Improve Immunization Scope in Indonesia

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UNAIR NEWS – On March 8-15, 2016, Polio National Immunization Week (PIN) is implemented in all regions in Indonesia. Oral Polio Vaccination (OPV), or known as polio drop immunization, is given to toddlers at 0 – 59 months of age.

This oral polio vaccination is given without checking the status of earlier polio immunization. It means that every child has to get this vaccination in PIN 2016 despite having similar vaccination before. This Polio PIN is an effort to eradicate polio in Indonesia as well as a part of global movement to make the world free from polio. Nevertheless, Indonesia was declared polio free by World Health Organization (WHO) on March 21, 2014.

Based on the date published by Indonesian Ministry of Health, the scope of Complete Basic Immunization (IDL) was still at 86,8% in April 2015. While in 2019, the Ministry target is at 93%. In fact, there are many communities which have not been reached by health service.

“We should always try to reach these communities by improving the immunization scope. If they are still potential for disease transmission especially PD3I (diseases can be prevented by immunization). Therefore, immunization program quality such as vaccine management, scope until immunization record and report should always be improved,” said Arief Hargono, drg., M.Kes., as the lecturer of Epidemiology Department, Faculty of Public Health, Universitas Airlangga.

Generally, this program has some problems. First, there are still communities who reject immunization, and unreachable by it. They are called high risk communities. They usually come from informal sector and live nomadically.

Second, the low knowledge of health officers on vaccine contradiction, the vaccine availability and post vaccination follow up (KIPI), This condition is called missed opportunity or the lost chance of getting immunization.

How to accelerate immunization scope level? UNAIR has collaborated with UNICEF to accelerate immunization program in East Java in 2015. “The activities were health promotional media development on immunization, capacity building, monitoring and program evaluation, policy brief development on immunization program and also advocacy,” said Arief hoping that the collaboration can be implemented until 2020. (*)

Author: Rekha Finazis
Editor: Defrina Sukma S

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