The State of Health and Development
- The mortality rate of children under the age of five is 35 per 1,000 live births.
- 14.6 % of children under five experience sub-clinical deficiency of vitamin A.
- Between 25 and 30 million cases of childhood diarrhoea occur in Indonesia each year.
- The proportion of child deaths in which diarrhoea is the first cause of death is 31% among children in the post-neonatal period and 25% in children under the age of five. It is estimated that 31.6% of children under five are deficient in zinc.
- The prevalence of stunting among under five children is 35.6%.
- Approximately 44% of pregnant women and 26% of children under the age of five are anaemic.
MI is working to achieve the following priority objectives:
Programs and Results
- Increase the number of children receiving vitamin A supplements.
- Help establish and scale up a national program for zinc supplementation as treatment for childhood diarrhoea.
- Increase the number of households consuming adequately iodized salt.
- Increase the number of women receiving iron and folic acid supplements and taking them properly and in a sustained manner.
- Help pilot the fortification of rice with iron.
Child Survival: Supporting Vitamin A and Creating Models for Zinc
Vitamin A Supplementation
MI continues to support twice-yearly vitamin A supplementation through local health services during Vitamin A Months and in conjunction with the country´s immunization program. We are helping improve planning activity, facilitating refresher training for health staff, and helping improve distribution of the vitamin A capsules, especially to reach the most vulnerable children.
MI is helping create models for the delivery of zinc supplements with oral rehydration salts for the treatment of childhood diarrhoea. We are helping to build government commitment and capacity, strengthen the supply chain, support public education about zinc, modify the monitoring system, and support supervision and evaluation of the program.
Child Development: Accelerating Iodization and Introducing New Supplementation
MI is providing technical assistance to small scale salt processors (salt farmers) in the Bima and Lombok districts of West Nusa Tenggara province. This support includes the provision of mobile iodization units, hand mixers, and hand sprayers. It also includes helping build, in collaboration with UNICEF, the capacity of the government to enforce the law prohibiting the distribution of non-iodized salt. MI helped establish a local cooperative of Bima salt farmers to produce labelled iodized salt for distribution through community health centres and local markets.
Field Story: Bima´s Only Female Salt Extender Using Salt to Dramatically Improve Lives
With the aim of significantly accelerating the production of iodized salt, we are providing technical assistance for upgrading iodization capacity in two of the largest salt processors in East Java, which will boost production of adequately iodized salt in Indonesia considerably. It is anticipated that this activity will benefit an additional 66.7 million people within two years.
We are also providing assistance to some 150 small and medium-scale processors in Java to help them improve the quality of their iodized salt, and are helping raw salt farmers develop business models to improve the profitability of iodization activity.
Women´s Health: Expansion and Innovation
Iron and Folic Acid Supplementation
MI will help to develop viable models for expansion of iron and folic acid supplementation. This includes helping build capacity within the antenatal care program in health centres, private clinics and hospitals to manage supplementation activity, supporting activity to educate women about the importance of supplementation, and assisting with program evaluation.
MI will be serving as a technical advisor for a rice fortification pilot project coordinated by Bappenas (National Development Planning Agency) in collaboration with the BULOG (Logistic Affairs Body), the Indonesia Fortification Coalition (KFI) and other institutions.
Progress and Challenges
- 82% of children between 6-59 months are receiving vitamin A supplementation, which the Government of Indonesia has provided to all children in this age group across the country since 2009.
- Zinc supplements were included in the National Essential Drug List in 2011, and only 10-20% of the zinc supply is provided by the central government.
- Approximately 10-20% of reported cases of childhood diarrhoea are treated with zinc supplements.
- 62.8% of Indonesians are consuming adequately iodized salt.
- Approximately 57% of pregnant woman are receiving iron and folic acid supplements the program does not target non-pregnant women of child-bearing age.
- Only 18% of women who receive iron and folic acid supplements take them for more than 90 days during their pregnancy.
Contact MI in Indonesia
2nd Floor, Wirausaha Building
Jl. H.R. Rasuna Said Kav C-5
Jakarta 12920, Indonesia
Tel: 62 21 5277644
Fax: 62 21 5277645