School of Public Health and Community Medicine

Roll-out of Kupang city’s Measles-Rubella Immunisation Campaign – Progress to date

Annett Dougall

On the 1st August 2018 Kupang city’s Measles-Rubella (MR) immunisation campaign was launched at the Middle School, SMPK Santa Theresia, Kupang. The city of Kupang is located in the Indonesian eastern province known as Nusa Tenggara Timur (NTT). The province has approximately 5.2 million people, with the MR vaccine to be administered to 1,743,59 children (9 months

The Indonesian government has set a national target for 95% vaccination coverage, while the NTT province is more ambitious and has set the bar higher at 100% coverage. It is a collaborative effort involving local, district, and provincial governments. Pivotal to reaching the goal are the local community health centres (Puskesmas), UNICEF in Kupang, schools, village leaders and religious groups. During the MR campaign launch, Mayor of Kupang, Dr Jefirston R. Riwu Kore, MM, MH, stated that if 100% coverage was not achieved then it will be considered the local government has failed to meet their basic work performance indicators.

As a SPHCM internship student based at the Kupang Municipality Health Office (KMHO) I am currently witnessing the roll-out of the MR campaign. My host, placement supervisor, and translator is KMHO surveillance officer and our SPHCM alumni, Yuana Hadjo. Her input and guidance are invaluable to the success of the internship.
 
Kupang has a population of approximately 402,000 inhabitants, and the vaccination target is 104,791 people. My focus areas are Puskesmas Naioni and Puskesmas Pasir, and stage one of the MR campaign which occurs through vaccination days held in local schools. My role includes the independent observation of vaccine administration, vaccine cold chain management and wastage disposal.

Never have I seen so many smiling happy children as I have in Kupang. Many, but not all, are eager to be the first to receive the vaccine. The immunisations teams are extremely well organised sometimes having to vaccinate hundreds of children in a matter of hours. Efficiently they move their vaccination post from one noisy classroom to another, which can have up to around 40 students. The immunisation teams have welcomed my presence and are not intimidated by the observation process. They do not mind being photographed, and answer questions surrounding standard procedures. School based vaccinations will complete this week with the second stage of the campaign commencing, which involves follow-up (sweeping activities) of toddlers, unenrolled children, absent or sick children. Current figures indicate 50,245 (47.49%) children have been vaccinated in the Kupang city.

I am extremely grateful for this opportunity, offering a unique insight into the complexities of mass immunisation campaigns in a lower-middle income country. In the coming weeks, I would present practical recommendations to the KMHO for future school-based mass immunisation programs.

Annette Dougall
Master of Infectious Disease Intelligence (MIDI) Student

Annett Douglas Measles Indonesia

Contact Name : 
Dr Jerico Pardosi