-19, 5 452 deaths and 73 889 recovered cases from 479 districts across all 34 provinces1. • WHO is supporting a rapid assessment on community receptiveness and information needs for COVID-19 prevention and control in 16 districts of four provinces (page 17). • WHO and the United Nations Children’s Fund published a joint release to commemorate World Breastfeeding Week, calling on governments and stakeholders to support breastfeeding mothers during the pandemic (page 19). 1 https://infeksiemerging.kemkes.go.id/ HIGHLIGHTS Figure 1: Geographic distribution of cumulative number of confirmed COVID-19 cases in Indonesia across the provinces reported between 30 July to 05 August 2020. Source of data Disclaimer: The number of cases reported daily is not equivalent to the number of persons who contracted COVID-19 on that day; reporting of laboratory-confirmed results may take up to one week from the time of testing. Coronavirus Disease 2019 (COVID-19) World Health Organization Indonesia Data as of: 05 August 2020 Coronavirus Disease 2019 (COVID-19) Coronavirus Disease 2019 (COVID-19) Situation Report - 19 World Health Organization Indonesia
  • 2. 2 WHO Indonesia Situation Report - 19 who.int/indonesia • Jakarta has again extended its first phase of transitional large-scale social restrictions (PSBB) until 13 August. The first transitional PSBB phase started on 05 June and was set to last until 02 July. Due to the increasing number of confirmed COVID-19 cases, the administration extended the phase until 16 July and then to 30 July. Governor Anies Baswedan stated that businesses that had resumed operating from office buildings recorded an alarming number of new COVID-19 clusters over the past two weeks. He reiterated that businesses can open only at half-capacity while adhering to health protocols and should implement alternating working hours2. • The Ministry of Transportation recorded a significant increase in travellers using private cars and public transportation at several main toll road sections, airports, seaports, bus terminals, and train stations during the Eid- al-Adha holiday. A total of 145 546 cars were recorded leaving several toll road sections in Jakarta on 29 July – an 18% increase from that of normal days. The Soekarno-Hatta International Airport recorded more than 37 000 passengers travelling on 30 July. The 16% increase in passengers was followed by a 13% rise in aircraft movements, with 460 aircraft movements that day3. • At least 70 doctors and 50 nurses have died from COVID-19 in Indonesia, with hundreds more contracting the disease while fighting the pandemic. The Indonesian Medical Association (IDI) estimated between 200 and 300 of the country's 160 000 doctors had been infected by the virus. In the second week of July alone, 14 doctors died from the disease. The National Nurses Association (PPNI) stated that at least 300 of the country's 1.3 million nurses have contracted the disease, but cautioned the figure could be higher. The associations are calling for regular testing of healthcare workers, guaranteed access to personal protective equipment (PPE) and further education on reducing the transmission of the disease4. 2 https://www.thejakartapost.com/news/2020/07/30/jakarta-extends-transitional-covid-19-restrictions- for-another-two-weeks.html?utm_campaign=os&utm_source=mobile&utm_medium=ios 3 https://en.antaranews.com/news/153402/significant-surge-in-number-of-travelers-observed-in-idul- adha-holiday 4 https://www.smh.com.au/world/asia/doctors-and-nurses-dying-as-coronavirus-cases-surge-in- indonesia-20200730-p55gw2.html GENERAL UPDATES
  • 3. 3 WHO Indonesia Situation Report - 19 who.int/indonesia • On 05 August, 1 815 new and 116 871 cumulative confirmed COVID-19 cases were reported (Fig. 2). The average for the last seven days was 1 777 cases per day, compared to 1 812 per day for the previous seven days. • As of 05 August, most confirmed cases were in East Java and DKI Jakarta, followed by Central Java, South Sulawesi, West Java, South Kalimantan and North Sumatra. Java contributed 57% of the total cases in Indonesia. The cumulative number of confirmed COVID-19 cases by province is shown in Figure 3. SURVEILLANCE Figure 2: Daily and cumulative number of cases reported in Indonesia, as of 05 August 2020. Source of data Disclaimer: The number of cases reported daily is not the number of persons who contracted COVID-19 on that day; reporting of laboratory-confirmed results may take up to one week from the time of testing. Therefore, caution must be taken in interpreting this figure and the epidemiological curve for further analysis. 0 20000 40000 60000 80000 100000 120000 140000 0 500 1000 1500 2000 2500 3000 2-Mar 9-Mar 16-Mar 23-Mar 30-Mar 6-Apr 13-Apr 20-Apr 27-Apr 4-May 11-May 18-May 25-May 1-Jun 8-Jun 15-Jun 22-Jun 29-Jun 6-Jul 13-Jul 20-Jul 27-Jul 3-Aug Cumulativenumber Dailynumber Daily number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
  • 4. 4 WHO Indonesia Situation Report - 19 who.int/indonesia 0 5000 10000 15000 20000 25000 30000 East Nusa Tenggara Jambi Bangka Belitung Islands Central Sulawesi Bengkulu West Sulawesi North Kalimantan Lampung West Kalimantan Aceh West Papua Riau Islands Riau Yogyakarta Southeast Sulawesi West Sumatra Maluku Gorontalo North Maluku East Kalimantan Central Kalimantan Banten West Nusa Tenggara North Sulawesi Papua South Sumatra Bali North Sumatra South Kalimantan West Java South Sulawesi Central Java DKI Jakarta East Java Cumulative number of confirmed COVID-19 cases Province Figure 3: Cumulative number of confirmed COVID-19 cases by province in Indonesia, as of 05 August 2020. Source of data Disclaimer: Data from DKI Jakarta include patients isolated or hospitalized in Wisma Atlet (RSDC: Rumah Sakit Darurat COVID-19), which is the biggest national makeshift hospital for COVID-19; some patients may not be residents of DKI Jakarta. The same may apply to other provinces.
  • 5. 5 WHO Indonesia Situation Report - 19 who.int/indonesia • As of 05 August, DKI Jakarta had the highest confirmed COVID-19 mortality per one million population, followed by South Kalimantan, North Sulawesi, East Java, North Maluku and South Sulawesi (Fig. 4). Figure 4: Cumulative deaths per one million population by province in Indonesia, as of 05 August 2020. Source of data Disclaimer: Based on data availability, only confirmed COVID-19 deaths have been included; however, as per the WHO definition, death resulting from a clinically compatible illness in a probable or confirmed COVID-19 case is a COVID-19-related death, unless there is a clear alternative cause of death that cannot be related to COVID-19 (e.g. trauma). There should be no period of complete recovery between the illness and death. 0 10 20 30 40 50 60 70 80 90 East Nusa Tenggara West Kalimantan Jambi Bangka Belitung Islands Lampung Riau Central Sulawesi North Kalimantan Aceh West Sulawesi West Java Yogyakarta Southeast Sulawesi West Papua West Sumatra Banten Riau Islands Papua Bengkulu Bali East Kalimantan Maluku North Sumatra Central Java South Sumatra West Nusa Tenggara Gorontalo Central Kalimantan South Sulawesi North Maluku East Java North Sulawesi South Kalimantan DKI Jakarta Death per one million population Province
  • 6. 6 WHO Indonesia Situation Report - 19 who.int/indonesia • As of 05 August, the daily number of specimens and suspected cases tested were 28 738 and 14 722, respectively (Fig. 5). The weekly average number of specimens and suspected cases tested in the last seven days were 22 314 and 11 669, respectively. There was a decrease in the number of suspected cases tested over the last week. Therefore, it is crucial to strengthen primary-care and hospital-based surveillance, intensify contact tracing, implement community-based surveillance (whereby the community members monitor and report health events to local authorities), and enhance surveillance for people who live in closed settings such as in prisons, residential facilities or care homes for the elderly and people with disabilities. • The Ministry of Social Affairs and relevant partners convened the third and fourth batches of webinars for the ‘Tagana’ (community volunteers for responding to disasters) on the preparation of quarantine and isolation facilities at the community level. These batches covered the provinces of Figure 5: The daily number of specimens and suspected COVID-19 cases tested in Indonesia, from 01 May to 05 August 2020. Source of data Disclaimer: Due to the transition to a new data management application, there may have been reporting issues in timing. Therefore, on certain days the number of specimens tested is almost the same as the number of suspected cases tested, which might not have been the situation. 0 5000 10000 15000 20000 25000 30000 35000 1-May 5-May 9-May 13-May 17-May 21-May 25-May 29-May 2-Jun 6-Jun 10-Jun 14-Jun 18-Jun 22-Jun 26-Jun 30-Jun 4-Jul 8-Jul 12-Jul 16-Jul 20-Jul 24-Jul 28-Jul 1-Aug 5-Aug Dailynumber Number of specimens tested Number of suspected cases tested
  • 7. 7 WHO Indonesia Situation Report - 19 who.int/indonesia Central Java and West Java on 27 and 29 July, respectively. WHO delivered an update on the COVID-19 pandemic in Indonesia, discussed the role of volunteers in surveillance, and suggested procedures for preparing quarantine and isolation facilities. • On 30 July, WHO participated in a follow-up meeting with the Provincial Health Office (PHO) of East Java and the Field Epidemiology Training Programme (FETP) to discuss strategies for strengthening surveillance and contact tracing capacities in the provinces. Table 1: Assessment of epidemiological criteria for six provinces in Java for the 3-week period from 13 July to 02 August. Province Decline in the number of confirmed COVID-19 cases since the latest peak* Decrease in the number of confirmed and probable case deaths for the last 3 weeks** DKI Jakarta Latest peak last week No West Java More than 50% over three-weeks since latest peak No Central Java Less than 50% since latest peak No Yogyakarta Latest peak last week No East Java Less than 50% since latest peak No Banten Latest peak last week No *date of latest peak differs for each province (see Figs. 6 to 11 for details) **decrease in deaths is calculated from 13 July to 02 August 2020 (see Fig. 13 for details) Criterion 1: Decline of at least 50% over a 3-week period since the latest peak and continuous decline in the observed incidence of confirmed and probable cases • West Java is the only province in Java that has seen a decline in the number of confirmed COVID-19 cases of at least 50% over a three-week period since the latest peak (Figs. 6 to 11). EPIDEMIOLOGICAL CRITERIA TO ASSESS COVID-19 TRANSMISSION
  • 8. 8 WHO Indonesia Situation Report - 19 who.int/indonesia Figure 6: Weekly and cumulative number of confirmed COVID-19 cases in DKI Jakarta, as of 02 August 2020. Source of data Figure 7: Weekly and cumulative number of confirmed COVID-19 cases in West Java, as of 02 August 2020. Source of data 0 5000 10000 15000 20000 25000 0 500 1000 1500 2000 2500 3000 3500 Cumulativenumber Weeklynumber DKI Jakarta Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases 0 1000 2000 3000 4000 5000 6000 7000 0 200 400 600 800 1000 1200 1400 1600 Cumulativenumber Weeklynumber West Java Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
  • 9. 9 WHO Indonesia Situation Report - 19 who.int/indonesia Figure 8: Weekly and cumulative number of confirmed COVID-19 cases in Central Java, as of 02 August 2020. Source of data Figure 9: Weekly and cumulative number of confirmed COVID-19 cases in Yogyakarta, as of 02 August 2020. Source of data 0 2000 4000 6000 8000 10000 12000 0 200 400 600 800 1000 1200 1400 1600 Cumulativenumber Weeklynumber Central Java Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases 0 100 200 300 400 500 600 700 800 0 50 100 150 200 250 Cumulativenumber Weeklynumber Yogyakarta Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
  • 10. 10 WHO Indonesia Situation Report - 19 who.int/indonesia Figure 10: Weekly and cumulative number of confirmed COVID-19 cases in East Java, as of 02 August 2020. Source of data Figure 11: Weekly and cumulative number of confirmed COVID-19 cases in Banten, as of 02 August 2020. Source of data 0 5000 10000 15000 20000 25000 0 500 1000 1500 2000 2500 3000 Cumulativenumber Weeklynumber East Java Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases 0 200 400 600 800 1000 1200 1400 1600 1800 2000 0 50 100 150 200 250 Cumulativenumber Weeklynumber Banten Number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases
  • 11. 11 WHO Indonesia Situation Report - 19 who.int/indonesia Criterion 2: Less than 5% of samples positive for COVID-19, at least for the last 2 weeks, assuming that surveillance for suspected cases is comprehensive • The percentage of positive samples can be interpreted only with comprehensive surveillance and testing of suspected cases, in the order of one per 1 000 population per week. DKI Jakarta has achieved this minimum case detection benchmark (Fig. 12). Figure 12: Positivity rate of cases, and suspected cases tested per 1 000 population per week: Week 1: 13/07/20 - 19/07/20; Week 2: 20/07/20 - 26/07/20; Week 3: 27/07/20 - 02/08/20 For surveillance purposes, positivity rate is calculated as the number of confirmed cases divided by the number of people tested for diagnosis. Source of data: Indonesia, DKI Jakarta 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 5.00 1 2 3 1 2 3 1 2 3 Indonesia DKI Jakarta Indonesia without DKI Jakarta Weeks Positivityrate Suspectedcasestested/1000population/week Suspected cases tested/1000 population/week Positivity rate Benchmark: One suspected case tested per 1000 population per week Threshold positivity rate <5%
  • 12. 12 WHO Indonesia Situation Report - 19 who.int/indonesia Criterion 3: Decline in the number of deaths among confirmed and probable cases for the last 3 weeks 44 31 73 77 117 84 0 50 100 150 200 13/07/20 - 19/07/20 20/07/20 - 26/07/20 27/07/20 - 02/08/20 DKI Jakarta Other death with COVID-19 protocol Death-Confirmed-Case 4 16 4 17 73 63 4 0 20 40 60 80 100 13/07/20 - 19/07/20 20/07/20 - 26/07/20 27/07/20 - 02/08/20 West Java Death-Confirmed-Case Death-PDP Death-ODP 121 95 166 44 88 85 0 50 100 150 200 250 300 13/07/20 - 19/07/20 20/07/20 - 26/07/20 27/07/20 - 02/08/20 Central Java Death-Confirmed-Case Death-PDP 3 5 4 4 3 0 10 20 30 13/07/20 - 19/07/20 20/07/20 - 26/07/20 27/07/20 - 02/08/20 Yogyakarta Death-Confirmed-Case Death-PDP 192 187 135 158 166 98 3 1 0 100 200 300 400 500 600 13/07/20 - 19/07/20 20/07/20 - 26/07/20 27/07/20 - 02/08/20 East Java Death-Confirmed-Case Death-PDP Death-ODP 3 4 3 4 4 5 0 2 4 6 8 10 13/07/20 - 19/07/20 20/07/20 - 26/07/20 27/07/20 - 02/08/20 Banten Death-Confirmed-Case Death-PDP
  • 13. 13 WHO Indonesia Situation Report - 19 who.int/indonesia Figure 13: Deaths among confirmed COVID-19 cases, patients under investigation (PDP) and persons under observation (ODP) per week over the last three weeks from 13 July to 02 August 2020 in six provinces in Java. Source of data: DKI Jakarta, West Java, Central Java, East Java, Yogyakarta, Banten. Disclaimer: The data are provisional. As of 20 July, DKI Jakarta and East Java are in the process of adopting case definitions based on the fifth revision of the national guidelines on COVID-19 prevention and control. There may be a discrepancy in the number of deaths of confirmed COVID-19 cases between national and provincial data sources. • The number of confirmed COVID-19 cases hospitalized in DKI Jakarta since the beginning of June had gradually decreased until 07 July; however, since 08 July, the number has been progressively increasing (Fig. 14). HEALTH SYSTEM CRITERIA TO ASSESS COVID-19 TRANSMISSION Figure 14: Number of confirmed COVID-19 cases hospitalized in DKI Jakarta from 01 June to 02 August 2020. Source of data Disclaimer: Data from Wisma Atlet are not included. 0 500 1000 1500 2000 2500 1-Jun 8-Jun 15-Jun 22-Jun 29-Jun 6-Jul 13-Jul 20-Jul 27-Jul NumberofconfirmedCOVID-19cases hospitalized
  • 14. 14 WHO Indonesia Situation Report - 19 who.int/indonesia • During the last three-week period, an increase in the weekly number of confirmed COVID-19 cases in DKI Jakarta was observed: 2 033, 2 713 and 3 025 from 13 to 19 July, 20 to 26 July and 27 July to 02 August, respectively. This is a result of the active case finding strategy implemented in the province. The positivity rate has also increased from 5.4% to 5.6% and 7.9%, respectively. Despite DKI Jakarta exceeding the benchmark of one suspected case tested per 1 000 population per week, there is an increase in the positivity rate which shows a high level of on-going transmission. • As reported by the government on 05 August, the number of persons tested for COVID-19 with polymerase chain reaction (PCR) was 14 722 and the cumulative number of persons tested was 922 709 (Fig. 15). ANALYSIS OF EPIDEMIOLOGICAL CRITERIA TO ASSESS COVID-19 TRANSMISSION IN DKI JAKARTA LABORATORY Figure 15: Daily and cumulative number of suspected COVID-19 cases tested with polymerase chain reaction (PCR) in Indonesia, as of 05 August 2020. Source of data 0 100000 200000 300000 400000 500000 600000 700000 800000 900000 1000000 0 2000 4000 6000 8000 10000 12000 14000 16000 18000 20000 7-Mar 14-Mar 21-Mar 28-Mar 4-Apr 11-Apr 18-Apr 25-Apr 2-May 9-May 16-May 23-May 30-May 6-Jun 13-Jun 20-Jun 27-Jun 4-Jul 11-Jul 18-Jul 25-Jul 1-Aug Cumulativenumber Dailynumber Reporting date Daily number of suspected COVID-19 cases tested with PCR Cumulative number of suspected COVID-19 cases tested with PCR
  • 15. 15 WHO Indonesia Situation Report - 19 who.int/indonesia • On 28 and 30 July, WHO participated in meetings with the National Institute of Health Research and Development (NIHRD) to further discuss the protocol, testing procedure, requirement for consumables and quality control mechanism for the seroepidemiological study. • On 29 July, WHO participated in a coordination meeting with the NIHRD to discuss the logistics for COVID-19 PCR testing. The NIHRD will coordinate requests from the provinces for automatic extraction machines required to prepare samples for PCR tests. These machines are expected to speed up the sample extraction process for COVID-19 testing. • As of 05 August, the proportion of people that recovered among the total confirmed COVID-19 cases was 63.2% (Fig. 16). As of the same date, there were 37 530 confirmed COVID-19 cases under care or in isolation5. 5 https://covid19.go.id/ CASE MANAGEMENT Figure 16: Cumulative number of recovered cases and percentage recovery from COVID-19 in Indonesia, as of 05 August 2020. Source of data 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 0 10000 20000 30000 40000 50000 60000 70000 80000 1-Apr 7-Apr 13-Apr 19-Apr 25-Apr 1-May 7-May 13-May 19-May 25-May 31-May 6-Jun 12-Jun 18-Jun 24-Jun 30-Jun 6-Jul 12-Jul 18-Jul 24-Jul 30-Jul 5-Aug Percentage(%) Cummulativenumber Cumulative number of recovered cases Percentage recovery
  • 16. 16 WHO Indonesia Situation Report - 19 who.int/indonesia • On 29 July, WHO participated in a meeting with the Indonesian Medical Association (IDI) to discuss a risk mitigation strategy for the increasing number of doctors infected with COVID-19. The association has begun recording the number of COVID-19 deaths in doctors. The IDI requested WHO’s technical assistance to develop (i) supplementary comprehensive protocols for doctors, focusing on their personal protection during COVID-19 service delivery, and (ii) an information system to collect data on the number COVID-19 infections, hospitalizations, recoveries and deaths in doctors. Similarly, the National Nurses Association (PPNI) has been concerned about the increasing number of nurses infected and requested participation from WHO in one of their daily webinars to reiterate preventive measures for nurses. The PPNI also requested support to develop educational materials on IPC, focusing on PPE, and to assess nurses’ exposure to COVID-19 to understand why, how and where they got infected by the virus. The results from the assessment will be used to develop an action plan to mitigate risk of exposure and infection in nurses. As requested, on 25 July, a resource person from WHO presented at the 77th daily webinar for nurses on IPC, attended by 800 nurses nationwide (Fig. 17). INFECTION PREVENTION AND CONTROL (IPC) Figure 17: Dr B. Sihombing from WHO presenting during a webinar for nurses on infection prevention and control measures, 25 July 2020. Credit: WHO
  • 17. 17 WHO Indonesia Situation Report - 19 who.int/indonesia • From 29 to 31 July, WHO and Ministry of Health (MoH) delegates from the WHO South-East Asia Region and Western Pacific Region participated in the Asia-Pacific Strategy for Emerging Diseases Technical Advisory Group (APSED) bi-regional video conference. Countries from both regions shared their best practices, challenges and lessons learned during the COVID-19 response. Participation in the meeting was a valuable opportunity for all members to consider possible best practices that may be adaptable by other countries to resolve bottlenecks faced during implementation of COVID-19 response plans. • WHO is collaborating with Wahana Visi Indonesia (WVI) for activities related to risk communication and community engagement. A rapid assessment was conducted during the last week of July to gain insight into community receptiveness and information needs as well as identify appropriate communication strategies in 16 districts of four provinces: East Nusa Tenggara, North Maluku, Papua and West Kalimantan (Fig. 18). On 12 August, WVI, with input from WHO, will present the results of the assessment to the PHOs. PLANNING, RISK AND NEEDS ASSESSMENT RISK COMMUNICATION Figure 18: Rapid assessment on risk communication requirements in West Kalimantan, July 2020. Credit: Wahana Visi Indonesia.
  • 18. 18 WHO Indonesia Situation Report - 19 who.int/indonesia • WHO is regularly translating and sharing important health messages on the website and social media platforms – Twitter and Instagram – and has recently published: - Questions and answers on COVID-19 transmission - Guidance on safe Eid-al-Adha practices in the context of COVID-19 - Infographics and videos on: ▪ Take care in your workplace (Fig. 19) ▪ Safe travel during COVID-19 Figure 19: An infographic from the ‘take care in your workplace’ infographic series, translated and published by WHO, available online, August 2020.
  • 19. 19 WHO Indonesia Situation Report - 19 who.int/indonesia • On 03 August, WHO and UNICEF published a joint release in English and Indonesian to commemorate World Breastfeeding Week from 01 to 07 August. The statement calls on the government and stakeholders to safeguard and promote access to services that support mothers to continue breastfeeding practices during the COVID-19 pandemic, including: i. Prioritizing services and programmes to protect, promote and support breastfeeding as a critical component of the health and nutrition response to the COVID-19 pandemic; ii. Continuing to support breastfeeding mothers with improved quality counselling and accurate information on maternal, infant and young child nutrition, including strengthening the ‘Baby Friendly Hospital Initiative’; iii. Ending the promotion of breastmilk substitutes to enable mothers and caregivers to make informed decisions on best way to feed their babies; and iv. Encouraging women to continue to breastfeed during the pandemic, with no separation of mother and baby, even if a mother is confirmed or suspected to have COVID-19, while adhering to appropriate IPC measures. CONTINUITY OF ESSENTIAL HEALTH SERVICES Figure 20: Early and exclusive breastfeeding helps children survive and provides them with antibodies; therefore, programmes that safely promote breastfeeding practices, adhering to appropriate infection prevention and control measures, during the pandemic must be prioritized. Credit: WHO
  • 20. 20 WHO Indonesia Situation Report - 19 who.int/indonesia • WHO is supporting the government for programme analysis of various essential health services to ensure their continuity during the pandemic. Highlights of the noncommunicable disease (NCD) programme are presented below: Impact of COVID-19 on NCD services and interventions in Indonesia: Indonesia contributed to WHO’s global rapid assessment of service delivery for NCDs during the COVID-19 pandemic in May 2020. The data indicated the following: i. Outpatient NCD services have been open with limited access; and inpatient NCD management services have been open for emergencies only. ii. Hypertension management, cancer treatment, diabetes and diabetic complication management, asthma and palliative care services have been partially disrupted. One reason for these disruptions has been limited stocks of essential medicines and medical diagnostics in health facilities. iii. Public screening for NCD risk factors, which is usually carried out in community-based health facilities, has stopped during the pandemic to reduce the transmission risk of COVID-19. To mitigate the impact of COVID-19 and maintain essential NCD services, interventions focus on the following areas: i. Guidelines: On 14 April 2020, the MoH issued a circular on management guidelines for NCDs and their risk factors during the COVID-19 pandemic. The circular acknowledges the vulnerability of NCD patients to contracting COVID-19 and emphasizes the need to strengthen preventive measures. It urges people with risk factors and NCDs to stay at home, practice physical distancing, maintain hand hygiene and wear masks if required to leave the house. It also recommends that they utilize digital health platforms to obtain health information, and to visit health facilities immediately if they experience any COVID-19 symptoms, for instance fever, cough or breathing difficulty. WHO also shared modifications for the safe delivery of NCD services in its interim guidance ‘Maintaining essential health services: operational guidance for the COVID-19 context’.
  • 21. 21 WHO Indonesia Situation Report - 19 who.int/indonesia ii. Diagnosis, monitoring and evaluation of signs of risk: The MoH circular advises persons with diabetes to routinely check their blood glucose level and pay attention to the signs and symptoms of increased blood glucose level such as thirst, headache, or lethargy; and those with hypertension to routinely check their blood pressure at home and pay attention to the signs and symptoms of increased blood pressure for instance headaches, palpitations or blurry vision. iii. Logistics: Persons with NCDs who are Jaminan Kesehatan Nasional (national health insurance scheme) members are allowed to obtain a two- month prescription for their medicines during the COVID-19 pandemic. iv. Human resources: To increase awareness on COVID-19 as well as to improve early detection of NCDs by community health workers, the government has conducted virtual roadshows in all 34 provinces to promote the guideline on “Adaptation of new habits in NCD prevention and control”. v. Prevention: In line with WHO information note on COVID-19 and NCDs, the government has recommended people with NCD risk factors to check their condition at home, implement a healthy lifestyle, consume healthy food with less sugar, salt and fat, as well as to keep physically active and to avoid smoking. In addition, the Directorate of Noncommunicable Diseases has been actively promoting smoke-free homes and early NCD detection virtually, as well as spreading awareness through social media for NCD as comorbidities for COVID-19. The ongoing social media campaign is done to promote a healthy life style among people with NCDs and people with NCD risk factors so they can maintain their health and general immunity. WHO has also translated and shared many related infographics on the website and social media platforms – Twitter and Instagram (Fig. 21).
  • 22. 22 WHO Indonesia Situation Report - 19 who.int/indonesia • As a follow up to the ‘Kick-Off Executive Roundtable Dialogue’, on 06 August, WHO together with the Indonesia Global Compact Network (IGCN), the International Labour Organization (ILO) and the United Nations Development Programme (UNDP) will moderate a webinar on “Health, safety and environmental standards in the workplace”. The webinar aims to facilitate dialogue between UN agencies, governments, business associations, the private sector and workers regarding the needs, concerns and challenges for health and safety standards for businesses in the private sector during the COVID-19 pandemic. WHO will present the WHO guidance on ‘Considerations for public health and social measures in the workplace in the context of COVID-19’. PARTNER COORDINATION Figure 21: Some infographics from the ‘healthy habit’ infographic series, translated and published on WHO’s website and social media.
  • 23. 23 WHO Indonesia Situation Report - 19 who.int/indonesia Figure 22: Poster of the webinar on “Health, safety and environmental standards in the workplace”, 06 August 2020. Credit: Indonesia Global Compact Network (IGCN)
  • 24. 24 WHO Indonesia Situation Report - 19 who.int/indonesia • Overall funding request for WHO operations and technical assistance is US$ 46 million (27 million for response and 19 million for recovery phase), based on estimated needs as of August 2020 (Fig. 23). Data presented in this situation report have been taken from publicly available data from the MoH (https://infeksiemerging.kemkes.go.id/), BNPB (http://covid19.go.id) and provincial websites. There may be differences in national and provincial data depending on the source used. All data are provisional and subject to change. Figure 23: WHO funding situation for COVID-19 response, August 2020
  • 25. 25 WHO Indonesia Situation Report - 19 who.int/indonesia Online WHO COVID-19 courses: • Operational planning guidelines and COVID-19 • Clinical management of severe acute respiratory infections • Health and safety briefing for respiratory diseases – eProtect • Infection prevention and control • Emerging respiratory viruses, including COVID-19 • Design of severe acute respiratory infection treatment facility WHO guidance: • Doing things that matter • Considerations for school-related public health measures • Cleaning and disinfection of environmental surfaces • Guiding principles for immunization activities during the COVID-19 pandemic • Maintaining a safe and adequate blood supply during the COVID-19 pandemic • Advice for the use of immunodiagnostics tests (point-of-care) in health facilities Infographics: • Tuberculosis and COVID-19 • Nutrition tips • Three places to avoid • ‘Be Active’ • Is dexamethasone a treatment for all COVID-19 patients? • The ‘new normal’ • Science solutions solidarity • Helping the elderly • The ‘new normal’ • Domestic violence • A selection of myth-busters Videos: • COVID-19 is a virus not bacteria • Health workers and stigma • Managing stress • Who wears what masks when • COVID-19 spread • Seven steps to prevent the spread of COVID-19 • Alternate to handshakes, hugs and high-fives For more information please feel free to contact: seinocomm@who.int WHO Indonesia Reports A SNAPSHOT OF WHO COURSES AND INFORMATION MATERIAL