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Health

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Through USAID's assistance Bambang, his community. and his flock of chicken is safe from the threat of the deadly Avian Influenza virus.
Bambang Sutrisno and his flock of chicken in the farm. Bambang put a biosecurity system in place with help from USAID's trained animal health officers in the district. Biosecurity ensures that employees took showers and changed their sandals before and after completing their shifts to keep the facility clean and prevent the virus from being inadvertently tracked into virus-free areas.
FAO Indonesia and USAID Indonesia

Infectious diseases that can spread across borders and turn into epidemics are capable of causing crises of global consequence. At the country level, poor health systems can harm people, animals and entire economies. Under the U.S.-Indonesia Strategic Partnership, the U.S. and Indonesia agreed to expand health cooperation to strengthen Indonesian health systems and increase local self-reliance in preventing, detecting and responding to global health challenges while increasing mutual security and prosperity.

On behalf of the American people, the U.S. Government through the United States Agency for International Development (USAID) partners with the Government and Indonesia (GOI) and others, including Indonesian and U.S. businesses, on shared health priorities. These include the control of tropical and infectious diseases (including tuberculosis, HIV/AIDS and lymphatic filariasis) and protecting mothers and newborns from preventable death. At the highest levels, USAID strengthens GOI efforts toward realizing its vision of an effective, efficient national health care program. This includes strengthening Indonesia’s ability to plan, budget 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’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. Learning from these USAID-championed approaches, 35 additional districts have replicated the best practices from national budgets.

  • With USAID’s support, TB detections in Indonesia increased 43 percent over six years. USAID initiated the use of U.S. company Chepeid’s GeneXpert diagnostic machine in Indonesia, and by the start of 2018, the GOI increased the number of GeneXpert machines across the country to 533, significantly increasing the number of TB patients diagnosed and put into treatment.

  • USAID supported the creation and rollout of Indonesia’s One Health Coordination Guidelines, which enhance the GOI’s ability to prevent, detect and respond to emerging and re-emerging disease threats, strengthening the resilience of Indonesia-- and by extension, the world-- to pandemics.

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 been helping Indonesia prevent, detect and respond to high-risk diseases and disease outbreaks with pandemic potential, such as avian influenza (more commonly known as Bird Flu), with support to-date totaling over $120 million. USAID’s current 2014-2019 Emerging Pandemic Threats (EPT-2) program is the USG’s primary contribution to the Global Health Security Agenda (GHSA) in Indonesia, for which both governments play leading roles.

HIV/AIDS  With over 690,000 people infected, Indonesia is in the grips of a growing HIV epidemic. The epidemic disproportionately affects the country’s most vulnerable communities; in Papua, 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 is also working alongside the Ministry of Health to devise a national strategy to push forward the UNAIDS 90-90-90 targets (namely, to diagnose 90 percent of all HIV-positive persons, provide antiretroviral therapy for 90 percent of those diagnosed, and achieve viral suppression by 2020 for 90 percent of those). USAID also assists civil society organizations (CSO) in expanding the reach of HIV and AIDS health services by helping them improve their organizational and technical capacities. CSO play an important role in ensuring access to prevention, care and treatment services.

Tuberculosis  In Indonesia, there are an estimated one million new TB cases and 100,000 TB-related deaths. Cases of Multi-Drug Resistant TB (MDR-TB), a TB strain that cannot be successfully treated with common TB drugs, are on the rise. USAID partners with Indonesia’s National TB Program to achieve its goal of eliminating TB by 2050. Ongoing programs are helping Indonesia detect and treat more TB cases, improve laboratory services, open more MDR-TB treatment facilities, and ensure a quality supply of anti-TB drugs. USAID supports Indonesia’s use of GeneXpert, a diagnostic machine that reduces MDR-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 transmission of the disease and therefore saving lives. At the community level, USAID partnerships with local NGOs to replace the social stigma of TB with greater understanding and support so that people will not be afraid to seek TB testing and treatment. Finally, to help Indonesia obtain the credentials for domestic TB drug production, USAID supports Indonesian drug manufacturers work toward meeting WHO prequalification standards.

Neglected Tropical Diseases (NTD)  NTDs affect the poorest members of society and perpetuate the cycle of poverty by compromising children’s development and inhibiting economic productivity. Over 86 million Indonesians – about one-third of the population – are at risk for lymphatic filariasis (elephantiasis), and intestinal worms are nationally endemic. These diseases can be prevented with safe and inexpensive single-dose medicines. USAID programs advance GOI efforts to map disease burden, develop a national strategy for disease elimination and implement community-based campaigns for bringing preventative treatment to millions of people.

REDUCING PREVENTABLE DEATHS OF MOTHERS AND NEWBORNS

Strong health systems that prioritize maternal and newborn health lead to stable, more productive societies. 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 collaborates with a variety of partners to tackle the complex and interconnected factors contributing to preventable death among maternal and newborns. USAID’s engagement in this sector catalyzes collaborative problem-solving and 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. By sparking locally-identified solutions addressing the roots of high maternal and newborn mortality, USAID programs for systems-level improvements are helping Indonesia improve the lives of families across the entire archipelago.

 

Last updated: October 11, 2018

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