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Health

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Ruling the Roost
Farmer Bambang Sutrisno and his chickens. With the help of USAID-trained animal health officers, Bambang put biosecurity measures into place after bird flu ravaged his flock. Thanks to simple but effective measures like proper footwear and showering, the farm resisted a second outbreak of bird flu that struck the area. Bambang’s chickens maintained normal egg-laying rates. Over 8,500 farmers are putting similar practices into place.
FAO Indonesia and USAID Indonesia

Health security is a global priority, the consequences of which know no borders. Under the U.S.-Indonesia Strategic Partnership, the United States and Indonesia collaborate to strengthen health systems and increase Indonesia’s self-reliance in preventing, detecting, and responding to global health challenges. These joint efforts increase security and prosperity while preventing suffering, saving lives, and brightening the future for more Indonesian families.

On behalf of the American people, the United States Agency for International Development (USAID) partners with the Government ofIndonesia (GOI), Indonesian and U.S. businesses, health care providers, and others to advance shared health priorities. These include the control of tropical and infectious diseases (such as tuberculosis, HIV/AIDS and lymphatic filariasis) and protecting mothers and newborns from preventable death. Further, USAID supports the GOI in realizing its vision for an effective, efficient national health care program. This includes strengthening Indonesia’s ability to plan, finance and implement priority public health initiatives; increase the application of international standards of care; improve the supply and quality of available medicines; and ensure a functioning, affordable health insurance system.

  • USAID supported the creation and rollout of Indonesia’s One Health Coordination Guidelines, which the GOI is using to better prevent, detect and respond to disease threats, such as bird flu, rabies, anthrax and severe acute respiratory syndrome, strengthening pandemic resilience within the Indonesia and across the Indo-Pacific region.

  • USAID together with the Ministry of Health expanded the number of GeneXpert machines in use throughout Indonesia to nearly 600, increasing drug-resistant TB case detection by 180 percent and advancing Indonesia closer to its goal of TB elimination.

  • USAID’s maternal and newborn health program improved the quality of emergency obstetric care and referral processes at health care centers and hospitals in 30 districts. At USAID-supported facilities, maternal mortality rates during birth dropped 50 percent, and infant mortality rates dropped 21 percent in just four years.

CURRENT PROGRAMS

CONTROLLING PANDEMIC THREATS AND INFECTIOUS DISEASES

Pandemic Threats  Indonesia is a hotspot for emerging diseases largely due to frequent and close interaction between people and animals, especially livestock. Since 2006, USAID has advanced Indonesia’s self-reliance in preventing, detecting and responding to high-risk zoonotic diseases and disease outbreaks, especially those with pandemic potential such as bird flu. USAID’s 2019-2024 Global Health Security (GHS) program is the USG’s primary contribution to the Global Health Security Agenda (GHSA) in Indonesia, for which both governments play leading roles globally. USAID will continue working to develop and deliver sustainable training and programs across the animal and human health sectors that improve Indonesia's capacity to address these complex health issues, including zoonotic and antimicrobial resistant threats.

HIV/AIDS  With over 670,000 people infected, Indonesia faces a growing HIV epidemic. The epidemic disproportionately affects the country’s most vulnerable communities; in Papua Provinces, for instance, the rate of infection is 15 times the national average. USAID programs bolster ongoing GOI efforts to encourage more Indonesians to safeguard themselves against HIV infection and make HIV testing and treatment more widely available. USAID also works with the Ministry of Health as it devises a national strategy to push forward the UNAIDS 90-90-90 targets. USAID also bolsters local organizations in their efforts to expand the reach of HIV and AIDS health services so that more people can get the prevention, care and treatment services they need.

Tuberculosis  In Indonesia, there are an estimated 842,000 new TB cases and 100,000 TB-related deaths each year. Drug Resistant TB (DR-TB), which cannot be treated with commonly available TB drugs, is on the rise. To address this growing crisis, USAID partners with Indonesia’s National TB Program, the goal of which is to eliminate TB by 2050. These partnerships expand Indonesia’s ability to detect and treat more TB cases, improve laboratory services, open more treatment facilities, and ensure a quality supply of much-needed medicines. To enhance the government’s efforts to cultivate greater private sector participation in the National TB Program, USAID advances solutions to the chronic under-reporting of privately treated cases and efforts to improve the quality of care at private facilities. USAID also expands Indonesia’s use of GeneXpert, a diagnostic machine that reduces DR-TB diagnosis time from months to hours, by training local health workers how to operate it. This means that more patients can start the TB treatment process right away, preventing further disease transmission. Finally, to help Indonesia obtain the necessary credentials to produce its own TB drugs, USAID extends technical expertise to Indonesian drug manufacturers working to meet WHO prequalification standards.

Neglected Tropical Diseases (NTDs)  Over 86 million Indonesians – about one-third of the population – are at risk for lymphatic filariasis (elephantiasis), and intestinal worms are nationally endemic. These and other NTDs hurt the poorest members of society the most, perpetuating poverty, slowing children’s development, and inhibiting economic productivity. Safe and inexpensive single-dose medicines, however, can prevent many NTDs altogether. USAID’s NTD programs enhance GOI efforts to map disease burdens, develop a national strategy for disease elimination and implement community-based campaigns to bring these preventative treatments to millions of people.

REDUCING PREVENTABLE DEATHS OF MOTHERS AND NEWBORNS

Indonesia has some of the highest maternal and neonatal death rates in Southeast Asia; two mothers and eight newborns die every hour from mostly preventable causes. USAID builds Indonesia’s self-reliance in tackling the complex and interconnected factors causing preventable death among mothers and newborns. USAID’s engagement catalyzes collaborative problem-solving as well as financially viable partnerships to improve quality of care, emergency referrals, use of data, financial protections, local governance, and health services for the poorest and most vulnerable families. By sparking locally-identified solutions addressing the roots of high maternal and newborn mortality, these systems-level improvements will improve the lives of families across the archipelago.

 

Last updated: October 18, 2019

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