JAKARTA - In 2021, the world's hopes will emerge after major companies have completed their research to find out the most suitable vaccine against COVID-19. Indonesia itself has received 3 million doses of Sinovac vaccine from China.

Vaccination of COVID-19 aims to reduce transmission of COVID-19, reduce mortality due to COVID-19, achieve herd immunity and protect the community. Herd immunity can only be formed if the vaccination coverage is high and evenly distributed throughout the region. And vaccination is the answer.

Vaccination for COVID-19 is carried out in 4 stages considering the availability, time of arrival and safety profile of the vaccine. The priority group for vaccine recipients is the population aged ≥ 18 years. For those under 18 years of age, vaccines can be given as long as there is adequate data on vaccine safety and emergency use authorization or issuance of a distribution permit number (NIE) from the Food and Drug Administration.

The stages of implementing the COVID-19 vaccination in Indonesia

1. Phase 1 with implementation time from January to April 2021

The targets of the 1st stage of the COVID-19 vaccination are health workers, health worker assistants, support staff and students who are currently undergoing medical professional education who work at Health Service Facilities.

2. Phase 2 with implementation time from January to April 2021

The goals of the COVID-19 phase 2 vaccination are:

Public service officers, namely TNI and Polri, legal officers, and public service officers at airports / ports / stations / terminals, banks, PLN and PDAM as well as other officers who are directly involved in providing services to the community. Elderly group (≥ 60 years).

3. Phase 3 with the implementation time of April 2021-March 2022

The target of the COVID-19 phase 3 vaccination is vulnerable people from geospatial, social and economic aspects.

4. Stage 4 with the implementation time of April 2021-March 2022

The target of vaccination phase 4 is the community and other economic actors using a cluster approach according to the availability of vaccines.

Who has priority to receive the COVID-19 vaccine?

1. Health care workers who are at high to very high risk of becoming infected and transmitting SARS-CoV-2 in the community.

2. Groups with a risk of death or serious illness (comorbid). The indication for administration is adjusted to the safety profile of each vaccine.

3. Social / occupational groups that are at high risk of contracting and transmitting the infection because they are unable to effectively distance themselves (public officials).

Location of the COVID-19 vaccination

1. Puskesmas, auxiliary puskesmas; 2. Clinic; 3. Hospital; and / or 4. Health service unit at the Port Health Office (KKP).

Health service facilities that implement COVID-19 vaccination services must meet the requirements; have health personnel, have cold chain facilities according to the type of COVID-19 vaccine used, have an operational permit for Health Service Facilities or are stipulated by the Minister in accordance with the provisions of laws and regulations

An absolute requirement for the personal protective equipment for the COVID-19 vaccination service

1. Surgical masks / medical masks

2. Gloves when available. Gloves should be changed for every target immunized. Don't use the same glove for more than one target. If gloves are not available, staff wash hands with soap and running water before and after immunization to the target

3. Other personal protective equipment if available, such as a gown / apron / waterproof hazmat suit, and face shield.

Calculation of PPE needs

1.Medical masks = number of officers x number of days of service x 2 (Note: medical masks can be used for a maximum of 4 hours so it is estimated that in a day a minimum of 2 masks is required for one officer, can also be replaced more often if they are wet, torn or damaged)

Example: The number of officers is 10 people, the planned number of service days is 20 days, then the medical mask needed is 10 x 20 x 2 = 400 masks

2. Face shield (if available) = number of officers

3. Gloves (if available) = ((number of targets x (number of vaccinators + number of screening officers)) + (number of other health workers x number of service sessions)

Example: The target number is 50 people, the number of vaccinators is 2 people, the number of screening officers is 2 people, the number of other health workers who help with vaccination services is 6 people and the number of service sessions planned is 6 sessions per day (2 sessions per day for 3 days of service), then the number of gloves needed is: ((50 x (2 + 2)) + (6 x 6) = 200 + 36 = 236 gloves

4. Apron (if available) = as needed

5. Other PPI logistical needs during vaccination services: Hand sanitizer = as needed Liquid soap and running water = as needed Disinfectant liquid = as needed


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