HIGHLIGHTS Coronavirus Disease 2019 (COVID-19) Situation Report 77

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HIGHLIGHTS Coronavirus Disease 2019 (COVID-19) Situation Report 77
Coronavirus Disease 2019 (COVID-19)                                                     World Health
                                                                                        Organization
Situation Report
          n      - 77
                                                                                         Indonesia

19 October 2021

          HIGHLIGHTS

     •     As of 19 October, the Government of Indonesia reported
           4 236 287 (903 new) confirmed cases of COVID-19,
           143 049 (50 new) deaths and 4 076 541 recovered cases
           from 510 districts across 34 provinces.1 As of the same
           date, the number of people fully vaccinated per 100 total
           population was 23.6 nationwide; DKI Jakarta reported the
           highest number among all provinces (78.7). The weekly
           number of COVID-19 vaccine doses administered from
           11 to 17 October was 11 372 005 doses.2

     •     As of 17 October, the weekly incidence per 100 000
           population nationwide, in Java-Bali and non-Java-Bali
           regions was 3.2, 2.8 and 3.7, respectively. The weekly
           incidence remained at a low level of community
           transmission (CT1).

     Fig. 1. Geographic distribution of confirmed COVID-19 cases reported in the last seven days per 100 000
     population in Indonesia across provinces, from 13 to 19 October 2021. 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.

     1
         https://covid19.go.id/peta-sebaran-covid19
     2
         https://vaksin.kemkes.go.id/#/vaccines
                                                                                                   1
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HIGHLIGHTS Coronavirus Disease 2019 (COVID-19) Situation Report 77
GENERAL UPDATES
    •   On 15 October, the Ministry of Health (MoH) spokesperson for COVID-19
        vaccination reported that more than 50% of the target population in Indonesia have
        been vaccinated with at least one dose of the vaccine. She appreciated the active
        participation from the public and continuous support from various stakeholders,
        including from the private sector. The MoH spokesperson highlighted that the
        government will continue to implement strategies to accelerate vaccination in the
        country to reach the remaining target population, in collaboration with relevant
        partners and stakeholders. She reiterated the importance of continuous
        improvement of vaccination coverage as one of the efforts to curb COVID-19
        transmission and provide protection to the community. 3

    •   The Government of Indonesia reopened Bali for international tourists on 14
        October. The decision was implemented as one of the strategies to support the
        acceleration of national economic recovery. The Deputy Governor of Bali said that
        strategies have been developed and preparations have been made to anticipate
        the incoming tourists and to control COVID-19 transmission in the province. As of
        14 October, no international arrivals via the I Gusti Ngurah Rai International Airport
        were recorded. The Deputy Governor expected that more international tourists will
        come to Bali by the end of October 2021 or early next year.4

    •   On 13 October, the National COVID-19 Task Force (Satuan Tugas (Satgas))
        issued a new Circular No. 14 of 2021 on ‘Entry Point, Quarantine Place, and
        Mandatory Reverse Transcription-Polymerase Chain Reaction (RT-PCR) Test for
        Indonesian Citizens from Abroad’. According to the circular, seven points of entry
        (PoEs) have been designated for Indonesian citizens coming from abroad to enter
        the country: the Soekarno-Hatta International Airport in Banten, Sam Ratulangi
        International Airport in North Sulawesi, Batam Central Harbour and Tanjung
        Pinang Harbour in Riau Islands, Nunukan Harbour in North Kalimantan, and the
        Aruk and Entikong Cross-Border Posts in West Kalimantan. Upon arrival,
        Indonesian citizens coming from countries with low COVID-19 transmission are
        required to undergo a mandatory quarantine for five days; those coming from
        countries with high COVID-19 transmission are required to undergo mandatory
        quarantine for 14 days. Centralized quarantine facilities have been prepared by
        the government, especially for Indonesian migrant workers, government officials
        returning from official travel, and students returning to the country. This circular is
        effective until 31 December 2021.5

3
  https://www.kemkes.go.id/article/view/21101500002/vaksinasi-covid-19-dosis-pertama-lampaui-50-
persen-sasaran-terima-kasih-masyarakat-indonesia.html
4
  https://en.tempo.co/read/1517772/foreign-tourists-likely-to-swarm-bali-in-octobers-end
5
  https://www.cnbcindonesia.com/news/20211014085432-4-283785/satgas-covid-tetapkan-7-pintu-
masuk-wni-ke-ri-ini-daftarnya
                                                                                                   2
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HIGHLIGHTS Coronavirus Disease 2019 (COVID-19) Situation Report 77
SURVEILLANCE

    •       On 19 October, 903 new and 4 236 287 cumulative cases were reported in
            Indonesia. The weekly number of cases from 11 to 17 October was 6826, a
            decrease of 21% compared to the previous week. On 19 October, 50 new and
            143 049 cumulative COVID-19 deaths were reported nationwide. The weekly
            number of new deaths from 11 to 17 October was 301, a decrease of 37%
            compared to the previous week (Fig. 2).

           400000                                                                                   14000

           350000                                                                                   12000
           300000
                                                                                                    10000
           250000
                                                                                                    8000

                                                                                                            Deaths
   Cases

           200000
                                                                                                    6000
           150000
                                                                                                    4000
           100000

           50000                                                                                    2000

               0                                                                                    0
                    23/03 - 29/03
                    13/04 - 19/04

                    25/05 - 31/05
                    15/06 - 21/06

                    17/08 - 23/08
                    07/09 - 13/09

                    19/10 - 25/10
                    09/11 - 15/11

                    11/01 - 17/01

                    15/03 - 21/03
                    05/04 - 11/04

                    07/06 - 13/06

                    09/08 - 15/08
                    30/08 - 05/09
                    02/03 - 08/03

                    04/05 - 10/05

                    06/07 - 12/07
                    27/07 - 02/08

                    28/09 - 04/10

                    30/11 - 06/12
                    21/12 - 27/12

                    01/02 - 07/02
                    22/02 - 28/02

                    26/04 - 02/05
                    17/05 - 23/05

                    28/06 - 04/07
                    19/07 - 25/07

                    20/09 - 26/09
                    11/10 - 17/10
                   Weekly number of confirmed COVID-19 cases   Weekly number of confirmed COVID-19 deaths

Fig. 2. Weekly number of confirmed COVID-19 cases and deaths reported in Indonesia, as of 17 October
2021. Source of data

Disclaimer: Prior to 10 February 2021, SARS-CoV-2 diagnosis was conducted using polymerase chain
reaction (PCR). Since this date, confirmed cases include those who tested positive using nucleic acid
amplification test (NAAT) (e.g., PCR) and antigen-detecting rapid diagnostic test (Ag-RDT). The number
of cases reported daily is not equivalent to the number of persons who contracted COVID -19 on that day
and might be influenced by the number of people tested on that day (see Fig. 6); 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, b oth at the national
and subnational level.

                                                                                                        3
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HIGHLIGHTS Coronavirus Disease 2019 (COVID-19) Situation Report 77
•        From 11 to 17 October, the weekly COVID-19 incidence per 100 000 population
                           nationwide, in Java-Bali region and in provinces outside Java-Bali region
                           (non-Java-Bali) was 3.2, 2.8 and 3.7, respectively (Fig. 3). The weekly incidence in
                           Java-Bali region has remained at a low level of community transmission (CT1) for
                           the past six weeks, while the weekly incidence nationwide and in non-Java-Bali
                           region has remained at CT1 for the past five weeks. Province and district level
                           analyses are needed to evaluate these trends and identify new clusters if they arise.

                  160
                                              CT4 (150+)
                  140

                  120
 Case incidence

                  100                          CT3 (50 -
HIGHLIGHTS Coronavirus Disease 2019 (COVID-19) Situation Report 77
•   During the week of 11 to 17 October, North Kalimantan was the only province at a
         moderate level of community transmission (CT2), with an incidence of 32.4 per
         100 000 population (Fig. 4). Based on the WHO interim guidance, this means that
         there was a moderate risk of COVID-19 infection for the general population and a
         moderate incidence of locally acquired, widely dispersed cases detected in the past
         14 days. The remaining 33 provinces were at community transmission level 1 (CT1)
         during this reporting period (Fig. 4).

                       North Kalimantan
                  Bangka Belitung Islands
                        East Kalimantan
                                       Bali
                              DKI Jakarta
                           DI Yogyakarta
                             West Papua
                        Central Sulawesi
                         North Sulawesi
                        West Kalimantan
                           West Sulawesi
                     East Nusa Tenggara
                                   Papua
                      Central Kalimantan
                                     Aceh
                          South Sulawesi
                             Riau Islands
                                      Riau
                       South Kalimantan
                           West Sumatra
                           North Maluku
                          North Sumatra
                             Central Java
                                East Java
                                Lampung
                                    Jambi
                                  Banten
                    West Nusa Tenggara
                               West Java
                                Bengkulu
                                  Maluku
                          South Sumatra
                               Gorontalo
                     Southeast Sulawesi
                                              0      5        10    15       20      25    30      35
                                                                Weekly case incidence

                      CT 1 (
•               Case incidence in all regions continued to decline over the past ten weeks (Fig. 5).
                                       It is critical for each administrative level to closely monitor any possible cluster to
                                       ensure rapid response and containment of an outbreak in time. Exhaustive contact
                                       tracing activities for each identified case are essential to prevent the spread of
                                       infection. Details on incidence in each province are available here.

                 160
                                           CT4 (150+)

                 140

                 120

                 100                         CT3 (50 -
•           Nationwide test positivity proportion has remained below 2% in the last four weeks.
                                                   This proportion can be interpreted reliably only with comprehensive surveillance and
                                                   testing rate in the order of one person tested per 1000 population per week. Since
                                                   mid-May 2021, the testing rate of > 1 per 1000 population per week has been
                                                   maintained; in the last five weeks, the rate has been > 4 per 1000 population per
                                                   week. It is critical to ensure the continuation of a rigorous testing strategy to rapidly
                                                   identify COVID-19 cases among suspected cases and close contacts. Furthermore,
                                                   it is essential to conduct separate analysis of testing rate based on the purpose of
                                                   testing (e.g., for suspected cases, close contacts and screening) for planning and
                                                   response purposes (Table 2. Weekly Risk Assessment, page 15).

                                     4.5                                                                                                                                                                                                                                                                                                                                                                                                                                   35.0%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           35%
                                     4.0
People tested/1000 population/week

                                                                                                                                                                                                                                                                                                                                                                                                                                                                           30.0%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           30%
                                     3.5                                                                                                                                                                                                                                                                                                                                                                                                                                           CT 4
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           25.0%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           25%
                                     3.0

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Test positivity proportion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           20.0%
                                     2.5                                                                                                                                                                                                                                                                                                                                                                                                                                   20%

                                     2.0                                                                                                                                                                                                                                                                                                                                                                                                                                   15%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           15.0%

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   CT 3
                                     1.5
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           10.0%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           10%
                                     1.0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           5.0%
                                     0.5                                                                                                                                                                                                                                                                                                                                                                                                                                   5% CT 2

                                     0.0                                                                                                                                                                                                                                                                                                                                                                                                                                   0.0% CT 1
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0%
                                           27/04 - 03/05
                                                           18/05 - 24/05
                                                                           08/06 - 14/06
                                                                                           29/06 - 05/07
                                                                                                           20/07 - 26/07
                                                                                                                           10/08 - 16/08
                                                                                                                                           31/08 - 06/09
                                                                                                                                                           21/09 - 27/09
                                                                                                                                                                           12/10 - 18/10
                                                                                                                                                                                           02/11 - 08/11
                                                                                                                                                                                                           23/11 - 29/11
                                                                                                                                                                                                                           14/12 - 20/12
                                                                                                                                                                                                                                           04/01 - 10/01
                                                                                                                                                                                                                                                           25/01 - 31/01
                                                                                                                                                                                                                                                                           15/02 - 21/02
                                                                                                                                                                                                                                                                                           08/03 - 14/03
                                                                                                                                                                                                                                                                                                           29/03 - 04/04
                                                                                                                                                                                                                                                                                                                           19/04 - 25/04
                                                                                                                                                                                                                                                                                                                                           10/05 - 16/05
                                                                                                                                                                                                                                                                                                                                                           31/05 - 06/06
                                                                                                                                                                                                                                                                                                                                                                           21/06 - 27/06
                                                                                                                                                                                                                                                                                                                                                                                           12/07 - 18/07
                                                                                                                                                                                                                                                                                                                                                                                                           02/08 - 08/08
                                                                                                                                                                                                                                                                                                                                                                                                                           23/08 - 29/08
                                                                                                                                                                                                                                                                                                                                                                                                                                           13/09 - 19/09
                                                                                                                                                                                                                                                                                                                                                                                                                                                           04/10 - 10/10
                                                                                                                                                    People tested/1000 population                                                                                                                   Test positivity proportion

                           Fig. 6. Weekly test positivity proportion and people tested per 1000 population per week at the national
                           level, as of 17 October 2021, classified by level of community transmission (CT): CT1: low incidence
                           (< 2%); CT2: moderate incidence (2% - < 5%); CT3: high incidence (5% - < 20%); CT4: very high
                           incidence (20%+). Source of data

                           Disclaimer: Caution should be exercised when interpreting this indicator due to limitations listed in the
                           WHO interim guidance. Other epidemiological indicators also need to be evaluated to determine the level
                           of community transmission.

                           Disclaimer: Caution should be exercised when interpreting this indicator due to limitations listed in the
                           WHO interim guidance. Other epidemiological indicators also need to be evaluated to determine the level
                           of community transmission.

                                                                                                                                                                                                                                                                                                                                                                                                                                                            7
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•   During the week of 11 to 17 October, the weekly number of confirmed COVID-19
       deaths per 100 000 population in North Kalimantan (1.1) remained at the moderate
       level of community transmission (CT2). During the same period, the weekly number
       of confirmed COVID-19 deaths in the remaining 33 provinces was < 1 death per
       100 000 population, corresponding to a low level of community transmission (CT1)
       (Fig. 7).

                            North Kalimantan
                                          Aceh
                       Bangka Belitung Islands
                                        Papua
                                           Bali
                                DI Yogyakarta
                             East Kalimantan
                           Central Kalimantan
                             Central Sulawesi
                            South Kalimantan
                                          Riau
                                West Sulawesi
                                  Central Java
                                     Lampung
                                West Sumatra
                                  Riau Islands
                          East Nusa Tenggara
                              North Sulawesi
                                     East Java
                                   DKI Jakarta
                               South Sulawesi
                                     Bengkulu
                               North Sumatra
                                        Jambi
                         West Nusa Tenggara
                                    Gorontalo
                               South Sumatra
                             West Kalimantan
                                    West Java
                          Southeast Sulawesi
                                       Banten
                                       Maluku
                                North Maluku
                                  West Papua
                                                  0.0         0.3           0.6         0.9          1.2
                                                    Weekly number of confirmed COVID-19 deaths per 100 000
                                                                         population

                        CT 1 (
•                        At the national level, during the week of 11 to 17 October, the number of confirmed
                                       COVID-19 deaths in Indonesia was 0.2 per 100 000 population, compared to 0.3
                                       deaths per 100 000 population in the previous week. Deaths in Java-Bali and
                                       non-Java Bali regions also continued to show a declining trend (Fig. 8).

                                   6
                                                                       CT4 (5+)
                                   5
   Deaths per 100 000 population

                                   4
                                                                       CT3 (2 -
HEALTH OPERATIONS

    •       On 17 October, the reported number of COVID-19 cases hospitalized in
            DKI Jakarta was 348, a decrease from 438 cases one week prior. In the same time
            period, the reported number of cases in self-isolation decreased from 1285 to 998
            cases (Fig. 9).

                                 120000
                                 110000
                                 100000
                                 90000
        Number of active cases

                                 80000
                                 70000
                                 60000
                                 50000
                                 40000
                                 30000
                                 20000
                                 10000
                                     0
                                      1-Sep 1-Oct 1-Nov 1-Dec 1-Jan 1-Feb 1-Mar 1-Apr 1-May 1-Jun 1-Jul 1-Aug 1-Sep 1-Oct

                                                               Hospitalized   Self-isolation

    Fig. 9. Number of COVID-19 cases hospitalized and in self-isolation in DKI Jakarta, from 1 September
    2020 to 17 October 2021. Source of data

    •       The overall bed occupancy rate (BOR) in COVID-19 referral hospitals has
            continued to decline. On 16 October, BOR at national level remained at 5%,
            compared to the week before on 9 October.6 In the same time period, BOR in
            intensive care unit (ICU) wards was 8% compared to 10%, respectively.7

6
  https://www.kemkes.go.id/downloads/resources/download/Ketersediaan-Tempat-Tidur-RS-
Covid19/BOR-RS-16-OKTOBER-2021.pdf
7
  https://www.kemkes.go.id/downloads/resources/download/Ketersediaan-Tempat-Tidur-RS-
Covid19/BOR-RS-9-OKTOBER-2021.pdf
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RISK AND NEEDS ASSESSMENT, AND PLANNING

   •   On 15 October, WHO supported MoH to conduct a virtual workshop to review the
       COVID-19 operational plans of eight priority districts in Riau Islands, Lampung,
       West Java, Central Java, Bali, East Kalimantan and North Sulawesi. More than 60
       representatives from MoH and relevant Provincial and District Health Offices
       (PHOs and DHOs) attended the workshop. WHO presented the ‘COVID-19
       Strategic Preparedness and Response Plan Operational Planning Guideline ’,
       which highlighted the ten pillars of the COVID-19 response plan: (1) Coordination,
       planning, financing, and monitoring; (2) Risk communication, community
       engagement and infodemic management; (3) Surveillance, epidemiological
       investigation, contact tracing, and adjustment of public health and social
       measures; (4) Points of entry, international travel and transport, and mass
       gatherings; (5) Laboratories and diagnostics; (6) Infection prevention and control,
       and protection of health workforce; (7) Case management, clinical operations, and
       therapeutics; (8) Operational support and logistics, and supply chains; (9)
       Strengthening essential health services and systems; and (10) Vaccination. WHO
       urged districts and provinces to review their COVID-19 response plans on a regular
       basis to monitor indicators and achievements, as well as to identify gaps and
       challenges to further improve the response plans.

                                                                                       11
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VACCINATION
                 •    As of 19 October, 173 949 386 vaccine doses have been administered in the
                      national COVID-19 vaccination campaign; 45 219 980 people (21.7 % of the target
                      population) have been partially vaccinated8 and 64 364 703 people (30.9% of the
                      target population) have been fully vaccinated. The weekly number of COVID-19
                      vaccine doses administered from 11 to 17 October was 11 372 005 doses, a
                      13.2% increase compared to 10 046 352 doses in the previous week. As of 19
                      October, the number of people fully vaccinated per 100 total population was 23.6
                      nationwide; DKI Jakarta reported the highest number of fully vaccinated per 100
                      population (78.7), followed by Bali (64.6), Riau Islands (42.9) and DI Yogyakarta
                      (35.8) (Fig. 10).

                     100
                      90
per 100 population
Number of people

                      80
                      70
                      60
                      50
                      40
                      30
                      20
                      10
                       0

                                          Bengkulu
                                       Riau Islands

                                         Gorontalo

                                            Maluku
                                          East Java
                                     DI Yogyakarta

                                          Lampung
                                              Jambi
                                            Banten
                                      Central Java
                                                Bali

                                               Riau
                           Bangka Belitung Islands
                                        DKI Jakarta

                                         West Java

                                    North Sumatra

                               Southeast Sulawesi
                              Central Kalimantan

                             West Nusa Tenggara

                                 Central Sulawesi

                                              Aceh
                                            Papua

                                    North Maluku
                                South Kalimantan

                              East Nusa Tenggara
                                      West Papua

                                 West Kalimantan
                                North Kalimantan

                                   South Sulawesi

                                    West Sulawesi
                                   North Sulawesi

                                   South Sumatra

                                    West Sumatra
                                 East Kalimantan

                      Fully vaccinated per 100 population   Partially vaccinated per 100 population   Unvaccinated per 100 population

       Fig. 10. Number of people fully vaccinated, partially vaccinated and unvaccinated (zero dose) for
       COVID-19 per 100 total population by province in Indonesia, as of 19 October 2021. Source of data

       Note: Source of population data: Target population for health programme 2021, Center of Data and
       Information, Ministry of Health, unpublished data.
       Disclaimer: Data are recorded based on the location of the vaccination site. Total population is
       calculated based on provincial data (national identif ication number (Nomor Induk Kependudukan
       (NIK)).

  8
   Partially vaccinated: number of people who have received only the first dose of a two -dose vaccine
  regimen (calculated as the number of people who have received the first dose subtracted by the number
  of people who have received the second dose).
                                                                                                                                12
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Table 1. COVID-19 vaccination by each target population in Indonesia, as of 19 October
2021. Source of data

                                      Number of           Number of
      Target         Total target                                               Number of
                                       partially    %        fully       %                         %
    population       population                                                unvaccinated
                                      vaccinated          vaccinated

 Health workers       1 468 764        125 531     8.5    1 876 805    127.8          0            0

 Older people        21 553 118       2 869 556    13.3   4 858 702     22.5    13 824 860        64.1

 Essential public    17 327 167       5 749 629    33.2   22 198 350   128.1          0            0
 service workers

 General
                     141 211 181      35 397 901   25.1   31 528 227    22.3    74 285 053        52.6
 population

 Children aged                                             2 929 067
                     26 705 490        911 733     3.4                  11.0    22 864 690        85.6
 12-17
 Gotong Royong
                                       164 943             971 955
 scheme*
Note: General population includes vulnerable groups (e.g., persons with disabilities, marginalized
groups, etc.); total number vaccinated includes eligible target population with Gotong Royong scheme.
*The Gotong Royong scheme does not have a separate total target population from the government
vaccination programme.

Disclaimer: Vaccination coverage greater than 100% is due to differences in actual versus estimated
target population. Due to the ongoing data cleaning process, vaccination coverage may be temporarily
affected.

   •   As of 19 October, more than 60% of the older population remains unvaccinated in
       28 out of 34 provinces. Two provinces reported a proportion of unvaccinated older
       populations greater than 90%: West Sumatra and Papua. From 11 to 17 October,
       among the older population, a declining trend in the number of vaccine doses
       administered was observed in 15 provinces (DI Yogyakarta, Maluku, West Nusa
       Tenggara, Central Java, Riau, Riau Islands, North Sulawesi, North Sumatra, West
       Kalimantan, Gorontalo, Central Sulawesi, Jambi, West Papua, Bali and South
       Sulawesi). The provinces which showed an increase of > 25% of doses
       administered among the older population compared to the previous week were:
       Lampung (274.4%), West Sumatra (96.6%), North Kalimantan (71.8%), Central
       Kalimantan (46.7%), West Sulawesi (45.1%), West Java (37.1%), East Kalimantan
       (30.8%) and Aceh (26.1%).

   •   An overall decrease in the weekly trend of vaccine doses administered was
       observed in 18 out of 34 provinces compared to the previous week. Details of
       vaccination by province and target populations are available here.
                                                                                             13
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PARTNER COORDINATION

    •   The overall funding request for WHO operations and technical assistance is
        US$ 46 million (US$ 27 million for response and US$ 19 million for recovery
        phase), based on estimated needs as of October 2021 (Fig. 11).

               Fig. 11. WHO funding situation for COVID-19 response, October 2021.

Data presented in this situation report have been taken from publicly available data from the MoH
(https://infeksiemerging.kemkes.go.id; https://vaksin.kemkes.go.id), COVID-19 Mitigation and National
Economic Recovery Team (KPCPEN) (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.

                                                                                            14
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WEEKLY RISK ASSESSMENT
  Table 2. Weekly risk assessment by province in Indonesia, 11 to 17 October 2021.

  Source of data: Cases, deaths and testing; vaccination

 Note: Case incidence trend considers the trend of cases over the last three weeks. Incidence per 100 000
 population is marked as light red if > 150 and orange if between 50 to 150. Death per 100 000 population
 is marked as light red if > 5 and orange if between 2 and 5. The testing rate is marked as yellow if it is less
 than 1/1000 population. Test positivity proportion is marked as light red if ≥ 20% and yellow if between 5%
 and 20%. The second dose vaccination is marked as light red if < 5% and yellow if betwe en 5% and 10%.
 Target population for vaccination includes health workers, essential public service workers, older persons,
 vulnerable populations and people aged 18 years and above and children aged 12 -17 years.

                                                                                                           15
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•   Continuous implementation of public health and social measures (PHSM)
          throughout the country is important, even as the national vaccination coverage
          increases and expands to additional target groups.9

      •   Increased testing rates were observed in several districts and provinces during the
          implementation of emergency restrictions on public activities (Pemberlakuan
          Pembatasan Kegiatan Masyarakat (PPKM) Darurat) from 3 to 25 July 2021. As of
          17 October, all provinces have achieved the recommended benchmark of one
          person tested per 1000 population per week. All provinces showed a weekly test
          positivity proportion below 5% during the current reporting period.

      •   The coverage of second-dose vaccination among the older population continues
          to be low in most provinces. As of 17 October, only DKI Jakarta recorded above
          70% coverage among this target group. Eleven provinces continue to report
          second-dose coverage below 10% among the older population: Aceh (4.8%), West
          Sumatra (5.2%), North Maluku (5.7%), Papua (6.4%), Southeast Sulawesi (6.8%),
          West Sulawesi (7.3%), West Papua (8.2%), Lampung (8.2%), Gorontalo (9.5%),
          South Kalimantan (9.3%) and Central Sulawesi (9.8%). Continued efforts to
          improve the accessibility to and awareness of the benefits of COVID-19
          vaccination among older and high-risk populations remain critical to reduce
          morbidity and mortality.

9
    https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance-publications
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RECENT AND UPCOMING WHO RESOURCE MATERIALS

Table 3. Title and details of recent WHO resource materials

Source : https ://www.who.int/

 Title                     Details
 COVID-19 vaccine          The COVID-19 vaccine tracker and landscape compiles detailed
 tracker and               information of each COVID-19 vaccine candidate in development
 landscape,                by closely monitoring their progress through the pipeline. The
 15 October 2021           vaccine tracker: provides summary tables of COVID-19 vaccine
                           candidates in both clinical and pre-clinical development; provides
                           analysis and visualization for several COVID-19 vaccine candidate
                           categories; and tracks progress of each vaccine from pre-clinical,
                           Phase 1, Phase 2 through to Phase 3 efficacy studies, and Phase
                           4 registered as interventional studies. The database is updated
                           regularly.
 Landscape of              This document provides an overview of the different observational
 observational studies     studies that are being conducted to assess the effectiveness of
 on the effectiveness      COVID-19 vaccination, including key features in terms of study
 of COVID-19               design, sample size, study population, key outcomes measured
 vaccination (draft),      and location of study.
 15 October 2021

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A SNAPSHOT OF WHO COURSES AND INFORMATION MATERIAL
Online WHO COVID-19 courses:
   • Clinical management of patients with COVID-19: General considerations
   • COVID-19 vaccination training for health workers
   • Standard precautions: Environmental cleaning and disinfection
   • Management of COVID-19 in long-term care facilities
   • Operational planning guidelines and COVID-19
   • Clinical management of severe acute respiratory infections
   • Health and safety briefing for respiratory diseases – eProtect

WHO guidance:
  • COVID-19 vaccine tracker and landscape
  • Landscape of observational studies on
     the effectiveness of COVID-19
     vaccination (draft)
  • ACT-Accelerator Strategic Review
  • WHO SPRP 2021 Mid-term Report -
     WHO Strategic Action Against COVID-19
  • WHO COVID-19 SPRP: Updated Appeal
     September 2021 - March 2022
  • Antigen-detection in the diagnosis of
     SARS-CoV-2 infection (interim guidance)

Infographics:
    • Rumours to bust
    • Back to school (for parents)
    • Vaccine effectiveness
    • Vaccine protection
    • Precaution

Questions and answers:
  • How to talk about vaccines
  • COVID-19: Vaccines
  • COVID-19: Vaccine research and development
  • COVID-19: Vaccine access and allocation

Videos:
   • Vaccines, variants & doses
   • Vaccines, variants & mass gathering
   • Pregnancy & COVID-19
   • Post COVID-19 condition
   • Transmission indoors and outdoors

For more information please feel free to contact: seinocomm@who.int
WHO Indonesia Reports
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