Untitled [PDF]

351.770 212 Eng p

INDONESIA HEALTH PROFILE 2004

MINISTRY OF HEALTH REPUBLIC OF INDONESIA JAKARTA 2006

Editorial Board Advisor Dr. H. Sjafii Ahmad, MPH Secretary General, MOH Chief Dr. Doti Indrasanto Head of Center for Data and Information, MOH Secretary Dra. Rahmaniar Brahim, Apt, MKes

Members Bob Susilo, SKM, MPH Boga Hardhana, SSi, MM Dian Sulistiyowati, SKM Dwiari, SKM Fetty Ismandari, Dr Hary Purwanto, SKM, MKes, MMSI Machyati, SKM, MKes Nuning Kurniasih, SSi, Apt Sugito, SKM, MKes Sunaryadi, SKM, MKes Yudianto, SKM

Translator Bob Susilo, SKM, MPH

Dewi Roro Kumbini, SPd Iskandar Zulkarnain, SKM, MKes Istiqomah, SS Marlina Indah Susanti, SKM Nuning Kurniasih, SSi, Apt

Supriyono Pangribowo, SKM

Catalogue in Publishing. Ministry of Health of RI 351.770 212 Eng Indonesia. Ministry of Health. Center for Health Data p Indonesia Health Profile 2004. - - Jakarta : Ministry of Health RI 2006 I. Title

1. HEALTH STATISTICS

This book was published by Ministry of Health Republic of Indonesia Jalan HR Rasuna Said Blok X-5 Kav 4-9, Jakarta 12950 Phone no: 62-21-5229590, 5221432 Facsimile no: 62-21-5203874 E-mail: [email protected] Web site: http://www.depkes.go.id

FOREWORD The Indonesia Health Profile 2004 is a continuity of the previous profiles. It is a realization of the accountability from The Center for Data and Information, MOH. The Data and Information is presented based on the printed years in order to make the profile is not considered confusing and backward. The composition of Indonesia Health Profile 2004 is smoother than the previous ones because the communication of Data with municipalities and provinces are getting better, included the supports of The Data and Information Management in central unit of Ministry of Health. In 2005, “Indonesia Health Profile 2003” and English version and also “Profil Kesehatan Indonesia 2004” have been produced maximally. The Indonesia Health Profile 2004 provides not only information of previous profile but also important events in 2004, such as Dengue Haemorrhagic Fever (DHF) Outbreak, earthquake in Nabire, earthquake and Tsunami in Nanggroe Aceh Darussalam and North Sumatra, and the prevention of SAR, which have not been involved in the previous profiles. However, the Indonesia Health Profile 2004 still has a limitation because there are some data which cannot be collected, therefore we will involve them in the next edition. In addition, this Indonesia Health Profile 2004 can be accessed through http://www.depkes.go.id. The Indonesia Health Profile, with its imperfectness in collecting data, is still tried to publish faster than the previous. Hopefully, this Indonesia Health Profile 2004 will be beneficial in filling the need of current health data and information as we are expected. Jakarta, February 2006 Director, Center for Data and Information, MOH

Dr. Doti Indrasanto NIP. 140 074 462

i

ACKNOWLEDGMENT I gladly welcome the publishing of the Indonesia Health Profile 2004, with its English edition. Although it is hard and has many challenges in the process of collecting data and arranging the profile, The Center for Data and Information has succeed collecting data in 2004 and composing it into the Indonesia Health Profile 2004. Providing data and information timely has many obstacles, therefore complete data and information of every program and province has not been fulfilled. Through the publishing of the Indonesia Health Profile 2004, which is involving important events in 2004, I hope it can be useful both in evidence based decision making and as references of data and information. On this occasion, I would like to express my gratitude and highest appreciation to all parties who have assisted and contributed so that the Indonesia Health Profile 2004 can be accomplished.

Jakarta, February 2006 Secretary General Ministry Of Health

Dr. H. Sjafii Ahmad, MPH NIP. 140 086 897

ii

LIST OF CONTENT

FOREWORD

i

ACKNOWLEDGMENT

ii

LIST OF CONTENT

iii

LIST OF ANNEXES

v

CHAPTER I

INTRODUCTION

1

CHAPTER II

GENERAL DESCRIPTION AND COMMUNITY BEHAVIOR A. Demographic Situation B. Economic Condition C. Education Condition D. Environmental Condition E. Community Behavior Condition

3 3 5 5 7 10

CHAPTER III

THE HEALTH STATUS SITUATION A. Mortality B. Morbidity C. Nutrition Status

13 13 22 47

CHAPTER IV

THE HEALTH EFFORT SITUATION A. Basic Health Care B. Refferal and Support Health Care C. Communicable Diseases Control D. Development of Environmental Health & Basic Sanitation E. Improvement of Community Nutrition F. Pharmaceutical and Health Supplies Care G. Health Care in Disaster Situation

54 54 68 71 83 85 89 92

CHAPTER V

HEALTH RESOURCES SITUATION A. Health Facilities B. Health Manpower C. Health Budgeting

iii

95 95 104 113

CHAPTER VI

CHAPTER VII

COMPARISONS BETWEEN INDONESIA AND SOME OTHER COUNTRIES A. Demography B. Health Degree

119 119 125

CLOSING REMARKS

129

BIBLIOGRAPHY

130

***

iv

LIST OF ANNEXES Annex 2.1 Annex 2.2 Annex 2.3 Annex 2.4 Annex 2.5 Annex 2.6 Annex 2.7 Annex 2.8 Annex 2.9 Annex 2.10 Annex 2.11 Annex 2.11.a Annex 2.11.b Annex 2.12 Annex 2.12.a Annex 2.12.b Annex 2.13 Annex 2.13.a Annex 2.13.b Annex 2.14 Annex 2.14.a Annex 2.14.b Annex 2.15 Annex 2.16

Distribution of Government Administration Area by Province in 2004 Area Size, Total Population and Population Density by Province, February 2004 Number of Indonesian Population by Age Group, Dependency Ratio and Province 2004. Number of Indonesia Population by Region Types, Sex and Province 2004 Number and Percentage of Underdeveloped Area by Province, 2004 Number and Percentage of Poor People by Sex and Province, 2004 (Percentage Toward Number of Province Population) Number and Percentage of Poor People by Area and Province, 2004 (Percentage Toward Number of National Poor People) Number and Percentage of Poor People by Area and Province, 2004 (Percentage Toward Number of Province Population) Index of Poverty Profoundity (P1) and Poverty Seriousness (P2) By Province, in 2002 - 2004 Number of Family by Prosperous Family Period and Province (Result of Family Data Collection in 2004) Percentage of Population Aged 10 Years and Over by Sex, Marital Status and Province 2004 Percentage of Population Aged 10 Years and Over by Sex, Marital Status and Province 2004 Percentage of Population Aged 10 Years and Over by Sex, Marital Status and Province 2004 Percentage of Population Aged 10 Years and Over By Sex, Literacy and Province 2004 Percentage of Population Aged 10 Years and Over by Sex, Literacy and Province 2004 Percentage of Population Aged 10 Years and Over By Sex, Literacy and Province 2004 Percentage of Population Aged 10 Years and Over By Education Status and Province 2004 Percentage of Population Aged 10 Years and Over By Education Status and Province 2004 Percentage of Population Aged 10 Years and Over By Education Status and Province 2004 Percentage of Population Aged 10 Years and Over By Certificate of Highest Education and Province 2004 Percentage of Population Aged 10 Years and Over By Certificate of Highest Education and Province 2004 Percentage of Population Aged 10 Years and Over By Certificate of Highest Education and Province 2004 Percentage of Healthy House by Province 2004 Percentage of Healthy Public Places and Food Handling by Province 2004 v

Annex 2.16.a Number of Inspected Food Handling Places (FHP) and Percentage of Healthy FHP by Province 2004 Annex 2.17 Percentage of Household by Floor Width of Living Place (M2) and Province 2004 Annex 2.18 Percentage of Household by the Largest Floor Type and Province 2004 Annex 2.19 Percentage of Household by Drinking Water Sources and Province 2004 Annex 2.19.a Percentage of Household by Drinking Water Source and Province 2004 Annex 2.19.b Percentage of Household by Drinking Water Source and Province 2004 Annex 2.20 Percentage of Household by Latrine Types and Province 2004 Annex 2.21 Percentage of Household by Excreta Disposal and Province 2004 Annex 2.21.a Percentage of Household by Excreta Disposal and Province 2004 Annex 2.21.b Percentage of Household by Excreta Disposal and Province 2004 Annex 2.22 Percentage of Household by Types of Expenditure in a Month Per Capita and Province 2004 Annex 2.22.a Percentage of Household by Types of Expenditure in a Month Per Capita and Province 2004 Annex 2.22.b Percentage of Household by Types of Expenditure in a Month Per Capita and Province 2004 Annex 2.23 Percentage of Household Possessing Health Card by Area Type and Province 2004 Annex 2.24 Percentage of Population Using Health Card on January - December 2003 by Its Effectiveness and Province, 2004 Annex 2.24.a Percentage of Population Using Health Card on January - December 2003 by Its Effectiveness and Province, 2004 Annex 2.24.b Percentage of Population Using Health Card on January - December 2003 by Its Effectiveness and Province, 2004 Annex 2.25 Percentage of Population with Health Complaint in The Past One-Month by Type and Province, 2004 Annex 2.26 Percentage of Population Treated as Outpatient and Took Self Treatment in The Past One-Month by Province and Place of Treatment 2004 Annex 2.27 Percentage of Population Treated as Outpatient in The Past One-Month by Province and Place/Method of Treatment 2004 Annex 2.28 Percentage of Population Treated as Outpatient in The Past One-Year by Province and Place, 2004 Annex 2.29 Percentage of Children Aged 2-4 Years Who Have Been Breastfed by The Length of Breast Feeding and Province, 2004 Annex 2.29.a Percentage of Children Aged 2-4 Years Who Have Been Breastfed by The Length of Breast Feeding and Province, 2004 Annex 2.29.b Percentage of Children Aged 2-4 Years Who Have Been Breastfed by The Length of Breast Feeding and Province, 2004 Annex 2.30 Number of Infants Being Exclusively Breastfed by Province, 2004 Annex 2.31 Percentage of Population Aged 15 Years and Over by Smoking Habit in The Past One-Month, Place and Province, 2004 Annex 2.31.a Percentage of Population Aged 15 Years and Over by Smoking Habit in The Past One-Month, Place and Province, 2004 Annex 2.31.b Percentage of Population Aged 15 Years and Over by Smoking Habit in The Past One-Month, Place and Province, 2004 vi

Annex 2.32 Annex 2.32.a Annex 2.32.b Annex 2.33 Annex 2.33.a Annex 2.33.b Annex 2.34 Annex 2.34.a Annex 2.34.b Annex 2.35 Annex 2.36 Annex 2.37

Annex 3.1 Annex 3.2 Annex 3.3 Annex 3.4 Annex 3.5 Annex 3.6 Annex 3.7 Annex 3.8 Annex 3.9 Annex 3.10 Annex 3.11 Annex 3.12 Annex 3.13 Annex 3.14 Annex 3.15 Annex 3.16

Percentage of Population Aged 15 Years and Over, Who Smoked in The Past One-Month by Age Group of First Time Smoking, Place and Province, 2004 Percentage of Population Aged 15 Years and Over, Who Smoked in The Past One-Month by Age Group of First Time Smoking, Place and Province, 2004 Percentage of Population Aged 15 Years and Over, Who Smoked in The Past One-Month by Age Group of First Time Smoking, Place and Province, 2004 Percentage of Population Aged 15 Years and Over Who Smoked Everyday in The First Time by Age Group, Place and Province, 2004 Percentage of Population Aged 15 Years and Over Who Smoked Everyday in The First Time by Age Group, Place and Province, 2004 Percentage of Population Aged 15 Years and Over Who Smoked Everyday in The First Time by Age Group, Place and Province, 2004 Percentage of Population Aged 15 Years and Over Who Had Smoking Habit by Number of Cigarettes Smoked Per Day, Place and Province, 2004 Percentage of Population Aged 15 Years and Over Who Had Smoking Habit by Number of Cigarettes Smoked Per Day, Place and Province, 2004 Percentage of Population Aged 15 Years and Over Who Had Smoking Habit by Number of Cigarettes Smoked Per Day, Place and Province, 2004 Percentage of Population Aged 15 Years and Over Who Took Physical Activities in The Past One-Week by Activity Types, Place and Province, 2004 Percentage of Population Aged 15 Years and Over by Vegetable Consumption Per Day, Number of Average Portions Per Day, and Province, 2004 Expentancy at Birth and Total Fertility Rate by Percentage of Population Aged 15 Years and Over by Fruits Consumption Per Day, Number of Average Portions Per Day, and Province, 2004 Infant Mortality Rate, Underfive Mortality Rate, Life Expectancy at Birth and Total Fertility Rate by Province 2004 Ten Main Diseases of Hospital Outpatients in 2004 Ten Main Diseases of Hospital Inpatients in 2004 Number of Case and Incidence Rate of Malaria by Province 2004 Annual Parasite Incidence (API) of Malaria in Java-Bali Islands 1997 - 2004 Case Detection and The Pulmonary TB Treatment Evaluation in 2004 Cumulative Number of AIDS, Deaths and Cumulative Number of Cases Per 100,000 Population by Province in 2004 Number and Percentage of AIDS Cases from IDU by Province in 2004 Leprosy Situation by Province in 2004 Number of Measles Cases by Province 2004 Number of Dipththeria Cases by Province 2004 Number of Pertussis Cases by Province 2004 Number of Clinical Hepatitis in 2004 Outbreak Frequency by Diseases in Indonesia, 2004 Number of Patients, Case Fatality Rate (%) and Incidence Rate of Dengue Haemorrhagic Fever by Province, 2000 - 2004 Number of Districts/Municipalities Infected by Dengue Haemorrhagic Fever by Province, 1998 - 2004

vii

Annex 3.17

Annex 3.18 Annex 3.19 Annex 3.20 Annex 3.21 Annex 3.22 Annex 3.23

Annex 3.24 Annex 3.25 Annex 3.26 Annex 4.1 Annex 4.2 Annex 4.3 Annex 4.4 Annex 4.5

Annex 4.6 Annex 4.7 Annex 4.8 Annex 4.9 Annex 4.9.a Annex 4.9.b Annex 4.10 Annex 4.11 Annex 4.12

Number and Percentage of Infected Districts and Number of Animal Bites Infected by Rabies as Well as Examination Results of Animal by Province, 2004 Number of Filariasis Cases by Province 2000 - 2004 Number of Traffic Accidents and Ratio of Injured and Dead Victims towards Total Population by Province, 2004 Number and Percentage of Drug Abuser by Sex and Age Groups in Drug Addiction Control Institution - Reports In 2004 Number and Percentage of Drug Abuser by Substances in Drug Addiction Control Institution - Reports in 2004 Number and Percentage of Drug Abuser by Method of Use in Drug Addiction Control Institution - Reports in 2004 Percentage of Drug Abuser by Age Group, Sex, Education Level, Job, Marital Status, Parents’ Job and User Status in Drug Addiction Control Institution Reports in 2004 Percentage of Under Three Years (0 - 35 Months) by Nutritional Status and Province in 2003 Percentage of Under Fives (0 - 59 Months) by Nutritional Status and Province in 2003 Percentage of Village with Sufficient Iodized Salt (>30 ppm KIO3) by Province 2004 Coverage of The First and Fourth Visit (K1 & K4) of Pregnant Woman, Delivery Assisted by Health Providers, and Neonatus Visit by Province 2004 Coverage of The Fourth Visit (K4) of Pregnant Woman, High-Risk Pregnant Woman and Delivery Assisted by Health Providers by Province 2004 Coverage of Neonatus and Infant Visits by Province 2004 Coverage of Infants, Under-Five and Pregnant Woman Who Get Health Service by Province 2004 Coverage of Early Detection of The Growth and Development of Under-Fives, Examination of Primary School Child and Adolescent Health Services by Province in 2003 Coverage of Active Family Planning Acceptors by Province 2004 Proportion of Woman Aged 15-49 Years and Still Married Who Were Using Contraceptive by Province and Region, 2004 Proportion of Woman Aged 15-49 Years and Still Married Who Have Ever Used Contraceptive by Province and Region, 2004 Percentage of Woman Aged 15-49 Years and Still Married by Contraceptive Method Being Used and Province, 2004 Percentage of Woman Aged 15-49 Years and Still Married by Contraceptive Method Being Used and Province, 2004 Percentage of Woman Aged 15-49 Years and Still Married by Contraceptive Method Being Used and Province, 2004 Number and Proportion of Cumulative New Family Planning Acceptors by Service Location and Province 2004 UCI (Universal Child Immunization) Village Achievement 2004 Percentage of UCI (Universal Child Immunization) Coverage in Villages by Province 2004 viii

Annex 4.13 Annex 4.14 Annex 4.15

Basic Immunization Coverage to Infants by Province, 2004 Hepatitis B Immunization Coverage to Infants by Province, 2004 Drop Out DPT1 Immunization Coverage - Measles to Infants by Province 1998 - 2004 Annex 4.16 TT Immunization Coverage to Pregnant Woman by Province, 2004 Annex 4.17 Coverage of Pre & Elderly Age Health Services by Province, 2004 Annex 4.18 Dental and Mouth Health Service in Health Center and School Dental Program for The Primary School Student by Province, 2004 Annex 4.19 Number of Outpatient and Inpatient Visits in Health Service Facilities by Province in 2003 Annex 4.20 Hospital Health Service Indicators by Province in 2004 Annex 4.21 Number and Percentage of High Risk/Complication Pregnant Woman and Neonatal Treated By Province in 2004 Annex 4.22 Percentage of Blood Availability Access for Referred Pregnant Woman and Neonatus by Province in 2004 Annex 4.23 Number and Percentage of Prescription of Generic Drugs by Province in 2004 Annex 4.24 Percentage of Nutrition Vulnerable Free Sub-district and Villages/Hamlets with Responded Outbreak Less Than 24 Hour by Province 2004 Annex 4.25 Percentage of Cured Lung Tuberculosis and Treated Under-five with Pneumonia by Province, 2004 Annex 4.25.a Coverage Result of Case Invention and Result Evaluation of Lung Tuberculosis Treatment 2004 Annex 4.26 Number of Treated HIV/AIDS Cases, Cured Sexually Transmitted Infection Cases, Treated Dengue Haemorragic Fever Cases, and Treated Diarrhoeal at Under-five Cases, by Province, 2004 Annex 4.27 Percentage of Screened Blood Donor towards HIV-AIDS by Province, 2004 Annex 4.28 Percentage of Treated Malaria Cases by Province, 2004 Annex 4.29 Percentage of Leprosy Cases Who Have Accomplished Their Treatment (RFT) by Province, 2004 Annex 4.30 Cases of Treated Filariasis by Province, 2004 Annex 4.31 Coverage of Drugs Supply for Diarrhoea Cases in Non/MTBS Health Center in 2004 Annex 4.31.a Diarrhoea Outbreak 2001-2004 Annex 4.32 Percentage of Institution with Its Environmental Health Being Controlled by Province, 2004 Annex 4.33 Percentage of House/Building Inspected of Aedes Larva, Percentage of House/Building Free From Aedes Larva by Province in 2004 Annex 4.34 Number and Percentage of Under-five Who Gain Their Weight and Under Red-Line Under-five by Province, 2004 Annex 4.35 Coverage of Vitamin A Capsule Distribution by Province in 2004 Annex 4.36 Coverage of Pregnant Women Who Get Iron Tablets by Province in 2004 Annex 4.37 Coverage of Reproductive Age Woman Provided with Iodine Capsules by Province in 2004 Annex 4.38 Proportion of Narcotic Drugs Abuse Counselling to All Health Counselling Activities by Province, 2004 Annex 4.39 Coverage of Health Service and Managed Care to Poor Family by Province in 2004 ix

Annex 4.39.a Percentage of Poor Families Provided with Health Services by Province in 2004 Annex 4.40 Percentage of Work Health Service to Formal Worker by Province, 2004 Annex 5.1 Number of Health Center and Other Health Services Situation in 2004 Annex 5.2 Number of Health Center, Sub Health Center, and Its Ratio toward Population, and Ratio of Sub Health Center toward Health Center, by Province, 2000 2004 Annex 5.3 Number of Health Center and Nursing Health Center by Province in Indonesia, 2000 - 2004 Annex 5.4 Number of Mobile Health Center and Its Ratio towards Health Center by Province in Indonesia, in 2000 - 2004 Annex 5.5 Number of Hospital in Indonesia by Ownership and Province in 2004 Annex 5.6 Number of General Hospital by Ownership 1995-2004 Annex 5.7 Number of General Hospital Beds by Ownership 1995-2004 Annex 5.8 Number of Specific Hospitals and Their Beds by Type of Hospital, 1997 2004 Annex 5.9 Number of Health Service Facilities with Health Laboratory and Having 4 Basic Specialist by Province 2004 Annex 5.10 Percentage of Health Facility with Emergency Capability by Province 2004 Annex 5.11 Number of Production Facilities of Pharmaceutical Supplies and Medical Devices by Type and Province, 2001 - 2004 Annex 5.12 Number of Distribution Facilities and Pharmaceutical Services by Province 2001-2004 Annex 5.13 Number of Management Unit (Ex Pharmaceutical Wholesaler) in District/Municipality by Province 2002-2004 Annex 5.14 Number of Health Infrastructure Originated from Community Facilities Situation in 2004 Annex 5.15 Number of Integrated Health Centers by Strata Level and Province, 2004 Annex 5.16 Number of Village Drug Posts (VDP) by Strata Level and Province, 2004 Annex 5.17 Number of Occupational Health Posts (PUKK) by Strata Level and Province, 2004 Annex 5.18 Number of Family Medicine Herbs by Strata Level and Province, 2004 Annex 5.19 Recapitulation of Health Polytechnic Institution by Program and Province by March 2005 Annex 5.20 Distribution of Health Polytechnic Graduated Based Upon Program and Province in 2004 Annex 5.21 Number of Health Personnel Non Health Polytechnics by Province and Study Program 2004 Annex 5.22 Health Human Resources by Province and Type of Personnel 2003 Annex 5.23 Health Human Resources in Hospital by Province and Profession 2003 Annex 5.24 Number and Health Personnel in Health Center by Province in 2004 Annex 5.25 Number of Health Personnel by Types and Province, 2004 Annex 5.26 Realization of Assignment of General Practitioner as Non-Permanent Employee by Province Batch I - XXXVIII, 1992 - 2004 Annex 5.27 Recapitulation of Medical Doctor (GP) as Non-Permanent Employee Who Were Still Active by April 2004 Annex 5.28 Realization of Dentist as Non-Permanent Employee Batch I - XXXI x

Annex 5.29

Recapitulation of Dentist as Non-Permanent Employee Who Were Still Active by April 2004 Annex 5.30 Number of Midwives as Non-Permanent Employee by Province, 1994 - 2003 Annex 5.31 Realization of Midwives as Non-Permanent Employee by Province Up To 2003 Annex 5.32 Number of Students in Academic Year 2004/2005 in Health Polytechnic by Profession Annex 5.33 Number of Students in Academic Year 2004/2005 at Non Health Polytechnic by Profession Annex 5.34 Production Data of Health Personnel in 2003 and the Planning of Adding New Personnel in 2004 Annex 5.35 Prediction of Health Personnel Demand in 2004-2010 to Reach Health Indonesia 2010 According to Indicator of Human Resources for Health Annex 5.36 Number of Training Conducted by Center For Health Education and Training and National Health Training Unit 2004 Annex 5.37 Allocation and Realization of Development Budget of The Ministry of Health Fiscal Year 2004 Annex 5.38 Realization of Development Budget and PHLN of Ministry of Health by Program Fiscal Year 2004 Annex 5.39 Realization of Development Budget and Foreign Loan of Ministry of Health by First Echelon in Central Office Fiscal Year 2004 Annex 5.40 Allocation and Realization of Development Budget of MoH by Province Fiscal Year 2003 Annex 5.41 Percentage of Regional State Budget (RSB) for Health toward District/Municipality Regional State Budget by Province, 2001 - 2003 Annex 5.42 The Average of Health Cost of Household by Type of Health Cost and Province in 2004 Annex 5.43 Percentage of Household by Fund Resources for Health Cost by Province, and Place in 2004 Annex 5.43.a Percentage of Household by Fund Resources for Health Cost by Province, and Place in 2004 Annex 5.43.b Percentage of Household by Fund Resources for Health Cost by Province, and Place in 2004 Annex 5.44 Number and Percentage of Population Participation in Managed Care by Type and Province In 2004 Annex 5.45 Distribution of Managed Care Participants by Type and Province 2004 Annex 5.46 Number of Health Personnel by 7 Categories and Province 2004 Annex 5.47 Number and Percentage of Health Personnel by 7 Categories and Working Unit 2004 Annex 6.1 Comparison of Demographic Data in ASEAN Countries, 2003 Annex 6.2 Comparison of Health Status Indicator in ASEAN Countries, 2003 Annex 6.3 Comparison of Immunization Coverage Data in ASEAN Countries, 2003 Annex 6.4 Comparison of Populations Who Used Clean Water Source and Health Sanitation Equipment in ASEAN Countries, 2002

xi

CHAPTER I INTRODUCTION Health development continuously has been begun since the 1st Five Year Development Plan announced in 1969. It has successfully developed health resources and applied health program which has increased the grade of public health status in Indonesia. According to the Decree No. 26/2004, Indonesia has 33 provinces. Legislation of Minister of Home Affair, No.18/2005 concerning data and code of State Administrative Region also mentioned that Indonesia has 33 provinces since December 2004. The arrangement of Indonesia Health Profile 2004 is based on programs conducted by Ministry of Health and others, so that number of provinces in annex consists of several versions, some of them mention 33, and some of them still 30. Making description of Indonesia Health Profile 2004, we provide various information especially national health problems, such as Dengue Haemorrhagic Fever (DHF) outbreaks and Tsunami disaster in December 26, 2004. The document of National Health System, which is basically published according to Minister of Health’s Regulation No.131/MENKES/SK/II/2004, mentions that anticipating changes and challenges both internal and external require the arrangement of the new National Health System (Sistem Kesehatan Nasional/SKN) approved by Minister of Health Letter Statement. The Centre for Data and Information will make Indonesia Health Profile 2004 is based on new SKN. We will try to adapt indicators of SKN, both in health status and responsiveness. SKN mention that successful in health management totally depends on availability of data and information, progress of science and technology in health, and supports from law and administration for health. SKN contains six subsystems of Health. They are: 1. 2. 3. 4. 5. 6.

Health Program Health Budgeting Health Human Resources Medicines and Supplies Community Empowerment Health Management

The arrangement of Indonesia Health Profile 2004 is based on the new SKN. Subsystem of Health Program is described in Chapter IV. Health Budgeting, Health Human Resources, Medicines and Supplies, and Community Empowerment are described in Chapter V. Meanwhile, Subsystem of Health Management is described in Chapter III. The Indonesia Health Profile 2004 consists of 7 chapters. Chapter I: Introduction. This chapter provides background and purpose in publishing the Indonesia Health Profile 2004.

1

Chapter II: General Description. This chapter provides general description about Indonesia. It contains geographical position, demography, education, economy, and other general information. It also describes environmental and behavioral factors. Chapter III: Health Status Situation. This chapter contains indicators of health development achieved untill 2004. They are mortality rate, life expectancy, morbidity rate, and nutrition status. It will focus on nutrition status of children under five years and pregnant woman. Chapter IV: Health Effort Situation. This chapter provides description of health effort conducted untill 2004. It contains percentage of health center coverage, percentage of refferal health center coverage, health center based on community empowerment such as Posyandu Purnama and Mandiri, and other health programs. Chapter V: Health Resources Situation. This chapter describes resources for health development untill 2004. The description contains human resources, and facilities available untill 2004. This chapter also describes distribution of human resources per province and facilities included Hospital, Health Center, Sub Health Center, and Mobile Health Center. It also describes providing progress of generic medicines, pharmacy industries consist of importer for raw materials and producers, and distributor such as Pharmaceutical Whole Seller, and dispensary. Chapter VI: Comparison of Indonesia and Some Countries. This chapter provides comparison indicators such as IMR, MMR, CDR, TFR, LE, CBR and HDI. It also provides prevalence of HIV/AIDS, Tuberculosis, and Malaria of Indonesia, compared to some countries in Asia. Chapter VII: Closing Remarks.

***

2

CHAPTER II GENERAL DESCRIPTION AND POPULATION BEHAVIOR

Indonesia is the largest archipelago in the world with more than 17,500 islands with various cultures of people. They also have various customs in health behavior. Indonesia has applied decentralisation policy since 2001, which implies increasing number of provinces and districts/municipalities. Indonesia administratively is divided into 33 provinces, 349 districts, and 91 municipalities. Those regions consist of 5,263 sub districts, 62,806 villages, and 7,123 hamlets. This chapter provides 30 provinces minus 3 provinces due to unavailable data. Those 3 provinces are Riau, West Sulawesi and West Irian Jaya. The details of state administrative area classification by province in 2004 are in Annex 2.1. Meanwhile general description of Indonesia and population behavior in 2004 consists of: demographic situation, economic, education, environment and behavior related to health. A. DEMOGRAPHIC SITUATION National Survey of Social Economic (SUSENAS) 2004 revealed that total population in Indonesia were 217,072,346 with density 115 per sq km, and growth population rate 1.26 % (number of population in 2003 were 214,374,096). Provinces in Java Island had higher population density than provinces outside Java Island. Province with the highest population density was DKI Jakarta (13,141 people per sq km). Other provinces in Java had average density about 1000 people per sq km, except East Java with density 759 people per sq km. Meanwhile, provinces in Kalimantan, Maluku and Papua had low density. Province with the lowest density was Papua (7 people per sq km), followed by Central Kalimantan and East Kalimantan (each were 12 people per sq km). There was a discrepancy in population distribution of each province. It was indicated by the percentage of population that was more than a half of total population lived in Java (59.10%), although it only had 6.75% total region of Indonesia. It was 20.80% of total population lived in Sumatera, 7.16% in Sulawesi; 5.46% in Kalimantan; 5.35% in Nusa Tenggara; and only 2.12% lived in Maluku and Papua. Number of population and density rate per province are in Annex 2.2. Percentage of population by type of region until 2004 indicated that there were so many people lived in rural area. The percentage in rural area was still higher than urban (56.76% lived in rural, and 43.24% lived in urban). Province with the highest proportion of population lived in urban was DKI Jakarta (100%), followed by DI Yogyakarta (58.67%), and East Kalimantan (54.58%). Meanwhile, province with lowest proportion of population

3

lived in urban was East Nusa Tenggara (16.45%), followed by Central Sulawesi (20.60%), and South East Sulawesi (21.77%). The composition of Indonesian population by age indicated population of 0-14 years old was 29.61%, 15-64 years old was 65.68%, 65 years old and more was 4.71%. Therefore, dependency ratio in 2004 was 52.26 with the range 36.58 in DKI Jakarta and 70.12 in East Nusa Tenggara. It was higher than in 2003 (51.75). Further descriptions of population by age and dependency ratio by province in 2004 are in Annex 2.3. Male population relatively was balanced with female. Male population were 108,876,089 and female population were 108,196,257. Sex Ratio in 2004 was 100.6. Province with the highest sex ratio was Papua (110.8), followed by East Kalimantan (108.51), and Lampung (108.3). Meanwhile province with lowest sex ratio was West Nusa Tenggara (90.9), followed by Gorontalo (96.4), West Sumatera and South Sulawesi (96.7). Population composition by sex and age indicated that the highest proportion were group of 10-14 and 5-9 years of age. Further descriptions of population composition are in the following Graph. GRAPH 2.1 PYRAMIDE OF INDONESIAN POPULATION IN 2004 Age Group Kel. Umur

75 + 70 - 74 65 - 69 60 - 64 55 - 59 50 - 54 45 - 49 40 - 44 35 - 39 30 - 34 25 - 29 20 - 24 15 - 19 10 - 14 5-9 0-4 12

10

8

6

Laki-laki Male

4

0

2

persen

percent

Source: BPS-Statistic Indonesia, 2004

4

2

4

6

Female Perempuan

8

10

12

B. ECONOMIC CONDITION Economic situation in Indonesia for last three years was relatively stable and indicated quite satisfied progress. Economic performance in 2002 indicated 4.38% of growth; it scaled up to 4.38% in 2003. Economic condition in 2004 was more stable, indicated by the scaling up of economic growth up to 5.13%. The increasing also was synchronized by low inflation rate (6.40%). Meanwhile, Gross Domestic Product in 2004 was 10.64 million of Rupiahs. It was higher than PDB in 2003 (8.3 million of Rupiahs). Number of poor people in 2004 (based on National Social Economic SurveyCore/SUSENAS) were 36.1 million people or 16.66% of total people. It was lower than poor people in 2003 (37.3 million people or scaled down into 3.19%). Percentage of poor people in rural area was higher than urban. It was 20.11% in rural and 12.13% in urban. Province with the highest percentage of poor people was Papua (38.69%), and followed by Maluku (32.13%), and Southeast Sulawesi (29.01%). Meanwhile, province with lowest percentage of poor people was DKI Jakarta (3.18%), followed by Bali (6.85%), and South Kalimantan (7.19%). Province with the highest number of poor people was East Java (7.3 million of people or 20.23%). It was followed by Central Java (6.8 million of people or 18.93%) and West Java (4.6 million of people or 12.88%). Further descriptions of number and percentage of poor people by sex and province are in Annexes 2.6, 2.7 and 2.8. C. EDUCATION CONDITION Descriptions below are based on SUSENAS 2004 conducted by BPS–Statistic Indonesia. The ability to read and write is indicated by Literacy Rate, which is a percentage of population from over 10 years who are able to read and write Latin letters or others. Nationally percentage of population with ability to read Latin letter in 2004 was 90.53 %, ability to read others was 0.93 %, and illiterate was 8.53 %. Percentage of illiterate in rural was higher than in urban (11.45 % to 4.79 %). Percentage of illiterate in female was 11.71 %, it was higher than male (5.34%). The province with highest percentage of illiterate was Papua (23.56%), followed by West Nusa Tenggara (19.94%), and East Java (13.94%). Meanwhile, the province with lowest percentage of illiterate was North Sulawesi (0.86%), followed by DKI Jakarta (1.56%), and Maluku (1.91%). The percentage of over 10 years population with ability in reading and writing by province would be described further in Annex 2.12. The percentage of over 10 years population who have never/yet attended school in 2004 was 7.92 %. Meanwhile, percentage of over 10 years population who were still attending school was 19.26 %, consisted of Elementary School (7.94 %), Junior High School (5.99%), High School (3.89%) and Academy/University (1.44%). The remaining who had no longer attending school was 72.83%. Nationally, percentage of over 10 years population who have/not attended school in rural (10.56%) was higher than urban (4.52 %).

5

Generally, Female School Participation Rate (SPR) was higher than Male SPR in 7-12 and 13-15 group of age. Meanwhile, in 16-18 group of age, Male SPR was higher than Female SPR. In terms of living area, SPR in rural was higher than in urban, and it was valid to all group of age, both male and female. The difference was getting higher in 16-18 group of age. Details of SPR in 7-18 of age population by group of age, type of region, and sex in 2004 are in following Table 2.1.

TABLE 2.1 SCHOOL PARTICIPATION RATE OF 7-18 YEARS POPULATION BY GROUP OF AGE, TYPE OF REGION, AND SEX IN 2004 Living Area/Sex

7-12

Group of Age 13-15

16-18

Urban Male Female Male + Female

97,70 97,78 97,74

89,67 89,50 89,59

68,13 65,47 66,82

Rural Male Female Male + Female

95,90 96,35 96,12

78,57 80,08 79,29

43,41 42,48 42,98

Urban + Rural Male Female Male + Female

96,62 96,92 96,77

83,05 83,97 83,49

53,94 52,97 53,48

Source: Welfare Statistic 2004, BPS-Statistic Indonesia

As well as SPR, Pure Participation Rate (PPR) for Junior High School and High School group of age in urban was also higher than rural. It indicated number of population in school age who were still attending school with appropriate education level. PPR for Elementary School level in urban was 92.73%, meanwhile PPR in rural was a little bit higher than urban (93.25%). PPR for Junior High School level in urban was 72.67%, while rural was 60.11%. In addition, PPR for High School level in urban was 56.75% and in rural was 32.11%. Percentage of 10 years of age population who did not/yet possess graduation certificate was 29.40%. Meanwhile population who already had Elementary School (ES)/MI graduation certificate was 32.27%, Junior High School was 17.62%, High School was 17.13%, and Diploma I up to University was 3.58%. So that, percentage of population aged over 10 years possessed High School or higher education level Certificate was 20.71%. Province with the highest percentage of population possessed High School Certificate was DKI Jakarta (46.14%). It was followed by DI Yogyakarta (33.98%), and East Kalimantan (30.21%). Meanwhile province with lowest percentage was East Nusa Tenggara (13.76%), 6

followed by West Kalimantan (13.98%), and West Nusa Tenggara (14.90%). Details for percentage of 10 years population by Graduation Certificate Possession are in Annex 2.14. In terms of sex, possession of Certificate in male population was higher than female. It can be indicated in percentage of population possessed High School Certificate. Percentage of Male was 23.72%, while female was 17.71%. In terms of types of living area, percentage of population possessed High School Certificate in urban was higher than rural (33.89% to10.46%). Details for percentage of over 10 years population by type of region, sex, and education status in 2004 are in following Table 2.2.

TABLE 2.2 PERCENTAGE OF OVER 10 YEARS POPULATION BY TYPE OF REGION, SEX, AND POSSESSION OF THE HIGHEST CERTIFICATE IN 2004 The Highest Certificate Possessed Living Area/ Sex

Urban Male Female Male + Female Rural Male Female Male + Female Urban + Rural Male Female Male + Female

No Certificate

Elementary School

Junior High School

High School

Specified High School

Dipl.I/ Dipl.II

Academy Dipl.IV/ /Dipl.III S1/S2/S3

Total

17,49

24,52

20,02

22,49

8,11

0,75

1,90

4,72

100,00

23,29

27,00

19,84

19,40

4,91

1,00

1,66

2,89

100,00

20,41

25,77

19,93

20,94

6,50

0,88

1,78

3,79

100,00

32,18

37,63

17,44

8,32

2,84

0,45

0,33

0,81

100,00

40,62

37,03

14,20

5,56

1,49

0,45

0,24

0,43

100,00

36,39

37,33

15,82

6,94

2,17

0,45

0,28

0,62

100,00

25,79

31,92

18,57

14,49

5,13

0,58

1,01

2,51

100,00

32,99

32,61

16,68

11,65

3,00

0,69

0,86

1,51

100,00

29,40

32,27

17,62

13,07

4,06

0,64

0,94

2,00

100,00

Source: Welfare Statistic 2004, BPS-Statistic Indonesia

D. ENVIRONMENTAL CONDITION Describing environmental condition, it needs to provide indicators, such as percentage of healthy house and percentage of healthy public places and food handling. This chapter also provides other relevant indicators, such as percentage of house hold based on source of drinking water, installation of excreta disposal, and waste/faeces final disposal.

7

1. Healthy House Healthy house is a building that meets the health requirements i.e. a house with latrine, safe water facility, garbage bin, waste water disposal, good house ventilation, adequate living space, and floor which is not made of soil. Based on data of Minimum Services Standardization for health sector collected by Center for Data and Information Ministry of Health in 2004, percentage of healthy house was 55.29 %. The details are in Annex 2.15. 2. Public Places and Food Handling Public places and food handling are places that were visited by many people and tend to be the source of disease spreading. Those places include hotel, restaurant, cinema, market, bus station, etc. Healthy Public Places and Food Handling are public places and food handling places with safe water facility, waste disposal installation, good ventilation, and appropriate floor for visitors, and appropriate lighting. Published data of Province Health Profile 2004 describes percentage of public places and food handling was 68, 9%. Further descriptions are in Annex 2.16 3. Access to Safe Drinking Water SUSENAS 2004 indicated 55.13 % of total households possessed their own safe water facility. Province with the highest percentage of safe water facility possession was Nanggroe Aceh Darussalam (79.43%), while province with the lowest percentage was East Nusa Tenggara (17.03%). Percentage of common drinking water utilization of total house hold was 20.54%, and percentage of public drinking water utilization was 12.04 %. The percentage of having no drinking water facility was remained 12.11%, with the highest percentage was West Kalimantan (74.16%). Source of drinking water using in household divided by packaged water, piped water, pump water, protected well, unprotected well, protected spring water, unprotected spring water, river water, rain water, others sources. Data of BPS Welfare Statistics 2004 indicated percentage of household using drinking water from packaged water was 2.45%, the remaining were piped water (17.96%), pump water (14.37%), protected well (35.95%), unprotected well (11.16%), protected spring water (8.07%), unprotected spring water (4.04%), river water (2.87%), rain water (2.66%), others sources (0.46%). The data means household already used protected drinking water source was 81.46% (packaged water, piped water, pump water, protected well, protected spring water, rain water) and household still using unprotected drinking water source was 18.54% (unprotected well, unprotected spring water, river water, and other resources). Percentage of household who were still using protected drinking water source in urban was 93.02%, which was higher than rural (72.93%).

8

Province with the highest percentage of household using protected drinking water source was DKI Jakarta (99.62%), followed by Bali (93.97%), and DI Yogyakarta (90.31%). Meanwhile, the lowest were Central Kalimantan (50.56%), followed by Bengkulu (55.99%), and Papua (56.19%). Further details of the percentage are in Annex 2.19. 4. Excreta Disposal in Household Percentage of household using own excreta disposal was 61.62%, the remaining were common (11.05%), public excreta disposal (5.25%), and household with no excreta disposal (22.08%). Excreta disposal facility divided into four types, i.e. water sealed latrines, non water sealed latrines (“plengsengan”), pit privy latrines, and using no latrines. BPS Welfare Statistics in 2004 describes about utilization of excreta disposal facility in urban and rural. Percentage of water sealed latrines utilization in urban was 80.25 %, while rural was 48.01 %. Percentage of non water sealed latrines utilization in urban was 11.90%, while rural was 12.04%. Percentage of pit privy latrines utilization in urban was 6.14%, while rural was 31.35%. The remaining who were using no latrines in urban was 1.72%, while rural 8.6%. Generally both urban and rural, number one leading utilization was water sealed latrines (63.85%), followed by non water sealed latrines (11.97%), pit privy (18.96%), and using no latrines (5.22%). Province with the highest percentage of water sealed latrines utilization was Bali (91.89%), followed by DKI Jakarta (82.90%), and North Maluku (81.22%), while province with lowest percentage was East Nusa Tenggara (30.05%), followed by Central Kalimantan (41.91%), and South Sumatera (44.16%). Description of excreta disposal utilization is in the following Graph 2.2. GRAPH 2.2 PERCENTAGE OF HOUSEHOLDS BY LATRINES UTILIZATION IN 2004 No Latrines 5%

Pit Privy 19%

Water Sealed Latrines 64% Non Water Sealed Latrines 12%

Source: Welfare Statistic 2004, BPS-Statistic Indonesia

More Details of excreta disposal utilization by province in 2004 are in Annex 2.20.

9

5. Final Waste Excreta Disposal in Household Based on Welfare Statistic 2004, types of final waste excreta disposal in household were, i.e. septic tank, pond/paddy fields, river/lake, land hole, shore/open areas, and others. The highest utilization was septic tank (42.71%, consisted of 66.01% in urban and 25.47% in rural), followed by land hole (24.41%), river/lake (20.22%), shore/open areas (5.38%), pond/paddy fields (5.16%), and others (2.12%). Description for percentage of household by final waste excreta disposal utilization is in the following Graph 2.3. GRAPH 2.3 PERCENTAGE HOUSEHOLD BY FINAL WASTE EXCRETA DISPOSAL UTILIZATION IN 2004

S e p tic T a n k 44% O th e rs 2% S h o re /O p e n A re a 5%

P o n d /P a d d y F ie ld s 5%

L a n d H o le 24% R iv e r/L a k e 20%

Source: Welfare Statistic 2004

Percentage of final waste excreta disposal utilization by province in 2004 is in Annex 2.21. E. COMMUNITY BEHAVIOR CONDITION Several indicators are needed to describe community behavior affected to health status. Those indicators are percentage of population with health complaints by treatment method, percentage of population took outpatient care by health provider, percentage of 2-4 years children have been breastfed, smoking habit, percentage of population practiced physical activity, and fibre consumption habit. Indicators based on SUSENAS 2004 conducted by BPS. 1. Method of Treatment for Population with Health Complaints SUSENAS 2004 indicates the percentage of population with health complaints for last one month during the survey was 26.51 %. It was 38.21% of the percentage took outpatient care (urban was 40.36% while rural was 36.59%). It was 72.44% of population with health complaints with self treatment (urban was 71.98% and rural was 72.93%). 10

Province with the highest percentage of population took outpatient care was Bali (52.89%), followed by East Nusa Tenggara (48.58%), and Papua (46.49%). While, province with lowest percentage of population took outpatient care was South Kalimantan (24.54%), followed by Central Kalimantan (27.01%), and Riau (27.290%). Province with the highest percentage of population with self treatment was North Maluku (87.62%), followed by Lampung (82.66%), and Riau (82.29%). Meanwhile, the lowest percentage was Papua (50.57%), followed by Bali (56.98%) and East Nusa Tenggara (58.07%). Details of percentage by province are in Annex 2.26. 2. Place of Outpatient Care Based on the same survey, Health Center was the most favourable place for outpatient care (37.26%). It was followed by medical doctor (24.39%), nurse and midwife (18.51%). The remaining were State Hospital (6.01%), traditional healer (1.78%), polyclinic (3.86%), private hospital (3.32%), and others (4.86%). Province with the highest percentage of population took outpatient care to Health Center/sub Health Center was Papua (67.82%), followed by East Nusa Tenggara (63.46%), and Nanggroe Aceh Darussalam (62.92%), while province with the lowest percentage was Bali (27.83%), followed by North Sumatera (27.62%), and DI Yogyakarta (24.08%). Details of percentage by province are in Annex 2.27. 3. 2-4 Years Aged Children Have Been Breastfed SUSENAS 2004 conducted by BPS – Statistic Indonesia provides information about 2-4 years aged children have been breastfed. It was 41.36% of total 2-4 years aged children have been breastfed for 24 months or more. Province with the highest percentage of 2-4 years aged children have been breastfed for 24 months or more was DI Yogyakarta (58.74%), followed by Central Java (53.93%), and South Kalimantan (54.85%). Meanwhile province with the lowest percentage was Maluku (10.81%), followed by North Maluku (20.89%), and North Sumatera (18.39%). Details of percentage by province are in Annex 2.29. 4. Smoking Habit Percentage of population aged 15 years old or more who smokes every day was 28.35%, rarely smoked was 6.09%, and the remaining who did not smoke was 65.56%. Province with the highest percentage of population aged 15 years old or more who smokes every day was Riau (34.25%), followed by Bengkulu (33.83%), and Lampung (32.71%). Meanwhile province with the lowest percentage was East Nusa Tenggara (19.52%), followed by Bali (20.33%), and Maluku (21.66%). Details of percentage by province are in Annex 2.31. The percentage of population who smoked 10-14 cigarettes per day was 47.75% of total smoking population. It was 25.17% smoked 5-9 cigarettes per day, while percentage of population smoked 15 cigarettes per day was 15.71%, the remaining who smoked 4 cigarettes

11

or less per day was 11.37%. Details for percentage of cigarettes consumption by province are in Annex 2.34. 5. Physical Activities SUSENAS 2004 provides information about physical activities of population aged 15 years. Based on the survey, physical activities divided into 3 categories. They are; heavy, medium and light. Percentage of population with hard physical activity was 36.02%. Meanwhile, percentages of medium and light physical activity were 77.4% and 66.67%. Details of percentage by province are in Annex 2.35. 6. Fibres Consumption a. Vegetables People in Indonesia on average consumed vegetables for 2 portions per day. Percentage of population consumed 1-2 portions vegetables per day was 71.91%. While percentage of population consumed 3 portions or more and 1 portion per day were 20.22% and 7.65%. Province with the highest percentage of 3 portions or more per day consumption was North Sulawesi (35.38%), followed by Bengkulu (34.00%), and North Maluku (32.57%), while province with the highest percentage of 2 portions or less per day consumption was South Kalimantan (88.63%), followed by North Maluku (85.85%), and West Sumatera (84.71%). Details of the percentage by province are in Annex 2.36. b. Fruits Population consumption for fruits was varying. Indonesian people on average consumed fruits 1.60 portions per day. The percentage of population consumed 2 portions or more fruits per day was 39.18%. While percentage of population consumed 1 and less than 1 portion per day were 51.19% and 9.44%. Province with the highest percentage of population consumed 2 portions or more per day was Central Sulawesi (60.48%), followed by Papua (54.48%), and Bangka Belitung (52.55%). While province with the highest percentage of population consumed 1 portion or less per day was South Kalimantan (68.64%), followed by West Java (66.62%), and West Sumatera (65.88%). Details of the percentage by province are in Annex 2.37. That is the general descriptions about Indonesia in 2004, figured by several aspects, such as demography, economy, education, environmental health and population behavior related to health.

***

12

CHAPTER III THE HEALTH STATUS SITUATION

In order to figure out health status of the Indonesian population, the following are description of the situation of mortality, morbidity and community nutritional status.

A. MORTALITY Description of community health status development can be seen from mortality cases in community from time to time. Besides, mortality cases can also be used as indicators in assessing the success of health services and other health development programs. Mortality rate can be in general calculated by conducting various surveys and researches. The development of mortality rate and the diseases that are the main causes of deaths that occurred during the last period will be described below. 1. Infant Mortality Rate ( IMR) The mortality data in a community can be obtained through a survey, because most deaths occurred at home, while the mortality data in the health care facilities showed only referral cases. Infant Mortality Rate (IMR) in Indonesia came from various sources, i.e. the Population Census, the National Health Survey, and the Indonesian Demographic and Health Survey. During the last years, the IMR has experienced many significant decreases, although in 2001 the IMR has increased again as an impact of various crises in Indonesia. In 1995, IMR was estimated 55 per 1,000 live births, then decreased to 52 in 1997, and keep on decreasing to 44 per 1,000 live births in 1999, then increased to 47 per 1,000 in 2000. IMR according to the National Socio-Economic Survey report was 50 per 1,000 live births in 2001 and 45 per 1,000 live births in 2002. According to IDHS report of 2002-2003, IMR has decreased significantly, i.e. to 35 per 1,000 live births in 2002-2003. Provinces with the lowest of IMRs were Bali (14 per 1,000 live births), DI Yogyakarta (20 per 1,000 live births), and North Sulawesi (25 per 1,000 live births). The highest IMRs were in Gorontalo (77 per 1,000 live births), West Nusa Tenggara (74 per 1,000 live births), and South-East Sulawesi (67 per 1,000 live births). Description of development of the IMR estimation from several sources can be seen in the following table.

13

TABLE 3.1 ESTIMATED INFANT MORTALITY RATE PER 1,000 LIVE BIRTHS IN INDONESIA ACCORDING TO 1995 INTER-CENSUS POPULATION SURVEY AND THE NATIONAL SOCIO-ECONOMIC SURVEY 1995 - 2003 Estimation of the 1995 Inter-Census Population Survey 55 54 52 50 44 47 -

Year 1995 1996 1997 1998 1999 2000 2001 2002 2003

Of the SocioEconomic[b] Survey

IDHS[c]

56 49 50 45 -

52 35 35

[a]

Source:

Indicator of 2001 Child’s Welfare (Inter Census Population Survey) 1995 estimation, National Socio-Economic Survey 2002-2003 estimation, and [c] Indonesian Demographic and Health Survey 2002-2003 National Human Development Report 2004 mentioned that the 2002 IMR was 43.5 per 1,000 live births [b]

Notes :

Based on the Indonesian Demographic and Health Survey 2002-2003, it was also mentioned that IMR according to various background characteristics, i.e. by urban and rural residences, mother education level, and by the wealth index. IMRs according to these three background characteristics can be seen in the following graphs. GRAPH 3.1 INFANT MORTALITY RATE (IMR) BY RESIDENCIAL BACKGROUND, 2002-2003

GRAPH 3.2 INFANT MORTALITY RATE (IMR) BY EDUCATIONAL BACKGROUND, 2002-2003 23

Junior HS

Rural

52

36

Unfinished Junior HS

43

Finished primary school

Urban

32

65

Unfinished primary school

67

Un educated

0

10

20

30

40

50

60 0

20

GRAPH 3.3 INFANT MORTALITY RATE (IMR) BY WEALTH INDEX BACKGROUND, 2002-2003 Upper

17

Middle upper

36

Middle

44

Middle lower

50

Lowest

61 0

10

20

30

14

40

50

60

70

40

60

80

Table 3.2 below describes IMR in hospital in 2001–2004. In 2000, IMR in hospital was 15.8 per 1,000 live births, then increased relatively to 42.9 in 2001 and 40.6 per 1,000 live births in 2002. In 2003, IMR in hospital decreased significantly to 22.9 per 1,000 live births, then in 2004 increased to 29.4 per 1,000 live births. TABLE 3.2 INFANT MORTALITY RATE IN HOSPITAL IN INDONESIA, 2000 - 2004 No.

Year

Number of Hospitals

Number of Death Births

Number of Live births

IMR per 1.000 Live births

1

2000

1,145

2,546

158,972

15.8

2

2001

1,178

7,226

161,073

42.9

3

2002

1,215

5,381

127,053

40.6

4

2003

1,234

3,160

135,094

22.9

5

2004

1,246

3,321

109,297

29.4

Source : DG of Medical Care, MOH, 2005

There are many factors influencing the level of IMR, but it is not easy to decide the most dominant factors or the less non-dominant factors. The availability of various facilities or accessibility factors and health services from skilled medical personnel, as well as the willingness of the community to change traditional living to modern living norm in the health sector are factors which influenced the level of IMR. Decreased of IMR for the last few years was caused by the increase of life quality and the community health services. Some factors that caused infant deaths can be started from pregnancy period of 28 weeks until 7th days after delivery (perinatal period). The main causes of infant’s deaths were caused by slowly fetus growth, malnutrition in infants, prematur and low birth weight that was 40.68%. Other factors were intra uterine hipoxia and spontaneous/regular respiratory failure at birth or several moment after birth (birth asphyxia), that was 25.13%. Therefore 65.8% of perinatal death period was caused by mother condition in delivery period. The main causes of infant’s deaths in hospital in detailed could be seen in the following table.

15

TABLE 3.3 DISTRIBUTION OF DEAD PATIENT IN HOSPITAL STARTING IN PERINATAL PERIOD IN INDONESIA, 2004 NO

BTL

1

0.12

A33

Tetanus neonatorum

2

245

P00 - P04

3

246

P05 - P 07

4

247

P10 - P 15

Fetus and new born baby influenced by factor and pregnancy delivery complication and delivery Slowly fetus growth, fetus malnutrition and interfere with short term pregnancy and low birth weight Birth injury

5

248

P20 - P 21

Intra uterine Hipoxia and birth asphyxia

6

249

P22 - P 28

7

250

8 9 10

ICD -10

Diseases

Dead 42

% 0.81

362

7.01

2,100

40.68

23

0.45

1,297

25.13

548

10.62

P35 - P 37

Other respiratory tract infection related to perinatal period Infection disease and parasite congenital

466

9.03

251

P38 - P39

Other special infection in perinatal period

137

2.65

252

P55

Hemolitic in infant and new born baby

17

0.33

170

3.29

253.9 P08,P29,P50-P54, Other condition starting from perinatal period P56-P94, P96 Total

5,162

BTL : Basic Tabulation List Source : DG of Medical Care, MOH, 2005

2. Under-fives Mortality Rate (U-5 MR) The U-5MR according to the Inter-Census Population Survey (SUPAS) of 1995 estimation showed a decrease from 64.28 per 1,000 live births in 1998 to 44.71 per 1,000 live births in 2000. Besides, U-5MR in males is higher than the U-5MR in females. Based on the estimation of the SUSENAS, the U-5MR in Indonesia in 1995 was 73 per 1,000 live births, decreased to 64 per 1,000 live births in 1998. In fact, in 2001 the U5MR did not experience any changes, i.e. still 64 per 1,000 live births. This is estimated to be caused by decreased access to health services, one of it as a result of the economic crisis. IDHS (Indonesian Demographic and Health Survey) report mentioned that U-5MR in 20022003 decreased to 46 per 1,000 live births. Provinces with the lowest U-5MRs in 2002-2003 were Bali (19 per 1,000 live births), DI Yogyakarta (23 per 1,000 live births), and North Sulawesi (33 per 1,000 live births), the highest U-5MRs were in West Nusa Tenggara (103 per 1,000 live births), Gorontalo (97 per 1,000 live births), and South-East Sulawesi (92 per 1,000 live births). Description of the development of U-5MR in 1995 – 2003 is presented in the following table.

16

TABLE 3.4 UNDER-FIVES MORTALITY RATE PER 1,000 LIVE BIRTHS IN INDONESIA, 1995 – 2003 INTER-CENSUS POPULATION SURVEY 1995 Estimation Year Male

Female

Male + Female

1995

National SocioEconomic Survey Estimation

-

73

1998

71.36

57.61

64.28

64

1999

66.44

53.05

59.55

-

2000

50.77

39.00

44.71

-

-

64

2001

IDHS 2002-2003

2002-2003

46

Source: Indicator of Child Welfare 2001 (Inter-Census Population Survey 1995 Estimation), Estimation of National Socio-Economic Survey 1995, 1998, and 2001, IDHS 2002-2003

U-5MR based on estimation of SUPAS 1995 Estimation showed the decreasing from 64.28 per 1,000 live births in 1998 to 44.71 per 1,000 live birthss in 2000. Besides that, the level of U-5MR in males was higher than the level of U-5MR in females. According to outcome of research towards all Under-Fives mortalities being surveyed in the 1995 Household Health Survey (SKRT) and the 2001 National Health Survey (SURKESNAS) a description was obtained on the size of proportion of main causes of deaths on under-fives, which can be seen in the following table. TABLE 3.5 PATTERN OF MAIN CAUSES OF DEATH IN UNDER-FIVES IN INDONESIA AS A RESULT OF THE HOUSEHOLD HEALTH SURVEY 1995 AND THE NATIONAL HEALTH SURVEY 2001

Household Health Survey 1995 Diseases % 1. Respiratory tract infection 30.8 % 2. Perinatal health problems 21.6 % 3. Diarrhea 15.3 % 4. Infectious/parasitic disease 6.3 % 5. Neurologic 5.5 % 6. Tetanus 3.6 %

National Health Survey 2001 Diseases 1. Respiratory system (Pneumonia) 2. Diarrhea 3. Neurologic 4. Typhus 5. Gastro intestinal system 6. Other infection

% 22.8 % 13.2 % 11.8 % 11.0 % 5.9 % 5.1 %

Source : National Institute of Health Research and Development, Publication report of Household Health Survey 1995 and National Health Survey 2001

The above table that shows that the pattern of the main causes of death in under-fives as a result of the Household Health Survey 1995 and the National Health Survey 2001 did not get too many changes, infectious diseases was still the main causes of deaths. In 2001, the highest U-5MR was caused by Pneumonia (4.6 per 1,000 under-fives), followed by Diarrhea (2.3 per 1,000 under-fives).

17

3. Maternal Mortality Rate (MMR) Maternal Mortality Rate (MMR) can be obtained through several specially conducted surveys, such as survey in hospitals and survey in community with limited area coverage. By implementing Household Health Survey and Indonesian Demographic and Health Survey (SDKI), the area coverage of MMR researchs become wider compared to the previous surveys. Report of Household Health Survey can be used to consistently look at the tendency of MMR in Indonesia. According to Household Health Survey, MMR decreased from 450 per 100,000 live births in 1986 to 425 per 100,000 live births in 1992, than kept on decreasing to 373 per 100,000 live births in 1995. In the 2001 Household Health Survey, there was no survey of MMR. In 2002-2003, MMR was 307 per 100,000 live births by Indonesian Demographic and Health Survey report. This fact shows that MMR has a tendency to keep on decreasing. But if the decrease is still the same as the decreases in previous years, it is estimated that the target to be nationally achieved in 2010 of 125 per 100,000 live births will be difficult to obtain in the future. The figures obtained from variuos surveys are presented in the following table. TABLE 3.6 MATERNAL MORTALITY RATE (PER 100,000 LIVE BIRTHS) BY INDONESIAN DEMOGRAPHIC AND HEALTH SURVEY (IDHS) AND HOUSEHOLD HEALTH SURVEY (HHS), 1982 – 2003

No 1 2 3 4 5 5 6

Research/Survey

Year

IDHS HHS HHS IDHS HHS IDHS IDHS

1982 1986 1992 1994 1995 1997 2002-2003

MMR Estimation 450 450 425 390 373 334 307

MMR as a result of the Household Health Survey and Indonesian Demographic and Health Survey only describes national figures and not designed to measure the MMR by provinces. MMR in hospital decreased significantly from 16 per 1,000 live births in 2000 (Year 2000) to 7.5 per 1,000 live births. The decreasing of this MMR was caused by the increasing of number of live births. Then the next two years, MMR in hospital decreased, that were 5.1 per 1,000 live births in 2002 and 1.1 per 1,000 live births in 2003. In 2004, number of live births was 25,797 so MMR increased to 8.6 per 1,000 live births. This showed the decreasing of routine checkup of pregnant mother in hospital, so MMR was high and Birth Rate was low. MMR 2000-2004 in hospital can be seen in the following table.

18

TABLE 3.7 MATERNAL MORTALITY RATE IN HOSPITAL IN INDONESIA, 2000 – 2004 Number of deaths per No Year Number of Deaths Number of Live births 1,000 live births 1 2000 2,546 158,972 16 2 2001 1,203 161,073 7.5 3 2002 649 127,053 5.1 4 2003 153 135,094 1.1 5 2004 956 109,297 8.6 Source : DG of Medical Care, MOH, 2005

MMR in hospital based on data from Directorate of Medical Care, MOH, has described the number of maternal death in hospital per 1,000 live births and maternal deaths caused are explained in following table. TABLE 3.8 DISTRIBUTION OF PATIENT IN PREGNANCY, DELIVERY AND POST PARTUM, DEATH BY TYPE OF DISEASES IN HOSPITAL IN INDONESIA, 2004 No

BTL

1 2 3 4 5 6 7 8

234 - 236.9 237.0 - .1 238.0 238.9 241 242.1 242.2 237.9,238.1, 239.0-240, 242.0,242.3, 242.9,244

ICD-10

Diseases

O00 - O09 Pregnancy with abortus O14 - O15 Eclamsia and preeclamsia O44 Placenta previa O46 Antepartum hemorrhage O72 Post delivery hemorrhage O60 Premature Delivery O68 Delivery with fetus complication O10Other complications of pregnancy O3,O16,O20and delivery O25, O29O30,O40-O43, O45,O47,064O67, O69,074O75,O81-O99 Total Source : DG of Medical Care, MOH, 2005

Cases

%

37,055 8,140 3,798 1,861 8,813 2,932 3,044 103,158

21.95 4.82 2.25 1.1 5.22 1.74 1.8 61.11

168,801

Death

CFR

499 145 30 11 43 23 11 1,508

1.3 1.8 0.8 0.6 0.5 0.8 0.8 1.5

2,270

1,4

Seeing from disease type, most obstetric cases in 2004 was caused by pregnancy complication, delivery and other post partum that was 61.1%. From CFR (Case Fatality Rate), the highest death was caused by eclamsia and preeclamsia with CFR 1.8%, although the percentage of its cases was not high that was 4.8%.

19

4. Crude Death Rate (CDR) The the Inter-Census Population Survey 1995 estimation showed that the CDR was 7.7 per 1,000 population, that decreased to 7.6 per 1,000 population in 1996 and did not show any changes until 1998. Then in 1999 the CDR decreased to 7.5 per 1,000 populations and was still decreasing to 7.4 per 1,000 populations in 2000. It shows that tendency of CDR during the period of 1995–2000 was relatively stable with a few decreases. Whereas CDR by province had some variations by range of value from the lowest number of 4.26 per 1,000 population in Riau up to the highest number of 9.43 in DI Yogyakarta. In the meantime, based on research on all identified death cases in the Household Health Survey 1995 and the National Health Survey 2001 a description of the proportion of the main causes of death was obtained that can be seen in the following table. TABLE 3.9

PATTERN OF MAIN CAUSES OF DEATH IN INDONESIA RESULTS OF HOUSEHOLD HEALTH SURVEY 1992 AND 1995 AND NATIONAL HEALTH SURVEY 2001 HOUSEHOLD HEALTH SURVEY 1992 Diseases % 1. Cardiovascular diseases 16.0 % 2. Tuberculosis 11.0 % 3. Not known 9.8 % 4. Respiratory infection 9.5 % 5. Diarrhea 8.0 % 6. Other infection diseases 7.8 % 7. Bronchitis,asthma/emphysema 5.6 % 8.Trauma, poisoning, injuries 5.3 % 9. Gastro intestinal diseases 5.1% 10. Neoplasm 4.0%

HOUSEHOLD HEALTH SURVEY 1995 Diseases % 1. Cardiovascular diseases 18.9 % 2. Respiratory infection 15.7 % 3. Tuberculosis 9.6 % 4. Other parasitic infection 7.9 % 5. Diarrhea 7.4 % 6. Gastro intestinal diseases 6.6 % 7. Perinatal health problems 5.2 % 8. Other causes 5.2 % 9. Neoplasm 5.0 % 10. Nervous system diseases 2.5 %

NATIONAL HEALTH SURVEY 2001 Diseases % 1. Cardiovascular diseases 26.4 % 2. Respiratory infection 12.7 % 3. Tuberculosis 9.4 % 4. Gastro intestinal diseases 7.0 % 5. Neoplasm 6.0 % 6. Injuries 5.6 % 7. Perinatal health problems 4.9 % 8. Typhus 4.3 % 9. Diarrhea 3.8 % 10.Endocrine & metabolic 2.7 %

Source: National Institute of Health Research and Development, and the National Health Survey 2001.

According to Table 3.10 below, CDR in hospital in 2001 decreased to 3.17% because of the decreasing of deaths number that was 45,135; number of cases had decreased that was 15,721. Meanwhile, in 2002 although number of cases had decreased that were 251,376 cases but number of deaths had increased that were 6,001 cases (deaths). In 2004, CDR in hospital (5.09%) showed the increasing that were 27,941 cases. TABLE 3.10 CRUDE DEATH RATE IN HOSPITAL IN INDONESIA, 2004 No

Year

Number of Cases

1 2000 2,613,233 2 2001 2,597,512 3 2002 2,346,136 4 2003 2,270,657 5 2004 2,156,797 Source: DG of Medical Care, MOH, 2005

Number of Deaths

%

127,575 82,440 88,441 81,943 109,884

4.88 3.17 3.77 3.60 5.09

Meanwhile, the main causes of death of inpatient in hospital in 2004 can be seen in the following table. 20

TABLE 3.11

PATTERN OF MAIN CAUSES OF DEATH IN HOSPITAL BY BASE TABULATION LIST No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

IN INDONESIA, 2004 Diseases Number of Deaths Other Acute Respiratory Infection 5,532 Stroke not mentioning bleeding 4,215 Diarrhea and gastroenteritis by certain infection 3,941 diseases (colitis infection) 117.0-1 Pulmonary Tuberculosis 3,852 043 Malaria (includes all types of malaria) 3,578 169 Pneumoniae 3,103 153 Intracranial hemorrhage 2,868 002 Typhoid and paratyphoid fever 2,619 278 Intracranial injury 2,554 017 Septisemic 2,369 Source: DG of Medical Care, MOH, 2005 Remarks: [a]percentage toward total of deaths in hospital BTL= Base Tabulation List BTL 167 155 005

%[a] 4.9 3.8 3.6 3.5 3.2 2.8 2.6 2.4 2.3 2.1

5. Life Expectancy at Birth (LE) The decreasing Infant Mortality Rate (IMR) very much influences on the increasing the life expectancy at birth (LE). IMR is very sensitive to the changes of health status and people’s welfare, so that the improvement of health status is reflected by the decreasing IMR and the increasing life expectancy at birth. The increased life expectancy at birth will indirectly provide a description on the increased quality of life and community health status. Life expectancy at birth of the Indonesian population from year to year has meaningfully and continuously improved especially during the period of 1980-1995. Estimation of life expectancy at birth was 52.41 in 1980 (SP 1980) increased to 63.48 in 1995 (Inter-Census Population Survey 1995), and was estimated to be 66.2 in 2002 (Indonesian Demographic and Health Survey 2002-2003). In 2002, provinces with the highest LE rates were DI Yogyakarta (72.4 years), DKI Jakarta (72.3 years), and North Sulawesi (70.9 years). Meanwhile provinces with the lowest LE rates were West Nusa Tenggara (59.3 years), South Kalimantan (61.3 years), and Banten (62.4 years). Description of the development of the life expectancy rate for the last 12 years can be seen in the following table.

Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2002[a]

TABLE 3.12 LIFE EXPECTANCY AT BIRTH (Eo) BY SEX IN 1990 – 2002 Male Female 50.59 60.00 60.42 60.79 61.16 61.54 61.91 62.29 62.63 63.55 63.45 -

63.28 63.71 64.15 64.54 64.92 65.31 65.71 65.71 66.45 67.41 67.30 -

21

Male + Female 61.49 61.91 62.34 62.72 63.10 63.48 63.86 63.86 64.59 65.54 65.43 66,20

Source: Indicator for Child’s Welfare 2001 (SP 1990, 2000 and INTER-CENSUS POPULATION SURVEY 1995 estimation) [a] Indonesian Demographic and Health Survey 2002-2003

The above table shows that the life expectancy at birth on female group from time to time is relatively higher than the life expectancy at birth of male group. Details of the Infant Mortality Rate, Under-Fives Mortality Rate, and life expectancy at birth by province in 2002–2003 can be seen in Annex 3.1. B. MORBIDITY Morbidity data of population that based upon community (community based data) can be obtained by Morbidity study, and data collecting from Health Office of District/Municipality, and data recording and reporting from health service facilities (facility based data). The ten main diseases of outpatient in hospital in 2004 is presented in Table 3.13 below. TABLE 3.13 TEN MAIN DISEASES OF OUTPATIENT IN HOSPITALS 2004 No

Diseases

1 Other Acute Respiratory Infection 2 Skin and other subcutan diseases 3 Essensial Hypertension (primer) 4 Other specified, unspecified and multiple injuries 5 Diarrhea & gastroenteritis caused by certain infection (colitis infection) 6 Pulmonary Tuberculosis 7 Diabetes mellitus 8 Pulpa and periapikal 9 Gastritis and duodenitis 10 Acute Pharingitis Source: DG of Medical Care, MOH

Number of Visits

%

1,040,505 419,724 411,355 339,885 336,263 328,739 326,462 288,025 218,508 214,781

7.3 2.9 2.9 2.4 2.4 2.3 2.3 2 1.5 1.5

Meanwhile the ten main diseases of inpatient in hospital, 2004 can be seen in the following table. TABLE 3.14 TEN MAIN DISEASES OF INPATIENT IN HOSPITALS 2004 No

Diseases

1 Diarrhea and gastroenteritis by certain infection diseases (colitis infection) 2 Typhoid and paratyphoid fever 3 Other complications of pregnancy and delivery 4 Dengue haemorrhagic fever 5 Intracranial injury 6 Other specified, unspecified and multiple injuries 7 Fever caused by unknown origin 8 Pneumoniae 9 Other Acute Respiratory Infection 10 Malaria (includes all types of malaria) Source: DG of Medical Care, MOH

22

Number of Patients

%

166,538 77,555 59,908 49,644 48,665 39,620 38,696 37,873 35,321 33,672

7.7 3.6 2.8 2.3 2.3 1.8 1.8 1.8 1.6 1.6

These two above tables show that infection diseases are still the most prevalent diseases found on outpatient and inpatient in hospital, even though several noncommunicable diseases such as Diabetes Mellitus, Hypertension and injuries tend to increase. Furthermore, the situation of some communicable diseases in need of attention will be described including the situation of communicable diseases that can be prevented by immunization, outbreak potential diseases, non-communicable diseases situation, and drug abuse situation. 1. Communicable Diseases Communicable diseases that are presented in this chapter are among others Malaria, Pulmonary TB, HIV/AIDS, Acute Respiratory Infection (ISPA), Leprosy, immunization preventable diseases, potential diseases, Rabies, Filariasis, Yaws, and Anthrax. a. Malaria Malaria is still a community health problem in Indonesia. The development of Malaria is monitored through Annual Parasite Index (API) for Java-Bali, and Annual Malaria Index (AMI) for outside Java-Bali, which can be seen in the following Graph. GRAPH 3.4 ANNUAL PARASITE INCIDENCE MALARIA (‰) AND ANNUAL MALARIA INCIDENCE (‰), 1989 – 2004 0.9

35 30

0.7 25

0.6 0.5

20

0.4

15

0.3

10

0.2

AMI /1000 Population

API /1000 Population

0.8

5

0.1 0

0 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

API

0.21 0.17 0.14 0.12 0.19 0.17 0.07 0.08 0.12

AMI 28.06 24.1

27

0.3

0.52 0.81 0.62 0.47 0.22 0.15

22.79 20.51 22.22 19.38 21.72 16.06 21.97 24.9 31.09 26.2 22.3 21.8 21.2

Source: DG of Communicable Disease Control and Environmental Health, MOH RI

The above figures show that the increase of malaria occurred during the 1997–2000 period. In April 2000 a Malaria Re-Eradication Movement was initiated. During the year 2001–2003 the Malaria morbidity rate decreased again. In 2001, Malaria Morbidity Rate in Java-Bali of 0.62/1,000 population decreased to 0.47/1,000 population in 2002, and based on 2003 data it keeps on decreasing to 0.24/1,000 population. Outside Java-Bali, the Malaria morbidity rate (including clinical cases) was 26.20/1,000 population in 2001. It was decreased to 22.30 in 2002, and again to 21.80/1,000 population in 2003 and to 21.20 per 1,000 population in 2004.

23

In 2004, Malaria outbreak occurred in 6 districts in 5 provinces. The outbreaks attacked 1,959 people and killed 33 people. (Source: Communicable Disease Control and Environmental Health Profile 2004). National target for 2010 is 5/1,000 population. The assumption for Java–Bali has met the target. But for outside Java-Bali, it seems that it has not met yet. More over, in some areas, especially in Eastern part of Indonesia such as Papua, Maluku, East Nusa Tenggara, North Sulawesi, Gorontalo, Central Sulawesi, East Kalimantan, West Kalimantan, and Central Kalimantan were still categorized as high endemic areas,. There were some areas in Western part of Indonesia that were also endemic areas, such as South Sumatera, Bengkulu, Bangka Belitung and Riau. Comparing to data of 2003, there was the increasing endemic areas in Sumatera. The number of Malaria cases and Morbidity Rate by province in 2004 is shown in Annex 3.4 and Annex 3.5. b. Pulmonary Tuberculosis (Pulmonary TB) In 2003, Pulmonary TB was the second in the most prevalent diseases for outpatients and was the 6th in the most prevalent diseases for inpatients in general hospitals. In 2002, Pulmonary TB was the 4th in the main causes of death in general hospitals in Indonesia. According to the 2001 National Health Survey, Pulmonary TB was the 3rd in the general causes of death (9.4%). According to the 2004 National Health Survey/National Socio-Economic Survey, 55% among population of > 15 years of age who had taken sputum test /pulmonary rontgen and had positive result, 19% unknown result. Based upon the result from confirmation of sputum test /pulmonary rontgen it was estimated prevalence of Pulmonary TB in Indonesia 240/100,000 population of > 15 years of age. The implementation of Pulmonary TB control up to 2003 has decreased Pulmonary TB prevalence from 130/100,000 population in 2001 to 122/100,000 population in 2002 and to 115/100,000 population in 2003. Pulmonary TB attacked not only the lungs but also other organs (extra pulmonary TB). Number of detected TB cases in 2004 was 214,658 cases, consist of 133,410 positive Acid Fast Bacteria (AFB) cases, 4,429 relapsed cases, 68,848 negative AFB cases, and 4,267 extra pulmonary cases. The recovery rate target of Pulmonary TB in 2003 with positive AFB was 86% (data of 2004 was not available). The recovery target of pulmonary TB that must be reached is 85%. c. HIV/AIDS Development of HIV/AIDS continues to show increases; even though various control and prevention efforts are continuously conducted. The higher the mobility of population among areas, the spread of economic development centers in Indonesia, the increased unsafe sexual behavior and the increased abuse of narcotics, psychotropic, and other additive substances, have simultaneously increased the risk of HIV/AIDS spread level. Indonesia, at present, is categorized as a country with concentrated epidemic level, i.e. the existence of more than 5% prevalence in certain population such as sex workers and the drug abusers. This epidemic level indicates a risky behavior level that is quite actively spreading the 24

diseases in a certain sub-population. The further transfer of the epidemic will be determined by the quantity and characteristics of the relation between the high-risk population and the general population. The number HIV/AIDS patients can be described as an iceberg phenomenon, i.e. the number of reported patients is less than actual number of patients. This means that the precise number of HIV/AIDS in Indonesia is still unknown. Meanwhile the reported cumulative HIV/AIDS cases up to December 31, 2004 were 6,050 cases, consisting of 3,368 HIV infection cases and 2,682 AIDS cases, and 740 died. The highest number of AIDS cases was reported by DKI Jakarta, Papua, East Java, and Bali. According to the population data as a result of the 2000 census the national cumulative cases of AIDS per 100,000 population was 1.33. The highest rate occurred in Papua, DKI Jakarta, Bali, Maluku and North Sulawesi. Most of the transmission of AIDS in 2003 occurred through heterosexual relations, but in 2004 most of transmission occurred through injections (intravenous drug user =IDU). Most of the transmission of AIDS occurred through injections (IDU) that was related to drug abuse of 44.1%, followed by heterosexual relations 43.7%, homosexual relations 5.5% then through perinatal period 1.8%, transfussion 0.1% and 4.7% unknown transmission. The proportion of AIDS patients by transmission method is shown in the following Graph. GRAPH 3.5 CUMULATIVE PROPORTION OF AIDS PATIENTS BY TRANSMISSION METHOD UP TO 2004

1.8 4.7 5.5

0.1

IDU Heterosexual 44.1

Homosexual Unknow n Perinatal

43.7

Transfussion

Source: DG of Communicable Disease Control and Environmental Health, MOH RI

The following are descriptions on the development of HIV/AIDS patients up to December 2004.

25

GRAPH 3.6 NUMBER OF NEW CASES AND CUMULATIVE HIV PATIENTS DETECTED FROM VARIOUS HEALTH FACILITIES 2000 – 2004

GRAPH 3.7 NUMBER OF NEW CASES AND CUMULATIVE AIDS PATIENTS DETECTED FROM VARIOUS HEALTH FACILITIES 2000 – 2004 1500 Number of Cases

Number of Cases

4000 3000 2000 1000 0

1000

500

0 2000

2001

2002

2003

2004

1998

1999

2000

2001

2002

New Cases

403

732

648

168

649

New Cases

74

47

178

219

345

355

Cumulative Cases

1172

1904

2552

2720

3368

Cumulative Cases

227

274

452

671

1016

1371

Tahun

2003

Tahun

Source: DG of Communicable Disease Control and Environmental Health, MOH RI

Source: DG of Communicable Disease Control and Environmental Health, MOH RI

The characteristic of AIDS patients is that most of AIDS patients were males, i.e. 2,193 patients (81.77%) while there were only 443 females patients (20.8%) and 46 cases (1.71%) were unclear. Viewed from the age group there were 1,418 patients (52.87%) in 2029 years old, 686 patients (25.58%) in 30-39 years old, 235 (8.76%) patients in 40-49 years old, 119 patients (4.44%) in 15-19 years old, 56 patients (2.09%) in 50-59 years old, 85 patients (3.17%) in >60 year age group,14 patients (0.52%) in 1-4 year age group, 17 patients (0.63%) in 15 YEARS OF AGE WHO HAD BEEN DIAGNOSED CARDIAC DISEASE (ANGINA PECTORIS) BY HEALTH PROVIDER

Area

Percentage

Sumatera 1.3 Java-Bali 1.3 Eastern part of Indonesia 1.2 Indonesia 1.3 Source: National Health Survey/National Socio-Economic Survey 2004

b. Rheumatism (Body Joints Disease) Rheumatism (Body Joints disease) is chronic infection that attack body joints and its function. From the result of National Health Survey/National Socio-Economic Survey 2004, 6% among population > 15 years of age had been diagnosed rheumatism by health provider. Meanwhile, result of National Health Survey/Household Health Surveys 2004, 11% among population > 15 years of age had been diagnosed rheumatism. TABLE 3.32 PERCENTAGE OF POPULATION > 15 YEARS OF AGE WHO HAD BEEN DIAGNOSED RHEUMATISM BY HEALTH PROVIDER

Area

Percentage

Sumatera Java-Bali Eastern part of Indonesia Indonesia

6.1 6.3 5.0 6.0

Source: National Health Survey/National Socio-Economic Survey 2004

41

c. Diabetes Mellitus In 2004, Diabetes Mellitus was 7th disease of the most prevalence in outpatient in hospital (Table 3.13) and 4th of main causes of deaths in hospital (Table 3.30). Based upon National Health Survey/SKRT 2004, 1% of population of > 15 years of age had been diagnosed Diabetes by health provider. d. Neoplasm/Tumor Neoplasm/tumor indicated increased level in the pattern of general death causing diseases in Indonesia. In the 1992 Household Health Survey neoplasm ranked 10th, while in the 1995 Household Health Survey it ranked 9th, then in the 2001 National Health Survey it ranked 5th. The rank of Malignant Neoplasm in hospital in Indonesia, 2004, can be seen in the two tables below. TABLE 3. 33 10 MAIN DISEASES OF MALIGNANT NEOPLASM INPATIENT IN HOSPITAL IN INDONESIA, 2004 No 1 2 3 4 5 6 7 8 9 10

Diseases Malignant neoplasm of breast Malignant neoplasm of servics uterus Malignant neoplasm of nasopharing Other malignant neoplasm of skin Limphoma non Hodgskin Leukemia Malignant neoplasm of rectosigmoid, rectum and anus Malignant neoplasm of colon Malignant neoplasm of bronchus & lung Malignant neoplasm of ovarium

Number of Visits

%

24,544 11,254 4,854 4,534 4,516 3,644 3,280 3,217 2,757 2,650

28.4 13 5.6 5.1 5.2 4.2 3.8 3.7 3.2 3.1

TABLE 3.34 10 MAIN DISEASES OF MALIGNANT NEOPLASM

OUTPATIENT IN HOSPITAL IN INDONESIA, 2004 No

1 2 3 4 5 6 7 8 9 10

Disease Malignant neoplasm of breast Malignant neoplasm of servics uterus Malignant neoplasm of liver and gall/bile duct intrahepatic Leukemia Limphoma non Hodgskin Malignant neoplasm of bronchus & lung Malignant neoplasm of ovarium Malignant neoplasm of colon Malignant neoplasm of rectosigmoid, rectum and anus Malignant neoplasm of nasopharing

42

Number of Visit

%

5,196 3,818 3,574 2,648 2,390 2,124 1,680 1,382 1,354 1,037

15.1 11 10.3 7.6 6.9 6.1 4.8 3.9 3.9 3

e. Injury and Road Transportation Accident (RTA) In the Table of Proportion of Non Communicable Diseases as the main cause of deaths in hospital (Table 3.11) and The Pattern of 10 Main Diseases of Outpatient/Inpatient in hospital (Table 3.13 dan 3.14), injury/intracranial hemorrhage and body injury multiple was the ten main diseases. Intracranial injury was the 8th disease of the main diseases cause death in hospital in 2004 (Table 3.11). Meanwhile, RTA was 1.3% of diseases cause death in hospital or the 10th of non communicable disease cause death in hospital (Table 3.30). RTA can cause light injury, hard injury and death. In 2004, it was reported 17,732 cases of RTA with 32,271 victims, consist of 11,204 dead victims (34.72%), 8,983 hard injured victims (27.84%), and 12,084 light injured victims (37.45%). Most RTA was in DKI Jakarta following by Province East Java and West Java. Meanwhile, the highest percentage of death victims was in Province South Kalimantan, then followed by Bangka Belitung and West Sumatera. The data of RTA by province in 2004 can be seen in Annex 3.19. According to National Health Survey/National Socio-Economic Survey 2004, prevalence of injury caused by RTA in Indonesia in population of > 15 years of age was 1.02%, the highest prevalence was in DI Yogyakarta (3.04%) and the lowest was in North Maluku (0.28%). Prevalence of injury caused by RTA in urban area was 1.3%, meanwhile in rural was 0.8%. Meanwhile, prevalence of injury caused by non-RTA (falling down, burning, poisoning, sink, violence, etc) in population of > 15 years of age was 0.4%. Based on National Health Survey/Household Health Surveys 2004, the prevalence of population of > 15 years of age caused by RTA in last one year was 2.9% with the highest prevalence in age group of 15-24 years of age. Meanwhile, the prevalence of population of > 15 years of age caused by non- RTA was 2.8% with highest prevalence in age group of 65 years old and over. f. Health Problem of Teeth and Mouth Based on National Health Survey/Household Health Surveys 2004, 38.5% of population of > 15 years of age who had problem of teeth and mouth, and 6.5% of population > 15 years of age who had loss all teeth. TABLE 3.35 PERCENTAGE OF POPULATION > 15 YEARS OF AGE WHO HAD HEALTH PROBLEM OF TEETH AND MOUTH, LOSS ALL TEETH

Percentage of Population > 15 Years of Age Age Group 15-24 25-34 35-44 45-54 55-64 >65 Indonesia

Dental and Mouth Problem 33.9 38.9 39.3 43.4 39.3 34.9 38.5

Source: National Health Survey/Household Health Surveys 2004

43

Loss All Teeth 1.0 1.4 1.7 7.3 18.2 29.6 6.5

3. Drug Abuse Viewed from its type, drug abuse is a mental and behavioral disease, with a very large impact on the related mental condition and problems of social relationship. Even though no fixed data is available on the number of addictive substances abuse cases, but it is estimated that for the last few years the number of drug abuse cases tend to increase, even though the real number in the community is estimated bigger than the reported cases from health services, such as the iceberg phenomenon. According to Drug Dependency Hospital (RSKO) Jakarta’s report in the last 7 years, (1997–2004), total visits of drug abuse outpatients and inpatients in Drug Dependency Hospital (RSKO) Jakarta, showed fluctuations in number. In 1997, 4,307 visits were recorded, while in 1998 the number increased to 5,741 visits, and in 1999 it kept on increasing to 9,714 visits. In 2000, the number of visits decreased to 5,420 visits, but in 2001 it increased to 6,395 visits, and in 2002 it increased again to 4,160 visits. In 2003-2004, number of visits of drug abuse out- and inpatients in Drug Dependency Hospital (RSKO), Jakarta increased to 4,420 visits in 2003 and 4,515 visits in 2004. Number of visits of drug abuse patients of Drug Dependency Hospital (RSKO) in 1997 – 2004 period can be seen in the following graph and table. GRAPH 3.17 NUMBER O F VISITS O F O UTPATIENT AND INPATIENT IN DRUG DEPENDENCY HO SPITAL 1997 - 2004

10.000

0 Outpatient Visits Inpatient Visits

1997

1998

1999

2000

2001

2002

2003

2004

3.652

5.008

8.823

4.667

5.683

4.160

4.420

4.515

655

733

891

753

712

534

506

379

In fact, number of visits of outpatient and inpatient of Drug Dependency Hospital did not describe the number of drug abuser, because a patient can visit this hospital more than one visit. Detail data about number of outpatient and inpatient in Drug Dependency Hospital (RSKO) 1997-2004 is presented in the following table.

Outpatient

TABLE 3.36 NUMBER OF VISITS OUTPATIENT AND INPATIENT IN DRUG DEPENDENCY HOSPITAL (RSKO), JAKARTA 1997 – 2004 1997 1998 1999 2000 2001 2002

2003

2004

3,652

5,008

8,823

4,667

5,683

4,160

4,420

4,515

Inpatient 655 733 891 753 Source: Drug Dependency Hospital (RSKO), Jakarta, 2005

712

534

506

379

Then, from data collecting of Center for Data and Information, MOH, number of drug abuser in drug abuser institutions in 2001 were 5,321 (from 10 institutions) and in 2002 was 3,860 from 28 institutions (General Hospital, Mental Hospital, Health Center, Rehabilitation 44

Center, Narcotics Correctional Institution and Islamic Center) and 881 from 2 NGOs. In 2003, number of drug abuser were 3,583 from 42 institutions and 727 from 2 NGOs. Then in 2004, number of drug abuser in 70 institutions was 6,218 and 484 from NGO. Number of drug abuser from 2001–2004 is shown in the following table. TABLE 3.37 NUMBER OF DRUG ABUSER 2001 – 2004

Number of Drug Abuser In Institution

Year

Non Government Organization

Remarks

2001

5,321

10 institutions

2002

3,860

881

28 inst.+ 2 NGO’s

2003

3,583

727

42 inst.+ 2 NGO’s

2004

6,218

484

70 inst.+ 1 NGO

If we take a look drug abuse pattern by sex and drug type (Table 3.38), from 2,530 male drug abusers in 2003, 40.6% used opiates/heroin, then 24.6% used marijuana/cannabis, 6.9% used amphetamine/ecstasy, 6.8% used alcohol, and others used sedative/hypnotics, inhalation, multiple, etc. Then from 210 female drug abusers, 45.2% used opiate/heroin, 13.8% used amphetamine/ecstasy, 5.2% used marijuana/cannabis, and others used sedative/hypnotics, inhalation, alcohol, multiple, etc. In 2004, from 3,686 male drug abusers, 29.1 % used opiate/heroin, 20.3% used marijuana/cannabis, 12.2% used amphetamine/ecstasy and 13.9% used multiple. Then from 323 female drug abusers, 45.2% used amphetamine/ecstasy, 17% used opiate/heroin and 10.5% used multiple. In Table 3.39, it can be seen the drug abuse pattern from drug type by sex. In 2003, drug abuser mostly was male (92.3%) and others was female (only 7.7%). But, if we take a look by drug type that was used, proportion of drug abuser for drug type by sex, i.e. proportion of female drug abuser for inhalation 50% or same proportion between male and female, proportion of amphetamine/ecstasy (14.2%) and others (35.1%). In 2004, the comparison between male and female in amphetamine/ecstasy abuse, the proportion between male and female was 3:1 (75.5% of male drug abuser and 24.5% female drug abuser). (Graph 3.18) GRAPH 3.18 PROPORTION OF MALE AND FEMALE IN DRUG ABUSE 2004

Multiple Sedative/Hipnotics Amphet/Ecstasy Cannabis Opiate/Heroin

0%

25%

50%

75%

100%

Opiate/Heroin

Cannabis

Amphet/Ecstasy

Sedative/Hipnotics

Male

4.88

1.32

24.5

2.34

6.24

Female

95.12

98.68

75.5

97.66

93.76

45

Multiple

TABLE 3.38 NUMBER AND PROPORTION OF DRUG ABUSER BY SEX AND DRUGS TYPE 2003 - 2004 Number of Drug Abuser

Number of Drug Abuser

in 42 institutions (without RSKO and YPI)

in 69 institutions (without RSKO and KI Atmajaya)

2003

2004

Drugs Male Total

Opiate/Heroin

Male+

Female %

Total

Male

Female

%

Total

%

Total

Male+

Female %

Total

Female

%

Total

%

1,028

40.6

95

45.2

1,123

41.0

1,073

29.1

55

17.0

1,128

28.1

Cannabis

622

24.6

11

5.2

633

23.1

747

20.3

10

3.1

757

18.9

Amphetamine/Ecstasy

175

6.9

29

13.8

204

7.4

450

12.2

146

45.2

596

14.9

Sedative/Hipnotic Inhalants Alcohol Cocain Multiple Others

84

3.3

2

1.0

86

3.1

167

4.5

4

1.2

171

4.3

2

0.1

2

1.0

4

0.1

4

0.1

0

0.0

4

0.1

171

6.8

2

1.0

173

6.3

179

4.9

6

1.9

185

4.6

0

0.0

0

0.0

0

0.0

1

0.0

1

0.3

2

0.0

398

15.7

42

20.0

440

16.1

511

13.9

34

10.5

545

13.6

50

2.0

27

12.9

77

2.8

554

15.0

67

20.7

621

15.5

Total 2,530 100 210 100 2,740 100 3,686 100 323 100 4,009 100 Remarks: Data from RSKO, YPI and Kios Informasi Atmajaya was recapitulation data and did not have data about sex type by drugs type.

TABLE 3.39 DRUG ABUSER BY PROPORTION OF MALE AND FEMALE AND DRUG TYPES 2003 - 2004 Number of Drug Abuser

Number of Drug Abuser

in 42 institutions (without RSKO and YPII)

In 69 institutions (without RSKO and KI Atmajaya)

2003

2004

Drugs Male Total

Opiate/Heroin

Male+

Female %

Total

Male

Female

%

Total

Male+

Female

%

Total

%

Total

Female

%

Total

%

1,028

91.5

95

8.5

1,123

100

1,073

95.12

55

4.88

1,128

100

Cannabis

622

98.3

11

1.7

633

100

747

98.68

10

1.32

757

100

Amphetamine/Ecstasy

175

85.8

29

14.2

204

100

450

75.5

146

24.5

596

100

84

97.7

2

2.3

86

100

167

97.66

4

2.34

171

100

Sedative/Hipnotic Inhalants Alcohol Cocain Multiple Others

2

50.0

2

50.0

4

100

4

100

0

0

4

100

171

98.8

2

1.2

173

100

179

96.76

6

3.24

185

100

0

0.0

0

0.0

0

0

1

50.00

1

50.00

2

100

398

90.5

42

9.5

440

100

511

93.76

34

6.24

545

100

50

64.9

27

35.1

77

100

554

89.21

67

10.79

621

100

Total 2,530 92.3 210 7.7 2,740 100 3,686 91.94 323 8.06 4,009 100 Remarks: Data from RSKO, YPI and Kios Informasi Atmajaya was recapitulation data and did not have data about sex type by drugs type.

46

The main factors of drug abuse are complex that were caused by interaction between individual person, environment and drug types. There is no single factor that caused drug abuse. Description of drug abuser in 2004 from 71 institutions that have been collected for 2005 can be seen in Annex 3.20, Annex 3.21, Annex 3.22, and Annex 3.23, consists of age group, sex, education, job, marital status and drug abuse status. C. NUTRITION STATUS Nutrition status of community can be measured through some indicators, among others low birth weight (LBW), nutrition status of under-fives, nutrition status of eligible women with chronic energy deficiency, and iodine deficiency disorders that are going to be explained in detailed below. 1. Low Birth Weight (LBW) The national LBW has not yet available, but even so the proportion of LBW can be known based on the estimation of the Indonesian Demographic and Health Survey. The following table shows the proportion of BBW in 1992-1997 and 2002-2003. TABLE 3.40 THE PROPORTION OF LOW BIRTH WEIGHT IN 1992-1997 AND 2002-2003

1992-1997

2002-2003

National

7.7

7.6

Urban

6.6

Rural

8.4

Province

3.6 – 15.6

Source: Indonesian Demographic and Health Survey

Low birth weight (below 2,500 grams) is one of the main factors that influence the perinatal and naonates mortality rate. Low birth weight (LBW) can be categorized into 2, i.e. LBW due to premature (less than 37 weeks pregnancy) and intrauterine growth retardation (IUGR) due to at term birth with LBW. In developing countries, there are many cases of LBW with IUGR because of severe malnutrition of mother, anemia, malaria, and sexually transmitted diseases prior to conseption or during pregnancy. Meanwhile the LBW data in hospitals in 2002 provided a description that the national average percentage of live births with LBW in hospitals was 13% with a range between 8.53% in Jambi province to 27.51% in South-East Sulawesi province. 2. Under-Fives Nutrition Status Under-Fives nutrition status is one of the indicators that describe the status of community welfare. One of the methods to evaluate under-fives nutrition status is the anthropometric using the body-weight index by age (W/A) method. The categories being 47

used are over nutrition (z-score > +2 SD); normal nutrition (z-score –2 SD up to +2 SD); lack nutrition (z-score < -2 SD up to –3 SD); severe nutrition (z-score < -3SD). Report of the National Socio-Economic Survey carried out in the previous years, a description was obtained on the development of under-fives nutrition status as shown in the following Graph. GRAPH 3.19

THE PERCENTAGE OF UNDER-FIVES WITH SEVERE NUTRITION, LACK, NORMAL AND OVER NUTRITION IN 1998 – 2003 percentage

100

50

0

1998

1999

2000

2001

2002

2003

Over nutrition

3.15

4.58

3.25

2.7

2.3

2.24

Normal nutrition

67.33

69.06

72.09

71.1

71.88

69.59

19

18.25

17.13

19.8

18.35

19.62

10.51

8.11

7.53

6.3

7.47

8.55

Lack nutrition Severe nutrition

Source: National Socio-Economic Survey/Household Iodine Salt Survey

Report of the Household Iodine Consumption Survey showed that the percentage of under-fives with normal/adequate nutrition was 71.88% in 2002 and 69.59% in 2003. UnderFives with lack nutrition or severe nutrition known as “Protein Calory Deficiency” was 25.82% in 2002 and 28.17% in 2003, and then under-fives with over nutrition was 2.30% in 2002 and 2.24% in 2003. From Household Health Survey in 2004, the percentage of under-fives with normal nutrition was 74.8%. The percentage of under-fives with lack/severe nutrition was 22%. Percentage of under-fives by nutrition status and by sex in 2002-2004 can be seen in Table 3.41. TABLE 3.41 THE PERCENTAGE OF UNDER-FIVES BY NUTRITION STATUS AND BY SEX IN 2002 - 2004 2002 Nutrition Status

Male

Female

2003 Male + Female

Male

Female

2004 Male + Female

BPS-Statistic Indonesia, 2002-2003

Over

Male

Female

Male + Female

Household Health Survey 2004

2.04

2.58

2.3

2.03

2.47

2.24

3.5

2.8

3.2

Normal

70.46

73.37

71.88

67.89

71.41

69.59

74.5

75.2

74.8

Lack

19.46

17.18

18.35

20.73

18.43

19.62

18.9

18.5

18.8

8.03

6.88

7.47

9.35

7.69

8.55

3.0

3.4

3.2

Severe

Source: Statistics Indonesia, Report of Household Iodine Salt Survey, 2002-2003 and Household Health Survey 2004

The above Table 3.31 shows that the percentage of female under-fives with normal nutrition was relatively higher than male under-fives. Meanwhile, the percentage of under-fives with severe nutrition by province can be seen in the below Graph and the complete detailed data can be seen in Annex 3.25. 48

GRAPH 3.20

THE PERCENTAGE OF UNDER-FIVES WITH SEVERE NUTRITION BY PROVINCE, IN 2003 Gorontalo Gorontalo Papua Papua West WestKalimantan Kalimantan North NorthSumatra Sumatra East EastNusa NusaTenggara Tenggara Riau Riau West Nusa Tenggara West Nusa Tenggara South Sumatra South Sumatra South Sulawesi South Sulawesi North Sulawesi North Sulawesi South Kalimantan South CentralKalimantan Sulawesi Central Sulawesi Central Kalimantan Central Kalimantan Bengka Belitung islands Bangka Belitung islands North Maluku Maluku EastNorth Kalimantan East Kalimantan Maluku Banten Maluku Lampung Banten Bengkulu Lampung Sumatera Barat Bengkulu DKI Sumatra Jakarta West Jawa DKITengah Jakarta Jawa Timur Central Java Sulawesi Tenggara East Java Jawa Barat South-East Sulawesi DI Yogyakarta West Bali Java DI Yogyakarta Jambi

Bali Jambi0

5

0

10 Indonesia (8,55%)

5

15

10 Indonesia (8,55%)

20

15

25

20

25

Percentage of under-fives with severe nutrition by province in the form of Indonesian Map can be seen in the following graph. GRAPH 3.21

THE PERCENTAGE OF UNDER-FIVES WITH SEVERE NUTRITION BY PROVINCE, IN 2003

Percentage of under-fives with severe and lack nutrition by province in the form of Indonesian Map can be seen in the following graph.

49

GRAPH 3.22

THE PERCENTAGE OF UNDER-FIVES WITH SEVERE AND LACK NUTRITION BY PROVINCE, IN 2003

3. Nutrition Status of Eligible Women with Chronic Energy Deficiency (CED) One of the methods to know the nutrition status of eligible women aged between 1549 years old is by measuring circumference of upper arm. This measurement can be used as a method to identify how much risk of a woman to deliver LBW infants. Indicator of the chronic energy deficiency uses the standard of upper arm circumference 5 Portions

Unclear

(3)

(4)

(5)

(6)

(7)

4,64 17,59 7,80 11,69 2,21 7,57 1,35 4,28 2,57 7,75 5,80 15,92 3,98 4,90 6,67 2,33 3,31 1,31 0,93 3,89 6,85 13,99 7,88 1,60 3,69 4,27 5,12 1,39 2,26 2,32 7,65

71,40 65,35 76,91 71,19 71,68 70,86 64,65 72,10 67,80 75,38 77,56 64,58 71,04 71,48 76,70 77,91 79,14 70,07 73,83 70,74 81,78 64,72 56,73 70,55 75,13 74,70 73,97 82,38 83,59 63,51 71,91

13,92 13,27 9,82 12,18 15,87 13,06 29,39 16,20 18,39 12,56 11,70 15,61 22,21 19,03 10,24 17,33 14,81 14,78 15,58 17,47 8,54 17,53 21,94 17,42 14,83 13,29 13,21 11,08 9,36 25,58 15,03

8,88 3,80 5,47 3,83 10,23 8,28 4,61 7,18 9,91 4,24 4,90 3,89 2,77 4,29 6,38 2,44 2,74 13,18 8,24 4,55 2,77 3,76 13,44 10,34 6,27 7,73 7,70 5,15 4,78 6,99 5,19

The Average Portion per Day (8)

1,17 1,11 0,23 0,24 1,33 0,07 0,04 0,30 -

0,66 1,42 3,35 0,06 0,09 0,09 1,61 0,22

2,2 1,8 1,8 1,9 2,3 2,1 2,3 2,2 2,4 1,9 1,8 1,9 2,0 2,1 1,9 2,0 1,9 2,6 2,4 2,4 1,6 1,8 2,4 2,3 2,1 2,3 2,0 2,1 2,0 2,5 2,0

Annex 2.37 PERCENTAGE OF POPULATION AGED 15 YEARS AND OVER BY FRUITS CONSUMPTION PER DAY, NUMBER OF AVERAGE PORTIONS PER DAY AND PROVINCE, 2004

The Average Portions of Fruits Consumption per Day No (1) 1

Province (2) Nanggroe Aceh Darussalam

2

North Sumatera

3

West Sumatera

4

Riau

5

Jambi

6

South Sumatera

7

Bengkulu

8

Lampung

9

Bangka Belitung Islands

10

DKI Jakarta

11

West Java

12

Central Java

13

DI Yogyakarta

14

East Java

15

Banten

16

Bali

17

West Nusa Tenggara

18

East Nusa Tenggara

19

West Kalimantan

20

Central Kalimantan

21

South Kalimantan

22

East Kalimantan

23

North Sulawesi

24

Central Sulawesi

25

South Sulawesi

26

South East Sulawesi

27

Gorontalo

28

Maluku

29

North Maluku

30

Papua Indonesia

Source : BPS-Statistic Indonesia, Health Statistic 2004

< 1 Portion

1- 2 Portions

3 - 4 Portions

>5 Portions

Unclear

(3)

(4)

(5)

(6)

(7)

3,70 16,15 5,36 12,42 1,69 5,03 2,15 6,72 2,42 8,36 8,72 17,71 4,91 9,94 3,92 3,53 5,26 2,27 2,76 6,44 8,63 14,17 7,76 2,05 3,77 5,86 3,18 4,22 4,37 4,52 9,44

44,49 45,53 60,52 46,23 49,02 44,80 50,12 54,58 43,88 52,69 57,90 47,30 57,37 49,31 59,57 61,66 54,29 56,53 48,99 43,86 60,01 46,30 49,79 37,35 44,23 40,08 59,11 58,67 46,25 38,83 51,19

45,85 35,71 32,90 38,61 46,74 46,86 46,76 34,75 47,72 36,08 30,18 32,96 36,62 38,88 33,49 34,21 37,73 37,35 43,83 46,73 30,39 37,09 36,18 51,27 47,62 50,14 32,22 35,84 45,31 48,06 36,50

4,07 2,60 1,21 1,75 2,55 3,10 0,97 3,68 4,83 2,80 3,15 2,03 1,11 1,74 3,02 0,60 2,72 3,22 2,88 1,91 0,90 2,43 6,27 9,21 4,22 3,93 5,48 1,00 4,08 6,42 2,68

The Average Portion per Day (8)

1,89 1,00 0,22 0,26 1,16 0,07 0,05 0,13 -

0,63 1,54 1,06 0,07 0,11 0,17 0,27 2,17 0,19

2,0 1,5 1,5 1,7 1,7 1,8 1,7 1,7 2,1 1,6 1,5 1,5 1,5 1,6 1,6 1,5 1,7 1,7 1,9 1,8 1,4 1,5 1,8 2,3 1,9 1,9 1,7 1,5 1,9 2,3 1,6

Annex 3.1 INFANT MORTALITY RATE, UNDERFIVE MORTALITY RATE, LIFE EXPECTANCY AT BIRTH AND TOTAL FERTILITY RATE BY PROVINCE 2004

Province

Infant Mortality Rate Cases (2002-2003)

Underfive Mortality Rate

No. (1)

(2)

(3)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South East Sulawesi Gorontalo Maluku North Maluku West Irian Jaya Indonesia

42 48 43 41 30 53 55 43 35 44 36 20 43 38 14 74 59 47 40 45 42 25 52 47 67 77 35

Sumber: BPS-Statistic Indonesia, Statistic (2003), Indonesia Demographic and Health (IDHS), 2002 - 2003 Remarks: (-) not available

(2002-2003)

Life Expectancy at Birth (eo) (2002)

Total Fertility Rate (TFR) (2003)

(4)

(5)

(6)

57 59 60 51 49 68 64 47 41 50 44 23 52 56 19 103 73 63 47 57 50 33 71 72 92 97 46

67,70 67,30 66,10 68,10 66,90 65,70 65,40 66,10 65,60 72,30 64,50 68,90 72,40 66,00 62,40 70,00 59,30 63,80 64,40 69,40 61,30 69,40 70,90 63,30 68,60 65,10 64,20 65,50 63,00 65,20 66,20

_ 3,0 3,2 3,2 2,7 2,3 3,0 2,7 2,4 2,2 2,8 2,1 1,9 2,1 2,6 2,1 2,4 4,1 2,9 3,2 3,0 2,8 2,6 3,2 2,6 3,6 2,8 2,6

Annex 3.2 TEN MAIN DISEASES OF HOSPITAL OUTPATIENTS IN 2004 2004

No.

BTL

Death

%

(1)

(2)

(3)

(4)

1

001 - 057,9

Acute Upper Respiratory Infection

18,7

2

058.0 - 096,9

Factors that influence health condition & health services

19,1

3

097 - 100

Disease of Infection & certain Parasite

11,6

4

101 - 111

Disease of Gastrointestinal System

12,1

5

112 - 119.9

Disease of Blood Circulation System

10,1

6

120 - 129

Symptom/Indication & Laboratorium Founding, Abnormal Clinic

7,1

7

130 - 139.10

Other Specified Injuries, Unspecified and Multiply Body

6,1

8

140 - 142.9

Eyes and Adnexa Disease

5,0

9

143 - 164.9

Disease of Endocrine, Nutrition & Metabolic

5,6

10

165.0 - 179.9

Disease of the Skin and Subcutaneous tissue

5,0

Source: Directorate General of Medical Care, MoH RI, 2004 Remarks: BTL = Basic Tabulation List

Annex 3.3 TEN MAIN DISEASES OF HOSPITAL INPATIENTS IN 2004 2004

No.

BTL

Death

%

(1)

(2)

(3)

(4)

1

001 - 057.9

Disease of Infection & certain Parasite

21,2

2

234 - 244

Disease of Pregnancy and other delivery disease

13,0

3

180 - 197

Disease of Gastrointestinal System

8,4

4

290.0 - 298

Factors that influence health condition & health services

7,2

5

143 - 164.9

Disease of Blood Circulation System

7,5

6

165.0 - 179.9

Acute Upper Respiratory Infection

7,8

7

271 - 289

Other Specified Injuries, Unspecified and Multiply Body

7,3

8

299.0 - 306.9

Other factors out of Morbidity and Mortality

3,7

9

267 - 270.9

Symptom/Indication & Laboratorium Founding, Abnormal Clinic

5,1

10

211 - 233

Disease of Urinal System

4,3

Source: Directorate General of Medical Care, MoH RI, 2004 Remarks: BTL = Basic Tabulation List

Annex 3.4 NUMBER OF CASE AND INCIDENCE RATE OF MALARIA BY PROVINCE 2004 No.

Province

Number of Cases

API/AMI

(2)

(3)

(4)

(1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

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

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI Remarks: API = Annual Parasite Incidence (in Java + Bali) AMI = Annual Malaria Incidence (outside Java + Bali)

8.990 48.341 4.971 20.183 60.127 56.762 119.068 275.654 17.335 8.105 327.706 23.206 118.195 2.836

2,17 5,43 1,1 3,68 24,4 8,04 56,91 38,52 18,68 1,11 0,15 0,13 0,28 0,01

83.310 626.278 3.915 22.090 8.598 19.428 31.827 58.770 18.315 38.480 12.633 62.856 65.379 188.209 2.331.567

20,51 172,77 0,99 12,16 2,78 8,83 14,93 27,28 2,40 21,11 14,85 46,43 72,44 73,69 21,35

Annex 3.5 ANNUAL PARASITE INCIDENCE (API) OF MALARIA IN JAVA-BALI ISLANDS 1997 - 2004 Annual Parasite Incidence (API) Per 1.000 No.

Province

(1)

(2)

1997

1998

1999

2000

2001

2002

2003

2004

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(9)

1

DKI Jakarta

0,00

0,00

0,00

0,07

0,01

NA

NA

NA

2

West Java

0,04

0,07

0,04

0,03

0,02

NA

NA

0,16

3

Central Java

0,32

0,65

1,06

1,74

1,46

NA

NA

0,51

4

DI Yogyakarta

0,52

3,54

6,76

11,73

10,43

NA

NA

0,97

5

East Java

0,04

0,03

0,05

0,17

0,12

NA

NA

0,08

6

Banten

-

-

-

-

-

NA

NA

NA

7

Bali

0,03

0,03

0,04

0,04

0,08

NA

NA

0,03

0,12

0,30

0,52

0,81

0,62

0,47

0,22

0,15

Java - Bali

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI Remarks: NA = not available

Annex 3.6

CASE DETECTION AND PULMONARY TB TREATMENT EVALUATION IN 2004 No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Province (2)

Invention Coverage

Total Population

Death

Total Cases

(3)

(4)

(5)

Conversion

BTA (+)

CDR %

Abs

(6)

(7)

(8)

% (9)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bangka Belitung Islands Bengkulu Lampung Banten DKI Jakarta West Java Central Java D.I. Yogyakarta East Java West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Gorontalo Central Sulawesi South Sulawesi South East Sulawesi Bali West Nusa Tenggara East Nusa Tenggara Maluku North Maluku Papua

4.229.100 12.443.600 4.477.000 5.369.300 2.570.000 7.363.400 1.038.200 1.665.800 7.131.500 8.574.300 8.792.000 37.529.200 32.675.100 3.167.900 35.586.800 4.283.000 1.992.400 3.134.000 2.620.000 2.088.900 880.500 2.303.700 8.515.500 1.960.900 3.280.600 4.249.100 4.059.900 1.240.400 784.200 2.408.200

4.863 14.310 5.149 6.175 2.956 8.468 1.194 1.916 8.201 9.860 10.111 43.159 37.576 3.643 40.925 4.925 2.291 3.604 3.013 2.402 1.013 2.649 9.793 2.255 3.773 4.886 4.669 1.426 902 2.769

2.810 13.891 4.590 4.364 2.257 6.607 1.121 1.502 4.946 9.855 14.974 40.435 29.745 2.353 27.225 3.969 1.744 4.566 1.990 3.859 1.334 2.740 9.467 2.092 2.077 4.445 3.516 1.198 728 4.258

1.971 11.453 3.129 2.495 1.673 4.371 729 1.112 3.100 5.354 6.479 21.661 14.373 1.300 16.460 3.052 1.408 2.537 1.249 3.056 1.088 1.751 8.507 1.562 1.080 2.921 1.971 657 538 1.944

40,5 80,0 60,8 40,4 56,6 51,6 61,1 58,0 37,8 54,3 64,1 50,2 38,3 35,7 40,2 62,0 61,5 70,4 41,5 127,2 107,4 66,1 86,9 69,3 28,6 59,8 42,2 46,1 59,7 70,2

1.000 7.952 2.050 1.964 1.444 3.617 666 729 1.790 2.992 14.807 3.196 11.652 793 12.817 2.612 948 2.204 1.012 2.127 731 1.087 8.054 1.434 996 2.579 1.499 393 208 1.184

50,7 69,4 65,5 78,7 86,3 82,7 91,4 65,6 57,7 55,9 228,5 14,8 81,1 61,0 77,9 85,6 67,3 86,9 81,0 69,6 67,2 62,1 94,7 91,8 92,2 88,3 76,1 59,8 38,7 60,9

Indonesia

216.414.500

248.877

214.658

128.981

51,8

94.537

73,3

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

Annex 3.7 CUMULATIVE NUMBER OF AIDS, DEATHS AND CUMULATIVE NUMBER OF CASES PER 100,000 POPULATION BY PROVINCE IN 2004 No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Province

Total Cases

Death

(2)

(3)

(4)

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

Case Rate (5)

1 75 2 37 9 25 5 6 18 48 1.272 107 40 18 220 6 128 16 20 79 3 5 54 2 14 33 1 399 39

1 25 1 43 4 12 1 2 2 0 278 28 27 7 69 1 33 7 4 17 2 3 27 1 12 24 1 107 1

15,28 0,30 0,13 0,58 0,63 0,05 4,07 0,42 0,53 2,12 0,10 0,20 2,74 0,10 0,17 2,87 0,15 24,06 -

2.682

740

1,33

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

0,06 0,65 0,05 0,78 0,37 0,36 0,32 0,09 2,11

Annex 3.8 NUMBER AND PERCENTAGE OF AIDS CASES FROM IDU BY PROVINCE IN 2004

No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Province

Cumulative Number of Cases

Death by IDU

(2)

(3)

(4)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South East Sulawesi Gorontalo Maluku North Maluku West Irian Jaya Unknown Total

1 75 2 37 9 25 5 6 18 48 1.272 107 40 18 220 6 128 16 20 79 3 5 54 2 14 33 1 399 39 2.682

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

% (5)

0 34 1 5 3 10 4 5 2 0 846 66 6 7 83 3 50 9 3 18 2 3 7 1 0 13 0 2 0 1.183

0,00 45,33 50,00 13,51 33,33 40,00 80,00 83,33 11,11 0,00 66,51 61,68 15,00 38,89 37,73 50,00 39,06 56,25 15,00 22,78 66,67 60,00 12,96 50,00 0,00 39,39 0,00 0,50 0,00 44,11

Annex 3.9 LEPROSY SITUATION BY PROVINCE IN 2004

No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Province (2)

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

PB

Number of Cases Recorded MB

TOTAL

Prevalence /10.000 Population

(4)

(5)

(6)

(3)

140 22 15 51 12 9 5 25 2

489 169 116 165 70 124 22 92 22

55 273 200 8 626 53 13 49 73 47 9 26 35 114 35 185 12 16 65 198 401

477 1.959 1.771 13 5.435 347 147 204 407 174 90 337 200 529 227 1.387 182 207 373 571 713

2.774

17.019

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

**** No report yet *** Report up to first quarter @ still join with Province of Papua

** Report up to second quarter * Report up to third quarter

629 191 131 216 82 133 27 117 24 532 2.232 1.971 21 6.061 400 160 253 480 221 99 363 235 643 262 1.572 194 223 438 769 1.114 19.793

1,51 * 0,16 0,29 0,40 0,32 0,20 0,16 0,17 0,24 0,69 ** 0,59 0,62 0,06 1,67 0,46 0,49 0,63 1,17 0,54 0,54 1,07 ** 0,86 3,02 1,17 2,02 1,21 2,57 3,47 9,51 4,62 @ 0,93

Annex 3.10 NUMBER OF MEASLES CASES BY PROVINCE 2004 Immunization

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 2 0 6 0 0 0 2 0 0 0 0 0 0 0 0 16 0 4 0 0 0 0 0 13 1 0 0 0 3 47

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Death

Total

(21)

0 247 248 304 6 163 0 0 0 0 364 0 6 0 4 0 38 3 34 127 93 30 54 44 10 0 1 99 0 0 4 1.879

Unknown

(20)

0 0 4 0 21 0 0 0 4 0 0 0 0 0 0 0 0 4 0 13 0 0 0 15 0 28 0 0 0 1 0 90

Un Vaccinated

(19)

Vaccination

(18)

0 0 299 0 29 585 0 0 7 0 643 0 4 0 33 0 239 39 72 238 1 48 113 102 21 94 22 136 0 2 34 2.761

Total

(17)

Death

(16)

0 0 254 0 19 585 0 0 0 0 643 0 4 0 33 0 239 4 72 195 1 48 113 71 21 0 3 136 0 0 25 2.466

Unknown

(15)

Un Vaccinated

(14)

0 0 0 0 18 27 0 0 3 7 0 0 0 0 0 0 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 8 0 0 10 33 0 0 0 0 0 0 0 31 0 0 34 60 19 0 0 0 0 0 0 2 9 0 122 173

Total

Vaccination

(13)

0 211 355 334 31 800 0 0 8 0 1.187 0 9 0 25 0 125 34 86 280 69 82 126 131 17 136 7 124 3 8 64 4.252

Age > 15

Total

(12)

Death

(11)

0 211 295 334 22 800 0 0 0 0 1.187 0 9 0 25 0 125 4 86 180 58 82 126 112 17 0 2 124 0 2 41 3.842

Unknown

(10)

0 0 28 0 4 0 0 0 5 0 0 0 0 0 0 0 0 9 0 73 0 0 0 19 0 81 0 0 3 3 5 230

Un Vaccinated

(9)

0 0 32 0 5 0 0 0 3 0 0 0 0 0 0 0 0 21 0 27 11 0 0 0 0 55 5 0 0 3 18 180

Vaccination

(8)

0 44 118 120 0 272 0 0 6 0 396 0 2 0 12 0 64 9 0 171 20 40 93 57 12 48 0 52 3 5 15 1.559

Total

Death

(7)

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Death

Unknown

(6)

0 44 87 120 0 272 0 0 0 0 396 0 2 0 12 0 64 1 0 143 19 40 93 52 12 0 0 52 0 1 4 1.414

Unknown

Un Vaccinated

(5)

0 0 20 0 0 0 0 0 5 0 0 0 0 0 0 0 0 5 0 20 0 0 0 5 0 22 0 0 3 4 5 89

Un Vaccinated

Vaccination

(4)

0 0 11 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 0 8 1 0 0 0 0 26 0 0 0 0 6 56

Vaccination

Total

(3)

Age 10 - 14

Total

Death

(2)

Nanggroe Aceh D. North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South East Sulawesi Gorontalo Maluku North Maluku West Irian Jaya Indonesia

Unknown

(1)

Province

Age 5 - 9

Un Vaccinated

No.

Age 1 - 4

Vaccination

Age < 1

(22)

(23)

(24)

(25)

(26)

(27)

(28)

(29)

(30)

(31)

(32)

0 247 254 304 33 163 0 0 6 0 364 0 6 0 4 0 38 23 34 144 93 30 54 59 10 41 2 99 0 1 7 2.016

0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 10 0 0 0 0 3 18

0 0 22 0 0 0 0 0 48 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 46 0 0 0 0 2 126

0 130 197 228 0 133 0 0 0 0 429 0 3 0 18 0 89 0 1 153 27 9 101 57 16 0 0 31 3 0 5 1.630

0 0 0 130 0 221 0 228 0 0 0 133 0 0 0 0 0 48 0 0 0 429 0 0 0 3 0 0 0 18 0 0 0 89 0 1 0 1 0 163 0 27 0 9 0 101 0 57 0 16 0 56 0 0 0 31 0 3 0 0 0 10 0 1774

0 0 65 0 14 0 0 0 8 0 0 0 0 0 0 0 0 67 0 52 12 0 0 0 0 138 25 0 0 3 39 423

0 0 101 0 32 0 0 0 67 0 0 0 0 0 0 0 0 27 0 146 0 0 0 70 0 237 0 0 6 10 12 708

632 1.081 986 47 1.953 759 1.597 3.019 10.784 24 625 92 3.044 555 12 193 798 198 209 487 336 76 6 442 3 3 79 28.040

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

632 1.247 986 93 1.953 759 1.597 75 3.019 10.784 24 625 92 3.044 555 106 193 996 210 209 487 406 76 375 31 442 9 16 130 29.171

Annex 3.11 NUMBER OF DIPHTHERIA CASES BY PROVINCE 2004

No.

Outpatient in Hospital

Province Age45 (4)

(5)

(6)

(7)

Total

Age45 (10)

(11)

(12)

(13)

Total

Death

(14)

(15)

Age45 (16)

(17)

(18)

(19)

(20)

Total (21)

1

Nanggroe Aceh D.

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

North Sumatera

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

3

West Sumatera

0

0

0

0

0

0

0

0

0

0

0

0

0

0

4

1

2

10

17

4

Riau

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

5

2

9

5

Jambi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

4

3

1

9

6

South Sumatera

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

7

Bengkulu

0

0

0

1

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

8

Lampung

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

9

Bangka Belitung Islands

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

10

Riau Islands

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

11

DKI Jakarta

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

12

West Java

0

0

0

0

0

0

0

0

0

0

0

0

0

4

18

19

50

42

133

13

Central Java

0

2

9

9

1

21

0

0

0

0

0

0

0

0

0

0

0

0

0

14

DI Yogyakarta

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

15

East Java

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

16

Banten

0

0

1

0

0

1

0

0

0

0

0

0

0

0

1

0

0

0

1

17

Bali

0

0

0

1

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

18

West Nusa Tenggara

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

19

East Nusa Tenggara

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

20

West Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

1

21

Central Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

22

South Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

23

East Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

24

North Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

25

Central Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

26

South Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

1

0

0

2

27

South East Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

28

Gorontalo

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

29

Maluku

0

0

1

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

30

North Maluku

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

31

Irian Jaya

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

11

11

1

25

0

0

0

0

0

0

0

4

26

27

60

55

172

Indonesia

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

0

Annex 3.12 NUMBER OF PERTUSSIS CASES BY PROVINCE 2004

No.

Outpatient in Hospital

Province Age45 (4)

(5)

(6)

(7)

Total

Age45 (10)

(11)

(12)

(13)

Total

Death

(14)

(15)

Age45 (16)

(17)

(18)

(19)

(20)

Total (21)

1

Nanggroe Aceh D.

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

North Sumatera

0

0

0

0

0

0

0

1

0

0

0

1

0

0

0

0

0

0

0

3

West Sumatera

4

3

0

0

0

7

0

0

0

0

0

0

0

32

45

42

22

3

144

4

Riau

0

0

0

6

1

7

0

0

0

0

0

0

0

9

19

4

4

0

36

5

Jambi

3

0

2

0

0

5

0

0

0

0

0

0

0

0

3

0

0

0

3

6

South Sumatera

1

2

13

5

1

22

1

0

0

1

0

2

0

4

15

2

0

0

21

7

Bengkulu

0

0

2

14

10

26

0

0

0

0

0

0

0

0

0

0

0

0

0

8

Lampung

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

9

Bangka Belitung Islands

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

10

Riau Islands

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

11

DKI Jakarta

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

12

West Java

0

0

0

0

0

0

0

0

0

0

0

0

0

60

164

128

172

218

742

13

Central Java

12

34

18

78

37

179

1

1

0

0

1

3

0

1

0

0

0

0

1

14

DI Yogyakarta

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

15

East Java

0

0

0

0

0

0

0

0

0

0

0

0

0

0

5

2

0

3

10

16

Banten

0

0

0

0

0

0

0

0

0

0

0

0

0

5

11

12

0

0

28

17

Bali

8

2

9

28

17

64

3

0

2

2

3

10

4

0

0

0

0

0

0

18

West Nusa Tenggara

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

19

East Nusa Tenggara

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

20

West Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

4

13

3

1

0

21

21

Central Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

22

South Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

23

East Kalimantan

8

5

0

0

1

14

0

0

0

0

0

0

0

7

13

44

8

3

75

24

North Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

25

Central Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

26

South Sulawesi

3

4

3

21

0

31

0

1

0

0

0

1

0

4

8

15

35

31

93

27

South East Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

28

Gorontalo

0

0

0

0

0

0

0

0

0

0

0

0

0

2

12

0

0

0

14

29

Maluku

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

30

North Maluku

0

0

0

0

0

0

0

0

0

0

0

0

0

1

6

8

0

0

15

31

Irian Jaya Indonesia

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

1

39

50

47

152

67

355

5

3

2

3

4

17

4

129

314

260

243

258

1204

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

Annex 3.13 NUMBER OF CLINICAL HEPATITIS IN 2004

No.

Outpatient in Hospital

Province Age45 (4)

(5)

(6)

(7)

Total

Age45 (10)

(11)

(12)

(13)

Total

Death

(14)

(15)

Age45 (16)

(17)

(18)

(19)

(20)

Total (21)

1

Nanggroe Aceh D.

5

3

8

4

1

21

1

2

5

11

7

26

0

0

0

0

0

0

2

North Sumatera

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

3

West Sumatera

0

6

11

46

4

67

0

0

17

74

30

121

1

2

7

78

187

95

369

4

Riau

1

0

6

11

8

26

0

1

5

8

7

21

0

0

4

17

66

29

116

5

Jambi

1

0

4

17

16

38

0

0

1

18

16

35

1

1

44

119

130

55

349

6

South Sumatera

0

0

4

27

12

43

0

0

3

7

7

17

0

0

6

9

21

21

57

7

Bengkulu

0

0

0

0

0

0

0

0

2

13

8

23

0

0

12

14

49

25

100

8

Lampung

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

9

Bangka Belitung Islands

0

0

0

0

0

0

0

0

0

0

0

0

0

8

26

35

56

1

126

10

Riau Islands

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

11

DKI Jakarta

0

2

4

15

2

23

0

0

0

0

0

0

0

1

17

22

27

8

75

12

West Java

0

0

0

0

0

0

0

0

0

0

0

0

0

64

419

1097

1017

649

3246

13

Central Java

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

14

DI Yogyakarta

0

0

0

9

7

16

0

0

0

0

2

2

0

0

0

0

0

0

0

15

East Java

1

2

47

19

9

78

0

5

44

17

10

76

0

11

17

146

124

141

439

16

Banten

4

33

78

228

83

426

1

8

23

177

62

271

1

3

15

75

85

70

248

17

Bali

3

9

10

50

15

87

0

2

5

37

26

70

0

0

2

7

50

16

75

18

West Nusa Tenggara

0

0

0

0

0

0

0

0

0

0

0

0

0

2

11

17

51

40

121

19

East Nusa Tenggara

20

West Kalimantan

21 22

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

14

18

38

59

40

169

1

1

3

11

12

28

0

6

19

55

131

65

276

Central Kalimantan

1

0

3

28

0

32

2

0

5

38

17

62

0

1

6

6

4

6

23

South Kalimantan

0

0

0

0

0

0

0

0

0

0

0

0

0

0

6

23

99

24

152

23

East Kalimantan

0

1

10

113

33

157

0

0

7

32

12

51

0

0

1

9

88

9

107

24

North Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

1

2

25

Central Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

26

South Sulawesi

0

0

16

42

36

94

0

0

9

29

34

72

4

1

8

49

200

133

391

27

South East Sulawesi

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

3

4

8

28

Gorontalo

0

0

2

51

8

61

2

0

5

30

24

61

0

0

0

6

26

16

48

29

Maluku

0

3

25

34

11

73

4

8

24

48

18

102

0

0

0

0

0

0

0

30

North Maluku

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

31

Irian Jaya

0

0

0

1

0

1

0

0

0

0

0

0

0

0

0

0

2

0

30

77

266

754

285

11

27

158

550

292

7

100

620

Indonesia

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

1.412

1.038

1.785

2.417

1.408

2 6.330

Annex 3.14 OUTBREAK FREQUENCY BY DISEASES IN INDONESIA, 2004 No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Diseases

Frequency

(2)

(3)

Diarhea Dengue High Fever Measles Diphtheria Pertussis Tetanus Tetanus Neonatorum Malaria Yaws/Frambesia Hepatitis Meningitis Thyphus abdominalis Rabies Food poisoning Rubella Dengue Shock Syndrome Small pox Parotitis Poisoning Hand, Foot, Mouth Diseases Chikungunya Leptospirosis Thypoid Marasmus Dysentery TOTAL

Cases

Death

(4)

(5)

46 128 97 34 2 1 71 9 2 6 1 1 40 65 1 5 3 1 10 1 13 1 2 5 1 546

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

1,827 6,195 2,818 106 2 1 73 261 2 136 1 7 132 3,748 8 7 45 22 108 1 286 1 5 6 7 15,805

Case Fatality Rate (%) (6)

29 87 44 10 0 0 39 15 0 2 0 0 13 23 0 7 0 0 5 0 0 1 0 0 0 275

2 1 2 9 0 0 53 6 0 2 0 0 10 1 0 100 0 0 5 0 0 100 0 0 0 2

Annex 3.15 NUMBER OF PATIENTS, CASE FATALITY RATE (%), AND INCIDENCE RATE OF DENGUE HAEMORRHAGIC FEVER BY PROVINCE, 2000 - 2004 No.

Province

(1)

(2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

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

P

2000 CFR

IR

P

2001 CFR

IR

P

2002 CFR

IR

P

2003 CFR

IR

P

2004 CFR

IR

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

2,13 2,80 13,74 19,42 10,71 19,71 0,91 3,43 3,21 66,86 13,56 19,09 28,57 15,04 8,00 130,87 5,91 0,63 49,97 4,00 17,04 80,08 47,47 3,27 31,71 2,91 0,31 0,00 7,20 14,19 19,24

128 878 292 715 80 1.403 2 624 241 14.071 8.683 8.490 1.553 4.216 700 2.364 196 260 349 300 178 1.926 369 184 2.636 43 30 0 2 603 51.516

2,76 7,07 6,88 13,98 2,83 17,87 0,13 9,29 26,68 125,09 23,64 25,51 47,09 11,94 8,17 76,78 5,06 6,34 9,13 16,36 7,47 77,32 15,75 7,47 31,41 2,45 3,54 0,00 0,23 29,13 23,87

252 1.093 514 1.050 275 1.270 204 908 53 20.510 19.014 9.047 2.206 8.287 2577 1935 805 1381 212 453 378 2276 225 293 3500 266 14 0 74 390 79.462

64 96 83 390 131 1.211 17 66 3.751 2.283 4.907 492 3.247 757 34 118 1.393 20 91 253 1.139 31 428 0 3 123 21.134

11 0 0 3 5 2 0 6 1 3 2 2 1 1 6 0 4 0 7 1 4 7 2 0 0 6 2

1,54 0,86 2,10 9,21 5,10 18,59 1,10 0,91 41,26 5,38 15,09 14,40 9,25 25,34 0,89 3,07 35,06 1,20 2,94 10,51 40,85 1,57 5,31 0,00 0,14 6,04 10,17

35 138 185 1.324 129 1.890 17 228 8.661 5.152 5.001 917 4.224 199 72 60 806 30 121 1.423 1.105 178 1.323 11 0 214 33.443

3 0 0 2 4 1 6 4 0 2 2 1 1 1 6 3 31 10 6 2 3 6 2 0 0 2 1,4

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI Remarks : IR ( Insidence Rate ) per 100.000 population

0,80 1,23 4,34 29,69 5,21 27,86 1,06 3,10 78,92 11,84 15,37 26,84 12,04 6,44 1,84 1,52 19,57 17,10 5,64 58,17 38,89 8,67 15,03 0,63 0,00 10,34 15,99

92 348 623 978 272 1.406 14 197 29 5.750 4.817 6.357 992 5.308 713 3.986 232 24 1.910 72 365 2.011 974 81 2.408 51 4 0 63 300 40.377

8.7 3.7 1.6 0.8 4.0 1.8 0.0 5.1 3.4 0.9 1.3 1.6 1.0 1.3 0.7 0.3 1.3 4.2 1.6 2.8 0.3 2.0 1.4 2.5 1.6 0.0 0.0 0.0 3.2 1.0 1.3

3.1 2.7 0.7 0.7 2.5 2.1 0.0 2.6 4.1 0.4 2.1 2.3 2.3 1.4 3.6 0.3 4.6 3.2 2.0 3.0 3.4 1.5 1.3 1.0 1.5 2.3 0.0 0.0 1.0 0.8 1.5

4,37 2,20 0,97 2,00 1,45 1,34 0,98 1,54 0 0,43 1,13 1,80 1,41 1,45 2,25 0,41 1,99 3,11 2,36 1,32 0,79 1,80 4,89 3,41 0,69 0,75 0,00 0,00 9,46 2,05 1,2

5,43 8,79 12,11 20,53 9,74 16,06 13,25 13,51 5,65 260,08 52,20 27,11 66,89 23,48 30,08 58,64 20,77 35,00 5,55 24,70 10,30 91,37 10,56 13,06 41,70 13,89 1,60 0,00 8,71 18,84 37,11

Annex 3.16 NUMBER OF DISTRICTS/MUNICIPALITIES INFECTED BY DENGUE HAEMORRHAGIC FEVER BY PROVINCE, 1998 - 2004 Number of Districts/Municipalities Infected Dengue Haemorrhagic Fever

No.

Province

Number of Districts/Municipalities

1998

1999

2000

2001

2002

2003

2004

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

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

20 23 16 16 10 11 7 10 7 6 25 35 5 38 6 9 8 16 10 14 13 13 8 9 28 7 5 5 8 28 416

9 15 12 7 6 10 4 5 5 26 35 5 37 9 5 6 6 6 10 7 7 5 21 3 5 6 272

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

7 7 6 3 7 6 9 3 6 5 26 35 5 36 7 5 1 6 4 6 6 6 4 15 0 1 222

5 9 5 8 4 9 3 7 5 28 34 5 37 7 5 1 7 4 7 7 7 4 18 2 0 3 231

7 13 6 10 7 7 4 9 3 5 22 33 5 37 6 8 6 3 8 6 9 10 5 2 20 2 3 0 2 5 263

9 15 4 13 7 9 4 9 2 5 24 35 5 38 6 9 7 1 8 6 5 10 4 2 17 3 2 0 2 3 264

8 14 3 12 4 7 1 8 3 5 24 34 5 38 3 8 6 3 8 5 8 12 4 5 18 3 2 0 2 4 257

16 15 9 14 7 11 5 10 5 5 25 35 5 38 6 9 8 10 9 11 13 13 7 5 23 1 2 0 3 6 326

Annex 3.17 NUMBER AND PERCENTAGE OF INFECTED DISTRICTS, AND NUMBER OF ANIMAL BITES INFECTED BY RABIES AS WELL AS EXAMINATION RESULTS OF ANIMAL BY PROVINCE, 2004 No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Province (2)

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

Total (3)

20 23 16 16 10 11 7 10 7 6 25 35 5 38 6 9 8 16 10 14 13 13 8 9 28 7 5 5 8 28 416

Number of Districts Infected (4)

16 14 13 8 3 0 3 0 1 0 0 0 0

3 6 10 3 9 5 14 7 5 3

123

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI Remarks: RIAB = Rabies Infected Animal Bite

%

Number of Cases RIAB

(5)

(6)

80,00 60,87 81,25 50,00 30,00 0,00 0,00 30,00 4,00 0,00 0,00 0,00 18,75 42,86 76,92 23,08 112,50 55,56 50,00 100,00 0,00 29,57

Number of Animal Specimen Examined Positive % Positive (7)

(8)

(9)

179 728 2.718 516 121 1.129 111 538

30 16 87 89 11 0 0 1

21 16 82 78 11 0 0 1

158 281 8 28 0 0

100 1 0 0 0 0

0 0 0 0 0 0

775

15

13

139 304 282 1.098 271 1.510 363 155 1.147

0 40 2 699 131 95 31 6 24

0 40 2 583 131 95 31 6 12

12.559

1378

1122

70,00 100,00 94,25 87,64 100,00 0,00 0,00 100,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 86,67 0,00 0,00 100,00 100,00 83,40 100,00 100,00 100,00 100,00 50,00 0,00 0,00 81,42

Annex 3.18 NUMBER OF FILARIASIS CASES BY PROVINCE 2000 - 2004 No.

Province

(1)

(2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South East Sulawesi Gorontalo Maluku North Maluku West Irian Jaya Unknown Indonesia

2000

2001

Year 2002

2003

(3)

(4)

(5)

(6)

1.908 52 30 267 136 91 67 73

1.908 52 30 267 136 91 67 73 73

1.908 52 30 267 136 91 67 73 73

1.940 45 32 267 134 44 55 73 78

12 156 136 7 142

12 156 136 7 142

12 156 136 7 144

5 62 1.706 156 123 137 282 72 82 154 197

5 62 1.706 156 123 135 282 72 82 154 197

5 62 1.706 156 123 169 282 72 82 154 197

57

57

57

12 156 136 7 167 69 5 62 1.706 156 118 135 272 72 82 154 197 14 57

390

390

390

390

6.500

6.571

6.607

6.635

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI

2004 (7)

1.896 102 30 243 220 130 57 73 37 21 12 78 226 119 76 5 62 1.706 261 117 249 195 23 82 110 182 83 30 5 36 254 6.720

Annex 3.19 NUMBER OF TRAFFIC ACCIDENTS AND RATIO OF INJURED AND DEAD VICTIMS TOWARDS TOTAL POPULATION BY PROVINCE, 2004

No.

Province

(1)

(2)

Number of Accidents (3)

Number of Victims

% Victim

Dead

Severely Injured

Slightly Injured

Total

Dead

Severely Injured

Slightly Injured

Ratio/100000 Population Victim

Dead

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Property Lost (13)

1

Nanggroe Aceh Darussalam

212

196

167

314

677

28,95

24,67

46,38

16,61

0,71

Rp.

833.400.000

2

North Sumatera

911

759

617

701

2.077

36,54

29,71

33,75

17,21

0,30

Rp.

3.923.525.000

3

West Sumatera

292

353

147

157

657

53,73

22,37

23,90

14,51

1,19

Rp.

1.266.100.000

4

Riau

613

556

379

418

1.353

41,09

28,01

30,89

23,82

0,72

Rp.

3.205.290.000

5

Jambi

166

174

80

83

337

51,63

23,74

24,63

12,86

1,97

Rp.

571.950.000

6

South Sumatera

323

304

178

199

681

44,64

26,14

29,22

10,32

0,68

Rp.

1.916.675.000

7

Bengkulu

167

145

63

90

298

48,66

21,14

30,20

19,33

3,16

Rp.

376.400.000

8

Lampung

374

389

311

311

1.011

38,48

30,76

30,76

14,38

0,55

Rp.

2.632.000.000

61,04

Rp.

330.550.000

9

Bangka Belitung Islands

172

141

36

54

231

10

Riau Islands

-

-

-

-

-

11

DKI Jakarta

4.065

1.010

2.441

1.827

5.278

19,14

46,25

34,62

60,49

0,22

Rp.

10.613.360.000

12

West Java

1.231

940

680

927

2.547

36,91

26,70

36,40

6,62

0,10

Rp.

3.536.540.000

13

Central Java

846

739

438

926

2.103

35,14

20,83

44,03

6,49

0,11

Rp.

3.552.208.000

14

D.I. Yogyakarta

459

198

144

467

809

24,47

17,80

57,73

25,12

0,76

Rp.

650.980.000

15

East Java

1.688

1.379

859

1.513

3.751

36,76

22,90

40,34

10,31

0,10

Rp.

4.873.394.000

16

Banten

150

152

83

120

355

42,82

23,38

33,80

3,91

0,47

Rp.

475.350.000

17

Bali

492

426

198

299

923

46,15

21,45

32,39

27,20

1,36

Rp.

661.950.000

18

West Nusa Tenggara

434

352

224

267

843

41,76

26,57

31,67

20,68

1,02

Rp.

692.076.000

19

East Nusa Tenggara

446

278

228

436

942

29,51

24,20

46,28

22,76

0,71

Rp.

990.850.000

20

West Kalimantan

234

226

129

225

580

38,97

22,24

38,79

14,46

0,97

Rp.

805.015.000

21

Central Kalimantan

159

142

78

108

328

43,29

23,78

32,93

17,57

2,32

Rp.

370.125.000

22

South Kalimantan

201

230

45

63

338

68,05

13,31

18,64

10,50

2,11

Rp.

782.350.000

23

East Kalimantan

898

397

285

579

1.261

31,48

22,60

45,92

45,66

1,14

Rp.

2.882.135.000

24

North Sulawesi

387

287

135

277

699

41,06

19,31

39,63

32,45

1,91

Rp.

1.008.440.200

25

Central Sulawesi

343

189

132

208

529

35,73

24,95

39,32

23,56

1,59

Rp.

721.725.000

26

South Sulawesi

862

720

334

347

1.401

51,39

23,84

24,77

16,79

0,62

Rp.

2.057.331.500

27

South East Sulawesi

405

165

111

242

518

31,85

21,43

46,72

27,10

1,67

Rp.

649.775.000

28

Gorontalo

48

55

38

25

118

46,61

32,20

21,19

13,17

5,20

Rp.

225.900.000

29

Maluku

59

41

35

36

112

36,61

31,25

32,14

9,04

2,96

Rp.

80.250.000

30

West Irian Jaya

102

24

25

58

107

22,43

23,36

54,21

12,31

2,58

Rp.

163.050.000

807

57,36

56,23

0,67

Rp.

2.196.900.000

993

22,81 -

-

-

Unknown

1.407

16,84

West Sulawesi

-

-

-

-

-

-

-

-

-

-

-

33

Irian Jaya Barat

-

-

-

-

-

-

-

-

-

-

-

11.204

Source: Directorate General of Communicable Disease Control and Environmental Health, MoH RI Special for NAD Local Police up to November 2004

8.983

12.084

32.271

34,72

25,80

6,03 -

32

17.732

363

23,38 -

31

Indonesia

237

15,58 -

27,84

37,45

14,87

0,02

Rp.

53.045.594.700

Annex 3.20 NUMBER AND PERCENTAGE OF DRUG ABUSER BY SEX AND AGE GROUPS IN DRUG ADDICTION CONTROL INSTITUTION - REPORTS IN 2OO4 No (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35

Institution (2)

Drug Dependency Hospital, Jakarta Public Hospital of Sanglah, Denpasar Public Hospital of Hasan Sadikin, Bandung Public Hospital of M. Djamil, Padang Public Hospital of M. Hoesin, Palembang Public Hospital of Dr. Kariadi, Semarang Public Hospital of Fatmawati, Jakarta Public Hospital of Pondok Indah, Jakarta Public Hospital of Husada, Jakarta Public Hospital of Sint Carolus, Jakarta Public Hospital of Persahabatan, Jakarta Special Hospital of Duren Sawit, Jakarta Public Hospital of Charitas, Palembang Public Hospital of Wangaya, Denpasar Public Hospital of Dadi, Makasar Public Hospital of Bhayangkara, Makasar Public Hospital of Labuang, Makasar Klinik Waras, Makasar Psychiatric of Marzuki Mahdi, Bogor Psychiatric of Soeharto Heerdjan, Jakarta Sanatorium Dharmawangsa, Jakarta Psychiatric of Dharmajaya, Jakarta Psychiatric of Bandung Psychiatric of Dr. Amino Gondohutomo, Semarang Psychiatric of Prof. Dr.Soeroyo, Magelang Psychiatric of Menur, Surabaya Psychiatric of Radjiman W., Lawang Psychiatric of Bengkulu Psychiatric of Pontianak Psychiatric of Tamban Psychiatric of, Mataram Psychiatric of Bangli Psychiatric of Bina Atma, Denpasar Health Center Tambora, Jakarta Health Center Pasar Minggu, Jakarta

Age Group

Sex

Age 10 - 14 (3)

Age 15 - 19 (4)

Age 20- 24 (5)

Age 25- 29 (6)

Age 30 - 34 (7)

Age >= 35 (8)

1

160 1 11 3 1 1 3 3 1

796 37 40 5 6 1 16 2 8 1 11 30 44 2 17 4 2

683 57 55 4 2

323 42 10

246 23 11

-

-

1 2 19 -

3 -

1 -

5 5 -

3 4 2 1 -

2 4 1 1 1

1 -

-

1 -

-

-

13 5 8 2 6 21 32 6 6 7

2 1 3 3 5 1 1 13 24 4 2 3

-

-

-

51 30 4 4 3 8 21 11 12 9 19 1 2 9 1 9 1

41 33 6 8 4 5 17 6 10 10 12 3 6 7 1 4 2

12 18 5 1 2 2 3 1

-

2 -

10 1 3 1 3 3 36 2 1 7 -

-

-

1 1 -

-

1 1 -

3 1 1 -

2

1 4 -

-

66 3 9 2 1 3

1

Unclear (9)

-

Total (10)

2.209 160 127 12 13 3 45 14 25 5 22 69 155 14 29 21 3 66 112 95 17 14 15 19 44 20 22 22 37 5 14 22 3 14 5

Male (11)

1.977 151 114 12 11 3 26 12 20 5 22 69 79 13 27 19 3 65 97 89 13 9 13 19 41 15 22 20 37 5 11 17 1 13 5

Female (12)

232 9 13 -

2 -

19 2 5 -

76 1 2 2 -

1 15 6 4 5 2 -

3 5 -

2 -

3 5 2 1 -

Total (13)

2.209 160 127 12 13 3 45 14 25 5 22 69 155 14 29 21 3 66 112 95 17 14 15 19 44 20 22 22 37 5 14 22 3 14 5

No

Institution

(1)

(2)

36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71

Health Center Tebet, Jakarta Health Center Kp. Bali, Jakarta Health Center Pamulang, Jakarta Health Office Lampung Health Office Bandung Health Office Surabaya Galih Pakuan, Bogor Pamardi Putra Insyaf, Medan Pamardi Putra Khusnul Khotimah, Tangerang Rumah Anak Panah, Jakarta Darul Ihsan Institution, Jakarta Pamardi Siwi, Jakarta Terracota Institution, Jakarta Teratai Institution, Jakarta Tulus Hati Institution, Jakarta Wisma Adiksi, Jakarta Asa Bangsa Institution, Jakarta Kasih Mulia Institution, Jakarta Doulos Institution, Jakarta Getsemani Institution, Bekasi Rumah Harapan dan Pemulihan Bethesda, Jakarta Al Jahu Institution, Jakarta Suryalaya Islamic Center Surabaya Correctional Institution of Tangerang Correctional Institution of Lubuk Linggau Correctional Institution of Bandar Lampung Correctional Institution of Banceuy, Bandung Correctional Institution of Cipinang, Jakarta Correctional Institution of Cirebon Correctional Institution of Yogyakarta Correctional Institution of Pamekasan Correctional Institution of Bangli Correctional Institution of Maros Correctional Institution of Martapura Correctional Institution of Abepura Atmajaya Information Center, Jakarta TOTAL

Age Group Age 10 - 14 (3)

Age 20- 24 (5)

Age 25- 29 (6)

Age 30 - 34 (7)

Age >= 35 (8)

11 11 1 2 46 27 60 12 24

20 45 6 3 35 27 77 33 46 6 6 62 10 5 5 36 2 17 4 2

9 28 7 17 47 13 11

5 13 1 9 20 10

1 10

-

1 1 2 -

-

2 13 3 1 3 1 1 1 6 -

1 11

27 33 4 7

-

2 -

20 0,3%

Sex

Age 15 - 19 (4)

-

2 3 -

19 560 8,4%

Source : Center for Data and Information, MoH RI (Result of data collecting from 71 institutions)

-

33 7 2 41 6 2 4 16 11 17 3 7

-

1 2 -

-

9 42 4 -

1 -

6 1 1 7 3 1 3 1 2

-

-

-

5 27 205 12 62 41 6 38 43 1 3 3 12 6 244 2.372 35,4%

6 13 140 13 54 46 13 67 56 2 1 3 15 2 186 1.980 29,5%

2 10 56 4 21 37 9 63 28 1 5 1 11 4 27 854 12,7%

3 -

3 -

1 2 -

1 4 47 15 46 64 8 108 15 -

3 -

13 2 8 786 11,7%

Unclear (9)

Total (10)

Male (11)

46 45 107 97 15 15 40 40 191 176 82 78 150 150 45 45 104 104 16 15 10 10 125 112 20 20 9 19 18 59 47 15 14 39 39 16 13 11 11 61 61 41 14 12 82 78 492 492 48 38 192 185 1 189 170 36 36 2 280 280 145 140 4 4 12 9 7 7 51 44 14 14 484 451 130 6.702 6.105 1,9% 100,0% 91,1% -

Female (12)

1 10 -

15 4 -

1 -

13 -

9 1 12 1 -

3 -

20 2 4 -

10 7 19 -

5 -

3 -

7 -

33 597 8,9%

Total (13)

46 107 15 40 191 82 150 45 104 16 10 125 20 9 19 59 15 39 16 11 61 14 82 492 48 192 189 36 280 145 4 12 7 51 14 484 6.702 100,0%

Annex 3.21 NUMBER AND PERCENTAGE OF DRUG ABUSER BY SUBSTANCES IN DRUG ADDICTION CONTROL INSTITUTION - REPORTS IN 2OO4 Substances No (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35

Institution

Opiate/

(2)

Heroin (3)

Drug Dependency Hospital, Jakarta Public Hospital of Sanglah, Denpasar Public Hospital of Hasan Sadikin, Bandung Public Hospital of M. Djamil, Padang Public Hospital of M. Hoesin, Palembang Public Hospital of Dr. Kariadi, Semarang Public Hospital of Fatmawati, Jakarta Public Hospital of Pondok Indah, Jakarta Public Hospital of Husada, Jakarta Public Hospital of Sint Carolus, Jakarta Public Hospital of Persahabatan, Jakarta Special Hospital of Duren Sawit, Jakarta Public Hospital of Charitas, Palembang Public Hospital of Wangaya, Denpasar Public Hospital of Dadi, Makasar Public Hospital of Bhayangkara, Makasar Public Hospital of Labuang, Makasar Klinik Waras, Makasar Psychiatric of Marzuki Mahdi, Bogor Psychiatric of Soeharto Heerdjan, Jakarta Sanatorium Dharmawangsa, Jakarta Psychiatric of Dharmajaya, Jakarta Psychiatric of Bandung Psychiatric of Dr. Amino Gondohutomo, Semarang Psychiatric of Prof. Dr.Soeroyo, Magelang Psychiatric of Menur, Surabaya Psychiatric of Radjiman W., Lawang Psychiatric of Bengkulu Psychiatric of Pontianak Psychiatric of Tamban Psychiatric of, Mataram Psychiatric of Bangli Psychiatric of Bina Atma, Denpasar Health Center Tambora, Jakarta Health Center Pasar Minggu, Jakarta

1.564 13 12 -

7 8 15 3 18 53 1 14 5 7 -

59 80 73 6 5 1 4 35 8 9

Cannabis

Amphetamin/

(4)

Ecstasy (5)

17 -

8 6 -

1

-

117

-

-

7 -

9 3 4 2

150 -

1 1 -

3 12 -

4 -

1 -

1 -

1 1 1

20 -

4 9 2

224

-

-

-

Hipnotic (6)

1 -

6 4 9 5 7 1 5 5 12 2 -

15 -

2 2 -

Sedative/ Inhalation

8 6 1 -

1 -

1 2 2 -

2 4

-

(9)

-

-

10 -

5 -

1 -

1 -

6 -

1 -

-

1 5 5 2 -

4 1

1

-

Cocaine

(8)

1

-

(7)

Alcohol

-

1 -

4 -

Multiple

Others/

(10)

Unclear (11)

207 -

26 -

2 1 -

3 16 3 -

80 147 64 6 13 3 23 -

4 -

7

7 1 1

-

2 1 27 5 4 -

5 1 -

6 20 -

-

1 -

1 -

3 -

14 5

2 -

Total (12)

2.209 160 127 12 13 3 45 14 25 5 22 69 155 14 29 21 3 66 112 95 17 14 15 19 44 20 22 22 37 5 14 22 3 14 5

Substances No (1)

36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71

Institution

Opiate/

(2)

Heroin (3)

Health Center Tebet, Jakarta Health Center Kp. Bali, Jakarta Health Center Pamulang, Jakarta Health Office Lampung Health Office Bandung Health Office Surabaya Galih Pakuan, Bogor Pamardi Putra Insyaf, Medan Pamardi Putra Khusnul Khotimah, Tangerang Rumah Anak Panah, Jakarta Darul Ihsan Institution, Jakarta Pamardi Siwi, Jakarta Terracota Institution, Jakarta Teratai Institution, Jakarta Tulus Hati Institution, Jakarta Wisma Adiksi, Jakarta Asa Bangsa Institution, Jakarta Kasih Mulia Institution, Jakarta Doulos Institution, Jakarta Getsemani Institution, Bekasi Rumah Harapan dan Pemulihan Bethesda, Jakarta Al Jahu Institution, Jakarta Suryalaya Islamic Center Surabaya Correctional Institution of Tangerang Correctional Institution of Lubuk Linggau Correctional Institution of Bandar Lampung Correctional Institution of Banceuy, Bandung Correctional Institution of Cipinang, Jakarta Correctional Institution of Cirebon Correctional Institution of Yogyakarta Correctional Institution of Pamekasan Correctional Institution of Bangli Correctional Institution of Maros Correctional Institution of Martapura Correctional Institution of Abepura Atmajaya Information Center, Jakarta TOTAL

Cannabis

Amphetamin/

(4)

Ecstasy (5)

24 -

2 15 83 18

8 6 68 2 9 4 1 1

-

1 10 8 10 110 19 7 15 57 13 26 4 9

-

-

-

1 1 2 1 2

-

2 263 111 97 -

135

-

-

1 1

5 1

-

1 -

1 2

-

-

18 49

29 49

-

-

50 24

16 7

-

-

43

22

-

-

4 6 4 51

-

-

-

2.691 40,2%

775 11,6%

821 12,3%

Source : Center for Data and Information, MoH RI (Result of data collecting from 71 institutions)

1 2

10 3

(7)

288 4,3%

Alcohol (8)

-

-

3 12 88 5 12 -

1 2

-

-

1 12

1 -

4 0,1%

Cocaine (9)

3

-

1

26

2 3

-

1 1

-

2 -

2 -

-

19 6 21

-

-

72

-

-

-

6 37

1

2

-

13 18 77

Hipnotic (6)

8

-

Sedative/ Inhalation

-

185 2,8%

Multiple

Others/

Total

(10)

Unclear (11)

(12)

4

-

-

3 -

30 -

51 35 78 2 -

12 -

2 -

3 2

-

1 -

1 -

2 0,0%

-

17 -

6 -

1 -

604 9,0%

6 107

46 107 15 40 191 3 82 2 150 45 104 16 10 125 20 9 19 59 15 39 1 16 11 61 61 14 3 82 53 492 48 48 8 192 6 189 36 36 2 280 145 145 4 12 7 51 14 14 484 484 1.332 6.702 19,9% 100,0%

Annex 3.22 NUMBER AND PERCENTAGE OF DRUG ABUSER BY METHOD OF USE IN DRUG ADDICTION CONTROL INSTITUTION - REPORTS IN 2004 No (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

Method of Use

Institution (2)

Drug Dependency Hospital, Jakarta Public Hospital of Sanglah, Denpasar Public Hospital of Hasan Sadikin, Bandung Public Hospital of M. Djamil, Padang Public Hospital of M. Hoesin, Palembang Public Hospital of Dr. Kariadi, Semarang Public Hospital of Fatmawati, Jakarta Public Hospital of Pondok Indah, Jakarta Public Hospital of Husada, Jakarta Public Hospital of Sint Carolus, Jakarta Public Hospital of Persahabatan, Jakarta Special Hospital of Duren Sawit, Jakarta Public Hospital of Charitas, Palembang Public Hospital of Wangaya, Denpasar Public Hospital of Dadi, Makasar Public Hospital of Bhayangkara, Makasar Public Hospital of Labuang, Makasar Klinik Waras, Makasar Psychiatric of Marzuki Mahdi, Bogor Psychiatric of Soeharto Heerdjan, Jakarta Sanatorium Dharmawangsa, Jakarta Psychiatric of Dharmajaya, Jakarta Psychiatric of Bandung Psychiatric of Dr. Amino Gondohutomo, Semarang Psychiatric of Prof. Dr.Soeroyo, Magelang Psychiatric of Menur, Surabaya Psychiatric of Radjiman W., Lawang Psychiatric of Bengkulu Psychiatric of Pontianak Psychiatric of Tamban Psychiatric of Mataram Psychiatric of Bangli Psychiatric of Bina Atma, Denpasar Health Center Tambora, Jakarta Health Center Pasar Minggu, Jakarta Health Center Tebet, Jakarta

Injection (3)

13 14 -

Suck/Smoke (4)

18 6

4 1

10

-

22 1 -

23 -

5 10 1 6 22 23 6 4

59 62 65 6 2

6 2 1 5 11 2

8 9 6 3 10 15

33 8 9 20 -

4 8 3

23

10 6 -

4 1 4 -

10

1

-

2 1

Mix (7)

-

-

-

-

-

Swallow (6)

-

7 8 15 3 19 53 1 14 6 7

Drink (5)

3

3 12 2 4 1 122 3 3 2 2 7 2 6 5 1 2 4 1

21 2 2 16 9 5 1 1 25 3 3 7 6 6 3 14 5 4

Inhale (8)

Others (9)

-

-

Unclear (10)

4 1 -

2.209 147 63 6 13 1 7 1 1 1 5

Total (11)

2.209 160 127 12 13 3 45 14 25 5 22 69 155 14 29 21 3 66 112 95 17 14 15 19 44 20 22 22 37 5 14 22 3 14 5 46

No (1)

37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71

Institution (2)

Health Center Kp. Bali, Jakarta Health Center Pamulang, Jakarta Health Office Lampung Health Office Bandung Health Office Surabaya Galih Pakuan, Bogor Pamardi Putra Insyaf, Medan Pamardi Putra Khusnul Khotimah, Tangerang Rumah Anak Panah, Jakarta Darul Ihsan Institution, Jakarta Pamardi Siwi, Jakarta Terracota Institution, Jakarta Teratai Institution, Jakarta Tulus Hati Institution, Jakarta Wisma Adiksi, Jakarta Asa Bangsa Institution, Jakarta Kasih Mulia Institution, Jakarta Doulos Institution, Jakarta Getsemani Institution, Bekasi Rumah Harapan dan Pemulihan Bethesda, Jakarta Al Jahu Institution, Jakarta Suryalaya Islamic Center Surabaya Correctional Institution of Tangerang Correctional Institution of Lubuk Linggau Correctional Institution of Bandar Lampung Correctional Institution of Banceuy, Bandung Correctional Institution of Cipinang, Jakarta Correctional Institution of Cirebon Correctional Institution of Yogyakarta Correctional Institution of Pamekasan Correctional Institution of Bangli Correctional Institution of Maros Correctional Institution of Martapura Correctional Institution of Abepura Atmajaya Information Center, Jakarta TOTAL PERCENTAGE

Method of Use Injection (3)

Suck/Smoke (4)

-

2

20 18 10 6 10 120 11 5 12 49 12 23 3 8 12 18 77 5 35 42 1 484 1.445 21,6%

Source : Center for Data and Information, MoH RI (Result of data collecting from 71 institutions)

Drink (5)

Swallow (6)

-

-

8 106 16 9 7 3 3 5 8 4 6 10 1 13 4 1 1 17 302 4 120 116 182 4 7 5 51 12 1.232 18,4%

Mix (7)

Inhale (8)

2

-

5 12 88 5 12

-

4 34 2

1 1 1 2 33 60 4 55 30

4

2 218 3,3%

2

2 3

-

51 33 78 3

1 4

-

1 12

56 -

-

-

-

3

-

4 2 8 -

46 5 2 472 7,0%

6 1 380 5,7%

0,0%

Others (9)

53 58 0,9%

Unclear (10)

107 40 2 61 2 40 8 36 2 145 2.897 43,2%

Total (11)

107 15 40 191 82 150 45 104 16 10 125 20 9 19 59 15 39 16 11 61 14 82 492 48 192 189 36 280 145 4 12 7 51 14 484 6.702 100,0%

Annex 3.23 PERCENTAGE OF DRUG ABUSER BY AGE GROUP, SEX, EDUCATION LEVEL, JOB, MARITAL STATUS, PARENTS' JOB AND USER STATUS IN DRUG ADDICTION CONTROL INSTITUTION - REPORTS IN 2004

Category (1)

(2)

1

Age

2

Sex

3

Education Level

4

Job

5

Marital Status

6

Parent's Job

7

User Status

(3)

Age 5 – 9 Age 10 – 14 Age 15 – 19 Age 20- 24 Age 25- 29 Age 30 – 34 Age >= 35 Unclear Male Female Not attending/never been to school Primary Junior High School Senior High School Academy/University Post Graduate Unclear Student Unemployee Driver Seller Labour Civil Servant/Army/Police Private Housewife Farmer Others Unclear Married Single Divorce Unclear Unemployee Labour Driver Seller Civil Servant/Army/Police Private Farmer Others Unclear New User Old User Unclear

Special Hospital (%)

General Hospital (%)

Psyciatric Hospital (%)

Center (%)

(4)

(5)

(6)

(7)

0,0 0,0 6,5 44,2 32,1 16,8 0,3 0,0 97,1 2,9 0,0 0,0 10,9 68,4 20,7 0,0 0,0 25,9 52,6 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 21,6 13 83,5 3,5 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 100,0 44,2 55,8 0,0

Source : Center for Data and Information, MoH RI (Result of data collecting from 71 institutions)

0,0 0,0 6,4 28,8 28,6 14,6 13,1 8,4 83,1 16,9 0,0 3,2 5,2 39,2 15,3 0,0 37,0 12,8 14,6 0,1 0,8 0,5 0,3 12,5 0,6 0,0 11,6 46,2 21,0 43,0 2,0 34,0 0,0 1,0 1,0 2,0 11,0 13,0 2,0 8,0 63,0 47,3 36,8 16,0

0,0 0,2 6,3 40,1 36,7 10,9 5,9 0,0 88,7 11,3 0,2 4,8 12,2 60,5 20,8 0,0 1,5 4,3 55,3 0,7 0,4 0,4 0,7 12,1 0,7 0,0 14,1 11,3 23,0 76,0 1,0 0,0 7,0 1,0 1,0 4,0 19,0 44,0 1,0 10,0 13,0 65,3 30,6 4,1

Health

Rehabilitation Correctional Municipality Center Institution Health Office (%) (%) (%) (8)

0,0 0,0 12,8 43,3 26,7 11,2 5,9 0,0 93,6 6,4 0,0 1,6 11,2 10,2 4,3 0,0 72,7 0,5 19,8 1,1 0,5 0,5 0,0 0,0 0,0 0,0 18,7 58,8 4,0 39,0 0,0 58,0 0,0 0,0 1,0 1,0 2,0 2,0 0,0 5,0 89,0 21,9 12,8 65,2

(9)

0,0 0,4 19,4 43,1 22,5 5,0 1,9 7,7 91,7 8,3 0,0 8,1 22,4 48,8 12,0 0,0 8,8 23,4 36,0 0,1 0,3 0,0 0,8 5,0 0,5 0,0 1,3 32,7 9,0 83,0 0,0 8,0 1,0 8,0 1,0 5,0 11,0 37,0 7,0 18,0 12,0 66,8 25,4 7,8

(10)

0,0 0,9 3,3 29,4 28,0 16,3 21,8 0,2 96,5 3,5 0,1 19,8 24,0 37,3 2,5 0,2 16,3 4,2 5,8 6,5 4,7 9,9 1,4 24,5 1,0 0,0 4,2 37,8 31,0 32,0 3,0 34,0 0,0 4,0 1,0 2,0 4,0 16,0 5,0 7,0 61,0 36,2 30,2 33,6

NGO (%) (11)

0,0 0,6 24,0 20,8 24,6 12,5 17,6 0,0 93,9 6,1 0,0 3,2 28,4 54,3 11,2 2,9 0,0 20,8 46,7 0,0 0,0 1,0 5,8 7,7 0,0 0,0 18,2 0,0 13,0 56,0 7,0 24,0 3,0 20,0 0,0 0,0 7,0 41,0 0,0 3,0 26,0 58,5 16,6 24,9

0,0 0,0 4,0 50,4 38,4 5,6 1,7 0,0 93,2 6,8 4,7 2,5 24,8 63,2 1,0 0,0 3,7 1,5 56,2 0,0 1,9 7,2 0,0 9,1 0,2 0,0 24,0 0,0 13,0 85,0 2,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 100,0 0,0 0,0 100,0

Annex 3.24 PERCENTAGE OF UNDER THREE YEARS (0 - 35 MONTHS) BY NUTRITIONAL STATUS AND PROVINCE IN 2003

No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Province (2)

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

Severe Nutrition

Mal Nutrition

Severe + Mal Nutrition (3+4)

Normal Nutrition

Over Nutrition (7)

(3)

(4)

(5)

(6)

15,62 6,98 11,40 3,93 10,92 10,22 9,79 8,07 6,30 6,47 6,07 3,96 6,16 10,46 2,97 10,69 13,64 14,77 11,59 9,94 10,88 11,26 10,17 10,63 5,99 19,91 7,36 11,96 15,35 9,30

19,19 16,90 18,38 17,45 21,30 14,83 19,67 20,05 16,22 16,62 17,49 12,92 15,67 18,24 13,27 21,19 22,97 23,83 18,63 20,05 15,98 16,21 19,13 20,14 16,27 21,48 17,73 20,11 15,78 18,26

34,81 23,88 29,78 21,38 32,22 25,05 29,46 28,12 22,52 23,09 23,56 16,88 21,83 28,70 16,24 31,88 36,61 38,60 30,22 29,99 26,86 27,47 29,30 30,77 22,26 41,39 25,09 32,07 31,13 27,56

61,96 74,08 67,47 75,57 64,43 71,94 67,61 67,24 72,79 73,58 74,36 81,25 75,38 67,74 79,50 65,37 61,71 59,73 65,63 66,67 71,97 67,79 66,12 67,66 73,78 56,82 73,24 58,70 62,90 69,61

Source: BPS-Statistic Indonesia, Statistics Indonesia, Result of Survey on Consumption of Household Iodined Salt, 2003

3,24 2,04 2,75 3,05 3,35 3,01 2,93 4,65 4,70 3,32 2,09 1,88 2,80 3,56 4,27 2,74 1,69 1,67 4,14 3,34 1,17 4,74 4,58 1,58 3,96 1,79 1,67 9,24 5,97 2,84

Total (8)

100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00

Annex 3.25 PERCENTAGE OF UNDER FIVES (0 - 59 MONTHS) BY NUTRITIONAL STATUS AND PROVINCE IN 2003

No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Province (2)

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

Severe Nutrition

Mal Nutrition

Severe + Mal Nutrition (3+4)

Normal Nutrition

Over Nutrition (7)

(3)

(4)

(5)

(6)

12,76 7,29 10,76 3,07 10,28 7,77 8,19 9,32 6,36 5,56 6,03 4,07 5,95 8,25 3,59 10,45 12,65 13,81 9,49 9,62 9,16 9,90 9,55 9,96 5,74 21,66 8,55 9,23 15,24 8,55

18,67 18,44 17,95 18,54 20,51 18,86 21,40 20,90 16,71 18,46 19,56 13,36 17,41 18,84 12,80 23,68 26,15 25,33 19,51 23,16 17,81 15,72 22,02 20,99 16,80 24,56 21,37 17,30 16,85 19,62

31,43 25,73 28,71 21,61 30,79 26,63 29,59 30,22 23,07 24,02 25,59 17,43 23,36 27,09 16,39 34,13 38,80 39,14 29,00 32,78 26,97 25,62 31,57 30,95 22,54 46,22 29,92 26,53 32,09 28,17

66,14 72,94 69,43 76,61 65,93 70,86 68,31 66,24 71,78 72,99 72,69 80,26 74,46 70,68 80,45 63,73 59,91 59,40 67,62 64,61 72,22 70,20 64,92 67,84 74,42 52,27 69,23 66,56 62,70 69,59

Source: BPS-Statistic Indonesia, Statistics Indonesia, Result of Survey on Consumption of Household Iodined Salt, 2003

2,44 1,32 1,86 1,78 3,28 2,51 2,11 3,53 5,15 3,00 1,72 2,32 2,18 2,22 3,16 2,13 1,29 1,46 3,38 2,60 0,81 4,19 3,51 1,22 3,04 1,51 0,85 6,92 5,20 2,24

Total (8)

100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00

Annex 3.26 PERCENTAGE OF VILLAGE WITH SUFFICIENT IODIZED SALT (>30 PPM KIO3) BY PROVINCE 2004

No

(1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Province

Number of Village

Number of Village with Sufficient Iodized Salt (>30 ppm KIO3)

% Village with Sufficient Iodized Salt (>30 ppm KIO3)

(2)

(3)

(4)

(5)

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

263 9.116 238 16.696 3.580 544 12.073 985 201 117 3.496 3.647 1.693 27.017 11.466 5.531 1.639 857 172 540 409 853 169 898 718 1.241 237 41 31 100 104.568

78 2.761 228 11.272 1.620 382 4.444 476 74 80 1.754 1.870 804 2.532 6.553 3.503 195 213 52 44 298 797 168 600 478 709 75 13 22 100 42.195

29,66 30,29 95,80 67,51 45,25 70,22 36,81 48,32 36,82 68,38 50,17 51,28 47,49 9,37 57,15 63,33 11,90 24,85 30,23 8,15 72,86 93,43 99,41 66,82 66,57 57,13 31,65 31,71 70,97 100,00 40,35

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator in the Health Sector from District/Municipality, per Nopember 18, 2005 Remarks : (-) not available

Annex 4.1 COVERAGE OF THE FIRST AND FOURTH VISIT (K1 & K4) OF PREGNANT WOMAN, DELIVERY ASSISTED BY HEALTH PROVIDERS, AND NEONATUS VISIT BY PROVINCE 2004 Pregnant Woman

Delivering Mothers

Total

K1

% K1

K4

% K4

Total

Assisted by Health Personnel

%Assisted by Health Personnel

Total

Visit

%KN (KN2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

117.177 323.753 103.989 124.875 70.474 44.753 177.983 177.672 26.131 35.579 207.265 937.703 671.443 57.212 692.930 251.813 67.445 114.177 123.230 103.992 54.469 71.253 81.553 47.425 56.728 53.289 183.219 23.992 22.611 34.330 22.019 55.841

90.488 231.568 99.170 114.622 56.908 36.640 162.930 166.722 25.375 37.342 196.667 840.564 622.259 51.967 640.047 217.401 64.471 102.227 92.218 92.715 47.728 58.071 73.047 46.019 51.734 40.185 159.664 22.057 15.014 17.465 19.110 32.011

77,22 71,53 95,37 91,79 80,75 81,87 91,54 93,84 97,11 104,96 94,89 89,64 92,67 90,83 92,37 86,33 95,59 89,53 74,83 89,16 87,62 81,50 89,57 97,04 91,20 75,41 87,14 91,93 66,40 50,87 86,79 57,33

81.143 206.037 85.641 104.052 49.053 33.008 151.574 151.856 22.673 34.685 163.567 780.348 554.633 41.275 529.192 180.920 60.208 91.209 65.670 83.052 40.699 50.294 59.116 42.759 46.377 37.995 125.518 18.364 10.468 17.025 15.717 20.728

69,25 63,64 82,36 83,32 69,60 73,76 85,16 85,47 86,77 97,49 78,92 83,22 82,60 72,14 76,37 71,85 89,27 79,88 53,29 79,86 74,72 70,59 72,49 90,16 81,75 71,30 68,51 76,54 46,30 49,59 71,38 37,12

112.212 297.447 98.809 117.937 65.839 42.067 171.140 170.145 24.508 33.724 197.844 894.125 482.855 55.536 607.319 242.468 64.426 108.595 108.829 98.475 51.099 67.792 76.329 45.611 54.849 50.867 174.891 21.913 21.583 31.058 20.172 53.301

65.428 194.980 80.837 84.197 43.870 30.198 147.138 125.268 21.239 28.377 140.015 635.354 405.360 41.333 534.829 171.624 59.792 78.397 58.350 67.889 36.858 44.275 61.748 39.432 44.962 32.078 119.482 15.634 9.087 13.270 11.390 21.159

-

-

-

-

-

-

-

88,09

3.954.856

77,00

4.663.765

3.463.850

Province

(1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

(2)

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-East Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Neonatus Visit

5.136.325

Source : Dit. Family Healthy Ditgen Community Health, MoH RI

4.524.406

58,31 65,55 81,81 71,39 66,63 71,79 85,98 73,62 86,66 84,14 70,77 71,06 83,95 74,43 88,06 70,78 92,81 72,19 53,62 68,94 72,13 65,31 80,90 86,45 81,97 63,06 68,32 71,35 42,10 42,73 56,46 39,70 74,27

107.473 295.518 94.811 112.419 65.839 41.185 164.294 161.520 20.956 32.364 188.422 855.121 463.376 51.952 629.935 233.820 61.359 102.692 108.958 94.471 47.874 64.848 74.107 45.611 54.322 47.170 166.327 21.893 19.794 30.159 20.244 50.765 4.529.600

58.190 171.843 84.061 88.747 41.562 29.282 115.007 30.453 155.790 734.723 353.254 38.557 538.554 186.005 59.153 87.114 54.901 57.423 38.667 46.008 23.927 42.745 36.543 2.497 14.911 15.945 14.367 -

54,14 58,15 88,66 78,94 63,13 71,10

3.120.229

68,89

71,20

94,10 82,68 85,92 76,23 74,22 85,49 79,55 96,40 84,83 50,39 60,78 80,77 70,95

52,46 78,69 77,47 1,50 68,11

52,87 70,97

-

Annex 4.2 COVERAGE OF THE FOURTH VISIT (K4) OF PREGNANT WOMAN, HIGH-RISK PREGNANT WOMAN AND DELIVERY ASSISTED BY HEALTH PROVIDERS BY PROVINCE 2004 Pregnant Woman No

(1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Total

K4

%

Total High-Risk

Referred High Risks

%

Total

Asissted By Health Personnel

%

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Province

(2)

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-East Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Delivery Mother

114.273 295.370 103.989 124.241 64.084 32.585 117.699 179.467 16.628 33.347 202.824 1.004.247 743.572 55.848 696.937 271.474 129.917 108.425 78.456 91.627 54.455 73.138 71.769 46.598 56.047 112.221 38.089 6.004 11.254 6.707 17.042 10.877

78.749 231.722 85.641 103.814 50.270 26.283 101.648 149.498 14.433 28.091 145.075 778.271 428.237 40.882 541.423 197.631 118.278 86.655 46.523 74.759 40.699 54.368 57.082 32.055 47.682 83.320 27.973 3.173 8.773 5.700 7.965 6.187

68,91 78,45 82,36 83,56 78,44 80,66 86,36 83,30 86,80 84,24 71,53 77,50 57,59 73,20 77,69 72,80 91,04 79,92 59,30 81,59 74,74 74,34 79,54 68,79 85,08 74,25 73,44 52,85 77,95 84,99 46,74 56,88

30.582 33.452 20.882 49.866 25.941 2.685 10.559 25.555 6.876 15.654 37.463 390.292 224.845 13.417 184.461 119.806 18.723 45.534 12.693 50.720 9.454 26.719 26.001 8.214 28.302 11.522 5.243 1.338 0 1.295 733 2.892

2.230 8.494 6.515 18.717 2.376 142 4.826 2.499 243 3.571 35.721 52.923 51.030 3.535 75.946 15.776 3.017 14.826 2.981 5.756 2.563 7.054 6.767 2.906 5.134 5.752 1.472 99 0 350 127 158

7,29 25,39 31,20 37,53 9,16 5,29 45,71 9,78 3,53 22,81 95,35 13,56 22,70 26,35 41,17 13,17 16,11 32,56 23,49 11,35 27,11 26,40 26,03 35,38 18,14 49,92 28,08 7,40 0,00 27,03 17,33 5,46

79.106 275.597 98.809 103.864 50.230 20.412 112.461 168.188 15.706 33.419 489.390 939.726 485.577 53.240 552.167 258.148 124.015 99.029 65.605 88.072 48.359 70.423 68.058 42.647 53.004 102.908 35.337 5.507 11.174 6.441 20.872 10.434

62.529 212.030 8.037 73.488 39.429 15.104 90.742 125.732 13.460 27.456 153.732 632.448 389.159 38.886 470.472 165.869 113.605 55.972 46.193 61.523 36.858 55.325 47.117 31.367 42.621 77.026 24.678 2.738 7.239 4.782 8.735 6.515

79,04 76,93 8,13 70,75 78,50 74,00 80,69 74,76 85,70 82,16 31,41 67,30 80,14 73,04 85,20 64,25 91,61 56,52 70,41 69,86 76,22 78,56 69,23 73,55 80,41 74,85 69,84 49,72 64,78 74,24 41,85 62,44

3.887.528

2.832.711

72,87

1.219.667

293.893

24,10

3.630.133

2.472.860

68,12

Source: Dit. Family Health, MoH RI Remarks: (-) not available

Target 2005 = 78% Target 2010 = 95%

Target 2005 = 25% Target 2010 = 100%

Target 2005 = 77% Target 2010 = 90%

Annex 4.3 COVERAGE OF NEONATUS AND INFANT VISITS BY PROVINCE 2004

No (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Neonatus

Province (2)

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-East Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Infant

Total

NV

%

Number of Infants

Visit

%

(3)

(4)

(5)

(6)

(7)

(8)

34.648 242.250 94.815 89.235 66.984 25.196 108.160 132.881 15.360 30.221 13.728 889.531 484.981 49.076 621.440 257.173 118.622 93.843 69.053 80.774 46.916 64.935 47.288 37.525 51.873 100.809 34.222 3.014 10.231 6.174 20.085 10.369 3.951.412

25.559 196.124 84.061 73.931 42.296 18.772 93.741 112.947 13.048 27.146 13.728 726.552 409.132 38.842 503.813 196.751 114.275 74.391 60.921 55.392 39.172 58.764 37.117 27.953 42.857 85.259 27.412 2.497 8.093 5.251 7.727 4.898 3.228.422

73,77 80,96 88,66 82,85 63,14 74,50 86,67 85,00 84,95 89,82 100,00 81,68 84,36 79,15 81,07 76,51 96,34 79,27 88,22 68,58 83,49 90,50 78,49 74,49 82,62 84,57 80,10 82,85 79,10 85,05 38,47 47,24 81,70

44.445 263.661 94.815 66.248 49.379 24.694 108.043 116.559 15.376 6.146 12.914 876.793 525.100 32.071 608.910 250.148 114.561 59.408 63.610 71.941 45.129 56.017 36.510 35.314 42.429 101.874 24.965 8.478 10.231 6.174 12.446 10.094 3.794.483

31.248 200.757 80.119 54.598 37.652 18.896 88.204 95.710 10.035 4.702 12.611 569.845 443.523 21.685 562.495 173.785 109.583 54.265 46.743 49.789 41.200 41.531 23.358 28.040 33.687 71.562 19.118 4.953 7.393 4.507 12.433 5.572 2.959.599

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator from DistrMunic and Province Health Office per November 18, 2005 Remarks: (-) not available

70,31 76,14 84,50 82,41 76,25 76,52 81,64 82,11 65,26 76,51 97,65 64,99 84,46 67,62 92,38 69,47 95,65 91,34 73,48 69,21 91,29 74,14 63,98 79,40 79,40 70,25 76,58 58,42 72,26 73,00 99,90 55,20 78,00

Annex 4.4 COVERAGE OF INFANTS, UNDERFIVE AND PREGNANT WOMAN WHO GET HEALTH SERVICE BY PROVINCE 2004 Underfive No

(1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-East Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Mal Nutrition Underfive

Total

Get Vit A 2 x

%

Total

Get 90 Fe Tablet

%

Total

Addition Food of Milk BreastFeeding

%

Total

Get Treatment

%

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

12.907 22.639 1.242 14.809 2.969 10.173 16.553 26.613 750 5.668 964 30.926 68.128 2.181 102.642 7.169 3.814 21.565 9.052 33.840 3.408 4.966 7.372 2.285 4.462 6.723 7.790 489 948 1.107 18.250 4.394 456.798

24,67 75,25 100,00 76,16 99,70 90,44 45,98 74,33 100,00 81,19 17,85 32,98 62,52 100,00 98,54 74,77 38,58 71,07 41,31 96,79 54,53 88,24 81,61 81,32 79,51 96,61 61,10 53,50 56,56 95,18 99,95 56,89 65,56

2.356 9.142 1.635 848 641 109 810 850 874 13.346 45.871 14.752 4.986 33.146 17.125 7.059 378 10.340 8.488 94.401 21 880 3.528 81 713 1.444 5.105 166 249 46 53 766 280.209

Province

(2)

Under red-lines infant of Poor Household

Pregnant Woman

173.042 149.873 926.870 822.798 433.202 373.964 538.074 448.143 254.651 203.134 113.613 80.606 391.099 278.465 773.477 433.387 60.679 48.201 144.801 102.464 124.284 123.718 3.421.327 2.897.951 1.830.591 1.680.600 183.709 175.299 2.496.294 2.020.171 887.913 740.797 816.915 455.236 409.362 396.183 243.437 168.884 437.527 297.947 205.226 168.921 306.790 267.892 319.891 222.034 179.228 143.408 244.674 200.016 415.782 341.509 139.163 99.733 19.587 13.455 69.099 52.900 26.005 21.434 80.029 50.993 42.162 28.652 16.708.503 13.508.768

86,61 88,77 86,33 83,29 79,77 70,95 71,20 56,03 79,44 70,76 99,54 84,70 91,81 95,42 80,93 83,43 55,73 96,78 69,37 68,10 82,31 87,32 69,41 80,01 81,75 82,14 71,67 68,69 76,56 82,42 63,72 67,96 80,85

39.019 266.152 103.435 127.929 45.199 29.962 117.720 163.836 16.628 33.603 5.401 953.605 607.690 56.340 677.554 310.186 199.471 107.385 73.457 77.977 54.965 73.615 85.148 51.418 55.722 111.757 36.232 5.395 16.994 6.707 22.179 11.161 4.543.842

14.630 201.382 78.308 97.649 30.105 18.679 83.474 117.276 13.832 29.803 142 703.946 408.740 32.822 503.342 203.660 172.240 86.776 43.515 53.031 40.627 57.092 53.637 37.646 43.781 82.663 25.529 2.744 12.393 2.415 14.373 5.595 3.271.847

37,49 75,66 75,71 76,33 66,61 62,34 70,91 71,58 83,18 88,69 2,63 73,82 67,26 58,26 74,29 65,66 86,35 80,81 59,24 68,01 73,91 77,55 62,99 73,22 78,57 73,97 70,46 50,86 72,93 36,01 64,80 50,13 72,01

52.321 30.086 1.242 19.444 2.978 11.248 36.000 35.803 750 6.981 5.401 93.769 108.970 2.181 104.167 9.588 9.887 30.342 21.912 34.962 6.250 5.628 9.033 2.810 5.612 6.959 12.749 914 1.676 1.163 18.260 7.724 696.810

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator from DistrMunic and Province Health Office per November 18, 2005 Remarks: (-) not available

288 7.845 1.635 715 591 85 793 222 97 46 27.614 10.227 2.097 1.300 12.125 6.365 230 1.821 2.739 446 21 880 345 75 427 539 4.801 24 249 44 53 332 85.071

12,22 85,81 100,00 84,32 92,20 77,98 97,90 26,12 11,10 0,34 60,20 69,33 42,06 3,92 70,80 90,17 60,85 17,61 32,27 0,47 100,00 100,00 9,78 92,59 59,89 37,33 94,05 14,46 100,00 95,65 100,00 43,34 30,36

Annex 4.5 COVERAGE OF EARLY DETECTION OF THE GROWTH AND DEVELOPMENT OF UNDER-FIVES, EXAMINATION OF PRIMARY SCHOOL CHILD AND ADOLESCENT HEALTH SERVICES BY PROVINCE IN 2003 Under Five Years and Preschool No (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Primary School Students

Province (2)

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-East Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Total

Detected

%

Total

Health Examined

(3)

(4)

(5)

(6)

(7)

Youth %

Total

Health Services

%

(8)

(9)

(10)

(11)

26.157 930.415 439.815 356.888 235.445 42.812 317.510 830.091 31.487 30.957 0 901.146 1.680.427 189.798 3.793.403 207.543 320.685 250.237 217.527 314.661 113.646 234.998 321.063 150.226 111.853 459.036 124.593 10.490 39.058 26.635 29.761 0

15.053 562.059 178.125 202.999 112.397 7.541 241.573 277.691 21.081 11.465 0 353.156 1.030.731 72.925 1.918.758 18.963 196.118 54.623 53.862 60.106 37.116 81.295 102.799 78.904 18.485 115.395 59.906 2.427 15.496 17.369 2.898 0

57,55 60,41 40,50 56,88 47,74 17,61 76,08 33,45 66,95 37,04 0,00 39,19 61,34 38,42 50,58 9,14 61,16 21,83 24,76 19,10 32,66 34,59 32,02 52,52 16,53 25,14 48,08 23,14 39,67 65,21 9,74 0,00

87.787 986.467 579.477 109.655 102.831 83.608 241.674 1.173.395 31.686 62.282 222.475 1.984.247 1.393.685 27.366 1.724.596 244.863 161.733 328.989 269.033 54.477 44.438 144.730 109.810 120.445 227.767 366.465 46.889 5.031 34.171 20.957 0 1.254

22.737 465.248 322.768 76.132 30.148 20.043 107.567 90.252 27.077 27.570 46.594 507.402 760.996 19.979 831.745 132.742 124.100 63.205 163.979 34.728 35.691 31.140 9.413 65.902 44.560 226.191 38.087 432 23.410 1.343 0 864

25,90 47,16 55,70 69,43 29,32 23,97 44,51 7,69 85,45 44,27 20,94 25,57 54,60 73,01 48,23 54,21 76,73 19,21 60,95 63,75 80,32 21,52 8,57 54,72 19,56 61,72 81,23 8,59 68,51 6,41 0,00 68,90

17.112 833.999 918.532 393.851 6.804 45.641 260.944 314.444 12.346 38.627 0 693.608 1.673.420 0 3.873.069 246.415 26.775 141.916 101.356 150.053 31.356 57.341 400.531 63.811 47.509 227.200 56.991 0 30.117 40.785 0 14.907

482 164.017 304.953 53.946 3.666 9.348 99.082 48.038 9.876 13.867 0 150.772 486.825 0 1.649.855 26.963 10.546 32.894 70.747 12.827 11.624 28.862 227.149 39.844 5.552 74.120 37.333 0 13.740 1.335 0 14.413

2,82 19,67 33,20 13,70 53,88 20,48 37,97 15,28 79,99 35,90 0,00 21,74 29,09 0,00 42,60 10,94 39,39 23,18 69,80 8,55 37,07 50,33 56,71 62,44 11,69 32,62 65,51 0,00 45,62 3,27 0,00 96,69

12.738.363

5.921.316

46,48

10.992.283

4.352.045

39,59

10.719.460

3.602.676

33,61

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator from DistrMunic and Province Health Office per November 18, 2005 Remarks: (-) not available

Annex 4.6 COVERAGE OF ACTIVE FAMILY PLANNING ACCEPTORS BY PROVINCE 2004

No

Province

Number of Eligible Couple

(1)

(2)

(3)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-East Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

Indonesia

Active PA Acceptor

Active Family Planning Acceptors

Total

%

(4)

(5)

426.265 1.607.393 695.854 867.944 300.097 195.187 764.456 1.082.447 91.576 250.523 906.735 6.463.242 4.518.002 509.481 8.983.730 1.786.707 490.988 789.861 346.196 545.887 244.230 430.765 449.045 328.713 0 1.351.404 170.913 43.817 0 146.616 48.725 15.037 60.838

222.376 992.645 446.500 393.981 212.653 155.697 578.082 719.624 70.099 91.582 417.184 4.670.486 3.281.042 454.997 4.881.123 1.288.707 398.471 555.376 181.413 492.169 178.031 330.677 322.122 232.286 0 549.624 110.674 34.237 0 98.638 16.133 13.620 38.233

52,17 61,75 64,17 45,39 70,86 79,77 75,62 66,48 76,55 36,56 46,01 72,26 72,62 89,31 54,33 72,13 81,16 70,31 52,40 90,16 72,89 76,77 71,73 70,67 0,00 40,67 64,75 78,14 0,00 67,28 33,11 90,58 62,84

34.912.674

22.428.482

64,24

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator from DistrMunic and Province Health Office per November 18, 2005 Remarks: (-) not available

Annex 4.7 PROPORTION OF WOMAN AGED 15-49 YEARS AND STILL MARRIED WHO WERE USING CONTRACEPTIVE BY PROVINCE AND REGION, 2004

No (1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Province (2) Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Papua Indonesia

Urban

Rural

(3) 50,85 45,02 47,23 49,68 55,22 58,23 67,49 60,88 63,43 55,81 60,13 60,06 59,82 60,03 61,93 63,46 56,21 36,93 56,78 66,00 63,67 57,14 62,85 52,26 39,30 39,68 56,22 44,54 33,55 44,13 57,55

(4) 38,85 42,20 48,30 50,19 63,19 59,29 67,84 65,00 66,78 60,73 64,32 63,66 55,42 54,96 70,07 54,85 32,28 57,87 63,74 65,21 57,84 76,64 52,76 39,28 43,24 50,22 18,72 33,03 36,97 56,10

Urban + Rural (5) 42,20 43,43 47,99 49,96 61,03 58,94 67,74 64,12 65,41 55,81 60,42 62,64 61,53 57,25 58,85 66,68 55,33 33,05 57,59 64,40 64,64 57,46 71,42 52,66 39,28 42,50 58,46 26,05 33,16 38,64 56,71 `

Source : BPS-Statistic Indonesia, Welfare Statistic 2004

Annex 4.8 PROPORTION OF WOMAN AGED 15-49 YEARS AND STILL MARRIED WHO HAVE EVER USED CONTRACEPTIVE BY PROVINCE AND REGION, 2004

No

Province

(1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

(2) Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Papua Indonesia

Source : BPS-Statistic Indonesia, Welfare Statistic 2004

Urban (3) 67,61 60,70 66,28 65,50 70,17 72,89 82,73 77,80 78,30 71,83 76,67 75,92 74,49 74,84 74,13 76,16 77,72 57,12 70,90 79,98 78,70 74,31 79,47 69,05 55,07 52,51 74,44 59,24 46,07 51,56 73,15

Rural (4) 53,64 55,33 64,01 62,15 77,53 73,06 78,95 78,80 80,57 77,43 79,79 79,71 70,75 70,10 82,23 73,02 49,59 73,75 75,83 79,32 71,83 87,95 69,45 54,61 59,32 72,80 25,46 43,94 47,25 71,11

Urban + Rural (5) 57,54 57,67 64,67 63,64 75,54 73,00 79,99 78,58 79,64 71,83 77,04 78,27 76,81 72,37 72,35 79,12 74,69 50,83 73,02 77,05 79,09 73,16 84,74 69,37 54,74 57,90 73,21 35,05 44,49 48,25 71,97

Annex 4.9 PERCENTAGE OF WOMAN AGED 15-49 YEARS AND STILL MARRIED BY CONTRACEPTIVE METHOD BEING USED AND PROVINCE, 2004 Urban + Rural No

Province

Tubectomy

Vasectomy

Intra Uterine

Contraceptive Method Being Used Injection Implant Pill

Condom

Others

Traditional

(9)

(10)

(11)

Total

Devices

(1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

(2) Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Papua Indonesia

(3)

(4) 0,49 4,90 1,46 0,74 0,82 1,09 1,42 1,41 1,10 1,78 1,79 4,58 3,83 4,98 1,13 4,47 1,27 1,93 0,82 0,35 0,92 1,98 1,75 1,16 1,15 1,10 0,57 1,43 0,93 1,73 2,81

(5) 0,18 1,12 1,38 0,61 0,59 0,82 0,77 0,88 0,72 0,73 0,69 0,86 1,63 0,75 0,56 0,72 0,34 0,79 0,37 0,34 0,42 1,14 0,50 0,29 0,47 0,42 0,94 0,48 0,38 0,74

3,39 6,40 11,43 3,44 4,17 3,14 3,80 6,38 4,23 12,47 9,28 9,16 30,30 12,45 8,27 45,23 7,56 13,93 2,95 1,85 1,86 8,52 13,55 5,98 3,59 3,49 12,50 4,37 3,42 2,25 9,64

(6) 53,93 42,84 58,84 52,91 52,39 60,16 54,80 55,89 44,84 55,65 59,33 62,72 42,96 53,07 64,29 36,77 55,87 53,84 50,70 35,71 39,20 37,29 45,24 45,64 51,54 39,01 35,12 63,43 52,02 36,85 54,92

(7) 1,11 4,48 6,42 2,82 5,29 12,22 11,22 8,19 3,99 2,21 2,24 8,83 4,28 5,50 5,29 1,09 14,04 6,97 2,66 4,04 4,16 2,68 9,35 6,22 5,39 14,36 11,74 6,74 8,63 3,86 5,55 `

Source : BPS-Statistic Indonesia, Welfare Statistic, 2004

(8) 37,62 36,43 18,84 36,30 35,02 20,80 26,21 25,52 43,85 25,29 25,88 12,84 12,23 21,94 19,70 10,82 19,85 16,35 41,33 56,02 52,70 46,81 27,81 39,04 35,12 37,46 36,46 21,17 32,22 16,70 24,52

0,31 1,45 0,76 0,94 0,14 0,50 0,65 0,50 0,20 0,67 0,31 0,46 1,83 0,35 0,10 0,34 0,02 0,41 0,53 0,26 0,18 0,57 0,12 0,07 0,23 0,06 0,08 0,31 0,44

0,14 0,42 0,06 0,46 0,12 0,19 0,47 0,33 0,13 0,31 0,10 0,10 0,70 0,12 0,10 0,15 0,24 0,25 0,10 0,12 0,06 0,31 0,42 0,05 0,34 0,30 0,17

2,83 1,98 0,78 1,79 1,45 1,11 0,66 0,89 0,92 0,90 0,37 0,45 2,24 0,83 0,57 0,41 0,81 5,52 0,56 1,31 0,51 0,70 1,26 1,59 2,45 4,10 2,25 2,37 2,78 37,63 1,23

(12) 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00

Annex 4.9a PERCENTAGE OF WOMAN AGED 15-49 YEARS AND STILL MARRIED BY CONTRACEPTIVE METHOD BEING USED AND PROVINCE, 2004 Urban No

Province

Tubectomy

Vasectomy

Intra Uterine

Contraceptive Method Being Used Injection Implant Pill

Condom

Others

Traditional

(9)

(10)

(11)

Total

Devices

(1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

(2) Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Papua INDONESIA

Source : BPS-Statistic Indonesia, Welfare Statistic, 2004

(3)

(4) 0,50 5,15 2,37 0,93 0,96 1,85 2,49 2,26 2,30 1,78 1,99 5,98 4,58 5,94 1,35 4,44 1,58 2,69 1,78 0,54 1,25 2,56 2,37 1,84 1,04 0,97 0,71 1,93 2,90 1,68 3,36

(5) 0,21 1,30 3,30 0,61 0,66 1,14 1,09 0,84 0,73 0,75 0,80 2,81 0,86 0,77 0,82 0,34 0,67 0,57 0,55 0,49 1,17 0,84 0,87 0,27 1,11 0,39 0,90 0,85

5,90 7,94 17,81 6,28 5,09 5,19 6,05 7,25 9,20 12,47 13,44 10,31 34,23 14,20 12,19 41,12 10,90 24,08 7,81 1,54 2,90 11,79 11,93 7,83 8,79 7,45 24,06 5,37 2,69 5,58 12,58

(6) 51,60 40,87 52,10 52,63 54,10 58,53 52,67 56,52 41,23 55,65 55,85 61,74 37,29 50,67 58,52 38,23 53,85 49,51 53,82 42,72 41,95 38,87 51,15 42,95 51,64 34,94 31,35 68,35 57,95 54,40 53,52

(7) 1,54 3,58 3,62 1,88 5,11 7,49 7,24 4,79 4,22 2,21 1,63 5,96 1,75 3,39 2,13 1,00 11,02 2,49 2,91 2,38 1,81 2,60 5,37 7,08 2,77 7,14 5,49 3,55 3,96 6,20 3,32

(8) 35,60 37,16 18,97 32,60 32,65 22,13 27,05 23,94 40,22 25,29 25,27 13,16 12,93 23,04 24,05 13,10 21,54 15,18 31,35 49,99 50,75 40,71 27,13 37,65 32,10 46,86 35,47 19,85 31,54 28,04 24,35

0,39 1,46 1,01 1,83 0,46 0,91 1,72 0,91 0,52 0,67 0,50 1,01 2,36 0,76 0,18 0,39 0,26 0,96 0,66 0,36 0,88 0,18 0,37 0,25 0,26 0,89 0,74

0,23 0,37 0,08 0,88 0,34 0,32 0,71 1,00 0,34 0,31 0,09 0,12 1,21 0,12 0,07 0,25 0,19 0,16 0,20 0,09 0,37 0,89 0,03 0,24 0,32 0,22

4,04 2,18 0,75 2,36 0,62 2,45 2,06 2,23 1,13 0,90 0,48 0,92 2,83 1,03 0,74 0,65 0,58 5,13 0,65 1,41 0,41 1,05 0,15 1,41 3,12 2,37 1,58 0,55 0,95 2,01 1,07

(12) 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00

Annex 4.9b PERCENTAGE OF WOMAN AGED 15-49 YEARS AND STILL MARRIED BY CONTRACEPTIVE METHOD BEING USED AND PROVINCE, 2004 Rural No

Province

Tubectomy

Vasectomy

Intra Uterine

Contraceptive Method Being Used Injection Implant Pill

Condom

Others

Traditional

(9)

(10)

(11)

Total

Devices

(1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

(2) Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Papua Indonesia Source : BPS-Statistic Indoensia, Welfare Statistic, 2004

(3)

(4) 0,49 4,69 1,10 0,58 0,77 0,73 1,02 1,19 0,32 1,57 3,73 2,94 4,30 0,81 4,49 1,10 1,76 0,49 0,27 0,73 1,32 1,43 1,00 1,20 1,13 0,53 0,96 0,24 1,74 2,39

(5) 0,17 0,96 0,61 0,62 0,57 0,66 1,06 0,83 0,65 0,63 0,90 0,25 0,68 0,27 0,62 0,33 0,82 0,30 0,25 0,38 1,10 0,34 0,15 0,55 0,52 0,89 0,56 0,19 0,66

2,11 5,12 8,88 1,18 3,88 2,16 2,95 6,16 0,97 4,96 8,45 25,68 11,21 2,66 49,14 5,66 11,64 1,31 1,99 1,26 4,76 14,36 5,53 1,47 2,54 8,78 3,43 3,68 1,04 7,42

(6) 55,11 44,46 61,55 53,13 51,84 60,93 55,61 55,74 47,21 62,95 63,31 49,61 54,78 72,52 35,38 57,02 54,82 49,64 32,70 37,61 35,47 42,28 46,30 51,51 40,00 36,33 58,79 49,92 30,47 55,97

(7) 0,90 5,21 7,54 3,56 5,35 14,46 12,73 9,05 3,84 2,87 10,58 7,25 7,00 9,79 1,18 15,74 7,98 2,57 4,76 5,51 2,77 11,34 6,01 6,46 16,11 13,75 9,76 10,28 3,02 7,23

(8) 38,65 35,83 18,79 39,24 35,79 20,16 25,88 25,93 46,23 26,52 12,65 11,40 21,17 13,49 8,65 18,90 16,61 44,69 58,61 53,82 53,83 28,14 39,39 36,35 35,19 36,78 22,42 32,46 12,57 24,46

0,27 1,45 0,67 0,23 0,04 0,30 0,25 0,40 0,12 0,13 1,22 0,06 0,29 0,03 0,45 0,38 0,08 0,08 0,21 0,10 0,23 0,01 0,10 0,10 0,21

0,10 0,46 0,06 0,13 0,05 0,13 0,38 0,15 0,11 0,09 0,11 0,12 0,13 0,06 0,28 0,31 0,07 0,08 0,04 0,25 0,19 0,06 0,37 0,29 0,13

2,21 1,82 0,80 1,33 1,73 0,47 0,12 0,55 0,79 0,26 0,16 1,55 0,69 0,32 0,19 0,94 5,61 0,53 1,26 0,57 0,29 1,81 1,63 2,18 4,52 2,47 4,08 3,42 80,58 1,35

(12) 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00

Annex 4.10 NUMBER AND PROPORTION OF CUMULATIVE NEW FAMILY PLANNING ACCEPTORS BY SERVICE LOCATION AND PROVINCE 2004 Clinic No.

Provinsi

(1)

(2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Government Acceptors %

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Papua Indonesia

Source : National Family Planning Coordinating Board

Private Acceptors % (5)

(6)

Private Practicioners

Private Practicing Nurses

Total

Acceptors

%

Acceptors

%

Acceptors

%

(7)

(8)

(9)

(10)

(11)

(12)

30,88 11,32 39,19 36,73 26,57 29,39 31,16 29,61 9,49 34,28 32,26 44,59 45,14 38,04 15,99 54,06 14,49 1,36 26,22 22,88 40,82 26,17 28,94 7,83 14,80 7,83 10,25 10,27 4,70

8.427 16.515 6.482 10.700 6.365 18.015 3.620 14.440 9.138 14.599 58.806 55.969 3.301 56.582 13.402 4.332 9.043 5.903 9.943 1.879 5.656 2.618 1.990 3.842 9.129 3.842 1.941 3.019 741 915

100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00 100,00

30,77

361.154

100,00

(3)

(4)

4.970 12.287 3.761 6.152 4.282 11.520 2.284 9.282 7.499 6.634 29.191 26.615 1.349 32.212 8.063 1.621 7.213 5.749 6.707 1.346 3.211 1.472 947 3.529 7.427 3.529 1.588 2.665 741 856

58,98 74,40 58,02 57,50 67,27 63,95 63,09 64,28 82,06 45,44 49,64 47,55 40,87 56,93 60,16 37,42 79,76 97,39 67,45 71,63 56,77 56,23 47,59 91,85 81,36 91,85 81,81 88,27 100,00 93,55

564 2.135 73 234 37 768 16 538 634 1.597 8.925 2.379 415 1.751 3.037 90 366 61 496 67 112 253 258 3 232 3 132 37 -

6,69 12,93 1,13 2,19 0,58 4,26 0,44 3,73 6,94 10,94 15,18 4,25 12,57 3,09 22,66 2,08 4,05 1,03 4,99 3,57 1,98 9,66 12,96 0,08 2,54 0,08 6,80 1,23 -

291 224 108 384 355 433 192 345 138 1.364 1.717 2.019 47 1.097 159 279 154 13 133 36 24 208 209 9 119 9 22 7 16

3,45 1,36 1,67 3,59 5,58 2,40 5,30 2,39 1,51 9,34 2,92 3,61 1,42 1,94 1,19 6,44 1,70 0,22 1,34 1,92 0,42 7,94 10,50 0,23 1,30 0,23 1,13 0,23 1,75

2.602 1.869 2.540 3.930 1.691 5.294 1.128 4.275 867 5.004 18.973 24.956 1.490 21.522 2.143 2.342 1.310 80 2.607 430 2.309 685 576 301 1.351 301 199 310 43

214.702

59,45

25.213

6,98

10.111

2,80

111.128

Annex 4.11 UCI (UNIVERSAL CHILD IMMUNIZATION) VILLAGE ACHIEVEMENT BY PROVINCE 2004 No.

Province

Total Village

UCI Village

%

(1)

(2)

(3)

(4)

(5)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Irian Jaya Indonesia

Source : Directorate General of Disease Control and Environmental Health, MoH

6.180 5.464 2.567 1.625 1.186 2.681 1.261 2.161 317 278 5.798 8.052 438 8.441 1.543 695 778 2.591 1.452 1.324 1.955 1.334 1.214 1.447 3.222 1.554 447 720 1.017 67.742

1.476 4.397 1.922 1.325 986 2.181 890 1.988 242 220 4.269 7.107 438 4.928 1.153 691 703 2.000 885 708 1.297 960 841 1.044 2.370 1.215 249 195 356 47.036

23,88 80,47 74,87 81,54 83,14 81,35 70,58 91,99 76,34 79,14 73,63 88,26 100,00 58,38 74,72 99,42 90,36 77,19 60,95 53,47 66,34 71,96 69,28 72,15 73,56 78,19 55,70 27,08 35,00 69,43

Annex 4.12 PERCENTAGE OF UCI (UNIVERSAL CHILD IMMUNIZATION) COVERAGE IN VILLAGES BY PROVINCE 2004

No

Province

Number of Villages

UCI Villages

% UCI Villages

(1)

(2)

(3)

(4)

(5)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-east Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

3.600 3.646 2.581 1.438 1.109 770 1.379 2.140 159 206 65 5.467 6.826 438 8.322 1.666 1.318 707 1.558 1.202 1.229 1.673 1.172 1.022 1.570 1.533 1.096 52 0 768 139 523 4.019 59.393

1.664 2.783 1.875 1.163 892 530 1.232 1.994 133 179 55 4.335 5.358 438 6.243 1.241 1.303 638 961 883 806 1.209 815 777 1.059 1.028 926 40 0 353 81 222 3.607

44.823

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator from Districts/Municipalitis and Province Health Office per November 18, 2005 Remarks: (-) not available

46,22 76,33 72,65 80,88 80,43 68,83 89,34 93,18 83,65 86,89 84,62 79,29 78,49 100,00 75,02 74,49 98,86 90,24 61,68 73,46 65,58 72,27 69,54 76,03 67,45 67,06 84,49 76,92 0,00 45,96 58,27 42,45 89,75 75,47

Annex 4.13 BASIC IMMUNIZATION COVERAGE TO INFANTS BY PROVINCE, 2004

No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Province (2)

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bangka Belitung Islands Bengkulu Lampung DKI Jakarta West Java Banten Central Java D.I.Y East Java West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Gorontalo Central Sulawesi South Sulawesi South-East Sulawesi Bali West Nusa Tenggara East Nusa Tenggara Maluku North Maluku Papua Indonesia

Target (3)

106.659 299.001 95.217 141.525 63.302 167.781 24.237 36.721 169.846 196.244 851.548 233.857 610.045 51.064 626.257 94.788 47.700 72.788 69.667 44.920 21.736 51.792 186.028 51.700 61.411 106.771 121.417 31.041 21.479 61.091 4.717.633

BCG

DPT1

Total

%

Total

%

(4)

(5)

(6)

(7)

81.691 296.971 94.785 140.282 61.246 160.477 21.497 33.828 162.807 220.070 839.403 214.594 605.648 52.066 650.379 91.351 43.119 70.113 65.953 45.766 21.688 51.565 185.295 46.851 63.405 96.926 113.995 23.357 18.518 46.076 4.619.722

Source : Directorate General of Disease Control and Environmental Health, MoH

76,59 99,32 99,55 99,12 96,75 95,65 88,69 92,12 95,86 112,14 98,57 91,76 99,28 101,96 103,85 96,37 90,40 96,32 94,67 101,88 99,78 99,56 99,61 90,62 103,25 90,78 93,89 75,25 86,21 75,42 97,92

83.406 295.901 91.031 139.739 64.119 166.306 22.058 37.481 162.968 227.496 827.417 209.621 598.353 49.561 644.099 90.902 39.554 68.188 63.587 43.950 21.846 51.402 173.915 44.686 63.960 103.821 117.327 22.289 20.449 39.721 4.585.153

78,20 98,96 95,60 98,74 101,29 99,12 91,01 102,07 95,95 115,93 97,17 89,64 98,08 97,06 102,85 95,90 82,92 93,68 91,27 97,84 100,51 99,25 93,49 86,43 104,15 97,24 96,63 71,81 95,20 65,02 97,19

Infants immunization Polio1 Polio3 Total % Total % (8)

88.311 296.357 96.898 141.608 64.084 167.095 21.519 34.469 162.105 175.227 845.073 219.396 606.506 50.854 664.670 86.963 43.215 69.918 66.592 44.640 22.651 53.206 190.394 43.004 62.494 101.948 116.885 22.012 21.428 42.901 4.622.423

(9)

(10)

82,80 76.289 99,12 277.118 101,77 86.517 100,06 132.730 101,24 61.428 99,59 154.038 88,79 20.377 93,87 32.714 95,44 158.391 89,29 215.083 99,24 793.884 93,82 202.469 99,42 572.694 99,59 48.307 106,13 618.372 91,74 84.248 90,60 40.279 96,06 64.410 95,59 61.318 99,38 41.126 104,21 19.696 102,73 46.973 102,35 173.699 83,18 39.404 101,76 61.245 95,48 96.235 96,27 110.768 70,91 20.599 99,76 17.395 70,22 34.469 97,98 4.362.275

(11)

Polio4 Total % (12)

71,53 70.097 92,68 264.482 90,86 82.714 93,79 132.716 97,04 60.959 91,81 152.870 84,07 20.657 89,09 30.252 93,26 158.660 109,60 197.670 93,23 769.152 86,58 198.699 93,88 568.251 94,60 47.642 98,74 624.662 88,88 80.914 84,44 39.435 88,49 62.661 88,02 59.203 91,55 40.053 90,61 19.509 90,70 46.727 93,37 166.530 76,22 41.933 99,73 61.126 90,13 96.704 91,23 107.023 66,36 20.972 80,99 15.899 56,42 31.777 92,47 4.269.949

(13)

65,72 88,46 86,87 93,78 96,30 91,11 85,23 82,38 93,41 100,73 90,32 84,97 93,15 93,30 99,75 85,36 82,67 86,09 84,98 89,17 89,75 90,22 89,52 81,11 99,54 90,57 88,14 67,56 74,02 52,02 90,51

Measles Total % (14)

71.452 274.986 82.956 132.202 60.420 151.761 20.802 31.227 158.595 204.172 797.553 203.275 574.275 48.365 613.631 81.178 39.475 63.625 60.440 41.827 19.696 46.672 167.292 42.249 61.003 96.943 110.759 21.565 16.918 34.341 4.329.655

(15)

66,99 91,97 87,12 93,41 95,45 90,45 85,83 85,04 93,38 104,04 93,66 86,92 94,14 94,71 97,98 85,64 82,76 87,41 86,76 93,11 90,61 90,11 89,93 81,72 99,34 90,80 91,22 69,47 78,77 56,21 91,78

DO % (16)

14,33 7,07 8,87 5,39 5,77 8,75 5,69 16,69 2,68 10,25 3,61 3,03 4,02 2,41 4,73 10,70 0,20 6,69 4,95 4,83 9,84 9,20 3,81 5,45 4,62 6,62 5,60 3,25 17,27 13,54 5,57

Annex 4.14 HEPATITIS B IMMUNIZATION COVERAGE TO INFANTS BY PROVINCE , 2004

No. (1)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Province (2)

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bangka Belitung Islands Bengkulu Lampung DKI Jakarta West Java Banten Central Java D.I.Y East Java West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Gorontalo Central Sulawesi South Sulawesi South-East Sulawesi Bali West Nusa Tenggara East Nusa Tenggara Maluku North Maluku Papua Indonesia

Target (3)

106.659 299.001 95.217 141.525 63.302 167.781 24.237 36.721 169.846 196.244 851.548 233.857 610.045 51.064 626.257 94.788 47.700 72.788 69.667 44.920 21.736 51.792 186.028 51.700 61.411 106.771 121.417 31.041 21.479 61.091 4.717.633

HB1 (0-7 Hr) Total % (4)

4.331 98.885 33.853 48.191 27.145 45.186 4.992 15.481 52.587 49.333 344.316 50.561 373.228 37.483 387.951 5.970 8.884 13.129 13.004 20.922 8.476 9.991 76.904 18.906 31.511 76.802 27.381 0 2.568 1.935 1.889.906

Source : Directorate General of Disease Control and Environmental Health, MoH

(5)

4,06 33,07 35,55 34,05 42,88 26,93 20,60 42,16 30,96 25,14 40,43 21,62 61,18 73,40 61,95 6,30 18,62 18,04 18,67 46,58 39,00 19,29 41,34 36,57 51,31 71,93 22,55 0,00 11,96 3,17 40,06

HB1 (>7 Hr) Total % (6)

66.792 174.087 66.645 91.943 37.883 115.589 19.536 20.035 108.380 180.623 497.538 156.315 263.187 17.533 293.631 70.748 36.461 50.632 49.165 25.395 17.747 41.309 127.306 28.342 32.167 21.374 79.403 0 12.803 13.421 2.715.990

(7)

Immunization Status HB1 (Total) Total % (8)

62,62 71.123 58,22 272.972 69,99 100.498 64,97 140.134 59,84 65.028 68,89 160.775 80,60 24.528 54,56 35.516 63,81 160.967 92,04 229.956 58,43 841.854 66,84 206.876 43,14 636.415 34,34 55.016 46,89 681.582 74,64 76.718 76,44 45.345 69,56 63.761 70,57 62.169 56,53 46.317 81,65 26.223 79,76 51.300 68,43 204.210 54,82 47.248 52,38 63.678 20,02 98.176 65,40 106.784 0,00 18.816 59,61 15.371 21,97 36.904 57,57 4.646.260

(9)

HB2 Total

%

(10)

(11)

66,68 65.503 91,29 240.210 105,55 84.833 99,02 109.459 102,73 56.807 95,82 146.217 101,20 19.138 96,72 26.781 94,77 146.363 117,18 183.402 98,86 671.674 88,46 167.178 104,32 509.179 107,74 46.709 108,83 581.791 80,94 70.026 95,06 38.764 87,60 58.002 89,24 61.850 103,11 35.012 120,64 19.195 99,05 47.493 109,77 158.615 91,39 36.585 103,69 62.195 91,95 100.347 87,95 97.927 60,62 17.809 71,56 11.068 60,41 32.568 98,49 3.902.700

HB3 Total (12)

61,41 58.261 80,34 237.143 89,09 79.515 77,34 110.516 89,74 55.670 87,15 141.796 78,96 19.319 72,93 25.098 86,17 146.087 93,46 181.129 78,88 653.047 71,49 161.461 83,47 505.053 91,47 46.392 92,90 11.614 73,88 67.010 81,27 36.742 79,69 56.613 88,78 58.095 77,94 33.079 88,31 18.032 91,70 47.493 85,26 152.279 70,76 38.561 101,28 61.828 93,98 95.850 80,65 96.766 57,37 17.623 51,53 8.968 53,31 29.149 82,73 3.250.189

% (13)

54,62 79,31 83,51 78,09 87,94 84,51 79,71 68,35 86,01 92,30 76,69 69,04 82,79 90,85 1,85 70,69 77,03 77,78 83,39 73,64 82,96 91,70 81,86 74,59 100,68 89,77 79,70 56,77 41,75 47,71 68,89

Annex 4.15 DROP OUT DPT1 IMMUNIZATION COVERAGE - MEASLES TO INFANTS BY PROVINCE 1998 - 2004 No.

Province

(1)

(2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku Papua Indonesia

1998

1999

2000

Year 2001

2002

2003

(3)

(4)

(5)

(6)

(7)

(8)

(9)

4,3 4,6 8,7 10,1 3,1 16,1 8,4 5,1 13,6 7,6 8,5 4,5 5,9 5,1 5,3 16,6 9,9 7,5 7,8 9,4 2,9 10,2 2,5 9,1 1,7 21,8 7,8

13,2 5,5 12,0 10,7 7,4 10,5 11,7 9,5 11,1 6,7 8,4 8,3 9,8 8,7 7,7 23,7 8,9 10,5 10,1 8,3 7,2 12,3 11,7 9,7 3,2 18,1 9,1

16,8 5,8 9,4 4,2 5,9 8,3 7,4 1,1 10,4 5,5 7,0 1,5 7,9 8,9 1,3 13,8 9,6 8,3 8,1 11,2 12,4 7,0 10,9 12,1 9,9 16,9 7,4

15,6 6,6 9,2 8,6 5,7 9,0 3,9 5,0 6,0 0,6 6,3 6,7 5,3 30,3 4,7 14,2 2,9 4,9 12,5 7,5 6,2 10,1 5,4 8,9 9,6 8,2 7,8 2,1 15,6 19,3 10,1

7,7 6,6 6,8 7,4 6,2 8,7 5,7 7,5 3,9 7,3 5,3 3,0 5,7 3,3 4,6 8,1 3,8 9,3 6,4 2,6 9,8 10,3 8,4 9,0 5,6 4,3 9,7 2,9 18,5 8,7 5,8

14,3 8,1 11,6 5,3 8,2 9,3 10,1 3,7 6,9 10,2 5,3 4,0 3,8 7,1 4,0 7,1 6,0 18,8 8,8 9,4 7,9 7,5 11,9 16,3 10,6 11,0 18,4 1,3 9,5 18,0 7,6

16,7 7,6 9,7 5,7 6,1 9,6 20,0 2,8 6,0 11,4 3,7 4,2 2,5 5,0 3,1 4,8 7,1 5,9 12,0 0,2 7,2 5,2 5,1 10,1 4,0 5,8 10,9 3,4 20,9 15,7 5,9

Source : Directorate General of Disease Control and Environmental Health, MoH

2004

Annex 4.16 TT IMMUNIZATION COVERAGE TO PREGNANT WOMAN BY PROVINCE, 2004

No

Province

Target

(1)

(2)

(3)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bangka Belitung islands Bengkulu Lampung DKI Jakarta West Java Banten Central Java D.I.Y East Java West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Gorontalo Central Sulawesi South Sulawesi South-East Sulawesi Bali West Nusa Tenggara East Nusa Tenggara Maluku North Maluku Papua Indonesia

TT1 Total

%

(4)

(5)

114.636 71.979 329.957 229.009 103.999 82.512 155.679 79.116 69.386 53.191 170.041 136.037 26.542 23.835 42.237 27.246 186.000 157.660 214.405 130.821 936.703 836.333 249.476 197.415 829.576 402.813 56.768 34.670 680.259 498.405 104.208 63.007 53.459 41.119 90.458 61.159 76.327 37.360 49.412 34.736 23.782 20.921 57.546 47.184 204.208 167.469 67.545 22.131 67.228 50.879 118.635 100.084 118.961 29.979 34.097 26.454 23.343 18.633 5.254.873 3.682.157

Source : Directorate General of Disease Control and Environmental Health, MoH Coverage up to July 2005

Pregnant Woman Immunization TT2 Repetition TT Total % Total % (6)

62,79 61.061 69,41 178.660 79,34 69.160 50,82 68.408 76,66 49.437 80,00 128.207 89,80 22.017 64,51 25.297 84,76 153.208 61,02 124.508 89,28 763.397 79,13 180.254 48,56 381.433 61,07 32.114 73,27 448.152 60,46 57.398 76,92 36.790 67,61 56.020 48,95 31.828 70,30 32.416 87,97 17.987 81,99 43.293 82,01 168.362 32,76 24.175 75,68 47.574 84,36 94.610 25,20 25.559 77,58 22.035 79,82 14.620 70,07 3.357.980

(7)

(8)

53,3 54,1 66,5 43,9 71,2 75,4 83,0 59,9 82,4 58,1 81,5 72,3 46,0 56,6 65,9 55,1 68,8 61,9 41,7 65,6 75,6 75,2 82,4 35,8 70,8 79,7 21,5 64,6 62,6 63,9

7.570 9.810 14.118 25.668 10.908 430 2.100 25.426 18.828 100.776 21.637 36.423 1.095 1.095 9.546 7.726 3.252 27.128 12.678 15.804 52.655 10.001 5.055 419.729

(9)

6,60 2,97 13,58 16,49 15,72 0,25 0,98 2,71 7,55 12,15 38,11 5,35 2,05 1,21 12,51 15,64 13,67 13,28 18,77 23,51 44,38 8,41 21,66 7,99

Annex 4.17 COVERAGE OF PRA & ELDERLY AGE HEALTH SERVICES BY PROVINCE 2004

No

Province

(1)

(2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-east Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

Indonesia

Pra & Elderly Age Total

Get health service

%

(3)

(4)

(5)

47.706

416.233 1.332 149.816 60.598 221.203 20.808 24.283 22.627 3.274.518 2.239.170 287.229 4.065.963 398440 157406

137.728 66309

100.339 195.581 77.461 114.996 89.190 908.272 339.116 24.160 18.046 17.341 16.818

13.492.689

15.113 58.113 1.183 12.591 45.779 99.443 8.930

31,68 13,96 88,81 8,40 75,55 44,96 42,92

-

-

10.284 3.927

42,35 17,36

-

-

404.730 561.043 146.579 815.822

12,36 25,06 51,03 20,06

-

-

67.795 20.796 43.048 15.343 30.173 89.246 34.185 61.072 41.772 154.330 34.786

17,02 13,21 31,26 23,14 30,07 45,63 44,13 53,11 46,83 16,99 10,26

-

-

6.312 6.611 12.602 4.106

26,13 36,63 72,67 24,41

2.805.714

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator from DistrMunic and Province Health Office per November 18, 2005 Remarks: (-) not available

20,79

Annex 4.18 DENTAL AND MOUTH HEALTH SERVICE IN HEALTH CENTER AND SCHOOL DENTAL PROGRAM FOR THE PRIMARY SCHOOL STUDENT BY PROVINCE, 2004 Basic Dental Service No.

Province

Fix Teeth Decayed

Fix Teeth Missing

Total

Ratio of Filled/ Missing Teeth

(1)

(2)

(3)

(4)

(5)

(6)

1 Nanggroe Aceh Darussalam 2 North Sumatra 3 West Sumatra 4 Riau 5 Jambi 6 Bengkulu 7 South Sumatra 8 Lampung 9 Bangka Belitung Islands 10 Riau islands 11 DKI Jakarta 12 West Java 13 Central Java 14 DI. Jogyakarta 15 East Java 16 Banten 17 Bali 18 West Nusa Tenggara 19 East Nusa Tenggara 20 West Kalimantan 21 Central Kalimantan 22 South Kalimantan 23 East Kalimantan 24 North Sulawesi 25 Central Sulawesi 26 South Sulawesi 27 South-East Sulawesi 28 Gorontalo 29 Maluku 30 North Maluku 31 Papua Number of health centers give report Source : Province Profile, 2004

10.718 5.631 9.684 34.656 2.719 9.763 2.038 40.112 128.307 21.700 24.790 36.727 15.546 522 6.124 3.505 12.278 11.162 2.045 2.671 19.562 6.412 2.867 575 410.114

37.285 21.784 42.884 28.031 9.849 33.701 9.541 3.343 261.626 44.601 29.074 87.864 20.395 3.768 49.253 7.312 14.975 34.201 17.721 16.307 63.378 8.263 13.238 246.382 1.104.776

48.003 27.415 52.568 62.687 12.568 43.464 11.579 43.455 389.933 66.301 53.864 124.591 35.941 4.290 55.377 10.817 27.253 45.363 19.766 18.978 82.940 14.675 16.105 246.957 1.514.890

0,29 0,26 0,23 1,24 0,28 0,29 0,21 12,00 0,49 0,49 0,85 0,42 0,76 0,14 0,12 0,48 0,82 0,33 0,12 0,16 0,31 0,78 0,22 0,00 0,37

Total of Primary School Student (7)

School Dental Health Program (Promotion + Prevention) Student Examined Primary School Student Number of Number of % Get % Need Get Treatment Total Treatment treatments

1.263.298 217.716 193.689 1.053.444 87.298 374.995 409 1.388 2.385.892 916.893 91.378 955.665 383.473 330.940 90.335 253.186 350.536 139.071 119.777 768.283 183.576 54.007 22.053 10.237.302

(8)

149.291 66.269 54.967 1.053.444 24.925 77.619 191 807 989.856 159.350 19.570 482.582 383.473 1.684 82.826 11.973 26.219 59.942 38.134 8.354 70.317 30.175 46.681 2.601 3.841.250

(9)

(10)

(11)

(12)

11,82 30,44 28,38 100,00 28,55 20,70 46,70 58,14 41,49 17,38 21,42 50,50 100,00

17.762.504 13.945 45.364 33.976 10.720 31.892 -

18.748 7.295 20.218 14.851 5.234 23.299 -

-

274.529

109.487

39,88

21.212 157.639 60.300

17.437 77.245 41.179

82,20 49,00

25,03 13,25 10,36 17,10 27,42 6,97 9,15 16,44 86,44 11,79 37,52

56.150 9.514 21.624 18.904 14.308 3.989 48.498 11.648 13.094 2.188 18.611.998

12.113 6.132 15.545 7.280 8.517 2.331 22.994 6.249 2.902 501 419.557

0,11 52,31 44,57 43,71 48,82 73,06 -

68,29 21,57 64,45 71,89 38,51 59,53 58,44 47,41 53,65 22,16 22,90 2,25

Annex 4.19 NUMBER OF OUTPATIENT AND INPATIENT VISITS IN HEALTH SERVICE FACILITIES BY PROVINCE IN 2003

Number of Visits No

Province

(1)

(2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi Bengkulu South Sumatra Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central kalimantan East Kalimantan South Kalimantan North Sulawesi Central Sulawesi South-east Sulawesi South Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Inpatient

Outpatient

Total

(3)

(4)

(5)

8.150 121.148 232.657 132.092 23.406 12.411 72.527 106.036 20.887 173.442 850.945 1.361.257 695.874 155.531 197.976 29.567 35.178 41.041 47.888 16.873 178.074 6.457 161.254 151.519 4.432 265 139.453 4.136 6.576 5.166 4.992.218

1.331.122 3.973.536 519.358 1.865.810 1.086.062 518.419 2.378.909 2.430.248 109.640 483.368 3.608.167 10.144.506 11.592.188 671.126 12.697.282 1.776.330 2.706.806 2.199.768 2.179.907 1.365.497 748.198 1.454.894 1.584.420 226.162 704.519 3.577.187 246.859 87.437 612.588 49.597 527.353 138.938 73.596.201

1.339.272 4.094.684 752.015 1.997.902 1.109.468 530.830 2.451.436 2.536.284 130.527 656.810 3.608.167 10.995.451 12.953.445 671.126 13.393.156 1.931.861 2.904.782 2.229.335 2.215.085 1.406.538 796.086 1.471.767 1.762.494 232.619 865.773 3.728.706 251.291 87.702 752.041 53.733 533.929 144.104 78.588.419

Source: Result of Data Collection and Processing of Minimum Service Standard Performance Indicator from District/Municipality and Province Health Office per November 18, 2005 Remarks: (-) not available

Annex 4.20 HOSPITAL HEALTH SERVICE INDICATORS BY PROVINCE IN 2004

No.

Province

(1)

(2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Nanggroe Aceh Darussalam North Sumatra West Sumatra Riau Jambi South Sumatra Bengkulu Lampung Bangka Belitung islands DKI Jakarta West Java Central Java DI Yogyakarta East Java Banten Bali West Nusa Tenggara East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi South-East Sulawesi Gorontalo Maluku North Maluku West Irian Jaya Central Irian Jaya East Irian Jaya Indonesia

Bed Number of Occupancy Bed Rate (BOR) (3)

2.383 11.680 3.562 2.710 1.140 3.802 599 1.820 516 16.128 14.471 18.902 3.468 19.664 2.450 2.995 1.092 1.873 2.455 615 2.137 2.644 2.722 1.278 6.193 796 410 1.454 279 1.975 132.213

Source: Directorate General of Medical Care, MoH RI

(4)

59,30 36,00 61,60 58,90 36,70 49,00 36,70 51,10 49,90 60,50 66,90 56,40 57,10 54,40 61,80 67,80 54,70 58,10 57,30 55,00 45,40 67,30 56,80 70,50 58,60 52,70 37,10 41,90 70,30 57,10 55,2

Length of Stay (LOS)

Bed Turn Over (BTO)

Turn Over Interval (TOI)

Net Death Rate (NDR)

Gross Death Rate (GDR)

% Patient Died