Health and Nutrition

Challenges

Priority Issues

UNICEF in Action

 

UNICEF in Action

© UNICEF Indonesia/2015/Baker

Nutrition

Community-based management of acute malnutrition: Indonesia has successfully piloted a model for screening and management of acute malnutrition which has resulted in cure rates of 83%. This work is being incorporated into national guidelines to inform replication and scale.

Chronic undernutrition: UNICEF is the key agency supporting the Scale Up Nutrition (SUN) Secretariat which coordinates a multi-sectoral response to chronic undernutrition (stunting).  This includes technical support to a national initiative to combat stunting in 100 priority districts

Adolescent nutrition: Eating habits and physical activity start young and have lifelong consequences. UNICEF is leading a major initiative to explore interventions to expand healthy eating options for adolescent nutrition in rural and peri-urban districts in the country.

Maternal Newborn and Child Health

 Improving access: The ‘Cluster Island Approach’ established hub-and-spoke referral systems across small island clusters of eastern Indonesia where low population density and long boat trips limit access to safe deliveries.

Improving quality: The ‘Perinatology Mentorship Initiative’ aims to improve clinical skills and critical care in district hospitals. The initiative paired specialist paediatricians and paediatric nurses from better developed parts of Indonesia with hospitals in remote areas and targeted five improvement areas for newborn care.

Preventing mother-to-child transmission of HIV (PMTCT): Indonesia is one of the only countries in the world with a growing newborn HIV epidemic. Through UNICEF support, PMTCT demonstration sites across four diverse provinces have revealed a 10-fold increase in access to testing and ARV initiation among HIV positive pregnant women between 2012 and 2015. Efforts to scale the lessons learned from these sites are underway.

Immunization

Vaccination campaigns: During 2017-2018, Indonesia is vaccinating 70 million children using the combined measles-rubella vaccine. UNICEF has been actively supporting advocacy efforts and real-time monitoring of coverage.

Maternal Neonatal Tetanus Elimination (MNTE): In 2016 Indonesia achieved MNTE after two decades of sustained support.

Reaching vulnerable children in urban slums: UNICEF’s ‘Reaching Every Community’ initiative uses SMS-based reminders to new mothers in urban slums timed with the vaccination schedule as one strategy to improve access.

Malaria

By 2017 Indonesia had eliminated malaria in more than half of the districts in the country.  Currently 72% of the population live in areas free from malaria transmission. UNICEF has actively supported malaria elimination through development of an implementation model, evidence generation, development of policy and guidelines, and improving the enabling environment. Aside from assisting at national level, UNICEF is currently assisting 8 provinces in malaria elimination.

HIV Young Key Populations 

 Project LOLIPOP Key Populations are at the centre of Indonesia’s HIV epidemic. This includes people who inject drugs, men-who have sex with men (MSM), transgender groups and female sex workers where HIV prevalence is estimated to be 50 to 100-fold higher than the national average. In most groups levels of infection have worsened over the past decade. Young people are particularly vulnerable.

Project LOLIPOP (The Linkages Quality Care of Young Key Population) was launched in 2015 as a multi-sectoral civil-society partnership with the aims of improving treatment adherence and decreasing new infections among young key populations.

 

 
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