Major Area: Young Child Survival and Development
National malaria authorities recognized pregnant women and families with children under five in Malaria-endemic eastern Indonesia as vulnerable populations that needed to be prioritized in Malaria prevention programes. As a result, bed net distribution was integrated into routine and outreach antenatal and immunization services and reporting systems. Midwives, nurses and immunization officers distributed bed nets during the first antenatal visit and upon completion of basic childhood vaccinations. The integration improved outcomes for all three health programmes (malaria, maternal health, immunization) and contributed towards attainment of the Millennium Development Goals. Not only have bed nets been effectively distributed to vulnerable populations, but the provision of bed nets as an incentive seems to have boosted the coverage of early antenatal visits and immunization. Training of midwifes and nurses in case management has brought malaria diagnosis and treatment to remote, underserved malaria endemic communities. Since 2008, UNICEF and the Ministry of Health leveraged funds to scale up this approach from 11 pilot districts to over 200 malaria endemic districts of Indonesia. In the context of the decentralized health system, continued facilitation and monitoring and evaluation are required to ensure local ownership and sustain synergies in terms of service delivery outcomes and health impact over time.
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