Geography and Population


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Geography and Population

  • Geography and Population

    • Total population : 253.375.174 (est)
    • Ecological zones: tropical climate, and archipelagic geography
  • Political & Health Administrative Divisions:

    • First level : Province
    • Second level : District/city
    • Third level : Sub district


LF : Brugia malayi, Wuchereria bancrofti, Brugia timori; endemic IU 233/511 districts/cities (Mf based)

    • LF : Brugia malayi, Wuchereria bancrofti, Brugia timori; endemic IU 233/511 districts/cities (Mf based)
    • Vector (LF) : Mansonia, Culex, Anopheles
    • STH : endemic in 511 districts/cities (all provinces)
    • SCH : endemic in 2 districts (one province: Central Sulawesi)


LF control program for MDA

    • LF control program for MDA
    • - 1990s : Standard DEC Regimen
    • - 2002 : Single dose two drug regimen (DEC+ALB)
    • Partially treated (IUs = sub district)
    • - 2005 : Initial phase for fully treated (IUs= district), single dose two drug regimen (DEC+ALB),
    • in Bangka Belitung Province
    • Drug distribution: Booth and house – to house distribution  community based ( well-trained cadre), under health staff supervision


Clinical manifestation treatment : Individual dose, DEC 6 mg/BW/day for 10 days or 3x1 tablets per day for 10 days

    • Clinical manifestation treatment : Individual dose, DEC 6 mg/BW/day for 10 days or 3x1 tablets per day for 10 days
    • Vector control : integrated with malaria and dengue control programme in area where LF endemic




















At least the assesment survey to validating the reported coverage is done in the begining round of MDA (1st or 2nd round)

  • At least the assesment survey to validating the reported coverage is done in the begining round of MDA (1st or 2nd round)

  • SAE protocol

    • Health center as front line to detect any SAE (24 hours standby) during 5 days MDA implementation
    • Community Cadres  midwives  health center  hospital
    • National level ( task force for medical experts)










Guideline is being developed

  • Guideline is being developed

  • Currently vector control with dengue control and malaria control which using bednet has been implemented in Eastern part, IRS

  • monitoring and evaluation : Bednet use compliance, questionaire







Of the 85 IUs have been implemented PC

  • Of the 85 IUs have been implemented PC

  • 10 out of 85 IUs are new IUs (fully treated)

  • Advocacy and socialization is obviously the best way to raise local authority to support and financing PC

  • STH PC integrated with Vitamin A supplementation (Pre-SAC)

  • STH PC integrated with school health ( SAC)

  • MMDP has been done in every IUC which implementing PC



More support is needed to scale up MDA in remaining endemic Ius

  • More support is needed to scale up MDA in remaining endemic Ius

  • More support for capacity building (provinces and districts)

  • Diagnostic availibility for TAS activity ( ICT/Filariasis test strip and BmR1 test)

  • LF – STH : evaluation for STH prevalence has not been implemented in every IUs

  • In one of pilot areas TAS – STH prevalence survey ; the prevalence of STH any infection is still high (63%).

  • MMDP monitoring should be improve in accordance with national guideline



Some IUs prior to the 3rd round cannot reach at least 65% of geographical coverage

  • Some IUs prior to the 3rd round cannot reach at least 65% of geographical coverage

  • In areas where MDA > 5th round, not eligible to proceed TAS and stop MDA considered the geographical coverage when evaluation of prevalence has been carried out in Sentinel/Spot Check showed Mf rate <1 and 0% (what next)

  • The recommended intervention for IUs (partially treated) and already completed 5years MDA













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