Indonesia: COVID-19 Pandemic Response Indonesian Red Cross (Palang Merah , PMI) International Federation of Red Cross and Red Crescent Societies

Federation-Wide Internal Situation Update for Indonesia per 31 October 2020 Reporting period: Week covering 1 – 30 October

PMI Volunteer answering call from the dedicated hotline service (PMI /2020)

Partners Supporting the Country

Movement Partners PMI is supported by IFRC, ICRC, American Red Cross, Japanese Red Cross, Qatar Red Crescent and Turkish Red Crescent.

Non-Movement Partners

PMI collaborate with National Disaster Management Agency (BNPB), the Regional Disaster Management Agency (BPBD), local government agencies, WHO, and USAID, and private sectors.

Context

Global Updates

In the past four weeks, over 12 million new cases have been reported globally. Around the world, more than 45 million cases have been recorded with a global death toll of 1,197,126. As of 31 October 20201, the total global cases are as follows:

Total Confirmed Cases Total Deaths Total Recovered Total Affected Countries 45,725,640 1,190,980 29,775,896 188

1 Source: John Hopkins Coronavirus Resource Center - COVID-19 Map

Of the lives lost, 230,556 were in the US, and the country has the highest death toll along with the highest number of cases at more than 9 million. On 30 October, at least 90,000 new cases were logged—an al; time high and the equivalent of more than one case per second. In order of case number, the followings are the next most severely hit countries: • India, which has counted more than 8.1 million cases and 122,111 deaths • Brazil, which has recorded over 5.5 million cases and 159,884 deaths • Russia, which has confirmed 1.6 million cases and 28,026 deaths • France, which has recorded 1.4 million cases and 36,826 The further acceleration in the incidence of new cases was most notable in European Region. Moreover, the region also reported a substantial rise in the number of new deaths. Europe’s new daily infections have doubled over the past two weeks and the region has so far reported more than 10 million cases with the continent’s death tally at about 275,000. The UK has the ninth-highest number of cases, at more than 1 million, and has recorded 46,645 deaths. COVID-19 cases are accelerating in some parts of Africa. Over the past four weeks, cases have increased by 45% per week on average in Kenya, by 19% in Democratic Republic of Congo and by 8% in Egypt.2 Countries in the Middle East, including Iran, Lebanon and Turkey, have been grappling with a resurgence of cases as the World Health Organization has warned that the pandemic has reached “an alarming juncture” in the region.3 The rates of COVID-19 cases in the Asia Pacific region continue to vary by country, with several countries starting to recover from second waves of infections, while other countries continue to experience a steady increase in new cases. Daily case numbers in India, which contributes over 80% of all cases in the region have started to decrease but still represent the largest proportion of cases in the region. Daily new cases in Indonesia, Iran, Malaysia, Nepal and Sri Lanka are reflecting an upward trend. Numbers of reported confirmed cases in Afghanistan, Australia, Bangladesh, Japan, Maldives, Myanmar, Pakistan, Philippines, and Republic of Korea have remained stable or decreased in recent weeks and months. Success in Taiwan Taiwan recently achieve the world’s impressive milestone in their COVID-19 response when it reached 200 days without recording a single locally transmitted SARS-CoV-2 infection as of 30 October 2020. The island with 23 million people reported the last domestic case of COVID-19 on 12 April, and it has reported a little over 550 cases and 7 deaths. Taiwan’s COVID-19 response was extensive and proactive, taking in lessons learned from their 2003 SARS epidemic. Experts say closing borders early and tightly regulating travel have gone a long way toward fighting the virus. Other factors include rigorous contact tracing, technology-enforced quarantine and universal mask wearing. Proactive and expansive implementation of public health measures paired with clear communication from trusted officials have successfully managed and contained the highly transmissible virus in the country.

Indonesia Updates As of 31 October, the Indonesian Government has announced the following figures:

Confirmed Cases Deaths Recovered Patients Under Treatment 410,088 13,869 337,801 58,418 Throughout October, Indonesia has recorded additional 123,079 new cases with average of 3,970 cases per day, which accumulated a total positive COVID-19 in the country to 410,088 cases. The rate of growth in monthly total reached its lowest this month as the total number in October is a 9.7 percent increase compare to September’s figure. In the wake of the outbreak, monthly cases soared by 460 percent in April, but the growth slowed to 90 percent in May, 83 percent in June, 74 percent in July and 28 percent in August. The growth picked up the pace again in September, which saw a 69 percent rise. The monthly number of COVID- 19 deaths is down slightly to 3,129 from 3,323 last month. The nationwide death toll stands at 13,869 or 3.4 percent of overall cases which is still above the global average, but Indonesian health authorities do not include deaths from probable cases, although thousands more deceased patients have been buried under the COVID-19 protocol for cautions.

2 Source: https://africacenter.org/daily-media-review/africa-media-review-for-october-30-2020/ 3 Source: http://www.emro.who.int/media/news/statement-by-who-director-of-programme-management-on-covid-19-pandemic.html 2 Indonesia: COVID-19 Pandemic Response

Cases across provinces More than 54 percent of national total cases contributed from 4 provinces in Java (, West Java, East Java, and ) in October. Jakarta is the biggest contributor to the national tally this month with more than 31,800 cases or around 26 percent and has recorded a total of 105,597 cases, including 2,251 deaths. However, there has been a 30 percent decline in new daily cases with parallel improvements in hospital bed capacity where large-scale physical distancing restrictions were applied and re-introduced in mid-September throughout October by the Jakarta Government. Furthermore, West Java came second with 14,133 cases this month alone, taking its total to 36,338. Central Java added 11,477 cases and it now has a total of 33,912 cases, including 1,745 deaths. While being ranked second in the overall tally, East Java is in fourth place for October, when it added 8,721 more cases for a total of 52,465. The October rise is lower than the 10,201 cases it recorded in September. East Java has the highest number of coronavirus-related fatalities, totalling 3,758. In addition to that, the president has instructed to prioritize the COVID-19 response in the following 12 regencies and cities: , Bekasi City, Central Jakarta, Depok, East Jakarta, Jayapura, North Jakarta, Padang, Pekanbaru, South Jakarta, and West Jakarta. These regencies and cities have more than 1,000 active cases that cumulated 30 percent of the total active cases nationwide. During the extended public holiday from 28 October to 1 November, the Ministry of Transportation ordered random checks on vehicles leaving Jakarta to ensure all transportation operators, including private vehicles, adhere to health protocols to prevent an increase in the transmission of COVID-19.

PMI Response Update

As of 31 October 2020, PMI COVID-19 response operations have been conducted in 34 provinces and 403 PMI districts/cities all over Indonesia, where 6,490 personnel were mobilized with the break down as follows: PMI Cities / Programs PMI Provinces Total Location Total People Reached Districts Sanitizing/sterilizing 34 382 105,630 32,567,745 Sanitizing/sterilizing with 10 53 - 20,557,585 gunner Health Promotions 31 250 9,370 6,486,467 Health Services 20 117 1,061 1,753,234 Psychosocial support 29 170 320 32,820 Ambulance Services 17 57 553 985 Relief distribution 29 203 6,496 6,233,548

• To support the operation in all PMI Branches, PMI NHQ has distributed several equipment as follow:

. 15,216 units of sprayer . 2,798,217 fabric masks . 27,427 hazmat suits . 982,420 hygiene kits . 5,136 raincoats . 2,301 body bags . 9,799 goggles . 85,867 food packages . 56,747 N95 masks . 7,724 face-shields . 7,017 rubber gloves . 566,498 Wipol pouches . 1,334,993 surgical gloves . 30 units of ventilators . 9,093 pairs of boots . 676 units of handwashing stations. . 3,180,946 surgical masks

• PMI also has been providing Restoring Family Links service for 34 cases along with COVID-19 Hotline Services at 021-7992322 with a total of 78 callers accessing this hotline. Through PMI social medias, 131 questions from community have been collected. In addition, PMI has provided remote psychosocial support through WhatsApp which has reached 18 people. Other than that, PMI has also conducted the following programs: Risk Communication and Community Engagement • In the period of reporting, 116 articles that covered PMI’s activities and services were published. A total of 111 articles published by online media and 5 articles published by printed media. • 30 feedbacks received up to October—bring the cumulative numbers to 843 community feedbacks since February from various channels: radio talk show, hotline, and social medias with details on sex consist of 399 males, 365 females, 81 unknowns.

3 Indonesia: COVID-19 Pandemic Response

• Face-to-face and online health and hygiene promotion activities have reached 6,486,467 people (cumulative) across 31 provinces and 250 cities/districts. • Broadcasted several radio talk-shows with the following topics: - PMI’s efforts in preventing COVID-19; The role of religious leaders during the pandemic (PMI NHQ). - PMI supports for dead body management (PMI East Java). - PMI efforts to curb COVID-19 transmission through collaboration with stakeholders (PMI East Java). - PMI’s encouragement on blood donation during Pandemic (PMI East Java) - PMI’s effort on social stigma on COVID-19 (PMI east Java) - Information on vaccine COVID-19 (PMI South Sulawesi) • Broadcasted a series of “Cangkruk dengan PMI Jatim” podcasts by RCCE focal point in PMI East Java; story from COVID-19 survivors and social stigma due COVID-19. • Promoted Hotline Services in PMI South Sulawesi during the distribution of hygiene kits to communities. • Conducted Community Engagement Accountability (CEA) online orientation with highlights on socialization and communication strategies, rumour management and feedback mechanism to 10 staff and volunteers from 6 PMI Branches. • Developed a social marketing jingle to raise awareness on health and hygiene protocols in collaboration with FAO. • Conducted the 5th session on hygiene dissemination through PMI TV (PMI YouTube) channel, reaching cumulative of 488 unique viewers and 11,241 impressions from the 1st session. • Conducted a social media campaign to commemorate Global Handwashing Day. Several video campaigns were produced by many PMI branches, some were re-posted on PMI’s Instagram account. • Several PMI branches, such as PMI Tangerang, went on the street to conduct long march in the effort to disseminate COVID-19 prevention messages, equipped with posters and speaker. • Supported by Prudential Foundation, PMI is promoting its #CegahCOVID-19 campaign through the so called ‘Safe Steps for Kids’ event, that targets young people. The aim of this collaboration is to educate and inform, especially students on topics related to first aid and COVID-19 prevention. During the period of September 2020, this program has reached 507,124 impressions. In addition to that, 1,000 education kits consisted of mobile phone, laptop, and computer was distributed to 10 elementary schools in 9 cities/districts. An online survey was also conducted to evaluate this initiative with total of 902 respondents consisted of parents (57,87%), PMI’s volunteers (22,06%), and principals (13,53%). Findings from this survey showed that 96,34% respondents agreed that topics were delivered clearly; 67,86% respondents agreed that given education kits and learning materials are user friendly; and 99,56% respondents interested to participate in the program. In the reporting period, these activities were carried out in two schools in Depok, West Java with 200 students participated in the activity. • Completed the data collection of post distribution monitoring (PDM) for the distribution of food package from and household disinfection kits.

Institutional Readiness • Following the developing COVID-19 situation, PMI NHQ continues the discussion to review PMI’s business continuity plan (BCP); technical mentorship to ensure that each PMI branch could adjust its BCPs to the local context was provided. In addition, the process of development the BCP due to COVID- 19 Pandemic has triggered PMI on developing further BCP for multi-hazard that Indonesia is and will face such as La Nina, big scale earthquake and volcano eruption. • Noting the importance of strengthening community COVID-19 response, PMI NHQ continues to closely coordinate and provide technical support to PMI Provinces and Districts in informing and socializing the community response plan in the village levels, together with sub-national COVID-19 Task Force at province and district levels, and PMI Community Volunteer (CBAT/Community-based Action Team). Several PMI volunteers (SIBAT) such as PMI South Sulawesi conducted socialization on COVID- 19 Community Response Program to PMI volunteers (SIBAT) conducted socialization of COVID-19 community response program targeted communities. to community in South Sulawesi (PMI Sulawesi Selatan /2020) 4 Indonesia: COVID-19 Pandemic Response

WASH • The distribution of 20,000 household disinfection kits to PMI Central Java and PMI East Java. East Java has been done. As per reporting period, as many as 9,040 kits have been distributed in 3v districts in East Java abd 3 districts in Central Java (133 villages and 310 locations), reaching 14,130 beneficiaries. • The 267 out of 267 planned handwashing stations supported by IFRC have been installed at local government office, public places, and markets in 5 cities of DKI Jakarta province and Kepulauan Seribu district. • PMI continues the installation of handwashing station supported by Coca-Cola (234 Units) and New Zealand Red Cross (25 units) in Jabodetabek area with markets and communal facilities as the The installation of 267 handwashing stations across DKI Jakarta main targeted locations. Provinces (PMI Central Jakarta//2020) • Continued to prepare the PDM for all handwashing stations installed in several districts/cities.

Ambulance Services and Management of Dead Bodies • PMI across Indonesia has managed to provide ambulance services and implement management of dead bodies in response to COVID-19 pandemic. Out of all, 56 PMI branches in 17 provinces actively provide ambulance services, along with 28 PMI branches that implement management of dead bodies. • Provided ambulance services for positive and suspect patients of COVID-19 to 653 suspects/patients and for dead bodies of COVID-19 patient to 325 corpses. • Continuing with the modification process of 6 ambulances for transporting patient/suspect of COVID-19 to strengthen PMI Ambulance Services. The modification of 4 ambulances have completed while the rest of 2 ambulances are still in process. • For internal PMI personnel, a socialization of standard and procedures (SOPs) on ambulance

services and management of the dead was Online socialization on ambulance services and management of the conducted, with the support from ICRC. dead SOPs for PMI personnel (PMI/2020) • Continued to prepare the ambulance services and management of dead bodies training for PMI Bali.

PMI Blood Transfusion Unit (PMI UDD) • PMI continued the convalescent plasma services in 12 PMI-UDDs (UDD NHQ, Makassar, , Bandung, Sidoharjo, Surabaya, Lumajang, DKI Jakarta, Banyumas, , Bali, and NTT). The consvalence plasma services have reached 531 patients. • In total, PMI UDD across Indonesia has received 416 blood samples from COVID-19 survivors for convalescent plasma clinical trial as follow: 8 blood samples in Wahidin Hospital, 4 blood samples in Public Hospital, 2 blood samples in Hasan Sadikin Hospital, 3 blood samples in UDD PMI Kota Bandung, 87 blood sample in UDD PMI Kab. Sidoarjo cooperation with Sidoarjo Public Hospital, 5 blood samples in Airlangga University Hospital, 1 blood sample in Adi Husada Hospital, 3 blood samples in RKZ Hospital, 193 blood samples in UDD PMI Kota Surabaya, 1 blood sample in Mitra Keluarga, 3 blood samples in Darmo Hospital, 1 blood sample in Husada Utama Hospital, 1 blood sample in dr. Haryoto Hospital, 72 blood samples in UDD PMI DKI Jakarta, 2 blood samples in UDD Kabupaten Cirebon, 1 blood sample in UDD PMI Kab. Banyumas, 1 blood sample in Panti Wiloso Hospital, 3 blood samples in UDDP, 1 blood sample in Sanglah Hospital, 1 blood sample in Mitra Hospital Kabupaten Bekasi, 4 blood 5 Indonesia: COVID-19 Pandemic Response

samples in UDD DKI, 3 blood samples in UDD PMI Kabupaten Bekasi, 1 blood sample in M Jamil Hospital, and 15 blood samples (whole blood) in UDD PMI East Nusa Tenggara incorporation with Architech.

PMI Bogor Hospital • Through the collaboration with LIPI Laboratory and PT. Lab SATU (supplier of consumable medical supplies for PCR testing), PMI Bogor Hospital has performed RT-PCR testing for COVID-19 suspects. As of October 2020, 560 samples were examined through RT-PCT testing. • The procurement of 2nd batch PPE and HEPA filter are still in place. As of October, 38 units of HEPA filter to upgrade the isolation rooms were procured.

IFRC Appeal and Bilateral Support

The IFRC is appealing for CHF 1.9 billion (USD 1.95 billion) globally to urgently scale up its global response to curb COVID-19 rapid spread and support National Red Cross and Red Crescent Societies all over the world in health care, prepositioning of goods, risk communication and community engagement, epidemic control and community case management, strengthen the emergency operation centre for epidemic/ pandemic under response framework, lessons learned from the global network of local responders, cash grants for families, and mitigating impacts of large outbreaks. Out of the CHF 1.9 billion, CHF 450 million will be raised through the IFRC Secretariat in support of National Societies. IFRC may raise additional support as needed based on national risk analysis.

Out of this appeal, CHF 4,004,608 is already secured to support PMI COVID-19 Operation.

Operational Strategy

The overall operational objective is to contribute to reducing morbidity, mortality and social impacts of the COVID-19 outbreak by preventing or slowing transmission and helping to ensure that communities affected by the outbreak maintain access to basic social services and can support themselves in dignity. In general, PMI will involve in risk communication and community engagement, and sanitizing/sterilizing public spaces, which could include temporary shelters, and large urban informal settlements. PMI COVID-19 response operation supported by IFRC is prioritizing maximum of 24 PMI offices (eight prioritized provinces, and each maximum two district offices). The PMI priority areas are referring to the Ministry of Health analysis where community transmission has been identified and having a high number of cases. Also, PMI has considered the capacities of its branches and chapters on managing the emergency response for COVID-19.

IFRC CCST Jakarta has established COVID-19 response operation cell which will assist PMI in designing and monitoring the implementation of the operation plan.

Sectoral Updates: For the period of reporting, IFRC has supported PMI in various activities as shown in the below table:

Sectors Updates Health • Community response for COVID-19 operation has processed the finalization for the CVA (cash and voucher assistance) transfer mechanism using PT Pos Indonesia for 390 villages. The transfer mechanism will be conducted in two baches, 1st batch will be transferred to 340 villages and followed by 2nd batch for 50 new villages. The distribution of 1st batch of the community grant is expected to be done on Mid-October 2020. • Upgrading the existing Community-Based Surveillance (CBS) guideline under CP3 that take into account the context under COVID-19 pandemic. • Continuing to finalize the model of active CBS for COVID-19 emergency response along with CBS COVID-19 indicators. The plan on developing online training and video tutorial for PMI branches will be conducted together with the finalization of CBS for COVID-19. • Continuing the social and psychosocial support through hotline services to provide family care information and psychosocial support for community.

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• Completed the report support group and debriefing meeting for 93 volunteers at the national level and follow up with some individual face to face counselling as needed. • Preparing for support group meeting for PMI staff at NHQ. • Continuing with the modification process of 6 ambulances for transporting patient/suspect of COVID-19 to strengthen PMI Ambulance Services. 2 additional approval for upgrading ambulance in Sidoarjo and Buleleng had been released and will follow up on modification process. • Technical assistance on cluster management and contact tracing at the NHQ PMI. • Completing the procurement process for 8 units HEPA filter to support PMI Hospital on upgrading its isolation rooms for COVID-19 patients. Continuing the procurement for additional units of HEPA filters (up to 40 units) under second batch. • Continuing the discussion on RT-PCR support for PMI Bogor Hospital in collaboration with LIPI laboratory. Coordination meeting within IFRC CCST, PMI Hospital, LIPI Laboratory and PT, SATU (supplier of consumable items for PCR testing). The signing MoU will be completed on mid of October 2020. • Participate in regular USAID COVID-19 cluster meeting • Ongoing discussion with DFAT and partners under AIHSP program on COVID-19 community-based surveillance WASH • The planned 20,000 household kits distribution to Central Java and East Java is underway. As many as 9,040 kit has been distributed (45%) in 4 districts (Surabaya, Sidoarjo, Malang of East Java and Grobogan of Central Java) reaching 14,130 direct beneficiaries. • Post Distribution Monitoring (PDM) process is currently on going. The briefing for the enumerator was conducted on 15 October 2020. The data collection is expected to be completed by early November with 1,000 respondents. • The installation of 267 handwashing stations in DKI Jakarta (261 units) and in Kepulauan Seribu District (6 unit) have been 100% completed. PMI is still working on the installation of handwashing station supported by Coca-Cola (234 Units) and New Zealand RC (25 units) in Jabodetabek area with the market and communal facilities as the main target. • The PDM for the handwashing station also planned to be conducted once the team completed all the installation. In the meantime, IFRC supporting PMI to prepare the tools and questionnaires. • The 5th session on hygiene dissemination through PMI TV (PMI YouTube channel) was conducted. In total from the first sessions until the fifth sessions, it reached 488 unique viewers dan 11,241 impressions. • A social media campaign to commemorate Global Handwashing Day was been conducted. CEA • Broadcasted text blast related health and hygiene promotion, targeting 84,000 elderly as the beneficiaries, with support from local telecommunication providers. • Conducted Community Engagement Accountability (CEA) online orientation with highlights on socialization and communication strategies, rumor management and feedback mechanism to 10 staff and volunteers from 6 PMI Branches. • Developed a social marketing jingle to raise awareness on health and hygiene protocols in collaboration with FAO. • Co-hosted in RCCE Working Group with UNICEF to update activities among organizations. Currently, the WG is supporting the national task force by developing recommendations to target behavior change in the population based on the findings from community surveys. • Conducted a social media campaign to commemorate Global Handwashing Day.

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IM/KM • The procurement process for tele-conference equipment for 32 PMI branches have completed. Additional procurement of mobile phones to support communication activities within branches have also completed.

For more information, please contact:

Sudirman Said; Secretary General, Palang Merah Indonesia Jan Gelfand, Head of CCST Jakarta email: [email protected] mobile: +62 811 9690 8324 email: [email protected] Arifin Muh. Hadi; Head of Disaster Management mobile: +62 812 9777 7755 email: [email protected]

8 Indonesia: COVID-19 Pandemic Response