Coronavirus Disease 2019 (COVID-19) World Health CoronavirusCoronavirus Disease Disease 2019 2019 (COVID (COVID-19) -19) World Health OrganizationOrganization Situation Report - 58 Situationn Report - 7 Indonesia

9 JuneData 2021 as of 07 May 2020

HIGHLIGHTS

• As of 9 June, the Government of Indonesia reported 1 877 050 (7725 new) confirmed cases of COVID-19, 52 162 (170 new) deaths and 1 723 253 recovered cases from 510 districts across all 34 provinces.1

• WHO supported Wahana Visi Indonesia to conduct a virtual training on ‘Risk Communication and Community Engagement in the Context of COVID-19 Response’ for civil society organizations in six districts in Indonesia (page 18).

• WHO supported the Makassar City Health Office in accelerating vaccination of older people through a drive-thru vaccination session organized on 29 May (page 24).

Fig. 1. Geographic distribution of cumulative number of confirmed COVID-19 cases in Indonesia across the provinces reported from 3 to 9 June 2021. Source of data

Disclaimer: Data are not available for Papua province for this time period due to internet connectivity issues2. 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://www.cnnindonesia.com/nasional/20210519005740-20-644032/internet-mati-di-papua-ganggu-rekap- data-covid-19-vaksinasi 1 WHO Indonesia Situation Report - 58 who.int/indonesia GENERAL UPDATES

• Indonesia received another eight million doses of COVID-19 vaccine from Sinovac on 31 May, which arrived in bulk form. These vaccines will be processed by Bio Farma before they can be administered in the national COVID-19 vaccination programme3. On 7 June, Indonesia received an additional 313 100 doses of AstraZeneca COVID-19 vaccine from the COVAX Facility. With this addition, the Ministry of Health (MoH) reported that Indonesia had received a total of 92.2 million doses of COVID-19 vaccine, both in ready-to-use and bulk forms. In addition, the government continues to strive to achieve an average target of one million people vaccinated per day, starting from June.4

• On 4 June, the National COVID-19 Task Force (Satuan Tugas (Satgas)) reported that the Government of Indonesia plans to extend the quarantine period for travellers arriving from abroad to 14 days (previously 5 days). Satgas stated that the effort was aimed to curb COVID-19 transmission and prevent a surge of cases in the country, especially coming from imported cases. In addition, Satgas highlighted the importance of proper implementation of screening mechanisms (testing and quarantine) at points of entry.5

• On 2 June, the Deputy Governor of DKI reported that the province continues to observe an increasing trend of COVID-19 cases following the Eid holiday period in May. The Deputy Governor stated that the increase was due to several factors including the low level of adherence to health protocols in the community during and after Eid al-Fitr6. As of the same day, the Health Workers Coordinator of the Wisma Atlet Emergency Hospital reported that the increase in the number of COVID-19 patients treated in the hospital had reached 20% on 1 June, while the bed occupancy rate (BOR) was 35.8%7. A similar trend of increasing COVID-19 cases was also observed in other provinces in Java, , Riau Islands, Bangka Belitung Islands and North Kalimantan. The Minister of Health stated that significant increases in COVID-19 cases observed in Riau Islands and North Kalimantan were also due to the increase of imported cases from neighbouring countries.8

3 https://en.antaranews.com/news/175546/soe-minister-confirms-receipt-of-eight-million-sinovac-vaccine-doses 4 https://en.tempo.co/read/1469637/indonesia-receives-another-313100-doses-of-astrazeneca-vaccine 5 https://en.antaranews.com/news/175890/govt-plans-14-day-quarantine-for-travelers-from-abroad 6 https://en.tempo.co/read/1468376/jakarta-covid-19-cases-rising-again-deputy-gov-says-due-to-mudik-eid 7 https://go.kompas.com/read/2021/06/02/190634774/patients-with-coronavirus-increase-by-20-percent-in- jakartas-emergency-hospital?page=all#page2 8 https://www.channelnewsasia.com/news/asia/indonesia-covid19-riau-kalimantan--imported-cases- 14938702 2 WHO Indonesia Situation Report - 58 who.int/indonesia SURVEILLANCE

• On 9 June, 7725 new and 1 877 050 cumulative confirmed COVID-19 cases were reported nationwide (Fig. 2). The average for the last seven days from 3 to 9 June was 6468 cases per day, compared to 5793 cases per day reported in the previous week.

16000 2000000

14000 1800000 1600000 12000 1400000 10000 1200000 8000 1000000

6000 800000 Daily numberDaily 600000 4000 number Cumulative 400000 2000 200000

0 0

2-Jan

4-Jun

9-Oct

5-Apr

5-Sep 5-Feb

2-Aug

16-Jul

2-Mar

9-May 1-May

19-Jan

12-Jun 29-Jun

26-Oct

22-Apr 14-Apr

22-Sep 22-Feb

16-Dec

19-Aug

12-Nov 29-Nov

28-Mar 19-Mar 11-Mar

26-May 18-May

Daily number of confirmed COVID-19 cases Cumulative number of confirmed COVID-19 cases

Fig. 2. Daily and cumulative number of cases reported in Indonesia, as of 9 June 2021. Source of data

Disclaimer: The number of cases reported daily is not 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. 16); 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, either at the national or subnational level.

3 WHO Indonesia Situation Report - 58 who.int/indonesia • During the week of 31 May to 6 June, the provinces that experienced an increase in the number of weekly cases of more than 50% compared to the previous week were West Sulawesi (2500%), North Sulawesi (236%), West Papua (106%) and East Nusa Tenggara (94%) (Fig. 3). It is critical to investigate reasons for the increase in new confirmed cases to guide response decisions and inform the adjustment of public health and social measures (PHSM).

Fig. 3. Percentage change of weekly number of confirmed cases by province during 31 May to 6 June 2021 compared to the previous week. Source of data

Disclaimer: West Sulawesi (2500% change based on increase from 3 to 78 weekly cases) and North Sulawesi (236% change based on increase from 14 to 47 weekly cases) are not shown on the graph. Data are not available for Papua province for this time period due to internet connectivity issues2. The number of weekly confirmed cases is calculated taking into consideration the daily number of reported cases. It is important to conduct further investigation if there is a substantial change in new cases, especially in provinces with a change of 50% or more. Other factors, such as testing and contact tracing, may help elucidate the reasons behind substantial changes. Additional indicators, including case incidence and mortality, should be considered to guide adjustment of PHSM. 4 WHO Indonesia Situation Report - 58 who.int/indonesia

• During the week of 31 May to 6 June, the incidence9 of COVID-19 in Indonesia increased to 14.6 per 100 000 population, compared to 12.5 per 100 000 in the previous week (Fig. 4).

35

30

CT2 (20 - <50) 25

20

15 Case Case incidence 10 CT1 (<20)

5

0

23/11 - 29/1123/11- 07/0201/02- 18/0412/04- 13/0419/04- 27/0403/05- 11/0517/05- 25/0531/05- 08/0614/06- 22/0628/06- 06/0712/07- 20/0726/07- 03/0809/08- 17/0823/08- 31/0806/09- 14/0920/09- 28/0904/10- 12/1018/10- 26/1001/11- 09/1115/11- 07/1213/12- 21/1227/12- 04/0110/01- 18/0124/01- 15/0221/02- 01/0307/03- 15/0321/03- 29/0304/04- 26/0402/05- 10/0516/05- 24/0530/05- Fig. 4. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period reported in Indonesia from 13 April 2020 (when Indonesia first reported community transmission in the country) to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

Disclaimer: There are seven categories for transmission classification: (1) no (active) cases; (2) imported/sporadic cases; (3) cluster of cases; (4) community transmission 1 (CT1); (5) community transmission 2 (CT2); (6) community transmission 3 (CT3); and (7) community transmission 4 (CT4). 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 decide on the level of community transmission. This disclaimer applies to indicators at national (Fig. 4) and subnational levels (Figs. 5 to 11).

9 Weekly incidence of COVID-19 is calculated as the number of new cases per 100 000 population per week averaged over a two-week period. Source of population data 5 WHO Indonesia Situation Report - 58 who.int/indonesia

• During the week of 31 May to 6 June, the incidence rates of COVID-19 per 100 000 population were 79.9 in Bangka Belitung Islands, 79.5 in Riau Islands, 58.4 in Riau and 50.4 in DKI Jakarta; these rates correspond to community transmission level 3 (Fig. 5). Based on WHO interim guidance, community transmission level 3 means that there is a high risk of COVID-19 infection for the general population and that a high number of locally acquired, widely dispersed cases was detected in the past 14 days.

Bangka Belitung Islands Riau Islands Riau DKI Jakarta DI Yogyakarta West Aceh Central Kalimantan North Kalimantan East Kalimantan Bengkulu Central Java West Java West Kalimantan West Nusa Tenggara South Kalimantan West Papua Lampung East Nusa Tenggara Banten North Sumatra East Java Central Sulawesi Maluku North Maluku Gorontalo South Sulawesi West Sulawesi North Sulawesi Southeast Sulawesi 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 Weekly case incidence

CT 1 (<20) CT 2 (20-<50) CT 3 (50 - <150) CT 4 (150+)

Fig. 5. Data are not available for Papua province for this time period due to internet connectivity issues2. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period by province in Indonesia during 31 May to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

6 WH O Indonesia Situation Report - 58 who.int/indonesia

• During the week of 31 May to 6 June, the weekly incidence of COVID-19 increased in most provinces in Java-Bali, compared to the incidence in the previous week (Fig. 6).

Fig. 6. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period in Java - Bali, from 13 April 2020 to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

7 WHO Indonesia Situation Report - 58 who.int/indonesia • The weekly incidence of COVID-19 increased in all provinces in Sumatra during the week of 31 May to 6 June compared to the previous week. There has been an increasing trend in case incidence since early April in most provinces in Sumatra (Fig. 7).

Fig. 7. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period in Sumatra, from 13 April 2020 to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

8 WHO Indonesia Situation Report - 58 who.int/indonesia

• During the week of 31 May to 6 June, the weekly incidence of COVID-19 increased in all provinces in Kalimantan compared to the incidence in the previous week, except for West Kalimantan. Since the beginning of 2021, there has been a notable increasing trend in West Kalimantan (Fig. 8).

Fig. 8. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period in Kalimantan, from 13 April 2020 to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

9 WHO Indonesia Situation Report - 58 who.int/indonesia • In Sulawesi, the weekly incidence of COVID-19 increased in all provinces, except North Sulawesi where it remained the same, during the period of 31 May to 6 June compared to the previous week (Fig. 9).

Fig. 9. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period in Sulawesi, from 13 April 2020 to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

10 WHO Indonesia Situation Report - 58 who.int/indonesia • During the week of 31 May to 6 June, the weekly incidence of COVID-19 increased in West Nusa Tenggara, East Nusa Tenggara, North Maluku and West Papua compared to the previous week (Fig. 10).

Fig. 10. Incidence of COVID-19 per 100 000 population per week averaged over a two-week period in West Nusa Tenggara, East Nusa Tenggara, Maluku, North Maluku, Papua, and West Papua, from 13 April 2020 to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

Disclaimer: Data are not available for Papua province since 13 May due to internet connectivity issues2.

11 WHO Indonesia Situation Report - 58 who.int/indonesia • Nationwide test positivity proportion increased sharply after 23 November and reached a peak of 30.5% in mid-February. Subsequently, the positivity proportion declined and has stood between 9% and 20% since 11 March, which is considered as CT3 (high incidence) (Fig. 11). However, the percentage of positive samples can be interpreted reliably only with comprehensive surveillance and testing in the order of one person tested per 1000 population per week. This minimum case detection benchmark was achieved in DKI Jakarta, DI Yogyakarta and for the last three weeks. Nevertheless, these provinces still have a test positivity proportion of more than 5%, which means that transmission is still high in the community (Fig. 12).

40%

35%

30% CT 4 (20%+)

25%

20%

CT 3 (5% - <20%)

15% Positivity Positivity proportion(%)

10%

5% CT 2 (2% - <5%)

CT 1 (<2%) 0% 1-May 1-Jun 1-Jul 1-Aug 1-Sep 1-Oct 1-Nov 1-Dec 1-Jan 1-Feb 1-Mar 1-Apr 1-May 1-Jun

Fig. 11. Test positivity proportion averaged over a two-week period at the national level in Indonesia, as of 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. 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.

12 WHO Indonesia Situation Report - 58 who.int/indonesia

7.00 55.0% 50.0% 6.00 45.0% 5.00 40.0% 35.0% 4.00 30.0% 3.00 25.0% 20.0% 2.00 15.0%

10.0% Positivity proportion(%) 1.00 5.0%

People tested/1000 People tested/1000 population/week - 0.0% 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 Indonesia DKI West Central DI Yogyakarta East Banten Jakarta Java Java Java

People tested/1000 population/week Test positivity proportion 7.00 55.0% 50.0% 6.00 45.0% 5.00 40.0% 35.0% 4.00 30.0% 3.00 25.0% 20.0% 2.00 15.0%

10.0% Positivity proportion(%) 1.00 5.0%

People People tested/1000 population/week - 0.0% 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 Indonesia West East West Riau Central South Southeast Sumatra Kalimantan Papua Kalimantan Sumatra Sulawesi

People tested/1000 population/week Test positivity proportion

Fig. 12. Test positivity proportion and people tested per 1000 population per week at the national level and in select provinces.

Week 1: 17/05/21 to 23/05/21; Week 2: 24/05/21 to 30/05/21; Week 3: 31/05/21 to 06/06/21 Benchmark: one person tested per 1000 population per week Threshold test positivity proportion: <5% Source of data: Indonesia, DKI Jakarta, West Java, Central Java, DI Yogyakarta, East Java, Banten, West Sumatra, East Kalimantan, West Papua, Riau, Central Kalimantan, South Sumatra, Southeast Sulawesi

Note: Due to a limitation in data, other provinces could not be evaluated. For surveillance purposes, test positivity proportion is calculated as the number of confirmed cases divided by the number of people tested for diagnosis.

13 WHO Indonesia Situation Report - 58 who.int/indonesia

• During the week of 31 May to 6 June, Riau had the highest weekly number of confirmed COVID-19 deaths per 100 000 population, followed by Riau Islands, DI Yogyakarta, DKI Jakarta and Bangka Belitung Islands (Fig. 13).

Riau Riau Islands DI Yogyakarta DKI Jakarta Bangka Belitung Islands West Sumatra Aceh West Papua South Sumatra Central Java Jambi Bali West Nusa Tenggara Central Kalimantan East Kalimantan East Java South Kalimantan Lampung Central Sulawesi West Kalimantan West Java North Kalimantan North Sulawesi Bengkulu North Sumatra East Nusa Tenggara Banten Gorontalo Maluku South Sulawesi North Maluku West Sulawesi Southeast Sulawesi 0.0 0.5 1.0 1.5 2.0 Weekly number of confirmed COVID-19 deaths per 100 000 population

CT 1 (<1) CT 2 (1 - <2) CT 3 (2 - <5) CT 4 (5+)

Fig. 13. Number of confirmed COVID-19 deaths per 100 000 population per week averaged over a two-week period by province in Indonesia during 31 May to 6 June 2021, classified by level of community transmission (CT): CT1: low incidence; CT2: moderate incidence; CT3: high incidence; CT4: very high incidence. Source of data

Disclaimer: Data are not available for Papua province for this time period due to internet connectivity issues2. Based on data availability, only confirmed COVID-19 deaths have been included. As per WHO definition, however, 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.

14 WHO Indonesia Situation Report - 58 who.int/indonesia

• At the national level, during the week of 31 May to 6 June, the number of confirmed COVID-19 deaths remained at 0.41 per 100 000 population10, which was the same as the previous week (Fig. 14).

0.8

0.7

0.6

0.5

0.4

0.3

0.2

Deaths Deaths per 000 100 population 0.1

0.0

14/09 - 20/0914/09- 21/0215/02- 13/0419/04- 27/0403/05- 11/0517/05- 25/0531/05- 08/0614/06- 22/0628/06- 06/0712/07- 20/0726/07- 03/0809/08- 17/0823/08- 31/0806/09- 28/0904/10- 12/1018/10- 26/1001/11- 09/1115/11- 23/1129/11- 07/1213/12- 21/1227/12- 04/0110/01- 18/0124/01- 01/0207/02- 01/0307/03- 15/0321/03- 29/0304/04- 12/0418/04- 26/0402/05- 10/0516/05- 24/0530/05-

Fig. 14. Number of confirmed COVID-19 deaths per 100 000 population per week averaged over a two-week period in Indonesia, as of 6 June 2021. Source of data

Disclaimer: Based on data availability, only confirmed COVID-19 deaths have been included. As per WHO definition, however, 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. Evaluation of the level of community transmission could not be conducted due to data limitations.

• During the week of 31 May to 6 June, the total number of weekly confirmed COVID-19 deaths in DKI Jakarta was 129, compared to 102 in the previous week (Fig. 15).

10 Weekly mortality of COVID-19 is calculated as the number of COVID-19 deaths per 100 000 population per week averaged over a two-week period. Source of population data 15 WHO Indonesia Situation Report - 58 who.int/indonesia DKI Jakarta 350

300 19 19 deaths

- 250

200

150

100

50

0

Weekly number of confirmed Weekly confirmed of COVID number

16/03 - 22/0316/03- 13/1207/12- 07/0201/02- 02/0308/03- 30/0305/04- 13/0419/04- 27/0403/05- 11/0517/05- 25/0531/05- 08/0614/06- 22/0628/06- 06/0712/07- 20/0726/07- 03/0809/08- 17/0823/08- 31/0806/09- 14/0920/09- 28/0904/10- 12/1018/10- 26/1001/11- 09/1115/11- 23/1129/11- 21/1227/12- 04/0110/01- 18/0124/01- 15/0221/02- 01/0307/03- 15/0321/03- 29/0304/04- 12/0418/04- 26/0402/05- 10/0516/05- 24/0530/05-

Fig. 15. Weekly number of confirmed COVID-19 deaths in DKI Jakarta, as of 6 June 2021.Source of data,

Disclaimer: The data are provisional. There may be a discrepancy in the number of deaths in confirmed COVID-19 cases between national and provincial data sources.

HEALTH OPERATIONS

• As reported on 9 June, the daily number of people tested for COVID-19 was 70 533 and the cumulative number of people tested was 11 773 437 (Fig. 16).

16 WHO Indonesia Situation Report - 58 who.int/indonesia 80000 14000000

70000 12000000 60000 10000000 50000 8000000 40000 6000000 30000 Daily number Daily 4000000

20000 number Cumulative 10000 2000000

0 0

4-Jul

7-Jan

9-Jun

2-Apr

4-Dec

7-Aug

21-Jul

7-Mar

6-May

24-Jan

17-Jun

14-Oct 31-Oct

10-Apr 27-Apr 19-Apr

10-Sep 27-Sep 10-Feb 27-Feb

21-Dec

24-Aug

17-Nov

24-Mar 16-Mar

14-May 31-May 23-May Daily number of people tested Cumulative number of people tested

Fig. 16. Daily and cumulative number of people tested for COVID-19 in Indonesia, as of 9 June 2021. Source of data

• As of 9 June, the proportion of people recovered among the total confirmed COVID-19 cases was 91.8% and there were 101 635 active cases (Fig. 17). 200000 100.0

180000 90.0

160000 80.0 140000 70.0 120000 60.0 100000 50.0

Number 80000 40.0

60000 30.0 (%) Percentage 40000 20.0 20000 10.0

0 0.0

7-Jun

1-Apr

1-Feb

9-Dec

5-Aug

18-Jul

3-Nov

9-Mar

7-May 2-May

14-Jan

12-Jun 30-Jun

16-Oct

19-Apr 14-Apr

10-Sep 28-Sep 19-Feb

27-Dec

23-Aug

21-Nov

27-Mar

25-May 20-May Active cases Recovery percentage

Fig. 17. Number of active cases of COVID-19 and recovery percentage in Indonesia, as of 9 June 2021. Source of data

17 WHO Indonesia Situation Report - 58 who.int/indonesia

• The reported number of confirmed COVID-19 cases hospitalized in DKI Jakarta reached a peak of 9888 hospitalized cases on 12 February. The number of hospitalized cases subsequently decreased and remained relatively stable, with an average of 3362 hospitalized cases per day in March and April. There was an increasing trend in May and early June, with 5550 hospitalized cases reported on 6 June (Fig. 18). 10000 9000

8000

19 19 cases - 7000 6000 5000

4000 hospitalized 3000 2000

1000 Number confirmed of COVID 0 1-Sep 1-Oct 31-Oct 30-Nov 30-Dec 29-Jan 28-Feb 30-Mar 29-Apr 29-May

Fig. 18. Number of confirmed COVID-19 cases hospitalized in DKI Jakarta from 1 September 2020 to 6 June 2021. Source of data

RISK COMMUNICATION

• On 31 May, WHO supported Wahana Visi Indonesia (WVI) to conduct a virtual training on ‘Risk Communication and Community Engagement (RCCE) in the Context of the COVID-19 Response’ for civil society organizations (CSOs) in six districts in DKI Jakarta, East Java, East Nusa Tenggara and North Maluku. The

training was attended by 18 community health workers from the CSOs. During the training, WHO facilitated a session on RCCE in the context of COVID-19 and highlighted prevention measures for the community, according to WHO guidance. Key points of discussion during the training included the role of local leaders in community engagement during pandemic response and how to improve community perception of COVID-19 risk.

18 WHO Indonesia Situation Report - 58 who.int/indonesia

Fig. 19. WHO facilitated a session on risk communication and community engagement (RCCE) during a virtual training for civil society organizations and frontline health workers in six districts in DKI Jakarta, East Java, East Nusa Tenggara and North Maluku, organized by Wahana Visi Indonesia on 31 May. Credit: WHO/Yoana Anandita

• WHO is regularly translating and sharing important health messages on its website and social media platforms – Twitter and Instagram – and has recently published:

Infographics: - COVID-19 Risk Management: Medical

- COVID-19 Risk Management: Preparing for sickness - COVID-19 Risk Management: Shopping - COVID-19 Risk Management: If someone gets sick - COVID-19 Risk Management: Visiting care facility

19 WHO Indonesia Situation Report - 58 who.int/indonesia

Fig. 20. WHO infographics on COVID-19 Risk Management: Medical, June 2021.

VACCINATION

• As of 7 June, 29 043 779 vaccine doses have been administered in the national COVID-19 vaccination campaign; 17 812 458 people have received the first dose and 11 231 321 people have received the second dose (Fig. 21).

20000000 18000000 16000000 14000000 12000000 10000000 8000000 6000000

Number vaccinated Number 4000000 2000000

0

1-Jun 6-Jun

2-Apr 7-Apr

1-Feb 6-Feb

3-Mar 8-Mar

2-May 7-May

22-Jan 27-Jan

12-Apr 17-Apr 22-Apr 27-Apr

11-Feb 16-Feb 21-Feb 26-Feb

13-Mar 18-Mar 23-Mar 28-Mar

12-May 17-May 22-May 27-May

Cumulative 1st dose vaccination Cumulative 2nd dose vaccination

Fig. 21. Cumulative number of vaccine doses administered in Indonesia, from 22 January to 7 June 2021. Source of data

Disclaimer: COVID-19 vaccination started on 13 January. Published data from MoH is available starting from 22 January.

20 WH O Indonesia Situation Report - 58 who.int/indonesia

• As of 7 June, the number of health workers who have received the second dose of the COVID-19 vaccine (fully vaccinated) was 1 392 873 (94.8% of the target population of 1 468 764). The number of older people who have received the first dose of the vaccine was 3 536 666 (16.4% of the targeted 21 553 118); 2 319 990 (10.8% of the targeted population) have received the second dose. The number of essential public service workers who have received the first dose of the vaccine was 12 693 203 (73.3% of the targeted 17 327 167); 7 517 751 (43.4% of the target population) have received the second dose of the vaccine (Fig. 22). As part of the essential public service workers priority target group, 1 699 644 teachers have received the first dose of the vaccine; 1 070 558 have received the second dose.

1523336 Health Workers 1392873 1st dose 3536666 Older people 2nd dose 2319990

Essential public service 12693203 workers 7517751

0 2000000 4000000 6000000 8000000 10000000 12000000 14000000 Number of people who have received the COVID-19 vaccine

Fig. 22. Cumulative number of people who have received COVID-19 vaccine in Indonesia, as of 7 June 2021. Source of data

Disclaimer: COVID-19 vaccination started with health workers on 13 January. The second stage of COVID-19 vaccination started on 17 February, targeting essential public service workers and older people (above 60 years old). Published data from MoH is available starting from 22 January. Vaccination coverage over 100% is due to differences in actual versus estimated target population.

• As of 7 June, the highest coverage of the first dose vaccination administered to eligible target populations in the country was in Bali, followed by DKI Jakarta, Riau

Islands, DI Yogyakarta and East Java. As of the same day, Bali had the highest coverage of the second dose vaccination administered, followed by DKI Jakarta, DI Yogyakarta, Bangka Belitung Islands and East Kalimantan (Fig. 23).

21 WHO Indonesia Situation Report - 58 who.int/indonesia 200% 180% 160% 140% 120% 100% 80% 60% 40%

Vaccination coverage (%) 20%

0%

Bali

Riau

Aceh

Jambi

Papua

Banten

Maluku

EastJava

Lampung

Bengkulu

West Java West

Gorontalo

DKI Jakarta DKI

Riau Islands Riau

Central Java Central

West Papua West

DI Yogyakarta DI

NorthMaluku

West Sulawesi West

South Sulawesi South

NorthSulawesi

West SumateraWest

North Sumatera North

EastKalimantan

South Sumatera South

Central Sulawesi Central

West Kalimantan West

South Kalimantan South

NorthKalimantan

SoutheastSulawesi

Central Kalimantan Central

East Nusa Tenggara EastNusa

West NusaTenggara West Bangka Belitung Islands Belitung Bangka

1st dose coverage (%) 2nd dose coverage (%) Target

Fig. 23. COVID-19 vaccination coverage among the eligible target populations by province in Indonesia, as of 7 June 2021. Source of data

Disclaimer: Vaccination coverage over 100% is due to differences in actual versus estimated target population.

• As of 7 June, the number of people vaccinated with at least one dose of the vaccine per 100 population nationwide was 6.5. As of the same day, Bali had the highest number of people vaccinated with at least one dose of the vaccine (31.8 per 100 population) amongst all provinces, followed by DKI Jakarta (24.5) (Fig. 24).

<5 5-<10 ≥10

Fig. 24. Number of people vaccinated with at least one dose of the vaccine per 100 population by province in Indonesia, as of 7 June 2021. Source of data

22 WH O Indonesia Situation Report - 58 who.int/indonesia

• As of 7 June, DKI Jakarta had the highest coverage of first and second dose vaccination among older people, followed by DI Yogyakarta and Bali (Fig. 25). As of the same day, provinces with the highest number of unvaccinated older people were West Java, Central Java and East Java (Fig. 26).

100% 90% 80% 70% 60% 50% 40% 30% 20% Vaccination coverage (%) coverage Vaccination 10%

0%

Bali

Riau

Aceh

Jambi

Papua

Banten

Maluku

EastJava

Lampung

Bengkulu

West Java West

Gorontalo

DKI Jakarta DKI

Riau Islands Riau

Central Java Central

West Papua West

DI Yogyakarta DI

NorthMaluku

West Sulawesi West

South Sulawesi South

NorthSulawesi

West SumateraWest

NorthSumatera

EastKalimantan

South Sumatera South

Central Sulawesi Central

West Kalimantan West

South Kalimantan South

NorthKalimantan

SoutheastSulawesi

Central Kalimantan Central

East Nusa Tenggara EastNusa

West NusaTenggara West Bangka Belitung Islands Belitung Bangka

1st dose (coverage) 2nd dose (coverage) Target (coverage)

Fig. 25. COVID-19 vaccination coverage among older people by province in Indonesia, as of 7 June 2021. Source of data

23 WHO Indonesia Situation Report - 58 who.int/indonesia

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

0 800000 1600000 2400000 3200000 4000000 4800000

Unvaccinated

Fig. 26. Number of unvaccinated older people (over 60 years of age) by province in Indonesia, as of 7 June 2021. Source of data

• On 29 May, WHO supported the vaccination drive in Makassar, South Sulawesi. Over 200 older people were vaccinated in a drive-thru vaccination session organized by the City Health Office. WHO assisted MoH in monitoring vaccination implementation to ensure alignment with the national guideline. Debriefing session with health workers to discuss findings from observation during the implementation of the vaccination service was conducted afterwards.

24 WHO Indonesia Situation Report - 58 who.int/indonesia

Fig. 27. A drive-thru vaccination service for older people, organized by the Makassar City Health Office on 29 May 2021. Credit: WHO/Yurniati

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 June 2021 (Fig. 28).

25 WHO Indonesia Situation Report - 58 who.int/indonesia

Fig. 28. WHO funding situation for COVID-19 response, June 2021.

Data presented in this situation report have been taken from publicly available data from the MoH (https://infeksiemerging.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.

26 WHO Indonesia Situation Report - 58 who.int/indonesia RECENT AND UPCOMING WHO RESOURCE MATERIALS

Table 1: Title and details of recent WHO resource materials Source: https://www.who.int/ Title Details Episode 41 of WHO Chief Scientist Dr Soumya Swaminathan explains Science in 5, WHO’s COVID-19 vaccines, pregnancy, menstruation, lactation and series of fertility. conversations in science, 4 June 2021

How to manage This job aid provides an explanation on how WHO emergency COVID-19 vaccines use listing (EUL) COVID-19 vaccines without vaccine vial without VVM at monitor (VVM) should be handled at vaccination sites to ensure vaccination service that safe and potent vaccines are properly administered. points? (COVID-19 job aid), 3 June 2021

Interim These WHO interim recommendations for use of the recommendations for Sinovac-CoronaVac were developed on the basis of advice use of the inactivated issued by the Strategic Advisory Group of Experts on COVID-19 vaccine, Immunization (SAGE) and the evidence summary included in CoronaVac, the Background document on the inactivated vaccine Sinovac- developed by CoronaVac against COVID-19: Background document to the Sinovac, 1 June WHO Interim recommendations for use of the inactivated 2021 COVID-19 vaccine, CoronaVac, developed by Sinovac and Annexes to the recommendations for use of the Sinovac- CoronaVac vaccine against COVID-19: Grading of evidence, Evidence to recommendations tables.

Use of medical and This aide-mémoire presents information on the use and non-medical/fabric procurement of masks for community outreach interventions, masks for community with a focus on those for malaria, neglected tropical diseases, outreach activities tuberculosis, HIV/AIDS and vaccine-preventable diseases. It during the COVID-19 details requirements for the different types of professionals pandemic, 1 June involved (e.g. health workers, social mobilizers, data collectors, 2021 logisticians, insecticide spraying personnel, etc.), based on their level of risk of potential exposure to SARS-CoV-2.

27 WHO Indonesia Situation Report - 58 who.int/indonesia A SNAPSHOT OF WHO COURSES AND INFORMATION MATERIAL

Online WHO COVID-19 courses: • 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: • Operational guide for engaging communities in contact tracing • Critical preparedness, readiness and response actions for COVID-19 (interim guidance) • Technical note on delayed shipments for the ChAdOx1-S [recombinant] vaccines: what are the implications for the administration of second doses? (scientific brief)

Infographics: • Celebrating Eid al-Fitr • Self-isolation • How to make a fabric mask • COVID-19 new variants • COVID-19 vaccines and vaccination

Questions and answers: • COVID-19: Vaccines • COVID-19: Vaccine research and development • COVID-19: Vaccine access and allocation

Videos: • Science in 5: Evolution of the SARS-CoV-2 virus • Time to abide (1-10) • COVID-19 virus variants

For more information please feel free to contact: [email protected] WHO Indonesia Reports

28 WHO Indonesia Situation Report - 58 who.int/indonesia