UNICEF Indonesia Promotes Public-Private Partnership in Immunizing Children

By: Arie Rukmantara - Chief Field Office, 

Programme/Operation Section, Surabaya

After successfully immunizing 9 million children against Measles and Rubella in Java last year, East Java Provincial Administration and UNICEF are involved in another massive immunization campaign in East Java. The provincial administration aims to immunize 11 million children from 1 to 19-year-old against diphtheria. The drive is called Outbreak Response Immunization (ORI) against Diphtheria. Last year, the province recorded an outbreak that killed more than 10 people, mostly children.

This time the challenge gets greater. Not only the target population is getting larger, but the campaign requires the same child to be vaccinated three times throughout the year 2018. The first vaccination is sometime between February and March, the second is between June and July, the final one is ongoing: November to December.    

However, the forces behind the campaign is also getting bigger. Building up from the momentum of last year’s Measles and Rubella campaign’s success that gained full support of, among others, media company Jawa Pos Group, Indonesia’s largest Muslim organization Nahdlatul Ulama, the East Java Council of Ulemas, University of Airlangga, this time the immunization drive is more members to join the band: Entrepreneurs Organization of Indonesia East. The organization consists 13,000 young businesspeople who employ around 3.4 million workers.

Getting more and more excited and determined, on Thursday, 15 November 2018, the Provincial Health Office of East Java, Airlangga University and UNICEF field office in Surabaya, called on everyone, including the mayors and heads of districts across the province to ensure the success of final round of Outbreak Response Immunization on Diphtheria. The first and second rounds had managed to vaccinate over 10,5 million children or 95% of the target.

The commitment was made on Thursday and was also witnessed by a well-known economist and statistician from Technology Institute of Surabaya, Mr. Kresnayana Yahya. His presentation, based on health data he gathered in the last two years, convinced the business audience that investing in child health promise high returns.

Airlangga University also appraised the Head of Trenggalek District Dr. Emil Dardak. The incoming vice governor, and his wife, a well-known artist Arumi Bachsin, played a vital role in ensuring the success of 2017 Measles and Rubella immunization. For his consistency in promoting child health Airlangga University call the vice governor elect as “Bupati Sahabat Anak”. Deputy Representative UNICEF to Indonesia, Robert Gass, handed the appreciation certificate to Dr. Emil witnessed by Head of PHO, Dr. Kohar Hari Santoso.

Mother's love for a girl with HIV positive

By: Dinda Veska – Fundraising Communication Officer

A girl in Kupang is sleeping behind a mosquito net. She’s HIV positive since birth. ©Shehzad Noorani/UNICEF/2018. 

I was still trying to recognize Ibu Teresia when, from across the street, a stocky woman with her hair neatly tied waved her hands toward me.

We went to her house which was barely five minutes away from the corners of Jalan Alak in Kupang District. She asked me to keep my shoes on, as she was worried my socks would pick up the dust from the cement floor.

She then ask permission to dressing up before doing the interview, she returned in a yellow shirt with ‘Citizens for AIDS’ on her left shoulder and she looks charming with the red lips.

On her lap was Alinea (2). It hasn’t been a year since Ibu Teresia adopted the girl – who is HIV positive. Ibu Teresia, as if she could read my mind, she said, “Her mother died when I was working with patients at a hospital. Alinea infected by HIV since she was born."

Ibu Teresia said that she fell in love with Alinea at the first time she saw her lying on the bed next to an HIV-positive woman who was fighting for her life. Ibu Teresia helped to changed the diaper of Alinea's mother, on that moment Alinea's mom asked Ibu Teresia to look after her little daughter.

Few moment after Alinea lost her mom, Ibu Teresia and the family decided to adopting Alinea.

At home, Ibu Teresia educates her children and husband about how to take care of Aliena – with love and compassion. Ibu Teresia has five children, she always remind them to let her now if there is physical injury happen to Alinea.

Ibu Teresia has been working with 8 HIV positive people since 2014. Not only make sure her own household is taken care of, she also actively visits and sits with HIV patients to help them get their treatment at the hospital.

“People with HIV need our support and especially the motivation from their own family.” said Ibu Teresia. You can tell by her stories, she always puts everyone else first.

"Every story from Ibu Teresia shows how she always puts everyone else first."

One of the HIV patients that Ibu Teresia assists is pregnant. This poses a health threat to the baby in her womb, as there is a real risk of mother-to-child transmission. This is also why all expecting mothers need to take HIV test during pregnancy. Today, the test has been made a part of routine pregnancy check-up throughout all healthcare facilities.

“These babies are innocent. They know absolutely nothing of what happened to their mothers. I want to help preventing them from being infected,” said Ibu Teresia, after showing me some healthcare guidelines she always carries with her during home visits.

In Kupang district today more than 1,000 people are HIV-positive (based on the data from healthcare facilities). UNICEF and the local government are working hand in hand to make sure that the healthcare system can reach all pregnant mothers and prevent more children from being infected – because no child should be born with preventable diseases. The prevention of mother-to-child transmission (PMTCT) program is expected to support by the work of AIDS volunteers like Ibu Teresia.

As a volunteer, one of Ibu Teresia’s crucial role is to make sure every pregnant mother she assists regularly takes their treatment. “I really hope there will be no other babies born with the virus,” she said.

©Shehzad Noorani/UNICEF/2018. 

ARV (Antiretroviral) drugs are prescribed to every pregnant mother with HIV to reduce the viral load as much as possible and therefore lower the mother-to-child transmission risk. However, regular blood and HIV tests are required for a child born from an HIV-positive mother – since birth up until the child is 18 years old – to make sure there is zero transmission.

As I reflected on Ibu Teresia’s dedication to others, a childhood song came to mind which is “Kasih Ibu” Song.  It tells about mother's love is infinity, everlasting and expecting nothing in return.  

More than being Alinea’s adoptive mother, Ibu Teresia is a light that will always brighten the path of Alinea, her five children as well as other kids in Kupang she intends to save.

*All of the names in this article have been altered to respect the rights of children.