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351.770 212 Ind p

INDONESIA HEALTH PROFILE 2006

MINISTRY OF HEALTH REPUBLIC OF INDONESIA JAKARTA 2008

EDITORIAL BOARD Advisor Dr. H. Sjafii Ahmad, MPH Secretary General, MOHRI Chief DR Bambang Hartono, SKM, MSc Director of Center for Data and Information, MOHRI Secretary Bob Susilo Kusumobroto, SKM, MPH Dra. Rahmaniar Brahim, Apt, MKes Members Hary Purwanto, SKM, MKes, MMSI Dra. Rahmaniar Brahim, Apt, MKes Hasnawati, SKM, MKes Sugito, SKM, MKes Sunaryadi, SKM, MKes Nuning Kurniasih, SSi, Apt Boga Hardhana, SSi, MM Evida Manullang, SSi M. Syahrul Anam, Dr. Wardah, SKM Marlina Indah Susanti, SKM Supriyono Pangribowo, SKM Dewi Roro Kumbini, S.Pd Istiqomah, SS Rida Sagitarina, Dra. Sariyono Sondang Tambunan Translators Bob Susilo, SKM, MPH Dewi Roro Kumbini, S.Pd Istiqomah, SS Nuning Kurniasih, SSi, Apt Supriyono Pangribowo, SKM

Catalogue in Publishing. Ministry of Health, RI 351.770 212 Ind Indonesia. Ministry of Health. Center for Data and Information p Indonesia Health Profile 2006. - - Jakarta : Ministry of Health RI 2008 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 Indonesia Health Profile 2005 is a continouity from the previous profile. Health profile is also a real form of accountability from Center for Data and Information. In order to make this health profile become unconfusing and seemed to be left behind, this data and information will be presented based on the date written. Indonesia Health Profile 2006 does not only contain information of the previous health profile but also some important events in 2006, such as alert village, working insurance, avian influenza and earthquake in Yogyakarta. Yet “Indonesia Health Profile 2006” still has a limitation because there are some data that has not been collected. Therefore, we will involve data that are not in Health Profile 2006 in to the next health profile. Indonesia Health Profile will all imperfections still try to publish earlier than the previous ones. Besides publish in print version, Health Profile 2006 also can be access through internet; http://www.depkes.go.id. Hopefully, this Indonesia Health Profile 2006 will be beneficial in fulfilling the needs of the latest health data and information and meet our expectation as well.

Jakarta,

2007

Head of Center for Data and Information

DR. Bambang Hartono, SKM, MSc NIP. 140 058 225

i

ii

ACKNOWLEDGEMENT

I gladly welcome the publishing of “Indonesia Health Profile 2006” which is faster than the previous year. 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 succeeded collecting data in 2005 and composing it into the Indonesia Health Profile 2006. 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 2005, which involves important events in 2005, 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 2005 can be accomplished.

Jakarta,

2007

Sekretaris Jenderal Departemen Kesehatan

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

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iv

LIST OF CONTENT

FOREWORD

i

ACKNOWLEDGEMENT

iii

LIST OF CONTENT

v

LIST OF ANNEXES

vii

CHAPTER I

INTRODUCTION

1

CHAPTER II

GENERAL DESCRIPTION AND COMMUNITY BEHAVIOR A. Population B. Economics C. Education D. Environmental Condition E. Community Behavior

3 3 4 8 11 14

CHAPTER III

HEALTH STATUS SITUATION A. Mortality B. Morbidity

17 17 23

BAB IV

HEALTH EFFORT SITUATION A. Primary Health Care B. Referral and Supporting Health Care C. Communicable Disease Control D. Improvement of Community Nutrition E. Health Service in Disaster Situation

54 54 65 73 91 93

BAB V

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

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95 95 104 112

BAB VI

COMPARISONS OF INDONESIA WITH ASEAN AND SEAR A. Demography B. Health status

BAB VII

CLOSING REMARKS

114 114 122 -

BIBLIOGRAPHY

-

ANNEXES

***

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LIST OF ANNEXES

Annex 2.1 Annex 2.2 Annex 2.3 Annex 2.3.a Annex 2.3.b Annex 2.4 Annex 2.5 Annex 2.6

Annex 2.7 Annex 2.8 Annex 2.8.a Annex 2.8.b Annex 2.9 Annex 2.9.a Annex 2.9.b Annex 2.10

Distribution of Administration Area by Province in 2006 Area Size, Total Population and Population Density and Growth by Province, 2006 Number of Population by Specific Age Group, Dependency Ratio and Province, 2006 Number of Population by Specific Age Group, Dependency Ratio and Province, 2006 Number of Population by Specific Age Group, Dependency Ratio and Province, 2006 Number and Percentage of Underdeveloped Area by Province 2004 2006 Percentage of Household Getting Free Facility during 6 Reference Months by Type of Card and Province, 2006 Percentage of Household Purchasing Cheap Rice (Rice for Poor People) during 6 Reference Months and Quantity of Purchased Rice by Province, 2006 Unemployed and Inflation Ratio by Province, 2006 Percentage of Literacy on Population Aged 10 Years and Over by Sex and Province, 2006 Percentage of Literacy in Population Aged 10 Years and Over by Sex and Province, 2006 Percentage of Literacy in Population Aged 10 Years and Over by Sex and Province, 2006 Percentage of Educational Status on Population Aged 10 Years and Over by Province, 2006 Percentage of Educational Status on Population Aged 10 Years and Over by Province, 2006 Percentage of Educational Status on Population Aged 10 Years and Over by Province, 2006 Percentage of Population Aged 10 Years and Over by Certificate of Highest Education and Province, 2006

vii

Annex 2.10.a Annex 2.10.b Annex 2.11 Annex 2.12 Annex 2.12.a Annex 2.12.b Annex 2.13

Annex 2.14 Annex 2.15

Annex 2.16 Annex 2.17 Annex 2.18 Annex 2.19 Annex 2.20

Annex 2.21 Annex 2.22 Annex 2.23 Annex 2.23.a Annex 2.23.b Annex 3.1 Annex 3.2

Percentage of Population Aged 10 Years and Over by Certificate of Highest Education and Province, 2006 Percentage of Population Aged 10 Years and Over by Certificate of Highest Education and Province, 2006 Percentage of Household by Floor Width (M2), Type of Area and Province in 2006 Percentage of Household by Drinking Water Sources and Province, 2006 Percentage of Household by Drinking Water Sources and Province, 2006 Percentage of Household by Drinking Water Sources and Province, 2006 Percentage of Household with Drinking Water Source from Pump/Well/Spring by Type of Area and Distance to the Nearest Septic Tank/Other Waste Disposal and Province, 2006 Percentage of Households by Toilet Facility, Type of Area and Province, 2006 Percentage of Households with Clean Water (Piped/Non Piped), Referring to Bacteriological Requirement, and Drinking Water, Referring to Health Requirement by Province, 2004-2006 Percentage of Healthy House and Healthy School by Province, 20042006 Percentage of Healthy Households by Province, 2006 Percentage of Public Places and Food Handling Based on Health Requirement by Province, 2004-2006 Percentage of Population Having Health Complaint during the Reference Month by Kinds of Health Complaint and Province, 2006 Percentage of Population Getting Outpatient Care and Having SelfTreatment during The Reference Month by Type of Area And Province, 2006 Percentage of Population Getting Outpatient Care during Reference Month by Place/Method of Treatment and Province, 2006 Proportion of Population Having Self-Treatment during Reference Month by Type of Medicine, Area and Province, 2006 Percentage of Breastfed Child Aged 2-4 Years by Duration and Province, 2006 Percentage of Breastfed Child Aged 2-4 Years by Duration and Province, 2006 Percentage of Breastfed Child Aged 2-4 Years by Duration and Province, 2006 Estimation of IMR, UMR, NRR and TFR by Province, 2005 - 2010 Human Development Index by Province 1999, 2002, 2005 viii

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 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 3.27 Annex 3.28

Percentage of 10 Main Diseases of Hospital Outpatient in Indonesia, 2006 Percentage of 10 Main Diseases of Hospital Inpatient in Indonesia, 2006 Distribution of Hospital Outpatient based on ICD-X, 2006 Distribution of Hospital Inpatient based on ICD-X, 2006 Number of Malaria Cases and Incidence Rate by Province, 2006 Annual Parasite Incidence (API) of Malaria in Java-Bali, 2001- 2006 Coverage of TB Pulmonary Case Detection, 2006 Number of New Cases in TB Pulmonary AFB+ by Sex and Province, 2006 Number of New Cases in TB Pulmonary AFB+ by Age Group, Sex and Province, 2006 Number of AIDS Cumulative Cases, Deaths, and Case Rate per 100,000 Population by Province, up to December 31 2006 Number and Percentage of AIDS Cases on IDU by Province, up to December 31, 2006 Number and Percentage of AIDS New Cases Quarterly by Province, 2006 Estimation of Population that Easily Infected by HIV, 2006 Number of Pneumonia Cases on Underfives by Province, 2006 Leprosy Situation by Province, 2006 Number of New Leprosy Cases and Physical Defect by Province, 2006 Number of Communicable Diseases, that can be Prevented by Vaccination, by Province, 2006 Number of Tetanus Neonatorum Cases by Province, 2006 Number of Measles Cases in Hospital and Health Center by Age Group and Province, 2006 Number of Measles Cases and Vaccination by Age Group and Province, 2006 Number of Diphteria in Hospital and Health Center by Age Group and Province, 2006 Number of Pertussis Cases in Hospital and Health Center by Age Group and Province, 2006 Number of Clinical Hepatitis in Hospital and Health Center by Age Group and Province, 2006 Number of Hepatitis B in Hospital and Health Center by Age Group and Province, 2006 Number of AFP Cases by Province, 2006 Number of AFP Cases by Classification and Province, 2006 ix

Annex 3.29 Annex 3.30 Annex 3.31 Annex 3.32 Annex 3.33 Annex 3.34 Annex 3.35

Annex 3.36 Annex 3.37 Annex 3.38 Annex 3.39 Annex 3.40 Annex 3.41 Annex 3.42 Annex 4.1 Annex 4.2 Annex 4.3 Annex 4.4 Annex 4.5 Annex 4.5.a Annex 4.5.b Annex 4.6 Annex 4.7

Outbreaks of Polio, 2006 Number of Tetanus Cases in Hospital and Health Center by Age Group and Province, 2006 Frequency of Outbreaks by Disease in Indonesia, 2006 Diarrhea Outbreaks, 2002 - 2006 Number of Cases, Case Fatality Rate (CFR) and Incidence Rate (IR) of Dengue Hemorrhagic Fever (DHF) by Province, 2002 - 2006 Number Of Districts/Municipalities Infected by Dengue Hemorrhagic Fever (DHF) by Province, 2004 - 2006 Number and Percentage of Infected Districts/Municipalities and Number of Animal Bites Infected by Rabies and Examination Result of Animal Specimen by Province in, 2006 Number of Filariasis Cases by Province, 2002 - 2006 Number of Cases and Frambusia Prevalence by Province, 2006 Leptospirosis Situation on Human in Indonesia, 2002 - 2006 Taeniasis/Cysticercosis Situation on Human in Indonesia, 2002 - 2006 Anthrax Situation on Human in Indonesia, 2002 - 2006 Bubonic Plague Situation on Human in Indonesia, 2006 Number of Participants and Kinds of Working Accident Cases (PT Jamsostek), 2006 Coverage of 1st and 4th Visits (K1 & K4) of Pregnant Woman, Delivery Assisted by Health Providers, and Neonatal Visit (KN) by Province, 2006 Coverage of High Risk Cases Referral and Complication Handling of Pregnant Mother and Neonates by Province, 2006 Proportion of Married Women Aged 15-49 Years Using Contraception by Area Type and Province, 2006 Proportion of Married Women Aged 15-49 Years Used Contraception by Area Type and Province, 2006 Percentage of Married Women Aged 15-49 Years by Contraception Methods and Province, 2006 Percentage of Married Women Aged 15-49 Years by Contraception Methods and Province, 2006 Percentage of Married Women Aged 15-49 Years by Contraception Methods and Province, 2006 Result of Cumulative New Family Planning Acceptor Service by Contraception Method and Province, 2006 Number and Proportion of Cumulative New Family Planning Acceptor by Service Location and Province, 2006

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Annex 4.8 Annex 4.9 Annex 4.10 Annex 4.11 Annex 4.12 Annex 4.13.a Annex 4.13.b Annex 4.14 Annex 4.15 Annex 4.16 Annex 4.17 Annex 4.18 Annex 4.19 Annex 4.20 Annex 4.21 Annex 4.22 Annex 4.23 Annex 4.24 Annex 4.25 Annex 5.1 Annex 5.2 Annex 5.3 Annex 5.4 Annex 5.5 Annex 5.6 Annex 5.7

UCI (Universal Child Immunization) Village Achievement by Province, 2004 - 2006 Basic Immunization Coverage to Infants by Province, 2006 Hepatitis B Immunization Coverage to Infants by Province, 2006 Drop Out of DPT1-Measles Immunization Coverage to Infants by Province, 2002 - 2006 TT Immunization Coverage to Pregnant Women by Province, 2005 Number of Inpatient Visits in Hospital by Province, 2006 Number of Outpatient and Psychotic Case Visits in Hospital by Province, 2006 Examination of Dental and Oral Health in Government Public Hospital by Province, 2006 Indicators of Government and Public Hospital Services by Province, 2006 Radiodiagnostic Examination in Government Public Hospitals by Province, 2006 Number of Laboratories in Hospital Owned by Government of District/Municipality by Province, 2006 Utilization of Advanced Outpatient and Advanced Inpatient of Poor Family by Province, 2006 Drug Abuser Care in Hospital by Its Owner, 2006 Result of National Immunization Program by Province, 2005 - 2006 Coverage of Pulmonary TB AFB+, Recovery, Complete Treatment and Succes Rate (SR) by Province, 2005 Coverage of Pneumonia Case Detection on Underfives by Province, 2006 Coverage of Vitamin A Capsule Distribution by Province, 2006 Coverage of Pregnant Women Got Iron Tablets (Fe3) by Province, 2006 Recapitulation of Disaster, 2006 Number of Health Centers and Other Facilities by Province, 2006 Number of Health Centers and Its Ratio to Population by Province, 2002-2006 Number of Health Centers and Health Centers with Beds by Province, 2002-2006 Number of Mobile Health Centers and Its Ratio to Health Center, by Province, 2002-2006 Number of Hospitals in Indonesia by Ownership and Province, 2006 Number of General Hospitals by Ownership, 2002-2006 Number of Government General Hospitals by Class and Province, 20022006 xi

Annex 5.8 Annex 5.9 Annex 5.10 Annex 5.11 Annex 5.12 Annex 5.13 Annex 5.14 Annex 5.15 Annex 5.16 Annex 5.17 Annex 5.18 Annex 5.19 Annex 5.20 Annex 5.21 Annex 5.22 Annex 5.23 Annex 5.24 Annex 5.25 Annex 5.26 Annex 5.27 Annex 5.28 Annex 5.29 Annex 5.30

Number of Beds in General Hospital by Ownership, 2002 – 2006 Number of Specific Hospital and Its Beds by Type of Hospital, 2002 – 2006 Number of Production Facilities of Pharmaceutical Supplies and Medical Devices by Type and Province, 2002-2006 Number of Distribution Facilities and Pharmaceutical Services by Province, 2002 – 2006 Number of Community-Based Health Effort (UKBM) Facilities by Province, 2006 Number of Posyandu by Strata Level and Province, 2006 Number of Village Maternal Hut (VMH) by Strata Level and Province, 2006 Number of Village Drug Posts (VDP) by Strata Level and Province, 2006 Recapitulation of Health Polytechnic Institution by Program and Province, 2006 Recapitulation of Accreditation Strata of Health Polytechnic Study Program, 2006 Number of Non Health Polytechnic of Health Manpower Education Institution by Province and Study Program, 2006 Recapitulation Non Health Polytechnic Accreditation Strata, 2006 Number of Non Health Polytechnic of Health Manpower Education Institution by Ownership, per December, 2006 Recapitulation of Health Human Resource by Province, 2006 Health Human Resource in Hospital by Province and Type of Personnel, 2006 Number and Type of Health Personnel in Health Center by Province, 2006 Active Non Permanent Employee (NPE) by Province, 2006 Number and Types of Pharmacy Personnel in Government/Private Hospital and Health Center by Province, 2006 Number of Pharmacy Personnel in Production and Distribution Facilities by Province, 2006 Number of Students in Academic Year 2006/2007 in Health Polytechnic by Profession Number of Students in Academic Year 2006/2007 in Non Health Polytechnic by Profession Number of Student in Specific Program, 2006 Number of Graduates of Non Health and Health Polytechnic of Health Manpower Education by Types of Health Personnel, 2006 xii

Annex 5.31 Annex 5.32 Annex 5.33 Annex 5.34 Annex 5.35 Annex 6.1 Annex 6.2 Annex 6.3 Annex 6.4 Annex 6.5 Annex 6.6 Annex 6.7 Annex 6.8 Annex 6.9 Annex 6.10 Annex 6.11 Annex 6.12 Annex 6.13 Annex 6.14

Distribution of Health Polytechnic Graduates by Study Program and City, 2006 Distribution of Non Health Polytechnic Graduates by Study Program and City, 2006 Number of Training Conducted by Center for Health Education & Training and National Health Training Unit, 2006 Number and Percentage of Population Participation in Managed Care by Types and Province, 2006 Distribution of Managed Care Participants by Types and Province, 2006 Comparison of Density Data in ASEAN Countries, 2006 Comparison of Density Data in SEARO Countries, 2006 Comparison of Birth, Mortality Rate and Human Development Index in ASEAN Countries Comparison of Birth, Mortality Rate and Human Development Index in SEARO Countries Comparison of Tuberculosis Data in ASEAN Countries, 2004/2005 Comparison of Tuberculosis Data in SEARO Countries, 2004/2005 Estimation Rate of HIV and AIDS in ASEAN Countries, 2005 Estimation Rate of HIV and AIDS in SEARO Countries, 2005 Number of Communicable Diseases that can be Prevented by Vaccination in ASEAN Countries, 2006 Number of Communicable Diseases that can be Prevented by Vaccination in SEARO Countries, 2006 Comparison of Infant Immunization Coverage in ASEAN Countries, 2005 Comparison of Infant Immunization Coverage in SEARO Countries, 2005 Comparison of Health Efforts in ASEAN Countries Comparison of Health Efforts in SEARO Countries ***

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CHAPTER I INTRODUCTION Realizing vision “Self Motivated Community to Live Healthy Life”, and implementing mission “to Make People Healthy”, since 2006 Ministry of Health (MOH) has made a policy ”Development of Alert Village (Desa Siaga)” through Health Ministerial Decree No. 546/Menkes/SK/VIII/2006, August 2, 2006. One of the targets is that in 2006 approximately 70,000 villages in Indonesia have become Alert Village. During 2005 to 2009, MOH has prioritized mother and child health care in health development. Afterwards, there are also health care for poor family, health personnel empowerment, transmitted control, malnutrition and health crisis affected by disaster, and improvement of health care in remote and underdeveloped area, suburb and outer islands. Those programs are very connected each other in improving people’s health. Indonesia Health Profile 2006 refers to MOH main target above. Motivating and empowering community to live healthy will be described in chapter II and III, while improving community access to quality health service will be in chapter IV and V, improving surveillance monitoring and information system will be in chapter II and IV, and improving health budgeting will be described in chapter V. This Indonesia Health Profile 2006 consists of 8 chapters, i.e.: Chapter I - Introduction. It presents a reference of Indonesia Health Profile and its systematic presentation. Chapter II - General Situation and Environment. It presents general description of Indonesia. In addition to description of geographic position, demography, education, economy and other general information, this chapter also discusses environmental and behavioral factor. Chapter III – Health Status Situation. It contains of description about health development result by 2006, including mortality and morbidity rates and life expectancy at birth (Eo). Chapter IV – Health Effort Situation. It consists of health efforts implemented by health sectors until 2006 in order to achieve and succeed health development programs. The description covers percentages of basic health service coverage, referral health service and other health program services.

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Chapter V – Health Resource Situation. It would explain health development in 2006. It covers condition of the current health personnel, infrastructure and facility by 2006. This chapter also explains number and distribution of health service facility which is consist of hospital and health center, including sub- and mobile health center. Chapter VI – The comparison of Indonesia to ASEAN and SEARO member countries. This chapter presents comparison of some certain indicators covering data of population, birth, mortality rate, Human Development Index, tuberculosis, HIV/AIDS estimation rate, communicable disease that can be prevented by immunization, mal- and severe nutrition status, low birth weight infant, immunization coverage to infant and health efforts. Chapter VII – Closing Remarks.

***

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CHAPTER II GENERAL DESCRIPTION AND PEOPLE BEHAVIOR

Indonesia is the country in South East Asia with the most popular archipelago. Thus, Indonesia is enriched by various culture and custom that also concerning to health behavior. Administrative region in 2006 consisted of 33 provinces, 349 districts, and 91 municipalities. Those regions covered 5,656 sub-districts, 7,123 hamlets and 71,563 villages. Compared to 2005 data, there were increased number of sub-district and village. There were 5,263 sub-districts and 62,806 villages in 2005. This chapter shows general description and people behavior such as; population, economy, education, environment and health related behavior. A. POPULATION Based on population projection to 2005 SUPAS, population number in 2006 was 222,192,000 with population density level 118 per square km. High density level is still dominated by provinces in Java and Bali. Three provinces with highest density were DKI Jakarta with 13,499 per square km, West Java with 1,146 per square km, and Banten with 1,066 per square km. Meanwhile, three provinces with lowest density were Papua with 8 per square km, West Sulawesi with 11 per square km and East Kalimantan with 13 per square km. There is obvious gap of population distribution among islands in Indonesia. It was more than half of total population distributed in Java. It was 58.51% of total population lived in Java with 7% of total square of Indonesia. Meanwhile, other islands take less percentage of total population than java does. Sumatera takes 21.10% of population, Sulawesi takes 7.23%, Kalimantan takes 5.55%, Nusa Tenggara Islands and Bali take 5.42% and Papua and Maluku take 2.18%. Details about number of population and density level by province are on annex 2.2. The estimation of population projection to 2005 SUPAS also leads us to know population pirámide in 2006.

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GRAPH 2.1 POPULATION PYRAMIDE IN 2006

Source: The 2005 SUPAS Projection, BPS

Population composition by age shows that population at age group of 0-14 years old was 28.26%, productive age of 15-64 years old was 66.71% and age group of 65 years old and more was 5.03%. Hence, Indonesia dependency ratio in 2006 was 49.9%. The percentage was less than that of 2005 (50.81%). East Nusa Tenggara was province having highest dependency ratio with 71.45% followed then by West Sulawesi with 64.18% and Maluku with 63,85%. Meanwhile, DKI Jakarta was province having lowest depndency ratio with 37.01%, followed then by East Java with 44.38% and DI Yogyakarta with 44.63%. In terms of area type, dependency ratio on rural area (53.61%) was higher than that of urban (45.35%). Details of number of population by age group, province, area and dependency ratio in 2006 can be seen on Annex 2.3, 2.3.a, and 2.3.b. B. ECONOMY Economy is one of many factors considered in order to evaluate development achievement of a country. The BPS data quotes that economic growth in 2006 declined comparing to that of 2005. It decreased from 5.7% in 2005 to 5.5% in 2006. Discussing economic condition, it extremely relates to inflation rate. Inflation rate in 2004 was 6.4%. The rate dramatically increased to 17.11% in 2005, in the contrary it significantly declined to 6.6% in 2006. Beside the inflation rate, unemployment rate is related as well to economic condition. Referring to the BPS data, unemployment rate in 2004 was 9.86%, it increased then to 11.24% in 2005, and it finally declined to 10.45% in 2006.

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One of many issues relates to economic is poverty. It has been main burden of so many countries world wide. The Welfare Statistic provides percentage of households receiving free health service and percentage of households buying cheap rice or rice for the poor. Percentage of households receiving free health service in 2006 was 12.85%. The percentage covered health insurance for poor people (54.2%), oil subsidy reduction of compensation card (3.26%), Health Card (28.12%) and others (14.41%). Percentage of households buying cheap rice or rice for the poor in 2006 was 45.01%. Details about percentage of households buying cheap rice or rice for the poor in the reference of 6 months and number of rice purchased by province in 2006 are on annex 2.6. National Social and Economic Survey indicates that poor population are population with monthly expenditure by GDP under poverty line defining as food and non-food poverty line. Food poverty line is defined as population expenditure to fill basic needs wheter food or non-food. Food poverty line is formulated by calculating food expenditure. On the other hand, non-food poverty line calculating expenditure of housing, clothing, education and health. During February, 2005 to March, 2006 poor population increased from 35.10 million to 39.3 million. It indicates increase of 4.2 million poor population. In terms of poor population percentage, there was significant increase during the period of 20052006, from 15.97% to 17.75%. i.e. following GRAPH 2.2 shows percentage of poor population in 2002-2006. GRAPH 2.2 PERCENTAGE OF POOR POPULATION IN 2002 – 2006

Source: Análisis and Assessment of Poverty, BPS 2006

Poverty level can also be measured through poverty depth index and poverty severity index. Poverty depth index indicates gap between the poor income and poverty border line wheter food or non food. On the other hand, poverty severity index represents gap of income among poor population. During 2002-2006 there was significant increase of poverty depth index on February 2005- March 2006, from 2.78 to 5

3.43. Dramatic increase was also shown by poverty severity index on same period, from 0.76 to 1. Poverty is an issue of public concern, including those who work in the health sector. Public affordability to health service relates to economic issue. Poverty is also a burden on filling needs of healthy food. As matter of fact that unsufficent healthy food feeding can affect to poor self immunity which may finally lead to vulnerability of several diseases. Severe and under nutrition burden frequently relates to economic condoition as well. Problem of adequate nutrition food consuming may lead to Kwashiorkor, Xeropthalmia, Scurvy, and Beriberi, Rickets. GRAPH 2.3 DEPTH INDEX (P1) AND SEVERITY INDEX (P2) IN 2002 – 2006

Source: Analysis and Assessment of Poverty, BPS 2006

During February 2005-March 2006 there was transition of poor population. Considering the issue, it can be said that increase number of poor population during the period was due to transition of population who are transient poor. Transient poor are people with income closed to poverty line. They were 56.58% of poor population on February 2005 who were constantly stated as poor on March 2006. Mean while the 19.63% become almost poor, almost not poor 17.65% and not poor 6.42%. On 2006 there was dramatic transformation of almost poor and almost not poor population. There was 30.42% almost poor population on February 2005 becoming poor on March 2006. Consequently, 11.76% of almost not poor population became poor on March 2006.

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TABLE 2.1 POPULATION TRANSFORMATION BY POVERTY STATUS FEBRUARY 2005-MARCH 2006 (%) February 2005

March 2006 Poor Almost Poor Almost not poor Poor 56.58 19.36 17.65 Almost poor 30.42 26.32 30.71 Almost not poor 11.76 17.69 40.13 Not Poor 2.32 3.60 21.76 Total 17.75 13.45 27.64 Source: Analysis and Assessment of Poverty, BPS 2006

Not Poor 6.42 12.56 30.42 72.32 41.16

Total 100 100 100 100 100

Government intensively conducts economic development to promote improvement in any sector in all over the country especially to underdeveloped area. An area is categorized underdeveloped for several factors, i.e. geography, natural resources, human resources, facility, disaster and social conflict high risked area, and development policy. Facility limitation of any sector including health, affects to underdeveloped area people of running social-economic activities. Smallest unit of underdeveloped area based on National Strategy of Underddeveloped Area Development Acceleration (STRANAS PPDT) is district. The 2006 data published by Ministry of Development Acceleration of Underdeveloped Area states that number of underdeveloped distrisct was 199 of 440 districts in Indonesia. The number was higer than that of previous year when there were 197 underdeveloped districts. Addition of 2 districts was on West Sumatera, which raised from 7 to 9 districts. Province with highest percentage of underdeveloped district/municipality was west Sulawesi with 100%, followed by Papua with 95% and West Nusa Tenggara with 93.75%. Number and percentage of underdeveloped district by province can be seen on Annex 2.4 GRAPH 2.4 PERCENTAGE OF UNDERDEVELOPED MUNICIPALITY IN 2006

Source: National Strategy of Underdeveloped Area Development, 2004-2009

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C. Education Education has become one indicator assessed on evaluating human development level of a country. Through knowledge, education contributes to health behavior change. Knowledge affected by eductaion issue is one of predispossing factor contributing to people’s decision on health behavior. Through this section we may know about literacy, educational status, school enrollment and net enrollment ratio. Literacy of population is represented by literacy rate indicating percentage of population at 10 years old and over who are able to both read and write latin or other letters. The 2006 national percentage of population who are able to read latin letters was 70.51%. On the other hand, the percentage of population who are able to read other letters was 2.06%, percentage of latin and other letters was 19.82% and percentage of illiterate was 7.61%. Hence, percentage of literate population consisting of people who are able to read latin, other, and latin and other letters was 92.39%. Percentage of literacy at male population was bigger than that of female, 95.12% to 89.66%. The percentage on urban area was also bigger than that of rural, 95.76% to 89.76%. North Sulawesi was province having highest literate percentage with 99.00%, followed by DKI Jakarta with 98.34% and Riau with 97.54%. On the contrary, Papua become province having lowest literate percentage with 71.58%, followed by West Nusa Tenggara with 81.66% and Bali with 87.15%. Literate percentage of population at 10 years old and over by province, sex, and type of area on 2006 can be seen on annex 2.8, 2.8.a and 2.8.b. GRAPH 2.5 PERCENTAGE OF LITERATE POPULATION OVER 10 YEARS OLD IN 2006

Source: Welfare Statistic, 2006

Percentage of population at 10 years old and over with no certificate in Indonesia was 28.20%. The percentage at rural area was higher than that of urban, 35.15% to 19.30%. National percentage of population having certificate, consists of 31.67% of primary, 17.56% of junior high, 18.12% of senior high, and 4.44% of diploma I to

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University. Hence, percentage of population at 10 years old and over having certificate of senior high school or upper level was 22.56%. Three provinces with highest percentage of population having certificate of senior high school or upper level were DKI Jakarta with 47.56, followed then by DI Yogyakarta with 36.97% and Riau Islands with 36.77%. On the other hand, three provinces with lowest percentage of population having certificate of senior high school or upper level were West Sulawesi with 14.17%, followed by East Nusa Tenggara with 14.20%, and West Kalimantan with 16.29%. Details about percentage of population at 10 years old and over by certificate and province are on Annex 2.10. TABLE 2.2 PERCENTAGE OF POPULATION AGED 10 YEARS AND OLDER BY AREA TYPE. SEX AND EDUCATIONAL STATUS IN 2006 Area/Sex No Sertificate

Elementary School

Junior High School

Highest Sertificate Achieved General Vocational Dipl I/ High High Dipl II School School

Academy/ Dipl III

Dipl IV/ S1/S2/ S3

Total

Urban Male Female M+F Rural

16.88 21.69 19.30

24.02 26.11 25.07

19.29 19.30 19.29

22.78 20.30 21.53

8.24 5.36 6.79

0.83 1.29 1.06

1.92 1.91 1.91

6.05 4.04 5.04

100.00 100.00 100.00

Male Female M+F Urban + Rural Male Female M+F

31.48 38.83 35.15

37.27 36.37 36.82

17.40 15.02 16.21

9.13 6.67 7.90

2.90 1.60 2.25

0.50 0.59 0.55

0.33 0.32 0.33

0.98 0.59 0.78

100.00 100.00 100.00

25.10 31.28 28.20

31.48 31.85 31.67

18.23 16.90 17.56

15.09 12.67 13.88

5.24 3.26 4.24

0.64 0.90 0.77

1.03 1.02 1.02

3.20 2.11 2.65

100.00 100.00 100.00

Source: Welfare Statistic, BPS 2006

Table 2.3 above shows significant percentage gap of population at 10 years old and over having certificate of senior high school and upper level between urban and rural area. Urban percentage was 36.33%, while rural percentage was 11.81%. In terms of sex, percentage at male group was higher than that of female, 25.20% to 19.96%. The 2006 School Enrollment Ratio (SER) was categorized as 3 age groups. They were 7-12 years old representing primary school, 13-15 years old representing junior high school, and 16-18 years old representing senior high school. School enrollment ratio of 712 years old was 97.39%, 13-15 years old was 84.08%, and 6-18 years old was 53.92%. The higher age group range, the lower APS both for male and female. In terms of area type, SER on urban was higher than rural. Net Enrollment Ratio (NER) indicates number of population at school age who are attending school based on the age. Welfare statistic divides NER based on educational level and type of area. Primary school NER at urban was 93.07%, lower than that of rural which was 93.86%. On the other hand, junior and senior high school NER showed

9

different pattern. Junior high school NER at urban was higher than rural, 73.56% to 61.76%. Senior high school NER at urban was also higher than rural. It was 57.17%, comparing to 33.47%. At national level, NER of primary, junior high, and senior high school orderly were 93.54%, 66.52% and 43.77%. TABLE 2.3 SCHOOL ENROLLMENT RATIO (SER) OF POPULATION AGED 7-18 YEARS BY AREA TYPE, SEX AND AGE GROUP IN 2006 Area/Sex

7 – 12

Age Group (Years) 13 - 15

16 - 18

Male Female M+F Rural

98.14 98.54 98.33

90.19 89.26 89.74

66.60 64.38 65.50

Male Female M+F Urban + Rural

96.37 97.16 96.75

79.50 81.08 80.25

45.03 44.99 45.01

Male Female M+F

97.08 97.72 97.39

83.75 84.44 84.08

54.09 53.73 53.92

Urban

Source : Welfare Statistic, BPS 2006 TABLE 2.4 NET ENROLLMENT RATIO (NER) BY AREA TYPE, SEX, AND EDUCATIONAL LEVEL IN 2006 Educational Level Area/Sex

Elementary School

Junior High School

High School

Male Female M+F Rural

93.36 92.76 93.07

73.62 73.50 73.56

57.95 56.39 57.17

Male Female M+F Urban + Rural

94.10 93.60 93.86

61.86 61.65 61.76

33.50 33.42 33.47

Male Female M+F

93.80 93.26 93.54

66.53 66.51 66.52

43.77 43.78 43.77

Urban

Source: Welfare Statistic, BPS 2006

10

D. Environmental Condition Environment is one of considerable sector on evaluating public health situation. Together with behavior, health care, and genetic factor, environment determines public health status. Describing environmental situation, the following describes percentage of healthy household, percentage of household by drinking water source, percentage of household with drinking water source from pump/well/water spring by distance to the nearest waste disposal, and percentage of household by toilet facility ownership. 1. Healthy Household There are several environmental indicators needed to be filled by household in order to achieve healthy household condition. They are availability of safe water and toilet, appropriateness of floor width to number of occupant and floor made of non-soil material. They are also other indicators relating to behavior and health insurance accessibility. Percentage of healthy household in 2006 was 24.96%. Three provinces with highest percentage of healthy households were East Kalimantan with 41.45%, followed then by North Sulawesi with 39.22% and Bali with 37.38%. On the contrary, three provinces with lowest percentage of healthy households were South Sumatera with 7.71% followed by Banten with 13.47% and Gorontalo 15%. More details concerning to percentage of healthy households by province are on Annex 2.17. 2. Drinking Water Accessibility The 2006 Welfare Statistic divides drinking water source used by households into two main groups i.e. protected and unprotected drinking water source. Protected drinking water source consisted of packaged water, piped water, pump, protected water spring, protected well, and rain water. On the other hand, unprotected drinking water source consisted of unprotected well, unprotected water spring, river water, and others. Percentage of household with protected drinking water source was 82.29%, and percentage of household with unprotected drinking water source was 17.71%. DKI Jakarta become province having highest percentage of household with protected drinking water source with 99.44%, followed then by Bali with 93.61% and East Java with 89.26%. Meanwhile, Papua was province having lowest percentage with 50.47%, followed by Central Kalimantan with 54.23% and West Irian Jaya with 57.05%. Most of households at protected drinking water source group had protected well, with 34.64%. It was followed by piped water with 18.38%, pump with 13.63%, protected water spring with 8.68%, packaged water with 4.43% and rain water with 2.53%. On the other hand, at unprotected drinking water source, most of households used unprotected well with 10.18%, followed by unprotected water spring with 4.18%, river water with 2.99% and others with 0.36%. More details concerning to percentage of households by drinking water source, province and type of area are on Annex 2.12., 2.12.a. and 2.12.b.

11

GRAPH 2.6 PERCENTAGE OF HOUSEHOLD BY DRINKING WATER SOURCE IN 2006

Source: Welfare Statistic, BPS 2006

3. Distance of Drinking Water Source to Waste Disposal Drinking water source frequently become contaminant source of water borne disease. Therefore, it has to fill condition of localization and construction. Localization condition urges that drinking water source has to be retained from pollutant, so distance of drinking water source to latrine, waste hole, septic tank, and other contaminant sources. The distance depends on condition and declivity land. The distance between drinking water source and contaminant sources, including waste disposal generally is no less than 10 meters, and the position of drinking water source can not be under those contaminant sources. Welfare Statistics also provides data of percentage of household having drinking water source by distance to waste disposal and province. The national data indicates that 46.57% households had distance of drinking water source of pump/well/water spring to waste disposal more than 10 meters. Meanwhile, 28.96% households had distance 10 meters or less. The remaining 24.47% were unknown. In terms of households with distance more than 10 meters, three provinces with highest percentage were DI Yogyakarta with 62.08%), followed by South Kalimantan with 59.81% and East Kalimantan with 57.70%. On the contrary, three provinces with lowest percentage were Banten with 32.80%, followed by Central Sulawesi with 34.96% and West Nusa Tenggara 35.02%. Details concerning to percentage of households having drinking water source of pump/well/water spring by type of area, distance to nearest waste disposal and province are on Annex 2.13

12

GRAPH 2.7 PERCENTAGE OF HOUSEHOLD WITH DISTANCE OF DRINKING WATER SOURCE TO SEPTIC TANK OR OTHER WASTE DIS POSAL OVER 10 M IN 2006

Source : Welfare Statistic, BPS 2006

3. Toilet Facility Availability and ownership of toilet facility has become critical need of people. They are also crucial issue on determining life quality of population. The 2006 Welfare Statistic divides households base don toilet facility i.e. private, shared, public and none. At national level, percentage of households having private toilet facility was 60.38%, shared was 13.90%, public was 6.05% and none was 19.67%. Percentage of household having private toilet facility on urban shows significant gap to those of rural. Urban percentage was 71.97%, while rural percentage was 51.65%. In terms of private toilet facility ownership, there were three provinces with highest percentage i.e. Riau with 80.96%, East Kalimantan with 75.01% and DKI Jakarta with 74.74%. Meanwhile, three provinces with lowest percentage were Gorontalo with 28.83%, followed by West Nusa Tenggara with 33.68% and West Sulawesi with 38.16%. To know more about percentage of households by toilet facility ownership, type of area, and provinces can be seen on Annex 2.14. GRAPH 2.8 PERCENTAGE OF HOUSEHOLD BY TOILET FACILITY OWNERSHIP IN 2006

Source: Welfare Statistic, BPS 2006

13

4. Floor Width Population growth wheter at urban or rural have negative impact to comparation between floor width and number of occupant. It brings impact to degradation of open space at residences which finaly affects as well as to public health situation. Number of population relates to number of microbes. Number of existing microbes infecting respiratory tract will rise in line with number of occupant increase. Small and crowded house affects to mental growth of children. Children need free environment and wide playground which is able to support their creativity. In other words, crowded house can enhance disease transmisión especially respiratory tract infection and affect child’s growth. The 2006 welfare statistic provides data about percentage of households by floor width i.e 50-99 meter square (41.63%), 20-49 meter square (39.11%) and 100-149 meter square (8.67%). More details about percentage of households by floor width, type of area, and province in 2006 are on Annex 2.11. E. Community Behavior Describing people behavior relating to public health condition, the following provides several indicators i.e. percentage of population taking outpatient care and having self-treatment during during the reference month by type of area, percentage of population taking outpatient care during the refrence month by place/method of treatment, and percentage of children aged 2-4 years who were breastfed. 1. People Effort on Care Seeking Behavior The 2006 Welfare Statistic indicates that percentage of population having selftreatment during the reference month was bigger than those who are taking outpatient care. Percentage of population having self-treatment were 71.44%. The percentage is higher than that of 2005 percentage which was 69.88%. On the other hand, percentage of population taking outpatient care was 34.13% of population who had health complaint during the reference month. The percentage was higher than that of 2005 percentage which was 34.43%. Bali was the province had highest percentage of population taking outpatient care during the reference month with 46.82%, followed by East Nusa Tenggara with 45.72% and DKI Jakarta with 39.46%. Meanwhile Maluku had lowest percentage with 19.36% followed by West Sulawesi with 21.10% and Riau with 21.80%. In terms of self treatment behavior concerning to health complaint during the reference month, North Maluku had highest percentage with 81.73%, followed by Gorontalo with 81.27% and Central Kalimantan with 78.49%. Meanwhile, Papua had lowest percentage with 51.38% followed by East Nusa Tenggara with 56.64% and North Sulawesi with 61.92%. Annex 2.20 provides details concerning to the issue. 2. Place of Outpatient Care Percentage of population taking outpatient care concerning to health complaint during the reference month were categorized based on place of health care i.e. government hospital, private hospital, doctor’s practice, health care/sub health center, paramedic, traditional healer and traditional birth attendance. The 2006 Welfare Statistic 14

shows that health center/sub health center had highest percentage among other places with 40.45% followed by doctor’s practice with 23.85% and paramedic with 19.10%. Three provinces with highest percentage of population taking outpatient care to health center/sub health center were Papua with 65.94% followed by East Nusa Tenggara with 64.32% and West Sulawesi with 63.98%. On the contrary, three provinces with lowest percentage were Bali with 28.59% followed by North Sumatera with 29.00% and DKI Jakarta with 31.52%. More details about the percentage can be seen on Annex 2.21. GRAPH 2.9 PERCENTAGE OF POPULATION TAKING OUTPATIENT CARE TO HEALTH CENTER IN 2006

Source: Welfare Statistic, BPS 2006

3. Children Aged 2-4 Years Who Were Breastfed The indicator provided on percentage is categorized as 5 groups i.e. < 5 months, 6-11 months, 12-17 months, 18-23 months and > 24 months. Duration of > 24 months had highest percentage with 43.46% followed then by duration of 18-23 months with 21.68%, and duration of 12-17 months with 20.77%. Central Kalimantan was province having highest percentage of children breastfed for > 24 months with 60.56%, followed then by DI Yogyakarta with 59.31% and West Nusa Tenggara with 55.93%. On the contrary, Maluku was province having highest percentage with 14.22%, followed then by North Sumatera with 24.09% and North Maluku with 32.19%. At national level, percentage of children breastfed for 24 months and more increased for recent three years. In 2004, the percentage was 41.36%, it rose to 42.80% in 2005 and increased as well to 43.46% in 2006. Annex 2.23. 2.23.a and 2.23.b provide the details about the percentage.

15

GRAPH 2.10 PERCENTAGE OF 2-4 YEARS OLD CHILDREN WHO HAVE BEEN BREASTFED BY DURATION IN 2006

Source: Welfare Statistic, BPS 2006

Description above simply provides general information concerning to situation on 2006. It covers various aspects such as: population, economy, education, environment and people behavior relating to public health issue. ***

16

CHAPTER III HEALTH STATUS SITUATION

In order to figure out health status of the Indonesian population, the following are description of the situation of mortality and morbidity. 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 and Indonesia Population Projection 2000-2005. Description of lates data about estimation of IMR from some sources can be seen in Graph 3.1 as follows. GRAPH 3.1 ESTIMATION OF INFANT MORTALITY RATE PER 1.000 LIVE BIRTHS 1995 - 2005

17

Source:

[a]

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 [d] Indonesian Population Projection 2000-2025 [b]

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. According to Indonesia Population Projection 2000-2025, IMR decreased significantly from 52 per 1,000 live births in 1997 to 28 per 1,000 live births in 2005. Provinces with the lowest IMR were DKI Jakarta (14 per 1,000 live births), DI Yogyakarta (14 per 1,000 live births), and North Sulawesi (16 per 1,000 live births). Meanwhile provinces with the highest IMR were West Nusa Tenggara (51 per 1,000 live births), North Maluku (43 per 1,000 live births), and Central Sulawesi (40 per 1,000 live births). In 2002, IMR in hospital was 40.6 per 1,000 live births. In 2003, its IMR in hospital had decreased significantly 22,9 per 1,000 live births, then in 2004 increased to 29.4 per 1,000 live births. In 2005 - 2006 it increased to 23.7 per 1,000 live births and 25.9 per 1,000 live births. Table 3.1 below describes infant deaths in hospital during 2002–2006. TABLE 3.1 INFANT MORTALITY RATE IN HOSPITAL IN INDONESIA, 2002 – 2006 Year 2002 2003 2004 2005 2006

Number of Hospitals 1,215 1,234 1,246 1,268 1,292

Number of Death Births 5,381 3,160 3,321 3,220 3,041

Number of Live Births 127,053 135,094 109,297 132,745 116,991

Infant Mortality Rate per 1,000 Population 40.6 22.9 29.4 23.7 25.9

Source: DG of Medical Care, MOH, 2007

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. Decreasing 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, premature and low birth weight that was 38.94%. Other factors were intra uterine hypoxia and spontaneous/regular respiratory failure at birth or several moments after birth (birth asphyxia), that was 27.97%. Therefore 18

66.91% 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. TABLE 3.2 DISTRIBUTION OF PATIENTS DIED AT BIRTHS IN HOSPITAL STARTING IN PERINATAL PERIOD IN INDONESIA, 2006 No 1

BTL 0.12

ICD -10 A33

2

245

P00 - P04

3

246

P05 - P 07

4 5

247 248

P10 - P 15 P20 - P 21

6

249

P22 - P 28

7 8 9

250 251 252

10

253.9

P35 - P 37 P38 - P39 P55 P08,P29,P50P54,

Diseases Tetanus neonatorum Fetus and new born baby influenced by factor and complication of pregnancy, delivery and birth Slowly fetus growth, fetus malnutrition and interfere with short term pregnancy and low birth weight Birth injury Intrauterine hypoxia and birth asphyxia Other respiratory tract infection related to perinatal period Infection and congenital parasite diseases Other special infection in perinatal period Hemolytic disease in infants and new born baby Other condition starting in perinatal period

Total

Dead 37

% 0.56

548

8.28

2,578

38.94

57 1,792

0.86 27.97

662

10.00

467 117 20

7.05 1.77 0.30

342

5.17

6,620

100.00

Source: DG of Medical Care, MOH, 2007

Generally, in Indonesia IMR has tended to decrease significantly, ARI (Acute Respiratory Infection) still be the most cause of deaths in infants and underfives. It can be seen through the result of mortality survey of sub directorate Acute Respiratory Infection, DG of DC&EH in 2005 in 10 provinces below. TABLE 3.3 CAUSES OF INFANT DEATHS IN INDONESIA (MORTALITY SURVEY OF SUBDIT ARI, 2005) No

Cause of Death

%

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

Neonatus Pneumonia Severe infection Diarrhea Other problem (including accident) Malnutrition and under red line weight Dengue Hemorrhagic Fever Anorexia – dehidration Typhoid Malaria Measles – complication Pertussis Without causes

44.5 22.3 10.6 9.1 5.5 1.7 1.4 1.3 1.2 0.8 0.8 0.3 0.6

Source: DG of DC&EH, MOH, 2007

19

2. Underfives Mortality Rate (UMR) The last UMR data based on result of Indonesia Demographic and Health Survey in 2002-2003, that was 46 per 1,000 live births. Description of UMR during 1995 – 2003 is presented in Table 3.4 as follows. TABLE 3.4 UNDERFIVES MORTALITY RATE (UMR) PER 1,000 LIVE BIRTHS IN INDONESIA, 1995 – 2003

Year 1995 1998 1999 2000 2001 2002-2003 Source:

Estimation of SUPAS 1995 Males Females M+F (M) (F) 71.36 66.44 50.77

57.61 53.05 39.00

64.28 59.55 44.71

Estimation of SUSENAS 73 64

IDHS 2002 - 2003

64 46 Indicator of Child Welfare 2001 (Inter-Census Population Survey/SUPAS 1995 Estimation), Estimation of National Socio-Economic Survey/SUSENAS 1995, 1998, and 2001, Indonesian Demographic and Health Survey 2002-2003

Generally, IMR in Indonesia has tended to decrease significantly and ARI (Acute Respiratory Infection) still be the most cause of deaths in infants and under fives. It can be seen through the result of mortality survey of sub directorate of Acute Respiratory Infection, DG of DC&EH in 2005 in 10 provinces below. TABLE 3.5 CAUSES OF UNDERFIVE DEATHS IN INDONESIA (MORTALITY SURVEY OF SUBDIT ARI, 2005) No

Cause of Death

%

1 2 3 4 5 6 7 8 9 10 11 12

Pneumonia Diarrhea Severe infection Other problem (includes accident) Neonatus Typhoid Malnutrition and under red line weight Malaria Measles – complication Anorexia – dehydration Pertussis Without causes

23,6 15,3 15,1 14,7 11,2 3,8 3,6 2,9 2,9 1,6 0,2 0,05

Source: DG of DC&EH, MOH, 2007

20

3. Maternal Mortality Rate (MMR) Maternal Mortality Rate in hospital during 2002-2006 tended to decrease from 5.1 per 1,000 live births in 2002 to 2.0 per 1,000 live births in 2006. While in 2004, maternal mortality rate increased from 1.1 per 1,000 live births in one year before to 8.6 per 1,000 live births. Maternal mortality rate during 2002 - 2006 in hospital can be seen in Table 3.6 as follows. TABLE 3.6 MATERNAL MORTALITY RATE IN HOSPITAL IN INDONESIA, 2002 – 2006 Year 2002 2003 2004 2005 2006

Number of Maternal Deaths 649 153 956 116 237

Number of Live Births 127,053 135,094 109,297 132,745 116,991

Deaths per 1,000 Population 5.1 1.1 8.6 0.9 2.0

Source: DG of Medical Care, MOH, 2007

Maternal mortality rate data in hospital from DG of Medical Care, describes number of deaths in hospital per 1.000 live births and its cause of deaths is explained in Table 3.7 as follows. TABLE 3.7 DISTRIBUTION OF PATIENT IN PREGNANCY, DELIVERY AND POST PARTUM,, DISCHARGE BY CAUSES OF DISEASES IN HOSPITAL IN INDONESIA, 2006 No 1 2 3 4 5 6 7 8

BTL 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 O00 - O09 O14 - O15 O44 O46 O72 O60 O68 O10O3,O16,O20O25, O29O30,O40O43, O45,O47,064O67, O69,074O75,O81-O99

Causes Pregnancy ended with abortion Eclampsia and preeclampsia Placenta previa Antepartum hemorrhage Postdelivery hemorrhage Premature delivery Delivery with severe fetus complication Other complication of pregnancy, delivery and post partum

Total

Cases 42,354 7,848 4,409 1,940 7,376 3,063 3,709 63,580

134,279

% 31.5 5.8 3.3 1.4 5.5 2.3 2.8 47.3

Deaths 205 166 36 8 43 34 11 250

CFR 0.4 2.1 0.8 0.4 0.6 1.1 0.3 0.3

753

0.56

Source: DG of Medical Care, MOH, 2007

Based on causes of diseases, the highest number of obstetric case in 2006 caused by other complication of pregnancy, delivery and post partum (47.3%,) followed by pregnancy ended with abortion (31.5%). Meanwhile, based on CFR (Case Fatality Rate) data, the highest cause of deaths was eclampsia and preeclampsia (CFR 2.1%), while its case percentage was not high (5.8% of all obstetric cases). 21

4. Crude Death Rate (CDR) Description of crude death rate (CDR) in hospital during 2001 – 2006 was stable relatively, that was in range 3.2 – 4.7, while the highest CDR (4.7) was occurred in 2004. TABLE 3.8 CRUDE DEATH RATE IN HOSPITAL IN INDONESIA 2006 Year Number of Cases 2001 2,597,512 2002 2,346,136 2003 2,270,657 2004 2,140,954 2005 2,561,106 2006 2,233,204 Source: DG of Medical Care, MOH, 2007

Number of Deaths 82,440 88,441 81,943 99,615 85,567 84,214

% 3.2 3.8 3.6 4.7 3.3 3.8

Meanwhile the highest cause of death of inpatient in hospital in 2006 can be seen in Table 3.9 as follows. TABLE 3.9 10 MAIN DISEASES CAUSING DEATHS BY BASE TABULATION LIST IN HOSPITAL IN INDONESIA, 2006 No 1 2 3

BTL 155 153 55

ICD I 64 I 60 - I 62 A 09

4

246

P 05 - P 07

5 6

17 214.9

7 8 9 10

278 169 104,9 032.1

A 40 - A 41 N 17.0-.2.9 - N 19 S 06 J 12 - J 18 E 14 A 91

Causes Stroke without hemorrhage/infarct Intracranial hemorrhage Diarrhea and gastroenteritis caused by certain infection (colitis infection) Slowly fetus growth, fetus malnutrition and interfere with short term pregnancy and low birth weight Septicemia Other renal failure Intracranial injury Pneumonia Diabetes mellitus YTT Dengue Hemorrhagic Fever

Deaths 4,377 3,677 2,716

%[a] 5.20 4.37 3.23

2,578

3.06

2,539 2,521

3.01 2.99

2,519 2,459 2,384 2,223

2.99 2.92 2.83 2.64

Source: DG of Medical Care, MOH, 2007

Remarks: [a]percentage to total deaths in hospital

Based on table above, the highest cause of deaths was stroke 5.20% (tanpa menyebut hemorrhage or infarct), followed by intracranial injury 4.37%, then diarrhea and gastroenteritis 3.23%. 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. 22

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). According to Indonesia Population Projection 2000-2025, estimation of life expectancy at birth 67.8 in 2000-2005 increased to 69.8 in 2005-2010, so then it was estimated to increase to 73.6 in 2020-2025. Estimation of life expectancy at birth during 2000-2025 can be seen in Table 3.10 as follows. TABLE 3.10 ESTIMATION OF LIFE EXPECTANCY AT BIRTH (Eo) 2000 – 2025 Year

Eo

2000 - 2005 2005 - 2010 2010 - 2015 2015 - 2020 2020 - 2025

67.8 69.8 71.5 72.8 73.6

Source: Indonesia Population Projection 2000-2025, 2005

Detail of Infant Mortality Rate (IMR), Life Expectancy at Birth (LE), Net Reproduction Rate (NRR) and Total Fertility Rate (TFR) by province in 2005 – 2010 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 are presented in Table 3.11 below. TABLE 3.11 PATTERN OF MAIN CAUSES OF OUTPATIENTS IN HOSPITAL IN INDONESIA, 2006 No

BTL

Causes

1 2 3 4 5

167 145 268 199.9 270.9

6 7 8 9 10

281 007.1 294.0 104.9 5

Other acute respiratory infection Essential (primary) hypertension Fever caused by unknown origin Skin and other sub cutan diseases Sympton and clinical finding and other abnormal laboratory YTK in other place Other trauma/without trauma injury and multiple body area Other tuberculosis pulmonary Normal pregnancy monitoring Diabetes mellitus without trauma Diarrhea & gastroenteritic caused by certain infection (colitis infection)

Source: DG of Medical Care, MOH, 2007

23

Number of Visits 960,460 480,922 409,632 403,270 397,478

9.32 4.67 3.98 3.91 3.86

347,345 346,906 343,786 342,246 333,066

3.37 3.37 3.34 3.32 3.23

%

In 2006, based on data of ten main diseases of outpatient in hospital, the highest disease were other acute respiratory infection 9.32%, followed by essential (primary) hypertension 4.67% and fever caused by unknown origin 3.98%. While pattern of ten main diseases of inpatient in hospital in 2006 can be seen in Table 3.12 below. TABLE 3.12 PATTERN OF MAIN CAUSES OF INPATIENTS IN HOSPITAL IN INDONESIA, 2006 No 1

BTL 5

ICD A 09

2 3 4

032.1 2 242.9

5 6 7

278 268 281

A 91 A 01 O 20-O 23, O 25-O 29, O 61-O 63 O 67, O 6971, O 73-O 75, O81-O 83 S 06 R 50

8 9 10

169 43 185

J 12 J 18 B 50 - B 54 K 30

Causes Diarrhea & gastroenteritic caused by certain infection (colitis infection) Dengue hemorrhagic fever Typhoid and paratyphoid fever Other complication of pregnancy and delivery

Intracranial injury Fever caused by unknown origin Other trauma/without trauma injury and multiple body area Pneumonia Malaria (includes all types of malaria) Dispeptia

Patients 177,517

% 7.95

81,392 72,804 63,580

3.64 3.26 2.85

48,645 46,175 46,081

2.18 2.07 2.06

37,634 36,865 34,029

1.69 1.65 1.52

Source: DG of Medical Care, MOH, 2007

Based on ten main diseases data of inpatient in hospital in 2006, the highest diseases were Diarrhea and gastroenteritis caused by certain infection (colitis infection) 7.95%, followed by Dengue hemorrhagic fever 3.64% and Typhoid and paratyphoid fever 3.26%. Two tables above show that infection diseases was still be the main diseases of outpatient and inpatient in hospital, although some non communicable diseases such as Diabetes Mellitus, Hypertension, and Injury were included to main diseases in hospital. Distribution of outpatient/inpatient in 2006 by Chapter ICD-X in hospital in Indonesia can be seen in Annex 3.5 and 3.6. Next part explains situation of some communicable diseases that need attention to obtain solution, including situation of communicable diseases that prevented by immunization (PD3I), outbreak potential diseases, also situation of non communicable diseases. 1. Communicable Diseases Communicable diseases that are presented in this chapter are among others Malaria, Pulmonary TB, HIV/AIDS, Acute Respiratory Infection (ARI), Leprosy, immunization preventable diseases, outbreak potential diseases, Rabies, Filariasis, Frambusia/Yaws, and Anthrax. a. Malaria Situation of malaria morbidity rate during 2001 – 2006 relatively tended to decrease, then comparing to target that must be reached chart below shows that target had been reached, malaria morbidity rate 44.7 per 1,000 population had decreased to 19.6 per 1,000 24

population in 2006. Target and malaria morbidity rate during 2001 – 2006 detailed can be seen in the Graph as follows. GRAPH 3.4 MORBIDITY SITUATION OF MALARIA 2001 – 2006

Source: DG of DC&EH, MOHRI

Situation of malaria morbidity rate during 2001 – 2006 relatively fluctuated, it was 2.69% in 2001 increased to 4.9% in 2003 but back to decrease up to 0.42% in 2006; this value was lower comparing to the indicator target that must be reached (target 0.45% in 2006), detailed can be seen in the graph as follows. GRAPH 3.5 MORTALITY SITUATION OF MALARIA 2001 – 2006

Source: DG of DC&EH, MOHRI

25

Development of Malaria diseases is monitored through Annual Parasite Incidence (API) for Java-Bali and Annual Malaria Incidence (AMI) for outside Java-Bali. It can be seen in Graph 3.6 as follows. GRAPH 3.6 ANNUAL PARASITE INCIDENCE MALARIA (‰) AND ANNUAL MALARIA INCIDENCE (‰), 2001 – 2006

Source: DG of DC&EH, MOHRI

The escalation of Malaria incidence had occurred during 1997–2000. Then, on April 2000, a Roll Back Malaria (“Gebrak Malaria”) was initiated. In 2001 – 2006 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 kept 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, to 21.20 per 1,000 population in 2004, 18.94 per 1,000 population in 2005 and 24.0 per 1,000 population in 2006. National Target that will be reached in 2010 was 5 per 1,000 population. Java-Bali had passed the national target, while, outside Java-Bali had not reached it yet. Provinces in eastern part of Indonesia with the highest AMI were West Irian Jaya (198.02), Papua (164.75) and East Nusa Tenggara (105.66). Provinces in western part of Indonesia with the highest AMI were Bangka Belitung Island (43.05), Jambi (20.96) and North Sumatera (20.29). The number of Malaria cases and Morbidity Rate by province in 2006 is shown in Annex 3.7 and Annex 3.8. b. TB Pulmonary The implementation of Pulmonary TB control up to 2006 has decreased Pulmonary TB prevalence from 130/100,000 population (WHO-1995) to 104/100,000 population. Description of the decreasing TB insidence cases can be seen in the graph below.

26

GRAPH 3.7 INSIDENCE RATE OF NEW CASES OF BTA+ PER 100,000 POPULATION IN INDONESIA 2002 - 2006

Source: DG of DC&EH, MOHRI

In 2006, Pulmonary TB cases were 304,373 cases. Number of TB detected cases was 277,589 cases, with 175,320 cases of TB-BTA Positive and Case Detection Rate (CDR) was 75.68 %. Cases detected coverage and TB treatment evaluation in 2006 can be seen in Annex 3.9. Nationally, Indonesia had reached the global target 75.7% (Global target CDR 70%). Number of provinces that had reached CDR 70% was 7 provinces, such as Province North Sulawesi (91.1%), North Sumatera (82.7%), Gorontalo (81.7%), DKI Jakarta (77.9%), Banten (75.6%), West Java (71.7%) and Southeast Sulawesi (70.9%), meanwhile provinces that had the lowest CDR was North Maluku (31.9%).

GRAPH 3.8

27

GRAPH 3.8 COVERAGE OF CASE DETECTION OF TB AFB+ (CDR) BY PROVINCE, 2006

Source: DG of DC&EH, MOHRI, 2007

GRAPH 3.9 NEW CASES FINDING (CDR) AND SUCCESS RATE OF TB IN INDONESIA 2002 – 2006

Source: DG of DC&EH, MOHRI

28

TABLE 3.13 PROPORTION OF TB CASES BY TYPE 2002-2006 Measurement Rod/Activity BTA Positive BTA Negative Relaps Extra Paru

Y ea r 2002 0.49 0.47 0.02 0.02

2003 0.52 0.43 0.02 0.03

2004 0.60 0.36 0.02 0.02

2005 0.60 0.32 0.02 0.06

2006 0.60 0.32 0.01 0.02

Source: DG of DC&EH, MOHRI

GRAPH 3.10 PROPORTION OF TB CASES BY TYPE 2006

Source: DG of DC&EH, MOHRI, 2007

In 2006, the proportion of new cases-BTA positive by sex mostly male was 59.12%. West Java was the highest of BTA positive cases that were 30,515 cases. Male of 25-34 years old was the highest of new cases-BTA positive, that were 22,752 cases; West Java mostly was 3,579 cases. Number of new cases-BTA positive by sex, age group, and province in 2006 can be seen in Annex 3.10 and 3.11. c. HIV/AIDS According to result of Integrated Surveillance HIV-Behavior 2006 (Integrated Bio Behavioral Survey) in Papua, it was known that HIV prevalence in Papua land people was higher than people in other area of Indonesia. That survey also showed the spreading of HIV cases had distributed to almost all of Papua land. In 2006, as report of Directorate General of Diseases Control and Environmental Health (DC&EH), MoHRI, total number of AIDS cases in Papua were 947 cases, 221 people among them were dead. Case rate in average reached 51.42%. Result of estimation of HIV cases found in population that infected by HIV easily in Papua reached 22,220. Only small part of HIV population was found in sensitive community such as injection drug user (IDU), 29

sex worker women, customer of sex worker women, and transsexual. Meanwhile, a large part of HIV/AIDS patients (21,110) were part of common people. This survey had objection to obtain epidemiologic description which had been happened, toward risk sensitive group or common people. Integrated survey was carried out in house hold level; it was designed to overview HIV prevalence and transmission dynamics to eradicate HIV/AIDS infection in Papua land. Government central-provincial together with all sectors would be able to plan spreading tendency appropriately. Number of cumulative cases of AIDS that reported up to December 31, 2006 were 8,194 cases, with 1,871 cases of deaths. Nationally, cumulative case rate of AIDS per 100,000 population was 3.61. The highest case rate was in Papua 51.42 (14.24 times national case rate), followed by DKI Jakarta 28.15 (7.8 times national case rate), Riau Islands 16.94 (4.69 times national case rate), and West Kalimantan 13.56 (3.76 times national case rate). Percenrage of reported cases of deaths was 22.83%. In 2006, the most transmission related to IDU was 46.63% of total AIDS cases, followed by transmission by customer of sex worker women 14.23% that happened to common people, partner off IDU 6.62% through homosexual relation 4.85%, sex worker women 4.62%, and others 8.36%. The highest percentage of AIDS cases that using injection (IDU) was Province of DKI Jakarta (18.53%), followed by West Java (11.82%) and East Java (11.50%). During 2006, highest number of new cases of AIDS was found in fourth quarter, those were 1,207 cases (42.01%). Number of AIDS cumulative cases, deaths, and cumulative cases rate per 100,000 population by province up to December 31, 2006, percentage of IDU, and percentage of new cases finding by quarter can be seen in Annex 3.12, 3.13, 3.14 and 3.15. GRAPH 3.11 PROPORTION OF CUMULATIVE AIDS PATIENTS BY TRANSSMISION UP TO 2006

Source: DG of DC&EH, MOHRI, 2007

30

The following are descriptions on the development of HIV/AIDS patients up to December 2006. GRAPH 3.12 NUMBER OF NEW CASES AND CUMULATIVE OF HIV PATIENTS DETECTED FROM SOME HEALTH SERVICES 2001 – 2006

GRAPH 3.13 NUMBER OF NEW CASES AND CUMULATIVE OF AIDS PATIENTS DETECTED FROM SOME HEALTH SERVICES 2001 – 2006

Source: DG of DC&EH, MOHRI

Source: DG of DC&EH, MOHRI

Characteristics of cumulative AIDS patients up to December 31, 2006, can be described that majority of AIDS patients were males, 6,719 (82%), females patients were 1,311 (16%), and 164 (2%) unknown sex. Seeing from age group, patients of age 20-29 were 4,487 (54.76%), age 30-39 were 2,226 (27.17%), age 40-49 were 647 (7.90%), age 15-19 were 222 (2.71%), age 50-59 were 176 (2.15%), age 1-4 were 70 (0.85%), age > 60 were 38 (0.46%), age <1 were 37 (0.45%), age 5-14 were 22 (0.27%) and unknown age were 269 (3.28%), as description in Graph 3.14 as follows. GRAPH 3.14 PROPORTION OF CUMULATIVE AIDS PATIENTS BY AGE GROUP UP TO 2006

Source: DG of DC&EH, MOHRI, 2007

Chart above shows that majority of cumulative AIDS patients in Indonesia was in group age of 20-49 years old (89.83%). It is known that transmission of HIV/AIDS mostly 31

was carried out through sexual intercourse and using injection needle together in IDU group. Group age of 20-49 years old is age group that still alive in sexual activity. IDU also is dominated by group of productive age. This is mutually interrelated. When this condition keeps growing, in long term it will be not only a burden for family and government but also a threat for manpower productivity in Indonesia. Number of cumulative AIDS cases by province up to December 31, 2006 can be seen in Annex 3.12. From Graph 3.15 that is Indonesia map as follows, it can be seen Case Rate AIDS by province in 2006. GRAPH 3.15 CASE RATE OF CUMULATIVE AIDS CASES PER 100,000 POPULATION BY PROVINCE, 2006

Source: DG of DC&EH, MOHRI, 2007

Seeing from its preading in Indonesia, transmission of HIV/AIDS has not spread evenly in all Indonesia area. It can be seen from the map below. GRAPH 3.16 DISTRIBUTION OF HIV/AIDS PATIENTS IN INDONESIA 2006

<500 500 – 2,500 2501 – 7,500 >7,500

Source: DG of DC&EH, MOHRI, 2007

32

d. Acute Respiratory Infection (ARI) Acute Respiratory Infection (ARI) is the diseases that includes frequently in ten main diseases in hospital. In 2006, ARI was in the first rank of 10 main diseases of outpatient in Indonesia (9.32%). Meanwhile, from the 10 main diseases of inpatient in the same year, ARI was in the 8th rank with the percentage 1.69%. (Annex 3.3 and Annex 3.4) Respiratory infection diseases like Pneumonia often attack under fives. According to prevalence data of pneumonia morbidity by Indonesia Demographic and Health Survey 1991 – 2003 and Morbidity Survey 2004 it was reported that children percentage of cough and rapid breathing/respiration during two weeks before survey. GRAPH 3.17 MORBIDITY OF UNDERFIVE PNEUMONIA1 1991 – 2004

Source: DG of DC&EH, MOHRI, 2007 Notes: Estimation of incidence rate of underfive pnemonia is 10-21% (WHO)

Nationally, coverage of patient finding of under fives up to now still did not catch the target, seeing from this graph below. GRAPH 3.18 COVERAGE OF UNDERFIVE PNEUMONIA FINDING CASE 2000 – 2006

Source: DG of DC&EH, MOHRI

In 2006, it was found 642,700 cases of Pneumonia in underfives, higher than previous year. Result of Pneumonia underfives finding during the latest 5 years can be seen in Table 3.14 as follows. 33

TABLE 3.14 CASE FINDING OF UNDERFIVE PNEUMONIA PATIENTS 2000 – 2006

Year

Patients

2002 2003 2004 2005 2006

549,035 502,275 625,611 600,720 642,700

Source: DG of DC&EH, MOHRI

Number of under fives deaths caused by Pneumonia in 2006 were 145 under fives consist of 114 under fives of age of < 1 and 31 under fives of age 1-4. e. Leprosy During 10 years (1991–2001), prevalence rate of Leprosy nationally had decreased from 4.5 per 10,000 population in 1991 to 0.85 per 10,000 population in 2001. In 2002 prevalence rate increased to 0.95, but 2003 back to decrease to 0.8 per 10,000 population, in 2004 increased to 0.93 per 10,000 population and in 2005 increased to 0.98 per 10,000 population. Nationally, Indonesia had reached leprosy elimination on June 2000. In global situation, Indonesia was the third in contributing leprosy patients after India and Brazil. This problem was worsened by the still high stigma in the community and some of the health personnel. Result of this condition was that most patients and ex-patients were expelled and they were unable to obtain access to health services as well as to the labor market causing increasing in the poverty rate. The description of leprosy diseases that was indicated the existence of a sharp decreasing of leprosy patients in 1991, when 24 doses of multi drug therapy (MDT) was initiated. NCDR graphic shows increased new case detections in 1997, 1998 and 1999. This was probably caused by the intensification of case detection by the Leprosy Elimination Campaign (LEC) conducted in 109 endemic districts during these years. Today, Indonesia is still in the highest countries had high contributing of leprosy in the world. In 2006, WHO reported that new patients in Indonesia placed in third rank after India and Brazil, it was 19,695 people. In 2006, number of leprosy patients which reported 22,384 cases with 19,457 cases (86.92%) among them Multi Basiler (MB) that is known transmission type; and 2,927 cases (13.08%) was Pausi Basiler (PB), with prevalence rate 1.02/10,000 population. The highest prevalence rate of leprosy per 10,000 population was in North Maluku 9.49, followed by Maluku 3.49 and Papua 3.24 and Gorontalo 3.24. Meanwhile, province with the lowest prevalence per 10,000 population was in Bengkulu 0.04, followed by DI Yogyakarta 0.10 and North Sumatera 0.20. In 2006, number of new cases found were 18,300 cases, among them 14,750 cases were Multi Basiler type (80.6%), meanwhile Pausi Basiler were 3,550 (19.4%). Nationally, percentage of 2nd physical defect had reached 8.67%. The highest percentage of 2nd physical defect was found in Province of Bengkulu, there were 393 defects (7.75%). Situation of Leprosy, number of new cases, and physical defects by province in 2006 can be seen in Annex 3.17 and 3.18. 34

Description of leprosy during the latest five years can be seen in Table 3.15 as follows. TABLE 3.15 NUMBER OF LEPROSY PATIENTS BY TYPE AND PATIENTS CASE FINDING (NCDR) PER 100,000 POPULATION 2002 – 2006

Year 2002 2003 2004 2005 2006

Number of Cases 16,229 15,549 16,572 18,735 18,300

PB 3,853 3,594 3,615 3,859 3,550

MB 12,376 11,956 12,957 14,876 14,750

NCDR (per 100,000 pop.) 7.77 7.29 7.80 8.68 8.35

Source: DG of DC&EH, MOHRI

Notes : NCDR = New Case Detection Rate, MB = Multi Basiler, PB = Pausi Basiler

Among new patients found, 8.67% had had 2nd physical defects (visually can be seen). This number was still above the program indicator (under 5%). This situation described disease infection had still continued and people aware about leprosy still minimal, so when the cases found the patients had had physical defects. The highest proportion of 2nd physical defects patients in 2006 was in Bengkulu 22.22%, followed by Banten 20.22% and South Sumatera 17.84%. The proportion of children of 0-14 years old among new leprosy cases was 10.41% that still above program indicator program (5%). The highest proportion of leprosy children in 2006 was in West Irian Jaya 26.58%, followed by North Maluku 21.19% and West Nusa Tenggara 17.38%. Development of leprosy was indicated with the prevalence and detection of new patients for the last five years can be seen in the following graphs. GRAPH 3.19 PROPORTION OF 2nd PHYSICAL DEFECT OF NEW LEPROSY PATIENTS, 2002 – 2006

Source: DG of DC&EH, MOHRI

35

GRAPH 3.20 PROPORTION OF CHILDREN PATIENTS (AGE 0-14) IN NEW LEPROSY PATIENTS 2002-2006

Source: DG of DC&EH, MOHRI

Although Indonesia has reached leprosy elimination in the mid 2000, leprosy still remains one of the public health problems, indicated by the still high number of leprosy patients in Indonesia, due to until the end 2006 there was 14 provinces and 155 districts did not reach elimination yet. This fact has indicated the number of leprosy cases in Indonesia was still in high number. Based on the next map as follows, it can be seen that Indonesia still have had leprosy enclave area, mostly in eastern part of Indonesia. GRAPH 3.21 LEPROSY PREVALENCE , 2006

Leprosy Prevalence, 2006 <1 1-2 >1 Data not available

Source: DG of DC&EH, MOHRI

36

f. Communicable Diseases Prevented by Immunization Immunization Preventable Diseases (IPD) are the diseases that can be prevented with the implementation of the immunization program. IPD in this chapter include Diphteria, Pertussis, Tetanus, Tetanus Neonatorum, Measles, Polio and Hepatitis B. Number of communicable diseases that can be prevented by immunization by province in 2006 can be seen in Annex 3.19. 1) Tetanus Neonatorum Controlling of Tetanus Neonatorum is not simple, so the most important thing is the preventive effort to help hygiene delivery with immunization of Tetanus Toxoid (TT) for pregnancy women. Death levels caused by tetanus neonatorum tended to get fluctuation during 2000 - 2006. In 2000, it was reported CFR 65.12% then decreased to 54.64%. In 2002, CFR increased to 61.90%, and back to decrease into 56% in 2003. The CFR decreasing occured in 2004 that was 50.29%, but in 2005 CFR increased to 58.57% with 82 deaths from 140 cases. In 2006, CFR decreased significantly to 38.98% with 46 deaths of 118 cases. GRAPH 3.22 NUMBER OF CASES AND CFR OF TETANUS NEONATORUM IN INDONESIA, 2000 – 2006

Source: DG of DC&EH, MOHRI

Number of tetanus neonatorum cases by province in 2006 can be seen in Annex 3.19 and Annex 3.20. 2) Measles Measles is a communicable disease that mostly causes outbreaks. Frequencies of outbreak in 2002 were reported 247, decreased to 89 in 2003. In 2004, frequencies increased to 97 and then increased exactly in 2005, 122 times with cases number 1,467 and CFR 0.48%. Frequencies of outbreak had increased significantly comparing the previous two years. In 2006, frequencies of outbreaks decreased to 42 times with 1,644 cases number, 9 deaths number and CFR 0.55%. (Annex 3.31) The same tendency had happened on death level caused by measles. In 2002, CFR of measles 1.45% then decreased to 0.3% in 2003. CFR in 2004 increased to 1.56% back to decrease to 0.48% in 2005 and 0.55% in 2006. Description of outbreak frequencies of measles, number of patients and CFR during latest 5 years can be seen in Table 3.16 as follows. 37

TABLE 3.16 FREQUENCY, NUMBER OF PATIENTS, AND CFR OF MEASLES OUTBREAK 2002 - 2006

Year 2002 2003 2004 2005 2006

Frequency of Outbreak 247 89 97 122 42

Number of Patients 5,509 2,914 2,818 1,467 1,644

CFR (%) 1.45 0.30 1.56 0.48 0.55

Source: DG of DC&EH, MOHRI

Meanwhile, number of measles cases by age group in 2006 can be seen in Table 3.17 below. TABLE 3.17 NUMBER OF MEASLES CASES BY AGE GROUP 2006

Age Group <1 1-4 5-9 10-14 >15 Total

Cases 2,009 7,136 5,900 2,881 2,496 20,422

Source: DG of DC&EH, MOHRI, 2007

In 2006, among 20,422 cases of measles, 16,584 cases (81.21%) did not get measles immunization/unknown/not clear. Number of measles cases, and measles vaccination by province in 2006 can be seen in Annex 3.21 and Annex 3.22. 3) Diphtheria Diphtheria is a communicable disease with few numbers of cases. The low diphtheria cases were very much influenced by the existing immunization program. In 2005, it occurred 29 times of outbreak with cases number 65 and the CFR 13.85%. This CFR was lower than two years before. In 2003, CFR was 23%, decreased to 9.4% in 2004. In 2006, number of outbreak frequencies decreased to 5 times of outbreak, with 15 cases number and 1 death number. The frequency of Diphtheria outbreaks, number of cases and CFR in 2002-2006 is presented in the following table.

38

TABLE 3.18 FREQUENCY OF OUTBREAK, NUMBER OF CASES AND CFR OF DIPHTERIA 2002 – 2006

Year

Frequency of Outbreak

Cases

2002 2003 2004 2005 2006

43 54 34 29 5

60 86 106 65 15

CFR (%) 13 23 9.4 13.85 6.67

Source: DG of DC&EH, MOHRI

In 2006, number of Diphtheria cases in hospital and health center was 2,337 cases. The highest cases was in North Sumatera with 2,014 cases, mostly occurring in age group of 5-14 (660 cases), Nanggroe Aceh Darussalam had 95 cases, followed by South Sulawesi with 76 cases. Number of Diphteria cases by province in 2005 can be seen in Annex 3.23. 4) Pertussis In 2006, pertussis cases in hospital were 252 cases of outpatients and 144 cases of inpatients, and then in Health Center were 7,185 cases. Description of pertussis by age group can be seen in the following table. TABLE 3.19 PERTUSIS BY AGE GROUP 2006

Age Group <1 1-4 5-14 15-44 >45 Total

Cases 640 1,840 2,060 1,692 1,349 7,581

Source: DG of DC&EH, MOHRI

In 2006, number of pertussis cases in hospital and health center were 7,581 cases. The most cases were in Nanggroe Aceh Darussalam with 1,357 cases, North Sumatera 1,267 cases, followed by West Java 1,159 cases. Number of cases and incidence rate of Pertussis by province in 2006 is presented in Annex 3.24. 5) Hepatitis (Hepatitis Clinic and Hepatitis B) According to report of 2006, number of Hepatitis clinic of outpatient were 2,676 cases, and inpatient were 1,671 cases with 5 cases of death, and health center 12,413 cases. Number of Hepatitis clinic cases by province in 2006 can be seen in Annex 3.25.

39

In 2006, number of Hepatitis B in Indonesia were 1,727 cases consist of 278 cases of outpatients and 1,449 of inpatients. There were 7 cases of death in hospital. Number of Hepatitis-B by province in 2006 can be seen in Annex 3.26. 6) Polio (AFP-Acute Flaccid Paralysis) In 2006, number of AFP cases were 1,526, with AFP rate 2.49 per 100,000 population and Non Polio AFP rate 2.46 per 100,000 population. The most cases of AFP was in Province of West Java (237 cases) followed by East Java (228 cases) and Central Java (190 cases). GRAPH 3.23 AFP RATE 2006

Source: DG of DC&EH, MOHRI

Number of AFP Polio cases by province, number of AFP Polio cases by clinics classification criteria and province, and outbreak of Polio cases in 2006 can be seen in Annex 3.27, Annex 3.28, and Annex 3.29. 7) Tetanus In 2006, tetanus cases in hospital were 578 cases of outpatient, and 633 cases of inpatient and 2 patients among them were dead and number of patients in health center were 1,338 cases. Number of tetanus cases by province in 2005 can be seen in Annex 3.30. g. Diseases of Potential Outbreak Some communicable diseases have the potential to create outbreaks as well as epidemics. The highest frequencies of outbreak were Dengue Hemorrhagic Fever, Diarrhea, Food poisoning, Measles and Tetanus. Meanwhile the highest CFR was Tetanus (42.86%, 18 deaths from 42 cases). Diseases that caused outbreaks in Indonesia in 2006 can be seen in Annex 3.31. 1). Diarrhea The death level of Diarrhea in 2006 had increased comparing to the previous year. In 2006, CFR caused by diarrhea was 2.52% with 277 deaths from 10,980 cases. This CFR was higher than CFR in 2005; that was 2.51% with 127 deaths from 5,051 cases. The outbreak of diarrhea during five previous years can be seen in Table 3.20 below. 40

TABLE 3.20 OUTBREAK OF DIARRHEA BY NUMBER OF PROVINCES WITH OUTBREAK, NUMBER OF CASES, DEATHS, AND CFR, 2000 – 2006

Year 2002 2003 2004 2005 2006

Number of Provinces with Outbreak 15 22 16 12 16

Number of Cases

Deaths

CFR (%)

5,789 4,622 3,314 5,051 10,980

94 128 53 127 277

1.62 2.77 1.60 2.51 2.52

Source: DG of DC&EH, MOHRI

From 16 provinces that reported outbreaks, the highest CFR caused by Diarrhea were West Sulawesi with CFR 15.00% (3 deaths from 20 cases), followed by Gorontalo with CFR 5.65% (12 deaths from 177 cases) and North Maluku with CFR 5.31% (6 deaths from 133 cases). Number of cases, deaths and CFR by province during 2001-2005 can be seen in Annex 3.32. 2) Dengue Hemorrhagic Fever Dengue Hemorrhagic Fever (DHF) has spread to all provincial areas and the number of infected districts up to 2005 is 330 districts/municipalities (75% of district/municipality). DHF often emerges as an outbreak with relatively high morbidity and mortality rates. The national DHF incidence rate fluctuated from year to year. At the beginning, epidemic patterns occurred every five years, but during the last 15 years it has changed to 2-5 years period. Meanwhile the morbidity rate tends to decrease. In 2005, the reported DHF cases were 114,656 with a mortality rate (CFR) of 1.04 % and an incidence rate of 52.48 cases per 100,000 population. Development of the incidence rate and the morbidity rate due to DHF during 2000-2006 can be seen in the following Graph. GRAPH 3.24 INCIDENCE (PER 100,000 POPULATION) AND CFR (%) OF DENGUE HEMORRHAGIC FEVER, 2000 – 2006

Source: DG of DC&EH, MOHRI

41

In 2006, provinces with the highest DHF incidence rates were DKI Jakarta (316.17/100,000 population), Bali (170.57/100,000 population), East Kalimantan (103.64/100,000 population) and Riau Islands (74.79 per 100,000 population). The highest CFR was in West Sulawesi 3.23%, followed by Southeast Sulawesi 3.16%, and Jambi 3.01%. The number of cases, morbidity rate and incidence rate of DHF by province in 20022006 can be seen in Annex 3.33; while the number of districts being infected by DHF by province during 2002-2006 can be seen in Annex 3.34. 3) Chikungunya During the latest five years (2001-2006), Chikungunya had spread in 10 provinces, there were North Sumatera, South Sumatera, West Java, Banten, Central Java, DI Yogyakarta, East Java, Central Kalimantan, West Nusa Tenggara, and North Sulawesi. Profile of Directorate General Diseases Control and Environmental Health, MoHRI said that in 2004 had reported Chikungunya diseases in five provinces with 1,266 cases number, in 2005 was reported in four provinces with 340 cases number, and in 2006 was reported in five provinces with 1,544 cases. This disease does not cause death. TABLE 3.21 NUMBER OF CHIKUNGUNYA CASES 2004-2006 2004 Cases 35

Period January

Province Banten

Central Java DI Yogyakarta East Java

722

January

74

January

North Sulawesi East Java

429

West Nusa Tenggara Total

6

JanuaryAugust January

Province West Java

2005 Cases 86 52 168

West Nusa Tenggara

34

1,266

Period July DecemberApril FebruaryMarch JanuaryMay

340

Source: DG of DC&EH, MOHRI

GRAPH 3.25 SPREADING OF CHIKUNGUNYA 2004 – 2006

Spreading area of chikungunya Source: DG of DC&EH, MOHRI

42

Province South Sumatera North Sumatera Banten

2006 Cases 501 37 130

West Java

850

Central Kalimantan

26 1,544

Period August OctoberNovember SeptemberDecember JulyDecember July

h. Rabies In 2006, number of districts/municipalities had been infected by Rabies were 199 districts/municipalities from 23 provinces. Number of animal bites infected by Rabies were 13,929 people. Number of animals infected by rabies that had Anti Rabies vaccine were 8,959 animal. Number of Rabies disease that caused death (Lyssa) were 106 people. GRAPH 3.26 RABIES INFECTED AREA, 2006

Infected area by Rabies in 23 provinces Source: DG of DC&EH, MOHRI, 2007

Number of animal bites infected by Rabies from 2001 up to 2004 tended to increase, but in 2005 and 2006 it decreased. Meanwhile, Lyssa during 2001 – 2005 tended to increase, along with Rabies outbreak in West Kalimantan and North Maluku, and back to decrease in 2006. Situation of Rabies in Indonesia during 2001-2006 can be seen in graph below. GRAPH 3.27 RABIES SITUATION IN INDONESIA, 2001 – 2006

Source: DG of DC&EH, MOHRI

43

The highest number of animal bites infected by Rabies was reported by West Sumatera (2,538 cases) and the lowest was Banten (10 cases). The highest number of Rabies that caused death in human (Lyssa) was reported by North Sulawesi (21 cases), then followed by Central Sulawesi (15 cases). GRAPH 3.28 CASES OF ANIMAL BITES INFECTED BY RABIES (GHPR) AND LYSSA BY PROVINCE IN INDONESIA, 2006

Source: DG of DC&EH, MOHRI, 2007

Number and percentage of infected districts and number of animal bite cases infected by Rabies as well as the result of animal specimen examination by province in 2006 can be seen in Annex 3.35. i. Filariasis Filariasis has been still be the health problem for people in Indonesia and based on result of mapping up to 2006 it was reported that chronic cases of Filariasis had spread in 33 provinces in 377 districts/municipalities with case number reached 10,427 chronic cases. (See Annex 3.36) Today, in Indonesia 3 species of filarial worm i.e. Wucherecia bancrofti, Brugia malayi and Brugia timori were found. The Filariasis Elimination Program was conducted based on the WHO global agreement in 2000 “The Global Goal of Elimination of Lymphatic Filariasis as a Public Health Problem in the Year 2020” as realization of WHO resolution in 1997. Elimination Program is performed through two activity pillars as follows: 1. Mass medication to all people in endemic districts of Filariasis use DEC 6mg/kgBW combination with Albendazol 400 mg once per year during 5 years to cut off infection cycle. 2. Manual/guidelines of Filariasis clinic cases are to prevent and to minimize deformity/physical defect. 44

GRAPH 3.29 DISTRIBUTION OF CHRONIC CASE OF FILARIASIS 2002-2006

Source: DG of DC&EH, MOHRI

The number of Filariasis cases by province in 2002-2006 can be seen in Annex 3.36. j. Worms Diseases Worm diseases is health problem in Indonesia that need serious handling due to many people suffer worm diseases. This disease can cause the increasing of body immunity and children growth could be obstructed because the worms take important food concentrate for body such as protein, carbohydrate and iron, those can cause anemia and malnutrition. Worms as diseases causing in human consist of Ascaris lumbricoides (Ascariasis), Trichuris trichiura (Trichuriasis), Enterobius vermicularis or Oxyuris vermicularis), Necator americanus and Ancylostoma duodenale (Hookworms); and Trematoda. From feces examination in primary school children in 27 provinces during 2002-2006, in the graph as follows describes worm prevalence in primary school children in selected districts and worm prevalence by worm type. GRAFIK 3.30 DISTRIBUTION OF WORMS DISEASES PREVALENSCE IN PRIMARY SCHOOL STUDENTS IN SELECTED DISTRICTS 2002 - 2006

Source: DG of DC&EH, MOHRI

45

GRAFIK 3.31 PREVALENCE OF WORMS DISEASES IN PRIMARY SCHOOL STUDENTS IN SELECTED DISTRICTS BY WORMS TYPE, 2002 - 2006

Source: DG of DC&EH, MOHRI

k. Frambusia/Yaws Frambusia/Yaws caused by Treponema pertenue is a communicable disease non sexual in human, generally attacks children under 15 years old. This disease primarily attacks skin and bones and is found in poor people, rural, marginal and densely population, deficiency of clean water, and bad sanitation and cleanness anywhere. Frambusia up to now still could not be eliminated from all over Indonesia area, in spite of prevalence rate nationally had less 1 per 100,000 population. Prevalence rate in 2006 was 0.25 per 100,000 population. In 2006, Frambusia was reported in five provinces. Provinces with highest prevalence rate were mainly in eastern part of Indonesia, such as West Irian Jaya (15.00), Papua (10.01), Southeast Sulawesi (7.92), East Nusa Tenggara (2.80), and Maluku (1.08). High prevalence rate in those areas are caused by Frambusia patients stay in very remote area which is difficult to reach by health care services and environmental condition is not advantageous. GRAPH 3.32 PREVALENCE AND NUMBER OF FRAMBUSIA BY PROVINCE IN INDONESIA, 2006

Source: DG of DC&EH, MOHRI, 2007

46

Number of Frambusia/Yaws cases and prevalence in Indonesia in 2006 can be seen in Annex 3.37. l. Anthrax Number of cases and deaths caused by Anthrax in 2006 had decreased comparing to the cases in the previous year, but there is 1 death case so that CFR was higher comparing to the previous year (CFR = 6.7%). Cases and the deaths of Anthrax in Indonesia during 20022006 can be seen in the table and graph below. TABLE 3.22 NUMBER OF CASES AND DEATHS OF ANTHRAX 2002 – 2006 Year 2002 2003 2004 2005 2006

Number of Cases 35 40 109 76 15

Deaths 8 2 8 1 1

CFR (%) 22.9 5.0 7.3 1.3 6.7

Source: DG of DC&EH, MOHRI

GRAPH 3.33 CASES AND DEATHS OF ANTHRAX IN INDONESIA, 2002 – 2006

Source: DG of DC&EH, MOHRI

Until now, the infected areas of Anthrax were in 11 provinces, those were DKI Jakarta, West Java, Central Java, West Nusa Tenggara, East Nusa Tenggara, West Sumatera, Jambi, South East Sulawesi, South Sulawesi, Central Sulawesi and DI Yogyakarta. Provinces that had reported Anthrax in human were West Java, Central Java, West Nusa Tenggara, East Nusa Tenggara, and South Sulawesi. In 2006, it found 15 cases of Anthrax of skin type, West Java 8 cases and West Nusa Tenggara 7 cases. One case of death caused by Anthrax was from West Java (CFR = 6.7%).

47

m. Bubonic Plague During 2006 it was an increasing surveillance result of Bubonic Plague in four endemic provinces. Number of positive serology in 2005 was reported 1 person, in 2006 increased to 7 persons. Meanwhile, active surveillance to human and rodent is still being carried out, to prevent Bubonic Plague outbreak. Bubonic plague areas in Indonesia were Boyolali District (Central Java), Pasuruan District (East Java), Sleman District (DI Yogyakarta), and Bandung District (West Java). GRAPH 3. 35 BUBONIC ENDEMIC AREA IN INDONESIA, 2006

Bubonic Endemic Area Source: DG of DC&EH, MOHRI, 2007

GRAPH 3.36 RESULT OF BUBONIC PLAGUE SPECIMEN EXAMINATION ON HUMAN IN INDONESIA 2001 – 2006

Source: DG of DC&EH, MOHRI

48

n. Taeniasis / Cysticercosis Endemic areas of Taeniasis/Cysticercosis are in Bali, North Sumatera, East Nusa Tenggara, and Papua. Number of Taeniasis/Cysticercosis cases in 2002 was higher than the previous years, meanwhile during 2002–2006 it tended to decrease. In 2006, Taeniasis/Cystisercosis case was only reported in two provinces i.e. Bali 2 cases and Papua 76 cases. GRAPH 3.37 SITUATION OF TAENIASIS / CYSTICERCOSIS IN INDONESIA, 2001-2006

Source: DG of DC&EH, MOHRI

o. Leptospirosis Infected area by Leptospirosis in Indonesia has spread in 8 provinces, but in 2006 Leptospirosis was reported in 5 provinces those were Nanggroe Aceh Darussalam, DKI Jakarta, Central Java, East Java, and South Sulawesi. In 2006, number of Leptospirosis cases were 138 cases with 11 cases of death (CFR 7.97). Meanwhile number of Leptospirosis cases increased but death rate decreased comparing to year 2005. The highest death rate was in Central Java with 9 deaths of 35 cases. GRAPH 3.38 INFECTED AREA OF LEPTOSPIROSIS IN INDONESIA

Infected area of leptospirosis Source: DG of DC&EH, MOHRI

49

GRAPH 3.39 SITUATION OF LEPTOSPIROSIS IN INDONESIA, 2002 – 2006

Source: DG of DC&EH, MOHRI

p. Avian Influenza (AI) Avian Influenza is a disease caused by A type influenza virus, includes in family Orthomyxoviridae. A type Influenza virus can change its form (drift, shift) so that cause epidemic and pandemic. Very virulent strain that causes Avian Influenza in Indonesia is Subtype of A H5N1. Avian Influenza virus can infect from bird to bird, bird to human, and human to human. In Indonesia, during 2005 it was reported 13 deaths from 20 cases of AI in human (CFR 65%) and during 2006 it wa reported 45 deaths from 55 cases of AI in human (CFR 81.82%). When there is influenza pandemic, world would lack of some billion dosages. This is due to production capacity of vaccine in the world today is still very limited. So it needs integrated global effort in vaccine production and its distribution. One effort is WHO gives suggestion to every country to preparation itself and developing its vaccine production capacity. GRAPH 3.40 SPREADING OF AVIAN INFLUENZA IN INDONESIA 2005-2006

AI area Source: DG of DC&EH, MOHRI

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Confirm cases of Avian Influenza in human during 2006 was mostly reported from West Java Province 22 cases with 18 deaths (CFR=81.8%), followed by DKI Jakarta 11 cases with 10 deaths (CFR=90.9%). 2. Non Communicable Diseases The more increasing globalization in all fields, technology development and industry has caused many changes to people behavior and life style, and environmental situation i.e. change of food consumption pattern, lack of physical activity and environmental pollution. Those changes has affected epidemiologic transition with the more increasing of communicable diseases cases such as Heart disease, Tumor, Diabetes, Hypertension, Renal failure, etc. According to hospital report in 2006, it was obtained a description of main causes of death in hospital caused by communicable disease as well as description in Table 3.23 as follows. TABLE 3.23 PROPORTION OF NON COMMUNICABLE DISEASES AS THE MAIN CAUSE OF DEATHS IN HOSPITALS IN INDONESIA 2006 No

BTL

1 2 3 4 5 6 7 8 9 10

169 185.0 184 167 145 186 104.9 155 176.0 148

Disease Pneumonia Dispepsia Gastritic and duodenitis Other acute respiratory infection Essential primary hypertension Appendicitis Diabetes mellitus YTT Stroke without hemorrhage/infarct Asthma Other ischaemic hearth diseases

Number of Deaths 2,459 309 343 61 1,620 146 2,384 4,377 729 1,259

% of all Deaths in Hospital 3.0 0.4 0.4 0.1 2.1 0.2 2.9 5.4 0.9 1.6

Source: DG of DC&EH, MOHRI

a. Heart and Sirculation System Diseases In 2006, stroke without mention hemorrhage or infarct was the main cause of deaths in 8th rank in hospital in Indonesia. Hypertension was also in the 5th rank as main cause of deaths of outpatients in hospital (Table 3.23). According to the Household Health Survey 2004, it is obtained data that based on diagnosa by health personnel, 2.2% of population age 15 years old and more had suffered heart disease. From result of National Socio-Economic Survey 2004 is obtained data that 1.3% of Indonesia population age 15 years old and more had been diagnosed by angina pectoris (painful/dispnea in chest part that can spread to upper part of body mainly to left arm that indicates to heart attack symptom).

51

TABLE 3.24 PERCENTAGE OF POPULATION OF AGE > 15 EVER BEEN DIAGNOSED BY HEART DISEASES (ANGINA PECTORIS) BY HEALTH PERSONNEL

Area Sumatera Java-Bali Eastern area of Indonesia Indonesia

Percentage 1.3 1.3 1.2 1.3

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

b. Diabetes Mellitus According to National Health Survey/Household Health Survey 2004, based on diagnosis from health personnel, 1% of population age 15 years old and more had suffered Diabetes. Diabetes Mellitus was the 9th rank of main diseases in outpatients in hospital in 2006 (Table 3.9) and also the 9th of communicable disease that caused deaths in hospital in 2006 (Table 3.7). c. Neoplasm/Tumor Malignant neoplasm of breast was one of the main neoplasms found in hospital in Indonesia, placed in the 1st rank of inpatients/outpatients in 2006. The 2nd rank was placed by malignant neoplasm of cervix uterus. Ranks of malignant neoplasm in hospital in Indonesia in 2006 can be seen in two tables as follows. TABLE 3.25 10 MAIN DISEASES OF MALIGNANT NEOPLASM OF INPATIENTS IN HOSPITAL IN INDONESIA, 2006 No

BTL

ICD

1 2 3 4 5 6 7 8 9 10

073 074 063 086 087 067.9 076.0 061 062 058.1

C50 C53 C22 C82 - C85 C91 - C95 C34 C56 C18 C19 - C21 C11

Diseases Malignant neoplasm of breast Malignant neoplasm of cervix uterus Malignant neoplasm of liver and gaal/bile duct intrahepatic Lymphoma non Hodgkin Leukemia Malignant neoplasm of bronchus & pulmonary Malignant neoplasm of ovarium Malignant neoplasm of colon Malignant neoplasm of rectosigmoid, rectum and anus Malignant neoplasm of nasopharynx

Source: DG of Medical Care, MOHRI

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Number of Discharge Patients 8,328 4,696 3,445 2,870 2,513 2,402 1,859 1,736 1,706 1,633

% 19.64 11.07 8.12 6.77 5.93 5.66 4.38 4.09 4.02 3.85

TABLE 3.26 10 MAIN DISEASES OF MALIGNANT NEOPLASM OF OUTPATIENTS IN HOSPITAL IN INDONESIA, 2006 No

BTL

1 2 3 4 5 6 7 8 9 10

073 074 086 067.0 076.0 058.1 087 061 062 088

Diseases Malignant neoplasm of breast

Number of Visits 33,408

% 36.22

Malignant neoplasm of cervix uterus

17,990

19.5

Lymphoma non Hodgkin

8,711

9.44

Malignant neoplasm of trachea

6,382

6.92

Malignant neoplasm of ovarium

6,337

6.87

Malignant neoplasm of nasopharynx

5,047

5.47

Leukemia

4,075

4.42

Malignant neoplasm of colon

3,770

4.09

Malignant neoplasm of rectosigmoid, rectum and anus

3,530

3.83

2,983

3.23

Other Malignant neoplasm of limphoid hematopoetic and other related tissue Source: DG of Medical Care, MOHRI

***

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CHAPTER IV HEALTH EFFORT

In realizing the vision and mission of Ministry of Health, which one of grand strategies is ”Improving community access towards a quality health care,” various community health cares have been attempted. The following is a description of health effort situation, especially in 2006. A. Primary Health Care

Primary health care is a very important early step in giving health care to community. By providing fast and appropriate health care, more than half of community health problems might be solved. The following are various basic health cares implemented by health care facilities. 1. Maternal and Child Health Care

A mother has a big role in the growth and development of a child. Health problems on pregnant woman can influence fetus health in womb until the delivery time and the growth period of a baby/child. a. Antenatal Care (1st Visit to Health Care Facilities or “K1” and 4th Visit to Health Care Facilities or “K4”)

Pregnancy is very risky to health problems for both the mother itself and the fetus. Therefore, during that period, pregnant mother must be examined regularly. It is important to prevent earlier any problems that can endanger mother and fetus’ health. Antenatal care is a health care by professional health assistants (gynecologist, physician, midwife and nurse), such as weighing and blood pressure measurement, the inspection of fundus uteri height, Tetanus Toxoid (TT) immunization, and the giving of zinc tablet during pregnant times and based on the existing of antenatal care guidelines by emphasis on promotive and preventive activity. Antenatal care result can be seen from the coverage of 1st and 4 the visit care. 1st Visit coverage or can be called service access for pregnant woman is a description of pregnant woman who have got pregnant woman care suitable to standardization, at least 4 times visit, by distribution: once in the first semester, once in second semester and two times in the third semester. This number can be used to identify the health care quality on pregnant 54

woman. The coverage of 1st and 4th visit in the past 5 years can be seen in the following graph.4.1. GRAPH 4.1 PERCENTAGE OF PREGNANT WOMEN K1 AND K4 CARE COVERAGE 2002 – 2006

Source: Indicator Data of Minimum Service Standardization (SPM) of District/Municipality Directorate of Maternal Health, DG of Community Health.

Coverage of 4th visit care by province in 2006 can be seen on the following graph 4.2 GRAPH 4.2 COVERAGE PERCENTAGE OF PREGNANT WOMAN 4TH VISIT CARE BY PROVINCE, 2006

Source: Directorate of Maternal Health, DG of Community Health

On graph above, three provinces with the highest coverage of 4th visit were DKI Jakarta (91.89%), Central Java (88.85%) and Bali (86.62%), while the lowest coverage of 4th visit were West Irian Jaya (29.54%), Papua (31.02%) and West Sulawesi (61.70%). 4 th visit coverage by province comparing to national rate can be seen on the following graph 4.3.

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GRAPH 4.3 COVERAGE PERCENTAGE OF PREGNANT WOMAN 4TH VISIT CARE BY PROVINCE, 2006

Source: Directorate of Maternal Health, DG of Community Health, MOHRI

Data of coverage of 1st and 4th visit pregnant woman, 2006 by province is presented on graph 4.1. b. Delivery Assistance by Health Provider with Midwifery Competences

Complication and the death of maternal mother and baby born mostly happen in delivery times. One of the caution is the delivery was not assisted by health personnel who has midwifery competency (professional). During the past 5 years, coverage of delivery assisted health personnel increase from year to year, but it decreased on 2005 from the previous year (2006), the coverage of delivery assisted by health personnel was 76.40%, increase about 4.03% from 2005, which is 72.37%. The coverage of delivery assisted by health personnel on 2002 – 2006 can be seen on the following graph 4.4. GRAPH 4.4 COVERAGE PERCENTAGE OF DELIVERY ASSISTED BY HEALTH PERSONNEL, 2002 - 2006

Source: Directorate of Maternal Health, and Indicator Data of District/Municipality

56

On graph 4.5 shows coverage of delivery assisted by health personnel by province in 2006 by the highest coverage were Bali (90.14%), Central Java (86.20%) and East Java (85.91%) while province with the lowest coverage were Papua (30.78%), West Irian Jaya (55.46%) and North Maluku (57.76%), data can be seen in annex 4.1 COVERAGE PERCENTAGE OF DELIVERY ASSISTED BY HEALTH PROVIDER BY PROVINCE, 2006

Source: Directorate of Maternal Health, DG of Community Health, MOHRI

Delivery coverage by health personnel by province comparing to national rate can be seen on graph 4.6. GRAPH 4.6 COVERAGE PERCENTAGE OF DELIVERY ASSISTED BY HEALTH PERSONNEL BY PROVINCE, 2006

Source: Directorate of Maternal Health, DG of Community Health, MOHRI

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c. Referred High Risk Case and Complication Handling

In giving service especially by midwife personnel in village and health center, some pregnant woman who have high risk and need health care can refer to sufficient health care unit since midwife has capability limitation in giving service. High risk/complications condition of distraction from normal which is directly causing mother/infant morbidity and mortality. Midwife high risk/complication cover Hb < 8 g %, high blood pressure (systole > 140 mmHg, diastole > 90 mmHg), real oedeme, eklampsia, pervaginam bleeding, premature rupture of membranes, transverse presentation on pregnant age > 32 weeks, breech presentation on primigravida, hard/sepsis infection, premature delivery. Coverage percentage of pregnant woman with referred high risk in 2006 was increase 10.05% from 2005 (2.94%) while complication obstetric handled was increased 4.37% from 2005 (0.99%). The complete data can be seen on annex 4.2 Complication/high risk Neonates covers asphyxia, neonatorum tetanus, sepsis, birth trauma, (Weight Birth < 2.500 gram), respiratory distraction syndrome and neonatal disturbance. Complication/high risk neonates handled is complication /high risk complication which get health care from trained health personnel, physician and midwife in village maternal hut, health center, delivery home and hospital. Coverage percentage of referred high risk neonatal in 2006 was increased 3.14% from 2005 (0.98%), while complication neonatal handled was increased 0.99% from 2005 (0.41%). The complete data can be seen in annex 4.2. d. Neonates Visit (1st and 2nd Visit)

Infants aged less than one month are age group with highest risk of health problem. There is several health efforts can be carried on to decrease the risk. They are attending delivery by health provider, and providing health care to neonate’s twice in minimum or once on 0-7 days (1st visit) after birth and once on 8-28 days (2nd visit). In addition to exam health condition of infant, health officers as well conduct counseling of infant care. Those services cover basic neonatal health care (resuscitation action, hypothermia prevention, initiation and exclusive breastfeeding, infection prevention such as eyes, skin, umbilical cord treatment and immunization giving), the giving of Vitamin K, integral management of young under five (MTBM); and counseling of neonates treatment at home using Maternal and Child Health book. Coverage of neonatal visit (2nd visit) on 2002-2005 has 20.4% increasing from 2005 and 85.51% on 2006 and 65.11% on 2005. 2nd visit coverage during 2002 – 2006 can be seen on the following graph 4.7.

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GRAPH 4.7 PERCENTAGE OF COVERAGE OF NEONATES VISIT 2002 – 2006

Source: Directorate of Maternal Health and Dir.of Child Health Community Health, MOHRI

On 2006 province with the highest neonates coverage were West Java (131.91%), Bali (94.23%) and Central Java (91.32%) while province with the lowest neonates coverage cover Papua (19.45%), West Irian Jaya (30.14%) and West Kalimantan (53.35%) as it shows in the following graph 4.8. GRAPH 4.8 PERCENTAGE OF COVERAGE OF NEONATES VISIT (2nd Visit) BY PROVINCE IN 2006

Source: Directorate of Maternal Health and Directorate of Child Health, Community Health, MOHRI

Coverage of neonates visit by province compared to national rate can be seen on the following graph 4.9. More details are on annex 4.1.

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GRAPH 4.9 COVERAGE OF NEONATES VISIT BY PROVINCE, 2006

Source: Directorate of Maternal Health and Directorate of Child Health, Community Health, MOHRI

2. Family Planning Services (FP)

Productive time for a woman has a main role for the possibility of being pregnant so the chance for woman to delivery relatively high. According to observation, woman productive age is between 15 – 49 years old. Therefore to arrange the number of births or to seldom the birth, woman/couple should more have priority to use family planning method. Achievement level of Family Planning (FP) can be described by coverage of FP acceptors indicated from number of program target group using contraception, service place and type of contraception used by acceptors. More details about coverage of FP service by province are on annex 4.3 until 4.7. Proportion of 15-49 years old married women using FP contraception by area of living in 2006 insignificantly decreased then the coverage on 2005 that was 0.02% from 57.89% on 2005 become 57.91% on 2006 with municipality area were 58.65% and districts area were 57.36%. The highest coverage in Bengkulu was 70.08%, North Sulawesi (69.75%) and Bali (67.43%), while 3 provinces with the lowest coverage were Maluku 30.13%, Papua (31.22%) and West Irian Jaya (31.73%). Proportion of 15-49 years old married women who ever used FP contraception by living area in 2006 increased 5.71% compared to 2005, from 74.05% in 2005 to 79.76% in 2006 with 81.07% municipalities and 78.78%.districts. There were 17 provinces which have ≥ 80% coverage with the highest rate was achieved by North Sulawesi (90.36%) and Bengkulu (87.07%), 3 provinces with ≤ 50 % coverage were Papua (46.48%), West Irian Jaya (47.04%) and Maluku (48.21%). Proportion of married woman aged 15-49 years using contraception can be seen on the following graph 4.10. The complete data can be seen in annex 4.3 and 4.4.

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GRAPH 4.10 PROPORTION OF 15-49 YEARS OLD MARRIED WOMEN USING/EVER USED FP CONTRACEPTION 2004-2006

Source: Welfare statistic, BPS-Statistic Indonesia, 2006

Types of contraceptive used by acceptors during 2006 were insignificantly different compared to 2003-2005 as it shows in the graph 4.11 below. GRAPH 4.11 PROPORTION OF TYPES OF CONTACEPTIVE USED 2003-2006

Source: Welfare Statistic, BPS-Statistic Indonesia, and Family Planning Board/BKKBN*

The above graph indicates that contraceptive methods utilized by most of the eligible women during 2003-2005 were injections and FP pill. In 2006 other types of contraceptives such as implants were decreased.On the other hand the using of contraception such as injection, IUD (Intra Uterine Device), and other contraception increased. Details about percentage of contraception methods used by active family planning acceptors by province in 2006 are on Annex 4.5 and 4.6.

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GRAPH 4.12 LOCATION OF FP ACCEPTORS SERVICES 2003 – 2006

Source: National Family Planning Board/BKKBN

On graph 4.12 above , The location for new FP acceptors services in the government FP clinics insignificantly increased in 2005 (1.42%) become 61.08% in 2006, and from 59.66% in 2005, private midwife and practitioner increased as well in 2006, while services for FP acceptors on private FP clinics insignificantly increased. Number and proportion of cumulative new FP acceptors by location of service and province in 2006 are on Annex 4.7. 3. Immunization Services

Routine immunization activity are the giving of immunization for infants aged 0-1 years old (BCG, DPT, Polio, Measles, HB), immunization for productive woman /pregnant woman (TT) and immunization for elementary students (grade 1: DT and grade 2-3: TT), while addition immunization activity done by basic of problem found such as non UCI village, outbreak high risk/potential, found suspect of a wild polio virus or other activity based on technical policy. Achievement of the Universal Child Immunization is basically a proxy towards the coverage of a complete immunization to a group of infants. In terms of certain area boundaries, UCI describes level of community/infant immunity (herd immunity) towards the transmission of immunization preventable diseases. In this case, Government has target on UCI achievement in village (desa) /sub village (kelurahan) administration. A village (desa) /sub village (kelurahan) meets target of UCI if more than 80% of infants obtain complete immunization. Nationally, achievement of UCI in village/hamlet during 2004-2005 increased 6.8%, from 69.3% in 2004 to 76.3% in 2005 (graph 4.13) but 2.97% decreased in 2006, that was 73.26%.

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GRAPH 4.13 PERCENTAGE OF UCI ACHIEVEMENT IN VILLAGE LEVEL BY PROVINCE, 2004-2006

Source: DG of Disease Control & Environmental Health, MOHRI

Among 33 provinces observed, in 2005, 7 provinces had met the UCI target (the 2005 target was: ≥ 86%). Provinces which had met target of UCI in Village(desa/kelurahan) were: Bali (100%), Yogyakarta (99.09%), Lampung (90%), Central Java (89%), Jambi (88.95%), West Nusa Tenggara (87.53%) and South East Tenggara (86.87%) while in 2006 4 provinces who had met target of UCI in village(desa) /sub village (kelurahan) (2006 target was 2006 ≥ 89%) were Bali (99.28%), Jambi (92.98%), DI Yogyakarta (92.24%) and Nusa Tenggara Barat (89.91%). There were provinces that have no data such as Riau, South Sumatera, Kepulauan Riau, Banten, West Sulawesi and West Irian Jaya. UCI village achievement by province in 2004 – 2006 can be seen on annex 4.8. While description of UCI achievement of village (desa/kelurahan) by province in 2006 can be seen in graph 4.14 below. GRAPH 4.14 PERCENTAGE OF UCI VILLAGE IN VILLAGE LEVEL BY PROVINCE, 2006

Source: DG of Disease Control and Environmental Health, MOHRI

63

Target of infant immunization access is showed from DPT1 immunization coverage because this immunization is one of the first contact antigens from all immunization given to baby. Description of infant immunization coverage of DPT1, Measles and drop out rate in 2002-2006 can be seen in graph 4.15 below. GRAPH 4.15 PERCENTAGE OF COVERAGE OF DPT1 AND MEASLES IMMUNIZATION AND DROP OUT RATE (DO), 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

Above graph 4.15 indicates that DO of DPT1- Measles which is a program affectivity target during 2002-2006 was 1.5% - 9.3%, while in 2006 DO significantly increased (9.3%). Several provinces did not meet the target that DO of measles DPT-1 coverage more than 10%. They were: Nanggroe Aceh Darussalam, South Sumatera, DKI Jakarta, Banten, West Java, Gorontalo and West Sulawesi. DO Rate of Measles DPT-1 coverage by province is on Annex 4.11. Target of infant immunization protection level is showed by measles immunization coverage because this immunization is the last contact antigen from all immunization which is given to infant. In 2006 there were six provinces which did not meet the target of program protection level (measles coverage indicator was ≥ 80%), they are: Banten, West Java, West Sulawesi, North Maluku, Papua and West Irian Jaya. Three provinces with the highest coverage were Yogyakarta (103.31%), DKI Jakarta (101.71%) and Jambi (97.96 %); while 3 provinces with the lowest coverage were Papua (67.80%), North Sulawesi (68.29%) and Banten (71.60%). The description of measles immunization coverage in 2006 can be seen in the following graph 4.16. While the detailed of infant immunization coverage for each types of vaccines by province can be seen in annex 4.9 and 4.10.

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GRAPH 4.16 PERCENTAGE OF MEASLES IMMUNIZATION ACHIEVEMENT BY PROVINCE, 2006

Source: DG of Disease Control and Environmental Health MOHRI

Maternal and Neonatal Tetanus Elimination (MNTE) is one of addition immunization activity which is aimed to decrease the number of Neonatal Case in every district until < 1 case per 100 life birth per year. In the past, the target of MNTE activity is a newly bride and pregnant woman, but the target achievement was rather slow, so it is made an acceleration activity which is a giving of TT 5 dosage to all productive women including pregnant woman (15-39 years old). For coverage of pregnant woman TT immunization in 2000 – 2006 can be seen on the following graph 4.17. GRAPH 4.17 PERCENTAGE OF TT IMMUNIZATION COVERAGE TP PREGNANT WOMAN 2002 – 2006

Source: DG of Disease Control and Environmental Health MOHRI

In period of 2002-2005, coverage of TT-1 and TT-2 immunization to pregnant woman decreased. But in 2006, there was a little increasing that was 3% for TT-1 and 2.4% for TT-2 from 2005 which was TT-1 (53.6%) and TT-2 (49.4%) become TT-1 was 56.6% and TT-2 was 51.8%. Province with the highest TT-2 coverage were West Nusa Tenggara (87.9%), Lampung (82.4%), and Bangka Belitung (82.2%); While province with the lowest coverage were East Java (4.2%), West Irian Jaya (15.0%) and Papua (21.4%). Description of TT-2 65

immunization coverage to pregnant woman by province in 2006 can be seen in annex 4.18, while the complete data can be seen in annex 4.12. GRAPH 4.18 COVERAGE OF PREGNANT WOMEN TT-2 IMMUNIZATION IN 2005

Source: DG of Disease Control and Environmental Health MOHRI

B. REFERRAL AND SUPPORTING HEALTH CARE

One of National Middle Term Plan (RPJMN) 2004-2009 is an individual health effort which is aimed to increase a safe access and health service quality through individual health service facility (Health Center, Health Facility, Public Health Center, etc). Some main activity of individual health effort is the increasing of referral health service, health service for poor population in third class in hospital, and so forth. The following is the short explanation of referral and supporting Health Care. 1. Hospital Health Care

Individual health effort was done by government or community and private to maintain, improving health and prevent and curing individual health. The service effort to community was done by out patient for community who gets a light health problem and in patient service, be it directly or through patient reference for community who get a middle hard health problem. a. Inpatient/Outpatient, Emergency Service and Referral

More than a half of health center service facility are prepared to give a basic health service for in patient visit, while hospital facilitated by various facility is not only giving a service to referral case for in patient but also for out patient. In patient visit in hospital in 2006 were 3,116,539 by the length of the day were 15,317,694, life patient checked out were 96.24% and dead patient checked out were 3.76% The highest number of in patient were in Central Java (549,710), East Java (446,662) and Jakarta (446,662) while the lowest number of ip patient were in North Maluku (5,470), West Irian Jaya (10,011) dan Maluku (10,237). Percentage of life patient checked out were in West 66

Irian Jaya (97,61%), East Kalimantan (97,40%) and Maluku (97,07%) while province with the lowest percentage were in North Sumatera (94,52%), Central Kalimantan (94,88%) and West Sumatera (94,98%). More complete data detailed can be seen in annex 4.13.a In patient visit in 2006 were 15,058,774, consists of 49.37% new visit and 50.63% old visit. Province with the highest new visit were West Irian Jaya (64.68%), Jambi (62.40%) and East Nusa Tenggara (59.97%) while province with the lowest new visit were Yogyakarta (36.50%), North Sulawesi (40.27%) and Central Java (40.89%). For the visit of mental illness patient in hospital was 295,820, province with the highest visit was Central Java (62,680), while the lowest were Bangka (10). More complete data details can be seen in annex 4.13b. Percentage of emergency unit visit on General Hospital of MoH/Local Government 18.07 % all visits in 2006, and 17.15% of emergency unit visit was referred case and 82.85% emergency unit visit was non referred case. In hospital class A of emergency visit patient, most of them are referred case while class B, C and D were from non referred case. It caused a multi burden for hospital as referred health service facility from its under health service facilty. Emergency unit visit in general hospital can be seen on the following table 4.1. TABLE 4.1 EMERGENCY UNIT VISIT ON MOH/LOCAL GOVERMENT GENERAL HOSPITAL BY CLASS INDONESIA, 2006 General Hospital Class

Number of Visit

Emergency Unit Visit

Class A

982,733

Number 113,126

Class B Class C Class D Total

4,940,539 4,283,317 333,151 10,539,740

867,834 834,265 89,204 1,904,429

Referred Patient

Non Referred Patient

% 11.51

Number 59,808

% 52.87

Number 53,318

% 47.13

17.57 19.48 26.78 18.07

113,859 142,699 10,188 326,554

13.12 17.10 11.42 17.15

753,975 691,566 79,016 1,577,875

86.88 82.90 88.58 82.85

Source: DG of Medical Care MOHRI

Patients on hospital emergency unit are taken care, referred, discharged and dead. Among patients who visit emergency unit, they were 55.3% directly taken care, 1.79% referred to other hospital, 41.91% discharged and 1.00% dead. Seeing from the achievement, it can be concluded that services in hospital still for patient whom is supposed to be handled by the first service level (health center, physician practice, clinic, and so forth). The percentage of emergency unit service in General Hospital of MOH/Local Government can be seen in the following annex 4.19.

67

GRAPH 4.19 HEALTH CARE OF EMERGENCY UNIT ON GENERAL HOSPITAL OF MOH/LOCAL GOVERMENT 2006

Source: DG of Medical Care, MOHRI

Referred activity in general hospital in 2006 consist of referred from the bottom level (health center, other hospital, health facility) were 12.4% had an increasing from 2005 (7.8%). The highest percentage of referred from the bottom were on MOH General Hospital (31.6%) and District/Municipality Government General Hospital (22.5%), while the lowest percentage were Provincial Government General hospital (1.0%) and other Hospital/BUMN (1.1%). Referred patient up to 2006 was 0.80%, increased from 0.28% in 2005. The highest was in District/Municipality Government General Hospital 1.77% and the lowest was in MOH General Hospital (0.02%). Referred activity in General Hospital by ownership can be seen on the following graph 4.2 . TABEL 4.2 REFERRED ACTIVITY ON GENERAL HOSPITAL BY OWNERSHIP, 2006 Owner of General Hospital Ministry of Health Provincial Government District/Municipality Goverment Indonesian Armed Forces and Indonesian Police Other Ministry/State Owned Corporation Private Total

Number of Visitor 1,947,909 2,402,170 6,142,700

Referred from the bottom Total % 616,296 31.6 24,879 1.0 1,385,019 22.5

Referred to top Total 346 4,628 108,559

% 0.02 0.19 1.77

901,057

102,312

11.4

765

0.08

1,055,911

11,089

1.1

9,144

0.87

6,142,889 18,592,363

162,418 2,302,013

2.6 12.4

24,826 148,268

0.40 0.80

Source: DG of Medical Care, MOHRI

68

b. Indicator of Hospital Health Care

Measurement of hospital health care effectiveness depends on many aspects. They are facility utilization, quality, and service efficacy. Measurement of hospital health care effectiveness depends on many aspects. They are facility utilization, quality, and service efficacy. Some of standardized indicator related to hospital health care are bed utilization (Bed Occupancy Rate or BOR), the average of day of patient being taken care (Length of Stay or LOS), Average of Bed being used (Bed Turned Over), Average of interval bed utilization (Turn Over Interval or TOI), percentage of dead patient checked out (Gross Death Rate or GDR), and percentage of dead patient checked out under 24 hours care (NDR). There were no difference for indicators of hospital health care among General Hospital and Special Hospital during 2003-2004. They have been split since 2005. . Achievement of hospital health care indicators for last four years can be seen on the following Graph 4.20 and 4.21 GRAPH 4.20 ACHIEVEMENT OF B0R, BTO AND TOI HOSPITAL IN INDONESIA, DURING 2003–2006

Source: DG of Medical Care, MOHRI

GRAPH 4.21 INDICATOR ACHIEVEMENT OF GDR, NDR, DAN LOS HOSPITAL IN INDONESIA, DURING 2003 – 2006

Source: DG of Medical Care, MOHRI

69

Above graph indicates that bed utilization in hospital for the last three weeks insignificantly changed and remained under target rate (60-85%). The rate insignificantly increased 0.8%, from 56.2% in 2005 to 57% in The unbalance increasing between number of hospital with their available bed and people seek the hospital health care was one of many factors affected BOR. Percentage of life and death checked out patient before 24 hours (GDR/NDR) during the last 3 (three) decreased 39.4 – 47.9 (GDR), 18.1 – 22.8 (NDR). In 2005 GDR (43), NDR (21) become 39.4(GDR) and 18 (NDR) in 2006 those decreasing indicated there was insignificant improvement of hospital health care quality. The indicator of LOS during the the last four year tends to stabil which is 4 days , but still remained under target rate (6-9 days) while TOI insignificantly decreased from the previous year which is 6 days from 8.6 days in 2005 and still remained under target rate (1-3 days). Details of indicator of MOH and local Government General Hospital service by province in 2006 can be seen in annex 4.15. 2. Supporting Health Service

Laboratory and radio diagnostic examination are supporting health care to confirm diagnosis of disease. Number of laboratory examination on General Hospital in 2006 were 53,372,332, coming from 1,012 General Hospital with rate 303 examinations per day , increased in 2005, 49,758,167 examinations with rate 294 examinations per day. The highest examination percentage on Private General Hospital was (35.2%) and District/Municipality Government General Hospital was (34.3%), while General Hospitals with the lowest examination were Indonesian Armed Forces and Indonesian Police General Hospital (2.8%) and other Ministry/BUMN General Hospital (5.1%). More details are on Annex 4.3. TABLE 4.3 LABORATORY EXAMINATION ON GENERAL HOSPITAL BY OWNERSHIP IN 2006 Laboratory Examination Owner of General Hospital (GH)

Total RSU

Total

Average of Examination/ Day/GH

Ministry of Health

13

5,950,369

Anatomi cal Patholog y 36,177

Provincial Government

42

6,058,228

21,733

6,079,961

11.4

579

District/Municipality Government Indonesia Armed Forces and Indonesian Police Other Ministry/State Owned Corporation Private

335

18,354,193

20,371

18,374,564

34.3

269

110

1,487,072

3,205

1,490,277

2.8

191

71

2,734,206

8,984

2,743,190

5.1

241

441

18,788,264

81,102

18,869,366

35.2

254

1,012

53,372,332

171,572

53,543,904

100

303

Total

Clinical Pathology

% Total

5,986,546

11.2

1,425

Source: DG of Medical Care, MOHRI

Radio diagnostic examination on Ministry Of Health and Regional Government General Hospital (GH) in 2006 decreased insignificantly. From 2004 and 2005 decreased by 70

number of examination was 1,541,868 from 232 General Hospital In 2005, number of examination were 1,843,117 of 255 General Hospitals while in 2005 were 1,565,688 of 254 general hospital. The decreasing happened because the reported hospital was fewer than the previous year, infact there was an addition of MOH/Local Government General Hospital every years. More details of examination are on annex 4.22 and edetails by province are on annex 4.16. GRAPH 4.22 RADIODIAGNOSTIC EXAMINATION ON GENERAL HOSPITAL MOH/LOCAL GOVERMENT, 2004 – 2005

Source: DG of Medical Care, MOHRI

3. Mananaged Care Health Service for Poor People (JPK-MM)/(ASKESKIN)Poor People Health Insurance

Askeskin program is a very strategic goverment planning and has been occured since January 1, 2005. This program is aimed to improve poor people accessibility to obtain health service which is at the end of the process; it can improve people health status. To do this program, Minister of Health appointed PT.Askes (Askes/Health Insurance Company) as program implementer. Through this program, poor people will get a chance to obtain health service in health facilities owned by government, Indonesia Armed Force/Police and private which is coorporated with PT Askes. By the publishing of Minister of Health Decree Number 332/Menkes/SK/V/2006 about Guidelines of 2006 Managed care for Poor People or more known as Health Insurance Program for Poor People (Askeskin) since 2005 and 2006 covers 60 million poor population and almost poor people, comparing with those in 2005 which is only cover 36.1 million poor population. Based on report from PT.Askes, until December 2006 there were 618 Health Services Provider (HSP/PPK) who did corporation with PT.Askes in conducting Askeskin program. Percentage of HSP by types of implementation are belong to MOH and Local Government 72.2% (446 HSP), 21.04% (130 HSP) Private Hospital, 3.07% (19 HSP) Indonesia Armed Force/Police, 2.59% (16 HSP) Provincial Lung Disease Treatment Post, 1.13% (7 HSP) Community Eyes Health Post (BKMM)/ Badan Keswadayaan Masyarakat (BKM) as seen in the following graph 4.23. 71

GRAPH 4.23 HEALTH SERVICE PROVIDER OF ASKESKIN PROGRAM (PPK) 2006

Source: DG of Medical Care, MOHRI

Number of Askeskin participants target were 60,000,000 poor/unaffordable people in Indonesia (showed in annex 4.18). Number of Askeskin Card was 41,527,679 published or have just reached 69.21% of program target. While number of distributed card were 39,488,563 or has just reached 65.81% of program target are in the following 4.24. GRAPH 4.24 NUMBER OF PUBLISHED AND DISTRIBUTED ASKESKIN 2006

Source: DG of Medical Care, MOHRI

In 2006 poor/unaffordable outpatient were 3,817,758 and inpatient (3rd class) were 1,197,233 by source of fund from the rest of PKPS-BBM fund 2004 and Health Insurance (Askes) Fund 2006, data details are on Table 4.4.

72

TABLE 4.4 NUMBER OF POOR/UNAFFORDABLE IN PATIENT AND OUT PATIENT IN INDONESIA 2006 No

Source of Fund

1

The rest of PKPS-BBM Fund 2004 Askes Fund 2006

2

Outpatient

Total

Inpatient (3rd Class)

25,080

8,305

3,792,678

1,188,928

3,817,758

1,197,233

Source: DG of Medical Care, MOHRI

Notes: PKPS-BBM = Program Kompensasi Pengurangan Subsidy BBM/ Program of BBM Subsidy Reducing Compensation

The existing fund for 2006 was 3.6 billion rupiahs from the rest of 2005 fund, DIPA of Community Health and DIPA of Medical Service, added by clearing account and other was 24 million rupiahs. That fund is arranged by PT.Akes (Persero) for health service payment start from first strata service in Health center and its net until second- third strata in hospital. The realizing of PKPS-BBM-Askeskin fund utilization for poor/unaffordable people were 1.3 billion are from the rest of PKPS-BBM 2004 fund, that were 9.3 billion and Askeskin Fund 2006 was 1.3 billion. Data details are on the following table 4.5. TABLE 4.5 REALIZATION OF PKPS BBM 2004 AND ASKESKIN FUND UTILIZATION, 2006 FOR POOR/UNAFFORDABLE PEOPLE IN INDONESIA No 1 2

Source of Fund Outpatient

The rest of PKPS-BBM Fund 2004 (Rp) 1,108,692,978

Askeskin Fund 2006 (Rp)

8,194,484,794

1,185,615,230,587

9,303,177,772

1,346,445,199,025

rd

Inpatient (3 Class) Total

T o t a l oPKPS-BBM - Askeskin

160,829,968,438

1,355,748,376,797

Source: DG of Medical Care MOHRI

Notes: PKPS-BBM = Program Kompensasi Pengurangan Subsidy BBM/ Program of BBM Subsidy Reducing Compensation

Askeskin program is monitored and evaluated by all parties, be it by executive party: State Secretariat Office, Coordinator of Community Welfare office, Secretariat of Vice President office, Ministry of Health, and so forth, or legislative party, Indonesia legislaive. Besides that there is also an evaluation by LSM, University, etc, including scientific research about beneficial of Askeskin program. Examination or audit has been done by various parties, be it internally by Internal Observer Unit (SPI), Audit Committee or externally by Inspectorate General of MOH, State Audit Board (BPK), and BPKP. The result of audit is proper without exception. 4. Narcotics Abuse Handling

Narcotics Abuse handled in hospital in Indonesia consist of curative, rehabilitative and aftercare activity based on types of narcotics used such as narcotics, physicotropic and other addictive. In 2006 curative activity (treatment) of narcotic abuse in hospital was 119 by 73

details: 45 type of narcotics, 42 psychotropic and 32 other addictive. Rehabilitative activity were 25 consist of 10 narcotics and 15 psychotropic. While aftercare activity were 11 from physicotropic. Activity of narcotics abuse handling in hospital in 2006 can be seen in graph 4.25. More complete data are on annex 4.19. GRAPH 4.25 ACTIVITY OF NARCOTICS ABUSE HANDLING IN HOSPITAL IN INDONESIA, 2006

Source: DG of Medical Care MOHRI

Counseling activity in hospital in 2006 were 687,892 by counseling method are cassettes playing, lectures, demonstration, exhibition, training and so forth. For counseling activity of prevention, and abuse controlling (P3) were 4,143 or 0.6% from all counseling activities. Data details can be seen in the following table 4.6. TABEL 4.6 COUNSELLING ACTIVITY OF NARCOTICS PREVENTION, AND ABUSE CONTROLLING (P3) IN HOSPITAL, 2006 No

Activity

1 2 3 4 5 6

Cassettes playing Lecture Demonstration Exhibition Training Other Total

All counselling

10,349 170,375 13,258 1,858 370,723 121,329 687,892

Narcotics Prevention, and Abuse Controlling 161 3,918 5 1 12 46 4,143

%

1.6 2.3 0.04 0.05 0.003 0.04 0.6

Source: DG of Medical Care MOHRI

C. COMMUNICABLE DISEASE CONTROL

Indonesia is facing multi burden in health development that are, the increasing of some communicable diseases control as well as uncommunicable/degenerative disease.Besides that, there is also a various new disease. Program of disease prevention and control is aimed to decrease morbidity and mortality rate, a handicap of communicable 74

disease, and to prevent disease distribution and also to reduce sosial effect caused of disease so it will not become a health problem. Communicable disease control emphasized on epidemiological surveillance with early detection case which is followed by rapid treatment. Other efforts are conducted by immunization, risk factor elimination with up grading quality environment and community participation on communicable disease elimination. The descriptions are on the following. 1. Polio Control

Prevention and eradication program of Polio have been conducted by polio immunization. The immunization was followed by active epidemiological surveillance to Acute Flaccid Paralysis (AFP) cases on group of under 15 ages in certain period to seek possibility of wild polio virus developed in community. This was conducted by examination of fecal specimen of AFP cases found. The following Graph 4.26 shows national percentage of adequate specimen dispatch based on AFP surveillance program on population aged <15 years during 2002-2006. GRAPH 4.26 PERCENTAGE OF THE RESULT OF ADEQUAT SPECIMEN DESPATCH AND NON POLIO AFP RATE 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

There are four strategies of Polio Eradication program, i.e. 1). Vaccination, through improvement of polio regular vaccination, National Immunization Program (PIN) and Mop Up, 2). AFP Surveillance, 3). Polio-Free certification, and 4). Polio virus protection at laboratory. Each of AFP case found on surveillance intensification will be followed-up by feccal specimen examination to find whether there are wild polio viruses on the community. Above graph indicates that percentage of adequate specimen which is sent to polio virus examination increased, so that the examination much represented real condition on the community. Based on examination for last seven years (1998-2004), there was no wild polio virus infection on AFP cases found. The number of non AFP Polio Rate on 1998-2004 relatively stabile. Until now, cumulatively Polio cases since March 2005 to May 1, 2006 were 349 people, consisting of polio case total = 349, WPV1 = 303, VDPV type 1 = 46, with total infected district/municipality = 47, and total infected provinces = 10. Many efforts had been 75

conducted by goverment to cut the chain of polio transmission, which is the form of Indonesia commitment as a part of world community. Having a role to eliminate polio on earth is a form of Goverment commitment in realizing Polio-free of Indonesia underfives. Based on assessment team and epidemiological of surveillance AFP data appraisals and case findings in several provinces, PIN had to be immediately conducted to stop virus much widely spread. PIN was conducted on August 30, 2005 as first round and September 27, 2005 as second round. Three rounds then were conducted on November 30, 2005; February 27, 2006; and April 12, 2006. National Coverage of PIN on 2005-2006 can be seen on table 4.7. Percentage of five rounds PIN by province is on annex 4.20. TABLE 4.7 EFFORT OF POLIO OUTBREAK CONTROL 2005-2006 ORI

Time

MOP UP I May

MOP UP II June 28

West Java Banten

West Java DKI

West Java DKI

DKI

Banten

Banten

Mar ,Apr ,May

PIN I

PIN II

PIN III

Sub PIN

PIN IV

PIN V

Aug 30

Sept 27

Nov 30

Jan 30

Feb 27

April 12

Tahun 2005

Location

Tahun 2006

National

National

National

Source of Fund

Lampung

Jateng

Banten

Coverage

Foreign Loan + APBN 97.8%

National

23,620,427

23,620,427

South Sum

Lampung

191,959

National

North Sum

East Java Target (Under five) Fund

NAD

East Java 6.398,107

6.398,107

23,620,427

23,620,427

Rp.38,4 M

Rp.179,5 M

Foreign Loan + APBN +APBD

Foreign Loan + APBN

104.0%

87.7%

95%

97.8%

23,620,427

4,523,321

Rp.110,3 M

Rp.14,5 M

Foreign Loan + APBN 98.2%

UNICEF

95.8%

230 trillion rupees APBN

98.5%

APBN

99.8%

Source : DG of Disease Control and Environmental Health, MOHRI Note : ORI = Outbreak Response Immunization PIN = Pekan Imunisasi Nasional/National Immunization Week

2. Pulmonary TB Control

Prevention and elimination Pulmonary TB are conducted by DOTS (Directly Observed Treatment Shortcource Chemotherapy) method or Pulmonary TB treatment with directly observing by Drugs Intake Supervisor. These programs cover case detection by sputum examination on health providers followed-up by treatment package. In 2006, development of TB control program with DOTS strategy had been conducted in 33 provinces on 432 Districts/Municipalities (98% of 440 Districts/Municipalities), quantitatively, DOTS had been conducted in 7,667 health centers (97.4%) from total 7,867 health centers. For DOTS conduction, Pulmonary Clinic (Balai Pengobatan Penyakit Paruparu/BP4)/Pulmonary TB Hospital had reached 94.7% from 38 BP4 dan Pulmonary TB Hospital, while for general hospital, there were 35.7% from 1278. TB case detection during 2002-2006 is presented in Graph 4.27, as follows:

76

GRAPH 4.27 NUMBER OF TB AFB AND OTHER TB IN 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

All TB cases will be followed-up by intensive treatment packages. Through regular and complete treatment package, patient will hopefully recover from the disease. Nevertheless, in further process the there is a possibility of treatment failure because of unfinished treatment package or drop outs (DO), drug resistance or failure in diagnosis at the end of treatment. Governmental effort to control TBC made significant progress which was indicated by increasing of case detected and treated. The conducting of TB control until 2006 is succeed in reducing transmission case incidence rate from 130/100,000 population (WHO-1995) becomei 104/100,000 population. Besides by incidence rate, the success of TB control program also can be identified by some indicators of TB control program such as Case Detection Rate and Success Rate during the pats five years as in graph 4.28. GRAPH 4.28 CASE DETECTION RATE DAN SUCCESS RATE 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

Recovery level of post-treatment patient is so hard to be made due to obstacle of patient in spitting out sputum to fill the requirement or success rate (SR), so that in final result 77

observation is more directed to treatment complete level or success rate (SR) in 2005 was 83.06%, province with the highest recovery rate were North Sulawesi (92.93), North Sumatera (91.79) and South East Sulawesi (90.61) while province with the lowest recovery rate were North Maluku (47.09), Maluku (52.22) and East Kalimantan (61.71). More complete data detailed can be seen in annex 4.21. Success rate is a rate shows percentage of TB AFB+ case that has finished treatment (both recovered and complete treatment) among recorded TB AFB+ cases, since 2001 until 2005 has reach 85% global target. In 2005, 26 provinces have reached success rate target, 4 (four) provinces having not reached the target were Riau (84%), East Kalimantan (81%), Papua (81%) and Maluku (79%), while 3 (three) provinces having no data were West Irian Jaya, West Sulawesi and Kepulauan Riau, are in the following graph 4.29. GRAPH 4.29 SUCCESS RATE OF TB AFB+ NEW CASE BY PROVINCE, 2005

Source: DG of Disease Control and Environmental Health, MOHRI

Conversion rate is percentage of positive BTA lung TB patient who had coversion to be negative TB after had intensive treatment period. This indicator is used to identify a tends of treatment success fastly and to identify whether the directly observing drugs intake has conducted properly or not. Graph 4.30 below showed that in 2006 nationally Indonesia reached 85% for conversion rate, 20 provinces have reached 80% while who have not target were 6 provinces: Banten (79%), Papua (73%), Maluku (70%), East Nusa Tenggara (68%), East Kalimantan (67%) and North Maluku (61%).

78

GRAPH 4.30 CONVERSION RATE OF TB BTA POSITIF NEW PATIENT BY PROVINCE, 2006

Source: DG of Disease Control and Environmental Health, MOHRI

3. Acute Respiratory Infection

Acute Respiratory Infection (ARI) control emphasized on early case detection and rapid and appropriate case management to less than five pneumonia case. The control is developed through Integrated Management of Child Illness (IMCI). On IMCI method all of ISPA cases directly managed on the unit which find the case, but if condition of less than five children were on severe stage, while there are no sufficient tools, the child has to be directly referred to health provider with much complete facilities. Decreasing target of morbidity (2/1000) and mortality (4%) rate due to Pneumonia on under fives will be achieved if 86% Pneumonia case on under five can be detected and get standardized procedure. In 5 (five) years period, during 2005-2009, hoped those target can be achieved step by step. Target of less than five pneumonia patient detected in 2005 – 2009 can be seen in the following graph 4.31 GRAPH 4.31 TARGET OF UNDERFIVE PNEUMONIA DETECTION 2005 – 2009

Source: DG of Disease Control and Environmental Health, MOHRI.

The result of Pneumonia treatment and detection in the past five years can be seen in graph 4.32 which is showed that the coverage of case detection from target (patient expectation) 79

is still relatively low. Data details of case detection coverage by province can be seen in annex 4.22. GRAPH 4.32 PERCENTAGE OF CASE DETECTION AND MANAGEMENT OF UNDERFIVE PNEUMONIA IN 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

In 2006 even though there have been 100% provinces reported coverage data of pneumonia case detection, but only 3 provinces succeeded the target : West Nusa Tenggara (96.89%), North Maluku (77.91%) and Bangka Belitung Islands (67.67%). The complete report is shown on the following table 4.8. TABLE 4.8 REPORT COMPLETENESS OF UNDERFIVE PNEUMONIA DETECTION IN 2002 – 2006 Year

Reported Province

Reported Distr/Munic

Detected Patient

Report Completeness

2002

29

293

549,035

80%

2003

24

323

502,275

34%

2004

23

296

625,611

83%

2005

31

436

600,720

93%

2006

33

442

641,136

100%

Source: DG of Disease Control and Environmental Health, MOHRI

Meanwhile, coverage of less than five pneumonia detection and management in 2006 can be seen on the following Graph 4.27.

80

GRAPH 4.33 COVERAGE OF UNDERFIVE PNEUMONIA DETECTION BY PROVINCE IN 2006

Source: DG of Disease Control and Environmental Health, MOHRI.

4. Control of HIV/AIDS and Sexually Communicable Infection

Control of HIV/AIDS in addition to manage detected case, it is also led to prevention effort by early detection followed-up by conselling. Case detection has been done by HIV/AIDS screening of blood, monitoring of STI risked group such as women sex workers, Intravena Drugs Users (IDUs), prisoners or sometimes it is done by research on low risked groups i.e house wife and others. The result of HIV/AIDS surveillance during past five years in indicates significant progress as it shows on the following Table 4.9. TABLE 4.9 CASE DETECTION OF HIV/AIDS IN 2002 – 2006 Year

HIV Cases Per Year

AIDS Cases

Cumulativef

Per Year

Letal AIDS Cases

Cumulative

Per Year

Cumulative

2002

648

2,552

345

1,171

100

379

2003

168

2,720

316

1,487

261

479

2004

649

3,369

1,195

2,682

361

740

2005

875

4,244

2,638

5,321

592

1,332

2006

986

5,230

2,873

8,194

539

1,871

Source: DG of Disease Control and Environmental Health, MOHRI

Case cumulative rate of National AIDS until December 31, 2006 was 3.61 per 100.000 populations. The highest AIDS case cumulative rate reported from Papua (51.42), DKI Jakarta (28.15) and Kepulauan Riau (16.94). In disease journey from positive HIV to be AIDS there is a phase known as “windows periods” during the development of HIV to AIDS. 81

It is so undetectable that the number of cases becomes so contagious. In addition to provide treatment it is more important to conduct counseling in order to induce sense of responsibility on preventing the continued transmition. 5. Dengue Haemorrhagic Fever (DHF) Control

Pattern of DHF incidence ion 2006 was different to 2005. While in 2006 cases then decreased everyday until October when they continued to increase on November and December. In 2005 cases were almost high on every month and there were increases on February, August, and December. In 2006, from 33 provinces, there were 330 district/municipality found case with 52.48 incidence rate per 100.000 population. Appropriate method to prevent DHF is mosquito nest elimination by 3M plus movement (draining, closing, and to burrying) plus scattering larvacide, keeping fish on water reservoir and others activities which can prevent/eliminate Aides breed. DHF control emphasizes on community mobilization to contribute on mosquito nest elimination (3Ms movement), larva monitoring staff, and the spreading of fish in water can and also other activities which can prevent/eliminate larva to grow, and introduction of DHF symptoms and its management at home. Larva free rate is an indicator to eliminate vector trough 3M plus movement which showed the level of community participation in preventing DHF. Therefore Larva Free Rate (ABJ) is an indicator of vector elimination through mosquito nest elimination-3Mplus shows the level of community participation in preventing DHF. Therefore approach of DHF elimination which is contained of community concern is one of new approach alternative. 6. Malaria Control

Malaria as one of transmitted disease which is still be a community health problem, has effect in human resource quality decreasing that can cause all economy, social problem, even national safety and defense. Rapid diagnosis affirmation and appropriate treatment are two important efforts on larva elimination in addition to vector control. There are two approach models on diagnosis affirmation. In Java and Bali, they are actively conducted by Village Malaria Expert visiting person with clinical symptom of malaria. Meanwhile, in outside Java and Bali, they are passively conducted by waiting patient at health facilities. Treatment is not only given to clinical or confirmed laboratory cases, it is also given to certain group to prophylactic purposes. In Java and Bali, positive malaria cases significantly decreased from 64,708 in 2002, to 7,186 in 2006. Number of clinical cases, examined blood specimen, positive blood specimen and positive malaria falciparum +mix in Java and Bali in 2002-2006 is on the following Graph 4.34.

GRAPH 4.34 NUMBER OF EXAMINED BLOOD SPECIMENS,

82

POSITIVE BLOOD SPECIMENS, AND POSITIVE MALARIA FALCIPARUM+MIX, 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

Outside Java Bali in 2006 number of malaria clinical case was 1,754,444, examined blood specimens was 820,750, with positive SD was 340,411 case and malaria falciparum +mixwas 157,707. Comparing with 2002 – 2006 period, number of examined blood specimens and positive SD relatively increased because intensification activity in east area with Mass Blood Survey (MBS). Details are in the following graph 4.35. GRAPH 4.35 NUMBER OF CLINICAL CASES, EXAMINED BLOOD SPECIMENS, POSITIVE BLOOD SPECIMENS, AND POSITIVE MALARIA FALCIPARUM OUTSIDE JAVA BALI, 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

Based on population survey used efective prevention method to eliminate malaria with kelambu in 2005 was 1%, in 2006 based on survey conducted in Alor, West Sumba, Eat Flores and some districts in Sumatera area were 24%. Comparing with the expected target, those rate are still low which is 2006 target was 60%. Population target and realization who used efective prevention method to eliminate malaria are on annex 4.36. GRAPH 4.36 PERCENTAGE OF POPULATION USING EFECTIVE PREVENTION

83

TO ELIMINATE MALARIA 2005 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

In 2006 there was malaria outbreak case increased in some areas. Controlling effort is it by massive treatment, fever survey, house scattering, disease vector investigation or other actions such as draining mosquito nest have conducted well. 7. Leprosy Control

Intervention to leprosy cases is conducted by case detection with several surveys to school children, exposure survey and intensive examination of cases visiting health provider due to symptom or exposure to leprosy cases. All cases detected are directly treated with MDT package (Rifampicin, Lampren, and DDS) on certain period of time. Meanwhile, cases detected at severe condition will be recovered by health provider institution with more complex facilities. The result of any new case detection program conducted for last three years can be seen on the following Table 4.10. TABLE 4.10 POPULATION EXAMINATION, NEW CASE DETECTION, HANDIAPPED PATIENT AND TREATED PATIENT NATIONALLY IN 2003 S/D 2006 Year

Examined Suspect

Positive PB

MB

CDR

Physical Defect Case (%)

Treated Patient

2003

163,781

3,594

11,956

7.3

8.0

2004

212,462

3,615

12,957

7.8

8.6

17,519

2005

t.a.d

4,056

15,639

8.9

8.7

t.a.d

2006

t.a.d

3,506

14,415

8.2

7.8

t.a.d

Remarks : MB = Multi Basiller, PB = Pausi Basiller

Source: DG of Communicable Disease Control and Environmental Health, MOHRI

To evaluate personnel performance in case detection, it used proportion rate of physical defect case at second level (due to neurogical damage and clear handicapped). The high rate of handicapped patient at second level proportion showed the lateness in case detection or in otherwords, the low performance of personnel in case detection and also

84

people’s knowledge are still low. To identify whether or not the transmission still occurs among community, the counting method covers child proportion among new cases. Physical defect case at second level decreased from 1,722 (8.7%) in 2005 to 1,587 (8.7%) in 2006. Proportion of physical defect second level and children among new cases were higher than program indicator (5%), but they were relatively stable. Those mean that leprosy transmission still occurred and cases were late to be detected since they had already been physical defect at second level. 8. Filariasis Control

Filariasis is a transmitted disease (Elephant’s foot disease) caused by Filaria worm transmitted by various types of mosquito. This disease is yearly (chronic) and if do not get treatment it will become permanent handicap such as bigger foot, hands and genital be it for man or woman. In effect, the patient can not do their activity optimalized, even their life depend on other people so it become burden for family, community and country. Filariasis has spread in almost all provinces in Indonesia. Filariasis elimination program conducted based on 2000 WHO global agreement that is “The Global Goal of Elimination of Lymphatic Filariasis as a Public Health Problem the year 2020” which is a realization from WHA (World Health Assembly) resolution in 1997. This Elimination program conducted through 2 main activities: a. Massive Treatment to all population in filariasis endemic district by DEC 6 mg/kg BB combinated by Albendazole 400 mg once a year during 5 years to cut transmission chain. b. Procedure of filariasis clinical case to prevent and reduce handicap. Implementation Unit /IU in filariasis program since 2005 is in district/municipality. Meaning that the smallest area in this program as district/municipality be it to decide endemicity or massive treatment. If one district/municipality already filariasis endemic, so massive treatment target is all population in that district/municipality. All population has to intake medicine, but there is delayed treatment for: children under 2 years, pregnant woman, people with hard illness, filariasis chronically patient in acute threat, and fewer than five with marasmus/kwashiorkor. Target and achievement of filariasis massive treatment in 2002 – 2006 are in the following graph 4.37. GRAPH 4.37 TARGET AND ACHIEVEMENT OF MASSIVE FILARIASIS TREATMENT 2002-2006

Source: DG of Disease Control and Environmental Health, MOHRI

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From district/municipality with filariasis endemic mapped in 2006, 68 district/municipality conducted massive treatment. Not all district/municipality with the target were all population, only 14 districts/municipalities had all population as a target. The were : Alor, Rote Ndao (East Nusa Tenggara), Mentawai (West Sumatera), West Tanjung Jabung(Jambi), Bangka, West Bangka, Central Bangka, South Bangka, Kota Pangkal Pinang, Belitung, East Belitung (Bangka Belitung), Bombana, North Kolaka (South East Sulawesi ), Kuantan Singingi (Riau) . Not all district/municipality conducted massive treatment with its all population as a target due to the less commitment from regional government about the provision of operational fund provided by district/municipality. Therefore it needed advocate on stakeholders in province and district/municipality. To make achievement fastness of filariasis elimination as its target, needed treatment centralized of filariasis massive followed by the provision of operational budget of massive treatment by central government just as PIN (National Immunization Week) implementation. Procedure of filariasis chronically case must be conducted to all patients. It is aimed to prevent or to reduce patient handicap so that they will become independence in taking care theirselves. Every patient is made the medical record storages in health center and they got visited by health personnel 3 times a year minimal. Target and achievement of filariasis chronically case procedure in 2004 – 2006 are in the following graph 4.38. GRAPH 4.38 TARGET AND MANAGEMENT ACHIEVEMENT OF FILARIASIS CRONICAL CASE IN 2004-2006

Source: DG of Communicable Disease Control and Environmental Health, MOHRI

The management of filariasis chronically case is an obligation from district/municipality. Until 2006 the case has not optimalyzed yet and it is become a problem in management of filariasis chronically case. Hoped in the coming years the management of filariasis cronical case can improve as targeted that was 90% in 2007, 2008 and 2009. 9. Anthrax Control

Anthrax is an acute animal disease which is able to transmit to human. The caused is Bacillus anthraces bacteria. This is an aerobe bacterium which needs oxygen to live. In free air, this bacteria form a spore that last several years under ground and become source of transmission from animal to human. Case in Bogor happened because the spore brought by 86

flood. Animal infected because they ate spore which stick to the plant they eat. Dead animal caused of anthrax should be buried or burned and not to be hurt to make bacteria do not spread. Transmission to human can be through direct contact to spore under ground, plant, or material from sick animal (skin, meat, bone or blood). Consumed animal infected by anthrax or through air contain of spore such as a worker in wool/animal feather factory. Therefore there are four types of anthrax: skin anthrax, gastrointestinal anthrax, respiratory anthrax and brain anthrax. Brain anthrax happened because there is bacteria come up to the brain. Situation of Anthrax to human in Indonesia in 2002 – 2006 can be seen in the following graph.4.39 GRAPH 4.39 SITUATION OF ANTHRAX TO HUMAN INDONESIA 2002 – 2006

Source: DG of Disease Control and Environmental Health, MOHRI

To prevent anthrax transmission, suggested to buy meat from legal slaughtering, cook meat well to eliminate the bacteria and wash hand before eating. Government provide drugs in all districts with anthrax endemic, giving training of surveillance, clinical diagnosis and laboratory in four endemic province, distribute the poster, leaphlet and guidelines book of anthrax handling, in addition to conduct sectoral across corporation in anthrax controlling and other control steps. 10. Avian Influenza Handling

Avian influenza is a disease caused by type an influenza virus from Orthomyxomiridae family. This virus can cause symptom of respiratory disease to bird, start from the light step (Low pathogenic) until high step/fatal (highly pathogenic). Bird disease in Indonesia consists of 12 types of virus: AI, 3 types of bacteria and 1 types of parachute. AI virus divided in to subtype by Hemaglutinin (HA) surface and Neoraminidase (NA), they are 15 HA subtype and 9 NA types. There are 3 types of avian influenza virus: A type (on bird), B type and C (on human). Type influenza consists of some strain such as H1N1, H3N2, H5N1 and so forth. (H5N1) Influenza A is a caused on a deadly avian influenza endemic in Hong Kong, Vietnam, Thailand, Indonesia and Japan. In Indonesia, the A type influenza virus of H5N1 subtype above attack chicken since October 2003 until February 2005. In effect, 14.7 million chickens died. While the spreading of that virus on human in Indonesia since July, 2005. 87

In 2006, area infected by AI to bird was 30 provinces and 241 districts/municipalities in Indonesia. While to human, AI confirm case reported in 10 provinces. Until the end of 2006, it has been reported 9 case of AI cluster from North Sumatera, West Sumatera, Lampung, Banten, DKI Jakarta, West Java, and East Java. The following are description of avian influenza case to human since 2005 – 2006. TABLE 4.11 AVIAN INFLUENZA CASE TO HUMAN IN INDONESIA 2005 – 2006 NO.

PROVINSI

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Banten DKI Jakarta Lampung West Java Central Java North Sumatra East Java West Sumatra South Sulawesi South Sumatra Total

K 5 8 3 3 1 0 0 0 0 0 20

2005 M 4 7 0 2 0 0 0 0 0 0 13

CFR % 80.0 87.5 0.0 66.7 0.0 0.0 0.0 0.0 0.0 0.0 65.0

K 4 11 0 22 3 7 5 2 1 0 55

2006 M 4 10 0 18 3 6 3 0 1 0 45

CFR % 100.0 90.9 0.0 81.8 100.0 85.7 60.0 0.0 100.0 0.0 81.8

Source: DG of Disease Control and Environmental Health, MOHRI

Prevention effort conducted by avoiding material which contaminated by fesses and bird secretion, by several actions: − Washing hands by flow liquid soap before and after working. − Do environmental cleaning − Do self cleaning − Everyone related to material made of bird gastroentisnal should wearing mask, special glasses. − Material made of bird gastrointestinal such as feces should be well managed (burning or buried) to avoid source transmission for people surrounding. − Equipment/tools used in raise/ranch must be washed by disinfectant. − Cage and feces do not allow bringing outside the raise/ranch. − Consume well cooked chicken mat with 800 Celsius degree for one minute, bird egg to be warmed in 640 Celsius degree for 5 minutes. 11. Vector Surveillance

Vector surveillance is conducted of larva monitoring done by health officer or larva monitoring staff. Periodic Development of surveillance system has to be done continuously in term of climatic and pattern of spread cases changes. a. DHF Vector and Chikungunya

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Vector which had role in DHF and Chikungunya transmission is Aides Egypt and its potential vector is Aides albopictus. The transmission of Dengue Haemorragic Fever has spread to all places until sub district/village. Aides aegypti larva mostly found in bath up, drum, water box in dispenser, water box in refrigerator, ex gear, flower vase, house pipe, abandoned aquarium. While for Aedes albopictus , mostly found outside the house such as the armpit of tree, tree’s hole, the piece of bamboo and in all receptacle stuff that placed outside the house. From information of entomology personnel in East Nusa Tenggara area, there is an indication that there is a behaviour change of Aedes mosquito which is usually bite in the noon, but now they bite at evening also. But it still needs a further investigation to make sure the truth of this fact. Since 2004 until 2006, data of larva free rate (PJB) was not reported by local area because the periodically larva examination in local has not to be a program priority. Besides vector surveillance activity conducted by local area through PJB activity, Central personnel also implemented larva survey activity in the form of PSN (larva nest elimination) evaluation in 2004. This activity conducted in 10 cities: Bogor city, Denpasar, Jambi, Kendari, Palangkaraya, Mataram, Palu, Pekanbaru, Surabaya and Yogyakarta. The average of Larva Free Rate (AJB) is obtained from those activity was 79.04%. That explanation showed that ABJ in 10 cities are still fewer than 95%. It indicates that community participation to prevent DHF by 3M method in each environment were not optimal yet. Hence, DHF case still often happen especially in area of DHF endemic. b. Malaria Vector

Malaria vector that had been confirmed, be it trough salivary gland surgical operation or using Elisa Test in the past five years were 18 species, with details: 10 species using conventionally confirmation, 5 species with elisa test and the rest are suspect. Malaria vector distribute in all provinces in Indonesia. Types of vector and its distribution are in these tables 4.12 and 4.13. TABLE 4.12 LIST OF MALARIA VECTOR AND ITS YEAR CONFIRMATION IN INDONESIA WITH SALIVARY GLAND NO

SPECIES

AREA

YEAR

1. 2. 3. 4. 5. 6.

An. Aconitus An. Sundaicus An. Subpictus An. Barbirostris An. Maculatus An. Balabacensis

1982 1979 1979 1980 1982 1981, 1998, 2001

7. 8. 9. 10.

An. Letifer An. Punctulatus An. Farauti An. Koliensis

Java Java Java East NT Java SouthKal, EastKal, Central Java CentralKal, Bangka Papua Papua Papua

1985 1979 1979 1979

Source: DG of Disease Control and Environmental Health, MOHRI

TABLE 4.13 LIST OF MALARIA VECTOR AND ITS YEAR CONFIRMATION

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WITH TEST ELISANO IN INDONESIA 1. 2. 3. 4. 5. 6. 7. 8.

SPECIES

AREA

YEAR

An. Vagus An. Kochi An.tesselatus An. Parangensis An. Sinensis An. Nigerimus An. Minimus An. Karwari

East Nusa Tenggara North Sumatra North Sumatra (Nias) North Sumatra Nias Kalimantan Sulawesi Papua

1995 1996 1995 1995 1995 suspect suspect suspect

Source: DG of Disease Control and Environmental Health, MOHRI

c. Filaria Vector

Until now, it has found (vector confirmation) which has a role as filaria in the past 5 years (see graph 4.40). There was 4 Mansonia species that has been confirmed as a main vector and 1 culex species as main vector of urban types and 9 anopheles species that have been confirmed as main vector of rural types. Confirmation of filariasis vector has been conducted in some provinces, can be seen in the following graph.

GRAPH 4.40 THE DISTRIBUTION OF VECTOR AND FILARIASIS IN INDONESIA 2006

Source: DG of Disease Control and Environmental Health, MOHRI

D. IMPROVEMENT OF COMMUNITY NUTRITION

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Improvement intervention of community nutrition is basically done to handle nutrition burden faced by community. Based on monitoring, there is several nutrition problems commonly found on the community. They are protein calories deficiency, Vitamin A deficiency, iodine deficiency disorder and iron nutrition anemia. 1. Vitamin A Supplementation

Nutrition programmed is also conducted to estimated target with Vitamin A deficiency through high dose Vitamin A delivery to infants and under-fives twice a year (February and August) and post-natal mother once a year. Vitamin A is one of micro nutrition needed by body to improve body immunity and eyes health. Children who are suffered of vitamin A deficiency if they had diarrhea, measles or other infection disease, that disease will get worse and can effect to the death. The infection can inhibit body ability to absorb nutrition substance and at the same time it will scraped the vitamin A storage inside body. Vitamin A deficiency in long time will cause eyes disruption. Children who are not taking vitamin A immediately, it will affect in blindness. Descriptions of vitamin A capsule giving during the last three years are on the following graph.4.41 GRAPH 4.41 PERCENTAGE OF VITAMIN A SUPPLEMENTATION BY TARGET, 2006

Source: Directorate of Community Nutrition, DG of Public Health MOHRI

Percentage of vitamin A supplementation coverage to infants and under-fives, and neonates’ mother in 2006 by province are on annex 4.23. 2. Iron Tablet Supplementation

This program purposed to control anemia cases and minimize negative impacts due to iron deficiency most importantly to pregnant women. The progress of iron tablet supplementation to pregnant women (Fe-1 and Fe-3) in 2002-2006 can be seen on the following Graph 4.42. GRAPH 4.42 PERCENTAGE OF IRON TABLET SUPPLEMENTATION COVERAGE

91

TO PREGNANT WOMEN IN 2002 – 2006

Source : Dit. Community Nutrition & Dit. Maternal Health , DG of Public Heallth, MOH, 2005

Above graph shows us that coverage trends of Fe-1 and Fe-2 supplementation from 2002 to 2004 indicated increase, although they were slightly decreased in 2005 and 2006. Province with the highest FE-3 coverage were South Kalimantan (99.75%), West Java (79%) and South Sumatera (77.86%) while province with the lowest Fe-3 coverage were Kepulauan Riau (6.08%), Central Java (17,93%) and Jambi (18,68%). Coverage of iron tablet (Fe-3) supplementation to pregnant women by province 2006 can be seen in Annex 4.43 and 4.24. GRAPH 4.43 COVERAGE OF IRON TABLET SUPPLEMENTATION (Fe3) TO PREGNANT WOMAN BY PROVINCE IN 2006

Source : Dit. Community Nutrition & Dit. Maternal Health, DG of Public Health MOHRI

E. HEALTH SERVICE IN DISASTER SITUATION

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Disasters in Indonesia can be defined into two categories that are environmental and natural disasters. Environmental disaster occurs due to environmental damages, such as flood, landslide, drought, forest and land burning, industrial accident and oil spilling on sea. Meanwhile, natural disaster occurs due to earth crust activity or natural phenomenon such as tsunami wave, volcanic eruption and storm, that the appearances are unpredictable. 1. Environmental Disasters

In 2006, flood occurred in 20 provinces, 44 districts/municipalities by the number of died victims were 108 people, 34,036 slight injuries, 2,576 hard injuries, and 79 missing and 162,064 were refugees. Health services provided by local governments to victims covered evacuation flood victims, droppings drugs to hotspot location, establishing health post and refugee camp as well as providing health care in health centers and hospitals. Landslide in 19 provinces caused 19 districts/municipalities with 123 people died, 30 hard injuries, 335 slight injuries and 2.127 were refugees. Responses from local government covered evacuation, providing inpatient and outpatient cares in District Hospital, preparing 24-hours health post, observation by epidemiology surveillance to anticipate diarrhea outbreak. Recapitulation of disasters in 2006 is in annex 4.29. 2. Natural Disaster

Indonesia is placed among three world main slabs: Australia, Eurasia and Pacific slabs and it is also is in “Ring of Fire” position that make Indonesia attacked by earthquake and volcano explosion many times. Earthquake happened in Sumatera on March 28, 2005, 361 people died, and earthquake and tsunami in Aceh on December 26, 2004 which was 129,498 died, and 37,606 were missing. In 2006, earthquake happened in 3 provinces with 5,788 died, 26,506 hard injury, 167,748 light injury, 82 people were missing and 2,179,156 refugees. Earthquake in Yogyakarta is a strong tectonic which shook Yogyakarta and Central Java on May 27, 2006 at 05.55 for 57 second. The earthquake was 5.9 ritcher. Earthquake location according to Board of Energy Department Geology and Mineral Resource of Republic of Indonesia was in coordinate 8,007° South Latitude and 110,286° East Longitude in 17.1 km depth. While according to BMG, earthquake epicenter position was in 110,31° South Latitude coordinate and 8,26° East Latitude and in 33 km depths. USGS gives at 7,977° South Latitude coordinate and 110,318 East Latitude in 35 km depths. The difference result caused of a difference method and facilitation used. Generally earthquake position is in 25 km of South-West South of Yogyakarta, 115 km Semarang South, 145 km of Pekalongan South-South East and 440 km East-South East of Jakarta. Even though the earthquake hypocenter is in the sea, but tsunami did not happened. Earthquake was also happened in Solo, Semarang, Purworejo, Kebumen and Banyumas. The shaking also felt in some cities in East Java such as Ngawi, Madiun, Kediri, Trenggalek, Magetan, Pacitan, Blitar and Surabaya. The death people according the latest report form Department of Social, Republic of Indonesia on June 1, 2006 at 07.00 am were 6,234 people with details: Yogyakarta 165 people, Kulon Progo 26 people, Gunung Kidul people, Sleman 326 people, Klaten 1.668 people, Magelang 3 people, Boyolali 3 people, Purworejo 5 people, Sukoharjo people and the most victims were in Bantul, 3,968 people. While people with hard injury were 33,231 people and the other 12.917 were slight injury. 93

Bantul district is the worst area affected by the disaster. The information said there were 7,057 houses in the area were damaged. The efforts covered evacuation victims, establishing 24 hours health post in disaster location, giving out patient and inpatient health service in government and private hospital, evacuation 200 patient who has to do surgery in central Java and East Java, Hercules transportation support, establish field hospital for in patient (60 beds) in Bantul, giving clean water support and the making of toilet, doing measles immunization, TT and the giving of Vitamin A, and others. That was a short description of health effort situation in Indonesia until 2006. ***

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CHAPTER V HEALTH RESOURCES

Descriptions of health resources situation are divided into health facilities, health manpower and health budgeting. These will be described as follows: A. HEALTH FACILITIES

It consists of health center, hospital, production and distribution facilities of pharmaceutical and medical devices, community-based health facilities and educational institution of health human resources. 1. Health Center

In its progress over the years, health center is managed to be improved in order to make health service accessible and equally distributed to remote areas. In 2006, there were 8,015 health centers in Indonesia. During 2002 – 2006, it tended to increase. It straightly increased (4.51%) in 2006, and slightly increased in previous years (1.57% in 2005, 1.85% in 2004 and 1.42% in 2003). During 2002-2006, ratio of health center to 100,000 population ranged from 3.46– 3.61 per 100,000 population. It means that every 3-4 health centers gave services to 100,000 population. Number and ratio of health center to 100,000 population during 2002–2006 are presented in Graph 5.1 and 5.2. National number of health center per 100,000 population in 2006 was 3.61. Province with the fewest number was Banten, 1.92, and with the most number was Maluku, 9.83. Description of health center per 100,000 population by province is presented in Graph 5.3, while complete data are in Annex 5.1 and 5.2.

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GRAPH 5.1

GRAPH 5.2

NUMBER OF HEALTH CENTERS

RATIO OF HEALTH CENTERS TO 100,000 POPULATION, 2002-2006

2002-2006

Source: DG of Community Health, MOHRI

GRAPH 5.3 RATIO OF HEALTH CENTERS TO 100,000 POPULATION, 2006

Sumber : Ditjen Binkesmas, Depkes RI

Comparing to concept of health center working area, where 30,000 population are targeted served by one health center, number of health center per 30,000 population during 2002-2006 was averagely 1 unit. It means nationally health center should have reached population within its working area. In improving health service in health center, since Pelita III (3rd five-years planning development) some health centers have been improved into health center with beds. It is located far from hospital, on streets with accident potential and remote areas or islands. During 2002 – 2006, number of health center with beds tended to increase, except in 2003 it decreased 0.10%. The most increase occurred in 2006 (20.22%), 2002 (5.94%), 2004 (4.47%) and 2005 (3.33%). Number of health center and health center with beds during

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2000 – 2006 is described in the following Graph 5.6, while numbers by province are in Annex 5.3.

GRAPH 5.6 NUMBER OF HEALTH CENTER AND HEALTH CENTER WITH BEDS 2002 – 2006

Source: DG of Community Health MOHRI

Meanwhile, number of 4-wheels health center in 2003 was decreased (44%) and during 2004-2006 was increased. It increased from 3.3% in 2003 to 4.08% in 2004. It again increased to 3.6% in 2005 and 14.6% in 2006. Health center boat during 2002-2004 tended to increase, but decreased in 2005 and 2006. It decreased 26.6% in 2005 and 7.3% in 2006. Number of mobile health centers and its ratio to health center during 2002 – 2006 are presented in Graph 5.7 below, while the number and ratio by province are in Annex 5.4. GRAPH 5.7 NUMBER OF MOBILE HEALTH CENTERS AND ITS RATIO TO HEALTH CENTERS

97

2002 – 2006

Source: DG of Community Health MOHRI

2. Hospital

Indicator to evaluate development of hospital facility is by noticing development of treatment facility which is usually determined by number of hospital and its beds and its ratio to population. During 2002 – 2006, number of hospitals (general and specific) in Indonesia tended increasing. It ranged from 1% – 2%. The most straight increase was in 2006 (1.89%), followed in 2005 (1.77%), and the fewest increase was in 2004 (0.97%), followed in 2003 (1.56%). Number of hospitals (general and specific) in Indonesia 2002 – 2006 is presented in Table 5.1 below, while the number by province is in Annex 5.5. TABLE 5.1 NUMBER OF HOSPITALS (GENERAL AND SPECIFIC) IN INDONESIA, 2002 – 2006 No .

Ownership

2002

2003

2004

2005

2006

1

Ministry of Health

31

31

31

31

31

2

Provincial/District/ Municipal Govt.

389

396

404

421

433

4

Armed Forces/ Indonesian Police

112

112

112

112

112

5

State-Owned Corporations

78

78

78

78

78

6

Private

605

617

621

626

638

1,215

1,234

1,246

1,268

Total Source: DG of Medical Care MOHRI

98

1,292

In accordance to increasing need of health service facility, number of general hospital (government and private) 2002 – 2006 tended to increase, as shown in Graph 5.8. By the ownership, number of general hospital owned by government, such as Ministry of Health, Provincial Govt., District/Municipal Govt., Armed Forces/Indonesian Police and State-Owned Corporation, increased 8.56%, with the most increase in 2005 (3.14%); while number of general hospital owned by private increased 3.28%, with the most increase in 2003 (1.17%). Number of general hospitals in Indonesia 2006 by province and ownership could be seen in Annex 5.6. GRAPH 5.8 GENERAL HOSPITAL IN INDONESIA 2002 – 2006

Source: DG of Medical Care MOHRI

Based on the hospital type, by 2005, MOH and district general hospitals type A were only in 6 provinces (18.75%) i.e. North Sumatera, DKI Jakarta, West Java, DI Yogyakarta, East Java and South Sulawesi, type B had been in 27 provinces (84.37%) and type C had completely been in all provinces, while type D had already been in 25 provinces (78.12%). It can be seen in Annex 5.7 Describing availability of health service facility, number of beds in hospital is important to be presented. During 2002-2006, there was increasing number of beds in hospital (general and specific) which briefly is presented in Graph 5.10 below and completely in Annex 5.8 and 5.9. GRAPH 5.10 NUMBER OF HOSPITAL BEDS IN INDONESIA 2002-2006

99

Source: DG of Medical Care MOHRI

Moreover, ratio of hospital beds (total beds in general and specific hospitals) per 100,000 population is important to indicate coverage of health service facility. During 2002 – 2006, the ratio ranged from 61–62 per 100.000 population. Number of hospital beds and its ratio per 100,000 population during 2000–2006 are presented in Graph 5.11 below. GRAPH 5.11 NUMBER OF HOSPITAL BEDS AND ITS RATIO PER 100,000 POPULATION, 2002 – 2006

Source: DG of Medical Care MOHRI

3. Production and Distribution Facilities of Pharmaceutical Supply and Medical Devices

100

One important indicator to describe the availability of health service facility is number of production and distribution facilities of pharmaceutical supply and medical devices. Over the years, it tends to increase. Number of production facilities of pharmaceutical supply and medical devices by type during 2002-2006 is in Graph 5.12 below, while by province during 2002–2006 is in Annex 5.10. GRAPH 5.12 NUMBER OF PRODUCTION FACILITIES OF PHARMACEUTICAL SUPPLY AND MEDICAL DEVICES BY TYPE 2002-2006

Source: DG of Food & Drug Control and DG of Pharmaceutical Services & Medical Devices MOHRI

Number of distribution facilities of pharmaceutical supply and medical devices by type during 2002 – 2006 is presented in Graph 5.13 below, while the number by provinces during 2002 – 2006 is in Annex 5.11. GRAPH 5.13 NUMBER OF DISTRIBUTION FACILITIES OF PHARMACEUTICAL SUPPLY AND MEDICAL DEVICES BY TYPE 2002-2006

101

Source: DG of Food & Drug Control and DG of Pharmaceutical Services & Medical Devices MOHRI

4. Community-Based Health Facilities

In improving coverage of health service, many efforts have been implemented through resources and potencies in community. Community-based health program includes Posyandu (integrated health post), Polindes (village maternal hut), Toga (family herbs), POD (village drug post), etc. Posyandu is one of famous community-based health programs. It conducts at least 5 priority programs, i.e. maternal and child health, family planning, nutritional development, immunization and diarrhea controlling. In order to monitor its progress, Posyandu is classified into 4 levels, i.e. Posyandu Pratama, Posyandu Madya, Posyandu Purnama and Posyandu Mandiri. In 2006, there were 269,202 units of posyandu. It was fewer than in previous years, as presented in Graph 5.15 below. GRAPH 5.15 POSYANDU IN INDONESIA 2002-2006

Source: DG of Community Health MOHRI

102

Ratio of Posyandu to village was 3.85. It means that averagely there were 4 Posyandu in every village. The highest ratio was in West Sulawesi (15.84), followed by DKI Jakarta (14.55) and West Java (7.47), while the lowest ratio was in NAD (0.93), followed by Maluku (1.31) and Papua (1.34). It is completely presented in Annex 5.12. Polindes is a community-based health program in order to assist midwifery services by providing delivery unit, maternal and child health service and family planning. Polindes is classified into 4 levels based on its progress, i.e. Polindes Pratama, Polindes Madya, Polindes Purnama and Polindes Mandiri. In 2006, there were 25,754 units of Polindes. Its ratio to village was 0.37. Three provinces with highest ratio were Riau Islands (0.91), DKI Jakarta (0.75) and Gorontalo (0.63); while three provinces with lowest ratio were Jambi (0.06), Banten (0.10) and North Sumatera (0.12). It is presented more detail in Annex 5.12. Village Drugs Post (POD) is classified into 4 levels based on its progress, i.e. POD Pratama, POD Madya, POD Purnama and POD Mandiri. In 2006, there were 9,598 units of POD. Its ratio to village was 0.14. Three provinces with highest ratio were West Sumatera (0.42), West Nusa Tenggara (0.28) and South Kalimantan (0.27); while, three provinces with lowest ratio were East Java (0.02), Riau Islands (0.03) and Central Kalimantan (0.03). Complete data of community-based health program in 2006 is in Annex 5.12.

5. Poskesdes (Village Health Post) One requirement of Desa Siaga (alert village) is having at least one Poskesdes, which is served by at least one midwife and two cadres. In 2006, there were 12,942 Poskesdes and can be seen in Annex 5.1. 6. Desa Siaga (Alert Village) Desa siaga or Alert Village is one supporting program for self-motivated community to live healthy lives. Total alert villages in 2006 were 12,300 as in table 5.2, while MOH target for alert village 2006 covered 12,000 villages. It means that alert villages in 2006 had met the target. TABLE 5.2 DESA SIAGA (ALERT VILLAGE) 2006

No 1 2 3 4 5 6 7 8 9

Province Nanggroe Aceh Darrusalam North Sumatera Lampung West Sumatera Bengkulu West Java Central Java East Java West Kalimantan

103

Desa Siaga 250 500 200 200 150 1.000 4.300 5.000 150

10 11 12

Central Kalimantan Central Sulawesi South Sulawesi Total

150 100 300 12.300

Source: DG of Community Health MOHRI

7. Educational Institution for Health Manpower

Health manpower education purposes to improve quality and availability of health manpower in order to improving health service to community. It is provided by government and private through many educational institutions and levels. From all educational institutions for health manpower (Diknakes), only some are organized by MOH in coordination and assistance and classified into health polytechnic and non health polytechnic. Educational institutions for health manpower have fast progress in type and number in every province. By December 2006, there were 890 institutions of Diknakes, consisting of 205 study programs in health polytechnic and 205 institutions of non health polytechnic throughout Indonesia. Number of each type of Diknakes institutions (health polytechnic and non health polytechnic) is in Graph 5.16 and 5.17. GRAPH 5.16 NUMBER AND TYPE OF HEALTH POLYTECHNIC IN INDONESIA 2004 – 2006

Source: Education Center for Health Manpower GRAPH 5.17 NUMBER AND TYPE OF NON HEALTH POLYTECHNIC IN INDONESIA 2004 - 2006

104

Source: Education Center for Health Manpower

Of those 205 study programs, the most programs were nursing (32.7%) and midwifery (23.4%), while the remaining were nutrition (11.7%), environmental health (9.8%), dental health (8.8%), health analysis (5.9%), pharmacy (2.90%), electro-medical technique (1,0%), radio diagnostic technique (1,0%), physiotherapy (1.0%), dental technique (0.5%), pharmacy and food analysis (0.5%), occupational therapy (0.5%) and prosthetic orthotic (0.5%). Meanwhile, the number of institutions beyond health polytechnic in the same year reached 685 institutions and most of them were nursing (72.7%), while the remaining were pharmacy (11.24%), medical technique (10.36%), public health (1.89%), physical therapy (2.48%) and nutrition (1.31%). To monitor the progress of health polytechnic, since 2004 Education Center for Health Manpower has managed the accreditation. By December 2006, 181 (88.29%) study programs of health polytechnic had been accredited (Annex 5.17). Of those accredited study program, 73 (40.33%) were labelled Strata A, 104 (57.46%) were Strata B and 4 (2.21%) were Strata C. Complete description is in Graph 5.18 below. GRAPH 5.18 PROGRESS OF STRATA ACCREDITATION IN HEALTH POLYTECHNIC 2004-2006

Source: Education Center for Health Manpower

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For non health polytechnic institutions in 2006, 518 (75.62%) had been accredited, and the remaining 24.38% had not been accredited. The accredited institutions consisted of 61 (11.78%) as Strata A, 402 (77.61%) as Strata B and 54 (10.42%) as Strata C. Complete description is in Graph 5.19. GRAPH 5.19 PROGRESS OF STRATA ACCREDITATION IN NON HEALTH POLYTECHNIC 2004-2006

Source: Education Center for Health Manpower

By the ownership, 81.17% non health polytechnic institution was owned by private, and the remaining was owned by local government (14.45%) and Armed Forces/Indonesian Police (4.37%). Number of non health polytechnic institution owned by central government was decreased since central institution integrated to health polytechnic. Diknakes non health polytechnic institutions by study program and ownership in 2006 are in Annex 5.18 and 5.20. B. HEALTH MANPOWER 1. Planning for Health Manpower

According to MOH Strategic Plan 2005-2009, in 2010 ratio of health manpower per 100000 population based on categories should meet target as follows: TABLE 5.3 RATIO OF HEALTH MANPOWER PER 100,000 POPULATION 2010

No 1 2

Type

Ratio per 100000 population

Specialist Physician

9 30

106

3 4 5 6 7 8 9 10 11 12 13

Dentist Nurse Midwife Dental Nurse Pharmacist Asistant-Pharmacist Public health Sanitarian Nutrition Physical Therapy Medical Technique

11 158 75 16 9 18 8 10 18 4 6

Source: Education Center for Health Manpower

Through projection of population 2010, by 2010 demand of health manpower is in Graph below. GRAPH 5.20 DEMAND OF HEALTH MANPOWER IN 2010 TO REACH “HEALTHY INDONESIA 2010” BY TYPE OF MANPOWER

Source: Education Center for Health Manpower

2. Health Manpower Distribution

Center for health human resources empowerment and planning predicted health manpower in 2006 based on health manpower in 2003 added with graduation in every year. TABLE 5.4

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NUMBER OF HEALTH MANPOWER AND ITS RATIO PER 100,000 POPULATION, 2006

No

Type

Total

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

Specialist Physician Dentist Nurse Midwife Dental Nurse Pharmacist Asistant-Pharmacist Public health Sanitarian Nutrition Physical Therapy Medical Technique

12.374 44.564 11.289 308.306 79.152 8.230 10.207 39.106 9.739 18.094 15.342 5.290 10.318

Ratio per 100000 population 5,53 19,93 5,05 137,87 35,4 3,68 4,56 17,49 4,36 8,09 6,86 2,37 4,61

Source: Center for Health Human Resources Empowerment and Planning

2.1. Health Manpower in Region

Health manpower in region consists of those whose service in health units (service and non service facility) in provincial and district/municipal administration with status of civil servant, civil servant trainee, non permanent employee, armed forces/Indonesian Police and private. They work in provincial health office and technical unit, district/municipal health office and technical unit, policlinic/hospital and other health facilities owned by central and local government, private and armed forces/Indonesian Police. In 2005, there were 320,307 personnel, consisting of 279,628 (87.30%) health personnel and 40,679 (12.70%) non health personnel. Health manpower in region was mostly distributed to East Java Province with 62,467 personnel, and followed by West Java with 32,737 personnel and DKI Jakarta with 27,001 personnel. Meanwhile, the province with the fewest health manpower was West Sulawesi with 654 personnel, and followed by Gorontalo with 1,389 personnel and North Maluku with 1,590 personnel. By profession, of 279,628 health personnel, the most were nurse (nurse + nursing graduate) 117,989 (42.19%) and midwife 66,860 (23.91%). Number, percentage and ratio per 100,000 population of health personnel by type are presented in table 5.5 below.

TABLE 5.5

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NUMBER, PERCENTAGE AND RATIO PER 100,000 POPULATION OF HEALTH PERSONNEL BY TYPE 2005

No

Type

Total

%

1 2 3 4 5 6 7

Specialist Physician Dentist Nurse Midwife Pharmacist AsistantPharmacist Public health Sanitarian Nutrition Physical Therapy Medical Technique

9.717 25.530 7.767 117.989 66.860 3.540 10.103

3,47 9,13 2,78 42,19 23,91 1,27 3,61

6.789 12.080 8.226 2.618 8.409

2,43 4,32 2,94 0,94 3,01

8 9 10 11 12

Ratio per 100000 population 4,43 11,66 3,55 53,91 30,54 1,62 4,61 3,10 5,52 3,76 1,20 3,84

Source: Health Offices in Indonesia, through data collecting of Pusdatin MOHRI, December 2006

Health manpower by type and province in 2005 can be seen in Annex 5.21, while ratio of physician per 100,000 population is in Graph 5.21, ratio of nurse per 100,000 population is in Graph 5.22 and ratio of midwife per 100,000 population is in Graph 5.23 GRAPH 5.21 RATIO OF PHYSICIAN PER 100,000 POPULATION, 2005

Source: Health Offices in Indonesia, through data collecting of Pusdatin MOHRI, December 2006

GRAPH 5.22

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RATIO OF NURSE PER 100,000 POPULATION, 2005

Source: Health Offices in Indonesia, through data collecting of Pusdatin MOHRI, December 2006

GRAPH 5.23 RATIO OF MIDWIFE PER 100,000 POPULATION, 2005

Source: Health Offices in Indonesia, through data collecting of Pusdatin MOHRI, December 2006

2.2. Health Manpower in Hospital

According to report of DG of Medical Care, health manpower in hospital in 2006 was 250,024, consisting of 164,302 (65.7%) health personnel and 85,722 (34.3%) non health personnel. The province with most health manpower was DKI Jakarta (45,671), followed by Central Java (35,206) and East Java (35,159), while, three provinces with fewest health manpower were Gorontalo (309), North Maluku (449) and Bangka Belitung (792). By profession, of 164,302 personnel, the most was nursing with 108,334 (65.94%) and medic with 26,092 (15.88%), that is presented in Annex 5.22. 2.3. Health Manpower in Health Center

Health manpower in health center in 2006 was 143,502 personnel. Since there were 10,763 physician and 8,015 health center, one health center was averagely served by 1-2 physicians. Total dentists in health center were 4,296, meaning that not all health center had dentist. Meanwhile, there were 52,753 nurses, meaning that one health center had 6-7

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nurses, and there were 52,168 midwives, meaning that one health center had 6-7 midwives. Complete data are in Annex 5.23. 3. Non Permanent Employee (NPE)

Ministry of Health (MOH) has three kinds of non permanent employee (NPE), such as physician, dentist and midwife. By December 2006, 46,343 NPEs were still active. They were 8,896 physicians, 2,555 dentists and 34,892 midwives. NPE physicians were the most in Central Java (1,026 physicians/11.53%), while province with the fewest NPE physician was DKI Jakarta (42 physicians/0.47%). NPE dentists were the most in East Java (301 dentists/11.78%), while province with the fewest NPE dentist was North Maluku (5 dentists/0.19%). NPE midwives were the most in Central Java (4,599 midwives/13.18%), while province with the fewest NPE midwives was Papua (4 midwives/0.01%) and provinces with no NPE midwife were DKI Jakarta and West Irian Jaya as presented in Annex 5.24. 4. Students in Health Personnel Education Institution 4.1. Students in Health and Non Health Polytechnic

In 2006/2007 academic year, there were 183,061 students, consisted of 43,350 in health polytechnic (23.68%) and 139,711 in non health polytechnic (76.32%). (Annex 5.27 and Annex 5.28) From the education level, in higher education (JPT), there were 166,786 students (91.11%) and, in high education (JPM), there were 16,275 students (8.89%). Growth of students by education level during 2004–2006 is in Graph 5.24 below. GRAPH 5.24 GROWTH OF STUDENTS IN HEALTH AND NON HEALTH POLYTECHNIC BY EDUCATION LEVEL 2004 – 2006

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Source: Education Center for Health Manpower

4.2. Students of Special Program

In addition to students from a common way, there are students from special programs provided by institutions of health and non health polytechnic with requirements of Strata B accreditation and minimal grade of 80. Total students of special program in 2006 were 7,268 students, consisted of Nursing (48.21%), Midwifery (42.95%), Pharmacy (2.27%), Health Analysis (2.02), Dental Health (2.63%), Nutrition (1.17%) and Environmental Health (0.74%). These are described in Annex 5.29, while growth of special program during 2004-2005 is in table 5.6. TABLE 5.6 STUDENTS OF SPECIAL PROGRAM BY TYPE OF HEALTH MANPOWER, 2004-2006 NO 1 2 3 4 5 6 7

STUDY PROGRAM Nursing Midwifery Nutrition Dental Health Health Analysis Environmental Health Pharmacy Total

2004 4.209 2.095 160 99 116 16 6.695

YEAR 2005 4.333 2.252 165 125 341 53 40 7.309

2006 3.504 3.122 85 191 147 54 165 7.268

Source: Education Center for Health Manpower

5. Graduates

Health and non health polytechnic graduates in 2006 were 46,891 people. It increased 8.24% from 2005, where the graduates decreased 4.92% from the previous year, 2004, as presented in table 5.7.

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TABLE 5.7 HEALTH AND NON HEALTH POLYTECHNIC GRADUATES BY TYPE OF HEALTH MANPOWER, 2004 – 2006 No

TYPE

2004 Nursing 33.716 Pharmacy 4.143 Public Health 1.923 Nutrition 1.368 Physical Therapy 740 Medical Technique 3.674 Total 45.562 Source: Education Center for Health Manpower 1 2 3 4 5 6

TOTAL 2005 31.179 4.130 1.855 1.519 739 3.898 43.320

2006 33.941 5.045 1.557 1.415 858 4.075 46.891

Most of the graduates were non health polytechnic graduates, 35.172 (75.09%), and the remaining were health polytechnic graduates, 11.687 (24.91%). From the non health polytechnic, the most was Nursing (73.02%), followed by Medical Technique (9.20%), Physical Therapy (1.98%), Public Health (1.52%), Pharmacy (1.35%), and the fewest was Nutrition (0.86%). On the other hand, the most health polytechnic graduates were Nursing (70.74%), followed by Nutrition (9.53%), Public Health (8.74%), Medical Technique (6.83%) and Pharmacy (2.79%), while the fewest was Physical Therapy (1.37%). (Annex 5.30) Three provinces having the most non health polytechnic graduates in 2006 were Central Java (6,159 graduates), DKI Jakarta (5,503 graduates) and East Java (5,346 graduates). For Nursing study program in non health polytechnic, the most graduates were in East Java with 3,029 graduates, followed by Central Java with 2,930 graduates. Meanwhile, for health polytechnic institution, three provinces having most health personnel graduates were East Java (1,323 graduates), West Java (1,172 graduates) and DKI Jakarta (1,101 graduates). Graduates of Nursing Study Program in health polytechnic, the most was DKI Jakarta with 354 graduates, followed by East Java with 346 graduates. Distribution of graduates from non health polytechnic institution by province and type of manpower are in Annex 5.31and 5.32. 6. Training and Education Participants

Education and training purpose to train employee professionalism in improving health manpower quality. Health manpower training consists of pre-service training, structural training, functional training and technical training. Data of training for health manpower are received from Bapelkes (health training office) activities and training certificate requirement in Pusdiklat (center for education and training), while other training data are not available. National education and training provided by Pusdiklat and Bapelkes in 2006 mostly was technical training (44.81%), followed by health management (32.37%), functional training (9.13%), pre-service training (9.13%) and in-service leadership education, as presented in Graph 5.25.

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GRAPH 5.25 PROPORTION OF TRAINING PROVIDED BY NATIONAL PUSDIKLATKES AND BAPELKES 2006

Source: Education Center for Health Manpower MOHRI

C. HEALTH BUDGETING

Health budgeting in Indonesia consists of health budgeting by government and health budgeting by community, which is household cost for health and health maintenance insurance. 1. Health Budgeting by Government

During 2002-2006, allocation of MH budget both managed by centre and distributed to provinces was increased. It can be seen in Graph 5.26 below. It increased 49.34% in 2003, 19.81% in 2004, straightly 73.34% in 2005 and again 43.52% in 2006. Meanwhile, the realization during 2000-2006 was more than 60% (in 2002: 93.74%, 2003: 83.49%, 2004: 84.52%, 2005: 61.09% and 2006: 80.05%). GRAPH 5.26 ALLOCATION AND REALIZATION OF MOH BUDGET 2002 – 2006

114

Source: Bureau of Finance & Equipment Supplies MOHRI

2. Health Budgeting by Community

In improving community participation in the health budgeting, there has been developed many ways to provide health insurance for people. Managed care by source (non JPK and JPK) since 2002 – 2006 is presented in Graph 5.27. Non JPK from year to year decreased which was caused by increasing Kartu Sehat as presented in Graph 5.28. GRAPH 5.27 PROPORTION OF MANAGED CARE BY SOURCE 2002 - 2006

Source: Center for Health Insurance and Financing

Number and percentage of population participation in managed care 2006 are in Annex 5.34 and 5.35. GRAPH 5.28 PERCENTAGE OF POPULATION PARTICIPATION IN MANAGED CARE

115

2002 – 2006

Source: Center for Health Insurance and Financing

***

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CHAPTER VI COMPARISON OF INDONESIA WITH ASEAN AND SEARO

Indonesia is a member and also one founder of ASEAN (Association of South East Asian Nations), an organization of southeast countries which consists of 10 countries. ASEAN is established in order to strengthen cooperation of southeast countries on plitics, economics, socioculture, defence and security. Meanwhile, based on WHO classification, Indonesia is included in SEARO (South East Asia Region) with 10 other countries i.e. Bangladesh, Bhutan, Democratic Peoples Republic of Korea, India, Maldives, Myanmar, Nepal, Sri Lanka, Thailand, dan Timor Leste. Comparison to ASEAN and SEARO purposes to see Indonesia position toward other countries in the same regional area. This chapter will discuss comparison of Indonesia with ASEAN and SEARO countries from demography, health status and health efforts aspects. A. DEMOGRAPHY

Information of population is important that the development can be made based on interest of people as the agent of development. Large number of population could be considered both as a burden and resources in development. Some indicators to identify population condition are number population, population density, growth rate, dependency ratio and birth rate. 1. Population Number and Density 1.1. ASEAN Region

According to “world populations data sheet”, in mid of 2006, Indonesia was a country with the biggest number of population among other ASEAN countries with 225.5 million people. As the largest country, Indonesia is always on top position of the biggest number of population. Meanwhile, Brunei Darussalam had the fewest number of population with 0.4 million people. Based on population density, Singapore was reported as a country having the most population density, which was 7,174 people per square km. It was far above other ASEAN countries which averagely was under 300 per square km. The country with the lowest population density was Laos, 25 per square km. Population number and density of ASEAN countries are presented in the following Graph 6.1 and 6.2. 114

GRAPH 6.1 POPULATION OF ASEAN COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

GRAPH 6.2 POPULATION DENSITY OF ASEAN COUNTRIES (per square km2), 2006

Source: World Population Data Sheet, USAID, 2006

1.2. SEARO Region

If among ASEAN countries Indonesia was on top position of population number, in SEARO Indonesia was on the second position after India. India is a country with the most population number among SEARO countries, and it even is on the second position in the world after China with 1,121.8 million people. Nine other countries had population less than 100 million. Both Maldives and Bhutan even had population of 0.3 million and 0.9 million and became countries with the least number of population in SEARO. Though having the least number of population and relatively small area, Maldives was a country with the second highest population density after Bangladesh, which was 990 per square km. The country with the lowest population density was Bhutan, 19 per square km. GRAPH 6.3 POPULATION OF SEARO COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

GRAPH 6.4 POPULATION DENSITY OF SEARO COUNTRIES (per square km), 2006

Source: World Population Data Sheet, USAID, 2006

2. Population Growth Rate

Indicators of population growth rate are very usefull to predict number of population in an area or country in the future. When future number of population has been predicted, basic needs in all sectors could be calculated also. It is called as population growth rate and influenced by three factors i.e. birth, death and migration. 2.1. ASEAN

During 1990-2005, the highest population growth rate among ASEAN countries occurred in Brunei Darussalam and Cambodia with 2.5%. On the other hand, lowest rates occurred in Thailand, Indonesia and Myanmar with 1%, 1.4% and 1.4%. 115

2.2. SEARO

According to the same source, during 1990-2005 population growth rate among SEARO countries ranged from 0.9 to 2.8. The highest rate was Maldives, while the lowest was Democratic People’s Republic of Korea. Population growth rate of ASEAN and SEARO could be seen in Annex 6.1 and 6.2. 3. Population by Age Group

Dependency ratio is an indicator which generally can indicate economic condition of a country, whether it is developing or developed country. The higher ratio shows the higher burden of productive age group to spend for non productive age group (0-14 years and >65 years). 3.1. ASEAN

For population by 0-14 and >65 age group in 2006, countries with the highest percentage were Laos and Cambodia with 43% and 37% for 0–14 age group and 4% and 3% for >65 age group. On the other hand, Singapore and Thailand had the lowest composition of population aged 0–14 years and >65 years. The following Graph 6.5 presents composition of productive age (15-64 years) and non productive age (0-14 years and >65 years). GRAPH 6.5 COMPOSITION OF POPULATION IN ASEAN COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

The percentage of population aged 0–14 years and >65 years influences dependency ratio. Indicator of dependency ratio indicates socio economic responsibility took by productive age group, 15-64 years. According to population distribution above, Laos was a country with the highest dependency ratio (70%), and Singapore was a country with the lowest ratio (42%). Meanwhile, Indonesia had dependency ratio 51, which means that every 100 productive people bearing 51 non productive people. 3.2. SEARO

Graph 6.6 shows composition of productive and non productive people in SEARO countries in 2006. Timor Leste was a country with the highest composition of non productive age group (46%), that were 43% of 0-14 age group and 3% of >65 age group. On the other side, a country with the lowest composition of non productive age group was Thailand with 116

30%. It means that Timor Leste had the highest dependency ratio and Thailand had the lowest. Composition of population aged 0–14 years, 15-64 years and >65 and dependency ratio in SEARO countries is compeletely presented in Annex 6.2 GRAPH 6.6 COMPOSITION OF POPULATION IN SEARO COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

4. Human Development Index

Human Development Index is resulted by measuring 3 factors, such as living period and health condition (by life expectancy at birth), eductaion (by literacy rate and school participant rate in basic education and higher level) and appropriate living standard (by purchasing power parity and income). According to global standard, Human Development Index (HDI) is categorized into high (>0.799), medium (0.500-0.799) and low (<0.500). 4.1. ASEAN

Based on the categories, in 2005, 70% ASEAN countries was categorized medium, including Indonesia with 0.728, while the remain 30% was categorized high; those were Singapore, Brunei Darussalam and Malaysia. GRAPH 6.7 HUMAN DEVELOPMENT INDEX IN ASEAN COUNTRIES IN 2005

Source: Human Development Report 2007/2008

117

4.2. SEARO

In 2005, all SEARO countries (excluded DPR Korea) had Human Development Index between 0.514-0.781, including Indonesia. It means that all the countries were categorized medium. A country with the highest HDI was Thailand with 0.781 and the lowest was Timor Leste with 0.514. GRAPH 6.8 HUMAN DEVELOPMENT INDEX IN SEARO COUNTRIES 2005

Source: Human Development Report, 2006

5. Total Fertility Rate

Total Fertility Rate (TFR) is a description of average number of child born from women aged 15-49 years. TFR comparison among countries can indicate their success in implementing socio economic development. The high TFR refers to young married age, low educational level, especially on female, low socio economic status or high poverty as well as success of family planning program in the region. The identification of TFR will help the development program planners to increase average of married age and health service program on child and pregnant woman. Total Fertility Rate (TFR) is classified into 3 level, low, medium and high (ADB, Key Indicators 2002). Low fertility occurs when TFR is 2.1 or less; medium fertility occurs when TFR is 2.2-3.9; and high fertility occurs when TFR is 4 or more.

118

5.1. ASEAN GRAPH 6.9 TOTAL FERTILITY RATE IN ASEAN COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

In 2006, countries with low TFR were Singapore (1.2), Thailand (1.7) and Vietnam (2.1), and Laos was the only ASEAN country with high TFR, 4.8. Meanwhile, Indonesia included in medium TFR with 2.4, and it means that every female in Indonesia had averagely 2-3 children. 5.2. SEARO

In 2006, of 11 SEARO countries, Thailand, Sri Lanka and DPR Korea were included in low TFR category. Indonesia, Myanmar, Maldives, Bhutan, India, Bangladesh and Nepal were medium TFR and Timor Leste was the only country with high TFR, 6.3. Total Fertility Rate per country can be seen on the following Graph. GRAPH 6.10 TOTAL FERTILITY RATE IN SEARO COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

Annex 6.3 and 6.4 present the influence of total fertility rate (TFR) toward crude birth rate (CBR) per 1000 population. The higher TFR is the higher CBR, and the lower TFR is the 119

lower CBR. The high CBR gives contribution also to percentage of population aged 0-14 years and finally affects dependency rate. Therefore, the country having high TFR possibly has high dependency ratio as in Laos and Timor Leste. Meanwhile, the country having low TFR possibly has low dependency ratio also, as in Singapore and Thailand. 6. Crude Birth Rate

The Crude Birth Rate (CBR) indicates how many childbirth in certain year per 1000 population in the mid year. Birth Rate in previous years has big influence to current fertility rate. The high CBR and decreased IMR in the last year will cause those infants keeping alive in the bigger number than previous years when IMR is still high. 6.1. ASEAN

Graph 6.11 shows CBR 2006 in ASEAN countries ranging from 10 to 36 per 1000 population. As years before, the highest rate was in Laos with CBR 36 per 1000 population and followed by Cambodia with 30 per 1000 population. On the other hand, Singapore had the lowest CBR which was 10 per 1000 population, and Indonesia had 20 births for every 1000 population. GRAPH 6.11 CRUDE BIRTH RATE IN ASEAN COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

6.2. SEARO

In 2006, CBR in SEARO countries ranged from 14 to 42 per 1000 population. The lowest were Thailand (14) and DPR Korea (16), while the highest were Timor Leste (42) and Nepal (31). Graph 6.12 presents comparison of CBR in 11 SEARO countries. GRAPH 6.12 CRUDE BIRTH RATE IN SEARO COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

120

7. Socio-Economics

National Income is one indicator to measure economic development in a country. Gross National Income (GNI) consists of some good and service values producen in a country and revenue from other countries. 7.1. ASEAN

According to Graph 6.13, the highest GNI among ASEAN countries (excluded Brunei Darussalam and Myanmar) was Singapore (31,700 US$ per capita), followed by Malaysia (11,300 US$ per capita). Others had GNI less than 10,000 US$. Laos and Cambodia were countries with the lowest GNI, 2,050 US$ and 2,920 US$. Meanwhile, Indonesia had GNI 3,950 US$. GRAPH 6.13 GROSS NATIONAL INCOME IN ASEAN COUNTRIES 2005

Source: World Population Data Sheet, USAID, 2006

7.2. SEARO

From 6 countries in SEARO (5 countries were not available), the highest GNI was Thailand, 8440 US$, while other 5 countries, Bangladesh, India, Indonesia, Nepal and Sri Lanka, had GNI per capita less than 5000 US$. Comparing to 5 other countries in SEARO, Indonesia was in the third highest position. GRAPH 6.14 GROSS NATIONAL INCOME IN SEARO COUNTRIES 2005

Source: World Population Data Sheet, USAID, 2006

121

B. HEALTH STATUS MORTALITY 1. Infant Mortality Rate (IMR)

Infant mortality is infant death during newborn to one year. Many factors are connected to it. Generally, from cause of death, there are two kinds of infant mortality, endogenous and exogenous. The endogenous mortality or usually called as neonatal mortality is infant mortality during the first month after birth and generally caused by factors originated since newborn from their parents during conception or pregnancy. The exogenous mortality or post neonatal mortality is infant mortality after the first month of birth to approaching one year caused by factors related to influence from outer environment. IMR is classified into four groups, that are low if <20; medium if 20-49; high if 5099; and very high if >100. 1.1. ASEAN GRAPH 6.15 INFANT MORTALITY RATE IN ASEAN COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

The Graph above tells that 40% ASEAN countries, Singapore, Brunei Darussalam, Malaysia and Viet Nam, had low IMR, 30% countries, Philippines, Thailand and Indonesia had medium IMR, and the remain 30% countries had high IMR. There was no country had very high IMR (>100), but IMR in Cambodia reached 98 per 1000 love births. It means IMR in Cambodia approaching very high.

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1.2. SEARO GRAPH 6.16 INFANT MORTALITY RATE IN SEARO COUNTRIES 2006

Sumber: World Population Data Sheet, USAID, 2006

Based on the classification, 18.18% countries in SEARO was included in low IMR, 36.36% was medium and the remain 45.45% was high. The IMR and its comparison in SEARO countries are presented in Graph 6.16. 2. Underfive Mortality Rate (U-5MR)

Decreasing mortality rate on child is one important thing in millenium development goals. In high case situation, the most death number usually occurs on children under five when they are susceptible to diseases. Statistics shows that more than 70% deaths is caused by diarrhea, pneumonia, measles, malaria and malnutrition. 2.1. ASEAN GRAPH 6.17 UNDERFIVE MORTALITY RATE IN ASEAN COUNTRIES 2005

Source: Immunization Summary 2007

Immunization Summary 2007 shows significant differences on underfives mortality rate (U-5MR) in ASEAN countries in 2005. The lowest U-5MR was Singapore with 3 deaths per 1000 live births and the highest was Cambodia with 143 deaths per 1000 live births. Mostly, ASEAN countries had U-5MR less than 100 and only Cambodia and Myanmar had 123

more than 100 per 1000 live births. Meanwhile, Indonesia had 36 deaths per 1000 live births. Graph 6.17 presents U-5MR in ten ASEAN countries. 2.2. SEARO GRAPH 6.18 UNDERFIVE MORTALITY RATE IN SEARO COUNTRIES 2005

Source: Immunization Summary 2007

According to the same source, U-5MR in SEARO ranged from 14 to 105. Myanmar was the country with the highest U-5MR, and Sri Lanka was the lowest. Meanwhile, Indonesia was the third lowest country with U-5MR 36 per 1000 live births. 3. Crude Death Rate (CDR)

Crude Death Rate indicates death rate per 1000 population in a certain year. It is crude because it has not considered age of population yet. Old people has higher death risk than the young ones. But, when there is no other death indicator, it is useful to describe population welfare in the certain year. 3.1. ASEAN GRAPH 6.19 CRUDE DEATH RATE IN ASEAN COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

Among ASEAN countries, in 2006, Laos had the highest CDR, 13 per 1000 population, while Indonesia, Cambodia, Thailand and Myanmar had CDR ranging from 6 to 124

10 deaths per 1000 population. On the other hand, Malaysia, Philippines, Singapore, Viet Nam and Brunei Darussalam had CDR below 6, especially Brunei Darussalam which had 3 deaths per 1000 population. 3.2. SEARO

Among SEARO countries, Timor Leste was the country with the highest CDR in 2006, 15 deaths per 1000 population, and the country with the lowest CDR was Maldives with 3 deaths per 1000 population. In this region, Indonesia was on the second lowest position of CDR. GRAPH 6.20 CRUDE DEATH RATE IN SEARO COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

4. Life Expectancy at Birth (Eo)

Generally, success of health and socio economic development programs can be seen from the increasing Life Expectancy at Birth (Eo) of a country. The improved health treatment in health center and increased purchasing power parity will develop access to health service and capability to fulfill people’s needs of nutrition and calorie as well as have better education. Therefore, they can get work with appropriate salary, and it finally will improve people health status and prolong their life expectancy. Life expectanxy at birth (Eo) is a tool to evaluate government performance in increasing people welfare generally and health status specifically. The low Eo in a country must be followed with health development program and other social program, including environmental health, calorie and nutrition sufficiency and poverty elimination program. 4.1. ASEAN

Graph 6.21 shows that in 2006, among ten ASEAN countries, Singapore had the highest Life Expectation at Birth (Eo), 80 years, and Laos had the lowest Eo, 54 years. Meanwhile, Eo of Indonesia in the same year was 69 years.

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GRAPH 6.21 LIFE EXPECTANCY AT BIRTH (Eo) IN ASEAN COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

4.2. SEARO

Graph 6.22 shows life expectancy at birth (Eo) in SEARO countries in 2006. Timor Leste was the only country having Eo below 60 years, which was 56 years. The four countries having Eo more than 70 years were Sri Lanka, DPR Korea, Thailand and Maldives, while other six countries had between 60-69 years, including Indonesia with Eo 69 years. GRAPH 6.22 LIFE EXPECTANCY AT BIRTH (Eo) IN SEARO COUNTRIES 2006

Source: World Population Data Sheet, USAID, 2006

MORBIDITY 1. Tuberculosis (TB) Prevalence

Tuberculosis still becomes a main cause of death in the world. There were estimated 8.8 million of TB new cases in 2005, and 7.4 million came from Asia and sub-Saharan Africa. About 1.6 million people died by TB, including 195,000 cases infected by HIV. 1.1. ASEAN

Graph 6.23 indicates difference of TB prevalence per 100,000 population and deaths related to TB per 100,000 population in ASEAN countries from World Health Statistic 2007. TB prevalence 2005 ranged from 28 to 703 per 100,000 population. Cambodia was the highest with 703 per 100,000 population, and Singapore was the lowest with 23 cases per 100,000 population. Meanwhile, 262 per 100,000 Indonesian population suffered of TB.

126

GRAPH 6.23 PREVALENCE OF AND DEATH BY TUBERCULOSIS IN ASEAN COUNTRIES, 2004/2005

Source: World Health Statistic, 2007

According to the same source, the highest of death by TB in 2004 was in Cambodia, 94 per 100,000 population. Two countries with the lowest were Brunei Darussalam and Singapore with each 5 deaths per 100,000 population. Indonesia was on the third high position with 46 per 100,000 population. 1.2. SEARO

TB prevalence 2005 in SEARO countries ranged from 53 to 713 per 100,000 population. The country with the highest TB prevalence in 2005 was Timor Leste (713 per 100,000 population) and the country with the lowest was Maldives (53 per 100,000 population). GRAPH 6.24 PREVALENCE OF AND DEATH BY TUBERCULOSIS IN SEARO COUNTRIES, 2004/2005

Source: World Health Statistic, 2007

Meanwhile, death by TB ranged from 4 to 85 per 100,000 population. Similar to TB prevalence, the highest of death by TB was also in Timor Leste with 85 deaths per 100,000 population. The country with the lowest death by TB was Maldives (53 per 100,000 population). Comparison of Indonesia and SEARO countries on TB prevalence and death by TB is presented in Graph 6.24. 2. Avian Influenza

New strain of avian influenza on human was firstly detected in Hongkong. It caused 18 cases were hospitalized and 6 cases dead. The first fact that avian influenza virus can

127

directly transmit from avian to human was found. Before 1997, scientists believed that AI transmission was not directly avian-to-human. 2.1. ASEAN

Avian influenza firstly came to ASEAN region in 2003 through Viet Nam, 3 people were infected and finally dead. By end of 2006, 4 countries in ASEAN region have been infected, Viet Nam, Thailand, Indonesia and Cambodia. GRAPH 6.25 DEATH AND CASES BY AVIAN INFLUENZA IN ASEAN COUNTRIES, 2003-2006

Source: WHO, 2007

Graph 6.25 presents number of cases and deaths by avian influenza in ASEAN since 2003 to 2006. The case firstly hit Viet Nam with 3 infected people that were finally dead. During 2004, it increased to 46 cases with 32 deaths. In that year, Thailand was also infected by H5N1 virus. At the end of 2005, number of cases and infected countries was increasing, and 90 people became its victim. However, number of deaths could be decreased from 100% to 42.22% (90 cases) in 2005. TABEL 6.1 NUMBER OF CASES AND DEATHS BY AVIAN INFLUENZA BY COUNTRIES, 2003-2006 COUNTRY

Viet nam Thailand Indonesia Cambodia TOTAL

2003 C D 3 3 0 0 0 0 0 0 3 3

2004 C D 29 20 17 12 0 0 0 0 46 32

2005 C D 61 19 5 2 20 13 4 4 90 38

2006 C D 0 0 3 3 55 45 2 2 60 50

TOTAL C D 93 42 25 17 75 58 6 6 199 123

Source: WHO, 2007 Remarks: C = Cases D = Death

Tabel 6.1 tells that Viet Nam could control avian influenza virus transmission that there was no other AI case in 2006. Viet Nam are capable also to press case the fatality rate (CFR) of the exist cases from years. Thailand and Cambodia were also able to control the virus transmission that there is no straightly case increase. The tabel above even shows decrease of the cases from previous years. 2.2. SEARO

Avian influenza firstly infected human in SEARO region in 2004, which was in Thailand. SEARO countries infected by AI since 2004 were also involved in ASEAN. Those 128

were Thailand and Indonesia. The following is data of AI cases, trend and death in SEARO region. TABEL 6.2 NUMBER OF CASES AND DEATH BY AVIAN INFLUENZA BY COUNTRIES, 2004-2006 COUNTRY

Thailand Indonesia TOTAL

2004 C D 17 12 17

12

2005 C D 5 2 20 13 25 15

2006 C D 3 3 55 45 58 48

TOTAL C D 25 17 75 58 100 75

Source: WHO, 2007 Remarks: C = Case D = Death

GRAPH 6.26 TREND OF CASES AND DEATHS BY AVIAN INFLUENZA IN SEARO COUNTRIES, 2004-2006

Source: Incidence Series Immunization, WHO, 2007

3. POLIO

Some diseases can fastly spread that it is potential to be an outbreak. Among those diseases, there are some preventable diseases through immunization (PD3I). Those are Difteri, Pertussis, Tetanus, Tetanus Neonatorum, Measles and Polio. 3.1. ASEAN

Since 2001, Polio had not been found in ASEAN countries. But in 2004 wild polio virus hit people in ASEAN region. One case was reported in Laos. In 2005, polio case rose to the top position with 350 cases from 2 ASEAN countries, Cambodia and Indonesia, and 349 of them were in Indonesia. In 2006, polio transmission could be controlled, so that only 4 cases were found in this region. Two cases were from Indonesia and other 2 cases were from Cambodia and Myanmar.

129

TABEL 6.3 POLIO CASES PER COUNTRY 2004-2006 COUNTRY

2004

2005

2006

1. Cambodia

0

1

1

2. Indonesia

0

349

2

3. Laos

1

0

0

4. Myanmar

0

0

1

Total

1

350

4

Source: Incidence Series Immunization, WHO, 2007

3.2. SEARO

Cumulative polio cases in this region were high enough since 2002 and years before. In 2003, it decreased, but since 2004 to 2006 it slowly increased again. High number of polio cases was becaused of high number of it in India, as one of 4 polio endemic countries. GRAPH 6.26 POLIO CASES IN SEARO COUNTRIES 2002-2006

Source: WHO, 2007

TABEL 6.4 POLIO CASES PER COUNTRY IN SEARO 2002-2006 COUNTRY

2002

2003

2004

2005

2006

0

0

0

0

18

1600

225

134

66

676

3. Indonesia

0

0

0

349

2

4. Myanmar

0

0

0

0

1

5. Nepal

0

0

0

4

5

1. Bangladesh 2. India

Source: Incidence Series Immunization, WHO, 2006

Tabel 6.4 presents polio cases in India and other SEARO countries. Excluding to India, during 2002 - 2004 there was no polio cases found. In 2005, it occured in Indonesia and Nepal, and it even became the most in Indonesia with 349 cases. In 2006, it spread to Bangladesh and infected 18 people, while Indonesia had successfully decreased it to 2 cases. The most cases in 2006 re-occurred in India. 130

4. Tetanus Neonatorum

Tetanus cases are mostly in some tropical countries and those whose health condition is still low. WHO data show death by tetanus in developing countries is 135 times higher than in developed countries. Tetanus is one of communicable diseases and most potentially causes death. Tetanus on infant is known as tetanus neonatorum since it generally infects newborn or below one year baby. As the cause, Clostridium Tetani Spore comes inside human body through wound on umbilical cord because of action or treatment which does not meet health requirements. 4.1. ASEAN

In 2006, tetanus neonatorum cases in ASEAN countries mostly were in Philippines and Indonesia. It infected more than 100 people. When comparing to number of population, the highest tetanus neonatorum case was in Cambodia, and Indonesia was on the five position. Meanwhile, Singapura and Thailand had the lowest cases, based on both number of case and comparison to number of population. There was no reported tetanus neonatorum case in Singapore. 4.2. SEARO

According to Incidence Series Immunization, in 2006, tetanus neonatorum cases in India were 600 cases, very far from other countries, comparing to the second dan third most cases in this region, that were Bangladesh and Indonesia with 256 and 118 cases. On the other hand, Maldives and DPR Korea reported none of tetanus neonatorum. When comparing to number of population, Timor Leste and Banglades had the highest number of cases. India was in the six position, and Indonesia had the same number with India. Number of preventable communicable diseases through immunization (PD3I) in ASEAN and SEARO in 2006 is presented in Annex 6.9 and 6.10.

HEALTH EFFORTS 1. Immunization Coverage

Immunization is one effort to prevent infant death by vaccinating. Some immunizations must be given to infants, such as polio, BCG and measles. BCG is usually to indicate proportion of baby prevented from kinds of serious tuberculosis during the first year of its age as well as to be an indicator of health service access. Polio immunization is also a main immunization for infant to prevent polio disease. Different to BCG and measles immunization that only need 1 dosage, polio immunization needs 3 dosages. Thus, the third polio is used to measure the success of health effrot, where infants have got polio immunization 3 times (3 dosages). Among child’s preventable diseases through vaccine, measles is the main cause of child’s death. Therefore, measles prevention is an important factor in reducing underfive 131

mortality rate (U-5MR). From 22 points of global agreement on child, one point is to keep the coverage of measles immunization on 90%. In ASEAN and SEARO countries, measles immunization is given to baby aged 9-12 months and is the last immunization of all basic immunization (BCG, DPT, Polio, Hepatitis and Measles). It assums that baby getting measles immunization have had other complete immunizations. Therefore, the coverage of measles immunization also indicates coverage of babies getting complete complete immunization. 1.1. ASEAN

Comparing to other immunization, Graph 6.27 shows that coverage of BCG immunization on baby was higher, since BCG immunization is scheduled earlier than other immunizations –even other countries give it immediately after baby is born- that the baby is still monitored by health personnel. In 2005, the country with the highest coverage of BCG immunization was Thailand 99% and the lowest was Laos 65%. GRAPH 6.27 COVERAGE OF SOME IMMUNIZATION IN ASEAN COUNTRIES 2005

Source: The Immunization Summary 2007

In 2005, 50% ASEAN countries had reached 90% coverage of polio immunization. The highest coverage was Brunei Darussalam, 99%, and the lowest was Laos, 50%. Indonesia was on the second lowest position with coverage 70%. For measles immunization, based on the same source, in 2005, 50% ASEAN countries had met the target 90%. They were Brunei Darussalam, Malaysia, Singapore, Thailand and Viet Nam. Brunei Darussalam was the country with the highest coverage of measles immunization, 99%, while Laos was the country with the lowest coverage, 41%. In Indonesia, 72% underfives had got measles immunization. Therefore, the assumption is that the countries with the highest complete immunization was Brunei Darussalam, and the lowest was Laos. Graph 6.11 shows the coverage of BCG, polio3 and measles immunizations in ASEAN countries. Complete data are presented in Annex 6.13 1.2. SEARO

In SEARO, 5 of 11 member countries reached 99% coverage of BCG immunization. They were Bangladesh, Bhutan, Maldives, Sri Lanka and Thailand, while Timor Leste was the country with the lowest coverage with 70%.

132

GRAPH 6.28 COVERAGE OF SOME IMMUNIZATIONS IN SEARO COUNTRIES 2005

Source: The Immunization Summary 2007

Graph 6.28 tells coverages of polio3 and measles immunization in SEARO countries. 45.45% countries had met target of polio3 immunization coverage. The highest coverage was Sri Lanka with 99%, and the lowest was Timor Leste with 55%. Similar to polio3 immunization, only 45.45% countries had met target of measles immunization. The country with the highest coverage of measles immunization _the same with polio3 immunization- was Sri Lanka (99%), and the lowest was Timor Leste (48%). Using the same assumption, among SEARO countries, Sri Lanka had the highest coverage of complete immunization to infant, and Timor Leste had the lowest. Complete data of immunization coverage in SEARO countries are in Annex 6.14. 2. Pulmonary TB Control

In 2005, there were estimated 8.8 million new TB cases, including 7.4 million in Asia and sub-Saharan Africa. 1.6 million people died by Pulmonary TB, including 195,000 cases infected by HIV. WHO had targetted pulmonary TB case detection through strategy of DOTS 70% and Success Rate (SR) 85%. Global achievement in pulmonary TB detection was 60% and SR was 84%. It means that those two indicators had not met the target yet though the SR almost did. 2.1. ASEAN

In 2005, 70% ASEAN countries had met WHO target of case detection, which is 70%. Some countries reached 100% target, Brunei Darussalam and Singapore. On the other hand, there were 3 countries with achievement less than 70%, Indonesia, Cambodia and Laos. Among ASEAN countries, Indonesia and Cambodia had low pulmonary TB case detection, 66%.

133

GRAPH 6. 29 PULMONARY TB CASE DETECTION IN ASEAN 2005

GRAPH 6.30 SUCCESS RATE OF PULMONARY TB IN ASEAN 2004

Source: World Health Statistic, 2007

Source: World Health Statistic, 2007

According to the same source, in 2004 only 50% ASEAN countries met the SR target (85%), and Indonesia was one of it with 90%. The highest SR was Viet Nam, 93%, and the lowest SR was Malaysia with 56%. 2.2. SEARO

Different with ASEAN countries, of 11 SEARO countries, only 45.45% met target of TB case detection. They were DPR Korea, Myanmar, Maldives, Sri Lanka and Thailand. If in ASEAN, the lowest was Indonesia, in SEARO the lowest TB case detection was Bhutan, 31%, and the highest DPR Korea, 99%. GRAPH 6. 31 PULMONARY TB CASE DETECTION IN SEARO 2005

GRAPH 6.32 SUCCESS RATE OF PULMONARY TB IN SEARO 2004

Source: World Health Statistic, 2007

Source: World Health Statistic, 2007

Graph 6.32 shows that 63.63% countries had met target of case detection. The highest was Maldives with SR 95%, and the lowest was Thailand with SR 74%. ***

134

BIBLIOGRAPHY

ASEAN. 2005. ASEAN Statistical Yearbook 2005. The Asean Secretariat, Jakarta. Badan Pusat Statistik. 2006. Estimasi Parameter Demografi SUPAS 2005. BPS, Jakarta. ___________. 2003. Statistik Kesejahteraan Rakyat 2002. BPS, Jakarta. ___________. 2004. Statistik Kesejahteraan Rakyat 2003. BPS, Jakarta. ___________. 2005. Statistik Kesejahteraan Rakyat 2004. BPS, Jakarta. ___________. 2006. Statistik Kesejahtraan Rakyat 2005. BPS, Jakarta. ___________. 2007. Statistik Kesejahtraan Rakyat 2006. BPS, Jakarta. ___________. 2005. Beberapa Indikator Penting Sosial-Ekonomi Indonesia 2005. BPS, Jakarta. ___________. 2007. Beberapa Indikator Penting mengenai Indonesia. BPS, Jakarta. ___________. 2005. Analisis Dan Penghitungan Tingkat Kemiskinan 2005. BPS, Jakarta. ___________. 2004. Statistik Indonesia 2003. BPS, Jakarta. ___________. 2005. Statistik Indonesia 2004. BPS, Jakarta. ___________. 2006. Statistik Indonesia 2005/2006. BPS, Jakarta. ___________. 2004. Statistik Kesehatan 2004. BPS, Jakarta. ___________. 1998. Survei Demografi dan Kesehatan Indonesia (SDKI) 1997. ORC Macro. Calverton, Maryland, USA. ___________. 2003. Survei Demografi dan Kesehatan Indonesia (SDKI) 2002-2003. ORC Macro. Calverton, Maryland, USA. Badan Pusat Statistik, BAPPENAS, UNFPA. 2005. Proyeksi Penduduk Indonesia (Indonesia Population Projection 2000 - 2025). BPS, Jakarta. Departemen Dalam Negeri. 2005. Kode Dan Data Wilayah Administrasi Pemerintahan 2005. Depdagri, Jakarta. 135

Departemen Kesehatan. 2007. Profil Kesehatan Indonesia 2005, Departemen Kesehatan RI, Jakarta. ___________. 2007. Profil Pengendalian Penyakit Dan Penyehatan Lingkungan 2006. Depkes, Jakarta. ___________. 2006. Profil Pengembangan Dan Pemberdayaan Sumberdaya Manusia Kesehatan 2005. Depkes, Jakarta. ___________. 2006. Statistik Rumah Sakit Di Indonesia Seri 1: Kegiatan Pelayanan. Depkes, Jakarta. ___________. 2006. Statistik Rumah Sakit Di Indonesia Seri 2: Ketenagaan. Depkes, Jakarta. ___________. 2006.Statistik Rumah Sakit Di Indonesia Seri 3:Morbiditas/Mortalitas. Depkes, Jakarta. ___________.1996. Publikasi Hasil Survei Kesehatan Rumah Tangga 1995. Badan Litbangkes, Jakarta. ___________. 2005. Publikasi Hasil Analisis Data Survei Kesehatan Nasional 2004. Badan Litbangkes, Depkes RI, Jakarta. ___________. 2006. Profil Pendidikan Tenaga Kesehatan Tahun 2006. Pusdiknakes, Depkes RI, Jakarta. Kementrian Negara Pembangunan Daerah Tertinggal RI, 2007. Strategi Nasional Percepatan Pembangunan Daerah Tertinggal 2004-2009. Jakarta. Population Reference Bureau, 2006. 2006 Population Data Sheet. USAID, USA. The United Nations Development Programme. 2006. Human Development Report 2006. UNDP, New York. Umar Fahmi Achmadi, Dr, MSc Phd. 30 Juni 1990. Makalah Seminar Perumahan, Lingkungan dan Kesehatan. Jakarta UNAIDS, 2006. 2006 Report on The Global AIDS Epidemic. WHO, UNAIDS. UNICEF. 2006. The State of the World’s Children 2006. UNICEF, New York. ___________. 2007. Incidence Series Immunization 2007. UNICEF, New York. ___________. 2007. Immunization Summary: The 2007 Edition. UNICEF/WHO, New York. ___________. 2007. The State of the World’s Children 2007. UNICEF, New York. 136

World Health Organization. 2006. The World Health Report 2006: Working Together for Health. WHO Press, Geneva. ___________. 2007. World Health Statistic 2007. WHO Press, Geneva.

***

137

Annex 2.1

DISTRIBUTION OF ADMINISTRATION AREA BY PROVINCE IN 2005 Total 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*) (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

District

Municipality

District + Municipality

Sub District

Village (Kelurahan)

Village (Desa)

Village (Kel. + Desa)

(4)

(5)

(6)

(7)

(8)

(9)

(3)

17 18 12 9 9 10 8 8 6 4 1 16 29 4 29 4 8 7 15 10 13 11 9 6 9 20 8 4 5 7 6 19 8 349

4 7 7 2 1 4 1 2 1 2 5 9 6 1 9 2 1 2 1 2 1 2 4 3 1 3 2 1 0 1 2 1 1 91

Source : Attachment of Home Affairs Ministerial Decree No. 18/2005, April 28, 2005 Remarks : *) The sequence of provinces is based on the Governmental Administration Area Code BPS-Statistic Indonesia 2005/2006

21 25 19 11 10 14 9 10 7 6 6 25 35 5 38 6 9 9 16 12 14 13 13 9 10 23 10 5 5 8 8 20 9 440

243 357 157 144 94 182 99 180 36 42 44 592 565 78 657 135 55 100 203 154 107 127 124 122 102 279 133 47 51 62 51 233 101 5,656

112 547 256 190 117 294 123 164 54 105 267 547 744 47 785 144 89 91 299 80 133 121 177 253 133 616 271 83 47 32 80 81 41 7,123

6,378 5,616 902 1,482 1,231 2,783 1,233 2,193 321 245 267 5,808 8,566 438 8,484 1,483 701 820 2,742 1,531 1,395 1,957 1,352 1,280 1,530 2,866 1,705 476 491 886 793 2,442 1,166 71,563

6,490 6,163 1,158 1,672 1,348 3,077 1,356 2,357 375 350 534 6,355 9,310 485 9,269 1,627 790 911 3,041 1,611 1,528 2,078 1,529 1,533 1,663 3,482 1,976 559 538 918 873 2,523 1,207 78,686

Annex 2.2

AREA SIZE, TOTAL POPULATION AND POPULATION DENSITY AND GROWTH BY PROVINCE, 2006 No

Province*)

Area Size (Km2)[a]

Total Population (person)[b]

Population Density per square km

1990-2000

2000-2005

2000-2006

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

56,500.51 72,427.81 42,224.65 87,844.23 45,348.49 60,302.54 19,795.15 37,735.15 16,424.14 8,084.01 740.29 36,925.05 32,799.71 3,133.15 46,689.64 9,018.64 5,449.37 19,708.79 46,137.87 120,114.32 153,564.50 38,884.28 194,849.08 13,930.73 68,089.83 46,116.45 36,757.45 12,165.44 16,787.19 47,350.42 39,959.99 309,934.40 114,566.40 1,860,359.67

Source : Attachment of Home Affairs Ministerial Decree No. 18/2005, April 28, 2005 BPS-Statistic Indonesia 2005/2006

4,073,000 12,643,000 4,632,000 4,763,000 2,683,000 6,900,000 1,568,000 7,212,000 1,075,000 1,338,000 8,963,000 39,649,000 32,179,000 3,389,000 36,592,000 9,224,000 3,432,000 4,257,000 4,355,000 4,118,000 1,938,000 3,346,000 2,936,000 2,161,000 2,349,000 7,630,000 2,002,000 941,000 992,000 1,271,000 919,000 1,974,000 688,000 222,192,000

78 172 108 54 50 74 79 204 66 15 13499 1146 989 1064 764 1066 609 211 92 28 13 77 13 141 37 87 52 77 11 27 30 8 22 118

Population Growth per Year (%)

56,500.51 72,427.81 42,224.65 87,844.23 45,348.49 60,302.54 19,795.15 37,735.15 16,424.14 8,084.01 740.29 36,925.05 32,799.71 3,133.15 46,689.64 9,018.64 5,449.37 19,708.79 46,137.87 120,114.32 153,564.50 38,884.28 194,849.08 13,930.73 68,089.83 46,116.45 36,757.45 12,165.44 16,787.19 47,350.42 39,959.99 309,934.40 114,566.40 1,860,359.67

4,073,000 12,643,000 4,632,000 4,763,000 2,683,000 6,900,000 1,568,000 7,212,000 1,075,000 1,338,000 8,963,000 39,649,000 32,179,000 3,389,000 36,592,000 9,224,000 3,432,000 4,257,000 4,355,000 4,118,000 1,938,000 3,346,000 2,936,000 2,161,000 2,349,000 7,630,000 2,002,000 941,000 992,000 1,271,000 919,000 1,974,000 688,000 222,192,000

78 172 108 54 50 74 79 204 66 15 13499 1146 989 1064 764 1066 609 211 92 28 13 77 13 141 37 87 52 77 11 27 30 8 22 118

Annex 2.3

NUMBER OF POPULATION BY SPECIFIC AGE GROUP, DEPENDENCY RATIO AND PROVINCE IN 2006 Urban + Rural Male No

Province

(1)

(2)

Female

Age Group

Age Group

Total

0-14

15-64

65+

(3)

(4)

(5)

(6)

Male + Female Age Group

Total

0-14

15-64

65+

(7)

(8)

(9)

(10)

0-14

15-64

65+

(11)

(12)

(13)

Dependency Ratio

Total

(14)

(15)

1

Nanggroe Aceh Darussalam

32.91

63.85

3.24

100

30.11

65.81

4.08

100

31.50

64.84

3.66

54.23

100

2

North Sumatera

32.56

63.79

3.65

100

31.36

64.43

4.22

100

31.96

64.11

3.93

55.98

100

3

West Sumatera

33.36

61.64

5.00

100

29.92

63.55

6.53

100

31.62

62.61

5.78

59.73

100

4

Riau

32.64

64.52

2.84

100

31.50

65.87

2.63

100

32.08

65.18

2.74

53.42

100

5

Jambi

30.43

66.13

3.44

100

28.51

68.02

3.47

100

29.49

67.06

3.45

49.12

100

6

South Sumatera

29.45

66.87

3.68

100

28.96

67.25

3.80

100

29.20

67.06

3.74

49.12

100

7

Bengkulu

31.11

65.27

3.62

100

30.38

65.66

3.96

100

30.75

65.47

3.79

52.76

100

8

Lampung

29.67

65.75

4.58

100

30.78

64.36

4.86

100

30.21

65.08

4.71

53.66

100

9

Bangka Belitung Islands

28.30

68.01

3.69

100

27.77

68.31

3.92

100

28.05

68.16

3.80

46.73

100

10

Riau Islands

29.66

67.74

2.60

100

29.83

68.25

1.92

100

29.74

67.99

2.26

47.07

100

11

DKI Jakarta

24.74

72.04

3.22

100

22.82

73.94

3.24

100

23.78

72.99

3.23

37.01

100

12

West Java

29.00

66.60

4.41

100

27.96

67.29

4.74

100

28.49

66.94

4.57

49.39

100

13

Central Java

26.60

66.85

6.55

100

25.37

67.00

7.63

100

25.99

66.93

7.09

49.42

100

14

DI Yogyakarta*

21.44

69.46

9.10

100

19.77

68.82

11.41

100

20.60

69.14

10.26

44.63

100

15

East Java

24.82

69.12

6.06

100

22.88

69.41

7.71

100

23.84

69.26

6.90

44.38

100

16

Banten

30.09

67.29

2.62

100

29.87

67.53

2.61

100

29.98

67.41

2.61

48.35

100

17

Bali

26.07

67.79

6.14

100

24.67

68.07

7.27

100

25.38

67.92

6.70

47.23

100

18

West Nusa Tenggara

33.97

61.64

4.38

100

29.82

65.69

4.49

100

31.80

63.75

4.44

56.85

100

19

East Nusa Tenggara

38.70

56.67

4.63

100

35.25

60.00

4.75

100

36.98

58.32

4.69

71.45

100

20

West Kalimantan

31.00

65.63

3.38

100

30.66

65.92

3.42

100

30.83

65.77

3.40

52.05

100

21

Central Kalimantan

31.35

65.69

2.96

100

31.34

65.96

2.70

100

31.35

65.82

2.83

51.93

100

22

South Kalimantan

30.85

65.78

3.37

100

27.75

67.84

4.41

100

29.32

66.80

3.89

49.72

100

23

East Kalimantan

29.73

67.84

2.43

100

29.63

67.66

2.70

100

29.68

67.76

2.56

47.58

100

24

North Sulawesi

25.86

68.67

5.46

100

26.27

67.28

6.46

100

26.06

67.98

5.95

47.09

100

25

Central Sulawesi

32.97

63.78

3.25

100

32.23

64.39

3.38

100

32.61

64.08

3.31

56.05

100

26

South Sulawesi

31.62

63.65

4.72

100

28.06

66.36

5.58

100

29.81

65.03

5.16

53.78

100

27

Southeast Sulawesi

36.26

60.39

3.35

100

33.55

62.69

3.76

100

34.90

61.55

3.55

62.47

100

28

Gorontalo

33.70

63.64

2.65

100

32.72

64.49

2.79

100

33.20

64.07

2.72

56.06

100

29

West Sulawesi

37.50

58.74

3.77

100

33.52

63.11

3.36

100

35.52

60.91

3.57

64.18

100

30

Maluku

36.22

60.00

3.78

100

34.09

62.05

3.86

100

35.15

61.03

3.82

63.85

100

31

North Maluku

36.70

60.20

3.10

100

34.33

62.59

3.08

100

35.54

61.37

3.09

62.95

100

32

Papua

36.99

62.10

0.91

100

34.19

65.03

0.78

100

35.66

63.49

0.85

57.51

100

33

West Irian Jaya

38.25

59.96

1.79

100

34.67

64.04

1.30

100

36.52

61.93

1.55

61.47

100

29.01

66.31

4.67

100

27.50

67.11

5.39

100

28.26

66.71

5.03

49.90

100

Indonesia Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.3.a

NUMBER OF POPULATION BY SPECIFIC AGE GROUP, DEPENDENCY RATIO AND PROVINCE IN 2006 Urban Male No

Province

(1)

(2)

Female

Age Group

Age Group

Total

0-14

15-64

65+

(3)

(4)

(5)

(6)

Male + Female Age Group

Total

0-14

15-64

65+

(7)

(8)

(9)

(10)

0-14

15-64

65+

(11)

(12)

(13)

Dependency Ratio

Total

(14)

(15)

1

Nanggroe Aceh Darussalam

29.10

67.90

3.00

100

27.78

68.89

3.33

100

28.42

68.40

3.17

46.18

100

2

North Sumatera

29.61

67.00

3.38

100

29.52

66.51

3.97

100

29.57

66.75

3.68

49.81

100

3

West Sumatera

31.85

64.44

3.71

100

27.90

66.95

5.15

100

29.87

65.70

4.43

52.21

100

4

Riau

32.46

65.14

2.39

100

30.70

66.89

2.42

100

31.59

66.01

2.40

51.49

100

5

Jambi

29.89

66.90

3.21

100

28.11

67.85

4.04

100

29.00

67.37

3.62

48.42

100

6

South Sumatera

29.40

66.92

3.68

100

27.48

68.49

4.03

100

28.44

67.71

3.85

47.69

100

7

Bengkulu

28.95

67.88

3.17

100

28.52

67.26

4.22

100

28.73

67.56

3.70

48.00

100

8

Lampung

27.49

68.56

3.95

100

29.23

66.12

4.65

100

28.35

67.35

4.30

48.48

100

9

Bangka Belitung Islands

26.81

68.51

4.68

100

26.53

68.43

5.04

100

26.68

68.47

4.86

46.06

100

10

Riau Islands

29.58

67.99

2.43

100

29.84

68.56

1.60

100

29.71

68.27

2.02

46.48

100

11

DKI Jakarta

24.74

72.04

3.22

100

22.82

73.94

3.24

100

23.78

72.99

3.23

37.01

100

12

West Java

28.88

67.50

3.62

100

27.36

68.99

3.65

100

28.13

68.24

3.64

46.56

100

13

Central Java

26.05

68.30

5.65

100

24.58

68.86

6.57

100

25.31

68.58

6.11

45.82

100

14

DI Yogyakarta*

20.55

71.97

7.48

100

19.11

70.85

10.04

100

19.84

71.41

8.75

40.04

100

15

East Java

24.94

69.69

5.38

100

23.07

70.38

6.55

100

23.99

70.04

5.97

42.78

100

16

Banten

28.18

69.50

2.32

100

27.25

70.33

2.42

100

27.72

69.91

2.37

43.04

100

17

Bali

26.57

68.63

4.79

100

25.34

68.96

5.70

100

25.97

68.79

5.24

45.37

100

18

West Nusa Tenggara

32.80

62.79

4.41

100

28.18

67.02

4.80

100

30.44

64.95

4.61

53.96

100

19

East Nusa Tenggara

33.50

64.06

2.44

100

31.91

65.38

2.71

100

32.72

64.71

2.58

54.55

100

20

West Kalimantan

29.28

66.60

4.12

100

29.60

66.04

4.35

100

29.44

66.32

4.24

50.78

100

21

Central Kalimantan

30.27

67.63

2.10

100

30.73

66.84

2.43

100

30.50

67.24

2.26

48.72

100

22

South Kalimantan

30.19

66.34

3.47

100

26.76

69.01

4.23

100

28.48

67.68

3.85

47.77

100

23

East Kalimantan

29.47

68.81

1.72

100

28.61

68.77

2.62

100

29.05

68.79

2.15

45.36

100

24

North Sulawesi

25.04

70.93

4.03

100

25.84

68.38

5.78

100

25.45

69.63

4.92

43.62

100

25

Central Sulawesi

30.94

66.84

2.23

100

28.62

68.50

2.88

100

29.77

67.67

2.55

47.76

100

26

South Sulawesi

30.05

66.36

3.59

100

26.17

69.59

4.24

100

28.07

68.00

3.92

47.04

100

27

Southeast Sulawesi

32.55

65.27

2.18

100

30.24

66.42

3.34

100

31.37

65.85

2.77

51.85

100

28

Gorontalo

31.33

65.52

3.16

100

30.09

66.83

3.08

100

30.68

66.20

3.11

51.04

100

29

West Sulawesi

35.91

62.01

2.08

100

30.55

66.17

3.28

100

33.23

64.09

2.68

56.03

100

30

Maluku

32.79

63.58

3.63

100

30.51

66.08

3.41

100

31.62

64.86

3.52

54.18

100

31

North Maluku

33.82

64.07

2.11

100

29.72

67.53

2.75

100

31.81

65.77

2.43

52.06

100

32

Papua

35.52

63.41

1.07

100

32.11

66.77

1.13

100

33.92

64.98

1.10

53.89

100

33

West Irian Jaya

34.32

64.06

1.62

100

31.51

67.22

1.27

100

32.93

65.62

1.45

52.39

100

27.67

68.29

4.04

100

26.09

69.30

4.60

100

26.88

68.80

4.32

45.35

100

Indonesia Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.3.b

NUMBER OF POPULATION BY SPECIFIC AGE GROUP, DEPENDENCY RATIO AND PROVINCE IN 2006 Rural Male No

Province

Age Group 0-14

(1)

(2)

Female

65+

(4)

(5)

0-14

(8)

(9)

15-64

65+

(11)

(12)

(13)

Dependency Ratio

Total

(14)

(15)

62.67

3.31

100

30.82

64.88

4.30

100

32.41

63.78

3.81

56.79

100

2

North Sumatera

34.85

61.28

3.87

100

32.84

62.74

4.42

100

33.86

62.00

4.14

61.29

100

3

West Sumatera

34.04

60.37

5.59

100

30.81

62.05

7.13

100

32.40

61.22

6.38

63.35

100

4

Riau

32.73

64.18

3.09

100

31.96

65.29

2.76

100

32.35

64.72

2.93

54.51

100

5

Jambi

30.64

65.83

3.52

100

28.67

68.09

3.24

100

29.68

66.94

3.38

49.39

100

6

South Sumatera

29.47

66.84

3.68

100

29.75

66.58

3.67

100

29.61

66.71

3.68

49.90

100

7

Bengkulu

31.92

64.30

3.79

100

31.12

65.03

3.85

100

31.53

64.65

3.82

54.68

100

8

Lampung

30.28

64.96

4.75

100

31.24

63.84

4.92

100

30.74

64.43

4.83

55.21

100

9

Bangka Belitung Islands

29.37

67.66

2.97

100

28.68

68.23

3.09

100

29.04

67.93

3.03

47.21

100

10

Riau Islands

29.97

66.79

3.25

100

29.79

67.02

3.20

100

29.88

66.90

3.22

49.48

100

11

DKI Jakarta

12

West Java

29.13

65.58

13

Central Java

26.99

65.81

7.20

100

25.95

65.65

8.40

100

26.47

65.73

7.80

52.14

100

14

DI Yogyakarta*

22.59

66.21

11.19

100

20.59

66.33

13.08

100

21.57

66.27

12.16

50.90

100

15

East Java

24.73

68.70

6.57

100

22.75

68.69

8.57

100

23.73

68.69

7.58

45.58

100

16

Banten

32.42

64.60

2.98

100

33.09

64.07

2.84

100

32.75

64.34

2.91

55.42

100

17

Bali

25.50

66.83

7.66

100

23.93

67.08

8.99

100

24.72

66.96

8.32

49.34

100

18

West Nusa Tenggara

34.71

60.93

4.37

100

30.79

64.90

4.30

100

32.65

63.01

4.33

58.69

100

19

East Nusa Tenggara

39.73

55.21

5.06

100

35.90

58.95

5.15

100

37.82

57.08

5.10

75.19

100

20

West Kalimantan

31.62

65.27

3.11

100

31.07

65.87

3.06

100

31.35

65.56

3.09

52.53

100

21

Central Kalimantan

31.79

64.89

3.32

100

31.60

65.59

2.81

100

31.70

65.23

3.07

53.30

100

22

South Kalimantan

31.25

65.44

3.31

100

28.36

67.12

4.52

100

29.82

66.27

3.91

50.90

100

23

East Kalimantan

30.02

66.70

3.27

100

30.88

66.31

2.81

100

30.43

66.52

3.05

50.33

100

24

North Sulawesi

26.35

67.34

6.31

100

26.55

66.56

6.90

100

26.45

66.96

6.59

49.34

100

25

Central Sulawesi

33.48

63.01

3.50

100

33.19

63.29

3.52

100

33.34

63.15

3.51

58.35

100

26

South Sulawesi

32.36

62.38

5.26

100

28.95

64.85

6.21

100

30.62

63.64

5.74

57.13

100

27

Southeast Sulawesi

37.26

59.07

3.67

100

34.48

61.65

3.87

100

35.87

60.37

3.77

65.66

100

28

Gorontalo

34.50

63.01

2.49

100

33.70

63.62

2.68

100

34.10

63.31

2.59

57.95

100

29

West Sulawesi

37.78

58.16

4.07

100

34.06

62.56

3.38

100

35.93

60.34

3.72

65.71

100

30

Maluku

37.54

58.62

3.84

100

35.55

60.41

4.04

100

36.54

59.52

3.94

68.01

100

31

North Maluku

37.67

58.90

3.43

100

35.91

60.91

3.19

100

36.81

59.88

3.31

67.00

100

32

Papua

37.47

61.68

0.85

100

34.85

64.48

0.67

100

36.22

63.01

0.76

58.69

100

33

West Irian Jaya

40.01

58.12

1.87

100

36.17

62.52

1.31

100

38.18

60.22

1.60

66.06

100

30.04

64.80

5.16

100

28.59

65.41

6.00

100

29.32

65.10

5.58

53.61

100

Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

-

5.29

100

-

28.64

(10)

0-14

34.02

-

(7)

65+

Nanggroe Aceh Darussalam

-

(6)

Age Group

Total

15-64

1

Indonesia

(3)

Age Group

Total

15-64

Male + Female

65.37

5.99

100

-

28.89

65.48

5.63

-

-

52.72

100

Annex 2.4

NUMBER AND PERCENTAGE OF UNDERDEVELOPED AREA BY PROVINSI 2004 - 2006 No

Province

(1)

2004

2005

2006

District/Municipality

Underdeveloped District

(%)

District/Municipality

Underdeveloped District

(%)

District/Municipality

Underdeveloped District

(%)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(2)

1

Nanggroe Aceh Darussalam

21

16

76.19

21

16

76.19

21

16

76.19

2

North Sumatera

25

6

24.00

25

6

24.00

25

6

24.00

3

West Sumatera

19

9

47.37

19

7

36.84

19

9

47.37

4

Riau

17

3

17.65

11

2

18.18

11

2

18.18

5

Jambi

10

2

20.00

10

2

20.00

10

2

20.00

6

South Sumatera

14

6

42.86

14

6

42.86

14

6

42.86

7

Bengkulu

9

8

88.89

9

8

88.89

9

8

88.89

8

Lampung

10

5

50.00

10

5

50.00

10

5

50.00

7

3

42.86

7

3

42.86

7

3

42.86

6

1

16.67

6

1

16.67

9

Bangka Belitung Islands

10

Riau Islands

11

DKI Jakarta

6

0

0.00

6

0

0.00

6

0

0.00

12

West Java

25

2

8.00

25

2

8.00

25

2

8.00

13

Central Java

35

3

8.57

35

3

8.57

35

3

8.57

14

DI Yogyakarta

5

2

40.00

5

2

40.00

5

2

40.00

15

East Java

38

8

21.05

38

8

21.05

38

8

21.05

16

Banten

6

2

33.33

6

2

33.33

6

2

33.33

17

Bali

9

1

11.11

9

1

11.11

9

1

11.11

18

West Nusa Tenggara

9

7

77.78

9

7

77.78

9

7

77.78

19

East Nusa Tenggara

16

15

93.75

16

15

93.75

16

15

93.75

20

West Kalimantan

12

9

75.00

12

9

75.00

12

9

75.00

21

Central Kalimantan

14

7

50.00

14

7

50.00

14

7

50.00

22

South Kalimantan

13

2

15.38

13

0

0.00

13

0

0.00

23

East Kalimantan

13

3

23.08

13

5

38.46

13

5

38.46

24

North Sulawesi

9

2

22.22

9

2

22.22

9

2

22.22

25

Central Sulawesi

10

9

90.00

10

9

90.00

10

9

90.00

26

South Sulawesi

28

18

64.29

23

13

56.52

23

13

56.52

27

Southeast Sulawesi

10

8

80.00

10

8

80.00

10

8

80.00

28

Gorontalo

5

4

80.00

5

4

80.00

5

4

80.00

29

West Sulawesi

5

5

100.00

5

5

100.00 87.50

30

Maluku

8

7

87.50

8

7

87.50

8

7

31

North Maluku

8

6

75.00

8

6

75.00

8

6

75.00

32

Papua

29

26

89.66

20

19

95.00

20

19

95.00

33

West Irian Jaya 440

199

45.23

9 440

7 197

77.78 44.77

9 440

7 199

77.78 45.23

Indonesia Source: Ministry of Underdeveloped Area

Annex 2.5

PERCENTAGE OF HOUSEHOLD GETTING FREE FACILITY DURING 6 REFERENCE MONTHS BY TYPE OF CARD AND PROVINCE, 2006 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

Household Getting Free Facility

Askeskin

Kompensasi BBM (KKB)

Kartu Sehat

(2)

(3)

(4)

(5)

(6)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

32.83 9.38 9.95 11.23 9.03 12.08 11.32 9.62 14.91 9.05 3.79 11.54 15.81 15.64 11.57 8.74 10.81 16.63 35.56 14.77 9.39 10.21 14.16 9.00 14.43 13.55 19.70 18.12 25.35 12.01 17.51 28.69 20.98 12.85

Type of Card

70.62 48.45 37.88 29.81 31.50 72.67 57.22 61.33 48.96 52.89 19.49 58.78 53.31 51.81 62.75 32.37 29.91 34.32 50.31 75.88 54.23 29.55 45.81 57.97 55.60 56.31 53.77 71.77 45.94 41.54 24.19 55.63 44.97 54.20

2.67 5.89 3.95 5.56 5.70 4.14 3.99 2.35 1.51 1.67 6.17 2.18 2.31 0.64 2.47 9.64 1.65 1.63 2.88 3.10 15.57 4.20 4.45 3.81 4.06 7.77 5.28 2.99 3.21 2.42 2.35 1.97 3.53 3.26

Total

Other (7)

19.04 31.15 44.16 40.42 46.04 16.33 28.57 27.77 26.47 25.26 47.49 28.93 24.45 26.54 22.55 52.97 21.05 47.57 37.91 13.17 23.36 41.37 15.34 22.00 33.32 22.75 24.74 16.90 17.91 48.63 52.10 37.65 37.08 28.12

(8)

7.67 14.51 14.01 24.22 16.75 6.86 10.23 8.55 23.06 20.18 26.85 10.11 19.93 21.01 12.23 5.03 47.39 16.48 8.90 7.85 6.84 24.89 34.40 16.22 7.02 13.17 16.21 8.35 32.94 7.42 21.35 4.74 14.42 14.41

100.00 100.00 100.00 100.01 99.99 100.00 100.01 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.01 100.00 100.00 100.00 100.00 100.00 100.01 100.00 100.00 100.00 100.00 100.00 100.01 100.00 100.01 99.99 99.99 100.00 99.99

Annex 2.6

PERCENTAGE OF HOUSEHOLD PURCHASING CHEAP RICE (RICE FOR POOR PEOPLE) DURING 6 REFERENCE MONTHS AND QUANTITY OF PURCHASED RICE BY PROVINCE IN 2006 No

Province

Houesehold Purchasing Cheap Rice (Raskin )

< 10

11-30

> 31

(1)

(2)

(3)

(4)

(5)

(6)

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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

68.28 29.97 23.68 30.44 32.93 33.24 38.60 56.66 15.24 28.59 7.93 43.59 66.58 39.18 51.68 25.74 36.54 76.10 73.99 32.92 33.75 26.22 24.97 28.39 51.37 27.53 59.22 35.70 46.84 48.40 52.67 63.13 45.54 45.01

Purchased Rice (Kg)

41.25 50.47 47.37 43.55 54.83 40.59 47.86 60.79 59.50 68.26 76.14 63.49 36.04 35.57 61.49 78.34 54.74 86.42 14.06 39.02 44.52 56.06 39.62 73.28 46.66 52.79 51.82 42.22 48.95 22.69 18.75 14.01 35.69 52.07

39.92 38.22 40.86 46.30 31.23 44.32 39.05 24.80 23.74 27.49 22.77 29.33 55.15 49.27 33.07 19.32 39.53 11.90 64.18 51.40 42.63 31.97 49.62 16.01 34.79 30.77 38.23 42.80 32.29 62.86 59.07 66.23 48.24 38.74

Total (7)

18.83 11.30 11.77 10.15 13.95 15.09 13.09 14.41 16.76 4.25 1.10 7.18 8.81 15.16 5.44 2.34 5.73 1.69 21.77 9.58 12.85 11.97 10.76 10.70 18.56 16.44 9.95 14.97 18.75 14.46 22.19 19.76 16.08 9.20

100.00 99.99 100.00 100.00 100.01 100.00 100.00 100.00 100.00 100.00 100.01 100.00 100.00 100.00 100.00 100.00 100.00 100.01 100.01 100.00 100.00 100.00 100.00 99.99 100.01 100.00 100.00 99.99 99.99 100.01 100.01 100.00 100.01 100.01

Annex 2.7

UNEMPLOYED AND INFLATION RATIO BY PROVINCE, 2006

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

Unemployed Ratio

(2)

(3)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: BPS-Statistic Indonesia, Indonesia Important Indicators

Inflation Ratio (7)

12.08 14.82 12.93 11.46 7.77 12.10 6.91 9.76 5.95 16.34 14.31 14.50 8.20 6.25 7.72 10.69 5.32 8.96 4.98 7.06 5.13 8.78 12.11 9.77 8.90 12.32 7.42 13.67 4.64 15.76 8.54 4.50 11.17 10.45

9.54 5.97 8.05 6.32 10.66 8.44 6.52 6.03 6.42 4.58 6.03 5.33 6.08 10.40 6.71 7.67 4.30 4.17 9.72 6.32 7.72 11.03 6.50 5.09 8.69 7.21 10.57 7.54 4.80 5.12 9.52 0.00 6.60

Annex 2.8

PERCENTAGE OF LITERACY ON POPULATION AGED 10 YEARS AND OVER BY SEX AND PROVINCE IN 2006 Urban + Rural Male No

Province

(1)

Male + Female

Female

Latin Letters

Other Letters

Latin and Other Letters

Illiterate

Total

Latin Letters

Other Letters

Latin and Other Letters

Illiterate

Total

Latin Letters

Other Letters

Latin and Other Letters

Illiterate

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

27.97

3.41

100

61.19

5.08

26.91

6.81

100

62.93

4.49

27.43

5.15

100

(2)

Total

1

Nanggroe Aceh Darussalam

64.74

3.88

2

North Sumatera

87.27

1.59

9.38

1.76

100

84.20

1.9

9.68

4.23

100

85.73

1.75

9.52

3.00

100

3

West Sumatera

76.44

1.23

19.85

2.48

100

73.04

1.63

20.57

4.76

100

74.70

1.44

20.21

3.65

100

4

Riau

78.39

1.25

18.75

1.61

100

75.59

1.95

19.11

3.35

100

77.02

1.59

18.93

2.46

100

5

Jambi

72.52

2.93

21.93

2.62

100

68.09

4.25

20.77

6.89

100

70.33

3.58

21.35

4.74

100

6

South Sumatera

87.68

1.80

8.70

1.82

100

84.55

2.25

8.83

4.38

100

86.13

2.02

8.76

3.09

100

7

Bengkulu

92.66

1.06

3.23

3.05

100

88.19

1.31

2.52

7.99

100

90.44

1.18

2.88

5.50

100

8

Lampung

81.58

1.00

13.73

3.69

100

76.81

1.39

12.71

9.09

100

79.28

1.19

13.24

6.30

100

9

Bangka Belitung Islands

68.76

2.16

26.26

2.82

100

64.71

3.22

25.38

6.69

100

66.82

2.67

25.84

4.67

100

10

Riau Islands

63.63

1.43

32.09

2.86

100

63.15

1.35

29.85

5.65

100

63.39

1.39

30.98

4.23

100

11

DKI Jakarta

77.96

1.59

19.52

0.93

100

77.53

1.88

18.19

2.39

100

77.75

1.74

18.85

1.66

100

12

West Java

68.13

2.14

27.04

2.69

100

64.66

2.80

26.23

6.31

100

66.41

2.47

26.64

4.48

100

13

Central Java

71.03

1.15

21.31

6.51

100

64.27

1.60

19.82

14.31

100

67.62

1.38

20.56

10.44

100

14

DI Yogyakarta*

51.04

0.47

41.45

7.03

100

46.39

0.55

35.27

17.78

100

48.69

0.51

38.33

12.47

100

15

East Java

67.89

2.26

22.69

7.16

100

59.99

2.92

21.16

15.94

100

63.86

2.59

21.91

11.64

100

16

Banten

70.29

2.95

24.13

2.63

100

67.72

3.68

22.38

6.22

100

69.03

3.31

23.27

4.40

100

17

Bali

54.55

0.77

37.45

7.22

100

53.26

0.75

27.37

18.62

100

53.92

0.76

32.47

12.86

100

18

West Nusa Tenggara

67.54

1.88

17.57

13.01

100

59.66

1.78

15.42

23.14

100

63.39

1.83

16.44

18.35

100

19

East Nusa Tenggara

87.57

0.69

1.84

9.90

100

83.55

0.64

1.70

14.10

100

85.54

0.67

1.77

12.02

100

20

West Kalimantan

82.71

1.80

9.52

5.97

100

74.80

2.36

9.33

13.51

100

78.81

2.07

9.43

9.69

100

21

Central Kalimantan

90.73

0.61

6.46

2.20

100

88.42

0.82

6.50

4.26

100

89.61

0.71

6.48

3.20

100

22

South Kalimantan

69.45

1.68

25.60

3.27

100

64.28

2.80

25.39

7.53

100

66.86

2.24

25.50

5.40

100

23

East Kalimantan

71.34

2.77

23.37

2.51

100

69.04

2.83

22.41

5.71

100

70.24

2.80

22.91

4.04

100

24

North Sulawesi

94.84

1.52

2.66

0.98

100

94.14

1.60

3.24

1.01

100

94.49

1.56

2.95

1.00

100

25

Central Sulawesi

75.32

1.66

19.63

3.40

100

71.76

1.86

20.46

5.92

100

73.58

1.76

20.03

4.63

100

26

South Sulawesi

72.43

1.88

15.29

10.39

100

66.81

2.24

16.06

14.89

100

69.53

2.07

15.69

12.72

100

27

Southeast Sulawesi

82.17

1.56

10.68

5.58

100

75.71

2.06

10.42

11.81

100

78.88

1.81

10.55

8.76

100

28

Gorontalo

73.42

1.38

20.66

4.55

100

65.76

1.84

28.72

3.68

100

69.56

1.61

24.72

4.11

100

29

West Sulawesi

75.12

2.28

12.46

10.13

100

70.90

2.63

11.64

14.84

100

72.99

2.46

12.05

12.51

100

30

Maluku

85.39

0.91

11.12

2.59

100

84.21

1.03

11.15

3.61

100

84.79

0.97

11.14

3.11

100

31

North Maluku

80.94

0.71

15.12

3.24

100

78.90

0.85

13.50

6.75

100

79.93

0.78

14.33

4.96

100

32

Papua

68.82

2.52

4.37

24.29

100

60.54

2.45

4.07

32.94

100

64.86

2.49

4.23

28.42

100

33

West Irian Jaya

87.29

1.47

2.86

8.38

100

82.53

2.17

2.08

13.22

100

84.94

1.82

2.48

10.77

100

72.97

1.81

20.34

4.88

100

68.05

2.31

19.30

10.33

100

70.51

2.66

19.82

7.61

100

Indonesia Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.8.a

PERCENTAGE OF LITERACY ON POPULATION AGED 10 YEARS AND OVER BY SEX AND PROVINCE IN 2006 Urban Female

Male No

Provinsi Latin Letters

(1)

(2)

Other Letters

Latin and Other Letters

Illiterate

Total

Latin Letters

Other Letters

Latin and Other Letters

Male + Female Illiterate

Total

Latin Letters

Other Letters

Latin and Other Letters

Illiterate

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

1

Nanggroe Aceh Darussalam

65.57

3.54

29.97

0.92

100

62.75

4.50

30.27

2.49

100

64.13

4.03

30.12

1.72

100

2

North Sumatera

87.20

1.30

10.73

0.77

100

84.84

1.83

11.26

2.07

100

86.01

1.57

11.00

1.43

100

3

West Sumatera

82.66

1.24

14.65

1.45

100

81.53

1.39

15.23

1.85

100

82.09

1.32

14.94

1.65

100

4

Riau

84.38

0.45

14.51

0.66

100

81.81

0.70

16.21

1.28

100

83.10

0.57

15.36

0.97

100

5

Jambi

75.90

1.52

21.82

0.77

100

72.75

2.03

22.37

2.85

100

74.31

1.78

22.10

1.82

100

6

South Sumatera

85.05

2.14

11.83

0.97

100

83.12

2.56

11.88

2.44

100

84.08

2.35

11.86

1.71

100

7

Bengkulu

93.68

1.38

3.47

1.46

100

93.43

1.22

1.99

3.37

100

93.55

1.30

2.72

2.43

100

8

Lampung

88.78

0.99

7.81

2.41

100

84.02

1.27

8.66

6.05

100

86.43

1.13

8.23

4.21

100

9

Bangka Belitung Islands

70.73

2.58

24.41

2.28

100

65.43

5.16

24.92

4.48

100

68.19

3.82

24.66

3.34

100

10

Riau Islands

60.51

1.68

36.23

1.58

100

61.15

1.54

33.21

4.09

100

60.83

1.61

34.73

2.83

100

11

DKI Jakarta

77.96

1.59

19.52

0.93

100

77.53

1.88

18.19

2.39

100

77.75

1.74

18.85

1.66

100

12

West Java

69.08

2.48

26.85

1.59

100

66.22

3.05

26.74

4.00

100

67.66

2.76

26.79

2.79

100

13

Central Java

75.49

1.23

19.17

4.10

100

70.03

1.54

18.03

10.40

100

72.73

1.39

18.59

7.28

100

14

DI Yogyakarta*

53.14

0.35

43.36

3.15

100

49.66

0.77

38.16

11.41

100

51.40

0.56

40.76

7.28

100

15

East Java

74.28

1.74

20.49

3.49

100

68.54

2.30

19.96

9.20

100

71.34

2.03

20.22

6.41

100

16

Banten

74.23

2.95

20.81

2.01

100

71.77

3.59

19.55

5.10

100

73.01

3.27

20.18

3.54

100

17

Bali

55.48

0.73

39.27

4.52

100

56.75

0.84

29.81

12.61

100

56.10

0.79

34.61

8.50

100

18

West Nusa Tenggara

72.91

2.28

16.20

8.60

100

65.71

2.70

13.45

18.14

100

69.21

2.49

14.79

13.51

100

19

East Nusa Tenggara

89.73

1.08

5.01

4.18

100

88.85

1.17

4.84

5.14

100

89.29

1.12

4.93

4.66

100

20

West Kalimantan

81.53

2.09

11.56

4.82

100

76.39

1.99

11.57

10.05

100

78.92

2.04

11.57

7.47

100

21

Central Kalimantan

84.89

0.58

12.78

1.75

100

84.31

0.80

11.87

3.02

100

84.60

0.69

12.33

2.38

100

22

South Kalimantan

73.73

1.48

23.48

1.31

100

71.52

2.25

22.76

3.47

100

72.61

1.87

23.12

2.40

100

23

East Kalimantan

70.19

3.08

25.56

1.17

100

68.68

3.33

24.51

3.47

100

69.46

3.20

25.05

2.28

100

24

North Sulawesi

93.07

2.66

3.49

0.78

100

93.86

2.48

3.31

0.35

100

93.47

2.57

3.40

0.56

100

25

Central Sulawesi

79.59

1.48

17.88

1.05

100

77.28

1.95

19.24

1.53

100

78.42

1.72

18.57

1.30

100

26

South Sulawesi

78.77

1.36

16.10

3.78

100

74.70

1.39

17.55

6.37

100

76.65

1.37

16.85

5.12

100

27

Southeast Sulawesi

73.34

3.19

21.27

2.20

100

69.61

3.75

21.38

5.26

100

71.41

3.48

21.33

3.78

100

28

Gorontalo

65.73

1.24

30.62

2.41

100

61.00

1.97

35.30

1.73

100

63.25

1.62

33.08

2.05

100

29

West Sulawesi

70.18

3.62

20.15

6.06

100

68.30

3.29

21.60

6.80

100

69.22

3.45

20.89

6.44

100

30

Maluku

87.49

0.84

10.60

1.07

100

84.87

1.11

12.88

1.14

100

86.15

0.98

11.77

1.10

100

31

North Maluku

81.64

0.82

16.82

0.72

100

80.86

1.07

15.26

2.82

100

81.25

0.94

16.04

1.77

100

32

Papua

82.83

5.29

10.38

1.50

100

82.23

5.28

10.17

2.32

100

82.54

5.29

10.28

1.89

100

33

West Irian Jaya

94.99

3.52

0.73

0.76

100

92.81

4.10

0.48

2.61

100

93.89

3.81

0.61

1.69

100

74.93

1.84

20.81

2.42

100

71.63

2.27

20.06

6.04

100

73.27

2.06

20.43

4.24

100

Indonesia Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.8.b

PERCENTAGE OF LITERACY ON POPULATION AGED 10 YEARS AND OVER BY SEX AND PROVINCE IN 2006 Rural Male No

Province Latin Letters

(1)

(2)

Other Letters

Latin and Other Letters

Female Illiterate

Total

Latin Letters

Other Letters

Latin and Other Letters

Male + Female Illiterate

Total

Latin Letters

Other Letters

Latin and Other Letters

Illiterate

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

1

Nanggroe Aceh Darussalam

64.48

3.98

27.36

4.18

100

60.71

5.26

25.87

8.15

100

62.56

4.63

26.60

6.20

100

2

North Sumatera

87.33

1.83

8.28

2.55

100

83.67

1.96

8.36

6.01

100

85.50

1.90

8.32

4.29

100

3

West Sumatera

73.55

1.23

22.26

2.96

100

69.22

1.74

22.96

6.07

100

71.32

1.49

22.62

4.56

100

4

Riau

75.18

1.68

21.02

2.12

100

72.07

2.66

20.76

4.51

100

73.67

2.15

20.89

3.28

100

5

Jambi

71.24

3.46

21.97

3.33

100

66.21

5.14

20.12

8.53

100

68.77

4.29

21.06

5.88

100

6

South Sumatera

89.04

1.62

7.09

2.26

100

85.32

2.08

7.16

5.44

100

87.22

1.84

7.12

3.81

100

7

Bengkulu

92.26

0.94

3.14

3.66

100

86.06

1.34

2.73

9.87

100

89.21

1.14

2.94

6.71

100

8

Lampung

79.55

1.00

15.40

4.06

100

74.68

1.42

13.91

9.99

100

77.22

1.20

14.68

6.90

100

9

Bangka Belitung Islands

67.32

1.85

27.61

3.22

100

64.18

1.79

25.72

8.31

100

65.81

1.82

26.71

5.66

100

10

Riau Islands

75.08

0.49

16.89

7.53

100

70.86

0.60

16.87

11.67

100

73.05

0.53

16.98

9.53

100

11

DKI Jakarta

12

West Java

67.05

1.75

27.26

3.93

100

62.88

2.52

25.64

8.96

100

65.00

2.13

26.46

6.40

100

13

Central Java

67.81

1.10

22.85

8.24

100

60.05

1.65

21.13

17.17

100

63.91

1.38

21.99

12.72

100

14

DI Yogyakarta*

48.32

0.63

38.98

12.08

100

42.40

0.28

31.74

25.57

100

45.27

0.45

35.26

19.02

100

15

East Java

63.24

2.63

24.29

9.83

100

53.75

3.36

22.03

20.86

100

58.40

3.01

23.14

15.46

100

16

Banten

65.43

2.95

28.23

3.39

100

62.57

3.79

25.98

7.65

100

64.03

3.36

27.13

5.47

100

17

Bali

53.53

0.81

35.46

10.20

100

49.48

0.64

24.73

25.15

100

51.52

0.73

30.13

17.62

100

18

West Nusa Tenggara

64.07

1.62

18.45

15.85

100

56.06

1.24

16.59

26.11

100

59.79

1.42

17.46

21.34

100

19

East Nusa Tenggara

87.12

0.61

1.18

11.10

100

82.48

0.54

1.07

15.92

100

84.77

0.57

1.12

13.53

100

20

West Kalimantan

83.15

1.69

8.78

6.38

100

74.17

2.50

8.45

14.87

100

78.77

2.09

8.62

10.52

100

21

Central Kalimantan

93.12

0.61

3.89

2.38

100

90.15

0.83

4.24

4.78

100

91.69

0.72

4.06

3.54

100

22

South Kalimantan

66.86

1.81

26.88

4.45

100

59.83

3.14

27.01

10.02

100

63.34

2.47

26.95

7.24

100

23

East Kalimantan

72.69

2.41

20.82

4.08

100

69.49

2.22

19.84

8.45

100

71.18

2.32

20.36

6.14

100

24

North Sulawesi

95.89

0.84

2.17

1.10

100

94.32

1.03

3.20

1.44

100

95.13

0.93

2.67

1.27

100

25

Central Sulawesi

74.22

1.71

20.07

4.00

100

70.22

1.84

20.80

7.14

100

72.29

1.77

20.43

5.52

100

26

South Sulawesi

69.46

2.13

14.91

13.50

100

63.06

2.64

15.35

18.95

100

66.15

2.39

15.14

16.31

100

27

Southeast Sulawesi

84.64

1.11

7.72

6.53

100

77.48

1.57

7.25

13.70

100

81.01

1.34

7.48

10.18

100

28

Gorontalo

76.10

1.42

17.18

5.30

100

67.63

1.79

26.14

4.44

100

71.90

1.60

21.62

4.87

100

29

West Sulawesi

76.01

2.04

11.08

10.87

100

71.37

2.50

9.81

16.31

100

73.67

2.28

10.44

13.62

100

30

Maluku

84.52

0.93

11.33

3.22

100

83.92

0.99

10.42

4.67

100

84.22

0.96

10.87

3.95

100

31

North Maluku

80.69

0.67

14.54

4.10

100

78.19

0.78

12.87

8.16

100

79.47

0.72

13.72

6.09

100

32

Papua

64.27

1.62

2.42

31.69

100

53.48

1.53

2.09

42.90

100

59.12

1.58

2.26

37.04

100

33

West Irian Jaya

83.77

0.53

3.83

11.87

100

77.53

1.24

2.86

18.37

100

80.72

0.88

3.36

15.04

100

71.46

1.78

19.97

6.79

100

65.24

2.35

18.71

13.70

100

68.35

2.07

19.34

10.24

100

Indonesia Source: BPS-Statistic Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

100

100

100

Annex 2.9

PERCENTAGE OF EDUCATIONAL STATUS ON POPULATION AGED 10 YEARS AND OVER BY PROVINCE IN 2006 Urban + Rural No

Province

(1)

(2)

Not Attending School

Attending School Primary

Junior High

Senior High

Dipl. 1 to University

Total School Attendances

Not Attending School Anymore

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

1

Nanggroe Aceh Darussalam

4.97

8.51

8.20

6.51

3.07

26.30

68.73

100.00

2

North Sumatera

2.70

8.84

7.82

6.04

1.80

24.51

72.79

100.00

3

West Sumatera

2.53

9.05

6.81

5.06

2.49

23.41

74.06

100.00

4

Riau

2.93

8.97

7.17

4.96

1.54

22.63

74.44

100.00

5

Jambi

5.53

8.08

5.78

4.11

1.62

19.59

74.88

100.00

6

South Sumatera

3.45

7.97

6.47

4.39

1.36

20.19

76.36

100.00

7

Bengkulu

4.74

8.55

6.65

5.52

2.04

22.75

72.51

100.00

8

Lampung

5.65

8.16

6.55

4.04

1.02

19.77

74.58

100.00

9

Bangka Belitung Islands

5.22

6.74

5.18

4.19

0.86

16.97

77.81

100.00

10

Riau Islands

5.01

6.51

5.32

3.93

0.90

16.66

78.33

100.00

11

DKI Jakarta

1.72

4.53

4.97

4.53

2.76

16.80

81.48

100.00

12

West Java

4.82

7.77

5.48

3.72

1.18

18.14

77.04

100.00

13

Central Java

9.44

6.91

5.80

3.62

1.13

17.45

73.11

100.00

14

DI Yogyakarta*

12.25

4.87

4.47

3.72

6.91

19.98

67.77

100.00

15

East Java

11.49

6.21

5.07

3.29

1.26

15.82

72.69

100.00

16

Banten

5.36

8.31

6.14

4.13

1.44

20.02

74.62

100.00

17

Bali

12.56

5.74

4.78

3.92

1.67

16.11

71.33

100.00

18

West Nusa Tenggara

17.92

8.94

7.12

4.61

1.74

22.41

59.67

100.00

19

East Nusa Tenggara

10.43

11.21

5.47

3.44

1.01

21.13

68.44

100.00

20

West Kalimantan

10.48

9.48

6.23

3.57

1.15

20.43

69.09

100.00

21

Central Kalimantan

2.95

9.49

6.51

4.02

1.22

21.24

75.81

100.00

22

South Kalimantan

4.95

7.61

5.50

3.44

1.14

17.69

77.36

100.00

23

East Kalimantan

4.50

7.78

5.73

4.76

2.01

20.28

75.22

100.00

24

North Sulawesi

0.74

5.93

5.37

4.31

1.58

17.19

82.07

100.00

25

Central Sulawesi

3.93

8.11

5.96

3.84

1.83

19.74

76.33

100.00

26

South Sulawesi

12.09

7.29

5.78

4.13

2.10

19.30

68.61

100.00

27

Southeast Sulawesi

8.48

8.69

7.86

5.32

2.36

24.24

67.28

100.00

28

Gorontalo

2.12

9.12

5.56

3.14

1.14

18.96

78.92

100.00

29

West Sulawesi

11.91

9.06

5.51

3.37

0.95

18.89

69.2

100.00

30

Maluku

3.44

9.21

8.81

6.31

2.08

26.41

70.15

100.00

31

North Maluku

4.28

9.30

7.18

5.48

1.76

23.72

72

100.00

32

Papua

29.22

10.07

6.02

4.00

1.06

21.15

49.63

100.00

33

West Irian Jaya

10.34

11.47

6.45

3.90

0.87

22.69

66.97

100.00

7.43

7.49

5.88

4.04

1.52

18.94

73.63

100

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.9.a

PERCENTAGE OF EDUCATIONAL STATUS ON POPULATION AGED 10 YEARS AND OVER BY PROVINCE IN 2006 Urban No

Province

(1)

(2)

Not Attending School

Attending School Primary

Junior High

Senior High

Dipl. 1 to University

Total School Attendances

Not Attending School Anymore

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

1

Nanggroe Aceh Darussalam

1.62

7.33

7.47

7.66

5.99

28.45

69.93

100.00

2

North Sumatera

1.24

7.23

7.48

6.63

2.94

24.28

74.48

100.00

3

West Sumatera

1.26

7.93

7.06

6.43

5.40

26.83

71.91

100.00

4

Riau

0.92

7.80

6.89

6.11

2.61

23.41

75.67

100.00

5

Jambi

2.23

6.61

5.58

5.63

2.54

20.36

77.41

100.00

6

South Sumatera

2.29

7.07

6.77

6.58

3.04

23.45

74.26

100.00

7

Bengkulu

1.75

7.74

6.04

8.37

4.36

26.51

71.74

100.00

8

Lampung

3.78

6.66

6.06

6.17

2.20

21.08

75.14

100.00

9

Bangka Belitung Islands

3.13

5.50

5.24

5.42

1.16

17.32

79.55

100.00

10

Riau Islands

3.17

5.95

5.12

4.26

0.99

16.33

80.50

100.00

11

DKI Jakarta

1.72

4.53

4.97

4.53

2.76

16.80

81.48

100.00

12

West Java

2.96

7.30

6.20

4.67

1.78

19.95

77.09

100.00

13

Central Java

6.65

6.40

6.05

4.85

1.93

19.23

74.12

100.00

14

DI Yogyakarta*

7.21

4.41

4.01

4.02

11.10

23.55

69.24

100.00

15

East Java

6.30

5.89

5.42

4.42

2.13

17.85

75.85

100.00

16

Banten

4.00

6.69

6.02

5.02

2.21

19.95

76.05

100.00

17

Bali

8.11

5.53

5.01

4.70

2.06

17.30

74.59

100.00

18

West Nusa Tenggara

13.54

7.94

7.31

5.79

2.81

23.85

62.61

100.00

19

East Nusa Tenggara

4.08

7.67

7.49

8.99

3.75

27.91

68.01

100.00

20

West Kalimantan

7.30

8.41

5.68

5.27

2.89

22.25

70.45

100.00

21

Central Kalimantan

2.02

7.90

6.37

6.01

2.97

23.25

74.73

100.00

22

South Kalimantan

2.06

6.82

5.85

4.39

2.04

19.10

78.84

100.00

23

East Kalimantan

2.25

6.82

5.88

5.05

2.92

20.67

77.08

100.00

24

North Sulawesi

0.42

5.36

5.42

4.89

2.77

18.45

81.13

100.00

25

Central Sulawesi

1.22

6.62

6.36

6.90

5.33

25.21

73.57

100.00

26

South Sulawesi

4.22

6.00

5.70

5.93

4.58

22.22

73.56

100.00

27

Southeast Sulawesi

4.06

6.51

7.79

7.77

6.48

28.56

67.38

100.00

28

Gorontalo

1.21

7.55

6.57

5.26

2.19

21.57

77.22

100.00

29

West Sulawesi

5.76

7.03

5.32

6.51

2.79

21.65

72.59

100.00

30

Maluku

1.07

8.09

8.87

8.08

4.31

29.35

69.58

100.00

31

North Maluku

1.77

6.36

6.91

8.29

4.98

26.55

71.68

100.00

32

Papua

2.53

7.53

7.76

7.35

2.33

24.96

72.51

100.00

33

West Irian Jaya

1.66

6.91

7.47

6.93

1.44

22.76

75.58

100.00

4.15

6.50

5.99

5.10

2.55

20.14

75.71

100.00

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.9.b

PERCENTAGE OF EDUCATIONAL STATUS ON POPULATION AGED 10 YEARS AND OVER BY PROVINCE IN 2006 Rural No

Province

(1)

(2)

Not Attending School

Attending School Primary

Junior High

Senior High

Dipl. 1 to University

Total School Attendances

Not Attending School Anymore

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

1

Nanggroe Aceh Darussalam

6.00

8.88

8.43

6.16

2.17

25.64

68.37

100.00

2

North Sumatera

3.90

10.16

8.10

5.56

0.87

24.69

71.41

100.00

3

West Sumatera

3.11

9.55

6.70

4.44

1.16

21.85

75.04

100.00

4

Riau

4.03

9.61

7.32

4.33

0.95

22.21

73.76

100.00

5

Jambi

6.83

8.65

5.86

3.52

1.26

19.29

73.88

100.00

6

South Sumatera

4.07

8.45

6.31

3.23

0.47

18.46

77.47

100.00

7

Bengkulu

5.92

8.87

6.90

4.39

1.12

21.27

72.81

100.00

8

Lampung

6.18

8.59

6.69

3.43

0.68

19.40

74.42

100.00

9

Bangka Belitung Islands

6.76

7.65

5.13

3.29

0.64

16.71

76.53

100.00

10

Riau Islands

11.92

8.63

6.05

2.71

0.54

17.93

70.15

100.00

11

DKI Jakarta

12

West Java

6.92

8.30

4.66

2.64

0.50

16.10

76.98

100.00

13

Central Java

11.46

7.28

5.61

2.72

0.55

16.16

72.38

100.00

14

DI Yogyakarta*

18.60

5.46

5.04

3.34

1.64

15.48

65.92

100.00

15

East Java

15.27

6.45

4.82

2.46

0.62

14.34

70.39

100.00

16

Banten

7.05

10.33

6.30

3.02

0.48

20.13

72.82

100.00

17

Bali

17.42

5.96

4.52

3.08

1.25

14.82

67.76

100.00

18

West Nusa Tenggara

20.63

9.56

7.00

3.89

1.08

21.52

57.85

100.00

19

East Nusa Tenggara

11.74

11.94

5.05

2.30

0.45

19.73

68.53

100.00

20

West Kalimantan

11.68

9.89

6.44

2.93

0.49

19.75

68.58

100.00

21

Central Kalimantan

3.33

10.15

6.57

3.20

0.49

20.41

76.26

100.00

22

South Kalimantan

6.71

8.10

5.28

2.86

0.59

16.83

76.46

100.00

23

East Kalimantan

7.17

8.92

5.56

4.42

0.93

19.83

73.00

100.00

24

North Sulawesi

0.94

6.28

5.33

3.94

0.84

16.40

82.66

100.00

25

Central Sulawesi

4.65

8.51

5.85

3.02

0.89

18.28

77.07

100.00

26

South Sulawesi

15.81

7.90

5.81

3.28

0.93

17.93

66.26

100.00

27

Southeast Sulawesi

9.74

9.32

7.88

4.62

1.19

23.01

67.25

100.00

28

Gorontalo

2.45

9.71

5.19

2.36

0.76

18.00

79.55

100.00

29

West Sulawesi

13.03

9.43

5.54

2.80

0.62

18.39

68.58

100.00

30

Maluku

4.44

9.68

8.79

5.57

1.14

25.18

70.38

100.00

31

North Maluku

5.16

10.34

7.28

4.49

0.63

22.72

72.12

100.00

32

Papua

37.89

10.90

5.45

2.92

0.65

19.92

42.19

100.00

33

West Irian Jaya

14.42

13.62

5.97

2.47

0.60

22.67

62.91

100.00

10.00

8.27

5.79

3.22

0.72

18.00

72.00

100

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.10

PERCENTAGE OF POPULATION AGED 10 YEARS AND OVER BY CERTIFICATE OF HIGHEST EDUCATION AND PROVINCE IN 2006 Urban + Rural Certificate of Highest Education No

Province

(1)

(2)

No Certificate

Primary

Junior High

Senior High

Vocational

Dipl. I / Dipl. II

Academy/

University/

Post

Diploma III

Diploma IV

Graduate

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

1

Nanggroe Aceh Darussalam

23.9

30.44

21.51

17.53

2.02

0.98

1.15

2.32

0.15

100.00

2

North Sumatera

22.96

26.98

21.84

19.11

5.19

0.72

0.96

2.14

0.1

100.00

3

West Sumatera

29.96

25.40

18.64

15.42

5.11

1.09

1.47

2.76

0.14

100.00

4

Riau

23.83

30.67

19.55

17.85

4.07

0.61

1.07

2.18

0.17

100.00

5

Jambi

28.85

31.48

18.60

14.10

3.14

0.89

0.86

2.01

0.07

100.00

6

South Sumatera

26.61

34.66

16.98

15.57

2.93

0.62

0.79

1.77

0.06

100.00

7

Bengkulu

29.12

28.29

19.30

15.12

3.53

0.97

0.98

2.43

0.26

100.00

8

Lampung

32.11

31.51

19.02

10.38

4.24

0.71

0.60

1.40

0.04

100.00

9

Bangka Belitung Islands

32.09

33.37

16.04

11.03

4.38

0.77

1.04

1.23

0.04

100.00

10

Riau Islands

22.14

24.86

16.24

24.04

7.84

0.88

1.52

2.25

0.24

100.00

11

DKI Jakarta

11.91

20.95

19.58

25.24

9.99

1.08

3.67

6.97

0.61

100.00

12

West Java

25.20

36.58

17.03

12.85

3.93

0.76

1.20

2.33

0.12

100.00

13

Central Java

29.88

35.33

17.39

9.92

3.96

0.68

0.93

1.86

0.05

100.00

14

DI Yogyakarta*

25.11

21.56

16.37

19.44

7.84

0.89

2.37

5.88

0.55

100.00

15

East Java

31.12

31.72

16.90

11.96

4.38

0.57

0.59

2.61

0.14

100.00

16

Banten

25.48

32.22

18.21

14.97

4.41

0.88

0.92

2.76

0.15

100.00

17

Bali

28.82

26.96

14.53

18.78

4.29

1.96

0.97

3.40

0.29

100.00

18

West Nusa Tenggara

41.07

26.78

14.34

12.83

1.51

0.81

0.57

2.05

0.05

100.00

19

East Nusa Tenggara

42.03

32.20

11.57

8.65

2.64

0.54

0.60

1.71

0.06

100.00

20

West Kalimantan

39.22

28.41

16.10

11.07

2.35

0.89

0.54

1.34

0.10

100.00

21

Central Kalimantan

22.68

37.16

21.22

12.96

2.78

0.85

0.66

1.64

0.04

100.00

22

South Kalimantan

30.35

32.08

16.90

12.90

3.49

0.89

0.81

2.5

0.08

100.00

23

East Kalimantan

23.93

25.55

19.11

19.65

6.50

0.92

1.33

2.89

0.12

100.00

24

North Sulawesi

21.02

26.60

22.43

20.60

4.95

0.73

0.86

2.62

0.19

100.00

25

Central Sulawesi

25.26

35.77

17.64

13.80

3.13

1.06

0.54

2.64

0.15

100.00

26

South Sulawesi

33.42

27.29

15.79

15.30

2.82

0.92

0.92

3.39

0.16

100.00

27

Southeast Sulawesi

29.79

28.73

18.79

15.55

2.76

1.11

0.63

2.51

0.13

100.00

28

Gorontalo

39.03

32.63

11.89

10.41

3.15

0.60

0.49

1.66

0.13

100.00

29

West Sulawesi

37.82

34.02

13.98

8.84

2.16

0.98

0.51

1.58

0.10

100.00

30

Maluku

21.72

33.88

19.02

18.01

3.50

1.18

0.69

1.9

0.10

100.00

31

North Maluku

30.64

29.85

17.94

15.52

2.34

1.08

0.49

2.07

0.06

100.00

32

Papua

47.77

20.96

12.99

11.09

3.68

0.51

0.83

2.00

0.17

100.00

33

West Irian Jaya

33.97

30.23

17.13

11.55

4.67

0.61

0.49

1.32

0.03

100.00

28.20

31.67

17.56

13.88

4.24

0.77

1.02

2.51

0.14

100.00

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.10.a

PERCENTAGE OF POPULATION AGED 10 YEARS AND OVER BY CERTIFICATE OF HIGHEST EDUCATION AND PROVINCE IN 2006 Urban Certificate of Highest Education No

Province

(1)

(2)

No Certificate

Primary

Junior High

Senior High

Vocational

Dipl. I / Dipl. II

Academy/

University/

Post

Diploma III

Diploma IV

Graduate

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

1

Nanggroe Aceh Darussalam

13.71

20.25

21.87

29.42

4.19

1.52

2.56

6.01

0.47

100.00

2

North Sumatera

15.78

22.15

22.32

25.92

7.05

0.97

1.66

3.95

0.20

100.00

3

West Sumatera

18.09

19.72

19.28

24.14

8.24

1.22

3.03

5.94

0.34

100.00

4

Riau

14.84

20.44

19.79

28.05

8.57

0.79

2.28

4.79

0.44

100.00

5

Jambi

18.54

23.68

19.77

22.78

6.78

1.13

2.16

4.93

0.23

100.00

6

South Sumatera

17.03

23.26

18.86

28.16

5.46

1.09

1.83

4.15

0.15

100.00

7

Bengkulu

16.80

18.40

21.97

25.88

6.20

1.64

2.28

5.9

0.92

100.00

8

Lampung

22.05

23.55

19.71

19.66

7.97

1.10

1.55

4.32

0.10

100.00

9

Bangka Belitung Islands

23.08

27.31

18.82

17.00

7.87

1.36

2.02

2.45

0.10

100.00

10

Riau Islands

16.80

20.86

17.83

28.92

9.65

1.01

1.88

2.75

0.30

100.00

11

DKI Jakarta

11.91

20.95

19.58

25.24

9.99

1.08

3.67

6.97

0.61

100.00

12

West Java

18.61

29.07

19.31

19.63

6.06

1.07

2.00

4.02

0.22

100.00

13

Central Java

23.14

28.92

19.59

15.91

6.14

0.98

1.71

3.49

0.11

100.00

14

DI Yogyakarta*

17.99

15.57

15.74

27.04

9.37

0.79

3.59

9.01

0.90

100.00

15

East Java

22.02

25.67

18.84

19.49

6.79

0.79

1.15

4.97

0.27

100.00

16

Banten

18.46

24.32

20.11

22.54

7.03

1.25

1.51

4.53

0.26

100.00

17

Bali

22.29

23.99

15.30

23.22

5.36

2.66

1.50

5.17

0.51

100.00

18

West Nusa Tenggara

33.94

25.07

15.31

17.17

2.41

0.89

0.99

4.09

0.12

100.00

19

East Nusa Tenggara

20.25

22.00

19.89

22.80

5.73

0.96

1.72

6.38

0.28

100.00

20

West Kalimantan

28.83

21.70

17.15

20.50

4.76

1.55

1.39

3.84

0.29

100.00

21

Central Kalimantan

18.47

24.66

19.99

23.25

5.62

1.46

1.70

4.73

0.14

100.00

22

South Kalimantan

20.74

24.07

19.21

21.61

6.15

0.96

1.68

5.38

0.20

100.00

23

East Kalimantan

17.10

20.79

19.10

26.17

9.19

1.10

2.00

4.35

0.19

100.00

24

North Sulawesi

15.24

18.22

21.64

29.72

7.40

0.80

1.47

5.12

0.39

100.00

25

Central Sulawesi

12.78

19.36

20.40

28.11

6.89

1.67

1.57

8.68

0.54

100.00

26

South Sulawesi

20.30

20.77

16.81

27.13

4.10

1.18

1.89

7.42

0.41

100.00

27

Southeast Sulawesi

17.10

18.04

18.96

29.66

5.71

1.25

1.77

6.97

0.53

100.00

28

Gorontalo

23.97

26.99

17.00

19.23

6.92

0.71

1.02

3.74

0.43

100.00

29

West Sulawesi

24.95

26.72

17.45

15.47

5.35

2.08

1.68

5.76

0.55

100.00

30

Maluku

13.54

21.47

20.37

30.55

5.55

1.78

1.45

5.07

0.22

100.00

31

North Maluku

14.24

20.22

20.66

31.19

4.99

1.58

1.1

5.81

0.21

100.00

32

Papua

14.27

19.30

19.94

25.05

10.10

1.32

2.87

6.57

0.58

100.00

33

West Irian Jaya

15.94

24.06

24.34

21.71

8.99

1.00

0.64

3.24

0.10

100.00

19.30

25.07

19.29

21.53

6.79

1.06

1.91

4.75

0.29

100.00

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.10.b

PERCENTAGE OF POPULATION AGED 10 YEARS AND OVER BY CERTIFICATE OF HIGHEST EDUCATION AND PROVINCE IN 2006 Rural Certificate of Highest Education No

Province

(1)

(2)

No Certificate

Primary

Junior High

Senior High

Vocational

Dipl. I / Dipl. II

Academy/

University/

Post

Diploma III

Diploma IV

Graduate

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

1

Nanggroe Aceh Darussalam

27.04

33.57

21.40

13.86

1.35

0.82

0.72

1.18

0.05

100.00

2

North Sumatera

28.83

30.92

21.46

13.54

3.67

0.51

0.39

0.66

0.02

100.00

3

West Sumatera

35.38

27.99

18.35

11.44

3.68

1.03

0.76

1.31

0.05

100.00

4

Riau

28.77

36.29

19.42

12.24

1.60

0.52

0.41

0.74

0.02

100.00

5

Jambi

32.90

34.53

18.14

10.69

1.72

0.80

0.35

0.86

0.01

100.00

6

South Sumatera

31.68

40.70

15.99

8.90

1.59

0.36

0.25

0.51

0.01

100.00

7

Bengkulu

33.98

32.19

18.25

10.86

2.48

0.71

0.46

1.06

0.01

100.00

8

Lampung

35.01

33.80

18.82

7.70

3.17

0.60

0.32

0.55

0.02

9

Bangka Belitung Islands

38.72

37.83

14.00

6.64

1.82

0.34

0.31

0.33

10

Riau Islands

42.23

39.89

10.25

5.66

1.02

0.40

0.16

0.38

0.02

11

DKI Jakarta

-

-

-

-

-

-

-

-

-

-

12

West Java

32.65

45.08

14.45

5.18

1.51

0.41

0.30

0.42

0.01

100.00

13

Central Java

34.77

40.00

15.79

5.58

2.37

0.46

0.36

0.68

0.01

100.00

14

DI Yogyakarta*

34.07

29.10

17.15

9.85

5.92

1.02

0.84

1.93

0.11

100.00

15

East Java

37.76

36.14

15.48

6.47

2.62

0.41

0.19

0.89

0.04

100.00

16

Banten

34.28

42.11

15.84

5.50

1.14

0.41

0.17

0.54

-

100.00

17

Bali

35.97

30.21

13.69

13.92

3.12

1.19

0.39

1.46

0.06

100.00

18

West Nusa Tenggara

45.47

27.83

13.74

10.14

0.96

0.75

0.31

0.79

0.00

100.00

19

East Nusa Tenggara

46.52

34.30

9.86

5.74

2.00

0.45

0.37

0.75

0.01

100.00

20

West Kalimantan

43.15

30.94

15.70

7.50

1.44

0.64

0.21

0.39

0.02

100.00

21

Central Kalimantan

24.42

42.33

21.73

8.70

1.61

0.61

0.23

0.37

0.00

100.00

22

South Kalimantan

36.22

36.97

15.49

7.59

1.86

0.85

0.27

0.75

0.01

100.00

23

East Kalimantan

32.07

31.23

19.12

11.87

3.31

0.70

0.54

1.15

0.04

100.00

24

North Sulawesi

24.62

31.80

22.91

14.93

3.43

0.68

0.49

1.06

0.07

100.00

25

Central Sulawesi

28.60

40.16

16.91

9.98

2.12

0.90

0.26

1.03

0.04

100.00

26

South Sulawesi

39.63

30.37

15.31

9.71

2.22

0.79

0.46

1.48

0.03

100.00

27

Southeast Sulawesi

33.40

31.77

18.74

11.53

1.92

1.07

0.30

1.24

0.02

100.00

28

Gorontalo

44.61

34.72

9.99

7.14

1.75

0.56

0.30

0.89

0.02

100.00

29

West Sulawesi

40.16

35.35

13.36

7.63

1.58

0.78

0.30

0.82

0.01

100.00

30

Maluku

25.16

39.09

18.46

12.73

2.64

0.93

0.37

0.57

0.04

100.00

31

North Maluku

36.40

33.23

16.98

10.02

1.41

0.90

0.28

0.76

0.01

100.00

32

Papua

58.66

21.50

10.73

6.56

1.59

0.25

0.17

0.52

0.03

100.00

33

West Irian Jaya

42.47

33.14

13.73

6.77

2.64

0.42

0.42

0.41

-

100.00

35.15

36.82

16.21

7.90

2.25

0.55

0.33

0.76

0.02

100.00

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

100.00 100.00 100.00

Annex 2.11

PERCENTAGE OF HOUSEHOLD BY FLOOR WIDTH (M2), TYPE OF AREA AND PROVINCE IN 2006 2 Floor Width (m )

No

Province

(1)

(2)

Urban

Rural

Urban + Rural

<= 19

20-49

50-99

100-149

150+

Total

<= 19

20-49

50-99

100-149

150+

Total

<= 19

20-49

50-99

100-149

150+

Total

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

1

Nanggroe Aceh Darussalam

4.13

39.20

38.43

10.82

7.22

100.00

2.66

62.30

28.75

3.61

2.68

100.00

3.02

57.30

30.85

5.18

3.66

100.00

2

North Sumatera

3.06

37.96

40.38

10.11

8.49

100.00

3.20

56.93

33.74

3.42

2.71

100.00

3.14

48.67

36.63

6.33

5.22

100.00

3

West Sumatera

8.59

31.06

39.94

10.55

9.86

100.00

4.79

42.68

42.71

6.49

3.33

100.00

5.97

39.08

41.85

7.75

5.35

100.00

4

Riau

1.23

48.90

33.11

9.27

7.48

100.00

2.56

55.71

36.89

3.42

1.42

100.00

2.10

53.34

35.58

5.45

3.53

100.00

5

Jambi

3.60

39.77

41.41

9.19

6.03

100.00

1.62

48.12

42.47

5.00

2.79

100.00

2.16

45.86

42.18

6.13

3.67

100.00

6

South Sumatera

6.56

52.68

27.63

7.57

5.56

100.00

4.05

50.76

38.85

3.85

2.49

100.00

4.86

51.38

35.22

5.05

3.48

100.00

7

Bengkulu

10.27

39.06

35.99

7.49

7.20

100.00

4.15

56.22

36.09

1.74

1.80

100.00

5.80

51.59

36.06

3.29

3.26

100.00

8

Lampung

4.34

32.56

49.88

8.36

4.86

100.00

2.02

33.59

56.70

5.86

1.83

100.00

2.51

33.38

55.27

6.38

2.46

100.00

9

Bangka Belitung Islands

2.26

44.31

42.63

6.29

4.50

100.00

1.91

49.10

40.57

5.56

2.86

100.00

2.05

47.16

41.40

5.85

3.53

100.00

10

Riau Islands

12.32

36.89

39.03

7.13

4.62

100.00

5.94

58.21

28.16

4.48

3.21

100.00

11.07

41.07

36.90

6.61

4.35

100.00

11

DKI Jakarta

20.93

31.29

24.74

9.91

13.12

100.00

100.00

20.93

31.29

24.74

9.91

13.12

100.00

12

West Java

5.64

38.67

39.54

10.10

6.06

100.00

2.23

55.07

37.71

3.26

1.72

100.00

3.96

46.73

38.64

6.74

3.93

100.00

13

Central Java

2.32

20.18

53.02

15.29

9.18

100.00

0.52

16.81

58.56

16.14

7.98

100.00

1.25

18.19

56.30

15.79

8.47

100.00

14

DI Yogyakarta*

25.36

15.65

31.21

14.15

13.63

100.00

0.89

11.58

57.12

18.79

11.62

100.00

15.47

14.00

41.69

16.02

12.81

100.00

15

East Java

7.30

28.41

45.25

11.07

7.98

100.00

0.78

32.36

51.21

9.91

5.74

100.00

3.47

30.73

48.75

10.39

6.67

100.00

16

Banten

8.68

32.63

36.93

12.68

9.08

100.00

1.70

50.81

38.51

5.29

3.69

100.00

5.59

40.67

37.63

9.41

6.70

100.00

17

Bali

19.82

30.70

29.88

10.92

8.68

100.00

6.36

53.26

33.34

5.06

1.97

100.00

13.57

41.18

31.49

8.20

5.57

100.00

18

West Nusa Tenggara

15.86

56.62

21.43

2.95

3.14

100.00

14.24

67.26

15.43

1.68

1.38

100.00

14.82

63.41

17.60

2.14

2.02

100.00

19

East Nusa Tenggara

10.40

52.77

26.35

5.29

5.19

100.00

5.43

70.08

21.03

1.68

1.78

100.00

6.21

67.38

21.86

2.24

2.31

100.00

20

West Kalimantan

2.90

40.10

39.54

10.32

7.14

100.00

2.40

61.41

32.56

2.45

1.18

100.00

2.53

55.79

34.40

4.53

2.75

100.00

21

Central Kalimantan

6.27

46.31

37.11

5.93

4.38

100.00

1.33

57.06

39.28

1.57

0.76

100.00

2.78

53.90

38.64

2.85

1.83

100.00

22

South Kalimantan

7.93

42.48

33.67

8.36

7.56

100.00

4.01

47.55

43.21

3.22

2.01

100.00

5.47

45.66

39.66

5.13

4.07

100.00

23

East Kalimantan

6.62

41.96

36.18

8.99

6.25

100.00

1.99

47.93

42.83

4.09

3.16

100.00

4.51

44.68

39.21

6.76

4.84

100.00

24

North Sulawesi

6.27

57.46

23.08

5.54

7.65

100.00

3.22

68.88

24.61

1.86

1.42

100.00

4.38

64.53

24.03

3.26

3.80

100.00

25

Central Sulawesi

8.19

44.24

30.41

10.16

7.00

100.00

3.27

56.40

33.37

4.73

2.22

100.00

4.26

53.96

32.78

5.82

3.18

100.00

26

South Sulawesi

27

Southeast Sulawesi

28 29

9.54

32.58

39.70

11.96

6.23

100.00

1.74

37.14

50.62

7.80

2.70

100.00

4.22

35.69

47.15

9.12

3.82

100.00

10.24

36.04

35.85

10.66

7.22

100.00

2.57

50.43

39.02

5.25

2.73

100.00

4.25

47.27

38.33

6.44

3.71

100.00

Gorontalo

4.54

52.76

27.92

7.95

6.83

100.00

9.00

65.42

19.99

3.43

2.16

100.00

7.79

62.00

22.13

4.65

3.42

100.00

West Sulawesi

5.77

39.99

41.47

6.41

6.34

100.00

5.65

51.59

36.81

3.99

1.96

100.00

5.67

49.89

37.49

4.34

2.61

100.00

30

Maluku

5.13

48.77

35.15

5.48

5.47

100.00

1.03

61.29

31.74

2.86

3.08

100.00

2.21

57.69

32.72

3.61

3.76

100.00

31

North Maluku

3.73

26.39

54.71

11.29

3.89

100.00

0.58

43.82

49.82

5.01

0.77

100.00

1.36

39.52

51.03

6.56

1.54

100.00

32

Papua

14.71

55.39

21.44

4.35

4.11

100.00

34.70

53.73

8.44

1.22

1.91

100.00

30.06

54.12

11.46

1.95

2.42

100.00

33

West Irian Jaya

22.08

52.36

22.76

2.32

0.48

100.00

1.54

79.70

17.53

0.77

0.45

100.00

8.67

70.22

19.35

1.31

0.46

100.00

8.01

33.67

39.56

10.79

7.98

100.00

2.70

43.22

43.20

7.07

3.81

100.00

4.98

39.11

41.63

8.67

5.69

100.00

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic 2006 Remarks: * Bantul District excluded

Annex 2.12

PERCENTAGE OF HOUSEHOLD BY DRINKING WATER SOURCES AND PROVINCE IN 2006 Urban + Rural Protected Drinking Water Source No

Province

(1)

(2)

Packaged Water

Piped Water

Pump

(3)

(4)

(5)

Unprotected Drinking Water Source

Protected Water Spring

Protected well

Rain Water

Total Protected Drinking Water Sources

Unprotected Well

Unprotected Spring

River Water

Others

Total Unprotected Drinking Water Sources

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

1

Nanggroe Aceh Darussalam

4.42

10.93

3.17

4.68

43.24

1.61

68.05

22.74

3.07

5.55

0.58

31.94

2

North Sumatera

2.15

25.89

10.49

7.23

30.57

2.25

78.58

11.87

5.86

3.27

0.42

21.42

3

West Sumatera

1.80

23.05

3.14

8.75

31.72

2.65

71.11

14.95

10.17

3.56

0.21

28.89

4

Riau

5.19

2.66

3.01

2.03

36.17

27.84

76.90

19.80

0.97

2.24

0.09

23.10

5

Jambi

2.03

16.76

1.19

1.44

32.44

13.09

66.95

19.90

1.54

11.51

0.11

33.06

6

South Sumatera

2.26

19.02

1.03

1.92

39.40

6.83

70.46

16.81

1.53

10.72

0.48

29.54

7

Bengkulu

1.34

13.00

2.77

4.55

39.36

0.04

61.06

30.80

4.72

3.28

0.14

38.94

8

Lampung

1.49

4.93

2.38

2.86

58.95

1.59

72.20

21.82

3.50

1.85

0.63

27.80

9

Bangka Belitung Islands

4.09

4.12

5.38

1.85

49.96

-

65.40

30.76

2.07

1.53

0.24

34.60

10

Riau Islands

7.27

37.93

1.13

3.59

28.19

4.19

82.30

11.84

2.64

1.31

1.92

17.71

11

DKI Jakarta

20.80

39.73

33.20

0.70

4.85

0.16

99.44

0.30

-

0.04

0.22

0.56

12

West Java

4.37

12.79

24.18

10.15

34.57

0.03

86.09

7.72

5.46

0.54

0.20

13.92

13

Central Java

1.63

16.77

10.62

12.60

43.95

0.30

85.87

9.00

4.22

0.70

0.21

14.13

14

DI Yogyakarta*

8.75

14.17

6.44

3.60

50.00

4.67

87.63

8.05

3.72

0.14

0.45

12.36

15

East Java

5.32

17.78

15.23

10.49

39.88

0.56

89.26

6.92

2.57

0.58

0.68

10.75

16

Banten

15.28

17

Bali

18

7.62

12.92

33.39

4.75

25.50

0.54

84.72

9.12

2.86

2.68

0.62

15.27

38.27

6.35

13.12

17.12

3.48

93.61

1.70

2.90

1.30

0.49

6.39

West Nusa Tenggara

3.86

16.61

7.75

10.49

46.18

-

84.89

11.09

2.50

1.44

0.09

15.12

19

East Nusa Tenggara

0.67

20.33

0.90

24.28

18.56

2.36

67.10

9.28

18.27

5.16

0.19

32.90

20

West Kalimantan

2.43

9.27

1.13

4.42

7.40

38.43

63.08

10.45

2.77

23.62

0.10

36.94

21

Central Kalimantan

1.09

17.01

10.55

0.69

19.69

5.20

54.23

7.52

0.56

37.56

0.12

45.76

22

South Kalimantan

2.34

34.72

11.45

0.51

16.51

2.32

67.85

12.93

0.97

17.86

0.40

32.16

23

East Kalimantan

3.70

48.29

3.13

2.79

11.88

6.88

76.67

9.58

1.01

12.35

0.39

23.33

24

North Sulawesi

3.45

28.72

5.24

13.43

37.03

1.09

88.96

7.92

2.71

0.35

0.07

11.05

25

Central Sulawesi

2.73

18.12

13.63

16.89

25.67

1.13

78.17

12.07

3.39

6.18

0.19

21.83

26

South Sulawesi

1.62

25.50

10.32

8.40

31.81

0.59

78.24

14.97

4.78

1.88

0.11

21.74

27

Southeast Sulawesi

0.84

28.09

2.49

10.69

32.79

1.68

76.58

16.68

4.50

1.97

0.27

23.42

28

Gorontalo

0.84

16.02

1.81

4.15

53.25

0.08

76.15

16.60

1.16

5.39

0.70

23.85

29

West Sulawesi

0.81

12.80

3.94

10.86

31.49

1.45

61.35

15.39

13.37

9.29

0.60

38.65

30

Maluku

0.58

23.79

2.17

18.45

35.28

1.70

81.97

11.78

4.20

1.55

0.49

18.02

31

North Maluku

0.48

22.50

1.13

5.31

36.31

2.97

68.70

24.98

3.53

2.76

0.04

31.31

32

Papua

3.40

13.84

2.61

9.32

10.04

11.26

50.47

8.80

27.18

13.33

0.22

49.53

33

West Irian Jaya

4.89 4.43

23.09 18.38

1.56 13.63

5.91 8.68

11.01 34.64

10.59 2.53

57.05 82.29

11.74 10.18

18.36 4.18

12.75 2.99

0.11 0.36

42.96 17.71

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

Annex 2.12.a

PERCENTAGE OF HOUSEHOLD BY DRINKING WATER SOURCES AND PROVINCE IN 2006 Urban Protected Drinking Water Source No

Province

(1)

(2)

Packaged Water

Piped Water

Pump

Unprotected Drinking Water Source

Protected Water Spring

Protected well

Rain Water

(7)

(8)

Total Protected Drinking Water Unprotected Well Sources

Others

(11)

(12)

(13)

Total Unprotected Drinking Water Sources

(3)

(4)

(5)

(6)

Nanggroe Aceh Darussalam

15.60

28.27

5.78

2.67

37.15

1.04

90.51

7.22

0.65

0.39

1.22

9.48

2

North Sumatera

4.07

47.93

9.14

2.56

29.62

0.60

93.92

4.93

0.52

0.53

0.10

6.08

3

West Sumatera

4.68

43.77

6.23

4.12

32.61

0.49

91.90

5.81

2.04

0.05

0.20

8.10

4

Riau

13.24

3.83

6.81

4.89

41.32

19.29

89.38

9.78

0.35

0.35

0.14

10.62

5

Jambi

4.40

36.09

1.90

0.29

29.87

16.71

89.26

8.62

0.19

1.74

0.19

10.74

6

South Sumatera

5.12

47.81

0.74

0.80

30.40

1.02

85.89

8.59

0.21

5.00

0.32

14.12

7

Bengkulu

2.79

27.64

7.21

0.63

48.86

-

87.13

11.92

0.87

0.04

0.04

12.87

8

Lampung

4.75

13.79

7.86

0.87

61.42

-

88.69

9.82

0.66

0.40

0.44

11.32

9

Bangka Belitung Islands

7.77

6.99

8.90

3.03

50.12

-

76.81

22.51

0.34

-

0.34

23.19

10

Riau Islands

8.99

46.44

1.29

1.73

28.48

3.68

90.61

6.25

0.43

0.42

2.28

9.38

11

DKI Jakarta

20.80

39.73

33.20

0.70

4.85

0.16

99.44

0.30

-

0.04

0.22

0.56

12

West Java

7.29

17.95

31.58

3.53

33.61

-

93.96

4.65

0.97

0.06

0.37

6.05

13

Central Java

3.27

28.74

13.65

4.06

42.84

-

92.56

6.34

0.38

0.40

0.32

7.44

14

DI Yogyakarta*

14.30

13.28

8.84

0.54

58.35

-

95.31

4.31

0.34

-

0.05

4.70

15

East Java

10.50

30.69

16.99

4.29

31.66

0.13

94.26

4.20

0.67

0.48

0.40

5.75

16

Banten

12.43

19.64

46.98

2.54

14.56

0.35

96.50

2.85

0.25

0.10

0.29

3.49

17

Bali

26.88

39.27

8.48

5.58

17.20

0.04

97.45

1.48

0.78

0.23

0.07

2.56

18

West Nusa Tenggara

7.02

22.67

6.71

6.17

48.61

-

91.18

7.28

1.39

-

0.14

8.81

19

East Nusa Tenggara

2.96

57.92

0.82

1.90

25.23

0.05

88.88

5.98

1.79

2.41

0.93

11.11

20

West Kalimantan

8.05

15.16

0.19

2.19

9.16

56.04

90.79

4.20

0.40

4.37

0.25

9.22

21

Central Kalimantan

3.03

39.60

24.86

0.33

15.51

2.28

85.61

3.22

0.55

10.52

0.10

14.39

22

South Kalimantan

5.54

67.42

3.01

0.02

16.14

-

92.13

4.13

-

3.28

0.46

7.87

23

East Kalimantan

5.36

72.40

2.70

1.85

5.03

5.13

92.47

2.25

0.41

4.55

0.32

7.53

24

North Sulawesi

6.70

38.70

10.84

3.85

31.65

-

91.74

6.98

0.68

0.47

0.13

8.26

25

Central Sulawesi

11.64

40.86

28.01

9.18

8.80

-

98.49

0.40

0.41

0.18

0.52

1.51

26

South Sulawesi

4.19

59.23

7.19

1.53

20.98

0.03

93.15

5.03

0.75

0.97

0.08

6.83

27

Southeast Sulawesi

2.65

58.74

5.50

4.93

20.66

0.03

92.51

6.29

0.83

0.29

0.08

7.49

28

Gorontalo

1.07

34.12

4.76

0.49

52.43

-

92.87

7.12

-

-

-

7.12

29

West Sulawesi

3.37

38.73

9.70

5.70

34.90

-

92.40

5.95

-

0.14

1.51

7.60

30

Maluku

1.89

46.98

4.74

6.86

25.03

4.85

90.35

6.46

0.36

1.43

1.39

9.64

31

North Maluku

0.84

63.65

1.65

0.76

17.35

4.20

88.45

11.55

-

-

-

11.55

32

Papua

8.67

42.48

9.21

6.08

19.37

7.37

93.18

5.75

0.34

0.25

0.48

6.82

33

West Irian Jaya

13.27

45.82

2.44

2.05

11.33

7.38

82.29

14.26

1.86

1.60

-

17.72

8.95

30.8

19.47

3.14

29.98

1.35

93.69

4.77

0.60

0.61

0.33

6.31

Indonesia

Remarks: *) Bantul District excluded

(10)

River Water

1

Source: BPS-Statistics Indonesia, Welfare Statistic

(9)

Unprotected Spring

(14)

Annex 2.12.b

PERCENTAGE OF HOUSEHOLD BY DRINKING WATER SOURCES AND PROVINCE IN 2006 Rural Protected Drinking Water Source No

Province

(1)

(2)

Packaged Water

Piped Water

Pump

(3)

(4)

(5)

Unprotected Drinking Water Source

Protected Water Spring

Protected well

Rain Water

(6)

(7)

(8)

Total Protected Drinking Water Unprotected Well Sources (9)

(10)

Unprotected Spring

River Water

Others

(11)

(12)

(13)

Total Unprotected Drinking Water Sources (14)

1

Nanggroe Aceh Darussalam

1.33

6.14

2.45

5.23

44.92

1.77

61.84

27.03

3.74

6.98

0.41

38.16

2

North Sumatera

0.67

8.89

11.54

10.83

31.30

3.53

66.76

17.21

9.98

5.38

0.67

33.24

3

West Sumatera

0.51

13.74

1.76

10.83

31.32

3.63

61.79

19.05

13.82

5.14

0.21

38.22

4

Riau

0.91

2.04

0.99

0.50

33.44

32.38

70.26

25.13

1.30

3.25

0.07

29.75

5

Jambi

1.16

9.57

0.92

1.87

33.40

11.74

58.66

24.09

2.04

15.14

0.07

41.34

6

South Sumatera

0.89

5.27

1.17

2.45

43.70

9.61

63.09

20.73

2.16

13.45

0.57

36.91

7

Bengkulu

0.80

7.58

1.13

6.00

35.84

0.05

51.40

37.79

6.15

4.48

0.18

48.60

8

Lampung

0.63

2.60

0.93

3.39

58.30

2.01

67.86

24.99

4.24

2.23

0.68

32.14

9

Bangka Belitung Islands

1.59

2.16

2.98

1.05

49.84

-

57.62

36.38

3.25

2.58

0.18

42.39

10

Riau Islands

0.20

2.98

0.49

11.19

26.99

6.29

48.14

34.78

11.74

4.95

0.40

51.87

11

DKI Jakarta

12

West Java

13

Central Java

0.49

8.54

8.55

18.48

44.72

0.51

81.29

10.83

6.86

0.90

0.13

18.72

14

DI Yogyakarta*

0.58

15.49

2.89

8.11

37.71

11.55

76.33

13.57

8.71

0.35

1.05

23.68

15

East Java

1.66

8.68

13.98

14.86

45.67

0.85

85.70

8.85

3.91

0.65

0.88

14.29

16

Banten

1.56

4.44

16.27

7.54

39.28

0.77

69.86

17.02

6.14

5.93

1.04

30.13

17

Bali

1.87

37.12

3.89

21.82

17.03

7.45

89.18

1.95

5.34

2.54

0.98

10.81

18

West Nusa Tenggara

2.06

13.17

8.33

12.94

44.80

-

81.30

13.25

3.14

2.26

0.06

18.71

19

East Nusa Tenggara

0.24

13.37

0.92

28.42

17.32

2.79

63.06

9.89

21.32

5.67

0.05

36.93

20

West Kalimantan

0.41

7.16

1.46

5.21

6.77

32.13

53.14

12.68

3.62

30.51

0.04

46.85

21

Central Kalimantan

0.28

7.62

4.61

0.84

21.43

6.42

41.20

9.31

0.56

48.80

0.13

58.80

22

South Kalimantan

0.44

15.35

16.45

0.79

16.73

3.70

53.46

18.15

1.54

26.49

0.37

46.55

23

East Kalimantan

1.72

19.49

3.64

3.91

20.05

8.97

57.78

18.33

1.74

21.67

0.47

42.21

24

North Sulawesi

1.45

22.57

1.79

19.32

40.35

1.75

87.23

8.50

3.96

0.28

0.03

12.77

25

Central Sulawesi

0.50

12.41

10.02

18.83

29.91

1.41

73.08

15.00

4.14

7.69

0.11

26.94

26

South Sulawesi

0.42

9.78

11.78

11.60

36.87

0.86

71.31

19.61

6.66

2.31

0.13

28.71

27

Southeast Sulawesi

0.33

19.48

1.64

12.31

36.20

2.14

72.10

19.60

5.53

2.44

0.33

27.90

28

Gorontalo

0.75

9.33

0.71

5.51

53.55

0.11

69.96

20.10

1.59

7.38

0.96

30.03

29

West Sulawesi

0.37

8.32

2.95

11.75

30.90

1.70

55.99

17.02

15.67

10.87

0.45

44.01

30

Maluku

0.05

14.43

1.14

23.12

39.42

0.42

78.58

13.93

5.75

1.60

0.13

21.41

31

North Maluku

0.36

9.02

0.96

6.80

42.52

2.56

62.22

29.38

4.69

3.66

0.05

37.78

32

Papua

1.80

5.17

0.61

10.31

7.22

12.43

37.54

9.73

35.30

17.28

0.14

62.45

33

West Irian Jaya

0.44

11.00

1.09

7.96

10.84

12.30

43.63

10.40

27.13

18.67

0.17

56.37

1.02

9.03

9.23

12.85

38.15

3.41

73.69

14.26

6.89

4.78

0.38

26.31

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

-

-

-

-

-

-

1.33

7.44

16.51

17.01

35.57

0.06

0.00 77.92

-

-

-

-

10.90

10.12

1.04

0.02

0.00 22.08

Annex 2.13

PERCENTAGE OF HOUSEHOLD WITH DRINKING WATER SOURCE FROM PUMP/WELL/SPRING BY TYPE OF AREA AND DISTANCE TO THE NEAREST SEPTI TANC/OTHER WASTE DISPOSSAL AND PROVINCE IN 2006

No

Province

(1)

(2)

Urban

Rural

Urban + Rural > 10 m Unknown

< 10 m

> 10 m

Unknown

Total

< 10 m

> 10 m

Unknown

Total

< 10 m

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

Total (14)

1

Nanggroe Aceh Darussalam

33.47

41.22

25.31

100

28.08

37.22

34.70

100

28.89

37.82

33.28

100

2

North Sumatera

38.46

47.71

13.83

100

29.25

44.42

26.33

100

32.09

45.44

22.47

100

3

West Sumatera

30.74

45.64

23.62

100

20.59

45.86

33.55

100

22.91

45.81

31.28

100

4

Riau

47.26

38.38

14.37

100

36.85

43.79

19.36

100

40.53

41.88

17.60

100

5

Jambi

48.59

45.98

5.43

100

27.79

48.49

23.72

100

31.87

48.00

20.14

100

6

South Sumatera

52.17

30.72

17.11

100

22.53

48.71

28.75

100

28.96

44.81

26.23

100

7

Bengkulu

39.21

45.29

15.49

100

25.07

49.23

25.70

100

28.29

48.33

23.37

100

8

Lampung

43.08

45.01

11.92

100

26.97

58.54

14.49

100

30.00

56.00

14.00

100

9

Bangka Belitung Islands

35.83

50.99

13.18

100

27.19

45.78

27.03

100

30.49

47.77

21.73

100

10

Riau Islands

38.79

42.27

18.94

100

18.02

45.40

36.59

100

31.47

43.37

25.16

100

11

DKI Jakarta

40.02

43.95

16.03

100

100

40.02

43.95

16.03

100

12

West Java

44.80

36.57

18.62

100

31.05

37.11

31.84

100

37.39

36.86

25.75

100

13

Central Java

33.28

49.00

17.72

100

18.71

57.98

23.31

100

23.68

54.92

21.40

100

14

DI Yogyakarta*

27.41

54.67

17.92

100

18.58

73.22

8.20

100

23.88

62.08

14.03

100

15

East Java

36.29

46.66

17.05

100

20.41

54.57

25.01

100

25.47

52.05

22.48

100

16

Banten

44.07

34.48

21.45

100

31.71

31.16

37.13

100

37.83

32.80

29.36

100

17

Bali

39.87

42.10

18.04

100

18.37

57.32

24.30

100

27.74

50.69

21.57

100

18

West Nusa Tenggara

30.18

32.54

37.29

100

20.90

36.22

42.87

100

23.92

35.02

41.05

100

19

East Nusa Tenggara

30.07

49.88

20.04

100

10.67

49.57

39.76

100

12.19

49.59

38.22

100

20

West Kalimantan

24.54

55.58

19.88

100

20.33

54.02

25.65

100

21.02

54.27

24.71

100

21

Central Kalimantan

40.68

41.43

17.90

100

24.01

54.62

21.37

100

29.59

50.20

20.21

100

22

South Kalimantan

36.59

54.43

8.98

100

19.70

61.19

19.11

100

23.15

59.81

17.04

100

23

East Kalimantan

27.17

50.07

22.76

100

19.39

60.04

20.57

100

21.22

57.70

21.08

100

24

North Sulawesi

45.35

40.61

14.05

100

26.94

49.13

23.92

100

32.65

46.49

20.86

100

25

Central Sulawesi

46.85

35.93

17.23

100

23.24

34.82

41.94

100

26.34

34.96

38.70

100

26

South Sulawesi

35.69

39.86

24.45

100

17.90

46.66

35.44

100

20.75

45.57

33.68

100

27

Southeast Sulawesi

27.25

50.41

22.34

100

18.51

53.01

28.48

100

19.60

52.69

27.71

100

28

Gorontalo

49.11

39.46

11.43

100

24.63

40.39

34.98

100

30.19

40.18

29.64

100

29

West Sulawesi

40.50

26.80

32.70

100

17.48

41.66

40.85

100

20.02

40.03

39.96

100

30

Maluku

32.39

51.10

16.51

100

15.18

53.04

31.78

100

18.17

52.70

29.12

100

31

North Maluku

37.34

49.61

13.05

100

20.05

42.70

37.25

100

21.92

43.45

34.63

100

32

Papua

38.78

34.03

27.20

100

9.65

58.01

32.34

100

14.41

54.09

31.50

100

33

West Irian Jaya

23.59

47.55

28.86

100

8.20

41.03

50.77

100

11.71

42.52

45.77

100

39.31

42.53

18.16

100

23.41

48.73

27.86

100

28.96

46.57

24.47

100

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

-

-

-

Annex 2.14

PERCENTAGE OF HOUSEHOLDS BY TOILET FACILITY, TIPE OF AREA AND PROVINCE IN 2006

No (1)

(2)

Rural

Urban

Province

Urban + Rural

Private

Shared

Public

None

Total

Private

Shared

Public

None

Total

Private

Shared

Public

None

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

Total (17)

1

Nanggroe Aceh Darussalam

75.86

13.05

4.67

6.42

100

40.81

2

North Sumatera

84.25

10.89

1.63

3.23

100

61.98

7.38

9.84

20.80

100

71.68

8.91

6.26

13.15

100

3

West Sumatera

69.32

17.16

4.12

9.39

100

36.63

15.17

11.98

36.21

100

46.77

15.79

9.54

27.90

100

4

Riau

88.37

9.05

2.02

0.56

100

77.03

9.42

2.21

11.34

100

80.96

9.30

2.14

7.60

100

5

Jambi

82.69

9.68

1.71

5.92

100

54.16

12.85

7.39

25.60

100

61.90

11.99

5.85

20.27

100

6

South Sumatera

79.70

11.93

4.55

3.82

100

57.57

9.28

5.28

27.87

100

64.73

10.14

5.04

20.09

100

7

Bengkulu

82.34

12.34

1.79

3.53

100

53.55

7.22

4.68

34.55

100

61.32

8.60

3.90

26.18

100

8

Lampung

75.37

14.88

2.68

7.07

100

73.43

12.07

2.56

11.94

100

73.83

12.66

2.59

10.92

100

12.42

16.73

30.05

100

48.41

12.55

14.12

24.93

100

9

Bangka Belitung Islands

81.23

6.31

1.24

11.22

100

49.43

5.06

2.90

42.61

100

62.33

5.57

2.23

29.88

100

10

Riau Islands

74.59

20.72

3.25

1.45

100

63.04

6.47

5.34

25.15

100

72.32

17.92

3.66

6.09

100

11

DKI Jakarta

74.74

18.62

6.12

0.52

100

100

74.74

18.62

6.12

0.52

100

12

West Java

73.06

14.73

6.55

5.66

100

47.49

15.36

17.66

19.50

100

60.50

15.04

12.00

12.46

100

13

Central Java

67.21

12.82

3.54

16.43

100

54.00

13.22

6.04

26.74

100

59.38

13.06

5.02

22.54

100

14

DI Yogyakarta*

58.92

35.07

1.27

4.74

100

80.34

14.28

0.38

5.00

100

67.58

26.67

0.91

4.85

100

15

East Java

68.75

15.42

2.78

13.05

100

50.84

14.65

3.65

30.87

100

58.24

14.97

3.29

23.50

100

16

Banten

72.77

17.87

3.21

6.16

100

36.02

14.56

7.33

42.09

100

56.51

16.40

5.03

22.06

100

17

Bali

68.02

24.87

0.56

6.55

100

51.91

17.27

0.39

30.43

100

60.54

21.34

0.48

17.64

100

18

West Nusa Tenggara

44.27

16.51

3.68

35.54

100

27.68

9.52

3.12

59.69

100

33.68

12.05

3.32

50.95

100

19

East Nusa Tenggara

71.54

22.68

1.87

3.91

100

60.93

9.85

1.74

27.47

100

62.59

11.85

1.76

23.79

100

20

West Kalimantan

86.14

7.11

0.82

5.93

100

51.66

7.62

3.69

37.03

100

60.70

7.48

2.93

28.83

100

21

Central Kalimantan

73.04

13.43

4.59

8.94

100

39.69

16.57

8.26

35.49

100

49.48

15.65

7.18

27.70

100

22

South Kalimantan

72.82

16.91

4.80

5.47

100

50.54

13.46

11.25

24.74

100

58.83

14.74

8.85

17.57

100

23

East Kalimantan

81.13

11.87

4.80

2.21

100

67.70

12.22

6.08

14.00

100

75.01

12.03

5.38

7.58

100

24

North Sulawesi

69.57

23.74

3.66

3.04

100

61.76

16.91

3.19

18.13

100

64.74

19.51

3.37

12.39

100

25

Central Sulawesi

70.68

15.17

5.42

8.74

100

40.42

7.76

5.10

46.72

100

46.49

9.25

5.16

39.09

100

26

South Sulawesi

72.19

17.27

2.65

7.89

100

51.69

8.44

2.37

37.50

100

58.21

11.25

2.46

28.09

100

27

Southeast Sulawesi

69.30

18.05

3.80

8.84

100

52.31

7.82

4.66

35.22

100

56.03

10.06

4.47

29.43

100

28

Gorontalo

49.51

27.55

9.38

13.57

100

21.20

13.07

9.97

55.76

100

28.83

16.98

9.81

44.38

100

29

West Sulawesi

60.01

10.64

6.69

22.66

100

34.39

7.79

4.32

53.50

100

38.16

8.20

4.67

48.97

100

30

Maluku

68.81

11.34

7.25

12.60

100

31.55

6.83

16.92

44.70

100

42.26

8.13

14.14

35.47

100

31

North Maluku

70.52

12.89

6.55

10.05

100

28.98

10.77

18.24

42.01

100

39.23

11.29

15.35

34.12

100

32

Papua

74.30

17.57

6.84

1.30

100

35.25

13.59

4.88

46.28

100

44.32

14.51

5.34

35.83

33

West Irian Jaya

65.69

26.21

5.00

3.11

100

27.83

71.97

15.54

4.12

8.38

100

51.65

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

-

-

12.48 12.66

-

9.74 7.50

-

49.95 28.19

100 100

40.97 60.38

17.24 13.90

8.09 6.05

33.69 19.67

100 100 100

Annex 2.15

PERCENTAGE OF HOUSEHOLDS WITH CLEAN WATER (PIPED/NON PIPED) REFERRING TO BACTERIOLOGICAL REQUIREMENT AND DRINKING WATER REFERRING TO HEALTH REQUIREMENT BY PROVINCE, 2004-2006 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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

2004 (3)

Source: DG of Diseases Control & Environmental Health MOH RI

31.97 0.00 69.24 60.32 51.40 84.03 82.74 56.61 36.20 0.00 0.00 73.99 36.26 26.69 40.20 43.00 49.60 34.51 50.86 62.78 0.00 64.06 79.00 0.00 65.96 46.11 29.75 75.74 0.00 54.55 0.00 0.00 0.00 55.89

Clean Water 2005 (4) 64.99 58.25 61 75 62.31 47.2 60.1 56.61 52.6 0 50.73 1.82 38.14 54 82.41 46 34.72 76.21 50.55 63.27 74 72 66 68.5 61.45 60.5 35.75 80 0 0 60 0 0 57.65

2006 (5)

2004 (6) 0 87.76 59 75 52 48.6 62.5 57.03 63 0 55.61 0 0 70 84 44 40.54 63.09 56.97 64.27 75 28.2 0 77 0 61 0 84 0 0 65 0 0 62.44

36.03 0.00 74.51 90.90 93.87 99.88 92.59 100.00 100.00 0.00 0.00 84.12 78.00 29.71 68.02 0.00 86.37 86.30 100.00 76.00 0.00 75.00 74.85 0.00 90.91 70.44 56.30 90.41 0.00 100.00 0.00 62.57 0.00 73.05

Drinking Water 2005 (7) 60.8 55 82.5 60 54.43 70.12 99.3 74.36 100 0 73.21 70 43.27 56 63 24 43.75 36.68 96.2 76.6 74 90 78 65 67.74 74 62.24 76 0 0 54 0 0 81.75

2006 (8) 61.61 90 83 65 57 0 21 77 94 0 0 0 0 29 0 24 50 0 91 78 0 0 0 0 0 0 0 0 0 0 0 0 0 66

Annex 2.16

PERCENTAGE OF HEALTHY HOUSE AND HEALTHY SCHOOL BY PROVINCE, 2004-2006 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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Healthy House 2005 (4)

2004 (3) -

0 50 29.8 50.3 64.47 44 54.4 57.01 62.83

22.7 37.26 61.46 0 0 27.57 37.93 -

70.88 64 22.58 56 70.77 47.53 55.85 48 57.1 37.59 58.66 -

55 33.19 70.63 71 21.37 53 72.9 69.19 53.5 57.27 58.5 50 47.4 71.7 69.82 68 59.91 61 59.91

-

-

0 58.8 26.36 52 72.5 60.99 62.47 58.03 58.77 28 0 69 0 70.5 62.08 75 62.08

50 -

35.39

62

-

0

53 -

68.09

Healthy School 2005

2004 32.2 53.5 35.8 55.5 64.74 51.1 48.8 58 76.29

38

Source: DG of Diseases Control & Environmental Health MOH RI

2006 (5)

61.20

0 0 48.5 0 60.4 0 0 80 0 0 23 0 61.22 50 49.02 36 0 0 78.9 53.18 0 81.3 0 0 0 0 0 0 0 0 0 0 0 62.15

40 55.23 39.5 40 65.39 0 42.6 85 65 0 50 30.08 72.37 60 46.76 36 0 55.3 84.91 53.78 70 0 0 40.36 0 70 0 80 0 0 60 0 0 56.47

2006 50 60 47.9 50 65.68 64 64.44 85.06 71.03 0 65 0 0 61.2 44.38 25.6 0 65.04 88.85 54.95 73 0 0 45 0 73 0 81 0 0 62 0 0 61.77

Annex 2.17

PERCENTAGE OF HEALTHY HOUSEHOLDS BY PROVINCE IN 2006 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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: Center for Health Promotion (Secretariat General MOH)

Healthy Households Total Healthy (4)

Inspected (3) 4,288 2,391 1,844 1,804 1,715 624 812 848 718 616 1,680 1,680 3,112 1,256 4,129 1,366 1,795 51 694 1,488 840 1,293 1,470 210 36,724

1,462 629 541 139 332 128 264 140 251 83 628 470 626 467 723 284 744 20 115 443 126 267 250 36 9,168

% Healthy (5) 34.10 26.31 28.72 7.71 19.36 20.51 32.51 16.51 35 13.47 37.38 27.98 20.12 37.18 17.51 20.79 41.45 39.22 16.57 29.77 15.00 20.65 17.01 17.14 24.96

Annex 2.18

PERCENTAGE OF PUBLIC PLACES AND FOOD HANDLING BASED ON HEALTH REQUIREMENT BY PROVINCE, 2004-2006

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

2004

Healthy Public Places 2005

2006

2004

Healthy Food Handling 2005

2006

(3)

(4)

(5)

(6)

(7)

(8)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Diseases Control & Environmental Health MOH RI

0 70 41 25.43 55.56 0 0 48.64 65.95 0 19 4.001 71.57 78 52.91 46 70.99 0 48.8 72.19 0 81 74.4 0 55.11 68.04 0 73 0 0 0 0 0 56.08

39.2 72.5 40.4 26.73 55.33 63 57.5 50.64 81.33 0 30 66.366 71.41 76 50.24 44 87.35 41.64 42.74 72.71 77.15 77 65.5 73.41 78.44 74.07 73.5 78 0 0 60 0 0 61.65

54 73 49.6 26.73 54.89 65 58.35 50.81 71.73 0 45 40.91 0 75 48.72 38.7 87.5 56.26 45.38 73.96 77.6 77.3 65.5 66 0 75 75 83 0 0 60 0 0 61.34

0 0 7.8 32.68 54.46 0 0 39.01 68.82 0 0 0 74.76 78 26.31 32.49 79.22 0 72.51 76.56 0 83.33 63.5 0 54.01 67.6 0 60 0 0 0 0 0 57.12

40 60 10.8 35 53.35 69 63.86 40.08 67.75 0 26 0 71.3 85 28.94 32.49 80.94 66.98 76.01 77.17 65.75 82.74 61.1 60.14 57.87 75.3 65.75 65 0 0 40 0 0 57.72

54 86 18.9 45 53.4 62.3 56.54 40.18 68 0 50 31.55 0 78.3 38.11 14.47 81.75 56.56 78.9 78.72 67 83.2 61.8 0 0 75 67 73 0 0 40 0 0 58.39

Annex 2.19

PERCENTAGE OF POPULATION HAVING HEALTH COMPLAINT DURING THE REFERENCE MONTH BY KINDS OF HEALTH COMPLAINT AND PROVINCE IN 2006 Urban + Rural Health Complaint No

Province

(1)

(2)

Fever

(3)

Headache

Cough

Common Cold

Diarrhea

(8)

(4)

(5)

(6)

Asthma

(7)

Toothache

Others

(8)

(10)

% Population Having Health Complaint

(11)

1

Nanggroe Aceh Darussalam

45.97

21.46

51.78

49.85

11.26

6.98

12.07

23.83

34.52

2

North Sumatera

41.14

16.87

48.51

44.54

6.89

5.70

7.36

24.03

21.55

3

West Sumatera

38.52

18.82

44.37

41.97

7.30

6.51

6.93

26.96

25.69

4

Riau

38.06

21.02

53.57

50.72

8.23

6.97

9.07

19.43

23.98

5

Jambi

32.25

21.73

50.28

48.11

8.08

6.58

8.81

23.95

25.34

6

South Sumatera

32.06

18.27

51.54

52.07

6.93

6.36

8.67

22.92

25.24

7

Bengkulu

37.07

15.55

51.26

52.67

8.45

6.35

7.66

23.35

24.70

8

Lampung

30.70

19.54

49.96

49.42

5.11

4.42

6.62

27.55

30.75

9

Bangka Belitung Islands

31.58

21.58

49.03

48.68

6.67

6.84

8.85

27.81

30.72

10

Riau Islands

40.57

20.74

53.25

50.21

5.16

6.31

9.46

17.94

28.46

11

DKI Jakarta

32.53

19.05

52.20

49.70

7.37

4.31

5.30

23.16

31.38

12

West Java

32.79

15.85

44.91

45.49

6.10

6.17

6.39

30.71

25.91

13

Central Java

31.26

20.10

50.65

52.28

5.25

4.79

5.49

28.97

27.91

14

DI Yogyakarta*

29.03

25.84

54.29

53.74

5.21

5.35

8.57

27.49

44.39

15

East Java

31.92

17.80

52.11

50.48

5.13

5.40

6.70

23.97

29.40

16

Banten

42.89

22.52

51.90

56.91

6.66

5.84

8.06

16.22

25.40

17

Bali

48.31

18.90

49.77

47.18

5.91

6.82

5.73

22.95

33.96

18

West Nusa Tenggara

46.58

23.65

50.74

51.02

7.80

7.08

7.25

29.61

35.04

19

East Nusa Tenggara

48.91

25.40

61.00

57.85

9.33

8.24

9.04

26.65

35.98

20

West Kalimantan

35.97

19.07

49.72

48.07

7.73

7.71

7.82

21.67

27.42

21

Central Kalimantan

40.78

22.43

58.11

54.19

7.98

7.12

7.89

14.25

26.40

22

South Kalimantan

36.15

22.15

49.68

46.00

6.85

6.08

7.71

23.57

30.87

23

East Kalimantan

34.07

20.93

50.67

51.25

6.73

5.46

8.40

21.45

30.82

24

North Sulawesi

36.90

18.66

52.78

52.81

6.64

3.84

9.22

19.71

29.27

25

Central Sulawesi

44.23

25.97

46.37

39.73

7.34

7.56

11.57

28.76

31.61

26

South Sulawesi

37.69

20.28

40.88

37.18

7.54

6.93

7.76

24.65

25.41

27

Southeast Sulawesi

38.71

20.43

41.57

37.00

7.29

7.40

8.55

25.37

28.21

28

Gorontalo

67.26

26.18

55.02

42.34

9.40

6.51

10.86

15.46

41.20

29

West Sulawesi

45.87

25.54

42.84

41.18

9.54

6.75

9.33

20.44

27.80

30

Maluku

40.08

17.17

52.02

43.12

5.69

5.40

12.62

18.09

29.61

31

North Maluku

46.58

23.55

49.55

28.19

9.02

6.60

8.41

28.48

30.44

32

Papua

40.32

19.75

55.68

52.40

8.33

5.47

8.56

23.76

33.53

33

West Irian Jaya

45.16

12.07

51.90

47.97

5.11

4.48

5.87

18.09

22.13

35.65

19.30

49.92

48.93

6.44

5.83

7.16

25.55

28.15

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

Annex 2.20 PERCENTAGE OF POPULATION GETTING OUTPATIENT CARE AND HAVING SELF-TREATMENT DURING THE REFERENCE MONTH BY TYPE OF AREA AND PROVINCE IN 2006

No

% Population Getting Outpatient Care During Last Month

Province Urban

(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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

Indonesia

Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

Rural

% Population Having Self-Treatment During Last Month

Urban + Rural

Urban

Rural

Urban + Rural

(3)

(4)

(5)

(6)

(7)

(8)

41.14 32.29 40.35 29.53 43.66 31.38 36.12 33.79 40.20 33.21 39.46 39.52 40.72 35.93 36.26 29.77 43.92 34.12 47.66 30.33 30.48 27.28 37.20 33.95 37.15 30.48 21.98 39.90 29.73 26.80 41.13 28.15 30.84 36.93

37.53 27.49 38.40 17.91 22.27 25.89 26.25 29.03 27.43 37.26 32.62 37.93 39.86 32.51 23.29 49.96 36.36 45.37 27.95 24.35 26.54 29.90 31.05 25.94 26.95 22.87 28.61 20.04 16.78 26.31 30.79 30.91 32.12

38.26 29.49 38.92 21.80 28.54 27.84 28.81 30.04 32.07 34.11 39.46 35.88 39.06 37.60 34.05 26.77 46.82 35.49 45.72 28.73 26.39 26.82 33.97 32.06 27.77 28.09 22.68 31.82 21.10 19.36 29.15 30.25 30.88 34.13

66.85 65.37 59.50 68.72 64.39 68.64 67.42 71.59 70.94 71.20 72.57 73.63 68.48 77.11 71.51 67.75 65.30 69.36 62.95 75.01 78.69 76.77 67.71 49.17 74.15 66.95 68.04 80.55 71.04 69.08 83.22 51.56 77.43 70.40

67.56 70.74 68.50 74.03 77.70 71.41 72.88 78.70 65.46 70.71 78.50 70.40 68.62 73.81 69.34 63.54 73.75 55.52 72.84 78.40 77.85 69.15 68.79 75.03 67.56 75.53 81.56 67.90 74.91 81.38 51.33 58.74 72.19

67.41 68.51 66.12 72.26 73.80 70.43 71.47 77.19 67.45 71.09 72.57 76.19 69.62 73.50 72.87 68.49 64.46 72.05 56.64 73.56 78.49 77.45 68.35 61.92 74.89 67.36 73.93 81.27 68.24 73.41 81.73 51.38 66.91 71.44

Annex 2.21

PERCENTAGE OF POPULATION GETTING OUTPATIENT CARE DURING REFERENCE MONTH BY PLACE/METHOD OF TREATMENT AND PROVINCE IN 2006

Place/Method of Treatment No

Province

(1)

(2)

Govt. Hospital

Private Hospital

Total Hospital

Doctor's Practice

Health Center/Sub Health Center

Paramedic

Traditional Healer

Traditional Birth Attendance

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

12.68

2.44

15.12

14.85

47.55

12.64

1.95

0.89

7.01 6.04

Others

1

Nanggroe Aceh Darussalam

2

North Sumatera

9.37

8.68

18.05

22.88

29.00

19.47

3.61

0.95

3

West Sumatera

10.70

2.20

12.90

13.21

35.82

24.82

7.16

0.93

5.16

4

Riau

12.99

8.57

21.56

22.74

41.73

8.84

0.51

2.44

3.50

5

Jambi

9.67

3.77

13.44

22.34

50.25

8.19

1.06

1.13

3.59

6

South Sumatera

7.72

5.37

13.09

17.22

53.14

9.94

1.26

1.70

3.64

7

Bengkulu

6.04

1.40

7.44

22.74

43.07

17.64

2.59

1.02

5.51

8

Lampung

4.26

2.36

6.62

20.74

34.70

30.04

1.63

0.95

5.31

9

Bangka Belitung Islands

4.80

5.95

10.75

17.21

49.95

15.41

1.93

0.73

4.03

10

Riau Islands

13.92

8.23

22.15

21.57

41.61

7.98

0.81

0.74

5.15

11

DKI Jakarta

10.69

10.84

21.53

39.23

31.52

1.74

1.51

0.59

3.88

12

West Java

8.68

5.72

14.40

29.32

44.68

23.14

4.69

0.60

4.74

13

Central Java

6.92

2.53

9.45

26.08

35.57

24.40

1.32

0.39

2.78

14

DI Yogyakarta*

8.15

7.48

15.63

32.39

36.70

11.60

1.59

0.04

2.06

15

East Java

6.07

3.79

9.86

24.89

31.69

27.56

1.72

0.45

3.83

16

Banten

7.51

7.88

15.39

30.86

35.81

10.18

0.60

0.90

6.26

17

Bali

11.12

3.24

14.36

36.16

28.59

16.61

1.11

0.41

2.76

18

West Nusa Tenggara

5.01

0.43

5.44

17.27

52.69

13.65

0.80

0.58

9.57

19

East Nusa Tenggara

8.18

3.12

11.30

8.58

64.32

10.07

0.78

0.30

4.66

20

West Kalimantan

9.00

2.80

11.80

20.15

43.13

17.78

1.72

0.77

4.65

21

Central Kalimantan

7.26

0.85

8.11

14.78

57.27

15.89

1.14

0.42

2.38

22

South Kalimantan

7.11

1.23

8.34

14.49

47.13

24.05

3.11

0.39

2.97

23

East Kalimantan

9.89

6.09

15.98

26.52

50.02

9.38

2.55

0.67

4.56

24

North Sulawesi

8.79

5.76

14.55

27.31

41.33

12.73

0.28

0.65

3.14

25

Central Sulawesi

9.51

1.11

10.62

11.72

51.49

14.22

1.24

0.50

10.21

26

South Sulawesi

12.96

2.03

14.99

13.13

53.43

10.98

0.67

0.52

6.28

27

Southeast Sulawesi

13.44

2.47

15.91

11.44

56.13

9.01

0.94

1.58

4.98

28

Gorontalo

5.47

1.71

7.18

24.37

42.77

16.08

2.32

1.80

5.49

29

West Sulawesi

9.78

0.88

10.66

12.50

63.98

6.92

0.56

0.38

5.00

30

Maluku

8.71

3.62

12.33

13.07

60.97

10.50

0.66

0.37

2.09

31

North Maluku

11.51

6.13

17.64

11.56

48.57

12.72

2.13

1.45

5.94

32

Papua

11.08

4.39

15.47

9.48

65.94

3.81

0.44

0.59

4.27

33

West Irian Jaya

11.51

9.86

21.37

9.01

41.30

7.87

6.81

6.55

7.09

8.22

4.39

12.61

23.85

40.45

19.10

2.13

0.66

4.49

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

Annex 2.22

PROPORTION OF POPULATION HAVING SELF-TREATMENT DURING REFERENCE MONTH BY TYPE OF MEDICINE, AREA AND PROVINCE IN 2006

Type of Area No

Province

(1)

(2)

Urban

Rural

Urban + Rural

Modern

Traditional

Others

Modern

Traditional

Others

Modern

Traditional

Others

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

1

Nanggroe Aceh Darussalam

87.83

37.15

15.80

76.00

54.07

19.55

78.39

50.66

18.79

2

North Sumatera

74.05

33.81

22.48

76.97

47.56

16.66

75.81

42.11

18.97

3

West Sumatera

72.39

38.25

12.52

76.41

47.98

11.76

75.45

45.66

11.95

4

Riau

80.89

39.47

20.13

72.05

56.23

18.21

74.86

50.90

18.83

5

Jambi

80.35

32.94

14.06

82.69

50.55

14.15

82.09

46.05

14.12

6

South Sumatera

79.35

33.57

30.79

76.68

53.82

26.56

77.61

46.82

28.02

7

Bengkulu

79.59

34.18

19.98

71.63

47.98

20.77

73.57

44.61

20.58

8

Lampung

83.62

30.53

13.14

82.02

33.45

14.36

82.33

32.87

14.12

9

Bangka Belitung Islands

89.13

18.50

12.17

83.81

41.07

16.26

85.85

32.43

14.70

10

Riau Islands

79.13

40.70

14.10

65.07

49.78

24.39

76.04

42.69

16.36

11

DKI Jakarta

82.61

31.69

13.94

82.61

31.69

13.94

12

West Java

83.15

30.76

13.22

84.04

35.66

11.11

83.63

33.42

12.08

13

Central Java

87.46

28.15

9.64

87.79

32.46

9.45

87.66

30.74

9.52

14

DI Yogyakarta*

87.83

29.82

7.79

79.72

39.94

14.36

84.61

33.84

10.40

15

East Java

87.09

36.92

10.60

82.79

47.07

13.24

84.53

42.96

12.17

16

Banten

78.85

33.44

18.51

68.65

42.72

14.28

74.07

37.79

16.53

17

Bali

84.34

47.84

9.64

74.83

61.55

9.14

79.83

54.33

9.40

18

West Nusa Tenggara

85.87

37.51

9.70

82.82

44.01

14.17

83.96

41.59

12.51

19

East Nusa Tenggara

86.92

26.40

10.87

73.16

51.68

14.31

75.48

47.43

13.73

20

West Kalimantan

87.76

34.02

8.75

78.85

39.09

19.90

81.84

37.39

16.16

21

Central Kalimantan

91.51

31.31

7.69

84.94

25.64

11.73

87.14

27.54

10.38

22

South Kalimantan

89.53

23.35

7.47

87.79

35.73

10.89

88.43

31.14

9.63

23

East Kalimantan

86.49

32.70

13.01

82.57

36.03

14.38

84.73

34.19

13.63

24

North Sulawesi

89.58

17.77

5.14

86.75

25.38

9.04

87.54

23.26

7.95

25

Central Sulawesi

85.86

20.27

13.74

74.57

50.30

18.82

76.40

45.44

18.00

26

South Sulawesi

85.29

33.24

8.05

79.47

44.34

9.01

81.34

40.77

8.70

27

Southeast Sulawesi

78.63

33.67

13.98

78.42

48.26

11.87

78.46

45.40

12.28

28

Gorontalo

89.91

21.33

7.67

77.99

45.55

23.66

81.35

38.72

19.15

29

West Sulawesi

89.16

38.38

6.18

78.40

50.01

11.42

79.62

48.69

10.82

30

Maluku

87.89

20.77

5.42

66.07

50.97

16.07

71.35

43.67

13.49

31

North Maluku

95.17

30.05

4.27

85.33

46.13

8.29

87.25

42.99

7.51

32

Papua

78.47

26.20

9.05

56.23

56.35

17.10

60.81

50.14

15.44

33

West Irian Jaya

41.98

59.19

6.30

67.83

55.78

10.76

54.76

57.51

8.51

84.14

32.59

12.73

80.98

42.29

13.46

82.28

38.30

13.16

Indonesia Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

-

-

-

Annex 2.23

PERCENTAGE OF CHILDREN AGED 2-4 YEARS WHO WERE BREASTFED BY DURATION AND PROVINCE IN 2006 Urban + Rural No.

Province

(1)

(2)

Duration of Breastfed (Month) ≤5

6-11

12-17

18-23

>24

Total

(4)

(5)

(6)

(7)

(8)

(9)

1

Nanggroe Aceh Darussalam

4.30

7.89

20.13

35.30

32.37

99.99

2

North Sumatera

5.98

12.71

35.34

21.88

24.09

100.00

3

West Sumatera

2.21

5.81

17.73

28.57

45.68

100.00

4

Riau

6.87

8.89

23.70

22.90

37.64

100.00

5

Jambi

3.05

6.98

16.37

22.53

51.07

100.00

6

South Sumatera

4.64

6.13

20.19

22.81

46.24

100.01

7

Bengkulu

2.01

4.58

18.95

27.56

46.91

100.01

8

Lampung

2.60

6.41

20.32

28.14

42.53

100.00

9

Bangka Belitung Islands

5.01

10.81

24.05

15.41

44.72

100.00

10

Riau Islands

8.70

9.69

19.89

18.06

43.65

99.99

11

DKI Jakarta

10.90

16.39

26.53

13.18

32.99

99.99

12

West Java

8.66

9.52

15.13

19.82

46.88

100.01

13

Central Java

4.46

4.58

14.27

23.02

53.68

100.01

14

DI Yogyakarta*

1.80

5.40

13.68

19.81

59.31

100.00

15

East Java

6.80

8.30

17.76

22.58

44.56

100.00

16

Banten

5.30

9.37

22.63

24.86

37.84

100.00

17

Bali

3.42

6.31

18.22

27.65

44.40

100.00

18

West Nusa Tenggara

0.61

3.68

15.90

23.88

55.93

100.00

19

East Nusa Tenggara

1.82

7.42

37.53

18.42

34.81

100.00

20

West Kalimantan

7.17

8.39

19.75

13.71

50.98

100.00

21

Central Kalimantan

2.10

4.55

13.98

18.80

60.56

99.99

22

South Kalimantan

6.10

7.42

12.10

21.51

52.87

100.00

23

East Kalimantan

6.47

13.45

21.52

14.40

44.15

99.99

24

North Sulawesi

7.44

7.52

29.94

14.25

40.85

100.00

25

Central Sulawesi

4.26

6.99

21.81

18.89

48.06

100.01

26

South Sulawesi

2.26

8.72

29.64

21.20

38.18

100.00

27

Southeast Sulawesi

2.04

8.94

30.00

23.44

35.58

100.00

28

Gorontalo

7.24

11.80

26.03

12.23

42.69

99.99

29

West Sulawesi

1.54

5.57

21.90

23.62

47.38

100.01

30

Maluku

5.89

19.81

45.59

14.49

14.22

100.00

31

North Maluku

2.26

8.66

34.03

22.86

32.19

100.00

32

Papua

5.42

15.27

26.88

16.22

36.21

100.00

33

West Irian Jaya Indonesia

2.09

5.70

42.77

15.26

34.18

100.00

5.61

8.48

20.77

21.68

43.46

100.00

Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

Annex 2.23.a

PERCENTAGE OF CHILDREN AGED 2-4 YEARS WHO WERE BREASTFED BY DURATION AND PROVINCE IN 2006 Urban No

Province

(1)

(2)

≤5

6-11

Duration of Breastfed (Month) 12-17

18-23

>24

(4)

(5)

(6)

(7)

(8)

(9)

Total

1

Nanggroe Aceh Darussalam

5.36

12.34

21.26

30.33

30.71

100

2

North Sumatera

7.31

12.11

33.88

19.35

27.34

100

3

West Sumatera

3.15

8.20

18.52

20.19

49.94

100

4

Riau

5.89

11.82

26.97

21.51

33.82

100

5

Jambi

4.77

10.64

21.47

16.89

46.23

100

6

South Sumatera

4.60

7.72

17.56

17.36

52.77

100

7

Bengkulu

1.03

5.08

13.53

26.27

54.09

100

8

Lampung

5.02

7.78

22.30

21.74

43.16

100

9

Bangka Belitung Islands

5.56

13.48

21.86

16.89

42.21

100

10

Riau Islands

9.68

9.92

19.99

17.20

43.22

100

11

DKI Jakarta

10.90

16.39

26.53

13.18

32.99

100

12

West Java

9.14

12.16

16.53

18.29

43.88

100

13

Central Java

5.19

6.29

16.59

21.06

50.86

100

14

DI Yogyakarta*

2.41

7.77

11.66

23.28

54.88

100

15

East Java

8.43

10.63

20.06

20.65

40.23

100

16

Banten

6.09

10.83

23.35

17.97

41.75

100

17

Bali

4.78

8.62

16.67

21.84

48.08

100

18

West Nusa Tenggara

0.91

3.46

14.81

23.97

56.85

100

19

East Nusa Tenggara

3.26

12.72

34.98

14.64

34.40

100

20

West Kalimantan

16.87

14.35

21.82

8.92

38.04

100

21

Central Kalimantan

4.34

4.83

10.74

17.66

62.43

100

22

South Kalimantan

10.56

11.49

11.39

19.40

47.15

100

23

East Kalimantan

5.06

12.35

19.41

13.12

50.06

100

24

North Sulawesi

6.34

7.87

29.56

13.48

42.75

100

25

Central Sulawesi

7.70

10.40

21.18

14.04

46.68

100

26

South Sulawesi

2.17

12.06

29.07

20.75

35.95

100

27

Southeast Sulawesi

5.23

6.72

27.51

18.59

41.94

100

28

Gorontalo

10.87

4.66

24.46

13.09

46.93

100

29

West Sulawesi

2.52

6.09

23.54

16.03

51.82

100

30

Maluku

3.24

12.97

54.68

18.58

10.53

100

31

North Maluku

0.45

3.41

23.04

27.87

45.24

100

32

Papua

8.64

22.22

31.68

8.59

28.87

100

33

West Irian Jaya Indonesia

1.77

9.59

62.27

17.03

9.35

100

7.23

10.83

21.10

18.74

42.10

100

Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

Annex 2.23.b

PERCENTAGE OF CHILDREN AGED 2-4 YEARS WHO WERE BREASTFED BY DURATION AND PROVINCE IN 2006 Rural 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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: BPS-Statistics Indonesia, Welfare Statistic Remarks: *) Bantul District excluded

Duration of Breastfed (Month) ≤5

6-11

12-17

18-23

>24

Total

(4)

(5)

(6)

(7)

(8)

(9)

4.04 5.06 1.85 7.48 2.34 4.66 2.36 1.90 4.62 4.04 8.12 3.95 1.03 5.51 4.42 1.67 0.44 1.59 3.66 1.11 3.40 8.38 8.14 3.51 2.31 1.25 6.25 1.37 6.70 2.81 4.30 2.24 4.44

6.79 13.13 4.92 7.05 5.46 5.29 4.40 6.01 8.85 8.64 6.57 3.39 2.44 6.45 7.76 3.36 3.80 6.55 6.23 4.43 4.95 14.94 7.29 6.25 7.09 9.49 13.74 5.48 21.88 10.26 12.84 3.88 6.76

19.85 36.35 17.44 21.64 14.27 21.56 20.88 19.75 25.65 19.42 13.56 12.68 16.20 15.95 21.84 20.19 16.49 37.95 19.00 15.42 12.52 24.38 30.18 21.94 29.92 30.62 26.46 21.63 42.83 37.39 25.20 33.62 20.54

36.53 23.62 31.71 23.78 24.86 25.67 28.02 29.99 14.34 22.19 21.52 24.36 15.49 24.10 32.43 35.08 23.84 19.04 15.44 19.31 22.79 16.13 14.74 19.95 21.42 24.64 12.00 24.87 13.26 21.33 18.89 14.44 23.81

32.79 21.84 44.08 40.04 53.07 42.82 44.34 42.35 46.54 45.72 50.23 55.61 64.84 47.98 33.54 39.70 55.43 34.87 55.67 59.73 56.34 36.17 39.64 48.35 39.27 34.01 41.54 46.65 15.34 28.21 38.78 45.82 44.45

100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100

Annex 3.1 ESTIMATION OF IMR, UMR, NRR AND TFR BY PROVINCE, 2005 - 2010

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

Infant Mortality Rate (IMR)

Underfives Mortality Rate* (2002-2003)

Estimation Life Expectancy at Birth (eo)

Net Reproduction Rate (NRR)

Total Fertility Rate (TFR)

(2)

(3)

(4)

(5)

(6)

(7)

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 Southeast Sulawesi Gorontalo Maluku North Maluku Papua Indonesia

39 27 32 28 32 31 33 28 32 14 32 25 14 28 39 20 51 35 34 28 40 23 16 40 33 32 33 37 43 34 28

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

Source: BAPPENAS, BPS-Statistics Indonesia, United Nations Population Fund (2003), Indonesia Population Projection 2005 - 2010 *BPS-Statistics Indonesia (2003), Indonesia Demographic and Health (IDHS), 2002 - 2003

67.3 70.5 69.2 70.1 69.1 69.2 68.9 70.1 69.0 74.0 69.0 71.0 74.0 70.0 67.3 72.4 64.4 68.4 68.5 70.0 66.9 71.6 73.6 67.0 68.8 69.1 68.7 67.7 66.3 68.4 69.8

1.10 1.18 1.14 1.11 1.09 1.06 1.03 1.09 1.02 0.73 1.02 1.02 0.66 0.77 1.09 0.89 1.10 1.25 1.14 1.05 0.99 1.05 0.91 1.05 1.04 1.21 1.04 1.25 1.23 1.20 1.01

2.411 2.527 2.459 2.387 2.368 2.291 2.243 2.349 2.217 1.527 2.218 2.181 1.373 1.662 2.399 1.629 2.503 2.742 2.488 2.259 2.180 2.234 1.909 2.313 2.268 2.617 2.259 2.751 2.731 2.761 2.177

Annex 3.2 HUMAN DEVELOPMENT INDEX BY PROVINCE, 1999, 2002, 2005 No

Province

1999

2002

(1)

(2)

(3)

(4)

(5)

65.3 66.6 65.8 67.3 65.4 63.9 64.8 63.0 t.a.d t.a.d 72.5 64.6 64.6 68.7 61.8 t.a.d 65.7 54.2 60.4 60.6 66.7 62.2 67.8 67.1 62.8 63.6 62.9 t.a.d t.a.d 67.2 t.a.d 58.8 t.a.d 64.3

66.0 68.8 67.5 69.1 67.1 66.0 66.2 65.8 65.4 t.a.d 75.6 65.8 66.3 70.8 64.1 66.6 67.5 57.8 60.3 62.9 69.1 64.3 69.9 71.3 64.4 65.3 64.1 64.1 t.a.d 66.5 65.8 60.1 t.a.d 65.8

69.0 72.0 71.2 73.6 71.0 70.2 71.1 68.8 70.7 72.2 76.1 69.9 69.8 73.5 68.4 68.8 69.8 62.4 63.6 66.2 73.2 67.4 72.9 74.2 68.5 68.1 67.5 67.5 65.7 69.2 67.0 62.1 64.8 69.6

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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: BPS-Statistics Indonesia, National Development Planning Agency, UNDP, 2004

2005

Annex 3.3 PERCENTAGE OF 10 MAIN DISEASES OF HOSPITAL OUTPATIENT IN INDONESIA, 2006

No

BTL

Diseases

Number of Visits

%

(1)

(2)

(3)

(4)

(5)

1

167

Other Acute Upper Respiratory Infection

960,460

19.9

2

145

Essensial (primary) hypertension

480,922

9.95

3

268

Unknown fever

409,632

8.48

4

199.9

Other skin and subcutaneous tissue diseases

403,270

8.35

5

270.9

Symptons and other abnormal clinical and laboratory findings

397,478

8.23

6

281

Other injury with trauma and without trauma and multiple body area

347,345

7.19

7

7.1

Other pulmonary tuberculosis

346,906

7.18

8

294

Normal pregnancy monitoring

343,786

7.11

9

104.9

Diabetes mellitus

342,246

7.08

10

005

Diarrhea and gastroenteritic caused by certain infection (colitis infection)

333,066

6.89

Source: DG of Medical Care MOHRI, 2006 Remarks: BTL (Basic Tabulation List)

Annex 3.4 PERCENTAGE OF 10 MAIN DISEASES OF HOSPITAL INPATIENT IN INDONESIA, 2006

No

BTL

Diseases

Patients Discharge

%

(1)

(2)

(3)

(4)

(5)

1

005

Diarrhea and gastroenteritic caused by certain infection (colitis infection)

177,517

7.95

2

032.1

Dengue Hemorrhagic Fever (DHF)

81,392

3.64

3

002

Typhoid and paratyphoid fever

72,804

3.26

4

242.9

Pregnancy complication and other deliveries

63,580

2.85

5

278

Intracranial injury

48,645

2.18

6

268

Unknown fever

46,175

2.07

7

281

Other injury with trauma and without traumaand multiple body area

46,081

2.06

8

169

Pneumonia

37,634

1.69

9

43

Malaria (included all malaria)

36,865

1.65

10

185

Dispeptic

34,029

1.52

Source: DG of Medical Care MOHRI, 2006 Remarks: BTL (Basic Tabulation List)

Annex 3.5 DISTRIBUTION OF HOSPITAL OUTPATIENT BASED ON ICD-X, 2006

BTL

ICD-X

Cause of Illness

(3)

(4)

(5)

No

Chapter

(1)

(2)

1 2

I II

001 - 057,9 A 00-B 99 Certain infectious & parasitic diseases 058.0-096.9 C 00-D 48 Neoplasms

3

III

097-100

D 50-D 89

4 5 6 7 8 9 10 11 12

IV V VI VII VIII IX X XI XII

101 - 111 112-119.9 120-129 130 - 139,10 140 - 142,9 143-164.9 165.0-179.9 180-197 198 - 199

E 00-E 90 F 00-F 99 G 00-G 99 H 00-H 59 H 60-H 95 I 00-I 99 J 00-J 99 K 00-K 93 L 00-L 99

13

XIII

200,0 - 210

M 00-M 99

14 15 16

XIV XV XVI

211 - 233 234-244 245-253.9

N 00-N 99 O 00-O 99 P 00-P 96

17

XVII

254-266.9

Q 00-Q 99

Congenital malformations, deformations and chromosomal abnormalities

18

XVIII

267-270.9

R 00-R 99

19

XIX

271-289

S 00-T 98

20

XX

21

XXI

299.0-306.13 V 00-Y 98 External causes of morbidity and mortality Factors influencing health status and contact with 290.0-298 Z 00-Z 99 health services Total

Source: DG of Medical Care MOHRI, 2006 Remarks: BTL (Basic Tabulation List)

New Patients

Admission Rate

Females

(6)

(7)

415,367 44,022

376,260 101,393

791,627 145,415

1,507,944 323,225

1.90 2.22

9,575

11,933

21,508

43,987

2.05

94,417 44,024 69,250 268,354 108,043 247,772 675,444 426,318 141,268

111,978 34,060 76,044 296,032 104,970 217,297 632,815 479,897 180,004

206,395 78,084 145,294 564,386 213,013 465,069 1,308,259 906,215 321,272

714,502 241,001 359,784 824,210 325,626 1,355,461 2,162,905 1,550,085 567,233

3.46 3.09 2.48 1.46 1.53 2.91 1.65 1.71 1.77

125,290

156,272

281,562

663,410

2.36

94,676 6,134

170,542 75,466 7,142

265,218 75,466 13,276

498,012 101,603 17,128

1.88 1.35 1.29

13,004

10,530

23,534

45,728

1.94

Symptoms, signs and abnormal clinical and laborator findings, not elsewhere classified

318,826

276,376

595,202

932,385

1.57

Injury, poisoning and certain other consequences of external causes

297,129

178,406

475,535

732,316

1.54

136,505

89,365

225,870

258,599

1.14

349,051

643,316

992,367

1,871,700

1.89

3,884,469

4,230,098

8,114,567

15,096,844

1.86

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional and metabolic diseases Mental & behavioral disorders Diseases of the nervous system Diseases of the eye and adnexa Diseases of the ear and Pros. Mastoideus Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium Certain conditions originating in the perinatal period

Total

Number of Visits

Males

(8)

(9)

(10)

Annex 3.6 DISTRIBUTION OF HOSPITAL INTPATIENT BASED ON ICD-X, 2006 No

Chapter

BTL

ICD-X

Cause of Illness

(1)

(2)

1 2

I II

001 - 057,9 A 00-B 99 Certain infectious & parasitic diseases 058.0-096.9 C 00-D 48 Neoplasms

(3)

(4)

(5)

3

III

097-100

D 50-D 89

4 5 6 7 8 9 10 11 12

IV V VI VII VIII IX X XI XII

101 - 111 112-119.9 120-129 130 - 139,10 140 - 142,9 143-164.9 165.0-179.9 180-197 198 - 199

E 00-E 90 F 00-F 99 G 00-G 99 H 00-H 59 H 60-H 95 I 00-I 99 J 00-J 99 K 00-K 93 L 00-L 99

13

XIII

200,0 - 210

M 00-M 99

14 15 16

XIV XV XVI

211 - 233 234-244 245-253.9

N 00-N 99 O 00-O 99 P 00-P 96

17

XVII

254-266.9

Q 00-Q 99

18

XVIII

267-270.9

R 00-R 99

19

XIX

271-289

S 00-T 98

20

XX

299.0-306.13 V 00-Y 98

21

XXI

290.0-298

Z 00-Z 99

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional and metabolic diseases Mental & behavioral disorders Diseases of the nervous system Diseases of the eye and adnexa Diseases of the ear and Pros. Mastoideus Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Symptoms, signs and abnormal clinical and laborator findings, not elsewhere classified Injury, poisoning and certain other consequences of external causes External causes of morbidity and mortality Factors influencing health status and contact with health services Total

Source: DG of Medical Care MOHRI, 2006 Remarks: BTL (Basic Tabulation List)

New Patients Total

Dead Patients

(8)

(9)

(10)

15,984 3,378

3.15 6.12

7,053

129

1.83

39,207 10,183 12,331 12,538 2,032 83,108 78,186 91,686 6,631

69,683 23,031 26,073 26,675 3,823 177,687 173,023 191,958 14,224

5,242 227 2,894 287 35 19,361 6,156 5,739 189

7.52 0.99 11.10 1.08 0.92 10.90 3.56 2.99 1.33

11,591

11,189

22,780

235

1.03

51,021 37,388

48,065 285,904 36,585

99,086 285,904 73,973

3,750 1,318 9,567

3.78 0.46 12.93

5,735

6,626

12,361

541

4.38

65,345

58,772

124,117

3,296

2.66

111,564

59,234

170,798

4,770

2.79

23,572

12,749

36,321

1,010

2.78

74,390

94,001

168,391

925

0.55

1,046,689

1,222,773

2,269,462

85,033

Males

Females

(6)

(7)

273,107 19,537

234,156 35,701

507,263 55,238

3,164

3,889

30,476 12,848 13,742 14,137 1,791 94,579 94,837 100,272 7,593

CFR

Annex 3.7 NUMBER OF MALARIA CASES AND INCIDENCE RATE BY PROVINCE, 2006 No

Province

Number of Patients

API/AMI

(1)

(2)

(3)

(4)

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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006 Remarks:

API = Annual Parasite Incidence (Java+Bali) AMI = Annual Malaria Incidence (outer Java+Bali)

25,220 149,815 2,150 17,099 56,026 58,875 8,064 32,356 44,734 6,140

6.32 16.93 0.90 5.22 20.96 11.00 6.29 5.14 43.05 4.93

29,901 206,566 38,125 105,281 658 32,053 79,958 453,306 3,096 25,679 8,766 8,059 33,321 58,224 9,504 29,942 11,793 1,001 21,258 56,606 363,589 138,901 2,116,066

0.52 0.13 0.10 0.18 0.02 0.55 19.25 105.66 0.90 14.84 3.51 5.01 20.29 25.71 1.53 14.95 15.40 0.87 15.35 58.58 164.75 198.02

Annex 3.8 ANNUAL PARASITE INCIDENCE (API) OF MALARIA IN JAVA-BALI, 2001- 2006

No

Province

(1)

(2)

Year 2001

2002

2003

2004

2005

2006

(3)

(4)

(5)

(6)

(7)

(8)

1

DKI Jakarta

0.01

n.a

n.a

n.a

n.a

n.a

2

West Java

0.02

n.a

n.a

0.16

0.96

0.52

3

Central Java

1.46

n.a

n.a

0.51

0.06

0.13

4

DI Yogyakarta

10.43

n.a

n.a

0.97

0.06

0.10

5

East Java

0.12

n.a

n.a

0.08

0.47

0.18

6

Banten

-

n.a

n.a

n.a

0.00

0.02

7

Bali

0.08

n.a

n.a

0.03

0.02

0.55

0.62

0.47

0,22

0.15

0.15

0.19

Java-Bali

Source: DG of Disease Control & Environmental Health, MOHRI, 2006 Remarks n.a = data not available

Annex 3.9

COVERAGE OF TB PULMONARY CASE DETECTION 2006 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

Coverage of Case Detection

Province

Estimation of Infected Cases

All Cases

(2)

(4)

(5)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

BTA Postive

Case Detection Rate (CDR) %

(6)

(7)

6,486 20,169 7,085 8,011 4,332 12,245 2,850 11,842 1,578 2,180 9,369 42,533 34,243 2,119 38,194 10,240 2,190 9,290 8,789 9,385 4,615 6,914 6,060 4,556 5,146 15,946 4,497 1,846 2,131 2,461 1,658 5,415 -

4,274 18,969 5,131 4,003 2,981 7,660 1,768 6,788 1,059 1,249 18,749 53,707 33,543 2,283 35,975 14,131 2,690 5,751 5,783 5,688 2,078 5,032 3,111 4,778 2,898 10,211 3,685 1,703 1,319 2,785 913 6,894 -

3,251 16,678 3,650 2,597 2,610 5,101 1,343 4,614 785 823 7,301 30,515 17,330 1,232 23,068 7,745 1,374 3,756 3,772 4,513 1,623 3,577 2,056 4,149 2,430 8,446 3,187 1,509 1,135 1,546 529 3,075 -

50.12 82.69 51.52 32.42 60.25 41.66 47.13 38.96 49.74 37.75 77.93 71.74 50.61 58.14 60.40 75.63 62.73 40.43 42.92 48.09 35.17 51.74 33.93 91.07 47.22 52.97 70.87 81.75 53.27 62.81 31.90 56.78

304,373

277,589

175,320

75.68

Annex 3.10

NUMBER OF NEW CASES IN TB PULMONARY AFB+ BY SEX AND PROVINCE, 2006 Sex No

Males

Province Total

(1)

(2)

1

Nanggroe Aceh Darussalam

2

Females %

(3)

Total

(4)

Males + Females

%

(5)

(6)

(7)

2,091

64.32

1,160

35.68

3,251

North Sumatera

10,791

64.70

5,887

35.30

16,678

3

West Sumatera

2,384

65.32

1,266

34.68

3,650

4

Riau

1,678

64.61

919

35.39

2,597

5

Jambi

1,597

61.19

1,013

38.81

2,610

6

South Sumatera

3,172

62.18

1,929

37.82

5,101

7

Bengkulu

841

62.62

502

37.38

1,343

8

Lampung

2,844

61.64

1,770

38.36

4,614

9

Bangka Belitung Islands

489

62.29

296

37.71

785

1,678

64.61

919

35.39

2,597

11 DKI Jakarta

4,416

60.48

2,885

39.52

7,301

12 West Java

17,317

56.75

13,198

43.25

30,515

9,515

54.90

7,815

45.10

17,330

726

58.93

506

41.07

1,232

12,745

55.25

10,323

44.75

23,068

4,638

59.88

3,107

40.12

7,745

779

56.70

595

43.30

1,374

18 West Nusa Tenggara

2,283

60.78

1,473

39.22

3,756

19 East Nusa Tenggara

2,052

54.40

1,720

45.60

3,772

20 West Kalimantan

2,915

64.59

1,598

35.41

4,513

21 Central Kalimantan

1,028

63.34

595

36.66

1,623

22 South Kalimantan

2,210

61.78

1,367

38.22

3,577

23 East Kalimantan

1,295

62.99

761

37.01

2,056

24 North Sulawesi

2,514

60.59

1,635

39.41

4,149

25 Central Sulawesi

1,438

59.18

992

40.82

2,430

26 South Sulawesi

4,913

58.17

3,533

41.83

8,446

27 Southeast Sulawesi

10 Riau Islands

13 Central Java 14 DI Yogyakarta 15 East Java 16 Banten 17 Bali

1,875

58.83

1,312

41.17

3,187

28 Gorontalo

845

56.00

664

44.00

1,509

29 West Sulawesi

695

61.23

440

38.77

1,135

30 Maluku

861

55.69

685

44.31

1,546

31 North Maluku

319

60.30

210

39.70

529

1,754

57.04

1,321

42.96

3,075

59.12

72,396

40.88

177,094

32 Papua 33 West Irian Jaya

Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

104,698

-

-

Annex 3.11

NUMBER OF NEW CASES IN TB PULMONARY AFB+ BY AGE GROUP, SEX AND PROVINCE, 2006

No

0 - 14

Province

15 - 24

25 - 34

Age Group (Year) 45 - 54

35 - 44

55 - 64

65≤

Total

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

T

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(1)

(2)

1

Nanggroe Aceh Darussalam

12

16

247

185

400

254

425

216

464

226

394

198

149

65

2,091

1,160

3,251

2

North Sumatera

39

69

1302

998

2123

1326

2389

1351

2467

1182

1688

658

783

303

10,791

5,887

16,678

3

West Sumatera

20

18

386

275

517

293

415

220

463

227

357

137

226

96

2,384

1,266

3,650

4

Riau

17

14

225

170

377

216

386

197

342

178

222

105

109

39

1,678

919

2,597

5

Jambi

18

10

189

152

351

248

312

215

328

198

257

134

142

56

1,597

1,013

2,610

6

South Sumatera

44

31

465

355

673

502

666

377

594

345

494

234

236

85

3,172

1,929

5,101

7

Bengkulu

7

9

121

105

167

116

177

98

161

89

144

62

64

23

841

502

1,343

8

Lampung

36

28

382

307

612

428

569

368

556

286

457

244

232

109

2,844

1,770

4,614

9

Bangka Belitung Islands

785

3

0

73

56

116

88

96

47

87

58

74

33

40

14

489

296

10 Riau Islands

64

48

61

63

128

99

106

34

78

24

60

22

27

9

524

299

823

11 DKI Jakarta

76

64

1014

749

1295

833

823

509

627

401

391

225

190

104

4,416

2,885

7,301

12 West Java

135

161

3574

3258

4632

3579

3242

2569

2795

1941

1992

1267

947

423

17,317

13,198

30,515

70

84

1528

1688

1940

1903

1789

1532

1779

1277

1572

987

837

344

9,515

7,815

17,330

4

4

120

112

161

132

103

79

142

73

104

68

92

38

726

506

1,232

115

138

1811

1901

2398

2415

2446

2170

2775

1880

2355

1427

845

392

12,745

10,323

23,068

25

31

894

696

1151

859

971

688

809

480

571

263

217

90

4,638

3,107

7,745

4

5

99

107

176

173

136

99

154

87

133

74

77

50

779

595

1,374

18 West Nusa Tenggara

16

17

283

240

428

293

383

271

523

318

506

292

144

42

2,283

1,473

3,756

19 East Nusa Tenggara

21

17

282

299

401

364

332

290

379

303

374

301

263

146

2,052

1,720

3,772

20 West Kalimantan

21

22

352

261

568

361

531

313

651

326

553

231

239

84

2,915

1,598

4,513

7

6

112

96

206

137

225

149

227

103

156

60

95

44

1,028

595

1,623

22 South Kalimantan

16

21

268

187

401

305

479

302

484

316

404

192

158

44

2,210

1,367

3,577

23 East Kalimantan

18

22

189

164

281

174

302

166

243

123

185

88

77

24

1,295

761

2,056

24 North Sulawesi

20

21

344

248

511

394

489

317

515

299

364

217

271

139

2,514

1,635

4,149

13 Central Java 14 DI Yogyakarta 15 East Java 16 Banten 17 Bali

21 Central Kalimantan

25 Central Sulawesi

8

8

166

164

299

230

293

227

345

182

228

140

99

41

1,438

992

2,430

26 South Sulawesi

17

27

623

553

992

781

959

689

964

710

968

601

390

172

4,913

3,533

8,446

27 Southeast Sulawesi

15

18

259

210

371

282

385

265

354

241

346

204

145

92

1,875

1,312

3,187

28 Gorontalo

2

3

117

106

182

136

210

152

187

141

115

87

32

39

845

664

1,509

29 West Sulawesi

2

8

85

63

130

91

148

87

150

88

122

74

58

29

695

440

1,135

13

18

150

102

182

167

152

144

143

123

112

85

109

46

861

685

1,546

4

3

53

36

77

61

63

39

54

40

48

22

20

9

319

210

529

30

44

511

471

506

388

330

241

219

111

123

54

35

12

1,754

1,321

3,075

30 Maluku 31 North Maluku 32 Papua 33 West Irian Jaya Indonesia

0 899

0 985

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

0

0

0

0

0

0

0

0

0

0

0

0

-

-

-

16,285

14,377

22,752

17,628

20,332

14,421

20,059

12,376

15,869

8,786

7,348

3,203

103,544

71,776

175,320

Annex 3.12 NUMBER OF AIDS CUMULATIVE CASES, DEATHS, AND CASE RATE PER 100,000 POPULATION BY PROVINCE, UP TO DECEMBER 31, 2006 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

Case

(2)

(3)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Total

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Death

Case Rate

(4)

(5)

6 242 64 97 83 91 23 102 50 203 2,565 940 290 89 863 42 399 62 29 553 1 12 10 101 2 143 2 3 0 119 3 947 58

2 48 32 40 29 22 6 32 3 91 420 138 138 11 258 11 74 16 4 106 1 5 8 37 1 62 1 53 1 221 -

8,194

1,871

0.15 1.96 1.41 2.13 3.08 1.35 1.43 1.42 4.81 16.94 28.15 2.40 0.74 2.71 2.33 0.46 11.44 1.49 0.69 13.56 0.05 0.37 0.34 4.68 0.09 1.91 0.10 0.33 0.00 8.94 0.33 51.42 10.24

Annex 3.13 NUMBER AND PERCENTAGE OF AIDS CASES ON IDU BY PROVINCE, UP TO DECEMBER 31, 2006 No

Province

Cumulative Cases

(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

IDU of AIDS Cases Total

%

(4)

(5)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

6 242 64 97 83 91 23 102 50 203 2,565 940 290 89 863 42 399 62 29 553 1 12 10 101 2 143 2 3 0 119 3 947 58

1 110 53 15 49 52 15 83 15 21 1,839 757 86 55 475 38 124 30 4 106 1 7 4 24 1 91 2 50 1 4 5

16.67 45.45 82.81 15.46 59.04 57.14 65.22 81.37 30.00 10.34 71.70 80.53 29.66 61.80 55.04 90.48 31.08 48.39 13.79 19.17 100.00 58.33 40.00 23.76 50.00 63.64 66.67 42.02 33.33 0.42 8.62

Total

8,194

4,118

50.26

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Annex 3.14 NUMBER AND PERCENTAGE OF AIDS NEW CASES QUARTERLY BY PROVINCE, 2006 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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Total %

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Quarter I

Quarter II

Number of New Cases Quarter III

Quarter IV

(3)

(4)

(5)

(6)

0 5 6 0 21 7 0 29 8 6 174 90 19 0 22 0 23 14 0 36 0 0 1 7 0 0 2 0 0 25 0 7 0 502

1 58 18 0 4 0 0 0 2 16 105 93 25 8 44 0 31 1 0 85 0 0 2 0 0 0 0 0 0 7 0 9 0 509

0 4 1 0 0 18 0 0 0 10 188 257 32 62 30 0 27 2 0 0 0 0 0 0 0 0 0 0 0 5 2 17 0 655

17.47

17.72

22.80

Total (7)

2 50 20 0 28 7 0 6 6 18 171 159 115 0 43 0 92 2 0 325 0 6 0 0 0 0 0 1 0 16 0 133 7 1,207 42.01

3 117 45 0 53 32 0 35 16 50 638 599 191 70 139 0 173 19 0 446 0 6 3 7 0 0 2 1 0 53 2 166 7 2,873 100.00

Annex 3.15

ESTIMATION OF POPULATION THAT EASILY INFECTED BY HIV, 2006

No

Province

IDU

IDU Partner

Female Sex Worker

Customer of Female Sex Worker

Customer Partner of Female Sex Worker

(2)

(3)

(4)

(5)

(6)

(7)

(1)

Homosexual Transsexual (8)

(9)

Customer of Transsexual

Prisoner

(10)

(11)

Common People

Average

(12)

(13)

1

Nanggroe Aceh Darussalam

1,030

150

40

180

40

120

20

20

30

-

1,630

2

North Sumatera

7,220

1,020

380

1,740

400

500

190

130

270

-

11,840

3

West Sumatera

2,750

390

50

200

50

110

30

20

60

-

3,660

4

Riau

1,660

240

730

2,160

280

180

360

230

110

-

5,940

5

Jambi

2,200

310

80

290

30

100

30

10

50

-

3,100

6

South Sumatera

3,390

480

260

870

210

240

180

110

110

-

5,850

7

Bengkulu

730

110

140

340

80

60

60

40

-

-

1,550

8

Lampung

3,260

460

170

540

130

250

80

50

50

-

4,990 2,090

9

Bangka Belitung Islands

1,060

150

130

400

90

30

120

70

30

-

10

Riau Islands

2,020

290

370

950

120

70

60

40

10

-

3,910

11

DKI Jakarta

16,680

2,370

1,360

3,720

670

550

210

120

1,150

-

26,810

12

West Java

10,640

1,510

1,080

3,310

520

1,980

430

250

1,270

-

20,980

13

Central Java

3,500

500

550

1,810

460

1,200

200

100

140

-

8,480

14

DI Yogyakarta

2,050

290

110

310

80

140

70

40

40

-

3,130

15

East Java

10,350

1,470

940

3,820

640

1,580

470

300

360

-

19,920

16

Banten

3,060

430

130

430

70

450

40

20

1,000

-

5,630

17

Bali

1,640

230

330

1,260

330

150

60

30

50

-

4,070

18

West Nusa Tenggara

260

40

60

160

20

140

80

40

40

-

850

19

East Nusa Tenggara

1,320

190

120

280

40

110

30

10

70

-

2,160

20

West Kalimantan

1,670

240

150

400

70

180

120

60

30

-

2,910

21

Central Kalimantan

800

110

250

540

100

90

110

60

20

-

2,070

22

South Kalimantan

1,840

260

60

160

30

80

40

20

70

-

2,560

23

East Kalimantan

3,680

520

320

830

140

150

300

150

40

-

6,120

24

North Sulawesi

610

90

120

290

50

80

60

40

40

-

1,370

25

Central Sulawesi

1,130

160

80

290

50

80

50

40

40

-

1,910

26

South Sulawesi

3,810

540

190

1,220

170

270

150

110

100

-

6,560

27

Southeast Sulawesi

300

40

50

170

30

270

40

30

20

-

750

28

Gorontalo

130

20

50

140

20

30

30

20

-

-

450

29

West Sulawesi

360

50

30

100

20

30

10

10

10

-

610

30

Maluku

270

40

150

410

100

40

60

30

20

-

1,110

31

North Maluku

360

50

50

150

30

20

20

10

-

-

690

32

Papua

160

20

220

510

80

60

40

20

-

21,110

22,220

33

West Irian Jaya Indonesia

90

10

180

390

40

20

40

20

-

6,370

7,170

90,030

12,780

8,930

28,370

5,190

9,360

3,790

2,250

5,230

27,480

193,090

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Annex 3.16

NUMBER OF PNEUMONIA CASES ON UNDERFIVES BY PROVINCE, 2006 Realization of Pneumonia Underfives Findings

Underfive Deaths Caused by Pneumonia

No

Province

Underfives in PKM Program Area

Target of Pneumonia Underfives Findings (10%)

Age < 1

Age 1 - 4

Total

%

Age < 1

Age 1 - 4

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

1

Nanggroe Aceh Darussalam

2

North Sumatera

Total (11)

379,251

37,925

1,123

4,200

5,323

14.04

-

-

-

1,213,987

121,399

14,603

26,704

41,307

34.03

-

-

-

3

West Sumatera

455,581

45,558

4,687

12,665

17,352

38.09

-

-

-

4

Riau

449,139

44,914

2,949

6,446

9,395

20.92

-

-

-

5

Jambi

263,074

26,307

1,348

5,594

6,942

26.39

-

-

-

6

South Sumatera

788,345

78,835

9,776

18,089

27,865

35.35

-

-

-

7

Bengkulu

178,100

17,810

1,298

1,065

2,363

13.27

-

-

-

8

Lampung

762,762

76,276

4,074

7,261

11,335

14.86

-

-

-

9

Bangka Belitung Islands

-

107,260

10,726

2,255

6,070

8,325

77.62

-

-

10 Riau Islands

126,552

12,655

94

139

233

1.84

-

-

-

11 DKI Jakarta

837,907

83,791

1,858

3,876

5,734

6.84

-

-

-

12 West Java

3,975,070

397,507

70,786

128,499

199,285

50.13

63

19

82

13 Central Java

3,479,694

347,969

14,977

30,390

45,367

13.04

-

-

-

241,046

24,105

137

314

451

1.87

-

-

-

15 East Java

3,054,408

305,441

27,155

48,625

75,780

24.81

-

-

-

16 Banten

10

14 DI Yogyakarta

1,223,515

122,352

6,676

10,133

16,809

13.74

5

5

17 Bali

334,230

33,423

2,573

4,675

7,248

21.69

-

-

-

18 West Nusa Tenggara

535,489

53,549

21,079

30,802

51,881

96.89

46

7

53

19 East Nusa Tenggara

426,029

42,603

5,711

6,557

12,268

28.80

-

-

-

20 West Kalimantan

466,782

46,678

3,845

6,960

10,805

23.15

-

-

-

21 Central Kalimantan

195,843

19,584

364

668

1,032

5.27

-

-

-

22 South Kalimantan

357,691

35,769

5,704

10,905

16,609

46.43

-

-

-

23 East Kalimantan

275,074

27,507

5,121

6,776

11,897

43.25

-

-

-

24 North Sulawesi

210,327

21,033

1,832

2,381

4,213

20.03

-

-

-

25 Central Sulawesi

234,568

23,457

4,993

8,098

13,091

55.81

-

-

-

26 South Sulawesi

793,615

79,362

5,518

9,947

15,465

19.49

-

-

-

27 Southeast Sulawesi

197,563

19,756

2,375

4,959

7,334

37.12

-

-

-

91,484

9,148

1,669

2,348

4,017

43.91

-

-

-

29 West Sulawesi

109,840

10,984

858

1,648

2,506

22.82

-

-

-

30 Maluku

152,344

15,234

769

1,006

1,775

11.65

-

-

-

90,953

9,095

2,517

4,569

7,086

77.91

-

-

-

259,673

25,967

625

949

1,574

6.06

-

-

-

62,964

6,296

33

0.52

-

-

-

22,330,160

2,233,016

642,700

28.78

114

31

145

28 Gorontalo

31 North Maluku 32 Papua 33 West Irian Jaya Indonesia Source: DG of Disease Control & Environmental Health, MOHRI, 2006

229,349

413,318

Annex 3.17

LEPROSY SITUATION BY PROVINCE, 2006 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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia %

Source: DG of Disease Control & Environmental Health, MOHRI, 2006 Remarks: PB= Pausi Basiler, MB=Multi Basiler

PB (3)

127 29 7 21 2 35 4 23 9 171 450 186 1 504 82 9 57 46 34 5 20 23 69 72 214 31 14 33 46 133 234 270 2,961 13.01

Reported Cases MB

Total

(4)

(5)

567 224 95 159 71 289 4 153 38 1,042 2,771 1,797 32 5,610 542 165 256 424 219 76 275 192 425 289 1,436 233 273 194 392 624 564 371 19,802 86.99

Prevalence Rate /10,000 Population (6)

694 253 102 180 73 324 8 176 47 1,213 3,221 1,983 33 6,114 624 174 313 470 253 81 295 215 494 361 1,650 264 287 227 438 757 798 641 22,763 100.00

1.61 0.20 0.22 0.33 0.28 0.48 0.05 0.24 0.46 1.34 0.81 0.62 0.10 1.65 0.67 0.52 0.76 1.14 0.58 0.41 0.93 0.73 2.25 1.50 2.24 1.34 3.15 2.64 2.88 9.49 4.04 9.13 1.03

Annex 3.18

NUMBER OF NEW LEPROSY CASES AND PHYSICAL DEFECT BY PROVINCE, 2006 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 31 32 33

(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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006 Remarks: PB= Pausi Basiler MB= Multi Basiler

PB (3)

151 38 32 6 7 25 2 21 13 107 386 303 4 732 72 26 118 39 20 14 22 23 89 112 358 52 12 47 61 179 292 187 3,550

New Cases MB (4)

406 165 75 19 62 160 7 118 33 569 1,802 1,460 66 4,628 299 142 233 203 137 75 149 136 357 268 1,278 206 155 112 319 458 460 193 14,750

Total (5)

557 203 107 25 69 185 9 139 46 676 2,188 1,763 70 5,360 371 168 351 242 157 89 171 159 446 380 1,636 258 167 159 380 637 752 380 18,300

Case Detection Rate/ 2nd Level of Physical Defect Total % 100,000 population (6)

(7)

12.92 1.60 2.36 0.46 2.64 2.47 0.53 1.92 4.78 7.59 5.76 5.33 2.20 14.97 4.26 5.07 8.14 5.87 3.61 4.39 5.39 5.96 21.11 16.25 18.94 12.91 18.70 30.13 79.81 30.56 8.35

38 33 4 1 33 2 12 4 36 157 241 526 75 14 16 8 25 10 27 6 21 17 142 25 21 4 10 44 21 14 1,587

(8)

6.82 16.26 3.74 4.00 17.84 22.22 8.63 8.70 5.33 7.18 13.67 9.81 20.22 8.33 4.56 3.31 15.92 11.24 15.79 3.77 4.71 4.47 8.68 9.69 12.57 2.52 2.63 6.91 2.79 3.68 8.67

Age 0 - 14 Total % (9)

16 20 10 1 0 9 1 12 4 37 219 163 10 638 64 5 61 13 12 3 7 13 35 16 85 25 11 8 56 135 115 101 1,905

(10)

2.87 9.85 9.35 4.00 4.86 11.11 8.63 8.70 5.47 10.01 9.25 14.29 11.90 17.25 2.98 17.38 5.37 7.64 3.37 4.09 8.18 7.85 4.21 5.20 9.69 6.59 5.03 14.74 21.19 15.29 26.58 10.41

Annex 3.19

NUMBER OF COMMUNICABLE DISEASES THAT CAN BE PREVENTED BY VACCINATION BY PROVINCE, 2006

No

Province

Measles

Tetanus Neonatorum

Diphtheria

Pertussis

Hepatitis B

(1)

(2)

(3)

(4)

(5)

(6)

(7)

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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

470 2,426 338 1,208 324 476 76 700 5,681 3,550 201 5,567 2,398 544 164 16 650 289 1,501 40 1,448 702 83 42 320 288 36 29,538

5 1 2 0 8 0 15 0 0 0 31 0 0 15 11 0 0 3 3 0 3 0 1 5 5 5 1 0 1 1 2 0 118

95 2,014 17 2 13 8 23 2 1 76 20 37 29 2,337

1,357 1,267 188 121 89 34 26 463 1,159 335 60 892 83 618 368 9 5 205 42 20 17 223 7,581

482 37 193 24 553 48 39 20 331 1,727

Report Complicity (%) Health Center

Hospital

(8)

(9)

100 100 0 0 100 83 100 100 100 0 33 100 0 100 100 75 100 91 25 100 25 0 100 100 100 100 100 50 0 0 100 83 100 75.6

16.67 100 0 0 100 58.3 100 0 0 0 0 0 100 25 100 0 0 0 25 100 0 0 100 0 100 91 0 25 0 0 25 0 0 35.6

Annex 3.20

NUMBER OF TETANUS NEONATORUM CASES BY PROVINCE, 2006 Tetanus Neonatorum

(1)

(4)

(5)

1

Nanggroe Aceh Darussalam

5

3

2

North Sumatera

1

(6)

(7)

1

0 0

4 0

(9)

(10)

1

0

1

0

0

0

0 0

2 0

(11)

(13)

0

1 0

2 0

0 0

0 0

0 0

3

West Sumatera

0

0

0

4

Riau

2

0

0

0 0

5

Jambi

0

0

0

0

0

0

0

6

South Sumatera

8

2

0

2

1

1

0

2

7

Bengkulu

0

0

0

4 0

0

0

0

0

0

8

Lampung

15

7

1

0

0

1 0

1

0

3 0

3

Bangka Belitung Islands

9 0

1

9

0

0

10

Riau Islands

0

0

11

DKI Jakarta

0

0

0 0

0 0

0 0

0 0

0 0

31

12

0

0

0

0

17 0

7 0

4 0

(14)

(15)

(16)

(17)

2

0

0

1

0

0

0

0 1

0

0 0

0

1 0

2 0

0

(19)

(20)

0

1

0

0 0

0

0 0

0 1

0

(21)

0 1 0

(23)

5

(24)

(25)

(26)

(27)

0

1

1

1

0

0

0 0

0 0

0 0

0

0

0

1

0

0

4 0

0

0 0

3 0

0

0 0

0 0

0

0

2 0

0

3

0

0

Unknown

No

Yes

Unknown

Others

Bamboo

Scissors

(22)

Hospital Care

(28)

4 0 0

(29)

0

1

0

1

0 0

0

0

1 0

0

3

3

0

6 0

0

0

0

2 0

0

3 0

12 0

0 0

1 0

10 0

4 0

0 0

4 0

6 0

4 0

1 0

14 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 0

6 0

23 0

2

0

0

7 0

1 0

21 0

2 0

20 0

1 0

5 0

5 0

26 0

2 0

0 0

0

0

5 0

1

0

2

0

0

11 0

0 0

0

0

0 0

0 0

0 0

0 0

3 0

9 0

4 0

16 0

2 0

Others

Traditional

Alcohol/Iodium

(18)

3

Umbilical Cord Cutting

Unknown

Umbilical Cord Care

Without checkup

Traditional

Physician

Midwife/Nurse

Delivery Assistant

Unknown

TT1

TT2+

Unknown

(8)

0

No immunization

Immunization Status

Without checkup

Traditional

(3)

Midwife/Nurse

(2)

Physician

Province

Dead

No

Total

Pregnancy Checkup

0 0

2 0

0 1

0

0

7 0

0

0

1

12

West Java

13

Central Java

14

DI Yogyakarta

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

15

East Java

15

7

0

11

2

2

0

4

4

7

0

0

10

2

1

1

10

5

0

0

0

11

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

11

0

0 0

11

0

0 0

0

0

0 0

11

Bali

0 0

11

17

0 0

0 11

15

Banten

0 11

11

16

5 0

18

West Nusa Tenggara

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

19

East Nusa Tenggara

3

0

0

1

2

0

0

0

0

3

0

0

0

3

0

0

0

0

3

0

0

0

3

0

20

West Kalimantan

3

1

0

0

0

0

0

0

0

0

3 0

0 0

0

3 0

0

0

0 0

0

0

0 0

0

0

0 0

0

0

3 0

0

0

3 0

0

0

0 0

0

Central Kalimantan

3 0

0

21

0 0

3 3

0

0

22

South Kalimantan

3

3

0

2

0

1

1

0

0

0

0

3

0

0

0

0

0

0

0

0

0

0

0 0

3

0

0 0

2

0

0 0

1

East Kalimantan

2 0

0

23

0 0

0

0

0

0

0

0 0

0

0

0

0

0

1

0

0

0 0

1 1

0

2

1

2

3

2

1 3

4 1

0 0

1 0

3 2

2 0

0 0

0

0

3

0 0

0

24

North Sulawesi

1

0

0

0

0

1

0

0

0

1

0

0

1

0

0

25

Central Sulawesi

5

0

0

4

1

2

2

1

2

5

3

0

1

0

1

2

0

1

0

2

0

3

4 1

2

5

3 3

2 1

Southeast Sulawesi

1 0

1 0

27

2 1

1 0

1

South Sulawesi

0 0

0

26

0 1

1

1

2

2 1

28

Gorontalo

1

1

0

0

0

1

0

1

0

0

0

West Sulawesi

0

0

0

0

0

0

0

0

0 0

1

29

0 0

0

0

30

Maluku

1

31

North Maluku

1

32

Papua

2

33

West Irian Jaya Indonesia

0 118

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

3

2 0

0

0

1

0

0

0

0

0 0

1

0

1

0

0

0

0

0

1

0

0

0

1

0

1

1

0

0

1

0

0

1

1

0

0

1 0

1 0

0

0

2 0

0

0

0 0

0

0

0 0

0

2

0 0

2 0

0

0

0 46

1 1

0 1

57

0 24

19

0 17

0 19

0 16

61

0 22

0 2

0 25

76

0 15

0 31

1

1

0

0

0

0 0

0

0

0

0

0

1

0 0

1

0

1

2 0

0

0 0

0 31

0

36

0 20

57

0 0

1

0

3

0

0

0

0 0

0

0

1 0

0

0

0

0

1

0

0

0

0

0

1

0

0

2 0

0

0 0

2

0

0 23

0

3

18

0 20

84

0 12

0 22

Annex 3.21 NUMBER OF MEASLES CASES IN HOSPITAL AND HEALTH CENTER BY AGE GROUP AND PROVINCE, 2006

No

Hospital Outpatients

Province Age <1

(1)

(2)

1

Nanggroe Aceh Darussalam

2

North Sumatera

3

West Sumatera

4

Riau

5

Jambi

(3)

Age 1 - 4 Age 5 - 14 Age 15 - 44 (4)

(5)

(6)

Hospital Inpatients Age >45

Total

Age <1

(7)

(8)

(9)

Age 1 - 4 Age 5 - 14 Age 15 - 44 (10)

(11)

(12)

Health Center

Age >45

Total

Dead

Age <1

(13)

(14)

(15)

(16)

28

48

24

Number of Cases

Age 1 - 4 Age 5 - 14 Age 15 - 44 (17)

(18)

(19)

Age >45

Total

(20)

(21)

H + HC (22)

0

0

47

164

143

98

18

470

470

89

0

280

589

865

342

161

2,237

2,426

-

0

0

-

-

0

0

-

-

0

0

49

135

129

22

3

338

338

41

0

140

344

528

131

24

1,167

1,208

5

0

29

79

116

57

7

288

324

11

476

476

76

76

100

1

21

4

61

2

0 0

6

South Sumatera

7

Bengkulu

8

Lampung

-

0

0

50

147

223

45

9

Bangka Belitung Islands

-

0

0

12

30

25

9

10

Riau Islands

-

0

0

11

DKI Jakarta

-

0

0

47

196

311

111

35

700

700

12

West Java

13

Central Java

14

DI Yogyakarta

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

10

11

6

4

5 31

11

1

14

9

1

3

2

11

34

50

37

5

137

7

35

34

23

88

266

160

23

286

823

5

18

97

60

5

185

108

5

6

113

58

4

Central Sulawesi

1

2

4

2

2

6

10

7

4

0

536

1,993

2,251

719

182

5,681

5,681

0

191

751

1,550

675

147

3,314

3,550

0

0

13

25

110

49

4

201

201

71

1,947

4,029

5,567

8

281

715

0

287

1,283

441

0

0

279

1,074

969

68

8

2,398

2,398

4

5

11

1

21

0

6

64

186

76

6

338

544

-

0

0

9

31

97

23

4

164

164

-

0

0

6

10

56

0

73

235

184

72

-

0

0

26

100

141

18

-

0

0

14

75

0 99

84

2

20

0

234

-

1

-

270

2

16

30

8

16

16

580

650

4

289

289

-

33

86

118

41

278

0

0

0

12

11

11

6

11

2

5

5

2

14

0

178

839

345

27

9

5

18

33

0

69

195

0

0

5

24

0

0

7

9

-

16

116

302

385

134

0

16

953

1,501

40

40

50

11

1,423

1,448

313

59

6

642

702

43

8

3

83

83

11

10

2

39

42

26

South Sulawesi

27

Southeast Sulawesi

28

Gorontalo

29

West Sulawesi

-

0

0

-

30

Maluku

-

0

0

-

31

North Maluku

-

0

0

51

137

118

14

32

Papua

-

0

0

62

116

86

24

33

West Irian Jaya

-

0

0

2

7

15

8

4

36

36

1351

0

2,576

8,886

9,606

2,899

2,619

26,586

29,538

Indonesia

1

2

170

471

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

1

467

191

3

302

1,601

168

417

313

166

287

0 0

320

320

288

288

Annex 3.22

NUMBER OF MEASLES CASES AND VACCINATION BY AGE GROUP AND PROVINCE, 2006

No

Age < 1

Province

(1)

(2)

Measles Case by Age Group Age 5 - 9

Age 1 - 4

Age 10 - 14

Age > 15

Total

Total

Vaccinated

%

Total

Vaccinated

%

Total

Vaccinated

%

Total

Vaccinated

%

Total

Vaccinated

Total

Vaccinated

%

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(18)

(19)

(20)

1

Nanggroe Aceh Darussalam

17

-

-

65

-

-

45

2

4.44

37

-

-

47

-

211

2

2

North Sumatera

77

3

3.90

200

1

0.50

198

2

1.01

142

1

0.70

160

1

777

8

1.03

3

West Sumatera

105

73

69.52

259

196

75.68

273

217

79.49

155

62

40.00

230

15

1,022

563

55.09

4

Riau

93

3

3.23

409

127

31.05

425

94

22.12

257

74

28.79

161

7

1,345

305

22.68

5

Jambi

10

-

-

29

1

3.45

31

9

29.03

16

3

18.75

2

-

88

13

14.77

6

South Sumatera

13

2

15.38

69

19

27.54

70

35

50.00

18

10

55.56

43

27

213

93

43.66

7

Bengkulu

31

21

67.74

66

25

37.88

72

29

40.28

42

10

23.81

34

6

245

91

37.14

8

Lampung

99

7

7.07

316

21

6.65

364

29

7.97

189

15

7.94

106

3

1,074

75

6.98

9

Bangka Belitung Islands

2

1

50.00

20

8

40.00

20

11

55.00

13

11

84.62

7

-

62

31

50.00

0.95

10 Riau Islands

45

-

-

156

-

-

93

-

-

63

-

-

132

-

489

-

-

11 DKI Jakarta

137

-

-

667

9

1.35

254

-

-

124

-

-

107

-

1,289

9

0.70

12 West Java

155

-

-

519

-

-

384

-

-

138

-

-

138

-

1,334

-

-

32

16

50.00

84

68

80.95

20

24

120.00

6

6

100.00

2

-

144

114

79.17

-

-

-

-

-

-

-

-

-

-

-

-

-

-

14.98

1,168

98

8.39

1,097

98

8.93

697

66

9.47

833

64

4,022

360

8.95

13 Central Java 14 DI Yogyakarta

-

-

15 East Java

227

34

16 Banten

328

-

-

1,276

-

-

1,093

-

-

269

-

-

44

-

3,010

-

-

5

5

100.00

19

13

68.42

14

6

42.86

8

-

-

1

-

47

24

51.06

17 Bali 18 West Nusa Tenggara

-

-

-

5

2

40.00

2

-

-

1

-

-

-

-

8

2

25.00

19 East Nusa Tenggara

21

8

38.10

107

56

52.34

88

35

39.77

46

22

47.83

23

6

285

127

44.56

20 West Kalimantan

43

-

-

120

5

4.17

50

2

4.00

24

1

4.17

73

-

310

8

2.58

21 Central Kalimantan

57

13

22.81

139

65

46.76

154

71

46.10

69

39

56.52

42

14

461

202

43.82 18.92

22 South Kalimantan

130

38

29.23

462

122

26.41

450

90

20.00

236

12

5.08

107

-

1,385

262

23 East Kalimantan

12

11

91.67

30

23

76.67

42

12

28.57

22

4

18.18

9

7

115

57

49.57

24 North Sulawesi

6

4

66.67

9

4

44.44

3

3

100.00

-

-

-

1

1

19

12

63.16

115

115

100.00

247

247

100.00

148

148

100.00

25 Central Sulawesi 26 South Sulawesi

154

92

27 Southeast Sulawesi

-

-

28 Gorontalo

4

-

59.7403

-

513

245 47.7583

397

201 50.6297

55

54

98.18

16

13

581

577

99.31

211

104

49.2891

150

85

1,425

727

51.02

2

-

-

1

-

-

-

-

-

1

-

4

-

-

27

13

48.15

30

16

53.33

8

3

37.50

5

4

74

36

48.65

-

-

-

-

-

-

-

-

-

-

100.00

1

-

-

-

-

-

-

-

3

2

66.67

29 West Sulawesi

-

-

-

-

-

30 Maluku

-

-

-

2

2

31 North Maluku

23

11

47.83

41

25

60.98

31

19

61.29

10

4

40.00

7

2

112

61

54.46

32 Papua

52

10

19.23

63

27

42.86

43

27

62.79

23

8

34.78

15

2

196

74

37.76

33 West Irian Jaya Indonesia

16

-

-

47

3

6.38

7

-

-

2

-

-

-

-

72

3

4.17

2,009

467

23.25

7,136

1,425

19.97

5,900

1,180

20.00

2,881

509

17.67

2,496

257

20,422

3,838

18.79

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Annex 3.23 NUMBER OF DIPHTHERIA IN HOSPITAL AND HEALTH CENTER BY AGE GROUP AND PROVINCE 2006

No

Hospital Outpatients

Province

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44 (1)

(2)

1

Nanggroe Aceh Darussalam

2

North Sumatera

3

West Sumatera

4

Riau

5

(3)

(4)

(5)

(6)

Hospital Inpatients Age >45

Total

Age <1

(7)

(8)

(9)

Age 1 - 4 Age 5 - 14 Age 15 - 44 (10)

(11)

(12)

Health Centers

Age >45

Total

Dead

(13)

(14)

(15)

0

Number of Cases

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44 (16)

0

0

26

0

0

0

0

0

Jambi

0

0

0

6

South Sumatera

0

0

0

7

Bengkulu

0

0

0

8

Lampung

0

0

9

Bangka Belitung Islands

0

10

Riau Islands

11

(17)

(18)

(19)

Age >45

Total

(20)

(21)

H + HC (22)

14

40

20

21

95

95

211

407

557

660

1982

2,014

0

0

0

0

0

0

17

17

2

2

0

0

0

0

0

0

0

0

0

0

0

0

0

0

DKI Jakarta

0

0

0

0

0

12

West Java

0

0

0

13

Central Java

5

0

0

14

DI Yogyakarta

0

0

0

15

East Java

0

0

16

Banten

0

17

Bali

18 19

3

3

6

14

12

147

1

6

9

1

2

8

1

2

13

13

1

1

1

3

8

0

0

0

0

0

0

0

0

0

0

0

0

23

23

West Nusa Tenggara

0

0

0

East Nusa Tenggara

0

0

0

20

West Kalimantan

0

0

21

Central Kalimantan

0

0

22

South Kalimantan

0

23

East Kalimantan

24 25 26

South Sulawesi

27

Southeast Sulawesi

28

Gorontalo

29

2

1

2

2

1

8

10

4

0

0

2

2

0

0

0

0

0

0

0

0

0

0

0

0

0

1

1

North Sulawesi

0

0

0

0

0

Central Sulawesi

0

0

0

0

0

43

0

1

76

0

0

0

20

20

0

0

0

0

0

West Sulawesi

0

0

0

0

0

30

Maluku

0

0

0

0

0

31

North Maluku

0

0

0

0

0

32

Papua

0

0

0

37

37

33

West Irian Jaya Indonesia

10

15

7

32

8

19

16

0 0

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

2

14

18

9

43

0

22

19

28

0

2

1

1 6

4

11

6

16

0

0

2

11

16

69

0

157

276

509

7

1

6

599

684

29

29

2225

2,337

Annex 3.24 NUMBER OF PERTUSSIS CASES IN HOSPITAL AND HEALTH CENTER BY AGE GROUP AND PROVINCE, 2006

No

Hospital Outpatients

Province

(1)

(2)

(3)

(4)

(5)

Health Centers

Hospital Inpatients

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44 Age >45 (6)

(7)

Total

Age <1

(8)

(9)

1

Nanggroe Aceh Darussalam

2

North Sumatera

3

West Sumatera

0

4

Riau

5

Jambi

6

South Sumatera

7

Bengkulu

8

Age 1 - 4 Age 5 - 14 Age 15 - 44 (10)

(11)

(12)

Age >45

Total

Dead

(13)

(14)

(15)

0 9

20

12

3

Number of Cases

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44 (16)

(17)

(18)

(19)

Age >45

Total

H + HC

(20)

(21)

(22)

0

93

283

310

358

313

1,357

1,357

47

132

302

387

201

154

1,176

1,267

0

-

-

0

0

-

-

0

0

4

44

16

5

4

3

19

20

53

88

23

188

188

0

0

27

30

26

18

20

121

121

17

0

1

31

20

18

2

72

89

Lampung

0

0

5

10

9

3

7

34

34

9

Bangka Belitung Islands

0

0

6

4

7

9

26

10

Riau Islands

0

0

11

DKI Jakarta

0

0

28

95

91

149

100

463

463

12

West Java

0

0

90

305

386

240

138

1,159

1,159

13

Central Java

7

3

9

20

60

234

326

335

14

DI Yogyakarta

0

0

-

-

15

East Java

0

0

21

24

3

3

9

60

60

16

Banten

0

0

139

177

278

144

154

892

892

17

Bali

77

0

1

1

2

2

18

West Nusa Tenggara

0

0

19

East Nusa Tenggara

0

20

West Kalimantan

0

21

Central Kalimantan

0

0

22

South Kalimantan

0

0

23

East Kalimantan

0

0

24

North Sulawesi

0

0

25

Central Sulawesi

26

South Sulawesi

27

Southeast Sulawesi

0

0

4

1

3

2

9

2

1

36

1

4

20

2

13

5

4

31

56

96

3

10

3

16

1

2

2

1

1

2

1

3

-

0

6

262

220

130

5

38

86

81

103

4

1

4

7

9

23

24

64

1

2

12

6

21

55

6

1

-

618

618

363

368

9

2

5

13

2

1 8

13

11

5

3

7

4

5 -

45

2 1

9 -

-

1

83

-

2

26 -

205

5

42

20

20

28

Gorontalo

0

0

-

-

29

West Sulawesi

0

0

-

-

30

Maluku

0

0

-

31

North Maluku

0

0

3

7

7

32

Papua

0

0

19

95

79

33

West Irian Jaya Indonesia

0 5

53

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

50

75

69

252

27

3

0 18

17

19

40

50

144

1

617

1,770

1,991

1,577

1,230

17

17

223

223

-

-

7,185

7,581

Annex 3.25 NUMBER OF CLINICAL HEPATITIS IN HOSPITAL AND HEALTH CENTER BY AGE GROUP AND PROVINCE 2006

No

Hospital Outpatients

Province

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44 (1)

(2)

1

Nanggroe Aceh Darussalam

2

North Sumatera

(3)

(4)

(5)

(6)

Hospital Inpatients Age >45

Total

Age <1

(7)

(8)

(9)

Age 1 - 4 Age 5 - 14 Age 15 - 44 (10)

(11)

(12)

Health Centers

Age >45

Total

Dead

(13)

(14)

(15)

0 3

30

319

677

1174

(16)

0

2,203

5

62

385

449

901

Number of Cases

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44

3

(17)

(18)

(19)

Age >45

Total

H + HC

(20)

(21)

(22)

3

21

81

214

78

397

397

18

65

227

429

354

1,093

4,197 0

3

West Sumatera

0

0

0

4

Riau

0

0

0

0

5

Jambi

0

293

300

6

South Sumatera

7

Bengkulu

8

Lampung

0

0

1

7

43

83

52

9

Bangka Belitung Islands

0

0

22

58

190

690

261

10

Riau Islands

0

0

0

0

11

DKI Jakarta

0

0

2

14

27

10

28

81

81

12

West Java

0

0

22

89

356

332

164

963

963

13

Central Java

0

0

4

13

107

169

180

473

473

14

DI Yogyakarta

0

0

8

16

5

29

29

15

East Java

0

0

16

Banten

0

0

17

Bali

18

West Nusa Tenggara

19

East Nusa Tenggara

20

West Kalimantan

21

Central Kalimantan

0

0

22

South Kalimantan

0

0

23

East Kalimantan

24

North Sulawesi

25

Central Sulawesi

26

South Sulawesi

27

Southeast Sulawesi

28

Gorontalo

29

West Sulawesi

0

30

Maluku

31

2

15

1

17

2

27

65

15

34

3

4

7

0

3

9

63

26

101

76

2

7

40

33

82

102

18

32

0

1

21

9

36

40

9

50

2

7

27

21

22

38

86 7

10

4

21

122

22

96

232

429

182

961

1,119

1

50 0

0 6

8

1

2

1

17

26

28

136

34 23

6

5

79

24

114

1

92

17 41 50 162

43

2 20 36 20

5

0

0

23

23

64

216

130

130

292

326

530

206

1,161

1,265

6

44

3

54

54

54

170

90

0

0

322

486

6

20

42

42

110

110

11

23

11

46

3

9

14

51

30

107

15

21

138

216

123

513

666

9

35

62

21

132

1

3

12

106

61

183

11

20

55

152

97

335

650

0

23

14

57

161

92

347

347

309

364

0

0

0

0

0

0

0

North Maluku

0

0

60

267

1,758

1,758

32

Papua

0

0

72

276

1,277

1,277

33

West Irian Jaya

0

0

5

0

186 1,221

261

2 3

186 1,221

1

Indonesia

0

18

68

3

118

0 1

11

56

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

391

24

939

6

1,279

31

2,676

1

5

13

30

137

807

10

692

24

1,671

4

5

316

1,187

51

429 270

2,828

178

617 445

5,325

76

385 214

2,757

0

0

12,413

16,760

Annex 3.26 NUMBER OF HEPATITIS B IN HOSPITAL AND HEALTH CENTER BY AGE GROUP AND PROVINCE, 2006

No

Hospital Outpatients

Province

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44 (1)

(2)

(3)

(4)

(5)

(6)

Hospital Inpatients Age >45

Total

Age <1

(7)

(8)

(9)

Age 1 - 4 Age 5 - 14 Age 15 - 44 (10)

(11)

(12)

Number of Cases

Health Centers

Age >45

Total

Dead

(13)

(14)

(15)

Age <1 Age 1 - 4 Age 5 - 14 Age 15 - 44 (16)

(17)

(18)

(19)

Age >45

Total

H + HC

(20)

(21)

(22)

1

Nanggroe Aceh Darussalam

2

North Sumatera

3

West Sumatera

0

0

0

4

Riau

0

0

0

5

Jambi

0

0

0

6

South Sumatera

0

3

21

13

37

37

7

Bengkulu

63

11

56

63

130

193

8

Lampung

0

0

0

9

Bangka Belitung Islands

0

0

0

10

Riau Islands

0

0

0

11

DKI Jakarta

0

0

0

12

West Java

0

0

0

13

Central Java

0

0

0

14

DI Yogyakarta

0

0

0

15

East Java

0

0

0

16

Banten

0

0

0

17

Bali

24

18

West Nusa Tenggara

0

19

East Nusa Tenggara

0

0 3

1

27

11

1

53

31

3

35

21

5

0

119

1

36

9

2

64

145

181

363

0 6

482

10

5

15 0

0

201

246

40

553

553

5

16

2

20

West Kalimantan

23

48

21

Central Kalimantan

0

0

0

22

South Kalimantan

0

0

0

23

East Kalimantan

39

24

North Sulawesi

25

Central Sulawesi

2

17

6

1

25

1

26

12

38 0

0

1

10

6

17

20

41

97

56

273

0 2

1

3

23

4

58

26

South Sulawesi

27

Southeast Sulawesi

0

0

0

28

Gorontalo

0

0

0

29

West Sulawesi

0

0

0

30

Maluku

0

0

0

31

North Maluku

0

0

0

32

Papua

0

0

0

33

West Irian Jaya

0

0

Indonesia

3

8

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

12

13

16

55

130

72

278

25

27

54

119

298

627

378

1,449

1

331

0 7

0

0

0

0

0

0

1,727

Annex 3.27

NUMBER OF AFP CASES BY PROVINCE, 2006 No

Province

Data Reported

Number of AFP Cases

AFP Rate / 100.000 population

Non Polio AFP Rate / 100.000 population

(1)

(2)

(3)

(4)

(5)

(6)

1

Nanggroe Aceh Darussalam

57

56

4.67

4.42

2

North Sumatera

77

75

1.79

1.79

3

West Sumatera

35

34

2.43

2.43

4

Riau

35

35

2.43

2.43

5

Jambi

36

36

4.50

4.50

6

South Sumatera

56

56

2.43

2.39

7

Bengkulu

13

13

2.60

2.60

8

Lampung

58

57

2.59

2.55

9

Bangka Belitung Islands

10

10

3.33

3.33

10

Riau Islands

8

8

2.00

2.00

11

DKI Jakarta

52

52

2.26

2.26

12

West Java

238

237

2.19

2.17

13

Central Java

193

190

2.21

2.17

14

DI Yogyakarta

20

20

3.33

3.33

15

East Java

233

228

2.85

2.79

16

Banten

63

62

2.21

2.21

17

Bali

30

30

3.75

3.75

18

West Nusa Tenggara

35

35

2.50

2.50

19

East Nusa Tenggara

32

32

2.29

2.29

20

West Kalimantan

41

41

2.93

2.93

21

Central Kalimantan

13

13

2.17

2.17

22

South Kalimantan

29

29

3.22

3.22

23

East Kalimantan

31

28

3.50

3.50

24

North Sulawesi

23

23

4.60

4.60

25

Central Sulawesi

11

11

1.57

1.57

26

South Sulawesi

48

48

2.09

2.09

27

Southeast Sulawesi

22

22

3.14

3.14

28

Gorontalo

13

13

4.33

4.33

29

West Sulawesi

4

4

1.33

1.33

30

Maluku

7

7

1.75

1.75

31

North Maluku

7

7

2.33

2.33

32

Papua

10

10

2.00

2.00

33

West Irian Jaya

4

1.33

1.33

2.49

2.46

Indonesia Source: DG of Disease Control & Environmental Health, MOHRI, 2006

4 1,544

1,526

Annex 3.28

NUMBER OF AFP CASES BY CLASSIFICATION AND PROVINCE, 2006 No

Province

(1)

(2)

Clinical Classification Wild Polio Virus

Compatible

(3)

(4)

Non Polio Virus (5)

1

Nanggroe Aceh Darussalam

1

2

53

2

North Sumatera

0

0

75

3

West Sumatera

0

0

34

4

Riau

0

1

34

5

Jambi

0

0

36

6

South Sumatera

0

1

55

7

Bengkulu

0

0

13

8

Lampung

0

1

56

9

Bangka Belitung Islands

0

0

10

10

Riau Islands

0

0

8

11

DKI Jakarta

0

0

52

12

West Java

0

3

234

13

Central Java

0

3

187

14

DI Yogyakarta

0

0

20

15

East Java

1

4

223

16

Banten

0

0

62

17

Bali

0

0

30

18

West Nusa Tenggara

0

0

35

19

East Nusa Tenggara

0

0

32

20

West Kalimantan

0

0

41

21

Central Kalimantan

0

0

13

22

South Kalimantan

0

0

29

23

East Kalimantan

0

0

28

24

North Sulawesi

0

0

23

25

Central Sulawesi

0

0

11

26

South Sulawesi

0

0

48

27

Southeast Sulawesi

0

0

22

28

Gorontalo

0

0

13

29

West Sulawesi

0

0

4

30

Maluku

0

0

7

31

North Maluku

0

0

7

32

Papua

0

0

10

33

West Irian Jaya

0

Indonesia Source: DG of Disease Control & Environmental Health, MOHRI, 2006

2

0

15

4

1,509

Annex 3. 29

OUTBREAKS OF POLIO, 2006

No

Province

AFP

Wild Polio Virus (+)

Contact (+)

Dead

(1)

(2)

(3)

(4)

(5)

(6)

1

East Java

2

Nanggroe Aceh Darussalam

TOTAL

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

228

1

0

0

56

1

0

0

0

0

284

2

Annex 3.30

NUMBER OF TETANUS CASES IN HOSPITAL AND HEALTH CENTER BY AGE GROUP AND PROVINCE, 2006

No

Age <1 (1)

(2)

Hospital Inpatients

Hospital Outpatients

Province (3)

Age 1 - 4 Age 5 - 14 Age 15 - 44 Age >45 (4)

(5)

(6)

(7)

Total

Age <1

(8)

(9)

Age 1 - 4 Age 5 - 14 Age 15 - 44 (10)

(11)

(12)

Number of Cases

Health Centers

Age >45

Total

Dead

Age <1

(13)

(14)

(15)

(16)

1

Nanggroe Aceh Darussalam

5

9

5

3

22

2

9

5

2

North Sumatera

5

10

2

41

58

1

5

21

3

West Sumatera

0

4

Riau

0

5

Jambi

0

0

6

South Sumatera

0

7

Bengkulu

0

8

Lampung

0

9

Bangka Belitung Islands

0

10

Riau Islands

11

29

Age 1 - 4 Age 5 - 14 Age 15 - 44 (17)

(18)

(19)

Age >45

Total

(20)

(21)

H + HC (22)

16

7

22

7

4

40

78

56

219

311

321

251

1102

1216

0

0

0

0

0

0

2

2

2 3

2

7

7

1

5

6

13

0

0

0

0

0

0

0

0

0

0

DKI Jakarta

0

0

0

0

12

West Java

0

0

2

6

10

3

21

21

13

Central Java

0

0

1

2

10

5

18

18

14

DI Yogyakarta

0

0

15

East Java

16

Banten

17

Bali

18

West Nusa Tenggara

0

19

East Nusa Tenggara

0

20

West Kalimantan

21

Central Kalimantan

22

13

165

0 4

37

166

245

3

33

2

7

272

23

473

481

0

0

2

5

7

0

3

18

0

0

88

1042

8

25

34 2

8

10

10

7

22

7

4

40

47

0

0

0

41

0

41

0

0

0

0

0

0

0

0

South Kalimantan

0

0

0

0

23

East Kalimantan

0

1

8

24

North Sulawesi

0

0

0

0

25

Central Sulawesi

0

0

0

0

26

South Sulawesi

4

20

0

35

27

Southeast Sulawesi

3

3

28

Gorontalo

5

5

0

8

29

West Sulawesi

0

0

0

0

30

Maluku

0

0

0

0

31

North Maluku

0

0

0

0

32

Papua

0

0

5

5

33

West Irian Jaya Indonesia

3

3

6

3

2

14

2

15

6

21

3

10

4

2

0 3

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

26

187

290

75

578

2

1

0

3

0 0

7

1

1

3

2

396

404

1

0 0

50

204

308

71

633

0 2

3

246

294

1,338

0 2,554

Annex 3.31

FREQUENCY OF OUTBREAKS BY DISEASE IN INDONESIA, 2006 No

Disease

Number of Province Outbreaks

Frequency

Cases

Deaths

Case Fatality Rate (%)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

1

Anthrax

1

2

21

1

4.76

2

Measles

9

42

1,644

9

0.55

3

Chikungunya

5

29

3,365

0

4

Dengue Hemorrhagic Fever (DHF)

9

167

3,253

68

2.09

5

Diarrhea

10

148

11,777

42

0.36

6

Diphtheria

4

5

15

1

6.67

7

Malaria clinics

10

31

3,705

30

0.81

8

Food Poisoning

11

43

937

0

-

9

Cholerae

1

1

78

0

-

10 Rabies

8

27

123

19

15.45

11 Rubella

2

3

70

0

-

12 Tetanus

9

38

42

18

42.86

536

25,030

188

0.75

TOTAL Source: DG of Disease Control & Environmental Health, MOHRI, 2006

-

Annex 3.32

DIARRHEA OUTBREAK 2002 - 2006 No

Province

(1)

(2)

1

Nanggroe Aceh Darussalam

2

C

2002 D

CFR

C

2003 D

CFR

C

2004 D

CFR

C

2005 D

CFR

C

2006 D

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

CFR (17)

413

10

2.42

401

10

2.49

-

-

-

267

6

2.25

163

5

3.07

North Sumatera

30

3

10.00

67

2

2.99

-

-

-

145

6

4.14

401

13

3.99

3

West Sumatera

52

2

3.85

442

7

1.58

367

10

2.72

-

-

-

40

0

-

4

Riau

4

1

25.00

113

5

4.42

-

-

-

-

-

-

-

-

-

5

Jambi

-

-

-

9

0

-

131

5

3.82

-

-

-

-

-

-

6

South Sumatera

-

-

-

442

1

0.23

-

-

-

95

1

1.05

46

0

-

7

Bengkulu

591

10

1.69

-

-

-

-

-

-

-

-

-

218

6

2.75

8

Lampung

-

-

-

20

1

5.00

133

7

5.26

95

2

2.11

-

-

-

9

Bangka Belitung Islands

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

10

Riau Islands

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

11

DKI Jakarta

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

12

West Java

692

9

1.30

522

7

1.34

51

0

0.00

148

1

0.68

880

12

1.36

13

Central Java

-

-

-

53

4

7.55

137

4

2.92

-

-

-

-

-

-

14

DI Yogyakarta

-

-

-

104

1

0.96

7

0

0.00

-

-

-

-

-

-

15

East Java

206

-

-

248

2

0.81

349

4

1.15

48

0

-

226

1

0.44

16

Banten

17

Bali

18

West Nusa Tenggara

-

-

-

-

19

East Nusa Tenggara

2,986

28

0.94

456

20

West Kalimantan

21

Central Kalimantan

22

-

-

-

161

4

2.48

43

2

4.65

1,371

26

1.90

-

-

-

106

1

0.94

68

0

0.00

199

0

0.00

-

-

-

-

-

-

-

-

15

0

0.00

-

-

-

102

1

0.98

8

1.75

-

-

-

2,194

28

1.28

1,223

45

3.68 -

49

3

6.12

-

-

-

256

0

0.00

-

-

-

-

-

100

-

-

54

6

11.11

-

-

-

-

-

-

-

-

-

South Kalimantan

-

-

-

-

-

-

373

7

1.88

-

-

-

488

7

1.43

23

East Kalimantan

-

-

-

352

17

4.83

325

1

0.31

-

-

-

-

-

-

24

North Sulawesi

-

-

-

53

2

3.77

139

0

0.00

-

-

-

50

1

2.00

25

Central Sulawesi

89

3

3.37

129

11

8.53

378

5

1.32

69

13

18.84

269

7

2.60

26

South Sulawesi

-

-

-

595

34

5.71

42

8

19.05

-

-

-

-

-

-

27

Southeast Sulawesi

-

-

-

170

0

0.00

369

0

0.00

-

-

-

-

-

-

28

Gorontalo

-

-

-

125

1

0.80

-

-

-

-

-

-

177

12

5.65

29

West Sulawesi

-

-

-

20

3

15.00

30

Maluku

31

North Maluku

32

Papua

33

West Irian Jaya Indonesia

-

-

-

-

-

-

-

-

-

296

8

2.70

-

-

-

-

-

-

-

-

-

-

-

-

49

4

8.16

-

-

-

-

-

-

133

7

5.26

133

6

5.31

126

12

9.52

38

5

13.16

-

-

-

486

37

7.61

6,544

158

2.41

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

5,789

94

1.62

4,622

128

2.77

3,314

1.60

5,051

127

2.51

10,980

277

2.52

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

C = Case D = Dead C = Case Fatality Rate

53

Annex 3.33

NUMBER OF CASES, CASE FATALITY RATE (CFR) AND INCIDENCE RATE (IR) OF DENGUE HAEMORRHAGIC FEVER (DHF) BY PROVINCE, 2002 - 2006 No

2002

Province

(1)

(2)

1 Nanggroe Aceh Darussalam 2 North Sumatera

2004

2003

2005

2006

Case

CFR (%)

IR

Case

CFR (%)

IR

Case

CFR (%)

IR

Case

CFR (%)

IR

Case

CFR (%)

IR

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

92

8.7

2.13

128

3.1

2.76

252

4.37

5.43

629

1.59

14.86

758

1.98

19.43

348

3.7

2.80

878

2.7

7.07

1,093

2.20

8.79

3,657

1.80

30.75

2,125

1.60

16.86

3 West Sumatera

623

1.6

13.74

292

0.7

6.88

514

0.97

12.11

1,154

1.99

25.89

1,067

1.22

23.87

4 Riau

978

0.8

19.42

715

0.7

13.98

1,050

2.00

20.53

1,850

1.73

41.19

948

1.90

21.04

5 Jambi

272

4.0

10.71

80

2.5

2.83

275

1.45

9.74

353

3.12

13.38

365

3.01

13.83

1,406

1.8

19.71

1,403

2.1

17.87

1,270

1.34

16.06

1,621

0.56

18.38

2,272

0.09

32.48

6 South Sumatera 7 Bengkulu

14

0.0

0.91

2

0.0

0.13

204

0.98

13.25

61

3.28

3.60

129

8 Lampung

197

5.1

3.43

624

2.6

9.29

908

1.54

13.51

736

1.63

10.54

1,402

1.00

53

0.00

9 Bangka Belitung Islands

0.78

7.61 20.08

29

3.4

3.21

241

4.1

26.68

0

5.65

46

4.35

4.60

58

10 Riau Islands

-

-

-

-

-

-

-

-

-

746

3.49

57.58

969

2.89

74.79

11 DKI Jakarta

5,750

0.9

66.86

14,071

0.4

125.09

20,510

0.43

260.08

23,466

0.34

296.87

24,932

0.16

316.17

12 West Java

4,817

1.3

13.56

8,683

2.1

23.64

19,014

1.13

52.20

18,590

1.53

47.50

25,851

1.06

66.08

13 Central Java

6,357

1.6

19.09

8,490

2.3

25.51

9,047

1.80

27.11

6,583

2.29

19.61

10,924

2.01

33.72

992

1.0

28.57

1,553

2.3

47.09

2,206

1.41

66.89

971

1.24

29.44

2,184

1.05

66.22

5,308

1.3

15.04

4,216

1.4

11.94

8,287

1.45

23.48

15,251

1.74

42.94

20,374

1.21

56.19

14 DI Yogyakarta 15 East Java 16 Banten 17 Bali

5.80

713

0.7

8.00

700

3.6

8.17

2577

2.25

30.08

2,045

1.27

23.87

2,306

1.52

26.92

3,986

0.3

130.87

2,364

0.3

76.78

1935

0.41

58.64

3,596

0.50

108.97

5,629

0.53

170.57 15.59

18 West Nusa Tenggara

232

1.3

5.91

196

4.6

5.06

805

1.99

20.77

1,062

1.41

26.62

623

0.64

19 East Nusa Tenggara

24

4.2

0.63

260

3.2

6.34

1381

3.11

35.00

735

1.36

17.75

251

1.20

6.36

1,910

1.6

49.97

349

2.0

9.13

212

2.36

5.55

1,220

1.07

31.92

2,659

1.32

65.94

72

2.8

4.00

300

3.0

16.36

453

1.32

24.70

491

0.81

26.75

513

0.78

27.42

365

0.3

17.04

178

3.4

7.47

378

0.79

10.30

341

2.35

9.29

455

1.54

12.40

20 West Kalimantan 21 Central Kalimantan 22 South Kalimantan 23 East Kalimantan 24 North Sulawesi 25 Central Sulawesi 26 South Sulawesi 27 Southeast Sulawesi 28 Gorontalo

2,011

2.0

80.08

1,926

1.5

77.32

2276

1.80

91.37

3,165

2.59

121.74

2,714

2.80

103.64

974

1.4

47.47

369

1.3

15.75

225

4.89

10.56

1,926

1.35

119.89

1,290

1.47

59.62

81

2.5

3.27

184

1.0

7.47

293

3.41

13.06

780

1.00

31.73

492

2.24

20.01

2,408

1.6

31.71

2,636

1.5

31.41

3500

0.69

41.70

2,822

1.81

34.65

2,612

0.84

35.03

51

0.0

2.91

43

2.3

2.45

266

0.75

13.89

758

2.90

39.25

95

3.16

4.73

4

0.0

0.31

30

0.0

3.54

14

0.00

1.60

206

0.00

23.50

302

0.66

32.90

27

2.00

2.66

31

3.23

3.06

0.00

0.00

0

0.00

0.00 16.09

29 West Sulawesi

-

-

-

-

-

-

-

-

-

30 Maluku

0

0.0

0.00

0

0.0

0.00

0

0.00

0.00

31 North Maluku 32 Papua 33 West Irian Jaya Indonesia

63

3.2

7.20

2

1.0

0.23

74

9.46

8.71

24

4.17

2.65

138

2.90

300

1.0

14.19

603

0.8

29.13

390

2.05

18.84

183

1.09

11.02

60

0.00

3.55

-

-

-

-

-

-

-

-

-

184

3.26

32.62

128

0.00

22.69

40,377

1.3

19.24

51,516

1.5

23.87

79,462

1.2

37.11

95,279

1.36

43.42

114,656

Source: DG of Disease Control & Environmental Health, MOHRI, 2006 Remarks : IR (Insidence Rate) per 100,000 population

0

1.04

52.48

Annex 3.34

NUMBER OF DISTRICTS/MUNICIPALITIES INFECTED BY DENGUE HEMORRHAGIC FEVER (DHF) BY PROVINCE, 2004 - 2006 No

Province

(1)

2004

2005

2006

Total

%

Total

%

Total

%

(3)

(4)

(5)

(6)

(7)

(8)

(2)

1

Nanggroe Aceh Darussalam

16

80.0

12

57.1

15

71.4

2

North Sumatera

15

65.2

17

68.0

19

76.0

3

West Sumatera

9

56.3

10

52.6

12

63.2

4

Riau

14

87.5

11

100.0

11

100.0

5

Jambi

6

South Sumatera

7

7

90.0

7

70.0

10

100.0

11

71.4

9

64.3

9

64.3

Bengkulu

5

71.4

3

33.3

7

77.8

8

Lampung

10

100.0

10

100.0

10

100.0

9

Bangka Belitung Islands

5 -

71.4 -

6

85.7

5

71.4

10 Riau Islands

5

83.3

3

50.0

11 DKI Jakarta

5

83.3

5

83.3

5

83.3

12 West Java

25

100.0

25

100.0

25

100.0

13 Central Java

35

100.0

35

100.0

35

100.0

5

100.0

5

100.0

5

100.0

38

100.0

38

100.0

38

100.0

16 Banten

6

100.0

6

100.0

6

100.0

17 Bali

9

100.0

9

100.0

9

100.0

18 West Nusa Tenggara

8

100.0

9

100.0

8

88.9

19 East Nusa Tenggara

10

62.5

7

43.8

1

6.3

9

90.0

7

58.3

10

83.3

14 DI Yogyakarta 15 East Java

20 West Kalimantan 21 Central Kalimantan

11

78.6

6

42.9

6

42.9

22 South Kalimantan

13

100.0

13

100.0

12

92.3

23 East Kalimantan

13

100.0

12

92.3

13

100.0

24 North Sulawesi

7

87.5

9

100.0

9

100.0

25 Central Sulawesi

5

55.6

10

100.0

7

70.0

23

82.1

21

91.3

20

87.0

27 Southeast Sulawesi

1

14.3

6

60.0

5

50.0

28 Gorontalo

40.0 -

5

100.0

5

100.0

29 West Sulawesi

2 -

1

20.0

2

40.0

30 Maluku

0

0.0

0

0.0

0

0.0

31 North Maluku

3

37.5

3

37.5

3

37.5

32 Papua

6 -

21.4 -

4

20.0

3

15.0

326

74.1

4 330

44.4 75.0

2 330

22.2 75.0

26 South Sulawesi

33 West Irian Jaya Indonesia Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Annex 3.35 NUMBER AND PERCENTAGE OF INFECTED DISTRICTS/MUNICIPALITIES AND NUMBER OF ANIMAL BITES INFECTED BY RABIES (GHTR) AND EXAMINATION RESULT OF ANIMAL SPECIMEN BY PROVINCE, 2006 No

Province

(1)

(2)

Number of Infected Areas Village Sub District (3)

All

(4)

Number of Districts/Municipalities Infected %

(5)

(6)

(7)

Number of GHTR Cases

VAR/SAR

Lyssa

(8)

(9)

(10)

Number of Animal Specimens Examined Positive (11)

(12)

1

Nanggroe Aceh Darussalam

32

22

21

18

85.71

270

195

0

2

North Sumatera

42

40

25

23

92.00

1,702

1,201

7

6

3

West Sumatera

211

142

19

18

94.74

2,538

1,771

10

354

4

Riau

109

22

11

8

72.73

314

210

5

Jambi

59

42

10

10

100.00

465

299

0

286

6

South Sumatera

36

27

14

12

85.71

529

462

7

7

Bengkulu

26

13

9

9

100.00

68

57

4

8

Lampung

21

9

10

8

80.00

597

388

2

8.00

266

214

1

16.67

10

10

9

Bangka Belitung Islands

7

10

Riau Islands

6

11

DKI Jakarta

12

West Java

13

Central Java

14

DI Yogyakarta

15

East Java

16

Banten

6

17

Bali

9

18

West Nusa Tenggara

19

East Nusa Tenggara

20

West Kalimantan

21

19

6 8

8

25

1

1

1

35 5 38

9 68

33

16

6

37.50

1,267

1,129

5

0

1

12

1

8.33

36

0

1

-

Central Kalimantan

52

26

14

9

64.29

596

400

2

27

22

South Kalimantan

81

41

13

11

84.62

46

40

0

5

23

East Kalimantan

19

23

13

9

69.23

161

98

0

1

24

North Sulawesi

9

9

100.00

1,662

317

21

256

25

Central Sulawesi

40

19

10

11

110.00

438

271

15

165

26

South Sulawesi

22

112

23

12

52.17

979

433

10

51

27

Southeast Sulawesi

84

66

10

9

90.00

1,014

775

11

66

28

Gorontalo

73

27

5

5

100.00

105

40

29

West Sulawesi

7

0

5

2

40.00

162

150

30

Maluku

28

5

8

3

37.50

502

389

2

23

31

North Maluku

13

3

8

3

37.50

202

164

10

32

Papua

33

West Irian Jaya

199

45.23

9,013

106

20 Indonesia

9 1,031

Source: DG of Disease Control & Environmental Health, MOHRI, 2006 Remarks : GHTR = Animal bites infected by Rabies VAR/SAR= injected by vaccine anti rabies Lyssa= dead caused by rabies

681

440

13,929

1

1,260

Annex 3.36

NUMBER OF FILARIASIS PATIENTS BY PROVINCE, 2002 - 2006 No

Province

(1)

(2)

1

Nanggroe Aceh Darussalam

2

2002

2003

Year 2004

2005

(3)

(4)

(5)

(6)

2006 (8)

1,908

1,940

1,896

2,354

2,359

North Sumatera

52

45

102

104

104

3

West Sumatera

30

32

30

149

231

4

Riau

267

267

243

532

532

5

Jambi

136

134

220

218

255

6

South Sumatera

91

44

130

191

191

7

Bengkulu

67

55

57

79

94

8

Lampung

73

73

73

74

74

9

Bangka Belitung Islands

73

78

37

160

151 31

10

Riau Islands

21

31

11

DKI Jakarta

12

12

12

53

53

12

West Java

156

156

78

229

252

136

136

226

224

224

7

7

144

167

13

Central Java

14

DI Yogyakarta

15

East Java

16

Banten

17

Bali

18

5

5

119

207

207 67

69

76

67

5

5

5

11

18

West Nusa Tenggara

62

62

62

62

62

19

East Nusa Tenggara

1,706

1,706

1,706

1,627

1,682

20

West Kalimantan

156

156

261

232

232

21

Central Kalimantan

123

118

117

202

202

22

South Kalimantan

169

135

249

385

385 409

23

East Kalimantan

282

272

195

409

24

North Sulawesi

72

72

23

26

30

25

Central Sulawesi

82

82

82

451

451

26

South Sulawesi

154

154

110

83

60

27

Southeast Sulawesi

197

197

182

119

181

14

83

224

224

91

92

28

Gorontalo

29

West Sulawesi

30

Maluku

31

North Maluku

57

32

Papua

33

West Irian Jaya

390 Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

6,217

57

30

30

70

5

12

12

390

36

1,334

1,132

6,635

254 6,430

264 10,239

355 10,427

Annex 3.37

NUMBER OF CASES AND FRAMBUSIA PREVALENCE BY PROVINCE, 2006 No

Province

Number of Cases

(1)

(2)

(3)

Prevalence / 100.000 population (4)

1

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

Riau Islands

-

-

11

DKI Jakarta

-

-

12

West Java

-

-

13

Central Java

-

-

14

DI Yogyakarta

-

-

15

East Java

-

-

16

Banten

-

-

17

Bali

-

-

18

West Nusa Tenggara

-

-

19

East Nusa Tenggara

1,172

2.80

20

West Kalimantan

-

-

21

Central Kalimantan

-

-

22

South Kalimantan

-

-

23

East Kalimantan

-

-

24

North Sulawesi

-

-

25

Central Sulawesi

-

-

26

South Sulawesi

-

-

27

Southeast Sulawesi

1,517

7.92

28

Gorontalo

-

-

29

West Sulawesi

-

-

30

Maluku

152

1.08

31

North Maluku

32

Papua

33

West Irian Jaya Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

-

-

1,850

10.01

849

15.07

5,540

0.25

Annex 3.38

LEPTOSPIROSIS SITUATION ON HUMAN IN INDONESIA 2002 - 2006

No

Province

(1)

(2)

2002

Year 2004

2003

2005

2006

Cases

Dead

Cases

Dead

Cases

Dead

Cases

Dead

Cases

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Dead (12)

1

Nanggroe Aceh Darussalam

-

-

-

-

-

-

-

-

49

-

2

North Sumatera

-

-

-

-

-

-

-

-

-

-

3

West Sumatera

-

-

-

-

-

-

-

-

-

-

4

Riau

-

-

-

-

-

-

-

-

-

-

5

Jambi

-

-

-

-

-

-

-

-

-

-

6

South Sumatera

-

-

-

-

-

-

-

-

-

-

7

Bengkulu

-

-

-

-

-

-

-

-

-

-

8

Lampung

-

-

-

-

-

-

-

-

-

-

9

Bangka Belitung Islands

-

-

-

-

-

-

-

-

-

-

10

Riau Islands

-

-

-

-

-

-

-

-

-

-

11

DKI Jakarta

138

21

65

6

78

6

62

0

51

0

12

West Java

12

0

0

0

7

0

-

-

-

-

13

Central Java

-

-

12

0

40

10

34

10

35

9

14

DI Yogyakarta

-

-

-

-

20

1

8

2

-

-

15

East Java

-

-

8

3

3

0

1

0

1

0

16

Banten

-

-

-

-

-

-

-

-

-

-

17

Bali

-

-

2

1

-

-

-

-

-

-

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

-

-

-

-

18

8

9

4

2

2

27

Southeast Sulawesi

-

-

-

-

-

-

-

-

-

-

28

Gorontalo

-

-

-

-

-

-

-

-

-

-

29

West Sulawesi

-

-

-

-

-

-

-

-

-

-

30

Maluku

-

-

-

-

-

-

-

-

-

-

31

North Maluku

-

-

-

-

-

-

-

-

-

-

32

Papua

-

-

-

-

-

-

-

-

-

-

33

West Irian Jaya Indonesia

150

21

87

10

166

25

114

16

138

11

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Annex 3.39

TAENIASIS/CYSTICERCOSIS SITUATION ON HUMAN IN INDONESIA 2002 - 2006 No

Province

(1)

(2)

Cases

2002 Cured

Dead

(3)

(4)

(5)

Cases

2003 Cured

Dead

(6)

(7)

(8)

Cases

Year 2004 Cured

Dead

Cases

2005 Cured

Dead

Cases

2006 Cured

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

Dead (17)

1

Nanggroe Aceh Darussalam

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2

North Sumatera

-

-

-

-

-

-

-

-

-

126

126

0

-

-

-

3

West Sumatera

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

4

Riau

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

5

Jambi

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

6

South Sumatera

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

7

Bengkulu

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

8

Lampung

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

9

Bangka Belitung Islands

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

10 Riau Islands

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

11 DKI Jakarta

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

12 West Java

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

13 Central Java

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

14 DI Yogyakarta

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

15 East Java

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

16 Banten

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

78

78

0

66

66

0

43

43

0

8

8

0

2

2

0

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 Southeast Sulawesi

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

28 Gorontalo

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

29 West Sulawesi

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

30 Maluku

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

31 North Maluku

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

422

422

0

22

22

0

410

203

0

83

83

0

76

46

0

184

184

0

160

160

-

-

-

-

-

-

-

-

-

-

684

684

0

248

248

0

453

246

0

217

217

0

78

48

0

17 Bali

32 Papua 33 West Irian Jaya Indonesia Source: DG of Disease Control & Environmental Health, MOHRI, 2006

Annex 3.40

ANTHRAX SITUATION ON HUMAN IN INDONESIA 2002 - 2006 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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Cases

2002 Cured

Dead

(3)

(4)

(5)

6 2 27 35

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

6 2 27 35

0 1 7 8

Cases

2003 Cured

Dead

Cases

(6)

(7)

(8)

(9)

14 20 6 40

14 20 6 40

0 2 0 2

Year 2004 Cured (10)

69 26 14 109

69 26 14 109

Dead

Cases

2005 Cured

Dead

Cases

2006 Cured

Dead

(11)

(12)

(13)

(14)

(15)

(16)

(17)

6 0 2 8

30 30 16 76

30 30 16 76

0 1 0 1

8 7 15

7 7 14

1 1

Annex 3.41

BUBONIC PLAGUE SITUATION ON HUMAN IN INDONESIA, 2006 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 (2)

Number of Specimens Examined Human Rodent (3)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Disease Control & Environmental Health, MOHRI, 2006

(4)

205 205

Positive Specimen Result Human Rodent (5)

903 345 2,877 4,125

Specimen Pool Examined Positive

(6)

4 4

(7)

3 3

(8)

194 456 650

0

Annex 3.42 NUMBER OF PARTICIPANTS AND KINDS OF WORKING ACCIDENT CASES (PT JAMSOSTEK) 2006 Participants No

Province

(1)

(2)

Company

Worker

Recovery

Functionally Handicap

(3)

(4)

(5)

(6)

Kinds of Working Accident Partly Total Dead Handicap Handicap (7)

(8)

Total

(9)

% Working Accident

(10)

1 Kanwil I

6,337

500,473

12,260

461

268

8

162

13,159

2.63

2 Kanwil II

9,050

896,896

7,938

624

388

48

213

9,211

1.03

3 Kanwil III

18,732

1,857,017

7,515

515

380

24

361

8,795

0.47

4 Kanwil IV

13,056

1949192

27,251

1,284

788

23

351

29,697

1.52

5 Kanwil V

9,086

723,765

10,506

152

169

7

163

10,997

1.52

6 Kanwil VI

13,616

1,090,768

17,009

819

483

10

315

18,636

1.71

7 Kanwil VII

6,283

457,853

2,035

910

304

1

128

3,378

0.74

8 Kanwil VIII

6,192

243,731

1,313

208

138

1

91

1,751

0.72

82,352

7,719,695

85,827

4,973

2,918

122

1,784

95,624

1.24

Indonesia

Source: Center of Working Health, 2006 Remarks : Kanwil = Area Office Kanwil I included NAD, North Sumatera and West Sumatera Kanwil II included Riau, Riau Islands, South Sumatera, Bengkulu, Bangka Belitung, Lampung Kanwil III included DKI Jakarta Kanwil IV included West Java and Banten Kanwil V included Central Java and DI Yogyakarta Kanwil VI included East Java, Bali, East Nusa Tenggara, West Nusa Tenggara Kanwil VII included West Kalimantan, Central Kalimantan, East Kalimantan and South Kalimantan Kanwil VIII included North Sulawesi, Central Sulawesi, Southeast Sulawesi, Gorontalo, South Sulawesi, Maluku, North Maluku and Papua

Annex 4.1 COVERAGE OF 1ST AND 4TH VISITS (K1 & K4) OF PREGNANT WOMAN, DELIVERY ASSISTED BY HEALTH PROVIDERS, AND NEONATAL VISIT (KN) BY PROVINCE, 2006 Pregnant Woman No

Province

(1)

(2)

st

th

Total

K1 (1 Visit)

% K1

K4 (4 Visit)

% K4

Total

(3)

(4)

(5)

(6)

(7)

(8)

Delivering Mother Assisted by % Assisted by Health Health Providers Providers (9)

(10)

Neonatal Visit st

2nd

Total

1 Neonatal Visit

% KN 1

(11)

(12)

(13)

1 Nanggroe Aceh Darussalam

113,856

98,176

86.23

86,698

76.15

108,988

80,032

73.43

103,684

75,524

2 North Sumatera

330,560

288,557

87.29

272,738

82.51

317,263

243,848

76.86

304,373

239,112

Neonatal Visit (14)

72.84 78.56

% KN2 (15)

61,653

59.46

219,894

72.24

3 West Sumatera

118,348

104,851

88.60

90,197

76.21

112,969

85,404

75.60

107,526

89,186

82.94

89,186

82.94

4 Riau

133,638

123,200

92.19

112,745

84.37

127,382

95,919

75.30

121,683

103,137

84.76

97,005

79.72

73,274

67,388

91.97

61,055

83.32

67,354

52,567

78.05

64,991

56,929

87.60

53,837

82.84

177,915

163,332

91.80

152,756

85.86

170,751

141,337

82.77

163,162

131,763

80.76

126,628

77.61

5 Jambi 6 South Sumatera 7 Bengkulu

45,255

38,865

85.88

34,884

77.08

43,488

31,156

71.64

41,821

31,723

75.85

29,997

71.73

8 Lampung

184,643

172,362

93.35

156,700

84.87

176,250

133,579

75.79

167,855

145,652

86.77

140,763

83.86

29,226

26,850

91.87

25,155

86.07

27,879

23,598

84.64

26,291

23,913

90.96

-

41,426

37,161

89.70

33,107

79.92

38,096

27,839

73.08

37,063

21,625

58.35

20,063

9 Bangka Belitung Islands 10 Riau Islands 11 DKI Jakarta 12 West Java 13 Central Java 14 DI Yogyakarta 15 East Java 16 Banten

54.13

205,533

224,827

109.39

188,874

91.89

199,386

164,853

82.68

189,327

161,480

85.29

150,810

79.66

1,004,738

856,652

85.26

777,660

77.40

925,002

650,643

70.34

555,408

721,953

129.99

732,628

131.91

677,918

649,136

95.75

602,304

88.85

654,560

564,198

86.20

628,886

576,258

91.63

574,301

91.32

51,928

49,718

95.74

42,750

82.33

48,137

40,068

83.24

46,433

0.00

38,901

83.78

93.62

559,292

80.57

637,402

547,566

85.91

634,441

565,992

89.21

554,467

87.39 86.04

694,203

649,943

-

269,259

234,996

87.28

189,009

70.20

256,840

161,922

63.04

245,263

94,301

38.45

211,019

67,187

62,136

92.48

58,198

86.62

64,153

57,826

90.14

61,097

57,769

94.55

57,571

94.23

18 West Nusa Tenggara

111,232

106,163

95.44

95,621

85.97

106,421

82,615

77.63

101,254

89,525

88.42

87,448

86.36

19 East Nusa Tenggara

122,638

106,537

86.87

77,541

63.23

112,300

77,221

68.76

107,925

87,044

80.65

83,237

77.12

20 West Kalimantan

107,981

90,960

84.24

82,756

76.64

103,235

68,214

66.08

98,575

54,858

55.65

52,586

53.35

21 Central Kalimantan

58,028

49,467

85.25

42,417

73.10

53,745

38,243

71.16

51,429

39,653

77.10

39,576

76.95

22 South Kalimantan

81,984

75,813

92.47

60,697

74.04

77,743

61,939

79.67

75,018

64,306

85.72

63,970

85.27

23 East Kalimantan

78,970

71,170

90.12

62,347

78.95

75,589

55,099

72.89

71,918

57,565

80.04

56,463

78.51

24 North Sulawesi

49,780

43,688

87.76

39,021

78.39

45,918

37,811

82.34

45,428

33,967

74.77

31,721

69.83

25 Central Sulawesi

60,634

52,309

86.27

46,694

77.01

58,387

45,434

77.82

56,292

47,305

84.04

44,461

78.98

183,235

171,124

93.39

138,909

75.81

169,113

127,984

75.68

163,280

183,398

112.32

95,842

58.70

27 Southeast Sulawesi

56,072

47,222

84.22

42,172

75.21

52,783

37,811

71.63

51,894

43,397

83.63

41,907

80.76

28 Gorontalo

25,062

22,724

90.67

19,712

78.65

24,072

16,660

69.21

22,788

18,624

81.73

18,365

80.59

58.05

22,526

13,339

59.22

16,168

71.77

17 Bali

26 South Sulawesi

29 West Sulawesi

25,428

22,401

88.10

15,688

61.70

24,281

14,096

30 Maluku

34,730

30,546

87.95

23,925

68.89

33,152

20,239

61.05

32,463

20,035

61.72

19,276

59.38

31 North Maluku

24,161

19,192

79.43

16,354

67.69

23,194

13,397

57.76

22,229

15,639

70.35

14,139

63.61

32 Papua

55,138

32,486

58.92

17,104

31.02

52,631

16,201

30.78

50,125

12,848

25.63

9,749

19.45

61.93

5,707

29.54

55.46

16,900

5,864

34.70

5,093

30.14

76.40

4,489,348

3,883,684

86.51

3,838,724

85.51

33 West Irian Jaya Indonesia

19,317 5,313,297

11,963 4,801,915

Source: Directorate of Mother Health, DG of Community Health MOHRI, 2007

90.38

4,230,787

79.63

18,556 5,007,020

10,292 3,825,611

Annex 4.2 COVERAGE OF HIGH RISK CASES REFERRAL AND COMPLICATION HANDLING OF PREGNANT MOTHER AND NEONATES BY PROVINCE, 2006

No

Province

(1)

(2)

Complication Handling Obstetric Neonatal

High Risk Cases Referral Maternal Neonatal

Number of Pregnant

Number of Delivering

Mother

Mother

Abs

%

Abs

%

Abs

%

Abs

%

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

1

Nanggroe Aceh Darussalam

113,856

108,988

394

1.73

244

1.07

153

0.14

101

0.09

2

North Sumatera

330,560

317,263

2,887

4.37

1,134

1.72

3,023

0.95

1,086

0.34

3

West Sumatera

118,348

112,969

3,723

15.73

450

1.90

3,172

2.81

973

0.86

4

Riau

133,638

127,382

2,079

7.78

232

0.87

4,747

3.73

1,331

1.04

5

Jambi

6

South Sumatera

7

73,274

67,354

2,159

14.73

239

1.63

2,748

4.08

326

0.48

177,915

170,751

4,963

13.95

3,258

9.16

1,846

1.08

678

0.40

Bengkulu

45,255

43,488

678

7.49

374

4.13

2,385

5.48

684

1.57

8

Lampung

184,643

176,250

6,660

18.03

540

1.46

8,109

4.60

443

0.25

9

Bangka Belitung Islands

29,226

27,879

1,141

19.52

302

5.17

658

2.36

333

1.19

10

Riau Islands

41,426

38,096

277

3.34

76

0.92

-

0.00

-

0.00

11

DKI Jakarta

205,533

199,386

-

0.00

-

0.00

-

0.00

-

0.00 0.06

12

West Java

464,296

322,985

2,638

2.84

919

0.99

8,728

2.70

208

13

Central Java

677,918

654,560

-

0.00

-

0.00

-

0.00

-

0.00

14

DI Yogyakarta

51,928

48,137

1,384

13.33

277

2.67

3,676

7.64

442

0.92

15

East Java

16

Banten

17

Bali

18

694,203

637,402

21,314

15.35

3,581

2.58

94,839

14.88

6,680

1.05

269,259

256,840

4,727

8.78

1,405

2.61

2,768

1.08

790

0.31

67,187

64,153

1,076

8.01

640

4.76

848

1.32

533

0.83

West Nusa Tenggara

111,232

106,421

9,572

43.03

3,262

14.66

8,096

7.61

3,079

2.89

19

East Nusa Tenggara

122,638

112,300

4,218

17.20

779

3.18

4,008

3.57

1,673

1.49

20

West Kalimantan

107,981

103,235

2,939

13.61

486

2.25

2,847

2.76

1,655

1.60

21

Central Kalimantan

58,028

53,745

427

3.68

189

1.63

3,540

6.59

684

1.27

22

South Kalimantan

81,984

77,743

2,191

13.36

693

4.23

1,937

2.49

762

0.98

23

East Kalimantan

78,970

75,589

2,385

15.10

59

0.37

3,507

4.64

411

0.54

24

North Sulawesi

49,780

45,918

1,047

10.52

217

2.18

1,032

2.25

118

0.26

25

Central Sulawesi

26

South Sulawesi

60,634

58,387

1,556

12.83

833

6.87

2,631

4.51

3,456

5.92

183,235

169,113

7,167

19.56

6,440

17.57

14,425

8.53

13,493

7.98 0.62

27

Southeast Sulawesi

56,072

52,783

1,225

10.92

348

3.10

1,826

3.46

327

28

Gorontalo

25,062

24,072

362

7.22

41

0.82

1,073

4.46

74

0.31

29

West Sulawesi

5,461

107.38

2,506

49.28

5,604

23.08

2,506

10.32

25,428

24,281

30

Maluku

34,730

33,152

-

0.00

-

0.00

1,155

3.48

35

0.11

31

North Maluku

24,161

23,194

412

8.53

240

4.97

412

1.78

240

1.03

32

Papua

55,138

52,631

440

3.99

99

0.90

1,838

3.49

516

0.98

33

West Irian Jaya

-

-

-

-

Indonesia

4,753,538

4,386,447

Source: Directorate of Mother Health, DG of Community Health MOHRI, 2007

95,502

10.05

29,863

3.14

191,631

4.37

43,637

0.99

Annex 4.3 PROPORTION OF MARRIED WOMEN AGED 15-49 YEARS USING CONTRACEPTION BY AREA TYPE AND PROVINCE, 2006 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

Urban

Rural

Urban + Rural

(2)

(3)

(4)

(5)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source : BPS-Statistic Indonesia, Welfare Statistic 2007

48.69 46.38 47.37 47.11 57.53 60.15 63.45 58.26 63.64 54.43 55.25 63.07 59.97 56.31 61.91 62.95 64.39 58.14 39.86 55.11 64.72 65.50 56.70 66.89 53.15 40.74 51.59 55.37 36.44 41.57 51.77 43.44 43.91 58.65

41.37 44.04 49.81 57.13 63.13 63.50 72.48 66.12 63.30 59.37 62.60 63.55 66.39 57.91 56.85 70.95 52.96 31.18 60.98 67.45 67.41 52.29 71.52 55.05 43.43 45.56 63.22 39.20 25.70 35.68 27.62 25.91 57.36

43.04 45.08 49.06 53.69 61.63 62.44 70.08 64.49 63.44 55.41 55.25 62.84 62.10 61.13 59.52 60.33 67.43 54.82 32.63 59.49 66.64 66.70 54.67 69.75 54.68 42.59 46.80 61.24 38.82 30.13 39.61 31.22 31.73 57.91

Annex 4.4 PROPORTION OF MARRIED WOMEN AGED 15-49 YEARS USED CONTRACEPTION BY AREA TYPE AND PROVINCE, 2006 No

Province

Urban

Rural

Urban + Rural

(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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source : BPS-Statistic Indonesia, Welfare Statistic 2007

71.60 71.70 73.53 75.52 78.52 80.91 84.44 82.11 80.72 77.27 80.08 86.49 81.71 79.21 80.60 83.65 84.16 83.00 64.12 80.60 85.56 86.43 82.21 90.44 77.40 64.88 72.02 79.94 55.77 67.23 71.96 69.35 65.46 81.07

63.40 65.60 73.78 77.88 83.76 83.00 88.03 86.62 82.06 79.11 86.92 84.15 83.62 79.29 81.70 86.81 79.53 53.52 82.07 85.00 86.86 76.04 90.30 77.23 64.88 67.82 83.26 55.58 40.85 55.98 39.75 38.24 78.78

65.27 68.31 73.70 77.07 82.36 82.34 87.07 85.68 81.53 77.64 80.08 86.70 83.16 81.32 79.82 82.81 85.39 80.78 55.29 81.69 85.17 86.70 79.37 90.36 77.26 64.88 68.69 82.42 55.60 48.21 59.88 46.48 47.04 79.76

Annex 4.5 PERCENTAGE OF MARRIED WOMEN AGED 15-49 YEARS BY CONTRACEPTION METHODS AND PROVINCE, 2006 Urban+Rural Contraception Method Being Used 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

MOW/

MOP/

(2)

Tubectomy (3)

Vasectomy (4)

0.32 4.53 1.85 1.11 0.77 1.39 1.19 0.78 1.14 1.49 1.42 1.47 4.32 3.79 3.72 0.95 4.12 1.74 1.64 1.06 0.14 0.85 2.04 1.98 1.24 0.59 1.41 1.47 0.14 0.84 0.61 1.27 2.08 2.39

0.45 2.04 0.91 1.21 0.68 0.80 1.03 0.80 0.31 0.69 0.83 0.96 1.32 0.62 0.83 1.01 0.69 0.81 0.93 0.88 0.63 0.56 0.71 0.35 0.76 0.65 0.63 0.81 1.06 0.83 0.94 0.49 0.90 0.96

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source : BPS-Statistic Indonesia, Welfare Statistic 2007

Intravagina/

Intra Uterine Devices

Injection

Implant

Pill

Condom

(5)

(6)

(7)

(8)

(9)

2.18 4.44 8.52 3.33 2.93 2.05 4.07 3.23 2.61 3.94 11.65 7.52 7.67 25.41 10.34 3.67 39.91 6.43 8.05 3.09 0.99 1.72 7.06 9.38 4.21 2.52 2.78 8.44 3.03 3.38 1.04 2.75 6.12 7.60

61.75 45.90 60.37 56.91 56.31 66.46 62.60 66.54 51.95 47.69 54.89 60.42 64.94 49.07 56.34 71.70 41.06 65.45 62.76 54.63 44.19 42.88 44.45 45.77 47.42 57.88 46.17 36.92 48.21 68.86 60.64 32.11 50.87 58.40

1.24 3.46 7.23 2.28 5.45 7.61 6.89 6.46 2.28 2.55 1.87 2.23 6.51 5.16 4.25 2.66 0.80 9.04 4.75 1.92 5.44 2.88 1.78 7.69 5.31 4.22 8.69 13.20 5.24 5.43 8.42 3.00 1.43 4.27

`

31.78 34.46 19.61 33.22 32.23 20.86 23.02 21.21 39.80 42.10 26.95 26.74 14.27 12.06 23.44 19.10 11.61 14.98 17.80 37.28 46.75 50.23 42.15 34.03 39.38 31.70 38.14 38.27 40.95 19.20 25.86 18.78 31.47 24.77

tissue (10)

0.54 1.69 0.67 0.73 0.45 0.47 0.67 0.36 0.95 0.82 0.81 0.31 0.62 2.71 0.47 0.69 0.73 0.23 0.33 0.31 0.48 0.32 0.86 0.09 0.25 0.17 0.06 0.08 0.17 0.10 0.11 0.46 0.29 0.54

0.19 0.44 0.17 0.09 0.05 0.16 0.11 0.08 0.00 0.00 0.26 0.07 0.11 0.00 0.14 0.08 0.05 0.05 0.45 0.12 0.04 0.02 0.10 0.13 0.14 0.08 0.18 0.05 0.23 0.23 0.22 0.12

Traditional

Total

(11)

(12)

1.56 3.06 0.67 1.13 1.13 0.20 0.41 0.54 0.95 0.72 1.32 0.29 0.26 1.17 0.48 0.15 1.03 1.28 3.29 0.71 1.33 0.54 0.85 0.60 1.29 2.19 1.95 0.76 1.19 1.13 2.16 40.93 6.84 0.93

100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100

Annex 4.5.a PERCENTAGE OF MARRIED WOMEN AGED 15-49 YEARS BY CONTRACEPTION METHODS AND PROVINCE, 2006 Urban Contraception Method Being Used No (1)

Province (2)

MOW/ Tubectomy (3)

MOP/ Vasectomy (4)

Intra Uterine Devices

Injection

Implant

Pill

Condom

Intravagina/ tissue

Traditional

Total

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

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

0.15 3.69 2.76 1.71 0.91 2.00 1.60 1.75 2.01 1.79 1.42 1.60 5.23 3.97

0.31 2.08 1.02 0.60 0.41 1.36 0.00 1.40 0.41 0.81 0.83 0.75 1.52 0.73

6.01 5.46 14.83 7.59 4.47 2.92 7.86 6.48 5.71 4.89 11.65 12.00 8.93 27.08

55.65 49.60 53.12 59.72 58.26 65.08 54.25 60.27 46.75 45.02 54.89 57.06 63.66 43.69

0.32 2.27 4.77 2.01 2.07 4.48 5.46 3.04 1.96 2.34 1.87 1.69 4.58 3.58

34.00 31.39 21.68 25.65 30.93 22.56 28.63 24.78 40.63 43.52 26.95 25.87 14.38 15.02

1.19 1.84 1.17 1.50 1.39 1.05 1.18 1.07 0.90 0.98 0.81 0.54 1.20 4.81

0.73 0.62 0.09 0.17 0.20 0.26 0.20 0.00 0.00 0.00 0.26 0.10 0.11 0.00

1.64 3.04 0.55 1.03 1.36 0.30 0.83 1.18 1.64 0.65 1.32 0.39 0.39 1.11

100 100 100 100 100 100 100 100 100 100 100 100 100 100

15 16 17 18 19

East Java Banten Bali West Nusa Tenggara East Nusa Tenggara

4.64 0.74 3.63 1.82 1.87

0.93 1.28 0.83 1.11 0.91

10.55 5.47 37.76 9.20 16.33

54.56 68.51 40.84 61.95 51.46

3.14 0.88 0.95 8.74 1.49

24.48 22.01 13.15 15.02 22.47

0.80 0.76 1.03 0.30 0.19

0.18 0.13 0.10 0.00 0.00

0.73 0.20 1.72 1.85 5.28

100 100 100 100 100

20 21 22 23 24 25 26 27 28 29 30 31 32 33

West Kalimantan Central Kalimantan South Kalimantan East Kalimantan North Sulawesi Central Sulawesi South Sulawesi Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

1.91 0.29 1.24 2.81 3.11 2.71 0.99 1.15 1.25 0.54 1.42 0.13 2.14 3.94

1.13 0.81 0.88 0.74 0.41 0.52 0.72 0.22 1.00 4.57 1.45 1.47 0.75 1.32

8.24 1.95 3.20 10.47 10.16 6.39 4.52 5.13 16.08 4.37 6.81 1.07 6.20 10.31

52.10 43.23 42.33 42.58 44.84 39.95 58.35 40.72 31.00 53.50 63.44 62.96 45.59 43.25

0.41 2.65 2.41 1.28 3.98 6.95 3.32 7.55 7.15 4.37 4.43 7.28 5.97 -

34.79 48.36 48.64 39.37 36.71 40.20 30.66 41.75 42.33 29.97 22.17 25.32 35.54 40.08

0.45 0.79 0.72 1.29 0.02 0.73 0.08 0.05 0.00 1.34 0.00 0.36 1.08 0.66

0.00 0.12 0.00 0.17 0.23 0.00 0.02 0.00 0.20 0.00 0.71 0.28 -

0.96 1.80 0.59 1.27 0.55 2.55 1.35 3.43 0.99 1.34 0.29 0.71 2.45 0.44

100 100 100 100 100 100 100 100 100 100 100 100 100 100

2.79

1.02

10.25

56.37

2.75

24.95

0.89

0.16

0.84

100

Source : BPS-Statistic Indonesia, Welfare Statistic 2007

`

Annex 4.5.b PERCENTAGE OF MARRIED WOMEN AGED 15-49 YEARS BY CONTRACEPTION METHODS AND PROVINCE, 2006 Rural Contraception Method Being Used No (1)

Province (2)

MOW/ Tubectomy (3)

MOP/ Vasectomy (4)

Intra Uterine Devices

Injection

Implant

Pill

Condom

Intravagina/ tissue

Traditional

Total

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

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

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Islands Riau Islands DKI Jakarta West Java Central Java

0.38 5.23 1.47 0.85 0.72 1.12 1.06 0.55 0.57 0.37 1.33 3.73

0.50 2.00 0.87 1.47 0.78 0.56 1.35 0.66 0.25 0.24 1.17 1.19

0.85 3.58 5.88 1.49 2.41 1.68 2.87 2.48 0.56 0.37 2.71 6.86

63.87 42.79 63.44 55.70 55.66 67.06 65.24 67.99 55.40 57.65 64.03 65.75

1.56 4.46 8.25 2.39 6.57 8.97 7.34 7.25 2.49 3.33 2.80 7.74

31.01 37.04 18.75 36.48 32.67 20.12 21.26 20.38 39.24 36.81 27.68 14.19

0.31 1.55 0.46 0.40 0.13 0.22 0.51 0.19 0.99 0.21 0.05 0.25

0.00 0.29 0.20 0.06 0.00 0.12 0.08 0.10 0.00 0.00 0.04 0.11

1.53 3.07 0.72 1.17 1.06 0.15 0.28 0.39 0.50 1.01 0.19 0.18

100 100 100 100 100 100 100 100 100 100 0 100 100

14 15 16 17 18

DI Yogyakarta East Java Banten Bali West Nusa Tenggara

3.63 3.06 1.26 4.62 1.69

0.52 0.77 0.60 0.55 0.62

23.85 10.18 1.03 42.17 4.73

54.06 57.62 76.36 41.29 67.59

6.63 5.04 5.26 0.65 9.22

9.32 22.69 14.84 10.01 14.95

0.77 0.22 0.57 0.41 0.19

0.00 0.11 0.00 0.00 0.07

1.23 0.30 0.07 0.31 0.92

100 100 100 100 100

19 20 21 22 23

East Nusa Tenggara West Kalimantan Central Kalimantan South Kalimantan East Kalimantan

1.58 0.80 0.08 0.62 1.05

0.94 0.80 0.56 0.38 0.66

5.93 1.51 0.61 0.87 2.71

65.64 55.40 44.58 43.19 46.83

5.59 2.38 6.57 3.15 2.42

16.61 38.05 46.10 51.15 45.70

0.36 0.27 0.36 0.09 0.30

0.56 0.16 0.01 0.03 0.00

2.79 0.64 1.14 0.52 0.32

100 100 100 100 100

24 25 26 27 28 29 30 31 32 33

North Sulawesi Central Sulawesi South Sulawesi Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

1.32 0.90 0.42 1.49 1.54 0.08 0.48 0.83 0.87 0.56 2.10

0.31 0.82 0.62 0.75 0.76 0.54 0.44 0.69 0.36 0.56 0.92

8.92 3.70 1.67 2.09 6.17 2.83 1.23 1.02 1.16 2.72 5.60

46.31 49.16 57.68 47.76 38.68 47.43 72.24 59.55 25.86 57.05 59.95

9.85 4.93 4.60 9.02 14.99 5.37 6.06 8.95 1.62 2.58 5.42

32.46 39.19 32.15 37.08 37.07 42.58 17.34 26.12 11.01 24.48 24.64

0.14 0.14 0.20 0.06 0.10 0.16 0.00 0.16 0.28

0.07 0.17 0.10 0.24 0.00 0.38 0.00 0.19 0.10

0.62 0.99 2.56 1.51 0.69 1.17 1.65 2.83 58.75 12.03 1.00

100 100 100 100 100 100 100 100 100 100 100

Source : BPS-Statistic Indonesia, Welfare Statistic 2007

`

Annex 4.6 RESULT OF CUMULATIVE NEW FAMILY PLANNING ACCEPTOR SERVICE BY CONTRACEPTION METHOD AND PROVINCE, 2006 No

Province

(1)

(2)

1 Nanggroe Aceh Darussalam

IUD

%

MOW

%

MOP

%

(3)

(4)

(5)

(6)

(7)

(8)

890

0.77

143

0.12

10

2 North Sumatera

12,082

5.28

6,504

2.84

3 West Sumatera

4,737

4.53

855

0.82

Contraception Method Condom % Implant (9)

(10)

(11)

1,176

%

Injection

%

Pill

%

(12)

(13)

(14)

(15)

(16)

1.02

56,431

49.14

49,890

43.44

Total (17)

0.01

6,301

5.49

114,841

163

0.07

19,043

8.33

10,154

4.44

93,564

40.91

87,186

38.12

228,696

17

0.02

3,017

2.89

12,315

11.78

60,499

57.86

23,114

22.11

104,554

4 Riau

1,208

2.12

203

0.36

27

0.05

2,293

4.03

1,946

3.42

29,235

51.42

21,948

38.60

56,860

5 Jambi

1,280

1.59

124

0.15

10

0.01

1,273

1.58

5,490

6.80

43,023

53.29

29,527

36.58

80,727

6 South Sumatera

2,268

1.01

1,527

0.68

89

0.04

8,510

3.80

14,263

6.37

114,452

51.12

82,794

36.98

223,903

7 Bengkulu

1,648

2.50

523

0.79

19

0.03

2,274

3.45

4,923

7.46

35,323

53.54

21,260

32.23

65,970

8 Lampung

5,198

2.31

593

0.26

115

0.05

7,915

3.51

18,436

8.18

106,653

47.33

86,437

38.36

225,347

9 Bangka Belitung Islands 10 Riau Islands

296

1.29

182

0.79

-

-

706

3.07

1,951

8.49

12,735

55.43

7,106

30.93

22,976

623

2.80

132

0.59

1

0.00

782

3.52

883

3.97

11,182

50.34

8,612

38.77

22,215

11 DKI Jakarta

19,950

7.75

1,429

0.55

941

0.37

5,655

2.20

12,427

4.82

136,051

52.82

81,107

31.49

257,560

12 West Java

111,109

10.24

11,628

1.07

1,272

0.12

10,731

0.99

52,255

4.81

579,569

53.40

318,704

29.37

1,085,268

18,824

3.04

13,516

2.18

1,578

0.26

18,771

3.03

36,768

5.94

418,174

67.58

111,165

17.96

618,796

6,757

15.50

1,444

3.31

127

0.29

1,569

3.60

3,674

8.43

25,070

57.53

4,940

11.34

43,581

42,075

5.34

11,007

1.40

973

0.12

8,283

1.05

37,875

4.81

501,053

63.61

186,480

23.67

787,746 157,433

13 Central Java 14 DI Yogyakarta 15 East Java 16 Banten 17 Bali 18 West Nusa Tenggara

4,975

3.16

679

0.43

89

0.06

611

0.39

7,965

5.06

90,628

57.57

52,486

33.34

10,083

20.07

1,010

2.01

30

0.06

1,063

2.12

740

1.47

30,422

60.55

6,895

13.72

50,243

7,322

6.14

898

0.75

16

0.01

1,491

1.25

6,123

5.14

78,999

66.27

24,361

20.44

119,210

19 East Nusa Tenggara

3,692

5.07

1,196

1.64

143

0.20

1,175

1.61

4,837

6.64

49,204

67.59

12,553

17.24

72,800

20 West Kalimantan

1,458

1.71

421

0.49

16

0.02

2,464

2.89

2,213

2.59

43,786

51.30

34,998

41.00

85,356

242

0.40

382

0.63

1

0.00

1,339

2.20

4,349

7.15

29,499

48.51

24,995

41.11

60,807

22 South Kalimantan

21 Central Kalimantan

1,180

1.18

588

0.59

19

0.02

1,740

1.74

4,557

4.56

47,144

47.18

44,694

44.73

99,922

23 East Kalimantan

2,319

3.56

590

0.91

230

0.35

1,840

2.82

1,944

2.98

33,803

51.88

24,434

37.50

65,160

24 North Sulawesi

2,360

5.24

483

1.07

11

0.02

1,230

2.73

5,205

11.55

23,820

52.87

11,948

26.52

45,057

25 Central Sulawesi 26 South Sulawesi 27 Southeast Sulawesi

823

1.80

200

0.44

6

0.01

714

1.56

3,006

6.58

22,253

48.73

18,666

40.87

45,668

3,355

1.77

1,093

0.58

25

0.01

4,760

2.51

12,346

6.52

99,210

52.42

68,483

36.18

189,272

411

0.87

234

0.50

9

0.02

1,087

2.30

4,198

8.89

21,343

45.19

19,944

42.23

47,226

1,037

3.99

128

0.49

-

-

673

2.59

2,250

8.65

12,637

48.57

9,295

35.72

26,020

29 West Sulawesi

154

0.93

45

0.27

45

0.27

950

5.72

1,110

6.68

7,403

44.56

6,905

41.57

16,612

30 Maluku

532

2.16

179

0.73

3

0.01

780

3.16

1,398

5.66

12,988

52.62

8,801

35.66

24,681

31 North Maluku

146

0.70

58

0.28

-

-

200

0.96

1,918

9.24

11,025

53.11

7,412

35.70

20,759

83

0.98

221

2.60

-

-

211

2.48

859

10.11

5,476

64.46

1,645

19.36

8,495

114

1.12

37

0.36

3

0.03

162

1.59

833

8.19

4,918

48.38

4,099

40.32

10,166

269,231

5.30

58,252

1.15

5,988

0.12

119,613

2.35

280,387

5.52

2,847,572

56.01

1,502,884

29.56

5,083,927

28 Gorontalo

32 Papua 33 West Irian Jaya Indonesia

Source: National Family Planning Coordinating Board, 2007

Annex 4.7 NUMBER AND PROPORTION OF CUMULATIVE NEW FAMILY PLANNING ACCEPTOR BY SERVICE LOCATION AND PROVINCE, 2006 Clinic 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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Government Acceptor % (3)

76,904 182,472 68,098 30,215 51,671 147,467 48,001 132,203 15,796 13,945 105,063 601,341 311,979 19,126 445,978 109,290 19,315 101,821 70,956 53,891 45,031 63,190 38,850 24,897 38,781 157,116 43,118 20,363 13,842 20,440 18,287 7,630 8,241 3,105,318

Source: National Family Planning Coordinating Board, 2007

(4)

66.97 79.79 65.13 53.14 64.01 65.86 72.76 58.67 68.75 62.77 40.79 55.41 50.42 43.89 56.61 69.42 38.44 85.41 97.47 63.14 74.06 63.24 59.62 55.26 84.92 83.01 91.31 78.26 83.33 82.82 88.09 89.82 81.06 61.08

Private Acceptor (5)

10,360 22,308 3,616 1,373 429 13,492 602 10,144 1,077 1,240 16,149 90,090 30,168 6,016 23,388 5,031 397 4,176 377 4,659 3,614 3,459 4,637 5,748 2,774 3,501 658 1,419 99 1,314 598 213 16 273,142

Private Physician

Total

Private Midwive

%

Acceptor

%

Acceptor

%

Acceptor

%

(6)

(7)

(8)

(9)

(10)

(11)

(12)

9.02 9.75 3.46 2.41 0.53 6.03 0.91 4.50 4.69 5.58 6.27 8.30 4.88 13.80 2.97 3.20 0.79 3.50 0.52 5.46 5.94 3.46 7.12 12.76 6.07 1.85 1.39 5.45 0.60 5.32 2.88 2.51 0.16 5.37

2,511 2,206 1,976 1,824 3,299 6,718 1,750 4,676 133 107 32,563 27,671 20,983 577 16,549 5,155 1,525 996 241 2,136 1,644 881 2,335 3,652 775 2,044 355 473 465 218 24 173 55 146,690

2.19 0.96 1.89 3.21 4.09 3.00 2.65 2.08 0.58 0.48 12.64 2.55 3.39 1.32 2.10 3.27 3.04 0.84 0.33 2.50 2.70 0.88 3.58 8.11 1.70 1.08 0.75 1.82 2.80 0.88 0.12 2.04 0.54 2.89

25,066 21,710 30,864 23,448 25,328 56,226 15,617 78,324 5,970 6,923 103,785 366,166 255,666 17,862 301,831 37,957 29,006 12,217 1,226 24,670 10,518 32,392 19,338 10,760 3,338 26,611 3,093 3,765 2,206 2,709 1,850 479 1,854 1,558,775

21.83 9.49 29.52 41.24 31.37 25.11 23.67 34.76 25.98 31.16 40.30 33.74 41.32 40.99 38.32 24.11 57.73 10.25 1.68 28.90 17.30 32.42 29.68 23.88 7.31 14.06 6.55 14.47 13.28 10.98 8.91 5.64 18.24 30.66

114,841 228,696 104,554 56,860 80,727 223,903 65,970 225,347 22,976 22,215 257,560 1,085,268 618,796 43,581 787,746 157,433 50,243 119,210 72,800 85,356 60,807 99,922 65,160 45,057 45,668 189,272 47,224 26,020 16,612 24,681 20,759 8,495 10,166 5,083,925

100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100

Annex 4.8 UCI (UNIVERSAL CHILD IMMUNIZATION) VILLAGE ACHIEVEMENT BY PROVINCE 2004 - 2006 No

Province

(1)

(2)

2004 Total Villages UCI Villages (3)

2005 Total Villages UCI Villages

%

(4)

(5)

(6)

2006 Total Villages UCI Villages

%

(7)

(8)

(9)

%

(10)

(11)

1

Nanggroe Aceh Darussalam

6,180

1,476

23.88

6,180

3,090

50.00

6,199

5,316

85.76

2

North Sumatera

5,464

4,397

80.47

5,464

4,317

79.01

2,492

2,074

83.23

3

West Sumatera

2,567

1,922

74.87

2,567

1,951

76.00

2,787

2,110

75.71

4

Riau

1,625

1,325

81.54

998

808

80.96

5

Jambi

1,186

986

83.14

1,186

1,055

88.95

6

South Sumatera

2,681

2,181

81.35

2,681

2,254

84.07

7

Bengkulu

1,261

890

70.58

1,261

901

71.45

1,286

936

72.78

8

Lampung

2,161

1,988

91.99

2,161

1,945

90.00

2,173

1,732

79.71

9

Bangka Belitung Islands

317

242

76.34

317

250

78.86

321

265

82.55

10

Riau Islands

-

-

-

-

-

-

11

DKI Jakarta

278

220

79.14

278

192

69.06

267

206

77.15

12

West Java

5,798

4,269

73.63

5,798

4,638

79.99

5,805

3,636

62.64

13

Central Java

8,052

7,107

88.26

8,052

7,166

89.00

7,204

5,964

82.79

14

DI Yogyakarta

438

438

100.00

438

434

99.09

438

404

92.24

15

East Java

8,441

4,928

58.38

8,441

6,668

79.00

3,188

2,043

64.08

16

Banten

1,543

1,153

74.72

1,543

1,219

79.00

17

Bali

695

691

99.42

695

695

100.00

18

West Nusa Tenggara

778

703

90.36

778

681

87.53

803

722

89.91

19

East Nusa Tenggara

2,591

2,000

77.19

2,591

2,047

79.00

2,729

2,278

83.47

20

West Kalimantan

1,452

885

60.95

1,452

944

65.01

1,514

1,107

73.12

21

Central Kalimantan

1,324

708

53.47

1,324

781

58.99

1,373

496

36.13

22

South Kalimantan

1,955

1,297

66.34

1,955

1,299

66.45

2,172

1,557

71.69

23

East Kalimantan

1,334

960

71.96

1,334

960

71.96

1,345

1,073

79.78

24

North Sulawesi

1,214

841

69.28

1,214

983

80.97

1,288

990

76.86

25

Central Sulawesi

1,447

1,044

72.15

1,447

998

68.97

1,542

1,139

73.87

26

South Sulawesi

3,222

2,370

73.56

2,100

1,638

78.00

2,866

2,268

79.13

27

Southeast Sulawesi

1,554

1,215

78.19

1,554

1,350

86.87

1,624

1,424

87.68

28

Gorontalo

447

249

55.70

447

224

50.11

490

246

50.20

29

West Sulawesi

-

-

-

860

654

76.05

30

Maluku

-

-

-

878

729

83.03

31

North Maluku

32

Papua

33

West Irian Jaya Indonesia

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

1,253

1,165

-

-

693

-

-

688

957

-

92.98 -

-

99.28

-

586

61.23

720

195

27.08

720

381

52.92

678

180

26.55

1,017

356

35.00

1,017

376

36.97

2,434

361

14.83

-

-

-

-

-

-

-

-

-

67,742

47,036

69.43

67,731

51,628

76.23

55,921

40,966

73.26

Annex 4.9 BASIC IMMUNIZATION COVERAGE TO INFANTS BY PROVINCE, 2006 No

Province

(1)

(2)

Target (3)

BCG

DPT1

DPT2

DPT3

Total

%

Total

%

Total

%

Total

%

Total

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Immunization Polio1 % Total (13)

Polio2

(14)

Polio3

Polio4

%

Total

%

Total

%

(15)

(16)

(17)

(18)

(19)

Measles Total (20)

DO

% (21)

(22)

1 Nanggroe Aceh Darussalam

101,118

9

0.0

93,197

92.2

88,706

87.7

84,242

83.3

97,255

96.2

92,008

91.0

87,504

86.5

83,384

82.5

83,186

82.3

10.74

2 North Sumatera

309,791

312,507 100.9

292,048

94.3

273,004

88.1

265,258

85.6

316,613

102.2

300,074

96.9

290,466

93.8

281,740

90.9

296,772

95.8

-1.62

3 West Sumatera

100,458

97,673

97.2

94,100

93.7

86,238

85.8

82,798

82.4

98,466

98.0

93,577

93.2

89,746

89.3

87,727

87.3

84,757

84.4

9.93

4 Riau

112,984

98,997

87.6

97,279

86.1

92,654

82.0

90,188

79.8

95,228

84.3

91,102

80.6

88,182

78.0

87,998

77.9

95,352

84.4

1.98

66,341

64,865

97.8

65,481

98.7

62,864

94.8

62,628

94.4

65,391

98.6

64,242

96.8

62,779

94.6

63,295

95.4

64,987

98.0

1.41

162,182

157,302

97.0

126,032

77.7

117,355

72.4

116,415

71.8

160,013

98.7

153,180

94.4

149,017

91.9

148,266

91.4

150,953

93.1

21.77

5 Jambi 6 South Sumatera 7 Bengkulu

42,172

36,469

86.5

36,252

86.0

34,371

81.5

32,832

77.9

38,776

91.9

37,010

87.8

35,104

83.2

34,163

81.0

35,654

84.5

3.19

8 Lampung

177,128

160,607

90.7

145,253

82.0

141,829

80.1

138,822

78.4

156,912

88.6

152,304

86.0

149,375

84.3

149,039

84.1

154,915

87.5

-6.65

22,804

91.4

21,361

85.6

20,632

82.7

20,348

81.6

22,519

90.3

21,869

87.7

21,206

85.0

21,170

84.9

21,387

85.7

-0.12

30,973

88.6

29,530

84.5

27,814

79.6

27,478

78.6

33,440

95.6

31,251

89.4

30,628

87.6

34,476

98.6

33,365

95.4

-12.99

9 Bangka Belitung Islands 10 Riau Islands

24949 34,961

11 DKI Jakarta

193,262

212,622 110.0

123,254

63.8

106,739

55.2

106,687

55.2

185,802

96.1

178,823

92.5

174,197

90.1

203,849

105.5

196,569

101.7

23.02

12 West Java

851,548

712,855

83.7

714,835

83.9

708,831

83.2

647,824

76.1

577,891

67.9

532,323

62.5

504,510

59.2

479,596

56.3

664,052

78.0

21.54

13 Central Java

578,577

603,021 104.2

583,617

100.9

567,416

98.1

559,725

96.7

587,792

101.6

567,378

98.1

551,801

95.4

545,850

94.3

560,101

96.8

4.03

44,898

50,812 113.2

565

1.3

660

1.5

576

1.3

50,505

112.5

46,655

103.9

44,824

99.8

44,054

98.1

46,383

103.3

0.42

4.1

25,411

4.0

27,751

4.4

631,894

100.1

605,079

95.9

584,871

92.7

574,277

91.0

601,810

95.4

4.82 15.13

14 DI Yogyakarta 15 East Java

631,092

630,749

99.9

26,007

16 Banten

240,327

219,504

91.3

202,743

84.4

191,363

79.6

189,758

79.0

215,856

89.8

203,859

84.8

198,361

82.5

191,121

79.5

172,076

71.6

62,118 102.0

19,337

31.7

20,111

33.0

22,560

37.0

63,886

104.9

59,677

98.0

59,628

97.9

57,201

93.9

57,490

94.4

8.48

17 Bali

60,918

18 West Nusa Tenggara

103,736

99,363

95.8

104,277

100.5

101,732

98.1

101,774

98.1

99,372

95.8

104,419

100.7

101,968

98.3

102,494

98.8

100,720

97.1

3.41

19 East Nusa Tenggara

125,764

114,591

91.1

116,080

92.3

110,898

88.2

107,634

85.6

115,373

91.7

111,362

88.5

108,629

86.4

106,379

84.6

117,153

93.2

-0.92

20 West Kalimantan

102,133

90,352

88.5

89,064

87.2

86,205

84.4

85,209

83.4

90,592

88.7

88,155

86.3

86,735

84.9

84,266

82.5

85,149

83.4

8.09

21 Central Kalimantan

49,980

45,402

90.8

44,647

89.3

42,039

84.1

41,612

83.3

46,752

93.5

43,110

86.3

42,700

85.4

41,703

83.4

43,893

87.8

1.69

22 South Kalimantan

73,718

69,322

94.0

67,519

91.6

63,062

85.5

61,531

83.5

56,096

76.1

63,872

86.6

62,115

84.3

61,041

82.8

61,999

84.1

8.18

23 East Kalimantan

73,010

68,982

94.5

69,011

94.5

65,357

89.5

65,263

89.4

72,151

98.8

68,818

94.3

67,014

91.8

53,687

73.5

63,657

87.2

7.76

24 North Sulawesi

45,492

45,250

99.5

43,918

96.5

42,919

94.3

42,319

93.0

44,017

96.8

43,155

94.9

42,231

92.8

42,270

92.9

42,037

92.4

4.28

25 Central Sulawesi

49,780

48,978

98.4

50,098

100.6

45,817

92.0

45,555

91.5

52,615

105.7

49,576

99.6

47,435

95.3

47,129

94.7

46,834

94.1

9.77

172,092

166,254

8.44

26 South Sulawesi

96.6

155,862

90.6

143,627

83.5

135,805

78.9

161,502

93.8

151,441

88.0

144,681

84.1

141,862

82.4

147,025

85.4

27 Southeast Sulawesi

52,730

53,046 100.6

50,909

96.5

48,844

92.6

48,422

91.8

52,723

100.0

50,056

94.9

48,813

92.6

47,977

91.0

48,890

92.7

3.97

28 Gorontalo

22,634

21,359

94.4

21,537

95.2

19,959

88.2

19,079

84.3

22,164

97.9

20,707

91.5

19,681

87.0

19,568

86.5

19,137

84.5

11.14

29 West Sulawesi

23,390

21,422

91.6

18,977

81.1

16,331

69.8

14,886

63.6

19,770

84.5

17,774

76.0

16,272

69.6

15,349

65.6

15,973

68.3

15.83

30 Maluku

45,175

40,165

88.9

39,384

87.2

37,436

82.9

36,144

80.0

38,096

84.3

37,254

82.5

36,292

80.3

35,356

78.3

37,406

82.8

5.02

31 North Maluku

22,907

19,195

83.8

19,358

84.5

17,549

76.6

17,300

75.5

20,151

88.0

19,089

83.3

17,416

76.0

17,022

74.3

18,321

80.0

5.36

32 Papua

49,211

32,146

65.3

30,771

62.5

27,303

55.5

25,303

51.4

37,793

76.8

34,122

69.3

30,611

62.2

31,745

64.5

33,366

67.8

-7.73

33 West Irian Jaya Indonesia

7,178

5,628

78.4

4,763

66.4

4,291

59.8

3,763

52.4

5,422

75.5

4,618

64.3

4,112

57.3

3,892

54.2

4,399

4,751,636

4,409,714

92.8

3,592,303

75.6

3,435,076

72.3

3,323,726

69.9

4,327,406

91.1

4,133,321

87.0

3,994,792

84.1

3,935,054

82.8

4,201,369

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

88.4

7.64 9.30

Annex 4.10

HEPATITIS B IMMUNIZATION COVERAGE TO INFANTS BY PROVINCE, 2006

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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Target

HB1 (<7hr) Total %

(3)

101,118 309,791 100,458 112,984 66,341 162,182 42,172 177,128 24949 34,961 193,262 851,548 578,577 44,898 631,092 240,327 60,918 103,736 125,764 102,133 49,980 73,718 73,010 45,492 49,780 172,092 52,730 22,634 23,390 45,175 22,907 49,211 7,178 4,751,636

(4)

11,496 108,410 35,314 34,403 26,490 50,754 14,963 47,041 6,533 10,679 81,522 315,608 452,361 41,111 443,796 41,836 43,142 81,240 38,310 9,460 6,537 17,760 21,964 14,519 5,902 42,842 15,613 5,500 3,063 241 2,839 4,417 2,035,666

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

(5)

HB1 (>7hr) Total % (6)

11.4 35.0 35.2 30.4 39.9 31.3 35.5 26.6 26.2 30.5 42.2 37.1 78.2 91.6 70.3 17.4 70.8 78.3 30.5 9.3 13.1 24.1 30.1 31.9 11.9 24.9 29.6 24.3 13.1 0.5 12.4 9.0 0.0 42.8

78,958 151,392 65,596 64,222 38,106 99,850 24,366 85,766 18,772 113,700 290,602 191,570 9,844 122,235 134,309 16,265 10,973 73,626 70,680 38,940 53,206 59,014 24,783 40,789 97,714 34,638 15,986 10,187 25,420 14,362 19,199 2,095,578

(7)

Immunization Status HB1 (total) Total % (8)

78.1 48.9 65.3 56.8 57.4 61.6 57.8 48.4 0.0 53.7 58.8 34.1 33.1 21.9 19.4 55.9 26.7 10.6 58.5 69.2 77.9 72.2 80.8 54.5 81.9 56.8 65.7 70.6 43.6 56.3 62.7 39.0 0.0 44.1

90,454 259,802 100,910 98,625 64,596 150,604 39,329 132,807 6,533 29,451 195,222 606,210 643,931 50,955 566,031 176,145 59,407 92,213 111,936 80,140 45,477 70,966 80,978 39,302 46,691 140,556 50,251 21,486 13,250 26,169 17,201 23,616 5,033 4,131,244

(9)

89.5 83.9 100.4 87.3 97.4 92.9 93.3 75.0 26.2 84.2 101.0 71.2 111.3 113.5 89.7 73.3 97.5 88.9 89.0 78.5 91.0 96.3 110.9 86.4 93.8 81.7 95.3 94.9 56.6 57.9 75.1 48.0 70.1 86.9

Total

HEP. B2 %

(10)

73,792 237,792 88,075 78,911 57,751 117,849 30,735 113,843 24,085 104,982 448,920 332,136 2,862 48,188 141,251 23,419 105,665.0 65,356 40,922 57,135 63,688 30,719 43,237 113,977 43,372 17,549 14,138 5,813 13,174 24,179 4,224 2,563,515

(11)

73.0 76.8 87.7 69.8 87.1 72.7 72.9 64.3 0.0 68.9 54.3 52.7 57.4 6.4 7.6 58.8 38.4 0.0 84.0 64.0 81.9 77.5 87.2 67.5 86.9 66.2 82.3 77.5 60.4 12.9 57.5 49.1 58.8 54.0

Total

HEP. B3 %

(12)

70,279 231,247 83,379 75,598 57,106 116,654 27,212 111,463 23,494 109,838 440,998 335,396 2,156 48,747 135,539 22,885 102,249 69,332 39,124 57,490 59,571 29,669 41,990 104,436 40,221 15,780 12,424 23,551 12,211 20,241 3,636 2,520,280

(13)

69.5 74.6 83.0 66.9 86.1 71.9 64.5 62.9 0.0 67.2 56.8 51.8 58.0 4.8 7.7 56.4 37.6 0.0 81.3 67.9 78.3 78.0 81.6 65.2 84.4 60.7 76.3 69.7 53.1 52.1 53.3 41.1 50.7 53.0

Annex 4.11

DROP OUT OF DPT1-MEASLES IMMUNIZATION COVERAGE TO INFANTS BY PROVINCE 2002 - 2006 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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Year 2002

2003

2004

2005

(3)

(4)

(5)

(6)

(7)

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

7.7 0.0 7.9 1.9 4.8 6.3 5.4 0.0 6.5 10.5 6.4 0.0

10.7 0.0 9.9 2.0 1.4 21.8 3.2 0.0 0.0 0.0 23.0 21.5

0.01 8.7 1.7 0.0 0.2 3.8 0.0 4.7 5.7 6.9 6.6 5.2 7.7 7.6 10.5 11.8 22.3 4.7 14.4 6.9 1.5

4.0 0.4 4.8 15.1 8.5 3.4 0.0 8.1 1.7 8.2 7.8 4.3 9.8 8.4 4.0 11.1 15.8 5.0 5.4 0.0 7.6 9.3

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

2006

Annex 4.12 TT IMMUNIZATION COVERAGE TO PREGNANT WOMEN BY PROVINCE, 2005

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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Target (3) 115,407 107,039 124,282 73,064 164,427 46,388 186,000 27,570 38,190 213,472 998,515 618,578 49,447 680,259 263,380 67,186 114,110 101,253 54,616 77,392 50,042 54,758 190,772 58,012 24,897 25,495 48,268 24,615 54,131 16,113 4,667,678

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

Pregnant Women Immunization TT2 Total %

TT1 Total

%

(4)

(5)

73,253 35,375 88,933 50,450 128,600 26,972 157,660 23,940 27,764 154,222 576,019 382,618 20,228 31,819 211,824 45,626 106,501 54,967 42,433 60,662 37,629 43,597 124,775 29,117 21,018 17,891 30,502 17,030 16,263 3,633 2,641,321

(6)

63.5 33.0 71.6 69.0 78.2 58.1 84.8 87 72.7 72.2 57.7 61.9 40.9 4.7 80.4 67.9 93.3 54.3 77.7 78.4 75.2 79.6 65.4 50.2 84.4 70.2 63.2 69.2 30.0 22.5 56.6

63,753 29,074 79,029 48,922 118,942 24,686 153,208 22,653 24,378 149,360 515,782 370,587 18,031 28,323 192,697 42,223 100,274 47,301 37,098 54,884 34,883 41,020 106,882 25,754 18,099 12,670 27,935 14,955 11,608 2,412 2,417,423

(7)

55.2 27.2 63.6 67.0 72.3 53.2 82.4 82.2 63.8 70.0 51.7 59.9 36.5 4.2 73.2 62.8 87.9 46.7 67.9 70.9 69.7 74.9 56.0 44.4 72.7 49.7 57.9 60.8 21.4 15.0 51.8

Repeated TT Total

%

(8)

(9)

10,824 7,629 34,948 12,243 249 21 6,701 5,845 19,109 132,963 17,418 5,349 4,631 16,936 55,496 2,103 2,267 6,751 16,631 5,206 2,625 922 1,431 7,156 855 376,309

9.4 7.1 28.1 16.8 0.2 0.0 0.0 0.1 17.5 2.7 1.9 21.5 35.2 0.8 1.8 25.2 48.6 0.0 3.9 2.9 13.5 8.7 9.0 10.5 3.6 0.0 5.8 13.2 5.3 8.1

Annex 4.13.a

NUMBER OF INPATIENT VISITS IN HOSPITAL BY PROVINCE, 2006 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

Discharge Patients (Lived)

%

Discharge Patients (Dead)

%

Total Visits of Inpatient

Length of Stay

(2)

(3)

(4)

(5)

(6)

(7)

(8)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Medical Care, MOHRI, 2007

31,792 118,795 64,356 80,928 24,254 98,430 14,948 60,368 13,676 416,573 400,135 528,275 50,624 426,657 67,783 105,868 33,404 49,137 50,278 20,764 31,495 69,829 47,936 34,404 86,257 17,384 9,937 5,277 29,880 9,772 2,999,216

95.50 94.52 94.98 96.23 96.66 95.52 96.73 95.51 95.04 97.06 96.93 96.10 96.34 95.53 95.81 96.56 95.74 96.84 96.37 94.88 95.92 97.40 96.35 97.04 96.58 96.76 97.07 96.47 96.88 97.61 96.24

1,499 6,886 3,403 3,172 838 4,616 506 2,839 714 12,636 12,658 21,435 1,923 19,965 2,962 3,768 1,488 1,603 1,892 1,121 1,338 1,866 1,817 1,051 3,050 583 300 193 962 239 117,323

4.50 5.48 5.02 3.77 3.34 4.48 3.27 4.49 4.96 2.94 3.07 3.90 3.66 4.47 4.19 3.44 4.26 3.16 3.63 5.12 4.08 2.60 3.65 2.96 3.42 3.24 2.93 3.53 3.12 2.39 3.76

33,291 125,681 67,759 84,100 25,092 103,046 15,454 63,207 14,390 429,209 412,793 549,710 52,547 446,622 70,745 109,636 34,892 50,740 52,170 21,885 32,833 71,695 49,753 35,455 89,307 17,967 10,237 5,470 30,842 10,011 3,116,539

215,742 701,254 379,152 361,781 101,765 479,463 46,433 277,128 48,956 2,068,975 1,868,906 2,672,685 272,939 2,372,826 273,246 479,131 137,597 218,122 322,138 96,143 142,094 390,736 289,476 175,861 519,317 153,759 56,666 19,727 134,547 41,129 15,317,694

Annex 4.13.b

NUMBER OF OUTPATIENT AND PSYCHOTIC CASE VISITS IN HOSPITAL BY PROVINCE, 2006 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

New Visit

%

Routine Visits

%

Total Visits of Outpatients

Total Visits of Psychotic Case

(2)

(3)

(4)

(5)

(6)

(7)

(8)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Medical Care, MOHRI, 2007

174,054 290,738 243,895 174,802 119,983 197,450 36,829 105,474 11,092 1,175,666 909,868 923,149 155,462 861,127 204,897 342,314 89,991 225,963 104,033 96,243 105,039 196,926 73,820 159,053 241,259 63,500 30,616 8,036 87,935 25,690 7,434,904

50.14 43.99 42.48 52.70 62.40 43.92 44.59 55.57 55.47 56.60 51.49 40.89 36.50 47.57 48.96 52.66 55.20 59.97 49.99 59.76 54.75 55.85 40.27 54.77 47.19 58.00 59.04 57.98 58.36 64.68 49.37

173,072 370,201 330,312 156,921 72,310 252,149 45,760 84,342 8,903 901,603 857,077 1,334,701 270,407 948,942 213,627 307,766 73,028 150,818 104,056 64,819 86,813 155,659 109,483 131,342 269,939 45,987 21,242 5,823 62,739 14,029 7,623,870

49.86 56.01 57.52 47.30 37.60 56.08 55.41 44.43 44.53 43.40 48.51 59.11 63.50 52.43 51.04 47.34 44.80 40.03 50.01 40.24 45.25 44.15 59.73 45.23 52.81 42.00 40.96 42.02 41.64 35.32 50.63

347,126 660,939 574,207 331,723 192,293 449,599 82,589 189,816 19,995 2,077,269 1,766,945 2,257,850 425,869 1,810,069 418,524 650,080 163,019 376,781 208,089 161,062 191,852 352,585 183,303 290,395 511,198 109,487 51,858 13,859 150,674 39,719 15,058,774

171 7,559 27,915 2,338 930 700 11,339 10 23,258 27,194 62,680 8,478 36,652 2,181 9,185 1,821 634 704 3,676 783 1,609 12,865 5,738 47,400 295,820

Annex 4.14 EXAMINATION OF DENTAL AND ORAL HEALTH IN GOVERNMENT PUBLIC HOSPITAL BY PROVINCE, 2006

No

Province

(1)

(2)

Permanent Tooth Third Molar Tooth Filling Filling (3)

(4)

Pulpa Treatment/Not permanent Filling (5)

Permanent Tooth Third Molar Tooth Extracting Extracting (6)

(7)

Periodontal Treatment

Abscess Treatment

Carries Cleansing (Scalling)

Complete Denture

Removable Denture

Fixed Denture

Orthodontic

Oral Surgery

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

1 Nanggroe Aceh Darussalam

2,319

403

3,446

5,113

1,462

1,134

806

2,052

317

-

2 North Sumatera

1,868

53

2,692

4,202

1,000

3,457

824

3,193

15

-

3 West Sumatera

2,926

703

4,732

4,182

1,626

2,010

1,086

742

27

4 Riau

3,612

297

5,549

5,801

1,967

3,652

1,653

1,783

46

5 Jambi

144

14

954

1,614

564

625

204

166

2,675

1,058

2,220

4,028

2,420

2,737

1,212

129

7 Bengkulu

930

229

350

702

259

66

152

26

8 Lampung

1,097

113

1,163

2,137

572

1,222

2,500

260

204

2

33

357

109

26

47

14

6 South Sumatera

9 Bangka Belitung Islands 10 Riau Islands

-

-

-

-

-

-

-

-

11 DKI Jakarta

9,153

2,350

12,961

9,691

2,425

4,353

2,531

5,446

-

94 21

208

101

106

-

-

1

-

8

565

163

330 486

-

2

32

-

15

12

-

7

10

-

1

3

1

-

-

42

1,467

402

6,565

2,345

1 -

-

-

15

-

70 65

-

-

64 -

12 West Java

6,082

775

10,244

10,105

4,228

4,470

3,076

2,734

34

347

33

3,740

5,150

13 Central Java

9,683

1,527

13,309

14,221

4,531

10,903

4,536

2,499

60

141

10

436

1,772

14 DI Yogyakarta

1,707

157

1,738

1,229

407

667

251

427

97

64

96

125

60

15 East Java

5,271

545

8,044

9,728

4,283

6,303

3,766

1,815

64

63

77

172

2,150

-

252

281

255

536

988

-

162

16 Banten

660

133

514

2,032

693

677

525

4,236

4,117

142

8,200

5,422

3,425

3,930

1,843

1,372

21

206

18 West Nusa Tenggara

448

76

1,202

910

651

1,072

1,116

302

27

22

19 East Nusa Tenggara

859

251

3,250

222

1,138

3,336

1,194

792

5

96

17 Bali

-

11

20 West Kalimantan

2,838

176

2,224

2,990

552

497

457

371

3

9

21 Central Kalimantan

1,606

221

2,772

1,429

1,036

1,503

625

847

4

37

22 South Kalimantan

3,275

410

4,182

2,625

2,132

3,523

766

360

34

2

23 East Kalimantan

2,778

243

3,480

2,890

1,886

1,649

919

636

265

17

24 North Sulawesi

763

46

1,174

991

335

1,075

321

145

-

25 Central Sulawesi

770

48

1,455

2,769

907

974

700

96

-

9 -

1 -

-

14 -

6 32

-

-

130 -

3,762

704

78,907

5,453

2,368

4,938

1,760

968

15

10

-

1,027

171

2,025

2,251

867

1,525

575

178

64

23

-

-

-

-

-

-

-

29 West Sulawesi

-

-

30 Maluku

132

31 North Maluku 32 Papua

39 -

9

217

18

246

-

-

-

-

-

-

-

-

5,966

118

86

62

180

136

-

-

-

-

56

22

74

31 -

256 342 348

-

26 South Sulawesi

-

50 2

27 Southeast Sulawesi 28 Gorontalo

56 471

7 605

24

197 80

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

33 West Irian Jaya

376

45

441

1,199

139

312

102

20

-

-

-

-

304

34 Central Irian Jaya

100

84

194

166

97

194

66

14

-

-

-

-

-

35 East Irian Jaya

921

136

3,137

1,142

303

653

545

134

-

-

178

398

3

72,142

11,139

181,055

111,629

42,680

67,705

34,288

31,810

1,149

2,602

1,194

12,902

17,309

Indonesia Source: DG of Medical Care, MOHRI, 2007

Annex 4.15 INDICATORS OF GOVERNMENT PUBLIC HOSPITAL SERVICES BY PROVINCE, 2006

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

Province

Number of Beds

Bed Occupancy Rate (BOR)

Length of Stay (LOS)

Bed Turn Over (BTO)

Turn Over Interval (TOI)

Net Death Rate (NDR)

Gross Death Rate (GDR)

% Patient Died <48 Hours

Average of Total Visit per Day

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku West Irian Jaya Central Irian Jaya East Irian Jaya Indonesia

Source: DG of Medical Care, MOHRI, 2007

1,411 3,354 2,199 1,312 695 1,758 541 1,112 279 3,366 5,192 8,375 1,336 8,710 989 1,690 878 1,378 1,119 657 1,176 1,474 1,093 851 2,738 561 400 665 328 394 236 726 56,993

43.9 40.4 75.5 56.0 56.3 57.8 30.3 52.7 76.8 71.0 78.4 62.5 50.0 66.2 63.3 75.8 63.3 57.3 62.9 43.0 88.8 48.6 52.1 77.0 66.4 38.1 31.3 36.1 84.6 79.7 38.4 57.0

4.6 5.1 4.6 3.5 3.4 3.6 2.8 4.1 3.5 4.6 5.6 4.4 4.0 4.5 5.0 3.9 2.7 4.3 4.0 2.9 3.6 3.8 6.1 4.4 4.6 3.9 6.4 3.5 3.3 3.9 3.3 4.0

25.5 19.7 44.9 42.6 44.5 41.6 33.2 33.8 56.0 43.9 53.9 38.8 31.0 42.2 40.1 49.5 77.5 40.8 39.6 31.7 61.2 39.1 22.6 42.1 38.7 20.6 12.0 26.6 43.6 73.5 28.3 38.7

7.8 13.9 2.4 4.5 8.0 4.4 9.4 4.9 1.1 2.2 2.5 4.1 8.7 3.7 12.4 3.4 2.0 3.3 4.9 4.7 1.2 9.2 15.0 3.6 4.7 12.7 15.5 6.5 3.2 1.0 11.1 6.0

17.0 35.5 22.4 15.8 15.8 21.1 12.7 19.8 19.4 23.0 19.9 19.9 13.6 26.5 25.4 22.5 16.5 17.1 19.6 11.4 16.3 12.7 18.9 13.2 15.4 18.9 30.9 10.5 13.8 17.9 16.8 18.1

36.2 65.1 51.7 41.8 45.5 48.8 36.3 49.3 56.7 39.8 42.9 43.1 30.5 57.1 50.9 41.4 42.4 34.1 42.3 40.0 46.5 24.1 38.5 31.1 37.1 37.3 35.8 18.3 23.6 36 35.9 39.4

498 1,339 1,235 986 465 1,632 307 1,088 213 2,013 2,964 5,450 195 6,040 491 1,537 882 645 612 701 687 644 391 416 883 179 23 14 76 157 111 1,027

1,157 2,203 1,914 1,106 641 1,499 275 633 67 6,924 5,890 7,526 1,420 6,034 1,395 2,167 543 1,256 694 537 640 1,175 611 968 1,704 365 173 46 132 52 450 50,206

Annex 4.16 RADIODIAGNOSTIC EXAMINATION IN GOVERNMENT PUBLIC HOSPITALS BY PROVINCE, 2006 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

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku West Irian Jaya Central Irian Jaya East Irian Jaya Indonesia

Source: DG of Medical Care, MOHRI, 2007

Number of General Hospitals (3)

14 25 15 10 7 11 4 6 3 8 28 40 6 43 5 9 6 13 10 10 11 10 6 9 26 5 2 6 2 4 3 4 361

2005

Number of Hospitals Doing Examination (4)

6 8 13 9 5 7 3 6 1 8 26 40 6 27 3 8 5 9 7 7 4 7 5 6 16 4 0 2 0 2 1 3 254

Number of Examinations (5)

16,831 44,754 47,584 32,799 7,545 43,662 12,533 25,567 3,155 160,639 322,144 253,769 46,530 221,615 24,269 69,029 19,381 35,684 21,652 15,412 8,232 50,439 17,562 7,099 20,969 8,700 6,060 7,711 1,798 12,564 1,565,688

Number of General Hospitals (6)

14 26 15 12 7 12 4 8 3 8 28 41 6 45 5 9 7 14 13 10 11 10 6 9 26 6 2 6 4 4 3 4 378

2006

Number of Hospitals Doing Examination (7)

7 9 12 10 7 7 3 6 1 6 19 36 6 24 2 9 5 10 7 6 7 9 6 6 20 4 0 3 1 2 1 4 255

Number of Examinations (8)

25,100 54,229 47,206 39,634 21,210 53,123 12,468 43,142 4,362 187,024 383,623 298,996 34,980 200,241 43,550 72,599 28,437 28,821 30,157 36,131 18,058 54,007 15,819 10,128 47,830 14,240 6,621 987 8,310 1,134 11,950 1,834,117

Number of General Hospitals (9)

16 29 16 14 7 12 6 8 3 8 28 41 6 45 5 9 7 14 13 10 11 10 6 9 26 7 3 6 4 4 3 4 390

Number of Hospitals Doing Examination (10)

9 8 10 9 5 9 3 6 1 7 14 31 4 24 3 8 6 9 10 8 5 7 4 6 15 3 0 2 1 2 0 3 232

Number of Examinations (11)

31,024 72,727 40,753 38,889 13,730 48,599 10,886 26,016 3,952 204,798 222,074 239,233 31,239 199,873 22,987 66,955 21,569 23,707 28,366 26,617 18,309 47,215 18,692 15,712 28,987 10,703 8,478 1,127 9,232 9,419 1,541,868

Annex 4.17

NUMBER OF LABORATORIES IN HOSPITAL OWNED BY GOVERNMENT OF DISTRICT/MUNICIPALITY BY PROVINCE, 2006 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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: DG of Medical Care, MOHRI, 2007

Laboratory A

Laboratory B

Laboratory C

(3)

(4)

(5)

142,302 32,134 234,436 202,837 113,163 240,787 42,702 178,357 27,819 124,188 5,854,686 3,749,123 256,784 2,734,977 969,034 703,646 198,586 469,240 215,565 621,661 243,460 288,332 58,754 132,790 394,487 12,469 11,073 10,799 29,372 60,630 18,354,193

22 23 789 6,895 2,775 4,169 5,473 103 122 20,371

28 1,202 1,919 499 746 477 237 581 1,444 814 6,685 620 1,275 16,527

Annex 4.18

UTILIZATION OF ADVANCED OUTPATIENT AND ADVANCED INPATIENT OF POOR FAMILY BY PROVINCE, 2006 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

Quote of Participants (Ministerial Decree 332)

(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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source : Center for Health Insurance, MOHRI, 2007

Advanced Outpatient Cases

Advanced Inpatient Cases

(3)

(4)

(5)

3,381,791 2,867,820 1,083,424 1,036,115 486,409 1,920,001 502,613 2,130,200 129,801 172,816 881,216 7,550,535 10,367,184 769,091 9,181,419 1,814,399 548,357 1,949,507 2,652,342 1,321,714 485,483 670,674 482,183 697,203 730,596 2,001,658 889,657 386,836 362,197 636,318 421,703 1,088,618 400,120 60,000,000

372,867 253,950 152,452 33,781 33,510 175,113 38,299 78,700 8,486 19,569 81,926 562,997 656,520 117,833 467,138 100,324 90,151 67,653 114,372 58,146 21,117 54,064 55,743 67,216 46,274 204,015 39,373 9,035 11,973 22,282 5,115 82,122 31,371 4,133,487

52,583 72,570 36,774 15,081 11,405 43,089 13,503 34,761 4,806 8,136 11,444 163,961 264,161 45,400 194,365 26,709 37,191 27,219 74,807 8,137 20,478 22,800 37,125 19,377 62,959 14,181 9,066 3,519 11,628 3,218 24,014 9,695 1,384,162

Total Utilization (6)

425,450 326,520 189,226 48,862 44,915 218,202 51,802 113,461 13,292 27,705 93,370 726,958 920,681 163,233 661,503 127,033 127,342 94,872 189,179 58,146 29,254 74,542 78,543 104,341 65,651 266,974 53,554 18,101 15,492 33,910 8,333 106,136 41,066 5,517,649

Annex 4.19

DRUG ABUSER CARE IN HOSPITAL BY ITS OWNER, 2006 MoH RI No

Provincial Govt

District/Municipality Govt.

Army & Police

Private

Total

Kinds of Narcotics/Addictives Curative Rehabilitative

(1)

(2)

1 Opiates

(3)

(4)

8

10

Aftercare

Curative

Rehabilitative

(5)

(6)

(7)

Aftercare Curative Rehabilitative (8)

(9)

(10)

Aftercare (11)

Curative Rehabilitative (12)

(13)

Aftercare (14)

Curative Rehabilitative (15)

-

-

-

-

-

-

-

-

-

-

3

-

-

-

-

-

-

-

-

-

-

(16)

2

Aftercare (17)

(18)

-

10

2

-

-

4

2

b. Morphine

6

7

-

-

-

-

-

-

-

-

-

-

-

-

-

c. Pethidin

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

d. Codein

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1

3 Canabis/Marijuana

(19)

-

a. Heroin

2 Cocaine

Curative Rehabilitative

Aftercare (20)

10

-

3

-

6

7

-

-

-

-

-

-

-

-

-

-

1

-

-

9

-

-

-

-

-

-

-

-

-

-

-

1

-

-

10

-

-

18

-

-

-

-

-

6

-

-

-

-

-

-

-

-

24

-

-

NARCOTICS

35

10

0

0

0

-

6

-

-

-

-

-

-

-

-

45

10

1 Amphetamine

19

14

-

10

-

-

-

-

11

-

-

-

-

-

-

29

14

4 Others

a. Methamphetamine (extacy)

0 11

3

1

-

6

-

-

-

-

11

-

-

-

-

-

-

9

1

11

b. Shabu

16

13

-

4

-

-

-

-

-

-

-

-

-

-

-

20

13

-

c. Others

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

5

1

-

-

-

-

-

-

-

-

-

-

5

1

0

a. Barbiturates

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

b. Benzodiazepin

5

1

-

-

-

-

-

-

-

-

-

-

-

-

-

5

1

-

c. Others

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2 Sedatives

3 Inhalant 4 Others

-

-

-

6

-

-

2

-

-

-

-

-

-

-

-

-

-

-

8

-

-

30

15

0

12

0

-

-

-

11

-

-

-

0

-

-

42

15

11

1 Alcohol

11

-

-

5

-

-

3

-

-

-

-

-

1

-

-

20

0

0

2 Others

1

-

-

-

-

-

11

-

-

-

-

-

-

-

-

12

-

-

Psychotropic

Other addicitives Total Source: DG of Medical Care, MOHRI, 2007

12

0

0

5

-

-

14

-

-

0

-

-

1

-

-

32

0

0

77

25

0

17

0

-

20

-

11

0

-

-

1

-

-

115

25

11

Annex 4.20

RESULT OF NATIONAL IMMUNIZATION PROGRAM BY PROVINCE 2005 - 2006 Underfives Immunized by Polio No

Province Target

(1)

(2)

1

Nanggroe Aceh Darussalam

2 3 4 5 6 7

North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu

8 Lampung 9 Bangka Belitung Islands 10 Riau Islands 11 DKI Jakarta 12 West Java 13 Central Java 14 DI Yogyakarta 15 East Java 16 Banten

(3)

PERIOD I Result

%

(4)

(5)

PERIOD II Target Result (6)

%

Target

(7)

(8)

(9)

PERIOD III Result (10)

%

Target

(11)

(12)

PERIOD IV Result

%

Target

(13)

(14)

(15)

PERIOD V Result (16)

% (17)

548,699

475,835

86.7

536,699

495,623

92.3

536,699

498,163

92.8

498,167

478,895

96.1

498,163

486,533

97.7

1,478,620

1,386,679

93.8

1,478,620

1,466,373

99.2

1,478,620

1,486,547

100.5

1,486,547

1,460,676

98.3

1,486,547

1,516,953

102.0

480,390

477,438

99.4

480,390

492,016

102.4

480,390

496,786

103.4

496,786

494,482

99.5

496,786

501,027

100.9

599,992

617,800

103.0

617,800

635,920

102.9

617,800

640,857

103.7

640,857

642,211

100.2

642,211

652,992

101.7

328,453

298,967

91.0

320,857

305,228

95.1

320,857

306,243

95.4

306,244

307,888

100.5

307,888

311,003

101.0

845,501

846,331

100.1

846,331

861,052

101.7

846,331

863,963

102.1

863,963

862,656

99.8

863,963

871,796

100.9

170,220

166,717

97.9

170,220

173,749

102.1

170,220

170,956

100.4

173,749

170,311

98.0

173,749

173,313

99.7

856,386

781,660

91.3

825,594

815,429

98.8

825,594

815,019

98.7

825,594

815,350

98.8

825,594

821,447

99.5

124,952

110,716

88.6

111,789

118,827

106.3

111,789

115,697

103.5

118,827

120,147

101.1

120,147

117,907

98.1

160,744

149,045

92.7

149,164

149,233

100.0

149,164

146,565

98.3

149,233

162,535

108.9

162,535

159,139

97.9

757,197

852,669

112.6

922,963

888,204

96.2

922,963

900,328

97.5

922,963

878,215

95.2

922,963

903,757

97.9

4,337,474

4,100,337

94.5

4,494,725

4,272,359

95.1

4,494,725

4,327,637

96.3

4,494,725

4,338,951

96.5

4,494,725

4,454,960

99.1

3,103,478

2,816,731

90.8

3,103,478

2,864,189

92.3

3,103,478

2,917,146

94.0

2,917,165

2,917,912

100.0

2,917,912

2,955,195

101.3

229,543

227,207

99.0

228,240

234,916

102.9

228,240

237,084

103.9

237,084

236,808

99.9

237,084

239,936

101.2

3,164,679

3,061,276

96.7

3,059,019

3,158,992

103.3

3,059,019

3,199,042

104.6

3,199,042

3,222,539

100.7

3,222,539

3,257,847

101.1

1,176,113

1,023,290

87.0

1,176,113

1,078,597

91.7

1,176,113

1,095,060

93.1

1,176,113

1,093,205

93.0

1,176,113

1,121,099

95.3

17 Bali 18 West Nusa Tenggara 19 East Nusa Tenggara 20 West Kalimantan 21 Central Kalimantan

297,604

305,607

102.7

305,607

321,620

105.2

305,607

316,828

103.7

321,620

321,292

99.9

321,620

324,400

100.9

428,833

470,609

109.7

470,609

495,129

105.2

470,609

504,833

107.3

504,833

503,842

99.8

504,833

519,329

102.9

502,545

522,117

103.9

522,117

541,293

103.7

522,117

538,057

103.1

541,293

542,005

100.1

542,005

551,912

101.8

513,422

455,733

88.8

489,250

475,644

97.2

489,250

467,484

95.6

475,644

474,201

99.7

475,644

477,870

100.5

232,213

214,586

92.4

232,213

229,890

99.0

232,213

227,135

97.8

229,890

232,173

101.0

232,173

233,846

100.7

22 South Kalimantan 23 East Kalimantan 24 North Sulawesi 25 Central Sulawesi 26 South Sulawesi

357,404

332,612

93.1

352,182

343,934

97.7

352,182

344,441

97.8

344,441

342,237

99.4

352,182

350,893

99.6

313,552

313,404

100.0

313,552

316,043

100.8

313,552

321,121

102.4

321,121

328,550

102.3

328,550

333,194

101.4

198,338

221,754

111.8

221,331

223,852

101.1

221,331

225,806

102.0

225,806

226,203

100.2

226,203

230,534

101.9

274,107

278,925

101.8

278,925

287,980

103.2

278,925

284,146

101.9

287,980

285,698

99.2

287,980

293,178

101.8

805,769

751,128

93.2

805,769

792,251

98.3

805,769

811,277

100.7

811,277

822,724

101.4

822,724

846,704

102.9

27 Southeast Sulawesi 28 Gorontalo 29 West Sulawesi 30 Maluku

264,662

237,680

89.8

241,470

249,649

103.4

241,470

249,814

103.5

249,814

252,532

101.1

252,532

256,100

101.4

110,650

102,133

92.3

110,650

105,051

94.9

110,650

105,494

95.3

105,494

104,637

99.2

105,494

105,155

99.7

112,363

110,031

97.9

112,363

117,862

104.9

112,363

116,436

103.6

117,862

119,837

101.7

119,837

120,126

100.2

181,122

167,920

92.7

171,256

172,335

100.6

171,256

168,572

98.4

172,335

159,536

92.6

172,335

78,830

45.7

97,406

105,748

108.6

97,406

106,123

108.9

97,406

99,803

102.5

106,123

104,123

98.1

106,123

96,957

91.4

286,151

198,035

69.2

286,151

224,794

78.6

286,151

143,948

50.3

224,794

168,821

75.1

224,794

218,639

97.3

31 North Maluku 32 Papua 33 West Irian Jaya Indonesia

87,574

72,505

82.8

87,574

79,409

90.7

87,574

64,594

73.8

79,409

73,139

92.1

79,409

78,641

99.0

23,426,156

22,253,225

95.0

23,620,427

23,093,566

97.8

23,620,427

23,206,882

98.2

23,626,795

23,264,331

98.5

23,703,357

23,661,212

99.8

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

Annex 4.21

COVERAGE OF PULMONARY TB AFB+, RECOVERY, COMPLETE TREATMENT AND SUCCES RATE (SR) BY PROVINCE, 2005 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

Coverage of TB AFB+

(2)

(3)

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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

3,156 13,401 3,443 3,175 1,980 1,271 4,821 3,985 851 7,308 28,541 17,523 1,241 21,592 6,240 1,282 3,563 2,320 3,837 1,716 1,648 2,991 3,705 2,195 2,301 9,089 1,342 1,082 567 2,474 158,640

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

Recovery Total

%

(4)

(5)

2,488 12,301 2,763 2,032 1,531 1,108 4,059 3,306 763 4,983 24,181 14,942 1,015 17,554 5,374 1,017 2,717 1,967 3,345 1,379 1,017 2,564 3,443 1,979 2,085 8,143 1,154 565 267 1,725 131,767

78.83 91.79 80.25 64.00 77.32 87.18 84.19 82.96 89.66 68.19 84.72 85.27 81.79 81.30 86.12 79.33 76.26 84.78 87.18 80.36 61.71 85.72 92.93 90.16 90.61 89.59 85.99 52.22 47.09 69.73 83.06

Complete Treatment Total % (6)

276 332 276 632 226 76 340 475 10 1,623 2,182 926 60 1,428 596 68 348 141 227 180 317 138 90 107 76 100 123 291 238 268 12,170

(7)

8.75 2.48 8.02 19.91 11.41 5.98 7.05 11.92 1.18 22.21 7.65 5.28 4.83 6.61 9.55 5.30 9.77 6.08 5.92 10.49 19.24 4.61 2.43 4.87 3.30 1.10 9.17 26.89 41.98 10.83 7.67

SR % (8)

87.58 94.27 88.27 83.91 88.74 93.15 91.25 94.88 90.83 90.39 92.37 90.56 86.62 87.91 95.67 84.63 86.02 90.86 93.09 90.85 80.95 90.34 95.36 95.03 93.92 90.69 95.16 79.11 89.07 80.56 90.73

Annex 4.22

COVERAGE OF PNEUMONIA CASE DETECTION ON UNDERFIVES BY PROVINCE, 2006

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 (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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Target of Case Finding

Pneumonia in Underfives Realization Age < 1 Age 1-4

Total

(3)

(4)

(5)

(6)

37,925 121,399 45,558 44,914 26,307 17,810 78,835 76,276 12,302 12,655 83,791 402,751 298,600 24,105 305,441 122,352 33,423 53,549 42,603 46,737 19,584 38,942 35,769 21,879 23,457 19,757 79,362 9,148 10,147 15,234 9,095 25,967 6,296 2,201,970

1,123 14,603 4,687 2,949 1,348 1,298 9,776 4,074 2,255 94 1,858 70,786 14,977 137 27,155 6,676 2,573 21,079 5,711 3,845 364 5,121 5,704 1,832 4,993 2,375 5,518 1,669 858 769 2,517 625 229,349

4,200 26,704 12,665 6,446 5,594 1,065 18,089 7,261 6,070 139 3,876 128,499 30,390 314 48,625 10,133 4,675 30,802 6,557 6,960 668 6,776 10,905 2,381 8,098 4,959 9,947 2,348 1,648 1,006 4,569 949 413,318

5,323 41,307 17,352 9,395 6,942 2,363 27,865 11,335 8,325 233 5,734 199,285 45,367 451 75,780 16,809 7,248 51,881 12,268 10,805 1,032 11,897 16,609 4,213 13,091 7,334 15,465 4,017 2,506 1,775 7,086 1,574 33 642,667

Source : DG of Diseases Control & Environmental Health, MOHRI, 2007

% (7)

14.04 34.03 38.09 20.92 26.39 13.27 35.35 14.86 67.67 1.84 6.84 49.48 15.19 1.87 24.81 13.74 21.69 96.89 28.80 23.12 5.27 30.55 46.43 19.26 55.81 37.12 19.49 43.91 24.70 11.65 77.91 6.06 0.52 29.19

Annex 4.23

COVERAGE OF VITAMIN "A" CAPSULE DISTRIBUTION BY PROVINCE, 2006

No

Province

(1)

(2)

1 Nanggroe Aceh Darussalam

Coverage of Vitamin A

Number of Infants ( 6-11 Months)

Number of Underfives (Age 1-4)

Postpartum Mothers

(3)

(4)

(5)

Infants Got Vitamin A (blue)

Underfives Got Vitamin A (2X)

Total

%

Total

%

(6)

(7)

(8)

(9)

Postpartum Mothers Got Vitamin A Total % (10)

(11)

57,382

286,133

103,691

48,836

85.11

266,948

93.30

55,136

53.17

2 North Sumatera

181,851

1,212,336

304,373

132,782

73.02

991,446

81.78

123,139

40.46

3 West Sumatera

64,447

416,106

107,526

53,393

82.85

347,915

83.61

66,831

62.15

4 Riau

88,053

514,563

121,683

65,073

73.90

428,450

83.26

74,392

61.14

5 Jambi

61,608

256,343

64,991

36,279

58.89

235,698

91.95

34,271

52.73

127,044

667,404

163,162

108,127

85.11

86.59

121,526

74.48

7 Bengkulu

41,821

175,121

41,821

23,801

56.91

119,807

68.41

27,684

66.20

8 Lampung

144,549

552,763

167,855

105,535

73.01

449,030

81.23

44,732

26.65

17,251

101,015

26,291

14,703

85.23

83,633

82.79

20,462

77.83

10 Riau Islands

30,007

138,296

37,063

20,002

66.66

116,120

83.96

24,503

66.11

11 DKI Jakarta

78,939

512,203

189,327

75,808

96.03

412,055

80.45

34,190

18.06

12 West Java

443,535

3,119,991

280,006

398,892

89.93

1,987,539

63.70

128,905

46.04

13 Central Java

346,611

2,126,061

628,886

339,179

97.86

2,095,473

98.56

554,569

88.18

6 South Sumatera

9 Bangka Belitung Islands

14 DI Yogyakarta

577,881

36,978

190,860

46,433

29,545

79.90

178,414

93.48

32,659

70.34

15 East Java

633,418

2,430,511

634,441

302,332

47.73

2,070,920

85.21

475,195

74.90

16 Banten

142,524

885,372

245,263

123,650

86.76

750,193

84.73

155,016

63.20

17 Bali

41,927

212,784

61,097

35,105

83.73

200,612

94.28

48,998

80.20

18 West Nusa Tenggara

61,589

378,372

101,254

56,957

92.48

368,035

97.27

85,536

84.48

19 East Nusa Tenggara

90,677

402,696

107,925

64,048

70.63

351,743

87.35

57,592

53.36

20 West Kalimantan

80,027

402,004

98,575

49,117

61.38

260,234

64.73

46,769

47.45

21 Central Kalimantan

32,511

74.22

41,276

80.26

22 South Kalimantan

47,810

386,807

75,018

37,271

77.96

247,513

63.99

59,980

79.95

23 East Kalimantan

56,650

325,659

71,918

48,613

85.81

254,915

78.28

39,016

54.25

24 North Sulawesi

24,368

144,814

45,428

22,783

93.50

129,218

89.23

35,060

77.18

25 Central Sulawesi

50,428

98.13

40,706

72.31

26 South Sulawesi

222,167

217,146

51,429

25,981

79.91

164,883

56,292

38,011

75.38

213,083

163,280

92,863

82.46

434,261

84.43

122,323

74.92

112,609

514,353

27 Southeast Sulawesi

33,158

202,474

51,894

24,626

74.27

156,778

77.43

26,720

51.49

28 Gorontalo

14,291

91,394

22,788

13,027

91.16

69,219

75.74

15,158

66.52

29 West Sulawesi

21,409

67,637

22,526

15,121

70.63

55,176

81.58

7,813

34.68

30 Maluku

26,390

147,484

32,463

16,103

61.02

92,449

62.68

21,852

67.31

31 North Maluku

18,347

93,442

22,229

10,831

59.03

48,471

51.87

16,171

72.75

32 Papua

49,358

194,074

50,125

40,096

81.24

171,105

88.16

2,489

4.97

33 West Irian Jaya

16,785

61,098

-

6,479

38.60

18,828

30.82

-

2,474,969

75.59

14,348,045

81.29

Indonesia

3,274,352

Source : Directorate of Community Nutrition, MOHRI, 2007

17,649,483

4,197,053

2,640,669

62.92

Annex 4.24

COVERAGE OF PREGNANT WOMEN GOT IRON TABLETS (Fe3) BY PROVINCE, 2006

No

Province

Number of Pregnant Women

(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 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source : Directorate of Community Nutrition, MOHRI, 2007

114,970 329,499 118,348 133,638 79,889 184,051 47,294 179,760 28,757 41,058 212,357 893,391 244,085 51,902 707,312 269,259 68,018 114,903 124,637 115,651 57,202 74,607 78,633 48,797 59,081 186,293 52,727 24,982 24,459 33,374 23,941 48,882 21,874 4,793,631

Pregnant Women Got 90 Iron Tablets (Fe3) Total

%

(4)

(5)

26,294 161,040 76,110 90,613 14,925 143,311 27,629 136,275 19,272 2,498 74,331 705,756 43,766 39,223 477,935 161,179 30,651 61,991 80,912 60,682 28,952 74,423 60,263 22,838 40,656 110,862 18,764 16,614 12,178 21,108 9,059 33,116 5,436 2,888,662

22.87 48.87 64.31 67.80 18.68 77.86 58.42 75.81 67.02 6.08 35.00 79.00 17.93 75.57 67.57 59.86 45.06 53.95 64.92 52.47 50.61 99.75 76.64 46.80 68.81 59.51 35.59 66.50 49.79 63.25 37.84 67.75 24.85 60.26

Annex 4.25

RECAPITULATION OF DISASTER, 2006

No

Kinds of Disaster

Number of Disasters

(1)

(2)

(3)

1 Flood

Number of Districts/Municipalities

Number of Victims Severe Injury/ Slight Injury/ Inpatient Outpatient

Dead

(4)

(5)

(6)

Refugee

Lost

(7)

(8)

(9)

20

44

108

2,576

34,036

79

162,064

7

10

251

107

4,208

148

23,056

19

19

123

30

335

4

10

6,469

26,983

178,292

5 Typhoon/Tornado,cyclone,hurricane

11

12

9

6

7

6 Transportation Accident

15

15

129

358

164

401

7 Food Poisoning

4

4

21

132

389

-

8 Bomb explotion

8

8

14

24

15

9 Starvation

1

1

1

6

1

2

157

336

2 Flash flood

3 Landslide

4 Earthquake

10 Diarrhea Outbreak

Source: Center for Crisis Response, MOHRI, 2007 * 7 hotspots in Evacuation Locations in Yogyakarta

-

2,127

82

-

10063*

-

6

-

2

-

-

-

-

3,261

-

-

Annex 5.1 NUMBER OF HEALTH CENTERS AND OTHER FACILITIES BY PROVINCE, 2006 Health Center

Province

No (1)

(2)

1 Nanggroe Aceh Darussalam 2 North Sumatera

with Beds (3)

without

Community-Based Health Facility Total

Sub Health Center

Beds (4)

(5)

(6)

Health center Transportation Facility Mobile HC

Integrated

Village

Village

Health Post

Maternal Hut

Drug Post

4-Wheel

Boat

(7)

(8)

(9)

(10)

(11)

Ambulance (12)

Motor -cycle (13)

85

189

274

0

5,576

1,473

193

244

2

99

634

145

300

445

391

22,190

644

695

323

3

41

1,571 706

3 West Sumatera

81

143

224

200

6,680

834

941

156

8

31

4 Riau

46

108

154

0

4,333

197

57

113

15

25

321

5 Jambi

41

99

140

54

2,882

77

156

155

10

31

789

6 South Sumatera

76

173

249

0

5,786

1,499

175

208

30

42

784

7 Bengkulu

34

92

126

150

1,713

653

137

131

0

37

477

8 Lampung

39

196

235

200

7,380

1,062

214

228

3

11

865

9 Bangka Belitung

17

30

47

0

909

199

59

42

0

10

230

10 Riau Islands

16

29

45

0

503

227

7

46

20

17

160

11 DKI Jakarta 12 West Java

50

292

342

0

3,841

199

0

76

0

28

464

142

857

999

1,055

43,111

1,511

817

468

0

115

4,349

13 Central Java

241

617

858

4,322

46,746

4,411

857

867

3

66

3,537

14 Yogyakarta

38

79

117

0

5,412

80

111

142

0

36

737

336

594

930

5,148

44,095

4,174

192

962

4

49

3,349

16 Banten

34

143

177

0

8,989

126

94

100

3

23

661

17 Bali

22

88

110

210

4,589

262

19

127

0

13

596

18 West Nusa Tenggara

44

86

130

0

5,256

479

217

135

6

20

656

19 East Nusa Tenggara

15 East Java

124

127

251

0

8,046

1,175

412

201

13

32

717

20 West Kalimantan

71

134

205

150

3,705

1,094

271

179

104

3

742

21 Central Kalimantan

52

102

154

148

1,706

531

38

90

62

32

460

22 South Kalimantan

36

165

201

284

3,411

710

95

197

25

23

826

23 East Kalimantan

87

99

186

0

4,409

337

305

115

36

14

632

24 North Sulawesi

59

71

130

0

2,068

420

94

91

13

41

281

25 Central Sulawesi

64

80

144

215

2,841

848

53

134

11

0

248

179

183

362

415

8,579

1,159

377

440

15

40

1,310 714

26 South Sulawesi 27 Southeast Sulawesi

52

107

159

0

2,479

349

1,854

104

13

1

28 Gorontalo

17

38

55

0

1,134

266

90

47

3

18

223

29 West Sulawesi

22

40

62

0

6,825

81

0

35

1

0

109 108

30 Maluku

54

71

125

0

1,360

208

0

36

34

13

31 North Maluku

31

31

62

0

0

-

0

39

24

12

91

121

115

236

0

2,648

302

101

52

11

332

32 Papua 33 West Irian Jaya Indonesia

1,055

41

40

81

0

0

167

13

33

35

4

92

2,497

5,518

8,015

12,942

269,202

25,754

9,598

6,365

548

938

27,771

Annex 5.2 NUMBER OF HEALTH CENTERS AND ITS RATIO TO POPULATION BY PROVINCE, 2002 - 2006

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

Total

Health Center Ratio/

Health Center

Per 100,000 Population

2002

2003

2004

2005

2006

2002

2003

2004

2005

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

2006 (12)

Nanggroe Aceh Darussala North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands

230

240

240

266

274

5.76

5.70

6.15

6.60

6.73

411

388

423

426

445

3.47

3.27

3.43

3.42

3.52

204

206

210

214

224

4.79

4.62

4.62

4.69

4.84

167

142

146

150

154

3.10

2.55

3.21

3.28

2.52

-

45

47

135

140

-

-

3.92

5.12

5.22

130

127

132

242

249

5.29

4.94

4.89

3.57

3.61

214

235

250

113

126

2.98

3.62

3.68

7.29

8.04

112

112

113

224

235

6.86

7.38

7.02

3.15

3.26

211

219

222

47

47

3.11

3.16

3.10

4.50

4.37

45

45

61

41

45

4.86

4.61

5.99

3.22

-

DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

328

329

329

335

342

4.00

3.82

3.61

3.78

3.82

976

982

982

996

999

2.64

2.59

2.51

2.56

2.52

853

855

857

853

858

2.69

2.67

2.60

2.67

2.67

117

117

117

117

117

3.69

3.65

3.57

3.50

3.45

922

918

907

919

930

2.63

2.54

2.45

2.53

2.54

168

171

172

173

177

1.89

1.91

1.88

1.92

1.92

107

108

109

110

110

3.31

3.22

3.13

3.25

3.21

121

127

125

128

130

2.98

3.17

3.00

3.06

3.05

211

218

220

228

251

5.36

5.35

5.27

5.35

5.76

189

192

195

207

205

4.52

4.86

4.78

5.11

4.98

118

133

132

134

154

6.05

7.28

6.94

7.00

7.95

189

189

193

192

201

6.22

5.95

5.95

5.85

6.01

165

167

174

187

186

6.48

6.17

5.90

6.56

6.34

101

108

114

119

130

4.94

5.08

5.28

5.59

6.02

132

134

135

139

144

5.79

6.06

5.81

6.06

6.13

367

376

333

347

362

4.43

4.58

4.45

4.09

4.20

122

115

138

139

159

6.34

6.13

7.02

7.08

7.94

39

47

44

45

55

4.47

5.33

4.80

4.88

5.84

50

50

62

-

5.17

-

-

103

109

125

8.48

7.74

8.71

9.83

Indonesia

96

98

8.05

49

53

55

56

62

6.60

6.21

6.03

6.33

6.75

215

165

167

168

236

9.19

7.02

9.07

6.67

8.87

-

52

55

60

81

-

-

9.71

-

-

7,309

7,413

7,550

7,669

8,015

3.46

3.46

3.48

3.50

3.61

Annex 5.3 NUMBER OF HEALTH CENTERS AND HEALTH CENTERS WITH BEDS BY PROVINCE, 2002 - 2006 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 (2)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Number of Health Center 2003 2004 2005

2002 (5)

(6)

(7)

(8)

2006

2002

(9)

(12)

Number of Health Center with Beds 2005 2006 2003 2004 (13)

(14)

(15)

(16)

230

240

240

266

274

77

78

82

89

85

411

388

423

426

445

97

90

97

98

145

204

206

210

214

224

62

63

63

64

81

167

142

146

150

154

49

36

38

39

46

-

45

47

135

140

-

21

21

43

41

130

127

132

242

249

37

36

38

75

76

214

235

250

113

126

67

68

71

24

34

112

112

113

224

235

25

10

25

31

39

211

219

222

47

47

30

28

29

14

17

45

45

61

41

45

10

25

26

17

16

328

329

329

335

342

47

46

48

50

50

976

982

982

996

999

132

18

132

132

142

853

855

857

853

858

206

128

235

218

241

117

117

117

117

117

32

214

32

32

38

922

918

907

919

930

283

32

295

310

336

168

171

172

173

177

18

279

18

18

34

107

108

109

110

110

20

20

20

23

22

121

127

125

128

130

43

27

28

46

44

211

218

220

228

251

62

59

60

72

124

189

192

195

207

205

66

66

67

70

71

118

133

132

134

154

28

33

31

35

52

189

189

193

192

201

25

26

31

33

36

165

167

174

187

186

68

68

67

70

87

101

108

114

119

130

57

17

59

56

59

132

134

135

139

144

55

66

59

59

64

367

376

333

347

362

150

57

140

147

179

122

115

138

139

159

36

156

35

45

52

39

47

44

45

55

14

28

14

14

17

-

-

50

50

62

-

-

18

19

22

96

98

103

109

125

32

30

30

31

54

49

53

55

56

62

20

16

15

17

31

215

165

167

168

236

78

61

63

64

121

-

52

55

7,309

7,413

7,550

Source: DG of Community Health, and Center for Data and Information, MOHRI

60 7,669

81

8,015

-

22

23

22

41

1,926

1,924

2,010

2,077

2,497

Annex 5.4 NUMBER OF MOBILE HEALTH CENTERS AND ITS RATIO TO HEALTH CENTER BY PROVINCE, 2002 - 2006 Ratio of Mobile HC/ Health Center 2003 2004 2005

2006 4-W Boat

2002

(14)

(15)

(16)

(19)

(20)

(21)

(22)

189

4

244

2

0.9

0.8

0.9

0.7

0.9

248

0

323

3

0.6

0.6

0.6

0.6

0.7

Province

(1)

(2)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

1

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

192

8

195

8

198

8

237

1

234

1

267

0

188

3

191

3

190

11

209

9

156

8

0.9

0.9

1.0

1.0

0.7

103

46

91

23

96

23

106

24

113

15

0.9

0.8

0.8

0.9

0.8

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

Indonesia

2002 4-W Boat

Number of Mobile Health Center 2003 2004 2005 4-W Boat 4-W Boat 4-W Boat

No

(23)

-

-

122

27

24

24

123

10

155

10

-

3.3

1.0

1.0

1.2

114

15

161

4

128

12

180

7

208

30

1.0

1.3

1.1

0.8

1.0

149

20

104

3

197

10

108

0

131

0

0.8

0.5

0.8

1.0

1.0

102

0

166

3

101

0

185

4

228

3

0.9

1.5

0.9

0.8

1.0

160

1

36

0

172

3

44

0

42

0

0.8

0.2

0.8

0.9

0.9

30

0

25

20

49

1

27

19

46

20

0.7

1.0

0.8

1.1

1.5

68

4

70

4

70

165

57

4

76

0

0.2

0.2

0.7

0.2

0.2

384

2

379

1

406

1

407

0

468

0

0.4

0.4

0.4

0.4

0.5

665

4

759

6

777

6

820

3

867

3

0.8

0.9

0.9

1.0

1.0

108

0

108

0

108

0

126

0

142

0

0.9

0.9

0.9

1.1

1.2

871

6

868

5

886

4

914

3

962

4

1.0

1.0

1.0

1.0

1.0

90

1

84

1

88

1

103

1

100

3

0.5

0.5

0.5

0.6

0.6

110

45

111

45

111

46

118

46

127

0

1.4

1.4

1.4

1.5

1.2

112

3

117

3

119

3

101

6

135

6

1.0

0.9

1.0

0.8

1.1

173

19

175

21

183

21

186

23

201

13

0.9

0.9

0.9

0.9

0.9

93

58

98

82

112

75

126

71

179

104

0.8

0.9

1.0

1.0

1.4

77

75

109

83

88

54

106

50

90

62

1.3

1.4

1.1

1.2

1.0

168

40

164

40

176

29

186

30

197

25

1.1

1.1

1.1

1.1

1.1

113

50

113

48

126

46

138

40

115

36

1.0

1.0

1.0

1.0

0.8

81

17

81

17

67

16

59

15

91

13

1.0

0.9

0.7

0.6

0.8

96

21

95

19

106

17

118

12

134

11

0.9

0.9

0.9

0.9

1.0

229

15

243

10

215

8

245

10

440

15

0.7

0.7

0.7

0.7

1.3

77

14

84

15

85

9

101

8

104

13

0.7

0.9

0.7

0.8

0.7

23

0

26

0

32

0

32

0

47

3

0.6

0.6

0.7

0.7

0.9

-

-

-

-

27

2

28

2

35

1

-

-

0.6

0.6

0.6

35

22

32

27

32

37

34

33

36

34

0.6

0.6

0.7

0.6

0.6

18

62

17

64

26

65

28

41

39

24

1.6

1.5

1.7

1.2

1.0

118

102

69

61

71

66

75

73

101

52

1.0

0.8

0.8

0.9

0.6

21

29

25

42

25

43

33

35

-

1.0

1.2

1.1

0.8

-

-

4,984

654

5,148

673

Source: DG of Community Health, and Center for Data and Information MOHRI Note: 4-W = mobile health center with 4-wheel car Boat = mobile health center with boat

2006

5,358

805

5,552

591

6,365

548

0.8

0.8

0.8

0.8

0.9

Annex 5.5 NUMBER OF HOSPITALS IN INDONESIA BY OWNERSHIP AND PROVINCE, 2006

No

Province

(1)

(2)

MOH/Local Govt. General Specific Total Hospital Hospital (3)

(4)

(5)

Armed Forces/Police Specific Total Hospital

General Hospital (6)

(7)

(8)

Other Ministry/BUMN Specific Total Hospital

General Hospital (9)

(10)

(11)

General Hospital

Private Specific Hospital

(12)

(13)

All Hospitals Specific Total Hospital

Total

General Hospital

(14)

(15)

(16)

(17)

1

Nanggroe Aceh Darussalam

16

1

17

3

0

3

3

0

3

5

2

7

27

3

30

2

North Sumatera

29

5

34

7

0

7

17

1

18

61

6

67

114

12

126

3

West Sumatera

16

2

18

3

0

3

1

0

1

9

10

19

29

12

41

4

Riau

14

1

15

5

0

5

6

0

6

11

2

13

36

3

39

5

Jambi

6

South Sumatera

7 8 9

7

1

8

2

0

2

2

0

2

2

1

3

13

2

15

12

2

14

2

0

2

5

0

5

8

2

10

27

4

31

Bengkulu

6

1

7

1

0

1

0

0

0

1

0

1

8

1

9

Lampung

8

1

9

1

0

1

0

0

0

9

3

12

18

4

22

Bangka Belitung

3

4

0

0

0

0

1

1

4

1 -

-

0

0 -

-

0

0 -

-

0

0 -

-

0

1 -

5

10

Riau Islands

-

0

11

DKI Jakarta West Java

8

7

15

8

1

9

5

1

6

53

35

88

74

44

12

28

8

36

12

0

12

6

1

7

47

28

75

93

37

130

13

Central Java

41

8

49

8

0

8

3

0

3

73

40

113

125

48

173

14

Yogyakarta

6

1

7

2

0

2

0

1

1

9

15

24

17

17

34

15

East Java

45

8

53

19

1

20

13

2

15

56

22

78

133

33

166

16

Banten

5

1

6

2

0

2

2

0

2

8

6

14

17

7

24

17

Bali

9

2

11

2

0

2

0

0

0

16

4

20

27

6

33

18

West Nusa Tenggara

7

3

10

1

0

1

0

0

0

2

0

2

10

3

13

19

East Nusa Tenggara

14

0

14

2

0

2

0

0

0

8

1

9

24

1

25

20

West Kalimantan

13

3

16

2

0

2

1

0

1

7

2

9

23

5

21

Central Kalimantan

10

0

10

1

0

1

0

0

0

0

0

0

11

22

South Kalimantan

11

2

13

3

0

3

2

0

2

4

4

8

20

6

23

East Kalimantan

10

2

12

3

0

3

2

0

2

9

1

10

24

3

27

24

North Sulawesi

6

1

7

2

0

2

0

0

0

11

0

11

19

1

20

25

Central Sulawesi

26

South Sulawesi

27 28 29

West Sulawesi

30

Maluku

6

1

7

3

0

3

0

0

0

6

1

7

15

31

North Maluku

4

0

4

2

0

2

0

0

0

0

0

0

6

32

Papua

3

0

3

2

0

2

0

0

0

1

0

1

6

33

West Irian Jaya

4

0

4

2

0

2

1

0

1

2

0

2

9

34

East Irian Jaya

4

2

6

1

0

1

0

0

0

3

0

3

8

2

10

390

74

464

110

2

112

71

7

78

441

197

638

1,012

280

1,292

118

28 -

11 26

9

1

10

1

0

1

0

0

0

4

4

8

14

5

19

26

7

33

6

0

6

1

1

2

12

7

19

45

15

60

Southeast Sulawesi

7

1

8

2

0

2

1

0

1

3

1

4

13

2

15

Gorontalo

3

1

4

0

0

0

0

0

0

0

0

0

3

1

Indonesia Source: DG of Medical Care, MOHRI

-

-

0

-

-

0

-

-

0

-

-

0

-

4 -

2

0 17

0

6 6

-

9

Annex 5.6 NUMBER OF GENERAL HOSPITALS BY OWNERSHIP 2002 - 2006 Number of General Hospital No

Ownership

(1)

(2)

2002

2003

2004

2005

2006

(10)

(11)

(12)

(13)

(14)

1

Ministry of Health

14

14

13

13

13

2

Province

45

45

43

43

43

3

District/Municipal

287

294

305

322

334

MoH + Local Government

346

353

361

378

390

4

Armed Forces/Police

110

110

110

110

110

5

Other Ministry/State-owned Enterprise (BUMN)

70

71

71

71

71

Government

526

534

542

559

571

Private

427

432

434

436

441

953

966

976

995

1,012

6

Total Source: DG of Medical Care, MOHRI

Annex 5.7 NUMBER OF GOVERNMENT GENERAL HOSPITALS BY CLASS AND PROVINCE, 2005

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

Province

Class A

Class B

(2)

(3)

(4)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya East Irian Jaya Indonesia

Source: DG of Medical Care, MOHRI

1

1 1 1 1

1

6

Class C

Class D

(5)

(6)

2 4 2 1 1 1 1 1

9 18 11 8 5 8 3 6 3

5 9 16 1 10 2 5 1 1 1 1 1 3 1 1 1 1

2 17 24 4 29 3 4 6 3 7 5 9 5 3 5 17 4 2

1

2 2 2 3 2 231

1 75

Total (7)

3 3 2 3 1 3 1

1 1 5

10 5 4 1 2 2 3 7 1

3 2 1 1 1 66

14 26 15 12 7 12 4 8 3 0 8 28 41 6 45 5 9 7 14 13 10 11 10 6 9 26 6 2 0 6 4 3 4 4 378

Annex 5.8

NUMBER OF BEDS IN GENERAL HOSPITAL BY OWNERSHIP 2002 - 2006 Number of Beds in General Hospital No

Ownership

(1)

(2)

1

Ministry of Health

2

3

2002

2003

2004

2005

2006

(3)

(2)

(1)

(2)

(14)

9,086

8,858

8,505

8,483

8,784

Province

12,872

12,958

12,391

12,902

12,834

District/Municipal

30,316

30,803

31,959

33,896

35,375

MoH + Local Government

52,274

52,619

52,855

55,281

56,993

4

Army/Police

10,740

10,718

10,761

10,814

10,842

5

Other Ministry/ State-owned Enterprise (BUMN)

6,729

6,758

6,537

6,827

6,880

Government

69,743

70,095

70,153

72,922

74,715

Private

41,796

42,284

42,487

43,364

43,789

111,539

112,379

112,640

116,286

118,504

6

Total Source: DG of Medical Care, MOHRI

Annex 5.9 NUMBER OF SPECIFIC HOSPITALS AND ITS BEDS BY TYPE OF HOSPITAL, 2002 - 2006 2003

2002 No (1)

2004

2005

2006

Types of Hospital (2)

Hospital

Beds

Hospital

Beds

Hospital

Beds

Hospital

Beds

Hospital

Beds

(13)

(14)

(15)

(16)

(17)

(18)

(18)

(19)

(20)

(21)

1

Mental Hospital

51

7,777

51

7,771

51

8,535

51

8,527

51

8,630

2

Leprosy Hospital

23

2,344

23

2,344

22

2,248

22

2,446

22

2,137

3

Pulmonary TB

9

722

9

722

9

751

9

766

9

718

4

Eyes Hospital

10

418

10

418

10

460

10

475

10

459

5

Optamological H.

1

187

1

187

1

187

1

187

1

187

6

Infectious Disease H.

1

144

1

144

1

144

1

127

1

144

7

Cardiac Hospital

-

-

2

214

2

234

2

234

2

234

8

Cancer Hospital

-

-

1

129

1

128

1

129

1

172

9

Maternity Hospital

55

2,491

55

2,464

55

2,439

56

2,533

57

2,458

10

Maternal and Child Hospital

-

-

63

3,175

63

3,100

64

3,629

69

3,388

11

Dental and Mouth Hospital

-

-

11

-

-

-

-

-

-

-

12

Other Specific Hospital

112

4,592

41

1,182

55

1,365

56

1,427

57

1,420

Total

262

18,675

268

18,750

270

19,591

273

20,480

280

19,947

Source: DG of Medical Care, MOHRI

Annex 5.10 NUMBER OF PRODUCTION FACILITIES OF PHARMACEUTICAL SUPPLIES AND MEDICAL DEVICES BY TYPE AND PROVINCE, 2002 - 2006

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

(2)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Traditional Drug Industry

Pharmaceutical Industry

Province

Traditional Drug Industry

Cosmetics

Households Health Supplies

Medical Devices

Small Traditional Drug Industry

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

(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)

0 11 2 0 1 1 0 0 0 40 71 25 1 51 22 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 226

0 11 2 0 1 1 0 0 0 40 72 25 1 42 24 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220

0 11 2 0 1 3 0 0 0 34 76 31 1 42 24 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 227

Source: DG of Pharmaceutical Services and Medical Devices, MOHRI

11 2 0 1 2 0 34 76 31 1 42 24 1 225

10 1 1 34 76 31 1 51 26 1 1 233 466

1 2 4 0 0 0 0 0 19 33 10 8 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84

1 2 0 0 0 0 0 0 13 34 10 8 8 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82

1 2 0 0 0 0 0 0 17 37 10 11 8 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92

1 2 1 17 37 1 8 8 0 75

11 117 184 37 29 351 6 9 1 10 40 13 9 817 1,634

26 26 28 0 70 70 4 5 5 0 0 0 8 8 7 5 6 6 0 0 0 3 3 3 0 0 0 141 160 74 118 129 143 200 208 208 21 21 21 172 313 343 21 28 28 6 6 6 8 9 8 2 6 6 7 7 7 3 3 3 27 27 35 11 11 11 7 7 8 0 1 3 5 2 36 0 0 0 0 0 0 4 4 4 0 0 2 2 2 801 1,062 1,065

30 70 5 0 7 6 74 143 36 21 343 28 6 8 6 9 3 39 11 9 36 4 894

30 70 5 0 7 6 74 143 36 21 343 28 6 8 6 9 3 39 11 9 36 4 894

0 15 28 0 1 0 0 0 60 54 33 8 11 20 1 1 0 0 0 0 40 0 0 0 0 0 0 0 0 272

0 18 1 0 1 0 0 0 63 59 33 8 67 22 1 1 0 0 0 92 0 0 0 0 0 0 0 0 0 366

0 18 1 0 1 0 0 25 31 63 33 8 67 22 1 1 0 0 99 108 0 2 0 0 0 0 25 81 586

18 1 31 63 57 8 67 22 1 1 125 57 451

1 6 88 96 191

34 14 0 5 2 0 0 0 85 129 33 8 114 55 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 483

37 14 1 5 2 0 3 0 95 152 51 8 125 63 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 561

1 37 14 1 6 2 0 3 77 168 51 8 125 63 0 0 0 0 0 1 0 4 0 0 0 0 0 0 561

1 37 15 1 6 2 3 77 168 55 8 125 63 1 1 4 567

0 6 73 185 55 4 125 74 1 1 4 528

0 39 5 1 1 0 0 0 181 107 33 4 138 30 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541

0 39 5 1 1 0 0 0 185 119 45 4 141 32 2 0 0 0 0 29 0 0 0 0 0 0 0 0 0 603

0 39 5 1 1 0 0 0 102 120 45 4 141 32 2 0 0 0 0 29 0 0 391 0 0 0 0 0 0 912

39 5 1 1 102 120 45 4 144 32 2 29 524

1 1 99 45 8 144 38 2 32 370

Annex 5.11 NUMBER OF DISTRIBUTION FACILITIES AND PHARMACEUTICAL SERVICES BY PROVINCE, 2002 - 2006

No

Province

(1)

(2)

1

Nanggroe Aceh Darussalam

2

North Sumatera

3

Pharmaceutical Wholesaler

Dispensary

Medical Devices Supplies

Drug Store

Distributor

Sub Distributor

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

2002

2003

2004

2005

2006

2002

2003

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(22)

(23)

(24)

-

28

28

28

38

92

103

106

103

110

West Sumatera

64

67

67

71

4

Riau

63

84

84

5

Jambi

39

39

37

6

South Sumatera

76

76

7

Bengkulu

8

Lampung

9

Bangka Belitung

41

-

2004

2005

(25)

2006

(26)

(27)

95

95

121

124

-

-

-

-

540

-

51

51

51

-

-

-

-

-

499

499

483

499

386

389

389

389

389

259

-

36

103

36

-

-

-

-

-

-

76

158

165

165

105

190

384

397

397

397

360

78

86

86

86

100

-

-

-

101

101

79

82

122

192

192

216

269

482

650

650

640

606

-

165

165

1

1

-

-

-

202

195

43

45

75

80

78

94

119

137

309

150

137

141

-

-

92

12

12

57

96

96

99

85

76

76

81

160

137

137

177

183

132

132

130

150

181

-

-

87

35

4

-

-

-

34

91

13

13

15

14

41

46

57

44

46

-

28

117

90

34

-

-

37

37

-

-

-

-

34

1

51

51

50

54

114

124

127

140

162

-

142

116

162

122

29

29

32

18

1

-

-

-

21

39

-

-

-

21

28

-

-

-

-

19

1

3

3

4

6

21

23

23

41

46

81

-

82

72

-

4

4

2

10 Riau Islands

-

1

13

20

20

-

4

101

101

105

-

-

-

-

279

-

-

-

-

13

11 DKI Jakarta 12 West Java

494

526

526

310

310

1,137

1,226

1,226

1,305

1,234

810

962

962

493

493

670

750

750

212

517

-

-

-

253

268

321

349

349

361

369

1,505

1,566

1,566

1,836

2,073

535

535

535

706

393

30

42

42

84

49

205

255

255

260

295

13 Central Java

225

249

249

249

249

722

879

879

879

1,133

480

600

600

600

600

-

-

-

-

-

-

-

-

-

-

14 Yogyakarta

45

43

43

48

50

208

225

225

225

113

51

45

45

58

58

2

2

2

2

8

80

81

81

81

28

15 East Java

-

98

305

334

290

375

428

1,311

1,331

1,375

1,375

1,721

-

1

230

1

217

-

-

-

14

51

-

68

68

293

399

16 Banten

38

45

45

45

62

345

345

345

345

426

-

-

-

-

121

8

12

12

12

27

1

4

4

4

12

17 Bali

73

79

79

78

72

250

250

250

250

336

48

71

71

71

104

57

76

76

76

1

-

-

-

-

52

18 West Nusa Tenggara

22

23

24

30

32

67

79

84

70

128

60

63

63

108

118

36

51

34

51

-

-

-

-

60

6

19 East Nusa Tenggara

18

19

19

25

27

42

48

48

84

88

81

151

151

151

160

-

-

38

38

1

99

20 West Kalimantan

41

43

43

43

42

62

77

77

87

100

242

301

301

327

323

42

48

48

14

-

-

-

-

53

82

21 Central Kalimantan

10

12

12

12

10

49

55

55

59

72

60

81

81

139

153

33

33

33

33

-

-

-

-

-

-

22 South Kalimantan

47

51

49

51

57

73

84

115

115

134

233

262

321

640

305

82

92

92

92

-

-

-

-

125

135

23 East Kalimantan

45

45

45

50

45

115

144

144

197

197

297

386

386

359

308

-

40

40

15

17

-

55

55

66

80

24 North Sulawesi

41

39

39

41

41

73

80

90

90

89

121

135

149

125

125

55

62

62

62

62

-

-

70

82

82

25 Central Sulawesi

19

13

12

23

23

60

60

55

73

75

137

115

105

157

110

26 South Sulawesi

74

79

79

79

79

352

331

331

331

418

385

450

450

398

398

27 Southeast Sulawesi

11

13

13

15

15

37

39

39

41

62

133

156

156

134

171

-

2

2

36

4

18

19

19

28

34

-

36

36

44

42

28 Gorontalo 29 West Sulawesi 30 Maluku 31 North Maluku 32 Papua 33 West Irian Jaya Indonesia

-

-

21

-

23

23

23

-

16

16

16

16

2

2

2

5

-

-

-

-

-

-

-

-

-

-

42

35

59

59

59

59

-

42

42

50

64

13

-

1

1

21

14

-

-

-

-

-

-

-

-

-

-

29

-

-

-

-

50

-

-

-

-

-

-

-

-

-

-

12

15

14

15

15

29

32

35

41

47

71

75

74

91

94

7

12

12

12

-

-

-

38

32

32

1

1

1

1

3

13

17

25

34

34

17

20

23

27

25

-

-

-

-

-

-

12

12

12

-

31

34

34

36

35

109

116

116

92

102

39

118

118

61

49

-

7

81

7

-

-

-

-

81

108

2,249

2,479

Source: DG of Pharmaceutical Services and Medical Devices, MOHRI

2,445

2,412

9 2,494

7,767

8,368

8,557

48 9,095

57 10,275

5,405

6,610

6,806

6,737

45 7,056

1,152

1,639

1,982

1,008

892

343

711

819

2,087

2 2,507

Annex 5.12 NUMBER OF COMMUNITY-BASED HEALTH EFFORT (UKBM) FACILITIES BY PROVINCE, 2006

No

Province

(1)

(2)

Ratio of UKBM Facilities towards UKBM Facilities Number of Distrcit/Municipality District/ Village Village Drug Integrated Health Village Village Drug Integrated Health Municipality Post Post Maternal Hut Post Maternal Hut Post (3)

(4)

(5)

(6)

(7)

(8)

(9)

1

Nanggroe Aceh Darussalam

6,027

5,576

1,473

193

0.93

0.24

0.03

2

North Sumatera

5,379

22,190

644

695

4.13

0.12

0.13

3

West Sumatera

2,235

6,680

834

941

2.99

0.37

0.42

4

Riau

1,290

4,333

197

57

3.36

0.15

0.04

5

Jambi

1,227

2,882

77

156

2.35

0.06

0.13

6

Bengkulu

2,721

5,786

1,499

175

2.13

0.55

0.06

7

South Sumatra

1,171

1,713

653

137

1.46

0.56

0.12

8

Lampung

2,155

7,380

1,062

214

3.42

0.49

0.10

9

Bangka Belitung

319

909

199

59

2.85

0.62

0.18

10

Riau

250

503

227

7

2.01

0.91

0.03

11

Jakarta

264

3,841

199

0

14.55

0.75

0.00 0.14

12

West Java

5,769

43,111

1,511

817

7.47

0.26

13

Central Java

8,738

46,746

4,411

857

5.35

0.50

0.10

14

Yogyakarta

439

5,412

80

111

12.33

0.18

0.25

15

East Java

8,466

44,095

4,174

192

5.21

0.49

0.02

16

Banten

1,320

8,989

126

94

6.81

0.10

0.07

17

Bali

695

4,589

262

19

6.60

0.38

0.03

18

West Nusa Tenggara

778

5,256

479

217

6.76

0.62

0.28

19

East Nusa Tenggara

2,510

8,046

1,175

412

3.21

0.47

0.16

20

West Kalimantan

1,522

3,705

1,094

271

2.43

0.72

0.18

21

Central Kalimantan

1,270

1,706

531

38

1.34

0.42

0.03

22

East Kalimantan

2,012

3,411

710

95

1.70

0.35

0.05

23

South Kalimantan

1,143

4,409

337

305

3.86

0.29

0.27 0.08

24

North Sulawesi

1,203

2,068

420

94

1.72

0.35

25

Central Sulawesi

1,465

2,841

848

53

1.94

0.58

0.04

26

South Sulawesi

2,812

8,579

1,159

377

3.05

0.41

0.13

27

Southeast Sulawesi

1,535

2,479

349

1,854

1.61

0.23

1.21

28

Gorontalo

419

1,134

266

90

2.71

0.63

0.21

29

West Sulawesi

431

6,825

81

0

15.84

0.19

0.00

30

Maluku

1,038

1,360

208

0

1.31

0.20

0.00

31

North Maluku

707

0

-

0

0.00

0.00

0.00

32

Papua

1,980

2,648

302

1,055

1.34

0.15

0.53

33

West Irian Jaya Indonesia

704

0

167

13

0.00

0.24

0.02

69,994

269,202

25,754

9,598

3.85

0.37

0.14

Source: DG of Community Health, MOHRI

Annex 5.13 NUMBER OF POSYANDU BY STRATA LEVEL AND PROVINCE, 2006

No

Province

(1)

(2)

Number of

Pratama

Madya

Purnama

Mandiri

Posyandu

Total

%

Total

%

Total

%

Total

%

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

1

Nanggroe Aceh Darussalam

5,576

4,679

83.9

661

11.85

236

4.23

0

2

North Sumatera

22,190

5,202

23.4

6,583

29.67

2

0.01

68

0.31

3

West Sumatera

6,680

1,326

19.9

2,807

42.02

2.109

0.03

438

6.56

4

Riau

4,333

881

20.3

2,121

48.95

811

18.72

140

3.23

5

Jambi

2,882

1,091

37.9

1,058

36.71

684

23.73

49

1.70

6

South Sumatera

5,786

2,264

39.1

2,280

39.41

1.127

0.02

115

1.99

7

Bengkulu

1,713

620

36.2

634

37.01

382

22.30

75

4.38

8

Lampung

7,380

1,725

23.4

3,503

47.47

2

0.03

263

3.56

9

Bangka Belitung

909

248

27.3

399

43.89

245

26.95

13

1.43

Riau Islands

503

149

29.6

220

43.74

116

23.06

18

3.58

556

14.5

2

0.05

1

0.03

162

4.22

12

DKI Jakarta West Java

3,841 43,111

0

0.0

-

0.00

-

0.00

-

0.00

13

Central Java

46,746

7,746

16.6

21

0.04

16

0.03

3

0.01

14

Yogyakarta

5,412

1,180

21.8

1,994

36.84

1,762

32.56

476

8.80

15

East Java

44,095

14,637

33.2

16,981

38.51

11,403

25.86

1,074

2.44

16

Banten

8,989

4,546

50.6

3,118

34.69

1,050

11.68

223

2.48

17

Bali

4,589

537

11.7

1,314

28.63

2,538

55.31

200

4.36

18

West Nusa Tenggara

5,256

2,924

55.6

1,481

28.18

726

13.81

57

1.08

19

East Nusa Tenggara

8,046

99

1.2

845

10.50

3,752

46.63

3,204

39.82

20

West Kalimantan

3,705

1,557

42.0

1,341

36.19

725

19.57

64

1.73

21

Central Kalimantan

1,706

1,195

70.0

358

20.98

141

8.26

12

0.70

22

South Kalimantan

3,411

1,819

53.3

1,154

33.83

372

10.91

66

1.93

23

East Kalimantan

4,409

1,318

29.9

1,623

36.81

1,199

27.19

261

5.92

24

North Sulawesi

2,068

645

31.2

743

35.93

678

32.79

58

2.80

25

Central Sulawesi

2,841

1,139

40.1

1,070

37.66

580

20.42

52

1.83

26

South Sulawesi

8,579

4,073

47.5

2,924

34.08

1,453

16.94

129

1.50

27

Southeast Sulawesi

2,479

772

31.1

845

34.09

654

26.38

170

6.86

28

Gorontalo

1,134

565

49.8

431

38.01

138

12.17

0

0.00

29

West Sulawesi

6,825

0

0.0

-

0.00

-

0.00

-

0.00

30

Maluku

1,360

1,360

100.0

-

0.00

-

0.00

-

0.00

31

North Maluku

0

0

0.0

-

-

-

-

-

32

Papua

2,648

1,178

44.5

880

394

14.88

196

7.40

33

West Irian Jaya

10 11

Indonesia Source: DG of Community Health MOHRI

0

0

0.0

-

269,202

66,031

24.5

57,390

33.23 21.32

0.00

-

-

-

-

30,063

11.17

7,586

2.82

Annex 5.14 NUMBER OF VILLAGE MATERNAL HUTS (VMH) BY STRATA LEVEL AND PROVINCE, 2006

No

Province

(1)

(2)

1

Nanggroe Aceh Darussalam

2

North Sumatera

3 4 5

Jambi*

6

South Sumatera

7

Number of

Pratama

Madya

Purnama

Mandiri

VMH

Total

%

Total

%

Total

%

Total

%

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

1,473

809

54.92

41

2.78

5

0.34

2

0.14

644

235

36.49

357

55.43

51

7.92

1

0.16

West Sumatera

834

461

55.28

289

34.65

76

9.11

8

0.96

Riau*

197

74

37.56

29

14.72

21

10.66

1

0.51

77

62

80.52

12

15.58

2

2.60

1

1.30

1,499

0

0.00

0

0.00

0

0.00

0

0.00

Bengkulu

653

397

60.80

225

34.46

31

4.75

0

0.00

8

Lampung

1,062

1,062

100.00

0

0.00

0

0.00

0

0.00

9

Bangka Belitung

199

199

100.00

0

0.00

0

0.00

0

0.00

10

Riau Islands

227

0

0.00

0

0.00

0

0.00

0

0.00

11

DKI Jakarta

199

199

100.00

0

0.00

0

0.00

0

0.00

12

West Java

1,511

0

0.00

0

0.00

0

0.00

0

0.00

13

Central Java*

4,411

2,831

64.18

946

21.45

471

10.68

149

3.38

14

Yogyakarta*

15

East Java

80

24

30.00

15

18.75

6

7.50

6

7.50

4,174

1,577

37.78

1,231

29.49

1,162

27.84

204

4.89

16

Banten

126

126

100.00

0

0.00

0

0.00

0

0.00

17

Bali

262

109

41.60

95

36.26

56

21.37

2

0.76

18

West Nusa Tenggara*

479

270

56.37

57

11.90

85

17.75

67

13.99

19

East Nusa Tenggara

1,175

839

71.40

193

16.43

129

10.98

14

1.19

20

West Kalimantan*

1,094

610

55.76

295

26.97

186

17.00

0

0.00

21

Central Kalimantan

531

450

84.75

57

10.73

22

4.14

2

0.38

22

South Kalimantan

710

450

63.38

156

21.97

98

13.80

6

0.85

23

East Kalimantan

337

189

56.08

88

26.11

38

11.28

22

6.53

24

North Sulawesi

420

308

73.33

83

19.76

0

0.00

0

0.00

25

Central Sulawesi

848

584

68.87

188

22.17

59

6.96

17

2.00

26

South Sulawesi*

1,159

488

42.11

2,543

219.41

171

14.75

2

0.17

27

Southeast Sulawesi*

349

155

44.41

9,900

2836.68

83

23.78

12

3.44

28

Gorontalo

266

212

79.70

49

18.42

5

1.88

0

0.00

29

West Sulawesi

81

0

0.00

0

0.00

0

0.00

0

0.00

30

Maluku*

208

208

100.00

0

0.00

0

0.00

0

0.00

31

North Maluku

32

Papua

33

West Irian Jaya* Indonesia

Source : DG of Community Health, MOHRI * = 2004 data

-

-

0

-

0

-

0

-

134

44.37

85

28.15

54

17.88

29

9.60

167

167

100.00

0

0.00

25,754

13,229

51.37

16,934

65.75

302

-

0 2,811

0.00 10.91

0 545

0.00 57.73

Annex 5.15 NUMBER OF VILLAGE DRUG POSTS (VDP) BY STRATA LEVEL AND PROVINCE 2006 No

Province

VDP

(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 Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source : DG of Community Health, MOHRI

193 695 941 57 156 175 137 214 59 7 0 817 857 111 192 94 19 217 412 271 38 95 305 94 53 377 1,854 90 0 0 0 1,055 13 9,598

Pratama

Madya

Purnama

Mandiri

Total

%

Total

%

Total

%

Total

%

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

152 0 549 0 138 0 96 187 0 0 0 0 547 5 113 93 17 196 301 250 35 63 217 48 42 301 761 89 0 97 0 442 0 4,739

78.76 0.00 58.34 0.00 88.46 0.00 70.07 87.38 0.00 0.00 0.00 63.83 4.50 58.85 98.94 89.47 90.32 73.06 92.25 92.11 66.32 71.15 51.06 79.25 79.84 41.05 98.89 42 0.00 49.37

13 0 280 0 17 0 30 15 0 0 0 0 193 6 18 1 2 18 82 21 2 32 70 34 11 68 637 1 0 0 0 343 0 1,894

6.74 0.00 29.76 0.00 10.90 0.00 21.90 7.01 0.00 0.00 0.00 22.52 5.41 9.38 1.06 10.53 8.29 19.90 7.75 5.26 33.68 22.95 36.17 20.75 18.04 34.36 1.11 32.51 0.00 19.73

28 0 112 0 1 0 2 8 0 0 0 0 116 0 17 0 0 0 27 0 0 0 14 2 0 7 381 0 0 0 0 187 0 902

14.51 0.00 11.90 0.00 0.64 0.00 1.46 3.74 0.00 0.00 0.00 13.54 0.00 8.85 0.00 0.00 0.00 6.55 0.00 0.00 0.00 4.59 2.13 0.00 1.86 20.55 0.00 17.73 0.00 9.40

0 0 9 0 0 0 0 0 0 0 0 0 1 2 23 0 0 3 2 0 1 0 3 0 0 1 75 0 0 0 0 77 0 197

0.00 0.00 0.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.12 1.80 11.98 0.00 0.00 1.38 0.49 0.00 2.63 0.00 0.98 0.00 0.00 0.27 4.05 0.00 7.30 0.00 2.05

Annex 5.16 RECAPITULATION OF HEALTH POLYTECHNIC INSTITUTION BY PROGRAM AND PROVINCE 2006 Study Program No

NURSING

Province Nursing

Midwirefy

PHARMACEUTICAL Dental

Pharmacy

Health (1)

(2)

Pharmacy Analysis

Public Health

Nutrition

Environmental Nutrition

& Food

Health

Physical Therapist Physiotherapy

Medical Technique

Ocupation

Health

Electromedic

Radiodiagnostic

Dental

Orthetic

Therapy

Analysis

Technic

Technic

Technic

Prosthetic

TOTAL

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

1

Nanggroe Aceh Darussalam

3

1

1

0

0

1

1

0

0

0

0

0

0

0

7

2

North Sumatera

1

3

1

1

0

1

1

0

0

1

0

0

0

0

9

3

West Sumatera

2

2

1

0

0

1

1

0

0

0

0

0

0

0

7

4

Riau

2

2

0

0

0

0

1

0

0

0

0

0

0

0

5

5

Jambi

1

1

1

0

0

1

0

0

0

0

0

0

0

4

6

South Sumatera

3

1

1

1

0

0

1

0

0

1

0

0

0

0

8

7

Bengkulu

1

1

0

0

0

0

1

0

0

0

0

0

0

0

3

8

Lampung

2

2

1

0

0

1

0

0

1

0

0

0

0

7

9

Bangka Belitung

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

10 Riau Islands

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

11 DKI Jakarta

4

3

1

1

1

1

1

0

0

1

1

1

1

0

16

12 West Java

5

6

2

0

0

1

1

0

0

1

0

0

0

0

16

13 Central Java

6

3

1

0

0

1

1

1

1

0

0

1

1

16

14 Yogyakarta

1

1

1

0

0

1

1

0

0

1

0

0

0

0

6

15 East Java

8

6

1

0

0

2

1

0

0

1

1

0

0

0

20

16 Banten

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

17 Bali

1

1

1

0

0

1

1

0

0

0

0

0

0

0

5

18 West Nusa Tenggara

2

1

0

0

0

1

0

0

1

0

0

0

0

5

19 East Nusa Tenggara

3

1

1

1

0

1

1

0

0

0

0

0

0

0

8

20 West Kalimantan

1

1

1

0

0

1

1

0

0

1

0

0

0

0

6

21 Central Kalimantan

1

1

0

0

0

1

0

0

0

0

0

0

0

3

22 South Kalimantan

1

1

1

0

0

1

1

0

0

1

0

0

0

0

6

23 East Kalimantan

1

2

0

0

0

0

0

0

1

0

0

0

0

4

24 North Sulawesi

1

1

1

1

0

1

1

0

0

0

0

0

0

0

6

25 Central Sulawesi

2

1

0

0

0

1

0

0

0

0

0

0

0

0

4

26 South Sulawesi

3

1

1

1

0

1

1

1

0

1

0

0

0

0

10

27 Southeast Sulawesi

1

1

0

0

0

0

1

0

0

0

0

0

0

0

3

28 Gorontalo

1

1

0

0

0

0

1

0

0

0

0

0

0

0

3

29 West Sulawesi

-

-

-

-

-

-

-

-

0

-

-

-

-

-

0

30 Maluku

3

1

0

0

0

1

1

0

0

0

0

0

0

0

6

31 North Maluku

1

1

0

0

0

0

1

0

0

0

0

0

0

0

3

32 Papua

6

1

0

0

0

0

1

0

0

0

0

0

0

0

8

33 West Irian Jaya

-

-

-

-

-

-

-

0

0

-

-

-

-

-

0

TOTAL

67

48

18

6

1

19

24

2

1

12

2

2

1

1

204

%

32.8

23.5

8.8

2.9

0.5

9.3

11.8

1.0

0.5

5.9

1.0

1.0

0.5

0.5

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

Annex 5.17 RECAPITULATION OF ACCREDITATION STRATA OF HEALTH POLYTECHNIC STUDY PROGRAM 2006

No

Province

(1)

(2)

Strata

Number of

Study Program

A

B

C

Non Accreditation

Not Accredited Yet

Total

% (10)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

1

Banda Aceh

7

1

6

0

0

0

7

100.00

2

Medan

9

2

5

2

0

0

9

100.00

3

Pekanbaru

5

0

2

0

0

3

2

40.00

4

Padang

7

5

1

0

0

1

6

85.71

5

Jambi

4

2

2

0

0

0

4

100.00

6

Bengkulu

3

2

0

0

0

1

2

66.67

7

Palembang

8

0

8

0

0

0

8

100.00

8

Tanjung Karang

7

0

7

0

0

0

7

100.00

9

Jakarta I

3

2

1

0

0

0

3

100.00

10

Jakarta II

7

4

3

0

0

0

7

100.00

11

Jakarta III

6

6

0

0

0

0

6

100.00

12

Bandung

11

9

2

0

0

0

11

100.00

13

Tasikmalaya

5

5

0

0

0

0

5

100.00

14

Yogyakarta

6

4

2

0

0

0

6

100.00 100.00

15

Semarang

11

3

8

0

0

0

11

16

Surakarta

5

2

2

0

0

1

4

80.00

17

Surabaya

13

8

5

0

0

0

13

100.00

18

Malang

7

5

2

0

0

0

7

100.00

19

Denpasar

5

2

3

0

0

0

5

100.00 100.00

20

Mataram

5

3

2

0

0

0

5

21

Kupang

8

0

7

0

0

1

7

87.50

22

Pontianak

6

2

2

0

0

2

4

66.67

23

Palangkaraya

3

0

2

0

0

1

2

66.67

24

Samarinda

4

1

1

0

0

2

2

50.00

25

Banjarmasin

6

3

3

0

0

0

6

100.00

26

Palu

4

0

4

0

0

0

4

100.00

27

Makassar

10

2

6

0

0

2

8

80.00

28

Kendari

3

0

3

0

0

0

3

100.00

29

Manado

9

0

4

0

0

5

4

44.44

30

Ambon

6

0

4

2

0

0

6

100.00

31

Ternate

3

0

2

0

0

1

2

66.67

32

Jayapura

9

0

5

0

0

4

5

55.56

181

88.29

Total %

205

73

104

4

0

24

40.33

57.46

2.21

0.00

13.26

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

Annex 5.18 NUMBER OF NON HEALTH POLYTECHNIC OF HEALTH MANPOWER EDUCATION INSTITUTION BY PROVINCE AND STUDY PROGRAM 2006

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

(5)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(20)

PTTD

Cardio-vascular

(19)

ATEM

ATRO

AAK

ATG

SMAK

AKUPUNTUR

ATW

AKFIS

AKZI

AKL

AKFAR

SMF

(6)

Medical Technique

APIKES

(4)

AKBID

AKPER

(3)

SPRG

(2)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

Therapy

Public Health Nutrition

ARO

(1)

Province

SPK

No

AKAFARMA

Pharmacy

Nursing

(21)

(22)

Total

(23)

(24)

3

0

12

8

0

1

1

1

0

2

0

0

0

0

1

1

4

0

37

33

4

3

1

1

2

2

0

0

1

0

2

1

0

0

13

6

1

1

3

0

1

1

0

0

0

0

1

0

0

6

8

1

1

1

0

0

1

0

0

1

0

1

0

0

6

2

0

0

1

0

0

0

0

0

0

0

0

11

6

1

0

2

2

0

1

0

0

0

0

0

4

1

1

0

0

0

0

0

0

0

0

0

5

5

0

1

0

0

0

0

0

0

1

0

2

0

0

0

0

0

0

0

0

0

0

2

1

0

0

0

0

0

0

0

1

2

34

17

7

2

2

0

2

2

1

0

0

10

3

4

0

1

0

0

1

0

0

0

0

2

1

1

1

0

0

0

24

2

0

43

33

4

3

5

3

2

2

0

0

2

0

4

1

2

5

2

0

0

113

0

0

8

1

1

1

1

0

0

0

0

0

0

1

1

1

0

1

0

16

0

1

42

16

5

3

2

1

2

1

0

2

1

1

4

1

1

0

0

0

83

0

0

5

4

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

9

1

0

2

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

4

1

0

4

4

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

10

1

0

4

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

5

0

0

6

3

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

10

0

0

3

0

0

1

0

0

0

0

0

0

0

1

0

0

0

0

0

0

5

0

0

6

4

1

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

12

0

0

6

0

0

1

1

0

0

0

0

0

0

0

0

0

0

0

0

0

8

0

0

5

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

6

0

0

5

0

0

2

0

0

0

0

0

0

0

0

0

0

0

0

0

0

7

2

1

23

1

0

1

1

0

0

0

0

0

0

1

1

1

1

0

0

45

0

0

5

0

0

1

1

0

0

0

0

0

0

0

0

0

0

0

0

0

7

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

1

0

0

0

0

1

0

0

0

0

0

1

0

1

0

0

0

0

0

0

4

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

17

4

308

169

32

16

29

13

9

14

1

2

8

2

20

8

8

16

6

2

1

685

12

1

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

1

1

0

0

32

1

0

1

0

0

93

0

1

2

0

0

0

30

0

0

1

0

0

0

21

1

0

0

0

0

0

0

10

0

0

0

0

1

0

0

0

24

0

0

0

0

0

0

0

0

0

6

0

0

0

1

0

0

0

0

0

12

0

0

0

0

0

0

0

0

0

0

3

0

0

0

0

0

0

0

0

0

0

3

0

2

1

0

1

2

2

1

1

1

81

Annex 5.19 RECAPITULATION OF NON HEALTH POLYTECHNIC ACCREDITATION STRATA 2006

No

Province

Strata

Number of

Institution

A

B

C

Non Accreditation

Not Accredited Yet

(4)

(5)

(6)

(7)

(8)

Total

%

(9)

(10)

(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 Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands

32

1

18

6

0

7

25

78.13

93

4

48

23

1

17

76

78.13

30

1

19

2

0

8

22

73.33

21

0

11

0

0

10

11

52.38

10

0

7

0

0

3

7

70.00

24

3

12

5

0

4

20

83.33

DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Total %

6

0

5

0

0

1

5

83.33

12

0

7

0

0

5

7

58.33

3

0

2

0

0

1

2

66.67

3

0

2

0

0

1

2

66.67

81

5

64

3

0

9

72

88.89

24

1

16

2

0

5

19

79.17

113

11

67

5

0

30

83

73.45

16

3

9

1

0

3

13

81.25

83

18

56

0

0

9

74

89.16

9

0

3

1

0

5

4

44.44

4

0

4

0

0

0

4

100.00

10

2

1

0

0

7

3

30.00

5

0

3

0

0

2

3

60.00

10

2

5

0

0

3

7

70.00

5

0

3

0

0

2

3

60.00

12

4

4

0

0

4

8

66.67

8

2

2

0

0

4

4

50.00

6

0

3

1

0

2

4

66.67

7

1

5

1

0

0

7

100.00

45

3

22

4

0

16

29

64.44

7

0

2

0

0

5

2

28.57

0

0

0

0

0

0

0

1

-

-

-

-

-

-

-

0

0

0

0

1

0

-

1

0

0

0

0

1

0

-

4

0

2

0

2

2

50.00

685

-

-

-

-

-

61

402

54

1

167

11.78

77.61

10.42

0.19

24.38

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

518

0.00

75.62

Annex 5.20 NUMBER OF NON HEALTH POLYTECHNICS OF HEALTH MANPOWER EDUCATION INSTITUTION BY OWNERSHIP PER DECEMBER 2006 No.

Types of Health Personnel

(1)

(2)

A

B

C

D

E

F

NURSING 1 SPK 2 AKPER 3 AKBID 4 SPRG 5 AKG

NUMBER OF INSTITUTION OWNED BY Local Armed Forces / Police Private (3)

(4)

Total

(5)

(6)

6 69 17 0

8 12 1 3

3 227 151 1

Sub Total

92

24

382

17 308 169 4 0 498

2

Sub Total

0 0 2 2

30 17 26 73

32 17 29 78

1 1

0

Sub Total

11 11

12 12

1 1

0

8 8

9 9

14

14 0 1 2 17

PHARMACY 1 SMF 2 AKAFARMA 3 AKFAR PUBLIC HEALTH 1 AKL NUTRITION 1 AKZI Sub Total PHYSICAL THERAPHY 1 AKFIS 2 AOT 3 ATW 4 ACUPUNCTURE Sub Total MEDICAL TECHNIQUE 1 SMAK 2 AAK 3 ATG 4 PTTD 5 ATRO 6 APIKES 7 ATEM 8 ARO 9 AOP 10 CARDIOVASCULER Sub Total Total %

0 1 3

0

1 2 17 1 2 0 0 0 0 0 0 0 0 3 99 14.5

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

1 0 1 0 0 0 1 0 0 0 3 30 4.4

6 18 1 2 8 16 5 8 0 1 65 556 81.2

8 20 2 2 8 16 6 8 0 1 71 685

Annex 5.21 RECAPITULATION OF HEALTH HUMAN RESOURCES BY PROVINCE, 2005 Medic

No

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

Total District/ Municipality

Reporting District/ Municipality

Specialist

Physician

21 21 142 681 Nanggroe Aceh Darussalam 25 23 350 1,274 North Sumatera 19 19 298 589 West Sumatera 11 5 171 418 Riau 10 10 69 384 Jambi 14 14 69 443 South Sumatera 9 9 64 329 Bengkulu 10 10 282 1,163 Lampung 7 7 41 145 Bangka Belitung 6 6 105 309 Riau Islands DKI Jakarta 6 6 4,833 1,412 25 25 545 2,134 West Java 35 35 563 2,241 Central Java 5 5 27 91 Yogyakarta 38 38 6,853 East Java 6 2 26 523 Banten 9 9 395 554 Bali 9 9 65 327 West Nusa Tenggara 16 15 65 283 East Nusa Tenggara 12 10 79 342 West Kalimantan 14 12 273 Central Kalimantan 26 26 171 1,622 South Kalimantan 13 12 103 566 East Kalimantan 9 9 217 715 North Sulawesi 10 10 57 282 Central Sulawesi 23 23 823 787 South Sulawesi 10 10 35 205 Southeast Sulawesi 5 5 1 39 Gorontalo 5 5 35 West Sulawesi 9 8 29 126 Maluku 8 8 25 81 North Maluku 19 19 49 253 Papua 7 7 18 51 West Irian Jaya Indonesia 451 432 9,717 25,530 Source: Health Offices in Indonesia, through MOH Pusdatin data collecting, December 2006

Nursing Dentist

Bachelor of Nursing

125 469 227 137 170 104 60 415 49 105 896 791 642 72 1,499 110 137 95 61 113 49 109 341 61 67 663 46 11 16 24 27 51 25 7,767

80 136 75 20 17 25 68 96 10 19 333 2 48 29 547 24 54 41 22 71 47 45 62 14 75 30 2 63 6 14 50 2,125

Nurse

3,128 7,378 2,768 1,940 1,908 2,925 1,603 3,310 922 1,215 13,872 12,871 584 2,147 19,829 1,638 3,360 2,138 3,001 3,169 1,770 2,635 3,307 2,704 2,554 5,055 1,536 535 285 1,319 258 2,646 1,554 115,864

Pharmacy Midwife

1,997 6,462 2,332 660 1,577 2,274 1,551 2,128 377 543 2,125 6,955 7,462 556 10,359 336 1,302 1,028 2,087 1,370 1,010 1,925 1,192 1,002 1,693 1,967 690 559 118 882 417 1,524 400 66,860

Pharmacist

37 152 117 70 65 94 29 60 22 39 134 183 100 48 705 28 68 64 57 62 33 68 80 49 154 142 56 34 5 8 460 28 289 3,540

Public Health

Assistant Pharmacist

Bachelor of Public Health

390 740 534 193 233 140 119 198 61 105 1,149 790 757 308 1,977 134 230 154 262 178 82 337 186 117 312 92

379 329 262 101 163 203 123 364 94 59 215 510 65 800 69 191 275 91 154 139 319 168 81 259 687 434

3 9 23 45 245 10,103

20 54 31 120 30 6,789

Sanitarian

536 506 986 106 425 422 2 427 70 75 183 1,340 1,175 125 1,342 46 458 371 302 433 232 557 332 311 435 25 333 29 19 164 52 170 91 12,080

Nutrition Personnel

Physical Therapy

260 598 227 89 147 254 25 233 56 58 425 630 742 89 1,222 72 233 326 208 324 136 375 204 152 170 106 390 25 223 13 175 39 8,226

25 119 33 178 8 122 38 6 11 294 2 52 50 311 39 262 19 11 21 20 240 181 18 20 449 19 6 8 42 6 8 2,618

Medic Technique

74 560 255 38 242 228 147 332 40 98 1,140 292 121 98 1,924 167 458 320 117 323 170 13 29 54 130 502 164 114 11 21 70 147 10 8,409

Health

Non Health

Total

7,854 19,073 8,703 4,121 5,408 7,181 4,242 9,046 1,893 2,741 27,011 27,045 14,487 3,705 47,368 3,212 7,702 5,223 6,567 6,639 3,961 8,416 6,751 5,495 5,821 11,593 4,030 1,330 537 2,930 1,505 5,228 2,810 279,628

-

7,854 19,204 8,703 4,464 6,280 8,263 4,344 17,760 2,194 3,340 27,011 32,737 14,487 3,710 62,467 3,212 9,966 5,223 6,567 7,473 4,893 8,416 8,028 5,495 6,396 12,011 4,948 1,389 654 2,930 1,590 5,488 2,810 320,307

131 343 872 1,082 102 8,714 301 599 5,692 5 15,099 2,264 834 932 1,277 575 418 918 59 117 85 260 40,679

Annex 5.22 HEALTH HUMAN RESOURCE DATA IN HOSPITAL BY PROVINCE AND TYPE OF PERSONNEL, 2006

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

Province

Medic

Nursing

Nurse

Nutrition

Public Health

Physical Therapy

Medical Technique

Number of

Number of

Number of

Health Personnel

Non H. Personnel

H. Hum. Resource

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya East Irian Jaya Indonesia %

Source: DG of Medical Care, MOHRI, December 2006

393

1,476

129

60

93

40

194

2,385

621

3,006

1,781

7,139

630

298

151

103

644

10,746

4,625

15,371

791

2,942

339

136

129

60

317

4,714

1,873

6,587

599

2,918

279

80

67

51

272

4,266

1,873

6,139

212

855

102

47

58

15

101

1,390

430

1,820

671

2,783

224

115

90

58

214

4,155

1,935

6,090

112

731

60

54

51

18

75

1,101

248

1,349

308

1,720

110

80

76

36

200

2,530

1,376

3,906

71

371

30

13

9

7

31

532

260

792

-

-

-

-

-

-

-

-

-

0

5,205

17,804

1,685

626

415

385

2,267

28,387

17,284

45,671

3,054

12,034

995

367

323

208

1,183

18,164

10,369

28,533

3,132

14,105

1,280

665

391

348

1,607

21,528

13,678

35,206

1,255

3,380

295

91

59

83

412

5,575

2,681

8,256

3,408

14,597

1,134

545

318

315

1,275

21,592

13,567

35,159

434

2,169

166

56

68

48

235

3,176

1,879

5,055

985

3,252

209

153

185

44

228

5,056

1,615

6,671

208

1,145

57

59

56

19

145

1,689

718

2,407

257

1,416

122

46

35

20

153

2,049

812

2,861

232

1,609

105

80

85

24

147

2,282

1,341

3,623 1,558

140

904

56

40

52

18

83

1,293

265

243

1,569

153

113

98

24

162

2,362

761

3,123

413

2,411

184

94

71

41

196

3,410

1,769

5,179

446

1,993

69

64

42

20

58

2,692

1,348

4,040

182

1,118

74

37

120

22

74

1,627

470

2,097

1,005

4,337

299

216

267

124

423

6,671

1,990

8,661

96

779

45

71

35

19

70

1,115

329

1,444

60

167

12

6

6

4

3

258

51

309

-

-

-

-

-

-

-

-

-

0

94

786

20

35

25

7

29

996

506

1,502

35

269

7

11

6

3

18

349

100

449

49

365

28

12

7

4

31

496

311

807

86

503

22

19

19

8

36

693

154

847

135

687

25

43

19

8

106

1,023

483

1,506

26,092

108,334

8,945

4,332

3,426

2,184

10,989

164,302

85,722

10.4

43.3

3.6

1.7

1.4

0.9

4.4

65.7

34.3

250,024

Annex 5.23

NUMBER AND TYPES OF HEALTH PERSONNEL IN HEALTH CENTER BY PROVINCE, 2006

No

Province

(1)

(2)

Physician

Dentist

(3)

(4)

Bachelor of Public Health

Midwife

(5)

(6)

Nutritionist

Health Counsellor

Sanitarian

(7)

(8)

Nurse

(9)

(10)

Pharmacist/

Laboratory

Ass. Pharmacist

assistance

Number of Personnel

(11)

(12)

(13)

1

Nanggroe Aceh Darussalam

312

46

117

2,037

218

332

17

2,038

134

153

5,404

2

North Sumatera

924

359

101

6,138

347

323

57

4,204

289

245

12,987

3

West Sumatera

266

150

69

1,558

141

202

13

1,264

143

120

3,926

4

Riau

348

155

22

1,035

82

105

12

1,639

78

80

3,556

5

Jambi

248

71

25

1,100

64

185

8

1,212

79

142

3,134

6

South Sumatera

344

91

134

2,135

195

242

94

1,917

168

105

5,425

7

Bengkulu

164

36

23

1,129

74

77

0

749

36

30

2,318

8

Lampung

279

126

49

1,507

122

208

2

1,404

37

87

3,821

9

Bangka Belitung

10

Riau Islands

11

DKI Jakarta

12

West Java

13

Central Java

14

Yogyakarta

15

East Java

16 17

94

30

28

288

39

34

4

480

16

20

1,033

127

44

8

295

31

25

14

555

35

20

1,154

216

301

32

598

86

56

0

537

48

23

1,897

1,179

731

565

4,669

485

721

38

5,331

222

393

14,334

1,499

582

282

7,072

640

753

91

5,084

225

437

16,665

335

182

46

651

121

145

0

792

46

162

2,480

1,187

644

84

6,446

1,552

939

209

4,984

270

332

16,647

Banten

335

161

61

1,270

61

84

19

1,302

10

30

3,333

Bali

243

123

50

860

75

216

8

949

39

34

2,597

18

West Nusa Tenggara

196

78

59

955

275

247

32

1,421

59

165

3,487

19

East Nusa Tenggara

259

41

20

1,871

156

234

12

1,902

98

54

4,647

20

West Kalimantan

209

68

16

1,216

158

226

18

1,715

38

159

3,823

21

Central Kalimantan

95

26

7

489

42

60

12

737

12

33

1,513

22

South Kalimantan

289

77

73

1,274

191

293

16

1,208

139

152

3,712

23

East Kalimantan

220

123

19

632

75

263

0

1,073

51

45

2,501

24

North Sulawesi

210

20

17

708

241

463

0

1,088

19

10

2,776

25

Central Sulawesi

173

42

61

1,372

77

247

0

1,480

37

31

3,520

26

South Sulawesi

434

203

296

1,523

296

305

79

2,437

50

239

5,862

27

Southeast Sulawesi

143

39

49

505

218

167

13

1,101

10

31

2,276

28

Gorontalo

80

17

30

257

59

101

3

384

2

3

936

29

West Sulawesi

34

6

13

109

19

32

2

315

2

17

549

30

Maluku

38

4

6

335

50

44

32

418

5

5

937

31

North Maluku

38

8

10

283

51

33

3

301

14

6

747

32

Papua

117

14

17

867

72

83

0

1,307

4

68

2,549

33

West Irian Jaya

128

33

41

984

102

99

10

1,425

13

121

2,956

10,763

4,631

2,430

52,168

6,415

7,544

818

52,753

2,428

3,552

143,502

Indonesia Source : Center for Data and Information, MOHRI, 2006

Annex 5.24

ACTIVE NON PERMANENT EMPLOYEE (NPE) BY PROVINCE, 2006 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

Physician

(2)

(3)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya Indonesia

Source: Bureau of Personnel, MOHRI

Midwife

Dentist (4)

489 638 469 285 375 243 276 185

79 84 42 803 1,026 146 533 146 120 131 457 172 228 341 111 204 196 195 236 132 110 102 66 200 76 8,896

Total

(5)

72 184 125 91 82 49 50 163 27 31 14 218 213 64 301 121 41 38 66 67 21 98 52 16 12 25 187 26 39 21 5 30 6 2,555

(6)

4,269 3,173 1,063 618 839 1,522 1,017 1,284 172 46 0 2,479 4,599 212 4,334 533 378 349 1,756 901 778 848 113 471 1,099 417 863 110 7 632 6 4 0 34,892

4,830 3,995 1,657 994 1,296 1,814 1,343 1,632 278 161 56 3,500 5,838 422 5,168 800 539 518 2,279 1,140 1,027 1,287 276 691 1,307 637 1,286 268 156 755 77 234 82 46,343

Annex 5.25 NUMBER AND TYPES OF PHARMACY PERSONNEL IN GOVERNMENT/PRIVATE HOSPITAL AND HEALTH CENTER BY PROVINCE 2006 Government Hospital No

Province

(1)

(2)

1

Nanggroe Aceh Darussalam

2

North Sumatera

3 4

Army/Police/BUMN Hospital

Specific Hospital

Health Center

Private Hospital

BD

Phar

PA

BD

Phar

PA

BD

Phar

PA

BD

Phar

PA

BD

Phar

PA

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

18

42

135

-

-

-

-

-

272

-

-

260

-

-

-

8

15

30

4

1

2

-

-

-

127

6

44

66

2

11

West Sumatera

17

13

-

3

-

-

-

-

-

220

-

-

-

-

-

Riau

11

16

-

7

6

-

1

2

-

-

5

30

13

9

-

5

Jambi

10

20

77

4

1

-

-

-

-

152

3

101

3

1

17

6

South Sumatera

-

12

9

-

5

-

5

-

-

213

2

82

-

3

-

7

Bengkulu

4

4

13

2

1

10

-

-

-

96

-

54

2

1

1

8

Lampung

11

21

102

2

2

2

3

4

7

231

2

96

15

15

45

9

Bangka Belitung

8

10

21

-

-

-

-

-

-

47

-

36

3

4

8

10

Riau Islands

5

13

19

4

5

10

-

-

-

46

7

44

11

5

23

11

DKI Jakarta West Java

18

22

34

6

12

32

335

33

130

77

-

-

-

-

-

12

34

84

169

16

11

15

-

-

-

965

12

385

63

79

20

13

Central Java

42

42

-

10

10

-

-

-

-

841

8

436

77

77

-

14

Yogyakarta

5

9

20

2

2

5

1

2

3

117

-

66

32

29

68

15

East Java

41

52

114

32

-

-

-

-

-

928

23

480

70

-

-

16

Banten

5

21

21

2

5

9

-

-

-

180

-

-

18

24

34

17

Bali

11

12

129

3

4

4

-

-

-

110

2

64

25

-

-

18

West Nusa Tenggara

-

17

34

2

2

5

8

1

1

130

7

59

-

-

-

19

East Nusa Tenggara

2

25

70

-

2

2

-

-

-

176

-

-

-

2

8

20

West Kalimantan

13

17

46

4

4

9

3

3

6

206

6

77

10

8

22

21

Central Kalimantan

14

14

10

2

-

-

-

-

-

38

4

14

-

-

-

22

South Kalimantan

13

26

54

4

2

4

1

1

2

201

4

130

6

6

-

23

East Kalimantan

12

45

79

6

6

27

1

1

3

188

18

66

22

12

21

24

North Sulawesi

8

3

4

2

-

2

-

-

-

224

-

23

23

14

5

25

Central Sulawesi

11

20

28

2

1

2

1

2

2

144

-

21

9

2

2

26

South Sulawesi

24

21

84

3

3

-

-

-

-

365

6

211

13

13

10

27

Southeast Sulawesi

7

10

21

3

-

-

2

2

1

156

2

24

9

5

5

28

Gorontalo

6

11

8

2

-

-

-

-

-

51

-

3

1

1

-

29

West Sulawesi

-

9

7

-

-

-

-

-

-

-

-

-

-

1

-

30

Maluku

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

31

North Maluku

32

Papua

33

West Irian Jaya Indonesia

Source: Directorate of Community, DG of Community Health, MOHRI Note : BD : Bachelor Degree Phar : Pharmacist PA

: Pharmacist Assistance

7

15

6

2

1

-

-

-

-

11

2

5

3

3

2

10

11

16

4

4

3

-

-

-

175

2

26

3

2

2

4

5

9

379

657

1,369

3 136

90

2 145

361

51

427

73 6,488

3 124

11 2,848

4 501

318

304

Annex 5.26 NUMBER OF PHARMACY PERSONNEL IN PRODUCTION AND DISTRIBUTION FACILITIES BY PROVINCE, 2006 PRODUCTION FACILITY No

Province

(1)

(2)

TRAD.DRUGS TOTAL TOTAL BD Phar AP BD Phar AP (3) (4) (5) (6) (7) (18) - 12

PHARM.INDUSTRY

1

Nanggroe Aceh Darussalam

2

North Sumatera

10

-

3

West Sumatera

-

-

-

-

4

Riau

5

Jambi

6

South Sumatera

7

Bengkulu

BD

TOTAL Phar

(9)

(10)

HEALTH FACILITY

TOTAL BD Phar AP

AP (11)

(12)

(13)

(14)

COSMETICS TOTAL BD Phar AP

PHARMACEUTICAL WHOLESALER

(15)

(18)

(16)

(17)

TOTAL Phar

BD

AP

'(19)

-

-

-

-

-

-

-

-

-

38

DISTRIBUTION AND SERVICE FACILITY DISPENSARY DRUG STORE DISTRIBUTOR TOTAL TOTAL TOTAL BD Phar AP BD AP BD Phar AP

(20)

16

(21)

(23)

(24)

(25)

(26)

(27)

(28)

(29)

(30)

-

540

292

-

-

13

-

-

-

702

16

-

-

-

-

-

-

-

-

-

-

-

110

-

-

386

-

-

259

-

-

-

-

-

-

-

765

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

76

-

-

190

-

-

360

-

-

-

-

-

-

-

626

-

-

-

269

-

606

606

1

-

-

195

-

188

1,153

272

795

- 141

141

-

12

-

-

-

-

85

325

-

226

3

-

-

-

1

-

-

-

-

-

-

82

-

-

269

-

-

6

-

-

-

-

-

1

-

-

45

-

-

119

27

-

11

11

-

-

-

-

1

-

-

1

-

-

81

-

-

183

183

-

181

-

1

-

-

94

-

-

554

221

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

14

-

1

46

11

15

34

22

-

-

-

1

-

1

95

11

39

162 297

390

Lampung

-

-

-

-

-

-

3

-

-

-

-

-

-

-

-

54

-

53

162

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

6

-

6

46

10

Riau Islands

-

-

-

-

-

-

3

-

3

1

-

1

-

-

-

20

20

105

11

DKI Jakarta West Java

34

200

- 117

139

-

73

15

27

-

-

-

99

45

54

310

-

12

76

152

-

184

182

2

185

-

-

-

-

-

-

-

-

369

-

13

Central Java

31

100

###

37

210

-

55

-

-

-

-

-

45

47

84

249

14

Yogyakarta

1

3

5

29

5

-

4

-

28

6

1

-

8

1

-

50

15

East Java

51

122

50 351

165

11

125

12

-

-

-

- 144

-

-

428

1

16

Banten

26

52

9

74

36

2,056

252

1133

700 600

600

1896

-

-

-

-

-

-

2,150

1,060

2,962

50

113

331 401

58

58

-

-

-

-

-

-

269

341

514

1721

277 ###

217

1

-

-

-

-

-

-

3,037

577

2,940

-

-

753

489

541

52

-

-

578

338

639

-

-

-

343

133

230

-

-

-

27

-

88

-

-

160

-

-

-

-

99

-

-

375

-

-

-

-

42

-

100 277

323

-

-

-

82

-

558

104

494 172

-

-

-

-

-

-

-

-

-

-

-

-

10

-

40

5

35

-

-

-

88

-

-

32

-

32

57

-

-

-

13

2

1

-

-

-

-

-

-

-

-

-

45

-

-

9

3

6

4

-

2

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

42

-

100

67

-

104

87

-

72

72

17

153

153

-

-

-

-

-

-

235

72

-

-

305

321

-

-

-

135

-

-

791

6

444

-

45

197

197 240

308

207

35

-

17

81

-

81

679

199

591

41

-

41

89

23

-

23

75

-

79

-

-

15

-

-

-

4

-

-

-

-

-

15

-

125

-

82

-

82

-

-

-

350

3

131

110

126

-

-

-

-

-

-

208

75

265

418

-

-

398

-

-

-

-

-

-

-

896

-

-

62

63

38

171

78

64

-

-

-

-

-

312

63

131

42

23

-

-

-

-

-

-

30

Maluku

-

-

-

-

-

-

-

-

-

-

-

-

-

-

15

-

-

47

-

-

94

-

32

-

-

-

31

North Maluku

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

3

-

3

34

34

26

25

9

-

-

-

-

32

Papua

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

35

-

33

West Irian Jaya Indonesia

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

9

-

-

###

## 743

85

534

63

62

96

2

3

-

## 131

##

2,503 9

30

4

-

75 116

Gorontalo

-

82

134

West Sulawesi

-

-

2

28

-

-

56

1

29

### 658

-

2,908

4,207

-

-

-

1,716

6,659

-

-

Southeast Sulawesi

2,360

-

63

-

South Sulawesi

-

-

-

-

27

-

-

2

-

26

-

1019

1

-

-

-

2069

65

-

-

-

3379

69

-

Central Sulawesi

-

393

118

1

North Sulawesi

-

393

104

4

25

493

2073 1804 279

121

10

24

- 1234 1317 ### 363

33

-

East Kalimantan

569

128

-

23

107

324 456

-

South Kalimantan

440

355 368

-

Central Kalimantan

22

128

-

22

1

336

-

21

19

426

-

13

63

-

6

-

72

-

-

13

59

-

West Kalimantan

341

2

1

20

279

2

-

-

50

105 169

4

2

-

49

72

1

East Nusa Tenggara

-

162

152

32

-

19

-

381

13

62

-

-

39

4

-

-

-

2

-

28

-

-

-

-

39

-

-

-

-

2

1

-

2

-

1

-

-

-

-

36

1

8

-

1

1

31

-

6

9

-

3

-

72

2

6

4

Bali West Nusa Tenggara

1

122

-

45

38

38

17 18

: Assistant Pharmacist

317

-

Bangka Belitung

AP

(34)

-

8

Phar : Pharmacist

AP

(33)

124

9

Note : BD : Bachelor Degree

Phar

(32)

-

-

1

Source: Directorate of Community, DG of Community Health, MOHRI

(31)

TOTAL BD

-

-

1

(22)

SUB DISTRIBUTOR TOTAL BD Phar AP

-

1 -

-

HOUSEHOLD H. SUPPLY

-

34 29

-

34

14

24

23

50

-

-

-

-

-

-

-

80

34

42

-

-

-

-

-

79

24

23

-

-

188

-

-

-

-

62

34

38 108

102

-

-

49

-

-

-

-

-

-

108

186

-

9

57

57

5

45

45

2

-

-

-

-

-

113

57

59

1,179

###

###

26,454

10,370

17,674

## 7,056

4,929

3,688

2,071

1,208

825

5

619

Annex 5.27 NUMBER OF STUDENTS IN ACADEMIC YEAR 2006/2007 IN HEALTH POLYTECHNIC BY PROFESSION

I

Student II

III

(3)

(4)

(5)

(6)

Nursing

5,392

4,605

4,367

14,364

Midwife

4,064

3,831

3,484

11,379

1,054

1,120

981

3,155

10,510

9,556

8,832

28,898

No

Profession (2)

(1)

1

NURSING

Dental Health Sub Total 2

PHARMACY Food and Pharmaceutical Analyst

100

80

80

260

Pharmacy

470

440

390

1,300

570

520

470

1,560

1,384

1,390

1,184

3,958

1,384

1,390

1,184

3,958

1,659

1,495

1,330

4,484

1,659

1,495

1,330

4,484

140

160

160

460

50

80

80

210

190

240

240

670

760

821

704

2,285

Sub Total 3

PUBLIC HEALTH Environmental Health Sub Total

4

NUTRITION Nutrition Sub Total

5

PHYSICAL THERAPHY Physiotheraphy Theraphy Occupation Sub Total

6

Total

MEDICAL TECHNICIAN Health Analyst Dental Technic

50

80

80

210

Radio Diagnostic and Theraphy

225

160

180

565

Elector Medic

220

200

180

600

30

50

40

120

Sub Total

1,285

1,311

1,184

3,780

Total

15,598

14,512

13,240

43,350

Orthetic Prostethic

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

Annex 5.28 NUMBER OF STUDENTS IN ACADEMIC YEAR 2006/2007 IN NON HEALTH POLYTECHNIC BY PROFESSION No

Profession

Students I

II

III

Total

(1)

(2)

(3)

(4)

(5)

1

Nursing SPK AKPER AKBID SPRG Sub Total

1,485 27,871 10,443 370 40,169

1,320 24,027 6,166 290 31,803

1,665 21,613 5,241 290 28,809

4,470 73,511 21,850 950 100,781

Pharmacy SMF AKAFARMA AKFAR Sub Total

3,386 1,350 2,125 6,861

2,858 1,150 1,700 5,708

2,679 891 1,208 4,778

8,923 3,391 5,033 17,347

Public Health AKL Sub Total

1,160 1,160

900 900

887 887

2,947 2,947

Sub Total

665 665

730 730

494 494

1,889 1,889

Physical Theraphy AKFIS ATW Acupuncture Sub Total

920 100 120 1,140

730 80 50 860

734 50 80 864

2,384 230 250 2,864

750 1,690 100 140 630 1,225 380 700 60

598 1,380 160 115 390 890 290 460 50

584 1,196 130

1,932 4,266 390 255 1,409 2,961 1,020 1,540 110

2

3

4

5

6

Nutrition AKZI

Medical Technician SMAK AAK ATG PTTD ATRO APIKES ATEM ARO CARDIOVASCULAR Sub Total TOTAL

389 846 350 380

(6)

5,675

4,333

3,875

13,883

55,670

44,334

39,707

139,711

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

Annex 5.29 NUMBER OF STUDENTS IN SPECIFIC PROGRAM 2006 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 (2)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya TOTAL

Nursing

Midwife

(3)

Students Dental Health

Nutrition

(4)

(5)

Total Health Analyst

(6)

Health Environmental

(7)

Pharmacy

(8)

(9)

(10)

0

185

0

0

0

0

0

185

85

313

0

0

0

0

0

398

163

130

0

0

0

0

0

293

80

85

0

0

0

0

0

165

0

100

0

0

40

0

0

140

38

190

45

0

0

0

0

273

80

120

0

0

0

0

0

200

0

80

0

0

0

0

80

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

0

368

30

0

0

0

0

0

398

220

204

0

36

0

0

0

460

208

444

0

40

57

0

40

789

80

0

0

0

0

0

0

80

499

322

0

0

0

0

45

866

0

80

0

0

0

19

0

99

168

0

0

0

0

0

0

168

218

90

0

0

0

0

0

308

132

0

0

0

0

0

0

132

74

50

40

0

0

35

40

239

70

110

0

0

0

0

0

180

137

175

0

40

50

0

0

402

93

50

0

0

0

0

0

143

51

40

0

0

0

0

0

91

120

0

0

0

0

0

0

120

385

244

0

75

0

0

40

744

0

0

0

0

0

80

80 -

-

-

-

-

-

-

0

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

0

40

80

0

0

0

0

0

120

115

0

0

0

0

0

0

115

-

-

-

-

-

-

-

3,504

3,122

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

85

191

147

54

165

0 7,268

Annex 5.30 NUMBER OF GRADUATES OF NON HEALTH AND HEALTH POLYTECHNIC OF HEALTH MANPOWER EDUCATION BY TYPES OF HEALTH PERSONNEL, 2006 No

Types of Health Personnel

(1)

(2)

A

B

C

D

E

F

Total

Total

Polytechnic

Non Polytechnic

(3)

(4)

(5)

915 19,580 4,977 209

Sub Total

0 4,231 3,287 0 742 8,260

25,681

915 23,811 8,264 209 742 33,941

Sub Total

0 40 286 326

2,809 874 1,036 4,719

2,809 914 1,322 5,045

Sub Total

1,021 1,021

536 536

1,557 1,557

1,114 1,114

301 301

1,415 1,415

120 40 0 0 160

638 0 60 0 698

758 40 60 0 858

0 478 40 0 120 0 120 0 80 0 838 11,719

532 839 138 70 335 736 294 293 0 0 3,237 35,172

532 1,317 178 70 455 736 414 293 80 0 4,075 46,891

NURSING 1 SPK 2 AKPER 3 AKBID 4 SPRG 5 AKG PHARMACY 1 SMF 2 AKAFARMA 3 AKFAR PUBLIC HEALTH 1 AKL NUTRITION 1 AKZI Sub Total PHYSICAL THERAPHY 1 AKFIS 2 AOT 3 ATW 4 ACUPUNCTURE Sub Total MEDICAL TECHNICIAN 1 SMAK 2 AAK 3 ATG 4 PTTD 5 ATRO 6 APIKES 7 ATEM 8 ARO 9 AOP 10 CARDIOVASCULAR Sub Total Total

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

46,891

Annex 5.31 DISTRIBUTION OF HEALTH POLYTECHNIC GRADUATES BY STUDY PROGRAM AND CITY 2006 Study Program Health Electromedic Radiodiagnostic Analiysis Technic Technic

Health No

Poly technic

Nursing

Midwife

(2)

(3)

(4)

(1)

1

Banda Aceh

2

Health env.

Nutrition

(5)

(6)

Dental Health

Pharmacy

(7)

(8)

(9)

(10)

(11)

Dental Technic

Pharmacy Academy

(12)

(13)

Physiotheraphy

Theraphy Occupation

(14)

(15)

Total

Prostetic Ortotic (16)

(17)

254

85

33

69

67

0

0

0

0

0

0

0

0

0

508

Medan

80

200

60

40

50

40

60

0

0

0

0

0

0

0

530

3

Padang

147

166

46

46

16

0

0

0

0

0

0

0

0

0

421

4

Pekanbaru

76

194

0

0

0

0

0

0

0

0

0

0

0

0

270

5

Jambi

80

87

43

0

38

0

0

0

0

0

0

0

0

0

248

6

Bengkulu

69

217

0

0

0

0

0

0

0

0

0

0

0

0

286

7

Palembang

174

40

0

36

39

36

39

0

0

0

0

0

0

0

364

8

Tanjung Karang

102

119

31

0

49

0

60

0

0

0

0

0

0

0

361

9

Jakarta I

40

40

0

0

40

0

0

0

0

0

0

0

0

0

120

10

Jakarta II

0

0

40

100

0

60

0

40

40

40

40

0

0

0

360

11

Jakarta III

219

129

0

0

0

0

40

0

0

0

0

0

0

0

388

12

Bandung

159

205

35

92

44

0

72

0

0

0

0

0

0

0

607

13

Tasikmalaya

14

Semarang

15

Surakarta

80

40

0

0

0

0

0

0

0

16

Yogyakarta

152

109

90

97

79

0

28

0

0

17

Malang

218

261

0

60

0

0

0

0

0

0

0

0

0

0

539

18

Surabaya

336

199

160

0

40

0

100

80

0

0

0

0

0

0

915

19

Denpasar

181

87

41

46

38

0

0

0

0

0

0

0

0

0

393

20

Mataram

128

40

0

32

0

0

40

0

0

0

0

0

0

0

240

21

Kupang

129

50

41

0

50

40

0

0

0

0

0

0

0

0

310

22

Pontianak

50

50

35

39

39

0

39

0

0

0

0

0

0

0

252

23

Palangkaraya

40

51

0

39

0

0

0

0

0

0

0

0

0

0

130

24

Banjarmasin

0

40

39

50

0

0

0

0

0

0

0

0

0

0

129

25

Samarinda

40

80

0

0

0

0

0

0

0

0

0

0

0

0

120

26

Menado

160

128

40

90

40

70

0

0

0

0

0

0

0

0

528

27

Palu

160

80

67

0

0

0

0

0

0

0

0

0

0

0

307

28

Makasar

200

40

40

40

0

40

0

0

0

0

0

40

0

0

400

29

Kendari

80

62

0

59

0

0

0

0

0

0

0

0

0

0

201

30

Ambon

205

62

50

49

0

0

0

0

0

0

0

0

0

0

366

31

Ternate

79

80

0

0

0

0

0

0

0

0

0

0

0

0

159

32

Jayapura

100

80

50

50

0

0

0

0

0

0

0

0

0

0

280

Total

4,231

3,287

1,021

1,114

742

286

478

120

120

40

40

120

40

80

11,719

93

106

0

0

33

0

0

0

0

0

0

0

0

0

232

400

160

80

80

80

0

0

0

80

0

0

0

0

0

880

0

0

80

40

80

320

0

0

0

0

0

555

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

Annex 5.32 DISTRIBUTION OF NON HEALTH POLYTECHNIC GRADUATES BY STUDY PROGRAM AND CITY, 2006

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

2,424

843

-

260

130

-

-

601

128

-

80

26

-

-

379

-

-

88

48

-

-

336

-

-

-

-

-

584

-

-

-

-

308

-

-

-

-

510

-

-

-

-

121

-

-

-

-

49

-

-

-

TOTAL

54 49

91

79

89

AAK

-

50

ATG

200

50

SMAK

(11)

-

ATW

(10)

-

(5)

AKUPUNTUR

(9)

260

(4)

AOT

(8)

640

(3)

Physical Theraphy

Nutrition

(14)

(15)

(16)

(17)

(18)

(19)

80

-

100

-

-

-

-

-

60

82

-

65

-

-

-

-

69

6

-

-

-

48

-

-

-

-

-

-

-

-

-

-

-

-

-

AKFIS

(7)

-

AKPER

AKL

6

AKFAR

5

AKAFARMA

4

SMF

3

AKG

2

(6)

50

(2)

Nanggroe Aceh Darussalam North Sumatera West Sumatera Riau Jambi South Sumatera Bengkulu Lampung Bangka Belitung Riau Islands DKI Jakarta West Java Central Java 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 Southeast Sulawesi Gorontalo West Sulawesi Maluku North Maluku Papua West Irian Jaya

Public Health

AKBID

1

SPRG

(1)

Province

SPK

No

Pharmacy

AKZI

Nursing

(12)

-

(13)

28

60 -

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

100

-

120

110

-

-

-

-

-

-

-

-

-

103

150

100

-

-

-

140

-

240

-

-

-

-

-

-

-

-

-

-

128

31

10

-

460

-

-

2,099

-

-

314

-

160

-

2,630

740

-

220

-

-

555

-

-

78

2,460

389

-

490

164

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

19

160

110

320

-

80

-

131

112

-

80

-

80

47

-

69

-

80

-

-

-

-

-

53

-

150

-

-

-

-

-

-

-

320

-

-

-

-

-

-

154

-

-

-

-

-

-

292

-

-

-

228

-

-

-

-

-

-

295

-

-

-

-

-

-

240

-

-

-

-

56

-

36

200

50

953

39

81

79

-

64

-

82

36 80

50

60

60

65 220

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

47

16 -

26 -

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

55 30

40

-

-

266

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

915

209

19,351

2,985

-

2,294

689

692

838

358

529

531

110

946

Source: Profile of Health Manpower Education, Center for Health Manpower Education, MOH, 2006

59

77

60

50

60

255

11

140

45 -

2,466

49

50

-

140

-

80

-

-

24

-

41

63

-

-

50