COVID-19 vaccination in Indonesia

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COVID-19 vaccination in Indonesia
Date13 January 2021 (2021-01-13) – present
Location34 provinces in Indonesia
CauseCOVID-19 pandemic
Target
  • 181,554,465 people (overall)
  • 40,349,049 people (currently)
Organised byMinistry of Health
Participants
  • First dose: 23,886,601 people
  • Second dose: 12,545,626 people
Outcome
  • 8.84% of the Indonesian population has received at least one dose
  • 4.64% of the Indonesian population has received both doses
WebsiteVaksin Dashboard

The COVID-19 vaccination in Indonesia is an ongoing mass immunization in response to the COVID-19 pandemic in Indonesia. On 13 January 2021, the program commenced when President Joko Widodo was vaccinated at the presidential palace.[1] By late June, Indonesia has secured at least 104.7 million doses of COVID-19 vaccines: 94.5 million from Sinovac, 8.2 million from AstraZeneca, and two million from Sinopharm.[2]

As of 22 June 2021 at 18:00 WIB (UTC+7), 23,886,601 people had received the first dose of the vaccine, and 12,545,626 people had been fully vaccinated. Jakarta has the highest percentage of population fully vaccinated with 17.94%, followed by Bali and Special Region of Yogyakarta with 16.71% and 10.41% respectively.[3]

Background[edit]

COVID-19 is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was identified in Wuhan, China in December 2019[4] and was confirmed to have spread to Indonesia on 2 March 2020.[5] In order to combat the pandemic, a mass COVID-19 vaccination needs to be done to reach herd immunity within the community or society.

COVID-19 vaccination in Indonesia will cover at least 70% of overall Indonesian population or around 181.5 million people. The program is being carried out in four stages, starting from the most prioritized to the less prioritized.[6]

  • First stage focuses on health professionals which include people working in the health sector, such as doctors, surgeons, dentists, nurses, midwives, pharmacists, ambulance drivers, medical assistants, researchers, psychologists, or medical students.
  • Second stage focuses on elderlies (anyone ages 60 or above) and public officers which include those who work for the public and often in contact with people, such as civil servants, state enterprise employees, police, military, teachers, retail workers, journalists, religious leaders, tourism workers, transportation workers, or athletes.
  • Third stage focuses on general public which is susceptible to the economy, social, or geospatial aspect, such as those who live in dense, poor, and worst-affected areas or neighborhoods.
  • Fourth stage focuses on other general public depends on the availability of the vaccines.

Timeline[edit]

2020[edit]

On 16 December, President Jokowi announced COVID-19 vaccines would be provided for free for all Indonesians.[7] According to Jokowi, Indonesia has procured 400 million dosage of vaccines. The vaccines would be from Sinovac, Novavax, Pfizer, and AstraZeneca.[8]

On 31 December, Indonesia's Minister of Health said the vaccination would be mandatory. Indonesians who have received a text message from authorities have to be vaccinated.[9] Also on this day, 1.8 million CoronaVac vaccines arrived in Indonesia. Along with another 1.2 million vaccines which had arrived earlier that month, the doses would be distributed among Indonesia's 34 provinces.[10]

2021[edit]

January[edit]

On 8 January, Indonesian Ulema Council declared Sinovac vaccines as halal.[11]

On 11 January, the National Agency of Drug and Food Control (BPOM) published an emergency use authorization for CoronaVac vaccine from Sinovac Biotech for ages 18 to 59 with the second dose given 14 days after the first. At the same time, it also announced the vaccine's preliminary efficacy rate during its phase III trial of 65.3%.[12]

On 13 January, Indonesia's vaccination program commenced.[13]

February[edit]

On 7 February, the National Agency of Drug and Food Control (BPOM) approved the vaccination of CoronaVac for elderly people, with the second dose to be administered 28 days after the first dose instead of 14 for regular inoculation.[14]

On 17 February, the second stage of vaccination program began. The Indonesian government confirmed vaccination would be compulsory for citizens and it would seek the private sector's help in inoculating the population.[15]

March[edit]

On 7 March, at least 1% of Indonesia's population had received a COVID-19 vaccine inoculation.

On 8 March, Indonesia received its first shipment of vaccines from the COVAX initiative with 1.1 million doses of Oxford–AstraZeneca vaccines.[16]

On 15 March, the government decided on four vaccines in use for the self-vaccination program for private employees: Sinopharm, Moderna, Sputnik V, and Novavax.[17] The country also temporarily halted the distribution of AstraZeneca vaccines after reports of blood clot post vaccination in Europe.[18]

On 19 March, the National Agency of Drug and Food Control (BPOM) authorized the resumption of distribution and use of the Oxford–AstraZeneca vaccine.[19]

On 23 March, the Ministry of Health permitted the second dose of the CoronaVac vaccine for people under 60 to be administered up to 28 days after the first dose, when a strict gap of 14 days between the two doses could not be attained.[20]

April[edit]

On 1 April, the Ministry of Health announced the postponement of the vaccination schedule for the general public to June or July because of a vaccine shortage caused by the export ban of AstraZeneca vaccines from India.[21]

On 8 April, Minister of Health Budi Gunadi Sadikin said there was no certainty regarding the arrival of 104 million doses of Oxford–Astrazeneca committed under the COVAX initiative, due to export ban from India.[22] Moreover, the state-owned vaccine manufacturer Bio Farma announced it had ordered 15 million doses from Sinopharm, 22 million from Sputnik V, and 5 million from CanSino. All would be used for the self-vaccination program.[23]

On 18 April, Indonesia received 6 million bulk doses of CoronaVac vaccines, bringing the total number to 59.5 million out of 140 million doses on firm order.[24]

On 21 April, the Ministry of Health said it would receive another 3,852,000 doses of AstraZeneca by early May, the second shipment to Indonesia under the COVAX initiative.[25] It arrived on 26 April.[26]

On 30 April, the National Agency of Drug and Food Control (BPOM) issued an Emergency Use Authorization (EUA) for the Sinopharm vaccine.[27]

May[edit]

On 1 May, 500,000 doses of Sinopharm donated by the United Arab Emirates government arrived, the first shipment of the vaccine received by Indonesia.[28]

On 5 May, Jakarta expanded its vaccination program to include the general public at its dense and poor neighborhoods.[29]

On 8 May, Indonesia received 1,389,600 doses of AstraZeneca vaccine under the COVAX initiative.[30]

On 10 May, the National Commission of Post Vaccination Side Effects said it was not confirmed that the man who died hours after he was vaccinated with AstraZeneca in Jakarta was caused by the vaccine.[31] This was not the first issue with the AstraZeneca vaccine in Indonesia; previously, on 27 March, North Sulawesi temporarily halted the administration of the Oxford–AstraZeneca vaccine after at least five percent of the 3,990 patients inoculated reported post-vaccination side effects.[32][33] It was resumed on 30 March.[34]

On 16 May, the Ministry of Health temporarily halted the distribution of 448,480 doses of AstraZeneca batch CTMAV547 vaccine.[35]

On 17 May, an elderly in Jakarta died after being vaccinated with the AstraZeneca vaccine, the second case in less than two weeks in the province.[36]

On 25 May, eight million doses of Sinovac vaccine arrived in Indonesia.[37]

On 28 May, the Ministry of Health resumed the usage and distribution of AstraZeneca batch CTMAV547 vaccine.[38]

On 31 May, eight million doses of Sinovac vaccine arrived in Indonesia.[39]

June[edit]

On 5 June, 313,100 doses of AstraZeneca vaccine arrived in Indonesia.[40]

On 8 June, Jakarta expanded its vaccination program for general public ages 18 and above.[41]

On 10 June, 1.5 million doses of AstraZeneca vaccine arrived in Indonesia.[42]

On 11 June, one million doses of Sinopharm vaccine arrived in Indonesia.[43]

On 17 June, Bali expanded its vaccination program to all residents age 18 and above.[44]

On 20 June, 10 million doses of Sinovac vaccine arrived in Indonesia. With this, the country has secured at least 104.7 million doses of COVID-19 vaccines: 94.5 million from Sinovac, 8.2 million from AstraZeneca, and two million from Sinopharm.[2]

Vaccines on order[edit]

Vaccine Approval Deployment
Sinovac Green check.svg Yes Green check.svg Yes
Oxford–AstraZeneca Green check.svg Yes Green check.svg Yes
Sinopharm Green check.svg Yes Green check.svg Yes
Pfizer–BioNTech Pending Dark Red x.svg No
Moderna Pending Dark Red x.svg No
Novavax Pending Dark Red x.svg No
Sputnik V Pending Dark Red x.svg No
CanSino Pending Dark Red x.svg No

Vaccines in trial stage[edit]

Vaccine Type (technology) Phase I Phase II Phase III
CoronaVac Inactivated Green check.svg Completed Green check.svg Completed Green check.svg Completed
ZF2001 Subunit (recombinant) Green check.svg Completed Green check.svg Completed In progress
AV-COVID-19 Viral vector In progress In progress Dark Red x.svg Not Yet

Statistics[edit]

Vaccination numbers are obtained from the Indonesian Ministry of Health's website based on figures as of 14:00 WIB (13 January – 18 March 2021), 20:00 WIB (19–25 March 2021), and 18:00 WIB (since 26 March 2021, except on 22 April which was updated as of 12:00 WIB) on the same day. Lower daily inoculations may be recorded on Sundays and public holidays.[3]

By prioritized group[edit]

Vaccination numbers by prioritized group
Group Target First dose Second dose
Total Percentage Total Percentage
Health professionals 1,468,764 1,539,429 104.81% 1,407,070 95.8%
Public officers 17,327,167 18,017,043 103.98% 8,537,350 49.27%
Elderlies 21,553,118 4,330,129 20.09% 2,601,206 12.07%
Total 40,349,049 23,886,601 59.2% 12,545,626 31.09%
Data as of 22 June 2021, 18:00 WIB[3]

By province[edit]

Vaccination numbers by province
Province Target First dose Second dose Percentage of
population fully
vaccinated[a][b]
Total Percentage Total Percentage
Coat of arms of Aceh.svg Aceh 970,610 292,032 30.09% 113,487 11.69% 2.15%
Coat of arms of Bali.svg Bali 715,915 1,989,720 277.93% 721,225 100.74% 16.71%
Coat of arms of Bangka Belitung.png Bangka Belitung Islands 179,960 107,652 59.82% 67,165 37.32% 4.61%
Coat of arms of Banten.png Banten 1,630,816 671,626 41.18% 423,753 25.98% 3.56%
Coat of arms of Bengkulu.png Bengkulu 305,116 109,965 36.04% 54,808 17.96% 2.73%
Coat of arms of Central Java.png Central Java 5,508,595 2,817,597 51.15% 1,644,761 29.86% 4.5%
Coat of arms of Central Kalimantan.png Central Kalimantan 410,719 268,764 65.44% 120,403 29.32% 4.51%
Coat of arms of Central Sulawesi.png Central Sulawesi 472,802 145,203 30.71% 85,449 18.07% 2.86%
Coat of arms of East Java.png East Java 4,812,114 4,253,553 88.39% 1,822,839 37.88% 4.48%
Coat of arms of East Kalimantan.svg East Kalimantan 596,604 311,957 52.29% 208,319 34.92% 5.53%
Coat of Arms of East Nusa Tenggara NEW.png East Nusa Tenggara 877,852 321,217 36.59% 151,793 17.29% 2.85%
Coat of arms of Gorontalo.png Gorontalo 167,893 98,099 58.43% 52,865 31.49% 4.51%
Coat of arms of Jakarta.svg Jakarta 3,006,689 3,567,382 118.65% 1,894,311 63% 17.94%
Coat of arms of Jambi.svg Jambi 535,632 223,059 41.64% 123,698 23.09% 3.49%
Coat of arms of Lampung.svg Lampung 1,163,426 315,070 27.08% 196,141 16.86% 2.18%
Coat of arms of Maluku.png Maluku 297,073 95,853 32.27% 52,371 17.63% 2.83%
Emblem of North Kalimantan.png North Kalimantan 78,091 42,286 54.15% 24,355 31.19% 3.47%
Coat of arms of North Maluku.png North Maluku 182,098 48,349 26.55% 27,144 14.91% 2.12%
Coat of arms of North Sulawesi.svg North Sulawesi 389,497 304,388 78.15% 126,627 32.51% 4.83%
Coat of arms of North Sumatra.svg North Sumatra 2,230,038 896,980 40.22% 481,095 21.57% 3.25%
Coat of arms of Papua.png Papua 562,248 166,690 29.65% 111,998 19.92% 2.6%
Coat of arms of Riau.svg Riau 964,846 594,197 61.58% 265,929 27.56% 4.16%
Coat of arms of Riau Islands.png Riau Islands 286,625 530,448 185.07% 99,930 34.86% 4.84%
Coat of arms of South Kalimantan.png South Kalimantan 678,519 249,758 36.81% 169,257 24.95% 4.15%
Coat of arms of South Sulawesi.svg South Sulawesi 1,506,638 629,001 41.75% 409,472 27.18% 4.51%
Coat of arms of South Sumatra.svg South Sumatra 1,208,560 469,754 38.87% 310,961 25.73% 3.67%
Coat of arms of Southeast Sulawesi.svg Southeast Sulawesi 457,940 163,285 35.66% 79,822 17.43% 3.04%
Coat of arms of Yogyakarta.svg Special Region of Yogyakarta 663,902 623,804 93.96% 381,966 57.53% 10.41%
Coat of arms of West Java.svg West Java 6,781,022 2,829,615 41.73% 1,817,539 26.8% 3.77%
Coat of arms of West Kalimantan.svg West Kalimantan 724,559 229,925 31.73% 138,195 19.07% 2.55%
Coat of arms of West Nusa Tenggara.svg West Nusa Tenggara 761,924 246,883 32.4% 172,760 22.67% 3.25%
Coat of arms of West Papua.svg West Papua 155,614 70,779 45.48% 38,631 24.82% 3.41%
Coat of arms of West Sulawesi.png West Sulawesi 190,414 88,625 46.54% 51,450 27.02% 3.63%
Coat of arms of West Sumatra.svg West Sumatra 874,698 224,650 25.68% 142,870 16.33% 2.58%
Total 40,349,049 23,886,601 59.2% 12,545,626 31.09% 4.64%
Data as of 22 June 2021, 18:00 WIB[3]
  1. ^ Fully vaccinated people are those who have been vaccinated twice. The second dose would be inoculated within 14 to 28 days after the first dose.
  2. ^ The population data is from Statistics Indonesia's census in 2020.

Challenges[edit]

Only 4.64% of the Indonesian population has been fully vaccinated, one of the lowest rate in the world.[45] This is caused by several problems and challenges. First, Indonesia lacks vaccines and human resources to support the program. The country also struggles to distribute the vaccines equally to all regions, especially to rural and remote areas. Some provinces have vaccinated its population multiple times more than other provinces. Hoax and fake news also caused many Indonesians to hesitate about the effectiveness and choose to not be vaccinated.[46][47]

Effectiveness[edit]

On 23 April 2021, a public health office in Semarang reported that 411 of vaccinated individuals had contracted COVID-19. 267 of them were infected after the first dose, while 144 after the second dose.[48]

Based on observations on about 120,000 public health workers in Jakarta who were vaccinated from January to March, 28 days after the second dose, Sinovac vaccine prevents 94% of COVID-19 symptoms, 96% in preventing hospitalization, and 98% in preventing deaths. But after the first dose, the effectiveness against the symptoms is only 13%.[49][50]

During an outbreak in Kudus, Central Java, from 6,000 health professionals who were inoculated with CoronaVac vaccine, as of 12 June 2021, 308 of them were infected with COVID-19, 277 practice self-isolation, and 193 recovered. The director of Dr. Loekmono Hadi Regional General Hospital, dr. Abdul Aziz Achyar, stated the vaccines were proven to be able to reduce sickness and death risk from COVID-19.[51]

On 18 June 2021, Reuters reported that more than 350 Indonesian doctors and medical workers had contracted SARS-CoV-2 despite being vaccinated with the CoronaVac vaccine. Griffith University epidemiologist, Dicky Budiman, said that it was unclear how effective the CoronaVac vaccine was against the Delta variant.[52]

Controversies[edit]

As one of the first public figures who received a COVID-19 vaccine inoculation, Raffi Ahmad was criticized for breaking health protocols during a party at the night after he was vaccinated.[53]

References[edit]

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External links[edit]