National

Immunization
Coverage,
Indonesia

dr. Prima Yosephine, MKM

EPI Manager,
Indonesia MoH
National Coverage
 Province BCG Coverage District

2014 : 94%

2015 : 92.2%

2016 : 93%
No Data <80% 80% - 89% 90% - 94% ≥ 95%
 Province DPT-HB-Hib1 Coverage District

2014 : 97.7%

2015 : 95%

2016 : 95.3%
No Data <80% 80% - 89% 90% - 94% ≥ 95%
 Province DPT-HB-Hib3 Coverage District

2014 : 95%

2015 : 93.1%

2016 : 93.3%
No Data <80% 80% - 89% 90% - 94% ≥ 95%
 Province OPV3 Coverage District

2014 : 95.5%

2015 : 93%

2016 : 93.2%
No Data <80% 80% - 89% 90% - 94% ≥ 95%
 Province MCV1 Coverage District

2014 : 94.7%

2015 : 92.3%

2016 : 93%
No Data <80% 80% - 89% 90% - 94% ≥ 95%
 10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0

0.0
100.0
87.1 79.8
84.1 79.7
83.4 73.2
80.1 71.5
73.3 65.9
71.1 64.5
69.5 62.6
68.1 59.6
68.1 61.6
DPT-HB-Hib : 60.4%
66.8 63.3
60.4 56.0
59.9 46.7
59.4 54.4
59.3 53.7
58.4 49.3

DPT-HB-Hib
57.4 55.8
55.9 55.1
54.0 50.9
53.9

Measles
51.1
53.4 50.9
50.2 39.7
50.0 39.4

Target
49.1
Indonesia, 2016

47.8
46.8 46.8
Measles : 56%

46.4 40.1
45.5 35.5
45.2 43.8
44.6 47.6
44.0 43.9
31.0 26.2
30.7 35.0
Coverage of DPT-HB-Hib4 and MCV2

30.5 23.7
16.3 29.1
No data
Cov <25%

16.0 13.3
12.8 13.3
Cov 25% - <40%
0.0
100.0

10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
136.1
117.7
116.3
114.3
113.9
113.6
111.0
109.3
106.8
106.7
105.8
105.6
103.9
101.6
101.1
100.4
100.0
98.4
96.9
96.5
95.9
95.6
93.5
Indonesia, 2016

92.0
91.8
National : 95.6%

91.6
90.2
88.0
85.9
No data

82.4
Cov <80%

82.2
Cov 80% - <95%
Coverage of MCV (School-Based imm)

79.9
67.8
51.1
26.1
0.0
100.0

10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
115.9
114.8
113.9
113.7
111.3
110.4
106.5
105.6
104.9
104.8
100.5
100.4
100.2
100.0
98.3
98.0
98.0
95.3
95.2
94.5
92.4
91.2
Indonesia, 2016

87.8
86.9
National : 92.4%

86.5
85.9
85.6
81.6
80.9
No data

Cov <80%

79.0
Coverage of DT (School-Based imm)

77.9
Cov 80% - <95%

74.6
63.6
63.1
25.1
0.0
100.0

10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
113.0
112.8
112.0
110.5
110.5
110.3
107.7
107.0
106.5
106.4
105.7
102.2
100.4
98.8
97.6
97.5
95.9
95.6
93.9
93.0
92.4
90.9
90.9
Indonesia, 2016

90.2
National : 92.4%

89.2
87.8
87.3
86.2
81.1
No data

Cov <80%

79.0
Coverage of Td (School-Based imm)

73.4
Cov 80% - <95%

71.2
62.6
59.4
23.2
Challenges
 Data Quality Self-Assessment
Some Results (1)

Reported Data Accuracy

from Midwife/Village Level to HC Level (2012)
Data Quality Self-Assessment
Some Results (2)

Reported Data Accuracy

from HC to District Level (2012)
 Data Quality Self-Assessment
Some Results (3)

Reported Data Accuracy

from District to Province Level (2012)
 First and Second Dose MCV Coverage

Immunization DI Aceh South Sulawesi Total

Coverage Pidie Aceh Jaya Bantaeng Palopo (n=1200)
(n=300) (n=300) (n=300) (n=300)
Survey Coverage
• First Dose 55,3 84,0 79,7 97,3 79,1
• Second Dose 6,3 54,0 46,0 77,7 46,0
Reported
Coverage
• First Dose 40.1 48.5 109,7 80.3
• Second Dose 3.2 7.5 100.0 58.9

Under-reported
Over-reported
 Measles School Immunization Coverage

Aceh
Pidie Bantaeng Palopo Total
Immunization Coverage Jaya
(n=300) (n=300) (n=300) (n=1200)
(n=292)

• First Dose 73,3 81,8 82,3 95,3 83,2

• Measles School lmm 81,3 80,8 88,3 89,7 85,1

• DTP School Imm 72,3 74,3 68,7 80,0 73,8

Reported

• Measles Immunization
81.8 90.5 97.5 89.5
Coverage
• DT School
Immunization 40.9 87.5 97.3 94.1
coverage
Over-reported
 Conclusions:
Problems on Routine
Reported Data
– Issue on denominator
– Reported data quality:
 Over-reported
 Under-reported
– Data completeness and timeliness
 Data from health center  sometimes being
reported lately
 Data from private sector  sometimes not
included, or being reported lately
THANK YOU