copy of indonesia health map 2006.pdf

CENTER FOR DATA & INFORMATIONMINISTRY OF HEALTH, RI

2008

PREFACE

The purpose of the publication of Indonesia Health Map 2006 is to provide generally achievements of health programs in Indonesia. This edition presents not only national trend during the last 5 years and situation of the previous year, as the comparison, but also interpretation for each picture and indicator. Hopefully, this new performance could support the users in getting fast and accurate information.

This Health Map includes information about demography, environmental situation, health status, health efforts and health resources by provinces, not to mention comparison of some health indicators in Indonesia and countries in ASEAN and SEARO regions.

This information is derived from 2006 Data collected from main units in Ministry of Health (MOH) and other institutions in national level (BPS-Statistic Indonesia, National Board of Family Planning Coordination and World Health Organization) and regions/districts. These all are described completely in Indonesia Health Profile 2006.

Hopefully, this Indonesia Health Map 2006 will be useful for various purposes. However, we are aware that the publication still needs more improvement for next edition. Therefore, we welcome comments and suggestions from all stakeholders.

Jakarta, February, 2008Director, Center for Data and Information

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

i

LIST OF CONTENTS

FOREWORD .....................................................................................................................................................................................i

LIST OF CONTENTS .........................................................................................................................................................................ii

MAP OF INDONESIA .........................................................................................................................................................................v

CLASSIFICATION .............................................................................................................................................................................vi

HOW TO READ ................................................................................................................................................................................vii

INDONESIA BY PROVINCES ..........................................................................................................................................................viiiASEAN COUNTRIES ........................................................................................................................................................................ixSEARO COUNTRIES .........................................................................................................................................................................x

GENERAL DESCRIPTION

A. Population per Square KM, 2006 1 B. Percentage of Literate Population, 2006 2 C. Percentage of Population Graduated from Junior High and Over 2006 3 D. Percentage of Underfives Breastfed for 2 Years and More, 2006 4

ENVIRONMENT SITUATION

A. Percentage of Households with Protected Drinking Water Source, 2006 5 B. Percentage of Households with >10 Meters Distance of Clean Water Source to Nearest Septic Tank, 2006 6 C. Percentage of Households with Provate Toilet Facility, 2006 7

ii

HEALTH STATUS

A. Human Development Index (HDI), 2005 8B. Estimation of Life Expectancy at Birth (Eo) 2005-2010 9C. Estimation of Infant Mortality Rate (IMR), 2005 10D. Annual Parasite Incident (API)/Annual Malaria Incidence (AMI) per 1000 Population, 2006 11E. DHF Incidence Rate (per 100,000 Population), 2006 12F. Leprosy Prevalence Rate (per 10,000 Population), 2006 13G. AIDS New Cases Found, 2006 14H. AFP Polio Cases with Wild Polio Virus Classification, 2006 15I. Infected Area of Avian Influenza on Human, 2006 16

HEALTH EFFORTS

A. Percentage of Pregnant Woman Visit (K4), 2006 17B. Percentage of Delivery Mother Assisted by Health Provider, 2006 18C. Coverage of Neonates Visit (KN2), 2006 19D. Percentage of Underfives Getting Vitamin A (Twice), 2006 20E. Percentage of Post-Partum Mother Getting Vitamin A, 2006 21F. Percentage of Pregnant Women Getting 90 Iron Tablets, 2006 22G. Proportion of Married Women Aged 15-49 Years who were Using Contraceptive, 2006 23H. Percentage of UCI Village Achievement, 2006 24I. Coverage of Measles Immunization, 2006 25

J. Drop Out Immunization to Infant (DPT1-Measles), 2006 26K. Coverage of TT2 Immunization to Pregnant Women, 2006 27L. Coverage of New Pulmonary TB AFB+ Cases toward AFB+ Estimation Rate, 2006 28M. Success Rate (SR) of Pulmonary TB, 2005 29N. Coverage of Pneumoni Cases Found on Underfives, 2006 30

iii

O. Average of Bed Occupancy Rate (BOR) in Government Hospital, 2006 31P. Average of Length of Stay (LOS) in Government Hospital, 2006 32Q. Percentage of Population Utilizing Outpatient Care in Health Center, 2006 33R. Percentage of Households Getting Free Health Service (6 Reference Months), 2006 34S. Percentage of Advanced Outpatient and Inpatient Utilization of Poor Family, 2006 35

HEALTH RESOURCES SITUATION

A. Ratio of Health Center per 100,000 Population, 2006 36B. Ratio of Health Center per 1000 km2, 2006 37C. Ratio of Physician per 100,000 Population, 2005 38D. Ratio of Nurse per 100,000 Population, 2005 39E. Ratio of Midwife per 100,000 Population, 2005 40F. Ratio of Posyandu (Integrated Health Post) per 100 Underfives, 2006 41

COMPARISON OF INDONESIA TO ASEAN AND SEARO

A. Human Development Index in ASEAN Countries, 2005 42B. Human Development Index in SEARO Countries, 2005 43C. Life Expectancy at Birth (Eo) in ASEAN Countries, 2006 44D. Life Expectancy at Birth (Eo) in SEARO Countries, 2006 45E. Coverage of New Pulmonary TB AFB+ Cases toward AFB+ Estimation Rate in ASEAN Countries, 2005 46 F. Coverage of New Pulmonary TB AFB+ Cases toward AFB+ Estimation Rate in ASEAN Countries, 2005 47G. Coverage of Measles Immunization in ASEAN 2005 48H. Coverage of Measles Immunization in SEARO Countries, 2005 49

iv

MAP OF INDONESIA

Source: National Coordinating Agency of Surveys and Mapping (BAKOSURTANAL)

v

CLASSIFICATION (CUT OF POINT)

The achievements of health indicator value among provinces are various, so that in the mapping, it needs value classification to ease the interpretation. The classification or “cut of point” is based on health programs policy or certain value referring to statistical method

1. CLASSIFICATIONThe classification is determined by:

a. Health program policy (target of Minimum Standard Services on Health, Indicators of Healthy Indonesia 2010, or other health programs)

b. Statistical method

In this health map, the classification of achievements is divided into 4 categories, that are: very good, good, not good and bad.

For example:Classification for indicator of measles immunization. According to immunization program policy, the coverage of measles immunization is classified into >80%, 50%-80% and <50%. The classification is divided into:Very good, if it reaches >90 %Good, if it reaches 80%-90%Not good, if it reaches 50%-80%Bad, if it only reaches <50%

2. COLOURThe colours of classification in this Indonesian Health Map 2005 are:Very good : dark greenGood : light greenNot good : yellowBad : red

vi

HOW TO READ

National Trend

Smaller map:

Situation of previous year as a comparison

Map:

latest situation of an indicator, presented based on the coloring direction

Numeric data of the map

Data Source

InterpretationRank of provinces, from best to worst

vii

INDONESIA BY PROVINCES(Home Affairs Ministerial Regulation No. 18 / 2005)

viii

ASEAN COUNTRIES

ix

SEARO COUNTRIES

Maldives

x

GENERAL DESCRIPTION

POPULATION PER SQUARE KM2006

Source: Welfare Statistic, BPS-Statistic Indonesia, 2006

1

112 113 115 117.6 119.4

0

30

60

90

120

150

2002 2003 2004 2005 2006

POPULATION NUMBER PER SQUARE KM2002-2006

POPULATION NUMBER PER SQUARE KM2006

In 2006, most of provinces have density of 30-100 people per km2 (39.39% provinces). Area with density more than 500 people per km2 is dominated by provinces in Java and Bali. In 2006, DKI Jakarta is a province with the highest density (13,499 people per km2), while Papua is province with the lowest density (8 people per km2). Nationally, in 2006 density level shows 119.4 people per km2. That number is a bit higher comparing with the previous years that was 117.6 people per km2. Level of population density in 2002-2006 tends to decrease.

1 Papua 8 6 West Irian Jaya 22 9 North Maluku 30 14 Bangka Belitung 66 19 Bengkulu 79 22 West Sumatera 108 27 Bali 609 32 West Java 1.1462 West Sulaw esi 11 7 Maluku 27 10 Central Sulaw esi 37 15 South Sumatera 74 20 South Sulaw esi 87 23 North Sulaw esi 141 28 East Java 764 33 DKI Jakarta 13.4993 Central Kalimantan 13 8 West Kalimantan 28 11 Jambi 50 16 Gorontalo 77 21 East Nusa Tengg 92 24 North Sumatera 172 29 Central Java 9894 East Kalimantan 13 12 Southeast Sulaw esi 52 17 South Kalimantan 77 25 Lampung 204 30 DI Yogyakarta 1.0645 Riau Islands 15 13 Riau 54 18 NAD 78 26 West Nusa Tengg 211 31 Banten 1.066

< 30 100-50030-100 >500

PERCENTAGE OF LITERATE POPULATION 2006


2

90.71 91.93 91.47 91.91 92.99

0

20

40

60

80

100

120

2002 2003 2004 2005 2006

PERCENTAGE OF LITERATE POPULATION2002-2006

1 North Sulaw esi 99.00 7 Central Kalimantan 96.80 13 West Java 95.52 18 NAD 94.85 24 Central Java 89.56 30 South Sulaw esi 87.29 32 West Nusa Tenggara 81.662 DKI Jakarta 98.34 8 West Sumatera 96.35 14 Central Sulaw esi 95.37 19 South Kalimantan 94.60 25 West Irian Jaya 89.24 31 Bali 87.15 33 Papua 71.583 Riau 97.54 9 East Kalimantan 95.95 15 Bangka Belitung 95.33 20 Bengkulu 94.50 26 East Java 88.364 North Sumatera 97.00 10 Gorontalo 95.89 16 Jambi 95.26 21 Lampung 93.71 27 East Nusa Tenggara 87.985 South Sumatera 96.91 11 Riau Islands 95.76 17 North Maluku 95.04 22 Southeast Sulaw esi 91.24 28 DI Yogyakarta 87.536 Maluku 96.90 12 Banten 95.61 23 West Kalimantan 90.31 29 West Sulaw esi 87.50

< 85%> 95% 85%-90%90%-95%

More than half provinces in Indonesia have level of literate with percentage above 90% in 2006. Only 2 provinces with level of literate less than 85%. This situation is not much different with those in 2005. The highest of literate level was achieved by North Sulawesi, 99%, while Papua has the lowest literate level, 71, and 58%. Nationally, literate level in 2006 was 92.99%. This number is bigger than in 2005 which were 91. 91%. There was no meaningful improvement of literate level in 2002 – 2006.

PERCENTAGE OF LITERATE POPULATION 2005

PERCENTAGE OF POPULATION GRADUATED FROM JUNIOR HIGH AND OVER, 2006


3

35.43 36.21 38.33 38.38 40.12

0

10

20

30

40

50

2002 2003 2004 2005 2006

PERCENTAGE OF POPULATION GRADUATED FROM JUNIORHIGH SCHOOL AND HIGHER EDUCATION, 2002-2006

PERCENTAGE OF POPULATION GRADUATED FROM JUNIOR HIGH SCHOOL AND HIGHER EDUCATION, 2005

< 25%1 DKI Jakarta 67.14 9 West Sumatera 44.63 16 Jambi 39.67 23 East Java 37.15 26 Central Java 34.792 DI Yogyakarta 53.34 10 Maluku 44.40 17 North Maluku 39.50 24 Lampung 36.39 27 Bangka Belitung 34.533 Riau Islands 53.01 11 Bali 44.22 18 South Sulaw esi 39.30 25 West Irian Jaya 35.80 28 West Kalimantan 32.394 North Sulaw esi 52.38 12 Bengkulu 42.59 19 Central Sulaw esi 38.96 29 West Nusa Tenggara 32.165 East Kalimantan 50.52 13 Banten 42.30 20 South Sumatera 38.72 30 Papua 31.276 North Sumatera 50.06 14 Southeast Sulaw esi 41.48 21 West Java 38.22 31 Gorontalo 28.337 NAD 45.66 15 Central Kalimantan 40.15 22 South Kalimantan 37.57 32 West Sulaw esi 28.158 Riau 45.50 33 East Nusa Tenggara 25.77

25%-35%35%-45%> 45%

Percentage of population who graduated until Junior high above in 2006 was 40.12%. This number is bigger than in 2005 which was 38.38%. Most of provinces in 2006 have a percentage more than 35%. There were no provinces with percentage less than 25%. This situation was different with the one in 2005 which was one province with percentage less than 25% such as NTT. DKI Jakarta was province with the highest percentage (67.14%) and the lowest was NTT (25.77%). The increasing of percentage always happens in 2002-2006.

PERCENTAGE OF UNDERFIVES BREASTFED FOR TWO YEARS AND MORE 2006


4

PERCENTAGE OF CHILDREN AGED 0-5 YEARS OLD WHO HAVE BEEN BREASTFED MORE THAN TWO YEARS

2005

45,62 43,08 42,8 43,4641,36

0

20

40

60

80

2002 2003 2004 2005 2006

PERCENTAGE OF CHILDREN AGED 0-5 YEARS OLD WHO HAVE BEEN BREASTFED MORE THAN TWO YEARS

2002-2006

1 Central Kalimantan 60.56 8 Cental Sulaw esi 48.06 15 East Java 44.56 22 South Sulaw esi 38.18 29 DKI Jakarta 32.99 32 North Sumatera 24.092 DI Yogyakarta 59.31 9 West Sulaw esi 47.38 16 Bali 44.40 23 Banten 37.84 30 NAD 32.37 33 Maluku 14.223 West Nusa Tenggara 55.93 10 Bengkulu 46.91 17 East Kalimantan 44.15 24 Riau 37.64 31 North Maluku 32.194 Central Java 53.68 11 West Java 46.88 18 Riau Island 43.65 25 Papua 36.215 South Kalimantan 52.87 12 South Sumatera 46.24 19 Gorontalo 42.69 26 Southeast Sulaw esi 35.586 Jambi 51.07 13 West Sumatera 45.68 20 Lampung 42.53 27 East Nusa Tenggara 34.817 West Kalimantan 50.98 14 Bangka belitung 44.72 21 North Sulaw esi 40.85 28 West Irian Jaya 34.18

> 50% 40%-50% 30%-40% < 30%

Percentage of underfives breastfed for two years and more in 2006 is relatively better than in 2005. If in 2005 there was 9.09% provinces with percentage less than 50%, so in 2006 increased become 21.21%. Since 2002, national percentage decreased than increased in 2005 – 2006 become 43.46% with the highest province was Central Kalimantan (60.56%) and the lowest was Maluku (14.22%). Only 2 provinces with percentage less than 30%: North Sumatera and Maluku.

ENVIRONMENT SITUATION

PERCENTAGE OF HOUSEHOLDS WITH PROTECTED DRINKING WATER SOURCE, 2006


5

PERCENTAGE OF HOUSEHOLDS WITHPROTECTED DRINKING WATER SOURCE, 2001-2006

74,96 79,48 81,46 82,67 82,29

0

20

40

60

80

100

2001 2003 2004 2005 2006

PERCENTAGE OF HOUSEHOLDS WITH PROTECTED DRINKING WATER SOURCE, 2005

1 DKI Jakarta 99.44 3 East Java 89.26 11 Maluku 81.97 19 Lampung 72.20 25 East Nusa T. 67.10 31 West Irian Jaya 57.052 Bali 93.61 4 North Sulaw esi 88.96 12 North Sumatera 78.58 20 West Sumatera 71.11 26 Jambi 66.95 32 Central Kalimantan 54.23

5 DI Yogyakarta 87.63 13 South Sulaw esi 78.24 21 South Sumatera 70.46 27 Bangka Belitung 65.40 33 Papua 50.476 West Java 86.09 14 Central Sulaw esi 78.17 22 North Maluku 68.70 28 West Kalimantan 63.087 Central Java 85.87 15 Riau 76.90 23 NAD 68.05 29 West Sulaw esi 61.358 West Nusa T. 84.89 16 East Kalimantan 76.67 24 South Kalimantan 67.85 30 Bengkulu 61.069 Banten 84.72 17 Southeast Sulaw esi 76.58

10 Riau Islands 82.30 18 Gorontalo 76.15

> 90% 75%-90% 60%-75% < 60%

In 2006 there were only 2 provinces (DKI Jakarta and Bali) which had percentage of household with protected drinking water source more than 90%. Most provinces which had percentage about 60%-90%. It differ comparing in 2005 which is there were no provinces with percentage more than 90%. Province with the highest percentage was DKI Jakarta (99.44%), while the lowest was Papua (50.47%). National Percentage in 2006 was 82.29%. The percentage increased during 2001-2005, and then decreased in 2006.

PERCENTAGE OF HOUSEHOLDS WITH >10 METERS DISTANCE OF CLEAN WATER SOURCE TO NEAREST SEPTIC TANK, 2006


6

PERCENTAGE OF HOUSEHOLDS WITH >10 METERS DISTANCE OF DRINKING WATER SOURCE TO NEAREST

SEPTIC TANK, 2005

1 DI Yogyakarta 62.08 5 Central Java 54.92 13 East Nusa Tenggara 49.59 21 South Sumatera 44.81 29 NAD 37.82 32 Central Sulaw esi 34.962 North Kalimantan 59.81 6 West Kalimantan 54.27 14 Bengkulu 48.33 22 DKI Jakarta 43.95 30 West Java 36.86 33 Banten 32.803 East Kalimantan 57.70 7 Papua 54.09 15 Jambi 48.00 23 North Maluku 43.45 31 West Nusa Tenggara 35.024 Lampung 56.00 8 Maluku 52.70 16 Bangka Belitung 47.77 24 Riau Islands 43.37

9 Southeast Sulaw esi 52.69 17 North Sulaw esi 46.49 25 West Irian Jaya 42.5210 East Java 52.05 18 West Sumatera 45.81 26 Riau 41.8811 Bali 50.69 19 South Sulaw esi 45.57 27 Gorontalo 40.1812 Cental Kalimantan 50.20 20 North Sumatera 45.44 28 West Sulaw esi 40.03

< 35%35%-40%> 55% 40%-55%

Percentage of Households with >10 meters distance of clean water source to nearest septic tank in 2006 showed the description that more than half provinces has percentage above 40%. Only 2 provinces (Central Sulawesi and Banten) with percentage <35%. This condition is not much different with the previous years. In 2006 DI Yogyakarta has the highest percentage was 62.08%, while Banten is the lowest percentage, 32.8%.

PERCENTAGE OF HOUSEHOLDS WITH PRIVATE TOILET FACILITY 2006


7

PERCENTAGE OF HOUSEHOLDS WITHPRIVATE TOILET FACILITY

2005

1 Riau 80,96 9 South Sumatera 64,73 17 Central Java 59,38 23 Central Kalimantan 49,48 30 Maluku Utara 39,232 East Kalimantan 75,01 10 East Nusa Tenggara 62,59 18 South Kalimantan 58,83 24 NAD 48,41 31 West Sulaw esi 38,163 DKI Jakarta 74,74 11 Bangka Belitung 62,33 19 East Java 58,24 25 West Sumatera 46,77 32 West Nusa Tenggara 33,684 Lampung 73,83 12 Jambi 61,90 20 South Sulaw esi 58,21 26 Central Sulaw esi 46,49 33 Gorontalo 28,835 Riau Islands 72,32 13 Bengkulu 61,32 21 Banten 56,51 27 Papua 44,326 North Sumatera 71,68 14 West Kalimantan 60,70 22 Southeast Sulaw esi 56,03 28 Maluku 42,267 DI Yogyakarta 67,58 15 Bali 60,54 29 West Irian Jaya 40,978 North Sulaw esi 64,74 16 West Java 60,50

< 40%> 60% 50%-60% 40%-50%

More than half provinces in Indonesia in 2006 have percentage of households with private toilet facility >60%. Only 12.12% provinces have percentage <40%. Generally this condition was not much different with the ones in 2005, although number of provinces with percentage <40% in 40% fewer comparing with the ones in 2006 that were Gorontalo and West Nusa Tenggara. In 2006, province with the highest percentage was Riau, 80.96%.While province with the lowest percentage was Gorontalo, 28.83%.

HEALTH STATUS

HUMAN DEVELOPMENT INDEX (HDI) 2005

Source : BPS, BAPPENAS, UNDP, 2005

HUMAN DEVELOPMENT INDEX (HDI) 2002

8

67.7 64.3 65.8 69.6

0

20

40

60

80

1996 1999 2002 2005

HUMAN DEVELOPMENT INDEX (HDI)1996-2005

1 DKI Jakarta 76.1 8 North Sumatera 72.0 14 West Java 69.9 22 East Java 68.4 30 West Irian Jaya 64.82 North Sulaw esi 74.2 9 West Sumatera 71.2 15 Bali 69.8 23 South Sulaw esi 68.1 31 East Nusa Tenggara 63.63 Riau 73.6 10 Bengkulu 71.1 16 Central Java 69.8 24 Gorontalo 67.5 32 West Nusa Tenggara 62.44 DI Yogyakarta 73.5 11 Jambi 71.0 17 Maluku 69.2 25 Southeast Sulaw esi 67.5 33 Papua 62.15 Central Kalimantan 73.2 12 Bangka Belitung 70.7 18 NAD 69.0 26 South Kalimantan 67.46 East Kalimantan 72.9 13 South Sumatera 70.2 19 Banten 68.8 27 North Maluku 67.07 Riau Islands 72.2 20 Lampung 68.8 28 West Kalimantan 66.2

21 Central Sulaw esi 68.5 29 West Sulaw esi 65.7

< 60%65%-70% 60%-65%> 70%

Generally Human Development Index (HDI) in 2005 was relatively better comparing with the previous year. In 2004 there were still some provinces with HDI <60%, but in 2005 there were no like that anymore. In 2004 , there were only 3 provinces with HDI >70%, but in 2005 become 13 provinces. Nationally HDI increased from 65.8% in 2002 become 69.6% in 2005 with the highest HDI reached by DKI Jakarta (76.1%) and the lowest was Papua (62.1%). In 2006 provinces with HDI >70% reached by some provinces outside Java & Bali, Sumatera and Kalimantan.

ESTIMATION OF LIFE EXPECTANCY AT BIRTH (Eo)2005-2010

Source : BPS, Proyeksi Penduduk Indonesia 2000-2025

9

ESTIMATION OF LIFE EXPECTANCY AT BIRTH (Eo)2000 - 2005

From the number of provinces, the last period of Life Expectancy at Birth (2005-2010 estimation) nationally increased comparing with the previous years (2000 – 2005 estimation). In 2000 – 2005, provinces with 60-65 Life Expectancy at Birth were 5 provinces, then in period of 2005 – 2010 the four provinces including 65-70 life expectancy at birth except West Nusa Tenggara. In Life Expectancy at Birth 2005 – 2010 estimation, DI Yogyakarta and DKI Jakarta have the highestLife Expectancy at Birth (each of them were 74 year old) and the lowest was in West Nusa Tenggara (64.4 year old).

1 DKI Jakarta 74.0 7 North Sumatera 70.5 13 South Sumatera 69.2 20 West Sulaw esi 68.8 27 Maluku 67.7 33 West Nusa Tenggara 64.42 DI Yogyakarta 74.0 8 Riau Islands 70.1 14 West Sumatera 69.2 21 South Sulaw esi 68.8 28 Banten 67.33 North Sulaw esi 73.6 9 Lampung 70.1 15 Southeast Sulaw esi 69.1 22 Gorontalo 68.7 29 NAD 67.34 Bali 72.4 10 Riau 70.1 16 Jambi 69.1 23 West Kalimantan 68.5 30 Central Sulaw esi 67.05 East Kalimantan 71.6 11 Central Kalimantan 70.0 17 West Java 69.0 24 West Irian Jaya 68.4 31 South Kalimantan 66.96 Cental Java 71.0 12 East Java 70.0 18 Bangka Belitung 69.0 25 Papua 68.4 32 North Maluku 66.3

19 Bengkulu 68.9 26 East Nusa Tenggar 68.4

60 - 65 < 60> 70 65 - 70

ESTIMATION OF INFANT MORTALITY RATE (IMR)2005

Source : BAPPENAS, BPS-Statistics Indonesia, United Nations Population Fund (2003), Proyeksi Penduduk Indonesia 2005 - 2010, 2005

ESTIMATION OF INFANT MORTALITY RATE (IMR)2002-2003

10

50

3528

47

0

15

30

45

60

2000 2001 2002-2003 2005

ESTIMATION OF INFANT MORTALITY RATE (IMR)2000-2005

1 DKI Jakarta 14 7 North Sumatera 27 12 South Sumatera 31 20 Gorontalo 33 27 South Kalimantan 40 30 West Nusa Tenggara 512 DI Yogyakarta 14 8 Riau 28 13 West Sumatera 32 21 West Kalimantan 34 28 Central Sulaw esi 403 North Sulaw esi 16 9 Lampung 28 14 Jambi 32 22 Papua 34 29 North Maluku 434 Bali 20 10 East Java 28 15 Bangka Belitung 32 23 East Nusa Tenggara 355 East Kalimantan 23 11 Central Kalimantan 28 16 West Java 32 24 Maluku 376 Central Java 25 17 Southeast Sulaw esi 32 25 NAD 39

18 Bengkulu 33 26 Banten 3919 South Sulaw esi 33

> 4940 - 49< 30 30 - 39

In the past few years, IMR nationally has a huge decreasing, even though in 2001 has a bit increasing but in the next two years, IMR decreased. IMR condition in 2005 generally was relatively better than IMR in 2002-2003. It showed from the number of provinces with IMR <30 in 2005 were bigger than in 2002-2003. In 2005, province with the lowest IMR was DKI Jakarta (14) and the highest IMR was West Nusa Tenggara (51).

ANNUAL PARASITE INCIDENCE (API)/ANNUAL MALARIA INCIDENCE (AMI)(per 1000 Population), 2006

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

11

ANNUAL PARASITE INSIDENCE/ANNUAL MALARIA INSIDENCE(per 1000 Population)

2005

ANNUAL PARASITE INCIDENCE/ ANNUAL MALARIA INCIDENCE (per 1000 Population)

2002-2006

In the last few years, nationally API has a relative big decreased, even though in 2006 it slightly increased to 0.19. While nationally AMI since 2002 – 2006 had a fluctuation. The highest AMI was in 2005, 24.75. The eastern Indonesia: West Irian Jaya, Papua, East Nusa Tenggara and North Maluku was a malaria endemic area.

1 DKI Jakarta 0.00 10 West Kalimantan 0.90 19 South Sumatera 11.00 28 Central Sulaw esi 25.71 30 North Maluku 58.582 Banten 0.02 11 South Sulaw esi 1.53 20 Central Kalimantan 14.84 29 Bangka Belitung 43.05 31 East Nusa Tengg 105.663 DI Yogyakarta 0.10 12 South Kalimantan 3.51 21 Southeast Sulaw esi 14.95 32 Papua 164.754 Central Java 0.13 13 Riau Islands 4.93 22 Maluku 15.35 33 West Irian Jaya 198.025 East Java 0.18 14 East Kalimantan 5.01 23 Gorontalo 15.406 West Java 0.52 15 Lampung 5.14 24 North Sumatera 16.937 Bali 0.55 16 Riau 5.22 25 West Nusa Tenggara 19.258 West Sulaw esi 0.87 17 Bengkulu 6.29 26 North Sulaw esi 20.299 West Sumatera 0.90 18 NAD 6.32 27 Jambi 20.96

10-25 25-50 > 50< 10

DHF INCIDENCE RATE (per 100,000 population)2006

1 Maluku 0.00 8 South Kalimantan 12.40 14 Central Sulaw esi 20 20 Central Kalimantan 27.42 25 East Java 56.19 31 East Kalimantan 103.62 West Sulaw esi 3.06 9 Jambi 13.83 15 Lampung 20.1 21 South Sumatera 32.5 26 North Sulaw esi 59.62 32 Bali 170.63 Papua 3.55 10 West Nusa Tenggara 15.59 16 Riau 21 22 Gorontalo 32.90 27 West Kalimantan 65.94 33 DKI Jakarta 316.24 Southeast Sulaw esi 4.73 11 North Maluku 16.09 17 West Irian Jaya 22.69 23 Cental Java 33.7 28 West Java 66.085 Bangka Belitung 5.80 12 North Sumatera 16.86 18 West Sumatera 23.9 24 South Sulaw esi 35.03 29 DI Yogyakarta 66.226 East Nusa Tenggara 6.36 13 NAD 19.43 19 Banten 26.9 30 Riau Islands 74.797 Bengkulu 7.61

< 20 40.01 - 80.00 > 8020 - 40

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

12

DHF INCIDENCE RATE (per 100,000 population)2005

19.24 23.87

37.1143.42

52.48

0

20

40

60

80

2002 2003 2004 2005 2006

DHF INCIDENCE RATE (per 100,000 population)2002-2006

DHF Incidence Rate per 100.000 population in the past 5 years nationally has a sharp increasing from year to year with the last rate in 2006 was 52.48 per 100,000 population. Province with the highest DHF Incidence Rate in 2006 was DKI Jakarta (316.17 per 100,000 population) and the lowest were in Maluku and West Sulawesi (each were 0.00 and 3.06 per 100,000 population).

LEPROSY PREVALENCE RATE (per 10,000 population)2006

1 Riau Islands 0.00 8 Riau 0.33 15 Banten 0.67 20 East Nusa Tenggara 1.14 26 South Sulaw esi 2.24 30 Gorontalo 3.152 Bengkulu 0.05 9 Central Kalimantan 0.41 16 East Kalimantan 0.73 21 DKI Jakarta 1.34 27 North Sulaw esi 2.25 31 Papua 4.043 DI Yogyakarta 0.10 10 Bangka Belitung 0.46 17 West Nusa Tenggar 0.76 22 Southeast Sulaw es 1.34 28 West Sulaw esi 2.64 32 West Irian Jaya 9.134 North Sumatera 0.20 11 South Sumatera 0.48 18 West Java 0.81 23 Central Sulaw esi 1.50 29 Maluku 2.88 33 North Maluku 9.495 West Sumatera 0.22 12 Bali 0.52 19 South Kalimantan 0.93 24 NAD 1.616 Lampung 0.24 13 West Kalimantan 0.58 25 East Java 1.657 Jambi 0.28 14 Cental Java 0.62

< 1 1 - 2 2 - 3 > 3


0,87 0,95 0,87 0,93 1,030,98

0

0,4

0,8

1,2

1,6

2

2001 2002 2003 2004 2005 2006

LEPROSY PREVALENCE RATE (per 10.000 population)2001-2006

LEPROSY PREVALENCE RATE (per 10.000 population)2005

Leprosy Prevalence Rate per 10,000 population in six (6) past years nationally increased from year to year. Decreasing only happened in 2003. In 2006, leprosy prevalence rate was 1.03 per 10,000 population. Province with the highest leprosy prevalence rate in 2006 was North Maluku (9.49 per 10,000 population), and the lowest was in Riau Islands (0.00 per 10,000 population).

13

AIDS NEW CASES FOUND, 2006

Riau Central Kalimantan 1 DKI Jakarta 638 8 North Sumatera 117 15 South Sumatera 32 22 East Kalimantan 3Bengkulu Central Sulaw esi 2 West Java 599 9 DI Yogyakarta 70 16 West Nusa Tenggara 19 23 Southeast Sulaw esi 2Banten South Sulaw esi 3 West Kalimantan 446 10 Jambi 53 17 Bangka Belitung 16 24 North Maluku 2East Nusa Tenggara West Sulaw esi 4 Central Java 191 11 Maluku 53 18 North Sulaw esi 7 25 Gorontalo 1

5 Bali 173 12 Riau Islands 50 19 West Irian Jaya 76 Papua 166 13 West Sumatera 45 20 South Kalimantan 67 East Java 139 14 Lampung 35 21 NAD 3

No New Cases With New Cases

1195

2638 2873

316219 3450

50010001500200025003000

2001 2002 2003 2004 2005 2006

AIDS NEW CASES FOUND2001-2006

AIDS NEW CASES FOUND, 2005

14

Number of provinces where no found AIDS new cases in 2006 was higher than 2005. In 2005 there were 12.12% provinces become 24.24% provinces in 2006. AIDS new cases found every year has an increasing except in 2003 decreased little then increased sharply in 2005. In 2005, AIDS New cases found were 2,873 cases. Among 25 provinces where AIDS new cases found, the highest case was in DKI Jakarta (638 cases) and the lowest was Gorontalo (1 case).


AFP POLIO CASES WITH WILD POLIO VIRUS CLASSIFICATION 2006


15

Bali West Irian Jaya East Kalimantan Papua West Sumatera East Java 1Bangka Belitung Jambi Riau Islands Riau South Sumatera NAD 1Banten West Java Lampung West Sulaw esi North SumateraBengkulu Central Java Maluku South Sulaw esi DI Yogyakarta West Kalimantan North Maluku Central Sulaw esi DKI Jakarta South Kalimantan West Nusa Tenggara Southeast Sulaw esi Gorontalo Central Kalimantan East Nusa Tenggara North Sulaw esi

Uninfected Infected

AFP POLIO CASES WITH WILD POLIO VIRUS CLASSIFICATION, 2005

Comparing to 2005, number of provinces and case infected by Polio AFP Cases with wild polio virus classification in 2006 was lower. In 2005 there were 10 provinces infected by 349 cases. In 2006 only 2 provinces infected by Polio AFP with wild polio virus classification: East Java and NAD with each 1 case found.

INFECTED AREA OF AVIAN INFLUENZA ON HUMAN 2006


16

NAD Bangka Belitung West Kalimantan Southeast Sulaw esi Lampung West Sulaw esiWest Sumatera Riau Islands Central Kalimantan Gorontalo Banten East Java Riau DI Yogyakarta South Kalimantan Maluku DKI Jakarta North Sumatera Jambi Bali East Kalimantan North Maluku West Java South Sumatera West Nusa Tenggara North Sulaw esi Papua Central Java Bengkulu East Nusa Tenggara Central Sulaw esi West Irian Jaya South Sulaw esi

InfectedUninfected

INFECTED AREA OF AVIAN INFLUENZA ON HUMAN, 2005

Since avian influenza firstly detected in 2005 until the last of 2006, the number of patients has reached 75 cases with 58 deaths (CFR 77.3%), and has infected 9 provinces in Indonesia. In 2005 there were 5 provinces infected by avian influenza with 20 cases with 13 deaths (CFR 65%) and in 2006 become 9 provinces with 55 cases with 45 deaths (CFR 81.8%). Area with the most Avian Influenza infection in 2005 – 2006 was West Java (25 cases with 20 deaths).

HEALTH EFFORT

PERCENTAGE OF PREGNANT WOMAN VISIT (K4)2006

Source: DG of Community Health MOH, 2006

17

74.25 79.44 72.62 79.6377.1177

020406080

100

2001 2002 2003 2004 2005 2006

PERCENTAGE OF PREGNANT WOMAN VISIT (K4), 2001-2006

PERCENTAGE OF PREGNANT WOMAN VISIT (K4), 2005

>95%1 Jambi 91.89 9 Lampung 83.32 17 Bangka Belitung 77.40 25 Central Java 74.04 32 North Sulaw esi 31.022 Riau Islands 88.85 10 West Irian Jaya 82.51 18 West Sumatera 77.08 26 DI Yogyakarta 73.10 33 Bengkulu 29.543 Nanggroe Aceh Darussalam 86.62 11 Riau 82.33 19 Gorontalo 77.01 27 North Sumatera 70.204 Banten 86.07 12 DKI Jakarta 80.57 20 West Java 76.64 28 East Nusa Tenggar 68.895 South Kalimantan 85.97 13 Bali 79.92 21 North Maluku 76.21 29 West Kalimantan 67.696 Papua 85.86 14 East Java 78.95 22 Central Kalimantan 76.15 30 East Kalimantan 63.237 West Nusa Tenggara 84.87 15 South Sumatera 78.65 23 Southeast Sulaw esi 75.81 31 South Sulaw esi 61.708 Central Sulaw esi 84.37 16 Maluku 24 West Sulaw esi 75.21

78%-95% 61% - 78% < 61%

In 2005 and 2006 there were no province with percentage of pregnant woman visit (K4). While in 2006 province with K4 <61% was bigger than in 2005. If in 2005 there was 1 province, soon in 2006 become 2 provinces which was North Sulawesi and Bengkulu. Nationally, percentage of K4 in 2001-2006 tends to increase with the highest achievement in 2006 (79.63%). Province with the highest K4 reached by Jambi (91.89%) and the lowest was Bengkulu (29.54%).

PERCENTAGE OF DELIVERY MOTHER ASSISTED BY HEALTH PROVIDERS, 2006


18

PERCENTAGE OF DELIVERY MOTHER ASSISTED BY HEALTH PROVIDERS, 2005

67.69 70.59 73.14 74.27 72.37 76.4

0

20

40

60

80

100

2001 2002 2003 2004 2005 2006

PERCENTAGE OF DELIVERY MOTHER ASSISTED BY HEALTH PROVIDERS

2001-2006

1 Bali 90.14 2 Central Java 86.20 8 North Sulaw esi 82.34 13 North Sumatera 76.86 20 East Kalimantan 72.89 26 Maluku 61.053 East Java 85.91 9 South Kalimantan 79.67 14 Lampung 75.79 21 Bengkulu 71.64 27 West Sulaw esi 58.054 Bangka Belitung 84.64 10 Jambi 78.05 15 South Sulaw esi 75.68 22 Southeast Sulaw esi 71.63 28 North Maluku 57.765 DI Yogyakarta 83.24 11 Central Sulaw esi 77.82 16 West Sumatera 75.60 23 Central Kalimantan 71.16 29 West Irian Jaya 55.466 South Sumatera 82.77 12 West Nusa Tenggara 77.63 17 Riau 75.30 24 West Java 70.34 30 Papua 30.787 DKI Jakarta 82.68 18 Nanggroe Aceh Darussalam 73.43 25 Gorontalo 69.21

19 Riau Islands 73.08

< 64%> 90% 77% - 90% 64% - 77%

In 2006 percentage of delivery mother assisted by health personnel had some increasing than the ones in 2005. In some provinces there was only West Sumaterawhich had a decreasing. In 2005 there were no province reached percentage >90 but in 2006 there was province with percentage >90: Bali (90.14%). National coverage percentage from 2001-2006 keep increased, only 2005 had a little decreased. In 2006 national rate reached 76.4%. Province with lowest coverage was Papua (30.78%).

COVERAGE OF NEONATES VISITS (KN2)2006

Source: DG of Community Health, MOHRI, 2006

19

COVERAGE OF NEONATES VISITS (KN2)2005

76,26 83,72 75,73 68,89 65,1185,51

0

20

40

60

80

100

2001 2002 2003 2004 2005 2006

COVERAGE OF NEONATES VISITS (KN2)2001-2006

In 2006 coverage of neonates visit (KN2) was better than 2005, where there were 3 provinces with coverage more than 90%: West Java, Bali and Central Java. Percentage of KN2 during 2002-2005 tended to decrease, but in 2006 it straightly increased from 65.11% in 2005 to 85.51% in 2006. Province with the highest coverage was West Java, 131.91%, and the lowest was Papua, 19.45%.

Tidak ada data1 Jaw a Barat 131,91 4 Jaw a Timur 87,39 12 Sulaw esi Tenggara 80,76 20 Kalimantan Tengah 76,95 25 Maluku Utara 63,61 31 Irian Jaya Barat 30,14 Kep. BaBel2 Bali 94,23 5 NTB 86,36 13 Gorontalo 80,59 21 Sumatera Utara 72,24 26 NAD 59,48 32 Papua 19,453 Jaw a Tengah 91,32 6 Banten 86,04 14 Riau 79,72 22 Sulaw esi Barat 71,77 27 Maluku 59,38

7 Kalimantan Selatan 85,27 15 DKI Jakarta 79,66 23 Bengkulu 71,73 28 Sulaw esi Selatan 58,708 Lampung 83,86 16 Sulaw esi Tengah 78,98 24 Sulaw esi Utara 69,83 29 Kepulauan Riau 54,139 DI Yogyakarta 83,78 17 Kalimantan Timur 78,51 30 Kalimantan Barat 53,35

10 Sumatera Barat 82,94 18 Sumatera Selatan 77,6111 Jambi 82,84 19 NTT 77,12

40% - 65% < 40%65% - 90%> 90%

PERCENTAGE OF UNDERFIVES GETTING VITAMIN A (TWICE), 2006

PERCENTAGE OF UNDERFIVES GETTING VITAMIN A (TWICE), 2005

20

62.61 69.8382.93 75.66 81.29100.72

0

30

60

90

120

2001 2002 2003 2004 2005 2006

PERCENTAGE OF UNDERFIVES GETTING VITAMIN A (TWICE), 2001-2006

1 Central Java 98.56 4 Bali 94.28 12 East Java 85.21 20 West Sulaw esi 81.58 24 Southeast Sulaw esi 77.43 32 North Maluku 51.872 Central Sulaw esi 98.13 5 DI Yogyakarta 93.48 13 Banten 84.73 21 Lampung 81.23 25 Gorontalo 75.74 33 West Irian Jaya 30.823 West Nusa Tengga 97.27 6 NAD 93.30 14 South Sulaw esi 84.43 22 DKI Jakarta 80.45 26 Central Kalimantan 74.22

7 Jambi 91.95 15 Riau Islands 83.96 23 East Kalimantan 78.28 27 Bengkulu 68.418 North Sulaw esi 89.23 16 West Sumatera 83.61 28 West Kalimantan 64.739 Papua 88.16 17 Riau 83.26 29 South Kalimantan 63.99

10 East Nusa Tenggara 87.35 18 Bangka Belitung 82.79 30 West Java 63.7011 South Sumatera 86.59 19 North Sumatera 81.78 31 Maluku 62.68

< 61%> 95% 78%-95% 61%-78%

In 2006 percentage of underfive getting vitamin A twice most provinces had an increasing from 2005. Although there were some provinces had a decreasing such as West Kalimantan, Central Kalimantan, North Maluku and West Irian Jaya. 2006 data is more complete than 2005. Percentage of coverage from 2001-2006 had fluctuation every year but in 2006 reached 81.29%, increased than in the previous year. Province with highest percentage was Central Java (98.56%), and the lowest was West Irian Jaya (30.14%).


PERCENTAGE OF POST-PARTUM MOTHER GETTING VITAMIN A, 2006


21

Achievement of giving vitamin A to Post Partum Mother in 2006 > 60% happened in more than 60% provinces in Indonesia. About 20% has just reached range of 45.01-60%. Province with the highest percentage was Central Java (88.18%), while 3 provinces with the lowest percentage were Lampung (26.65%), DKI Jakarta (18.06%) and Papua (4.97%).

No data1 Central Java 88.18 8 South Sulaw esi 74.92 15 Gorontalo 66.52 21 East Kalimantan 54.25 28 North Sumatera 40.46 30 Lampung 26.65 West Irian Jaya 2 West Nusa Tenggara 84.48 9 East Java 74.90 16 Bengkulu 66.20 22 East Nusa Tenggara 53.36 29 West Sulaw esi 34.68 31 DKI Jakarta 18.06 3 Central Kalimantan 80.26 10 South Sumatera 74.48 17 Riau Islands 66.11 23 NAD 53.17 32 Papua 4.97 4 Bali 80.20 11 North Maluku 72.75 18 Banten 63.20 24 Jambi 52.73 5 South Kalimantan 79.95 12 Central Sulaw esi 72.31 19 West Sumatera 62.15 25 Southeast Sulaw esi 51.49 6 Bangka Belitung 77.83 13 DI Yogyakarta 70.34 20 Riau 61.14 26 West Kalimantan 47.45 7 North Sulaw esi 77.18 14 Maluku 67.31 27 West Java 46.04

> 60% 45,01% - 60% 30% - 45% < 30%

PERCENTAGE OF PREGNANT WOMAN GETTING 90 IRON TABLETS, 2006

22

PERCENTAGE OF PREGNANT WOMAN

GETTING 90 IRON TABLETS, 2005

54.9271.32 64.83 60.2663.08 59.62

0

30

60

90

120

2001 2002 2003 2004 2005 2006

PERCENTAGE OF PREGNANT WOMAN GETTING 90 IRON TABLETS, 2001-2006

1 South Kalimantan 99.75 2 West Java 79.00 7 Central Sulaw esi 68.81 13 NTT 64.92 16 Banten 59.86 22 West Sulaw esi 49.79 28 DKI Jakarta 35.003 South Sumatera 77.86 8 Riau 67.80 14 West Sumatera 64.31 17 South Sulaw esi 59.51 23 North Sumatera 48.87 29 West Irian Jaya 24.854 East Kalimantan 76.64 9 Papua 67.75 15 Maluku 63.25 18 Bengkulu 58.42 24 North Sulaw esi 46.80 30 NAD 22.875 Lampung 75.81 10 East Java 67.57 19 West Nusa Tenggara53.95 25 Bali 45.06 34 Jambi 18.686 DI Yogyakarta 75.57 11 Bangka Belitung 67.02 20 West Kalimantan 52.47 26 North Maluku 37.84 32 Central Java 17.93

12 Gorontalo 66.50 21 Central Kalimantan 50.61 27 Southeast Sulaw esi 35.59 33 Riau Islands 6.08

<60%>80% 70%-80% 60%-70%

In 2006 percentage of pregnant woman getting iron tablet had some coverage decreasing comparing than in 2005 which was coverage <60% dominated more than halves of provinces. For national rate since 2001-2005 had no meaningful progress. In 2006 percentage reached 60.26%. Province with the highest coverage in 2006 was South Kalimantan (99.75%) and the lowest coverage was Riau Islands (6.08%).


PROPORTION OF MARRIED WOMEN AGED 15-49 YEARS WHO WERE USING CONTRACEPTIVE, 2006

23

PROPORTION OF MARRIED WOMEN AGED 15-49 YEARS WHO WERE USING CONTRACEPTIVE, 2005

57.9154.54 56.71 57.89

0

20

40

60

80

2003 2004 2005 2006

PROPORTION OF MARRIED WOMEN AGED 15-49 YEARS WHO WERE USING CONTRACEPTIVE, 2003-2006

1 Bengkulu 70.08 2 North Sulaw esi 69.75 9 South Sumatera 62.44 15 East Java 59.52 23 West Sumatera 49.06 31 West Irian Jaya 31.733 Bali 67.43 10 Central Java 62.10 16 West Kalimantan 59.49 24 Southeast Sulaw esi 46.80 32 Papua 31.224 South Kalimantan 66.70 11 Jambi 61.63 17 Riau Islands 55.41 25 North Sumatera 45.08 33 Maluku 30.135 Central Kalimantan 66.64 12 Gorontalo 61.24 18 DKI Jakarta 55.25 26 NAD 43.046 Lampung 64.49 13 DI Yogyakarta 61.13 19 West Nusa Tenggara 54.82 27 South Sulaw esi 42.597 Bangka Belitung 63.44 14 Banten 60.33 20 Central Sulaw esi 54.68 28 North Maluku 39.618 West Java 62.84 21 East Kalimantan 54.67 29 West Sulaw esi 38.82

22 Riau 53.69 30 East Nusa Tenggara 32.63

< 50%> 70% 60% - 70% 50% - 60%

Proportion of married women aged 15-49 years who were using contraceptive in 2006 was not too different with the previous year. It can be seen from number of provinces with coverage >70% and <50% was still the same for two years. It nationally also only slightly increased from 57.89 in 2005 to 57.91% in 2006. but since 2002 until 2006, it insignificantly kept increasing. The highest province in 2006 was Bengkulu (70.08%) and the lowest was Maluku (30.13%).


PERCENTAGE OF UCI VILLAGE ACHIEVEMENT2006

24

69,43 73,2674,5 75,8 76,23

0

30

60

90

120

2002 2003 2004 2005 2006

PERCENTAGE OF UCI VILLAGEACHIEVEMENT2002-2006

100% No data1 Bali 99.28 6 Nanggroe Aceh Darussalam 85.76 13 South Sulaw esi 79.13 20 South Kalimantan 71.69 Riau2 Jambi 92.98 7 East Nusa Tenggara 83.47 14 DKI Jakarta 77.15 21 East Java 64.08 South Sumatera 3 DI Yogyakarta 92.24 8 North Sumatera 83.23 15 North Sulaw esi 76.86 22 West Java 62.64 Riau Islands4 West Nusa Tenggara 89.91 9 Central Java 82.79 16 West Sumatera 75.71 23 Maluku 61.23 Banten5 Southeast Sulaw esi 87.68 10 Bangka Belitung 82.55 17 Central Sulaw esi 73.87 24 Gorontalo 50.20 West Sulaw esi

11 East Kalimantan 79.78 18 West Kalimantan 73.12 25 Central Kalimantan 36.13 West Irian Jaya 12 Lampung 79.71 19 Bengkulu 72.78 26 North Maluku 26.55

27 Papua 14.83

86% - 99,99% 72% - 86% < 72%

PERCENTAGE OF UCI VILLAGE ACHIEVEMENT, 2005

In 2006, increasing UCI achievement occurred in some provinces in Sumatera, Kalimantan and Sulawesi Islands, but on the contrary, there was decreasing in some provinces in Java Island. Data from 27 provinces resulted national percentage of 73.26, lower than the previous year, 76.23. None of the provinces achieved 100%. Province with the highest percentage was Bali with 99.28% and the lowest was Papua with 14.83%.


COVERAGE OF MEASLES IMMUNIZATION2006

25

89,2 91,78 86,7 88,490,6

020406080

100120

2002 2003 2004 2005 2006

COVERAGE OF MEASLES IMMUNIZATION2002-2006

< 50% No data1 DI Yogyakarta 103.31 8 East Java 95.36 15 Central Kalimantan 87.82 22 Riau 84.39 28 North Maluku 79.98 West Irian Jaya 2 DKI Jakarta 101.71 9 Bali 94.37 16 Lampung 87.46 23 West Sumatera 84.37 29 West Java 77.983 Jambi 97.96 10 Central Sulaw esi 94.08 17 East Kalimantan 87.19 24 South Kalimantan 84.10 30 Banten 71.604 West Nusa Teng 97.09 11 East Nusa Tenggara 93.15 18 Bangka Belitung 85.72 25 West Kalimantan 83.37 31 West Sulaw esi 68.295 Central Java 96.81 12 South Sumatera 93.08 19 South Sulaw esi 85.43 26 Maluku 82.80 32 Papua 67.806 North Sumatera 95.80 13 Southeast Sulaw esi 92.72 20 Gorontalo 84.55 27 NAD 82.277 Riau Islands 95.43 14 North Sulaw esi 92.41 21 Bengkulu 84.54

> 90% 80% - 90% 50% - 80%

COVERAGE OF MEASLES IMMUNIZATION

2005

The 2006 measles immunization had mostly covered more than 80%, and no province had coverage less than 50%. Two provinces with coverage more than 100% were DIY (103.31) and DKI Jakarta (101.71%), while province with the lowest was Papua, 67.80%. Though nationally it was higher (88.4%) than the previous year, 2005 (86.7), it was still under the national coverage in 2004, 91.78%.


DROP OUT IMMUNIZATION TO INFANT (DPT1 – MEASLES), 2006

26

10,07

5,87,6

9,3

1,48

5,9

0

3

6

9

12

15

2001 2002 2003 2004 2005 2006

DROP OUT IMMUNIZATION TO INFANT (DPT1 – MEASLES), 2001-2006

No data1 DI Yogyakarta 0.40 5 Bengkulu 3.20 13 West Irian Jaya 7.60 21 NAD 10.70 North Sumatera2 Jambi 1.40 6 West Nusa Tenggara 3.40 14 East Kalimantan 7.80 22 Gorontalo 11.10 Lampung3 Central Kalimantan 1.70 7 Central Java 4.00 15 West Kalimantan 8.10 23 Banten 15.10 Bangka Belitung4 Riau 2.00 8 Southeast Sulaw esi 4.00 16 South Kalimantan 8.20 24 West Sulaw esi 15.80 Riau Islands

9 North Sulaw esi 4.30 17 South Sulaw esi 8.40 25 West Java 21.50 East Nusa Tenggara10 East Java 4.80 18 Bali 8.50 26 South Sumatera 21.80 Papua11 Maluku 5.00 19 Central Sulaw esi 9.80 27 DKI Jakarta 23.0012 North Maluku 5.40 20 West Sumatera 9.90

< 3% 3% - 6% 6% - 10% > 10%

DROP OUT IMMUNIZATION TO INFANT

(DPT1 – MEASLES), 2005

In 2006, proportion of provinces with DO Immunization (DPT1-measles) to infant among range of >10%, 6-10% and 3-6% were balance enough. Of 27 reporting provinces, only 4 provinces had <3%: DIY (0.40), Jambi (1.40), Central Kalimantan (1.70) and Riau (2.00), while the highest province was DKI Jakarta (23.00). National trend fluctuated since 2001-2006. Significant increase occurred in 2006, from 1.48 in 2005 to 9.3 in 2006.


COVERAGE OF TT2 IMMUNIZATION TO PREGNANT WOMAN, 2006

27

71,6 68,4 66,12 63,949,4 51,8

0

20

4060

80

100

2001 2002 2003 2004 2005 2006

COVERAGE OF TT2 IMMUNIZATION TO PREGNANT WOMAN, 2001-2006

No data1 West Nusa T 87.87 4 Central Sulaw esi 74.91 11 Central Kalimantan 67.93 17 Central Java 59.91 24 West Kalimantan 46.72 26 DI Yogyakarta 36.47 North Sumatera 2 Lampung 82.37 5 Banten 73.16 12 Jambi 66.96 18 Maluku 57.87 25 Southeast Sulaw es 44.39 27 West Sumatera 27.16 East Nusa Tenggara3 Bangka Belit 82.17 6 Gorontalo 72.70 13 Riau Islands 63.83 19 South Sulaw esi 56.03 28 Papua 21.44 East Kalimantan

7 South Sumatera 72.34 14 Riau 63.59 20 NAD 55.24 29 West Irian Jaya 14.978 South Kalimantan 70.92 15 Bali 62.84 21 Bengkulu 53.22 30 East Java 4.169 DKI Jakarta 69.97 16 North Maluku 60.76 22 West Java 51.65

10 North Sulaw esi 69.71 23 West Sulaw esi 49.70

> 80% 60% - 80% 40% - 60% < 40%

COVERAGE OF TT2 IMMUNIZATION TO PREGNANT WOMAN, 2005

Coverage of TT2 immunization to pregnant woman in 2006 was various, starting from the lowest coverage of 4.16% in East Java to the highest coverage of 87.87% in West Nusa Tenggara. Coverage in 2006 was better than the previous year since there were 8 provinces with coverage <40% in 2005, decreasing to 5 provinces in 2006. Data of 30 provinces result national coverage of 51.8. It increased after continuous decrease since 2001.


COVERAGE OF NEW PULMONARY TB AFB+ CASESTOWARD AFB+ ESTIMATION RATE, 2006

No Data1 North Sulaw esi 91.07 8 Maluku 62.81 12 DI Yogyakarta 58.14 20 Bangka Belitung 49.74 27 Lampung 38.96 West Irian Jaya2 North Sumatera 82.69 9 Bali 62.73 13 Papua 56.78 21 West Kalimantan 48.09 28 Riau Islands 37.753 Gorontalo 81.75 10 East Java 60.40 14 West Sulaw esi 53.27 22 Central Sulaw esi 47.22 29 Central Kalimantan 35.174 DKI Jakarta 77.93 11 Jambi 60.25 15 South Sulaw esi 52.97 23 Bengkulu 47.13 30 East Kalimantan 33.935 Banten 75.63 16 South Kalimantan 51.74 24 East Nusa Tenggara 42.92 31 Riau 32.426 West Java 71.74 17 West Sumatera 51.52 25 South Sumatera 41.66 32 North Maluku 31.907 Southeast Sulaw esi 70.87 18 Central Java 50.61 26 West Nusa Tenggar 40.43

19 NAD 50.12

< 50%> 70% 60%-70% 50%-60%

28

COVERAGE OF NEW PULMONARY TB AFB+ CASES

TOWARD AFB+ ESTIMATION RATE, 2005

2938

5465.9

75.7

0

20

40

60

80

2002 2003 2004 2005 2006

COVERAGE OF NEW PULMONARY TB AFB+ CASESTOWARD AFB+ ESTIMATION RATE, 2002-2006

During 2002-2006, coverages of new pulmonary TB AFB+ cases were nationally increased, and it was 75.7% in 2006. Provinces with coverage >70% in 2005 were 3 and increased to 7 in 2006. on the contrary, provinces with coverage <50% in 2005 were 17 and decreased to 13 in 2006. Province with the highest coverage in 2006 was North Sulawesi (91.07%) and the lowest was North Maluku (31.90%).


SUCCESS RATE (SR) OF PULMONARY TB 2005

29

When comparing to success rate (SR) of pulmonary TB, there was no significant change in 2004 and 2005. Almost 75% provinces had met the target of 85%, while about 15% had not met the target yet. Data of 30 reporting provinces resulted SR nationally 91%, increasing from the previous year, 88.9%. During the last 6 years, national SR tended to increase, except in 2001 decreasing 1 point from the last year before.

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

87 86 86,1 86,7 88,9 91

0

20

40

60

80

100

2000 2001 2002 2003 2004 2005

SUCCESS RATE (SR) OF PULMONARY TB 2000-2005

<65% Tidak Ada Data1 Banten 95.67 5 Lampung 94.88 12 East Nusa Tengg. 90.86 19 North Maluku 89.07 26 Bali 84.63 Riau Islands2 North Sulaw esi 95.36 6 North Sumatera 94.27 13 Central Kalimantan 90.85 20 Jambi 88.74 27 Riau 83.91 West Sulaw esi3 Gorontalo 95.16 7 Southeast Sulaw esi 93.92 14 Bangka Belitung 90.83 21 West Sumatera 88.27 28 East Kalimantan 80.95 West Irian Jaya4 Central Sulaw esi 95.03 8 Bengkulu 93.15 15 South Sulaw esi 90.69 22 East Java 87.91 29 Papua 80.56

9 West Kalimantan 93.09 16 Central Java 90.56 23 NAD 87.58 30 Maluku 79.1110 West Java 92.37 17 DKI Jakarta 90.39 24 DI Yogyakarta 86.6211 South Sumatera 91.25 18 South Kalimantan 90.34 25 West Nusa T. 86.02

>95% 85% - 95% 65% - 84,99%

SUCCESS RATE (SR) OF PULMONARY TB, 2004

COVERAGE OF PNEUMONIA CASE DETECTION ON UNDERFIVE, 2006

30

In 2006, number of provinces with coverage <25% was higher than in 2005. It increased from 16 provinces in 2005 to 19 provinces in 2006. However, it nationally showed increase of pneumonia case detection on underfives, from 27.65% in 2005 to 28.78% in 2006. During 2005-2006, only 2 provinces had coverage >75%. Province with the highest coverage in 2006 was West Nusa Tenggara (96.89%), while the lowest was West Irian Jaya (0.52%).

COVERAGE OF PNEUMONIA CASE DETECTION ON UNDERFIVE, 2005

1 West Nusa Tengg 96.89 3 Bangka Belitung 67.67 5 West Java 49.48 12 East Kalimantan 30.55 15 East Java 24.81 22 Central Java 15.19 29 Papua 6.06 2 North Maluku 77.91 4 Central Sulaw esi 55.81 6 South Kalimantan 46.43 13 West Nusa Tengga 28.80 16 West Sulaw esi 24.70 23 Lampung 14.86 30 Central Kalimantan 5.27

7 Gorontalo 43.91 14 Jambi 26.39 17 West Kalimantan 23.12 24 NAD 14.04 31 DI Yogyakarta 1.87 8 West Sumatera 38.09 18 Bali 21.69 25 Banten 13.74 32 Riau Islands 1.84 9 Southeast Sulaw esi 37.12 19 Riau 20.92 26 Bengkulu 13.27 33 West Irian Jaya 0.52

10 South Sumatera 35.35 20 South Sulaw esi 19.49 27 Maluku 11.65 11 North Sumatera 34.03 21 North Sulaw esi 19.26 28 DKI Jakarta 6.84

> 75 % 75% - 50% 50%-25% < 25%


AVERAGE OF BED OCCUPANCY RATE (BOR) IN GOVERNMENT HOSPITAL, 2006

31

56,2 54,1 58 55,6 56,2 57

0

20

40

60

80

100

2001 2002 2003 2004 2005 2006

AVERAGE OF BED OCCUPANCY RATE (BOR) IN MOH AND LOCAL GOVERNMENT HOSPITAL,, 2001-2006

Source: DG of Medical Care MOH, 2005

RATA-RATA TINGKAT PEMANFAATAN TEMPAT TIDUR (BOR) DI RUMAH SAKIT DEPKES DAN PEMDA

TAHUN 2005

< 30% No data1 South Kalimantan 88.80 2 West Irian Jaya 84.60 9 South Sulaw esi 66.40 15 South Sumatera 57.80 23 Nanggroe Aceh Darussalam 43.90 Riau islands

3 West Java 78.40 10 East Java 66.20 16 East Nusa Tenggara 57.30 24 Papua 43.23 Gorontalo4 Central Sulw esi 77.00 11 Banten 63.30 17 Jambi 56.30 25 Kcentral Kalimantan 43.00 West Sulaw esi5 Bangka Belitung islands 76.80 12 West Nusa Tenggara 63.30 18 Riau 56.00 26 North Sumatera 40.406 Bali 75.80 13 Kw est Kalimantan 62.90 19 Lampung 52.70 27 Ssouth East Sulaw esi 38.107 West Sumatera 75.50 14 Central Java 62.50 20 North Sulaw esi 52.10 28 North Masluku 36.108 DKI Jakarta 71.00 21 DI Yogyakarta 50.00 29 Maluku 31.30

22 East Kalimantan 48.60 30 Bengkulu 30.30

> 85% 60% - 85% 30% - 60%

There was no province with BOR >85% in 2005, but South Kalimantan in 2006 with 88.80%. About 43.33% provinces had the ideal BOR (60%-85%), and it decreased, comparing to in 2005, where 51.72% provinces had the ideal average. Province with the lowest BOR average was Bengkulu, 30.30%. During the last 6 years, nationally BOR was fluctuated, though there was no significant change during that period.

AVERAGE OF LENGTH OF STAY (LOS) IN GOVERNMENT HOSPITAL 2006

Source: DG of Medical Care MOHRI, 2006

32

4 4 4 4,4 5,14

0

2

4

6

8

10

2001 2002 2003 2004 2005 2006

AVERAGE OF LENGTH OF STAY (LOS) IN GOVERNMENT HOSPITAL, 2001-2006

In 2006, there were only 2 province with the ideal length of stay (LOS), 6-9 days. Those were North Sulawesi (6.10) and Maluku (6.40). It was better than the previous year, where there was no province with ideal LOS. Province with the lowest LOS was West Nusa Tenggara with 2.7 days. It nationally decreased 4 days after during the previous 2 years continuously increased.

RATA – RATA HARI PERAWATAN (LOS) DI RUMAH SAKITTAHUN 2005

>= 10 No data Maluku 6.40 West Java 5.60 East Java 4.50 Bali 3.90 Riau 3.50 Riau islands North Sulaw esi 6.10 North Sumatera 5.10 Central Java 4.40 South East Sulaw esi 3.90 Bangka Belitung island 3.50 Gorontalo

Banten 5.00 Central Sulaw esi 4.40 East Kalimantan 3.80 Jambi 3.40 West Sulaw esiNAD 4.60 East Nusa Tenggara 4.30 South Sumatera 3.60 West Irian Jaya 3.30West Java 4.60 Lampung 4.10 South Kalimantan 3.60 Central Kalimantan 2.90DKI Jakarta 4.60 DI Yogyakarta 4.00 Papua 3.60 Bengkulu 2.80South Sulaw esi 4.60 West Kalimantan 4.00 North Maluku 3.50 West Nusa Tenggara 2.70

4-6 1-46-9

PERCENTAGE OF POPULATION UTILIZING OUTPATIENT CARE IN HEALTH CENTER, 2006

33

PERCENTAGE OF POPULATION UTILIZINGOUTPATIENT CARE IN HEALTH CENTER, 2005

23.43

37.26 35.1640.45

33.11

0

15

30

45

60

2002 2003 2004 2005 2006

PERCENTAGE OF POPULATION UTILIZING OUTPATIENT CARE

IN HEALTH CENTER, 2002-2006

1 Papua 65.94 5 Central Kalimantan 57.27 13 Bangka Belitung Isla 49.95 17 West Java 44.68 25 DI Yogyakarta * 36.70 32 North Sumatera 29.002 East Nusa Teng 64.32 6 Southeast Sulaw esi 56.13 14 North Maluku 48.57 18 West Kalimantan 43.13 26 West Sumatera 35.82 33 Bali 28.593 West Sulaw esi 63.98 7 South Sulaw esi 53.43 15 NAD 47.55 19 Bengkulu 43.07 27 Banten 35.814 Maluku 60.97 8 South Sumatera 53.14 16 South Kalimantan 47.13 20 Gorontalo 42.77 28 Central Java 35.57

9 West Nusa Tenggar 52.69 21 Riau 41.73 29 Lampung 34.7010 Central Sulaw esi 51.49 22 Riau Islands 41.61 30 East Java 31.6911 Jambi 50.25 23 North Sulaw esi 41.33 31 DKI Jakarta 31.5212 East Kalimantan 50.02 24 West Irian Jaya 41.30

* Bantul District excluded

< 30%30% - 45%45% - 60%> 60%


During the last five years, more people had utilized health center for getting outpatient care, though there was a slight decrease in 2005. Comparing to 2002, it nationally increased almost 100%. More than 50% provinces in Indonesia had been utilizing outpatient care in health center, and mostly was in middle and eastern Indonesia, while provinces in western mostly were still under 50%. Province with the highest percentage was Papua with 65.94% and the lowest was Bali with 28.59%.

PERCENTAGE OF HOUSEHOLDS GETTING FREE HEALTH SERVICE (6 REFERENCE MONTHS), 2006


34

In 2006, 39.39% provinces had percentage of households getting free health service (6 reference months) in range of 10-15%, and only 15.15% provinces had percentage >20%. Province with the highest percentage was East Nusa Tenggara, 35.56%, and the lowest was DKI Jakarta 3.79%; meanwhile, the national percentage in 2006 was 12.85%.

1 East Nusa Tenggara 35.56 6 Southeast Sulaw esi 19.70 12 Bangka Belitung 14.91 19 East Java 11.57 25 West Sumatera 9.95 32 Banten 8.742 NAD 32.83 7 Gorontalo 18.12 13 West Kalimantan 14.77 20 West Java 11.54 26 Lampung 9.62 33 DKI Jakarta 3.793 Papua 28.69 8 North Maluku 17.51 14 Central Sulaw esi 14.43 21 Bengkulu 11.32 27 Central Kalimantan 9.394 West Sulaw esi 25.35 9 West Nusa Tenggara 16.63 15 East Kalimantan 14.16 22 Riau 11.23 28 North Sumatera 9.385 West Irian Jaya 20.98 10 Central Java 15.81 16 South Sulaw esi 13.55 23 Bali 10.81 29 Riau Islands 9.05

11 DI Yogyakarta 15.64 17 South Sumatera 12.08 24 South Kalimantan 10.21 30 Jambi 9.0318 Maluku 12.01 31 North Sulaw esi 9.00

> 20% 15%-20% 10%-15% < 10%

PERCENTAGE OF ADVANCED OUTPATIENT & INPATIENT UTILIZATION OF POOR FAMILY, 2006

Source: Center for Health Insurance & Financing MOHRI, 2006

35

1 Bali 23.22 6 North Sulaw esi 14.97 13 Bengkulu 10.31 16 Papua 9.75 23 Banten 7.00 28 West Nusa Tenggara 4.872 DI Yogyakarta 21.22 7 South Sulaw esi 13.34 14 West Irian Jaya 10.26 17 West Java 9.63 24 Central Kalimantan 6.03 29 Riau 4.723 West Sumatera 17.47 8 NAD 12.58 15 Bangka Belitung 10.24 18 Jambi 9.23 25 Southeast Sulaw esi 6.02 30 Gorontalo 4.684 East Kalimantan 16.29 9 North Sumatera 11.39 19 Central Sulaw esi 8.99 26 Maluku 5.33 31 West Kalimantan 4.405 Riau Islands 16.03 10 South Sumatera 11.36 20 Central Java 8.88 27 Lampung 5.33 32 West Sulaw esi 4.28

11 South Kalimantan 11.11 21 East Java 7.20 33 North Maluku 1.9812 DKI Jakarta 10.60 22 East Nusa Tenggara 7.13

> 15% 10,01% - 15% 5% - 10% < 5%

For percentage of advanced outpatient & inpatient utilization for poor family in 2006, about 30% provinces in Indonesia was in range of 5-10% and also in range of 10.01-15%. Province with the highest percentage was Bali with 23.22%, and province with the lowest was North Maluku with 1.98%. Meanwhile, the national percentage was 9.2% of 60,000,000 population, targeted based on Health Ministerial Decree No. 332.

HEALTH RESOURCE SITUATION

RATIO OF HEALTH CENTER (per 100,000 POPULATION)2006

36

3,55 3,46 3,46 3,42 3,5 3,61

0

1

2

3

4

2001 2002 2003 2004 2005 2006

RATIO OF HEALTH CENTER (per 100,000 POPULATION)2001-2006

During 2001- 2006, every 100,000 population were served by 3-4 health centers. National number of health center in 2006 was 3.61 per 100,000 population. Of 30 provinces, Banten had the lowest ratio, 1.92 per 100,000 population, while Maluku had the lowest, 9.83. In 2006, more than 60% provinces had ratio above the national ratio.

RATIO OF HEALTH CENTER (per 100,000 POPULATION) , 2005

>7 <3 No Data1 Maluku 9.83 5 North Maluku 6.75 11 Gorontalo 5.84 14 West Kalimantan 4.98 20 North Sumatera 3.52 26 Cental Java 2.67 Riau Islands2 Papua 8.87 6 NAD 6.73 12 East Nusa Tenggara 5.76 15 West Sumatera 4.84 21 DI Yogyakarta 3.45 27 East Java 2.54 West Sulaw esi 3 Bengkulu 8.04 7 East Kalimantan 6.34 13 Jambi 5.22 16 Bangka Belitung 4.37 22 Lampung 3.26 28 Riau 2.52 West Irian Jaya 4 Central Kalimantan 7.95 8 Central Sulaw esi 6.13 17 South Sulaw esi 4.20 23 Bali 3.21 29 West Java 2.525 Southeast Sulaw esi 7.94 9 North Sulaw esi 6.02 18 DKI Jakarta 3.82 24 West Nusa Tenggara 3.05 30 Banten 1.92

10 South Kalimantan 6.01 19 South Sumatera 3.61 25

3-55-7

Source: DG of Community Health, Directorate of Community 2006

RATIO OF HEALTH CENTER (per 1000 Km2)

2006

1 DKI Jakarta 461.99 8 North Sulaw esi 8.46 14 Riau Islands 5.57 22 West Sulaw esi 3.69 27 West Kalimantan 1.712 DI Yogyakarta 37.34 9 South Sulaw esi 7.85 15 East Nusa Tenggara 5.44 23 Jambi 3.09 28 Riau 1.683 West Java 27.05 10 West Nusa Tenggar 6.60 16 West Sumatera 5.30 24 Bangka Belitung 2.86 29 Central Kalimantan 1.004 Central Java 26.16 11 Bengkulu 6.37 17 Central Kalimantan 5.17 25 Maluku 2.63 30 East Kalimantan 0.955 Bali 20.20 12 Lampung 6.23 18 NAD 4.84 26 Cental Sulaw esi 2.11 31 Papua 0.766 East Java 19.92 13 North Sumatera 6.17 19 Gorontalo 4.52 32 West Irian Jaya 0.717 Banten 19.63 20 Southeast Sulaw esi 4.28 33 North Maluku 0.38

21 South Sumatera 4.13

> 10 6 - 10 2 - 6 < 2

3,85 3,87 3,92 3,99 4,06 4,03

0

2

4

6

8

2001 2002 2003 2004 2005 2006

RATIO OF HEALTH CENTER (per 1000 Km2)2001-2006

37

RATIO OF HEALTH CENTER (per 1000 Km2) 2005

There was no significant change of health center ratio in 2006, comparing to the previous year. There were only 3 provinces increased from group of 2-6 to 6-10: Bengkulu, Lampung and North Sumatera. During 2001-2006, it nationally had no significant change also, ranging from 3-4 health centers per 1000 km2. In 2006, the highest ratio was in DKI Jakarta, 461.99 and the lowest was in North Maluku, 0.38.


RATIO OF PHYSICIAN (per 100,000 POPULATION)

2005

Source: Center of Data and Information MOH, 2006

38

> 40 25 - 40 No Data1 South Kalimantan 49.42 2 North Sulaw esi 33.59 3 Riau Islands 24.24 12 Central Kalimantan 14.26 20 South Sulaw esi 9.28 26 East Nusa Tenggara 6.64 West Irian Jaya

4 Bengkulu 21.24 13 Bangka Belitung 13.90 21 North Maluku 9.16 27 South Sumatera 6.53 West Sulaw esi 5 East Kalimantan 19.87 14 West Sumatera 12.90 22 Riau 9.13 28 Banten 5.796 East Java 18.88 15 Central Sulaw esi 12.29 23 West Kalimantan 8.44 29 West Java 5.487 NAD 16.89 16 Southeast Sulaw esi 10.44 24 West Nusa Tenggar 7.81 30 Gorontalo 4.238 Bali 16.37 17 North Sumatera 10.23 25 Central Java 7.01 31 DI Yogyakarta 2.729 Lampung 16.34 18 Maluku 10.07

10 DKI Jakarta 15.94 19 Papua 10.0511 Jambi 14.57

10 - 25 < 10

In 2005 most province had ratio of physician less than 25, but only South Kalimantan and North Sulawesi had more than 25 per 100,000 population. The highest ratio in 2005 was in South Kalimantan, 49 per 100,000 population, and the lowest ratio was in DI Yogyakarta, 3 physicians per 100,000 population.

RATIO OF NURSE (per 100,000 POPULATION)2005

< 40 No Data1 DKI Jakarta 156.56 3 East Kalimantan 116.08 11 Bangka Belitung 88.36 13 Southeast Sulaw esi 78.25 21 North Sumatera 59.26 28 West Java 33.03 West Irian Jaya2 North Sulaw esi 127.02 4 Central Sulaw esi 111.29 12 South Kalimantan 80.29 14 West Kalimantan 78.20 22 Gorontalo 58.01 29 North Maluku 29.18 West Sulaw esi

5 Maluku 105.39 15 NAD 77.59 23 East Java 54.63 30 Banten 18.146 Papua 105.07 16 Jambi 72.38 24 West Nusa Tenggar 51.09 31 Central Java 1.837 Bengkulu 103.47 17 East Nusa Tenggara 70.44 25 Lampung 46.518 Bali 99.30 18 DI Yogyakarta 64.21 26 South Sumatera 43.139 Riau Islands 95.31 19 West Sumatera 60.62 27 Riau 42.37

10 Central Kalimantan 92.43 20 South Sulaw esi 59.62

> 120 80 - 120 40 - 80

In 2005, among 31 reporting provinces, there were 4 provinces had ratio of nurse per 100,000 population < 40, while 12 provinces (38.7%) had ratio > 80. The highest ratio in 2005 was in DKI Jakarta with 157 per 100,000 population, and the lowest was in Central Java with 2 per 100,000 population.

39


RATIO OF MIDWIFE (per 100,000 POPULATION)

2005

< 20 No Data1 Bengkulu 100.11 2 Central Sulaw esi 73.77 6 Jambi 59.83 14 North Sulaw esi 47.07 22 Lampung 29.90 28 West Java 17.85 West Irian Jaya

3 Maluku 70.47 7 South Kalimantan 58.65 15 Riau Islands 42.59 23 East Java 28.54 29 DI Yogyakarta 16.63 West Sulaw esi 4 Gorontalo 60.62 8 Central Kalimantan 52.74 16 East Kalimantan 41.84 24 East Nusa Tenggara 24.57 30 Riau 14.415 Papua 60.51 9 North Sumatera 51.90 17 Bali 38.48 25 DKI Jakarta 23.98 31 Banten 3.72

10 West Sumatera 51.07 18 Bangka Belitung 36.13 26 Cental Java 23.3311 NAD 49.53 19 Southeast Sulaw esi 35.15 27 South Sulaw esi 23.2012 East Nusa Tenggara 48.99 20 West Kalimantan 33.8113 North Maluku 47.16 21 South Sumatera 33.53

60 - 100 20 - 60> 100

In 2005, of 31 reporting provinces, there were 4 provinces having ratio of midwife per 100,000 population less than 20, and only 5 provinces had ratio more than 60. Most provinces had ratio between 20-60. In 2005, province with the highest ratio was Bengkulu, 100.11, and province with the lowest ratio was Banten, 3.72.

40


RATIO OF POSYANDU (per 100 UNDERFIVES), 2006

41

1,36

2,23

1,461,2 1,11

1,53

0

0,75

1,5

2,25

3

2001 2002 2003 2004 2005 2006

RATIO OF INTEGRATED HEALTH POST/POSYANDU (per 100 UNDERFIVES), 2001-2005

RATIO OF INTEGRATED HEALTH POST/POSYANDU (per 100 UNDERFIVES), 2005

Ratio of posyandu per 100 underfives during 2001-2006, the highest was in 2002 (2.23) and the lowest was in 2004 (1.11). In 2006, the ratio was 1.53 with the highest province was West Sulawesi (10.09) and the lowest province was Riau Islands (0.36)). Comparing to one year before, there was increasing ratio in 2006, especially in Sumatera and Jawa Islands.

No data1 West Sulaw esi 10.09 5 East Nusa Tengg 2.00 11 North Sulaw esi 1.43 18 Gorontalo 1.24 22 Bengkulu 0.98 29 Central Kalimantan 0.77 West Irian Jaya2 DI Yogyakarta 2.84 6 NAD 1.95 12 West Nusa Tengg 1.39 19 Southeast Sulaw es1.22 23 Maluku 0.92 30 DKI Jakarta 0.75 North Maluku 3 Central Java 2.20 7 North Sumatera 1.83 13 West Java 1.38 20 Jambi 1.12 24 West Kalimantan 0.92 31 Riau Islands 0.364 Bali 2.16 8 East Jaw a 1.81 14 Papua 1.36 21 Banten 1.02 25 Bangka Belitung 0.90

9 South Sulaw esi 1.67 15 East Kalimantan 1.35 26 South Kalimantan 0.8810 West Sumatera 1.61 16 Lampung 1.34 27 South Sumatera 0.87

17 Central Sulaw esi 1.31 28 Riau 0.84

> 2 1.5 - 2 1 - 1.5 < 1


COMPARISON OF INDONESIA TO ASEAN &

SEARO COUNTRIES

HUMAN DEVELOPMENT INDEXIN ASEAN COUNTRIES, 2005

Source: Human Development Report 2007 42

1 Singapore 0.9222 Brunei Darussalam 0.8943 Malaysia 0.811

4 Thailand 0.7815 Phillipines 0.7716 Vietnam 0.7337 Indonesia 0.728

8 Laos 0.601

9 Kamboja 0.59810 Myanmar 0.583

>= 0.800

0.500 - 0.599

0.600 - 0.699

0.700 - 0.799

HUMAN DEVELOPMENT INDEX I

N ASEAN COUNTRIES, 2004

Comparing to 2004, HDI in ASEAN countries in 2005 did not increase in general. When, previously, there were 3 countries with HDI between 0.500-0.599 (Cambodia, Myanmar and Laos), in 2005 there were only 2 countries, Cambodia and Myanmar, while Laos increased to 0.601-0.699. Still in the same year, Indonesia had HDI 0.728. Singapore was the country with the highest HDI, 0.922, and Myanmar was the lowest with 0.583.

HUMAN DEVELOPMENT INDEXIN SEARO COUNTRIES, 2005

43

1 Thailand 0,7812 Sri Lanka 0,7433 Maldives 0,7414 Indonesia 0,728

5 India 0,619

6 Myanmar 0,5837 Bhutan 0,5798 Bangladesh 0,5479 Nepal 0,534

10 Timor Leste 0,514

DPR Korea

>= 0.800

0.700 - 0.799

Tidak ada data

0.600 - 0.699

0.500 - 0.599

Comparing to 2004, there is no significant change of HDI in 2005. During 2005, among 10 SEAR countries, Thailand is was the country with the highest HDI, 0.781, and Timor Leste was the lowest, 0.514. Meanwhile, Indonesia was on the 4th position with 0.728.

HUMAN DEVELOPMENT INDEX

IN SEARO COUNTRIES, 2004

Source: Human Development Report 2007

LIFE EXPECTANCY AT BIRTH (Eo)IN ASEAN COUNTRIES, 2006

Source: 2006 World Population Data Sheet 44

LIFE EXPECTANCY AT BIRTH (Eo)

IN ASEAN COUNTRIES, 20041 Singapore 802 Brunei Darussalam 753 Malaysia 744 Viet Nam 725 Thailand 71

6 Philippines 707 Indonesia 69

8 Cambodia 609 Myanmar 60

10 Laos 54

0 - 60

70.1 - 100

65.1 - 70

60.1 - 65Countries with Eo >70 in 2006 increased 2, Viet Nam and Thailand, comparing to 2004. During 2006, among ASEAN countries, Singapore was the country with the highest Eo, 80 year, and Laos was the lowest with 54 year; while Indonesia was on the 7th position with 69 year.

LIFE EXPECTANCY AT BIRTH (Eo)IN SEARO COUNTRIES, 2006

Source: 2006 World Population Data Sheet 45

LIFE EXPECTANCY AT BIRTH (Eo)


1 Sri Lanka 742 DPR Korea 713 Thailand 71

4 Indonesia 685 Maldives 67

6 Bangladesh 647 Bhutan 648 India 649 Nepal 62

10 Myanmar 6011 Timor Leste 56

70.1 - 100

65.1 - 70

60.1 - 65

0 - 60

Comparing to 2005, in 2006, life expectancy at birth (Eo) in SEAR countries was partly increased and decreased. In 2005, Myanmar was in group of 60.1-65, and in 2006 decreased to group of ≤ 60. On the contrary, DPR Korea had increasing Eo in 2006, comparing to 2005. Sri Lanka was a country with the highest Eo in 2006 in SEAR countries with 74, while Timor Leste was the lowest with 56. Among SEAR countries, Indonesia was on the 4th position with 68 year.

COVERAGE OF NEW PULMONARY TB AFB+ CASES TOWARD AFB+ ESTIMATION RATE

IN ASEAN COUNTRIES, 2005

Source: World Health Statistic, 2007 46

1 Brunei Darussalam 1122 Singapore 1003 Myanmar 954 Viet Nam 93

5 Philippines 756 Thailand 747 Malaysia 73

8 Laos 689 Indonesia 66

10 Cambodia 66

85% - 100%

70% - 84%

55% - 69%

0% - 54%

COVERAGE OF NEW PULMONARY TB AFB+ TOWARD AFB+ ESTIMATION RATE

IN ASEAN COUNTRIES, 2004

Coverage of new pulmonary TB AFB+ toward AFB+ estimation in ASEAN regional in 2005 was relatively better than the previous year. If in 2004, 30% was in group of 85%-100%, in 2005 it increased to 40%. In 2004, there was one country with coverage >55%, which was Indonesia, while in 2005 there was no country in this group, and Indonesia was on the 2nd lowest position with 66%.



47

1 DPR Korea 992 Myanmar 953 Maldives 944 Sri Lanka 86

5 Thailand 74

6 Nepal 677 Indonesia 668 India 619 Bangladesh 59

10 Timor Leste 4411 Bhutan 31

85% - 100%

70% - 84%

55% - 69%

0% - 54%



Source: World Health Statistic, 2007

Comparing to 2004, coverage of new pulmonary TB AFB+ toward AFB+ estimation in 2005 was increased. In 2004, there was 36.4% countries with coverage <54%, while in 2005 there was only 18.2%. In addition, in 2004, 18.2% countries had coverage ≥85%, and in 2005 it increased to 36.4% countries. The highest coverage was DPR Korea (99%) and the lowest was Bhutan (31%); while Indonesia was in the 7th

position with coverage of 66%.

COVERAGE OF MEASLES IMMUNIZATION IN ASEAN COUNTRIES, 2005

Source: Immunization Summary, UNICEF-WHO, 2007 48

COVERAGE OF MEASLES IMMUNIZATION IN ASEAN COUNTRIES, 20041 Brunei Darussalam 97

2 Singapore 963 Thailand 964 Viet Nam 955 Malaysia 90

6 Philippines 80

7 Cambodia 798 Indonesia 729 Myanmar 72

10 Laos 410% - 49%

90% - 100%

80% - 89%

50% - 79%

Coverage of measles immunization in ASEAN region in 2005 was not too different with 2004, and only Cambodia changed in group level. The coverage of Cambodia was usually in level of 80%-89%, but in 2005 it decreased to 50%-79%. During 2005, the country with the highest coverage was Brunei Darussalam (97%) and the lowest was Laos (41%). Among 10 ASEAN countries, Indonesia was on the 8th position with coverage of 72%.

COVERAGE OF MEASLES IMMUNIZATION IN SEARO COUNTRIES, 2005

49Source: Immunization Summary, UNICEF-WHO, 2007

COVERAGE OF MEASLES IMMUNIZATION IN SEARO COUNTRIES, 2004

1 Sri Lanka 992 Maldives 973 DPR Korea 964 Thailand 965 Bhutan 93

6 Bangladesh 81

7 Nepal 748 Indonesia 729 Myanmar 72

10 India 58

11 Timor Leste 480% - 49%

90% - 100%

80% - 89%

50% - 79%

In general, coverage of measles immunization in SEAR in 2005 slightly increased than in 2004, and it can be seen from the changes of Bangladesh and Bhutan into higher level group. In 2005, the country with the highest coverage was Sri Lanka with 99%, and the lowest was Timor Leste with 48%; while Indonesia was on the 8th position with 72%.

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